Lt. Col. Joseph Wyatt, the chief of aerospace medicine in the 119th Medical Group, gives instructions to Senior Airman Austin Hansen, evaluate a training exercise patient for treatment after a simulated enemy attack during an exercise at the North Dakota Air National Guard Base, Fargo, N.D., June 8, 2019. The training is required periodically and is routine at Air National Guard bases throughout the United States. (U.S. Air National Guard photo by Chief Master Sgt. David H. Lipp)