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26 July 2011

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

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