When gastroenteritis is actually a severe secretory diarrhea and the first six of those liters of normal saline can’t get a BP above 70/40 and the central line was just a longer IV needle, time was critical…CHOLERA. Now I think I know what prostration is and it happened so fast! Less than 16 hours. This disease has a face, thready carotid pulse and tenting skin now for me. After the stool diagnosis he was transferred to a CTC. Nice work HBP team! Oh yeah and evidently we had no power at the time…generators and inverters I’ll tell you????.