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Hospital Corpsman Kristian Jakowicz, a paramedic assigned to En Route Care System (ERCS) 4 from Navy Medicine Readiness and Training Command Guam, secures a simulated patient onto a litter during an integrated expeditionary training conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC) at Camp Pendleton California, Nov. 18, 2025. The course allowed ERCS students to train en route care and patient packaging for evacuation alongside Sailors from 1st Medical Battalion, 1st Marine Logistic Group reinforcing communication, patient handoff procedures, and continuity of care prior to evacuation. (U.S. Navy photo by Petty Officer 2nd Class Kwame Obengyeboah)
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