U.S. Army Col. Rupande Patel, Joint Task Force-Bravo Medical Element (MEDEL) dentist, performs an extraction during a Medical Readiness Training Exercise (MEDRETE) as part of exercise Keel Billed Toucan 2023, May 9, 2023, in Jaque, Panama. KBT 23 (known locally as Mercurio V) is a joint partnership exercise between JTF-Bravo and Panama’s border and aeronaval services to develop humanitarian assistance and disaster relief skills through real-world airlift support and medical support training opportunities. Throughout the week-long exercise, the 1st Battalion, 228th Aviation Regiment delivered more than 399,000 lbs. of building materials to remote locations and the MEDEL administered care to more than 1,200 patients. (U.S. Air Force photo by Tech. Sgt. Duncan McElroy)