I know that I have not been on in ages, well it feels like that anyway, but I have been quite busy with my life....
I have just finished my second week of shifts after coming back from the Ambulance college and on my first set of nights I had two patients who arrested on me (One was a GP Urgent call) and two patients who have met the Pre-Hospital Thrombolysis checklist for their on-going MI (Heart Attack). Now since I have not completed my hospital placements or received my state registration I cannot practice as a paramedic yet, this leaves you in a strange "Limbo" you have all the knowledge but are not allowed to use your skills until all the boxes are ticked. I have been lucky however as I have managed to work with fully qualified paramedic's and this has been interesting as I am now able to use my skills "Remotely" through them :)
I have just got to wait my turn now to do my placement and then I can apply for my state registration and be let loose on the public of Scotland.....
Oh poor them ;)
Saturday, June 03, 2006
Saturday, May 13, 2006
Well after all the hard work and study....
I have as you know been away for the last 6 week (1080hrs classroom time) studying towards gaining my Paramedic qualification.
It has been an interesting time and there has been many highs and lows along the way, may late nights of studying and early mornings of not knowing anything from the night before.
Well it has finally come to a close, after 5 weeks of preperation and study, practice and sweating late into the night over the books I sat my final Module I (Paediatrics & Obstetric) assessments, which also included some stuff from Module G (Cardiology & Airway) and stuff from module H (Trauma).
Monday of week 6 starts with some mock assessments, written and multi choice and then a practical skill station, the Tuesday is much the same, early finish to facilitate for some last minute panic study and then comes Wednesday.....
0845hrs - "You have 30 minutes to complete your Paediatric multi choice paper...good luck"
0920hrs - "You now have 30 minutes to complete your Obstetric multi choice paper....once again good luck!"
1030hrs - You now have 2hrs to complete your written papers covering Paeds, Obs, Trauma and a General question, please ensure you answer all the questions or you will automatically fail!...Good luck"
1330hrs, after lunch it's back to the practical mocks to ensure you are up to speed on skills for the final assessment on Thursday.
Thursday morning seeing us all in the restaurant of the college for breakfast you would think we were all "Dead men walking" we sit quietly, not saying much, staring down at our food, not hungry but knowing that we should all eat something.
0900hrs and so it begins, I am first for my Paediatric skill station, which comprises of two cases my first is a lethargic, floppy 6 mth old who is "Unwell" not feeding and turns out to be a meningicoccal septicaemia baby who needs airway management, supported ventilations, IV access and Benzylpenicillin before the crew arrive to back me up.... oh yeah I forgot to say I was meant to be single crewed!
My second patient was a 5 yr old in Cardiac Arrest, who as per protocol required airway management, breathing and circulatory support along with IV access, blood glucose checks, capiliary refill and fluids and rapid transport to hospital, however I was still single crewed and had to wait on the responding ambulance..... oh the joys of assessments!
I was last to go in for my Obstetric assessment and this was once again, two patient skill stations, the first was a 35yr old who was in labour with her 5th child and had a history of difficult and fast labours!!! The baby in this was a breech birth, the baby then required to be resuscitated and my second scenario was a 17 yrs old with a cord prolapse. Both the skill station's went well, but no one felt totally confident in their and I was definately one who felt least confident.
Friday Morning was the day which we found out which one had passed, but since we had a small group the course director decided to tell us all on the Thursday afternoon our fate!!!
We well all summonded into the class after coffee break and one by one our names were read out..... Scotsmedicman PASS...... What?!?!?!? I passed I ACTUALLY PASSED YEAH!!!!!!!!!!
So there we go, I am now licensed to kill... erm save in some many more ways!!! 007 watch out!
It has been an interesting time and there has been many highs and lows along the way, may late nights of studying and early mornings of not knowing anything from the night before.
