Spc. Jesse Teniente, Spc. Gabriela Castillo, Spc. Zac Elenghan and Pfc. Eric Brennick, combat medics with the 86th Combat Support Hospital, move a simulated casualty off of a MV-22 Osprey, during a joint training exercise with Marines from Marine Medium Tiltrotor Squadron - 364 (VMM-364), at Camp Arifjan, Kuwait, May 8, 2017. (U.S. Army Photo by Sgt. Christopher Bigelow)