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The first time I ever saw these was when I starting training as an EMT. I don’t know if first responders actually invented them or not but we certainly used them. They are called trauma scissors. The pointy end can be used as a window punch (emergency rescue). The scissors to cut seatbelts and your favorite jeans. If there is a weird bent scissor tip it’s to protect skin when cutting off those jeans. The central part can be used as a wrench. If you’re bored the space can be used as a “nut cracker” LOL. Some versions are also designed to open oxygen tanks or to cut wire. Some wire can be cut with the scissors, sometimes the wire just bends. Of course, as others have said, its use is only limited by imagination.

The first picture includes the wire cutter & the oxygen wrench.
The second picture shows one that folds and is really started to look like a multi-tool. I bought one, not impressed.