Medical Training for Casualty Response

Medical teams perform simulated casualty treatments, emphasizing collaboration and emergency response skills during mass casualty exercises.

Joint Readiness Training Center at Ft. Polk

U.S. Navy Lt. Cmdr. Kelly Peng (left) an Emergency Room Doctor and Hospital Corpsmen 2nd Class Nicolas Montes with Combat Logistics Battalion 15, Combat Logistics Regiment 17, 1st Marine Logistics Group, treat a simulated casualty 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.

060817-N-5914D-002. Base: USS Boxer (LHD 4) Country: Pacific Ocean (POC)

U.S Marines and Sailors with the 26th Marine Expeditionary Unit (MEU) participate in a mass casualty response exercise on Marine Corps Base Camp Lejeune, North Carolina, Oct. 27, 2022. The Expeditionary Operations Training Group (EOTG) mass casualty course trained medical personnel from the 26th MEUs Battalion Landing Team 1st Battalion, 6th Marines and Combat Logistics Battalion 22 on casualty response procedures. 26th MEU corpsman worked on perfecting their execution of this complex process with a series of increasingly difficult scenarios over this one-week course. (U.S Marine Corps photo by Cpl. Nayelly Nieves-Nieves)

Joint Readiness Training Center at Ft. Polk

CAMP LEMONNIER, Djibouti (Jan. 26, 2022) U.S. Navy Cmdr. Michael Blair, the senior medical officer at Michaud Expeditionary Medical Facility, uses a stethoscope to check the heart rate of a simulated patient 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)

030402-F-4806N-011. Subject Operation/Series: IRAQI FREEDOM Base: Mihail Kogalniceanu Air Base Country: Romania (ROM) Scene Major Command Shown: USAFE

Joint Readiness Training Center at Ft. Polk

U.S. Marine Corps Lance Cpl. Dylan Weeter an Infantry Marine, with Battalion Landing Team 2/5, 31st Marine Expeditionary Unit, gives blood during a blood transfusion exercise aboard Amphibious Assault Ship USS Tripoli (LHA-7), in the Philippine Sea, Sept. 14, 2022. The blood transfusion exercise was designed to hone lifesaving skills and techniques. The 31st MEU is operating aboard ships of Amphibious Assault Ship USS Tripoli Amphibious Ready Group in the 7th Fleet area of operations to enhance interoperability with allies and partners and serve as a ready response force to defend peace and stability in the Indo-Pacific region.

PACIFIC OCEAN (June 17, 2013) Sailors conduct a medical scenario aboard the amphibious assault ship USS Boxer (LHD 4). Boxer is conducting amphibious squadron and marine expeditionary unit integrated training.

U.S. Navy hospital corpsmen with I Marine Expeditionary Force begin casualty assessment at the Battalion Aid Station (BAS) during an Expeditionary Medical Integration Course (EMIC) on Camp Pendleton, California May 6, 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.

CAMP PENDLETON, Calif. (Apr. 25, 2022) - Medical personnel, assigned to Expeditionary Medical Facility (EMF) Juliet, conduct simulated surgery on a patient 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.

040126-F-9105A-002. Subject Operation/Series: IRAQI FREEDOM Country: Unknown Scene Major Command Shown: USAFE

U.S. Sailors with 1st Medical Battalion, 1st Marine Logistics Group, I Marine Expeditionary Force, treat a simulated casualty during a Marine Corps Combat Readiness Evaluation on Camp Pendleton, California, April 11, 2022. 1st Medical Battalion performed a MCCRE in order to assess unit effectiveness and readiness.

SOUTH CHINA SEA (Aug. 3, 2022) Religious Program Specialist 1st Class Devin Workman, from Bellingham, Washington demonstrates bandage wrap procedures on Senior Chief Electronics Technician Jordan Panlaqui, from, Kapolei, Hawaii, during a tactical combat casualty care training aboard Ticonderoga-class guided-missile cruiser USS Chancellorsville (CG 62) in the South China Sea on Aug. 3, 2022. Chancellorsville is forward-deployed to the U.S. 7th Fleet in support of security and stability in the Indo-Pacific and is assigned to Commander, Task Force 70, a combat-ready force that protects and defends the collective maritime interest of its allies and partners in the region.

230301-N-RC359-1126 YOKOSUKA, Japan (March 1, 2023) Hospital Corpsman 2nd Class Cody Morehead, from Tucson, Arizona, treats a simulated casualty during a mass-casualty drill on the aft mess decks aboard the U.S. Navys only forward-deployed aircraft carrier, USS Ronald Reagan (CVN 76), while in-port Commander, Fleet Activities Yokosuka, March 1, 2023. Ronald Reagan, the flagship of Carrier Strike Group 5, provides a combat-ready force that protects and defends the United States, and supports Alliances, partnerships and collective maritime interests in the Indo-Pacific region.

