Mad Dog

Green2 Allocated 82 YO Lady bitten by Dog now sitting in Doctors Surgery, GP having just called an ambulance for her transport to Hospital

We walk into the Surgery and this little old Dutch lady confronts us angrily "I must get home to my dog, he'll be worried. I must get back home before you take me to Hospital so I can lock my front door, so my baby won't run away" So out of the kindness of our hearts we take her back home, which was on the way to the local A&E anyway... We walked her up the steps to her front door, and we found it locked. Job done, time to go to A&E, oh no she had something else up her sleeve, she wanted to feed the dog & make a few phone calls before we left.. 45 Minutes later my crew-mate & I are trapped in her kitchen guarded by her mean little Jack Russell while she ate her dinner... But unbeknown to the little dog, we were hatching a plan to capture him as a prisoner of war & lock him away in the toilet & kidknapp his master for a visit to A&E... Our plan worked, after pouncing on the little bastard with a quilt taken off her washing line & diverting to plan B which was dumping him in the Garden, we finally persuaded her to come with us. But relations between us became cold as my crew-mate did't speak to her & she didn't speak to him all the way to A&E.. Our parting words were "if I ever need an ambulance, I hope it wont be you two" "as do we my love, as to we".....

You'll be glad to know that she & the little dog made a full recovery from their ordeals, it's a shame the same could't be said for us.

Brittle

Green 1 Allocation 4YO Male ? # Arm (# = Fracture)

On scene we are confronted with a little boy who suffers from Osteogenesis Imperfecta (Brittle Bones) He was laying on his daddy's bed on the arm he had fractured. On close examination we notice the he had snapped his humerus and was actually laying on it while it was still folded in half. Ouch. But he didn't cry, he didn't cry because he was used to it, he had 24 Fractures this year alone. Every joint on his body had a scar. We called for Paramedic Assistance for pain relief & took him to the nearest A&E. I asked his dad "how did he do it" he replied "he was doing handstands on the bed & his arm gave way" I asked "why did you allow that in his condition" his reply "the boy has got to be a boy" its really sad because it is true, to some extent he has got to live his life, but not so that it kills him.

Overview of the last week or so.......

I had two very similar jobs with two very nice gentlemen.

Green 2 Allocated, blocked catheter.... In the Sergeants Mess at one of the London Barracks.

We enter the Sgt's Mess to find an ex Sergeant Major from the Parachute Regiment, he was 96 years of age & fighting fit. After getting over the fact that my crew-mate hadn't ironed his shirt & that I had scuffed boots we managed to get him on our truck with the help of the the top dog of the Barracks, yes the man himself the Garrison Sergeant Major. While observing his vitals we got chatting about his days in the Service of His & later Her Majesty.. We discovered that he first joined the The Royal Sussex Regiment & later joined Airborne where he eventually ended up being a Para and stormed Pegasus Bridge at D Day.. The man was a tough as old boots and insisted that he walked into A&E as a simple thing like the pain of a blocked catheter was no patch on 26 years in the Army a World War & Korea... Will there really be another generation like them..

Another Job on the same day but later on in the evening

Green 2 Allocated, Blocked Catheter. in Sheltered Housing

We enter the tiny little flat & find another 96YO gentleman with a blocked catheter. He had been seen by the District Nurse earlier today & she had refused to change his catheter. So by this evening he had no choice but to call an ambulance, through careline.. He had tongue cancer so we could only communicate through writing on a piece of card. Guess what we found out: After the war he had a contract re-glazing the Houses of Parliament & the Clock face of Big Ben but during the war he had served with the Royal Sussex Regiment & then the Para's at Pegasus Bridge. Wow what a coincidence two separate jobs in two separate parts of London & we find two Men of the same age with the same problem who had also served with the same regiment... What a strange & wonderful world we live in

Suspended

Red 3 Allocated 57 YO Male Chest Pains (Crew on scene, second crew needed for assistance)

We arrive to the fourth floor where this gentlemen lived with his father, we enter the living room to find the fella on the floor & a crew monitoring his vital signs, his BP was in his boots and he was braddybraddybraddycardic.. The crew told us to "load & go" we placed him on our chair in quick time, adjusted his 100% mask & carried him down the four flights of stairs... Once on the truck the poor fella's heart gave in & he arrested.. We blued him in to the nearest A&E which was 3 miles away, but unfortunately it was all in vain as the poor fella was pronounced dead ten minutes after arriving in A&E...

