Tactical critical care expeditionary team - enhanced

Tactical critical care expeditionary team - enhanced (TCCET-E) team member, U.S. Air Force Lt. Col. Gerald Fortuna, trauma surgeon, 86th Medical Group, Ramstein Air Base, Germany, performs a simulated exploratory laparotomy surgical procedure while in-flight aboard a C-17 Globemaster III at Joint Readiness Training Center (JRTC), Fort Polk, La., Jan. 17, 2014. Service members at JRTC 14-03 are educated in combat patient care and aeromedical evacuation in a simulated combat environment. (U.S. Air Force photo by Master Sgt. John R. Nimmo, Sr./RELEASED)