Pvt. Reagan 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, May 2, 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 Tech. Sgt. Tony McCoy, 169th Force Support Squadron personnel non-commissioned officer, receives a nasopharyngeal swab test from U.S. Air Force Master Sgt. Tanya Justice, 169th Medical Group medical technician, at McEntire Joint National Guard Base, South Carolina, after a required 14-day quarantine period upon returning from an Agile Combat Support deployment in Southwest Asia, Aug. 11, 2020. The South Carolina National Guard remains ready to support the counties, state and local agencies, and first responders with requested resources for as long as needed in support of COVID-19 response efforts in the state.

US Air Force STAFF Segeant Teresa Rudd (Left), Medical Technician, and USAF Captain (Dr.) Scott Hartwich, Flight Surgeon from the 52nd Medical Group at Spangdahlem Air Base, Germany, perform a minor procedure on a U.S. servicemember. Nearly 200 people and eight A-10's from Spangdahlem AB are deployed to 33rd Air Base at Malacky, Slovakia, for a two-week training exercise which allowed US and Slovak Air Forces an opportunity to share tactics, techniques and procedures. Base: 33rd Kuchyna Air Base Country: Slovakia (SVK)

Washington National Guard service members take part in the annual Washington State Summer Con at the state fairgrounds in Puyallup, Wash., June 17-18, 2022. Guests got to meet Guardsmen, learn about military equipment, and the mission of the Washington National Guard.

Staff Sgt. Caleb Stinson and Sergeant 1st Class Jason Pate, 68W Combat Medics, 232nd Medical Battalion, 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.

Norwegians in the Norwegian Home Guard Rapid Response Force and Youth Teams in the 51st Norwegian Reciprocal Troop Exchange (NOREX) complete medical training at the Medical Simulation Training Center (MSTC) at Camp Ripley Training Center in Little Falls, Minnesota on Feb 4th and 7th, 2024. The MSTC provides training scenarios by adjusting simulated training experiences by changing the lighting, noise, smell, and injuries with realistic mechanical dummies (Minnesota Army National Guard

U.S. Sailors with 1st Medical Battalion, 1st Marine Logistics Group, I Marine Expeditionary Force, prepares a simulated patient for surgery during a Marine Corps Combat Readiness Evaluation on Camp Pendleton, California, April 11, 2022. 1st Medical Battalion performed a MCCRE in order to assess unit effectiveness and readiness.

During the second day of the Global Sentinel 2022 (GS22) capstone event at Vandenberg Space Force Base, Calif., space operators worked through notional scenarios threatening the space domain. The event is collaborative and provides participants from25 allied and partner nations the opportunity to organize into their own Space Operations Centers to practice plans, response mechanisms and recovery tactics. Global Sentinel is U.S. Space Command's premier security cooperation effort, designed to strengthen and grow internal partnerships, improve operational collaboration and promote responsible behavior in the space domain. The participating nations are the United States, Australia, Belgium, Brazil, Canada, Germany, Israel, Spain, Finland, France, United Kingdom, Greece, Italy, Japan, Republic of Korea, Netherlands, Norway, New Zealand, Peru, Poland, Portugal, Romania, Sweden, Thailand and Ukraine.

Members from the 49th Medical Group prepare a patient to be transported during a Ready Eagle exercise at Holloman Air Force Base, New Mexico, March 30, 2023. The initial response teams were responsible for on-the-scene care and patient transport.

U.S. Marines and Sailors with 3rd Marine Logistics Group conduct combat life saving techniques while competing in the Corpsman Cup at Camp Foster, Okinawa, Japan, Oct. 28, 2022. The Corpsman Cup is an annual five-event challenge hosted by 3d Medical Battalion where Marines and Sailors build camaraderie and practice essential life-saving skills.

1st Lts Cheryl Smith and Zach Cates, 36th Aeromedical Evacuation Squadron nurses, transport a litter 'patient' to the litter stantions for care on the the KC-46A Pegasus, flown by the 77th Air Refueling Squadron from the 916th Air Refueling Wing, during their training on the newest Air Force air refueler, August 16-19, 2022. Aeromedical personnel are required to train on all airframes that can carry patients, from the loading and unloading, the setup of the litter stantions, to knowing where medical equipment plug ins are located, to the emergency evacuation procedures from the aircraft while on the ground, and prior to this four-day training session, only six members of the squadron had been trained on the KC-46A Pegasus.

