CSM responds to medical emergency

Transatlantic Division
Published Sept. 12, 2017
CSM Etter during change of responsibility ceremony July 14.

The new Transatlantic Division Commander Brig. Gen. David Hill passes the Division colors to Cmd. Sgt. Major John Etter during a Change of Command and Change of Responsibility Ceremony July 14 at the division's headquarters in Winchester, Va.

Pay attention in class, you never know when you’re going to need it.  It’s a lesson Command Sergeant Major John Etter taught to his students during his tours as a drill sergeant and an instructor at the Army’s elite Combat Engineer School.  It’s also a lesson he recently applied first hand during an in-flight emergency while on a flight to Hawaii.

Etter, the CSM of the U.S. Army Corps of Engineers Transatlantic Division, headquartered in Winchester, Va., was on a New York to Hawaii flight on his way to visit his wife when a passenger sitting behind him passed out and appeared to have trouble breathing.

“A call came over the intercom that they were looking for a doctor,” said Etter. “I didn’t realize it was for the person sitting behind me. The flight attendant needed to move him to the galley area so they grabbed his upper body and I grabbed his legs to help move him.”

When they had moved the patient to the galley, Etter noticed he’d become very pale and asked for a medical kit. By that point, a doctor, a nurse and a police officer had joined in the effort to assist the passenger and the plane had radioed a doctor on the ground.  In consultation with the doctors they decided to start an IV.

“I prepared the IV bag and the nurse put the IV into the patient’s arm,” Etter continued. “We then discussed with the doctors what medications were on board that we should administer and what the dosages were. At this point it seemed like he wasn’t breathing so he was given an atropine injection and I began artificial breathing for him using an Ambu bag and then mouth-to-mouth resuscitation while the police officer raised and lowered his feet and the nurse monitored his vitals.”

Once the plane made an emergency landing, Etter assisted in getting the patient to a waiting ambulance and held him steady while paramedics intubated him.  He credits his Army Combat Lifesaver course with helping him know what to do and his prior experience as a drill instructor for keeping his presence of mind during the crisis.

“As a drill instructor, you’re a doctor, a lawyer, mother and father all rolled into one and the Combat Lifesaver Course is something every soldier receives as well as refreshers. Something like this just shows you never know when you will use those skills,” he said. “I’ve used them on the battlefield but never thought I’d need them on an airplane while on leave.”

Etter said that they provided medical care to the patient for almost an hour although it went by in a flash. Unfortunately, he doesn’t yet know the outcome for the patient.

Colonel Scott Lowdermilk, the TAD Chief of Staff, said Etter was pretty casual about the whole situation when he was relaying the story. 

 “When the CSM came back from leave, he actually seemed more excited that he’d gotten a new surf board and told us this story almost as an afterthought,” Lowdermilk said. “It speaks to the kind of humble leader that he is. I insisted he tell his story because just like him, it serves as an example to our soldiers that when you’re receiving this type of training, it’s important to pay attention and learn the skills you’re taught. It could very well save a life. He did not act like he had done anything out of the ordinary.  I told him that I am sure the passenger’s mom and sister, who were also on the plane, placed him in the hero category."


The U.S. Army Corps of Engineers Transatlantic Division serves as USACE’s tip of the spear in one of the most dynamic construction environments in the world, STRENGTHENING PARTNERSHIPS, BUILDING CAPACITY, and ENHANCING SECURITY for our nation, allies, and partners. 

We SAFELY deliver agile, responsive, and innovative, design, construction, engineering and contingency solutions in support of U.S. Central Command, U.S. Special Operations Command and other global partners to advance national security interests.

  • April

    US Army Corps of Engineers delivers readiness capabilities in US Central Command

    The U.S. Army Corps of Engineers is the force behind the force, delivering mission-critical infrastructure that sustains and strengthens military readiness in one of the most complex operational environments. Across the U.S. Central Command area of responsibility, the Army Corps of Engineers designs and constructs facilities that enable U.S. forces to operate, train, and sustain mission readiness. A Tactical Equipment Maintenance Facility, or TEMF, sets the standard for sustainment operations. A TEMF is a standardized facility designed to provide the U.S. Army with the necessary infrastructure to maintain, repair, and sustain its equipment.
  • March

    From Soldier to civilian: An Army engineer’s life-long dedication to those on the front lines