Well it has finally come to a close, after 5 weeks of preperation and study, practice and sweating late into the night over the books I sat my final Module I (Paediatrics & Obstetric) assessments, which also included some stuff from Module G (Cardiology & Airway) and stuff from module H (Trauma).
Monday of week 6 starts with some mock assessments, written and multi choice and then a practical skill station, the Tuesday is much the same, early finish to facilitate for some last minute panic study and then comes Wednesday.....
0845hrs - "You have 30 minutes to complete your Paediatric multi choice paper...good luck"
0920hrs - "You now have 30 minutes to complete your Obstetric multi choice paper....once again good luck!"
1030hrs - You now have 2hrs to complete your written papers covering Paeds, Obs, Trauma and a General question, please ensure you answer all the questions or you will automatically fail!...Good luck"
1330hrs, after lunch it's back to the practical mocks to ensure you are up to speed on skills for the final assessment on Thursday.
Thursday morning seeing us all in the restaurant of the college for breakfast you would think we were all "Dead men walking" we sit quietly, not saying much, staring down at our food, not hungry but knowing that we should all eat something.
0900hrs and so it begins, I am first for my Paediatric skill station, which comprises of two cases my first is a lethargic, floppy 6 mth old who is "Unwell" not feeding and turns out to be a meningicoccal septicaemia baby who needs airway management, supported ventilations, IV access and Benzylpenicillin before the crew arrive to back me up.... oh yeah I forgot to say I was meant to be single crewed!
My second patient was a 5 yr old in Cardiac Arrest, who as per protocol required airway management, breathing and circulatory support along with IV access, blood glucose checks, capiliary refill and fluids and rapid transport to hospital, however I was still single crewed and had to wait on the responding ambulance..... oh the joys of assessments!
I was last to go in for my Obstetric assessment and this was once again, two patient skill stations, the first was a 35yr old who was in labour with her 5th child and had a history of difficult and fast labours!!! The baby in this was a breech birth, the baby then required to be resuscitated and my second scenario was a 17 yrs old with a cord prolapse. Both the skill station's went well, but no one felt totally confident in their and I was definately one who felt least confident.
Friday Morning was the day which we found out which one had passed, but since we had a small group the course director decided to tell us all on the Thursday afternoon our fate!!!
We well all summonded into the class after coffee break and one by one our names were read out..... Scotsmedicman PASS...... What?!?!?!? I passed I ACTUALLY PASSED YEAH!!!!!!!!!!
So there we go, I am now licensed to kill... erm save in some many more ways!!! 007 watch out!
Saturday, April 22, 2006
Module G - Cardiology & Airway Managment
Well it has been a while since I have communicated with you all, I can only apologise for this, but I have been studying and working hard. I have now completed my 3rd week and had my end of module exams....
The 3rd week of module G is a blur of activity, you start on the Monday with "Mock" exams to get you in the right mind frame for the written exams, this goes on until the Tuesday afternoon when you have now completed your written and multi choice "Mock" papers you are then put through practical assessments that are made to be difficult, awkward and stressful so that you are thinking in the right way to face your final practicals. Wednesday arrives before you know it and suddenly you are faced with 3 hours of written exams, this includes an hour to complete the multi choice aspect of the exam. Wednesday afternoon you feel totally deflated, washed out and thinking that you know nothing. You have to stop dwelling about your exams and now focus on the forthcoming practicals on the Thursday.
I had a break from the stress of the college on Wednesday evening when I was "kidnapped" and taken to Peebles to have a night out of the college and a meal with Kal and a colleage Ms A(who has recently completed her paramedic course and understands the stress). The meal is lovely, we sit and chat, go for a walk along the river and meet another colleage who is out walking his dog, we chat and then head back to the college for coffee. On arriving at the college, we grab a coffee and sit with the wife of one of my training officers (she has popped into the college to wish me good luck, as she is a friend and ex college of mine) we all chat and then Kal and Ms A bid me good luck and head home. I so want to be going with them, but unfortunately I have to stay and do my practical assessments......