Lt. Cmdr. Joanne So, left, from Pasadena, California, and Hospital Corpsman 3rd Class Zachary Leach, from Dallas, both assigned to the first-in-class aircraft carrier USS Gerald R. Fords (CVN 78) medical department, treat Command Master Chief Bryan Davis, Fords command master chief, as he simulates a patient during a medical response training exercise in ships medical facility, Oct. 12, 2022. The Gerald R. Ford Carrier Strike Group (GRFCSG) is deployed in the Atlantic Ocean, conducting training and operations alongside NATO Allies and partners to enhance integration for future operations and demonstrate the U.S. Navys commitment to a peaceful, stable and conflict-free Atlantic region.

PACIFIC OCEAN (July 20, 2022) U.S. Navy Lt. Cmdr. Hillary Smalley, Internal Medicine Physician, (center right) assists in a simulated resuscitation exercise in the resuscitation bay aboard Royal Australian Navy Canberra-class landing helicopter dock HMAS Canberra (L02) during Rim of the Pacific (RIMPAC) 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. (Photo by Royal Australian Navy Leading Seaman Matthew Lyall)

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.

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

As Samawah, Camp Smitty, April 8, 2004. © Henry Westendorp / Royal Navy. Exercise "BlueLight" (Mogos). Calamatiten exercise for the Mogos Team (mobile medical operation system) and the recovery team's salmon team.

Ready Now! Shaping Tomorrow U.S. Army Reserve Soldiers from the 143rd Sustainment Command (Expeditionary) conduct a Soldier Readiness Process, commonly known to military members as SRP, during their monthly Battle Assembly in September at the 1st Lt. David R. Wilson Armed Forces Reserve Center in Orlando, Florida. SRPs consist of important tasks critical to Soldier readiness and unit preparedness.To conduct an SRP you need to screen Soldiers medical, dental, legal, administrative, and mental readiness.BIG THANKS for the support from, LHI, the 377 Surgeon Cell, 174 Legal Operations Det., the 377th Theater Sustainment Command, and many more.

A Soldier assigned to the 1-182nd Infantry Regiment applies a splint to a training casualty during a Tactical Combat Casualty Care course at Prince Sultan Air Base, Kingdom of Saudi Arabia, Oct. 20, 2022. During the TCCC training, Soldiers practiced combat life saving techniques during a simulated casualty scenario.

U.S. Sailors with 1st Medical Battalion, 1st Marine Logistics Group, I Marine Expeditionary Force, treat a simulated casualty during a Marine Corps Combat Readiness Evaluation on Camp Pendleton, California, April 12, 2022. 1st Medical Battalion performed a MCCRE in order to assess unit effectiveness and readiness.

MARINE CORPS BASE HAWAII, Hawaii (July 14, 2022) Naval health personnel of the Mexican Navy, Australian Army and U.S. Marine Corps practice tactical medicine and field hospital care as part of Military Operations in Urban Terrain exercise during Rim of the Pacific (RIMPAC) 2022, July 14. Twenty-six nations, 38 ships, four 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. (Mexican Naval Infantry photo by Cpl. Carolina Guiterrez)

220628-N-TT639-1032 EAST CHINA SEA (June 28, 2022) - Lt. Nicholas Fetters, the dental officer aboard amphibious assault carrier USS Tripoli (LHA 7), left, and Hospitalman Rubi Perez, from Newark, New Jersey, perform a dental procedure June 28, 2022. Tripoli is operating in the U.S. 7th Fleet area of operations to enhance interoperability with allies and partners and serve as a ready response force to defend peace and maintain stability in the Indo-Pacific region.

Marines aboard the amphibious assault ship USS PELELIU (LHA 5) prepare their packs for a field operation during PACEX '89. Subject Operation/Series: PACEX '89 Base: USS Peleliu (LHA 5) Country: Pacific Ocean (POC)

050714-F-7564C-024. Base: Volk Field State: Wisconsin (WI) Country: United States Of America (USA) Scene Major Command Shown: AMC

U.S. Navy Hospital Corpsman 2nd Class, Andres Rodoni, left, from Dallas, Texas, assigned to Task Force 61/2, treats a simulated casualty with Hellenic Marine doctor Athanasios Andreou with the 32d Marine Brigade during exercise Alexander the Great 22, Greece, May 20, 2022. Alexander the Great 22 strengthens interoperability and force readiness between the U.S., Greece, and Allied nations, enhancing strategic defense and partnership to preserve security and stability in the region.

U.S. Army Sgt. Ibrahim Mkusa, left, a civil reconnaissance non-commissioned officer applies a tourniquet on Sgt. 1st Class, Andrew Kirchoff a civil affairs team sergeant with the 95th Civil Affairs Brigade, during a Joint Combined Exchange Training in Dar es Salaam, Tanzania, Nov. 10, 2022. These vital Tactical Combat Casualty Care skills help combat forces achieve higher casualty survival rates.

