A 30-year-old member from Australia became seriously ill at Shira Camp Two on Kilimanjaro’s Lemosho Route. She reported persistent chest pain radiating to the left side, accompanied by nausea, vomiting, general weakness and low oxygen saturation. Given the combination of symptoms, there was concern for a potential cardiac event or altitude-related illness. The remote location and lack of advanced medical care prompted Global Rescue to authorize an immediate helicopter evacuation. She was flown to a nearby hospital where an EKG ruled out a heart attack, but a chest X-ray revealed pulmonary edema. Treatment was initiated immediately. The member responded well to therapy, stabilized within a short period, and was subsequently discharged. This case illustrates the importance of rapid evacuation from high-altitude environments where serious conditions can mimic cardiac events and where timely access to medical resources is critical for a favorable outcome.