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28 August 2010

Thank God for O/t shifts.

They're usually busy and today was ripe!

?20M - Fitting, well he was not very responsive, he just snarled at me every time I asked him something. Found by the public on a street I gave his pockets a quick, and luckily a safe pat down and found a syringe. Penny drops and up stands our pt and walks off. We followed for a bit but he was walking well and with a purposeful stride so we let him go. He just had violence about him.

23M - Sleeping with his eyes open, not fully alert. Sitting up talking to a City Ranger when we arrived. He had been out drinking with mates and kept drinking and was just asleep. He knew where he was and had the funds to get home so off he went too!

?M - Fitting, the caller approached us and gave a description and direction that he had walked off in but we couldn't find him.

83M - Job came down as an Arrest at the Casino!!! My experience has shown that not too many kick off while their playing the pokies. Most commonly it's just a syncope,,,, as it was this time. Transport all the same due to age and as there was a total LOC.

30F - Sudden onset abdo pain that had just as suddenly disappeared when we arrived. Her partner was really concerned and made the call. Option chosen by pt to self manage at home.

47M - Asystole Arrest. A single responder and one crew already on scene, CPR in progress prior to their arrival and we showed up at the two minute mark on the Defib. Thirteen minutes of good CPR, some adrenaline and a little atropine and there was a pulse. GCS = 3 but that pulse was still there at hospital without any more drug therapy so it's a win in my book. As we all know however the final prognosis is not good, added to the fact we don't know how long he was down before found and bystander CPR commenced, it appeared that he had aspirated.

68M - Police think he looks dead but can we come and have a look. There was a blip on the ECG but that was just the pacemaker trying to get the long dead heart to work. We got called off as we arrived.

41F - IVDU, a little on the nod but otherwise OK, again Police asked us to just check her out. Nothing I could offer her and she really didn't want to see us.

94M - ? Septic, BP in the boots and the body had ceased to compensate.

Unknown problem from a payphone, love these en route we got called off for,

77F - Two day Hx of SOB on exertion, lethargy and a Hx of anaemia. I can't test for Hb but a hospital can.

58M - Ten minutes before knock off and called to hot response backup a single responder. He re-assessed the pt and decided it was ok to wait for a night shift crew.

802 jobs/109 shifts = 7.36 average



See you at the big One.

Taz

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