THURSDAY ARRIVES!!!!!!!
We are all in the restaurant for breakfast, non of us eat much as our stomach's are churning, we walk strangely quietly in a single line to the classroom (if you were an outsider looking in you would think that we were going to the execution chamber), we arrive and are greeted by our instructor (0845hrs) and are briefed on the running order of the day, we are given our places for the assessments (I am the duty student and have responsibility to ensure that all the equipment is set out properly, this had been done at 0825hrs and checked by our instructor) and then he leaves. We all walk again in single file to the waiting area (which is the coffee lounge) and sit.... I am first and at 0905hrs I walk with an Officer to the Syndicate A room for my Airway assessment, I meet the Consultant Anaethnetist and start my 20 minutes of hell... I talk, I use the equipment with ease, I rectify problems thrown at me, I even begin to show off.... I think to myself "I'm good, I know this and I'm going to prove to you that I should pass!!!!" I finish the 20 minutes and I thank the assessment team and head out of the room back to the coffee lounge.
I arrive downstairs and enter my time on the sheet (We are required to sign in and out of the assessments to ensure that we are all given the same timescale and no one is grilled for any length of time), I tell my colleages that I am going for a walk around the building and with this I am off, walking the wooden area, the driveway the road around the college and then back into the college. I arrive back and there is conversations starting about the cardiology station, which I am last to go into, so I avoid this as I do not want to know about the 3rd degree heart block and Asystolic arrest scenario that the other student received as their assessment.
SCOTSMEDICMAN!
I am summoned to the cardiology station for my final assessment, now I have been waiting for nearly 2 1/2hrs and my stomach is doing the twist, I have been to the toilet 12 times for nervous peeing (maybe all the coffee didn't help either)....
I walk in, there is a dummy lying on the floor for my resuscitation assessment, and the Officer who escorted me in introduces me to the Cardiology Nurse who is doing my assessment. We chat and then she explains my scene, I go into auto pilot, once again showing that I know my stuff, I then deal with the second scenario which is a male with central chest pain and managed this, talking constantly, stating the correct dosage of drugs and explaining how this is calculated etc. I leave the assessment and feel confident, but know that I could have done better, I stumbled over my words when it came to rhythm recognition and didn't come across as confident as I would have liked to have been.... oh well that's it over with.
We all go for lunch, still not really eating much, start to chat and end up doing post mortum's on the scenarios we were all given. We go back to class and sit and wait, and wait, and wait. Eventually we are allowed to go to our rooms or leave the building and are told that we will get our results on friday morning.
Thursday night we are all at the bar in the college, some drinking more than others, still lots of talk about the assessments.
Friday has arrived, we are all sitting in the classroom and one by one are taken away for our results and feedback, no one is confident, no one is sure, but the smiles are laughter of relief start as one by one people start coming back in.... then it is my turn I am second last, as I stand up to go through, my colleague who is after me is up and out of the room, he takes my place HE JUMPED THE QUEUE!!! BUGGER!!! oh well so I sit and wait again, he returns, quiet, head down, we all think he is joking, but unfortunately he has failed.... It hits us hard, SOMEONE IN THE GROUP FAILED! It is my turn now, I walk the 5 feet from our class to the office opposite and it feels like an age to arrive. I knock, wait and then hear "Enter" I go in, The Officer who is giving the feedback is sitting head down, I think "Oh my god I'm next" He looks up from his mountain of paper and stands up pushes out his hand and breaks into a smile and congratulates me, now my brain is going slow and it takes a moment to understand, he said "Congratulations" OH YEAH I HAVE PASSED!!!! He explains my results, which are much higher than I expect and he goes on to tell me that I have been given a commendation for my airway as the consultant was so impressed with my knowledge and skills.
I return to the class, break the news and we all relax, we feel sorry for our colleague who is now leaving us, but are happy that we have passed. I start sending messages to everyone telling them the news and my phone is just about able to cope with the volume of texts I receive with various messages of congratulation.
