Sgt. Amanda McGowan, a licensed practical nurse assigned to 402nd Forward Resuscitative Surgical Team, U.S. Army Reserve, evaluates New Zealand Lance Cpl. Jamie Fisher, an infantryman assigned to 2nd/ 1st Battalion Royal New Zealand Infantry Regiment, right, dresses a notional wound during Tactical Combat Casualty Care instruction as part of Exercise Cartwheel at Blackrock Training Camp, September 14, 2022. Exercise Cartwheel is a multilateral military-to-military training exercise with the U.S., Republic of Fiji Military, Australian, New Zealand, and British forces that builds expeditionary readiness and interoperability by increasing the capacity to face a crisis and contingencies by developing and stressing units at the highest training levels.