English: A Philippine Navy sailor uses a fireman carry to transport a mock casualty during the final exercise of the Operator Course in Tactical Combat Casualty Care (TCCC) July 1. U.S. sailors from the Maritime Civil Affairs and Security Training Command began the course by teaching Philippine instructors who then trained and graduated 28 students with TCCC provider certification in support of Cooperation Afloat Readiness and Training (CARAT) Philippines 2013. More than 600 sailors and Marines are participating in CARAT Philippines 2013. U.S. Navy units participating in CARAT Philippines include the guided missile destroyer USS Fitzgerald (DDG 62) with embarked Destroyer Squadron (DESRON) 7 staff, a U.S. Marine Corps landing force, and the diving and salvage vessels USNS Safeguard (T-ARS 50) and USNS Salvor (T-ARS 52) with embarked Mobile Diving and Salvage Unit (MDSU) 1. CARAT is a series of bilateral military exercises between the U.S. Navy and the armed forces of Bangladesh, Brunei, Cambodia, Indonesia, Malaysia, the Philippines, Singapore, Thailand and Timor Leste. (U.S. Navy photo by Mass Communication Specialist 1st Class Stephen Hickok/RELEASED)