Presentation Summary: Mountain medicine tailors traditional medical skills and applies them to the wilderness and other austere settings. This case study based lecture discusses the many realms of Search and Rescue (swiftwater, high angle, cave, avalanche, etc.) as well as other remote care settings and discusses medical adaptations that must be made in each to optimize patient care and minimize risk to the patient and rescuers. Presentation Objectives: 1) Describe the realms of Mountain Medicine and Search and Rescue. 2) Acknowledge medical considerations in each of the varied settings. 3) Discuss remote and prolonged medical treatment options and evacuation strategies.