Friday, June 7, 2019

Clinical Elective in Trauma Emergency Department at Groote Schuur Hospital, Cape Town, South Africa Part 2


Kelsy Greenwald, MD
Resident, Harvard Affiliated Emergency Medicine Residency
PGY 2

May 30, 2019

Bruising from a sjambok
The busiest times at Groote Schuur Hospital are weekend nights. On one such weekend night, we heard a bell go off, which would be a sign to everyone in the trauma section that a patient was being brought to the resuscitation unit. When we arrive, the EMS providers tell us this patient was involved in a community assault. This is a form of vigilantism. Distrustful of the local police force, a community mob will attack a person who was involved in a robbery or other crime. Instead of calling the police, the mob (often 20 or more people, including children) will take it upon themselves to punish the offender, often beating him with bricks, sticks, and sjambok (whips) until his family members call an ambulance or the police. Here you can see bruising marks from the sjambok.


The Lodox
The patient had multiple lacerations around his scalp, multiple skull fractures around his occiput, bilateral hemopneumothorax, right humerus and femur fractures, but luckily no intra-abdominal injuries. He was placed on a special stretcher that is used to take a full body x-ray with the special x-ray machine that is located right in the resuscitation room, the Lodox.

After receiving bilateral chest tubes, intubated, and given blood, he was stable enough to rush to the CT scanner (3 hallways away). Rather than a mobile ventilator, a doctor bags the patient the whole way, with epinephrine/adrenaline and fentanyl in their pocket. Only after first receiving a brain CT, showing a non-fatal head bleed, did the radiologist consent to further scans of the c-spine, chest and abdomen. The patient eventually went to the operating room with orthopedics. This was one of eight resuscitation patients of the night.

20 comments:

  1. I want to give a testimony on how I got cured from Herpes Virus. Few months back I was having some symptoms . I went to see my doctor and many blood tests was done on me, later on I was told I had Herpes. My doctor told me that there's no cure for Herpes I felt bad, I went online searching for a possible cure for Herpes Virus, I saw a post of DR RAZOR a herbal doctor that cured someone from Herpes. I contacted him and told him how I'm feeling he said his herbal medicine can cure me. He sent me the medicine via DHL Courier Service and I received the medicine some days after he sent it, i took the medicine as prescribed by him. Before the completion of the medication the symptoms stopped. I went to the doctor and carried out another blood test, surprisingly I was Negative. I haven't had any symptoms anymore, you can contact him via whatsapp/call +2349065420442 or you can Email: drrazorherbalhome@gmail.com.THANK YOU DR RAZOR AM GRATEFUL FOREVER

