Send us Fan Mail If you think wilderness first aid is only for people deep in the mountains, I want to challenge that. The real trigger for wilderness medicine is time, not mileage: when definitive medical care is more than an hour away, the rules change fast. A major winter storm, downed trees, washed-out roads, and a long EMS delay can turn your own neighborhood into a remote first aid situation, and suddenly you’re the highest level of medical care available for your family and neighbors. ...