Lt. Col. Gerald Fortuna (right) performs a simulated exploratory laparotomy surgery while in flight aboard a C-17 Globemaster III during a field exercise Jan. 17, 2014, at the Joint Readiness Training Center, Fort Polk, La. Service members at JRTC 14-03 are educated in combat patient care and aeromedical evacuation in a simulated combat environment. Fortuna is a trauma surgeon with the 86th Medical Group at Ramstein Air Base, Germany. (U.S. Air Force photo/Tech. Sgt. Matthew Smith)