A life-threatening medical emergency at sea ended with a successful rescue last Thursday, after a team of off-duty medical providers and Trinidad and Tobago Defence Force members stepped in to save an elderly female passenger on the fast ferry MV Buccoo Reef. The incident unfolded around 7:30 a.m., roughly one hour into the vessel’s scheduled voyage from Port of Spain to Scarborough, when the woman suddenly began experiencing severe chest pain before losing consciousness. What followed was a coordinated, race-against-time effort that has since sparked calls for mandatory first aid training for all ferry crew members.
When the emergency was first announced over the ferry’s public address system, no crew members immediately stepped forward to assist. Akiela Chance, a Defence Force officer traveling on the ferry, was the first to respond to the passenger’s side. As she recounted to the *Express* on Saturday, “I was the female soldier present, and I was the first person to step in and assist the elderly lady while others stood by. I approached her and asked what the issue was and whether she had any known medical conditions. I was told she was experiencing chest pain.”
Chance worked with another passenger to carefully move the seated woman to the floor, adjusted her clothing to ease her breathing while preserving her privacy, and immediately started cardiopulmonary resuscitation (CPR). She then instructed other bystanders to repeat the call for any medical professionals on board. A medical kit was retrieved, and 15 minutes later, Dr. Emillie Alpheus, an accident and emergency registrar at Scarborough General Hospital, arrived at the scene. Coast Guard Petty Officer Noko Baird soon joined to assist with continuing compressions before Alpheus took over lead resuscitation efforts.
Upon reaching the patient, Alpheus found the woman already unresponsive with no detectable pulse, and immediately requested an Automated External Defibrillator (AED) — a piece of life-saving equipment she was surprised to find the ferry actually carried. As Alpheus waited for the device and began chest compressions alone, a second physician, an American vacationing on the ferry who was certified in Basic Life Support, offered to take turns performing compressions, which are physically draining to administer continuously.
The team split roles: the visiting physician led chest compressions while Alpheus managed the patient’s airway, following the standard 30 compressions to two rescue breaths protocol. When the AED arrived, they delivered a defibrillation shock to the patient’s heart, then immediately resumed CPR. Mid-cycle, Alpheus detected the patient pushing against the airway device, and after completing the compression cycle, confirmed the woman had achieved Return of Spontaneous Circulation (ROSC) — meaning her heart had restarted. The elderly woman soon regained consciousness.
Following the successful revival, the captain turned the ferry back to Port of Spain, with Coast Guard vessels escorting the vessel to port. Ambulance crews were already on standby at the terminal, and immediately transferred the patient to a nearby hospital for ongoing care. As of the latest update, the woman remains hospitalized but is recovering steadily.
Alpheus, who shared that this was the second life-saving CPR effort she has led in two years, expressed gratitude for the positive outcome in an interview with the *Express*. “I just glad it was a good outcome. I am thankful for all who was around that was able to help and lend a holding hand — the other physician who was on vacation, the patient care assistant and the other members of staff from the Buccoo Reef. I am grateful that we were able to help this family. I got word from her relatives that she is doing well and from the doctors over there that she is doing better. So thankful for that and praises to God,” she said.
In an official statement issued the day of the incident, the Port Authority of Trinidad and Tobago (PATT) confirmed the medical emergency, activated emergency protocols, and confirmed that ambulance crews met the vessel on its return to port. The authority declined to comment on the patient’s specific medical condition per privacy guidelines.
A video of the rescue circulating on social media originally misstated the details of the incident, but the woman who recorded the video corrected the account in a public comment, clarifying that the woman suffered a potential cardiac event rather than a simple fainting spell, and that two off-duty doctors led the rescue rather than crew. She also noted that untrained crew members appeared disoriented during the emergency, writing, “They need to train boat crew in first aid. Everyone was moving like headless chicken. But God is good.”
Chance echoed that call for reform, telling the *Express* that all ferry crew members should receive formal, up-to-date first aid and emergency response training to be prepared for similar incidents at sea. Members of the public have also shared widespread wishes for the patient’s full recovery following the viral spread of the rescue video.