An El Salvador Primera Brigada Aérea team carries a litter towards a Bell 412 helicopter during a simulated combat casualty training scenario in Ilopango, El Salvador, June 20, 2025. Teams treated simulated injuries on the medical training mannequin and prepared it for aeromedical transport during the AMISTAD campaign, an ongoing mission intended to strengthen relations between U.S. and partner nations by training together in resource-constrained environments. (U.S. Air Force photo by Tech. Sgt. Justin Norton)