Photos in Emergency Medicine

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=95 BGCOLOR="#999999" TEXT="#080000" bgproperties="fixed" background="048005f0ermwup.png"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Kentucky Spellmans</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Kentucky Spellmans"><U><B>home</B></U></A></div> <div> <A HREF="id38.htm" TARGET="_top" TITLE="Colleens Page"><U>Colleen's Page</U></A>   |   <A HREF="id61.htm" TARGET="_top" TITLE="Saras Page"><U>Sara's Page</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Family and Friends"><U>Family and Friends</U></A>   |   <A HREF="id100.htm" TARGET="_top" TITLE="Our Boat"><U>Our Boat</U></A>   |   <A HREF="id42.htm" TARGET="_top" TITLE="Tactical Medicine"><U>Tactical Medicine</U></A>   |   <A HREF="id94.htm" TARGET="_top" TITLE="Covington Fire Department"><U>Covington Fire Department</U></A>   |   <A HREF="id99.htm" TARGET="_top" TITLE="Fishing Trips"><U>Fishing Trips</U></A>   |   <A HREF="id41.htm" TARGET="_top" TITLE="Lifeflight"><U>Lifeflight</U></A>   |   <B>Photos in Emergency Medicine</B>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Favorite Links"><U>Favorite Links</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=385 BGCOLOR="#BBBBBB" TEXT="#080000"> <div> <I>Photos in Emergency Medicine</I></div> <div> These photos are presented here for the purpose of interest and education.  Some of the photos are of patients that I have treated and others are from other sources.  All photos were taken with the explicit consent of the patients or guardians.  Every effort will be made to protect the identities of the patients involved.</div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="5fc9c170.jpg" border=0 width="412" height="279" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> This idea compliments of Dr. Bosche.  It seems to work for the lawyers.</div> <bR> <div> I recently stoped at this accident scene to see if I could be of any assistance.  There were two occupants in the vehicle, a woman and her infant child.  Even though the damage to the vehicle was impressive the injuries turned out to be relatively minor.  Extrication and patient care was provided by the Florence Fire Dept.  They did an excellent job.  I ended up being strictly an observer until Aircare arrived.</div> <div> <IMG SRC="7245e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="7265e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="7285e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="72a5e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="72c5e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="72e5e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <IMG SRC="5ce5ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> Cellulitis of lower extremity.</div> <bR> <div> <IMG SRC="5d05ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> Table saw injury.</div> <bR> <div> <IMG SRC="5d25ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">  <IMG SRC="5d45ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> Before and after repair of dog bite.</div> <bR> <div> <IMG SRC="5d65e0d0.jpg" border=0 width="350" height="525" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">This can occasionally happen when you take small children fishing.</div> <bR> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="804" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 239 ><NOBR><div> <IMG SRC="5d85ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="410"><div>  This is a traumatic glossitis.  A tremendous swelling of the tongue after biting it during a seizure.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="803" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 239 ><NOBR><div> <IMG SRC="5da5ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="406"><div> This photo is a little difficult to distinguish.  What is seen is a large tumor in the oropharynx of a smoker who presented with the complaint of a sore throat.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="914" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 239 ><NOBR><div> <IMG SRC="5dc5ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5de5ee90.jpg" border=0 width="350" height="233" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="288"><div> This was removed from a patient in Sandusky, OH.  The patient did fine.  The tick didn't make it.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="856" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 347 ><NOBR><div> <IMG SRC="5e0104d0.jpg" border=0 width="272" height="333" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5e217550.jpg" border=0 width="279" height="341" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="246"><div> This person partied slightly too much and forgot that you're supposed to drink the beverage, not the bottle cap.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="938" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 193 ><NOBR><div> <IMG SRC="5e40bb20.jpg" border=0 width="267" height="178" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5e614b80.jpg" border=0 width="276" height="184" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5e819bb0.jpg" border=0 width="281" height="187" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="211"><div> This little one was injured in a house that was intentionally set on fire.  A family member held her against her body as they ran from the house but she was still burned on one arm and her scalp.  She was a favorite patient of the staff in the burn center and recovered completely.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="860" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 169 ><NOBR><div> <IMG SRC="5eaec9d0.jpg" border=0 width="236" height="157" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5ecef9f0.jpg" border=0 width="239" height="159" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5eef5a30.jpg" border=0 width="245" height="163" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="181"><div> More trouble with table saws.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="855" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 187 ><NOBR><div> <IMG SRC="5f007af0.jpg" border=0 width="263" height="175" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5f20fb50.jpg" border=0 width="271" height="181" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="5f4fca80.jpg" border=0 width="252" height="168" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="224"><div> This person was pretty sure he had stepped on something the night before he came to the Emergency Room.  His wife was pleased to get her sewing needle back and he was glad to be rid of it.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="709" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 269 ><NOBR><div> <IMG SRC="5f85e070.jpg" border=0 width="350" height="263" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="341"><div> This was a young man who attempted suicide via bb gun.  This exceptionally slow learner shot 4 bb's into his left nostril and one into the right before he figured out that this was extraordinarilly painful but not likely to kill him.</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="920" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 609 ><NOBR><div> <IMG SRC="6127e5b0.jpg" border=0 width="638" height="603" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="260"><div> We all have these days!</div> </tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>