Hope Lives Where Death Seems T

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used was no larger than a small blade pocketknife, one-quarter inch at its breath. It was similar in size to the knife that my father carried religiously in his pants pocket. The signs I noted in my evaluation, coupled with the knowledge of other signals, pointed to one thing . . . pericardial tamponade.
This type of injury is usually fatal. Already, the man had lain in the street far too long, approximately 30 minutes, without adequate oxygen. I applied a sophisticated piece of equipment to him, Military Anti-Shock Trousers (MAST). This "magic" device, when inflated, pushes a liter of blood from each of the lower three body quadrants to the vital organs: the heart, lungs, and liver. After the administration of the MAST, the man's blood pressure was made to rise to a not so promising 50/0. When we finally got the patient "packaged,” I breathed for him with a ventilating mask device while in route to the Trauma Center at East Texas Medical Center.
Another classic sign of this ...

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