86th Medical Group emergency response technicians and 86th Civil Engineer Squadron firefighters load a simulated car crash victim into an ambulance during Exercise Operation Varsity 19-04 at Ramstein Air Base, Germany, Dec. 12, 2019. The scenario tested the 86th MDG, 86th CES, and 86th Security Forces Squadron on their ability to respond to a major accident. The scenario was part of Exercise Operation Varsity 19-04, which tested responses at Ramstein; Lajes Air Base, Portugal; Moron Air Base, Spain; and Chievres Air Base, Belgium. (U.S. Air Force photo by Senior Airman Elizabeth Baker)