Ah home time, I drive up the road from the college and think well only 3 more weeks to go and that means 2 more assessments!!
Keep your fingers crossed for me!
The 3rd week of module G is a blur of activity, you start on the Monday with "Mock" exams to get you in the right mind frame for the written exams, this goes on until the Tuesday afternoon when you have now completed your written and multi choice "Mock" papers you are then put through practical assessments that are made to be difficult, awkward and stressful so that you are thinking in the right way to face your final practicals. Wednesday arrives before you know it and suddenly you are faced with 3 hours of written exams, this includes an hour to complete the multi choice aspect of the exam. Wednesday afternoon you feel totally deflated, washed out and thinking that you know nothing. You have to stop dwelling about your exams and now focus on the forthcoming practicals on the Thursday.
I had a break from the stress of the college on Wednesday evening when I was "kidnapped" and taken to Peebles to have a night out of the college and a meal with Kal and a colleage Ms A(who has recently completed her paramedic course and understands the stress). The meal is lovely, we sit and chat, go for a walk along the river and meet another colleage who is out walking his dog, we chat and then head back to the college for coffee. On arriving at the college, we grab a coffee and sit with the wife of one of my training officers (she has popped into the college to wish me good luck, as she is a friend and ex college of mine) we all chat and then Kal and Ms A bid me good luck and head home. I so want to be going with them, but unfortunately I have to stay and do my practical assessments......
THURSDAY ARRIVES!!!!!!!
We are all in the restaurant for breakfast, non of us eat much as our stomach's are churning, we walk strangely quietly in a single line to the classroom (if you were an outsider looking in you would think that we were going to the execution chamber), we arrive and are greeted by our instructor (0845hrs) and are briefed on the running order of the day, we are given our places for the assessments (I am the duty student and have responsibility to ensure that all the equipment is set out properly, this had been done at 0825hrs and checked by our instructor) and then he leaves. We all walk again in single file to the waiting area (which is the coffee lounge) and sit.... I am first and at 0905hrs I walk with an Officer to the Syndicate A room for my Airway assessment, I meet the Consultant Anaethnetist and start my 20 minutes of hell... I talk, I use the equipment with ease, I rectify problems thrown at me, I even begin to show off.... I think to myself "I'm good, I know this and I'm going to prove to you that I should pass!!!!" I finish the 20 minutes and I thank the assessment team and head out of the room back to the coffee lounge.
I arrive downstairs and enter my time on the sheet (We are required to sign in and out of the assessments to ensure that we are all given the same timescale and no one is grilled for any length of time), I tell my colleages that I am going for a walk around the building and with this I am off, walking the wooden area, the driveway the road around the college and then back into the college. I arrive back and there is conversations starting about the cardiology station, which I am last to go into, so I avoid this as I do not want to know about the 3rd degree heart block and Asystolic arrest scenario that the other student received as their assessment.
SCOTSMEDICMAN!
I am summoned to the cardiology station for my final assessment, now I have been waiting for nearly 2 1/2hrs and my stomach is doing the twist, I have been to the toilet 12 times for nervous peeing (maybe all the coffee didn't help either)....
I walk in, there is a dummy lying on the floor for my resuscitation assessment, and the Officer who escorted me in introduces me to the Cardiology Nurse who is doing my assessment. We chat and then she explains my scene, I go into auto pilot, once again showing that I know my stuff, I then deal with the second scenario which is a male with central chest pain and managed this, talking constantly, stating the correct dosage of drugs and explaining how this is calculated etc. I leave the assessment and feel confident, but know that I could have done better, I stumbled over my words when it came to rhythm recognition and didn't come across as confident as I would have liked to have been.... oh well that's it over with.
We all go for lunch, still not really eating much, start to chat and end up doing post mortum's on the scenarios we were all given. We go back to class and sit and wait, and wait, and wait. Eventually we are allowed to go to our rooms or leave the building and are told that we will get our results on friday morning.
