Texas Army National Guard Lt. Col. Christopher Stephens, a flight surgeon assigned to the 2nd Battalion, 149th Aviation Regiment, confirms extraction during Operation Dustoff Vigilance at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. Operation Dustoff Vigilance was a training exercise focused on improving interoperability between Army aviation and Air Force support elements. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)

A UH-60 Black Hawk helicopter approaches the landing zone to begin extractions for Operation Dustoff Vigilance at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. The training helped prepare service members for medical evacuation scenarios they may face in deployed locations. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)

Texas Army National Guard Lt. Col. Christopher Stephens, a flight surgeon assigned to the 2nd Battalion, 149th Aviation Regiment, inspects the landing zone during Operation Dustoff Vigilance at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. Landing zone assessments must be conducted to ensure safe and efficient medical evacuation during joint operations. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)

Airman 1st Class Ashleigh Salmons, 802d Force Support Squadron, prepares to ride in a UH-60 Black Hawk helicopter at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. This training emphasized rapid transport and integration between support personnel and aviation assets during simulated evacuations. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)

Texas Army National Guard Lt. Col. Christopher Stephens, a flight surgeon assigned to the 2nd Battalion, 149th Aviation Regiment, gives the insertion crew confirmation to leave the landing zone during Operation Dustoff Vigilance at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. Service members integrated air and ground assets to execute rapid response training missions in support of joint combat operations. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)

Jose Ortiz-Garcia, 343rd Training Squadron Skybridge contractor, shoots simulated rounds at trainees during Operation Dustoff Vigilance at Joint Base San Antonio-Camp Bullis, Texas, July 16, 2025. The exercise focused on improving aeromedical evacuation response in austere environments to better prepare service members for combat deployments. (U.S. Air Force photo by Senior Airman Jhobany Sanchez)