How do you account for oceans?
See the 3rd response... https://www.airliners.net/forum/viewtopic.php?t=119921
The view coming in to Keflavik, with whales swimming in the ocean below, was pretty cool.
Airlines have contracts with companies who provide a sat phone link to doctors who have the flight information and medical facilities at possible diversion airfields. Eg MedAire.