I actually have one...Being an EMT as well as sailor, I find the oxygen wrench/window punch handy...afterall, it is called the Combat Life Saver. The swing out line cutter is interesting but I find it almost useless. The big thumb studs are awesome in cold weather/wearing gloves and so is the lever for the liner lock. The one thing I do hate is the finger coil. It doesn't fit my hand. But for less than 60 bucks, it is perfect for my EMT kit. I wouldn't mind if it got lost or contaminated; I would just replace it. I don't mind the serrations either as in an emergency, it is nice to have the saw option; you never know what you are going to have to cut and if you ruin it hacking through, let say, some thin aluminum or something, who cares, right? It is decently built and mine has no blade play whatsoever. So, my opinion is that it is fairly cheap, does it's job and you can throw it in an e-kit without worrying about losing it or having to throw away an expensive knife at the scene of an emergency. After all, Mr. Hinderer designed it and, well, he was a firefighter so I think he knew what he was doing. I wouldn't necessary bash options on a knife that are actually useful for what the knife was designed to do. I wouldn't recommend Gerbers in general but in this particular case it fits the bill.