But I was troubled by this for a while. here's why..

While bagging him, my colleague was doing compressions. This meant that a had full view of everything in the back of our truck, I could see the patients chest being forced down & up, I could see my crew-mate sweating & I could the fella's Dad watching all this happen. Yet I felt nothing, even as I was forcing air into his lungs I could see the poor fella's lifeless eyes staring up at me, looking right at me yet again I felt nothing. We then swapped jobs & I took over compressions & while I was being slung about in the back by the moving ambulance & still trying to do effective CPR and even as I forced his cold chest down & up, down & up & at one point feeling & crack under my hand I still felt nothing for him.. All I had on my mind was my job. This poor fella's life was slipping through my fingers & I felt absolutely nothing.. It was only when we had handed him over to the Doctors & I was walking out of the resuscitation room that I happened to glance back at him & notice something. It was then that I got a sudden human emotional wave go through me, I wasn't upset but I felt sadness for him & compassion for his Dad.. The thing that brought this human side back, the thing I noticed when exiting the resus room was that he was wearing odd socks & in that split second I just thought that this morning when he was putting his odd socks on, he didn't expect his Dad to be outliving him.....

Sooo sad...


Then we went to some 22YO twat that had swallowed 2pence in a drinking game.

Gangbangers

Stabbing (Running Call)

We were driving down a rough high street in North London at 5 this morning & noticed a couple of lads kicking a shop door, inside the shop was another couple of lads. We turned our truck around and asked control for urgent Police Assistance, then we blasted our bull horn & sounded our sirens & the lads ran away.. As they ran off, another lad came running out of the shop to us with blood all down his arm. Upon closer examination we noticed a very deep stab wound, and could even see his muscle hanging out of the hole... After quick intervention we stopped the bleeding & managed to calm his mate down that was screaming & shouting at us, in his words "jus fuckin move on bruv & get dis guy to ospital init".. Anyways after all that we find out that it was two rival gangs competing over who uses that particular shop.. How bloody silly

Belly Aches, Taxi Service & the 9 Digit Man

The London Ambulance Service is an amazing institution, it's one that is able to cope with a variety of demands including taking up the slack from other services such as GP's, District Nurses & Care Homes.... Listed below is a few of my last jobs.....

Green 2 23YO Male Bellyache, explains to our control that he cannot get to hospital himself

Arrive scene, to be confronted with a chubby 23YO that needs a shite & can't... Apparently he hasn't poo'd in 3 days. I asked "why haven't you been to the pharmacy & sorted this before it got this bad" He explains that "I am much paining, fire in belly, doctor job to sort, take me to doctor, do not question" "it my right to be treated by doctor" I reply "OK Yoda we'll drive you the 1 mile it is to hospital" "but rest assured I will be taking this up with the Jedi Council"

Green 2 86YO Female, dislodged catheter (she pulled it out herself)

We arrive to this tiny care home & which came as quite a shock to us, it was a really friendly & caring care home.. The little old girl that had pulled out her catheter had severe dementia, therefor it wasn't her fault that she pulled it out.. The care home had called the District Nurses Office to ask them to attend & sort the problem.. But oh no, it's a Friday & its late afternoon & they want to knock off early, so because of them the LAS & A&E have to deal with it.. Friday afternoons in A&E are not ideal for little old ladies, but the District Nurses have to knock off early on a Friday, but we can't blame them, it's a British established past time...

Running Call, intoxicated male, late thirties, bloody hand

A running call is where we get flagged down by members of the public.

