The SMUR deficiently has the standard procedures to deal with the car crash subjects, but the article didn’t really mentioned. Even the SAMU ambulance was well equipped, the onsite treatment before taking the patient to hospital for advanced treatment still seemed to be a little bit too long for me. Since the accidence was happened inside France, the SMUR model should be applied to the situation. There was no medical error for the immediate treatment, only different approach. We will never know whether the SMUR change their accident model to more U.S. model could save the victims life, but maybe there should have something be done by combining the strength of the France SMUR and U.S. emergency protocol.