I still quite like them... tiring as they can be, I can't help but romanticise them a little. No actual romance, mind. A lot of limb injuries for some reason.
Fractured arms, wrists, shoulders and ankles. Lots of sedation, manipulation and plaster. Almost a good night at a special interest club.
One poor old soul has been given a grim diagnosis; one that we all knew was coming. One of those. An horrendous looking mediastinal tumour, with invasion around his spinal cord. I'm not sure what the exact diagnosis is, but it's clearly not going to be champagne and strawberries. As I've posted before, this sort of thing really takes the wind out of everybody's sails. I always wonder if we could have done more for these guys. Intellectually, I know this is slightly ridiculous, as they have presented with a diagnosis that will belong to a long standing pathology, but I still find myself wondering if the odd 30 minutes wasted in the ED will somehow turn out to be critical...
I singularly failed as an educator tonight. I took one of the SHOs to show her how to reduce a shoulder. There are a legion of ways of doing this; I attempted to talk he through a few, and then had planned to get her to do it. But in demonstrating procedure, I found myself saying "put your hands here, and then externally rotate, and..." **clunk**