Houston Airshow 2024

Ready Now, and Anywhere, 433rd Citizen Airmen go to Guyana for LAMAT 2025

  • Published
  • By Master Sgt. Jacob Lewis
  • 433rd Airlift Wing

The final health engagement of the 2025 Lesser Antilles Medical Assistance Team (LAMAT) mission began March 31, leaving a lasting impact on both the people and providers of Guyana—as well as the nearly 60 U.S. Air Force medical professionals who supported the mission.

Over two weeks, the team delivered critical medical services, vital equipment and shared knowledge, strengthening bonds through meaningful collaboration. The effort enhanced global health engagements while reinforcing the U.S. military’s readiness to save lives—anytime, anywhere.

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VIDEO | 04:06 | Ready Now, and Anywhere, 433rd Citizen Airmen go to Guyana for LAMAT 2025



“This is all about readiness,” said Col. James “Matt” Bershinsky, 433rd Medical Group and LAMAT commander. “This is all about the future fight. We have spent the last 20 plus years in the Air Force deploying to the same locations on a fixed timeline with an infrastructure and supply system that is already in place. When we come here, we are going to a country that Airmen have not been to before. There is no script. This is not a training exercise. This is real world provision of healthcare, integrating with host nations.”


The LAMAT mission consisted primarily of Air Force Reserve Command Citizen Airmen from the 433rd Medical Group, supported by active duty Air Force personnel and U.S. Army soldiers. Together with their Guyanese counterparts, they provided essential medical care at five major facilities in, including Port Mourant Hospital, New Amsterdam Regional Hospital, West Demerara Regional Hospital, Georgetown Public Hospital Corporation, and Cheddi Jagan Dental School.

The LAMAT–Guyana mission was part of ongoing global health engagements led by the Service Component Command, Air Forces Southern (AFSOUTH).

Throughout the deployment, U.S. and Guyanese medical teams worked side by side, providing primary care, surgery, dental services, ophthalmology, critical care and biomedical equipment repair. These interactions fostered a mutual exchange for knowledge, reinforcing the longstanding collaboration between the two nations.

The largest public hospital, Georgetown Public Hospital Corporation, seven members from the 433rd Aeromedical Staging Squadron supported emergency room operations, while an ophthalmology team of four consisting of two Air Force Airmen and two Army soldiers provided eye care.

The ER team managed complex trauma cases including, gunshot wounds, stabbings, traffic accidents, head trauma, childbirth, and pediatric emergencies.

“The LAMAT mission in Guyana is an amazing place to hone our skills,” said USAF Maj. Alisha Young, 433rd ASTS critical care air transport team physician. “The hospitals here are what I consider to be what’s called ‘Practicing in a denied environment.’ Our counterparts here have just as much training, and yet they’re doing the same level of care with a lot less resources.”


The Ophthalmology team performed a wide range of eye surgeries including cataract removals, corrective surgeries for refractive vision issues, glaucoma surgeries, and tended to surgical complications. Cataracts—globally the leading cause of curable blindness, are often treated at the onset of symptoms in the United States. In contrast, many patients in Guyana arrived with near-total blindness. Cataract patients in the United States typically undergo surgery at the onset of symptoms, but many patients in Guyana arrive with advanced, near-total blindness. The youngest patient was two-months old.

“To witness their joy and relief after regaining their sight is an immeasurable privilege,” said USAF Maj. Samuel Hobbs, 59th Medical Wing vitreoretinal surgeon. “The profound gratitude they express reinforces the impact of our mission and makes every sacrifice worthwhile. It is a powerful reminder of the human capacity for resilience and the transformative power of compassionate care.”


At the New Amsterdam Hospital medical teams also treated trauma patients including, gunshot wounds, stabbing, traffic accidents, head trauma, the Dengue fever in children, cardiac arrests and strokes.

The team also executed in the operating room performing hernia repair and gallbladder removals. The team worked on patients as young as 13 who received an inguinal hernia repair and successfully executed the mission with much less equipment and capabilities than hospitals in the United States. The team also helped with vascular procedures, two 433rd medical administrators located patient registrations, sorted records, and organized over twenty years of files.


At the West Demerara Hospital, a dozen members from the 433rd ASTS joined by Air Force active duty personnel delivered medical care in general surgery, cardiovascular surgery, emergency medicine, patient transportation, pharmacy administration and more. In the ER the team treated trauma cases, cardiac arrests, pediatric and respiratory emergencies. Also they supported pharmacy operations and system reviews. Biomedical technicians repaired equipment to boost lifesaving capabilities.


Another essential service provided was dental care. Teams served at Port Mourant Hospital and the Cheddi Jagan Dental School, offering cleanings, fillings and extractions to underserved communities. They collaborated with local dentists and mentored students to build lasting professional relationships.


Mental health professionals also provided training at multiple facilities, sharing expertise on treatment strategies, reducing stigmas and encouraging open conversations around mental well-being. They also stressed the importance of caring for healthcare workers themselves, who often carry the emotional weight of those they serve. Support for mental health providers is essential for a thriving healthcare system.



Overall, Airmen treated more than 1,721 patients, performed 273 surgical procedures, and repaired 14 pieces of medical equipment. The mission provided over 2,000 hours of hands-on training in critical pre-deployment medical skills, along with 205 hours of knowledge exchange—boosting knowledge through real-world experience in cross-functional healthcare environments.



“I just want to say thank you to the LAMAT medical team for their support for us here,” said Gangapattie Dani, Georgetown Public Hospital Accident and Emergency Department ward manager. “Many of the medical supplies provided I have never seen. We are happy that you guys are here to show us how we can use the equipment better. I know these supplies can make a difference in patients' lives. We look forward to working with your team again in the future.”

As LAMAT 2025 concludes, the bonds between U.S. and Guyanese medical professionals pave the way for future partnerships. These missions highlight the U.S. commitment to working with partners across the Western Hemisphere—ready to face any challenge, together.



“We are being tasked from the highest levels in the Air Force to innovate–to change, and to do it very rapidly,” said Bershinsky. “We need to be prepared for the next conflict. We need to change the way we’re doing things and that we can’t wait to do it. The LAMAT mission is an example of what it means to be ready now and to transform for the future… This experience prepares us for future deployments and we look forward to this ongoing partnership between the country of Guyana and the United States.”