That's not to say that it wasn't enjoyable and we did meet some very interesting people.
53M - Slipped on the wet floor of a bus (it's been raining for two day +) C/o knee pain. He is clearly in pain but I can't see any injury, everything is in place and no deformity. The very least of my job is to provide adequate analgesia and I do that well. No one is in pain in the back of my ambulance and our pt is later discovered to have ruptured a tendon.
89M - Feeling funny. From the details supplied by the wife and pt it seemed like a TIA episode. With a Hx of CVA 20yrs ago we're transporting. His pacemaker is also firing twice before there is a complex.
9M - At school, jumped up to go to the board and write his name and fainted on the way.
The school has a duty of care but mum was already there and he was ok so she just took him home with some common sense instructions.
23F - Known epileptic who is not really compliant with her meds so had a seizure. Interestingly her contractions are that strong she dislocates her shoulder. It's happened before she's good otherwise and Hospital pop it in no problem.
55F - Lac to top of head just needed some stitches.
23F - ? # ankle. As we pull into the loading dock of the department store we're called off as pt has been taken to the medical centre in the shopping centre. Never heard anything more so it can't have been broken.
23F - 4/7 Hx of fever and cough, has seen LMO and got some AB's for a throat infection, returns to work because they're very understaffed. Feels very hot and goes to toilet to spritz herself, feels dizzy and sits herself down on the floor (this pt has more common sense than most). Woke up kissing the floor tiles and the boss shaking her. She may have been there for ten minutes or more but as it was a true LOC even though it's likely cause is the underlying infection and the pt's work ethic we transported.
87F - Vomiting and dizzy. As we pulled into the street we were diverted to a nearby MVA to assist another crew with an extrication of a pt with spinal pain.
Many hands make light work, we assist with the application of the short spine extraction device, pt reassurance while rescue chop and lop the car and the actual removal of the pt.
86M - Abdo pain, RLQ but he's had his appendix removed so it GIT related.
62M - In a book store and he had a confirmed LOC. Otherwise healthy gent was very slow to accept postural changes without effect, transport again is required because of the full LOC.
980 jobs/129 shifts = a 7.60 average
See you at the big One.
Taz
Search the Australian National Library with Pandora
26 October 2010
Not a day of any great note.
24 October 2010
We are a dogless family now.
Our second dog Shona, seen here with my Kelpie cross Hope a few years ago has lost her battle with age and kidney failure today.
A friend always happy and loving gone.
Work was a bit thin too,
33F - Popped some pills and tells her dumb B/f that she now feels funny seven hours later. Maybe it was the entire night out that's making you feel funny? They changed their minds.
33F - Severe period pain. Second episode this year. My bet endometriosis interna, she was in real bad pain.
Transfer from Air Ambulance that was taken off us as we arrived at the airport.
57M - Renal Colic.
3rd party call about a taxi driver slumped of the steering wheel of his cab in the middle of an intersection. We were there in a minute or so and found nothing.
Vita Call alarm activation after the phone plug got pulled out of the socket. The dear old pt was fine.
81M - Arm and chest pain. We followed the cardiac pathway.
969 jobs/128 shifts = 7.57 average
See you at the big One.
Taz
20 October 2010
Their not there or their Stupid!
First job, female being assaulted with a DVD case. We attended with the Police, found nothing.
25M - Unconscious on footpath with a pill bottle beside him. Can't have been unconscious because he was gone.
91F - SOB, Lovely pt , lovely family, everyone knows where this disease is going.
30M - 'I'm sick, everything hurts' Flown from Melbourne to see his daughter. Not important enough for him to have stayed off the gear and booze though. The mother of the child really didn't want him there. Again ham strung by the stupid people.
67F - Assist lift in a hostel after a fall.
25M - Found by Police absolutely shitfaced on drugs trying to walk on the road. For the public and his own safety we had to take him.
56M - Who knows he has gastric ulcers but still decided to eat a strong curry, STUPID.
81F - Lives alone and looked like she had gastro so while it's better to let it run it's course at home if you can tolerate the oral fluids an in a hospital she needed our help to transport her.
962 jobs/127 shifts = 7.63 average.
See you at the big One.
