Injured puck

The Ice Hockey Injury by Phil Stephens

Part III—After Dinner


You could hear the hockey team coming down the corridor. That was quick, Rick thought, but then saw that two hours had passed. He felt thirsty and reached for his glass. It was empty and so was the big water bottle. The door opened.

“Just in time. Get me some water, will you.”

Andrew smiled, took the glass and leaned into the corridor to call for the coach.

“Do you feel as bad as you look?” asked the coach as he came in the door.

“I feel okay, why?” asked Rick.

“I don’t think I have ever seen anyone look gray before,” said Andrew.

“Don’t give me a hard time, Andy. Maybe I look so bad because you woke me from a deep sleep. Wait until we get on the ice tomorrow, I’ll show you. That soccer game today was nothing.”

“That was yesterday, Rick. That hit has made you confused and delirious,” Andy laughed.

Rick looked confused and started to cough. He stood up and reached for the glass of water. Suddenly his eyes rolled back in his head, his knees buckled, and he slumped over on the bed. As Rick regained consciousness, he coughed and winced from the sharp pain in his left side. He clumsily rolled onto the bed gasping for air. His breathing was fast, heavy and labored, and he could feel his pulse pounding in his temples.

Rick’s father felt his pulse.

“His heart is racing. We need to get him to a hospital, now. I’ll get my car. Andy, get a couple of the guys and carry Rick down to the lobby. I’ll meet you out front. Coach, can you get directions to the local hospital?”

The room was a flurry of activity. In less than 10 minutes the four of them were in the emergency room of the local hospital. When Rick’s father told the attendant that he was a physician, they were immediately admitted and the ER doctor appeared.

“Hi, I’m Dr. Paul Anderson. Someone told me we have a wounded hockey player here. Oh, I know you. You’re the one who took the big hit at the end of the game this evening. It looked pretty bad. I’m surprised you got up. My son was playing on the other team.”

Questions

  1. What new symptoms does Rick exhibit?
  2. Why did Rick faint when he stood up?
  3. Can fainting be linked to any other of his symptoms?
  4. Why is Rick’s pulse racing?
  5. Was Rick’s father correct to take him to the hospital?
  6. Do you wish to modify your list of possible diagnoses at this time? What new information did you use to modify that list?
  7. If you were an ER physician, what tests would you perform to help narrow the possible diagnoses for Rick’s condition?

Go to Part IV—“The Emergency Room”


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