Last shift of the block.

84M - Abdo pain but it appears more acopia and demantia.
22M - Manic but had enough insight to his problem to be able to comply with us and attend hospital for sedation and followup.
?52M - Pissed somewhere in town in a alley thinking he is having a stroke but can't tell us where he is. UTL
51M - Abdo pain, hard and distended.

I'm back to struggling with the UNI work again, too many other things and exams are now closing in. It's got me worried but I have to get through it!

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

Taz

The seasonal change is slowing them down.

Very few jobs are on the street, there usually inside.

26M - Had an unusually big night out and 12 hours later was still feeling below par and made himself vomit thinking it would settle his guts. Didn't like what came up and had a burning throat from it so called us. He was concerned I told him up front that they wouldn't keep him there for this and most likely would get an antacid drink and some TLC.
81F - Walking back to the car with family after a meal and had a simple mechanical fall on a dry footpath suffer in a hip injury. No obvious sign of a NOF so hopefully it was just sore.
58F - SOB, emphysema.
47M - Interstate visitor with gastro. Daughter had it four days ago. Where I would try to leave a gastro at home in these circumstances that was not possible in his hotel room by himself.

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

Taz

No partner? Who do I play with?

The powers sent me to the next station over to team up with an officer from a station two away from mine!

So when we did team up this is what we did.
73M - Increased SOB, bloody good chest infection it was to, made me SOB just to hear it rumble.
22F - Abdo pain, 1st day of her period but when questioning further like professionals do it had been two months since her last and actually wasn't sure when she was due. Me thinks it may have been an ectopic?
86F - Mechanical fall and c/o mid shaft femur pain. No obvious deformity but a frail ol' thing.
17M - Concussion playing sport. Had been walked off dazed and sat in the first aid room before a parent arrived and they all decided to call and ambulance. He was fully asymptomatic with me and even regaining memory of the tackle but 1st every concussion transported for everyone's peace of mind.
36M - A criminal who fell >6 metres during an alleged break and enter. Doped up he hurt his ribs and nothing else.
37M - Chest infection, living rough he wouldn't have managed too Long with a 39.9 Celsius temp.

And then he dropped me at my station and drove home to his.

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

Taz

Back to normal.

I seen to be getting my brain around the differences in this electronic case sheet and even to the point where I can get the data at the end of the day to record it for you guys.

31M - Decreased LOC in a building underground car park driveway. Admits to heroin and Xanax use, transport  1) to remove from public view and 2) he can't remove himself because he's so trashed. Sparks up a little at triage, makes comments about my parentage and leaves much to everyone relief.
31M - ? Fallen down stairs one block behind the hospital! Same genius, no fall just a scrap along his face from the wall he fell asleep against. Deeper into the drugged state and stayed there for eight hours in a corridor bed.
24M - New in town and has many social issues and the Men's Hostel requested a psych evaluation before allowing him to stay. We could see that surprisingly he was a new genuine case that really needed help.
69F - Another aged victim claimed by the dreaded escalator! Sore knee and a swollen elbow but was shaken and requested hospital for a checkup.
29F - From overseas today and ill, my thoughts she has brought a bug with her,
55M - Community Mental Health staff member called for this dude. Easy to recognise symptoms before he slipped into psychosis and he had them.
32F - Gastro symptoms and was unable to cope at home and wanted hospital.
84F - FAS.
6M - Accidentally pulled out his feeding tube.
13F - FAS.



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

Taz

I am back!

The holiday's are over and I have returned to work.

But Jesus I'm under the hammer at the moment.

Work always change stuff when you go on leave!
We got back from our trip the afternoon before I went back to work!
Uni assignments just seem to keep on popping up!
Our sector is the last to switch from a paper Patient Health Care Record to an electronic. I did my compulsory on your own time six hour training the second day of leave so I have forgotten a lot and it is not designed to make my job easier. It's to collect data and statistics.

The work I have done in the last four shifts isn't worth recording and that's the other thing as I signed the case sheets at the end of a shift I wrote them down in my little book but this system produces one copy for the hospital. I can produce another but they're five pages long.

So I have to find some decent work and develop a system whereby I can record the jobs, and remember to breath and laugh occasionally.

So I'm alive but busy.


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

Taz

That's nearly a week done on holiday.

Not as much done as I would of hoped for of the tasks I had set myself for the holiday.
I have been riding but no big rides yet, a combination of Uni study and the weather.
Ambowife and I have clocked up about 125km and the weather is set to improve soon.

My local Paramedic association (not a union) has now acquired a registered business address, an office, it is all part of growing and expanding to become industrially registered so the union that has failed us for years can be forgotten and Paramedics caring for Paramedics will be the way of the future.
The three largest states of Australia have this association and a fourth is poised to join, it's becoming national.

The new office needed some paint and the call was put out and I was one of several how went to lend a hand, the whole show is voluntary and I've been there in my old life being an Executive Officer of something that just burnt a hole in your pocket and life but you believe in it so it comsumes you.

So not as much sleep as I would have liked.
The study is really taking way too long but what can you do?
And I haven't been into work under any excuse yet!  

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

Taz

One more shift.

Before HOLIDAYS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

I do need a little break from work but I also need to;
Punch out some miles on the new bike,
Catch up on Uni reading,
Start on the next Uni assignments,
Work with Tracy on riding,
Sleep and Rest.

But before I do I have to do one more shift because that's how the roster crumbles, some officers were saying 'why didn't you have a sickie' and yes generally they were younger than me and from a different era or work ethic. Like all things you take the good with the back change what you can and accept what you can't! 

57F - Hypo, resolved with treatment on scene.
37M - Anxiety related SOB. It's all in his head, LMO knows it but doesn't tell him, we figure as much in the short time we have him and start to discuss there is is no actual physical disease and try to talk about breathing exercises and the we arrive.
37M - IP found by Police, wants to stop drinking but wont stay at the hospital to talk about it and leaves.
85F - Mechanical fall, minor lac to her lip. Happy for her to go home rather than a hospital.
55M - IP, also wants detox, did stay but I don't think he's real about it.
32F - Asian (it does have relevance), young, heavy pounding regular pulse, not really clammy but not dry skin either, SOB episodes on very small work effort. Now regular readers may be thinking FAS and true so did I for a few seconds but listening to the pts breathing and speech and observing her demeanour made me put the 12 lead on and while the was no real evidence of extended QT syndrome (higher instance in Asians) but inverted T waves RBBB, QRS that was even with the BBB wider than I expected. Not dying is the main thing but there is something going on. Buggered if I really know but I do think it was an aberrant cardiac output issue.
55M - Homeless, living out of his car, weakened state, people who live in the houses outside which his car is called.
75F - Recent onset of non traumatic knee pain and decreases mobility.
54F - IP, show off who threatened suicide, firstly at a local cliff top but that would have meant getting there so changed her story and move the location of her impending doom to the roof of her apartment building. We obliged to transport all persons who make self harm threats even if I don't think they would.  

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

Taz