Medical emergencies account for almost 80% of all launches, and all active crew members have an up to date Emergency First Responder first aid qualification. In addition, we run training sessions on a weekly basis to enhance medical knowledge, and to give all crew members experience driving and operating the rescue boat in simulated distress situations. We have a close working relationship with the US Coast Guard, and run joint helicopter training sessions on a regular basis. Each year we train with the summer employees from Sail Caribbean summer diving program. We are able to run rescue scenarios and they in turn are able to prepare themselves for what will happen in case they have an emergency on the water while in the BVI. The U.S. Coast Guard works closely with VISAR and they come to the BVI to offer us training on lifting a casualty to their helicopter. This is both a very relevant and exciting training for our crew and trainees to attend.