One of our second year courses requires that we do 40 hours of clinical experience and write about some of the cases we see. I chose to do one of my clinical experiences in rural emergency
so I spent this last weekend in a rural emergency. It was great experience. I hesitate to call it fun, but it really was. The town is pretty small but they have a pretty big catchment area so everything from croup to motor vehicle accidents come in on the weekend.
I arrived at the hospital on Friday evening to pick up a key to the student housing. The emergency was pretty quiet at that time so I went to get settled in and find some dinner. When I arrived at the hospital the next morning the big talk was all about a case that came in at about 11pm. Patient came in GCS4, blown pupil, aspirating vomit; with no known cause. And I guess things got worse from there. They had 4 doctors, a resident, a med student, 3 ambulance teams and 4 nurses involved.
I was really jealous. If only I had been there a few hours later.
Usually I can honestly say that I would never wish anything bad to happen just for my own learning sake. But I do really wish I had been there. I think the reason is that the patient has died in every real code I have been involved in. I am about 0 for 5 now. This guy was about as bad as they come and last I heard he was stabilized in ICU in the big city. I guess I want the rush of feeling like I really helped save a life. It may be horrible and selfish but I want someone on the brink to come back for me.