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The Right Reverend Jacob Pressner was a pastor from Lawrence, Kansas and an old friend of Sam’s. He didn’t keep me waiting and was shown in by a very solicitous Secret Service duo. He came to me and without preamble, said, “Mr. Vice President, it is my honor to be asked to be here tonight, but I will be heading back to Kansas tomorrow. It was a thrill for me and my parishioners but it time to go back to my home, my church and my ministry. I hope you won’t think ill of me, Sir.”My smile was enough to calm him down. “Reverend Pressner, I understand completely. Go home with my thanks and my respect, Sir. Have a wonderful life and think kind thoughts of us back here in Washington, from time to time.“But, Sir, before you do, please lead my staff and me in prayers for President Brownbock’s health and healing. He needs our prayers and our support as he faces tough times with his heart condition and I want us to be properly solemn in his honor tonight.“Will you please do that for me.”He was. “BCHC, from Medic 7, priority one. Approximately 35 year old male, GSW to chest and abdomen. ETA 6 minutes.”I heard Elsa respond from the triage radio, “Vitals?”“Wait one”. I bellowed the answer: “Palpable radial pulse, sat in low 90’s, breath sounds diminished on right!” Doug relayed this, and again I heard Elsa, “Copy, we’ll watch for you.”Most of us think of choreography as being a dance thing. Perhaps, a movie thing (think about movie fight scenes, for example). Well, emergency services have choreography, as well. On a smoothly running EMS scene, the responders know what is needed, set about doing it, and step back, looking for the next needful thing. Similarly, and with better lighting, an emergency department has choreography. When you have a cadre of nurses who know their shit, keep current on it, and know each other’s moves, well, that dance saves lives, sometimes. The physicians adjust the flow, as the medical control determines this, or that, needs to be different, just so,.
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