
Madison County, Va. — A Med-Flight 1 crew rescued an injured hiker on Old Rag Mountain Sunday, prompting a multi-agency aerial response.
According to the Virginia State Police, the rescue occurred around 12:15 p.m. on April 19, 2026, after a hiker suffered a head injury while on the popular hiking destination in Madison County.
Authorities said Med-Flight 1, based at Chesterfield County Airport, received the initial call at approximately 11:10 a.m. and prepared to travel about 80 nautical miles to the scene. An initial attempt to reach the hiker was unsuccessful due to difficult wind conditions.
A second approach, conducted from a different direction and altitude, allowed the helicopter crew to safely access the area. A Chesterfield County Fire and EMS flight paramedic was lowered to the ground, secured the injured hiker, and assisted in lifting the patient into the aircraft.
The hiker was then transported to the University of Virginia Medical Center for treatment. The severity of the injuries has not been publicly disclosed.
Officials said the mission was a coordinated effort between Virginia State Police pilots and Chesterfield County Fire and EMS personnel.
Old Rag Mountain is one of Virginia’s most frequented hiking locations, known for its challenging terrain and steep climbs, which can complicate rescue efforts.
The incident highlights the risks associated with backcountry hiking and the importance of rapid-response aviation units in remote areas.
For student hikers and young outdoor enthusiasts, the rescue underscores how quickly conditions can change on rugged trails.
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