We were driving looking for a nice place to buy our £2 for ten spicy wings shop, when we were flagged down by what we noticed as a hot bit of totty.. She said her boyfriend had cut his hand when his bottle of wine exploded.. We walked up to him and promptly noticed that he did have a cut on his hand, trouble is it was where his little finger used to be. Yes the bottle of wine severed his little finger.. So while my crew-mate plugged the wound I looked for the digit & found it.. I picked it up & for a slight second thought that it could be the ideal piece of issued kit to pick your nose with, but decided it was a bad idea and put it in a bag & blued him & the finger into the nearest A&E......

The other jobs were mainly PTS.

A strange Metropolis

My view of London our great Metropolis on a good day

Driving through the streets of London, it brings home to you just how old our Capital City is... Wonderful Architecture both hidden & overt, weird street names, a mix of restaurants offering cuisine from all over the world, nice taxicab, white van & bus drivers that nicely move out of the way for us when we're on Lights & Sirens.. Tourists & pedestrians.. Royal Parks, shops & public transport.. Londinium is a rich mix of culture & business... One day can be quite exhausting but refreshing too...

And on a bad day

Driving through the streets of London, it brings home to you just how old & dirty our Capital City is... Old derelict unsafe Architecture both hidden & overt, poxy narrow over congested streets, a mix of restaurants offering condemned meat & kebabs from all over the world, rude ignorant & arrogant taxicab, white van & bus drivers that do not move out of the way for us when we're on Lights & Sirens & sometimes purposely block our way .. Tourists & pedestrians that ask silly questions & directions when you're carrying a patient to the ambulance.. Royal Parks that are mostly cruising grounds & areas for the rich to keep fit & ride their horses , overpriced shops & public transport that's always late, filthy & expensive.. Londinium is a poor mix of culture that finds it hard to cooperate with each other resulting in segregated areas & business's that are undercutting each other at the expense of their employees... One day can be quite exhausting...

Crowning Glory

The ring ring ring of the MDT sounded in our cab, and there it was the job I've been waiting for since being on the road.. I don't know why but I've wanted to experience a birth imminent job, and hopefully witness the magical experience of seeing life for the first time & knowing that, I, I have helped that happen "well at the final stages anyway". We were 9 miles away & an FRU was on scene, we hastily activated & drove like mad men (well like health & safety anal mad men) to the job. During the journey we planned our particular roles & mentally prepared ourselves for the ordeal, then at 2.5 miles away some b??t?rd beat us to it & we were cancelled....... Then were given our 2nd Peg Feed job of the night (can anyone advise me where to put the adrenaline when you are cancelled off a good job & then given a no-brainer)

Street Fighters & Gipsy tear ups

RED 2 Running Call, Assault, Young Male. ? Head Injury

We notice a young man standing on the side of the road, shouting & throwing his arms about, has some blood on his face & surrounded by Police.... This young fella is clearly pissed off, he's just turned 18 & out with his girlfriend & someone attacks him apparently randomly....

Being a young lad he spoke a totally different language to me, so I tried to accommodate & speak some of his lingo which I have picked up from various patients... So here goes:

Bold is me, non bold is patient

"Ahhhite brev sum w??ker jus bagged meeee init" "dats dread bruv" "wot appund" "i'm tellin you init, buts wot wid all de feds bout me, ow can tink wid all dees f??king pigs init" "luut step int-oow me ride an me sort ye aht man" "ahhhite butt ie wan da feds to bag dat w??ker init" "you getting me" "yh yh yh boss bat let me look at ya ed do yea, den we sort out da 5:0 to go & juuk imm up yea" "ar yuuuu takin da piss bruv, why u bein like dat, jus patch me ed man, please bruv" "ya soo next boss"

Turns out he tried to buy some weed & run off without paying, so dealer gave him a hiding...


