My first call as a Medical Responder was an MVA where the wife was driving and ran a stop sign. Husband and son were thrown from the van, which was tboned on driver's side. Passenger sliding door and front door pop open and husband and son are ejected. Husband was dead on impact, son died on the way to the hospital. They were not wearing their safety belts.
Wife is fine, physically.
Not so sure about emotionally. The guy finally said his buddy was telling to many jokes and he was laughing to hard. First run as a paramedic was a cardiac arrest, I thought to myself nothing like testing the water head first. It was a serile experience. Turns out that she had some kind of multiple personality disorder and changed personalities around twelve times on the way to the hospital.