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Three exceptions to prove the rule:

Transported one of a multiple victim shooting from a drug deal, this one had been shot in the head with a 9mm. A chunk of cerbrum about the size of my fist was laying next to him. He was conscious and was back on the streets in a few months.

Call came in as a wreck (truck vs. pole). It turned out that a fairly heavy biker type had been shot center mass with a .45. Turned out it poked a hole in his right ventricle. Remained conscious the whole time though he was creeping into shock. Survived and wrote me a letter.

Call for a man down at an intersection. Had one small caliber (turned out to be a .22) entry in the right glute and was DRT. We rolled him over and his abdomen was all sorts of colors. The ME at the scene surmised it glanced off of the pelvis and piffed his innards.