I think we may be talking about different things. When I originally said "emergency comms," another way to say that would be "ad hoc communications in a disaster scenario." I was imagining coordinating teams and disseminating information in a scenario where typical radio stations might be damaged or otherwise unavailable.
It seems that when you say "emergency," you're imagining a person who needs immediate medical intervention. For that purpose, I agree that I wouldn't rely upon LoRA technology unless it was literally the only viable option.