Thursday night we are all at the bar in the college, some drinking more than others, still lots of talk about the assessments.
Friday has arrived, we are all sitting in the classroom and one by one are taken away for our results and feedback, no one is confident, no one is sure, but the smiles are laughter of relief start as one by one people start coming back in.... then it is my turn I am second last, as I stand up to go through, my colleague who is after me is up and out of the room, he takes my place HE JUMPED THE QUEUE!!! BUGGER!!! oh well so I sit and wait again, he returns, quiet, head down, we all think he is joking, but unfortunately he has failed.... It hits us hard, SOMEONE IN THE GROUP FAILED! It is my turn now, I walk the 5 feet from our class to the office opposite and it feels like an age to arrive. I knock, wait and then hear "Enter" I go in, The Officer who is giving the feedback is sitting head down, I think "Oh my god I'm next" He looks up from his mountain of paper and stands up pushes out his hand and breaks into a smile and congratulates me, now my brain is going slow and it takes a moment to understand, he said "Congratulations" OH YEAH I HAVE PASSED!!!! He explains my results, which are much higher than I expect and he goes on to tell me that I have been given a commendation for my airway as the consultant was so impressed with my knowledge and skills.
I return to the class, break the news and we all relax, we feel sorry for our colleague who is now leaving us, but are happy that we have passed. I start sending messages to everyone telling them the news and my phone is just about able to cope with the volume of texts I receive with various messages of congratulation.
Ah home time, I drive up the road from the college and think well only 3 more weeks to go and that means 2 more assessments!!
Keep your fingers crossed for me!
Friday, April 07, 2006
1 week down
Well as it says, I have just completed my first week at the SAC (Scottish Ambulance College) on my IHCD paramedic course, The first week as you can imagine begins with some introduction to the course ahead, so on Monday morning we are completing the necessary paperwork that tells you that should you leave the Service they can claim the £6,000 costs associated with your residential aspect of your training!!!!
I waken up on Monday, full of good intentions with regards to going to the gym, but I then try and get out of the lovely bed in my room to go to my en-suite bathroom and notice that I have problems breathing, I feel sore and generally ache all over, I look in the mirror and see that I have developed cold sores and my nose is now streaming like a flowing tap, Joy I have a cold before I even start my course, oh well only paperwork I think..... Boy was I wrong.
It is now mid morning and we are starting to look at intubation (passing a tube down a patient's windpipe to secure it and assist in their breathing), after lunch we learn needle cricothyrotomy (putting the biggest needle you can find into someone's neck to help them breath) and finally chest decompression (Once again putting the biggest needle into someone's chest to help re-inflate their collapsed lung) and this is only the first day........
For the rest of the week we go over various different aspects of the above skills, sit multi choice exams and short written papers and start to look at the drugs involved in dealing with a patient who is in cardiac arrest (or Advance Cardiac Life Support - ACLS for short). Finally today we get our test results and I am "Coming along nicely" and I'm to "keep up the good work with the practical scenarios" I feel a bit more happy tonight, knowing that I am on the right tracks and hopefully will still be there in another 5 weeks!
Ah well I am off to relax and remember the lovely italian meal that I have just had with Kal, Oh it is nice to be home for the weekend and to see him, oh and to be taken out for a lovely meal by him :D
I waken up on Monday, full of good intentions with regards to going to the gym, but I then try and get out of the lovely bed in my room to go to my en-suite bathroom and notice that I have problems breathing, I feel sore and generally ache all over, I look in the mirror and see that I have developed cold sores and my nose is now streaming like a flowing tap, Joy I have a cold before I even start my course, oh well only paperwork I think..... Boy was I wrong.
