All in a day’s work

An arousal by weasel, a gerbil, a ewe, a Jew & a jerk off…that’s what my day was made of. If you can tie those things all together & come up with what really happened…well, you’re good.

Hopefully, I’ll explain it all for you tomorrow, but in the meantime, please ponder the following. Perhaps some of you have fallen off a ladder & can give me a bit more clarity on the situation.

Standing on the top (where you’re not supposed to stand) of a 6 foot ladder. You’re accepting parcels from below, stowing them in the attic space above.

You fall.

Injuries include fracturing the base of the skull, bleeds to the left side of your head & both sides of your forehead. Your sinuses are shattered.  Coccyx broken.

Contrecoup mentioned.

Does it mean a) In head injury, a coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was impacted. or b) A contrecoup is a contusion that results when the head is forcefully shaken and the brain comes into contact with the skull. This condition has been seen in cases of head trauma ??

I will add this:  Pt found unconscious, supine.  Ladder upright in the same spot it started out in.  Only point of impact visible at the scene-where the pt was laying when found.

Accident or purposefully done by another party??

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6 Comments (+add yours?)

  1. cruciscourt
    Jul 17, 2012 @ 22:52:35

    It wasn’t you doing the falling was it?

  2. snigsspot
    Jul 17, 2012 @ 22:55:15

    No. A patient I saw today. I want some impressions from those who probably know far better than I if such injuries are congruent with a fall…or if they’re results of something more sinister possibly.

    Formerly battered wives tend to think that way…

  3. Charles Pergiel
    Jul 18, 2012 @ 03:20:24

    Sinuses shattered? That sounds worse than a fall.

  4. Old NFO
    Jul 18, 2012 @ 22:39:29

    Was the nose broken? If not, it ‘sounds’ like a mis-step, fall in a sitting/slightly reclined position, impact tail first, head snapping back and impacting the floor (skull fracture/coup, Sinus fractures/countercoup). Was the patient face up or face down?

  5. snigsspot
    Jul 18, 2012 @ 23:40:42

    Nose wasn’t broken but cheek bone was.

    Oh and spouse said the patient’s family wasn’t to be allowed to see/visit the pt. Can’t talk to the pt without the spouse RIGHT there, either.

    Sorry, call me jaded, but I smell something more than a fall.

  6. Old NFO
    Jul 19, 2012 @ 09:59:02

    Yep… probably a blow to the face (cheek), knocked unconscious and remaining injuries from the fall… That is just truly sad, but things like that happen every day; usually ending up with someone dead. 😦

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