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A look into how Ohio airmen train for the unpredictable in their flying hospital

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A look into how Ohio airmen train for the unpredictable in their flying hospital


DAYTON, Ohio — Have you ever wondered what it would be like if an ambulance could fly? For the 445th Air Lift Wing, it’s not a ‘what if’ but a ‘where and when’ as it pertains to transporting our nation’s heroes from hospitals and battlefields around the globe.

I was invited to take a flight with the 445th Aeromedical Evacuation Squadron to get a closer look at how Ohio airmen are always preparing for their next mission.

“Within 24 hours I can be ready to go,” said flight medic Madi Potts.

She’s what’s called a traditional Air Force reservist. One day Potts might be in the classroom at her university or working as a nurse. The next day, she could have orders and be in her military uniform working on a C-17 or other type of military transport.

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“I just got out of flight medic school for this about two months ago,” she said.

The 445th Aeromedical Evacuation Squadron consists of both full-time military members and reservists. Training is the same for everyone.

On the tarmac at Wright Patterson Air Base, a C-17 Globemaster III sits whirling with activity as airmen work with training mannequins — and live actors — labeled with a variety of health conditions lying on transport litters.

While the pilots are busy readying the aircraft to taxi and takeoff; flight nurses and flight medics ensure patients are assessed and loaded. It’s a well-orchestrated process the airmen of the 445th appear to be able to do with their eyes closed.

Master Sergeant Brenna Pogoy, the mission clinical coordinator, is putting the airmen through a variety of scenarios to ensure the unit remains at the top of its game for when it matters.

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“This is nothing like a real world but that’s because you’re not having a fire every flight on a real world, you’re not having an emergency landing all the time,” she said.

But the overload of events is to drive the nurses and medics to the brink of their ability, so they learn to dig a little deeper during an emergency.

“When it does happen and when a patient does have an emergency, or the aircraft has an emergency you are ready and there’s muscle memory in that,” Pogoy said.

The Aeromedical Evacuation Squadron’s mission is broad.

This crew could be called to transport service men and women from different military air bases within the U.S. from Walter Reed Hospital to their hometown hospital or military base, for example.

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The mission can also take them near the front lines, most recently in Iraq and Afghanistan, picking up the wounded and transporting them to Landstuhl Regional Medical Center in Germany or other military bases for more treatment before returning to the U.S.

“On the C-17 we can max floor load, we can do 12 on the ramp and another 48 on the main floor,” Master Sergeant Marjorie Butcher said.

That’s a total of 60 patients on litters strapped to the floor at one time with a team of two nurses and three medical technicians providing care throughout the duration of the flight. In addition, depending on the severity of injuries full medical teams can set up a hospital-like setting within the transport planes.

“The Air Force trains us well and they trust us to do our job,” Butcher said.

Then there’s the mission Butcher would deem as unregulated. The unplanned scenario was seen around the world in August 2021 as the U.S. evacuated from Kabul, Afghanistan as part of the U.S. withdrawal.

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“My first deployment in the military was to Kabul. That was my first flight ever I’d never flown patients or anything,” Butcher said.

She enlisted in 2015 and received her wings to fly with the Aeromedical Evacuation Squadron in April of 2021, just months before the historic images seen around the world as hundreds of thousands of Afghanis flooded the Kabul airstrip trying to get on a C-17 to freedom.

“I was the last AE flight out of Kabul,” Butcher said.

At least one of those C-17s taking part in the evacuation was photographed with a reported 800 men, women, and children.

Colonel Michael Baker, Commander of the 445th Operations Group, told me that members of his unit on one of those flights dealt with a live birth on the flight out of Afghanistan.

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Baker said what happened in Afghanistan was part of several debriefs and analyses on how to improve training and mission preparedness.

In all military training, there are checklists. The pilots go through them step by step and operators like flight nurses and medics within the 445th AES go through them. However, training must also prepare airmen for what’s outside those normal checklists.

“We put a lot of emphasis on what are called contingency operations where we really try to flex and push and challenge ourselves and get outside of the letter of our regulations and say where can we flex,” Major Issac Cade said.

Cade is the flight nurse on this flight and the medical crew director.

“We’ll run different scenarios just to see what happens, stress inoculation,” Cade said.

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That stress inoculation allows them to run through multiple scenarios that push the limit way beyond the norms in an environment where it’s safe to do it.

“Ultimately the buck stops here,” he said. “If something goes wrong, we answer for it.”

For Cade, this is another day in the life of a reservist.

“I’m a nurse practitioner for Premier Health,” he said. “So tomorrow I will put on my civvies, my work clothes and then go into the office like nothing happened.”

It’s what tens of thousands of traditional reservists do regularly. Living their daily lives, contributing to the community they live in, ready to drop everything at a moment’s notice to answer the call for our country.

