Monday, May 21, 2012

Injuries in the Era of Digital Technology

When I saw "wrist laceration" on the list of chief complaints for patients waiting to be seen, I couldn't help wondering if it was due to a suicide attempt, and I half-expected to find a somewhat depressed individual in the procedure room.  Instead, I discovered a rather cheerful, bon vivant 19-yr-old male flanked by his equally cheerful parents.  He had been in the woods with his friends, participating in a Bored Teenager pastime:  hurling hatchets at trees with the intention of embedding the blade in the trunks.  The patient's grip on his hatchet slipped, and the blade made a 3 cm laceration that was just millimeters away from his radial artery.  "Are you sure I didn't nick the artery?" he asked.  I assured him that if he had severed his radial artery, he would have been gushing blood like a Monty Python skit.  I was able to irrigate the wound and suture everything back into place with 3-0 ethilon.  His parents, ever the enthusiasts, took video footage of the entire procedure with their iPhones so he could post it on his Facebook page.