Virtual Reality Operational Military Medical Training

Train How You Fight With the SimX VALOR Program

What is VALOR?

SimX partnered with the US Air Force to create the Virtual Advancement of Learning and Operational Readiness (VALOR) program. VALOR makes medical simulation more comprehensive, flexible, and accessible for military personnel. Developed with over $20M in DOD R&D dollars and now deployed at 50+ DOD units, the SimX Virtual Reality Medical Simulation System (VRMSS) enables high-quality, repeatable, and accessible training for a wide array of realistic scenarios.

How does it work?

The SimX VALOR curricula are designed and tested with experienced military medical educators and are based on military protocols and clinical practice guidelines. Through the VALOR program, elite medical personnel can treat and stabilize a wide range of injuries across the continuum of care. Trainees at any level and in any role can practice clinical and operational decision-making in fully immersive environments. It allows learners to safely train high-consequence situations while exponentially increasing “reps”. This creates the opportunity for military personnel to train, not until they get it right, but until they can’t get it wrong.

Multiplayer

Each simulated patient encounter in the VALOR curriculum is built for either co-located or non-co-located multiplayer team training. This allows SimX users to train in true-to-life cross-team units that focus heavily on improving communication and collaboration skills.

Immersive Encounters

Practice emergency and hand-off procedures with virtual patients in realistic operational environments. Trainees can expect to perform the same procedures and utilize tools just as they would in real combat situations

Fast Setup

No bulky equipment or drop-down menus! SimX requires only a wireless VR headset and a laptop computer. Training sessions can now be set up anytime, anywhere, in a matter of minutes.

Customizable

Create custom scenarios to put any patient in any operational environment. With the in-house SimX development team, you can create truly unique patient encounters and utilize custom sets, kits, and outfits (SKO).

Who Uses VALOR?

The VALOR program is in operational use at over 20 installations within the U.S Airforce and Defense Health Agency. The VALOR program can meet the dynamic needs of Combat Casualty Care for:

  • Pararescuemen
  • Medics
  • Special operations
  • Surgical teams
  • Elite medical personnel  and more

Combat casualty care spans the continuum from Role 1 combat lifesavers, medics, pararescuemen, IDMTs, and other personnel providing care under fire, to Role 2 forward medical units and special operations surgical teams providing resuscitation and stabilization, to Role 3 MTF personnel providing definitive care.

These highly varied care environments all require warfighters to take quick and decisive action in environments presenting a wide variety of acute clinical challenges and psychoenvironmental stressors (such as enemy action, moving transports, etc.).

What’s Included?

VALOR® Base Package

8 scenarios plus 1 Virtual Manikin (Scenario Creator) spanning the spectrum of military medical care. From Tactical Combat Casualty Care (TCCC), Prolonged Casualty Care (PCC), Small Unit Care (SUC), Chemical, Biological, Radiological and Nuclear (CBRN) medicine. Appropriate for all TCCC responder levels. Includes TCCC Virtual Manikin, which allows you to customize and create scenarios by adjusting vitals, wound patterns, and medical conditions on the fly.

  • CBRNE: Nerve Agent Exposure with Severe Head Injury
  • CFC: Canine / Warfighter Multi-Trauma
  • EMS: Pool Accident
  • ERC: Transport Pneumothorax
  • ERC: Tactical Evacuation
  • SUC: Heat Stroke
  • TCCC: Blast Injury
  • TCCC: Penetrating Trauma
  • Virtual Manikin – Tactical Combat Casualty Care (TCCC)

VALOR® En Route Care – AE/CCATT (ERC)

13 scenarios spanning the aeromedical evacuation and critical care air transport spectrum, taking place across a variety of replicated airframes with appropriate sets, kits, and outfits. Additionally, there is one multi-patient scenario with options to choose any of the cases in the curriculum and also choose the transport platform. Appropriate for AE/CCAT medical personnel. Transport platforms include the C-130, C-17, and KC-135. Developed in collaboration with the USAF School of Aerospace Medicine.

