Males on Drugs and Ladies falling.

Or so it seemed when I looked back over the list of jobs for the day

This is all I jot down either during the day or at the end of shift from review of the computer, my aide-memoire!

90F - Resides in a low care assisted living facility. She has been to hospital for this complaint (Cellulitis) and discharged with oral ABs. It's not improving so we'll take her back for review.
28F - The local Fire Fighters (in Australia Fire and Ambulance are two completely separate departments of government) were cruising around when they were flagged down by this distressed lass. Sometime in the last 14hrs she claims to have been given something that made her feel funny but she's not sure what or exactly when because of all the other drugs she was consuming at that time. Now extremely anxious and emotional and wants to go to hospital.
??M - In the foyer of a inner city motel passed out. When we arrived her was awake and trying to remember which room his friend were in. We left.
27M - Went troppo (Spaz attack) in an al-fresco cafe and got arrested. Cops wanted us to take him for assessment. My assessment, he's had a gut full of drugs and booze, no sleep and is full of sh*t with his sob story to the Cops and us trying to get himself out of the mess he's in. There was no damage so he is released to us and promptly walks out of the hospital in search of more trouble.
28M - Depressed, a couple of emotional triggers and took a razor to his wrists. He's ok but needs some support and help today.
??M - Anonymous call about a dude OD'd in a public toilet. Locate it and bang on the door, wake him up because he's not that gone and the same BS about 'Oh I haven't had any heroin', 'I don't use drugs now'. Why do they think we can't tell?
58F - Fell on a wet floor at the train station, may of injured her left wrist.
28F - Tripped at the bottom of the escalators at another station and sprained her ankle.

The bottom two lines are the case numbers we were on that made us miss our scheduled lunch breaks or cribs an old English working class word for meal break.


Be Excellent to Each Other and See You at the Big One!

Taz

Only one day off

I requested a particular spot on the roster to start, at that time this was so I was able to compete in this charity bicycle ride, the Pure Tasmanian Cycle Challenge so I have a really bad roster change, just 24hrs before starting another three shifts but somehow I accumulated some leave years ago and management say I have to take it or else so I will be on holiday for this ride now and hopefully not needing it to recover.

So posts about work will peter out for the next month or two, sorry but I will try to pop something in.

Just a heads up for those that stop by for a read. 

Be Excellent to Each Other and See You at the Big One! 

Taz

2 transports Only.

44M - Old Spinal Cord Injury has left him without legs and he needed assistance to bed after a low fall.
73F - 24hrs of flying from the cold other side of the world and felt faint. A good nights sleep is the best medicine for you.
Road Rage incident that was a Police matter nothing for us.
48M - Trying to pull the wool over our eyes with chest pain. I'll take you back to that hospital you just left but your going to the waiting room.
47M - Whom the Constables believed to be only pissed and he was. They took him then.
86M - With an sudden posterior rib pain. I'll take you in for the DR to see.
74M - Dialysis pt for finish off.




Be Excellent to Each Other and See You at the Big One!


Taz

Three food related jobs and one religious.

31F - Epigastric burning with no other signs, milk, antacid and see your GP tomorrow.
60M - More mastication before swallowing, he had dislodged it himself.
21F - It's good to get gastro on the last night of your holiday in our fair city, stay near the toilet, small sips of water and wait for the diarrhoea.

62M - Transfer with Triple Vessel disease for a triple bypass.
42M - Ventilated pt transfer.

28F - Psychiatric Episode, Religious Ferver, I have come across the odd 'I'm Jesus' or God but this pt would not stop praying, even to go to the bathroom so she had urinated in her clothes several times. Was not able to give any reason for the prays, usually you pray to seek guidance, forgiveness or asking for something to happen. Had to be picked up and carried while remaining in a kneeling position with the occasional head punch or head butt to the wall. 24hrs later she was still going. 

Be Excellent to Each Other and See You at the Big One!

Taz

MFMFM much more order.

