The New Zealand Air Ambulance Service and Skyline Aviation were kept busy with multiple missions on Wednesday night.
That included a trip from one end of New Zealand to the other, and a flight to the South Pacific on a critical life-saving mission.
NZAAS managing director Annabel Toogood said they were tasked with multiple complex international and domestic life-saving missions within the space of an hour.
"One of our critical care teams departed directly from Napier to Suva at 9.50pm on Wednesday to save a 19-year-old male with a severely compromised airway.
"He was flown directly to Auckland hospital in our recently commissioned Cessna Sovereign jet, arriving there safety in the hours of Thursday morning."