EM/ICU doc here with over 10yrs of experience.

While it's not quite a diagnosis, experience has taught me to take very seriously when a patient states he's about to die, even if he appears in a stable/controlled condition.

Patients who have a life-threatening condition usually have a premonition about their imminent decompensation, which is usually preceded by very subtle signs of worsening that may be confounded with pretty much anything that happens on a resuscitation room or on the back of an ambulance.

I've had patients who appeared to be in a completely stable condition, with acute conditions where cardiac arrest was not foreseeable (example: motorcycle accident with single limb injury), who briefly mentioned they think they are about to die before suddenly entering in cardiac arrest due to a malignant arrhythmia.

It's believed that patients may perceive a sudden drop of blood pressure and/or the usual release and spike of adrenaline and other catecholamines as "imminent death", but the reason why this happens is not clear. Some we are able to return, others we lose, or "recover" them to a state where death would be better.

Slit.

Niblings.

Panties.

Something about it sounds so skeevy. JUST SAY UNDERWEAR 🤢🤢🤢

Eta I had no idea so many people were so passionately devisive about this word lol.

Alpha male.