Command Sgt. Maj. Ron Joshua, 35th Combat Sustainment Support Battalion, ensures the tape around simulated casualty "Phil" is secure while Spc. Amy Collins, a respiratory specialist with the 325th Combat Support Hospital, helps. The 35th CSSB provided service and support to the 325th CSH during MEDEX 12 at Sagami Depot, Sagamihara, Japan. MEDEX 12 is a U.S. Army Pacific multi-component, joint service, bi-lateral exercise that demonstrates the U.S. commitment and partnership to Japan by showcasing USARPAC's mass casualty capabilities.