DoD 4D Volumetric Emergency Care Training | Radiant Images Case Study
RADIANT IMAGES
www.radiantimages.com
Case Study / U.S. Department of Defense × Harvard × Radiant × IBM

Medical training in
every service member's
pocket

Radiant Images led a Department of Defense program with Harvard Medical School's STRATUS Center and IBM: combat casualty care scenarios captured in 4D volumetric video, delivered as interactive training that runs entirely offline on a service member's own phone or tablet, anywhere on Earth.

Volumetric Capture Branching Narrative Combat Casualty Care Radiant × Harvard × IBM
3months
How soon emergency care skills begin to decay after training for non-physicians
6-12months
Decay period for advanced cardiac life support knowledge, even among physicians
Zerosignal
Connectivity in austere environments, where communication links do not exist
#1survival
Built on the military's combat casualty care playbook (TCCC), credited with the highest casualty survival rate in modern warfare
01

What is at stake

Care in austere environments

In emergency medicine, time decides survival. In military and humanitarian settings the odds are stacked further: limited supplies, unreliable electricity, difficult evacuation, and the threat of hostile fire, with every medical decision competing against tactical and operational demands.

Modern field hospitals can match or beat civilian survival rates. Forward, austere positions cannot: advanced medical tools are scarce, the nearest specialist may be a continent away, and the first responder is often the service member standing closest to the casualty.

The stakes

Skills decay in months. Advanced cardiac life support knowledge fades over 6 to 12 months for physicians. For non-physicians, decay begins just 3 months after training.

No refresher in theater. Recurrent training is what maintains clinical competency, and deployed service members have no access to it at the moment they need it most.

Missions and lives on the line. Early recognition of deterioration and rapid first response decide whether a casualty survives and whether the mission holds.

02

The challenge

Why current training falls short

The US military leans heavily on simulation-based training: high-fidelity human patient simulators in realistic environments, the established gold standard for medical readiness. It works. But the physical nature of simulation, and the expertise required to run it in real time, keep it locked inside fixed training centers.

A deployed unit cannot bring the simulator, the staff, or the schedule. What reaches the field instead is flat content, and flat content cannot rehearse the split-second decisions combat casualty care demands.

The constraints

Simulation cannot deploy. Expensive equipment, physical facilities, and specialist staff make simulation-center education impossible to scale into theater.

Hands-on realism is missing. Effective learning relies on immersive, hands-on experience that traditional educational solutions do not provide.

Zero connectivity. Austere environments offer no communication links, so any solution must run entirely offline, on the devices service members already carry.

03

The Radiant approach

Real capture, not AI generation

Radiant Images, as lead on the DoD program, built the mobile training platform with Harvard's STRATUS Center and IBM. Emergency physicians scripted the scenarios from the military's official playbook for treating battlefield injuries, the Tactical Combat Casualty Care (TCCC) guidelines, together with public reports of real casualties from previous US military operations. Professional actors then performed them on Radiant's volumetric and light-field stage, captured by more than 100 cameras from every possible viewpoint, with each combatant isolated as its own 4D asset. Nothing is AI-generated: every scenario is a true recording of real people, preserving the urgency and realism of the event.

The captured scenes become branching narratives. Learners make the actual clinical calls, initiate vascular access, apply a tourniquet, escalate care, and watch the combatant carry out the decision and live with its consequences. Time-based progression lets the casualty worsen if the learner hesitates. An AI learning analytics engine, built on IBM Watson, benchmarks every decision and how long it took against trainees of similar competency, then delivers an individualized assessment with specific remediation. The whole experience runs offline on a phone or tablet.

01
Script the scenarios
The military's combat casualty care playbook and real casualty reports become branching storylines with clinical decision points.
BWH / HARVARD
02
Capture in 4D
Professional actors perform each scenario on Radiant's volumetric stage, every combatant captured as its own asset.
VOLUMETRIC STAGE, 4K
03
Build branches and assessment
Decision-based and time-based metrics wired into an AI learning analytics engine.
IBM WATSON
04
Deploy offline
A proof-of-concept combat casualty scenario running on iOS, on a service member's own device.
IN THEATER
04

The system

100%real
Captured from real performances of scripted casualty scenarios. No AI-generated video, so every human nuance survives into the training
Combatcare
Scenarios built on the military's official battlefield trauma playbook (TCCC) and detailed reports of real casualties from previous US operations
Branchingnarrative
Clinical decisions drive what happens next, and time-based paths let the casualty worsen if the learner hesitates
Offlinemobile
Runs with zero connectivity on the phones and tablets service members already carry into theater
AIassessment
Every decision and its timing benchmarked against peers of similar competency, with individualized remediation recommendations
AnyPOV
More than 100 cameras capture every possible viewpoint, so scenes can be viewed from any position or perspective
 

The capture

Production whiteboard mapping the branching narrative scene by scene
Every branch mapped: the scenario's full decision tree laid out scene by scene on the production whiteboard.
Two actors in Marine utilities rehearsing a scenario on set
Professional actors rehearse a combat casualty scenario beside the live stage monitor before capture.
Actors performing a casualty assessment scene on the green-screen volumetric stage
A casualty scenario performed on the green-screen volumetric stage, every decision point captured in 4D.
Wide view of the volumetric stage with camera towers and lighting array around the performers
Inside Radiant's volumetric stage: camera towers and lighting surround the scene to capture every possible viewpoint.
05

The impact

Just-in-time refresher in theater

Skill decay is met at the moment it matters: service members rehearse recognition of early deterioration and initial response on their own devices, during deployment, without waiting for a training rotation.

Individualized competency assessment

Decision-based and time-based metrics are captured from every run and compared to benchmarks from trainees of similar competency, so each learner sees exactly where they stand and what to remediate.

Training without infrastructure

No simulation center, no instructor, no connectivity required. The realism of high-fidelity simulation reaches the austere settings where it was never able to go.

A proof of concept built to scale

Phase 1 delivered a working combat casualty care demonstration scenario on iOS plus the AI analytics architecture, a blueprint for a library of context-specific scenarios across combat and humanitarian missions.

06

Beyond the battlefield

If a skill is best learned by doing, it can be captured in 4D and rehearsed anywhere.

This team already trains far beyond the battlefield. The same STRATUS partnership designs simulation curricula for more than 600 clinicians across 150+ US embassies and consulates worldwide, and the Radiant and Harvard collaboration with NASA is preparing astronauts to manage medical emergencies on the way to Mars.

The blueprint transfers to any high-stakes field: mass-casualty and disaster response, remote and rural healthcare, first responders, energy and industrial safety, and hospital teams rehearsing rare crises. Wherever people must perform under pressure without backup, 4D volumetric training and simulation closes the gap between reading about the moment and living through it.

Train anywhere your team must perform

From the battlefield to deep space to the operating room: if your team must perform under pressure without backup, Radiant Images can capture the training that keeps them ready.

RADIANT IMAGES
Radiant Images · Cinema. Immersive. Live. In every dimension. · www.radiantimages.com