I'm Dr. Joshua Schwimmer, a nephrologist and internal medicine physician in New York City. • Kidney Notes was the first active nephrology blog. (Trivia: Kidney Notes is so old that the National Library of Medicine still uses it as an example of how to formally cite blogs.) • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Saturday, May 27, 2006

Jack and Jill, The Back Story

Via Intueri:
Jack and Jill went up the hill to fetch a pail of water. Jack fell down and broke his crown and Jill came tumbling after. Jack had consumed about a fifth of gin about an hour prior to this incident. Due to this inebriation, he was unable to ambulate safely and subsequently could not coordinate his motor activity. It is unclear if he lost consciousness when his head hit the ground (he was yelling obscenities at the ambulance service and continued to scream expletives upon arrival at the emergency room; he was not directable and was ultimately placed in four point restraints due to his attempts to assault staff). However, he was moving all of his extremities and he clearly had a GCS of 15 at presentation. His blood alcohol level was near 400...
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