for trauma surgeon, we always face life threatening injury. you are the first doctor to see the trauma patient. the patient may be dying in front of you, there is no time for you to call consult. for example: stab wound to the left chest, forth intercostal space, patient just arrived, gasping breath, BP 40/0, pulse 30. right after you see him, he lost his pulse. what wound you do? are you going to call cardiothoracic surgeon, or you just cut the patient? i cut one, and brought him back. he walked out the hospital.
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