0740 AM
ST. PACKING LEVEL ONE TRAUMA CENTRE
You put on your stethoscope and all you can hear is the blood rushing in your ears. The heart sounds are very faint. You throw away the tubes in disgust and leave to get your cardiology stethoscope - a graduation present from your grandmother. If anything however the sounds are even fainter with this one (cheap present). You call for an urgent echocardiogram.