Recently, I responded to a call in the rural Adirondack community where I volunteer on the Ambulance Corps that involved a pickup truck and an 8 year old on a State Highway. I’m somewhat of seasonal on the squad and most of my calls are miles away in “suburbia” outside a city that are mostly medical in nature, so needless to say the adrenaline got going as I acknowledged the call. I met the Ambulance as the driver arrived, I’m an EMT-B, and proceeded to the call. Other members were responding directly to the scene. The “scene” was a State Highway and when I got there others were arriving and there were numerous family members and pedestrians milling about, I immediately assumed stabilization of the head and c-spine as our Medic was beginning the patients physical exam. As we were preparing to log roll our 8 year old onto the back board I had the sudden realization that I am kneeling on a State Highway in the oncoming lane WITH MY BACK TURNED TO ANY TRAFFIC AND EVERYONE IS FOCUSED ON WHAT WE ARE DOING! I calmly asked “is anyone watching or backs for traffic? The answer, quickly and confidently came back “YES”. I needless to say felt relieved as I continued and we continued our patient care. But this reminded me of something my “paid boss in suburbia” recently said at a CME class, that if “something doesn’t feel right, it probably isn’t”! Situational awareness is very important and when the adrenaline is flowing and your heart rate goes up, it is said that the IQ goes down. So, slow down, think, if it doesn’t feel right it probably isn’t and SPEAK UP for the safety of your team and yourself. I guess this was MY close (wake up) call.