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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 my windshield like thrown gravel as I navigated Highway 9’s serpentine curves. That’s when headlights exploded in my rearview – not approaching, but tumbling. A pickup had fishtailed off the embankment, landing roof-first in a sickening crunch of metal. My hands shook as I scrambled toward the wreck, the coppery scent of gasoline mixing with rain-soaked earth.

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