This training was conducted on the East Wall at Arapahoe Basin in Summit County, CO at the average elevation of 12,000ft above sea level. The purpose of this training was to locate, stabilize, package and extricate a hemodynamically stable patient using rope rescue techniques for the high angle (over 40 degree sleep) environment. Patient care objectives included but were not limited to: monitoring and assessing a patient in a Stokes litter, stabilizing an isolated orthopedic injury (splint, dress wounds) and monitoring GCS for a period of 2 hours or more. Other skills included crew resource management, communication and technical rope rescue with a static system safety factor of 10:1.