Red 3 Allocated 3 patients, assault

We roll up to a Police Cordon, and notice an FRU & ambulance already on scene. 3 patients on scene but my crewmate & I only had to treat one.. He was a very very very pissed up traveler that had been beaten with a shovel.. ? Fractured arm everything else just cuts & bruises.. He was a nice enough chap, hard to understand though, but a nice bloke. Just before leaving I popped over to the other ambulance to speak with the crew.. They had the fella's wife in their truck, she was suffering with hand injuries caused by hitting somebody with a shovel, oow I wonder who that was.. anyway I left their truck when she told me to "fak aff" lol

Amber 1 Allocated 20 YO female blocked throat, can't breath. delay language line

We rock up & immediately confronted with a healthy, fully breathing young lady who has a blocked nose, yes a simple blocked nose.. I asked "why did you call an ambulance for a blocked nose" she replied "coz I wan't you to clear my nose coz I can't sleep" .... I'm going to end the story there before I rant & swear....

The Ace Cafe Ambulance Reunion

Green 2 Allocated 20 YO Male ABDO pain

Lad with a bellyache, been pooing runny poos since this morning so mum decides to dial "999 AND ASK FOR AN AMBULANCE". So we roll on up to the house, doting mother having a go at us because we are 2 hours late.. We do an assessment, his Obs were A1 & we found out that he had a dodgy curry the night before, so we explain that it may be better to see his GP rather than a trip to hospital. But his mother said that because he is paining he must go to A&E. So here we are about to drive a 20 YO fit male to A&E and when we look behind to see where his mother was, we notice that she is getting in their huge family car to follow us to A&E.... Do people demand ambulance's for minor issues because it is a free at the point of contact service or are they just thick...


What particularly annoys me about the above job was the that before that, we attended to this poor fella:


Green 1 Allocated. 95 YO Male, lethargic, Infected Ulcers, Low BP, Braddycardic

We arrive at what was quite a nice Care Home (this is a rarity) and while my crewmate has a quick chat with the patients daughter I try to decipher what is written on the notes left for us by the GP, the note reads that the patient has severely infected ulcers on both his lower legs, and that they are infected with "MRSA". (would have been nice if the GP had explained this to LAS before we were dispatched). So according to protocol we don our infection control equipment and get to work.. Obs weren't very good, BP being 92/48 & PR being 66 this wasn't to worry about at first but then I read that he has Ventricular Tachycardia so in his case this was quite slow.. We arrive at A&E and he is wheeled straight into a quarantined room..

The above gentleman really needed an ambulance & really needed Hospital attention, but he was reluctant to go, partly because the Hospital had only released him 5 days ago, and yes he had been in that condition on discharge. Then we get a 20 YO waisting everybody's time......


So after a thorough deep clean of the ambulance & a change of clothes we were back out on the road & did a couple more bread & butter jobs.....

So it being not that busy we were asked to return to base for a break, but because we were next to the ACE CAFE we decided to request for our break there & we got it.... and then a genuine coincidence occurred & another crew turned up on a break, it was a couple of blokes that had trained with us. So we had a little ACE CAFE reunion & had chilli burgers right next to some classic Nortons & triumphs complete with the smell of engine oil. GREAT!!!

Subject you would normally expect to hear in an Ambulance Station male locker room

0730Hrs in male locker room on station

Ok 6 fella's all getting ready to start a days work for the service, we're in the locker room talking & shouting, but what about (sex, woman, football, rugby, cars) oh no no no no us modern men don't talk about such vulgar subjects, instead us fella's with age's ranging from 20 to 50 are debating the fundamental principles of baking a tasty loaf of bread.. It's a modern world we're just trying to adapt............

Triage, Triage..... and more Triage

We arrive to A&E with our slightly ill patient (really was only slightly ill) & notice that it is all boarded up & workmen are walking around doing their usual thing (one digging & four watching), I get a little confused because I could have sworn that four months ago this Hospital had an A&E so I drove our truck around the Hospital site & found nothing so drove back to where I originally thought it to be... I parked up got out & spoke with the builder & asked "where's the A&E" he promptly replied in a broad Irish accent "I don't know where its gone, I've just come back from break" I replied slightly sarcastically "what did they pack it all in within an hour" I walked away leaving him looking rather confused. We finally find A&E which is now on a whole new road & wheel our patient in & got Triaged (1) was then moved to area two & triaged (2) was then asked to take our patient to Traige (3) confused? we were!

