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The first trainers / etc to leave the dugout didn't do so until the runner neared (or was at) first. That's as far as he was going to go on that play, in MLB. So, time was called (after the runner reached first, after the trainer was on the field).
As I've said, in upper level baseball, the players will take the "value" of the hit, and time will be called and no one will be penalized for starting out of the dugout a step or two early (and maybe farther if they don't interfere with play).
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