PHILIPSBURG, St. Maarten (AP) — A medical emergency flight crashed near the Dutch Caribbean territory of St. Maarten on Saturday, killing all four aboard, including a honeymooning cruise ship passenger from Cyprus who suffered heart trouble, officials said.

When aviation missionary Gaston Ntambo receives a call for an emergency medical flight in the Democratic Republic of the Congo, he must first get permission to fly to neighboring Zambia to obtain fuel.

Care Flight helicopter officials and firefighters from local agencies worked together to practice in case of a real emergency Friday (May 11) in Eagle Nest.