Maj. Dana Mayer, Tech. Sgt. James Bayless, and Maj. Gary Barder, 433rd Medical Squadron critical care air transport team, use a portable ICU to stabalize a simulated patient before loading them onto a C-130 Hercules aircraft from Youngstown Air Reserve Station, Ohio during exercise Patriot Hook April 28, 2017 at Vandenberg Air Force Base. Patriot Hook is an annual joint-service exercise coordinated by the Air Force Reserve, designed to integrate the military and first responders of federal, state and local agencies by providing training to mobilize quickly and deploying in military aircraft in the event of a regional emergency or natural disaster. (U.S. Air Force photo by Benjamin Faske)