On November 10, 2018 at approximately 2:45 pm, the Coconino County Sheriff's Office received a 911 call about a climbing accident at Oak Creek Vista off of State Route 89A. Multiple agencies responded to assist in the rescue of the injured climber. A 34-year-old female from Phoenix, AZ had sustained multiple serious injuries, including a back injury, when she fell approximately 40 feet as she began her rappel. Due to the location of the patient and the nature of her injuries, Coconino County Sheriff’s Office Search and Rescue and Sedona Fire District Technical Rope Team members established a technical rope system to lower a rescuer and basket litter to the patient. Highlands Fire and Guardian Medical personnel, along with a Deputy Sheriff, had hiked to the patient’s location to provide initial treatment and help prepare the patient to be raised by the rope system.