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30 September 2009

A day of recover.

I woke up in my bed, that was a good start.
I woke up with my wife, bonus.
I was hung over and really wished that I hadn't woken up at all!

We had a very nice meal at the Basement last night and way to much red wine.

Candye Kane was excellent and I got a CD and Hug.

I was so crook today but!

I was on the porcelain phone making a call to god an hour or so after I got up.

I have even knocked back O/t but I'm getting better and I'm watching Hey Hey! on the Box.

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

Taz

28 September 2009

Sleepy ol' Sunday night.

Four jobs, three refused transport. The guy we did take sat on the seat.

Who cares.

Tracy and I are off to take in a Dinner and Show at the Basement night club here in Sydney Town.
Going to see a Blues Diva call Candye Kane.

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

Taz

Now the first night.

The Padawan and I were re-united and looking for a good nights work.

75M - Having just discharged himself from hospital after presenting with a possible TIA, this pt collapsed walking from the car to the house. Back you go.

18M - just a quick medical check on this fella at the Police cells before transfer to the Corrective Services cells. He stated that he had been doing Methamphetamine and MDMA for the last two days??? seemed very calm for that, everything was very normal and he was moved to his new destination shortly after our visit.

54F - Medical Centre, Asthma, three nebs given by the Dr, IHD, IDDM & Renal Failure were associated Hx, two more nebs by us and we went straight to the Resus Bay.

17M - Well to do area, party in the very nice house. This young fellow was on the front verandah so he wouldn't vomit inside. Had comsumed about a litre of vodka!!, trip to hospital for mum and dad to collect.

88F - Simple trip and fall going to the toilet. Lac to the rear of head that had stopped bleeding on our arrival even with the pt on Warfarin?. C/o groin pain but states this is normal just worse now. Age, Warfarin and pain indicate a trip that revealed a hip fracture.

29F - Asthma, 15yr history with little problem but very distressed now. Time to use the Peak Expiratory Flow Rate metre. Age and size indicated a normal score of 365 l/min, best first score pre neb = 100! Post a neb of Ventolin/Atrovent score = 200. 75% (275) and I can think about leaving the pt. With me telling the pt the possible fatal outcome of not coming with me I managed to get acceptance of my transport offer.

25M - Brawl, missing teeth. The fight was still in progress when we arrived so called on the boys and girls in blue to hurry up. Victim, very intoxicated (If a follower of his religion, he shouldn't have been but we don't stone people in Australia for alcohol use) wanting to carry on the fight with friends, Police and ourselves was at last calmed enough for us to take.

I hadn't got a good look in his mouth, what with him not understanding that I didn't want his blood all over me as he talked/shouted and spat. At hospital he washed some of it away in the toilet (leaving it splattered over the wall like a bad slasher film set) and as I took the jaw in my hand to pull down the lip I felt and saw it move as two bits.

Nothing could be done with him until the booze had worn off and he still kept up being a twat for hours!

35M - Intoxicated and ran into a closed patio door. Had a headache. Given analgesia and left.

40M - Woken from sleep with 'cramp' like chest pain. One vomit on scene, hyperventilation and apologised for calling us for a panic attack. Saw some elevation on the three lead monitor, convinced he to come to hospital. STEMI was confirmed.

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

Taz

26 September 2009

Day Two.

76M - Booked transport to normal dialysis.

50F - OD, antidepressants last night and has had a change of heart this morning, She'll have to see if the effects of the medication allows for that change.

30M - Motor Bike rider swerved to miss a car and dropped the bike at 40kmh (25mph). Lots of road rash some quite good, but he had an open face helmet on (think you look cool?) and now he has teeth missing!

3M - Seizure, he appeared post ictal. No Hx of similar. Was febrile so lets hope that's the cause.

UTL - should mean the same no matter which service your in Unable To Locate.

37M - Intoxicated, his safety or he was going to end up a car hood ornament!

66M - Hypertension, the Dr at the medical centre was so concerned that he just left and went to lunch without writing any letter or recording any obs.

13/12F - Suspect closed head injury, fell ?2m or 6f onto a wood floor. Cried at first but became more and more listless. Eyes pearl all the way but a mighty powerful vomit just before putting her onto the Resus bed. Going to follow this one up.

