Monday, January 11, 2010

triage


20:01 code trauma male 79 mvc
20:05 code trauma male 30 burn
20:06 code red - fire first floor
20:09 code trauma male 53 femur
20:10 code trauma alert female 51 mvc
20:13 code trauma male 45 mvc
20:14 code blue icu
20:19 death neuro

I like this definition -triage: the sorting of and allocation of treatment to patients and especially battle and disaster victims according to a system of priorities designed to maximize the number of survivors.  


I've always thought of that word in terms of long ago or far away battle fields.  But tonight when the pager went crazy I found myself making choices, determining priorities and running back and forth between trauma bays and consult rooms trying to decide the urgency of pastoral care needed.  The mass of medical personnel, blaring fire alarms and blinking lights added to the excitement.  The distorted femur on one man and the peeled back skin on another added to the drama.


I went from crying with a family bent over in grief at the loss of their matriarch to rejoicing with a family who's father survived a horrible wreck with only a few broken ribs.  The traumas were stabilized and then sent to major care or ICU.  The burn victim was flown to the burn center.  The grieving family went home.  My little parts were done.


22:17 quiet

God is a safe place to hide, ready to help when we need him. We stand fearless at the cliff-edge of doom, courageous in seastorm and earthquake, Before the rush and roar of oceans, the tremors that shift mountains.  Jacob-wrestling God fights for us, God-of-Angel-Armies protects us. Psalms 46:1-3 The Message

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