191115-N-JN784-1199 PHILIPPINE SEA (Nov. 15, 2019) Retail Services Specialist Seaman Epifania Hisatake, from American Samoa, left, helps elevate a tourniquet on Yeoman 3rd Class Taliana Canales, from Winter Haven, Fla., during a Medical Training Team drill aboard the Arleigh Burke-class guided-missile destroyer USS McCampbell (DDG 85). McCampbell is participating in ANNUALEX 19, a bilateral exercise which further develops coordination and interoperability of the premier alliance between the U.S. Navy and Japan Maritime Self-Defense Force. (U.S. Navy photo by Mass Communication Specialist 1st Class Alexandra Seeley/Released)