Pediatric Emergency Standards 2025-11-07T12:43:57Z
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3 AM in the surgical ICU smells like sterilized panic - antiseptic, stale coffee, and the metallic tang of blood that clings to scrubs no matter how many times you wash. That’s when Mr. Henderson crashed. His post-op vitals spiraled: BP 70/40, heart galloping at 140. My intern brain short-circuited. Orthopedic rotation never covered this cascade - was it hemorrhage? PE? Adrenal crisis? My palms left damp streaks on the chart as nurses’ voices sharpened into scalpels: "Doctor’s call." -
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Rain lashed against the bus window as I fumbled with a leaking thermos, scalding coffee seeping into my scrubs. My three-year-old’s forgotten permission slip crumpled in my pocket—another failure before sunrise. Between night shifts at the clinic and daycare runs, the PTCB exam felt like a taunt. Then my phone buzzed: 10-question daily drill. I thumbed open the app, ignoring the toddler’s cereal barrage from the stroller. -
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