Tactical Combat Medical Training

Dynamic scenes of military personnel practicing emergency medical care and casualty evacuation in realistic training environments under pressure and urgency.

Airmen of the 172nd Airlift Wing experienced some of the most engaging and intense Tactical Combat Casualty Care training available. Students applied two days of classroom instruction to a culminating event that cast them into highly-stressful scenarios with moulaged victims covered in realistic blood, wounds and various trauma. U.S. Air National Guard photo by Staff Sgt. Jared Bounds.

Sgt. 1st Class Christopher Zamundio, representing U.S. Army Materiel Command, moves a simulated casualty onto a skedco during the medical lanes portion of the Army Best Squad Competition on Fort Bragg, North Carolina, Oct. 1, 2022. The Army Best Squad Competition tests Soldiers on their individual and collective ability to adapt to and overcome challenging scenarios and battle-readiness events that test their physical endurance, technical skills, and tactical abilities under stress and extreme fatigue.

2nd Lt. Katy Voss performs mouth-to-mouth on a casualty, while Staff Sgt. Anuhea Lee studies notes behind her, during an event to qualify for the Expert Soldier Badge at Fort McCoy, Wisconsin on May 11, 2022.

A 374th Security Forces Squadron Airman administers cardiopulmonary resuscitation to a dummy victim during a mass casualty training scenario, Oct. 15, 2022, at Yokota Air Base, Japan. The training scenario was part of the Samurai Readiness Inspection, aimed at enhancing the bases preparedness and ability to respond to any real-world contingency.

First-year medical students at the Uniformed Services University of the Health Sciences treat a wounded patient brought into a battalion aid station during Operation Kerkesner, at Fort Indiantown Gap, Pa.

Airmen of the 172nd Airlift Wing experienced some of the most engaging and intense Tactical Combat Casualty Care training available. Students applied two days of classroom instruction to a culminating event that cast them into highly-stressful scenarios with moulaged victims covered in realistic blood, wounds and various trauma. U.S. Air National Guard photo by Staff Sgt. Jared Bounds.

U.S. Marines and a U.S. Navy Corpsman, with Force Reconnaissance Platoon, 31st Marine Expeditionary Unit, hone their tactical combat casualty care skills on a simulated casualty aboard Amphibious Assault Ship USS Tripoli in the Philippine Sea, Aug. 24, 2022. TCCC keeps Marines in the fight and gets them back home. The 31st MEU is operating aboard ships of the 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.

U.S. Navy Petty Officer 2nd Class Francisco Dela Rosa, right, corpsman, Headquarters and Service Battalion (HQSVCBN), U.S. Marine Corps Forces, Pacific, and members of the Marine Infantry Regiment in French Polynesia, French Armed Forces, apply a tourniquet during the Aito Course in Taravao, Tahiti, French Polynesia, Sept. 7, 2022. The event provided a bilateral training opportunity between the French Armed Forces and Marines with U.S. Marine Corps Forces, Pacific. The nine Marines and Sailor from HQSVCBN participated in the bilateral training with the French Armed Forces in order to strengthen relationships with the region. The courses name comes from the Tahitian word aito, which means warrior.

Combat medics with the 2nd Battalion, 127th Infantry Regiment and 1st Squadron, 105th Cavalry Regiment, came together to conduct task familiarization and a litter obstacle course during the 32nd Infantry Brigade Combat Team annual training on June 12 at Fort McCoy, Wis. This training was geared towards gaining knowledge and skills while also encouraging these soldiers to consider pursuing the Expert Field Medical Badge during their careers as medics.

U.S. Navy Corpsman with Marine Wing Support Squadron 472 (MWSS-472) and U.S. Marines with Foxtrot Co., 2nd Battalion, 24th Marine Regiment, 4th Marine Division, Marine Forces Reserve, render aid to an injured U.S. Army AH-64 pilot at exercise Gunslinger 22 in Salina, Kansas, June 23, 2022. Exercise Gunslinger 22 is a joint exercise with the Kansas Air National Guard and U.S. Marine Corps designed to increase aircraft control and training for potential real-world contingencies.

U.S. Marines with the Personnel, Recovery, and Processing Company, U.S. Navy Corpsmen and U.S. Army Soldiers with the 477th Medical Company participate in simulated casualty recovery and decontamination training during Operation Northern Strike at the Camp Grayling Joint Maneuver Training Center in Grayling, Michigan. Operation Northern Strike is designated to challenge over 7,400 service members with multiple forms of training that advances interoperability across multicomponent, multinational and interagency partners.

