The woman, whose name was not disclosed, lost control of her car on Oct 12 on a rain-slicked road near Wickenburg, Arizona, about 105km north of Phoenix, according to the Arizona Department of Public Safety.
The car plunged about 15m down a ravine, "landing in a mesquite tree, where it remained suspended above the ground", DPS reported.
Seriously injured from the crash, the woman remained in the car for several days before climbing out and trying to walk to a nearby railway line for help, the DPS reported.
She made it more than 450 metres before collapsing in a dry river bed.
On Oct 18, rancher Dave Moralez, 30, and a road maintenance crew were working to corral a cow on US Highway 60 when they noticed a break in the fence near the road.
They saw the mangled car below, and when they climbed down, found footprints leading from the vehicle.
They followed the tracks and discovered the severely dehydrated woman, her eyes swollen, wearing a T-shirt, shorts and flip-flops, suffering from broken ribs, a dislocated shoulder and a head injury, Moralez told a local NBC affiliate.
"I don't know if she could have made it there another night," Moralez said.
Rescuers called for a helicopter and the woman was airlifted to a hospital.
DPS Director Frank Milstead praised the highway workers and the rancher.
"Due to their outstanding efforts, this woman’s life was saved," he said in a statement.
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