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At 4 p.m., two patients in respiratory distress arrived at Sharp Grossmont Hospital in La Mesa, one by ambulance and one brought in by loved ones through the main entrance. Then word arrived that yet another patient, this one suffering a stroke, would be delivered by ambulance in 10 minutes.
For most of its history serving a vast swath of East County, three cases in 10 minutes would barely be worth mentioning for the region’s busiest emergency department. But with more than 70 patients already occupying beds on the unit, three more equaled a full house, and it was time to once again begin the process of shifting patients around.