At 19:23 on July 27 the Alaska State Troopers were alerted to reports of an adult female who had rolled an ATV on Kashevaroff Mountain and sustained injuries. KISAR was contacted and a response initiated. KISAR member Nick Szabo began contacting KISAR members to determine availability. KISAR member Lydia Cullum arrived at Bayside Fire Hall and received additional information from the Emergency Department that the patient had altered mental status due to head trauma and possibly multiple orthopedic injuries. At 20:07 Cullum volunteered to go ahead of the rest of the KISAR group as a hasty team to provide medical assistance. In route to Kashevaroff, Cullum was contacted by Trooper Boyle who was on scene and was given details of the patient’s condition. At 20:35 Cullum was at the trailhead and met Trooper Walsh and Women’s Bay Fire volunteers that offered a “go bag” of medical supplies. Trooper Walsh provided ATV transportation to the site of the ATV rollover (57.6883°, -152.5828°). At 20:48 Cullum arrived on scene. An adult female was found lying on her left side under an emergency blanket. A quick trauma assessment was completed identifying multiple possible injuries. The patient was placed in a c-collar, a splint was placed on the patient’s right hand, and the patient was kept in the position of comfort on her left side. A helicopter extraction was determined to be the best option given the possible extent of the patient’s injuries and the level of discomfort she was in. Trooper Boyle initiated contacting the Coast Guard at 21:03. The rest of the KISAR team including Doug Dorner, Paul VanDyke, Steven Wielebski, Michael Gibbs, Kyle Setta, Shea Long, and Chris Bruno arrived at 21:10. Maintaining c-spine precautions the KISAR team lifted the patient into the KISAR Stokes basket. KISAR coordinated with the Coast Guard via radio communications to determine the best method of extracting the patient. KISAR members carried the patient in the stokes basket to a location 60 feet below the accident where the helicopter could partially land. The KISAR team loaded the patient directly into the helicopter at the direction of the CG rescue swimmer. The KISAR team hiked out with the patient’s family and Alaska State Troopers. All members were off the mountain at 23:18.