I'm in Pennsylvania where rural = practically non existant/ laughable hospital facilities. Given our experiences while at "major" hospitals locally, I plan all hiking/camping by proximity to major hospital and cell service. And of course food, epis and wipes!

I would bring a spot locator - most outdoor shops can tell you where to get one, and you an rent them from many places too.  This is a beacon that can be activated in emergency, is registered with local authorities, and will come with a response plan (or you can request one).  Some remote rescue organisations here will take down your information ahead of time (i.e. anaphylaxis) and tie it to your beacon number so they come prepared.

In all fairness, I would bring a spot locator on EVERY back country hiking trip where cell service is not available and EMS is not readily available.  (Regardless of health histories of people involved.)

I consider that the food-allergic Hitchhiker's Guide item number 2, myself.  Forget the towel-- carry wipes.   

I don't know, but she would have contaminated them while putting them on.

Anyway--wipes. Take wipes aplenty! 

It's not protocol for EMTs to wear disposable gloves?  Oh my gosh, I can't imagine the PA stress on top of the accident stress.

I would but would take these precautions:

--three Epis on FA child
--two Epis (or more) with each parent in case of any separation.
--everyone's food with you
--no one eats the allergic food 24 hours in advance (probably not a problem).
--still take cell phones (obviously) with chargers


Are there ranger spots along the way? I would map those out and also make sure FA child has a copy of a map with those spots on her person.

Wipes. Wet ones packets on person and on allergic child's person.

It may seem obvious, but this is why I add it:  on the day of DS' accident when we had to travel an hour to Charlottesville by ambulance, the EMT in the back with DS and me pulled out a PB cracker to give me because I hadn't eaten anything (I didn't ask for it--was not hungry). She had no wipes. I had a used wipe in a oacket.

DS' injury was in his mouth. It was her duty to reinsert something into his mouth ahoukd it fall out, reaching back into his mouth with her hands. I told her I had that job now, nor was she to remove the electrodes on his chest when we arrived at the hospital (which I had to give them directions to btw). Anyway--yes I had to remove things before they took him from the ambulance. Inept EMT! 

Anyway--yeah, wipes. 

We've been looking into something similar for the Hoh Rainforest, Crater Lake, Mount Ranier, Wolf Haven.  The plan is to know our air ambulance procedures, plans for financial management on being air lifted out, and communication devices like ham radio at least in the car or a repeater or booster for cell signal.  I bet Janelle would be the grandmaster SOAK on this and will be watching for her response.

Would you risk hiking down to Phantom Ranch at the bottom of the Grand Canyon with an anaphylactic allergy? Or other remote places where you won't have cell service, an ambulance, or quick medical assistance? People must. But it would take planning for food, and enough epis kept at the proper temperature.