Giacomo Strapazzon, Deputy head of the Institute of Mountain Emergency Medicine, and Oliver Kreuzer, a flight paramedic with Air Zermatt, join to discuss cutting-edge wilderness medicine. They dive into canyoning incidents, emphasizing new guidelines and the complexities of patient management. Strapazzon shares insights on avalanche rescue and hypothermia, while Kreuzer compares helicopter rescue techniques across the Alps, the U.S., and Nepal. Their experiences highlight the necessity of proper training, equipment, and risk assessment in these high-stakes environments.