A 59-year-old member from Yorba Linda, United States, developed acute blood in the urine and frequent urination while trekking in the Dolpo region of Nepal near Sahartara and Dunai, far from advanced medical care. Because his symptoms persisted and he was in a remote area without nearby facilities, the operations team approved a helicopter evacuation from Dunai to a larger medical center. Daylight limitations required a diversion to Pokhara, followed by an ambulance transfer to the treating facility. He was diagnosed with hematuria under evaluation and dehydration, received treatment, then traveled to Kathmandu for additional laboratory testing as advised by a consulting physician. He remained stable, continued to recover and had no further requests for support.