Special Operations Forces Arctic Medic (SOFAM) participants prepare to transport a simulated casualty near Fort Wainwright, Alaska, Feb. 19, 2025. SOFAM 2025 hosted more than 100 participants from SOF and Allied and Interagency partners to improve tactical and prolonged combat casualty care in austere conditions. (U.S. Coast Guard photo by Petty Officer 2nd Class John Hightower)