Make mine a double

I had a nightmare night...

Airlifted a teen out with a c-1 fracture after a high speed MVA, told a 42 yo man that came in with chief complaint of feeling tired and lack of appetite that he had metastatic lung cancer and had a mother come running into the ER throwing her baby into my arms that was blue and limp...

I went and had a few drinks after work-- so it was 6:30 am.. I earned them

Side Note..Fracture of the Dens(Odontoid Process)

Most dens fractures are caused by motor vehicle accidents and falls
About 1/3 of C-spine injuries occur at C2 and about ½ at C6-C7
As expected, most fatal cervical spine injuries occur at C1 or C2

Treatment
Type I fractures are usually treated with a hard collar for 6-8 weeks
Type II fractures can be treated with

*Halo immobilization for 12-16 weeks
*Operative fixation (odontoid screw)

*Arthrodesis of C1 to C2
Type III fractures can be treated with a halo or surgically.

You know it is going to be a bad night when...

• You show up for work and notice bars have just been installed on all the windows and there is now a metal detector at the hospital entrance.
  
• 
  The paramedics in the parking lot are all using mops to clean up their ambulances and the EMTs are using a hose.
  
• 
  The off-going shift has a hard time keeping a straight face when giving report, especially about Room 15.

• Your first patient of the day insists there is no way that she can be pregnant. As she's crowning.
  

• Your next five patients and their families all scream at you in different languages, none of which you speak.
  

• Your next patient screams at you in a language you do understand, but you can't remember hearing that many obscenities strung together at once.
  

• The intoxicated 250 lb. transvestite in Room 15 keeps trying to get your home phone number because you "are just too sweet."
  

• Your next patient has maggots but isn't dead.
  

• All the locked restraints are being used...on one patient.
  
• 
  The hospital has a surprise disaster drill. You were the only one who wasn't tipped off.
  

• No one remembered to buy coffee,candy or chocolate.
  

• You have writers' cramp and still have 7 hours of the shift left.
  

• The psychiatric patient who thinks he is Jesus was placed in the same room as another patient who thinks he is Satan.
  

• You get a subpoena for a lawsuit a on a patient that walked out of the department against medical advice two years ago.
  

• In the middle of a disaster drill two real trauma patients present themselves.
  

• The paramedics who offered to go out and pick up lunch (and coffee) just advised over the radio they have witnessed a motor vehicle accident involving a transit bus versus a minivan. "Stand by for update."
  

• It's the first day for the new medical interns, paramedic and nursing students all at the same time.
  

• The paramedics tell you the patient you just received with a closed head injury, flail chest, and positive belly tap is in "much better shape than the one still being cut out of the minivan."
  

• You hear there is an influenza epidemic traveling like wild fire through the local convalescent homes.
  

• The psychiatric patient's delusions are beginning to make sense.

**I wish I could take credit for this, but I can't. If you know who wrote this, please ask them to stop stalking me or at least put on some scrubs and help out!**