This session provides a practical, evidence-informed approach to trauma assessment and stabilization in remote or resource-limited environments. Participants will learn to rapidly identify life-threatening injuries, manage common traumatic presentations with limited equipment, and adapt standard trauma principles to wilderness and austere settings. The session emphasizes improvisation, environmental considerations, and decision-making when definitive care may be hours away. Realistic field scenarios and case-based discussion will help learners build confidence in managing fractures, dislocations, soft-tissue injuries, and multi-system trauma when “you are the only help for miles.”