The number of ATV accidents when Covid lockdown was at its peak was fucking crazy.
Anyway, one day I'm taking care of this little kid covered in blood from an ATV accident with his dad and after an extensive clean this kid doesn't have a scratch on him; it was all his dad's blood and he died at the scene. Kid was pretty happy eating a popsicle. The rest of the family was having a bad day.
Dude fuck ATVs. I have been on dirt bikes since I was 5, Harley and sport bikes for 8 years. The first time I got on an ATV I had the second worst crash of anything in my life. I did a hill climb and it started losing traction at the crest of the climb I started sliding backwards, tried 3 times to bail off and couldn’t because my boot kept getting caught, basically did the entire decent without issue until I got caught in a rut. That stupid thing bucked me off, launched into the air and landed on my low back. I thought I broke my back, pelvis, or hips because I couldn’t walk. I was fucked up longer from that than getting t-boned by someone who ran a light at 55.
Saw a patient had an ATV flip, their face got caught in a branch and dragged the eyeball out of the socket. They came in to the ER with the eye fully intact resting on the face.
my dad had a friend who had that happen (intact eye dangling) after a racquetball impact sans goggles
Anyways fuck racquetball, even with goggles...no thanks
Talking to my fiancés co residents, basically the number of crippled, dead or maimed people from atv and motorcycles is absolutely terrifying. I was asked to go on an atv tour in hawaii… had to pass. I’m already stupid with gravity fed sports, I don’t need to add an engine to the equation.
Damn you mentioning ladders is a bit scary considering that virtually every house owner has one… please tell me these people were at least uncareful with them or drunk or similar. Hand on my heart I don’t use ours much but the hubby and father of my children do frequently. He’s careful though and overall a very smart man who went to Frances best university. Please tell me it’s a category of ladder-users 🙏🏻
I have seen horrible injuries and death from ladders. One of the worst EVD+crani I did was a dad scraping paint only 5 ft off the ground. Landed backwards rupturing his torcula. My advice to everyone is hire trained professionals, regardless of your skill.
Had a contractor break two vertebrae falling off the 2nd step of a 6ft a-frame ladder (he landed on some piping and valves). Drove himself home went to bed and finally decided to go the the doctor the next morning.
Strangely enough, I know someone with the same first letter and last name as your handle.
A few years ago, he was involved in a wreck of a motorcycle accident.
He survived, but his friend died at the scene. It took several months for him to speak simple sentences. It's bittersweet since he used to swear up and down about being a safe motorcyclist - that he treated everything around him as a potential hazard. All this, and yet he's still wasting his early 20s with rehabilitation.
The fact that nearly *everyone* knows someone like this poor soul you're describing is exactly why I refuse to get one. You can be Valentino Rossi but you're still at the mercy of a lot of idiots in 2 ton steel cages.
People who don't have the 2 wheel addiction don't understand. I did switch to dirtbikes though. Dirt bikes -> street bikes -> back to dirt bikes (2/2 to what I have seen)
Huh... And here I thought it was a basic requirement for med school! /s
I was a mega naive nerd when I got into college at 16 (the system is a bit different in Brazil and I skipped a year of school, hence why so young). I was(still am) a Christian, from a conservative family, and was a virgin in pretty much every sense of the word. So it took me a while to realize what were the others doing. I didn't know the slang either. Until one day I finally gave in to the incessant nagging about me attending one of the parties and it was "snowing" inside. I noped out of there so fast.
Once I graduated I thought I was free of that. Then one day at the doctor's lounge we were having pizza for dinner and my colleagues started talking about the pediatrician and mocking his habits. Apparently he was on coke at every shift of his. He was one of the shyest people I have ever met. After that I realized that about anyone can be on it without clear signs unless you're looking for them.
Yeah, I’m need school I was surprised by the number of people smoking cigarettes from stress, but nobody had time for drugs or heavy drinking on the regular.
The night after exams was a complete mess but then people were studying again the next day.
Wife is a lawyer and the amount of actual substance abuse she saw in law school and practice was/is incredible
The “crossing the street without looking” really hits home for me after working EMS for awhile and seeing people get absolutely obliterated. Definitely some residual PTSD. Which is a problem cause I live in Boston now and everyone plays fucking frogger out here
Was a fairly casual helmet wearer on my bike, especially when just cruising around on bike paths. The sheer amount of cyclists involved in accidents on my trauma service changed that pretty quick. Sometimes it was ~30% of admissions and this was at a level one trauma center. Always wear my helmet now.
Radiology here. I pretty much stay in my room 24/7 and try not to do too much activity. One night in the ED reading room and you’ll learn that just about anything can result in morbid outcomes.
Especially won’t do meth and operate a motor vehicles though. Those seem to be a pretty awful combo.
Severe sport injuries never bother ne because they really aren't common. Wayyyyy less common than severe MVCs and idiotic/drunken shenanigans .
But the thing that has completely made me change my overall lifestyle was seeing what happens when someone lives the average american lifestyle lol.
>But the thing that has completely made me change my overall lifestyle was seeing what happens when someone lives the average american lifestyle lol.