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If you have a veteran story to tell in your community, email homefront@wcpo.com. You also can join the Homefront Facebook group, follow Craig McKee on Facebook and find more Homefront stories here.





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‘Fear of what’s to happen’: Haitians in Ohio city brace for Trump’s return

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‘Fear of what’s to happen’: Haitians in Ohio city brace for Trump’s return


When then president Donald Trump’s Department of Homeland Security attempted to end temporary protected status (TPS) for Haitians in 2017, Gilbert Fortil had just arrived in Springfield, Ohio.

Fortil, from Gonaïves in northern Haiti, has spent the years since then working to make a new life in Springfield. He has opened a radio station to serve the growing Haitian community, bought and renovated abandoned properties, and been joined by thousands of other Haitians who have helped revive a once-struggling town in western Ohio.

But while Trump’s first attempt to end TPS for Haitians ultimately failed, Fortil is under no illusions that once he returns to the White House on Monday, the legal landscape will look very different indeed.

“It’s not going to be like 2017. Didn’t you see what happened yesterday?” says Fortil, referencing the president-elect’s 10 January unconditional discharge sentencing for his hush-money conviction that saw him avoid punishment.

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“The courts are not going to stop him like they did before.”

Trump’s efforts to remake the country’s judicial system during his first term had seen 234 of his nominees confirmed to lifetime positions by the Senate. Since his first failed attempt to overturn TPS, the supreme court has been reshaped to his liking by the addition of three conservative judges.

The comments and lies spread by Trump and Vice-President-elect JD Vance that immigrants such as Haitians were killing and eating pets have fueled visits to Springfield from neo-Nazi groups and false bomb threats at schools and city buildings. Since Trump’s election win in November, Haitians have begun leaving Springfield out of fear of being detained and deported.

“If you can’t work, you are illegal and you’re not going to stay here,” says Fortil, who says his own immigration status is not threatened by the possible end of TPS.

TPS is often granted to citizens of countries in conflict, humanitarian distress or civil unrest who are already in the US. Periods range from six to a maximum of 18 months and are regularly extended by the secretary for homeland security depending on the humanitarian and security situations in an applicant’s home country.

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About 200,000 Haitians who have been granted TPS are allowed to stay in the US until February 2026, though Trump said in September that he planned to conduct mass deportations of Haitians in Springfield.

“In Haiti right now, it’s a really dangerous situation. If you go back you could die,” says Dady Fanfan, president of the Haitian Community Alliance who has lived in Springfield since 2020. “I don’t know if the new government is going to end TPS or not, but we need this.”

This month, the UN reported that about 5,600 people in Haiti were killed in gang violence last year – a 20% increase on 2023. At least 184 people were killed in a massacre in Port-au-Prince in December. Flights from the US to Haiti’s capital are banned until at least March.

Many Haitians in Springfield who have secured TPS have also applied for asylum to remain in the US. Immigration lawyers say that asylum hearings must be heard in court – even if an application is denied – a procedure that faces major backlogs and which can take more than four years to come before an immigration court.

In recent months, the city of Springfield has tried to alleviate concerns that some residents have attributed to the presence of Haitians. Ten driver training simulators were donated to the city in December in an effort to decrease the incidences of road accidents, for which Haitians have been blamed. Ohio’s official driver manual now has a version written in Haitian Kreyòl.

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Still, Trump’s convincing presidential election win in November has had a chilling effect on many. While at the height of the furor caused by Trump in September, members of the city’s Haitian community and the non-profit groups openly spoke with media outlets, today few are willing to offer their thoughts. Emails to the Springfield mayor’s office from the Guardian seeking comment were not answered.

Fanfan says his real estate business has fallen off a cliff since Trump’s false accusations and deportation threats, as many Haitians are now leaving or avoiding coming to Springfield entirely.

Health professionals say they fear that the threat of deportation may lead to fewer people coming forward to get critical medical and health support.

Dr Yamini Teegala, executive director of the Rocking Horse Community Health Center where hundreds of Haitian and other immigrants receive healthcare every month, says her staff is preparing for the possibility that immigration authorities may turn up seeking information about immigrants.

“Not that I feel that is going to happen, but we want to be prepared,” she says.

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“I’m more worried about if this is going to change the comfort of our patients to come see us. There’s a fear of what’s going to happen; that Haitian families are going to leave town proactively.”

An investigation by the Springfield News-Sun found that while about 80% of claims by Haitians for public assistance support in January and February 2024 in Clark county were approved, that fell to about 50% in October.

Despite claims from rightwing news outlets and extremist groups that Haitian immigrants were receiving public benefits en masse, more Haitians were denied public assistance support than granted it in October. The 92 Haitians granted support made up less than 13% of the county’s total number of grantees that month.

