A Salvadoran Bell 412 helicopter takes off en route to the Central Military Hospital with a simulated patient on board during a training exercise in Ilopango, El Salvador, June 20, 2025. Salvadoran ground medical teams worked together to load the patient onto the aircraft as part of the AMISTAD campaign, a mission promoting cooperation between healthcare professionals of the U.S. and partner nations. (U.S. Air Force photo by Tech. Sgt. Justin Norton)