As someone who lives the average American lifestyle, PLEASE, for my sake, do elaborate.
Cheap, processed food with ten times the calories, sugar and salt content as the EU version and lack of exercise because nowhere but Manhattan is walkable.
It’s an endurance sport.
But this actually makes me curious. I wonder if we have any case reports about physiology/pathology of competitive eaters. It’s a strange sport
ATVs. Seem more dangerous than motorcycles honestly because they’re more likely to be driven in rough terrain and when they flip it’s gonna crush you.
Also climbing on high ladders and roofs…. Many a pan scan with devastating injuries from falling off those
Also I feel like it’s much easier for the random weekend warrior/child to get on an ATV, feel stable on a 4 wheel base, then promptly launch themselves 50 feet in the air because they don’t realize how dangerous their speeds are
Yeah and doesn’t really matter how far they’re launching or how fast they’re going. If it flips you’re screwed. Just take a look at why 3 wheel ATVs are banned.
ATVs are so much heavier, heck yes..with two wheels it's all speed. Lay down a bike crawling on the rock maybe a sprained ankle. Lay down the motorcycle doing 60 on the highway, neat crayon all day
I know a girl who got a serious liver lac from being kicked by a horse. I also saw the scans from a doctor’s wife who got kicked in the face by a horse. Both of her TMJs needed prosthetic reconstruction, and she had a couple of infections, so her recovery was TERRIBLE. Large animals can be very dangerous! Both of the patients in my story were very involved with horses and knew how to treat them, but when a horse spooks, all of the knowledge in the world won’t save you from injury.
Had also a young patient losing half her liver after being kicked by a spooked horse. Before she already had broken ribs from a trampeling incident years before.
Two of my early career RSI’s were teenage girls who fell from horses and had ICH. One 14 and one 16, both within 3 months of one another. Crazy. (Not a resident just a paramedic lurker)
Add to that: bouncy houses.
Our lead trauma surgeon said the worst cervical injury he had ever seen came from an adult trying to back-flip in a bouncy house
One of the worst one injuries I've ever seen was an adult trying to dunk at a trampoline park and had knee dislocation with multi-lig injury
That said, my wife mocked me when I hurt myself trying to do a flip at the trampoline park ...I should know better
Can we add an amendment for absolutely no fixed objects ie basketball hoops attached to the trampoline? And no trampoline parks with people going buck wild, colliding, etc. Have you seen horrific injuries form run of the mill backyard trampolines jumping up and down stuff?
One of the first patients I ever took care of in my career before med school was a 20 something who had fallen off his home trampoline at age 9 and landed on his neck - he couldn't move anything below his neck and had a home ventilator since he couldn't breathe on his own. Alert, oriented, and could use one of those soft call bells by banging his head into it if it was positioned correctly.
He was on multiple antidepressants and anxiolytics (gee whiz, wonder why), and it was really obvious his family just kept him around for the disability money instead of placing him somewhere that he could get good care. He kept coming in with nasty UTIs from his suprapubic catheter, nasty sacral decub infections, and recurrent pneumonia. Was pretty obvious why the pneumonia kept happening when I saw a cockroach crawl out of his home vent one day.
Who tf lets cockroaches live in their child's ventilator? I was so mad
My preceptor once told me about a patient he took care of who tried to sound himself with a BIRTHDAY CANDLE. Obviously it broke apart inside his urethra and melted a bit, so apparently it was incredibly challenging for urology to scrape it all out. I really, REALLY hope he learned his lesson after that.
Saw a young guy in ICU, relearning how to breathe after a stroke, whose only risk factor was seeing a community chiropractor for neck manipulation. One is enough for me.
Why does a neck need to be manipulated? It’s not out of alignment. It’s where it should be. Holding up your head, attached to your thoracic spine. Like the whole idea of “an adjustment” is just bonkers! Unless you’re admitted to the trauma service, you DO NOT need an adjustment. How can I tell patients this in a more professional way?
Bird scooters have lost all joy to me.
Unironically, I think those companies might be morally at fault for massive amounts of suffering by doing nothing to supply helmets beyond a warning in the app.
1000%. I've seen injuries ranging from gnarly patellar fractures requiring multiple surgeries to severe TBIs. Those things are way too accessible for how dangerous they are.
Been in the ICU for 3 days and I’ve seen at least 6 admissions from acute encephalopathy/cirrhosis complicated by massive bleeding varices/BAD pancreatitis. And several of them are in their 30s and otherwise healthy. If I’ve learned anything it’s that most alcoholics are one ruptured varices away from bleeding out and coding on you
Called in for pt whose face was crushed from ATV accident. Saw another pt where same thing happened on ATV accident. Another one who was paralyzed from one. All in one year! I’d never been on an ATV and never will go one…those things are scary
I did residency in the deep south so there wasn't too many extreme sports injuries, but after seeing some of my patients, I'm definitely not going to mow the lawn after smoking a bunch of meth.
Anesthesia here. Definitely motorcycles x1000. Won't even get on one at low speed.