However, Fortil, who moved his radio station studio to a prominent downtown location last fall in part to help present a public face of Haitians to the local community, remains defiant in the face of the new administration in Washington DC.

“A lot of people have been asking: ‘what to do?’ But I tell people – hey, you’re legal,” he says.

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“We love Springfield. I’m not closing my businesses.”



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Ohio State star Jeremiah Smith eager to put on show especially if Notre Dame decides to ‘play man’

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Ohio State star Jeremiah Smith eager to put on show especially if Notre Dame decides to ‘play man’


ATLANTA — Jeremiah Smith, Ohio State’s superstar freshman receiver, sounded downright giddy at the possibility of seeing single coverage on Monday night.

Notre Dame has a terrific secondary, and typically relies on that group. It led the nation in passing efficiency defense. But it hasn’t seen a group of receivers like the ones belonging to the Buckeyes. They were third in passing efficiency.

“If you are going to play man [to-man defense] against Ohio State, be ready,” Smith said Saturday. “I can’t wait to put on a show.”

Jeremiah Smith celebrates a first down catch during the second half of Ohio State’s Rose Bowl win over Oregon. Adam Cairns/Columbus Dispatch / USA TODAY NETWORK via Imagn Images

The dynamic wideout destroyed Tennessee and Oregon in the first two rounds of the playoff, making 13 catches for 290 yards and four touchdowns. Texas limited him to just one reception for three years by sending extra defensive backs his way, freeing up Ohio State’s other dynamic weapons.

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This week, Notre Dame standout freshman cornerback Leonard Moore said the Irish aren’t going to change “who we are” by switching to zone coverage.

“We’re going to play man coverage like we do every week,” said Moore, the National Freshman Defensive Player of the Year, as voted on by the Football Writers Association of America.

He added: “We’re going to go out there and challenge the receivers.”

Jeremiah Smith speaks to the media during the Ohio State media day at the Georgia World Congress Center before the 2025 CFP National Championship. Getty Images

Smith is ready to be tested. Ohio State also has explosive threats Emeka Egbuka (947 yards, 10 touchdowns) and Carnell Tate (698 yards, four touchdowns) on the outside who are difficult to deal with.

“None of us think we can be covered. I mean, we actually talked about this yesterday, as well,” Smith said. “If that’s what they do, that’s what they do. We’re just going to go out there, play our game and show the reason not to play man on man.”

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Notre Dame coach Marcus Freeman doesn’t sound all that interested in coaching in the NFL Kirby Lee-Imagn Images

Notre Dame coach Marcus Freeman doesn’t sound all that interested in coaching in the NFL. It was reported recently that the Bears are looking to interview Freeman for their head coach vacancy.

“To hear that the Bears have interest, it’s humbling. It’s the NFL,” he said. “But it’s also a reminder [that] with team success, comes individual success.

“I have put zero thought into coaching in the NFL. All my attention has just been on getting this team prepared for every opportunity we have in front of us. Probably not the answer you’re looking for, but that’s the answer you’re going to get.”

Freeman recently signed a four-year contract extension with Notre Dame that extends through the 2030 season. 

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Ohio State’s Chip Kelly takes shot at Oregon: ‘You can’t stop us with 11′

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Ohio State’s Chip Kelly takes shot at Oregon: ‘You can’t stop us with 11′


Former Oregon Ducks coach Chip Kelly took a shot at his former football program on Saturday.

Ahead of Monday’s national championship game against Notre Dame, the current Ohio State offensive coordinator was asked about what motivated the Buckeyes entering their Rose Bowl matchup with Oregon — a 41-21 blowout win.

Kelly pointed to the 12 men on the field penalty taken intentionally by Dan Lanning and company during the two teams’ regular season matchup, which Oregon won, 32-31.

“I’ll tell you what, it was a unique message with our players: you can’t stop us with 11. You had to stop us with 12,” Kelly told reporters. “You saw the final results of 11 versus 11. So, that was a message to our team for the week leading up to the Rose Bowl that I think resonated really well with our guys.”

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Ohio State led 34-0 at one point in the first half against the Ducks, and superstar freshman wideout Jeremiah Smith was a major reason why. He finished with seven catches for 187 yards and two touchdowns vs. Oregon.

It was Kelly’s first win over the Ducks as an opposing coach: he was previously 0-5 against Oregon between his time as head coach at UCLA and offensive coordinator at Ohio State.

The Buckeyes went on to beat Texas, 28-14, at the College Football Playoff semifinal at the Cotton Bowl. They are 8.5-point favorites over the Fighting Irish in the national championship game.

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Ryan Clarke covers the Oregon Ducks and Big Ten Conference. Listen to the Ducks Confidential podcast or subscribe to the Ducks Roundup newsletter.



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