CINCINNATI, OHIO -- Capt. Marsha Starks, a nurse from the 633rd Air Base Wing at Langley Air Force Base, Va., notes the vital signs of a simulated patient while airborne Feb 11, 2010, as 1st Lt. Leann Hisle, a flight nurse from 375th Aeromedical Evacuation Squadron at Scott Air Force Base, Ill., observes. Captain Starks was participating in a two-week Critical Care Air Transport Team course designed to provide medical personnel with total immersion in the care of severely injured patients. Ground training and simulated-flight training are conducted at the University of Cincinnati, one of four Air Force Centers for Sustainment of Trauma and Readiness Skills (CSTARS) nationwide, but the final day of instruction is provided during actual flight aboard a Kentucky Air Guard C-130. Kentucky's 165th Airlift Squadron began providing C-130s to use as a CSTARS training platform in 2009. (U.S. Air Force by Maj. Dale Greer)