New roster.

I start it on my second day shift and single.
Luckily there in a new Padawan on station (this will be their third shift) who's partner is going to be later so we'll team up.

40?M - Passed out, outside a Mexican Takeaway! that's you first hint.
GCS = 7 (1,1,5) my sternal knuckle always makes 'em move.
He's spitting, he refuses to speak or open his eyes but the pig can roll to the edge of the stretcher and spit on the floor. His friend says he has had some pills (MDMA, Ecstasy), most likely some GHB and alcohol all quite deliberately, he is totally responsible for his current state, which as we pick him off the roadway included urination and defecation in his jeans and it stinks (did he have some Tex Mex ? ) None of it got on us but not a nice way to start the shift.

34F - In Police custody and had some abdo pain, there are known issues with her upper left quad and would be happy with some simple analgesia (which Police can't issue) and left to complete her business. Too easy.

79M - Deceased, I spent a little more time here as it was her first one and to carefully go through the process of identification no life signs, asystole, nil pulse, nil resps, very cold peripheries with some core warmth, dependent lividity, rigor,,,,,

72F - Dementia, ??? septic ulcer on leg. You know how you can provide much comfort with simply holding the hand of the pt? This one would reach out for your hand, move it around to get the right position and then dig her unclipped finger nails in and she was gritting her teeth with effort and snarling at you!!!

47F - Chronic knee pain. Does have pins and screws in one and one screw has come lose and the other knee is worn out!

51F - Transported to detox clinic.

44F - on a long haul flight she got chest pain with radiation eight hours out. As there always is there was a Dr on board as well as one of our local Ambos. In flight treatment, Aspirin, Nitrates and O2, fully resolved and nil return for the remainder of the flight. Full primary examination, nil pain but known history and refused to got to hospital will consult LMO. Everyone has the rights to poor decision pathways.

429/57 = 7.53

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

Taz