We have now received a new Defib at station to replace our old but serviable Zoll M Series. We now use Lifpak 15's, training has been underway for nearly a year when Qualified Officers returned for re-certification but some revision was required as well as training for those who have had none.
This completed I've been bunging the full set of leads on and taking Diagnostic 12 Leads at every opportunity for three days.
Our first sick person however was fated not to benefit from it, progressive EMD or PEA that was totally unresponsive to pharmacology. I was a bit down after this, the pt was conscious with our arrival and remained so for five to ten minutes while backup arrived to assist extricate but mine was the last face and voice he saw and heard. With general arrests the pt is usually GCS 3, pulseless, cyanosed and rarely warm.
6M - Cerebral Palsy, Absence seizure, perfectly described by the parents but stable with me.
34M - Mis-behaving in the Police cells, sustained a self inflicted hand injury, got verbal with me, non life threatening injury, he can wait until the Police have finished with him. Lesson 1, don't use bad words with me, directed at me it will not help your cause.
51M - suffers Sleep Apnoea, forgot to go to sleep with the mouth guard devise, stopped breathing, woke wife with an Hypoxic Seizure, they've seen it all before knew to ring us for 100% O2 and were really cool and calm. Stayed at home once we got a good GCS and competence and capacity from him.
Several hours down and an early dialysis pt who when we arrived was in hospital already for other treatment.
On the way back to station diverted to
44F - Anxiety requesting transport to hospital.
Knocked off an hour and a half late.
Be careful out there and I'll see you at the Big One.
Taz
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15 April 2010
Quiet and cool nights.
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