Exercise: Kwajalein - Resilience Lifeline
Field Training Exercise Integration of Drones and Telehealth for CBRNE Casualty Management in Kwajalein
MEDEX C-GHST 2025
Date: CAO - 052925
Exercise Context
Location: Kwajalein Atoll, Republic of the Marshall Islands
Setting: Post-Typhoon Overwash Event
Incident: Hazardous material release near logistics depot
Casualties: Extended chemical exposure (>24 hours), limited medevac
Scenario Overview
COASTAL INFRASTRUCTURE FAILURE DUE TO STORM SURGE
CONTAMINATION SPREAD THROUGH WATER TABLE AND AIR
CASUALTIES REQUIRE STABILIZATION IN PLACE
EXTERNAL SUPPORT UNAVAILABLE FOR 24–48 HOURS
U.S. NATIONAL GUARD SPP IN INDONESIA OFFERS REMOTE SPECIALIST SUPPORT
Primary Exercise Goals
1. Drones for supply/logistics/assessment
2. Enable telehealth triage and stabilization
3. Coordinate multinational command and control
4. Sustain field operations for 72 hours
Drone Integration Objectives
Deliver
Deliver medical kits to cut-off sites
Conduct
Conduct reconnaissance of affected areas
Simulate
Simulate delivery of blood products and diagnostics
Operate
Operate under contested comms environments
Telehealth Integration Objectives
Invoke External SME telehealth team support
01
Streamline patient intake and data sharing
02
Enable ICU-level remote decision-making
03
Field-test VSee or similar platform in austere conditions
04
Command and Control Elements
Local level first responders
Community Level Emergency Management Coordination
RMI Government coordination
U.S. DoD/HA/DR support through PACOM and SCO
NGO/External Agencies remote medical support
Simulated Challenges
Power/fuel limitations impact care delivery
Misinformation and comms degradation
Secondary contamination discovered
Cultural barriers in risk communication
Capabilities Demonstrated
End State Vision
Operational proof-of-concept for drone/telehealth deployment
Recommendations for future regional response framework
Template for future island-based HA/DR field exercises
Next Steps
Mahalo! / Q&A