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.

Transatlantic Division News

  • June

    USACE Expeditionary District welcomes new leadership

    The “Always Forward” U.S. Army Corps of Engineers Expeditionary District conducted a combined change of command ceremony welcoming new leadership to the only forward-deployed district serving in the Central Command area of responsibility.
  • April

    Expertise at the Front: How USACE Experience Powers U.S. Army Success

    In the vast, dynamic landscape of the U.S. Central Command’s Area of Responsibility, the success of the U.S. Army's mission is intricately linked to the infrastructure that supports it. For more than 70 years, the U.S. Army Corps of Engineers has played a crucial role in providing the critical engineering, design, and construction expertise that ensures operational readiness and resilience across the Middle East, Central Asia, and the Levant. The Transatlantic Expeditionary District, as USACE's only forward deployed district in support of contingency operations, continues this legacy by being the sharpest tip of the spear, strengthening partnerships, building capacity, and enhancing security for our nation, allies, and partners.
  • Empowering the Future: USACE Division CSM Visits U.S. Army Engineers in Kuwait

    In a significant event aimed at fostering professional growth among U.S. Army Engineer Regiment Soldiers, U.S. Army Corps of Engineers Transatlantic Division Command Sgt. Maj. Clifton D. Morehouse held an open forum discussion with active duty and reserve component engineer Soldiers deployed to Kuwait. The engagement offered a platform for non-commissioned officers to engage directly with one of USACE’s division level senior enlisted leaders, exploring the pivotal role of engineers in achieving Army objectives and the value of mentorship and professional development within the NCO ranks.
  • Building Resilience and Respect: USACE’s Role in Sustaining Military Capacity at Camp Buehring During Ramadan

    Strategic Infrastructure is crucial for sustaining military capability, and the U.S. Army Corps of Engineers plays a vital role in ensuring its effectiveness. As a part of monthly rotational site visit engagements, U.S. Army Col. Mohammed Z. Rahman, USACE Transatlantic Expeditionary District commander, along with a team of district engineers and the district Safety chief, traveled to Camp Buehring, Kuwait, to review two key projects: the Tactical Equipment Maintenance Facility and the Udairi Landing Zone Transition Repair projects. These engagements exemplify USACE's commitment to operational excellence and project oversight.
  • USACE Strengthens Partnership for Global Infrastructure in Kuwait

    In a significant meeting held on March 17, at the U.S. Embassy in Kuwait, U.S. Army Col. Mohammed Z. Rahman, U.S. Army Corps of Engineers Transatlantic Expeditionary District commander, and Viet Nguyen, Expeditionary District deputy district engineer, engaged in strategic discussions with The U.S. Ambassador and the Economic Counselor from the American Embassy in Kuwait. The engagement centered around enhancing the role of USACE in the context of the Partnership for Global Infrastructure and Investment, PGII, and its implications for U.S. and allied economic and national security interests.
  • March

    USACE Transatlantic Division employee embarks on Army Coaching Program journey

    A U.S. Army Corps of Engineers Transatlantic Division employee is undertaking an intense talent management program in order to help fellow employees in their careers; the first employee in the organization to do so.
  • February

    USACE Transatlantic Division: Setting Extraordinary Standards as ‘Partner of Choice’ in CENTCOM AOR

    The U.S. Army Corps of Engineers Transatlantic Division stands as a pivotal force in the U.S. Central Command’s area of responsibility. Since the 1950s, the Division has actively shaped the landscape of engineering, design, and construction across the Middle East. Transforming from its initial focus on basic military construction, the Division now leads sophisticated, large-scale infrastructure projects, demonstrating a deep commitment to building capacity and enhancing security in the region. By setting and consistently upholding extraordinary operational standards, it has established itself as the ‘partner of choice.’
  • January

    U.S. Army Corps of Engineers Transatlantic Division Commander Promoted to Brigadier General

    Col. William C. Hannan, Jr., U.S. Army Corps of Engineers Transatlantic Division commander, was promoted to the rank of Brigadier General during a ceremony here Jan. 16.
  • October

    On Solid Ground: Army Values are the Foundation of USACE Transatlantic Division’s Mission

    With a history of more than 70 years in the region, the Transatlantic Division oversees more than $5 billion in projects including military construction programs, force protection innovations, and security cooperation initiatives, strengthening Army readiness, enhancing vital infrastructure, and deepening global partnerships. Each action reinforces the Army's unwavering commitment to its service members and global partners.
  • USACE Innovation: The Key to 'Building Strong' in the CENTCOM AOR

    For the U.S. Army Corps of Engineers Transatlantic Division, innovation is the essential energy that drives success. From the initial development phase of a project, through the design and construction, and well into the operational phase, innovation drives the relentless pursuit of excellence, supporting sustainable strategies and fostering the development of long-lasting, reliable solutions.