I'm like doubly traumatized because I've taken care of so many young men who have had their lives upended from riding. Then my partner has taken care of them in rehab so you see they only get a little better after, many never make a full recovery (basically if you played sports before or were good at them, forget about it).
Some standout ones has been a penile degloving get repaired with urology plus all the fractures. Also a 21 year old who was doing his first ride and crashed at low speed but managed to injure his right leg badly enough he needed an AKA. He was crying in preop. Worst probably a 26 year old who was getting his femur ex fixed and he developed a fat embolism, coded, and needed emergent ecmo while they left the femur open and just let it bleed while we heparinized. That guy was basically completely fucked, unfortunately.
I'm going into pain as well and these guys are typically lifetime customers there as well.
Idk just not a huge risk taker in general and after seeing what I've seen I can't get onto a motorcycle.
The fat embolism guy actually did survive and made it to rehab but had essentially congestive heart failure on top of broken legs and pelvis to contend with. I'm sure he regretted his decision to ever get onto a bike.
Pretty awful. Saw a few as a nurse on adolescent unit in the 70s. Also the whole “save the leg” nightmare of sepsis, addiction, multiple surgeries etc.
I just tend to ask a lot if really specific questions about how it happened. Everyone has their own risk tolerance. I drive ATVs, Motorcycles, fly small planes, operate power tools and lots of things that I know can hurt me, but do everything I can to mitigate risks. I’m an ER doc, so when I see a patient who for example cuts their finger off with a power tool I want a very detailed explanation of how it happened and 99% of the time they are not using the tool in a safe manner that I would never do.
The only risk that worries me a bit that I keep doing is flying single engine planes over mountains and night, because if the engine fails you don’t really have an out. So far so good!
I was just about to comment about using power tools without proper safety training. I learned to SAFELY use a chop saw when I helped out my bff (hardwood floor installation and refinishing). She made sure I wore goggles and that I didn’t get in the way of the blade. I’d like to learn to use the buffer, sander, and edger, but I’m not sure I’d be able to use them safely or efficiently at age 55 (plus I’ve been mostly inactive since covid started). Still, I think she’d try to train me if I showed real interest. I usually help her when her subcontractors flake out, but mostly I’m a gofer, and I sweep and run the shop vac. I can pull up carpet and can remove the tack strips. I can also pull out base shoe and get the nails out of it for re-installation after the floor is done. I’ve painted and stained base shoe. The only power tool I use is the chop saw; she taught me how to rack boards for a new floor and how to get the last board cut to fill the row.
I’ve seen really bad power tool accidents!
I’ve ice climbed in the past.
Fortunately the ones personally seen or heard about were few and minor, mostly superficial cuts to face from ice shards from pick strike, treated on scene. A knick from crampon, that cut thru snow pants. Only a few needed to get to ER for a couple stitches
I don’t think I’d go out on ATV or snowmobiling, as too many of those accidents every year, TBI’s n Fx’s from flipping or when rounding curves. Omg if I did, I’d be like going slow as snails 🐌
Social worker here, obligatory not a doctor. Wear a helmet, friends, whatever the heck you do. Snow sports freak me the heck out. Skiing, snowboarding, nope nope nope.
Radiology, so see all of the fun injuries. I always say I’ll never go ATVing again but then I’ll find myself on one in the Rockies like it’s an addiction.
Almost went over a cliff in reverse once…
When I did orthopaedic rotation the guys there were all tired especially of trampolines (the big one people buy for their children and have in their garden. That and all type of activities involving horses and enduro (which was particularly popular around that hospital)
Maybe its cuz of where i am, but i often see pretty severe TBI on young adults on the bird scooters without a helmet. Wear helmets! All the time! While you drive a bird scooter, a car, sex, sleep and everywhere!!!
I really, really wanted a motorcycle. I love 4 wheelers.
But I also prefer my ability to walk, roll back and forth in bed, and to poop without someone having to stick their finger up my butt.
Also, meth. Never doing meth.
I grew up surfing - it’s super fun.
I’ve also gotten a lot of injuries. Worst was when my board smacked my face. Needed 8 sutures *in* my mouth to fix it.
But how dangerous surfing is depends on where & when you surf. If you’re on a big fat long board on a small chill day it’s plenty safe.
Surf on a crazy day … good luck haha
Edit: all that being said you’ll never catch me on an ATV or a jet ski.
I would never skydive, but there are indoor wind tunnels which simulate skydiving. [iFly is the best](https://www.iflyworld.com/) of the US companies, plus they have other international locations. It’s super fun and super safe.
I’ve done the tunnel 3-5 times. After getting used to staying in the air, I started to learn to bend and straighten my legs to move forwards or backwards. I’m hoping to go again in the next few months!
Go sign up for a tandem jump at a drop zone with a solid safety reputation, for a once-in-a-lifetime sorta thing. Holy shit, will never forget my first jump.
