“You need to put her under — deeply — and basically recreate the injury. Don’t be wimpy about it: you have to go medieval on her. There’ll be a nasty crunch as you complete the ulnar fracture; don’t worry about that. Make sure you have the parents sitting down or out of the room.”
Dr. Shadowfax talks about the value of using really vivid, colourful language when giving directions in the ER. Maybe it’s not for you if you’re squeamish, but I enjoyed this post.