>

Where I live, I unfortunately have to haul myself way across town sometimes to go see in-network specialists, and like you said, it's not the distance that's  the problem, but all the time in traffic. On the other hand, the nearest Level 1 trauma hospital is also operated by my health care provider, so if something awful happens, at least I know they'll take my insurance...
"blunt chest trauma" does not sound good. >

I believe that's medical speak for "had his chest caved in". Even if he survives (long odds to begin with) there's no way he ever does an action movie again. >

I've seen his snow plow. He'll be lucky to have all his limbs. >

What kind of machine was he running? >

Big beast for ski resorts. This is his exact model.
You can see it here >

Good lord.
All that money, why wouldn't you hire professionals to do that shit for you?
I hope he's alright. >

Here, no one does residential plowing anymore. Equipment costs too much and no real profit. >

Wow, it's gone the opposite way here.   There are so many guys with loaders doing driveways now and you have to set it up before the end of summer or they'll tell you they already have their limit of customers.    The people out doing their own driveways has gone down so much in the last 10 years.   It's a small mining town of maybe 12 thousand in northern Canada with long brutal winters, and everyone is making (maybe too much) good money.   So this place is probably it's own thing. >

I read in a different article that he had run over his leg and lost a considerable amount of blood and that a neighbor (a doctor) did a tourniquet until REMSA could get there. Being in Reno there  are only two hospitals and the one with airflight is Renown which is a very good hospital (unfortunately have been there many times and not as a visitor). The area where his house is at is really steep and the road getting up and down from the valley can be really treacherous this time of year. >

i too live in a pretty remote part of the country (my nearest neighbor is a mile away, nearest hospital is almost an hour trip) and this is one of the lingering concerns - especially on a ranch or farm, etc
getting hurt (really hurt) and being hours away from an emergency room is one of the major drawbacks of all this peace & quiet >

I’m “only” 20-30 min from civilization and a hospital but man is having an emergency out here an especially scary thought. >

I live in an urban area, about 5 miles from multiple world renowned hospitals. I still think it would take about 20 min to get there.....traffic, Intersection 
s and such. 20 min for me to drive.... I dunno what it would be if I grossly exceeded the speed limit and ran every stop sign and red light... Haven't tried it) 
Just saying, time is the major factor, not distance....
(not to mention, even in a dying state, I would turn half the "world renowned" hospitals down because they're not in my insurance group. But the other half are...)