180416-A-WO440-0103 PUERTO BARRIOS, Guatemala (April 16, 2018) Master-At-Arms 2nd Class Adam Driessen, from Blooming Prarie, Minnesota, shovels dirt and rubble into a wheelbarrow 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)