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Maj. Alena Thomas, left, a physician assistant, and Maj. Felicia Evans, a nurse — both members of a Critical Care Air Transport Team from the 123rd Medical Group — stabilize a simulated patient May 14, 2025, during a flight from Murray to Paducah, Ky., aboard a Kentucky Air National Guard C-130J Super Hercules aircraft. The event was part of Exercise Grindstone, a major earthquake-response simulation staged in the New Madrid Seismic Zone, the most active seismic area in the Eastern United States. (U.S. Air National Guard photo by Dale Greer)