When you close an abdomen after a failed rescue, the OR is silent

I'm re-posting in its entirety here from KevinMD because it's just a beautiful, touching piece. From the doctor's perspective: I didn’t know her name until it was over, much too late. What I knew was she was thirteen and that on this winter day someone in her family had been pulling her behind their car, on a sled. No doubt laughing and looking in the rear-view mirror, the person driving had whipsawed around a corner, and the young girl — probably screaming (fear? delight?) — held onto the sled as it careened off the road and into the side of a concrete culvert. The girl took the blow in the middle of her right side. Reportedly, as they helped her up, crying, she fainted. The family member did what a family member who’d pull someone … [Read more...]