$Spc. Andrew McKinley (left), a small arms artillery repairer assigned to 8th Battalion, 229th Aviation Regiment, treats a manakin for a fracture and a burn during the Best Warrior Competition at Fort Knox, Kentucky, March 31, 2022. McKinley was one of 35 soldiers who competed in the Best Warrior Competition.$

CAMP LEMONNIER, Djibouti (Jan. 26, 2022) U.S. Navy Hospitalman Michael Brabo assesses a simulated patient at 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)

An Airman from the 436th Medical Group tightens straps on a litter during Exercise Ready Eagle on Dover Air Force Base, Delaware, May 17, 2022. Ready Eagle promoted medical response capabilities by providing hands-on training, instruction and a final cumulative exercise.

U.S. Army Pfc. Thomas Hensley, a infantryman assigned to the Pathfinder Company 1st 509th Air Borne Parachute Infantry Regiment based out of Fort Polk, Louisiana, representing the 7th Squadron Blue Platoon moves a simulated casualty to saftey August 18, 2022. The Best Squad Competition reinforces fundamental Soldier skills and squad level tactics.

U.S. Soldiers from 3rd Armored Brigade Combat Team, 1st Cavalry Division unload equipment after arriving in Poznan, Poland July 14, 2022. The 3/1 ABCT, and Finish and British army units trained in Finland to further strengthen the relations and interoperability between the nations.

Airmen from the 374th Medical Group prepare a stabilized mock patient for transport during a medical training exercise, May 12, 2022, on Yokota Air Base, Japan. Once the patients have been cared for and stabilized, an en-route patient staging system team will deliver individuals with minimal injuries to their holding facility to wait for aeromedical evacuations.

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.

Airmen with the 75th Security Forces Squadron move a simulated injured driver into the backseat of a Humvee during a Security Forces Combat Readiness Training exercise at Hill Air Force Base, Utah, Oct. 1, 2010. The CRT course provides Airmen with the basic skills needed to deploy, including tactical movements, land navigation, and Self Aid Buddy Care.

U.S. Navy Lt. Martin Manoukian, an emergency room doctor with 3rd Medical Battalion, discusses the use of bolin chest seals during a Role-1 medical facility tour at Combined Arms Training Center Fuji, Shizuoka, Japan, June 28, 2023. During Exercise SHINKA, the Japan Self Defense Ground Force and U.S. Navy trained together to increase operational understanding and create memorable bonds.

CAMP LEMONNIER, Djibouti - Service members, emergency responders and base contractors assigned to Camp Lemonnier, Djibouti (CLDJ), and Combined Joint Task Force-Horn of Africa (CJTF-HOA), take part in an base-wide Integrated Training Event to test CLDJ's security department, incident management team and emergency services response to an active shooter on base, July 13, 2022. Camp Lemonnier is an operational installation that enables U.S., allied and partner nation forces to be where and when they are needed to ensure security in Europe, Africa and Southwest Asia. (U.S. Navy photos by Mass Communication Specialist 1st Class Randi Brown).

U.S. Army Sgt. Maj. John Smith, assigned to Southern European Task Force, Africa (SETAF-AF), speaks with a U.S. Army Soldier after conducting an Expert Soldier Badge (ESB) medical practice lane at Caserma Del Din, Vicenza Italy, Oct. 14, 2022. The U.S. Army ESB measures a Soldier's proficiency in physical fitness, marksmanship, land navigation, and other warfighting tasks.

920th Rescue Wing pararescuemen render care patients simulating injuries at Avon Park Air Force Range, Florida, Nov. 18, 2022. Airmen from across the wing worked to ensure pararescuemen and aircrew from HH-60G Pave Hawk and HC-130J Combat King II aircraft enhanced their abilities to treat critically injured patients in austere locations, support ground special operations teams, and conduct extended duration overland movement and in-flight patient care.

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)

Soldiers in the U.S. National Guard and Reserves treat a casualty during a field training exercise in the Camp Dodge training area while attending a combat medic course at the 185th Regional Institute in Johnston, Iowa, on May 17, 2022. Four Kosovo Security Force members are attending the course at the 185th RTI. The Iowa National Guard is partnered with Kosovo as part of the Department of Defenses State Partnership Program, which affords unique opportunities for cross training.

Airmen from the 374th Medical Group transport a simulated injured service member onto a medical transport bus at Yokota Air Base, Japan, Oct. 18, 2022. The 374th MDG team simulated transferring casualties from aeromedical helicopter transport to a mass-casualty medical transport bound for the 374th MDG base hospital for advanced treatment.

U.S. Army Pfc. Bernecky Thomas and Pfc. Robert Smith, assigned to Eagle Troop, 2nd Squadron, 2nd Cavalry Regiment, conduct Tactical Combat Casualty Care training at Novo Selo Training Area, Bulgaria, May 13, 2022. The 2nd Cavalry Regiment is a part of V Corps, America's Forward Deployed Corps in Europe, who works alongside NATO Allies and regional security partners, like Bulgaria, to provide combat ready forces, execute joint and multinational training exercises, and retains command and control for 2nd Cavalry Regiment and all rotational and assigned units in the European theater.

