Reading the Bracha and Burkle article gave me a flashback to a military course I took early in my career:the Combat Casualty Care Course (C4), an exercise of mass-casualty triage and management. Triaging and treating the severely injured–all types of blunt and penetrating injuries–proved relatively manageable with practice. However, what I distinctly remember as the most challenging, were those cases of stress-induced psychosis that the course leaders periodically threw at us. Dazed “soldiers” with the “hundred mile stares” and predictably unpredictable thoughts and behaviors, drained our valuable resourcesas they required constant vigilance in addition to their “three hots and a cot” (three meals and a place to sleep).