You begin the level sliding. You can light a flare as soon as the level loads, but you'll need to be quick about it or you'll miss the next jump.
As soon as Lara reaches the red-lit section of the slope, jump to grab the concealed ledge above.
This screenshot shows the same part of the slope illuminated with a flare.
Once Lara grabs the edge...
...pull up to find a SECRET #1 (14/70), a large medipack.
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