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IF SPEED BECOMES IMPORTANT, then all else becomes secondary. I said earlier that emergency life support in extremely critical circumstances can be thought of in tiers (usually 3), with the final element being a fully staffed and equipped Emergency Department. Ideally, progression between each tier will be as seamless as possible, with speed of execution always dictated by the relative stability of the casualty... so you'll see logistics are not so simple after-all. Sure there'll be learning points and areas identified for improvement in Sic's case, and be rest assured the biggest critics of the event will be those who actually effected it. Emergency medicine in critical extrication situations is not an exact science and it's not for the faint-hearted... and please don't argue with people like mikeycrf when they tell you... they know!