An Airman assigned to the 6th Air Refueling Wing performs CPR on a manikin using a back valve mask during Tactical Combat Casualty Care (TCCC) training at MacDill Air Force Base, Florida, May 24, 2022. TCCC teaches Airmen life-saving techniques and strategies for providing effective trauma care in combat situations.

030315-M-5150A-032. Subject Operation/Series: ENDURING FREEDOM Base: Camp Ripper Country: Kuwait (KWT) Scene Major Command Shown: 7th Marines

U.S. Army Staff Sgt. Priscilla Baltazar-Benson, Medical Evacuation Non-commissioned Officer in Charge, and Sgt. Maura Stump monitor a simulated patient placed in priority at the evacuation station of the Golby Medical Clinic on Victory Base, Baghdad, Iraq, Jan. 29, 2009. The Officers and Soldiers of the 520th Medical Company (Area Support), Multi-National Corps-Iraq, conduct a simulated Mass Casualty Exercise to practice skills and procedures necessary to safe lives during a real emergency.

U.S. Army Reserve Staff Sgt. Jonathan Rivera, a Unit Prevention Leader with 729th Transportation Terminal Battalion, 7th Mission Support Command stabilizes a collection cup following a completed donation, while the assigned observer tightens the lid, preventing spillage, during a simulated urinalysis, a practical exercise during Unit Prevention Leader Training, Saturday, Feb. 10, 2024, at Daenner Kaserne, Kaiserslautern, Germany. Unit Prevention Leaders aid commanders in gauging the health of their unit. Eight Soldiers participated in the course. The 7th Mission Support Command is the U.S. Army Reserve presence in Europe. Comprised of 26 units across Germany and Italy, the 7th MSC provides logistical and sustainment support for U.S. Army Europe - Africa missions across the theater. For more stories and information on the 7th Mission Support Command, follow us on Facebook, @7thMSC. Army Reserve

Iowa Air National Guard medical group members Lt. Colonel Ben Uhl and Airmen 1st Class Colton Seidler access a patient durning a mass casualty exercise at the Air National Guard Combat Readiness Training Center in Savanah GA. On June 24, 2022. The Iowa ANG Airmen are training at the CRTC in Savannah as part of their annual training. U.S. Air National Guard photo Senior Master Sgt. Vincent De Groot

040511-F-2022C-065. Country: United States Of America (USA) Scene Major Command Shown: AETC

PACIFIC OCEAN (June 17, 2013) Hospital Corpsman 3rd Class Briana Bartholomew, assigned to the air combat element of the 13th Marine Expeditionary Unit (13th MEU), conducts CPR during a medical scenario aboard the amphibious assault ship USS Boxer (LHD 4). Boxer is conducting amphibious squadron and marine expeditionary unit integrated training off the coast of Southern California.

Navy Medical Reservist attached to the Marine 4th Medical Battalion received simulated wounded patients during Global Medic Exercise at Fort McCoy WI. Global Medic is a world-class joint collective training event that develops and tests a participating unit's soldiers collective ability to exercise and evaluate their skills in a rigorous, realistic, joint training environment, which incorporates scenarios that employ the full range of medical functions and situations.

Arkansas National Guard members toured the USNS Comfort during Continuing Promise 2022, on October 29, 2022, 8 miles off-shore from Puerto Barrios, Guatemala. The tour provided an opportunity for Arkansas National Guardsmen to build relationships with U.S. Navy and Marine Corps and exchange ideas and knowledge to increase total force readiness in patient care and to rapidly respond to disaster relief efforts and military operations.

U.S. Air Force Staff Sgt. Bryan Guthrie, 1st Combat Camera Squadron aerial combat cameraman, inserts a nasopharyngeal airway into a mannequin as a 421st Combat Training Squadron instructor evaluates while conducting tactical combat casualty care training during the Advanced Ready Training - Outside the Wire course at Joint Base McGuire-Dix-Lakehurst, New Jersey, Feb. 6, 2024. The ART-OTW course is a pre-deployment requirement to gain experience in specialized tactics and techniques through strenuous training scenarios. Air Force

U.S. Army Lt. Col. Jesus Chavez, with Baumholder Army Health Clinic trains first aid techniques on a simulated casualty at Smith Barracks in Baumholder, Germany, September 02, 2022.