47M - Chest pain. Went to a medical centre today, they took bloods, did a four lead ECG and told him it was gastric reflux. His friend called us though. Pt not SOB, not Diaphoretic, not crushing central pain more sharp, constant with sharp spikes in pain with exertion and slight numbness in his left arm. Look if he had said to us I don't want to go, we would have accepted that, but for what ever reason we did transport and treated it as cardiac in cause and that's what the twelve lead showed an infarct. Didn't get any details they kind of rushed him off but our treatment was spot on and so was the instinct of the pts friend.

We do stick it to the ??friend who calls us out to the pissed or man cold or other such 'stupid' job but if you stop and think about it that's our job to serve the public. We don't want smart pts because they ask lots of questions about your qualification and treatment.

So be kind to the friend, sometime they get it right.

27M - cut, no knicked, no scratched finger with a knife, as we arrived the job got cancelled.

41F - Enjoying a wine in the VIP lounge at the airport and dropped the glass and snatched at it as it shattered resulting in two good finger lacs.

So as you can see a very busy day and all done without my Padawan.

He was sent off to be trained on the near to be rolled out Lifpak defibs and we just never got teamed up so I had the pleasure of working with a Peer and fellow station officer.

The comment was made during the shift about it's nice to work with a qualified officer, you don't have to think for them as well. While I have said I have had some very good Padawans and I meant it, as the senior officer and their trainer you still have to consider every move they make because in the end it's your arse on the line.

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

Taz

24 September 2009

Regular Scheduled day shift.

26F - Abdo Pain, she was. Transport.

87F - Vomiting, Max and transport.

78M - Friend concerned, hasn't see pt for a week. Well he wasn't home when the Cops and I came calling.

60M - Schizophrenia pt rang because he was lonely and wanted transport???

43F Hops to Hosp transfer.

38M - Syncope after seeing own blood.

53M - Got into a fight and ended up with some glass cuts, first aid onlt.

95F - Unable to weight bear post fall but no typical NOF signs.

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

Taz

23 September 2009

What more overtime?

Well Ok.

At the station near where Jeff Fenech (boxer) grew up.

35F - Hx of seizures, ETOH abuse, found unresponsive outside a suburban home by the owner who called us. Post Ictal, transported.

20mthF - Woke up screaming, was fast asleep when we arrived, sounds like a nightmare. Examination found a normal temp, no medical Hx, woke slightly and smiled at me (not common with me and kids). First time mum declined offer of transport.

40M - Claimed kidney stones, was doing a very good show but something was not quite right and a Northern crew who just happened to be out of area and at the hospital we went to recognised him even though he denied it! I gave him analgesia just not Morphine.

74F - Discharge to hostel post treatment.

Four hours sleep then before cleaning out the car, signing over the drugs and going home.
I know that I don't normally sleep on night shifts but Tracy and I had gone and bought a new Front Loader washing machine and then had a 30k ride and I had not had any pre-sleep.

As it was they ran me for a shift the next night and that would have been three, one for each of my 2nd, 3rd & 4th days off and that would have been just silly.


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

Taz

Overtime?

Now that the shifts are the same length I see no difference between day or night.
Before a fourteen hour night was more money for time I would have been only sleeping anyway so I had a preference for nights. Now I don't care.

Sunday Day at the station new the race course.

60F - Syncope, vomiting and diarrhoea.

28F - Sydney had a fun run (never seen any of them smiling) heat stress, cool in the Air Con cab and she refused any other treatment.

30M - Apartment fire, burnt hand on bedroom door handle and moderate smoke inhalation. The water fairies had a garden hose on the burns but the pain was still present so we had to wait to cool that. Good well maintained with polish boots kept my feet dry even though I was being well splashed by the hose! See there is method behind my madness about polished boots.

And before anyone starts on about the smoke inhalation the main evidence was soot on his outer face and some singed hair no immediate decrease in lung sounds or difficulty breathing and I was six blocks from the hospital so I treated his immediate concern which was the burns.

87F - Hip pain post a fall, able to weight bear and walk but had pressed the med alert button, I'm happy to attend this kind of job. We know how dangerous this injury could have been. Refused transport.

79M - Swollen knee, fell on it yesterday. Stated right up front that he called us because ambulance could get him in and x-rayed quicker!!!! I soon put paid to that theory.

34M - Pissed and has a rash on his arms. Looked more like poor personal hygiene didn't want to come, I didn't push the matter.

31F - Bronchitis Hx, has a good wheeze, some nebs en route and transport.

