Nine doctors and nurses from the Isle of Man have been trained to use a helicopter in bad weather.
The team from the Island's Air Ambulance service travelled to North Wales to train with the Sikorsky S-92 helicopters.
They're operated by the UK’s Search and Rescue Team and used by the Isle of Man in poor weather conditions including high winds and fog.
When needed the helicopter can be requested at any time of the day or night and will be at Noble's Hospital helipad within 60 minutes.
Doctor Kate Teare is the Medical Lead for the Air Ambulance team – she says: "Although we only make use of the helicopter when we have a patient who needs urgent life-saving treatment, and the weather makes other aircraft unusable, it's vital that the team are fully trained and ready to go.
"Working in one of these aircraft is completely different to any other environment.
"It's very noisy, often turbulent, and with engines running and rotors still turning, so we need to make sure that all the medical and nursing team are comfortable working in these kind of conditions.
"We don't use the emergency helicopter service that often, but whenever we do we can be sure that the team all know their jobs and can focus on delivering the highest standard of patient care."