220128-N-VI040-1287 NAVAL AIR FACILITY ATSUGI, Japan (Jan. 28, 2022) Chief Master-at-Arms Michael Johnson observes as Aviation Electricians Mate 3rd Class Christopher White performs a takedown on a resisting combatant during the Auxiliary Security Force Academy Oleoresin Capsicum (OC) Spray training course provided by the Security Department onboard Naval Air Facility (NAF) Atsugi Jan. 28, 2022. NAF Atsugi supports the combat readiness of Commander, Carrier Air Wing FIVE (CVW 5), Helicopter Maritime Strike Squadron FIVE ONE (HSM-51) and 30 other tenant commands and provides logistic support, coordination, and services to units assigned to the Western Pacific. (U.S. Navy photo by Mass Communication Specialist 2nd Class Rafael Avelar)

Members assigned to the 8th Fighter Wing respond to a simulated ground attack and mass casualty scenario during routine training at Kunsan Air Base, Republic of Korea, April 25, 2022. The MASCAL event was conducted to assess communication and operation response in the event of a real-world situation. These scenarios keep Wolf Pack first responders ready at a moments notice.

220617-N-YD731-1039 ATLANTIC OCEAN (June 17, 202) Sailors aboard the Nimitz-class aircraft carrier USS George H.W. Bush (CVN 77) respond to a medical emergency, June 17, 2022. The George H.W. Bush Carrier Strike Group (CSG) is underway completing a certification exercise to increase U.S. and allied interoperability and warfighting capability before a future deployment. The George H.W. Bush CSG is an integrated combat weapons system that delivers superior combat capability to deter, and if necessary, defeat America's adversaries in support of national security.

DN-SC-91-11512. Subject Operation/Series: DESERT STORM Country: Saudi Arabia (SAU)

A U.S. Airman assigned to the 673d Civil Engineer Group gives a biological operations demonstration to civic leaders with the Department of the Air Force during the DAF civic leader tour at Joint Base Elmendorf-Richardson, Alaska, June 22, 2022. The Bioenvironmental Engineering Flight handles base hazardous material responses and has the capability to respond to an event in as low as 30 minutes.

050406-N-8629M-105. Base: Nias State: Aceh Country: Indonesia (IDN)

U.S. Army National Guard medics with the South Carolina Army National Guard conduct a field training exercise as culmination of their medical sustainment training at McCrady Training Center, July 7, 2022, Eastover, South Carolina. The collective technical and tactical training was 12 days long and consisted of updated information and re-certification of the medics National Registry of Emergency Medical Technicians Certification. This was also an opportunity to amplify proficiency in critical skills needed when providing tactical combat casualty care. During the final field training exercise, medics established an aid station for acute care and delayed evacuation casualty care, and replicated extracting casualties under low light, while under simulated indirect fire and machine gun fire.

221005-N-VI040-1023 NAVAL AIR FACILITY ATSUGI, Japan (Oct. 5, 2022) Hospital Corpsman 2nd Class Rayanismael Khan, from Los Angeles, 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.

031230-F-1798W-009. Base: Kirkuk Air Base Country: Iraq (IRQ)

Soldiers of the 546th Medical Company Area Support run a practice lane for a mass casualty scenario during KFOR 31 in Hohenfels Training Area in Germany on Oct. 15, 2022. KFOR 31 is a multinational training event conducted to prepare units for their deployment to the Kosovo Regional Command East. (U.S. Army video by Staff Sgt. Anna Pongo, 111th Public Affairs Detachment, Nebraska National Guard)

110930-N-RJ456-058 ARABIAN GULF (Sept. 30, 2011) Hospital corpsmen roll Lt. Todd Leroux, from San Diego, onto a stretcher during an emergency medical drill aboard the Nimitz-class aircraft carrier USS John C. Stennis (CVN 74). John C. Stennis is deployed to the U.S. 5th Fleet area of responsibility conducting maritime security operations and support missions as part of Operations Enduring Freedom and New Dawn.

U.S., Brazilian, and Uruguayan marines conduct CPR training in the well deck of the amphibious transport dock ship USS Mesa Verde (LPD 19) while underway in support of exercise UNITAS LXIII, Sept. 13, 2022. The CPR training was conducted to improve interoperability between the multinational force, ensuring emergency medical care can be administered regardless of spoken language. UNITAS develops and sustains relationships that improve the capacity of our remerging and enduring maritime partners to achieve common objectives. Additionally, the military-to-military exchanges foster mutual cooperation and understanding among participating navies and marine corps.

