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27 February 2011

It started off slow.

And never really got busy.

We got coffee, drank it, was thinking about we should really buy another if we're to keep sitting at the cafe table for this long and the fist job drops down.

72M - From hosp to air ambulance for flight home, it's 15 min to the airport and the departure time isn't for another 2 hours.

5F - Alleged to have fallen down some stairs. Has a minor abrasion to her elbow, knee and shoulder. Is running around with cousins and only stops to show us where it hurts (elbow). Yes the height was 2m or 6 foot, but really look at the pt, does she look injured? Unable to use more direct language to make Mum understand we have to transport because Mum's cousin thinks we should.

16M - Yep he was concussed post three player collision during a basketball game. Transport to be observed. Dad was great, I say this because he identified himself as a anesthesiologist at our local hospital but also openly stated that this was all out of his comfort zone and we 're the experts. Unlike the other gent who identified himself also as a Dr (it was a privates school gym) who indicated to us that it was important to get a BP first for our conscious, talking, has a radial pulse, nil obvious physical injury pt rather than a neuro exam.

92M - ??, The job was for an unresponsive pt at a nursing home. He's demented, he opened his eyes if you touched him. He'd track your movement he just wouldn't talk. Not uncommon allowing for also being born and residing in Asia for 50 yrs. The daughter is a fuss budget worry wart who blow the whole thing up. We had to transport and the hosp did real well at a basic workup and get him back home quick.

31M - More carnage on the basketball court. Different one this time. Concussion again! And working himself up into a tizzy about not being able to remember the event. Transport again for neuro obs nil other obvious injury or deficit.

44M - ?? seizure not responding. Long story short, confirmed seizure Hx from TBI, meds on scene, one witnessed seizure focal and developed to general, with friend. 90 second seizure with us same form. 5mg/1ml Midazolam IMI, pop in a line and have a 5mg/5ml ready to go and transport. My current partner who goes back to school to get her qualified insignia in Nov had never had a pt seize on her before always just having post ictal pts so she was stoked at the job. It was a good job well handled everything just went right first time.

29F - IP, stupid and anxious. We were being played but again those word 'I want to go to hospital' and we're hamstrung.

See you at the big One.

Taz

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