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The temperature was six below zero and it kept me dying on the spot because the blood coagulated and clotted in ugly smears of cloth and skin and the pain hadn't started yet, so when the little fat guy who saw my eyes open and still bright pulled me away from the carnage he was almost in the shock I was going into. Nobody would listen to him. He was a drunk. I was nearly dead. Sometimes the body responds to a stimulus that can't be explained. He got me upright. I walked woodenly, dyingly. I was sat in an old car. The fat man rolled down the windows. The blood stayed frozen. My hands were numb and I couldn't feel my feet. Idly, I wondered what frostbite was like. Breathing was a thing that was happening, but at a pace that said it could slow, then stop at any time. A dull, squeezing sensation of pain was beginning to gnaw on my insides and I knew that eventually, and very soon, it would grow into a terrible, devastating animal with an awful hunger and I would be eaten alive by it. I wanted to scream but nothing would come out.

Mickey Spillane#39

InjurySurvivalSuffering

About this quote

What does it mean?
Extreme cold causes physical shutdown and pain that is not felt immediately.
In plain terms
When it is freezing, your body shuts down before you feel pain.
What can you take from it?
Shock can delay pain in extreme conditions.

Where it applies

  • accident in winter
  • fight injury
  • exposure scenario

Putting it to work

  • recognize shock symptoms
  • prioritize warmth
  • trust bystanders

Questions to consider

  • When has pain been delayed?
  • How do you know when you are hurt?

Another view

Pain usually happens immediately.

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