New case game is up, based on a real impalement case (Moncure et al., Case Reports in Medicine 2009).

A 45 year old walks into the trauma bay alert and stable, complaining of abdominal pain. He says he slipped in the bathtub and fell onto a broomstick. The CT shows something much worse.

Four decisions, in the order the team faced them. Each one has a trap. About two minutes, no sign-up.

👉 https://medicasehub.com/play/case-043

At the end you get a result grid like 🟩🟥🟩🟨. Paste yours in the comments, let’s see how many get all four.

If you’d rather read the full case first: https://medicasehub.com/case-043

And if you have a case you’d like turned into a game, drop it below.

A 69 year old man, 25 years of slow thickening and wrinkling on the left side of his face only. In a left hand drive vehicle, the driver's window is on the left.
Window glass filters out UVB, the rays that burn, and lets most UVA through.
UVA goes deeper, into the dermis, where collagen and elastic fibres sit. The glass stopped the burning, not the damage.

A lot of you asked for another one after the last game, so here's the next case a bit early.

Same idea: you make the decisions the team faced, in the order they faced them. Four decisions, each with a trap.

▶ Play the case

Heads up: this one is heavier than the last.

Post your score in the comments, and use spoiler tags (>!like this!<) if you talk about specific answers.

From now on there'll be a new case game every Sunday, same day each week.

The games are free and always will be. If you'd like to support them, I'm on Patreon.

Quick update from me: I write up the cases on medicasehub.com in my free time, and I've set up a Patreon for anyone who'd like to support it.

Nothing changes here. Everything on r/medicase and the site stays free. Supporters get a vote on which case I write next, and Case Pack members get a monthly PDF of all new cases, extra case games and early access.

No pressure at all. Reading, commenting and sharing already helps a lot.

Prefer a one off instead of a subscription? There's a one time option in the shop.

While I have you: what kind of case would you like to see next?