To think this is an obvious fracture? Pic

[XRay72]

??? Surely it's quite obvious???

[lougle]

We (ICU nurses) try to debrief with the team after serious situations. It depends - a sudden event would be debriefed by the senior nurse on duty at the time of the event, at the nearest suitable time. If it's very traumatic, we'd debrief as a multidisciplinary team as soon as it's safe (a review of what we did, why we did it, would/could we have done anything differently). If it's a very distressing case that is prolonged and affects the unit as a whole (e.g. death of a very young patient/long-term recovering patient who suddenly deteriorates) then we try to have an opportunity for more formal discussion opportunities.

You've got to talk- it's too much to keep it all inside.

[welshweasel]

Genvon I can't speak for paramedics but not usually any formal debriefs for doctors. As PP says, you may discuss at a later date to see if any learning points but generally we rely on coffee room debriefs with colleagues. It's a bit shit but there's just not the time or resources.

[WhoTheFuckIsSimon]

Someone at work had similar happen to her dh but it was his neck of femur. They got a 3am phone call telling him not To weight bare but to get straight in As he needed surgery.

[MsAdorabelleDearheartVonLipwig]

I wish they'd done an xray on dd2 when she fractured the top of her arm when she was two. They made me hold her still while they twisted and turned her arm thinking she'd popped her elbow. She was screaming and sobbing with the pain whilst I held her down before some bright fucking spark said hmm, perhaps she's broken something. Still makes me feel sick.

[themorus]

VERY obvious fracture you can see the break in the bony cortex!

[Hellochicken]

Genvonklinkerhoffen
No I've never heard of any nurse or doctor having this.
Informally people talk about a case if it was particularly disturbing. But usually we are used to death, it is part of life.
There are morbidity and mortality meetings to discuss deaths in some departments. But only for cases that have gone badly, to learn. Not necessarily situations that were distressing or disturbing.

[Flumplet]

We had exact same scenario with my
Ds when he broke his leg. I was told by nurse at a&e that it was just a sprain and to get him up and mobilised or it will stiffen and take longer to heal. Then radiologist called back 24hrs later to say actually no it looked broken. Meanwhile I had been encouraging a 3 year old in a lot of pain to walk on a broken leg. Champion!! Mistakes happen I guess.

[OurBlanche]

It's a good job I'm not then, Bearcatt . I only ever used obvious films in my Pre-Physio course, so I always knew where the fracture was before I used it in class - a rank amateur

As for you, smiling....

[Familyof3or4]

Very obvious. I used to work on a&e and if this was missed it would be reported back to the treating dr so they wouldn't miss it again.

Who asked about debriefing for dr after trauma/death etc......no, not routinely. I imagine counselling might be on offer of requested

[justkeeponsmiling]

I did

[Bearcatt]

That is a totally obvious fracture (& I say that as a radiographer).
As obvious as the nose on your face in my opinion.

[OurBlanche]

Be honest, you just wanted to add a Dick Pic

[XRay72]

Just a sling it was ladders, those evil things!

[justkeeponsmiling]

Sorry couldn't resist

[justkeeponsmiling]

Another ecample of a hard-to-spot fracture

[XRay72]

I'm glad you think it's nothing but it bloody hurt!

[Genvonklinkerhoffen]

Welsh (sorry to hijack op) do Drs and paramedics (and nurses etc) have a formal post trauma (ie death of patient etc) debrief to prevent PTSD development in later life? I know the armed forces do, just writing a brief for someone and didn't know how it worked for you.

Sorry.

Op, hope you heal soon, will it just be a sling? Or a cast etc? What did you do btw?

[ManonLescaut]

That's nothing, a friend of mine fractured 3 vertebrae in her neck & that was missed by A&E. She had to go back and insist.

[brotherhoodofspam]

Yes, fairly obvious (and that's to someone who hasn't routinely looked at x-ray films for years), but as POs said that's why most A&E department have some sort of back up checking system which clearly worked in this case.

[OurBlanche]

I think some may be looking at the distal end of the clavicle ... that is not fractured, that's 2 separate bones

The possible fracture is lower... and given the exposure I'm not sure it is a fracture. But I would echo Wombat's query about the joint space... that does look narrow!

Ask lots of questions when you go back, XRay... good luck

[welshweasel]

When I was an A&E doc all missed fractures would be reported back to the doctor who missed it and education provided. It's the only way you learn. I remember one of my colleagues (who is now an orthopaedic consultant) missing a hip fracture, he was mortified the following day. Hope you heal soon.

[Wombat79]

fractured greater tuberosity possibly extending into the neck of humerus (exposure not great) - very clear to me as a physio. It might be the angle of the x-ray but the shoulder looks like it might also have some arthritis as the joint space is very narrow.

[lougle]

No, that's obvious

[CesareBorgiasUnicornMask]

It took me a couple of minutes to find but I'm only a med student and shit at xrays. Can see how somebody very tired/ busy might have missed it though. Are you OK?

[DeepFriedCamembert]

Yes, very obvious fracture. I'd write a letter to ensure the individual who missed it gets some additional training or support