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.

The SimX VALOR curricula are designed and tested in conjunction with experienced military medical educators and are based on military protocols and clinical practice guidelines. It includes a full complement of injuries and illnesses, and it spans the full spectrum of care from the point of injury to Role 4 facilities. The curricula are suitable for all responder levels with tailored learning objectives and equipment sets for every level.

How does it work?

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 in 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.


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.


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 is able to 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?

The VALOR Core curriculum

includes 26 patient encounters available now to SimX users. These simulated patient encounters span the full spectrum of Tactical Combat Casualty Care (TCCC), Prolonged Casualty Care (PCC), Small Unit Care (SUC), Chemical Biological, Radiological, and Nuclear (CBRN) medicine, and mandatory certifications (CERT). The VALOR core curriculum is appropriate for all TCCC responder levels and includes multiple patient and mass casualty scenarios as well as multi-squad full casualty profile training encounters.

  • CBRN: Environment Safety
  • CBRN: Organophosphate Toxicity
  • SUC: Anaphylaxis
  • SUC: Asthma
  • SUC: Back Pain
  • SUC: Cellulitis vs. Abscess
  • SUC: Chest Pain
  • SUC: Concussion
  • SUC: Dive Medicine – Arterial Gas Embolism (AGE)
  • SUC: Headache
  • SUC: Heat Stroke
  • SUC: Pediatric Abdominal Pain
  • SUC: Seizure
  • PCC: Transport Pneumothorax
  • PCC: Airway Burn
  • PCC: Tanker Rescue†
  • TCCC: Blast Injury
  • TCCC: Blunt Trauma
  • TCCC: Dual Patient†
  • TCCC: Entrapment
  • TCCC: Mass Casualty†
  • TCCC: Canine / Warfighter Multi-Trauma†
  • TCCC: Multi-Role Combat Casualty Care†
  • TCCC: Penetrating Trauma
  • TCCC: Severe Head Injury
  • TCCC: Virtual Manikin†

The VALOR En Route Care curriculum

includes 14 simulated patient encounters developed in collaboration with the USAF School of Aerospace Medicine. The included encounters take place across a variety of replicated airframes with appropriate sets, kits, and outfits. This curriculum is appropriate for AE/CCAT medical personnel.

  • Airframe Environment Orientation
  • Traumatic Brain Injury
  • Blast Injury
  • Orthopedic Injury
  • Pediatric Asthma Exacerbation
  • Post-MI ACLS
  • Abdominal Trauma
  • Necrotizing Infection with Sepsis
  • Severe Burns
  • Anaphylaxis
  • Seizure
  • Multi-Patient Critical Care Air Transport†

The VALOR TCCC-Advanced Resuscitative Care (ARC) curriculum

includes 6 simulated patient encounters developed in collaboration with the University of Alabama Birmingham Department of Acute Care Surgery and the Special Operations Center for Medical Integration and Development. These encounters span the ARC spectrum, with fully implemented ARC tactics, techniques, and procedures, such as REBOA placement and massive transfusion.

  • Difficult Airway
  • Penetrating Thoracic Injury
  • Mounted Blast Injury
  • Junctional Wound
  • Dismounted Blast Injury
  • Extremity Injury with PCC

The VALOR Emergency Medical Services (EMS) curriculum

includes 10 simulated patient encounters developed in collaboration with the Stryker School of Medicine at Western Michigan University Department of Emergency Medicine. These encounters are appropriate for all EMT responders–including EMT-P–and target the assessment, field management, and transport of patients in the prehospital setting by EMS personnel.

  • Congestive Heart Failure
  • Combative Suicidal Intent
  • Diabetic Emergency
  • Drowning
  • Labor and Delivery†
  • Pediatric Hypovolemic Shock
  • Pediatric Overdose
  • Respiratory Failure
  • Trauma – Electrocution
  • Trauma – Stabbing

The VALOR Chemical, Biological, Radiological, Nuclear (CBRN) curriculum

includes 15 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. These encounters target the assessment, management, and decontamination of CBRN casualties, including ten battlefield exposure scenarios and five civilian disaster/attack scenarios.

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

The VALOR Small Unit Care (SUC) curriculum

includes 10 scenarios developed in collaboration with the Special Operations Center for Medical Integration and Development. These encounters target the assessment and management of warfighter health.

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

Canine Med – K9TCCC

This curriculum includes four scenarios spanning the Canine
Tactical Combat Casualty Care skillset with military working dogs. Includes a multi-casualty trauma, care during transport, and a small unit care setting. Appropriate for all TCCC responder levels.

  • Canine Blast Injury Transport
  • Canine / Warfighter Multi-Trauma††
  • Canine Acute Head Trauma
  • Canine Gastric Dilatation –