U.S. Navy Lt. Cmdr. Suzanne Maldarelli, center, a medical officer, conducts a subject matter expert exchange on advanced cardiac life support with nurses at a hospital in Toledo, Belize, June 27, 2014, during Southern Partnership Station (SPS) 2014. SPS is an annual deployment of U.S. ships to the U.S. Southern Command's area of responsibility in the Caribbean and Latin America. The exercise involves information sharing with navies, coast guards and civilian services throughout the region.