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07 January 2009

What a munted day.

Started well,

Got up before the alarm,
Had some breakfast,
Good, strong bike ride in,
Got my designated Ambulance,
Got our first job.

Chest pain,
In an licensed establishment in Kings Cross,
Patient crying and sobbing complaining of chest pain that feels better when they push right there!
Non-Diaphoretic, Well perfused, Drunk, By-Pass history, BP good, Pulse strong & regular, three lead QRS narrow, some ST depression (like history), ANXIOUS +++++++

Valium and some Thiamine was what he got and some social work,

Next job Chest pain unrelieved by 3 GTN tablets and 3 GTN sprays, BP 130 sys!

Presents every week with similar, has a history but it all disappears when we arrive at hospital?

Next two jobs a complete cock-up, wrong locations, wrong destinations, held up other allied services for over an hour, not some of my best work.

Last job an eye problem, macular degeneration in pain, take to specialist centre who treat on the stretcher and bundle us out because they don't want them admitted due to patients mild dementia??????


The only good thing was presenting my current Padawan with my report of his period with me and our open and positive discussion of the points I made.
It's kind of like kids, seeing them grow and develop from what you do.


Be careful out there and I'll see you at the Big One.

Taz

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