Photos

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Officers and Sailors assigned to Navy Medical Readiness and Training Command Bethesda, apply their medical knowledge in a simulated medical emergency during the Tactical Combat Casualty Care Tier Four course testing at Walter Reed National Military Medical Center, July 30, 2026. Unlike lower TCCC tiers that focus on basic and intermediate life-saving skills for standard service members and combat medics, Tier 4 is reserved strictly for advanced medical professionals, including physicians, physician assistants, nurse practitioners, and independent duty corpsmen. NMRTC Bethesda’s mission is to maximize warfighter performance through optimized medical readiness tailored to operational requirements; enhance the readiness of the medical force to sustain expeditionary medical capability; and train and develop the Navy Medicine Force. (U.S. Navy photo by Mass Communication Specialist Second Class Alec Kramer)