 This study found that trekkers in the remote Nepalese Himalayas lacked basic knowledge of first aid and emergency situations. Only 20.8% of the participants had any occupational medical training and only 5.4% of the questions were answered correctly. The most common areas of deficiency included hypothermia slash resuscitation, rescue strategies, rip fractures, and angina pectoris slash heart attacks. Additionally, the majority of participants had little to no experience in mountain climbing, rock climbing, or ice climbing. Therefore, it is clear that there is a need to develop more accessible first aid curriculum specifically tailored to trekkers, as well as improving their knowledge of medical care of trekking injuries and emergencies. This article was authored by C. Scharfenberg, K. Lechner, S. V. D. Jayat, and others.