I skid down the side of the mountain the moment I see the crash. My trail runners burn rubber as I launch myself over a boulder to get to the victim, a 44-year-old hang glider who caught a gnarly gust of wind coming over Big Bear Lake. He is moaning and clutching his side as I ask his name to discern a level of responsiveness. He mumbles something about the fall, and I check his airway, noticing a large amount of blood in his mouth and a pale film of skin across his forehead. I bark directions at my partner to help me move him into a spine stable position, and she holds his head to ensure that we don’t further damage what could be a severed spinal cord. We check his vitals before performing a head-to-toe patient assessment in which we discover a sorely broken rib. As I frantically scribble the details into my notebook, we formulate a plan to get help before we move him into a recovery position so that he doesn’t choke on any of the blood he is coughing up. Then, we wait.

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