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