On September 3, 2006, Private O’Rourke, a member of 7 Platoon Charlie Company participating in Operation MEDUSA, selflessly ignored his personal safety by braving intense enemy fire to assist in the treatment and evacuation of his comrades trapped in a disabled vehicle. Twice crossing through sustained enemy fire, Private O’Rourke returned effective fire and successfully assisted in the evacuation of injured or killed personnel. His brave and professional actions saved lives and allowed the orderly withdrawal of his platoon under heavy fire.