191031-N-CJ510-0035 DJIBOUTI, Djibouti (Oct. 31, 2019) Hospital Corpsman 2nd Class Andrew Mendez, a tactical combat casualty care instructor, helps a member of the Djiboutian coast guard apply a tourniquet during exercise Cutlass Express 2019.2 and International Maritime Exercise 2019 in Djibouti, Djibouti, Oct. 31, 2019. Cutlass Express is designed to improve regional cooperation, maritime domain awareness and information sharing practices to increase capabilities between the U.S., East African and Western Indian Ocean nations to counter illicit maritime activity. (U.S. Navy photo by Mass Communication Specialist Seaman Andrea Rumple/Released)