Airmen from the 86th Medical Group, Ramstein Air Base, Germany, participate in a multinational medical exercise drill during Vigorous Warrior 19, Cincu Military Base, Romania, April 8, 2019. During the exercise, medical personnel kept up a rigorous operations tempo that included more than 1,000 scenarios, 300 medical actions, and more than 1,500 simulated casualties. (U.S. Air Force photo by 1st Lt. Andrew Layton)