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260714-Z-WC885-1003
U.S. Air Force Senior Master Sgt. Ned McElfresh, the Tactical Combat Casualty Care program owner at the National Guard Bureau and Prolonged Casualty Care course owner at Medical Readiness University, addresses TCCC Tier 4 students during the start of the course at the Airfield Damage Repair site of the Gulfport Combat Readiness Training Center, Mississippi, July 14, 2026. Combat paramedics and providers trained the knowledge and skills needed to provide advanced care and keep wounded Service members alive before getting them to definitive care. (U.S. Air National Guard Photo by Airman 1st Class Maria Gonzalez Garduno)
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