I am a paramedic and, now, an RN student. Years ago, when I was a fairly new medic I went to a car accident on a country road, auto vs tree. The tree was about 200 yds off the road and the car had crushed it's front end in a major way. I had two pts. Man with pelvic pain and woman with head injuries. The mans pants were unfastened and he was "outside" his underwear. Turns out he had bilat fx of ischial loops. She had contusions to face, but no fx. I am surprised there was no bite marks involved. And now, I have to go to bed, I am due to work the ambulance at 8 am and it is now almost 130am; been reading the posts instead of sleeping.