With the curtailing of live tissue training for the US military, SOMA was wall-to-wall manikins. But for me, one stuck out. North American Rescue has developed a full line of Combat Trauma Simulators that replicate typical injuries experienced on the modern battlefield. Developed by a former Combat Trauma Surgeon, the line consists of five hyper-realistic manikins that simulate different wounding patterns, ranging from facial trauma to amputation. Each manikin is anatomically correct, featuring a five liter blood reservoir in the chest for bleeding. The internal skeleton is supported by airplane cable and an untethered remote control system regulates simulated breathing and other signs of life. Each manikin has Dragon Skin (not the armor system) a rugged silicone based material that also demonstrates realistic tactile response. The manikins are water resistant, making difficult training situations like inclement weather possible. Training capabilities include tourniquet application, wound packing, burn treatments and bowel evisceration.