In trauma, we're concerned with one overriding question. How did this happen? What was the mechanism of injury? How do we see past the mess and confusion of the trauma to figure out what the damage actually is? Every part of a trauma tells a different piece of a story. And until you look at each and every injury, you can't see what went wrong.
We talk about the mechanism of injury, about where it all started, but the truth is, it's sort of a myth. We can't boil every injury down to one single blow. What hurts us is cumulative. It happens over time. We absorb blow after blow, shock after shock, painful hit after hit. But even then, even if we know exactly how we got here, it doesn't mean we can fix it. You can't heal every wound, and that's okay. I have to believe it's okay. I have to believe that even if something seems like it cannot be fixed, it doesn't mean it's broken.