Col. James Miller, 433rd Operations Group commander, presents the 433rd Aeromedical Evacuation Squadron guidon to Col. Sylvia Fernandez during an assumption of command ceremony at Joint Base San Antonio-Lackland, Texas, Nov. 5, 2022. The 433rd AES provides aeromedical evacuation support when events like natural disasters and conflict occur, or anytime routine medical transportation by air is required. (U.S. Air Force photo by Tech. Sgt. Mike Lahrman)

Col. Sylvia Fernandez speaks during an assumption of command ceremony at Joint Base San Antonio-Lackland, Texas, Nov. 5, 2022, where she assumed command of the 433rd Aeromedical Evacuation Squadron. The 433rd AES provides aeromedical evacuation support when events like natural disasters and conflict occur, or anytime routine medical transportation by air is required. (U.S. Air Force photo by Tech. Sgt. Mike Lahrman)