DR. WAJEEHA ISSUES

ERDiaries : Day 5 : Festive Casualties : Sankranti  Monday marks a start of new week . You go happily. The scene outside ER is chilled. Lovely weather . But ER as usual was messed up. There were a couple of people enquiring about the insurance claims . (Basically , people you want to throw out of ER.) The mess was post a mass casualty where about 8-10 people were badly injured to the level that their limbs had to be amputated. This was a road accident where a minibus turned upside down. The people where probably returning from their vacation and they obviously didn’t see this coming. 8 year old boy who was playing with manjha got a tear extending from angle of his mouth to the middle of his cheek bilaterally.  25 year old came with a cut on his neck again because of manjha. Poor guy was riding his motorcycle when the manjha came and cut through the skin on his neck . Though not deep , it was definitely not called for as he was not flying kites himself. Don’t panic

Hey all 9pm . Chill ER . A 53 year old male Diabetic ,CAD , Stage 4 CKD on hemodialysis who had 2 fingers amputated earlier came complains of swollen lower limbs with non healing wound which developed gradually following rupture of a bleb. The last serum creatinine was 5 mg/dl. On local examination , the wound was foul smelling with pus oozing out.  We examined the wound and called up the consultant surgeon to come and have a look. He walked in examined the wound advised color Doppler of lower limbs . Nephrology referral and was about to leave when a 35 year old lady bumped into him. Who is she? He asked.  Umm... Sir , I don’t know who she is sir . I didnot take her history yet. Let me see . He turned back. A wooden stool had apparently fallen on her trunk leaving the right side of her chest wall in pain.  There were no external injuries. The area was tender . The only complain she had was pain. She was hemodynamically stable n coherent with her surroundings.