Thus ends another roster.

And I move onto another partner.
A peer and male, it'll be nearly a year since I worked with a fella.

55M - Diagnosed Pancreatitis, idiopathic cause, analgesia and transport.
31F - Domestic incident, pushed over and landed on her hip, Police just wanted a quick check up from us and pt stayed with them.
Call about a domestic incident but everyone had shot through by the time ourselves and Police arrived so there can't have been any injuries.
62F - Chest pain unresponsive to her nitrate tablet, that might be because it's out of date like by years. Responded well to our fresh nitrates and ECG and bloods showed no new coronary incident.
Assist one of our cars with an extraction

See you at the big One.

Taz

I'm going to get 'a cap in the arse' or something.

Why?
All because this IP and drug fcked 20M would be gang banger was crying like a 12yo for his Mummy before his temper grew and he came at me and the Police forcing me to very successfully restrain him to the stretcher. Violence, anti-social behaviour, currently a danger to society transport required for assessment at the A&E, sedation and observation till sober.

34M - Drug fcked. Undies, T shirt and a Hoodie,
'Dude where are your pants?'
'Mjkag bfeu8q sygaftask augg arrrrrrrrr!'
And that was the best that my usually well tuned ear could make out.
8hrs later he's had to be sedated also. Alcohol reading zero!

38F - Fell in a restroom landing on her left bottom. A little pain management and more for reassurance for the panic of being 14/40 pregnant.

52M - Back pain on movement from a fall four days ago!

??M - Being a turd after being escorted from license premises. Police sorted him out for me, Thanks boys and girls, love you and your work.

75F - Called us for 2/7 Hx of diarrhoea. I'm more interested in the tachypnea (48RR), tachycardia (116 and she's supposed to be a paced rhythm), very pale, severe pitting odoema with a recent (1/12) Hx of Mitral valve surgery.
Hands down the sickest for the night.

See you at the big One.

Taz

Normal shift just in a different area.

We are ridiculously over staffed at several stations in my sector and the extra crews have been regularly sent to a different sector where they are ridiculously understaffed.
Today was our turn much to the glee of my partner because it was her day to treat or rather I was driving. No problem I've worked at this station before and completed part of my probation year working around this sector anyway.

66M - Hospital to Hospital transfer.

83M - Dry throat and strangely odoema in just his left hand.

94F - PV bleed or that's what her carer said after changing her pad, smelt more like a UTI and her GP can fix that because with all her facilities intact she refused to even consider hospital.

30F - Vomiting since last night and now dehydrated and hypotensive or so the suburban GP told us on arrival at his surgery.
'What's the BP?' we ask, 'Oh I haven't taken one' we're told STRIKE ONE.
'But she needs to go to hospital for re-hydration' STRIKE TWO.
'Have you given an anti emetic or commenced fluids? Dr where are you? STRIKE THREE
He's out.
The pt's family even asked me later at hospital what else they could have done other than gone to the Dr because they thought calling for an ambulance was a bit extreme.
Paracetamol for the low grade fever and aches, flat energy drinks or lemonade in frequent sips & dry toast. It's not their fault for not knowing this information but the Dr was lazy.

79M - Decreased LOC, cardiac event but unable to follow up on which of the many he had that it was.

80F - Abdo pain.

Now I'm not knocking the Dr's with this post and I know that the few who do have a read of this now and then will agree that this Dr was lazy, just getting presenting complaint (vomiting), looking at the tongue (dry must be clinically dehydrated therefore hypotensive) easiest treatment ring the ambulance.



See you at the big One.

Taz

The two of us.

No more student, I felt a little hard done as I had to carry my fare share and write my own patient health care records.

35M - Street IP requesting hospital for reasons not stated, straight to the waiting room.

93F - Mechanical fall and head lac that appears to be an artery as it wouldn't stop.

94F - Near syncope after a very long walk up hills. Well recovered and I left her at home to enjoy the rest of the day.

65M - Chest pain, possible inferior infarct.

UTL a male fallen off his motorbike.

47M - Near syncope.

75M - Hosp to Hosp transfer for microsurgery.

77F - Back pain unable to leave at home like this.

See you at the big One.

Taz

Missed stage 14 too!

Well I didn't have anything else to call the post and I did miss viewing this stage of the Tour de France. We left at sign on and returned an hour before knock off only to get another job with 25 minutes to go. But what can you do? That's part of what you signed up for and if you didn't then get out of the job.

18M - IP, with Police and has them concerned by his attempted action to 'get them to shot him'.
First thing I noticed was that he had a blocked throat because he couldn't swallow his own spittle but spat it on the pavement. Next he was trying to do 'gang talk' but was doin' it badly sounding more stupid than it normally does. While he wasn't a real wanker later when he had sobered up in the hospital mental health rubber room (he was speaking suicidal) he was a completely different, very polite, well spoken young man who was allowed to leave.