U.S. Marines with the Personnel, Recovery, and Processing Company, U.S. Navy Corpsmen and U.S. Army Soldiers with the 477th Medical Company participate in simulated casualty recovery and decontamination training during Operation Northern Strike at the Camp Grayling Joint Maneuver Training Center in Grayling, Michigan. Operation Northern Strike is designated to challenge over 7,400 service members with multiple forms of training that advances interoperability across multicomponent, multinational and interagency partners.

A National Guard Soldier performs first aid on a simulated casualty during the Army Warrior Tasks event of the regional Best Warrior Competition, Camp Gruber Training Center, Okla., May 17, 2022. The annual competition brings together top-tier soldiers to challenge them on a variety of Army warrior tasks. The contest consists of eight events that promote soldier readiness in their war fighting skills and recognizes individuals who embody the Army Values. (Oklahoma National Guard photo by Spc. Danielle Rayon)

220609-N-VP310-1282 RAVLUNDA, Sweden (June 09, 2022) U.S. Navy service members assigned to Explosive Ordnance Disposal Mobile Unit (EODMU) 8 rig detonating cord during exercise BALTOPS 22, June 09, 2022. BALTOPS 22 is the premier maritime-focused exercise in the Baltic Region. The exercise, led by U.S. Naval Forces Europe-Africa, and executed by Naval Striking and Support Forces NATO, provides a unique training opportunity to strengthen combined response capabilities critical to preserving freedom of navigation and security in the Baltic Sea.

PORT HUENEME, Calif. (Aug. 5, 2022) Lt. Cmdr. Maria Thompson inspects a patient's injuries as 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.

U.S. Marines Corps Cpl. Maria Busson, a military working dog handler assigned to the Marine Corps Air Station Iwakuni Provost Marshals Office, inserts an IV into a K-9 training mannequin to mimic responding to a simulated dog causality during Exercise Active Shield 22 at MCAS Iwakuni, Japan, Nov. 14, 2022. Exercise Active Shield is a bilateral exercise conducted annually with the Japan Self-Defense Force to better prepare the air stations incident response procedures during base defense operations.

U.S. Marine Corps Lance Cpl. Guillermo Uribe, a Sandy, Utah native and percussion instrumentalist with the 2d Marine Division Band, treats a simulated casualty at an Infantry Immersion Trainer (IIT) on Camp Lejeune, North Carolina, Jan. 19, 2024. The IIT is used to fully immerse Marines in various scenarios in order to teach them to effectively adapt to complete combat, security, and humanitarian missions.

U.S. Navy Hospitalman Timothy Bilo, with Combat Logistics Battalion (CLB) 22, Combat Logistics Regiment 2, 2nd Marine Logistics Group, secures a simulated casualty to a stretcher during a Marine Corps Combat Readiness Evaluation (MCCRE) on Camp Lejeune, North Carolina, Aug. 26, 2022. CLB-22s MCCRE is the battalion's final evaluation to demonstrate combat readiness through proficiency in core mission essential tasks before they begin a change of operational control (CHOP) to the 26th Marine Expeditionary Unit.

041207-M-5573S-086. Base: Camp Johnson State: North Carolina (NC) Country: United States Of America (USA)

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.

U.S. Army Col. Jeffrey Sinclair judges a round of the arm-wrestling competition during the gladiatorial games as part of the New Year's Eve celebration at Forward Operating Base Kalsu, Iraq on Dec. 31, 2008.

Virginia Army National Guard Spc. Sovannrith Sek and Spc. Matthew Mitchell of the 3647th Maintenance Company, 529th Combat Sustainment Support Battalion, 329th Regional Support Group, perform maintenance on a M1089 Wrecker System on July 14, 2022, during the eXportable Combat Training Capability (XCTC) exercise at Fort Drum, New York. The 3647th Co. is supporting over 2,500 Soldiers from the New Jersey, Virginia, and Massachusetts Army National Guards at the 44th Infantry Brigade Combat Teams XCTC, a training event which enables brigade combat teams to achieve the trained platoon readiness necessary to deploy, fight, and win.

041207-M-5573S-096. Base: Camp Johnson State: North Carolina (NC) Country: United States Of America (USA)

Special Operation Forces Soldiers from the 10th Special Forces Group provide the cadets assigned to the UCCS Army ROTC Program with life-saving techniques and strategies for trauma care on the battlefield during a tactical combat casualty care (TCCC) training on April 21, 2022. The training included skills to assess and manage a combat casualty from injury to a higher level.

Blanchfield Army Community Hospital held the 2024 Best Leader Competition for its leaders Feb. 26-29. Soldiers competed against their peers to test their skills, knowledge, and fieldcraft in various events and realistic scenarios which included were one captain, three sergeant first class, one staff sergeant, two sergeants, three specialists, and one private first class.

