It was an early morning call out for emergency crews as they rushed to help an ill man in urgent need of medical care on Holy Island.
At 4.34am today, UK Coastguard requested the launch of Seahouses RNLI's all-weather lifeboat to assist the North East Ambulance Service to reach the casualty.
The causeway was closed by the tide and the next safe-crossing time was after 9am. As the ambulance dispatched was from a nearby ambulance station, it was directed to Seahouses Lifeboat Station.
The ambulance arrived at Seahouses as the lifeboat was launching and it was decided to take both ambulance crew to the island, due to the reported condition of the casualty.
The lifeboat made best speed to the island, arriving at approximately 5.20am. The ambulance crew were met by a local Coastguard officer who escorted them to the casualty’s location.
The man was treated and stabilised and it was decided that the paramedic should remain with the casualty, while the other ambulance crewman returned with the lifeboat to Seahouses to collect his vehicle.
The ambulance then drove to the causeway, where the local Coastguard would escort him across the causeway to the island, once it was safe to do so, so the patient could be transported by road to hospital. This was considered the best option.
Seahouses lifeboat meanwhile returned to station and was refuelled and ready for service at 8am.