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

Taz

22 September 2009

Second Night.

Ten jobs all up,

13M - Concussion with rubber legs and spinning vision after a head butt during a rugby game.

67M - Wife described a five minute episode that sounded like a TIA. She also dobbed him in on having had a previous episode nearly a year ago.

31M - Rapidly becoming a regular pt, he doesn't call, he can't he's too pissed. Nasty side is he gets violent when sobering up, were are all the drunk tanks when you need them.

38M - King Hit, LOC, Amnesia, no neck pain, little trauma.
Didn't want to go.
I thought he should.
Blah, blah, blah.
First thing said to triage was 'I don't want to be here'!
Triage has plenty of people who do (sick or not).
There's the door.

20F - Intoxicated, not caring who could see what she had for breakfast so I tried to pull her skirt down. Nope that's it, it's that short. Transport only for safety.

25F - Birthday celebrations (hers) over and now the vomiting from alcohol. With four friends in a motel room (from out of the city). Nobody is really wasted, in fact if not for the vomiting and the slightly raised volume you wouldn't know.
Doesn't really want to go to hospital because she says that she's not sick but after an hour of vomiting or trying to vomit the chest is hurting, and she is really getting fatigued by it all.
10mg IMI of Metoclopramide to the rescue. Happily given and happily received. All other obs were great and vomiting had ceased by the time we left.

39M - Sciatic pain that included ???? numbness in the lower leg.

30ishF - Thinking George street in the CBD was a good place to have a sleep.

20ishM - Floppy Asian syndrome caused by too much alcohol!!!! They were all good young people who were trying to get their mate home but he kept falling asleep.
Sternal Rub and finger in the armpit while you help steady him were quickly taught and put to good use with their mate.

88M - Suspected NOF, over an hour on scene for pain control, the fluffy pillows from morphine are wonderful. Narrow internal staircase with a 18o degree corner another crew would not have helped due to lack of room. External stairs three flights!
Lucky for us that pt weighed in at about 45kg (99lb)

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

Taz

21 September 2009

From the past. Non Ambulance.


There I am at the very front on the left as you look at it!

1997, July I think, in some street in Calgary Canada.
The Derwent Valley Concert Band from New Norfolk in Tasmania had been accepted to perform at the Calgary Stampede but they were required to also march, a thing they didn't know how to do.

I was approached having experience with marching bands to not only teach them but to also lead as the Drum Major.

Twelve years ago,,,,, another life time ago.

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

Taz

6mths to 82yrs, everyone gets sick.

Some just sicker than others and of course there are the accidents, like this first one.

A new Mum had baby in her arms and baby has just started to squirm and wriggle and slipped out of said mothers arms.
Face down onto a tiled floor.
Us in the business know the tried and true adage -
Babies bounce and a noisy baby is a good baby but that didn't help Mum feel any better.

35M - Major heart surgery a few weeks ago, got an infection and had some IV treatment but when I caught up with him. BP 88/46, HR 140bpm, Temp 39.7C (103.5F) and looked like shit!

49M - Psych transfer with three, count them THREE escort, two were security.

82F - At an inner city Cop Shop C/o palpitations???? Nothing wrong that I could find but I was getting a feeling that there were more social/mental issues involved.
She was very well dressed if you didn't look to carefully and she had one of those Nana shopping bags on wheels which was new but seemed to contain a careful selection of her life???

38M - Headache, now car talk on the way was heading towards Man Cold stuff but be professional when you arrive and give the pt a chance to not be a dropkick.
CT scans done two days ago showed multiple 'clusters' that may have been Sub Dural Haemorrhages. Nice, anyway the call to us was because the analgesia prescribed was not working so 5mg IVI of Morphine took the edge away and we transported for a management plan to be constructed.

20F - C/t uncounscious, seemed to be enjoying the attention of all her friends until big bad me stepped in and showed them that she wasn't 'unconscious'. Sternal Rub or pressure point you've got to lov'em.

17M - Asthma in the Police cells. As you may have guessed this was an Oxygen Thief and I left him in the tender care of my friend the NSWP. Very shallow end of the gene pool this boy.

Finished up with a,

81F - Nausea and vomiting,
PMHx - Past Medical History!
IHD - Iscaemic Heart Disease,
IDDM - Insulin Dependant Diabetes Mellitus,
CABg x 4 - Coronary Artery Bypass Graft by 4,
AAA - well everyone knows this one,

she didn't get to stay at home.