GULFPORT, Miss. (May 25, 2022) Seabees assigned to Naval Mobile Construction Battalion (NMCB) 1, conduct medical casualty training during Command Post Exercise aboard Naval Construction Battalion Center. NMCB 1 is conducting an intense homeport training plan to expand their ability to execute construction, humanitarian assistance, and theater operations.

U.S. Navy Petty Officer 3rd Class Rondel Frederick, left, and Seaman Dawson Thompson, both Corpsman with 3rd Landing Support Battalion, 3rd Marine Logistics Group, treat a simulated casualty while participating in mass casualty response training during Korean Marine Exchange Program 24.1 at Rodriguez Live Fire Complex, Republic of Korea, Feb. 26, 2024. KMEP is a bilateral training exercise that increases interoperability and strengthens the combined capabilities of ROK Marines and U.S. Marines. Frederick is a native of New York, and Thompson is a native of South Carolina. Marine Corps

U.S. Air Force Master Sgt. Ryan Razo (center), NCOIC of Standardization and Evaluation Progress, 183d Wing, Springfield, Illinois, practices combat medical skills on a training manikin at Camp Lincoln, Springfield, Illinois during a Combat Lifesaver Course on July 12, 2022. Airmen from the 183d Security Forces Squadron(SFS) took part in a Combat Lifesaver Course with soldiers from Camp Lincoln, Springfield, Illinois as part of a training requirement with both classroom instruction and hands on practicals with a training manikin.

U.S. Soldiers from the 760th Explosive Ordinance Disposal company, Ft. Drum, N.Y. assist Iraqi soldiers from 8th division Iraqi army Explosive Ordinance Disposal team in an area sweep for scattered unexploded ordinance in an open field during a weapons cache search operation Sep. 17, 2008, in West Afak, Iraq.

KUANTAN, Malaysia (June 19, 2013) Service members from the Royal Medical Corps of the Malaysian Armed Forces assist Boatswain's Mate 2nd Class Dino "Blaze" Pebenito, bottom, assigned to Maritime Civil Affairs and Security Training (MCAST) Command as Chief Hospital Corpsman Steve Meszaros, left, observes during a tactical combat casualty course in support of Cooperation Afloat Readiness and Training (CARAT) Malaysia 2013. More than 1,200 Sailors and Marines are participating in CARAT. CARAT is a series of bilateral military exercises between the U.S. Navy and the armed forces of Bangladesh, Brunei, Cambodia, Indonesia, Malaysia, the Philippines, Singapore, Thailand and Timor Leste.

Staff Sgt. Dylan McCleary, 8th Logistics Readiness Squadron Ground Transportation Support noncommissioned officer in charge, performs Tactical Combat Casualty Care on Senior Airman Alexander Forbes, 8th LRS Ground Transportation Support, during a simulated injury scenario at Kunsan Air Base, Republic of Korea, Aug. 17, 2022. Airmen from the 8th LRS tested their ability to provide TCCC capabilities to members of the 8th Fighter Wing as part of a training event.

Soldiers assigned to the 4th Infantry Division assist an Expert Field Medic Badge (EFMB) candidate administer first aid to a mock casualty, Aug. 23, 2022, at Fort Carson, Colorado. EFMB candidates were allowed to have help in some aspects of their test, as medics often work in teams, but it was up to the candidate to remember their training and lead the team in order to get a passing score.

111230-N-PB383-092 INDIAN OCEAN (Dec. 30, 2011) Hospital corpsmen address simulated casualties during a total ship survivability exercise aboard the amphibious transport dock ship USS New Orleans (LPD 18). New Orleans and embarked Marines assigned to the 11th Marine Expeditionary Unit (11th MEU) are operating in the U.S. 7th Fleet area of responsibility as part of the Makin Island Amphibious Ready Group.

Pvt. Brenden Merrill, infantryman of Bravo Company, 3rd Battalion, 126th Infantry Regiment, Michigan National Guard, practices combat lifesaver techniques at the Ben Ghilouf Training Area in Tunisia, June 21, 2022. African Lion 2022 is U.S. Africa Command's largest, premier, joint, annual exercise hosted by Morocco, Ghana, Senegal and Tunisia, June 6 - 30. More than 7,500 participants from 28 nations and NATO train together with a focus on enhancing readiness for U.S. and partner nation forces. AL22 is a joint all-domain, multi-component, and multinational exercise, employing a full array of mission capabilities with the goal to strengthen interoperability among participants and set the theater for strategic access.

Phil SussmanSoldiers carry Pfc. Kristopher Sirnell between obstacles Jan.23 during a practice exercise for the Expert Field Medical Badge (EFMB).

U.S. Army Sgt. Garret Paulson, representing U.S. Army Medical Command, performs tactical combat casualty care on simulated casualties during the Army's First-ever Best Squad Competition on Fort Bragg, North Carolina, Oct. 1, 2022. The Army Best Squad Competition succeeds the Army Best Warrior Competition and extends the competing element from the individual level to the squad level, as Soldiers never fight alone; the unbreakable bonds forged through shared hardship and unending support for one another are the hallmark of our most successful small units.