    ReplyDelete
    Replies
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  4. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
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    ReplyDelete
  5. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
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    ReplyDelete
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  7. I already gave up on ever getting cured of HSV2 because i have tried many treatment none of them worked out for me i have gone to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr RAZOR on the internet from a lady called Angela[USA] i contacted him and he reassured me of the effectiveness of his herbal medicine and he sent me thy medication after he promised to guide me, i took the medication according to the way he instructed, within 18 days i started having some changes in me and i went to the medical hospital for check up and i was confirmed herpes negative. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under 18 days i was totally freed from #Herpes. i want to say a very big thank you to DR RAZOR for what he has done in my life. You can leave him a message on email drrazorherbalhome@gmail.com and also WhatsApp him +2349065420442..
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  8. I already gave up on ever getting cured of HSV2 because i have tried many treatment none of them worked out for me i have gone to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr RAZOR on the internet from a lady called Angela[USA] i contacted him and he reassured me of the effectiveness of his herbal medicine and he sent me thy medication after he promised to guide me, i took the medication according to the way he instructed, within 18 days i started having some changes in me and i went to the medical hospital for check up and i was confirmed herpes negative. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under 18 days i was totally freed from #Herpes. i want to say a very big thank you to DR RAZOR for what he has done in my life. You can leave him a message on email drrazorherbalhome@gmail.com and also WhatsApp him +2349065420442..
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    ReplyDelete
  9. Hello everyone i am very delighted that i recently got cured of herpes virus. I have been battling with this disease for over 4 years now, ever since i got diagnosed of the virus i have been using medical pills and therapies to suppress the virus. But inside of me i needed the Virus gone cause my health was deteriorating, So  i went on to the internet to search on how one could get cured from this virus, when i came across some testimonies on how herbalist razor has helped them get rid of Herpes virus, Hiv/aids, Cancer. I copied out his details (email ; drrazorherbalhome@gmail.com) and Whatsapp number +2349065420442) as provided by the testifiers on a blog site. But before that i was so skeptical, i knew there are so many herbal doctors on the internet,i needed the one who can help me get through this Herpes Virus completely with his herbal Remedy. I got in contact with doctor Razor,and i explained my problem to him and he promised to help me, which he actually did. I got my medication in the US sent by doctor razor and he instructed me on how i was to take it for 18 days. After the said 18 days i went for medical check up and the doctors ran some test on me and told me i was Herpes Negative, i was amazed and dumb-folded, so i had to go back home, i noticed my health for some months, i didn't have any outbreaks nor symptoms of the virus, but i went to another hospital after 2 months to conduct another test and the same result. I will be forever grateful to you doctor Razor and I will make sure the world gets to know about your herbal exploits sir. Reach doctor razor on his email : drrazorherbalhome@gmail.com or whatsapp/call his cell on +2349065420442

    ReplyDelete
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    ReplyDelete
  11. Six weeks previously, I had attended my primary care doctor (PCD) with dysuria and was treated for a urinary tract infection, however, symptoms persisted. Several days later I noticed an acute onset of bilateral vulvar blisters. I was clinically diagnosed with genital herpes and commenced taking valacyclovir 500 mg bd for one week as instructed by my  PCD. The blisters resolved within five days, however, I developed burning and exquisite sensitivity to touch in both inner thighs and in my left buttock extending down my left leg and including the sole of my left foot and toes. I found that at times, I was unable to walk and sit. So returned to her PCD who told me to continue taking valacyclovir for another week, however, the burning persisted. And I knew this was never going to cure me. I sorted for Natural Herbs And Gos so good i came across doctor razor's Details,I contacted him and we spoke and he assured me everything is going to be permanently fine. Few days after I reached out to him he sent me herbal medicine to take for 18 days. after completing the dosage for 18 days. I started noticing some changes in my Genital Area. so i told the herbalist about it, he asked me to go for a medical test, which i did. Lo and behold, My PCD was surprised to see my result out Negative,. I was overwhelmed with joy, I waited for 2 weeks to make sure the Virus was not laying dormant in my Nerve Cells, So i went for another test After the two months, And it had the same Negative result. I am forever indebted to you Doctor Razor. If you are having hard times with this same virus or you do know of anyone with herpes virus, i kindly recommend you to him. Email drrazorherbalhome@gmail.com
    WhatsApp or Call his cell phone +2349065420442..,.

    ReplyDelete
  12. Hello everyone here, Am Lady bar Patricia Covenupa. from Bronx,New York United States.I want everyone to know how grateful i am after the restoration of my marriage with the help of a spell caster called Dr CHUKWU MADU. He is great and unique,i saw people testifying about Doc.Chukwu and i told him my problems and he cast a love spell that brought my husband back to me after he has cheated and wanted a divorce after 3 years of our marriage. Dr CHUKWU MADU is there to respond to your relationship problems and other human activities like, email him at dr.chukwumaduherbalhome@gmail.com
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  13. TO EVERYONE BATTLING WITH HERPES INFECTION ,I want to quickly drop my life story on how a specialized healer called DR RAZOR cured me from HERPES virus, A good man who have used his herbal roots and herbs to cure all kind of deadly disease. I was infected with HERPES virus and I never thought HERPES virus could be cured,but with the medication DR RAZOR sent to me i was cured,I saw his email on web page by a patient he has cured from HERPES,who dropped the email and phone contact of the doctor.I really thank FLORENCE for sharing her testimony on how she was cured When I contacted him he prepared the herbal medication for my HERPES cure and send it to me via DHL And i got cured within 18 days of using the herbal medicine,Contact him through E-MAIL drrazorherbalhome@gmail.com or for easy communication you can WHATSAPP/CALL him via his mobile number +2349065420442. He can Also cure Infections like :HSV 1 & HSV 2ASTHMADIABETESEPILEPSYCANCERINFERTILITYSTAPHYLOCOCCUS.BARRENNESSHIV /AIDSHEPATITIS B Kidney?

