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Team Whiteman conducts TFI Mass Casualty Exercise

U.S. Air Force Maj. Connie Chism, the infection preventionist and laboratory services supervisor with the 131st Medical Group, Missouri Air National Guard, explains to a volunteer how to act-out his symptoms for emergency and medical responders during a mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Members from the Guard, Reserve and Active-Duty Air Force participated together for Whiteman's first total force mass casualty exercise. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Maj. Connie Chism, the infection preventionist and laboratory services supervisor with the 131st Medical Group, Missouri Air National Guard, explains to a volunteer how to act-out his symptoms for emergency and medical responders during a mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Members from the Guard, Reserve and Active-Duty Air Force participated together for Whiteman's first total force mass casualty exercise. (U.S. Air Force photo/Senior Airman Missy Sterling)

Volunteers get in position during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. More than 40 volunteers acted like they were family members riding in a bus to the flightline to see their deployers off when a car hit the back of the bus and detonated a radiological dispersible device. (U.S. Air Force photo/Senior Airman Missy Sterling)

Volunteers get in position during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. More than 40 volunteers acted like they were family members riding in a bus to the flightline to see their deployers off when a car hit the back of the bus and detonated a radiological dispersible device. (U.S. Air Force photo/Senior Airman Missy Sterling)

Medical personnel respond to a simulated mass casualty scenario during a total force exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteers were given different roles to simulate the varying degree of victims' temperaments and injuries. (U.S. Air Force photo/Senior Airman Missy Sterling)

Medical personnel respond to a simulated mass casualty scenario during a total force exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteers were given different roles to simulate the varying degree of victims' temperaments and injuries. (U.S. Air Force photo/Senior Airman Missy Sterling)

A volunteer victim receives medical attention during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. More than 40 volunteers participated to help the 509th Bomb Wing, 131st Bomb Wing and 442nd Fighter Wing medical personnel prepare for emergency situations and strengthen their relationships in order to provide efficient, quality care in a real-life event. (U.S. Air Force photo/Senior Airman Missy Sterling)

A volunteer victim receives medical attention during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. More than 40 volunteers participated to help the 509th Bomb Wing, 131st Bomb Wing and 442nd Fighter Wing medical personnel prepare for emergency situations and strengthen their relationships in order to provide efficient, quality care in a real-life event. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Capt. Andrew Schaar and Staff Sgt. Merlin Jewell, medical personnel assigned to the 393rd Bomb Squadron, carry a volunteer simulating a severe injury during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Emergency personnel arrived on the scene, triaged the victims and transported them to the clinic to be decontaminated and treated. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Capt. Andrew Schaar and Staff Sgt. Merlin Jewell, medical personnel assigned to the 393rd Bomb Squadron, carry a volunteer simulating a severe injury during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Emergency personnel arrived on the scene, triaged the victims and transported them to the clinic to be decontaminated and treated. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Airmen assigned to the 509th Bomb Wing carry a volunteer victim on a litter to an in-place patient decontamination line where medical personnel assigned to the 131st BW and 442nd Fighter Wing simulate washing and drying the victims during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. During the decontamination process, medical personnel remove and bag the victim's clothing, wash them, and test their skin for contaminants with M8 chemical detection paper before drying them. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Airmen assigned to the 509th Bomb Wing carry a volunteer victim on a litter to an in-place patient decontamination line where medical personnel assigned to the 131st BW and 442nd Fighter Wing simulate washing and drying the victims during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. During the decontamination process, medical personnel remove and bag the victim's clothing, wash them, and test their skin for contaminants with M8 chemical detection paper before drying them. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Airman 1st Class Chris Stangl, right, a public health technician, and Senior Airman Dylan Kielcheski, an aerospace medical technician, both with the 509th Medical Operations Squadron, help hold a volunteer victim on their side to decontaminate all areas of the victim during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteer victims were brought through a decontamination line before being admitted into the clinic. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Airman 1st Class Chris Stangl, right, a public health technician, and Senior Airman Dylan Kielcheski, an aerospace medical technician, both with the 509th Medical Operations Squadron, help hold a volunteer victim on their side to decontaminate all areas of the victim during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteer victims were brought through a decontamination line before being admitted into the clinic. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Staff Sgt. Joel Murphy, a medical laboratory technician, left, and Senior Airman Derek Wittrock, a ophthalmic technician, both with the 442nd Medical Squadron, secure a volunteer victim to a litter during a mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016.

