Friday, November 18, 2005

What pattern is your Brain?

Well I picked this one, not sure if it is really me, I am sure friends will let me know if it is not true!



Your Brain's Pattern

Your brain is always looking for the connections in life.
You always amaze your friends by figuring out things first.
You're also good at connecting people - and often play match maker.
You see the world in fluid, flexible terms. Nothing is black or white.

Wednesday, November 16, 2005

29D02c

This is the Code that came through on Sunday afternoon. This was followed by a message "Two children hit by a car" so we were off, blue lights flashing and sirens wailing through the sleepy country roads filled with the drivers who for the first time this month check their mirrors as we come barrelling up behind them looking like what can only be described as "A Christmas tree on wheels"

As we arrive we see a car half up on the pavement outside a local shop, with a crowd of people standing about doing the usual shuffling from foot to foot. I get out the vehicle and grab the response bag and oxygen whilst my colleague informs the EMDC (Control room) that we are on scene. I quickly look around for the two children, but seeing nothing I look up and a member of staff speaks to me saying that the two children are in the back of the shop. Picking my way through the shop with my colleague following we arrive in the store area and are greeted with two snot/tear faced 6 year old children being comforted. The little boy's mother is there, unfortunately she is deaf and this makes it more difficult to communicate with her, but we manage eventually. The little girl is the niece of the mother and she is more upset and is being comforted by the boy's mother. I start to examine them and find that they have superficial injuries, the little girl has an abrasion on her back and an egg forming on the back of her head, but she is fully conscious and eventually chatting away after we dry the tears etc. Her little friend also has an abrasion to his back and a smaller one on his ankle, like his friend he is chatty and happy to give me all the information I need. A second crew arrive just as I have finished checking the children and they check the driver, who is shaken, but un-injured and does not wish to travel to hospital.

Both the children reel off their full names, home addresses and telephone numbers when asked. I eventually find out that they were crossing the road at the pedestrian crossing, but the button was faulty and therefore failed to active the light sequence, they carefully walked across the road hand in hand to go and buy some sweets (candy).... unfortunately they had not anticipated that the car coming down the road through the green light may actually hit them before they are safe across the road. The car clipped them both, even although the driver had attempted to try and avoid hitting them when he saw them and they were knocked to the pavement like skittles apparently still holding each others hands.

We transported them and the mother of the boy to the local hospital with the father following in his car. They were handed over to the care of the nursing and medical staff at the hospital to get checked out and were discharged shortly afterwards, sore but overall well.

Wednesday, November 09, 2005

Going Woo Woo, Nee Naw...........

I have just had the pleasure and privilege of attending only the 3rd session on Driving under Police Escort. Now in the Service you are trained to drive an Ambulance at high speed, safely and with consideration to your colleague, patient and other road users, but the one thing that is not covered is driving under escort. The Training Team working with the Police Traffic Unit and arranging a joint training day has now rectified this within my Division.

Basically we arrived at the Traffic Unit at Police HQ and were made welcome with coffee and scones and then we were introduced to the team and shown some presentational material and a training video. We were then split into groups and were taking through the practical aspects of driving at high speed. We looked at working with both Traffic Cars and Bikes and saw the difference between them. Travelling at high speed with blue lights and sirens is not all fun and games, there is a very serious side to it, which, if you make the wrong judgement not just you could suffer...

It was still good to see how well the Traffic Unit handled their vehicles at high speed and WOW those cars and bikes can really move when they need to... who needs a face life when you have traffic cars!!!

First Aid Camp

I have recently returned from a first aid camp, this was the first one I had organised and I have to say to all those involved, especially the Scottish Casualties Network a very very big thank you!

