How do you interpret this ACA sign?

[alfie]

9. Now that's a big law suit waiting to happen

I worked for years in an ER and have triaged many, many patients. Some are easy to recognize as emergencies...person with crushing chest pain, gray, sweaty...heart attack! Listless child with fever...maybe a common viral illness that will resolve on it's own or may be meningitis. Sprained ankle just needs first aid ...Rest...Ice...Compression...Elevation. Broken ankle, now that's a different issue and you can't necessarily tell the difference without an x-ray. On the outside, both look the same.