The night before work sleepless again.

In fact I got up at 0330 an hour before the alarm.
Watched a video, had a longer slower breakfast and left on time.

So what did I do on the fourth last shift before the holidays?

UTL.
28F - ?? Psych, personality disorders, Dr shopping.
75F - Increasing falls, poor health unlikely to improve, assessment needed for hospice.
58M - Chest Pain, had the history, rapid AF to NSR.
94F - Got wrong footed in the kitchen and took a fall, fracture wrist, don't know where she got the wrong feet from??????
18F - IP, a big dance party on today and she peaked way too early!
Called off job.
59M - knee pain,,,,, big girls blouse.
25M - IP, we got him a cab.
23F - Can't talk about it because the Police are involved.
37F - Hyperventilation/Migraine, she refused transport.

All this with a very annoying stitch in my right upper gum where my wisdom tooth was yesterday!

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

Taz

Days Off.

I brought all my kit home but just never got around to putting in for O/t.

Had some catch up drinks with an officer who went bush and I've been to see my LMO about some blood tests results, nothing wrong LFT is reducing and comfirmed my status of clear on Heps and immunity to B.

Done a ride or two,
Donated some plasma,
Ordered some more ear pieces from ebay for the work portable radios,
Got my stethoscope/utility pouch repaired - needed a press stud.

Looks like I'm the only one posting too at the moment, at least on the blogs I follow.

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

Taz

Saturday Night as it should be!

Busy I mean.

69M - SOB, Asthma. I've picked him up before and it's real.
45M - Chest pain, reserve my diagnosis but I treated as stated.
22F - Sad story as they usually are. I got her to the best help.
Assist another car.
30M - PFO, someone else called and told him he should stay on the footpath until the ambulance arrives. If their not going to come with me why did they stay there on the say so of a bystander?
Assist another car.
50-60F - found on footpath grazed and blooding after developing a very sudden case of intoxis-legwobblis. People said she had been to a Christmas party in the street and lived by herself also in the same street. She's so pissed out of her gourd that she believes I've broken into her apartment while I'm talking to her on the street.
Duty of care says I have to take her but do I really have to have this vile, poison mouth for the entire trip. Hospital copped some also but then they just knocked her out.
85F - Hopspital to hospital transfer.
26M - Drug effected.
29F - either an inner ear problem or gastro. My promethazine reduced all symptoms but still not sure were the little bit of diarrhoea came into it.
25m - Pissed and sleeping. Caller thought he was dead, good grief!!!
45M - driver in an MVA declined transport.

The next night was dead boring so I'll not bore you with it, besides I forgot to write them down.


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

Taz

A hot day in Sydney.

The mercury was touching 36C or 96F today and our first three patients were elderly.

81F - Dizzy and anxious. A talk, a cup of tea and some air conditioning had her feeling much better.

82M - Uninjured fall answering the door for his home care community nurse. Transport was for further aged care assessment and possible n/h or self care hostel placement because he can't continue to live alone safely.

??M - Sulking in his apartment. His sister rang because he wouldn't answer her calls. When he ran the building concierge to tell us to go away, it was enough for me, we left.

94M - Discharge to N/h after three weeks in hospital.

35M - Deceased. No obvious cause, treated it as suspicious.

45M - Metho drinker who hadn't had a drink in eighteen hours, post ictal.

25M - Fall on some stairs, lower flank pain. There were signs of injury to be totally fair.

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

Taz

Not much to start,

But it got better.

83M - Regular dialysis.
50M - Heroin OD, was talking so he just came with us to hospital to enjoy the trip safely.
13F - Epistaxis, reportedly has them quite regularly but has never had it looked at.
81M - Had a stumble at a dermatologists clinic and the Dr wanted the pt to be observed?
75F - Takeaways, hospital to hospital transfer.
91M - GI haemorrhage, a whole day of melaena and haematemisis. Last I saw of him he had had my fluids, a bag of gel and two units of blood. You have to go sometime.
51F - Frequent flyer spent the day at the cricket before wanting to go to hospital with her gross cellulitis.
78M - fell over in town dropped by a medical centre and they put a stitch or two in his head and then rang us to transport him to a hospital for we don't really know.
57M - Slipped on a shop floor hurting wrist and then has a syncopal episode. Pale, diaphoretic, shit BP 60/40, Pulse 45-50 just, ST depression by two little boxes on average, managed to get the BP up with posture and some fluids and gave half a 600mcg GTN along with the Aspirin and O2. Infarcting, triage liked what we had and we went to resus.

Another life saved.


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

Taz

So what did I do on the O/t shift.

21F - Passenger in a small MVA, got a small knock on the head from the window and wanted to be checked at the hospital.

30M - Knee pain. Does anyone know were you can get those really big suppositories of 'Toughen the Fuck Up' or even the generic 'Stop being a girl' 'cause this guy needed them too!

77M - A happy Demented pt discharged after an IDC was replaced. If the shadow of dementia was to sneak up on me this is the type I'd want.

22F - Normal people, six hours of lethargy and palpitations. No drugs or even coffee. Monitored rate 120-130 and had that scoop from the end of the QRS to the T wave that would usually indicate something like a Digitalis toxicity.

UTL the first call to the gent below.

18M - with a good sized lac to the back of the ear from a bottle?????

27M - has been out on the tiles (drinking) but is not feeling normal. He looked like crap and was happy to accept a large qty of liquor drunk but no drugs. Got him in the back and put the dots on,,, Rapid AF of about 150bpm. Lucky catch.

35M - in the police cells after having assaulted a train carriage. Well the whole story was there had been a domestic incident and he then turned around and hit the train. There was good movement but it needed an x-ray, that could wait till after the police were done. I gave some simple analgesia and an Icepak.



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

Taz

Lookout Overtime

That will be three nights straight,

Lovin' it.

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

Taz