Medical Training and Operations

Images depicting military personnel engaged in medical training exercises, focusing on casualty treatment and teamwork in various medical settings.

A U.S. Navy Corpsman assigned to Combat Logistics Battalion 13, 13th Marine Expeditionary Unit, triages a simulated casualty during a medical training scenario as part of Realistic Urban Training exercise at Marine Corps Air Station Yuma, Arizona, June 7, 2022. The 13th MEU conducted RUT to enhance the integration and collective capability of the MEUs command, air, ground and logistics elements and prepare the 13th MEU to meet the nations crisis response needs during its upcoming overseas deployment.

CAMP SHELBY, Miss. (Jul. 21, 2022) Seabees assigned to Naval Mobile Construction Battalion (NMCB) 1 restrain a combative non-compliant patient during treatment in the battalion aid station during a mass casualty drill during Operation Turning Point, also known as their Field Training Exercise. Operation Turning Point is an around-the-clock exercise that focuses on constructing advanced bases while maintaining proficiency in tactics and survivability. NMCB 1 is homeported out of Gulfport, Miss. They are conducting an intense homeport training plan to expand their ability to execute construction, humanitarian assistance, and theater operations.

Master Sgt. Lisa Van Nostrand, a licensed practical nurse with the 7222 Medical Support Unit, takes the blood pressure of Private 1st Call Chendra Johnson with the 321st Sustainment Brigade, during sick call in the Aid Station set up at Forward Operating Base Freedom on July 27, 2022, during WAREX 78-22-02 at Fort McCoy, Wis.

U.S. Navy Hospital Corpsmen Armondo Zubri Jr. with Combat Logistics Battalion 15, Combat Logistics Regiment 17, 1st Marine Logistics Group, prepares a simulated casualty for movement during a Mass Casualty training event in support of Valiant Shield 2022 on Palau, June 4, 2022. Mass casualty drills test the corpsmens ability to treat and stabilize large numbers of casualties with various wounds.

The 111th Medical Group provides aid to a simulated casualty during a readiness exercise on Friday, September 16, 2022 at Biddle Air National Guard Base. The readiness exercise took place from September 15 to September 17 and validated the Wings pre-deployment and deployment readiness capabilities.

030114-F-7203T-014. Subject Operation/Series: ENDURING FREEDOM Base: Bagram Air Base State: Parwan Country: Afghanistan (AFG)

U.S. Army 1st Lts. Andrew Richardson and Kim Cruz, both of the 131st Mobile Public Affairs Detachment out of Montgomery, Ala., remove a needle and taping gauze from simulated casualty Sgt. Brandon McCarty during medical training at Fort Dix, N.J., May 3, 2007. The Soldiers are being trained by 1st Army Public Affairs in preparation for a mission in support of U.S. Army Central Command.

A U.S. Navy Corpsman assigned to Combat Logistics Battalion 13, 13th Marine Expeditionary Unit, triages a simulated casualty during a medical training scenario as part of Realistic Urban Training exercise at Marine Corps Air Station Yuma, Arizona, June 7, 2022. The 13th MEU conducted RUT to enhance the integration and collective capability of the MEUs command, air, ground and logistics elements and prepare the 13th MEU to meet the nations crisis response needs during its upcoming overseas deployment.

Senior Airman Gracie Livengood (left) and Tech. Sgt. Chayla Hurd (right), 139th Medical Group Homeland Response Force (HRF), practice applying tourniquets during trauma training at Camp Clark, Nevada, Missouri, June 8, 2022. The HRF established a footprint to simulate a deployed environment and practiced various medical procedures.

More than 600 Idaho Army National Guard Soldiers, joined by Soldiers from the Montana, Oregon, Ohio and South Carolina Army National Guards, have been training in Fort Bliss, Texas, since mobilizing from Gowen Field in early August. The task force, Task Force Rattler, will deploy to Southwest Asia later this month in support of Operation Spartan Shield, where they will rotate out with 250 Soldiers from the Idaho Army National Guard as well as Soldiers from the Montana, Nevada, Oregon and Florida Army National Guards. Each rotation is approximately 12 months. Soldiers from the 118th Infantry Regiment from South Carolina National Guard and the 285th Medical Company from the Ohio National Guard are also part of Task Force Rattler, which provide the task force the ability to execute combined arms maneuvers. The intense training at Fort Bliss consisted of long hours with day and night combined arms maneuver missions with the Idaho Army National Guard shooting 120mm mortar rounds from M113 A

More than 600 Idaho Army National Guard Soldiers, joined by Soldiers from the Montana, Oregon, Ohio and South Carolina Army National Guards, have been training in Fort Bliss, Texas, since mobilizing from Gowen Field in early August. The task force, Task Force Rattler, will deploy to Southwest Asia later this month in support of Operation Spartan Shield, where they will rotate out with 250 Soldiers from the Idaho Army National Guard as well as Soldiers from the Montana, Nevada, Oregon and Florida Army National Guards. Each rotation is approximately 12 months. Soldiers from the 118th Infantry Regiment from South Carolina National Guard and the 285th Medical Company from the Ohio National Guard are also part of Task Force Rattler, which provide the task force the ability to execute combined arms maneuvers. The intense training at Fort Bliss consisted of long hours with day and night combined arms maneuver missions with the Idaho Army National Guard shooting 120mm mortar rounds from M113 A

U.S. Navy corpsmen with Alpha Company, 9th Engineer Support Battalion, 3rd Marine Logistics Group, assess a simulated casualty at Dagmar North Training Area, Republic of Korea, July 10, 2022. Marines with 9th ESB are participating in a large-scale field training exercise focused on leveraging the integrated capabilities of joint and allied partners to strengthen all-domain awareness, maneuver, and fires across a distributed mountainous environment.

