Hot Police Back-Up Please, Officers being Assaulted!

We're unhurt, the pt is down the list a little.

89F - Prosthetic Hip Dislocation. It's the fifth time in five years that this has happened. She is a very active lady and just forgets the limitations of the hip.

85F - Post an angio transferred from the large hospital to a small one.

Unknown - a triple 000 call came from a mobile and hung up, call backs went to a default message bank. The building was a commercial eleven story with multiple business on each floor. The job was over an hour old. We called it UTL.

76F - Slipped off a chair at home. No injuries but very limited mobility really should have come to hospital but with full facilities she has the right to refuse.

60M - Hypo, BSL 1.3, easy job, twenty minutes later it was 5.9 and he left with some advise to eat something substantial.

27F - Faint at work. Elected to take the rest of the day off and rest up at home.

85M - From Air Ambulance to a hospital. Coming in for a pacemaker.

58M - IP passed out on a bus. We eventually sit him up and tell him he has to get off the bus as the driver will not accept him as a passenger. We assist him off with care and sit him on a bench seat to try and discuss options. With a sudden burst of anger and rage he remarkably launches himself at my partner with fists and feet, chasing him out onto the street and around the vehicle.
I call for the Police and a bystander ducks into the NSW Police Mounted Divisions stable that we happen to be parked outside of.

Out come four officers to our rescue and restrain this person. A cage truck soon arrives and Police radio gives us information about this persons depraved and violent past.

Luckily none of us are injured and while for some reason he wasn't interested in me at all and at one stage he walked past me without making any aggressive movements towards me, he put plenty of wind up my partners skirt.

Thank you to our brothers and sisters of the NSW Police and also the concern from other road crews.

Violence against Paramedics is now a chargeable affair with fines and goal time and we are going to pursue this matter.

64F - Unable to bear weight on her left knee. Extensive skeletal Hx.

84F - Unwell, vomiting and diarrhoea, dehydration and shingles. It was a booked transport so off we went.

812 jobs/110 shifts = 7.38 average.

See you at the big One.

Taz

Thank God for O/t shifts.

They're usually busy and today was ripe!

?20M - Fitting, well he was not very responsive, he just snarled at me every time I asked him something. Found by the public on a street I gave his pockets a quick, and luckily a safe pat down and found a syringe. Penny drops and up stands our pt and walks off. We followed for a bit but he was walking well and with a purposeful stride so we let him go. He just had violence about him.

23M - Sleeping with his eyes open, not fully alert. Sitting up talking to a City Ranger when we arrived. He had been out drinking with mates and kept drinking and was just asleep. He knew where he was and had the funds to get home so off he went too!

?M - Fitting, the caller approached us and gave a description and direction that he had walked off in but we couldn't find him.

83M - Job came down as an Arrest at the Casino!!! My experience has shown that not too many kick off while their playing the pokies. Most commonly it's just a syncope,,,, as it was this time. Transport all the same due to age and as there was a total LOC.

30F - Sudden onset abdo pain that had just as suddenly disappeared when we arrived. Her partner was really concerned and made the call. Option chosen by pt to self manage at home.

47M - Asystole Arrest. A single responder and one crew already on scene, CPR in progress prior to their arrival and we showed up at the two minute mark on the Defib. Thirteen minutes of good CPR, some adrenaline and a little atropine and there was a pulse. GCS = 3 but that pulse was still there at hospital without any more drug therapy so it's a win in my book. As we all know however the final prognosis is not good, added to the fact we don't know how long he was down before found and bystander CPR commenced, it appeared that he had aspirated.

68M - Police think he looks dead but can we come and have a look. There was a blip on the ECG but that was just the pacemaker trying to get the long dead heart to work. We got called off as we arrived.

41F - IVDU, a little on the nod but otherwise OK, again Police asked us to just check her out. Nothing I could offer her and she really didn't want to see us.

94M - ? Septic, BP in the boots and the body had ceased to compensate.

Unknown problem from a payphone, love these en route we got called off for,

77F - Two day Hx of SOB on exertion, lethargy and a Hx of anaemia. I can't test for Hb but a hospital can.

58M - Ten minutes before knock off and called to hot response backup a single responder. He re-assessed the pt and decided it was ok to wait for a night shift crew.

802 jobs/109 shifts = 7.36 average



See you at the big One.

Taz

Scored some o/t.

So that will help pay for Ambowife's birthday present.

Also a big hello to a new follower Living Life on 95.

See you at the big One.