U.S. Army Sgt. Garret Paulson, representing U.S. Army Medical Command, performs tactical combat casualty care on simulated casualties during the Army's First-ever Best Squad Competition on Fort Bragg, North Carolina, Oct. 1, 2022. The Army Best Squad Competition succeeds the Army Best Warrior Competition and extends the competing element from the individual level to the squad level, as Soldiers never fight alone; the unbreakable bonds forged through shared hardship and unending support for one another are the hallmark of our most successful small units.

A student in the Special Operations Combat Medic Course at the U.S. Army John F. Kennedy Special Warfare Center and School places a tourniquet on a simulated patient during field training at Fort Bragg, North Carolina February 23, 2023. Enlisted service members who completed the course specialize in trauma management, infectious diseases, cardiac life support and surgical procedures and qualify as highly trained combat medics with the skills necessary to provide initial medical and trauma care and to sustain a casualty for up to 72 hours.

Combat medics with the 2nd Battalion, 127th Infantry Regiment and 1st Squadron, 105th Cavalry Regiment, came together to conduct task familiarization and a litter obstacle course during the 32nd Infantry Brigade Combat Team annual training on June 12 at Fort McCoy, Wis. This training was geared towards gaining knowledge and skills while also encouraging these soldiers to consider pursuing the Expert Field Medical Badge during their careers as medics.

030222-F-9528H-017. Subject Operation/Series: ENDURING FREEDOM Country: Unknown

111028-N-UB993-070SAN DIEGO (Oct. 28, 2011) Hospital corpsmen participating in the Tactical Combat Casualty Course at Naval Medical Center San Diego (NMCSD) treat casualties of a simulated improvised explosive device. The three-day course is intended to familiarize hospital corpsmen with tactical medical evaluation and care in a field environment under fire. The course is held in conjunction with the NMCSD Operational Medical Symposium.

060405-N-7092S-032. Base: Naval Weapons Station, Yorktown State: Virginia (VA) Country: United States Of America (USA)

A Uruguayan marine conducts CPR training with U.S. and Brazilian marines 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.

Philippine Marines with the 3rd Marine Brigade exercise call-for-fire procedures with U.S. Marine Corps Sgt. Colton Amidon, a fire support Marine with 11th Marine Expeditionary Unit, during the practical application period of a bilateral call-for-fires exchange with U.S. Marines, assigned to the 11th Marine Expeditionary, Unit during KAMANDAG 6 on Marine Base Rodolfo Punsalang, Palawan, Philippines, Oct. 7, 2022. KAMANDAG is an annual bilateral training exercise between the Armed Forces of the Philippines and U.S. Military designed to strengthen interoperability, capabilities, trust, and cooperation built over decades of shared experiences.

U.S. Marine Corps Lance Cpl. Daniella Medina, center, a basic election, assigned to 8th Communication Battalion, II MEF Information Group, II Marine Expeditionary Force (MEF), and native of Dallas, Texas, performs a tactical combat causality care practical application evaluation aboard the Spearhead-class expeditionary fast transport USNS Trenton (T-EPF 5) in Greece, November 28, 2022. Marines assigned to II MEF, based out of Camp Lejeune, North Carolina, embarked aboard USNS Trenton (T-EPF 5) to improve interoperability while refining the U.S. capability to rapidly deploy forces aboard U.S. Navy expeditionary fast transport vessels.

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. Army Sgt. Garret Paulson, representing U.S. Army Medical Command, performs tactical combat casualty care on simulated casualties during the Army's First-ever Best Squad Competition on Fort Bragg, North Carolina, Oct. 1, 2022. The Army Best Squad Competition tests soldiers on their individual and collective ability to adapt and overcome challenging scenarios and battle-readiness events that test their physical endurance, technical skills and tactical abilities under stress and extreme fatigue.

U.S. Sailors with 1st Medical Battalion, 1st Marine Logistics Group, I Marine Expeditionary Force, provide care to a casualty during a simulated training exercise at Camp Pendleton, California, Jan. 24, 2022. The exercise was conducted to increase combat logistical support and enhance their emergency response skills. (U.S. Marine Corps photo by Lance Cpl. Casandra Lamas)

U.S. Army Soldiers load a simulated patient on to a New Jersey National Guard UH-60L Black Hawk helicopter during a combat lifesaver course run by the Medical Simulation Training Center on Joint Base McGuire-Dix-Lakehurst, New Jersey, April 14, 2022. The Medical Simulation Training Center provides realistic medical training to both medical and non-medical Soldiers in the Active, Reserve and National Guard, and provide hands-on instruction on the latest battlefield trauma and critical care techniques.

