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On August 22, 2011, at 6:19 PM, the National Sea Rescue Institute (NSRI) Port Elizabeth responded to an urgent medical call from the Transnet National Ports Authority involving the bulk carrier 'Global Commander'. A 49-year-old Chinese crew member was experiencing severe abdominal pain, raising concerns of appendicitis while the vessel was approximately 30 nautical miles off the coast of Port Elizabeth. Following the request, the TNPA harbourmaster instructed the 'Global Commander' to navigate towards Algoa Bay. In response, the rescue vessel 'Eikos Rescuer IV' was deployed, bravely tackling challenging sea conditions with swells measuring between 4 to 5 meters. The rescue craft successfully reached the bulk carrier at a point 4.5 nautical miles from the port. Upon arrival, the onboard medic assessed the patient, confirming he was stable but in significant discomfort suspected to be linked to his appendix. The crew member was safely transferred to the rescue vessel, where he was promptly transported back to the NSRI base. After docking, a representative from the ship's agent ensured that the sailor was swiftly conveyed to a nearby hospital for further medical evaluation and treatment, ensuring prompt care under maritime emergency conditions.