Sgt. Maj. Kasal was assisting one of his platoons in Fallujah on Nov. 14, 2004, when heavy gunfire broke out in an Iraqi home known as the “House of Hell.” Marines quickly began exiting the building as Kasal rushed in to assess the situation and help. Kasal was hit multiple times as he grabbed a wounded Marine stranded in the line of fire. Once they were in a more sheltered area, they realized that they only had enough bandages to help one of them. Kasal gave all his medical supplies to the other Marine instead of trying to divide the supplies. The insurgents continued their heavy assault, and threw a hand grenade within a few feet of the Marines to force them to come out from under cover. Kasal reacted quickly, and used his own severely injured body to protect the other Marine from shrapnel. Despite losing about 60 percent of his blood from more than 40 shrapnel wounds and seven gunshot wounds, Kasal survived. On May 1, 2006, Kasal was awarded the Navy Cross.