150522-N-YM856-157 PUERTO CABEZAS, Nicaragua (May 22, 2015) Hospital Corpsman 1st Class Phillip Tinker, from Snow Hill, Md., assigned to Naval Medical Center Portsmouth, Va., guides patients through the registration line at a medical site established at the Instituto Polytecnico Heroes y Martires 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 2nd Class Brittney Cannady/Released)