From November 20th to 24th, 16 members of the Kuwait Marine Fire & Rescue unit trained with US Army medical personnel of Area Support Group - Kuwait on Combat Life Saver skills and best practices in emergency paramedic procedures. Fire & Rescue completed their workshop with drills on shore and in the Arabian Gulf on November 24th, 2022.

Reserve Citizen Airmen from various 349th Air Mobility Wing squadrons practice medical response scenarios during Tactical Combat Casualty Care training, July 29, 2022, at Travis Air Force Base, California. TCCC teaches life-saving skills and methods proven effective in a combat environment.

U.S. Air Force Airman 1st Class Briana Esqueda, 60th Dental Squadron dental assistant, listens to a lecture during tactical combat casualty care training at David Grant USAF Medical Center, Travis Air Force Base, California, April 28, 2022. The all-service member TCCC course replaces the self-aid buddy care courses. The Department of Defense has established the use of standardized trauma training platforms for all designated medical support service member augmentees.

Pvt. Regan Franks, a combat medic assigned to the 491st Medical Company Area Support from Santa Fe, New Mexico, treats a mock casualty as part of Guardian Response 22 at Muscatatuck Urban Training Center, Indiana, April 28, 2022. Guardian Response 22 is a homeland emergency response exercise that provides realistic disaster training for U.S. Army Reserve Soldiers.

U.S. Air Force medical contingency response team members, with the 378th Expeditionary Medical Squadron, perform mock emergency medical care for a simulated casualty at Prince Sultan Air Base, Kingdom of Saudi Arabia, May 13, 2022. The 378th Air Expeditionary Wing held an airborne missile attack exercise that included a simulated mass casualty incident.

U.S. Airmen assigned to the Ohio National Guard's 180th Fighter Wing participate in CPR refresher training in Swanton, Ohio on Aug. 7, 2022. The 180FW fire department responds to emergencies both on and off base in the surrounding communities. Regular training ensures they maintain the highest levels of readiness and proficiency.

The Medical Simulation Training Center (MSTC) provides realistic medical training to both medical and non-medical Soldiers in the Active, Reserve and National Guard. These images show various units completing the Combat Lifesaver Course. The US Army Combat Lifesaver Course is an official medical training course conducted by the US Army. The course is intended to provide an intermediate step between the buddy aid-style basic life support taught to every soldier, and the advanced life support skills that are taught to US Army Combat Medics. (Photos taken by the Fort Dix TSC Training Support Center)

An Army National Guard competitor prepares to render aid to a simulated casualty with an unknown injury as part of an evaluation during the Army National Guard Region V Best Warrior competition at Camp Gruber Training Center, Okla., May 17, 2022. Army National Guard Soldiers from across six states test their physical and mental proficiency to earn the title Best Warrior at Camp Gruber Training Center, near Braggs, Okla., May 15-20, 2022. (Oklahoma National Guard photo by Spc. Caleb Stone)

U.S. Air Force Tech. Sgt. Alana Phillips, right, 60th Inpatient Operations Squadron noncommissioned officer in charge of labor delivery, explains post delivery procedures to Chief Master Sgt. Keith Scott, 60th Air Mobility Wing command chief, during Wing Leadership Rounds at David Grant USAF Medical Center on Travis Air Force Base, California, May 20, 2022. The Wing Leadership Rounds program is designed to provide 60th AMW leadership an opportunity to interact with Airmen and receive a detailed view of each mission performed at Travis AFB.

U.S. Marine Corps Cpl. Kaleb Martin, combat photographer, performs medical procedures on a dummy during the Tactical Combat Casualty Care (TCCC) course on Marine Corps Base Quantico, Virginia, July 29, 2022. Students learn real combat scenarios while treating casualties on the battlefield under fire. Students perform triage, provide ambulatory care, and obtain and analyze medical information.

Airmen from the 171st Air Refueling Wing and the 911th Airlift Wing take part in a Combat Lifesaver Course, May 15, 2022, near Pittsburgh, Pennsylvania. The students were run through a series of realistic trauma scenarios using tactical maneuvers to approach casualties then provide frontline life-saving medical treatment.

Army Specialist Jonathan Potter, who provided medical instruction during the week-long training with the El Salvadorian military, watches as a student prepares to administer an intravenous needle into a wounded soilder. Air Force

Sergeant 1st Class Jason Pate (center) and Staff Sgt. Caleb Stinson (center right), 68W Combat Medics, 187th and 232nd Medical Battalions, conduct damage control and resuscitation during the Best Medic Competition, Sep. 29, 2022 at Joint Base San Antonio-Camp Bullis, Tx. Medics who earn entry into the Best Medic Competition are already among the "best of the best." To be eligible for entry, medics must have received either the Expert Field Medical Badge (EFMB) or the Combat Medical Badge (CMB).2 Both badges require the utmost determination and competence to receive. The overall pass rate for the Expert Field Medical Badge is less than 20%, making it one of the hardest and most respected forms of recognition you can earn in the army.

