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Stay still, don't try to walk on it! Let me take a look. Is it your left or right ankle? Can you move your toes?

That's a good sign that your toes can move. I have a first aid kit in my backpack. Let me wrap it with a bandage to stabilize it and reduce the swelling. I'll apply some ice from my cooler too. Do you have anyone with you?

The signal is spotty here, but it gets better near the trailhead — about half a mile back. I'll help you get there. Can you lean on me and hop on your good foot? Or I can go get help and come back for you.

You should definitely get an X-ray to rule out a fracture. The urgent care center is about 10 minutes from the parking lot. If it's just a sprain, they'll do RICE — rest, ice, compression, elevation. Let's get you moving.

Help is on the way. What's your exact location? Is your friend wearing a helmet?

Okay, the ambulance is about 5 minutes away. Keep him still — don't move his neck or head. Apply firm pressure to the wound with a clean cloth to slow the bleeding. Is he responding to questions?

The confusion could be a sign of a concussion. That's why it's important he stays still. Keep talking to him — ask him his name, the date, where he is. If he vomits or loses consciousness, let me know immediately. The paramedics are almost there.

We'll take it from here. You did a good job keeping pressure on the wound. Can you tell us what happened — how fast was he going, and did he lose consciousness at any point after the fall?

Yes, you can ride along. We're taking him to St. Mary's Hospital — it has the best trauma unit nearby. Bring his ID and insurance information if you have it. We'll stabilize him on the way.