Given the information from Bayerische in post 571, which confirms that the thumb injury was quite modest, the patient even only needing road ambulance from Blacksod, it is clear a review of the injury assessment and SAR dispatch process should follow - and I'm sure will. One can see the difficulty of getting accurate information from particularly small vessels with poor English spoken though. I guess ideally there would be a satellite link to send images and medical info across. Anyone know what technology is used now - and could be used in future?