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22 April 2011

It felt like there was no good work around.

The radio was slow so at least no-one else was getting better work than us.

39F - Motor Scooter rider that the SUV driver who performed a U-turn in front of and stuck her, claimed he didn't see. She was doing all the right things, speed limit (50kph or 31mph), helmet, gloves, jacket, pants not a dress, good enclosed footwear.
He struck her from the side, knocking her off the bike and sending her down the road sliding into the side of a parked car. The mechanism was enough to take all precautions and we even considered pelvic sheeting but it was more lateral hip than pelvic girdle pain.
We didn't BAT PHONE it in as the pt was very stable, without skeletal deformity or neurological deficit. Discharge from hospital seven hours later with a hairline fracture in one elbow, that's it, we were all amazed at the lack of injury from the mechanism which was confirmed by the SUV driver and the poor dude who was sitting in the parked car (before he went in to work) and watched the whole event unfold in front of him.
We told her to buy a lottery ticket or two.

84F - Uneven footpath fall, a minor lip lac and she didn't want us or a hospital. Had a meeting to go to. Off she went

42M - Outside a men's shelter, drug effected. Needs to be observed until his GCS improves and they don't have the facilities there so we get called to cart him off to a suitable hospital (non trauma status usually).

49F - Syncope with LOC, that was from them putting her in a chair rather than lying her on the floor most likely. Has been to her LMO and is under treatment for a virus, comes to work, is running around like a blue arse fly and the body has enough and shuts itself down. We're happy with the story and the obs and she's going to start Easter early at home.

24F - Near syncope, just felt faint. Has also seen her LMO for a virus and also went to work today. The same road that we would have take to a hospital also has her LMO's rooms that have just opened and her home. We are all adults here, again the obs are fine so we dropped her at the surgery and left her to self manage.

59F - Chest pain, transport but nothing in it.

83F - Family called for her increased lethargy. Diet has been down for a few weeks but nothing else obvious, transport for work up.

71M - Collapse in the afternoon but had to wait for his son to arrive home to assist him off the floor. Son calls us against Dad wishes because his story was he was reaching out to open the fridge door,,,, and woke up on the floor looking at the ceiling. All obs are good the only thing not perfect was the AF my partner felt when doing the BP. But the monitor when I put it on was a textbook sinus rhythm,,, no it's not watch this it says as the rhythm changes to a 150 + sinus tach, 80bpm AF, 94bpm sinus, lets chuck in some PVCs and while with us all totally asymptomatic and without any pain. We took him to hospital and gave them an absolute book of all the various rhythms we had seen and the 12 leads I had acquied during the sinus, AF and sinus tach episodes

See you at the big One.

Taz

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