Your first day as a doctor

So fracture to neck of femur (??) + what would you call the pelvic fracture? I'm not familiar with pelvic fractures. Hell, it looks kinda wonky (??), but I don't know how you would describe it.

Lol casualty ftw, but it's crap now. Is it even still on tv?

Those of you that gave frankly stupid answers, or asked for more information, or suggested random interventions, made up pathologies, or worried about confidentiality issues, have a long way to go as doctors. Medicine is about recognising what you know and what you don’t know, and if you don’t know, DO NOT GUESS. GET HELP INSTEAD. And if you can’t do that, stay away from me and my patients before you end up killing someone.

my answer was best brah. better than drama queening like you at least.

cut him open and start clamping **** like in the movies, and pack him with some celox

not a chick brah. but seriously 30% are having sex on the reg and 1/11 claim once a day (lol at cambridge claiming this with some of the nastiest broads around... smarts are inversely proportionate to attractiveness). how is that even impressive? get a gf and have sex as often as you want, its not that hard.

pointless given how ugly manchester chicks are.

Let the **** die.

did you write this as it was happening? and needed advice? :P just told the guy to hang on a moment while you go advice from people on here

On second thoughts, call me what you like. I'd rather be a drama queen or a "brah", whatever the hell that means anyway, that an ignorant bigoted moron.

We did.

Sir Pemberton points out that a patient who voluntarily attends A&E seeking help for a potentially fatal overdose, who is then willing to let his phobia of needles override his alleged desire to live, is contradicting himself, and therefore cannot have capacity.

So you assemble a team of security guards and burly nurses to restrain the patient, ignoring his threats suing you for assault. Just as you are about to pin him down, the senior charge nurse hears panicked screams and decides to leave the break room to see what the commotion is all about.

Hmm, so does this mean patient C in Broadmoor did not voluntarily seek medical help?

Or does it rest more on the self contradiction of patient 2 (lawyer)?

So ... I was kinda right.

I know you have to very careful when it comes to cases of patient autonomy as a Doctor, but in a situation like that, surely the overriding concern has to be the patients wellbeing. Time is critical and I wouldn't think that 9/10 cases end up with a nice nurse managing to talk the patient down.

It's mostly to do with the ability to weigh up the appropriate information and make an informed decision. The second patient couldn't really do that, as he was letting his irrational fear cloud his judgement.

The first patient's case was settled in court. The judge ruled:
"Although his general capacity is impaired by schizophrenia, it has not been established that he does not sufficiently understand the nature, purpose and effects of the treatment he refuses. Indeed, I am satisfied that he has understood and retained the relevant treatment information, that in his own way he believes it, and that in the same fashion he has arrived at a clear choice."

The second case was a risk that we had to take because we'd didn't have time to go to court. Such is medicine that you are forever taking risks, but your job is to try and minimise those risks.

Ha ha no this is all reflection on previous patients of mine. The RTA was on Sunday, the overdose was a few months back. Next time I have a difficult patient though I'm gonna say "excuse me whilst I just consult the student forum."

MRI scan?