I am a long-time search and rescue technician in Colorado. I got my ham license expressly for SAR work. The short answer is that amateur radio works great in some locations; not at all in others. We use a combination of emergency services radios, amateur radio, and cell phones. We have satellite phones available but I don't recall ever using them.
Personally, I would recommend a SPOT beacon. The newer ones allow you to signal a 911-level emergency, a non-emergent help signal, or an OK signal, along with GPS coordinates. They are lighter than ham HTs and will work in more locations.
"Can't you just gesture hypnotically and make him disappear?" "It does not work that way. RUN!" -- Hadji on metaphyics and Mandrake in "Johnny Quest"