A flight medic walks with his flight gear to the landing zone April 25 at Combat Outpost Shukvani in Helmand province, Afghanistan. The medical evacuation company is known as “Jigsaw” due to its puzzle-piece synthesis of flight crews from the national guards of New York, New Hampshire, Missouri and Pennsylvania. Jigsaw's mission is simple: Provide around the clock medical evacuation support to International Security Assistance Force units operating in the Helmand province.