150423-N-AT101-175 PUERTO BARRIOS, Guatemala (April 23, 2015) Hospital Corpsman 3rd Class James Byrom, assigned to Naval Medical Center Portsmouth, Va. takes a child's blood pressure at a medical site set up in a sports complex in Puerto Barrios during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Navy photo by Mass Communication Specialist 1st Class Maddelin Angebrand/Released)