Thinking in the Box

Contributor: David L. Nye - - “Ambulance needed at corner of Murphy and Seven. 82 respond.” It always starts with a call. The driver tears toward the location and, before I know it, we have the patient loaded in the back and I’m trying to keep him going as we fly to the emergency room. This time, it’s a car crash victim and I’m pumping fluids into his veins to replace the blood still leaking from his thigh. I’m focused, clear-headed. I’m off my medications. The meds keep the voices away but they make it almost impossible to treat patients. I lost a man because I couldn’t work through the fog, never again. “Ten minutes,” Ben, the driver says. I check the bandage again; the bleeding seems slower but I can’t tell for sure without removing it. I check the blood pressure… too low. I increase the IV flow, the saline will increase the volume...
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