An 86th Medical Squadron surgeon uses forceps to mock a splenectomy, the removal of the spleen, on a patient who had mass abdominal damage from an improvised explosive device during the Expeditionary Medical Support Exercise at Ramstein Air Base, Germany, Dec. 1, 2011. EMEDS was a week-long exercise for the 86th and 31st Medical Group to hone their skills in a mock-deployed environment. (U.S. Air Force photo by Staff Sgt. Travis Edwards)