Got to love the Friday/Saturday nights double.

Can the fun continue on the second night?

(I'm not short they just had Killer Heels on)
While enjoying a coffee on Oxford Street early into the shift I was recognised by one of these lad-ies. I had apparently provided assistance to one quite some time ago and they just wanted to say thanks and pose for a picture.

67M - Dementia pt at a nursing home who had recently been transferred there for higher restrictive care. He didn't understand this and had been doing his best to escape to return to his hostel. It's a booked transport so whilst I know that there is nothing the ED can do and really it's more a management problem for the nursing home, I can't refuse to take him.

F - ?? fainted with head lac, hoax call, two other units responded to the same address during the shift with less and less urgency. It's a Hungary Jacks restaurant so a note has been put on the system to ring if this address is ever used again.

75M - Public assistance to his feet and then bed.

80F - History of episodes of rapid AF that usually self resolve. Tonight it hasn't after three hours. Several hours later it still hadn't responded too well to meds either.

25M - Tragic job. Pt fell five meters or more to a concrete slab landing horizontal. GCS=3, visible injuries haemorrhage from nose and mouth nothing from ears, haematoma to occipital region, one pupil dilated, strong radial pulse but decreasing heart rate.
ICP arrived at same time along with ten or more Cops.
Stabilise spine, maintain airway, scope and run, active treatment en route was a 16G cannula and some metoclopramide from me, spinal care by one ICP, my partner did suction and bagging the other ICP drove, it was maybe a whole kilometre transport distance. Second pupil dilated by arrival in Resus. CT showed a huge midline shift and the family are flying out with small hope.
He'd been in the country a day, just one day and was sky larking around drunk at a backpackers.

35M - Social workers could see the pt but couldn't get into the premises due to a locked screen door. Pt may have been dead they thought. We carry crowbars in the side locker for just these jobs. Pt was dead, dead drunk. Rescue arrived as we were leaving.

20M - IP. Two inebriated older gents approached us and didn't ask if we needed help or offer to assist they just pushed into our treatment area and said 'we're Doctors'. I told them he was just drunk and again they swelled their chests and stated they were doctors. With restraint, I informed them, that was nice but as this wasn't a hospital and there were no nurses around to do their work and as we were Qualified Paramedics they could move on.
I have a very good relationship with my ED and local clinics doctors but if I was drunk outside a Goth/Emo club in Sydney identifying myself a a doctor is not something I would do, twits!

20M - Also IP.

Multiple pt at a brawl. Cops didn't find it and neither did we.

21F - IP.

76F - Vertigo, a little hypertensive. No one single whole symptom more like a collection of half symptoms. Transported.

That's 931 jobs in 123 shifts for an average of 7.57 jobs.



See you at the big One.


Taz