It is now mid morning and we are starting to look at intubation (passing a tube down a patient's windpipe to secure it and assist in their breathing), after lunch we learn needle cricothyrotomy (putting the biggest needle you can find into someone's neck to help them breath) and finally chest decompression (Once again putting the biggest needle into someone's chest to help re-inflate their collapsed lung) and this is only the first day........
For the rest of the week we go over various different aspects of the above skills, sit multi choice exams and short written papers and start to look at the drugs involved in dealing with a patient who is in cardiac arrest (or Advance Cardiac Life Support - ACLS for short). Finally today we get our test results and I am "Coming along nicely" and I'm to "keep up the good work with the practical scenarios" I feel a bit more happy tonight, knowing that I am on the right tracks and hopefully will still be there in another 5 weeks!
Ah well I am off to relax and remember the lovely italian meal that I have just had with Kal, Oh it is nice to be home for the weekend and to see him, oh and to be taken out for a lovely meal by him :D
Wednesday, March 22, 2006
I am still alive
Just a quick message to say that yes I am still alive and well, just studying for my forth-coming paramedic course....2nd of April, I never knew that adrenaline was brown!
Oh well back to the books
Oh well back to the books
Wednesday, February 22, 2006
Monday, February 20, 2006
Paramedic Interview
Well today was the big day, 1110hrs in Galashiels, I arrived and waited patiently until I was called in, there on the panel was a Station Officer (Area Service Manager for A&E) from Edinburgh, the Training Manager for my Division and a Anaesthetic Consultant sitting behind the desk, I swallowed hard, took a deep breath and tried to relax as I sat down. The interview lasted 20 minutes (only scheduled for 10) lots of questions from them all and then it was my turn to ask them some questions.... I asked about the academic aspect of the paramedic course and will the service be going towards external recognition from universities for the training, I wanted to know what the service stance was in regards to staff looking to enhance their knowledge in relation to their continued personal / professional development and what support did the service offer to these staff.
The Training Manager told me that they would be calling all the candidates later today...
Well 1500hrs and "Ring Ring" Hi SMM it's Training Manager (aka GOD), I just want to say congratulations and I would like to offer you a place on the 2nd of April 2006 course!!!!! Is that ok? "Gulp" Eh yeah I think that should be ok.... (SILENTLY SCREAMING YEAH YEAH OH YES inside).
Oh well better dust down the books again!!!
The Training Manager told me that they would be calling all the candidates later today...
Well 1500hrs and "Ring Ring" Hi SMM it's Training Manager (aka GOD), I just want to say congratulations and I would like to offer you a place on the 2nd of April 2006 course!!!!! Is that ok? "Gulp" Eh yeah I think that should be ok.... (SILENTLY SCREAMING YEAH YEAH OH YES inside).
Oh well better dust down the books again!!!
Agenda for Change (New pay scheme in NHS)
Well I am sure that some of you will have received your A4C letters outlining your new salary.... for those of your who are not up to speed with the whole A4C fiasco it has taken nearly 3 years for the Service and unions to agree the terms and conditions of this new deal, there has been rumours flying all ways in regards to the payments that staff will receive and how staff will be better off because they are now getting paid for working "Unsocial" hours (between 7pm and 7am Mon to Fri and all day Sat and Sunday), disturbed meal breaks and public holidays. Well the big day arrived on Saturday and the brown stuff well and truly hit the rotating thing at a great speed... basically as a qualified Technician within the SAS you can expect to earn £22,271.00 basic salary, with my weekend hours I get a further £495.56 that gives me a grand total of £22,855.65 now that sounds not bad so you would expect that the A4C payment would match or better this.... Well my new basic salary is £19,248.00 YES that is £3,023.00 less than what I currently earn, once I receive my "Unsocial" payments which because I am relief is calculated on a 3 monthly period unlike the permanent board members who receive 25% flat rate payment, I come out with 17% which equates to £3,272.16 giving me a new grand total of £22,520.16, now for those of you who can count that is £335.40 less per year than what I currently earn so I have that difference protected. This means that I am no better off and potentially I will lose out if my "unsocial" % changes in the next 3-month reference period!!!!
