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Cmdr. Ranata Simmons (left), a certified registered nurse anesthetist and Lt. Ryan Buyeske (right), an emergency room nurse, both assigned to Expeditionary Resuscitative Surgical System (ERSS) 21, Navy Reserve, prepare intravenous fluids during an ERSS training evolution at Camp Pendleton, California, Jan. 19-30, 2026. The course, conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC), trains Sailors to adapt clinical care while conserving and prioritizing limited medical resources in expeditionary settings. (U.S. Navy photo by Petty Officer 2nd Class Moira Esquivel)
Bureau of Medicine and Surgery 7700 Arlington Blvd. Ste. 5113 Falls Church, VA 22042-5113 This is an official U.S. Navy website This is a Department of Defense (DoD) Internet computer system. General Navy Medical Inquiries (to Bureau of Medicine and Surgery): usn.ncr.bumedfchva.list.bumed---pao@health.mil