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01 March 2011

The chain dragged last night too.

9mthM - Accident in a restaurant with soup. The parents said it went over his leg and arm but stuffed if we could see anything. So then they're wanting to know why he won't calm, we explained that at his age if some had splashed on him it would be most likely the worst pain he had experienced in his very short life. My partner and I aren't parents and this wasn't their first child but here we are explaining early childhood learning and development. They took him home to self manage.

81F - NSTEMI being flown in on air ambulance and we took on to the hospital.

41F - Had felt a few palpitations, a sharp pain left side that stopped and a little dizzy. All obs normal but with regular PVCs say every 10 beats. We see PVCs on ECGs all the time but usually in the aged, with a cardiac Hx or much less frequent. Tx of pt and up sell at the hospital because they role their eyes when you get all excited as a newbie by a PVC but clinical decision makes this a possible acute danger if the PVCs start and don't stop.

73F - The only pt to get serious drugs tonight. Had a fall in the house and we suspected a NOF and wrist fracture. Confirmed as such later.

32M - Hyperactive, just starting the psychotic slippery slide from methamphetamines. I have seen him before and he can be entertaining in a very dark and sick way for us, but he's going to also become a drain unless immigration give him back his passport and he returns to Ireland.

And that is the completion of this current block of shifts.

See you at the big One.

Taz

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