offline medical guidance 2025-09-20T21:46:56Z

The helicopter blades were still whipping red dust into cyclones when they wheeled him in—a contractor with third-degree burns over 60% of his body, vitals dancing on the edge of flatline. In the makeshift trauma bay, our only monitor flickered like a dying candle. I fumbled for my phone, fingers leaving smudges of ash and sweat on the screen. This wasn’t a teaching hospital with layered support; this was medicine at the ragged edge, and every second bled meaning.