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29 January 2010

A night shift teamed up with an ICP

Intensive Care Paramedic, the next level up from me.
Extra drugs and extra skills.

Not that they were needed for most of the night,

34F - barred from her hostel because she was intoxicated and needed somewhere to stay, call an ambulance.
39M - Developmentally Delayed, scared of trains and travel so went to the train station???
31M - IV drug user with a infected injection site.
69M - Regular caller SOB. Had been discharged that morning but felt poorly that night.
37M - two days out of prison and straight back on the street heroin that is stronger than what makes it's way into the prison system.
Unknown age and sex - UTL.
74M - Regular caller ejected from the hospital waiting room wanting a taxi ride home, call an ambulance.
44F - Cardiac arrest? not breathing on arrival, tachycardic with a carotid pulse only and fixed pupils. CPR, secured an ET tube airway, some drugs IV got some BP urgent transport.
We found out later that it was a huge sub arachnoid haemorrhage, grade 5 (there is no grade 6). Time will tell the outcome of the success of the surgery and what brain damage has been done.

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

Taz

2 comments:

Squeezey said...

Really enjoying the postings, great to hear about the variety of jobs. Do you work in a main metropolitian centre, as you seem to get significantly more calls per shift than we do at branches 40km from the CBD.
One question: what does UTL stand for?
Cheers!

TAZ THE AMBO said...

Hi Squeezey,

Yep I work right in the middle of Sydney. I'm based at the Paddington Station, we have twelve hour shifts with three crews per shift. It's very hard to put a qty on the population we service with the changes from daytime office and retail workers and customers to the nighttime party goers guessing from council figures for residential numbers I would say we cover about 200 - 300,000.

Glad to hear from you, I'll be following your blog and UTL is unable to locate. Others I may also use are
IP - Intoxicated Person
FAS - Floppy Asian Syndrome
DSS - Dying Swan Syndrome

If I chuck in something you don't understand I'd love to hear from you.


Taz Rundle
Paramedic - P1, MACAP
Paddington Station
Sydney