I'll be on holiday's!

For the next three weeks so posts may be few and far,,,, or not!

77F - Possible prosthetic hip dislocation.

55M - Who needs a debt consolidation service and social work but not an ambulance. Poor use of resource by area health workers who couldn't understand him over the phone so sent us to do their work. We got some phone numbers of available services like the Salvation Army and AngliCare.

63M - Witnessed arrest (VF) in the airport, first responders straight away on scene doing good CPR, had an AED and had delivered 6 shocks. We ran our entire protocol and then some for over an hour and transported but it was called at hospital. Good job well run and managed by all.

21F - IP, nice and polite.

32M - Opiate OD, took 1.6mg of Naloxone and agreed to come to hospital for an hour of observation but agreeing inside and actually getting in the vehicle turned out to be two different things. He totally understood the dangers of dropping off again but refused to come with us.
You can lead a horse to water,,,,,,,

14/12F - Febrile and not responding all that well to antipyretics.

And a thank you to Lauren and Anon for their contributions on Calls for Answers from the Floor on that ECG. In hindsight I think it was the BBB or may be a chemical imbalance but I'm waiting on the hospital to get back to me.

See you at the big One.

Taz

Nothing of interest in this lot.

30F - Syncope.
68F - Dizzy.
33M - Claims to be post ictal.
41M - In Police custody, the usual sore wrists and nausea.
41M - MVA, no injuries.
55F - Frequent flyer left at home.
78F - SOB, probable UTI.
04F - May have been an allergic reaction.

And this took us 13.5hrs to complete.

See you at the big One.

Taz

14 hr Day Shift sucks!

It took two hours before we got our first job but it was worth the wait.

61M - STEMI, had the pain for 15 minutes, we spent 5 minutes on scene and we were in the cath lab 15 minutes later.

50F Unwell at the hairdressers,,,,,, we weren't needed.

56F Back pain, chronic.

73F - Stroke way outside the window for treatment.

27F - Period pain, we didn't rush to the vehicle and she had rung back and cancelled.

43F - Complicated issues dealing with several deaths in the family and depression.

70F - Syncopy.

See you at the big One.

Taz

Call for answers from the floor.

Yeah I said answers!

Check back to the posts on the 15th Aug re a 45M without major symptoms but coming up with STEMI criteria and then the next post where he was discharged 7hrs later.

Nausea, vomiting and EXTREME lethargy were his symptoms.
No pain, chest or otherwise, no drugs or alcohol.
PMHx septicaemia 2/52 ago from lymphoma?

Here are the sanitised (identification removed) 12 leads I captured.




I have forwarded a request to the Director of Medicine at the A&E as well as one of my educators but what do you reckon??


See you at the big One.

Taz

They were all ladies.

Our pt's,,, even the last one, he really was a bit of a girl.

65F - Post ictal, known epileptic, normal to suffer multiple daily seizures, transported.

16F - IP, fell asleep in a internet cafe. Able to walk but not much else. Transport to sober up.

53F - I know this pt, notorious alcoholic who used to give us grief but has been off the drink for three years. Falling off the wagon right now but the runs are on the board, she's done it once, she can do it again and do it for longer. Booze is harder than illicit drugs because it's socially accepted.

78F - Fell in the bath about 8 hrs ago but the pain is getting to bad. Still refuse analgesia during transport.

25F - IP, had got back to her hotel but had somehow made it into the staff cafeteria and made herself comfortable there before found. They were concerned but I'm happy that she has just had a very lucky escape after way too much booze and that it's OK to stuck her in to bed and leave her there.

25F - IP somehow has given herself a small scalp lac, nothing in it but you should have seen the crocodile tears when the family turned up to collect her.

31M - Seen earlier in the night at the ED for an ankle sprain and was given some analgesia with codeine and it looks like he's having a bad trip on it (hyper sensitive) he thinks he's having a cardiac issue. He wanted transport even after it was all explained to him.

I'd been feeling like shit all shift, gut ache, mild fever but at 0600 it was 9 degrees C or 48F and I have a temp of 38.7C (101.7F). I'm taking paracetamol but I'm still sick and have only had one sick day in the 8yrs on the job. I pull through to knock off time and crash in the recliners in the muster room. One of the day crews offer/insist to drive me and the bike home. I dive straight into bed and sleep hot and solid.

Feeling better now, I don't stay sick very long.



See you at the big One.

Taz

Nothing Cardiac tonight.

Nothing real that is.

58M - Taxi driver hit on the right front corner (45 degree) c/o scapula and thoracic/cervical pain without any motor/sensory deficit.

19F - Post MVC (about an hour ago) while loading the car onto a flatbed the pt mentioned that she had had a headache. Not that it was a bad one or that it was unexpected or a surprise. The tow truck operator called us. I came, I talked, we discussed like adults, she went home for some simple analgesia and TLC from Mum.

52M - You know this job is wrong, chest pain but we have to chase the pt to several locations before he can commence his woeful acting. I can't leave you if you ask for transport but,
You can pass Triage,
You can collect a category of 7,
You can wait in the waiting room.

95M - A simple mechanical fall resulting in some skin tears. Dressed there at home and discussed with daughter LMO seeing the pt later today and arranging home wound care nurses. Great outcome and put back to bed.

31M - HT, anxiety, alcoholism.

30M - GHB dystonia. Nothing really that the hospital will do, his GCS is 15 he just has really annoying twitching,,,,,,, well don't do the drug if you can't hack the side effect.

See you at the big One.

Taz

Another STEMI!

And this one went to the cath lab after they had checked my diagnosis or rather the 12 lead my Lifepak had done.

I have to follow up the one from last night because despite my 12 lead showing a STEMI and the hospitals also indicating it he was released 7 hrs later and I want to know what it really was.

69M - 4/7 vomiting and diarrhoea.

85M - A neighbour was concerned for him. He lives cluttered and dirty but he knows that. It's his lifestyle choice. Left at home.

86F - SOB, chronic.

??F - Unknown problem from an unregistered mobile phone. The address given turned up nothing. UTL.

44F - Abdo pain and it wasn't period related, sounds like her appendix.

48F - Absolutely no cardiac Hx, slim and health and a classic Inferior Infarct.

27M - Found in a car unconscious from opiates.
21F - Found in a car unconscious from opiates.
Yes the same car that had a baby in the back seat in a capsule. Thankfully they had some sense to park before they shot up. We transported for Obs and both the Police and I called Child Protection Services.

See you at the big One.

Taz