Say you went to another country for a 9day trip with 3up front for acclimatization. 6 days in 1 of your party gets very ill and you have to get him back to an airport for a return home. Logistics are shot what do you do?
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You do whatever it takes to get that person home. (Depending on the medical issue and the country it may be better to get treatment locally.)
In general one should be prepared to deal with these sorts of unexpected emergencies. It's hard to give specific advice without knowing details so the only advice I'll offer is to be flexible and do what's necessary.
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