U.S. Navy Hospital Corpsman HM1 Justin Dickey with Combat Logistics Battalion 6, Combat Logistics Regiment 2, 2nd Marine Logistics Group, conducts medical care on a simulated casualty during Medical Reindeer a medical exercise held prior to Nordic Response 24 in Setermeon, Norway, Feb. 13, 2024. Medical Reindeer is a multinational medical exercise in support of field training during Exercise Nordic Response 24 in order to strengthen and improve medical interoperability between NATO Allies and partners within the European theater. Exercise Nordic Response, formerly known as Cold Response, is a NATO training event conducted every two years to promote military competency in arctic environments and to foster interoperability between the U.S. Marine Corps and allied nations. Marine Corps

U.S. Navy Lt. Cmdr. Marissa Mayor, a general surgeon from 2nd Medical Battalion, 2nd Marine Logistics Group, in support of Special Purpose Marine Air-Ground Task Force UNITAS LXIII performs surgery at a surgical training event during exercise UNITAS LXIII in Marambaia, Brazil, Sept. 10, 2022. The training event consisted of a medical equipment presentation, a field surgery, and a CASEVAC via a Brazilian armored personnel carrier. UNITAS is the worlds longest-running annual multinational maritime exercise that focuses on enhancing interoperability among multiple nations and joint forces during littoral and amphibious operations in order to build on existing regional partnerships and create new enduring relationships that promote peace, stability, and prosperity in the U.S. Southern Commands area of responsibility.

Airman First Class Mary Lawrence, a medical technician assigned to the 151st Medical Group, conducts a COVID-19 test on a member of the Utah National Guard at a supply warehouse, May 14, 2020 in Salt Lake City, Utah. Over 120 Soldiers and Airmen from the Utah National Guard are assisting in the COVID-19 response, including supply and warehouse management, logistics, and testing.

CAMP LEMONNIER, Djibouti (Jan. 26, 2022) Bal Limbu (center), a firefighter at Camp Lemonniers Fire Department, transports a simulated patient to Michaud Expeditionary Medical Facility during a mass casualties exercise on base. CLDJ serves as an expeditionary base for U.S. military forces providing support to ships, aircraft and personnel that ensure security throughout Europe, Africa and Southwest Asia. The base enables maritime and combat operations in the Horn of Africa while fostering positive U.S.-Africa relations. (U.S. Navy photo by Mass Communication Specialist 1st Class Jacob Sippel)

060308-A-3760M-092. Subject Operation/Series: NOBLE SHEPHERD Base: Hohenfels State: Bavaria Country: Deutschland / Germany (DEU) Scene Major Command Shown: 1ST INFANTRY DIVISION

U.S. and Hellenic Air Force members conduct Aircrew Flight Equipment familiarization training at Souda Air Base, Greece, July 18, 2022. The training was conducted to exchange best practices with Hellenic Air Force counterparts, improving interoperability and readiness.

Airmen from the 155th Air Refueling Wing learns medical procedures, June 15, 2022, during a readiness exercise at the Lincoln Air Force Base, Neb. The Nebraska Air National Guard emphasizes individual Airmen readiness through occupational and professional development opportunities.

Japan Ground Self-Defense Force (JGSDF) personnel practice Tactical Combat Casualty Care (TC3) during an information exchange with U.S. medics from Task Force Red Dragon, Combined Joint Task Force - Horn of Africa (CJTF-HOA) at Camp Lemonnier, Djibouti, May 27, 2022. The event allowed U.S. and Japanese forces to exchange information on life-saving combat care and improved overall interoperability between the forces.

BALTIC SEA (Sept. 22, 2022) U.S. Navy Hospital Corpsman 2nd Class John Barchenger practices giving an IV to a simulated casualty during a patient transfer exercise on a landing craft, air cushion aboard the Wasp-class amphibious assault ship USS Kearsarge (LHD 3) Sept. 22, 2022. The Kearsarge Amphibious Ready Group and embarked 22nd Marine Expeditionary Unit, under the command and control of Task Force 61/2, is on a scheduled deployment in the U.S. Naval Forces Europe area of operations, employed by U.S. Sixth Fleet to defend U.S., allied and partner interests.

A U.S. Marine with 2d Assault Amphibian Battalion, 2d Marine Division, inserts a nasopharyngeal airway as a part of a combat lifesaver class during a deployment for training (DFT) at Joint Forces Training Center Camp Shelby, Mississippi, June 6, 2022. The purpose of this DFT is to validate the battalion's ability to conduct force deployments in support of contingency operations and tactically improve warfighting proficiency in preparation for major combat operations.

2nd Medical Battalion medical personnel operate on a surgical suit during a simulated mass casualty event as part of Exercise Carolina Response. The surgical cut suit is owned by Naval Medical Center Camp Lejeune and is used by various medical units for trauma care training.

U.S. Air Force Master Sgt. Robert Schaffer, 435th Contingency Response Support Squadron independent duty medical technician, left, and Tech. Sgt. Conner Adams, 435th Contingency Response Group resource advisor, set up a medical tent during exercise Agile Wolf 22 at Koszalin, Poland, Sept. 12, 2022. Exercise Agile Wolf is a scalable airfield opening exercise that provides a variety of training opportunities, promotes innovation, and strengthens partnerships within the 435th Air Ground Operations Wing and around Ramstein Air Base, Germany.

