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: