And wasn't it a MAD Monday!

51M - Well known alcoholic who we're transporting from hospital to a detox centre again. As always we hope he does well.

39F - A really good bike stack over the handle bars, looks like the nose and wrist took most of the impact.

32F - Reason for calling an ambulance ' I want to see a Dr' would not supply any further details about why. So list this job as a Psych case and go to the appropriate hospital. Triage gets about as much as us from the pt along with her demand for drugs. Pt left an hour or two later. Was not known to the mental health team, no medical Hx with the hospital?????

82F - SOB, for about three days, seems to be cardiac related, has a very large Hx.

18M - Fainted is what it said on the data screen, fainted at one location but was walking to another and we were to meet him there. We waited and waited,,,,, UTL.

30M - Indigenous pt with foot rot or to be professional fungal infection. Left the first hospital because they didn't treat him quick enough. The hospital we saw him at 6 hrs later won't be any quicker. Foot rot doesn't triage very high.

73M - Two weeks of deterioration at the n/h and is now very septic. It's amazing the old fella is still alive.

51M - Walked into a car. We're parked in a street grabbing a coffee and something to eat when there's a thud and impact with the rear of the ambulance. In my wing mirror I can see a male lying on the road, out I hop to investigate.
Ol'd mates walked out from behind us and only looked at the oncoming traffic on the other side of the road and no that on our side that will of course be the first to hit him if he was to walk out,,, which he does. Luckily the car is being driven carefully and slowly by another aged person and the pt bounced off the side of it and into the side of us before falling to the ground.
Pt has two dogs, one knee high on a leash barking and the other an Irish terrier looking thing just watching.
Commence primary survey, conscious, alert, orientated, denies injury, three cars full of police turn up and surround the scene, someone takes the leashed animal away, chest clear, abdo soft, arms intact, look at the lower body and there's the terrrier with it's front paws wrapped around his upper calf HUMPING THE HELL out of his leg like there's no tomorrow.
Pt completes survey by kicking the dog off his leg while I'm laughing along with 12 cops and the bystanders.
Pt declines transport.

59F - Slipped on wet pavement and may have fractured her nose and wanted hospital.

40M - Assaulted, tells us that his mate punched him to the ground and then stuck the boots into his body and head, he blacks out and when he come too gets kicked in the head a few more times. They are both pissed, offender is back in room, pt at the foyer with building security.
The injuries look bad, swollen eyes, nose, chest wall seems deformed, pupils are not the same and are more sluggish than I would have expected for just booze. Spinal precautions, pts GCS=15. Enroute it drops to three, tolerates and oral airway for 15 secs and then pops up to a 12 for a minutes or two while I call ahead before dropping again to a three.
Will follow up this one.



See you at the big One.

Taz