EMT, Paramedic and Firefighter speak for requesting dispatch send a medevac helicopter to the scene right away.
When we got on scene of the MVA yesterday, it looked really bad. The patient was heavily entrapped, the fire department started extrication and called county to have them flythe bird.
Short-hand for the word floccinaucinihilipilification, meaning the estimation of something as valueless (encountered mainly as an example of one of the longest words in the English language).