38M - A large angry man off his Bi-polar meds, not aggressive physically but everyone stood back from him.
49F - 3/7 migraine, has tried all her own remedies and failed and has never had one last this long. Just a little Morphine and some antiemetics and off we go.
83M - Sudden onset of Aphasia and confusion that resolved - TIA
58F - CA pt who wanted to be left alone and refused to allow in her home care workers and the Police got called and then we arrive. She has a reduced Competency and Capacity to make that decision as she was unable to explain the complications or end outcome to us, she was not able to demonstrate the ability to retain any new information given by us and there was no end of life plan or Enduring Power of Attorney Medical Care. A sad case but we can't leave you here by yourself, society expects more.
34M - Known to have de-generation of the cartilage between all his cervical vertebra. Had slip and awkward movement and now has neck pain and altered sensation in one arm. Collar only to support the now cramping muscle and off we go.

Be Excellent to Each Other and See You at the Big One!


Taz

Half and Half

That was the ratio of patients today, well nearly.
What was interesting was that it was female patients first and then an afternoon of males.

98F - Next door neighbour thought she looked dead in bed through the window. A bunch of Cops and an Ambo crew trying to breaking woke her up! The neighbour was very happy.
27F - Acute lower right abdo pain, 22.5mg of Morphine got the pain to manageable, just!
16F - Hx of SVT, but I think today was a twinge of rib pain starting an anxiety episode.
33F - Fell and caught her foot in a metal staircase, ripped a toe nail and may have # the bone.

4M - Worsening asthma.
30M - Shot his mouth off to his case worker saying dump shit and when he went back to apologise she wanted him scheduled. He was repentant and had no intention to harm himself. Just let his mouth run off.
37M - Cyclist who was collected by a pedestrian crossing illegally. Arm pain.
62M - Drunk and staggering home, we gave him a lift.
50M - Drunk and abusive, not our fault if the public think he's dead.

Then to throw it out,

61F - Hip pain Chronic.


Be Excellent to Each Other and See You at the Big One!

Taz

This all happened before midnght!

??M - See by staff from a homeless hostel and they were concerned. When we arrived he got up apologised and left.
69M - Anxious, feeling slower mentally than normal, has recently arrived back in the country (<4 and="" as="" from="" get="" he="" is="" it.="" jet="" lag="" more="" neuro="" obs="" ok="" opted="" over="" overseas="" p="" physical="" sleep="" so="" still="" struggling="" to="" try="" were="" with="">36M - In the company of the constabulary and was a little too drowsy to be left in their cells till morning court, there was also the issue of some forgotten epilepsy meds too.
3M - Woke Mum and Dad with breathing difficulty but is wasn't until we arrived that the dreaded seal cough appeared. Didn't need to give adrenaline but transported as this was his first ever croup presentation.
25F - Nausea and vomiting,,, dropped as TV on her head several days ago and had some neck pain still,,,, collar and transport just to be safe.
92M - Discharge to home and assist to bed.   

And that was it until 30 minutes before knockoff
A pair of specials having got home from a night drinking at the casino were having a dispute and calling each other mental instead of having a sloppy shag, so called us to take one of them away. After ten minutes of listening to this nonsense I ordered one to sleep in the bed, the other on the couch and sleep it off. 

Be Excellent to Each Other and See You at the Big One!

Taz

Midday before the 1st Job

58M - Sat down on feeling giddy and still had a syncope. struck his forehead on a bench and needed it stitched.
40F - Recognised me from when I last attended her over 4yrs ago. Today we think she may have and inflamed appendix.
50M - Down and out and needing a hand to find hope.
74M - Feels SOB but it doesn't effect his speech or walking.
24F - Mild concussion to be monitored by a friend.

Be Excellent to Each Other and See You at the Big One!

Taz

Paraffin and Children

68M - Regular dialysis pt.
56M - Emotional issues and using broken glass to scratch his wrists.
84F - Rapid AF, new.
18/12F - Found a bottle of paraffin lamp oil not securely capped and drank some we think? I don't know the why's but our concern was only if she had inhaled some. In the ol' days you were given paraffin oil as a laxative.
54F - Minor abrasions from falling off her motor scooter in the wet.
85M - From nursing home for investigation of possible pneumonia.
86F - Anxiety issues.

Be Excellent to Each Other and See You at the Big One!

Taz