A young, inexperienced ranger was caught between a protective elephant matriarch and her calf near a waterhole. He slipped, and in her panic, she trampled him – fracturing his ribs, sternum, pelvis, and femur, with a collapsed lung and a brain bleed. It took 40 minutes just to reach him. Our team decompressed his chest, splinted his fractures, and stabilised him on the ground for nearly four hours, guided by a doctor on the satellite phone, until an air ambulance could land and complete the evacuation. Against the odds, he survived.