I actually spent a month out in that area and rode a few of the air ambulance evacs.

Most of those villages are air-only for quick transport. Snow mobiles or quads locally, sometimes a few vehicles. Literally, those community health aides are a cross between paramedic, nurse, and sometimes physician as well. Works out suprisinly well.

As for reckless parenting ...

Well, "oops" happens. And there's a bit of difference in that you can't exactly fall off a village ...
Besides, scrambling a helo is a heck of a lot cheaper than a frigate.