nomofica
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Haha!I remember hearing of a local call years ago where a lady (we'll use that term loosely) was masturbating with a beer bottle, and created quite a vacuum, and couldn't get it out. They used a spring punch to blow the bottom out, and release the vacuum.
I also heard of a local call where a guy was drunk and jumping the wrought-iron fence around the local museum; on one jump, he landed a little short, impaling his rectum on one of those arrowhead-shaped posts. They had to cut the post off with a hacksaw, and take him to the ER with the thing still stuck in him. OUCH!
Years ago, we were coming back from a house fire, and I was riding the tailboard (back when we did such foolish things) standing on some rolled wet hose. The driver pulled into the station and hit the brakes. I went up in the air, and came down, catching the hosebed divider dead-nuts (pun intended) in the scrotum. I hit the floor like a rock. One of the guys went and got one of the EMT's, who couldn't help laughing.
"Damn, Mike," he said, "I wish I could help you, but they didn't teach us how to help cracked nuts. I can always call a truck for you if you want to go to the ER." I just waited until I could breathe normally again, and went home.
Luckily I've never dealt with any of the scenarios you mentioned - well, almost...
Had an 18 y/o male wipe out on a hand rail while skateboarding with friends. The pt wiped out while trying to avoid one of those little pieces of metal that are welded on to railings stop people from skateboarding on them. He ended up nut-crunching himself on the railing and rode down until he passed over that piece of metal... Tore more than just his pants! Upon first examination, I noticed a fair amount of blood (to be expected), but then I noticed a tiny little tube that progressed in diameter. After a few seconds I realized I was staring at the poor guy's vas deferens and epididymis. Upon closer examination, I then saw the testicle. All clearly outside the scrotum.
No wonder he was crying...