A simulated casualty holds up his casualty card in order to let corpsmen and combat lifesaver certified Marines with Black Sea Rotational Force 14 know what injury they need to treat the casualty for at Mihail Kogalniceanu, Romania, Oct. 14, 2013. Once the casualties were triaged and treated on site, they were then transported to the battalion aid station via M997 High Mobility Multipurpose Wheeled Vehicles.