  • ERC: Airframe Environment Orientation
  • ERC: Traumatic Brain Injury
  • ERC: Blast Injury
  • ERC: Orthopedic Injury
  • ERC: Pediatric Asthma Exacerbation
  • ERC: Post-MI ACLS
  • ERC: Abdominal Trauma
  • ERC: Necrotizing Infection with Sepsis
  • ERC: Severe Burns
  • ERC: Anaphylaxis
  • ERC: Seizure
  • ERC: Multi-Patient Aeromedical Transport
  • ERC: Transport Pneumothorax*
  • ERC: Tactical Evacuation*

Tactical Combat Casualty Care (TCCC)

7 scenarios plus 1 Virtual Manikin (Scenario Creator) spanning the full spectrum of Tactical Combat Casualty Care (TCCC). Appropriate for all TCCC responder levels. Includes multiple patient and mass casualty scenarios. (* = included in Base Package)

  • TCCC: Blunt Trauma
  • TCCC: Dual Patient
  • TCCC: Entrapment
  • TCCC: Blast Injury*
  • TCCC: Penetrating Trauma*
  • TCCC: Mass Casualty
  • TCCC: Severe Head Injury
  • Virtual Manikin – Tactical Combat Casualty Care (TCCC)*

VALOR® Emergency Medical Services (EMS)

15 scenarios targeting assessment, field management, and transport of patients in the prehospital setting. Scenarios cover a broad range of practice including medical, trauma, psychiatric, obstetrics, and pediatrics. The scenarios start in an ambulance en route to the scene, and meet the patient in their home environment. Learners should stabilize the patient at the scene, prepare for transport, continue management of their condition while en route to the hospital and give a report over the radio. 10 Scenarios developed in collaboration with the Stryker School of Medicine at Western Michigan University Department of Emergency Medicine. 5 Scenarios developed independently (* = included in Base Package).

  • EMS: Adult TCA Overdose
  • EMS: Climbing Accident and Rescue
  • EMS: Combative Suicidal Intent
  • EMS: Congestive Heart Failure
  • EMS: Diabetic Emergency
  • EMS: Inferior STEMI
  • EMS: MCA Stroke
  • EMS: Motor Vehicle Accident
  • EMS: Pool Accident*
  • EMS: Obstetrics Emergency
  • EMS: Pediatric Hypovolemic Shock
  • EMS: Pediatric Overdose
  • EMS: Anaphylaxis with Difficult Airway
  • EMS: Trauma – Electrocution
  • EMS: Trauma – Stabbing

VALOR® Chemical, Biological, Radiological, Nuclear (CBRN)

16 scenarios targeting the assessment, management, and decontamination of CBRN casualties, including 11 battlefield exposure scenarios and 5 civilian disaster/attack scenarios. Developed in collaboration with the Stryker School of Medicine at Western Michigan University Department of Emergency Medicine and the Special Operations Center for Medical Integration and Development. Appropriate for all TCCC responder levels (* = included in Base Package).

  • CBRN: Tool Orientation
  • CBRN: Civilian Tool Orientation
  • CBRN: Dirty Bomb Urban Attack
  • CBRN: Hydrogen Cyanide Exposure
  • CBRN: Mustard Gas Exposure with Eye Irritation
  • CBRN: Nerve Agent Exposure with Severe Head Injury
  • CBRN: Nerve Agent Exposure Field Decontamination
  • CBRN: Opiate Gas Attack
  • CBRN: Organophosphate Toxicity Field Decontamination
  • CBRN: Phosgene Oxime (CX) Exposure with Penetrating Trauma
  • CBRN: Radiation Accident with Burn Management
  • CBRN: Sarin Gas Exposure from IED
  • CBRN: Subway Attack with Cyanogen Chloride Exposure
  • CBRN: TIC Exposure with Blunt Traumatic Injuries Civilian Response
  • CBRN: Toxic Industrial Chemical Exposure (TIC) with Blunt Traumatic Injuries
  • Virtual Manikin – Chemical Exposure (CBRN)

VALOR® Small Unit Care (SUC)

20 scenarios and 2 Virtual Manikins targeting assessment and management of warfighter health concerns by the TCCC provider in the austere, forward-deployed small unit setting. Developed in collaboration with the Special Operations Center for Medical Integration and Development and appropriate for all TCCC responder levels.

