Two shifts, one post.

It's been that slow, the two night shifts are going to be combined.

50?F - Air Ambulance to hospital for urgent CABG.

80?M - Seen by householder to have been lying on the footpath not requesting an ambulance. They called us anyway, he wasn't there. I believe if they had gone and asked he just had a case of 'Wobbly Leg Syndrome' (alcohol induced) and needed a hand up.

43M - Sudden, sharp, spasmodic chest pain. Axilla, scapula regions. Chest sounds equal and clear, no trauma no deformity no history of anything similar. Still being investigated at the end of shift, x-rays had cleared pneumothorax renal colic, I never thought it was colic but that got thrown around by others. 20mg of Morphine to take the worst of the pain down to manageable.

77M - Chest pain and tachycardia episode, fully resolved by our arrival. Hx of an episode yesterday, while sedated for a procedure, of sustained SVT. Urgent appointment later today with a cardiologist, while asymptomatic with us lets go to hospital a bit early.

The next night.

47F - Hx of brain tumour that presented with limb numbness, surgery was successful.
Guess what happened at work,,,,, it was more of a decreased sensation not a total loss of and our role was really only transport and supportive.

17mthM - Big hospital to Specialist hospital, sustained SVT post administration of care fully measured ventolin (salbutamol or albuterol for you off shore) for respiratory wheeze. 240 beats a minute, resolved by immersion in cold water, similar episode in vitro and was on beta blockers for the first six months of life.

53M - An angry IP.

703 jobs /96 shifts = 7.32 average

See you at the Big One and you be careful out there.

Taz

Monday.

61F - Simple stumble fall while walking to work, small lac on her forehead.

75F - Aphasia, second presentation in three days, she left before examination the first time and the symptoms have been present for three to four hours now.

38F - Floppy Russian Syndrome, similar to Floppy Asian Syndrome but sounds different and makes more noise.

86F - PR haemorrhage.

78M - Transfer to hospice.

27M - Claims vomiting for the two weeks.

49M - IP with a glue-able lac on the crown of his scalp.

65M - History of NHL and persistent infections. Sounds like a chest infection now, rattly chest and 39.1 degrees C.

696 jobs/ 94 shifts = 7.40 average


See you at the Big One and you be careful out there.

Taz

A slow Sunday.

Coffee and a chat with other crews for an hour and a half before our first job.

75F - Says she has been vomiting all night but if looked more like saliva and an inability to swallow all the time. Short of it was she refused to go to hospital.

74F - Chest pain, has a big cardiac history but this appeared to be more to do with her COPD, Anxiety and Hyperventilation.

34M- Nob Nut in the local cells pulling the 'oh my back hurts' from the trip in in the cage truck. We caught him out with his story, he knew it and refused to have anything to do with us.

83F - Fell in the street just walking and did a NOF.

91F - SOB slowly increasing, facial bloating slowly happening and the most cyan0osed I have ever seen a living body. Might follow her up.

Late finish to match the start and a very wet ride home.

688 jobs/93 shifts = 7.40 average of jobs.

See you at the Big One and you be careful out there.Taz

Something worth a read.

One of the writers I follow has released his second book of anecdotes and wisdom about ambulance work. Tom Reynolds blog Random acts of Reality has been insightful, humorous, sad and disturbing.

The book, More Blood, More Sweat plus another Cup of Tea shows that it's the same work everywhere.

Visit his blog and follow the links to the free down load sites or if you would like a real hard copy it is available at Amazon books.

See you at the Big One and you be careful out there.

Taz

Oh boy what a slow night.

Our local had increased staff levels.
Had opened up a ward upstairs to try and reduce waiting times.
But we just kept bringing in sick old people and clogged it up.

67M - Post ictal and very pissed, also a nasty piece of works. We'll get you a tissue or a drink of water but neither of us really want to talk to you.

85M - Transferred from rehab to hospital because he was,
In AF - not that we could see on their 12 lead or on our three lead.
Febrile - not by our tympanic or oral thermometers.
Confused, not that we could find allowing for the tiredness of being in the glare of the A&E at 2200hrs.
And we waited four hours to unload.

29M - Intoxicated driver, aggressive with Police on scene, first crew wouldn't touch him. We got called to the cells were he was bunging on a fit, we wouldn't touch him also because of his aggression. Police transported him to hospital where again his aggression made him a totally unacceptable risk to other patients, family and staff.
Yes he had an epistaxis, a kind of head injury but the level of his verbal, cultural, religious, gender and moral tirade really pointed out that he was just a twat.

86F - Small hospital to bigger for angioplasty.

No overtime these days off We have a work social function as well as I have a few medical things to take care of for myself.

683 jobs/92 days = 7.42 average per shift.

See you at the Big One and you be careful out there.

Taz

Well it was Sunday night.

So you wouldn't expect anything too busy.

34M - Lives alone, tried to catch the dropped glass just as it breaks and gives him a half decent lac.

48M - Dizszy, at midday, and again at 1700hrs. Regular caller per the hospital.

22M - Broke up with B/f and cut his wrists.

19F - Assaulted.

29F - Collected from one hospital and transported to another to receive her gift of a recycled set of lungs.

89F - Epistaxis, resolved with simple treatment from us. Instructions left with pt on how to self manage.

679 jobs/91 days = 7.46 average.

See you at the Big One and you be careful out there.Taz

New Roster, New Partner.

A peer so it's a relaxed crew doing our best.

46M - Had three full syncopal episodes at home. Normally fit and healthy apart from type one diabetes. BP was not getting over 100mmHg even with posture, transported.

45M - IP, wanted transport to a mental health facility, went to the ED waiting room instead, just like he did yesterday.

25F - Domestic assault. Thankfully no serious physical injuries.

70M - SPC trauma and haemorrhage.

49F - Fell over a tree root in the park, who would have thought you would find such a thing there!!!! Probable fractured tibia.

31F - Four days post partum with heavy haemorrhage. Unsure if it is PV or PR.

80F - Big drop in BP at a birthday function, 60/40. Posture and fluids got it up but hospital can determine why!

78F - Bowel blockage, got called off in transit to attend,

48F - Parkinsonian like tremors, just started half an hour ago. Yes the schizophrenia meds she takes may in rare cases cause such but they weren't very convincing to me.

673 jobs/90 days = 7.48 average.



See you at the Big One and you be careful out there.

Taz