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22 November 2012

A mixed lot

20M - Gastro like symptoms, a third party called and after some advice he opted to self manage at home.
45F - Sleeping in her BMW in between vomiting, I mean she was that pissed when we did get her to hospital she was incompetent to blow a reading on the breathalyser!
77M - Shoulder pain for thelast three days is keeping him awake.
24M - Febrile, he does have a significant Hx and has been trying to reduce the fever with medication administered correctly, but I can't explain why he or one of the three flatmates didn't drive to the hospital themselves in their flash cars.
22F - Crying, abnormal behaviour, really pissed and very annoying. 
80F - inside the Pub at 5AM preaching to the sinners at the bar, we convinced her to stop bothering the patrons and God together with a lift home.

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

Taz

21 November 2012

NOFing to write about.

It'll become clearer as you read.
86F - Fell at home, has missed a few days of her Parkinsons meds and a little unsteady. Left at home, uninjured and family told to ensure the meds are taken.
57F - Anxiety attack. Everything checked out fine and is so often the case just by our very presence she felt well enough to stay at work.
91F - Mechanical fall on a carpeted floor with instant pain, shortening and external rotation. We know what that means! Confirmed NOF later that shift.
33M - Dislocated shoulder.
75M - CVA with near total left paralysis attempting to shift from chair to bed unaided landed on hip and complained of pain. Because of the paralysis the staff wanted him x-rayed as he was not able to move anyway and had altered sensory response from that leg. It wasn't.
69F - To palliative care.
56F - Well known Pt for whom I have a soft spot (we have the same birthday [month and day]) increasing psych problems because of necessary prescribed drugs.
36F - Cyclist who saw the car door open and stacked it by herself without hitting the car.
25M - Told us to FUCK OFF. Drowsy post heroin but obviously not that drowsy.
??M - Seen sleeping on the ground by a passer-by who thought they might be dead and called us rather than talk to them. We were told to fuck off again.

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

Taz 

18 November 2012

Two Police Jobs in the first hour,

That had us worried but the rest of the day proved satisfying.

??M x 3 for Decontamination post pepper spray, all refused.
23M - Severe anxiety that builds to a rage, came to have a talk to the Psych Team.
38F - Carers requesting an assessment of this chronic alcoholic but she doesn't want a bar (pardon the pun) of us.
48M - Abdo hernia complications.
8M - Collies #
51M - Fall from above 3m, major trauma criteria.
47M - Non traumatic back pain.
7M - stabbed himself, accidentally in the leg, it's going to need stitches too.

Gave back pain the full vial of Fentanyl 600mcg by IN.
# arm took some of the second vial I carry.
Hernia and Trauma fall took three vials of Morphine leaving me only two that I didn't need for the balance of the shift.

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

 Taz

17 November 2012

Nothing special really

78M - Chest pain, his angina playing up.
95M - Discharged to N/h.
40F - Well know to all tried to cut her throat but it's not suicide rather self harm, she never cuts deep unless its accidental or she slipped.
34M - OD, heroin, Narc'd him. First day out after 4mths Rehab!!
72M - N/h thinks he has a #Hip. I doubt it, more likely a sore one from the fall but he has full motion but they want it x-rayed now at 3AM.
34M - Tourist with Gastro, has already been in our hospital and discharged two days ago but it's returned with a vengeance.
78M - Dialysis regular.

Look at that, started and finished with the same aged patient!

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

 Taz

The Police took care of most of them!

Well most of the calls came from them anyway.

40F - Anxious post smoking Weed, Da! She was slowing down anyway by the time we arrived, no need for a hospital you can stay with them.
37M - IP who was refusing to give details, you don't need a hospital either, a nice cell will bring those details out and this end this silly game.
70M - Yep we'll take him Officer, an IP I don't recognise.
71M - Chest pain, got enough Hx but I am leaning towards GORD that he also has a Hx of.
30M - Skyped a friend overseas and complained about how he felt and they rang our emergency number from off-shore!!!!!! I got dispatched anyway and god love my dispatcher they called the 'alleged' patient who didn't know we had been called and he got better real quick and cancelled us.
47F - Fell off some killer heels 6hrs earlier plastered and is now sobering up. Has walked on it, I can't see much swelling, there was good ROM, but her tiara is crooked but she wanted to go to hospital.
39F - Alleged assault with fist to her face, not a fricking mark, you can stay her with them and complete your statement.

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

 Taz

10 November 2012

It's not always better to be older,

We dream of it when we're young but getting just old is a drag to most.

67M - Regular dialysis.
38F - With a non traumatic back pain, we got called off for,
96F - With everything failing and hurting.
28M - Alcohol seizures.
92F - May of had a faint in the dining room chair at the home but otherwise well and fit when we examined, so she didn't want to go to hospital and we didn't want to take her so she stayed.
87F - Dementia pt who wanders and had a fall and suffered and small lac to her head and family wanted her seen.
81F - Lung disease with exacerbation of SOB.

And that was all we did for the day.

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

 Taz

09 November 2012

Had to get one Psych job in.

But it took us until the last job of the day,

78M - Dialysis.
48F - Haematuria, called off for,
??M - Intoxicated and just lying on the footpath, got called off for,
52F - Airline staff member with some minor respiratory irritation.
71F - Peripheral Vascular Disease Hx and there is no blood in one of those feet when we arrived but en route we discovered that the occlusion was not total and with certain posture of the limb circulation would return.
60F - Minor posterior neck lacerations from a glass door shattering, very lucky lady. Nothing really that an A&E would do and she was totally capable of self management of the wounds.
49F - MS who just needed a hand.
??M - At a medical centre with what sounds like an inner ear complaint, we got called off for,
46F - C/o sciatic pain but also presenting as a septic pt.
47M - Wants to kill himself and lunges for a Police Officers weapon, twice. He is boozed up but there is more than the drink talking.


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

 Taz