The camp started on Friday evening at 1900hrs and by 2030hrs everyone had arrived and the introductions were over so it was onto business.... we ran some small scenarios which were 4 patients all with the same injuries who had a team of first aiders responding to them and dealing with what they found. The teams were a mix of newly trained first aiders to people who had been doing first aid for many years. The evening flew in and it was time for the children to retreat to their dorms and allow the adults to relax and get to know each other better over a small drink :)

0715hrs on Saturday morning and Kal, A (from SCN) and myself were in the kitchen starting breakfast (well I didn't do much cooking.... but I was there to supervise). Breakfast was well received by everyone, the bacon was cooked, the eggs were scrambled and the sausages were sizzling (to which Dillon the search dog was sniffing out). The second day of camp was mixed between lectures and scenarios, to which everyone seemed to respond with a positive outlook. After lunch it was back outside to do more work, new teams with different skill mixes, radios were introduced and triage of patients was expected to be done on the patients they were now treating. The evening meal came around quickly and people who had been first aiders were given the chance to become casualties for the next scenario, after this finished the children were sent to their dorms again to relax and prepare for bed. At 2355hrs the adults were setting up for another scenario, which was going to stretch their skills to the limit....

The scenario was ready and at 0005hrs on Sunday morning the team were called to respond to a "Safe house" which had been raided and the occupants were beaten, tied up and left for dead. There was no lights, it was unsure if there were traps set to explode, after it was found to be safe, and working with torch light only we (the team of 8) were sent into a small 10" by 10" room to triage, treat, transport and deliver further care to the hostages. The scenario went on for an hour, with all the patients removed and treated successfully, with limited equipment, poor lighting and a massive emotional pressure to deal with everyone in a compassionate and caring manner. At 0130hrs everyone was exhausted, but high on adrenaline and after a well-deserved drink we all retreated to our dorms.

Sunday morning came too quickly for some and it was back to the three of us in the kitchen preparing another cooked breakfast, feeding the 20 people who were at the camp, and it was time to start the scenarios again, these passed quickly and it was time to pack up, clean up and go home.

Having spoken with a few people who attended the camp on Monday and Tuesday it was apparent that they enjoyed the camp, but felt mentally and physically exhausted....... I was glad it was not just me getting old!

Oh well not long till the next one :)

Thursday, November 03, 2005

Life changing

Well I spoke to one of the nurses who looked after my patient with the head injury and it turns out that he will probably be left with permanent brain damage and speech problems and he is being transferred to a brain injuries unit for rehabilitation. It is such a shame that someone who goes out for a few drinks ends up having his life changed so dramatically.

A nice night for a spin

Well sitting in my Ambulance outside A&E after clearing from depositing our first patient of the evening (a female who had 3 seizures in a corner shop) I was on the phone to Kal and my colleague was using the facilities when our next call came in and it was to one of the two motorways in our area, albeit not the first one you would imagine we would be going to. So my colleague quickly hurries back to the vehicle and we start on our journey, now the heavens had decided it was a good time to release all the rain that was stored at once last night, therefore causing localised flooding on some of the roads and some patches of large puddles on the motorways. Now we are updated by the Dispatcher that we are backing up the Rapid Response Unit from the neighbouring area so as we turn onto the motorway we see the RRU just in front of us, accelerating away at a great speed into the rain and spray.

On our arrival at the scene (Lots of blue, red and orange flashing lights gives it away) we are met by a police officer who directs us to a car parked further up the hard shoulder, we pass the car involved in the incident, which is lying on its roof about 100ft up the embankment. We arrive at the second car and the three occupants of the car that has crashed start coming out, the female is covered in blood and resembling an extra from a horror movie. So there we are 3 ambulance personnel (RRU paramedic and my colleague and me) and 3 patients in the back of the ambulance, we pick a patient each and start to treat them, I get the mother, my colleague has the child initially and then helps the RRU paramedic with the father, who is complaining on neck pains. After cleaning up the mother and getting the father onto a spinal board and explaining to the son what is happening we start on our journey to Stirling A&E (As it's easier going there than turning back at the next junction and travelling further away to Edinburgh Royal which is the designated trauma centre for this type of incident). We provide a courtesy call to A&E to let them know that we are bringing in 3 patients so that they have rooms available for the patients. We eventually manage to hand over all three patients to the nursing staff and we start to clean our vehicle, which looks like someone has taken a bomb and set it off with the doors closed over to keep the mess inside!

Wednesday, November 02, 2005

2 mid-week males!!

Well I am on nights at the minute and I have had an interesting shift. The workload was nothing to complain about, but two of the calls were ones that have stuck in my mind....

