Originally Posted by pdp2001
1) couple months ago, 3 m/o male multiple extremity, rib, skull fx's tubed in the PICU. half-starved, **** suckle, and withdraws from all stimuli. got the fx's b/c mom "accidentally" bumped into a wall while holding him. uh huh. as if that weren't enough, mom is 19 y/o and dad is also the baby's grandfather. AWESOME. here's the clincher - the attorney for the family wants to know if it's possible the kid has osteogenesis imperfecta. right. ok. no f---ing way, moron, and my attending is about 2 sec from beating you with your own clipboard.
We had one of these on Friday - not quite to bad, actually. Beautiful 2 month old girl with very young parents. The story was that the dad noticed a lump in his thigh. Dad thought that the lump was from her vaccines. X ray begged to differ and revealed a displaced femur fracture. Subsequent skeletal survey showed multiple healing rib fractures. Thankfully, the head CT was unremarkable.
Another good one - we monitor the 'non-transport' EMS calls for pediatrics in my town. The phone will ring in the doc's room and EMS tells us the story. If we feel that leaving the kiddo on site with parents is okay, we'll okay the non-transport. So the nice EMS dispatcher calls and tells me, "12 month old
male whose father spanked him with a wire hanger
on his back last night fell on his back today and cried. His mother got scared and called EMS. She wants to know if it's okay to take him to the ER in a private conveyance." Can we get a H&LL NO?!? I almost couldn't believe dispatch called to ask, but then I remembered that his departmental policy required it. I think he was as outraged as I was.