My very first call as a paramedic was an mva. One vehicle into a tree at 100+ mph. The car actually hit the tree roof first, since it was in the process of rolling. Both the hood and the trunk were touching. It took 20 mins of extrication along with two wreckers to get the 14 y/o driver out of the car. She was a full trauma system entry. Fractured ribs, pulmonary contusions, fractured liver, ruptured spleen, shattered pelvis and the standard extremity fractures.
Definately had me wondering if I was ready for this job!!