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57yo Rigoberto Mollina Rugamas was rescued by the Comandos de Salvamento High Angle SAR team after falling down a steep bank in Cuscatancingo. The rescue was challenging with the litter due to the length of rope needed. The steep bank was over 100 meters in length. Due to various injuries to his upper extremities and thorax, the patient was immediately packaged and transported to higher level of care.