Army Sgt. Alana Fleming, a combat medic assigned to the 404th Civil Affairs Battalion, Airborne, hands out study material during the combat lifesaver skills course at the Base Militare Italiana di Supporto, Djibouti, July 20, 2018. The joint-coalition force CLS training provided an opportunity to teach new combat life saving procedures, while strengthening operational capabilities between both nations. ( Air Force photo by Tech. Sgt. Larry E. Reid Jr.)

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