by Staff Sgt. Christian Silvera
406th Air Expeditionary Wing March 6, 2026
A member of the Spanish Special Naval Warfare Force performs a simulated casualty assessment during Tactical Combat Casualty Care training alongside pararescuemen assigned to the 82nd Expeditionary Rescue Squadron at Camp Lemonnier, Djibouti, Feb. 19, 2026. The training focused on Tactical Combat Casualty Care procedures, including massive hemorrhage, airway, respiratory, circulation, hypothermia (MARCH) assessments and rope rescue fundamentals to enhance interoperability and medical readiness. (U.S. Air Force photo by Staff Sgt. Christian Silvera)
U.S. Air Force pararescuemen assigned to the 82nd Expeditionary Rescue Squadron and members of the Spanish Special Naval Warfare Force receive instruction on Tactical Combat Casualty Care during a joint training event at Camp Lemonnier, Djibouti, Feb. 19, 2026. The training focused on Tactical Combat Casualty Care procedures, including massive hemorrhage, airway, respiratory, circulation, hypothermia (MARCH) assessments and rope rescue fundamentals to enhance interoperability and medical readiness. (U.S. Air Force photo by Staff Sgt. Christian Silvera)
Members of the Spanish Special Naval Warfare Force conduct a simulated vertical casualty extraction with U.S. Air Force pararescuemen assigned to the 82nd Expeditionary Rescue Squadron during rope rescue training at Camp Lemonnier, Djibouti, Feb. 19, 2026. The joint exchange allowed members from both units to rehearse life-saving techniques such as bleeding control, casualty stabilization, and technical rope systems while strengthening partner force integration. (U.S. Air Force photo by Staff Sgt. Christian Silvera)
U.S. Air Force pararescuemen assigned to the 82nd Expeditionary Rescue Squadron conduct hands-on medical training with members of the Spanish Special Naval Warfare Force during a joint training event at Camp Lemonnier, Djibouti, Feb. 19, 2026. The training focused on Tactical Combat Casualty Care procedures, including massive hemorrhage, airway, respiratory, circulation, hypothermia (MARCH) assessments and rope rescue fundamentals to enhance interoperability and medical readiness. (U.S. Air Force photo by Staff Sgt. Christian Silvera)
A member of the Spanish Special Naval Warfare Force conducts a simulated vertical litter lower during rope rescue training with U.S. Air Force pararescuemen assigned to the 82nd Expeditionary Rescue Squadron during rope rescue training with members of the Spanish Special Naval Warfare Force at Camp Lemonnier, Djibouti, Feb. 19, 2026. The joint exchange allowed members from both units to rehearse life-saving techniques such as bleeding control, casualty stabilization, and technical rope systems while strengthening partner force integration. (U.S. Air Force photo by Staff Sgt. Christian Silvera)