Emergency medical scenarios, such as a simulated tourniquet placement, provide realistic training aids to boost the skills and increase the capabilities of the Soldiers during Guardian Response 22, Muscatatuck Urban Training Center, Indiana, 22 May 7, 2022. Guardian Response 22 is a training exercise designed to test unit readiness and responsiveness to nuclear response scenarios. (Photo by U.S. Army Sgt. Jermaine Jackson)

Members from the 436th Operational Medical Readiness Squadron ambulance response team, assist a simulated car crash victim during a major accident response exercise at Dover Air Force Base, Delaware, Dec. 7, 2022. The three-day exercise tested the response capabilities of Team Dover through various scenarios in an effort to strengthen their ability to provide rapid-global mobility in challenging conditions.

220711-N-PW480-0221 GREAT LAKES, Ill. (July 11, 2022) - Logistics Specialist 2nd Class Hazel Gomez, a seamanship instructor at Recruit Training Command (RTC), gives instruction to Naval Reserve Officer Training Corps (NROTC) New Student Indoctrination (NSI) midshipman candidates prior to conducting line handling aboard the USS Marlinespike trainer at RTC, July 11. Upon completion of NSI, the candidates will start their freshman year of the NROTC program at colleges and universities nationwide this fall. NSI is an indoctrination program hosted at RTC, and provides midshipmen with a common military training orientation. NSI provides basic training in five warfighting fundamentals - firefighting, damage control, seamanship, watchstanding and small arms handling and marksmanship - to begin creating basically trained and smartly disciplined future Navy and Marine Corps officers. NROTC is overseen by Commander, Naval Service Training Command (NSTC), Rear Adm. Jennifer S. Couture, which suppo

220405-N-AU520-1030SAN DIEGO (April 5, 2022) Navy Talent Acquisition Group Portland's Educator Orientation Visit (EOV) tours Navy Medicine Readiness and Training Command (NMRTC) San Diego's Bio-Skills and Simulation Center April 5. EOVs are tours where deans, professors, educators and executives visit military bases to become familiarized with what professional military life is like. NMRTC San Diegos mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMRTC San Diego employs more than 6,000 active duty military personnel, civilians, and contractors in Southern California to provide patients with world-class care anytime, anywhere.

Spc. Nicholas Martinelli, 2-285th Aviation Battalion, conducts training for medical personnel at a local Scottsdale, Ariz. nursing home who will soon facilitate a COVID-19 point-of-care testing system to nursing home residents and visitors, Oct. 27, 2020. The Arizona National Guard has activated more than 800 Arizona Citizen-Soldiers and Airmen to support community needs during this state of emergency response.

U.S. Army Staff Sgt. Jenette Paschke and Sgt. Christopher Muiruri assigned to 1st Medical Brigade Sgt. Muiruri treats a bullet wound on the simulated mannequin for the tactical combat casualty care training at Fort Hood, Texas, January 25, 2022, Twenty-two two-Soldier teams from all around the world traveled to Texas to compete in the finals to be named the Armys Best Medic. The competition is a 72-hour arduous test of the teams physical and mental skills. (U.S. Army photo by Spc. Bradley McKinley)

220422-N-BP862-1101 ADRIATIC SEA (April 22, 2022) Search and rescue swimmers assigned to the Proud Warriors” of Helicopter Maritime Strike Squadron (HSM) 72, perform stretcher bearer drills in the hangar bay of the Nimitz-class aircraft carrier USS Harry S. Truman (CVN 75), April 22, 2022. The Harry S. Truman Carrier Strike Group is on a scheduled deployment in the U.S. Sixth Fleet area of operations in support of U.S., allied and partner interests in Europe and Africa.

030325-F-6701P-003. Subject Operation/Series: IRAQI FREEDOM Base: Ramstein Air Base State: Rheinland-Pfalz Country: Deutschland / Germany (DEU)

In action at the Drawsko Combat Training Center, Poland, Staff Sgt. Justin Devine leads soldiers of the 47th Brigade Support Battalion, 2nd Armored Brigade Combat Team, 1st Armored Division to showcase their commitment to efficiently handle mass casualties in a realistic simulation on January 28, 2024. The 47th Brigade Support Battalion, integral to the 2nd Armored Brigade Combat Team demonstrated its ability to rapidly adapt and support soldiers during a crisis scenario.

U.S. Marines with Marine Fighter Attack Squadron (VMFA) 242 prepare to load a GBU-12 Paveway II laser-guided bomb into an F-35B Lightning II aircraft at Marine Corps Air Station Iwakuni, Japan, June 28, 2022. Marines with VMFA-242 conducted close air support with inert GBU-12 Paveway II laser-guided bombs at Combined Arms Training Center, Fuji in support of 3rd Battalion, 2nd Marine Regiment. This training marked the first-ever live close air support missions in Japan with an F-35B Lightning II aircraft.

