Will you put the seat down?

Our nights were good, got coffee, something to eat on the run and did a fair bit of work to boot.

I had put myself down to do a third night shift (Sunday) it's really good pay but hard to do three straight with such a high activity level. Anyway I got it at the other inner city station here in Sydney.

One standout job for us was a two car MVA.

Classic T bone collision my patient was hit in the drivers side door at about 60kph.
Restrained by seat belt.
Side airbag deployment.
Impact sent car up onto the footpath with secondary impact against a building.
No access on the drivers side with damages to door and a bloody light pole in the way.
Fire & Police on scene, Police Rescue arrived five minutes or so later.

Patient complaining of Lateral Right Femoral and Hip pain, Vascular intact, nil Motor/Sensory deficit and three really minor lacs on the right cheek from the shattered door window.
No Loss of Consciousness.
No Neck pain.

Treatment - Oxygen, Cervical Collar, Analgesia (to reduce pain and relieve patients anxiety)
Methoxyflurane followed by Fentanyal Intra Nasal that reduced the pain from 9/10 to 2/10 at Triage, (I've completed the Morphine upgrade but not submitted it until the Union clear it due to the pay issue for extra skills is resolved).
Antiemetic via an excellent cannula in the left cube inserted with Ambo Arse propped up on the dashboard of the car and mini mag light stuck in the mouth while Rescue took out the B pillar and removed the front door.
Extricate patient and depart.

All three Services played and worked well together. There was no major life threatening injury that was really good to work on, it was just a really good overall job.

Patient update, xrays showed a fracture near the femoral head, not complete and to be managed conservatively. Interestingly the patient HR increased when unloading in the Resus Bay and had remained so six odd hours later at a rate of 140bpm or so. No cardiac history

Now what does that have to do with the title of the post??


Nothing!

It was a job we just backed up on.

Male, effected by something fell on the porcelain toilets bowl and shattered it and thereby scalped himself on the sharp porcelain.
So when Mum, the wife or one of the many other females in your life will comment about males not putting the seat back down,
their only doing it for your safety.


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

Taz