Last week I had a patient who fell from her horse while jumping at a show. When I got there the BLS crew had immobilized her and, well, that was about it. She was complaining of neck pain and at that moment couldn't remember what had happened. I used my horsey knowledge to build up a healthy rapport with a scared patient. In general, not a lot was wrong with her. My biggest problem was that she was on the backboard and still had on all of her fancy English riding clothes. I made my best efforts to get off her button up shirt with high collar and black outer riding jacket, but it caused her pain, and then I made it worse. Worse than falling off your horse, worse than the public embarrasment of having an ambulance called for you, worse than defenitly losing your show class, was the stupid paramedic who cut off your expensive riding clothes. I, too, had never felt worse for cutting someones clothes off. She cried and shrieked and you would have thought I was punching her in the gut. I...
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