My crewmate & I both haven't been to this particular A&E for about four months & didn't realise that they had packed up, closed shop & moved, they've got themselves & really nice if somewhat maze type A&E. But of-course communication being what it is we were not to know.


Mainly run of the mill, bread & butter type jobs today, but one stands out....

Green1 Allocation 87 YO Male shaking, sweating, pale, back pain... at a social services centre

We arrive to find an Asian gentleman sitting in the communal room with other elderly people, one of whom randomly starts shouting at me & calling me George & complaining that I didn't deliver her milk... The elderly fella was alert & talking, unfortunately he was telling fibbs when he asked the staff to call an ambulance, he had been playing down his pain & saying that he only had leg pain, when in reality he had chest pain... We did a quick set of Obs - pulse rate was erratic between 103-148, BP 97/48 & PALLOR BM 16.2. As we were only around the corner from Royal Free (which is handy because once diagnosed by A&E he could then be transfered to their CathLab) we decided to load & go rather than wait for another crew.. I'm sure we did the right thing.. Maybe one day they will include ECG's to our scope of practice....

The rest of the day was Health Care Professional Admissions that weren't really that bad. But we still had a good day... Between jobs we managed to get Free Sausage & Chips with mushy pea's & a coke from this lovely Chip Shop in the west end... We then wen't to buy an icecream & the man refused our shekels and insisted we had them for nout... Then we popped into the Hilton to check up on a Patient we had a couple of months back who works there & we ended up having a really posh Cappuccino in a really posh coffee bar in the Hilton on park lane.... wow and still managed ten jobs..... Kings of the road..

Oh and in-between all that we had to bandage up our back door of our Mini-Merc because the lock started playing up.......

A couple of Jobs we did last week before I started blogging

Green 2 Allocation, 96 YO female, fallen still on the ground.

Granny Down! We gotta Granny Down! I hate attending to little old ladies, not because I don't like them because that isn't true, but because I feel so helpless when they insist on being independent & refuse help from carers and the like.. Anyway-

We eventually enter the house once we have found the correct key-code for the outside key-safe, however while we were hunting for the code we could see her and speak to her through the window so there was no need to force entry. Once inside we were greeted by the lovely old dear who was laying on the floor after she had tripped on the rug. (They will insist on having these rugs)I take one look at her left leg and notice it has been completely de-gloved from her knee to her ankle, with no blood loss but plenty of fat loss as there was loads of white/creamy fatty bits all over the carpet & of-course my knee once I had knelt in it to attend to her wound.. While my crewmate did a set of Obs to check her vital signs I arranged an extra large ambulance dressing x 2, made them slightly damp so they wouldn't stick & applied them to her shin wrapped tightly with Peta-Haft dressings. Afterwards I had a look around and couldn't find anything that could have caused this type of injury, which left me puzzled - & then it came to me she had severe Oedema on her other leg, so I worked out that as she hit the carpet her left leg had simply burst due to her skin being under so much pressure. So as her vital signs were better than mine we decided to carry on with the job ourselves with no further assistance, but as we tried to get her onto our scoop board & trolley the little old lady asked us what we were doing and that she wanted to stay at home, her exact words were "do i have to go to hospital love" I explained that she had a wound on her left leg that needed urgent attention and that if it was on my leg I would be hysterical. She final agreed to come with us... We found out on the trip to hospital that she had been an Army Nurse during the war. The old girl was a tough as old boots, certainly much harder than us youngons........



Our Next Granny Down.....


Green 1 Allocated 106 YO Female, fallen over, can't get up - called by CARELINE.

