The cast of

In a shocking end to the first episode of the new USA reality TV series Race to Survive Alaska, competitor Esther Sunderlin’s life hangs in the balance as she tells boyfriend Brett Gatten that she is “dying.”

Scorching temperatures and brutal terrain push the teams to the brink, but Sunderlin’s body is having an especially hard time with temperature regulation. While she tries to push forward, stumbling along the trail, her body finally gives out. Producers have to call in medics for her dramatic and harrowing departure.

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