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• W2895965293 abstract "FigureFigureThe paramedics rolled in with the patient. She was unconscious, but rather than assuming a relaxed and peaceful pose as if she were asleep, her body was contorted, her legs and arms contracted. The paramedics were unable to provide any context for her unconscious state. The ED staff transferred her to a hospital bed, and the physicians huddled around her contemplating the reason behind her collapse. One physician suggested that she had had a STEMI. Perplexed by the acronym, I racked my brain, trying to recall conditions that I had learned back in my EMT training because I had only covered anatomy and histology in medical school at that point. Could she be injured at her brainstem, causing the contorted positioning of her limbs? No, the doctors appeared way too calm and composed for such a dire outcome to be possible. Other physicians chimed in, agreeing that a STEMI was likely. There was talk about activating the STEMI system and calling the cath lab. Meanwhile, another physician printed out ECG results, and exclaimed, “It's a STEMI!” He sounded relieved by the diagnosis. The attending physician confirmed the resident's suspicion, and then everything spun into motion. A physician proclaimed, “STEMI is activated,” while others rushed to connect the patient to a portable heart monitor and place an oxygen cylinder next to her. Unsure of my position among the commotion and not wanting to interfere in the synchronous actions, I stood still and observed. A fourth-year medical student began to follow the resident out of the room, and motioned for me to follow them. I smiled, ready for action; the adrenaline and my curiosity gave me a burst of energy. I didn't know where the cath lab was, but I knew we were going there quickly. The resident maneuvered in and out of elevators and through corridors swiftly and gracefully, as if he were skating rather than pushing a gurney through the narrow hallways. The fourth-year medical student complemented the resident well as if he knew the resident's next move. He kept up with the resident's pace and even ran ahead to open doors with his badge, call elevators, and clear the hallway for the patient. The respiratory tech, on the other hand, did not seem happy about the brisk pace. She trailed behind, and I slowed my pace so she wouldn't feel entirely left behind. Annoyed, she called out to the resident that she needed to be near the patient. When we were finally all in the elevator, she gave the resident a piece of her mind, but he simply stated that the patient needed to get to the cath lab within 10 minutes of STEMI activation. As soon as the elevator doors opened, he was off again. This time, I resolved to keep up with the resident and the fourth-year medical student because I realized that their utmost priority was the patient, not the tech's comfort, and they were doing everything in their power to transport the patient to resources that would save her life. Finally, we made it to the cath lab, and we all exhaled a sigh of relief. I had a moment to take in the spacious, bright room, contrasting the dark, narrow halls we previously navigated. As the resident, fourth-year medical student, and I took a step back, the cath lab technicians and the respiratory tech transferred the patient to their gurney and prepared the appropriate tools. As the attending physician walked through the double doors, the resident explained the details of the case. We then gathered our equipment and left, strolling back to the ED. The fourth-year medical student explained the details of the case and answered all my questions. Within the span of these 30 minutes, I observed the versatile nature of emergency physicians. The team was able to work together level-mindedly to determine the patient's condition, decide upon the appropriate plan, take action in a high-intensity situation, and return to a more relaxed state. Their jobs required a host of contrasts: brains and brawn, calmness and assertiveness. Despite the patient being in an unconscious state with no previous medical history or family available, the physicians identified the condition and how to address it in the best way. The patient would never meet these physicians who reacted with such tenacity and compassion to save her life. They moved on, and were ready to address the next unpredictable situation that would await them in the resus room." @default.
• W2895965293 created "2018-10-26" @default.
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• W2895965293 date "2018-10-24" @default.
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• W2895965293 title "Narrative Medicine" @default.
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