    Roger Vogler’s journey with the U.S. Army Corps of Engineers is one defined by dedication, experience, and a commitment to supporting Soldiers. Marking 40 years in federal service in February and celebrating 30 years as a licensed Professional Engineer, Vogler – a U.S. Army veteran – reflects on a career that has spanned both military and civilian service and made a lasting impact on the lives of warfighters on the front lines.
  • February

    How an Army Engineer is Making an Impact with USACE in CENTCOM

    In the ever-evolving operational landscape of the U.S. Central Command, the U.S. Army Corps of Engineers stands as a crucial force in strengthening infrastructure, enhancing security, and delivering the engineering support and services essential for sustained military and partner-nation success. For U.S. Army Sergeant Major Alan E. Thomas, Jr., a seasoned Army engineer and project manager currently serving with the Expeditionary District in Kuwait, the experience of working within USACE is proving to be a career defining experience.
  • USACE and Kuwait mission partners align on missile facility renovation

    The U.S. Army Corps of Engineers professionals recently joined Kuwaiti defense leaders and industry partners for a weeklong planning session focused on the renovation of the Kuwait Missile Assembly/Disassembly Facility. Held Jan.19-23, 2025, at the Al Hashemi Marine Museum in Kuwait City, the event brought together representatives from the USACE Kuwait Program Management Office, the U.S. Office of Military Cooperation – Kuwait, the Kuwait Air Defense, Kuwait Ministry of Defence Armament & Procurement Authority and Military Engineering Projects, and private industry partners. The goal of the session was to define the full scope of the renovation project and ensure alignment across all stakeholders, reinforcing Kuwait’s air defense capabilities and overall mission readiness.
  • USACE Breaks Ground on Warehouses for Kuwait’s legendary 35th Brigade

    The U.S. Army Corps of Engineers marked a major milestone with the groundbreaking ceremony for a critical infrastructure project in Kuwait, Jan. 21. The $39.9 million initiative will deliver five multi-functional warehouses for Kuwait’s legendary 35th Armored Brigade, reinforcing USACE’s commitment to strengthening partnerships and building capacity for the Kuwaiti Ministry of Defense.
  • Charting Success: Governance Week at USACE’s Tip of the Spear

    In the fast-paced and ever-evolving world of the U.S. Army Corps of Engineers, success is no accident—it’s the result of careful planning, insightful analysis, and decisive leadership. Sitting at the tip of the USACE spear in Kuwait, the Transatlantic Expeditionary District supports U.S. Central Command and U.S. Special Operations Command, executing a $520 million dollar program that delivers critical infrastructure and engineering solutions across the region. Once a month, the district’s leaders, directors, and chiefs gathered District Governance Week, an essential event where collaboration meets strategy, and data drives decisions that shape the future.
  • USACE Engineer earns PE, strengthening the mission from the frontlines

    Balancing a high-tempo mission in the U.S. Central Command area of operations with the rigorous demands of professional certification, U.S. Army Corps of Engineers Expeditionary District engineer Tanner Cowan pushed himself to new heights—earning his Professional Engineer license while actively supporting critical engineering, design, and construction efforts. His achievement not only marks a personal milestone but also enhances USACE’s ability to deliver engineering excellence in one of the world’s most complex operational environments.
  • November

    U.S. Army Corps of Engineers Transatlantic Division attends opening of facility supporting Veterans

    Officers assigned to the U.S. Army Corps of Engineers Transatlantic Division attended the grand opening of Shenandoah University’s Hub for Innovators, Veterans and Entrepreneurs (HIVE) last month.
  • More than a ceremony: The weight of leadership for an Army CSM

    While a new commander’s arrival brings a Change of Command—a formal passing of authority—the role of command sergeant major, or CSM, carries a different weight. For the CSM, it isn’t about authority; it’s about responsibility. The Change of Responsibility ceremony is a testament to that unique and often unseen duty—a duty that runs through every layer of the U.S. Army, from the strategic missions to the day-to-day lives of Soldiers and civilians.
  • October

    U.S. Army Corps of Engineers Transatlantic Division Personnel Support Hawaii Wildfires Recovery

    Several staff members assigned to U.S. Army Corps of Engineers Transatlantic Division were activated to support U.S. Army Corps of Engineers response to the Hawaii wildfires.