As we realized the MEDEVAC from JTF-B was not going to happen, the words of instructors from the Joint Special Operations Medical Training Center (JSOMTC) echoed through my head, ?Men, pay attention to this. There will be a day when you, as Deltas, will have to sustain a patient for hours, possibly days; this is what separates you from any other medical professional in the military, so shut up and stay awake.? We had heard those words every time we started a new section of Special Forces Medical Sergeants (SFMS) course. Now those words were staring right back at us in the form of the patient?s friends and family. We looked at our patient in the back of that beat up truck and knew we could keep our patient alive. We had the knowledge and the equipment; we just didn?t know how much longer we would have to sustain him.