I hate to be rushed. Surgery requires careful, methodical, organized planning. Particularly when a case is scheduled electively. Being rushed can lead to critical errors like wrong site surgery. The last thing I want is to let a patient have the wrong surgery.
But in the event of an emergency, we really have to fly.
When a patient is brought in with conditions like ruptured aortas or tracheal shifts or gunshot wounds, flying as fast as you can is the order. Cleanup comes after the fact.
The fastest case I ever did took place in Philadelphia when a patient had a tracheal shift after a carotid endarterectomy. We did that tracheostomy in about 30 seconds. Seriously. 30 seconds.
When it hits the fan, you have to be ready to fly.