Ensign Jimmie Riffle, from Crafton, W. Va., embarked aboard the multipurpose amphibious assault ship USS Iwo Jima, evaluates a patient during a Continuing Promise 2010 medical civic event in Nicaragua. Iwo Jima is anchored off the coast of Nicaragua conducting a Continuing Promise 2010 humanitarian civic assistance mission. The assigned medical and engineering staff members embarked aboard Iwo Jima are working with partner nation teams to provide medical, dental, veterinary and engineering assistance to eight different nations.