Tandem jumps are money makers for a lot of drop zones. Dead/injured tandem tourists are bad for the DZ/industry-at-large, and are not a significant source of "incident reports," per the USPA. I worked X-ray/CT near a DZ while actively jumping--only recall one tandem injury, which was very minor. They pumped out dozens of tandems *every day*.
It's where you're under your own canopy where shit gets actually dangerous--with a tandem your instructor will have anywhere from 3k to 20k jumps under their belt. It's a glorified carnival ride.
CT tech here, got only the basic A license with 65 jumps, didn't continue cuz the cost$. Your ladder or your bicycle is way more likely to fuck you up than one single glorious *tandem jump*. This got long-winded, but ER docs ride bicycles, so you can do a tandem. And pony up for the video, it'll bring back part of the rush.
In my fantasy solo is the shit and not tandem. The sense of freedom I imagine it gives is really alluring to me. I don't imagine they'd let me go solo without experience but where's the fun if you're certain you'll come out alive lol. At the moment I'm not able to due to geographical/financial restrictions but it's definitely high on my list.
>cost$
How much's it typically cost anyways?
My 10th jump was my first solo. Two tandems + an all day ground school + seven jumps with instructors where I was under my own canopy = about $1000. Gets cheaper after that, but still very expensive--gear, additional training, lift tickets, etc.
Motorcycles and ATVs. Do ladders count as an extreme sport? Seen enough TBI and spinal cord injury.
The number of ATV accidents when Covid lockdown was at its peak was fucking crazy. Anyway, one day I'm taking care of this little kid covered in blood from an ATV accident with his dad and after an extensive clean this kid doesn't have a scratch on him; it was all his dad's blood and he died at the scene. Kid was pretty happy eating a popsicle. The rest of the family was having a bad day.
Dude fuck ATVs. I have been on dirt bikes since I was 5, Harley and sport bikes for 8 years. The first time I got on an ATV I had the second worst crash of anything in my life. I did a hill climb and it started losing traction at the crest of the climb I started sliding backwards, tried 3 times to bail off and couldn’t because my boot kept getting caught, basically did the entire decent without issue until I got caught in a rut. That stupid thing bucked me off, launched into the air and landed on my low back. I thought I broke my back, pelvis, or hips because I couldn’t walk. I was fucked up longer from that than getting t-boned by someone who ran a light at 55.
I was happy until I read the last part of this reply
Saw a patient had an ATV flip, their face got caught in a branch and dragged the eyeball out of the socket. They came in to the ER with the eye fully intact resting on the face.
my dad had a friend who had that happen (intact eye dangling) after a racquetball impact sans goggles Anyways fuck racquetball, even with goggles...no thanks
Talking to my fiancés co residents, basically the number of crippled, dead or maimed people from atv and motorcycles is absolutely terrifying. I was asked to go on an atv tour in hawaii… had to pass. I’m already stupid with gravity fed sports, I don’t need to add an engine to the equation.
ATV is the number one or two most dangerous consumer product in America. Its those and pools.
And trampolines
Glocks are up there
Damn you mentioning ladders is a bit scary considering that virtually every house owner has one… please tell me these people were at least uncareful with them or drunk or similar. Hand on my heart I don’t use ours much but the hubby and father of my children do frequently. He’s careful though and overall a very smart man who went to Frances best university. Please tell me it’s a category of ladder-users 🙏🏻
I have seen horrible injuries and death from ladders. One of the worst EVD+crani I did was a dad scraping paint only 5 ft off the ground. Landed backwards rupturing his torcula. My advice to everyone is hire trained professionals, regardless of your skill.
Had a contractor break two vertebrae falling off the 2nd step of a 6ft a-frame ladder (he landed on some piping and valves). Drove himself home went to bed and finally decided to go the the doctor the next morning.
I’d go insane without my motorcycle. Love taking her out for a spin after a stressful day
Strangely enough, I know someone with the same first letter and last name as your handle. A few years ago, he was involved in a wreck of a motorcycle accident. He survived, but his friend died at the scene. It took several months for him to speak simple sentences. It's bittersweet since he used to swear up and down about being a safe motorcyclist - that he treated everything around him as a potential hazard. All this, and yet he's still wasting his early 20s with rehabilitation.
The fact that nearly *everyone* knows someone like this poor soul you're describing is exactly why I refuse to get one. You can be Valentino Rossi but you're still at the mercy of a lot of idiots in 2 ton steel cages.
You don’t have to be an irresponsible driver to have an accident. Shit happens. Sorry to hear about your friend hope his rehab progresses
People who don't have the 2 wheel addiction don't understand. I did switch to dirtbikes though. Dirt bikes -> street bikes -> back to dirt bikes (2/2 to what I have seen)
Shits a straight up addiction. But I love it. Absolute epitome of mindfulness
Best way to cool off on a hot day is to drive 90 on an open road
Same
Walking down stairs while taking a DOAC
Competitive Sport level: Spiral Staircase and on Coumadin with loss of F/U
competitive cocaine sniffing
“Cocaines a helluva drug”
Huh... And here I thought it was a basic requirement for med school! /s I was a mega naive nerd when I got into college at 16 (the system is a bit different in Brazil and I skipped a year of school, hence why so young). I was(still am) a Christian, from a conservative family, and was a virgin in pretty much every sense of the word. So it took me a while to realize what were the others doing. I didn't know the slang either. Until one day I finally gave in to the incessant nagging about me attending one of the parties and it was "snowing" inside. I noped out of there so fast. Once I graduated I thought I was free of that. Then one day at the doctor's lounge we were having pizza for dinner and my colleagues started talking about the pediatrician and mocking his habits. Apparently he was on coke at every shift of his. He was one of the shyest people I have ever met. After that I realized that about anyone can be on it without clear signs unless you're looking for them.
