Emergency medical personnel walk to an MH-60 Jayhawk helicopter at Coast Guard Sector San Diego, to transport an ailing crewman to a hospital for treatment after he was medically evacuated from the bulk carrier ship he was on, April 16, 2013. The Jayhawk crew hoisted the 46-year-old man from the Liberian-flagged motor vessel As Elysia after he began experiencing severe abdominal pain 300 miles offshore of San Diego. (U.S. Coast Guard photo by Lt. j.g. Michael Haas)