030214-A-4962B-182. Subject Operation/Series: ENDURING FREEDOM Base: Cjcmotf State: Kabul Country: Afghanistan (AFG)

240221-N-VJ326-1112 SAN DIEGO (Feb. 21, 2024) - Sailors strap a simulated casualty into a Reeves Sleeve casualty stretcher during a Medical Training Team mass casualty drill in the vehicle stowage area aboard amphibious assault carrier USS Tripoli (LHA 7), Feb. 21. Tripoli is an America-class amphibious assault ship homeported in San Diego. Navy

U.S. Army Soldiers, Marines, and Indonesian National Armed Forces (TNI) Soldiers, conduct cold and hot load medical evacuation (MEDEVAC) training during exercise Super Garuda Shield 2023, at 5th Marine Training Center (Puslatpur), Situbondo Regency, East Java, Indonesia, Sep. 2, 2023. Super Garuda Shield 2023 is an annual exercise that has significantly grown in scope and size since 2009. SGS2023 is the second consecutive time this exercise has grown into a combine and joint event, highlighting the 6 participating and 12 observing nations commitment to partnership and a free and open Indo-Pacific.

U.S. Sailors with the Expeditionary Medical Facility Jackson from Dallas, Texas, simulate treating causalities during a Mass Casualty exercise in support of the Golden Coyote Training Exercise at Camp Rapid, South Dakota, June 17, 2022. Golden Coyote is a three-phase scenario driven exercise conducted in the Black Hills of South Dakota and Wyoming. The exercise enables Commanders to focus on mission essentials warrior tasks and drills.

U.S. Army Soldiers compete in the Best Medic Competition for Medical Readiness Command, East on Fort Campbell, Kentucky, Nov. 6, 2022. The competition included the Army Combat Fitness Test, M4 Qualifications, Combat Water Survival Training, and a written exam on the first day.

U.S. Army squads under FORSCOM (Forces Command) compete for the title of Best Squad during a head-to-head competition at the FORSCOM Best Squad Competition 2022 at Fort Hood, Texas, Aug. 17, 2022. Sgt. Noe Garcia, representing the III Armored Corps squad, medically assesses a tactical dummy. On Day 3 of the competition Soldiers underwent a medical evacuation simulation at the Fort Hood MSTC (Medical Simulation Training Center). The Army is the best trained, best equipped, and most skilled fighting force in the world.

U.S. Air Force medical squadron Airmen assigned to the U.S. Central Command area of responsibility provide care to a simulated patient during a routine medical training exercise at an undisclosed location Feb. 22, 2024. Routine training maintains readiness for medical personnel which is integral to their resiliency and the work medics do while deployed in the USCENTCOM AOR. Air Force photo)

PACIFIC OCEAN (May 4, 2022) Personnel Specialist 2nd Class Kenji Velasco, from Chicago, assigned to amphibious transport dock ship USS John P. Murtha (LPD 26) applies a chest seal dressing to a simulated casualty during Tactical Combat Casualty Care training, May 4. John P. Murtha is underway conducting routine operations in U.S. 7th Fleet.

Students from the 4-day Tactical Combat Casualty Care (TCCC) and Combat LifeSaver (CLS) courses taught by 162nd Medical Group personnel practice on patients with simulated injuries during an active shooter exercise at Morris Air National Guard Base here today.

010919-F-8063B-007. Complete Scene Caption: SENIOR AIRMAN Leo Hendricks, USAF, (left), 86th Civil Engineering Squadron, waits patiently while SPECIALIST B. Devan, USA, 226 Medical Logistics Battalion, Miseau, Germany, starts an intravenous line during the blood drive at the Southside Fitness Center, Ramstein Air Base, Germany. In response to the terrorist attacks on the World Trade Center and the Pentagon "prompted an overwhelming number of Department of Defense personnel and military family members in Europe to want to volunteer as blood donors to assist the survivors." Shortly after 8 AM (EST) on September 11, 2001 in an attempt to frighten the American people, terrorist mounted attacks on the World Trade Centers Twin Towers and at the Pentagon. Hijackers deliberately flew civilian airliners into the buildings, killing themselves, the passengers and thousands on the ground. Base: Ramstein Air Base State: Rheinland-Pfalz Country: Deutschland / Germany (DEU) Scene Major Command Shown

Lt. Col. Jose Peralta, a Dentist from the 185th Dental Company, who is attached to Task Force MED 374 cleans the teeth of a Military Working Dog named Nacho. Nacho's handler, Sgt. Juan Carlos Lopez de Atalaya Rubio of the Spanish Contingencies Task Force 431, allowed Soldiers from Task Force MED 374 to train on rendering care to Military Working Dogs. Military Working Dogs are a vital component to the overall mission in CENTCOM's area of responsibility as they are used as another means to patrol and locate explosives.

North Carolina Army National Guard soldiers assist Cape Fear Valley Hospital load bed-ridden patients into a Light Medium Tactical Vehicle in order to move them through flooded streets in Fayetteville N.C., Oct. 09, 2016. More than 800 people have been rescued from the flooding caused by Hurricane Matthew.

CAMP PENDLETON, Calif. (Apr. 24, 2022) - Medical personnel, assigned to Marine Expeditionary Unit (MEU) Combat Logistics Battalion-13, treat a patient injured during a simulated patrol as part of exercise Operation Firebreak. The exercise was part of Expeditionary Medical Facility (EMF) Juliets operational readiness evaluation (ORE) and simulated point of injury treatment and transporting casualties to the next level of care. The ORE was conducted at Naval Expeditionary Medical Training Institute and evaluates patient throughput capability, assesses coordination across functional areas, and teamwork. The training supports the Surgeon Generals Tiered Readiness Program and showcases Navy Medicines ability to generate and maintain ready medical forces.