The first call was to a male who had been assaulted in a pub, it turned out that he had been struck across the head with a bar stool by a "Friend". When we arrived we were met by the barman who said "I think he might need a couple of stitches!”

Walking into the bar we were confronted with a male aged in his 30's lying on the floor with a bar towel being pressed firmly to the top of his head by one of the other staff, upon examining the wound it was approx 3cms in length but semi circular, the patient was responding but not fully aware of what had happened (GCS13 for those in the know), my colleague quickly handed me a large dressing to control the bleeding and went to get the chair, whilst she was away I carried out a quick head to toe survey and found no other injuries, speaking to the patient I noticed that he was still dazed and confused, having gotten him into the ambulance I was able to assess him further and found that he was showing a weakness to his right arm and leg. When we arrived at hospital, I handed him over to the staff and explained my findings and gave a provisional diagnosis...Male head injury? Bleed or injury to brain... 2 hours later he was transferred to a Neurological unit for surgery as his CT scan had shown that he had a fractured skull with small air pockets forming around his brain, I was tempted to go back to the bar and let the barman know that he needed more than stitches!

The second call was for a male, once again who was in his 30's and was feeling suicidal, when we arrived he was sitting in a bus shelter swallowing tablets by the handful, when speaking to him he said that he wanted to die, but couldn't manage to get to an area quite enough to hang himself. He was conscious and orientated, but just wanted to be left alone to die. Both my colleague and the two police officers who had turned up with us to find him were explaining that we were not going to just leave him in the street to die and that he was either going to hospital with us in out nice warm clean ambulance or he could travel in a police van, but one way or another he WAS going! Whilst all this was happening I was outside picking up the various packets of tablets and making a mental note of the quantities so that when I called ahead to the hospital they could run the tablets through the toxicology database and see what treatment he would need.

Wednesday, October 26, 2005

Which one are you?


Rafael. You're most like the ArchAngel of Healing.
You want people to shape up, and you nag. But
you mean well, and you're well loved despite
it. Or because of it. You bring the donuts
even as you tell people to eat more veggies.


Which ArchAngel are you most like?
brought to you by Quizilla

Friday, October 21, 2005

Classic comment

Having spent the last two evening with Kal I have been forced to blog about one of his comments.... (Yes he will get me back no doubt!)

We were sitting on Wednesday evening and I was feeling very much under the weather, but battling the onset of the cold with Hot Lemonade, Fresh Orange Juice and paracetamol to help control my temperature. Now the conversation was not the best, mainly grunts from me in response to Kal (He will say that is normal!) and the conversation got onto that fact that I had called him and he did not answer, to this he said "That is strange I didn't get a voice mail" to which I stated "That is because you don't have voice mail on your phone!" Kal then said "yeah it has been ever since I got this new phone, my voice mail seems to have stopped working" now for those of you who know Kal, you will know he is an intelligent, IT literate techno-guru which caused me to laugh out when he said that and between giggling I and said to him "No dear it is not your phone that is causing the problem, it is because you turned it off when you went to Belgium!" I just wish I had my camera with me to capture the expression on his face when he figured out what he had said and also remembered that yes he had de-activated his voice mail whilst away and had forgotten to re-activate it upon his return!

Oh how good it feels to be smarter than Kal for once!!

Wednesday, October 19, 2005

Getting close!

Well I can honestly say that it feels like I am going back to school, I am sitting here listening to the washing machine doing my uniforms, making sure that they are all nice and freshly laundered and ready for pressing for me starting back work next week, my boots will get polished and my work bag will be re-packed, it feels like the only thing I am missing is the apple for my teacher!

Monday, October 17, 2005

Annual Leave

Well I have been on Annual leave for the last two weeks and have another week to go before I start back in my "Greens". This does not mean that I have not been in them whilst off though (NO No no I am not that kinky! and neither is Kal that good at begging!) I have been doing the odd overtime shift with SORT (Special Operations Response Team), these guys are great, they receive a lot of bad press internally within the Service as they are seen to sit and drink tea and eat digestives all day, but they don't (Well not all the time). I have done the odd shift with them before, mostly as an "On-call" team member, so I jumped at the chance to work a couple of shifts with them.

