Something was missing.........I KNOW!! Someone forgot to apply the tourniquet to his neck! Isn't that what's supposed to happen?
So was the cardiac tamonade seen on FAST/echo?
Stop giving IVF....give blood and get to the OR for resus; thank the medics for getting there with out hemodiluting him so that his dilutional coagulapthy doesn't kill him and needle in each chest that has an injury, although with the right side "open/sucking" the intubation takes care of that, the left needs a decompression. ....... FUN, FUN, time to play (sick trauma surgeon humor  )
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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