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

Taz

20 September 2009

Second Day.

General transport all day.

Absolutely nothing to write about.

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

Taz

First Day

55F - Psychiatric Emergency, call from police, the pt is a bit crackers and requests transport by the time we had arrived she was hallucinating with voice and vision and just got crazier as time went by. All I know for sure it she was scheduled under the Mental Health Act.

28M - Relationship problems so he took 10 200mg Ibuuprofen. He wont have a headache for a while!

89F - Transport for respite.

25M - Epistaxis that the G/f caused. Get over it!

17M - Vomiting and headache after butting heads with another player on a basketball court.

73F - Chest Pain.

74M - Chest pain or maybe abdo pain he couldn't figure out which so I treated as chest pain.

88F - Abdo Pain.


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

Taz

17 September 2009

Right Back in the saddle.

I'm normal (many may argue with that), my sleep patterns are not!

Four hours of restless slow rolling, semi consciousness.

And what's with the right arm pain, am I writing Pt Health Care Records(PHCRs) in my sleep.

Sometimes I think I should just get up, ride in to work and see if I can catch a few hours there after the exercise.


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

Taz

14 September 2009

Twas the night before work,,,,

Tracy and I didn't go for a ride at all these days off.

Two of them were our first 30+ (86F+) temperatures and Tracy developed a left hip/thigh pain/strain/cramp so there was no way I could have convinced her that a ride would have worked out!

We saw even less of our son than we expected due to his inability to catch a plane and late return from visiting the G/f before leaving to fly home (about an hour).

In Thirty years of catching aircraft for my self I have only missed two.

1983 - Adelaide Airport in South Australia, I was returning to Hobart with the Hobart City Brass Band after a very successful appearance at the South Australian Band Championships.
We were sponsored by a wine company, even back then there were rules to be obeyed to catch a commercial flight and being more plastered than those ducks you hang on a wall didn't cut it!

2005 - Sydney Airport, I was returning to Hobart via one of the cheaper airlines and I swear I never heard them call for passengers on that flight to step up to the express counter.

So we will see if I suffer from the normal poor sleep I have the night before returning to work



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

Taz

13 September 2009

A night at the beach!

There are no cameras on the beach at the moment and the beach itself is pretty quiet.
Well it is night.

What we did?

18M - back a single officer for this dislocated shoulder. He's done it before so really only had to managed the pain en route to hospital.

15F - C/t someone screaming in one of three possible parks with a dental injury???????
We found this charmer in the back of a Police paddy wagon they knew her of old.
The language, violence, I'm reminder of a post I read on Outback Ambos blog.
Part of me would have been happy to leave her in the back of their truck.

20F - Sprained ankle to be treated at home.

59M - Epistaxis, first time ever. A trickle of dried blood on the pillow about half the length of my pen. All obs good left at home in wife's care.

You know what I did hear all night long?

My crews from my home station getting a flogging while I'm sitting on my arse.

It just goes to remind me what I love about the City and where I work.

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

Taz

12 September 2009

Night Two.

It looked like the Padawan was going to have a night full of intoxicated persons.

58M - Regular, currently has a fractured forearm that is a shabby cast, will not stay in the waiting room unless he is allowed to drink booze. I'm sorry to say that this person is just a straight out burden on the health system and the social security system. Mine and your tax money is going to him getting the Red an' White taxi company to transport him, it's supplying him with booze before food but I don't know any solution.

38M - IP, in a fight neck pain, transport with spinal precautions due to intoxication.
39M - IP, in same fight lac above eyebrow, declined transport.

30M - Opiate OD, I bagged this guy that well that he started to come up before the Naloxone but under instruction the Padawan got 800mcg into him. Allow some time and GCS is 15 and he denies Heroin use, but I say the other guys took the needle away before we arrived why lie?

20F - 'Fitting', No, she's pissed. Transported because so was everyone else.

53F - OD Mersyndol, or Paracetamol = 11.5g and Codeine = 253mg. Why? Because the love of her life had not shown up and her heart was hurting from being broken.
And yes there were prints on the walls of American Indians, Wolves and Dream Catchers.

The night finished with a street person being accosted by a member of the general public who thought they were dead and he better call an ambulance. Shoeless, toothless and smelly told me my fortune real quick and I left.