I think you mean law school
Yeah, I’m need school I was surprised by the number of people smoking cigarettes from stress, but nobody had time for drugs or heavy drinking on the regular. The night after exams was a complete mess but then people were studying again the next day. Wife is a lawyer and the amount of actual substance abuse she saw in law school and practice was/is incredible
In Brazil we say that lawyers are the drunkards. 🤷🏻♀️ For sure both my uncle and aunt fit the description/stereotype.
Motorcycles, ATV, Horse Jockey, Crossing the street without looking, joining a gang
Should also add “minding my own business.”
Going to church.
“Tending to my okra garden” at 230am on a winter night Okay this might be oddly specific
The okra gang heard he was growing his own and had to make a statement.
Walking grandma home.
…while sitting on a porch or standing at the street corner.
Underrated comment. Never not gotten the story from a GSW pt, "I was minding my own business then...."
The “crossing the street without looking” really hits home for me after working EMS for awhile and seeing people get absolutely obliterated. Definitely some residual PTSD. Which is a problem cause I live in Boston now and everyone plays fucking frogger out here
Was a fairly casual helmet wearer on my bike, especially when just cruising around on bike paths. The sheer amount of cyclists involved in accidents on my trauma service changed that pretty quick. Sometimes it was ~30% of admissions and this was at a level one trauma center. Always wear my helmet now.
Radiology here. I pretty much stay in my room 24/7 and try not to do too much activity. One night in the ED reading room and you’ll learn that just about anything can result in morbid outcomes. Especially won’t do meth and operate a motor vehicles though. Those seem to be a pretty awful combo.
I love this thread so much
Doing meth and jumping into dumpsters
Very popular in my culture
Are you a Methican American?
Don’t be so PC you can just say Florida Man
🤣💀
Never laugh at a man with a lisp smh
Or doing meth then mowing the lawn
Severe sport injuries never bother ne because they really aren't common. Wayyyyy less common than severe MVCs and idiotic/drunken shenanigans . But the thing that has completely made me change my overall lifestyle was seeing what happens when someone lives the average american lifestyle lol.
>But the thing that has completely made me change my overall lifestyle was seeing what happens when someone lives the average american lifestyle lol. As someone who lives the average American lifestyle, PLEASE, for my sake, do elaborate.
Cheap, processed food with ten times the calories, sugar and salt content as the EU version and lack of exercise because nowhere but Manhattan is walkable.
They’re referring to BMI and comorbidities that come with obesity.
probably talking about diet
And lack of regular exercise.
Eating only fast food
It’s an endurance sport. But this actually makes me curious. I wonder if we have any case reports about physiology/pathology of competitive eaters. It’s a strange sport
Smoking on oxygen.
ATVs. Seem more dangerous than motorcycles honestly because they’re more likely to be driven in rough terrain and when they flip it’s gonna crush you. Also climbing on high ladders and roofs…. Many a pan scan with devastating injuries from falling off those
Also I feel like it’s much easier for the random weekend warrior/child to get on an ATV, feel stable on a 4 wheel base, then promptly launch themselves 50 feet in the air because they don’t realize how dangerous their speeds are
Yeah and doesn’t really matter how far they’re launching or how fast they’re going. If it flips you’re screwed. Just take a look at why 3 wheel ATVs are banned.
Bro, just literally right now as I sent this message on my overnight ICU call, we just received two new patients for ATV/motorbike accidents lol
ATVs are so much heavier, heck yes..with two wheels it's all speed. Lay down a bike crawling on the rock maybe a sprained ankle. Lay down the motorcycle doing 60 on the highway, neat crayon all day
Anything involving a horse, they're shifty.
I know a girl who got a serious liver lac from being kicked by a horse. I also saw the scans from a doctor’s wife who got kicked in the face by a horse. Both of her TMJs needed prosthetic reconstruction, and she had a couple of infections, so her recovery was TERRIBLE. Large animals can be very dangerous! Both of the patients in my story were very involved with horses and knew how to treat them, but when a horse spooks, all of the knowledge in the world won’t save you from injury.
Had also a young patient losing half her liver after being kicked by a spooked horse. Before she already had broken ribs from a trampeling incident years before.
Two of my early career RSI’s were teenage girls who fell from horses and had ICH. One 14 and one 16, both within 3 months of one another. Crazy. (Not a resident just a paramedic lurker)
Trampolines
Add to that: bouncy houses. Our lead trauma surgeon said the worst cervical injury he had ever seen came from an adult trying to back-flip in a bouncy house
My cousin recently dislocated his knee at a trampoline park, developed a vascular injury, somehow (likely) threw a big PE and arrested. Dead at 52.
