190809-N-EV253-0369 MINDELO, Cabo Verde (Aug. 9, 2019) Petty Officer 2nd Class Chad Vacco, from Stow, Ohio, assigned with the U.S. Coast Guard Tactical Law Enforcement Detachment Pacific embarked aboard the Spearhead-class expeditionary fast transport ship USNS Carson City (T-EPF 7), exchanges tactical casualty combat care techniques with the Cabo Verde coast guard aboard the Damen Stan Patrol 5009-class vessel Guardiao (P 511), in Mindelo, Cabo Verde, Aug. 9, 2019. Carson City is deployed to the Gulf of Guinea to demonstrate progress through partnerships and U.S. commitment to West African countries through small boat maintenance assistance, maritime law enforcement engagement, and medical and community relations outreach. (U.S. Navy photo by Mass Communication Specialist 2nd Class Sara Eshleman/Released)