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08/07/2004 12:36:45 PM · #1 |
A young gentleman was in my ER the other day with what is called a medial subtalar dislocation (ankle), and wanted pictures of it, to send to friends and relatives. He suffered this while riding his BMX bike on a half pipe. Rolled it inwards (medial). Said it made a friend puke, too! LOL
It is very impressive in the sense that when these do happen, the calcaneus bone (heel) does not go with the dislocation, and usually can be reduced in the ER. This one did and it went to surgery (closed-not cut open), where 3 pretty big men pulled on it before it went back in.
The last one I saw, we were able reduce in the ER, but when it went back in, some of the skin got stuck between the joint. Kind of humerous to us at the time. Not to worry, It was easily pulled back out.
Here is the link to the pics
//photos4aidan.com/ouch/
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08/07/2004 12:43:00 PM · #2 |
Well...who's hungry for lunch? ;o)
That is pretty disgusting, Tracy...thanks so much for sharing it with us! LOL
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08/07/2004 12:44:30 PM · #3 |
| Just the look at the foot alone made me sick...he needed foot care before he got hurt. |
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08/07/2004 12:46:56 PM · #4 |
Gross, but cool. Interesting. Thanks for sharing. That guy could really use a pedicure!
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08/07/2004 12:51:39 PM · #5 |
Wow, that is grossly awesome! lol
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08/07/2004 12:52:10 PM · #6 |
Originally posted by ButterflySis:
Gross That guy could really use a pedicure! |
I totally agree!
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08/07/2004 01:04:04 PM · #7 |
Dude, what were you thinking posting those now?! The "Feet" challenge is still open for submissions! =]
Message edited by author 2004-08-07 13:04:51. |
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08/07/2004 03:46:27 PM · #8 |
Originally posted by EddyG:
Dude, what were you thinking posting those now?! The "Feet" challenge is still open for submissions! =] |
Because they were done quickly and are not good shots.
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08/07/2004 04:10:47 PM · #9 |
| The little smiley at the end of my post was meant to imply that it was a toungue-in-check remark. I wasn't really implying that you should've submitted one of them. =] |
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08/07/2004 04:15:52 PM · #10 |
I bet if he took better care of his toe nails that would never would have happened. :)
Nasty.
Message edited by author 2004-08-07 16:16:30. |
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08/07/2004 04:33:00 PM · #11 |
Originally posted by EddyG:
The little smiley at the end of my post was meant to imply that it was a toungue-in-check remark. I wasn't really implying that you should've submitted one of them. =] |
I was aware. (C: I should have went for a close up on his big toe, though. YUM!! At least he didn't have Toxic Socks Syndrome! |
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08/07/2004 05:12:32 PM · #12 |
i have to agree you should have kept them for the foot challenge....and OUCH OMG that had to hurt!
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08/07/2004 05:20:05 PM · #13 |
Here's my version, I did not take the picture. It was the hospital camera, a Canon digital elph.
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08/07/2004 05:29:59 PM · #14 |
so that one went laterally and no calcaneus with it? Ouch! How much pain meds? The young man before had 100mcg Fentanyl per EMS, 200mcg with us, 1mg Versed, and 1mg of Dilaudid before off to surgery. All in less that 40 minutes. He was about 105kg, too! (C:
Message edited by author 2004-08-07 17:30:34. |
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08/07/2004 05:36:59 PM · #15 |
Originally posted by dacrazyrn:
so that one went laterally and no calcaneus with it? Ouch! How much pain meds? The young man before had 100mcg Fentanyl per EMS, 200mcg with us, 1mg Versed, and 1mg of Dilaudid before off to surgery. All in less that 40 minutes. He was about 105kg, too! (C: |
...Colorado hospitals...where all the good drugs are coming from... ;o)
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08/07/2004 05:44:35 PM · #16 |
OMG I had to look at this as I'm eating Breakfast!
Yuck.. And I don't mean the injury!
Bob
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08/07/2004 05:47:29 PM · #17 |
Hey dacrazyrn... guess who wrote the NDA for Versed? (ahem.)
Probably didn't expect THAT from DPC, huh? |
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08/07/2004 05:57:09 PM · #18 |
eeek! that brought back all my memories of when i blew out my knee. OUCH!
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08/07/2004 05:57:45 PM · #19 |
Originally posted by dacrazyrn:
so that one went laterally and no calcaneus with it? Ouch! How much pain meds? The young man before had 100mcg Fentanyl per EMS, 200mcg with us, 1mg Versed, and 1mg of Dilaudid before off to surgery. All in less that 40 minutes. He was about 105kg, too! (C: |
That's not a lot of meds, specially considering Fentanyl is very short acting. When I worked in the GI clinic we used to give a minimum of 5mg of Versed and sometimes up to 100 of Demerol for colonoscopies amd MUCH MUCH more for ERCPs. I work in the ER now, such doses are not necessary....we don't wanna have to recover a pt for 1 hour :P
June
Message edited by author 2004-08-07 17:58:18.
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08/07/2004 06:01:20 PM · #20 |
Originally posted by Gurilla:
OMG I had to look at this as I'm eating Breakfast!
Yuck.. And I don't mean the injury!
Bob |
;) should try a diff sort of cereal then Bob :P |
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08/07/2004 06:15:55 PM · #21 |
Originally posted by dacrazyrn:
so that one went laterally and no calcaneus with it? Ouch! How much pain meds? The young man before had 100mcg Fentanyl per EMS, 200mcg with us, 1mg Versed, and 1mg of Dilaudid before off to surgery. All in less that 40 minutes. He was about 105kg, too! (C: |
We gave her about 250 mcg of fentanyl iv in 50 mcg boluses and 5 mg of versed. I just pulled on it and splinted it. She also had a bimalleolar fracture with it and needed to go to the OR he next day.
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08/07/2004 07:20:13 PM · #22 |
Originally posted by scalvert:
Hey dacrazyrn... guess who wrote the NDA for Versed? (ahem.)
Probably didn't expect THAT from DPC, huh? |
NO! That is kind of shocking |
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