Two people tied for the "Holy Crap" award (so named because they're the people that make you go, "holy crap" when you're done triaging them. And they were at opposite ends of the Holy Crap scale.
At one end of the spectrum was a guy who got drunk last night and fell, injuring his thumb. Eh, whatever, right? When he held out his hand for me to inspect it, HOLY CRAP! It was bent backwards at the distal knuckle. The tip was bluish with no capillary refill and . . . What's that? Oh, the bone from his knuckle protruding through the skin--on the ventral side. Lotsa meat hanging offa there. Not a lot of blood, and when I asked the guy if it hurt, he was more concerned about his scraped knee.
At the other end of the spectrum was the gal who sat down in triage with a chief complaint of . . . Sunburn. Her legs were sunburned. No fever, no blisters, no sun poisoning. Rated the pain 10/10. Refused motrin, just wanted some "cream or something." HOLY CRAP! Seriously. "I can't sleep! I can't get comfortable!" Know why? Cause you have a sunburn. You know, at the drugstore they have all sorts of creams and lotions for sunburn. Even ones with aloe and lidocaine! There is a 24-hour pharmacy about four blocks from the hospital--if you could make it here, you could make it there.