I'm a nurse practitioner but I currently work in palliative medicine (meaning my patient population has a life limiting illness already) thus my skills are a bit dusty although I have thumped on a few chests in my time:D. I used to work as an RN prior to becoming a CNP at grant hospital which is a level one trauma center. I don't go on rides tho on twisties anymore but the other medical professionals that do are more than qualified to handle CPR, Cspine, etc prior to arrival of medics.