  • SUC: Abdominal Pain
  • SUC: Cold Related Illness
  • SUC: Peritonsillar Abscess
  • SUC: Flank Pain
  • SUC: Deep Venous Thrombosis
  • SUC: Rhabdomyolysis
  • SUC: Snake Envenomation
  • SUC: Ingrown Toenail
  • SUC: Anaphylaxis
  • SUC: Asthma
  • SUC: Back Pain
  • SUC: Cellulitis vs. Abscess
  • SUC: Chest Pain
  • SUC: Concussion
  • SUC: Dive Medicine – Arterial Gas Embolism
  • SUC: Altitude Illness (HAPE/HACE)
  • SUC: Headache
  • SUC: Heat Stroke
  • SUC: Pediatric Abdominal Pain
  • SUC: Seizure
  • Virtual Manikin – ENT & Pulmonary (SUC)
  • Virtual Manikin – Abdominal Pain (SUC)

Canine Field Care (CFC)

4 scenarios spanning Canine Field Care skillset with military working dogs. Appropriate for all TCCC responder levels (* = included in Base Package).

  • CFC: Canine/Warfighter Multi-Trauma*
  • CFC: Blast Injury Transport
  • CFC: Acute Head Trauma
  • CFC: Gastric Dilatation – Volvulus

SLS for RN (Simulation Learning System for RN)

20 scenarios targeting readiness training for nurses in the clinical and hospital setting, spanning a variety of specialties and nursing competencies. Developed in collaboration with Elsevier.

  • Community Health: Bioterrorism
  • Community Health: Multiple Casualty Incident
  • Fundamentals: End-of-Life Care
  • Fundamentals: Postoperative Assessment and Surgical Site Care
  • Fundamentals: Postoperative Pain Management and Care
  • Leadership: Managing Care of Multiple Patients
  • Leadership: Rapid Response 
  • Med-Surg: Abdominal Surgery and Postoperative Fluid Volume Deficit 
  • Med-Surg: Gastrointestinal Bleed
  • Med-Surg: Hip Fracture and Pulmonary Embolism
  • Med-Surg: Hip Fracture, Wound Infection & Early Sepsis
  • Med-Surg: Lung Cancer and Acute Tension Pneumothorax
  • Med-Surg: Pneumonia with Acute Respiratory Distress and Oxygen Delivery
  • Med-Surg: Spinal Cord Injury and Postoperative Atelectasis
  • Med-Surg: Urinary Tract Infection and Anaphylactic Reaction
  • Med-Surg: Wound Debridement and Pain Management
  • Pediatric: Gunshot Wound, Management of Hypovolemic Shock
  • Pediatric: Partial-Thickness Burns, Sterile Dressing Change
  • Psychiatric: Depression
  • Psychiatric: Post-traumatic Stress Disorder

VALOR® Advanced Resuscitative Care (ARC)

6 scenarios spanning the Advanced Resuscitative Care spectrum, with fully implemented ARC tactics, techniques, and procedures, such as REBOA placement and massive transfusion. Appropriate for TCCC Tier Four (Combat Paramedic/Provider), Special Operations Surgical Teams, and similar providers. Developed in collaboration with the University of Alabama Birmingham Department of Acute Care Surgery and the Special Operations Center for Medical Integration and Development.

  • ARC: Difficult Airway
  • ARC: Penetrating Thoracic Injury
  • ARC: Mounted Blast Injury
  • ARC: Junctional Wound
  • ARC: Dismounted Blast Injury
  • ARC: Extremity Injury with Prolonged Casualty Care (PCC)

VALOR® Prolonged Casualty Care (PCC)

6 scenarios and 1 Virtual Manikin addressing core prolonged casualty care competencies in the austere, deployed setting. Appropriate for all TCCC responder levels and configurable for different levels of training and equipment configurations.

  • PCC: Airway Burn
  • PCC: Tanker Rescue
  • PCC: Sepsis Management
  • PCC: Crush Syndrome
  • PCC: Burn Management
  • PCC: Severe Traumatic Brain Injury
  • Virtual Manikin – Prolonged Casualty Care (PCC)

VALOR® Human Spaceflight Support Medicine (HSFS Med)

6 scenarios and 1 Virtual Manikin addressing core prolonged casualty care competencies in the austere, deployed setting. Appropriate for all TCCC responder levels and configurable for different levels of training and equipment configurations.

  • HSFS Med: Ocean Recovery
  • HSFS Med: Pad Abort
  • HSFS Med: Spaceflight Associated Neuro-Ocular Syndrome
  • HSFS Med: Pulmonary Embolism
  • HSFS Med: Orthopedic Injury
  • HSFS Med: Severe Burns
  • HSFS Med: Severe Hazardous Gas Exposure
  • HSFS Med: Penetrating Trauma
  • HSFS Med: Blunt Head Injury
  • HSFS Med: Unresponsive Crew Member