It’s no secret that mining, whether underground or openpit, presents complex challenges in providing timely and capable medical treatment for workers. This is especially true in remote, fly-in, fly-out locations that are often 160 km (100 miles) or more from a Level V or above trauma center or hospital. The U.S. Mine Safety and Health Administration (MSHA) has minimal requirements of first-aid training for mine workers. With the ability to provide tertiary advanced life support (ALS) from paramedics, Remote Medical International (RMI) is one of the companies that contracts with mine operators to fill this critical role. Founded and headquartered in Seattle, WA in 2003, RMI provides onsite health and safety services to workers across industries such as mining, oil and gas, renewable energy, manufacturing, construction, maritime and even entertainment. With clients across the globe, and as the company’s name indicates, reaching remote and diverse worksites, RMI provides medical and safety staffing, risk management and now critically important COVID-19 services to workers who would otherwise be at risk or unable to access urgent and necessary medical treatment.