trauma-list Digest, Vol 84, Issue 36

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Actually, this is exactly the question I was about to ask.  

Remember, these cases aren't mine.  Truly.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Rob Ojala
Sent: Wednesday, June 30, 2010 9:27 PM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: trauma-list Digest, Vol 84, Issue 36

Pret - I know you don't do plain films any more - but would these
injuires have been seen on plain films??

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Thursday, 1 July 2010 5:43 a.m.
To: Trauma-List [TRAUMA.ORG]
Subject: FW: trauma-list Digest, Vol 84, Issue 36

THIS MESSAGE HAS BEEN LAUNDERED.  EXPLANATION IS INCLUDED IN THE PROSE.
(AND I'LL NEVER TALK.)

 

-- Deep Throat

 

 

 

A favour, if you please...

Cases from the night shift I am just at the end of, as I read the final
few items on this thread... I don't wish to breach confidentiality in
persuit of our common education, so perhaps you could cut and paste it
to the List without stating who it is from. That should be "safe"
enough, I think.
 
Thanks in advance...
 

 
80-YO man, 100% deaf, otherwise well, falls down full flight of
(carpeted) stairs backwards onto head. No Loss of consciousness, but
facial contusions. Denies any pain whatsoever anywhere. Was only stuck
at bottom of stairs because he is a huge guy and, at 80, lying sprawled
head down and wedged, he simply could not manage to get up...
 
Elderly person down full flight of stairs, for us, means whole-body
CT...
 
He has a type III peg #, C5 spinous procss #, C6 lamina # extending into
body of vertebra - 2 unstable fractures.
 
These are really not that infrequent here at all... Old people, fall
down stairs, C-spine #. Many without related signs/symptoms...
 
And...
 
Just last night...
 
Man in high speed RTA and with nothing but a single closed long-bone
limb fracture evident... He's CERTAIN that his neck is uninjured and
pain-free at all times... Still immobilised all the way...
 
We still pan-CT because of the high-speed mechanism...
 
And guess what we found on CT...



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