U.S. Air Force pararescuemen unload a simulated gunshot victim from an ambulance during a training exercise at the Camp Lemonnier, Djibouti, medical facility on April 23, 2014. Camp Lemonnier is a joint forward operating site, run by the U.S. Navy, which supports commands engaged in a range of operations across Africa, the Middle East and the Indian Ocean. (U.S. Navy photo by Mass Communication Specialist 1st Class Eric Dietrich/Released)