It all happened before midnight!

The work of course.

92F - LMO had requested her to return to hospital after tests had shown her troponin elevated.
?38M - Od on Oxy's in a men's Sauna. After naloxone he refused further treatment by fleeing the scene.
42M - Who took a very slow and controlled tumble in the street and a passer-by  was concerned. A graze on his scalp was the only injury and he didn't want transport as there was still some liquor in the bottle.
Got the last of the current study done and then some sleep because the next job was five hours away.
52M - COPD, well known just wanted an O2 driven Neb to get him going.

Now home to sleep and prepare for a school presentation tomorrow for a high school of new or soon to be learner drivers. Start the next week of study and get some miles up under the saddle.

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

Taz

Got my new bike back from service.

At two months it gets a free tighten and re-tune which it needed. Some of the gears were jumping and slow with changes as the cables had stretched. I have ridden just over 600km or 372ml in those two months and that's not including the 450 (280) I rode to and from work on the old bike.

It was time to get some more new gear too.
My helmet was ten years old and while never having sustained an impact or exposure to excessive heat had become worn out inside, I'd replace most of the lining so lets step up there $180.00 but I'm doing the mileage to warrant it. Another set of bib shorts and a matching top, they do make you more comfortable on a ride with better support and the quality material doesn't chafe and keeps you cool, there is and Australian Pro Cycling team for the first time on the world tour and will be at the Tour de France this year called Green Edge and the shop did me a deal on a set of theirs the helmet and a pair of new shoes so I better get out there on the days off and do some ridin'.

31F - Stepped on a soccer ball and landed on the outstretched arm. C/o elbow pain and unable to straighten very minor possible deformity that may only be swelling, needs an x-ray.
56M - Stepped on a knife and cut the bottom of his foot. Not a big one for me anyway but he just saw all these bloody foot prints everywhere he walked. Possible healing complications from where it is and that he's a diabetic, transported.
22M - Called to checkout the pt after he had been punched in the mouth. Haemorrhage had stopped, there was a lac inside and an ED would do nothing for it as the mouth heals very fast. Some precaution advise about TMJ complications or swelling and analgesia and off he went home.
3F - Country family in the big smoke for a concert and tried all the home remedies before ringing us. I gave a neb of bronchodilators but had to step it up to the adrenaline when the retractions increased en route and that fixed it.
21M - Trying to sleep across the road from a men's shelter. They called concerned for him, they're the one's who kicked him out for possible drug use in the toilet and he's just trying to sleep. I did talk to him and check basic obs and then gave him a blanket.
29M - To many Xanax make you fall asleep and on the footpath is not the place to do it peacefully 'cause I get called and come and stimulate you with sternal rubs and questions. Transported for no other reason than to remove from the public view. 

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

Taz

The textbook rode on the dashboard all day.

I have to come up with a better strategy for study while at work.

82M - The job came down as a stroke but that was just the N/h staff panicking. The is an issue with generalised mobility that we will transport for however.
59F - Transient absence episodes. May be cerebral may be behavioural too.
56F - Anxiety. Calmed and happy to stay at home now we have broken the cycle.
59F - Allergic reaction to unknown.
26M - Case worker and the Cops called, increased manifestation of his psychosis needing Tx.
?33M - Deceased in a house, drug related.
41M - And I can't read my own notes so I have no recall of what was wrong with him but it can't have been serious.
27M - Rode down the last 5 steps of some stairs on her Bum, not intentionally. Tourist who was worried that something may have been broken. Well padded spot I didn't think so and the x-ray agreed.
25M - Left arm numbness, transient. 


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

 Taz

I'm trying to study at work.

It's not really working, Comms keep sending jobs down.

