I have only helped out in one serious accident. I was the first one at the wreck. I have had a fair amount of first aid training in my life. The driver had pretty profound injuries but was breathing and unconcious. No copious external bleeding.<br><br>The car was wrapped around her and steam was comming up from underneath. My biggest fear was that fire would break out and I would have to make a decision to try to move her. This lead me to the following conclusions. <br><br> I didn't have a fire extinguisher, but I needed one. I also needed a large pry bar, cell phone, hammer or punch to break windows, and an emergency knife in the car to cut seatbelts. <br><br>I personally fear being trapped in a car wreck. I have though about buying one of the all in one contraptions or the seatbelt cutter thing. I know how nervous cops get when they find a big knife in the car. They get shown too many edged weapon films in training, so I know I need to replace it with something nonthreatening.