190403-N-TI693-0220 ATLANTIC OCEAN (April 3, 2019) Sailors aboard the Arleigh Burke-class guided-missile destroyer USS Carney (DDG 64) communicate with other medical first responders as they begin to transport a simulated personnel casualty up a shaft access tunnel on a stretcher during a general quarters drill, April 3, 2019. Carney, forward-deployed to Rota, Spain, is on its sixth patrol in the U.S. 6th Fleet area of operations in support of regional allies and partners as well as U.S. national security interests in Europe and Africa. (U.S. Navy photo by Mass Communication Specialist 1st Class Fred Gray IV/Released)