Army Medics Provide Combat Casualty Care Training to Bulgarian Troops


The training scenario: an explosion at an entry control point severely injures two service members and first responders must react quickly to save lives.

U.S. soldier teaches Bulgarian soldier how to tend a wound.
Army Sgt. James Toney, assigned to 1st Battalion, 12th Infantry Regiment, 2nd Infantry Brigade Combat Team, 4th Infantry Division, shows Bulgarian soldiers how to tend to a wound during combat casualty care training at Kandahar Airfield, Afghanistan, Aug. 20, 2018. Army photo by Staff Sgt. Neysa Canfield
U.S. soldier teaches Bulgarian soldier how to tend a wound.
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Army Sgt. James Toney, assigned to 1st Battalion, 12th Infantry Regiment, 2nd Infantry Brigade Combat Team, 4th Infantry Division, shows Bulgarian soldiers how to tend to a wound during combat casualty care training at Kandahar Airfield, Afghanistan, Aug. 20, 2018. Army photo by Staff Sgt. Neysa Canfield

Army Sgt. James Toney, a health care noncommissioned officer with 1st Battalion, 12th Infantry Regiment, 2nd Infantry Brigade Combat Team, 4th Infantry Division, employed that scenario to begin his tactical combat casualty care training course.

The training consisted of three phases: care under fire, tactical field care
and tactical evacuation care, Toney said. “The primary focus is to teach first responders how to tactically advance up to a casualty, treat them and evacuate them within a tactical situation,” he said.

Toney said he and his team are training Afghanistan-deployed Bulgarian service members. Bulgaria is a member of NATO.

“We have trained over 80 Bulgarian military members since arriving [in Afghanistan],” Toney said. “There is a bit of a language barrier, but they are eager to learn the material.”

‘The Wounds Look Realistic’

During the training, Toney said, he and his soldiers employ specially prepared mannequins as mock casualties to help make the scenarios as realistic as possible.

“The wounds look realistic and disgusting, but it’s very helpful for my soldiers to see,” said Bulgarian army 1st Sgt. Nikolov Ivaloyo. “It’s important that my soldiers know how to treat every type of wound and to see how it could potentially look, so that if or when something happens, it’s not a complete shock.”

Ivaloyo and his troops conduct base patrols and operate entry control points.

“My soldiers have to inspect vehicles that come onto the base, and anything could happen during those inspections,” said Bulgarian army Command Sgt. Maj. Petar Simeonov. “They need to be prepared to provide aid to anyone who could possibly get hurt and the [2nd IBCT] medics are ensuring we are ready to do so.”

Bulgarian soldier practices combat casualty treatment on a mannequin.
A Bulgarian soldier inserts a nasal airway into a mannequin during a combat casualty care instruction course held at Kandahar Airfield, Afghanistan, Aug. 20, 2018. The instruction is provided by a U.S. Army medical team assigned to 1st Battalion, 12th Infantry Regiment, 2nd Infantry Brigade Combat Team, 4th Infantry Division. Army photo by Staff Sgt. Neysa Canfield
Bulgarian soldier practices combat casualty treatment on a mannequin.
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A Bulgarian soldier inserts a nasal airway into a mannequin during a combat casualty care instruction course held at Kandahar Airfield, Afghanistan, Aug. 20, 2018. The instruction is provided by a U.S. Army medical team assigned to 1st Battalion, 12th Infantry Regiment, 2nd Infantry Brigade Combat Team, 4th Infantry Division. Army photo by Staff Sgt. Neysa Canfield

Since arriving to Kandahar Airfield in May, Simeonov said, the U.S. soldiers have been extremely helpful in training his soldiers, and he added that he’s grateful to have knowledgeable instructors.

“The instructors are always well prepared to teach the class and always set aside time at the end for any questions my soldiers might have,” Simeonov said. “They always go above and beyond to ensure we understand the material they are teaching us, which is important to the readiness of our soldiers.”

Toney said he enjoys working with coalition forces and feels like he is contributing to the overall Army mission by helping to enhance the capabilities of the NATO forces on the airfield.

“I enjoy training and teaching others, and I’ve enjoyed having the opportunity to teach our allied forces,” Toney said. “I believe that with each group that comes in to train, they are understanding more and more the importance of what my soldiers and I are teaching them.”