U.S. Army Cpl. David Bourhenne and Spc. Rollin Findlay assigned to Headquarters 101st Airborne Division (Air Assault) wrap a casualtys shoulder while conducting Combat Lifesaver Course evaluations, at Mihail Kogălniceanu Airbase in Romania, Nov. 21, 2022. Soldiers continue to reinforce NATOs eastern flank and reaffirm the commitment to the European continent by engaging in exercises like Combat Lifesaver Course, which increases interoperability and readiness between Allied and Partner nations.

981215-M-3661W-003. Subject Operation/Series: UPHOLD DEMOCRACY Base: Ha Site Saint Terese Country: Haiti (HTI)

U.S. Navy Petty Officer Third Class Justino Quinteros, a corpsman with 3d Medical Battalion, 3rd Marine Logistics Group, and Fillmore, Utah native, inserts an Intravenous line during a mass casualty drill during exercise Resolute Dragon 22 at Kamifurano Maneuver Area, Hokkaido, Japan, Oct. 6, 2022. Resolute Dragon 22 is an annual exercise designed to strengthen the defensive capabilities of the U.S.-Japan Alliance by exercising integrated command and control, targeting, combined arms, and maneuver across multiple domains.

060302-A-3749Z-047. Subject Operation/Series: ENDURING FREEDOM State: Bamyan Country: Afghanistan (AFG) Scene Major Command Shown: CJTF 76

U.S. Airmen from the Idaho National Guards 124th Medical Group Critical Care Air Transport Team work with pilots and medevac Soldiers from the 1st of the 168th Aviation Regiment to stabilize casualties onboard a UH-60 Black Hawk helicopter, while flying through simulated combat zones until they reached a higher echelon of care during a mass casualty combat exercise, Feb. 1-4, near Gowen Field. Air National Guard

Barbara Razo, a civilian emergency medical technician, delivers a patient to CPT Doris Jones, a flight nurse with the 136th Aeromedical Evacuation Squadron, Channel Islands Air National Guard Station, California. They are participating in Rough & Ready '96, a California joint civilian and military disaster preparedness exercise held in December at Los Alamitos Armed Force Reserve Center.Exact Date Shot UnknownPublished in AIRMAN Magazine March 1997. Barbara Razo, a civilian emergency medical technician, delivers a patient to CPT Doris Jones, a flight nurse with the 136th Aeromedical Evacuation Squadron, Channel Islands Air National Guard Station, California. They are participating in Rough & Ready '96, a California joint civilian and military disaster preparedness exercise held in December at Los Alamitos Armed Force Reserve Center.Exact Date Shot UnknownPublished in Airman Magazine March 1997.

From back center, U.S. Army Spc. Zaire Moss applies a bandage to U.S. Air Force Staff Sgt. Ashley Armand, 386th Expeditionary Force Support Squadron readiness manager, during an active shooter exercise at Ali Al Salem Air Base, Kuwait, Dec. 5, 2022. Each event put Airmens skills to the test to see how each team would execute their responsibilities in a real-world situation.

U.S. Marine Corps Cpl. Andrew Wade, data systems administrator for 2nd Network Battalion, conducts a respiratory check on the simulated casualty during a Tactical Combat Casualty Care (TCCC) course at Marine Corps Community Services Hampton Roads, Virginia, May 13, 2022. The TCCC course certifies Marines in basic first aid to reduce combat casualties and maintain a high state of readiness in a forward-deployed environment. The course teaches evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield.

Arizona Army National Guard Sgt. 1st Class Brian. G. Bowling, flight medic with the 2-285th Assault Helicopter Battalion, transfers a simulated patient to medical personnel at HonnorHeath Scottsdale Osborn Medical Centers helipad from a UH-60L Black Hawk helicopter during a joint military/civilian medevac exercise, April 23, 2022, in Scottsdale, Ariz. The joint exercise between the Arizona Guard and HonorHeath Military Partnership Program provided Soldiers and civilian medical personnel the unique opportunity to interact and gain experience in patient transfer from a military aircraft at the Level I trauma center. (Arizona Army National Guard photo by Sgt. 1st Class Brian A. Barbour)

BALTIC SEA (Sept. 22, 2022) U.S. Navy medical personnel transfer a simulated casualty off of a landing craft, air cushion during a medical exercise 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.

Staff Sgt. Kyle Jenkins, 8th Healthcare Operations Squadron (HCOS) logistics, and Staff Sgt.Tiffany Rocker, 8th HCOS material technician, place a simulated patient on a stretcher atKunsan Air Base, Republic of Korea, May 20, 2022. During this event, Airmen were trained on how to apply Tactical Combat Casualty Care (TCCC) to patients while in high-stress situations.

