Our hospital is FULL.

And when it's full you can't unload so you can't go and get another pt!

So our first pt was really day shifts,
82M - Abdo pain, extensive surgical Hx with plenty of Hx of blockages.

Our second was from the ambulance relief team (ART) who take our pts normally to release operational crews but were now themselves trying to knock off,
39M - in custody, paranoid drug effected.

After five hours on duty our first transport was a discharge from the ED back to the nursing home,
83F - Unwitnessed fall no acute injury found but for some reason the handover given to me also included the fact that she was NFR!!!

32F - Shaking. After much discussion with this rather pretty pt we all decided that it was most likely an anxiety issue.

35M - Seizure, he was post ictal when we arrived. No epileptic bracelet or ID card in wallet so he was coming anyway as he is by himself, everything was checking out ok but the BP was looking a bit high,,,,,, lets double check that diastolic,,,,,125Hgmm,,, three times on scene I checked it twice more in the car basically it was 210/120.
As his GCS improves yes he has a HT Hx as well as seizures. Doing the job properly and always getting both pressures got him to a hospital which is what he needed.

784 jobs/107 shifts = 7.35 average

See you at the big One.

Taz