Closing the Circle

The rescue team brought Shristi to the emergency department (ED) of our tent hospital in Kathmandu after she was dug out from the ruins of a collapsed building where she lay buried for 132 hours. We smoothly transferred her to the military stretcher held up by 2 metal stands. There was a single IV in her left hand. We sprang into action. Airway: clear; she was confused, mumbling basic phrases in Nepalese. Breath sounds: bilaterally clear to auscultation. Circulation: weak pulses. A nurse slammed in another IV and pushed fluids.

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