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250227-F-VH914-1018

Tereza Ivanova, a Bulgarian nursing student, provides simulated cover fire while medics tend to a casualty at the Military Medical Simulation Center during Bulgarian Multilateral Medical Simulation Training Engagement in Sofia, Bulgaria, Feb. 27, 2025. The simulation center provided a controlled yet realistic training environment, allowing soldiers to refine life-saving skills before facing real-world combat scenarios. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250227-F-VH914-1027

Bulgarian Multilateral Medical Simulation Training Engagement participants tend to simulated wounded military personnel at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 27, 2025. This program ensured that every soldier, regardless of their role, became a force multiplier in casualty care, directly contributing to the readiness and resilience of forward-deployed forces. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250227-F-VH914-1112

An Armed Forces of Montenegro medical doctor tends to a simulated wounded military personnel in a later stage of the mass casualty simulation during the Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 27, 2025. With realistic combat scenarios, this training can sharpen decision-making under pressure, a critical factor in sustaining mission effectiveness across the European theater. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1045

Bulgarian Multilateral Medical Simulation Training Engagement participants unify medical practices at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. Providing soldiers with advanced medical training can increase their survivability, ensuring that forces remain combat-effective despite potential threats in the region. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1032

North Macedonian Army Capt. Viktorija Arsova, North Macedonian 2nd Infantry Battalion medical doctor, intubates a mannequin at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By equipping personnel with life-saving skills, the course strengthened unit resilience, minimizing combat fatalities and preserving force strength during operations. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1011

Medical equipment is laid out at an intubation station at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By utilizing state-of-the-art medical simulators, the center ensured personnel can practice complex trauma interventions under conditions that mirror battlefield stress. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Armed Forces personnel, students, physicians, nurses, and doctors represent their countries during Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 25, 2025. This training enhanced mission readiness in the European theater by ensuring military personnel can provide immediate and effective medical care in austere and high-threat environments. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

U.S. Army Col. John Keith Evans, commander of the Tennessee Medical Readiness Detachments, discusses interoperability between allied partners at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. This training reinforced interoperability with NATO allies by standardizing medical procedures, allowing medical personnel to share knowledge with other service members.
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

U.S. Air Force Col. Mike Kersten, United States Air Forces in Europe - Air Forces Africa office of the command surgeon medical readiness division chief, talks to medical doctors from Kosovo at the Military Medical Simulation Center in Sofia, Bulgaria, on Feb. 24, 2025. By reducing preventable combat deaths, this training maximized personnel availability for strategic objectives, strengthening deterrence and defense posture in the European theater. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Multilateral Medical Simulation Training Engagement participants gather in a discussion circle during Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. Bulgaria invited 10 countries from eastern Europe and Eurasia to the simulation center allowing soldiers to refine life-saving skills before facing real-world combat scenarios. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250212-F-DM566-1054

U.S. Air Force Capt. Raymond Kelly, 18th Aeromedical Evacuation Squadron flight nurse, reviews medical information on a tablet aboard a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. From training exercises to real-world emergencies, 18th AES Airmen stand ready to provide life-saving care for service members and civilians across the Indo-Pacific region. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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250212-F-DM566-1052

Airmen from the 18th Aeromedical Evacuation Squadron wait to resume training during refueling operations abord a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. Airmen from the 18th AES train regularly to respond to various emergency medical scenarios, ensuring they are prepared to evacuate, treat and transport wounded military and civilian personnel at a moment’s notice. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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250212-F-DM566-1047

U.S. Air Force Senior Airman, Richard Street, 18th Aeromedical Evacuation Squadron aeromedical technician, inserts an intravenous tube on a simulated patient in a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. From training exercises to real-world emergencies, 18th AES Airmen stand ready to provide life-saving care for service members and civilians across the Indo-Pacific region. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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250212-F-DM566-1024

U.S. Air Force Capt. Raymond Kelly, left, 18th Aeromedical Evacuation Squadron flight nurse, and Staff Sgt. Zachary Kelley, 18th AES aeromedical evacuation technician, review medical information on a tablet aboard a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. The 18th AES’ mission is to provide support for medical operations in wartime, during contingencies, and for natural disaster relief operations that occur within the Pacific theater. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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250212-F-DM566-1019

U.S. Air Force Capt. Judy Hipelius, 18th Aeromedical Squadron flight nurse, secures a litter carrying a simulated patient to a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. Airmen from the 18th AES train regularly to respond to various emergency medical scenarios, ensuring they are prepared to evacuate, treat and transport wounded military and civilian personnel at a moment’s notice. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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250212-F-DM566-1009

U.S. Air Force Capt. Raymond Kelly, 18th Aeromedical Evacuation Squadron flight nurse, secures a litter carrying a simulated patient to a KC-135 Stratotanker over the Pacific Ocean, Feb.12, 2025. The 18th AES’ mission is to provide support for medical operations in wartime, during contingencies, and for natural disaster relief operations that occur within the Pacific theater. (U.S. Air Force photo by Tech. Sgt. Micaiah Anthony)
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Grand Slam Wing commander observes 379th EMDS perform surgery

A syringe with a local anesthetic agent is held during a ganglion cyst excision surgery within the U.S. Central Command area of responsibility, Feb. 8, 2025. General anesthesia is a medically supervised tool that uses a combination of medications to render patients unconscious and insensitive to pain during surgery. (U.S. Air Force photo by Airman 1st Class Zeeshan Naeem)
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Grand Slam Wing commander observes 379th EMDS perform surgery

U.S. Air Force Brig. Gen. Richard Dickens, 379th Air Expeditionary Wing commander, observes a ganglion cyst excision surgery within the U.S. Central Command area of responsibility, Feb. 8, 2025. Surgical teams use the operating suite to deliver patient care by minimizing infection risks. The suite retains a set temperature, humidity, positive air pressure and cleanliness to provide a sterile environment. (U.S. Air Force photo by Airman 1st Class Zeeshan Naeem)
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Grand Slam Wing commander observes 379th EMDS perform surgery

U.S. Air Force Brig. Gen. Richard Dickens, 379th Air Expeditionary Wing commander, listens to surgeons explaining surgical procedures during a ganglion cyst excision surgery within the U.S. Central Command area of responsibility, Feb. 8, 2025. Ganglion cysts located near joints make it difficult to perform certain tasks, therefore an excision is conducted to improve mobility. The surgery coincided with the reopening of the operating suite, now revitalized for enduring surgical capabilities in the AOR. (U.S. Air Force photo by Airman 1st Class Zeeshan Naeem)
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Grand Slam Wing commander observes 379th EMDS perform surgery

U.S. Air Force Brig. Gen. Richard Dickens, 379th Air Expeditionary Wing commander, observes a ganglion cyst excision surgery within the U.S. Central Command area of responsibility, Feb. 8, 2025. Ganglion cysts located near joints make it difficult to perform certain tasks, therefore an excision is conducted to improve mobility. The surgery coincided with the reopening of the operating suite, now revitalized for enduring surgical capabilities in the AOR. (U.S. Air Force photo by Airman 1st Class Zeeshan Naeem)
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