"The difference two years can make."
the dog is bigger
it ate the toy to grow more powerful and messed up the chair
This is a classic `nude calendar´ when you extract everything which transparent to X-Rays, i.e. all the flesh, and therefore any remaining sensuality.
Via Tha Mary Sue: “This Exists: X-Ray Pin-up Calendar”
best thing i’ve seen all day
—Jeff Buckley (via jasonfnsaint)
On Wednesday I attended a particularly bad MVA.
It was a head on collision on main road, both parties were going at quite a speed. The car pictured above had four occupants:
Mother (front seat passenger)
15 y/o son (backseat passenger)
1 y/o daughter (back seat passenger)
None of the occupants were wearing their seatbelts and the one year old was not in a car seat. The one year old was ejected and was found 2m from the vehicle. The grandmother was DOA. The mother had back injuries and a compund fracture to her right leg. I don’t know much more about those three because my pt was the 15 y/o son. He was found entrapped in the back of the vehicle. We had to do an emergency extrication. He had major facial trauma. Le Fort 1 fracture, massive lacerations to the right side of his face, his tongue was in pieces. He also had a major “star” shaped laceration to the right temporal and parietal region.
Initial GCS was 8/15.
Airway was severly compromised due to the extensive bleeding from his face.
Pt was placed left lateral whilst ALS prepared for intubation. Whilst ALS was preparing bilateral IV lines of Ringers Lactate and Gelofusion were put up. Succinylcholine and Dormicum were administered prior to intubation. Pt was then turned supine and intubated. Pt was checked for other injuries.
Heli was called, but no heli was available. Loaded and gunned it to hospital.
Pt was rushed in for an emergency CT scan. The two bottom photos are of his CT scan (with permission from the doctor). As you can see he has a massive hematoma and subdural bleed, as well as marked swelling of the brain.
Pt passed away a few hours later due to hypovolemia.
If you don’t want to wear your seatbelt, fucking fine. Buckle up you kids at least. Damn.