Our rotor wash swept the asphalt road clean as we landed three hundred feet south of the wreck. I grabbed our airway bag and Cindy, the resident MD, stumbled out of the aircraft after me, trauma bag in hand. I looked back to check her progress out of the aircraft just as she stumbled and nearly fell. This is going to be a long day, I thought. The incident scene commander was a crusty, seasoned old guy chief of the volunteer fire department. The “whop, whop” of the aircraft behind us beat time as I approached him. He stood in the roadway with his clipboard in his hand. “OK Chief!” how many patients do you have for us?” I asked. He looked visibly shaken and replied with, “Eighteen victims.” I glanced behind him to the scene spread out on the road: a van, the glint of metal in the sun and a yellow tarp covering what was the driver’s door of the truck. Sobering at best! “OK, let’s get started.” I looked back for my partner and found her hunched ov
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