The author serves in a resource limited and logistically challenging rural district hospital in the state of Sarawak, Malaysia. Transfer of patients requiring higher level of care to our nearest referral centre can only be done with 3 hours of boat ride or 1 hour by helicopter. Subspecialty centres, like our cardiac centres, are located even further away and can only be reached directly by helicopter service. We recently encountered a case of a patient admitted into our ward diagnosed to have an acute onset of cardiac tamponade via point of care ultrasound (POCUS) performed by the author, a non-radiologist. Including the author, only 2 out of 10 medical officers in our hospital receive formal training in delivering POCUS. This case report serves to emphasise on the training, utility and benefits of POCUS to frontliners serving in austere working environment.