180416-A-WO440-0067 PUERTO BARRIOS, Guatemala (April 16, 2018) Builder 3rd Class Tyler Forrester, from Bremerton, Washington, uses a flathead screwdriver to remove screws at the Hospital Nacional Elisa Martinez in Puerto Barrios, Guatemala, during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Army photo by Spc. Dakota Young/Released)