Really should wear seatbelts

These pictures show a fracture of a thigh bone (with a wire mesh splint) and a tension pneumothorax. A "pneumo" like this was caused by 3 broken right ribs puncturing a lung. Air leaks around the lung, and the lung partially collapses. Pressure built up and pushed the heart against the left lung. These two unfortunates came in with 3 others (one other died at the scene) due to a truck accident. None had seatbelts on since they get teased if they wear one. They usually don't wear helmets either, so we see skull fractures as well. They commonly sit in the open bed of a pickup. Occasionally I will see a soldier riding on top of the cab of the truck. They don't have any formal training in driving either. We will keep working on all these issues. We see more vehicle-accident injuries at the hospital than any other cause.