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05 December 2011

Last night of the roster.

The night of the work Christmas dinner, some of my colleagues are confused by my decision to work instead of attending. It's simple, I've been attending Work Christmas Parties (WCP) for over 30 years, that's longer than most of my colleagues have been alive. WCP's don't get any better with age. I have been there, done that, enjoyed it and built a new reputation afterwards. I'm trying to maintain it.

25F - 2 witnessed tonic/clonic seizures, no Hx of same, c/o headache/migraine before seizures, GCS = 3 , O2 and 10mg Midazolam IMI with Naso airway because of trismus, Factor 5 clotting disorder medicated with Clexane (Enoxaparin), we're in the middle of a concert, she's 30 weeks pregnant and her airway has some stridor. Load and go, the nearest facility is 2-3 klm as the crow flies but without any maternity facilities at all. We got there is four minutes through horrendous traffic with suction being the only addditional Rx.
No Hx of pre-eclampsia BP was 80 systolic on scene, bloods we're told were normal as was the CT, bub's heart was loud and strong, pt tubed and a retrieval team collected for transport to an appropriate facility for both Mum and Bub.
Have a third officer with us from one of our motorcycle's, before we even start to clean the radio asks if we could attend a witnessed cardiac arrest with CPR in progress at the main train station? Hell yea!
?60M - Asystolic arrest, effective CPR by rail staff who witnessed the event while talking to the pt. A vehicle from our station beat us there by seconds, well run job with all the boxes ticked for pt care and safety but the outcome was never going to be good.
23F - IP, who's friends took much offence at us for suggesting that she was drunk despite their own admission to alcohol consumption for hours. They had planned to take her home but when she couldn't walk it must have been something else and so called us. We finally convince two of the more rational friends and the B/f to take her home. A few hours later at our local hospital who do we see in the vinyl recliner chairs that we affectionately call the Vomit-Tron? Yep her, diagnosis by a Dr now, intoxicated.
??M - I'm still scratching my head as to why an Emergency Ambulance was dispatched to this. Response is a complicated and lengthy computer algorithm in response to the questions asked by the call taker. I can usually understand the pathway but can only guess that there were just too many unknowns and that set off too many red flags that activated a response, it wasn't lights and sirens but in the notes that came down on the MDT it read, 'pt wanted to talk to a female voice about his sore feet and that he had nowhere to sleep currently'. Not unexpectedly we couldn't find the caller when we arrived on scene.
63F - Abdo pain.
28F - IP with friends who for some reason were telling lies badly about who they were and what was going on. I believe there was nothing underhanded or shady going on they were just lying to the Harbour Rangers, Me and then the Police, it was stupid. In the end I took the IP female away to the safety of the hospital Vomit-Tron for her hubby to collect.
21F - Respiratory Distress or the good ol' panic attack. It took awhile but she calmed down.
25M - Near syncope, left to go home.
23M - Assault by individuals drunk and violent.
28F - Minor Head Lac. Refused Tx.


See you at the big One. Taz

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