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I ama physician specializing in Emergency Medicine. As a rule I do not tell anyone at a game what I do for a living (with the exception, perhaps, of my partner). If there is an injury of a routine nature, I do not get involved medically. Certainly, if there was a severe injury or medical problem (such as cardiac arrest or significant spinal injury) I would be ethically obliged to get involved. I am an official for 6 years and have not yet had to provide any medical service during a game.
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