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The bad stuff, though, is really, really bad.
Rarely gory, but pretty damn bad.
But you get used to seeing it after a while, then mostly it's a case of looking at it and thinking: "Damn that's the best job of putting your femur threw your thigh (compound fracture) I've seen this month."
If you can't spend 30min in the Trauma Room looking at something gory, then straight after, go and eat your lunch, you haven't been working ER long enough.
<chuckle> Another story;
Had a young fellow
(19yrs) come in to Trauma. He'd been riding his motor bike home from work, taken a corner to fast and hit the guard rail. Nice compound fracture of his left Tib and Fib
(both shin bone snapped in half and protruding threw the skin.) After we had gotten him stable and cleaned him up, the orthopedic surgeons came and looked at his leg and the guy was told he may even loose it at the knee.
Even after all that he kept his sense of humor. Julian, one of our Senior Doctors asked him...
Doc: "Have you taken anything tonight? Any alcohol or drugs?"
Guy: "No, I was on the way home from work."
Doc: "Ok."
<short pause of a few seconds> Guy: "Yes I did take something..."
Doc: "Ok, what?"
Guy: "I took the corner to f
ucking fast."
He had everyone still in the room laughing.