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Kate Miller @DrKateJMiller
, 10 tweets, 3 min read Read on Twitter
We have heard eloquent stories of the response from RUH in and @starsambulance to the @HumboldtBroncos tragedy. And it is inspiring. But I want you to think about happened BEFORE those men and boys got to the city, before they were met by trauma and ICU specialists.
First there were the bystanders, the people driving by, who called 911, who held bare hands on bleeding wounds, told the scared and injured “It’s going to be okay” when in their hearts they didn’t feel it would.
Then the formal first responders – EMS, police and fire. Remember in many parts of rural Canada firefighters are volunteers – accountants and plumbers and at-home-dads by day. Remember that at night a rural police force might have 4 officers covering 100 square km.
Now imagine your job is deciding who is the very sickest but still saveable (they get the chopper), the second sickest (they get an ambulance), less sick (they’ll have to wait here for a while) and not saveable at all (like a battlefield the bodies just lie where they fell).
Then my heroes-rural #generalist docs in #Nipiwan and #Tisdale. Family docs like me. Who are on code oranage with 2 trauma patients. Every doctor and every nurse came pouring in. Not just from those towns but the next town over too-because one hospital’s worth might not be enough
These are hospitals without specialists. They might have one ventilator or maybe not even that. There are at most 2 beds in the resuscitation bay. So you are doing more than you think you can, with less than you need, in a hallway but with your team.
I wasn’t there. But I don’t need to be to know – they were scared but didn’t have time to think about it, they worked hard, and they did it well. And afterwards, they held each other up. They still are doing it this week and they will be next week too
and across Canada, there are scores of rural docs like me holding them in our hearts. Either we’ve been there and know or we live daily with the reality that one day it will be us, in a hallway, with a nurse from the next town over, doing things that strike fear in our hearts
and across Canada, there are scores of rural docs like me holding them in our hearts. Either we’ve been there and know or we live daily with the reality that one day it will be us, in a hallway, with a nurse from the next town over, doing things that strike fear in our hearts
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