I can now honestly say that driving a 7 1/2 tonne truck with blue lights and sirens through sleepy East Lothian villages is one of the best things in the world... well I know there is probably better but it was GREAT!!!

Whilst working on the team I had the chance to get back into a chemical suit, set up the MDU (Mobile Decontamination Unit) and a CCS (Casualty Clearing Station) on the Monday, I was also poked and prodded by some visitors from Denmark who were over to see the set up and equipment which the SOR Team have available to them. I was also given my refresher on the oxygen system, vehicle tail lift, scene set up etc.

On the next couple of shifts I didn't really do anything other than refresher training on equipment, systems etc. I was lucky enough to get down to see the USAR (Urban Search And Rescue) training at the Fire College, we had just gotten kitted up in the extra protective equipment from the Fire Service and were ready to go into the "Building site" and our pagers went off to indicate we had a job, so quick change and into the vehicles and off we went with lights and sirens going...to much interest of the locals within the villages of East Lothian seeing big white trucks with SPECIAL OPERATIONS sign written along the side (some people think its the bomb squad!) only to be stood down when we got onto the A1. I got back onto the station and some of the team were due to finish, and new staff were coming on (staff work 8 and 12 hrs shifts), so with my new partner we took a different vehicle (smaller version of the truck) and went of to fuel it and collect some paperwork. Whilst in the EMDC (Control Room) a call came in for a chemical incident and away we were again! Only to be stood down two hundred yards from the incident site, oh well back to base again!

Saturday, October 08, 2005

What's your name? I'm snooty bubble chunks!

We all need a little stress-reliever!
This only takes a minute.
Sometimes when you have a stressful day or week, you need some silliness to break up the day. And, if we are honest, we have a lot more stressful days than not.
Here is your dose of humour...

Follow the instructions to find your new name.

And don't go all adult - a senior manager is now known far and wide as Dorky Gizzardsniffer.

The following is excerpted from a children's book, Captain Underpants and the Perilous Plot Professor Poopypants, by Dave Pilkey, in which the evil Professor forces everyone to assume new names...

1. Use the third letter of your first name to determine
your new first name:

a = snickle
b = doombah
c = goober
d = cheesey
e = crusty
f = greasy
g = dumbo
h = farcus
i = dorky
j = doofus
k = funky
l = boobie
m = sleezy
n = sloopy
o = fluffy
p = stinky
q = slimy
r = dorfus
s = snooty
t = tootsie
u = dipsy
v = sneezy
w = liver
x = skippy
y = dinky
z = zippy

2. Use the second letter of your last name to determine
the first half of your new last name:
a = dippin
b = feather
c = batty
d = burger
e = chicken
f = barffy
g = lizard
h = waffle
i = farkle
j = monkey
k = flippin
l = fricken
m = bubble
n = rhino
o = potty
p = hamster
q = buckle
r = gizzard
s = lickin
t = snickle
u = chuckle
v = pickle
w = hubble
x = dingle
y = gorilla
z = girdle

3. Use the third letter of your last name to determine
the second half of your new last name:

a = butt
b = boob
c = face
d = nose
e = hump
f = breath
g = pants
h = shorts
i = lips
j = honker
k = head
l = tush
m = chunks
n = dunkin
o = brains
p = biscuits
q = toes
r = doodle
s = fanny
t = sniffer
u = sprinkles
v = frack
w = squirt
x = humperdinck
y = hiney
z = juice

Thus, for example, George W. Bush's new name is: Fluffy
Chucklefanny.

Thursday, October 06, 2005

Personal Space

This blog comes about after a discussion with Kal one evening, we were talking about driving and how that he found it easy to get used to the space needed to park and manoeuvre his truck (when he was out driver training). I said that it was because he was a man..........I got the feeling that I might be walking into a mine field considering I have several female friends and colleagues who drive and park their Ambulances better than some of their male associates. I felt that I needed to take this discussion further as to allay any possible fears that I was being chauvinistic.