U.S. Marines with Combat Logistics Regiment 37, 3rd Marine Logistics Group, ground fight during a unit competition on Camp Kinser, Okinawa, Japan, April. 14, 2022. Marines hiked and competed in Marine Corps Martial Arts Program competitions between companies to increase morale and esprit de corps. 3rd MLG, based out of Okinawa, Japan, is a forward deployed combat unit that serves as III Marine Expeditionary Forces comprehensive logistics and combat service support backbone for operations throughout the Indo-Pacific area of responsibility.

U.S. Soldiers assigned to 1st Squadron, 91st Cavalry Regiment, 173rd Airborne Brigade prepare to transport a simulated casualty during Bayonet Week at Grafenwoehr, Germany, June 27, 2023. Bayonet Week is a series of competitive events within the 173rd Airborne Brigade that inspire all Sky Soldiers to honor their heritage during the last week of June. These events take place in both Germany and Italy and consist of tournament-style competitions that test strength, endurance, speed, knowledge and indomitable spirit as individuals and teams.

Sgt. 1st Class Renae Alvarado, left, a combat medic assigned to 2nd Battalion, 12th Infantry Regiment, 2nd Stryker Brigade Combat Team, 4th Infantry Division, evaluates and treats a casualty using a training dummy during a medical evaluation lane during expert field medical badge testing on Fort Carson, Colo., Aug. 23. The expert field medical badge demonstrates a soldiers proficiency in both medical and warrior tasks. U.S. Army photo by Maj. Jason Elmore.

U.S. service members conduct medical training during a Joint Emergency Medicine Exercise at Fort Hood , TX on June 6th, 2022. The training was accomplished from 6-10th June 2022 at the Fort Hood Medical Training Simulation Center for all graduating Tri-Service Emergency and Family Medicine residents and multiple medical occupational specialists within Carl R. Darnall Army Medical Center, U.S. Army Regional Health Command-Central, U.S. Army Medical Command, and III Armored Corps.

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Medical lane training during WAREX 78-22-02 serves as an annual training opportunity for U.S. Army Reserve Soldiers.

U.S. Marines and Sailors with 3rd Marine Logistics Group apply a tourniquet 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.

JOINT BASE LANGLEY-EUSTIS, Va. -- U.S. Army Specialist Joshua Smith, 567th Inland Cargo Transportation Company cargo specialist, plays the role of a critically injured victim in the aircraft down exercise at Joint Base Langley-Eustis, Virginia, Sept. 20, 2022. The exercise tests first responders capabilities to react in real-world emergency scenarios and to better aid any affected Airmen and Soldiers.

U.S. and Indonesian Armed Forces train with SKED litters during the medical portion of the Subject Matter Expert exchanges training in support of Exercise Super Garuda Shield 2023 on Dodiklatpur Rindam V, East Java, Indonesia., Sept. 1, 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 combined and joint event, highlighting the 7 participating and 12 observing nations' commitment to partnership and a free and open Indo-Pacific.

Airmen from the 152nd Communications Flight and 152nd Operations Group participate in the Mountain Flag exercise in Mammoth Lakes, Calif. May 25, 2022. The exercise was executed to prepare Airmen for Agile Combat Employment (ACE), an Air Force concept which enables Airmen to conduct operations from distributed locations at higher and faster levels of complexity.

Mississippi Army National Guard Soldiers assigned to 1387th Quarter Master Company, headquartered in Greenville, Miss., assist with putting up a tent at the Joint Incident Support Base on St. Croix, U.S. Virgin Islands, Oct. 3, 2017. The ISB, operated by the National Guard, Federal Emergency Management Agency, and the Army Corps of Engineer, is where non-perishable food items, generators, tarps and fuel are staged before delivery to distribution points throughout the island of St. Croix. More than 200 Mississippi Guardsmen are in the Virgin Islands and Puerto Rico as part of Task Force Crazy Train to support hurricane relief efforts.

From left to right, U.S. Air Force Maj. Richard Wood, Staff Sgt. Karla Williams, and Senior Airman Conner Gerry, medical responders assigned to the 673d Medical Group, are coached on the proper Tactical Combat Casualty Care techniques for military working dogs during a mock K-9 rescue by U.S. Army Capt. Patrick McFadden, a senior veterinarian from Fort Wainwright, Alaska, at the medical training facility on Joint Base Elmendorf-Richardson, Alaska, Sept. 1, 2022. The 673d Medical Group held its first-ever Joint Tactical Combat Casualty Care-K-9 course geared toward exposing military emergency providers, doctors, and independent medical technicians to basic emergency medical care for military working dogs. Students of the course split into two groups during the hands-on portion of the course, which provided them with shock treatment and respiratory distress scenarios for training.

