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【病例分析】Trauma bay

 心理医生金兆丰 2020-07-23

来源丨Figure1 Medical Cases,感谢授权!


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Cases

Trauma bay after blunt traumatic arrest with EDthoracotomy in young patient with severe multitrauma. Difficult intubation withblood filled airway Required multiple lines, MTP, intracardiac epi and cardiacmassage. I love my job! To quote a well worn joke "There's a reason theymake shows about the ED and not family medicine clinic. "

Discussion

  • Thislooks like hope to me. Patient left this room with a chance to survive theynever would have had without the skilled professionals that filled the room.

  • Traumaticarrests in young people and other trying calls are bittersweet because you knowyou've got a real chance of them dying, but you get to use your skills and makea difference. That's the gamble we all love to play, isn't it?

  • Thisphoto reminds me of the very first call I ever attended! Traumatic arrest fromsuicide with gunshot to heart. He did not survive even though ER doc crackedhis chest. Bullet hole through left ventricle. Always sobering experience nomatter how many times been there, done that.


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