Have flown some pretty decent traumas, but nothing that even approaches my top 10. The closest was a forty-something guy who was driving a (small) car that was hit by a dump truck. It was a pretty impressive scene, especially from 1,000 ft. We had to land in a field and wait for fire to finish cutting he and his wife out of the car. When we got him he was that nasty grey-white color and both legs were shaped like the letter S. (for all of you non-medical folks... thats FUCKED UP!) We didn't intubate him, but gave him beaucoup pain meds and a shitload of Jet A. I mashed on his chest and belly and didn't get so much as an ouch. He was stable, just looked like shit on a stick. We dropped him at the trauma center (not mine) and that was that. We found out later that his insides were completely smashed. Liver, spleen, kidneys all shot to shit, his legs were the least of his problems. (at least this explains his color) Last I heard his family was being called to take him off of life support.
My last patient was 3 weeks old with a congenital cardiac abnormality. If we left her alone she was ok (sort of) but if we did anything with her, like try to start an IV, she would 1) scream like hell and 2) drop her O2 saturations to 60 and turn blue. Let me tell you, there is nothing like calculating resuscitation drugs for a 3 weeker at 1200ft enroute to the hospital. She made it to the PICU ok, but will probably have surgery sooner rather than later.
I will say this, my perspective of "sick" has definitely been altered. There is some crazy shit out there!
So I have the serious vacation "itch." Feeling the need to run away somewhere warm. I just need to convince the cop to say "fuck it" and take a long weekend somewhere tropical. Any suggestions????
Flying again next Friday. May pick up an ED shift in the meantime.