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Case 170: Industrial Accident

This gentleman was brought to ED complaining of pain in the left hand. He recalls being at work near a high pressure air tank and hearing a loud explosion. On examination, he has bleeding from the ears and his L hand is shown.

Images provided by: Richard Kai Yuan Cheng, Medical Student, The Austin Hospital, Melbourne, Australia

1. What is the diagnosis and how will you manage him?

2. You order an XR. What is shown?

3. What can be done for him in theatre?