U.S. Air Force Tech. Sgt. Denver Duhs, an Aerospace Medical Technician with the 182nd Medical Group, 182nd Airlift Wing, Illinois National Guard, provides continuous trauma and advanced care to a simulator mannequin during Operation Holdem in Camp Shebly, Hattiesburg, Mississippi, July 23, 2026. The capstone exercise for Medical Readiness University was designed to integrate trauma care, logistics, patient movement, and command decision-making under simulated operational conditions. (U.S. Air National Guard Photo by Airman 1st Class Maria Gonzalez Garduno)

U.S. Air Force Lt. Col. Alan Barrett, a clinical provider with the 169th Medical Group, 169th Fighter Wing, South Carolina National Guard, acts as a casualty for care under fire drills during the Tactical Combat Casualty Care Tier 4 course of Medical Readiness University at the Airfield Damage Repair site of the Gulfport Combat Readiness Training Center, Mississippi, July 14, 2026. ANG medics learned advanced techniques, from hemorrhage control to managing casualties when evacuation is delayed, ensuring every service member has the best possible chance of survival. (U.S. Air National Guard Photo by Airman 1st Class Maria Gonzalez Garduno)

U.S. Air Force Senior Master Sgt. Ned McElfresh, the Tactical Combat Casualty Care program owner at the National Guard Bureau and Prolonged Casualty Care course owner at Medical Readiness University, addresses TCCC Tier 4 students during the start of the course at the Airfield Damage Repair site of the Gulfport Combat Readiness Training Center, Mississippi, July 14, 2026. Combat paramedics and providers trained the knowledge and skills needed to provide advanced care and keep wounded Service members alive before getting them to definitive care. (U.S. Air National Guard Photo by Airman 1st Class Maria Gonzalez Garduno)

Maj. Gen. Bryony Terrell GO BIO (U.S. Air Force photo by SSgt. Stuart Bright)

U.S. Air Force Staff Sgt. Brianna D. St. Lawrence-Brody, a command post controller assigned to the 120th Airlift Wing, Montana Air National Guard, was selected as one of the U.S. Air Force's 2026 Total Force Outstanding Airmen of the Year, becoming the only Air National Guard Airman selected for the honor during the program's first year of Total Force competition. (U.S. Air National Guard photo by Senior Master Sgt. Devin Doskey)

U.S. Air Force Tech. Sgt. Jason Utter, left, and Staff Sgt. Ethan Rabideau, both assigned to the 127th Security Forces Squadron, 127th Wing, Michigan Air National Guard, run during a unit competition at Selfridge Air National Guard Base, Michigan, June 6, 2026. The competition tested participants' physical fitness, teamwork and mission readiness. (U.S. Air National Guard photo by Senior Airman Jacob Hessen)