A South African member needed field rescue and medical evacuation during a paragliding trip in Paiju, Pakistan, when he contacted Global Rescue and reported having chest pain while trekking on Baltoro Glacier and increased discomfort after paragliding. The member suspected he was having a heart attack, reporting numbness in his arms, severe chest tightness and pain radiating to his left arm. He took aspirin and supplemental oxygen, but his condition improved only slightly. Global Rescue deployed an emergency airborne medical evacuation team and successfully transported the member to a hospital in Skardu where he was admitted to the ICU for treatment of myocardial infarction. A day later, the treating physicians agreed that the member’s condition merited a higher level of care, whereupon Global Rescue arranged for his transport to a hospital in Islamabad for further evaluation and care. The member was stabilized and deemed fit to fly for definitive cardiac care at a Cape Town, South Africa, hospital. Global Rescue provided business class seating for the member who arrived safely in Cape Town.