Army National Guard Maj. Gen. Courtney P. Carr, right, Indiana National Guard adjutant general, and Army Maj. Gen. Gregory J. Vadnais, center left, Michigan National Guard adjutant general, meet with Chris Rosser, left, medical control/trauma program manager at Munson Healthcare Grayling Hospital, as they are shown the medical capabilities of the hospital as well as the 19th CBRNE Enhanced Response Force Package in Grayling, Mich., April 6, 2016. Indiana Air National Guard photo by Airman 1st Class Kevin D. Schulze