In a remarkable demonstration of inter-service collaboration and skill enhancement, the 433rd Aeromedical Evacuation Squadron, comprising Reserve Citizen Airmen, joined forces with members of the Texas State Guard for an intensive joint medical training event at Joint Base San Antonio-Lackland, Texas, on February 24, 2024. This event, highlighted by the participation of more than two dozen Texas State Guardsmen, served as an invaluable platform for both organizations to enhance their understanding and operational interoperability, especially in scenarios requiring humanitarian aid or defense support of civil authorities. Under the guidance of Chief Master Sgt. Michael Bolin, the Guardsmen were introduced aboard a C-17 Globemaster, gaining firsthand insight into Air Force aeromedical evacuation tactics, techniques, and procedures. This cross-training not only allowed the Guardsmen to observe and learn but also provided Alamo Wing Airmen with an opportunity to refine their patient evacuation and care skills, further emphasizing the significance of joint preparedness in responding to disaster response and civil unrest situations.
The training underscored the critical nature of cooperation and knowledge sharing between different military units, particularly in medical units like the 1st Battalion, 6th Brigade of the Texas State Guard, which plays a pivotal role in aerial patient embarkation and disembarkation operations. Capt. Margarita Elestwani, overseeing APOE/APOD operations for the Texas State Guard, stressed the importance of such joint training exercises in fostering a seamless working relationship between sister services. By integrating the Guardsmen into parts of their patient upload training, the 433rd Aeromedical Evacuation Squadron not only shared their aeromedical evacuation capabilities and best practices but also equipped the Guardsmen with hands-on experience. This event, further enhanced by the use of a C-17 Globemaster from the Air Force Reserve Command’s 445th Airlift Wing, exemplifies the collective effort and commitment to excellence within the U.S. military’s medical response teams, preparing them for any eventualities they may face in the future.
Stronger Together, Airmen & Guardsmen Practice Patient Evac
JOINT BASE SAN ANTONIO-LACKLAND, Texas —
Reserve Citizen Airmen of the 433rd Aeromedical Evacuation Squadron got an opportunity to showcase their skills and capabilities during a joint medical training event with more than two dozen members of the Texas State Guard on Feb. 24.
The training allowed the Guardsmen of the 1st Battalion, 6th Brigade to observe and learn about Air Force aeromedical evacuation tactics, techniques and procedures, while Alamo Wing Airmen further honed their patient evacuation and care skills.
Texas State Guard units like 1st BN, 6th BDE can be called to work alongside Air Force and Air Force Reserve units during disaster response and civil unrest situations. 1st Battalion is the 6th Brigade’s medical unit, which means they carry out aerial point of embarkation and disembarkation (APOE/APOD) operations when patients are on the move via aircraft.
Capt. Margarita Elestwani is the officer in charge of APOE/APOD for the Texas State Guard.
“It is huge in any kind of training, if you are going to be working in a joint environment, to understand both the regulations that govern our sister services as well as the training background they have,” Elestwani said.
“Working right alongside them in this kind of preparatory period allows us to be in sync with all of those we are going to be supporting,” Elestwani added. “We’re here to understand fully what our role is so we can carry that out in the best possible manner for the best possible outcome for our patients.”
For Alamo Wing Reserve Citizen Airmen, the opportunity to work alongside members of another service allows them to broaden their understanding of joint operations and build interoperability.
“In certain settings, we can end up working with other services very closely,” said Staff Sgt. Rheannon Pionek, a 433rd AES technician. “Having the Texas State Guard here on a training mission helps us integrate our two sides of the world better.”
Pionek noted, “These types of training help us know their limitations and they can know our limitations… that way we know how to work together in order to get our patients moved globally.”
On top of briefing the Guardsmen about Air Force aeromedical evacuation capabilities and sharing best practices, 433rd AES members integrated the Guardsmen into parts of their patient upload training, allowing them to get some hands-on experience from the training event.
Adding to the interoperability training value, the C-17 Globemaster serving as the platform for the training belongs to the Air Force Reserve Command’s 445th Airlift Wing, stationed at Wright-Patterson Air Force Base, Ohio. The use of an aircraft from a different unit shows how Air Force Reserve units work together to make training and missions happen.
For Tech Sgt. Holly West, 433rd AES clinical management flight chief and one of the mission clinical coordinators for this event, it’s no surprise other units are seeking out training opportunities with the 433rd AES.
“We train hard here… this unit has a reputation for giving more realistic, hands-on patient scenarios that simulate high patient acuity and high patient load,” West said. “They’re preparing these guys for whatever’s next.”
Source: US Air Force
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