U.S. Air Force 1st Lt. Paul DiBenedetto, 43rd Aeromedical Evacuation Squadron flight nurse, motions thumbs-up for patient transport from a C-130J Super Hercules onto an ambulance bus during Cope North 2020, at Andersen Air Force Base, Guam. During the exercises’ trilateral mass casualty scenario, the U.S. Air Force and Navy, Japan Air Self-Defense Force, Royal Australian air force, Guam Army National Guard and Guam Police integrated their medical, air and ground operations to save 24 lives on the islands of Rota and Guam. (U.S. Air Force photo by Staff Sgt. Greg Nash)