A Navy Explosive Ordnance Disposal School Sailor talks with simulated victims during an active assailant exercise Dec. 6 at Eglin Air Force Base, Fla. The exercise, involving EOD students, took place deep within the Eglin range. The exercise tested the response capabilities of the 96th Test Wing, Okaloosa and Walton County law enforcement, fire departments and medical personnel. (U.S. Air Force photo/Samuel King Jr.)

U.S. Navy Petty Officer 3rd Class Tanner Robinson and Petty Officer 2nd Class Zachary Mitchell, instructors with the Navy Education and Training Office, Division Schools, 1st Marine Division, demonstrate lifesaving procedures on a simulated casualty during a tactical combat casualty care course for religious program personnel drawn from across the division on Marine Corps Base Camp Pendleton, California, Nov. 8, 2022. TCCC aims to reduce combat deaths while allowing a unit to complete its mission and provide the best possible care for casualties on the battlefield.

040821-F-4863M-019. Base: Kadena Air Base State: Okinawa Country: Japan (JPN)

More than 600 Idaho Army National Guard Soldiers, joined by Soldiers from the Montana, Oregon, Ohio and South Carolina Army National Guards, have been training in Fort Bliss, Texas, since mobilizing from Gowen Field in early August. The task force, Task Force Rattler, will deploy to Southwest Asia later this month in support of Operation Spartan Shield, where they will rotate out with 250 Soldiers from the Idaho Army National Guard as well as Soldiers from the Montana, Nevada, Oregon and Florida Army National Guards. Each rotation is approximately 12 months. Soldiers from the 118th Infantry Regiment from South Carolina National Guard and the 285th Medical Company from the Ohio National Guard are also part of Task Force Rattler, which provide the task force the ability to execute combined arms maneuvers. The intense training at Fort Bliss consisted of long hours with day and night combined arms maneuver missions with the Idaho Army National Guard shooting 120mm mortar rounds from M113 A

North Carolina Army National Guard soldiers assist Cape Fear Valley Hospital prepare bed-ridden patients to move through flooded streets in Fayetteville N.C., Oct. 09, 2016. Fayetteville received 12 inches of rain from Hurricane Matthew.

Staff Sgt. Jacob Lewis, medical treatment noncommissioned officer in charge, 3rd Battalion, 112th Field Artillery Regiment, 44th Infantry Brigade Combat Team, prepares a simulated casualty for evacuation to the next higher level of medical treatment during eXportable Combat Training Capability 22-01 on Fort Drum, NY, July 21, 2022.

U.S. Air Force Staff Sgt. Sean Kirby, an emergency management contingency skills instructor assigned to the 554th Rapid Engineer Deployable Heavy Operational Repair Squadron Engineers Squadron, signs the official Linebacker of the Week jersey at Andersen Air Force Base, Guam, Nov. 16, 2022. The Team Andersen Linebacker of the Week recognizes outstanding enlisted, officer, civilian and total force personnel who have had an impact on achieving Team Andersens mission, vision and priorities.

U.S. Army soldiers assigned to the 3rd Armored Brigade Combat Team, 1st Cavalry Division, learn how to conduct Cardiopulmonary Resuscitation. The class was taught to inform soldiers what to do in case of an emergency where CPR would be needed.

Airmen from the 341st Medical Group perform tactical combat casualty care on a dummy during an exercise July 15, 2022, at Malmstrom Air Force Base, Mont. After two days of class lecture and skills training, the participants of the Tactical Combat Casualty Care-Medical Provider course were able to put what they learned into action in a combat scenario with trauma patients.

U.S. Air Force Tech. Sgt. Patrick Moore, center right, 60th Aeromedical Evacuation Squadron medical technician, provides Lt. Col. Melinda Corallo, center left, 60th AES flight nurse, a preload patient assessment prior to loading on a C- 17 Globemaster III at Northwest Field, Guam, during Exercise Golden Bee Sept. 26, 2022. Exercise Golden Bee is a joint readiness exercise designed to provide training integration and rehearse strategic and operational objectives in the Indo-Pacific area of responsibility.

185th Air Refueling Wing Medical Technicians Airmen 1st Class Charlie Saulsbury is on the floor while his fellow Med Techs, Staff Sgt. Skylar Casson, Airmen 1st Class Colton Seidler and Master Sgt. Perla Solis practice first aid techniques. The Airmen are training at the Air National Guard Combat Readiness Training Center in Savannah GA. as part of their annual training. U.S. Air National Guard photo Senior Master Sgt. Vincent De Groot

Medics from Headquarters and Headquarters Company, 1st Battalion, 181st Infantry Regiment, 44th Infantry Brigade Combat Team treat a Soldier role playing as wounded enemy prisoners during a Mass Casualty drill during the eXportable Combat Training Exercise (XCTC) exercise at Ft. Drum, N.Y. on July 19, 2022. A Mass Casualty exercise tests a medical unit's ability to respond to multiple casualties arriving at the Battalion Aid Station in a short amount of time. More than 2,500 Soldiers are participating in the training event, which enables brigade combat teams to achieve the trained platoon readiness necessary to deploy, fight, and win. The Soldiers from the 181st are part of the Massachusetts Army National Guard and the rest of the 44th Infantry Brigade is composed of units from New Jersey.

