Wedding bells are in the air.

Of course I'm not meaning for me, we're already married.
We both got text messages today informing us that Ian has popped the question to Haley while they were away on a week holiday in Fiji.
Haley was very kind and took me under her wing for my first year in Sydney, I was her flatmate and a friend. Ambowife and I are of course very excited with this news and as always wish them both lots of love and happiness.

Be careful out there and I'll see you at the Big One.

Taz

My last shift of the current roster.

I lose my partner and gain a new officer to our station but not the sector, he used to work near Australia's best known beach.

The weather got cooler and that may have slowed down our normal punters last night?

77M - Slipped in the shower and looks like a fracture neck or Humerus or shoulder.

53F - Chest pain, resolved when we got there and with a cardiac history.

60F - Chronic alcoholic transferred from big hospital to little hospital for detox program.

53F - No acute medical problem, Hx of MS, fully wheelchair bound absconded from a very much southern nursing home to come to the big smoke to see a few movies. It's now after midnight and there is now trains home??? Police called us, it doesn't naturally fall into ambulance work but we are social workers too. Transport to the safe environment of a hospital till the morning. Turns out that a Missing Persons report had been filed by the nursing home after they found her missing.

40M - Opiate OD, not that deep and popped up well with 800mcg Naloxone IMI after a good five minutes of oxygen first. To students always give them plenty of oxygen first, less likely to come up swinging and pissed with you.

89M - Dialysis pt.

I'm off to have a chat to the Service in Tassie tomorrow.
Lots of mixed emotions and a lot less surety of why, a bit like My Fair Lady, I've grown accustomed to her (ASNSW) face.

421/56 = 7.52



Be careful out there and I'll see you at the Big One.

Taz

What a boring night.

59M - first onset of Sciatic like pain, talked him through it and her refused offer of transport opting to self medicate at home and see his own DR.

41M - flown in from the country, Renal Colic, by all accounts the stone was big enough to need a team of miners and some TNT. The country hospital should of been able to do that but the third degree heart block they found on examination was good enough to get a trip to the big smoke for a pacemaker.

53M - Regular IP asked for an ambulance to be called at a back packers. You know they're crook when they are quiet and compliant.

24M - You know what a 'Man Cold' is, well this dude had a "Man Sprained Ankle'. The drug kit was all out of Toughen the F*&k Up pills. Transported for X-ray to find out that his overseas student health insurance had expired and he would be footing (no pun intended) the whole bill.

77M - A regular dialysis pt.

And that was it.

Something new, I've calculated the average work load from the total jobs divided by the days worked when I started my new notebook at the end of this shift so 415 jobs over 55 shifts equals 7.5 jobs per shift.

Be careful out there and I'll see you at the Big One.

Taz

Second day.

78M - COPD but really SOB this morning. Got the sats up and resp rate down and transported.

1M - Febrile for two days even with some paracetamol.

Called off and assist load.

93M - SOB, cardiac in nature (can't remember the details that's just what my notes say).

38M - Lateral neck pain post re-ender MVA.

95F - Transport to investigate daily vomiting.

49F - Severe abdo pain and it was.

The first and last pts really needed us.



Be careful out there and I'll see you at the Big One.

Taz

I'm a bit behind in posts.

Sorry, but I was really tired after each of the day shifts.

47M - Regular disabled person who sometimes needs help to his feet at home.

65F - From a nursing home, febrile for two days, looks like cellulitis in the right leg.

13M - Playing rugby, has a history of a neck injury last year and his parents are letting him play again!!!!!! A tackle, spinal pain, cervical spinal pain, I may have spoken a little too loud whilst on the field but this should have never been allowed to occur.

79M - Transfer from big hospital to a little hospital for low acuity care. Problem little hospital has no beds and big hospital didn't ring to check. Take pt back to big hospital and jump the queue waiting at triage because this is their stuff up and I'm refusing to get bed locked on their error.

79F - Minor injuries from a small fall but needs an Aged Care Assessment.

72M - Has a paced ticker, walked up a steep hill on this warm day and felt SOB and pre-syncope at the top, thinks it might be the pacemaker, all symptoms resolved when we arrive and for some reason nobody was interested in vasodilation with a bum ticker. Transported to a check up.

32F - Daily methadone, 750ml of port and a couple of Benzo's, I'd be more than nearly unconscious. Transport to sleep it of safe.

95F - Discharge to N/H.

Be careful out there and I'll see you at the Big One.Taz

Sundays are quiet.

37M - Chest pain.

78M - Peripheral vascular disease Hx, c/o leg pain, ? DVT.

32M - Deceased, unknown cause.

38F - IP with Police, domestic issues and she stayed with the Police.

31F - IP, thought it was a good idea to have a sleep on the footpath????????? left with Police.

75F - Chronic undiagnosed abdo pain, off to hospital again.

And that was it.

I gave some platelets and plasma today and there is an introduction to a randomised trial on a new style LMA at work tonight that I have to attend.


Be careful out there and I'll see you at the Big One.Taz

Only Seven Jobs.

Evenly spaced over the whole night, a bit slow for a Saturday night.

44M - Chronic Alcoholic getting the unsuspecting general public to call an ambulance for him. 'I'm having seizures' to the hospital and straight to the waiting room, he can sometimes get a little aggressive if he has to wait too long for a coffee, sandwich and blanket.

22M - Recently diagnosed with ectopic ventricular beats, benign, but still of a concern to him. We did a 12 lead (unremarkable at that very moment) he also not surprisingly suffers with anxiety so after some reassurance he declined transport to hospital.

73F - Transfer from a small hospital to a big one for increasing episodes of abdo pain from a chronic condition.

22M - SHAKING! his friends told me they had been smoking pot!!!! I estimated after their story that he may have smoked one joint (mixed with plain tobacco). Look I used to be a herbologist but I was having difficulty keeping a straight face. What kind of Uni student are you if you can't handle the effects of a very small bit of Mary Jane. I carefully explained that these effects were generally harmless and would expect them to fully resolve in the next two hours even if he went home with his friends. He still went to hospital.

20F - Hysterical Intoxicated Female just look at the mess she made in the back

It leaked under the door seals


'I'm not drunk' she says!


And her friends are too weak to pay out on her about how she behaved and the mess she made of my ambulance.

24M - Stabbed, well in hindsight there was a wound to his pectoral region but it wasn't sucking, good sats, BP and symmetry of the chest must to do about nothing much.

35M - Hx of Pleural effusion recently that had been drained but the lungs were good and clear all the way down. I'm going more down the pleuritic infection

Be careful out there and I'll see you at the Big One.Taz