U.S. Air Force, U.S. Army and German medical personnel transport a patient to triage tents during a simulation as part of Exercise Maroon Surge on Ramstein Air Base, Germany June 8, 2018. Participates also conducted Ability to Survive and Operate training, or ATSO to improve their performance during stressful circumstances. (U.S. Air Force photo by Airman 1st Class Ariel Leighty)