27M - Random victim of a homeless person chucking stuff at people. He got clocked on the cheek with a bottle and had an abrasion. Cops called us to give it the once over. No need for the hospital he was cleared to go home and the offender was taken to a nice warm cell, which is probably what he was after in the first place.

73M - Haematuria.

32F - Mental health issues.

20M - IP, by the time we had arrived his family had collected him. Sometimes a bad run of traffic lights and bottle necks causing a slow run is a benefit.

21M - Fight in a night club, facial injuries that need some stitches.

23M - Fight in a Hungry Jacks burger joint, small cut on his finger, first aid only.

And that was it. Our CSU (Charles Sturt University) ride-a-long had completed her three week tour and returns to campus and the last few months of her degree with more examples of the gulf between learnin' from a book and learnin' from the pt.

Don't get me wrong the more education the better but the attitude from some academics towards the ol' on-the-job trained paramedics and the realities of the job pisses me off because they have a bit of paper their say holds more sway. (off soapbox now)


See you at the big One.

Taz

Didn't see any of the Tour.

I thought that at some stage we may have got back for me to watch a little of the race but the beer gods thought otherwise on this chilly Friday night.

50F - IP, got in a domestic and had a scratch on her face. I mean she admitted to throwing the first punches and kept up the verbal from our ambulance to her ol' man in cuffs in the cage truck.
Charming!

18F - Kept asking friends to ring an ambulance, IP head in her own toilet. She asked me if I could please make her happy. Depression, self harm Hx, pretty and without any direction in life but right now she's pissed. The friends were really good and concerned happy to stay the night and keep an eye on her so we put her to bed and almost straight away she's asleep.

37F - Opiate OD. Real world I would have tagged and released her with some Narcan then and there on the street but we still have the Uni student with us so we'll run it by the numbers and transport for observation. O2 en route draw up the Narc (800mcg) for IM in the ambulance bay before we go in. During triage (2 min post IMI) pt goes off her tits about the Narcan spitting, kicking, throwing the odd fist, severe verbal abuse to the Cops, Nurses, Us, members of the general public who are just sitting there, endangering us all because of some touchy feely group.

88m - Hospital to Hospital transfer.

20M - IP, good samaritan called it in without talking to the ??pt. His G/f was coming to pick him up.

40M - Public assistance, unable to get of the ground for a Parkinsons pt.

20F - IP and although her friends had tried to get her home she was just not helping, neither were the 6 Long Island Ice Teas she had consumed.

25M - Facial lac. UTL mostly because the address kept changing like by suburbs.

See you at the big One.

Taz

Eight jobs for the shift.

Not enough for me but with the amount for documentation needed even with our short transport times that's a busy day without a lunch break.

27M - From a Men's Hostel. Was out last night drinking and woke to find this foot and ankle swollen. Needs an x-ray.

51M - Painful palpitations, febrile otherwise healthy. ?? Pericarditis maybe, needs more tests.

35M - ??Altered reality is what I'll call this, most likely from substance abuse and alcohol.

63M - Dementia pt who has become physically aggressive with staff and residents. That might have something to do with the UTI we smell.

68M - Chest pain in the gym at the hospice, they freaked we calmed. Most likely a spot of angina given the pts Hx. Transport for follow up.

71F - Home to private hospital with heart failure.

63F - A bad paver tripped her, ? sprained ankle but she would like an xray, en route a crew ask for an urgent assist load. We're on the same street five blocks away I jump the job.

?20M - ? depressed skull fracture assist with extrication from the McDonalds

Return to transport of the 63F.

See you at the big One.

Taz

The Hospitals are crap.

Full that is, full of sick pts.

We started today with getting coffee and going to takeover a night shift crews pt.

54F - Asthma that has got much worse with a cold.

85M - #NOF.

7M - Dislocated/# elbow.

47M - Felt unwell on a interstate flight but was better on landing.

87F - Assist up from floor, no injuries.

44M - Possible TIA symptoms,, nothing hard and fast but needed looking at.

As we left the hospital day shift crews were stuck waiting for the night crews to come and takeover.

See you at the big One.

Taz

More broken bones.

I haven't had this many 'You don't need a bloody xray' #'s in years.

77M - SOB, CRF, CA, IHD.
71F - Lung CA with multiple Mets c/o neck pain.
27M - One of the most intoxicated but still walking drunks I've seen. We're called for the lac on his face, found by security of a mall area just sitting there. Left hospital before seen by a Dr.
24M - Radius/Ulna #, midshaft and floppy before we got the splint on.
35F - Hypoglycaemia, no Hx has been eating, no eating disorders or known health problems apart from an IVDU habit.
70M - # NOF, diagnosed from the pelvic/hip exam because he was noe sitting on a bed so you couldn't see any shortening or rotation. Lets not talk about the advanced Parkinson's shakes making cannulation difficult and increasing movement and pain.




