Casey was in pain and cold, sitting in wet board shorts, for the entire 2 hour trek back to the harbor. As we neared Bartlett Cove we were able to radio in the emergency and the Harbormaster responded with three options; (1) having a nurse practitioner waiting at the dock upon our arrival, (2) a bush plane flight to the Juneau emergency room and (3) a MedEvac to Juneau, Anchorage or Seattle.
Casey admitted that the third option sounded ridiculous and even the second option sounded a bit unnecessary, so we asked to have the nurse meet us at the dock.
About 5 minutes later, we received a call on the radio that the nurse didn't feel comfortable handling his shoulder and the next option was a 4:00pm bush flight to Juneau for ER care.
Within a few minutes, Casey and I were sitting in a Ranger truck, heading for the Gustavus airport, on the other side of the island.