My patient died on the operating room table today. Gunshot wound to the chest.
I performed the primary and secondary survey. It just occurred to me that I was probably the last person to whom he spoke. When assessing his airway and level of consciousness, he responded appropriately when I asked him his name and that of our current president. When prompted, he gave me two thumbs up. Then he was intubated and had chest tubes placed, and we wheeled him into the OR. And three hours later he was dead. He was less than 25 years old.