Last night of the block.

And I'm feeling a little off my game.
I think one of the patients has passed on an infection.
My nose has a tingle and the throat is getting sore during the shift.

16F - Domestic argument that has seen her now make ill thought out comments about harming herself. I think she has made similar before as a paediatric but she's pregnant now and legally an adult, Social Service are also taking the child when it's born also.
83M - Unresolved epistaxis attended his local medical centre so we'll take him to bigger hospital.
20F - IP with a scalp lac.
24F - Anxiety chest pain.
29M - That everyone on scene thought was drunk but we analysed at hospital at only 0.035, but he was on a cruise boat? was he suffering from motion sickness?
40M - A winner this one. In the Police cells waiting for an appearance in front of the local magistrate later this morning. Starts off telling us about this chest infection he had three years ago and how it's come back tonight sitting in the cell and asked twice if he wanted to come to the hospital for a Dr to have a looked us square in the face and tells us all he wants is a certificate to give his lawyer to tell the Court that he shouldn't be locked up in a cell! Still waters don't run deep in that end of the gene pool!
89F - Took her own BP and got concerned as it kept going up each time she took it. Twenty minutes of sitting on her couch chatting about herself and family while holding her hand we fixed that.

Busy days off, I'm doing a shift swap for a workmate so she'll owe me a shift and presenting three traffic offenders courses. We will be going into town to a travel expo for Canada/US to get some info for our trip during my long service in 2014.


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

First night

65F - a quick inter hospital transfer.
22F - Fell yesterday and has found that 'weed' alone won't work for analgesia. I gave her some directions and left her some paracetamol after examination showed no skeletal injury.
??F - Running around in traffic Topless!, she'd gone by the time we arrived.
66M - Too many drinks with some mates and then a little uneven road and over he went, lucky he had such a large nose to break his fall.
20M - Seen by Police running along a rail bridge. They were wondering about his mental status. His mental status was PISSED and being a stupid boy. Left him in cuffs with them for his family to come and collect.
32M - Says he got puched in the face? Maybe it was a little swollen. Left him with Polie to make a statement.
69M - Complications with anti rejection drugs with a transplant pt. Hospital to hospital transfer.
23M - He's been standing on his feet all day at work and his back hurts. I stop myself here!
86F - Says she had a short episode of SOB


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

Second day

20F - Post ictal, left with family.
63F - One of the two drivers from a MVC, didn't want a bar of us.
20F - Who felt unwell while flying but better now on the ground.
10/12M - Floppy and with a yellow tinge, curious!
31M - Foot injury.
77F - SOB.
59M - Abnormal behaviour, high functioning businessman, required physical retraining to remove from the home and in the back of the vehicle. All obs were very normal apart from the behaviour and severe diaphoresis. As one of the Drs said a head full of aneurysms! His head was full of blood from the sub arachnoid haemorrhage.

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

First day.

36M - Mental health issues.
50F - Facial Injuries, minor post alleged assault.
75M - C/o an unspecified pain somewhere in his chest.
2M - Respiratory distress, was born at 29 weeks and winter months are always a problem for him.
87F - Oedema.
75M - Decreased alertness, ? CVA.

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

Taz

What I did with my days off?

Travelled home and jumped into bed for about an three hours attempted sleep before climbing into the passenger seat of the wife's car as she drives us in midday traffic out of the city to a rural location three and a half hours (190km) away to deliver one of my Traffic Offender Presentations at 6PM.

Stay over for the night before driving home arriving a little after midday but have to leave in 2 hours to drive 120km south to another country town for their 1st session of the Offenders course. There were only three people attending but unfortunately we know that more will be caught by the Police and sent by either their legal counsel or the Courts to attend in the future.

We drive home because I hadn't thought to look at accommodation and it's cold as hell down there anyway.

Today I have paperwork to complete, writing up my next roster, I have to have it in my diary I'm amazed by people who can just figure out whether they're working that day or not. Tax records, a survey for Paramedics Australasia that I need to read some thing else before hand, emails that need answering, hanging up some washing for the wife, washing my car after I have a look at an electrical issue with the light bar I hang from the bikes when they are on the bike rake (my reverse light came on and stayed on) it turned out to be a lose wire, easy.
Complete blogging and then read some more Uni stuff before the Tour broadcast starts.

So I'm off!


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

Taz

Night 2

95F - Discharged yesterday post treatment for pneumonia and it's flared up.
Take over a day shift crews patient, chest pain.
Leave my Partner at the hospital to go assist with a cardiac arrest that wasn't so I returned.
62M - Sudden headache, nausea, neck pain and a fast drop in GCS, appearing to be a STEMI. I already have ICP backup en route I need extra hands and some clinical direction because this is just falling apart in unexpected directions and the NESB of the pt and his friends along with social differences aren't helping. Aspiration and what appears to be really thick Pulmonary Oedema all the while with normal BP a brief episode of tachycardia after a loss of pulse and normal BGL and reactive pupils. The STEMI has resolved en route but I have transmitted the ECG and talked to the ED and calmer than I am the ICP Officer tells me he's not sure whats going on either. A massive Sub Arachnoid Haemorrhage that's what, nil trauma or warning. This was that 1/1000 headaches that was something, I'm not happy about my performance and am quiet and reflective for the rest of the shift and plan to delve into this job for my Uni study.
34M - Very drunk by admission and smell has fallen an unknown distance (there are stairs involved) full precautions and off we go and apart from the obvious injuries he's fine. You can't pick 'em.
??F - OD/Arrest who woke up as soon as I put my fingers to her throat. And then she proceeds to rip strips off her 'friends' 'cause all her shits gone!. We left about now.
Finished the night off with one of our renal pts who was in a good mood for a change.



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

Taz

Night 1

Started off the shift searching for someone who was behaving odd in the middle of the city. Of course we didn't find any single definable oddly behaving person.
91F - Elevated BP and with symptoms, vertigo and a headache with these I have decided to transport.
40M - IP and depressed. Asked his G/f to call. After listening to the brief Hx he has a lot of problems.
40M - With a non-descript muscular shoulder pain that he wanted checked out, at home not at the hospital. Highly unlikely cardiac in nature and he stayed at home.
??M - Drug effected in a toilet, naked and had scared the shit out of the hotel staff who were about to lock up and were checking the toilets when he started screaming. Unresponsive while I forced my way into the toilet, handed out his tablet, phone, keys, dressed him and then he woke up coming the Raw Prawn abusing me and refusing to accept responsibility of his actions.
24F x 2- Drunk and had been escorted out of a venue by security using wrist grips. They openly stated to me that they wanted to sue the security for breaking their wrists all the time fishing around in their purses for smokes and lighters and making phone calls without any difficulty with either hand. They stayed behind trying to get back in after I happily told them that Yes there was a cost to transport.
??M - #ankle. UTL


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

Taz