Before I start this post I must tell you a bit about CARELINE, in most cases they are an excellent service which puts little alarms into elderly folks homes, one of them acts as a pendant type alarm around their necks, the theory being that once pressed CARELINE will speak to the Patient via the intercom in their homes & then relay information given to them by the patient to the Ambulance Service/Police/Fire Brigade etc.. Now this works mostly, but we have been to jobs where the wrong information has been given, even the wrong address. So as a crew, we do not always take what is said by CARELINE for granted..

So we approach this block of flats, built specially for elderly folks, however there is no warden or caretaker on site & we were informed that there will be one there to open her door for us.. But of-course this man is about 20 mins away and all our efforts of shouting through the door didn't pay off, we even climbed out the neighbours window and could see her but she wasn't moving, so I promptly advised control of the situation and decided to force entry in order save life & limb if needed.
So we entered her flat and found her on the floor in the kitchen after a fall while cooking her dinner, she was awake & alert albeit very upset. The reason she didn't answer our calls through the letterbox was because she was deaf, but I still feel justified for doing it. So we carry out our Obs & discover that she has no injuries at all, slightly low BP but then she is a frail old girl. She explained to us that she was adamant she wasn't going to hospital, so in this case we have to call for Paramedic Assistance to sign us off to leave the patient at home. Within five mins a Paramedic Manager arrived (DSO)did a quick ECG & signed us off. However due to her damaged door we stayed with her until the Caretaker arrived to fix it, guess what, he didn't arrive so the Police Officers went down the road & bought some screws to fix the door themselves, what great blokes. While this was happening my crewmate & I cooked her dinner, made her a cup of tea, chatted to her for a while & then tucked her up safely into bed.. But heres the interesting part, her God Father was Fred Astaire she even had pictures to prove it. Her father had been a theatre producer and had got on pretty well with Fred so when she was born Fred asked to be her God Father. She later became a top dancer in the theatre world of London & even New Yorks Broadway the pictures of her as a dancer in the 30's & 40's were just amazing, she was stunning. I will have that memory for ever!!


So here we are, these are the type of jobs I go to, I sleep soundly knowing I have hopefully made a small difference to their lives......

I'm fully rested & ready for blogging

The stark difference between jobs, yet we have to treat them the same! read on & tell me how you would cope.


Green 2 Allocation 31 YO Male fallen down 5 steps, injured eye & ankle

We arrive at this lush loft apartment in Londons west end & are greeted by the patient's partner who explains that the patient is in the bedroom. As we move towards the bedroom the patient's partner moves towards the kitchen to make us a cuppa, he must have looked at the state of us & thought I have just the remedy for that mess of a crew lol! We get to the patient and I speak with him while my crewmate does an assessment & a set of Obs.. While speaking with him I find out some history behind his fall, the fall is due to him developing Motor neurone disease last October & this has left one side of his body weak at times so as he approached the steps he lost balance a fell, bang straight onto his head. Due to us not fully understanding the symptoms of Motor neurone disease we queried a possible C-Spine injury due to the hight of the fall & masked by the disease, so promptly immobilised his neck & asked control for Paramedic assistance. While awaiting a Paramedic we get talking to the gentleman and he explains that due to his disease he will only have 2 years to live at the most & his condition will deteriorate as the months go on, I felt instant sadness & compassion for this fella but didn't want to show it to much incase it made him feel awkward. So the Cycle Responder Paramedic arrives and clears a possible spinal injury which means we are able to place him in a chair & take him to hospital.. On the way to hospital I find out that he started off life, like myself from a council estate and had pretty much worked and forced his way into advertising and made a pretty penny with it. The man had his whole life in front of him, and tried to live it to the max with hobbies and work, he even knew his history and gave me a full account of his buildings Victorian heritage. Then as i'm saying goodbye to him & good-luck for the future I sadly remember his plight & that by the time i'm 30 he'll probably be dead & his really nice partner that made us a really nice cuppa will be lonely & upset. What a stinking horrible world this is sometimes...

And then almost as soon as we green up mobile we get another job..........