Taz
18 October 2010
Shouldn't have expected too much for a Sunday.
34M - Partial obstruction from ??Food. Pt suffers autism so communication was poor. Air entry was good, pt was pink and walking but as we were about to go in the side door of the vehicle he had a large projectile vomit, turned to us and said I'm better now and walked back into the house.
Problem solved???
Took over a pt from a day shift crew.
83F - SOB.
35F - Vomiting from a bit too much GHB. A regular social user of the drug and had never suffered this before. A quick shot of some antiemetic that stopped the vomits and everything else was good. Left at home with B/f.
25M - IP who actually asked the police (who were going to take him back to the cells for public intoxication) to call an ambulance for him. Claimed BiPolar but en route said it was all a rouse to get away from the police.
42F - RUQ abdo pain, recent diagnosis of gale stones, got the pain under control and transport for a better pain management plan.
81F - Regular dialysis pt, a nice easy way to wrap up the shift.
954 jobs / 126 shifts for a 7.57 average
See you at the big One.
Taz
16 October 2010
Just interesting people.
That's the only highlight from today's jobs.
62F - Assist to feet after a hour on the floor from slipping off the edge of the bed. We are about to undertake one of the larges field studies into the aged and falls in Australia but unfortunately the questionnaire's have not arrived at station.
31F - On her way to work and got back pain with nausea and vomiting? Seemed a very normal person and was happy to help her with the pain.
26M - Neck pain. Yawned and stretched in bed and heard a crunching sound in his neck and then couldn't move it because of the pain. Everything pointed to purely muscular. No motor/sensory deficit at all. Don't know what to make of it.
Bus V Car just turning into the street and called off for,
17F with abdo pain. NO not the usual period pain but she has gale stones, like it's full of them. A genetic pre disposition to them from both sides of the family and multiple members. Cholecystectomy is her next treatment.
64M from Air Ambulance to a big hospital.
48F - In the big smoke for one of those shop till you drop tours of the factory outlets.
Ten minutes into the three hour coach trip back up the coast she has a witnessed syncope.
Lasts less than a minute, all obs good when we arrived but still pale, clammy and sluggish on responses but GSC = 15. Had partook of the same lunch as the rest of the shoppers and been keeping up the fluids so it really was unexplained and if it wasn't for the pending long bus trip I may have still let her think she could refuse my transport offer.
947 jobs/ 125 shifts = 7.57 average
See you at the big One.
Taz
15 October 2010
A normal day.
20mth M - Febrile and vomiting, the job was transferred to our Health Advisor in the despatch room and the parents decided to just take their own car like they had the day before.
80F - Had a big bowel motion and fainted gashing her forehead. It needed more than a bandaid.
82M - Call from Home Visit Community Nurse who was rightly concerned about the pts ability to cope at home after discharge from a month in hospital. Non compliance with meds, very poor diet, raging BSL.
75F - Fractured humerus from a nursing home.
19mth M - On a outing with family when they thought he became unresponsive. We got called off for a closer car but they didn't transport.
55M - Regular IP who rings about once a week to go to hospital and we can't refuse him.
70M - Fell over drunk in a park and the public called an ambulance without asking him if he
needed one, which he didn't.
28M - Abdo pain. It took forty minutes for a car to successfully get to the payphone (us) but he hadn't stuck around for us. Maybe he had gone to the small inner city hospital four blocks away or the bulk billing medical centre across the road.
22F - Playing touch football and 'rolled' her ankle. One look at it and it failed the Ottawa exam, very deformed.
And that's 940 jobs/124 shifts or a 7.58 average.
See you at the big One.
Taz
13 October 2010
A call from my telephone company.
We had changed our broadband limit last week and received a call today to discuss our telecommunication requirements.
We increased our download limit from 50Gb to 200.
We have a mobile phone each as well as the home land line.
Apparently whenever you change your plan the computer throws it up to be reviewed by a consultant to see if you are still eligible for any benefits you may have been getting or in our case extras we were eligible for.
The review of our bundle and phone use has shown a saving on my mobile plan, our home phone and looks to save us anything from $80 - $100.00 per month.
Hows that for a good news story about phone companies!
See you at the big One.
Taz