A Canadian member needed medical evacuation following a bicycle accident in Italy. The member’s sister contacted Global Rescue reporting her sibling sustained a leg injury following the bike mishap and had been taken to the emergency room. The member was treated and released with a cast and prescribed blood thinners. A day later, however, the member was discovered slumped in a chair and complained of severe dizziness. She returned to the hospital in Portoferraio where the attending physician expressed concern about her very low heart rate. The hospital did not have higher-level cardiovascular treatment services so Global Rescue arranged an interfacility helicopter transport to the cardiac unit of a hospital in Livorno where physicians advised that the member would require a pacemaker. Following the successful pacemaker insertion surgery, Global Rescue medical operations team members provided successful ground and air transport for the member to her home in Alberta, Canada, where she continued her follow-up cardiology care.