Some Amphetamines and some Hammer to end the night.

34M- From small to large hospital with a non-stemi.

42M - Men's hostel resident may have intimated that he had abdo pain but denied it when we arrived. We gave him the quick once over and left him there 'cause there was nothing wrong with him.

69M - He was describing sciatic nerve pain but had an active Hx of CA with boney mets so we couldn't discount skeletal cause. Transport.

42M - Amphetamine OD, sweaty as a pig, pants anywhere from groin to knees, pinging off the walls, totally inappropriate speech, running around in circles. It took three cars of our finest constabulary and one extra ambo crew to assist with restraint while I wacked our mechanical restraint device on him.
Five hours later he wanted to talk to the crew who brought him in. We recanted all the piss funny bits, told him that CCTV had recorded the whole episode and cautioned moderation.
I mean it's not like he's going to stop.

39M - ULQ abdo pain.

32M - Heroin OD, crew called us to hot response assist with an overdose. Extra hands in a difficult location. As we entered without any gear because it was to provide muscle they got told about the 'other guy' who was just sleeping in the other room!
Cyanosed, resp rate = 6, diaphoretic, GCS = 3.
They're easy enough jobs, oxygen and Narcan if needed. Our treatment protocol has changed in the last two years, it was 5ml/2mg mini-jets repeat twice if needed.
Now it's 400mcg or maybe 800 (max of 2mg) to bring them back but not enough to let them get up and leave. The plan is to be getting them to come to hospital for observation in case of renarcotisation.
Our dude to the 2mg and was still not fully alert so he got transported.



See you at the big One.

Taz