New York Medical College (NYMC) has been awarded $10 million by the Department of Defense in partnership with the Uniformed Services University (USU) to tackle a critical challenge in modern military medicine: providing life-saving care when immediate evacuation is not possible. This funding comes at a pivotal moment as future conflicts may leave injured service members in austere and hostile environments for extended periods before evacuation, unlike the rapid battlefield extractions seen in post-9/11 engagements in Iraq and Afghanistan. The three-year initiative will develop advanced treatment protocols and cutting-edge virtual reality (VR) training for both military and civilian responders.
NYMC, in collaboration with USU, will lead a comprehensive program focusing on three main areas. The first is creating evidence-based treatment protocols and equipment inventories for combat and mass violence scenarios. The second involves developing medical care approaches and treatment algorithms for austere environments, informed by real-world military and civilian data. The third area emphasizes immersive education, using VR and augmented reality (AR) to train military units and civilian first responders in realistic, high-pressure scenarios.
Dr. David S. Markenson, medical director at NYMC’s Center for Disaster Medicine, highlighted the significance of the grant, noting that it will enhance both military and civilian medical readiness. By combining NYMC’s expertise in disaster medicine with USU’s military medical knowledge, the program aims to create protocols, tools, and training systems that maximize survival chances for personnel in remote and challenging environments.
The VR and AR training tools developed through the initiative will cover a range of critical areas, including combat and civilian medical care in austere conditions, care in hostile environments, responses to mass violence events, bleeding control, rural responder training, and geographically dispersed education. Military and civilian teams will also train together using metaverse-based approaches to simulate realistic scenarios.
The program will unfold in three phases over three years. The evaluation phase will assess existing military and civilian research and lessons learned. The development phase will produce new care models, treatment algorithms, and VR/AR educational tools. Finally, the pilot and distribution phase will test these solutions and distribute them to military and civilian partners nationwide, creating a scalable model for advanced emergency medical training and care.







