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First 433rd AES crew trains on KC-46A Pegasus

The 433rd Aeromedical Evacuation Squadron train on a KC-46A Pegasus at Joint Base San Antonio- Lackland, Texas, March 15, 2021. The 433rd AES conducted in-flight emergency simulations and the movement of patients. (U.S. Air Force video by Senior Airman Brittany Wich)

433rd Aeromedical Evacuation Squadron personnel respond to a simulated patient emergency during a KC-46A Pegasus local flight from Joint Base San Antonio-Lackland, Texas, March 10, 2021. The Airmen were conducting initial qualification training on the new aircraft. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

433rd Aeromedical Evacuation Squadron personnel respond to a simulated patient emergency during a KC-46A Pegasus local flight from Joint Base San Antonio-Lackland, Texas, March 10, 2021. The Airmen were conducting initial qualification training on the new aircraft. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

433rd Airlift Wing leaders prepare to board a KC-46A Pegasus to observe 433rd Aeromedical Evacuation Squadron medical personnel conducting initial qualification training March 9, 2021, at Joint Base San Antonio-Lackland, Texas. The KC-46 is a multi-mission capable aircraft, which can refuel other military aircraft in-flight and transport passengers, patients and cargo. (U.S. Air Force photo by Senior Airman Brittany Wich)

433rd Airlift Wing leaders prepare to board a KC-46A Pegasus to observe 433rd Aeromedical Evacuation Squadron medical personnel conducting initial qualification training March 9, 2021, at Joint Base San Antonio-Lackland, Texas. The KC-46 is a multi-mission capable aircraft, which can refuel other military aircraft in-flight and transport passengers, patients and cargo. (U.S. Air Force photo by Senior Airman Brittany Wich)

Reserve Citizen Airmen with the 433rd Aeromedical Evacuation Squadron prepare to carry a simulated patient on a litter into a KC-46A Pegasus during initial qualification training at Joint Base San Antonio-Lackland, Texas, March 9, 2021. When not serving in a military capacity, many of these personnel also work in the civilian healthcare industry. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

Reserve Citizen Airmen with the 433rd Aeromedical Evacuation Squadron prepare to carry a simulated patient on a litter into a KC-46A Pegasus during initial qualification training at Joint Base San Antonio-Lackland, Texas, March 9, 2021. When not serving in a military capacity, many of these personnel also work in the civilian healthcare industry. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

Airmen from the 433rd Aeromedical Evacuation Squadron route oxygen hoses and electrical extension cords aboard a KC-46A Pegasus March 10, 2021, at Joint Base San Antonio-Lackland, Texas. The medics were conducting initial qualification training on the new aircraft. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

Airmen from the 433rd Aeromedical Evacuation Squadron route oxygen hoses and electrical extension cords aboard a KC-46A Pegasus March 10, 2021, at Joint Base San Antonio-Lackland, Texas. The medics were conducting initial qualification training on the new aircraft. (U.S. Air Force photo by Tech. Sgt. Iram Carmona)

433rd Aeromedical Evacuation Squadron medics receive simulated patients onboard a KC-46A Pegasus during initial qualification training March 9, 2021, at Joint Base San Antonio-Lackland, Texas. During the training flights, the personnel simulated providing patient care to include responding to medical emergencies. (U.S. Air Force photo by Senior Airman Brittany Wich)

433rd Aeromedical Evacuation Squadron medics receive simulated patients onboard a KC-46A Pegasus during initial qualification training March 9, 2021, at Joint Base San Antonio-Lackland, Texas. During the training flights, the personnel simulated providing patient care to include responding to medical emergencies. (U.S. Air Force photo by Senior Airman Brittany Wich)

JOINT BASE SAN ANTONIO-LACKLAND, Texas --

Reserve Citizen Airmen in the 433rd Aeromedical Evacuation Squadron here trained for the first time aboard a KC-46A Pegasus March 8-10, to learn and practice their aeromedical skills on the new aircraft.

The training mission was a collaboration with the 931st Air Refueling Wing, aeromedical evacuation personnel and KC-46A technical specialists from other locations, and the Alamo Wing, where more than 20 medical personnel conducted training in a variety of emergency scenarios on the ground and in flight.

According to Lt. Col. Terrence McGee, 4th Air Force KC-46A pilot, this training will help provide a more ready and deployable force from the reserve component.

“For Reserve Command, as far as the number of people, one of the largest mission sets is aeromedical evacuations,” said McGee. “So the mission today is to support aeromedical evacuation personnel getting an initial qualification on the KC-46A. The quicker we can get them indoctrinated and familiar with the equipment, the sooner we can employ it.”

As a multifunctional aircraft, the KC-46A can refuel military aircraft in flight and airlift various loads, to include passengers, medical patients and cargo.

A 433rd AES technician, Tech. Sgt. Tristan Thorland, said that some of the things they trained on were the different capabilities the KC-46A offered.

“In comparing this aircraft to other aircraft, it’s very comfortable, we don’t have sudden temperature changes and it has all the amenities we need,” said Thorland. “It’s not as big as a C-17 [Globemaster III], but it’s a good aircraft and we’ll probably be using it a lot.”

The training included a day familiarization with the aircraft, and two days of in-flight training for medical personnel. They practiced the loading and offloading of aeromedical equipment, gear and supplies, while also simulating caring for incapacitated patients.

Once the aircraft was in flight, medical technicians practiced responding to patient medical emergencies, such as in-flight sicknesses, seizures and falls. They also simulated scenarios involving cabin decompression and an emergency landing.

Lt. Col. Ronald A. Deregla, 433rd AES chief nurse, said that adding the KC-46A to the aeromedical evacuation aircraft inventory will provide more capabilities to transport medical patients.

“It’s a great experience for all of us to learn this… because now we have a greater platform to air medivac,” said Deregla. “We normally use the C-130s [Hercules], KC-135s [Stratotanker], C-5s [Super Galaxy] or C-17s, and now we have an addition to give us an opportunity to move more patients.”

The 433rd AES mission is to fill the need when events like natural disasters, war or routine medical transportation by air is required.

The KC-46A is a multi-service aircraft that provides next generation aerial refueling support and is multi-mission capable.