I had to make an emergency run from Anegada to Peeples hospital (Tortola) 6 years ago (early AM run). I coordinated with VISAR in case we thought we needed to get the crew person there quicker (I was on a 514 power cat). They are excellent to work with and would encourage anyone feeling charitably inclined to consider donating to them. Peebles was also excellent. I did modify my captains briefing after that to ask if "anyone has any medical issues I should be aware of"....
Can you bring a portable AED?