Everybody has walked in that squad call and said "bullshit" to themselves. Not the kind of bs where the patient is faking it, but the kind where the story has nothing to do with the injuries. Unfortunately, when you get that story and it doesn't meet the injuries on a child, it can indicate abuse.
Case in point. 3am. Dispatched for 60 year old male with wrist injury in one of our sections of town you shut off your lights and siren a block away to avoid getting mobbed or assaulted.
Upon arrival find that dispatch apparently was out to lunch, and that the patient is a 6 year old male with rib injuries. (Slightly different.)
Mom says family dog jumped on child, causing him injury. There are no red marks, no claw marks, no paw prints, toys, food bowls, hair or dog anywhere to be found. After several disturbing minutes onscene, I carry our patient down four flights of stairs outside. Let me just tell you that in light of the rest of this call, that made my week. Nothing will ever make you feel like you've earned your pay and you are useful in life like a child. This sweet, sweet little innocent child climbed up in my arms and stayed there. It was a perfect moment in EMS. For about 30 seconds. Until we ask the kid what the dog's name is, and he doesn't answer. And he really isn't clinging to mom, he's clinging to me. And he's in allot of pain for this kind of injury, and now he says it hurts to breathe.
Turned over care to the ED staff with all the information we had. No dog anywhere in the apartment. Scared child in pain. Apathetic mom who's only concern was we weren't going to bill her and make her pay us money. Luckily the doc we drew is also our SWAT medic. He was not born last night. After the CT scan showed internal injuries he called the police. No dog does that, even if you had one to begin with.
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