I feel that men, in general, have more awareness of personal space and dimensions because of the fact that when you grow up as a boy, you are more likely to have to build and improvise toys (i.e. the Cardboard box turned into a tank/ship/fire truck) by either sitting in it and pretending you are somewhere else or running rope through some holes and using then to support the weight of the box so you can run around with it..... therefore learning that you can fit into a space or that if you turn quickly you may knock over something and feel the wrath of your mother because you have made a mess in the living room etc

Women on the other hand are used to playing predominantly in a rigid structure (Wendy house, etc) and are therefore more used to space being set for them and not having to manoeuvre something in confined spaces...........

Well dear readers, what do you think to my theory?

Sorry

I can only apologise to all my erm....fans, blog readers. I know I have not been bloging for a while but I have been busy with work and helping my boyfriend Kal get ready for his recruitment days, not that he really needed much help but a bit of guidance is always useful.

I will resume normal service in the near future!

Wednesday, August 24, 2005

Times 3

Isn't it strange that you can do days without using a piece of equipment and then suddenly you get a run of calls that need the same item each time, last night was like that, the first three calls of the evening were all lower limb trauma, all requiring pain relief (Entonox only)and stabilisation using a box splint. Now this may not seem too strange, but it meant that I spent most of the time at hospital trying to find replacements for the box splints (which at times proved interesting). Oh well only got two more shifts to go, wonder what it will be tonight?

Sunday, August 21, 2005

Survival

Well there we go I managed to survive working with G, we were kept busy but nothing too challenging. The night was fueled with Alcohol and was propelled along with feelings from the old firm game that had taken place earlier in the day. We had our usual run of the mill assaults, interspersed with patients fitting in the street and patients who were basically PAFO (Pissed And Fallen Over). I think both G and myself are not the bad luck when it comes to eventful calls, but our colleagues who we sometimes work with during our 16 week shift pattern. I have also managed to survive being on call for the SOR Team (Special Operations Response) and have been paid on call money for basically sitting watching TV and drinking lots of tea, coffee and red cola!

Oh well I am on 4 nights this week so will keep you all updated with anything of interest, think I might arrange for an observer or two to come out with me!

Saturday, August 20, 2005

He's gone and left me

Well for those of you who actually read this I have to let you know that Kal (my BF)has left me........... yes it finally happened on Thursday morning, but don't be too upset for me as he is only on holiday. I promised him that I would blog more to keep him up to date with what is happening whilst he is off eating chocolate and swigging buckets full of beer (and that is before breakfast I think!) Well unfortunately I have not done much to blog, therefore I can only appologise to him and you my readers as well. I will try and keep you informed if there is anything of interest over the next 48hrs (I am working tonight then on call for the Special Operations Response Team) so hopefully there will be something exciting!

Working with G

Well here we go, I am working with a colleague tonight who on the last two occassions I have worked with her we have been involved in some traumatic job or another, it always goes the same, I attend for the first period of the shift and she drives, we get the usual run of the mill calls, then when we swap over and she sits in the attendant seat all hell breaks loose. The last time we worked together we ended up with a car that had rolled whilst slowing from the reported 100mph (Police Traffic Sergent estimation) to 40mph to pass the speed camera and both occupants of the car were treated for potential spinal injuries and luckily walked out of hospital a few hours later.

Now tonight is the same shift that we worked (1800 - 0200hrs) and it is a full moon, so we will see what happens to us tonight.

Think I will drive first tonight!

Wednesday, August 10, 2005

The curse of the observer

Well I have been working the last two days at a different station and have had an observer out with us for both days (same person). Now any of you who know about observing will be bored with this bit, but for those of you who don't sit back and relax. Observing is when a third person rides along on the vehicle to gain either clinical experience or exposure in relation to pre hospital care. The observer we had with us had been out before on the RRU (Rapid Response Unit - single crewed Paramedic vehicle) but had limited experience on an AEU (Double crewed Accident and Emergency Unit Ambulance). Now observing shifts are one of two things, you are either sitting on stand by all day waiting on the phone/ radio to go or you are non stop with quality calls.

