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The exercise included 10 casualty injects, ranging from a femur fracture with controlled bleeding to complex scenarios such as progressive pneumothorax, cardiac emergencies, and burn injuries. Throughout the day, patients were received, stabilized, and transferred, with the final casualty requiring medical evacuation through Naval Air Facility (NAF) Atsugi. In the culminating scenario, medical personnel from U.S. Navy Medicine Readiness and Training Unit (USNMRTU) Sasebo transferred a simulated casualty to Nagasaki Airport, where it was met by a C-12 Huron aircraft assigned to NAF Atsugi and a medical crew from Yokosuka. The aircraft flew to Atsugi, where the patient was offloaded and transported by a USNMRTU Atsugi ambulance to U.S. Naval Hospital Yokosuka for further treatment. “This drill gave us the opportunity to test not only our in-hospital care but also our coordination with outside commands, such as Fleet Air Western Pacific, to ensure rapid evacuation when needed,” said Nikolai Kerry, emergency manager at USNMRTC Yokosuka. Capt. Torrin Velazquez, commanding officer of USNMRTC Yokosuka, emphasized the importance of integrating new patient transport and aviation evacuation procedures into the command’s training cycle.