Theme Works

No, I haven't developed a lisp.

That's just how the jobs felt on the day shifts.

First Day it was Chest Pains - in all the many guises that they can present in.

US tourist, extensive history cardiomyopathy, SOB on exertion, Niddm, No chest pain now but BP 170/100 pulse 80 odd.

From the same Medical Centre,

Female of my age, knows she has hypertension, knows she has bouts of severe hypertension. Declines to take ANY medication. BP 220/110 pulse 54.

Different Medical Centre,

61M sudden onset central, heavy chest pain all the classic features but no history. Minimal relief from posture, oxygen, or the GTN.

All jobs got the full care, attention and drugs they needed.
No-one died in my car.
My new Padawan and I got to know each other.

Day two!

My new Padawan feels confident that he would now be able to diagnose a possible case of appendicitis. because we got two of them as our first two jobs.

A nasty Collies Fracture on a 57F

A quick revision of day 1 on our last job (was he watching me treat those chest pains). 33M, 150kg, history HT & Niddm, rapid onset last 30min of sharp constant chest pain retrosternal. Afebrile, no relief from posture, Oxygen or GTN and I told an ANAPHYLACTIC reaction to opiates. Tachycardic, HT, distresssed, an alarmingly large person from the Iron Bar Motel who while even cuffed still presented a danger if he went off due to the pain.

We bat called it, slipped the lights and noise makers on when needed to push through trafffic and got unloaded straight away.

Long day though, 0700 start, missed our first 30min crib break, got the second from 1642-1712 and then work through 1900 to knock off at 2010


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

Taz