A U.S. college student and Global Rescue member was walking in the field of Salary, Madagascar, when she experienced a syncopal episode, an unexpected fainting spell due to a sudden, temporary drop in blood pressure or heart rate that can lead to a temporary loss of consciousness. She regained consciousness but, according to her tour leader and professor who contacted Global Rescue medical operations, the student later showed symptoms of nausea, vomiting and diarrhea, with blood in her stool. Despite receiving treatment at a medical clinic, the student’s condition did not improve. Global Rescue physicians determined that an evacuation to a hospital capable of a higher level of care was necessary and we initiated an ambulance ground transport. The student was successfully transported and, following treatment, was discharged from the hospital requiring no further assistance from Global Rescue.