Wargame Nexus
An RAF Chinook lifts off with a casualty in Afghanistan, coloured smoke marking the landing site

RAF Chinook leaves with a casualty, Afghanistan. Sgt Alison Baskerville RLC, © Crown copyright, Open Government Licence

The game

NEXUS

A medical-support and casualty-evacuation wargame, created by a professional military wargamer who has designed and run games for military sponsors.

Register interest Join a playtest

Overview

Serious play for a serious problem

NEXUS puts players in the position of the people responsible for getting the wounded to care in time, under the uncertainty and pressure of operations.

It is built for both training and analysis, and is moving from prototype to a finished boxed edition.

Game card

Nexus

Designer
Professional military wargamer
Domain
Medical support · CASEVAC
Purpose
Training and analysis
Format
Boxed edition
Status
In development

What players take away

Built like a real wargame

1

Sharper decisions under pressure

Practice making difficult calls with incomplete information and limited time.

2

A shared picture of the problem

Clinicians, planners and commanders see the same challenges from each other's point of view.

3

Lessons you can use

A structured debrief turns each session into insights players carry back to their own work.

4

Designed by a practitioner

Created by a professional military wargamer with experience designing and running games for military sponsors.

Why it matters

The chain of care

Military medical support is organised as a chain, from first aid at the point of injury through to definitive care, with time targets that every step has to meet. This is the problem space NEXUS was created to explore.

Point ofinjury R1 Role 1Primary care R2 Role 2Damage controlsurgery R3 Role 3Field hospital R4 Role 4UK hospital care 10 minstop bleeding, secure airway 1 hourdamage control resuscitation 2 hoursdamage control surgery NATO 10-1-2 timeline: targets for care from point of injury. Role numbers follow NATO and UK medical support doctrine.
T1Immediate. Life-saving intervention needed now.
T2Delayed. Serious but can wait for treatment.
T3Minimal. Walking wounded, minor injuries.
T4Expectant. Survival unlikely with available resources.

Who it is for

Players and organisations

An RAF 84 Squadron helicopter winches a casualty from the deck of HMS Enterprise
84 Squadron medevac exercise on HMS Enterprise. Cpl Phil Dye, © Crown copyright, Open Government Licence

Defence medical teams

Army, Royal Navy and RAF medical personnel rehearsing evacuation planning in a low-cost, repeatable format.

NHS and emergency services

Explore mass-casualty response and how pressure moves through a system of care.

Educators

Teach the chain of care, triage and decision-making through play rather than lectures.

Hobby wargamers

A distinctive subject with real-world grounding and meaningful decisions.

Boxed edition

From prototype to the table

NEXUS is moving from prototype to a finished boxed edition. Pricing and availability will be announced to the mailing list first.

Register interest in the boxed edition