In this engaging discussion, Aaron Reilly, an expert at the International Mountain Medicine Center, presents insights alongside Susanne J. Spano, who focuses on wound irrigation techniques, and Cindy C. Bitter, a specialist in burn injuries. They delve into innovative improvised medical practices in wilderness settings, the new avalanche resuscitation guidelines, and personal anecdotes about rock climbing injuries. The conversation also highlights the importance of training programs like the Nepal Diploma in Mountain Medicine and their impact on enhancing emergency response skills.