I'm studying to become a paramedic in quebec city, Canada. One of our teacher told us: "Your worst nightmare is a MD on your scene." I was told that less than half of the MD keep their CPR up to date. I could easily imagine an OB-GYN on a car crash... Also, I was very touched by your account of the old person, alone. I met a lady, the other night in the A&E, actually pleased to be in the waiting room, so she could talk to someone.. Saaaad...