We have also been offered a £250 per year payment for having our meals disturbed along with £5 per shift regardless of how many times we are disturbed, this means that technically you could work 12 hours and have 5 or 6 disturbed attempts at a break or no break at all and only receive £5!!! One of my colleagues worked it out that they would get 80 pence per shift if they continue to have their meal disturbed at the current level!! (Can't find anywhere that sells replacement meals for 80p)
As you can gather there is a lot of unhappy staff within the service at the moment and it seems that the unions have taken 3 years to negotiate a pay cut for Technicians!!!!
Thanks guys
We have also been offered a £250 per year payment for having our meals disturbed along with £5 per shift regardless of how many times we are disturbed, this means that technically you could work 12 hours and have 5 or 6 disturbed attempts at a break or no break at all and only receive £5!!! One of my colleagues worked it out that they would get 80 pence per shift if they continue to have their meal disturbed at the current level!! (Can't find anywhere that sells replacement meals for 80p)
As you can gather there is a lot of unhappy staff within the service at the moment and it seems that the unions have taken 3 years to negotiate a pay cut for Technicians!!!!
Thanks guys
Tuesday, February 14, 2006
28C01
Well this is the code that means you are going to a patient who is "Not Alert" following a CVA (Stroke).
So we arrive and because of difficulty in parking, I walk to the house with my oxygen and response bag and my colleague follows eventually with the defibrillator, once he can safely park the Ambulance without drivers thinking that they have the right to totally ignore all rules of the road and common courtesy. As I walk towards the house the patient's son tells me "I think my Dad is now dead!" so in I go and true to his word the patient was lying slumped in his wheelchair not breathing and no pulse.
I get the patient on the floor and start my CPR protocol, securing this 78 yr old mans airway with a plastic curved tube called an oro-pharyngeal airway (OPA), breathing for him with a Bag and Mask connected to my oxygen and start jumping up and down on his chest. As I am doing this my colleague walks in and quickly connects the defib to the patient and we find that he is Asystolic (flat line) so my colleague (who is a paramedic) confirms that I have a good airway for the patient and begins to cannulate (place a small plastic sheath and needle into a vein) him, we give some cardiac drugs and continue with CPR, because of the tightness in the house, we decide not to intubate (pass a larger tube into the patient's airway) until we are in the vehicle. Following this decision my colleague gets the son to help him gather further equipment and returns, but whilst my colleague is away the patient decided to change his heart rhythm and I am able to deliver an electric shock to stun his heart (defibrillate) into a rhythm that is able to sustain life! With one shock his heart starts beating normally and he slowly starts breathing!!!
Once in the Ambulance we intubate him to secure his airway properly as he was still not breathing sufficiently on his own, we blue light him into hospital and are met by the full resuscitation team in AE and hand over his care to them.
Upon cleaning and clearing I pop back in to check on his condition and his heart is still beating, he is breathing with less assistance and he is being prepared to be moved for further investigations.... as I walk out the Consultant who was looking after him says "Well done" now I know that it doesn't sound much but when you have worked as hard as my colleague and I did it is nice to feel as if you have at least given the patient and his family a chance!
Will see how he is getting on tomorrow and keep you all updated.... if you want?
So we arrive and because of difficulty in parking, I walk to the house with my oxygen and response bag and my colleague follows eventually with the defibrillator, once he can safely park the Ambulance without drivers thinking that they have the right to totally ignore all rules of the road and common courtesy. As I walk towards the house the patient's son tells me "I think my Dad is now dead!" so in I go and true to his word the patient was lying slumped in his wheelchair not breathing and no pulse.
