A Miami member became ill with pneumonia and possible arrhythmia during a cruise around French Polynesia. The ship’s medical team started treatment for him, activated French Polynesia Emergency Services and transported him to a hospital in Morrea for further evaluation. The hospital’s medical team determined the member’s symptoms warranted transport to a higher level of care in Papeete, French Polynesia. Following his transport to the hospital in Papeete, the emergency department medical team admitted the member to the intensive care unit for assessment, testing, and intervention. Meanwhile, the member’s oxygen consumption was too high for a trans-Pacific flight home and recovery was not progressing. Global Rescue deployed a medical operations specialist to oversee the member’s care and be his medical escort once deemed fit-to-fly. Eventually, the member’s recovery progressed sufficiently that he was stable for flight. Global Rescue initiated an immediate, and successful, transport via commercial stretcher and dedicated air ambulance of the member for continued care at a higher-level facility in Miami.