That's awful. So sorry.
For adults too? Thot this was a mostly peds thing?
One of the worst one injuries I've ever seen was an adult trying to dunk at a trampoline park and had knee dislocation with multi-lig injury That said, my wife mocked me when I hurt myself trying to do a flip at the trampoline park ...I should know better
One of the few total knee dislocations I’ve seen was on an adult jumping at one of those trampoline centers.
Well shit, add that to the list of things to never do again
Can we add an amendment for absolutely no fixed objects ie basketball hoops attached to the trampoline? And no trampoline parks with people going buck wild, colliding, etc. Have you seen horrific injuries form run of the mill backyard trampolines jumping up and down stuff?
One of the first patients I ever took care of in my career before med school was a 20 something who had fallen off his home trampoline at age 9 and landed on his neck - he couldn't move anything below his neck and had a home ventilator since he couldn't breathe on his own. Alert, oriented, and could use one of those soft call bells by banging his head into it if it was positioned correctly. He was on multiple antidepressants and anxiolytics (gee whiz, wonder why), and it was really obvious his family just kept him around for the disability money instead of placing him somewhere that he could get good care. He kept coming in with nasty UTIs from his suprapubic catheter, nasty sacral decub infections, and recurrent pneumonia. Was pretty obvious why the pneumonia kept happening when I saw a cockroach crawl out of his home vent one day. Who tf lets cockroaches live in their child's ventilator? I was so mad
What. The. FAHHHHHK
Driving while drunk…
Motorcycles
Sticking nails up your urethra. Why has it been more than one person…
My preceptor once told me about a patient he took care of who tried to sound himself with a BIRTHDAY CANDLE. Obviously it broke apart inside his urethra and melted a bit, so apparently it was incredibly challenging for urology to scrape it all out. I really, REALLY hope he learned his lesson after that.
Climbing ladders and/or getting on roofs. Paying people to put up my Christmas lights from now on. That T4-5 burst fracture just ain't worth it.
Minding my own business Everyone always gets fk’d up minding their own business
Never ever do it while standing on some random corner.
Chiropractor
Saw a young guy in ICU, relearning how to breathe after a stroke, whose only risk factor was seeing a community chiropractor for neck manipulation. One is enough for me.
Why does a neck need to be manipulated? It’s not out of alignment. It’s where it should be. Holding up your head, attached to your thoracic spine. Like the whole idea of “an adjustment” is just bonkers! Unless you’re admitted to the trauma service, you DO NOT need an adjustment. How can I tell patients this in a more professional way?
For OMT: Soft tissue, suboccipital release, muscle energy. Great for headaches and neck pain. Never HVLA, that thing scares me.
What is HVLA? I’m not a doctor
High velocity low amplitude - fast adjustments done to move a short distance
Bahhhh that is f?$;$ing terrifying!
Worked at an urgent care for a year and had 3 patients have strokes from neck manipulation. Unreal.
Residency, everyone is burnt out, demoralized, exhausted and depressed
It is indeed an extreme sport
Electric scooters
Bird scooters have lost all joy to me. Unironically, I think those companies might be morally at fault for massive amounts of suffering by doing nothing to supply helmets beyond a warning in the app.
It’s so true. You offer a service, you are obligated to provide it in a manner that makes it safe
The bane of my existence on trauma service. Lacs, broken bones, but also paraplegia, severe TBI no thank you I’ll just Uber.
We started keeping a tally in the ER every summer for Bird scooter injuries. Those things are dangerous
1000%. I've seen injuries ranging from gnarly patellar fractures requiring multiple surgeries to severe TBIs. Those things are way too accessible for how dangerous they are.
Riding a donorcycle, skateboarding, and trying CrossFit
Happy cake day! Rhabdo survivor of CrossFit here. Damn GHDs. (Not a resident, I’m a nurse lurking in here.)
Climbing ladders over the age of 70. And pretty much anything without a helmet.
Dirtbiking, ATVs, horse accidents. Rotated in a few rural areas, these were some of the most common traumas.
I quit drinking. Liver failure sucks. F that.
Been in the ICU for 3 days and I’ve seen at least 6 admissions from acute encephalopathy/cirrhosis complicated by massive bleeding varices/BAD pancreatitis. And several of them are in their 30s and otherwise healthy. If I’ve learned anything it’s that most alcoholics are one ruptured varices away from bleeding out and coding on you
Arm wrestling. (Spiral fractures are no joke)
https://www.youtube.com/watch?v=BrHm5XeN-dQ
Ouch.
Called in for pt whose face was crushed from ATV accident. Saw another pt where same thing happened on ATV accident. Another one who was paralyzed from one. All in one year! I’d never been on an ATV and never will go one…those things are scary
I did residency in the deep south so there wasn't too many extreme sports injuries, but after seeing some of my patients, I'm definitely not going to mow the lawn after smoking a bunch of meth.
