Your first day as a doctor

I made loads. In fact I don't think I did anything right at all.

No this is wrong ... If the patients has presented as being fit and well previously on no medications then you can never render it as a negative prognosis.... You need to be more optimistic and and find solutions quick and fast ... Although this situation is never real because the patient must ... MUST be on some medications and have some cvs, bleeding, repiratory disorder .... What is the reason for asking such a question anyway OP ..?

He is too unstable to be transferred to x-ray for C-spine views. CXR unremarkable. But since you said please - here is his pelvis x-ray.

Is getting some colloid in a waste of time too?

I don't know if you're a doctor, but that honestly the stupidest doctrine I've ever heard (nothing personal).

I could be a tee-totalling, vegetarian, Olympian, but if I get ****ed up in an car accident, I will get ****ed up in a car accident.

Fair enough your medical history/what shape your body was in before the accident, can determine your recovery/resistance to the injuries, but after a certain point, it cannot compensate for a massive trauma.

(Moreover any recovery/resistance ability must surely be reduced due in no small part to the seniority of his years)

Not being pessimistic (as you seem to think I am), just realistic.

Ah fsck - that ain't equal that's some serious shiz

Can I fast bleep the ortho on call?
I'm assuming I'm not knowledgable enough to reduce and stabilise this pelvic fracture? Is there an A&E consultant around?!

Shout medic and realise that the area is full of engineers.

He is too unstable to be transferred to x-ray for C-spine views. CXR unremarkable. But since you said please - here is his pelvis x-ray.

Is that a no then?

We already did that as soon as they came in - but they're still making their way in from home. A&E consultant is at home, but we don't need them. After all, we have an ICU consultant here.

We already did that as soon as they came in - but they're still making their way in from home. A&E consultant is at home, but we don't need them. After all, we have an ICU consultant here.

Ahhhhh, well if it's any consolation, at least you know that on your first day you breached patient confidentiality legislation.

(assuming that you weren't trying to fob us off with some google images xray)

I'm assuming I'm missing something else unrelated (carry out further examination?) - but the ?pelvic# is an orthopaedic emergency right?

All I can do is keep fluid resuscitating, taking obs and CPR/etc as necessary

Alternatively run away and cry in the staff room...

he is too unstable to be transferred to x-ray for c-spine views. Cxr unremarkable. But since you said please - here is his pelvis x-ray.

There is no patient identifiable information on the x-ray, or in the case study. So no, I didn't know that, and so it doesn't console me. And no, that really is the patient's x-ray, taken around 3 hours ago.