U.S. Navy Hospital Corpsmen assigned to the 22nd Marine Expeditionary Unit and a soldier with the Royal Norwegian Army Medical Battalion participate in a bilateral training event in Setermoen, Norway, April 28, 2022. The 22nd MEU, embarked aboard the Kearsarge Amphibious Ready Group, is participating in a bilateral training event with the Kingdom of Norways Armed Forces to strengthen U.S. and Norway interoperability ensuring collective capabilities and steadfast partnerships among NATO allies and partners.

CAMP PENDLETON, Calif. (Apr. 25, 2022) - A doctor, assigned to Marine Expeditionary Unit (MEU) Combat Logistics Battalion-13, treats a simulated patient injured during a patrol as part of exercise Operation Firebreak. The exercise was part of Expeditionary Medical Facility (EMF) Juliets operational readiness evaluation (ORE) and simulated point of injury treatment and transporting casualties to the next level of care. The ORE was conducted at Naval Expeditionary Medical Training Institute and evaluates patient throughput capability, assesses coordination across functional areas, and teamwork. The training supports the Surgeon Generals Tiered Readiness Program and showcases Navy Medicines ability to generate and maintain ready medical forces.

040422-M-8096M-031. Base: Najoy State: Kandahar Country: Afghanistan (AFG)

041207-M-5573S-097. Base: Camp Johnson State: North Carolina (NC) Country: United States Of America (USA)

PORT HUENEME, Calif. (Aug. 5, 2022) Hospital Corpsman 2nd Class Akinlolu Akinaluko assesses patients injuries part of a simulated mass casualty drill during Naval Mobile Construction Battalion (NMCB) 18s Field Training Exercise (FTX). FTX is designed to analyze a battalions construction capability, expeditionary logistics, and combat operations to support major combat operations, disaster response, and humanitarian assistance.

A U.S. Air Force crew chief assigned to the 5th Aircraft Maintenance Squadron sits under a B-52H Stratofortress assigned to the 23rd Expeditionary Bomb Squadronat Andersen Air Force Base, Guam, Feb. 1, 2024. Bomber Task Force missions, such as these, validate the always-ready, global strike capability of U.S. Strategic Command and enable Airmen to maintain a high state of proficiency and readiness. Air Force

U.S. Marines Corps Lance Cpl. Michael Define, an optics technician with Headquarters and Support Company, 3d Battalion, 7th Marine Regiment, Ground Combat Element, Marine Rotational Force-Darwin (MRF-D) 22, roleplaying as a friendly casualty, is treated by Australian Army medical technicians with 11th Close Health Company, 2nd Health Battalion during a mass casualty scenario as part of exercise Southern Jackaroo 22 at Shoalwater Bay Training Area, Queensland, Australia May 24, 2022. Australian Army medical technicians provided medical support before Define was transported by MRF-D, Aviation Combat Element MV-22 Ospreys.

U.S. Navy Lt. James Burdette and Hospital Corpsman 3rd class Victoria Synoground, both assigned to Shock Trauma Platoon, 22nd Marine Expeditionary Unit, perform a medical diagnostic on a simulated patient during a mass casualty exercise in Syndalen, Finland, Aug. 13, 2022. The Kearsarge Amphibious Ready Group and 22nd MEU, under the command and control of Task Force 61/2, is on a scheduled deployment in the U.S. Naval Forces Europe area of operations, employed by U.S. Sixth Fleet, to defend U.S., allied and partner interests.

PACIFIC OCEAN (July 15, 2022) ) Republic of Korea Navy Lt. Minsu Wi conducts a mock last rites ceremony during a mass casualty drill aboard Wasp-class amphibious assault ship USS Essex (LHD 2) during Rim of the Pacific (RIMPAC) 2022, July 15, 2022. Twenty-six nations, 38 ships, three submarines, more than 170 aircraft and 25,000 personnel are participating in RIMPAC from June 29 to Aug. 4 in and around the Hawaiian Islands and Southern California. The world's largest international maritime exercise, RIMPAC provides a unique training opportunity while fostering and sustaining cooperative relationships among participants critical to ensuring the safety of sea lanes and security on the world's oceans. RIMPAC 2022 is the 28th exercise in the series that began in 1971.

040823-F-0193C-009. Base: Baghdad Country: Iraq (IRQ)

U.S. Navy Hospital Corpsman 2nd Class Cyrus Hedrick, with Expeditionary Operations Training Group, I Marine Expeditionary Force, shows U.S. Marines how to properly insert a needle thoracentesis during an Expeditionary Medical Integration Course (EMIC) on Camp Pendleton, California May 4, 2022. Expeditionary Operations Training Group (EOTG) conducted EMIC to lay a foundation of skills and knowledge required for MEU medical personnel to provide the highest levels of health service support capability in any operational environment.

041208-M-3658J-010. Base: Camp Taqaddum State: Al Anbar Country: Iraq (IRQ) Scene Major Command Shown: CSSC-115

SANTA RITA, Guam (Sept. 1, 2022) Sailors from Navy Cargo Handling Battalion (NCHB), Detachment Guam participate in Security Reaction Force Basic (SRF-B) training facilitated by Maritime Expeditionary Security Group One (MESG1), Detachment Guam.

