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Partners in patient care: 18AES and JASDF train for real-world patient response

Japan Air Self-Defense Force Col. Toshihiro Ishigami, Aeromedical Evacuation Squadron commander, left, assisted by U.S. Air Force Maj. Maria Stoughton, 18th AES clinical nurse specialist, administers a nasogastric tube to a simulated patient during a bilateral training, at Kadena Air Base, Japan, May 13, 2026. The AES mission is to provide support for medical operations in wartime, during contingencies and for natural disaster relief operations that occur within the Indo-Pacific theater. (U.S. Air Force photo by Senior Airman Melany Bermudez)
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Partners in patient care: 18AES and JASDF train for real-world patient response

Japan Air Self-Defense Force Aeromedical Evacuation Squadron members and 18th AES Airmen prepare to initiate IV access on a simulated patient during a bilateral training, at Kadena Air Base, Japan, May 13, 2026. This event was the first bilateral iteration where JASDF AES were able to practice in a hands-on environment and move beyond simulations and actively work alongside the 18th AES. (U.S. Air Force photo by Senior Airman Melany Bermudez)
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Partners in patient care: 18AES and JASDF train for real-world patient response

Japan Air Self-Defense Force MSgt. Tatsuya Anzai, Aeromedical Evacuation Squadron emergency medical technician, left, initiates IV access for U.S. Air Force Master Sgt. Krista McGraw, 18th AES flight chief of standards and evaluations, during bilateral training, at Kadena Air Base, Japan, May 13, 2026. This event was the first bilateral iteration where JASDF AES were able to practice in a hands-on environment and move beyond simulations and actively work alongside the 18th AES. (U.S. Air Force photo by Senior Airman Melany Bermudez)
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Partners in patient care: 18AES and JASDF train for real-world patient response

Japan Air Self-Defense Force Staff Sgt. Takuya Musashi, right, Aeromedical Evacuation Squadron emergency medical technician, assisted by U.S. Air Force Maj. Joseph Alvarez, left, 18th AES chief of clinical management, stabilizes a simulated patient during a bilateral training, at Kadena Air Base, Japan, May 13, 2026. The training was an opportunity for both forces to compare medical practices, procedures and aircrew equipment processes up close. (U.S. Air Force photo by Senior Airman Melany Bermudez)
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Partners in patient care: 18AES and JASDF train for real-world patient response

U.S. Air Force 18th Aeromedical Evacuation Squadron members pose with Japan Air Self-Defense Force AES members before bilateral training, at Kadena Air Base, Japan, May 13, 2026. The inaugural U.S. Air Force and JASDF AES training successfully utilized a KC-130J Hercules for hands-on training, cementing joint interoperability and strengthening bilateral partnerships. (U.S. Air Force photo by Senior Airman Melany Bermudez)
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Partners in patient care: 18AES and JASDF train for real-world patient response

U.S. Air Force Master Sgt. Krista McGraw, 18th Aeromedical Evacuation Squadron aeromedical evacuation technician, showcases 18th AES equipment to members of Japanese Air Self-Defense Force AES during a two-day aeromedical evacuation exchange at Kadena Air Base, Japan, May 12, 2026. The exchange provided members assigned to JASDF AES an opportunity to work side-by-side with 18th AES Airmen in a hands-on environment focused on patient care, communication and mission integration. (U.S. Air Force Photo by Senior Airman Amy Kelley)
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Partners in patient care: 18AES and JASDF train for real-world patient response

U.S. Air Force 18th Aeromedical Evacuation Squadron leadership brief Japanese Air Self-Defense Force AES leadership during a two-day aeromedical evacuation exchange at Kadena Air Base, Japan, May 12, 2026. The exchange provided members assigned to JASDF AES an opportunity to work side-by-side with 18th AES Airmen in a hands-on environment focused on patient care, communication and mission integration. (U.S. Air Force Photo by Senior Airman Amy Kelley)
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260515-F-WJ150-1208

