Death number 2...

Last night was a little insane......but I like insane, so it was good for me.

The usual traumas coming in.....little old ladies falling down and hitting thier heads. One we think had a sneaker heart attack.

People getting shot with drug deals gone bad, but they were just "minding their own business" at 3 in the morning in a shady part of town.

Guy and his wife go to a strip club, someone says something to his wife, he punches the guy, turns out it is a bouncer, he then gets jumped by a bunch of bouncers.....and looks like it.

Then there is the "Level 1 trauma, direct to OR" page. That means it is a good one (actually a bad one). Ambulance rolls in, guy in on the gurney, pumping on this girl's chest. Stab wound to the right chest. I look at her and think, "That is what a dead person looks like." She is white, and her eyes are open. BUT, we still try to save her. It is insanity in there. It was one of those situations where they pour betadine on the chest and cut. Sawed her open to get to the heart. There is blood everywhere. She is still pulseless and we can't get any sort of presure into her. He's got her heart out of her chest and is manually compressing it. Epi straight to the heart. Then calcium, then bicarb, then Epi again, then we shock her heart. We have been at it for 10 minutes now (CPR was already done for 10 in the ambulance), but we decide to try for 5 more minutes, but literally she has lost all of her blood volume. Looking at where the blood was coming from, whatever stabbed her went into the right atruim of her heart. She didn't stand a chance really. It was crazy. Her "friend" that stabbed her went in at just the right angle that it went in her right chest, down at an angle between 2 ribs, and into her heart. I think it was tamponade that killed her before even bleeding out. Sad, the girl looked like she was in her mid 20's. This death was definitely real. She looked dead. It was strange to thing that she was dead......and tha someone that she knew did this to her. I'm not sure that that other person realizes the gravity of what she did. People amaze me.

Well off to more trauma tonight!