U.S. Navy Builder First Class Earl Doan, Camp Lemonnier facility manager specialist, simulates a patient with head trauma and symptoms of shock during the practical application assessment portion of the test to certify in the combat lifesaver course held on Camp Lemonnier, Djibouti, Sept. 15, 2017. The U.S. Army Combat Lifesaver Course is intended to bridge first aid training – self and buddy care — and the medical training given to combat medics. (U.S. Air National Guard photo by Tech. Sgt. Joe Harwood)