Kris Vanleeuwan (left), a San Diego Fire-Rescue Department Special Tactics and Rescue (STAR) Team paramedic, assists a 91-year-old man aboard a Coast Guard Sector San Diego MH-60 Jayhawk helicopter off the coast of San Diego Sept. 19, 2019. The man was medevaced from the fishing vessel Royal Star after displaying symptoms of a possible stroke. (Coast Guard photo by Petty Officer 1st Class Patrick Kelley.)