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Lt. Col. Paul Sanford, a simulated patient, and Staff Sgt. Kiera Rivera Cortes, an aeromedical evacuation technician, both with the 156th Aeromedical Evacuation Squadron, North Carolina Air National Guard, simulate a breathing treatment during an inflight training scenario aboard a 22nd Air Refueling Wing KC-46A Pegasus over Oklahoma City, Sept. 16, 2023. Guardsmen with the 137th AES and 156th AES received their initial flight certifications by conducting various medical scenarios that could occur in an actual mission. (U.S. Air National Guard photo by Airman 1st Class Erika Chapa)
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