A simulated injured patient waits for medical aid during a mass casualty exercise in Rapid City, S.D., Aug. 19, 2026. The exercise was the first joint training between Ellsworth and the Rapid City Fire Department, an initial step under a newly established training affiliation that will eventually enable enlisted medics to respond to 911 calls within the city. (U.S. Air Force photo by Senior Airman Samantha White)