As a followup to People with bad injuries and long transport times die in the back country also applies to in-town.

They may have not said it yet in your EMT class but not every patient is going to make it. Some patients will die regardless of how good your skill, how quick your transport, and how much equipment and supplies you use. This is really hard to learn. One of the reasons we go to school is to learn how to help and heal.

We don't hear or don't accept that we cannot cure all ills. You will have patients that are dead and stay dead. You will have patients near death and you cannot bring them back. It you stay in medicine long enough you will have a patient die.

Back country injuries are more likely to kill patients because of the severity and long transport times. Focus on the basic care and comfort the seriously injuried.