U.S. Air Force Maj. Spencer Sherman, incoming 18th Aircraft Maintenance Squadron commander, speaks during the 18th AMXS activation ceremony on Kadena Air Base, Japan, May 15, 2026. Sherman thanked the Airmen who have been at the forefront of defending freedom throughout the region during their time before its activation. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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260515-F-WJ150-1208

U.S. Air Force Maj. Spencer Sherman, incoming 18th Aircraft Maintenance Squadron commander, speaks during the 18th AMXS activation ceremony on Kadena Air Base, Japan, May 15, 2026. Sherman thanked the Airmen who have been at the forefront of defending freedom throughout the region during their time before its activation. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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260515-F-WJ150-1208

U.S. Air Force Col. Gerard Carisio, left, 18th Maintenance Group commander, and Maj. Spencer Sherman, incoming 18th Aircraft Maintenance Squadron commander, render a salute during the 18th AMXS activation ceremony on Kadena Air Base, Japan, May 15, 2026. The realignment of maintenance Airmen, resources and responsibilities provides a tighter relationship between operators and maintainers, flattening the maintenance organizational structure and transitioning aircraft maintenance units into fighter generation squadrons. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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260515-F-WJ150-1208

U.S. Air Force Col. Gerard Carisio, left, 18th Maintenance Group commander, and Maj. Spencer Sherman, incoming 18th Aircraft Maintenance Squadron commander, hold the guidon during the 18th AMXS activation ceremony on Kadena Air Base, Japan, May 15, 2026. Throughout the squadron's lineage it has earned 13 Air Force outstanding unit awards, two Republic of Vietnam Gallantry crosses, and numerous team and individual awards spanning from unit to Air Force level recognitions. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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260515-F-WJ150-1208

U.S. Air Force Airmen gather for the 18th Aircraft Maintenance Squadron activation ceremony on Kadena Air Base, Japan, May 15, 2026. The realignment of maintenance Airmen, resources and responsibilities provides a tighter relationship between operators and maintainers, flattening the maintenance organizational structure and transitioning aircraft maintenance units into fighter generation squadrons. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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260515-F-WJ150-1208

U.S. Air Force Col. Gerard Carisio, left, 18th Maintenance Group commander, and Maj. Spencer Sherman, incoming 18th Aircraft Maintenance Squadron commander, stand at attention during the 18th AMXS activation ceremony on Kadena Air Base, Japan, May 15, 2026. The event highlighted the historic era of the 67th Fighter Generation Squadron and marked the activation of the 18th AMXS. (U.S. Air Force photo by Airman 1st Class Karina Lopez)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

U.S. Air Force Airmen assigned to the 18th Wing, participate in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The challenge tested participants with physically demanding obstacles aimed at strengthening combat capability, teamwork and resilience. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

U.S. Air Force Airmen assigned to the 18th Wing, participate in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The challenge tested participants with physically demanding obstacles aimed at strengthening combat capability, teamwork and resilience. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

U.S. Air Force Airmen assigned to the 18th Wing, participate in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The challenge tested participants with physically demanding obstacles aimed at strengthening combat capability, teamwork and resilience. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

The U.S. Air Force 18th Wing command team poses for a photo after participating in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The event served as an opportunity for leadership to engage directly with Airmen while promoting a culture centered on resilience and warrior ethos. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

The U.S. Air Force 18th Wing command team carries a simulated casualty while participating in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The event served as an opportunity for leadership to engage directly with Airmen while promoting a culture centered on resilience and warrior ethos. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

The U.S. Air Force 18th Wing command team performs Combat Casualty Care while participating in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The event served as an opportunity for leadership to engage directly with Airmen while promoting a culture centered on resilience and warrior ethos. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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Out of the classroom, into the field: Kadena strengthens warfighter readiness through hands-on training

U.S. Air Force Chief Master Sgt. William Cupp, 18th Wing command chief, helps push a vehicle while participating in the Combat Readiness Challenge at Kadena Air Base, Japan, May 15, 2026. The challenge highlighted the importance of physical fitness and mental toughness in maintaining mission readiness across the Indo-Pacific. (U.S. Air Force photo by Airman 1st Class Nathaniel Jackson)
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