It is amazing how many people just don't get that an ambulance isn't 15 minutes away.  I guess it's good that we take that for granted at home & work, because it means that EMS is available and pretty darn dependable.  Some people just can't seem to figure out their surroundings and don't stop to think, "Gee, I'm going someplace where proper medical attention may be at least 24 hours away." Marlin, I'm glad you and crew were there to assist.

Regardless of planning, sometimes **it hits the fan.  Oh, and if you completely destroy an ankle in a fall, I recommend tent poles & duct tape and lots of pain killer.  Worked for me.