Case 10-1: Marijuana analgesia for a finger injury
A young man presented for evaluation of a finger injury.
Finger coated with marijuana as a home remedy for a finger injury
The proximal interphalangeal joint was swollen and tender to palpation without any deformity. Finger abrasions with minor bleeding were noted. The finger was covered in a fine greenish organic substance which turned out to be marijuana. The patient had applied marijuana to his finger attempting to decrease the pain from his injury.
The marijuana was removed (but saved by the patient), and a radiograph was unremarkable. The patient was treated for a sprain of his proximal interphalangeal joint.
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Case 10-2: Near escape from restraints
A young man who was physically restrained presented to the emergency department (ED).
Physical restraints that had been chewed loose. WA = reinforcing wires
The patient was agitated, combative, and an imminent danger to self and others.
The patient was restrained by hospital security using commercially produced, two-point, reinforced restraint devices (upper arm and contralateral leg), and his agitation required sedation. He settled down and became cooperative. However, he surreptitiously began to chew his way out of his restraints, including the reinforcing wires.
The patient’s escape attempt was recognized and thwarted.