Introduction The month under review witnessed average number of cases of which elephant cases still maintained number one spot followed by the carnivores. Rains have started falling and sooner or later the region will be green with foliage and numerous watering points which come as a relief to the Tsavo wildlife. In the month the unit handled several cases of arrow and bullet wounds in elephants and injuries in lions and hyenas and summed it up with a collaring operation in the conflict prone Kuku ranch. Treatment of a lame elephant calf in Galana river, Tsavo east, 4th Nov. The calf was spotted by the river bank struggling to move in vain for few days with her mother by her side. The unit moved in to assist her but was held back by the raging waters of the river which is also infested with crocodiles and hippos! We had to swim across the river to access the sick calf with her mother protecting her. Her mother was first immobilized using 16 mgs of etorphine then followed by the calf with 5 mgs. Examination revealed fractures and splintering of the right elbow joint that made movement impossible. A decision was made to euthanize as it was impossible to swim with the immobilised calf across the river in order to move her to an orphanage. Autopsy revealed the multiple fractures probably caused by a lion or crocodile bite.