Time and Distance:

Urban:

Wilderness:

  • Beyond the golden hour - the "golden day"
  • Delayed notification, may take hours
  • Delayed response/evacuation - hours to days

Environment:

Urban:

  • Short-term exposure, minimal weather concerns
  • Easily controlled environment

Wilderness:

  • Long-term exposure and weather concerns
  • Dramatic impact on patient care

Hazardous Terrain:

Urban:
Mininal, easily overcome with abundant resources

Wilderness:

  • Unavoidable rough handling of patient
  • Difficult footing and terrain - may require specialized equipment and rescue skills

Specialized Techniques Not Common in Prehospital Care:

Urban:
Rare, usually not necessary

Wilderness:

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