Sometimes life deals you a bad one-two punch. For this unfortunate elderly lady it was in the form of falling on her left side and smashing both her hip AND her humerus.  Talk about some rehab time.

Yes, we may laugh at that vintage Life Alert commercial but sometimes it is for real. A woman pushed her button just like in that classic (although the dude going “I’m having ack!!! Chest pain!!!” is pretty funny in a morbid way too!) after she fell. Unfortunately, the CT above is what was going on […]

There are so many reasons to smoke it is nearly enumerable. Now we can add on more reason that I was not aware of. Since smoking causes vasoconstriction of the small blood vessels in the hands and feet( - which leads to problems by itself), when injured, the digits heal with more difficulty and […]

I generally say that I went into Emergency Medicine because I like my medicine exciting. I will take someone coding over a URI any day. However, there are times when I don’t want exciting. Mostly at the end of the shift. You are in wind-down mode for most of the last hour and […]

Caution! disturbing image below.
Sad how some people just suddenly decide life is not worth living any more. This guy argued with his wife, told her he was going to kill himself, locked himself in his room and 3 minutes later, BANG. Game over.
See the bullet entrance wound circled in white on the second […]

I like it when I can do something to correct (well, at least partially correct) a problem. The other day I had a guy with a wicked broken ankle-dislocation. He was a champ and I was able to reduce it with 10 mg of Morphine and a haematoma block. Results follow…..

Sir, I find it somewhat bizarre that given the circumstances of your ER visit, you are reluctant to let us examine you. Well, let me correct myself. I can understand your embarrassment, however given the fact that you regularly engage in receptive anal intercourse, I wonder why you are shy about […]