Well on the first day (I was attending = looking after the patients), we started our shift at 1500hrs and were due to finish at 0100hrs. We were dispatched to an urgent call (This means a Doctor has assessed the patient at home and allocated a timed response to get into hospital). En route to this call we were diverted to a Red call (Emergency response which has 8 minutes for us to get there), we arrived within 4 minutes of the call and treated the patient and transported him to hospital, and this is how it went for most of the evening, being sent to one call and getting diverted for a more serious call whilst en route. One of the more interesting calls was a call roll over in a busy city street, the car had struck two pedestrian's before ending up on its roof. When we turned up as the 3rd crew we were greeted with fire engines, police cars and two ambulances, our observer was amaizing (now she is a first aider so is used to dealing with patients, but not like these ones) my colleague and I would bark out our requests and she would go off and get what we needed. We eventually managed to get our first meal break at 2230hrs (supposed to have been at 1830hrs) We get our final call to the other end of the city at 2345 for a patient with difficulty in breathing, and are told that the RRU is also attending, when we arrive the RRU is as we were told in attendance and had stabilised the patient and we continued his treatment and transported him to the hospital.

The second shift started with much the same, check the vehicle, try and grab a coffee......no thought of kettle on = phone ringing, and off we go again lights and sirens going for a patient fitting on a bus, now I am driving today so the observer is sitting up front with me as my partner quite happily sits in the back so that the observer can get a full rounded experience of going to calls and seeing the traffic issues faced by responding crews. Once again our observer slotted in well and was back and forward fetching equipment and setting things up etc, we passed a standby (Requested a resus team be waiting in the Emergency Department) to the hospital and set of with the patient and mother in the vehicle, lights and sirens going again. The rest of the shift was uneventful, but fairly steady and we managed to get finished again on time......very unusual for a 1am finish.

So all I can say is that the curse of the observer may not always be the case!

Friday, August 05, 2005

A nice evening for a walk

Picture the scene it is a a lovely summer night, the weather is mild and the moon is out. I had bought some red bull and chocolate to have when I get back and suddenly "Doodle-oot" the radio springs into life and my partner and I are responding to a 999 call for a "21YOM with Chest Pains" now this sounds like a normalish type of call considering that it is 0130hrs and the pubs are clubs are closing, so we weave our way through the night traffic with lights flashing and arrive on scene within 5 minutes. Upon our arrival the radio starts ringing and my colleague answers it to be told the Dispatcher that the patient is actually walking along a path about 5 minutes away from the original location and is in the woods!!!! Yeah so now picture the scene, One high powered torch, Two Ambulance Technician's and a wooded area that is used for skateboarding etc. Now this place has lots and lots of tracks leading into the deeper undergrowth which my colleague and I searched, we decided that it would be easier to split up, so with maglite in hand off I went. I eventually found a pile of clothing folded in some bushes and relayed this to my colleague, now we were told by the Dispatcher that the patient had gone quiet on the phone, so we were now more concerned. We were eventually joined by two of L&B's finest who helped us search and eventually find the patient (who was actually fully clothed). I went back to the Ambulance to bring it closer to the patient, who by this stage was exhausted as he had been walking around and around the various paths and roads trying to get from the club to his home. Now we had the patient safely in the vehicle, he was anxious, hyperventilating and still c/o chest pains. We transported him to A&E and he was monitored en route by my colleague, upon our arrival we handed him over to the nursing staff and we thought that would be it, no that was not the case however. Now this 21YOM needed to pee, and he was quite vocal in this, but unfortunately the staff were concerned that he would collapse if he stood up and there were no male staff in the department..........Yes you guessed it, I was asked by one of the nurses if I could stay with him as he used a bottle, now I have changed from SMM Ambulance Technician to SMM Clinical Support Worker. So there we are just the two of us standing me trying to calm him down (still hyperventilating and worried about his chest pain) and my patient talking about how he doesn't think anyone is listening to him and how he really needs to go.......... After about 5 minutes he is more calm, but still not able to pee, a hand pops through the screens and flicks the tap on...... Still not able to pee he gives up and sits back on the bed, thanking me for my help as he plonks down. I walk out the cubicle smile at the nurse and she tells me the coffee and chocolate is on her next time. Oh well back to my red bull, which I am now drinking some 12 hours late!