Sergeant First Class Akins was a medic with the Medical Company, 8th Cavalry Regiment, 1st Cavalry Division. He was listed as Missing in Action while tending his wounded comrades near Unsan, North Korea on 2 November 1950. He was presumed dead on 31 December 1953. His remains were recovered on 12 April 2007 and identified on 7 May 2008. His name is inscribed on the Courts of the Missing at the Honolulu Memorial.

Akins was awarded the Purple Heart, the Combat Medical Badge, the Korean Service Medal, the United Nations Service Medal, the National Defense Service Medal, the Korean Presidential Unit Citation and the Republic of Korea War Service Medal.