Last night I was out in triage and had a walk-in patient with a badly dislocated arm. It was dangling down almost past his knee. He was obviously in pain, but sat quietly as I finished with the patient I was triaging when he came in.
Since it wasn't too busy, I checked his hand for capillary refill and then decided to take him straight back to a bed, since he was definitely going to need conscious sedation. On the way back, he commented on the changes that had happened to the hospital, and mentioned that he was a paramedic. I asked how he had dislocated his shoulder; he said he had lifted a heavy object and it had popped out, something that had begun happening with increasing frequency. He said yes--ever since he had been shot.
Apparently a year or so ago he and his partner had been called to an abandoned building to help an unresponsive person. They administered Narcan--upon which the person came awake, and then shot his partner, killing him, and shot the paramedic in the chest and shoulder. The bullets nicked his aorta and destroyed his spleen. As I helped him into a gown, I saw the scars on his chest.
He said that ever since then his shoulder has had a tendency to come out of joint.
Now, please keep in mind that I don't know if this story is true or not. I don't even know if this guy is or was actually a paramedic; I'd never seen him before this point. I can't say with any certainty that the scars I saw were from what he said they were from. I just thought it was a horrific story.