Medical personnel from the Dominican Republic listen as Lt. Cmdr. Brent Bushey asks Air Force Staff Sgt. Erica Solis, center, to translate various operating room procedures used aboard the amphibious assault ship USS Kearsarge. Kearsarge is the primary platform for the Caribbean phase of the humanitarian/civic assistance mission Continuing Promise 2008, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, France, Nicaragua, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.