Firefighters with the 193rd Special Operations Civil Engineering Squadron, Pennsylvania Air National Guard, perform medical care to a simulated victim during a confined spaces rescue exercise, Feb. 24, 2018, at the 193rd Special Operations Wing fuel cell in Middletown, Pennsylvania. The exercise was conducted to evaluate the response skills of both fuel systems Airmen and firefighters from the 193rd Special Operations Civil Engineering Squadron in the event that an Airmen must be rescued from a confined space. (U.S. Air National Guard photo by Staff Sgt. Tony Harp/Released)