Abstract
On one of my first scene flights as a flight paramedic, we were dispatched to a single-car motor accident with a possible ejection. We landed in a grassy field 10 miles outside of town near a county highway and were directed to half a dozen first responders gathered in a circle around the patient. Fifty feet behind us was a mid-sized blue car, resting on its top in the ditch. It was late January in rural Iowa, so what I remember most about this flight was the cold. It was bone-chilling, finger-numbing, freeze-the-IV-tubing cold, with a biting wind and a light dusting of snow on the ground.
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