A 44-year-old member from Bellingham, United States slipped and fell in Hanoi, Vietnam and sustained multiple injuries. He was taken to a local hospital, where imaging showed a dislocated left elbow with a radial head fracture and a chipped bone requiring surgery. After discharge he provided his medical records and asked whether he should undergo surgery locally or after returning closer to home. The operations team explained the medical evacuation process, and consulting physicians advised that the decision be made with his home orthopedic specialist, who ultimately recommended surgery after his return to the United States. Once he was cleared as fit to fly, flights were approved and arranged to bring him back to Salt Lake City. His travel was uneventful, and he arrived safely, with instructions to follow up promptly with his orthopedic surgeon before the case was closed.