There is the Orion Safety Products Blaster Horn. I have not heard the sound. If it sounds like an air horn, well, in the mountains people may assume "you" are playing around.

In fact, three whistle blasts, three blinks of a light, three flashes of a real marine signal mirror, with a sighting opening, are the universal distress signal. Three flashes of a shard of a mirror, if seen, is also a universal distress signal. The sighting mirror only allows better aim. Fire a gun three times, if the three shots are heard, people nearby will get in their truck and drive up in the mountains. No one really expects an SOS signal. Three is the universal distress signal.

It is also possible to carry a large blaze orange plastic sheet, presumably to put on the ground. If there is any chance of small airplanes up or helicopters in the air, this is a worthy signal. In some places, small airplanes and helicopters are routinely used for search. This is the best place for this type of signal.

I like orange smoke. It is not likely people would call 911. However, people might call 911. Forest fires have had that effect on people noticing any smoke. I would never however use white smoke. This is a crime. The fine is enormous. My bet is on orange smoke.

There is now land orange smoke made available to the public called Orion Orange Smoke Signal. Nevertheless, do not put it on something that could burn.

Any and all signaling is a bet.

People tend to pay no attention to universal distress signals.

I would like to carry a satellite telephone like this one. I want to carry a gps personal locator beacon. I would also like to have a PSK31 automatic and manual input gps beacon, for radio amateurs.

I have been an advocate of PLB's for land use, restricted in the past to pilots.
SPOT Satellite Messenger looks good.

I do carry signaling whistle, signaling mirror, and orange smoke canisters, because someone may help.

A loud whistle is better than shouting, and becoming exhausted.