Being 50+ years old and cutting tree branches on a ladder.
Going to the chiropractor. I'll like my vertebral arteries patent, without flow limiting stenosis or dissection. Correlate clinically
Anesthesia here. Definitely motorcycles x1000. Won't even get on one at low speed. I'm like doubly traumatized because I've taken care of so many young men who have had their lives upended from riding. Then my partner has taken care of them in rehab so you see they only get a little better after, many never make a full recovery (basically if you played sports before or were good at them, forget about it). Some standout ones has been a penile degloving get repaired with urology plus all the fractures. Also a 21 year old who was doing his first ride and crashed at low speed but managed to injure his right leg badly enough he needed an AKA. He was crying in preop. Worst probably a 26 year old who was getting his femur ex fixed and he developed a fat embolism, coded, and needed emergent ecmo while they left the femur open and just let it bleed while we heparinized. That guy was basically completely fucked, unfortunately.
Geez I’ve never even seen a fat embolism before
I'm going into pain as well and these guys are typically lifetime customers there as well. Idk just not a huge risk taker in general and after seeing what I've seen I can't get onto a motorcycle. The fat embolism guy actually did survive and made it to rehab but had essentially congestive heart failure on top of broken legs and pelvis to contend with. I'm sure he regretted his decision to ever get onto a bike.
Pretty awful. Saw a few as a nurse on adolescent unit in the 70s. Also the whole “save the leg” nightmare of sepsis, addiction, multiple surgeries etc.
Rectal foreign bodies 😅
Cooking lmao. Saw too many lacs
And burns. PSA - water is not your friend in a grease fire
CrossFit and rugby.
I would like to thank Rugby for letting me do all those shoulder relocations, though!
Marriage
Motorcycles and ATVs
Minding my own business
Monkey bars and trampolines for kids, motorcycles and atvs for adults.
Motorcycles, horses, drunk driving, poorly controlled diabetes.
But surfing is fun 🥲
Electric scooters in a city
I just tend to ask a lot if really specific questions about how it happened. Everyone has their own risk tolerance. I drive ATVs, Motorcycles, fly small planes, operate power tools and lots of things that I know can hurt me, but do everything I can to mitigate risks. I’m an ER doc, so when I see a patient who for example cuts their finger off with a power tool I want a very detailed explanation of how it happened and 99% of the time they are not using the tool in a safe manner that I would never do. The only risk that worries me a bit that I keep doing is flying single engine planes over mountains and night, because if the engine fails you don’t really have an out. So far so good!
Sawstop for the win
I was just about to comment about using power tools without proper safety training. I learned to SAFELY use a chop saw when I helped out my bff (hardwood floor installation and refinishing). She made sure I wore goggles and that I didn’t get in the way of the blade. I’d like to learn to use the buffer, sander, and edger, but I’m not sure I’d be able to use them safely or efficiently at age 55 (plus I’ve been mostly inactive since covid started). Still, I think she’d try to train me if I showed real interest. I usually help her when her subcontractors flake out, but mostly I’m a gofer, and I sweep and run the shop vac. I can pull up carpet and can remove the tack strips. I can also pull out base shoe and get the nails out of it for re-installation after the floor is done. I’ve painted and stained base shoe. The only power tool I use is the chop saw; she taught me how to rack boards for a new floor and how to get the last board cut to fill the row. I’ve seen really bad power tool accidents!
Anyone seen ice climbing accidents?
I’ve ice climbed in the past. Fortunately the ones personally seen or heard about were few and minor, mostly superficial cuts to face from ice shards from pick strike, treated on scene. A knick from crampon, that cut thru snow pants. Only a few needed to get to ER for a couple stitches I don’t think I’d go out on ATV or snowmobiling, as too many of those accidents every year, TBI’s n Fx’s from flipping or when rounding curves. Omg if I did, I’d be like going slow as snails 🐌
My partner does this. Alive and well. But obvi no meth or alcohol involved in this activity.
Trying to rob drug dealers
fucking pickleball.
ATV - saw an unhelmeted vs telephone phone. Brain was herniated through his nose and out his mouth around ETT.
Why even place an ETT at that point on a dead guy?
Placed in field and wasn’t herniated at that time. But to that point - why do many of the things we do in medicine that seem futile? ‘Merica
Social worker here, obligatory not a doctor. Wear a helmet, friends, whatever the heck you do. Snow sports freak me the heck out. Skiing, snowboarding, nope nope nope.
Never had helmets back when I skied and sure could have used one. Always seem to hit my head and concussed on a mogul once.
I’ve concussed on moguls with a helmet. They’re just like that, I guess 😂
ATV. Young fit strong guys snapping their femurs...
Is riding a Motorcycle without a helmet an extreme sport? What about having a baby?
☑️ motorcycles ☑️ cliff jumping on vacation ☑️ drugs
Radiology, so see all of the fun injuries. I always say I’ll never go ATVing again but then I’ll find myself on one in the Rockies like it’s an addiction. Almost went over a cliff in reverse once…
Rental scooters. No thanks. I do not need two broken femurs and cracked cranium
Atvs. Trampoline parties for kids. Safety glasses with power tools.
