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Lt. Joshua Grimes (left), physician assistant, Lt. j.g. Ashton Hartwell (right), emergency room nurse, and respiratory technician Hospital Corpsman 2nd Class Nya Jobs (center) with Expeditionary Resuscitative Surgical System (ERSS) 7prepare to put a splint on a simulated high-fidelity manikin during an ERSS course at Naval Expeditionary Medicine Warfighter Development Center, Apr. 14. The scenario incorporates realistic moulage, role players, and battlefield effects to enhance trauma response and prepare medical personnel for operational deployment in austere environments. Hospital corpsman 2nd Class Jobs says, “The sounds and gunshots definitely make it more realistic. I think the transport also made it realistic being in the back of a truck and in how much time it would take to get from one place to another instead of just running up and down the street, you guys really had us in the mountain and in the town.” (U.S. Navy photo by Petty Officer 2nd Class Moira Francine Esquivel)