Twelve From Hell is the story of a twelve hour night shift in a busy ER. The cases presented are somewhat graphic though I have attempted to minimize the technical aspects in the interest of not bogging down the reader with too much information. Since this is a work of nonfiction I have not spent a great deal of time with character development choosing instead to present the patients in much the same way an ER doctor sees them. When the volume and the acuity went up there was barely time to glance at the name on the chart. The patient's chief complaint became the starting and ending point for the physician's interaction with them. There was rarely time for niceties and in all likelihood the patient and doctor would never meet again, with the doctor- patient relationship reduced to; admit them, send them home or send them to the morgue.