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12 May 2011

I declared last night a COLD night.

That is, I got my jacket out of the locker and put it in my bag. There has been a cold snap with the night temp for the past two nights being 7C (44F) a drop from the 14C (57F) it had been.

The jacket didn't get worn but it was there if I needed it.

52M - From Air Ambulance to a hospital for an angio post STEMI.

19F - Uni student educating herself about drinking to excess! With good friends who while also drunk, could walk, had not vomited, recognised that they were not able to cope with her but stayed with her at the train station, elected one to come to hospital with her.
Being a Uni student I think she will be doing this study again yet before she's got the gist.

28M - The job came down as a dislocated knee but it was pretty straight and weight bearing (as he walked to the bar for more beers) when we arrived so we left.

34M - Lac inside mouth from alleged assault. Wanted the hospital.

19F - Who claimed she suffers from spontaneous Vaso Vagal Syncope episodes. While we witnessed episodes of GCS 3 there was no bradycardia, sinus pause, sinus arrest or decrease in BP and we were looking for them so I'm not accepting that.
The registrar explained it away as an extreme vasodilation response to alcohol and temperature changes, I'm struggling with that one too as they occurred even with the pt supine after 20 minutes in the back of our warmed car and a blanket.
We witnessed GCS 3 episodes of varying length with random spasmodic muscular twitching, some of it quite extreme not like tonic but very strong, tachyponea with reduced tidal flow and no drop in SpO2 readings.
This is cerebral, this is some sort of seizure and while the specialists back in London (she's a backpacker) can't decide they also haven't seen an attack or had her on monitors and BP cuffs when they've happened.
But I'm a shaggy arsed ambo so what do I know, just what I saw.

24M - Asthma, puffer not working, already on steroids with a PEFR of 100 before our nebs.

So that was the first officially notarized by Taz cold night.


See you at the big One.

Taz

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