U.S. Air Force Airman Master Sgt. Samantha Miller, right, 133rd Contingency Response Flight, checks a simulated patient for additional injuries in Rosemount, Minn., July 27, 2022. Miller has been participating in a three-day Tactical Combat Casualty Care (TCCC) class with other Airmen from the 133rd and 146th Contingency Response Flights, 821st and 156th Contingency Response Groups, 146th Aeromedical Evacuation Squadron and 133rd Security Forces Squadron. On the third day, Miller applied her evidence-based, life-saving techniques and strategies in a field training exercise.

U.S. Air Force Staff Sgt. Elissa Gray, left, paramedic, 386th Expeditionary Medical Group, guides Senior Airman John Roach, security forces specialist, 387th Expeditionary Security Forces Squadron, on how to apply a tourniquet to control simulated massive bleeding on Staff Sgt. Matthew Depodesta, firefighter, 386th Expeditionary Civil Engineer Squadron, during the joint coalition Tactical Combat Casualty Care course at a skating rink at Ali Al Salem Air Base, Kuwait, May 29, 2022. In the TCCC course, which replaced the Self-Aid Buddy Care course, U.S. service members and coalition partners practiced applying a tourniquet, wrapping a bandage and opening the airway by using the head tilt/chin-lift or jaw thrust maneuver. TCCC was designed to help lessen preventable combat deaths by providing proven trauma stabilization techniques, allowing for the wounded to survive long enough to receive life-saving treatment at a medical facility.

Various units train at the Fort Dix MSCT (Medical Simulation Training Center) during their Combat Lifesaver Course. Army combat medics play a critical role by applying first aid and trauma care to simulated wounded Soldiers, but in some situations the first person to assist isn't always a certified medic. 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. (Photos taken by the Fort Dix TSC Training Support Center)

A Royal Thai Marine wraps the leg of a U.S. Marine assigned to Charlie Company, Battalion Landing Team 1/5, 15th Marine Expeditionary Unit, with a bandage during tactical combat casualty care training as part of Exercise Cobra Gold in Chanthaburi province, Thailand, Feb. 28, 2024. Cobra Gold, now in its 43rd year, is a Thai-U.S. co-sponsored training event that builds on the longstanding friendship between the two allied nations and brings together a robust multinational force to promote regional peace and security in support of a free and open Indo-Pacific. Marine Corps

U.S. Army Soldiers assigned to the 71st Ordnance Group participates in the Situational Training Exercise event of the 2022 20th CBRNE Best Warrior Competition, at Fort Indiantown Gap Pa., July 13, 2022.The 20th Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE) Commands Best Squad Competition and Best Warrior Competition is a single event used to select the best Noncommissioned Officer of the Year and Soldier of the Year from Soldiers within the command and its major subordinate commands.

U.S. Air Force Airmen conduct a simulated human remains recovery during readiness exercise Operation Thundercat at Buckley Space Force Base, Aurora, Colo., Sept. 24, 2022. This exercise is a four day exercise that provided a simulated environment that allows Airmen to practice real-world war fighting capabilities.

Spc. Brandon Gracia, 4th Infantry Division, treats a simulated casualty Jan. 25 during the CSM Jack L. Clark Jr., Army Best Medic Competition at Fort Hood, Texas.

Marines with Bravo Company, 1st Battalion, 23rd Marine Regiment, 4th Marine Division, conduct night-time casualty evacuation (CASEVAC) training at Fort Pickett, Virginia on Jan. 6, 2022. A CASEVAC is the transportation of a wounded military personnel, usually by air, from a combat area to an area where proper medical care can be provided. The Department of Defense, through the U.S. Northern Command, and in support of the Department of Homeland Security, is providing transportation, temporary housing, medical screening, and general support for at least 50,000 Afghan evacuees at suitable facilities, in permanent or temporary structures, as quickly as possible. This initiative provides Afghan personnel essential support at secure locations outside Afghanistan.

041207-M-5573S-085. Base: Camp Johnson State: North Carolina (NC) Country: United States Of America (USA)

U.S. Navy Corpsmen with 3d Battalion, 12th Marines conduct medical evacuation drills during Artillery Relocation Training Program 22.3 at Ojojihara Maneuver Area, Miyagi, Japan, Nov. 28, 2022. The skills developed at ARTP increase the proficiency and readiness of the only permanently forward-deployed artillery unit in the Marine Corps, enabling them to provide precision indirect fires.

U.S. Air Force Capt. Kevin Tipton, a 125th Fighter Wing Medical Group critical care nurse practitioner, instructs a class on Tactical Combat Casualty Care Feb. 8, 2023, at Alpena Combat Readiness Training Center, Michigan. TCCC training teaches Airmen how to care for life threatening injuries down range. This training is part of the 290th Joint Communications Support Squadrons annual training.

