180321-N-UP035-0117 SAN PEDRO SULA, Honduras (March 21, 2018) Lt. Stephen Duncan and volunteers from Team Rubicon grade exams for the Advanced Cardiac Life Support course at the Dr. Mario Catarino Rivas National Hospital in San Pedro Sula, Honduras 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. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)