See you at the big One.

Taz

Welcome to Cathy.

A new follower of this humble blog.

70M - Long COPD Hx and with the cold weather it's getting worse and it's doing it at night when there is no local Dr.

22M - Collapsing??? Get there and it turns out to be a Police Officer from my local area with what appears to be some delayed reactions to concussion post playing a social game of a football game called rugby. For you readers in the States it's like Gridiron but faster and without pads or helmets.

69F - Walking the dog, misplaced step and over she falls and breaks her femur. My first diagnosed in the field # femur in over eight years on the job. My first CT-6 traction split, they're new issue over the older Hare or Donway. Anyway did its job I saw the xrays and it worked well even applied in a dark park.

30F - Found by a good Samaritan before any bad luck befell her, we contacted her B/f who came and collected her.

29F - Accidental ingestion on Dettol (antiseptic). I contacted Poisons Information as I had never come across this before and they advised that as long as there were no airway problems the 20mls she drank wouldn't do any harm apart from some discomfort from burning the gullet and drinking milk and simple analgesia at home were fine. So we did.

??F - Sitting on a railway bridge threatening to jump. Standby until she's talked down a the Police took her into custody over an assault charge and we left.

91M - Going home after some back surgery.

See you at the big One.

Taz

A mixed bag.

But then that's the best way for your work to be isn't, all mixed varieties!

77M - PR bleed, happened once 20yrs ago and has been going on for nearly two weeks. He was walking and talking and admitted to driving so we must have been called because Ambulance gets you in quicker! More public education needed here.

88F - Slipping her pants off to sit on the toilet, over balanced and fell into the bath tub. Uninjured, despite giving herself a tap on the head(Ha, Ha, Ha) full assessment and left at home.

67M - Isolated right pectoral pain, tooth pain and increasing SOB on exertion, no cardiac Hx. Spider sense tingling,
Ah, hello there's the answer. Pt asks if he really has to go to hospital several times I stop that with the calm news that he's having a heart attack right now and we along with the Drs at hospital can fix it. We even got the chance to linger in the Cath Lab and have the procedure explained for the Uni student ride-a-long.

42M - Known to me, from a group home has a headache. He just wants some friendly faces so we give them to him in the waiting room at hospital while his carer is contacted to come and collect him.

45M - Ascities and he's that full that the oedema is above his knees as well.

While transporting the above pt I heard an cardiac arrest being given out to other vehicles and I'm only five blocks away. Our dude is stable so we attend and I took the student with me inside to assist. First of the other crews arrived at the same time (I had a pt and couldn't drive fast) and lead the way in, unfortunately the pt was deceased but the student has seen her first dead body, even if it wasn't up close.

65M - Fallen, backing up a single manager, some of the worst access I've seen and the worst smell. This job was a full carry out and the room/hallway/stairs didn't allow for extra hands to assist. Raging sugars 30 - off the scale BGL, raging infection definitely in his foot that revealed the ?? gangrenous toes, probable septicaemia, MI indicated as very recent all told a very sick interesting case.

7/12F - Fell 70cm to a wooden floor, dazed but vomited three times as well. By the time we arrived at hospital pt looked to be normal but 4hr obs still the best action.



See you at the big One.

Taz

Have you checked out Google Body?

You should along with TED.com.

The regular partners back from ??sickness and the student is in too!
I'm going to get asked today how I got two good looking blonde's!

37F - Abdo pain. Vaginal discharge, going in for a termination tomorrow.
73F - A little bit of a PR bleed. Did fracture her pelvis two months ago, we better transport.
64F - Syncope, gave blood and didn't wait for her cup of tea and a sandwich.
31M - Well know for fitting today it was cardiac.
17/12F - fell off a tiny toy skateboard and bumped her head. Left with Mum.
57M - Pain on urination and wants it fixed today!!
65M - Hosp to Hosp transfer for angio on Non Stemi.
41M - Already has a replacement hip, it just keeps dislocation,,,, today was the 15th time. Surgery is due in 3 days to replace it. He took 20mg of Morphine and 300mcg of Fentanyl just wished I could have given him some Midazolam that would have helped heaps.

Well can't dally, stage three of the tour starts soon.
Go Cadel!

See you at the big One.

Taz

A new online study tool.

If you haven't visited TED.com you should. The variety of subjects covered and discussed is amazing.

While watching one presentation yesterday they briefly touched on Google Body which is like google earth but of the body. You can peel away skin, muscle, cardio vascular, lymphatic, CNS and skeletal or look at them individually.

It's fun and you can learn stuff or just revise your current knowledge.

Check it out.

See you at the big One.

Taz