U.S. Marine Corps Cpl. Tanner Bernat, combat videographer, with Marine Corps Instillations East, Marine Corps Base Camp Lejeune, performs a basic wristlock take down technique on Lance Cpl. Aziza Kamuhanda, combat videographer, with II Marine Expeditionary Force Information Group, during a Marine Corps Martial Arts Program (MCMAP), green belt course on Camp Lejeune, North Carolina May 12, 2022. MCMAP is designed to increase the warfighting capabilities of the individual Marine, while building confidence and esprit de corps.

U.S. Air Force Senior Airman Shaylin Velez, 8th Medical Group personnel and U.S. Air Force Tech. Sgt. Katryn Ellis, 8th Operations Medical Readiness Squadron public health technician, ties an improvised splint to a simulated casualty during a training event at Kunsan Air Base, Republic of Korea, Sept. 14, 2022. Airmen are trained to be resourceful and can improvise life-saving tools and equipment in emergency situations.

Members of the 934th Forward Surgical Team unload a patient from the back of an ambulance at Forward Operating Base Sharana, Afghanistan. The 934th FST is a team of Army and Air Force medical providers who treat coalition force and Afghan casualties from the battlefield and prepare them for a higher level of care. The goal of the unit is to cut down the mortality rate of battlefield injuries by ensuring all patients see a medical provider within one hour of ther time of injury.

U.S. Army Soldiers from the 1st Brigade Combat Team, 34th Infantry Division kiss the ground after arriving at Volk Field Air National Guard Base, Wisc., July 10, 2007. The Soldiers are returning from a deployment in Iraq and will be transported to Fort McCoy, Wisc., for reintegration training.

CAMP SHELBY, Miss. (Jul. 21, 2022) Seabees assigned to Naval Mobile Construction Battalion (NMCB) 1 carry a patient into 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.

Sgt. 1st Class Geronimo Blancaflor, a rigger instructor assigned to ADFSD, performs a jumpmaster personnel inspection on Sgt. 1st Class Timothy Vogt prior to an airborne operation Oct. 8 at Fort Lee's McLancey Drop Zone. Vogt was one of six ADFSD cadre who were testing the Army's newest parachute, the T-11.

U.S. Army soldiers partake in various tests to earn their expert infantry badge on May 23, 2022, on Fort Drum, New York.

U.S. Army Spc. Brandon Powell (left), a healthcare specialist from the 1st Squadron, 91st Cavalry Regiment, 173rd Airborne Brigade, and Lt. Cvjetko Tomic (middle) of the 5th Logistics Support Battalion, Armed Forces of Bosnia and Herzegovina, train in combat medical care at Kasarna Manjaca in Dobrnja, Bosnia and Herzegovina, July 16, 2022. Guard members assigned to the State Medical Detachment and 1-169th Aviation Regiment, Maryland Army National Guard, train alongside active duty Soldiers from the 1st Squadron, 91st Cavalry Regiment, 173rd Airborne Brigade, and the Armed Forces of Bosnia-Herzegovina soldiers in tactics, aviation, medical, and non-commissioned officer development. The Maryland National Guard will celebrate 20 years of partnership State with the Armed Forces of Bosnia-Herzegovina through the National Guard Bureaus State Partnership Program next year.

U.S. Soldiers assigned to 55th Signal Company (Combat Camera), 21st Signal Brigade, conduct Modern Army Combatives training at Fort George G. Meade, Maryland, July 22, 2022. Combatives is the term for hand-to-hand combat training and techniques within the Army branch of the United States military.

*TRAINING*TRAINING*TRAINING* Hospital Corpsman First Class Clement McKenzie applies a chest seal to treat an exit wound on a mannequin during a training event held August 4 aboard Marine Corps Air Station Cherry Point. Clement and other sailors assigned to Naval Health Clinic Cherry Point conducted the practical exercise as students in Tactical Combat Casualty Care, a course designed to sharpen their battlefield medicine skills.

U.S. Air Force Tech. Sgt. Jesse Johnson, 319th Security Forces Squadron flight sergeant, apprehends a simulated fallen aggressor during Readiness Exercise Validation Global Griffin 09-22 Sept. 27, 2022, at Grand Forks Air Force Base, North Dakota. Members of the 319th SFS defended the simulated forward operating location during several simulated attacks.

A U.S. airman helps U.S. soldiers carry a stretcher holding an injured service member to a French jet for evacuation during the African Lion 22 exercise at the Southern Zone Headquarters in Agadir, Morocco, June 18, 2022. African Lion 2022 is U.S. Africa Commands largest, premier, joint, annual exercise hosted by Morocco, Ghana, Senegal and Tunisia, June 6 - 30. More than 7,500 participants from 28 nations and NATO train together with a focus on enhancing readiness for U.S. and partner nation forces. AL22 is a joint all-domain, multi-component, and multinational exercise, employing a full array of mission capabilities with the goal to strengthen interoperability among participants and set the theater for strategic access.

040626-F-3715H-012. Base: Tallil Air Base State: Dhi Qar Country: Iraq (IRQ)

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