"If people "only" brought what was really needed in the back country we would all be UL…"
You take what YOU want and I'll take what I NEED. I have a feeling that my needs are stronger than yours-especially so in first aid kits. I have used everything I carry at some point. My first aid kit causes pauses, yet I have exactly what I need. And I share OFTEN with others due to this.
The many things I carry and have used?
Antihistamines: arm blew up like a party balloon after being stung.
Blister care: 1/3rd of my kit is blister care. I use it daily. I blister easily no matter the shoe.
Ace bandages: I have given a number of these away to people hurt. Cheap, light and they work for limping to the trail.
Dental kit: I had a filling shrink on a flight and come out while hiking. Kit saved my mouth from horrid pain. I also carry a repair kit for crowns. I didn't spend the equivalent of a car to have it wrecked on a trip…as of this Tuesday I will be carrying a repair kit for my braces as well.
Clear IV patches: these clear waterproof patches covered the top of my feet after my skin was rubbed off. Kept flies out of my wounds.
Sewing kit: Sewn torn clothing/gear at night. Used to puncture blisters.
Anti-diaharea meds: They could save your life. You don't EVER want to risk this. Diahrea can kill you very easily, especially in the desert.
Migraine meds. I don't have to explain this.
Nausea meds.
Burn medication. I have seen some bad scars from burns in my life and don't need to ever see any more. Burns getting infected are awful.
An extensive bandage collection: Kid took a face plant and ripped up both legs and hands while hiking. The cleanup also involved the next item:
Prep wipes. And:
Ointment.
Liquid Bandage: Don't leave home without it. Waterproof sealing of wounds. The huckleberry bush that impaled my knee this past summer hurt very bad. It left me with an open wound I cleaned up with above wipes, let dry and sealed.
Small ice pack, one use. Has worked wonders for when I had rock roll into my ankle.
Painkillers: Wide range from Tylenol, advil, kid ones and prescription. All used widely.
Gloves: I will do whatever I can to help you, but I WILL protect myself from you.
And I could go on and on. If there is one thing I have learned over the years is to be prepared as best as I can be. I will cut corners where I can but not in first aid. I might add that my husband's first aid kit makes mine look downright UL. He did trail patrol for a good amount of time and did carry items like splints. He still does.
The amount of first aid gear we have given out in the past 5 years shows how woefully unprepared people are. And yes, I myself have been caught unprepared! I have run out of blister care and had to bum off of other people and was not proud of that.
As for the person with the twisted ankle? Sure, first aid applies here: with an ace bandage and others to help support them they could have hobbled out. They simply didn't want to. They wanted to be rescued. Does that make them poster children for UL? I would hope not!