ATLANTIC OCEAN (June 27, 2023) Sailors aboard the Nimitz-class aircraft carrier USS George H.W. Bush (CVN 77) respond to a simulated medical casualty during a general quarters drill, June 27, 2023. The Nimitz-class aircraft carrier USS George H.W. Bush (CVN 77) is underway in the Atlantic Ocean conducting carrier qualifications, a training evolution that ensures pilot proficiency. (U.S. Navy photo by Mass Communication Specialist 3rd Class Ryan Colosanti)