Highest fall I've treated was a 20 y/o female who was dancing on the rooftop of a warehouse in Oakland a couple years ago at a music festival (no, they were not supposed to have climbed on top of the warehouse for a better view of the stage). She was a bit, um, impaired, and managed to fall through a glass skylight 50 feet to the bare concrete floor below. My partner had to scale a fence and break a window to get into the warehouse (and let the rest of us in), and we worked on her for about 10 minutes until the ambulance crew could get the gurney through the festival crowd and into us.
She had broken ribs, a collapsing lung, in and out of consciousness and a few other less important fractures. She survived, but if my partner hadn't been so quick to get in there and let us in, there's a good chance she would have died because of the lung going down.
(My partner that day is now in the Navy -- she is currently on an aircraft carrier at sea, working as an Air Traffic Controller).