U.S. Air Force 52nd Medical Group personnel carry a litter with a simulated victim into an en route staging system during an readiness exercise at Spangdahlem Air Base, Germany, April 18, 2019. The U.S. Air Force 446th Aeromedical Staging Squadron from Joint Base Lewis-McChord, Washington, spent the week teaching Airmen how to use the en route staging system and become an aeromedical evacuation team in a deployed environment. (U.S. Air Force photo by Airman 1st Class Branden Rae)