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Fillers A memorable patient

A forlorn hope

BMJ 2004; 329 doi: (Published 30 September 2004) Cite this as: BMJ 2004;329:786
  1. Jay Kuruvatti, senior house officer
  1. Maudsley Hospital, London

    Saturday nights in accident and emergency are busy, and this particular one was to be no exception, but in a way that I had not anticipated.

    At 2 am the “blue call” telephone went off. A young man under the influence of alcohol had been involved in a road traffic crash. The arrival of the ambulances was heralded initially by sirens and then the warm, low pitched growl of their engines. The doors opened, and the first thing to come out, carried by a paramedic, was an ice filled plastic bag containing a whole arm from the axilla down. It transpired that the victim had …

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