In Alaska dry camping. Wife stepped off the rear platform of the TC and landed on the gravel/rocks below. She screamed loud enough that the hikers on Denali could have heard her. ER was two hours away. When finally made contact with ambulance service, story was, $2000 to run her to ER. No ambulance ride for us. Distant relative agreed to take us to ER for $100, full tank of gas, and lunch in a restaurant.
Released from ER after several hours with only 5 broken ribs. Good enough for it could have been worse.
Moral of story: don't try to back down the steps with your hands full of stuff, without looking where your feet are being placed.
Lesson learned, the hard way.........
Lakeside