CAMP PENDLETON, Calif. (Apr. 24, 2022) - A chaplain, assigned to Expeditionary Medical Facility (EMF) Juliet, talks to a military working dog handler while her dog is treated during EMF Juliets operational readiness evaluation (ORE). The ORE was conducted at Naval Expeditionary Medical Training Institute and evaluates patient throughput capability, assesses coordination across functional areas, and teamwork. This training supports the Surgeon Generals Tiered Readiness Program and showcases Navy Medicines ability to generate and maintain ready medical forces.

The 624th Aeromedical Staging Squadron members simulated loading patients into an ambulance bus at Joint Base Pearl Harbor-Hickam on Feb. 4, 2024. This training is important for ASTS members to work as a team and understand the logistics of moving patients from one location to another safely.

U.S. Marines and Navy corpsmen assigned to Combat Logistics Battalion 31, 31st Marine Expeditionary Unit (MEU), complete a blood transfusion during a Valkyrie training exercise on Camp Hansen, Okinawa, Japan, May 12, 2022. The Valkyrie Program prepares Marines to assist U.S. Navy corpsmen with blood transfusion and Tactical Combat Casualty Care (TCCC) for a casualty in critical condition. The 31st MEU, the Marine Corps' only continuously forward-deployed MEU, provides a flexible and lethal force ready to perform a wide range of military operations as the premier crisis response force in the Indo-Pacific region.

010813-F-3677G-021. Subject Operation/Series: SEAHAWK 2001 Base: Canadian Forces Base, Comox State: Vancouver Island Country: Canada (CAN) Scene Major Command Shown: AMC/ANG

A local nurse practices life saving techniques during a community health engagement in Rizal, Cagayan, Philippines, March 31, 2022 as part of exercise Balikatan 22. Balikatan, Tagalog for shoulder-to-shoulder, is a longstanding bilateral exercise between the Philippines and the United States highlighting the deep-rooted partnership between both countries. Balikatan 22 coincides with the 75th anniversary of U.S.-Philippine security cooperation and a shared commitment to advancing peace and stability in the Indo-Pacific region.

Sgt. Shannon Johnson, combat medic, left, 1-2 Stryker Brigade Combat Team, conducts a medical check-up on Lt. Cmdr. Mozahid Sufi, general staff offices and foreign affairs, Bangladesh Navy, as part of field training demonstrations during Gobi Wolf 2022 in Bayankhongor, Mongolia, Sept. 10. Gobi Wolf is a disaster response exercise conducted as a humanitarian assistance and disaster relief engagement. The field training exercise focused on hazardous material response, mass medical care, and search and rescue. (Alaska National Guard photo by Victoria Granado)

CAMP PENDLETON, Calif. (Apr. 25, 2022) - Hospital Corpsmen, assigned to 2nd Battalion, 4th Marine Regiment, 1st Marine Division, conduct a patient assessment during a simulated patrol as part of exercise Operation Firebreak. The exercise was part of Expeditionary Medical Facility (EMF) Juliets operational readiness evaluation (ORE) and simulated point of injury treatment and transporting casualties to the next level of care. The ORE was conducted at Naval Expeditionary Medical Training Institute and evaluates patient throughput capability, assesses coordination across functional areas, and teamwork. The training supports the Surgeon Generals Tiered Readiness Program and showcases Navy Medicines ability to generate and maintain ready medical forces.

PHILLIPINE SEA (April 20, 2022) Intelligence Specialist 2nd Class Coby Lloyd, from Orange, Va., assigned to the amphibious transport dock ship USS John P. Murtha (LPD 26), assesses a simulated casualty during Tactical Combat Casualty Care training, April 21. John P. Murtha is underway conducting routine operations in U.S. 7th Fleet.

030428-M-1852W-026. Base: Central Training Area State: Okinawa Country: Japan (JPN)

U.S. Air National Guard Master Sgt. Alisha Sandage, Public Health Technician, left, Tech. Sgt. Amanda Armstrong, Aerospace Medical Technician, middle, Airman 1st Class Celeste Lopez, Bioenvironmental Technician, right, and Senior Airman Charles Saulsbury, Aerospace Medical Technician, bottom, of the 185th Air Refueling Wings Medical Group practice code blue procedures at the Savannah Combat Readiness Training Center in Savannah, Georgia, on June 22, 2022. The Airmen practice code blue training to keep compliant with recurring medical training requirements.

A U.S. Army combat medic from the 404th Civil Affairs Battalion, assigned to the 409th Air Expeditionary Group observes the 724th Expeditionary Air Base Squadrons ground surgical team as they treat a mock casualty during a casualty evacuation drill at Air Base 201, Niger, May 18, 2022. This training serves to measure the installations level of readiness and to ensure the base medical team is prepared to respond to any emergency in a moments notice.

030428-M-7403H-032. State: Okinawa Country: Japan (JPN)

U.S. Air Force Staff Sgt. John Thacker, 386th Expeditionary Medical Squadron independent duty medical technician, simulates treating Airman 1st Class Serena Rubin, 386th Expeditionary Logistics Readiness Squadron fuels distribution operator (bottom), during a major accident response exercise at Ali Al Salem Air Base, Kuwait, October 20, 2022. Thacker was in charge of maintaining the patient's airway during the initial treatment response and simulated intubating the airway in response to the sustained injuries to maintain adequate care of the patient.

