Video footage shows lifeboat crews rushing to the scene after reports of a man suspected of having a stroke on the Isle of May.
Both Anstruther lifeboats set off at 5.18pm on Thursday after reports of a casualty on the beauty spot.
Both boats launched and made their way to the island, five miles east of Anstruther. On arrival, the volunteers from Anstruther assisted in caring for the casualty while the Coastguard Search and Rescue Helicopter based at Prestwick made its way to the scene.
The helicopter arrived soon after and the casualty was transferred to Edinburgh Royal Infirmary.
Coxswain Michael Bruce said: “With reports of the casualty having potentially had a stroke, it was key that we made our way to the scene as quickly and as safely as possible.
“With the helicopter based some 90 miles away in Prestwick, it was key to have our all-weather lifeboat on the island as a secondary evacuation option.
“Gladly, the helicopter was available and was able to assist the gentlemen with transfer to hospital for further care.”
The lifeboats returned to station and was made ready for service around 7.00pm.