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250226-F-VH914-1154

Bulgarian Multilateral Medical Simulation Training Engagement participants tend to a simulated wounded military personnel at Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. This training enhanced mission readiness in the European theater by ensuring that military personnel can provide immediate and effective medical care in austere and high-threat environments. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250227-F-VH914-1018

Tereza Ivanova, a Bulgarian nursing student, provides simulated cover fire while medics tend to a casualty at the Military Medical Simulation Center during Bulgarian Multilateral Medical Simulation Training Engagement in Sofia, Bulgaria, Feb. 27, 2025. The simulation center provided a controlled yet realistic training environment, allowing soldiers to refine life-saving skills before facing real-world combat scenarios. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250227-F-VH914-1027

Bulgarian Multilateral Medical Simulation Training Engagement participants tend to simulated wounded military personnel at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 27, 2025. This program ensured that every soldier, regardless of their role, became a force multiplier in casualty care, directly contributing to the readiness and resilience of forward-deployed forces. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250227-F-VH914-1112

An Armed Forces of Montenegro medical doctor tends to a simulated wounded military personnel in a later stage of the mass casualty simulation during the Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 27, 2025. With realistic combat scenarios, this training can sharpen decision-making under pressure, a critical factor in sustaining mission effectiveness across the European theater. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1045

Bulgarian Multilateral Medical Simulation Training Engagement participants unify medical practices at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. Providing soldiers with advanced medical training can increase their survivability, ensuring that forces remain combat-effective despite potential threats in the region. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1032

North Macedonian Army Capt. Viktorija Arsova, North Macedonian 2nd Infantry Battalion medical doctor, intubates a mannequin at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By equipping personnel with life-saving skills, the course strengthened unit resilience, minimizing combat fatalities and preserving force strength during operations. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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250226-F-VH914-1011

Medical equipment is laid out at an intubation station at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By utilizing state-of-the-art medical simulators, the center ensured personnel can practice complex trauma interventions under conditions that mirror battlefield stress. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Armed Forces personnel, students, physicians, nurses, and doctors represent their countries during Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 25, 2025. This training enhanced mission readiness in the European theater by ensuring military personnel can provide immediate and effective medical care in austere and high-threat environments. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

U.S. Army Col. John Keith Evans, commander of the Tennessee Medical Readiness Detachments, discusses interoperability between allied partners at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. This training reinforced interoperability with NATO allies by standardizing medical procedures, allowing medical personnel to share knowledge with other service members.
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

U.S. Air Force Col. Mike Kersten, United States Air Forces in Europe - Air Forces Africa office of the command surgeon medical readiness division chief, talks to medical doctors from Kosovo at the Military Medical Simulation Center in Sofia, Bulgaria, on Feb. 24, 2025. By reducing preventable combat deaths, this training maximized personnel availability for strategic objectives, strengthening deterrence and defense posture in the European theater. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Multilateral Medical Simulation Training Engagement participants gather in a discussion circle during Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. Bulgaria invited 10 countries from eastern Europe and Eurasia to the simulation center allowing soldiers to refine life-saving skills before facing real-world combat scenarios. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Multilateral Medical Simulation Training Engagement participant performs standard casualty care procedures at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By integrating Tactical Combat Casualty Care principles, the engagement ensured units remain self-sufficient in medical emergencies, even in high-threat environments. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Armed Forces medical personnel tend to a simulated wounded service member during the hands-on training of the Bulgarian Multilateral Medical Simulation Training Engagement at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 25, 2025. By reducing preventable combat deaths, this training maximized personnel availability for strategic objectives, strengthening deterrence and defense posture in the European theater. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Armed Forces Senior Lieutenant Georgi Valentinov Semovski, assistant professor in the military toxicology section department of disaster medicine, briefs Bulgarian Multilateral Medical Simulation Training Engagement participants during a walkthrough at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. The engagement ensured that every military member, regardless of role, became a force multiplier in casualty care, directly contributing to the readiness and resilience of forward-deployed forces. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Multilateral Medical Simulation Training Engagement participants from the Armenian Armed Forces attend initial briefings at the Military Medical Simulation Center in Sofia, Bulgaria, Feb. 24, 2025. The training reinforced interoperability with NATO allies by standardizing medical procedures, which enabled medical personnel to share knowledge with other service members. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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U.S., NATO, partner nations participate in Bulgarian Multilateral Medical Simulation Training Engagement

Bulgarian Multilateral Medical Simulation Training Engagement participants pose for a group photo at Military Medical Simulation Center in Sofia, Bulgaria, Feb. 26, 2025. By utilizing state-of-the-art medical simulators, the center ensured personnel can practice complex trauma interventions under conditions that mirror battlefield stress. (U.S. Air Force photo by Airman 1st Class Dylan Myers)
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USAFE FM host MAJCOM financial management symposium

U.S. Air Force Col. Jason Schneck, Office of the Assistant Secretary of the Air Force Financial Management and Comptroller budget integration division chief, discusses financial management and budget changes from SAF level leaders during the the USAFE-AFAFRICA 2025 Budget Symposium on Ramstein Air Base, Germany, Feb. 25, 2025. This symposium aimed to bring together flight leaders, budget officers and resources advisors within USAFE-AFAFRICA, to provide centralized guidance and direction for SAF/FM and USAFE-AFAFRICA funding strategies. Key financial management highlights within the Department of the Air Force were funding $700 million dollars into DAF modernization efforts, resourcing 87% of DAF weapon storage sustainment requirements, and funding $1.1 million total force flying hours. (U.S. Air Force photo by Senior Airman Renan Arredondo)
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USAFE FM host MAJCOM financial management symposium

A member of the audience asks a question during the U.S. Air Forces in Europe - Air Forces Africa 2025 Budget Symposium on Ramstein Air Base, Germany, Feb. 25, 2025. The main goal for this event was to bring together all the financial managers within USAFE-AFAFRICA and maximize funding strategies for all missions. Career field leaders discussed the current Future Years Defense Program which summarizes programmed dollars, manpower, and force structure over a 5-year period, portraying this data by a major force program for DoD internal review for the program and budget review submission. (U.S. Air Force photo by Senior Airman Renan Arredondo)
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USAFE FM host MAJCOM financial management symposium

U.S. Air Force Col. Charles Barkhurst, U.S. Air Forces in Europe - Air Forces Africa financial management comptroller, provides remarks during the USAFE-AFAFRICA 2025 Budget Symposium on Ramstein Air Base, Germany, Feb. 25, 2025. The symposium provided an opportunity for core financial management personnel within USAFE-AFAFRICA to bring forward questions and concerns geared towards the USAFE-AFAFRICA financial management mission vision. Leadership discussed the usage of a Program Objective Memorandum, which is crucial in the planning, programming, budgeting and execution process, and the basis for the component budget estimates. (U.S. Air Force photo by Senior Airman Renan Arredondo)
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USAFE FM host MAJCOM financial management symposium

U.S. Airmen and civilian personnel listen to briefs provided by U.S. Air Forces in Europe - Air Forces Africa financial management leadership during the USAFE-AFAFRICA 2025 Budget Symposium on Ramstein Air Base, Germany, Feb. 25, 2025. The symposium focused on concepts such as resourcing priorities, operational focus areas, and maximizing buying power, to resource advisors and financial management leaders within USAFE-AFAFRICA. Speakers discussed the current Future Years Defense Program, which is a database that captures and summarizes forces, resources, and programs associated with all Department of Defense operations requiring approval by the Secretary of Defense. (U.S. Air Force photo by Senior Airman Renan Arredondo)
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