Soldiers assigned to Prince Sultan Air Base apply a chest seal to a training casualty during a Tactical Combat Casualty Care course at Prince Sultan Air Base, Kingdom of Saudi Arabia, Oct. 20, 2022. During the TCCC training, Soldiers practiced combat life saving techniques during a simulated casualty scenario.

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

A U.S. Marine with 4th Air Naval Gunfire Liaison Company, Marine Forces Reserve, in support of Special Purpose Marine Air-Ground Task Force UNITAS LXIII and Brazilian Air Force medical staff push a marine on a gurney during a simulated casualty evacuation during exercise UNITAS LXIII, Santa Cruz Air Force Base, Rio de Janeiro, Sept. 7, 2022. 4th ANGLICO and the Brazilian Marine Corps tested the capability of transporting wounded Marines by Brazilian military medical units. UNITAS trains forces to conduct joint maritime operations through the execution of anti-surface, anti-submarine, anti-air, amphibious and electronic warfare operations that enhance warfighting proficiency and increase interoperability among participating naval and marine forces.

Petty Officer 1st Class Freddy Mejia, a corpsmen with Alpha Company, 1st Battalion, 2nd Marine Regiment, Regimental Combat Team 2, inspects a cut on Khalids forehead in Now Zad, May 19. Khalid, a young Afghan boy, fell off of a motorcycle the day before and injured his head. While on patrol, Marines spotted the boy and took him to the corpsmen to inspect the bandage. Mejia, a 30-year-old native of Puerto Rico, determined he could help the boy, cleaned the wound and applied a fresh bandage. The village has an Afghan doctor, but Marines still provide medical care when needed.

These NJARG soldiers from the RSP/RRB(Recruit Sustainment Program) are from Sea Girt, New Jersey. They are at the Fort Dix TSC TADS Warehouse for an issue of required training equipment for their 2022 Survive Module Training during April of 2022. (Photos taken by the Fort Dix TSC Training Support Center)

U.S. Air Force medics assigned to the 59th Medical Wing treat a patient during a simulated medical training exercise at Joint Base San Antonio-Lackland, June 30, 2022. The Vapor Trails mission, a validated assessment program for operational readiness, is a C-130 in-flight sustainment training sortie for Critical Care Air Transport Teams.

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.

010330-F-0308N-526. Base: Houston State: Texas (TX) Country: United States Of America (USA) Scene Major Command Shown: AF

980326-F-4116M-002. Subject Operation/Series: SOUTHERN WATCH 1998 Base: Almaty Country: Kazakhstan (KAZ)

220916-N-TT639-1014 PHILIPPINE SEA (Sept. 16, 2022) - Sailors prepare a simulated casualty for an x-ray during a medical training team evolution aboard amphibious assault carrier USS Tripoli (LHA 7) Sept. 16, 2022. Tripoli is operating in the U.S. 7th Fleet area of operations to enhance interoperability with allies and partners and serve as a ready response force to defend peace and maintain stability in the Indo-Pacific region.

Incident Management Team - 26-HK-157-60. Hurricane Katrina

A Kuwait Army firefighter demonstrates how to properly apply a tourniquet to stop bleeding during a Tactical Combat Casualty Care class taught by Airman 1st Class Alex Moore, 386th Expeditionary Medical Squadron aerospace medical technician, September 14, 2022. During the training the firefighters volunteered for hands-on training to apply tourniquets, learning invaluable tools to save someones life in a crisis situation.

U.S. Air National Guard Airman 1st Class Elijah Oregon, Aerial Port of the 185th Air Refueling Wings Logistics Readiness Squadron, is treated for simulated injuries by 185th Medical Group personnel as a part of a mass casualty exercise at the Savannah Combat Readiness Training Center in Savannah, Georgia, on June 24, 2022. Medical Group Airmen are at the CRTC as a part of their annual training period.

A U.S. Air Force fire protection specialist and a local national civilian fire protection specialist, assigned to the 52nd Civil Engineer Squadron conduct medical evacuation training at Spangdahlem Air Base, Germany, Feb. 27, 2024. Spangdahlem ABs local national employees are highly valuable members of their units, providing their teams with the continuity, expertise and institutional knowledge they need to fulfill their missions. Air Force

030220-F-9448S-001. Base: Mcentire Ang Station State: South Carolina (SC) Country: United States Of America (USA)

A training casualty, played by 378th Expeditionary Civil Engineer Squadron leadership, is moulaged to look like he was stabbed at Prince Sultan Air Base, Kingdom of Saudi Arabia, June 20, 2022. Moulage and scene acting are used in military training to better simulate the chaotic and potentially hostile real-life events medically trained Airmen may be dispatched to.

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