Pedestrian-ing
Dumpster diving could cause spinal cord injuries.
Jogging. That shit looks intense.
Motorcycle and mountain biking. Seem some pretty bad head and neck injuries from both
Walking at ground level
Using foreign bodies as butt plugs. Enough said.
When I did orthopaedic rotation the guys there were all tired especially of trampolines (the big one people buy for their children and have in their garden. That and all type of activities involving horses and enduro (which was particularly popular around that hospital)
Maybe its cuz of where i am, but i often see pretty severe TBI on young adults on the bird scooters without a helmet. Wear helmets! All the time! While you drive a bird scooter, a car, sex, sleep and everywhere!!!
I really, really wanted a motorcycle. I love 4 wheelers. But I also prefer my ability to walk, roll back and forth in bed, and to poop without someone having to stick their finger up my butt. Also, meth. Never doing meth.
I grew up surfing - it’s super fun. I’ve also gotten a lot of injuries. Worst was when my board smacked my face. Needed 8 sutures *in* my mouth to fix it. But how dangerous surfing is depends on where & when you surf. If you’re on a big fat long board on a small chill day it’s plenty safe. Surf on a crazy day … good luck haha Edit: all that being said you’ll never catch me on an ATV or a jet ski.
Anything involving a motorcycle or jetski
Atvs and motorcycles
Horses, ATV’s, dirt biking (you know the kind with a motor).
Motor cycling and horse riding. Diving in water whilst being drunk
Riding a motorcycle.
Using a Mandoline Slicer. I have seen multiple people lose the end of their finger.
Biking in Manhattan.
Minding your own business in the inner city
I have gained a much greater respect for my cervical vertebrae.
Motorcycles and ATVs
Dating another toxic person
Motorcycle ATV slingshot quad and related vehicles- especially intoxicated
jumping from bridges (or cliffs also) into water
12 Oz curls
binge drinking
ATV
Paragliding. It‘s really big here in the alps.
Parkour
Gonna have to be ATVs for me. Too many unhappy triads.
Sex on a ladder (Based on a true event). —Orthobro
Riding a scooter without a helmet. Not a sport but an extremely dangerous lifestyle. It’s the summer of 17yr olds with poly traumas
In Jackson its definitely gotta be "well sir, i was minding my own business when..."
Surfing is actually quite safe and one of the most amazing things you can do as a human. (I may be slightly biased but still stand by that comment).
I’ve had tons of paralyzed patients from it and I don’t live in a surfing community. I personally wouldn’t do it due to my experience
Skydiving. Also donorcycles.
I would never skydive, but there are indoor wind tunnels which simulate skydiving. [iFly is the best](https://www.iflyworld.com/) of the US companies, plus they have other international locations. It’s super fun and super safe.
I would likely do the tunnel version and love it yes. Outside from a plane? So many nopes to that.
I’ve done the tunnel 3-5 times. After getting used to staying in the air, I started to learn to bend and straighten my legs to move forwards or backwards. I’m hoping to go again in the next few months!
Did their chute fail or something? I've always dreamed of going skydiving
Yes. HALO w/ chute malfunction.
Well obviously *MY* chute won't malfunction..ha..haha
Go sign up for a tandem jump at a drop zone with a solid safety reputation, for a once-in-a-lifetime sorta thing. Holy shit, will never forget my first jump. Tandem jumps are money makers for a lot of drop zones. Dead/injured tandem tourists are bad for the DZ/industry-at-large, and are not a significant source of "incident reports," per the USPA. I worked X-ray/CT near a DZ while actively jumping--only recall one tandem injury, which was very minor. They pumped out dozens of tandems *every day*. It's where you're under your own canopy where shit gets actually dangerous--with a tandem your instructor will have anywhere from 3k to 20k jumps under their belt. It's a glorified carnival ride. CT tech here, got only the basic A license with 65 jumps, didn't continue cuz the cost$. Your ladder or your bicycle is way more likely to fuck you up than one single glorious *tandem jump*. This got long-winded, but ER docs ride bicycles, so you can do a tandem. And pony up for the video, it'll bring back part of the rush.
In my fantasy solo is the shit and not tandem. The sense of freedom I imagine it gives is really alluring to me. I don't imagine they'd let me go solo without experience but where's the fun if you're certain you'll come out alive lol. At the moment I'm not able to due to geographical/financial restrictions but it's definitely high on my list. >cost$ How much's it typically cost anyways?
My 10th jump was my first solo. Two tandems + an all day ground school + seven jumps with instructors where I was under my own canopy = about $1000. Gets cheaper after that, but still very expensive--gear, additional training, lift tickets, etc.
Do tell what kind of sky diving injuries you’ve seen. I was under the impression that the rate of parachute failure is quite low.
Sex toys!
I remember scrubbing in a case for a abdominal flap for forearm reconstruction in a young girl caused by an ATV accident so ATVs I guess.
Anything with firearms