Ambulance in the sky

445th Aeromedical Evacuation Squadron crew members, Maj. Jen Cowie (left) and Staff Sgt. Nicole Karsten (right), prepare to lift a Citizen Airman simulating a patient for a joint training mission here, June 7, 2017. The 445th AES trained for two hours while airborne to simulate a real-world scenario. (U.S. Air Force photo/Senior Airman Joshua Kincaid)

Maj. Jen Cowie (left) and Staff Sgt. Nicole Karsten (right), both 445th Aeromedical Evacuation Squadron crew members, prepare to lift an Airman simulating a patient for a joint training mission June 7, 2017 at Youngstown Air Reserve Station, Ohio. The 445th AES trained for two hours while airborne to simulate a real-world scenario. (U.S. Air Force photo/Senior Airman Joshua Kincaid)

445th Aeromedical Evacuation Squadron crew members, 1st Lt. Emily Perkins and Staff Sgt. Brandon Croghan, check the pulse of a Citizen Airman portraying a patient for a joint training mission here, June 7 2017. The 445th AES trained for two hours while airborne to simulate a real-world scenario. (U.S. Air Force photo/Senior Airman Joshua Kincaid)

First Lt. Emily Perkins (right) and Staff Sgt. Brandon Croghan (center), both 445th Aeromedical Evacuation Squadron crew members, check the pulse of an Airman portraying a patient for a joint training mission June 7, 2017, at Youngstown Air Reserve Station, Ohio. The 445th AES trained for two hours while airborne to simulate a real-world scenario. (U.S. Air Force photo/Senior Airman Joshua Kincaid)

YOUNGSTOWN AIR RESERVE STATION, Ohio (AFNS) -- “Can you hear me?”

The deafening roar of the C-130 Hercules engines makes the words nearly inaudible.

“What is your name?”

A team of Airmen maneuvering throughout the cargo area treating patients makes for a scene of organized chaos.

“How many fingers am I holding up?”

These are questions that you may hear if you find yourself aboard a C-130 with the 445th Aeromedical Evacuation Squadron.

There was a joint training mission conducted June 7, 2017, where the 910th Airlift Wing provided a C-130, the 914th AW provided a pilot and the 445th AES provided the training crew.

“We provide the platform for the (445th AES) that they would be using in combat,” said Lt. Col. Larry Kroecker, a pilot with the 914th AW. “This is the primary medevac transport for deployed stations. It’s currently being used with our troops in (deployed locations).”

It was a joint training mission that lasted nearly six hours. The aircraft departed Youngstown ARS and flew to Wright-Patterson Air Force Base to pick up the 445th AES crew members.

The aircraft then flew for approximately two hours in the areas around Wright-Patterson AFB while the 445th AES members trained.

“This is an AES training mission where we conduct patient care emergencies, off-loading and on-loading of live bodies and other emergencies,” said Capt. Tyler Altier, a flight nurse with the 445th AES. “We have other crew members playing the roles of patients. It simulates more of a real-world environment downrange.”

After completing the exercises, the aircraft touched down at Wright-Patterson AFB to drop off the 445th AES crew members before making the roughly 45-minute flight back to Youngstown ARS to conclude the joint training mission.

These missions are scheduled weekly for the benefit of all Airmen involved.

“We conduct these exercises to become more proficient in our job and to find weaknesses to develop upon,” said Senior Airman Dominic Slonkosky, a crew member with the 445th AES. “The most exciting part of this exercise is knowing, that at the end of the day, I know how to save a life.”