Got an O/t on Friday night at the best known beach in Australia.



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

Taz

11 September 2009

Night 1.

We're a crew down throughout this roster so O/t is getting a thrashing just at our station alone.

Not that we needed a third car this night.

42F - Regular caller, lives at a homeless shelter, knows too many AOs, knows too much of the lingo of both the Ambulance Service and the ED. Tonight was Abdo pain with a dose of the scours as my Grandad use to call it or Diarrhoea for us Professional folk. She wasn't interested in staying there and seeing the local clinic in the morning even though she was able to tolerate oral intake.

62M - Regular caller, sometimes known as Geronimo or the fifth Beatle (local jokes). Tonight it was SOB, pain in legs and yes he would like a lift to the hospital. He knows the drill, straight into the waiting room after triage (because he does suffer pneumonia on occasions) and asks for a cup of tea, a sandwich, a blanket and is that the only channel on the TV.

67M - Very. Very bad ascites from chronic liver failure, resp rate of 50 with SpO2 of 87%. Breath sounds did not exist in either of the lower lobes. A very nice gent who was fully accepting of this as a consequence of years of hitting the bottle.

28M - 'Alleged Assault' yes there was a bump on his head, yes his mate said that the other two guys had hit him, yes I didn't have a xray or CT with me to confirm any internal injury but there is a certain amount of experience we gain from all the 'shit' we see and this was a case of male dying swan syndrome. Triage agreed.

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

Taz

The son is coming to visit again!

Well that's not exactly correct.

He's coming to visit the G/f in Wagga and borrowing a car, we may get to see him for four or five hours. For any Mums who read this you'll appreciate that Ambowife would like more but will happily accept even just that short time.

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

Taz

10 September 2009

Day 2

First thing exchange shoe phone numbers, now the Padawan and I can contact each other.
A different thing about this Padawan is that he is only five years younger than me so a lot of our mental processes are very similar. Our work load today was;

29M - Abdo pain.

58M - Chest pain, ECG variations.

32M - Abdo pain, being a sook.

47M - Drunk, got king hit and has neck pain. He arched up in the back en route and the extra life experience worked well for the Padawan. In the end he tore off the collar undid the spine board straps and walked out of hospital. I know from other crews that he was transported again twice more and did similar each time.
I mean when do you think enough is enough.
In our job I guess we just have to try and do the best despite the the patients apparent self destructive efforts.

65F - Fall, possible NOF or Femur hard to tell. The worst was time started to rain and I mean heavy as we planned extraction so we got the pain under control and waited twenty minutes for it to stop.


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

Taz

Day 1 of a new roster.

So that means a new Padawan only he doesn't show!

Of course we hadn't exchanged shoe phone numbers yet so he couldn't contact me out of courtesy.

So I had a single Padawan from another station who was in his second roster on road and we did;

8M - making breakfast for Dad and was using a big knife! you can guess the rest. Dad was a Shrink so knew about the body but wasn't handling the stress very well. Young Master was having a grand time when he didn't see Dad Freaking.

79F - Had a simple fall and got a head lac for her trouble.

63M - SVT. It hasn't been his first experience but it was his longest (three hours). I got the impression he was a stubborn man but this episode had put the wind up him. Oh the rate was only around the 130.

85F - Who was standing at the front of the Bus waiting for it to stop. Then there was the car that pulled up in front of the Bus and then there was the Garfield the Cat impersonation she did on the Bus window.
She had a wonderful outlook on life and I stopped by several times to check on her and enjoyed that.

64M - The job read like a pre-arrest SOB. It was renal colic, known diagnosis even.

56F - Decreased LOC ??? polypharmacy, unknown, GCS e=3, v=2, m=5 for a total of 10. There were just a whole heap of unknowns about the job. Her partner was less than forthcoming with info and there was nothing in the apartment to suggest chemical use. So transport for investigation.

Now about the Padawan, not from a medical background, been on road for just nine weeks and impressed me so much that I emailed his first and only mentor and cc'ed our Education people to tell them what I thought of him. Well Done is all I'll write here.

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

Taz

04 September 2009

Night 2

2M - cut to lip, called off as we pulled up outside.

3osomething M - victim of a carjacking, haven't done one of these before. No injuries but we had a good talk about Traumatic Events and the stress that can occur and how to deal with it.

