I guess the blood and guts are the typical EMS gore that everyone sees. After reading the other posts it broadened my view of what I will remember as the most terrible thing I have seen.
The 18 year old girl with a nasty case of Meningitis. I had never seen anyone with Meningitis who was this bad and still talking. She had been sick for a couple of days with the typical symptons, and by know was so bad that her airway had begine filling with blood and tissue. She was dead already, she just didn't know it. Her parents were at the hospital with her and I will always remember her crying to her mother telling her she did not want to die. Then she grabs my nurse (flight nurse) and asked her to keep her from dying. How do you look at a young kid you know is going to be dead in a few minutes, and there aint a damned thing you can do about it, and tell her the truth? We had to sedate and intubate her, so the last words to her mother were a crying plea of "mom, don't let me die".
Then as we are going out the door, the poor parents are there, looking at you as their kids savior.They are really crying now, even dad( which just breaks my heart when dad starts crying) because the E.R. doc has just told them their daughter probably will not live to see the end of a 15 minute helicopter flight. The parents give you the old "take good care of her, we know she's in good hands, you guys are the best around". She never made it to the recieving hospital.
I don't care how cold hearted you are, that is something that will stick with you forever. There was a long debriefing after that one. But it still stands out in my mind as the most graphic thing I have seen or experienced.