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My first aid has pain killers, fire starter, an emergency blanket, stuff to try and stop a bad bleed, and a SPOT. It isn't that big and doesn't weigh much at all. Overall, I figure you can ride it out, or you're in the s**t and need to do something drastic while you wait for the chopper.
The exception are big chunks of flesh being open. You aren't hitting S.O.S., you aren't bleeding to death, nor do you want to drip all the way back to the trailhead. I've had and seen a few of these over the years and have appreciated having my first aid every time.
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