2 X 20M&F - got a bad case of the head spins after smoking a Turkish pipe with ??? camel dung as tobacco. Patted them on the head said there, there and sent them on their way.

34F - allergy to sesame seed, no airway involvement but very distressing abdo pain, the girl I saw after analgesia looked nothing like the one I first saw.

41M - Opiate OD, two lots of Naloxone with poor effect so he got transported. The interesting thing was on arrival two members of the general public where attending him and I could tell as we walked up that they were not just firstaiders! One A&E Dr on the train with the pt, one from another hospitals A&E waiting on the platform. We worked as a great team and they appeared to be having fun in a very different environment.

51M - Blisters on feet and can't swallow???? Looks like we have a new time waster, even went so far as to tell my Padawan that he didn't need to take a BP as we were just there to drive him to hospital. Had arrived that day from Queensland to stay and I informed him in no unclear terms that Q.A.S. don't work that way and neither did ASNSW. Not doubt about the rules now, we got a complete set of obs before even turning a wheel.

90M - Chest pain, nothing hard about this.

And that was the last shift with my Padawan. Four days only off this time as the roster changes and I'm back a day early with another Padawan but first we celebrate Ambowife's Fortieth Birthday.

I love you my darling and hope you are pleased with the meagre gifts of worship I have for you.

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

Taz

Night 1

Two separate jobs with 50ish Ms pissed and unable to take care of themselves or just being a hindrance to the good general public.

Fair enough on the one that had walked into the restaurant, ordered and paid for the food.
Eaten it and then passed out at the table. The staff didn't know what to do so they rang us.

After I had examined the pt, concluded the diagnosis, directed Padawan to arrange extrication cause this dude was not going anywhere under his own power. I then had the pleasure of translating from Pissedinese to English several comments the pt had about the staff and the food, he recommended both.

72F- Collies Wrist fracture, didn't need xray for this one.

40M - OD, I still don't understand why you would have some gear (Heroin) when your doin' the deed with a escort (Hooker). This guy was lucky not to have been dumped in an alley with no wallet and hoping that we'd find him.



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

Taz

03 September 2009

Day 2

78M - Lives alone, been increasingly unwell for two months, has seen LMO who wanted a chest xray done but ?? pt didn't want to know what he had wrong because it scared him. Decreased oral intake because nothing seemed to go down, rather pt described it as it felt it got blocked and then he would vomit. I think he has some possible tumor or such anyway transported for investigation.

Public assistance call to help a 47M back into his wheelchair.

63M - Dizzy, vague, big cardiac history, stents, AMI, saw a PHCR the next day for another crew transporting him for the same presentation???

2M - sundden onset of abdo pain. Panicking Mum, equally panicking Granma', he was picking up on it and getting upset, gave him a trauma teddy played some games and he was fine all the way to the kids hospital.

F - called for assistance with breathing difficulty after ? being hit in the head. Police were dispatched also and we found the pt very distressed not wanting to talk to us and then breaking down again. Put her in the back for privacy and the Padawan and even a female cop couldn't get her to open up so I had a try. Low submissive posture, deep penetrating blue eye contact, soft voice - her old man was hitting her, their not Anglo and have a strong dominate male supremacy culture and she had no family here in Australia.

It's not our primary role but I had to do something for her, a hospital was to public but the are a number of refuges around that deal with this so I convinced her to at least come with me to one and have a talk to the staff, I mean good as I was to get that much detail I'm still a male.

It made me ashamed to be a man again and angry also, to offset that I was proud that we had maybe started her on the correct path to help.

And to finish off the day a transfer of a pt with Gastro from an ED at a big hospital to and Isolation room at a small one.

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

Taz

02 September 2009

Day 1

76F - International Medical Retrieval Team from airport to hospital. I like this job because the aircraft comes into a private company hanger and they have soft comfy chairs, a proper coffee machine and biscuits in the lounge while you wait. Oh triple vessel disease!

40F - Sprained ankle last night and its starting to hurt heaps now, discussed management and analgesia and she was happy not to go to hospital.

57F - MS pt with an unexplained decreased LOC.

82M - Witnessed LOC, AMI two weeks ago.

24M - Spinal pain post MVA, side collision to his car at ???50kph.

23F - Passenger is same with lateral neck pain.

82F - simple slip fall at the cinema, management called pt without injury went home after examination.

Easy day fourth last of the roster.

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

Taz