Keywords: US Navy 110418-N-QD416-072 Capt. David Tanen explains needle decompression to emergency medical technicians and members of the Jamaican Ministry of.jpg en KINGSTON Jamaica April 18 2011 Capt David Tanen explains needle decompression to emergency medical technicians and members of the Jamaican Ministry of Health during a subject matter expert exchange for Continuing Promise 2011 Continuing Promise is a five-month humanitarian assistance mission to the Caribbean Central and South America U S Navy photo by Mass Communication Specialist 1st Class Brian A Goyak/Released 2011-04-18 110418-N-QD416-072 Navy http //www navy mil/view_image asp id 100069 U S Navy photo by Mass Communication Specialist 1st Class Brian A Goyak PD-USGov-Military-Navy United States Navy in Kingston Jamaica |