Top enlisted leaders who work on U.S. Army medical and operational needs said medical evacuation and its associated tasks require modernization for future large-scale combat.

Casualty numbers in the Russia-Ukraine war point to likely large-scale casualty events in the future that will far eclipse the numbers seen by U.S. troops in recent wars, a panel of command sergeants major said Monday at the Association of the U.S. Army’s annual meeting in Washington.

The three leaders agreed that one problem vexing units is the inability to move large numbers of casualties across the battlefield.

“Everything that has wheels or tracks has a casualty on it, unless it has a main gun on it,” said Command Sgt. Maj. James Light, the top enlisted leader for the 1st Cavalry Division.

And that’s for a div

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