Dispatch: "Unit 2, respond to Highway 61 at mile marker 44 for a two-vehicle MVC. One patient with chest trauma. Fire is on scene."

Scene: High-speed frontal impact. Patient is a 28-year-old male, restrained driver. Airbag deployed. Steering wheel deformed. He is conscious but in severe distress.

Patient: "I can't breathe... it's getting worse..." He is pale and diaphoretic.