Nine crews down in the sector that's what helped.
21M - C/o prolonged tachycardia. Denies all the usual causes but was asymptomatic at all time with us. Had a little bit of medical knowledge and I believe this was more dangerous than beneficial.
Three hour wait at A&E and a prescription of 'Toughen the Fu*k Up' will fix him.
67F - Cafe Syncope at a Restaurant. Crowed, Stuffy, Very Spicy food. Went home with a friend.
54F - Soft tissue forearm pain (caught a falling grandchild). Vascular and structural integrity intact, ice and elevation helping but somewhere we lose sight of the ball and end up taking the pt to hospital to get an X-ray. I swear I had the pre-packaged analgesia out ready to leave with her.
45M - Facial injuries, nothing major, had already been kicked out of our local A&E.
95F - Supraglotitis, transfer to a bigger hospital HDU.
50F - Picking up rubbish in a foyer of a Housing Department tower block and got a needle stick injury? She was drunk and that is why she undertook such a poorly calculated risk. Abusing us for her injury, abusing everyone in fact. Transport for blood tests.
25M - Found by Police who were just about to take him home when he vomited. That means we have to check him out and clear????? him before they return to their original plan. Some of the more senior Cops will just wipe them off and if it's just that single vomit from being pissed they don't call.
30F - IP, self harmed and then had a fall. Full spinal precautions due to the booze and transport for physical and mental assessment.
39M - Domestic Incident.
30F - Domestic Incident.
25M - Loser of the night, started a fight in a Burger joint and lost the fight. All witnesses state he was the aggressor.
76M - Regular dialysis pt.
26F - Alleged assault but it seemed to be more of a turf dispute about sleeping spots between street folk.
Nothing too stressful but a nice busy night.
Be careful out there and I'll see you at the Big One.
Taz
25 April 2010
This was a better night.
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2 comments:
Taz, haven't come across the concept before of giving analgesia to leave with the patient (if I understood correctly). What do you give them?
A pilot project was started here about two years ago with 7 different complaints that following a more comprehensive examination and without tripping some red flag exclusions the pt could choose a different treatment other than to an A&E Dept.
Proof of concept has been achieved & there are now 14 conditions that specially trained officers can offer this option to the pt for, they include such things as resolved epistaxis, simple skin tears, post ictal pts, soft tissue injury.
We didn't think there was anything more than a muscle strain with this lady and so with a pt advice sheet detailing the R.I.C.E. technique and by providing some simple analgesia (Panadol and Nurofen in individual paks with the same instructions as on the box) if the pt didn't have their own we can leave them at home to self manage.
As I said we lost sight of the ball and she ended up requesting transport anyway.
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