U.S. Army Staff Sgt. Richard Smith, a critical care flight paramedic with Company G, 3d Battalion, 238th Aviation Regiment, Mississippi Army National Guard, renders first aid to injured personnel aboard a UH-60 Black Hawk during a proof of concept exercise at Camp Shelby Joint Forces Training Center, Mississippi, April 29, 2022. The exercise was a part of Southern Strike, a special operations-centric exercise that promotes interoperability between special forces, conventional ground forces, and air assets in order to ensure the U.S. military stays relevant and ready to respond to a peer-to-peer, large-scale combat operation.

U.S. Marines and U.S. Navy Sailors with Marine Aircraft Group 24, 1st Marine Aircraft Wing conduct a quarterly mass casualty training at Marine Corps Air Station Kaneohe Bay, Hawaii, Feb. 29, 2024. This training familiarized Marines and Sailors with proper casualty evacuation procedures. Marine Corps

U.S. Air Force medical team members assigned to the 10th Expeditionary Aeromedical Evacuation Flight (EAEF) participate in exercise Reliant Rumble on Camp Lemonnier (CLDJ), Djibouti, May, 04, 2022. This earthquake response exercise provides an opportunity for units across the Combined Joint Task Force - Horn of Africa (CJTF-HOA) and CLDJ to properly coordinate and demonstrate their key duties during and directly after an earthquake.

Sgt. Javante Langrum, a competitor assigned to Headquarters and Headquarters Company, 16th Combat Aviation Brigade, provides first aid to a simulated causality during the 16th CAB Best Warrior Competition at Joint Base Lewis-McChord, Wash., April 6, 2022. 16th CAB conducted the competition to identify the best Soldier and NCO to represent the unit at the 7th Infantry Division Best Warrior Competition April 20-22, 2022.

A U.S. Navy Sailor with Shock Trauma Platoon One, Bravo Surgical Company, lifts a simulated casualty during an STP and Enroute Care exercise, Landing Zone Eagle, Marine Corps Base Hawaii, May 4, 2022. The purpose of this training was to assess Bravo Surgical Companys STP and ERC programs in order to enhance operational readiness.

U.S. Navy Hospital Corpsman Irene Avila with 1st Medical Battalion, 1st Marine Logistics Group, I Marine Expeditionary Force, checks the breathing of a simulated patient during a Marine Corps Combat Readiness Evaluation exercise on Camp Pendleton, California, April 9, 2022. 1st Medical Battalion performed a MCCRE in order to assess unit effectiveness and readiness.

Japan Ground Self-Defense Force (JGSDF) Sgt. Daichi Suzuki, 6th Engineer Battalion deputy squad leader and English instructor, writes for an icebreaker event during Camp Sendais Basic English Training Course tour of the Airman Leadership School at Misawa Air Base, Japan, Nov. 8, 2022. The training course helped JGSDF members learn English to translate for future U.S.-Japan bilateral exercises.

Staff Sgt. Tiffany Gregory, an emergency medical technician assigned to the 380th Expeditionary Medical Squadron, tends to a simulated casualty during an active shooter, explosive ordinance disposal exercise June 25, 2022, at Al Dhafra Air Base, United Arab Emirates. The intent of the joint agency exercise was to evaluate emergency responders with no advance notice, in order to identify shortfalls in training, communication, or assets, to ensure the 380th Air Expeditionary Wing is ready for real-world situations.

221005-N-VI040-1047 NAVAL AIR FACILITY ATSUGI, Japan (Oct. 5, 2022) Hospital Corpsman 2nd Class Richard Demaala, from West Haven, Conn., assigned to Navy Medical Readiness & Training Unit (NMRTU) Atsugi, administers a seasonal influenza vaccine to a Sailor during a vaccination drive held onboard Naval Air Facility (NAF) Atsugi, Japan. NAF Atsugi supports the combat readiness of Commander, Fleet Air Western Pacific, Commander, Carrier Air Wing FIVE (CVW) 5, Helicopter Maritime Strike Squadron (HSM) 51 and 23 other tenant commands, and provides logistic support, coordination, and services to units assigned to the Western Pacific.

PHILIPPINE SEA (Sep. 6, 2016) Hospital Corpsman 3rd Class (NAC/AW) Emily Honan, assigned to the "Golden Falcons" of Helicopter Sea Combat Squadron (HSC) 12, coaches Naval Air Crewman (Helicopter) 2nd Class (NAC/AW/SW) Tomio Seki as he inserts a 20 gauge needle into a vein in her hand aboard an MH-60S Sea Hawk. The air crewmen were completing IV proficiency training during flight. Ronald Reagan, the Carrier Strike Group Five (CSG 5) flagship, is on patrol in the Philippine Sea supporting security and stability in the Indo-Asia-Pacific region.

U.S. Army Soldiers compete in the Best Medic Competition for Medical Readiness Command, East on Fort Campbell, Kentucky, Nov. 6, 2022. The competition included the Army Combat Fitness Test, M4 Qualifications, Combat Water Survival Training, and a written exam on the first day.

PORT HUENEME, Calif. (May 5, 2022) Hospital Corpsman 3rd Class Silas Vaughn applies tape to a Seabees foot during Naval Mobile Construction Battalion (NMCB) 18s Command Post Exercise (CPX). CPX is a training evolution conducted by Seabee battalions to assess their mission readiness exercise to prepare battalions for future operations. NMCB 18 Seabees are the expeditionary engineering and construction experts of the naval service. They provide task-tailored, adaptable and combat-ready engineering and construction forces that deploy to support Navy objectives globally.

of 3