Filler A memorable patient

A life saving procedure

BMJ 2001; 322 doi: (Published 10 February 2001) Cite this as: BMJ 2001;322:357
  1. Kalpesh Shah, clinical observer
  1. Ipswich

    A 34 year old temple priest from the Maharashtra district of central India was on his way home from a pilgrimage to a temple in northern India. He had been suffering from diarrhoea and vomiting for the past 12 hours. He thought he would cope with it until he arrived home and saw his doctor. But he was wrong. He was fast losing body water and getting colder. I know because I was travelling in the same train, in the same compartment. He was weak and could barely open his eyes. His pulse was weak, thready, and rapid, his extremities were cold and he was perspiring. I told his wife …

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