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New Patient
22 year old otherwise healthy recruit comes in to see someone with "chest pain".
The recruit has done escalating PT for weeks, is in 'great' shape so the medical someone exams him, finds a murmur which the recruit said he has always had and no other findings, tells him to take alleve and slow down on PT for 3 days then come back if no better.
It's better, all pain /discomfort gone so to catch up from no PT for 72 hrs, puts his pack on and runs the big hill, FAST. He is found 1/2 way up by someone on the ground, not breathing and no pulse.....
What happened?
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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