I had a patient in the backwoods once during a bike race. I went out in our ATV to get to her. Misdirection, and a lack of proper signage made my finding where she was incredibly difficult. Up one path, into a pasture to find a way over, double-backing, and then I finally found the correct path to take. But yes, the sweaty palm syndrome started. I knew she had a head injury and a possible c-spine injury. Every second *can* make a difference. It was going through my head over and over as I was looking for the way to get to her. I finally got there, and we got her treated and transferred, but it wasn't nearly as quick as it should have been, IMHO.