    ReplyDelete
  14. GOD BLESS DR KELECHUKWU HERBAL HOME FOR THE WONDERFUL WORK HE HAS DONE IN MY LIFE,INDEED YOU ARE GOD SENT.I have been suffering from Herpes virus for 6 years and i was told by my doctor that it has no cure.After years of believing that herpes has no cure i finally came across some comments on the Internet,about how Dr.kelechukwu has cured lots of people with his herbal medication, i gave him a trial at first but when I got the herbal medication, i used it as prescribed.after 3weeks i went to my doctor for check up,to my greatest surprise i tasted nagative.this is how i was cured permanently from herpes virus.God bless Dr kelechukwu herbal home for bringing back happiness in my life again.you the true Dr..feel free to reach him via his mail at drkelechukwu2@gmail.com or whatsApp him +2348077365216He also cureHIVCANCERHPVHERPES 1&2
    HEPATITIS e.t.c

    ReplyDelete
  15. My Sincere Gratitude to Dr Razor, I was infected with HERPES SIMPLEX VIRUS 2 November 13 2018, I went to many hospitals for cure but there was no solution, I was confused because the medical drugs has become my daily food, but i decided to sort after Natural Herbs. One day I sat beside the pool, Browsing and thinking where I could get a solution to end this my predicament. I saw a blog on how Dr Razor cured people with his herbal medicine, i did not believe but i just decided to give him a try, Visit Doctor's Razor's Website : https://drrazorherbalhome.wixsite.com/drrazorherbalhome .I contacted him and he prepare the herbs for me which i took, and he instructed me to go for check up, after the test i was confirmed herpes negative, i am so happy. If you have any problem or you are also infected with any disease, kindly contact him now with his Email: drrazorherbalhome@gmail.com or call +2349065420442This testimonial serves as an expression of my gratitude.
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    ReplyDelete
  16. God bless Dr. USELU for his marvelous work in my life, I was diagnosed of HERPES SIMPLEX VIRUS since 2018 and I was taking my medications, I wasn’t satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. USELU , how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine within 3 days. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES contact him via email (dr.uselucaregiver@gmail.com) once again thanks to you Dr. USELU cure the flowing virus, contact his email or add him on whatsapp (+2348132015009) cancer cure
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    ringing ear
    herpes cure
    warts cure
    HPV cure
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    pregnancy herbal medicine
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    ReplyDelete
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    Spiritual Attack
    Land/Court Case
    Mental Disorder
    Political Appointment
    Visa Approval
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    Examination Success
    Spend And Get Back
    Good Luck
    Natural Health
    Hypertension
    Diabesity (Diabetic+Obesity
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    Win Court Case
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  19. My ex-husband and I had always managed to stay friendly after our divorce in February 2017. But I always wanted to get back together with him, All it took was a visit to this spell casters website last December, because my dream was to start a new year with my husband, and live happily with him.. This spell caster requested a specific love spell for me and my husband, and I accepted it. And this powerful spell caster began to work his magic. And 48 hours after this spell caster worked for me, my husband called me back for us to be together again, and he was remorseful for all his wrong deeds. My spell is working because guess what: My “husband” is back and we are making preparations on how to go to court and withdraw our divorce papers ASAP. This is nothing short of a miracle. Thank you Dr Emu for your powerful spells. Words are not enough. here is his Email: emutemple@gmail.com or call/text him on his WhatsApp +2347012841542

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