Taz

Interesting but only just.

It wasn't a boring night but neither was it overly stimulating.

Called to a F shoplifter who may have been drug effected and violent. The Police called us off as we arrived.

?35M - Post Ictal, agitated, covered in faeces???. Took a swing at my partner, we know that it's not personal just hypoxic brain. Luckily he over balanced himself so we had him pinned to the road in busy Chinatown waiting for the Police backup that we needed to release and get onto the stretcher, where he fitted again. Some drugs quickly in the open street scape and a little more en route. The thing is the shit wasn't his it was just on the outside of his clothes and on his hands??

The National Heart Foundation have a campaign about recognising the signs of a Heart Attack.

It lists possible signs and symptoms of an AMI,,, problem is that by themselves they are also indicators for many other non cardiac conditions. We are expecting an increase of ' I'm worried about my heart' call-outs. Here's my first one.

62F - Hx of Pulmonary disease, SOB, Anxiety, Chronic Pain who openly stated a week of flu like symptoms and had received today an email from Nat Heart about the campaign and got worried.

Just was with H1N1 the number of calls are going to shoot up. But we won't know until we check everyone of them out.

46F - Air Ambulance to a Hotel for a medical appointment tomorrow.

32M - Classic Renal Colic, Lots of opiate to control the pain and up to see a Dr.

62M - Living rough. The general public with mobile phones decided that he needed to be taken by an EMERGENCY ambulance off the streets.

790 jobs/108 shifts = 7.32 average.


See you at the big One.

Taz

Our hospital is FULL.

And when it's full you can't unload so you can't go and get another pt!

So our first pt was really day shifts,
82M - Abdo pain, extensive surgical Hx with plenty of Hx of blockages.

Our second was from the ambulance relief team (ART) who take our pts normally to release operational crews but were now themselves trying to knock off,
39M - in custody, paranoid drug effected.

After five hours on duty our first transport was a discharge from the ED back to the nursing home,
83F - Unwitnessed fall no acute injury found but for some reason the handover given to me also included the fact that she was NFR!!!

32F - Shaking. After much discussion with this rather pretty pt we all decided that it was most likely an anxiety issue.

35M - Seizure, he was post ictal when we arrived. No epileptic bracelet or ID card in wallet so he was coming anyway as he is by himself, everything was checking out ok but the BP was looking a bit high,,,,,, lets double check that diastolic,,,,,125Hgmm,,, three times on scene I checked it twice more in the car basically it was 210/120.
As his GCS improves yes he has a HT Hx as well as seizures. Doing the job properly and always getting both pressures got him to a hospital which is what he needed.

784 jobs/107 shifts = 7.35 average

See you at the big One.

Taz

I'm a drug dispensing machine.

36M - Epigastric pain, ? reflux as he has a history, elected to stay in the cells with Corrective Services.

45M - Depressed, one of those very quiet Time Bomb ones.

81M - Hip pain, bad hip pain, ? NOF, 20mg of Morphine, 510mcg Fentanyl and the Methoxy did nothing to reduce to. An x-ray confirmed the fracture and they were going to give him a nerve block for the pain.

83F - Another ?NOF, the Methoxy however put her in a very nice comfortable place.

Called to a Police station charge-room by the mother of a person of interest how believed their child (not a junior) was/had been assaulted by the Police because they could be heard screaming. I suggested that we give the Police a courtesy call first to see if we were required,,,,,,,,,, the job was cancelled.

58M - Seizures. He was still going when we arrived but some Midazolam worked a treat.

78F - A cold response booked medical transport from home to a small hospital by a home visiting Dr service. The pt was so unwell when I examined her that that idea (which was to be truthful was her request) was dumped and off to the very nearby Big hospital.

779j jobs/106 shifts = 7.35 average

See you at the big One.

Taz

The Dog has been found!

That is the biggest news for the day.
Handed in to a local Vet.

55F - Failed a Ottowa Ankle exam and confirmed by X-ray as a fracture.

80F - One of our lovely locals who does occasionally require our assistance but remains at home because it's only a lift from the floor usually. As it was today.

62M - Generally unwell.

37M - Anterior dislocation of the shoulder during an assault.

19M - Thoracic back pain from a tackle in a football match.

50M - Very IP, fell down ten stairs, full thickness lac to forehead. Full precautions and transport.

37F - Psychotic episodes secondary to Methamphetamine use.

772 jobs/105 shifts = 7.35 average.


See you at the big One.

Taz