A Colombian Air Force medical professional and a U.S. Air Force Maj. Tina Ruyle, 109th Aeromedical Evacuation Squadron medical crew director, discuss patient movement at Air Combat Command number 1, German Olano Air Base, Colombia, during a simulated earthquake rescue response for the Colombian-led search and rescue exercise Angel de los Andes Sept. 7, 2018. The two-week Colombian-led exercise has more than 400 participants from 12 nations training together in the air and on the ground in the event of a humanitarian assistance and disaster relief response. (U.S. Air Force photo by Tech. Sgt. Angela Ruiz)