U.S. Air Force Staff Sgt. Joel Murphy, a medical laboratory technician, left, and Senior Airman Derek Wittrock, a ophthalmic technician, both with the 442nd Medical Squadron, secure a volunteer victim to a litter during a mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016.

A volunteer victim gets his vitals checked by a 509th Medical Operations Squadron member during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteer victims acted-out injuries ranging from no physical harm to severe burns and severed limbs. (U.S. Air Force photo/Senior Airman Missy Sterling)

A volunteer victim gets his vitals checked by a 509th Medical Operations Squadron member during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Volunteer victims acted-out injuries ranging from no physical harm to severe burns and severed limbs. (U.S. Air Force photo/Senior Airman Missy Sterling)

U.S. Air Force Col. Christine Kress, 509th Medical Group commander, left, and Col. Brian Borgen, 442nd Fighter Wing commander talk with Senior Airman Jerrod Sherrill, an aerospace medical technician with the 509th Medical Operations Squadron, about the decontamination process during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Whiteman leadership discussed the benefits of reservists, guardsmen and active-duty Airmen training side-by-side to improve interoperability and communication. (U.S. Air Force photo/Senior Airman Missy Sterling)
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U.S. Air Force Col. Christine Kress, 509th Medical Group commander, left, and Col. Brian Borgen, 442nd Fighter Wing commander talk with Senior Airman Jerrod Sherrill, an aerospace medical technician with the 509th Medical Operations Squadron, about the decontamination process during a total force mass casualty exercise at Whiteman Air Force Base, Mo., Dec. 3, 2016. Whiteman leadership discussed the benefits of reservists, guardsmen and active-duty Airmen training side-by-side to improve interoperability and communication. (U.S. Air Force photo/Senior Airman Missy Sterling)

WHITEMAN AIR FORCE BASE, Mo. -- The Missouri Air National Guard's 131st Medical Group joined with the active duty 509th and Air Force Reserve 442nd medical groups as a Total Force integrated team to practice working together in crisis situations.

"This exercise was a way for us to examine our true TFI capabilities," said Lt. Col. Patti Fries, 131st MDG commander. "As a first-of-its-kind event, the key objective was for the 131st, 509th and 442nd medical units to come together as one cohesive team to efficiently manage a disaster and treat patients accordingly."

The scenario began with individuals who had brought a vehicle-borne improvised explosive device carrying a radiological dispersal device, or "dirty bomb," containing radioactive material in the form of cesium 137 onto the installation. For exercise purposes, the simulated bomb “detonated “near the base Deployment Center during a mass deployment departure. Adding to the exercise chaos and catastrophe, families and friends were also at the location to see their departing Airmen off.

At 5 a.m., a moulage team prepared 42 volunteer patients from the Whiteman community, including 12 children, to simulate real-world casualties. The exercise began by 8 a.m., and ended by 11:30 a.m., according to event planners.

Specific exercise objectives included all personnel using universal precautions while performing medical care 100 percent of the time; field response teams initiating triage, treatment and transportation within 30 minutes of arriving on scene; and the patient administration team tracking the number of patients treated without errors.

"The most helpful part of the exercise was the TFI aspect," said Master Sgt. Gary Miller, 131st MDG administration team. "We got a great overall exposure because in a real-world situation all of the units would be working together, and you don't always know what to expect."

Miller further commented that it provided a real world visualization of potential exposure situations. They had no prior knowledge of what was going to be simulated as far as patient categories or types of injuries, and when they were presented with a new injury, they "had to go with the flow."

A total of 232 Team Whiteman exercise responders took part in the emergency response exercise. Fries said she is looking forward to the next one.

"Exercises like this prepare our teams for what might happen in the real world." Fries said, "We'll continue to refine our processes in the future to provide realistic and 'whole Air Force' experiences for our team, while maintaining peak readiness for the mission."