Green 1 Allocation 48 YO Male sudden onset of blindness & weakness

So we arrive at this brand new block of flats built in North London specially for vulnerable adults, in this case by vulnerable I mean junkies & piss-heads housed in modern 1 bedroom flats with all appliances supplied & rent courtesy of the TAX paying public. And here is me & my girlfriend who is a Nurse struggling to find somewhere to live.... ahhhhhhhhhh.

Anyway as we walk up the 3 flights of stairs past the piss & shit that someone has made on floor 2 and then past the junkies sitting on the 3rd floor we enter this mans apartment, very large & once nice apartment now filled with crap & rubbish & his floor littered with dog ends (cigarette buts). I approach him and at a distance chat with him, I notice 11 bottles of cheap wine (empty) beside his minging smelly bed that he had moved into the living room some weeks earlier. He explains that he has taken his daily does of Methadone & a hit of heroine & to round of his day he's drunk 11 bottles of this cheapo wine. Yet here he is still alert, albeit blind & immobile. He also hasn't eaten in a week. So in my head i'm thinking, what a prick he deserves all he gets & actually needs a kick in the bollocks. But good for him my professional ambulance head is screwed on tight so we treat him, assess him & begrudgingly carry him down stairs & onto our ambulance. On the way to A&E he explains how he has had a hard life growing up on council estates & that his parents split up when he was young bla bla bla bla. I'm sorry but this is excuse after excuse, I grew up in the same conditions if not worse, but I haven't touched anything illegal ever..

So here we are, two jobs completely different. One fella who's life is being taken away from him through no fault of his own & another fella who's life is slowly (to slowly)ebbing away through every fault of his own.. Who's to blame, society, mother nature, parents or are we all individuals responsible for our own doings & future. And sometimes life comes along & steals it from you.. I really don't know.

Another two shifts (lates)

RED 3 Allocation (Elderly gentleman with central chest pain) 6 Miles away. So we rush there on Lights & Sirens, FRU already on scene assessing patient. Full set of Obs later we find that apart from his Chest Pain there is no other signs of an MI (Heart Attack) FRU does a 12 Lead ECG and notices some abnormalities, so we Blue him in to a CathLab, which is an NHS Hospital specially Kitted & Staffed to deal with MI's.

So we get there & hand over to the Surgeons, who were great & invited us to stay & observe the Angioplasty, which was brilliant. I feel i have really learned things on this CAD. We also had a full debrief from the FRU Paramedic - what a top fella, thank you.. Later we find out that he induced the MI due to pushing his car onto his driveway..

The patient is also going to make a full recovery, and that makes me feel great.. It's jobs like these why I joined up !! Keep em coming Control lol.


Amber 1 Allocated (RTC Vehicle on its side) So here we are first on scene to what seems at first to be a major smash between two cars. Its turns out that we have to deal with 3 Patients all with C-Spine injuries that only seemed to have come on, upon our arrival. So we promptly assume them to be Cash-spine injuries but of-course treat for first & worst. Anyway it being a busy night, we were short on ambulances so we had 3 patients, one collar & boarded, the other two collared, one Paramedic, one Tech 3, & two Urgent Care staff in the back of a Merc. Cramped but interesting. Another good job..


Green 2 Allocated (Health Care Professional Admission)in A&E within 4 hours. This is where a GP or out of hours Doctor has visited a Patient & then called 999 and given us a time-frame in which the Patient has to be in A&E. Unfortunately they are not always right with their timings, which is evident in this particular CAD..

Doctor Observations- 58 YO male, slight fever, sudden onset of lethargy.

Our Observations some 4 1/2 Hours later- 58 YO male, Temp of 42, Convulsions, Couldn't Obtain BP due to convulsions, Pulse Rate of 128, Eyes Non Reactive size 6, GCS 5, sats 82.. Hmmm did they change that much in 4 hours or did the GP just look at him ? Who knows, at least the Ambulance Service did a good job, we got him in and treated within 25 Mins.

Anyways sportsfans, I'm off to bed but there is more to come when I roll out of bed, sometime in the afternoon..... Night Night..... Dont let the GP's bite lol