80F - A long Lie, she says she took a simple mechanical stumble around 2130 last night and whilst uninjured and able to move about she's unable to get up, I'm happy with the story and drop my suspicion index for any complications like crush injury or the like from compromised circulation. C/o Femoral pain so treat it like a NOF and then overcome the poor egress with a pt on a scoop stretcher. It got done pt was comfortable it just took a long time.
??M - Call was made from a public phone at a Bus Interchange and the notes state that the caller was rambling? We couldn't find anyone and the usually eagle eyed security hadn't seen a pt either, UTL.
?38M - Trying to sleep in the middle of the day on the ground next to a bus stop. IP who while agreeing to come with us (more to remove him from the critical eye of the public) to hospital changed his mind and was released near a park where, I embarrassed to say we don't think twice about a person sleeping under a tree at any time of the day because it is usually an IP sleeping it off. That may offend some of the sensitive people but that is the dirty ugly truth in a big city.
75F - Gastro and God love her she has tried for 4/7 to manage at home. Fluids IV even though she is able to tolerate oral it's not enough and her BP was dangerously low, something for the nausea and of we go and get an upgrade to Resus to commence treatment rather than waiting in line for a sub-acute bed like we do with the ones that ring after the first 4hrs of gastro and want the hospital.
56M - Metal health Hx and was feeling funny.
11/12M - Who whilst has had a very significant medical Hx in his short life has today had a floppy episode and held his breath for 10-20 seconds and scared the shit out of Mum and Dad. He looks fine to me but considering all his Hx and even though I think I can explain everything that they report we Tx for them.     

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

Taz

What a difference a day makes.

I'm wearing holes in the station carpet!

82M - From little hospital to be one for an IDC.
27F - Anxiety attack, left at home.
41M - Alleged mugging, just go home and fess up that you blew it on booze and hookers Dude.
64M - Septic crisis still early at this stage but well picked up by the nursing home staff.

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

Taz

Here I am!

Sorry, I've been trying to catch up on my reading for Uni (how you doin' Wade)
I don't know who thought that with full time real employment there was enough time left after basic living to attempt two Uni modules. So anyway I forgot to post, alright?

48M - Opiate OD, almost got him to come to hospital for observation, crews are reporting some really heavy gear on the streets knocking even our well managed users off their perch, but the little O2 and naloxone I gave him woke him up to much.
29M - With what sounds like gastro and with symptoms only for the last 6hrs was happy with being told he wasn't currently dying and that to follow some simple self management guidelines it will get better, Oh and a time scale to ring us back on if it didn't.
32M - Being a di&k with the Cops and they requested us to run an eye over him to see if it was anything other than behavioural. It wasn't he was just yanking their chains. Left with them.
76M - SOB and Vertigo, not obvious but transport for investigation. Released hours later with a clean bill of health.
Transport of a Psych pt from a clinic to hospital with a benzo OD but got called of for,
80F - Headache that was moving from one spot to another and then another and then another and yet another on her scalp. Stayed at home to see if the paracetamol I gave her worked first.
25M - Not really liking the consequences and tailend ride from his night of booze and bad cocaine while in the cells. Life not in danger cleared to be monitored by tthe Police.
55F - Epigastric pain,,, pancreas may be?
63F - It's pissing down now and she lost traction in the wet on her scooter, #clavicle.
44M - Hypothermic and decreased LOC, no response to naloxone, turns out to be benzos that he took during an all night session at the tattoo shop having ink.   

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

Taz

I'm late!

We didn't finish last night on time, in fact rather than a 12hr shift it turned out to be 14.5hrs so I slept really well. Too well, I'm an hour late getting to work but seeing as I am usually very early it's more or less on time. But it's never right is it, you feel behind the Eight Ball all day.

23F - IP on a public bus and the driver can't wake her. Of course we did and worked out where she lived which was on our way to hospital if we were to take her there but it turned out that once woken although pissed she was competent so we dropped her at home.
Assist another car with extrication of their pt.
88F - SOB, she has COPD or emphysema so no surprise.
45M - The newest male public nuisance in the area. Been in with various crews three other times for drug abuse today alone. ODs in a public place, we get called and bring him in. He waits for an hour or so and leaves and does it all again.
?60M - Deceased in his car on the road. Looks like he just died, people do that.
26M - Abdo Pain, elected to see his own Dr.
21F - Abdo Pain, wanted to see hospital Dr.
47M - Suffered a seizure like event from the contact of Police handcuffs with his wrists. Then after letting my Padawan do the basics (after I told him what was going on) I then gave the pt some basic leading lines like 'this oxygen we've given you should have you waking up really soon', and the like but he decided that he wanted a little more attention so he got the sternal rub, lucky I was reaching around from behind because although he tried to take the stimulation, it won out and he threw a few well delivered punches to where he thought I was in front of him. Well now the gig's up and I let everyone know that he's been bunging it on the whole time and I want nothing to do with him.
Police arrest him on the original offence and we leave.

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

 Taz