Oops, slipped back into boring.

60M - Pedestrian hit by car, there was another crew on scene, ours was a duplicate call for their job.

87F - COPD, Sp02's of 88% after six of her NEBs. She needs a hospital but not for much longer.

22 mth M - Swollen sub-mandibular region, febrile. Transferred to a bigger paediatric hospital.

54M - Went to bed pissed, got up to go to the toilet still pissed and fell forward and scratched his nose. We discussed options and he stayed at home.

53F - Several vomits and three Losses of Consciousness after taking only two prescribed antibiotics. I wasn't worried about the vomits more the LoC.

And something like five hours on station, boring.

873 jobs/118 shifts = 7.40 average.

See you at the big One.

Taz

We had a ride-a-long today from our own administration.
A non clinical person who will be coordinating our 'Health and Wellness' program.
The day started slow but picked up later.

76M -Regular dialysis pt transport.

107F - yes that was one hundred and seven years, who has not been feeling top notch at home where she still lives alone god bless her.

59F - Due in hospital tomorrow to have some fluid drained from the pericardial sac. They're not sure what has caused this but she woke with chest pain and palpitations so we can go to the hospital early.

20F - IP still in the hotel but got called off.

57F - OD with intent on suicide, good quality and quantity of drugs but got found after being reported missing by concerned family. It's not the first attempt but location was only made after checking credit card activity.

79M - Misplaced his foot going down some stairs and tripped. I still can't imagine how he actually did it but he had a skin tear or lac across the top of his foot that extended down into the tissue.

49F - OD, IV unknown, extreme rigid dystonic posturing, no verbal communications, primeval screaming, NOT VIOLENT but very unmanageable. Requested back up for sedation, they took too long because we had got the pt into our mechanical restraints and in the bus before they had arrived. Trip to hospital was all of two minutes and we got everyone's attention when we arrived.

I need to do some research but I think it was Methamphetamines.

88M - Increased creatine and urea transport required.

So our observer got a good show and we suggested that further observation ride-a-longs should really be for the whole four shift block from Health and Wellness to really understand the physical and psychological stresses we're exposed to.

868 jobs/117 shifts = 7.42 Average

See you at the big One.

Taz

My legs are sore.

Two long days of extra duties has taken a toll on my legs now after my first full day back on deck.

91M - Sciatic Pain.

31M - Post ictal with increased frequency and length of seizures. Needed some Midaz and even then some mechanical restraints.

27F - Period Pain.

74F - From rehab to air ambulance to be flown home.

46F - From a sheltered workshop type facility. Sore shoulder. Supervisor told us this was a chronic condition but their duty of care required us to attend if any of the staff/pts complained of pain or injury.

94F - Fell forward off her chair and cut open her forehead and it needed some stitches.

Hoax Call to a men's club.

84F - Rapid AF 130 - 150 bpm.

An hour and a half late so that's three late finishes.

86 jobs/116 shifts = 7.41 average.



See you at the big One.

Taz

I return to operational work.

An easy day

74M - Night shift pt, we took over to let them go home.
90F - Queasy & lethargic
89F - SOB, ? a cardiac arrhythmia.
90F - Fractured a NOF fifteen days ago and nursing home staff noticed it shortened and rotated again?
53M - Varicose vein haemorrhage, no big problem pressure and elevation but his BP kept dropping when standing, even after forty odd minutes.
99F - Discharge to nursing home
82F - Near faint.

852 jobs/115 shifts = 7.41 average


See you at the big One.

Taz

I'm back, holidays have finished!!!!!!!!!!

As I get older holidays do become more important and essential for me. It was a whole week before I found an excuse to go into work this time!

I don't officially return per the roster for another few days so I put my hand up for some overtime and scored it for both days but only one will be an on-road operational shift.

The other will be as an ART (Ambulance Relief Team). We sign on at a designated Ambulance Station, our vehicle is a hard covered Ute that can hold anything from three to six empty stretchers and when crews delayed at a hospital reach a trigger time we deploy to that hospital and if the pt is not monitored we shift them onto our stretchers and the crew is relieved.

The hospital are billed by Ambulance for the ART and we have nothing but the stretcher, that's why the pt can't be monitored but active other treatments such as analgesia and fluids can be performed on the stretcher by the nursing staff.

It's boring as bat shit!
Hard on the legs!
If you get the wrong pt it can really do your head in!

But your paid really well so,,,,,,,


See you at the big One.

Taz

Mental Health Education

Well I'm in the last week of my holiday and ACAP had their monthly presentation in the Continuing Paramedic Education program this evening.

Mental Health.

Tonight we had two brave presentors from the Schizophrenia Fellowship NSW who gave of their time to inform and educate us of their side of mental health.

First a person with Treatment Resistant Schizophrenia and then after an insightful Q & A the mother/carer of another person with schizophrenia.

I believe I treat my mental health pts with respect and dignity but from the presentation tonight I still have things to learn.



See you at the big One.

Taz

I'm holding it together, so far!

Second week of holidays.
I've been to work once, to finish off that periods time sheet.
I've met up with some officers to farewell an ol' Padawan who is moving north.
Ambowife and I have been away for a trip.
We've seen a bank about how much they'll give to buy a home here (not enough and the repayments are horrid).
Oh and I made some new ribbons

Yeah, well I ran dry on ideas.
Any suggestions will be considered.
Remember these are the transfers on the end of 25mm x 900 long white satin ribbons that I always wear at the top of my ponytail.
Here's a photo of an early model,

So it is visible to the general public and management.

See you at the big One.

Taz