I get the patient on the floor and start my CPR protocol, securing this 78 yr old mans airway with a plastic curved tube called an oro-pharyngeal airway (OPA), breathing for him with a Bag and Mask connected to my oxygen and start jumping up and down on his chest. As I am doing this my colleague walks in and quickly connects the defib to the patient and we find that he is Asystolic (flat line) so my colleague (who is a paramedic) confirms that I have a good airway for the patient and begins to cannulate (place a small plastic sheath and needle into a vein) him, we give some cardiac drugs and continue with CPR, because of the tightness in the house, we decide not to intubate (pass a larger tube into the patient's airway) until we are in the vehicle. Following this decision my colleague gets the son to help him gather further equipment and returns, but whilst my colleague is away the patient decided to change his heart rhythm and I am able to deliver an electric shock to stun his heart (defibrillate) into a rhythm that is able to sustain life! With one shock his heart starts beating normally and he slowly starts breathing!!!
Once in the Ambulance we intubate him to secure his airway properly as he was still not breathing sufficiently on his own, we blue light him into hospital and are met by the full resuscitation team in AE and hand over his care to them.
Upon cleaning and clearing I pop back in to check on his condition and his heart is still beating, he is breathing with less assistance and he is being prepared to be moved for further investigations.... as I walk out the Consultant who was looking after him says "Well done" now I know that it doesn't sound much but when you have worked as hard as my colleague and I did it is nice to feel as if you have at least given the patient and his family a chance!
Will see how he is getting on tomorrow and keep you all updated.... if you want?
Monday, February 06, 2006
Oh that's got to hurt
Well I was working 7-7 day shift at a neighbouring station today and it was your run of the mill calls, elderly patients who had fallen and possibly fractured their hips etc.
Well all that was to change, at 1330hrs we get the do do do doop noise as we are pulling into Livi to give the outside of the Ambulance a quick clean, so pulling back out of the wash bay we are heading out of the station lights and sirens going to a call at a local industrial estate for a 'Male hit by sheet metal' we arrive to be waved in the direction of the patient, who is lying on the floor beside a very large machine, in obvious pain, but still fully conscious.
I am driving for this half of the shift so my partner goes to assess the patient whilst I gather some extra information from the patients colleagues. My partner shouts to get another crew with a paramedic for pain relief, I head back and gather some further equipment and call up to the EMDC at the same time requesting the second 'paramedic' crew and head back.
Our patient is given entonox for the pain before we even begin touching him, but we can see that this will not work that well and hope that the second crew are not that far from us.
Now the patient is a male in his 30's who has been working at a machine when some sheet metal struck him in both the legs just above his ankles, this caused one of them to snap and the other leg ended up being fractured (#) and the foot was rotated 180 degrees, causing the bones in that leg to tear through the skin.....
The 'paramedic' crew arrived and gave the patient more stronger pain relief, set up fluids because of the blood loss and shock and we then had to gently move the fractured ankle into box splint so that we could then move this leg off the one underneath which was the rotated open fracture (more serious due to the possibility of loosing the foot if the blood supply is restricted beyond the site of the injury).
Once we had the # ankle supported and moved out the way we could then see the full extent of the injury and begin to manipulate it back into line (we had to remember and turn it the right way!!), now the feeling of crepitus is not a nice one and I have only felt it once before, but today I was supporting this limb as my colleagues applied traction above and below and we all turned together, straightening the patients knee out and making sure the foot was pointing in the same direction as his knee, my hands were under the fracture, holding on the sterile dressings to control the bleeding and supporing the bones and I can honestly say if you want to feel crepitus then get some chicken bones, snap them and then rub them together in your hands!!
Once our both the legs were stabilised and the patient was feeling the effects of the pain relief medication he was lifted onto the trolley bed in the Ambulance and the 'paramedic' crew transported him to hospital, leaving me and my colleague to tidy and re-stock our vehicle and reponse bag because we found out that the 'paramedic' had used all our equipment! Thanks mate!
Oh well I guess that the patient will now be lying in a hospital bed, possibly following surgery today and looking forward to a fairly lenghty recovery process, well at least we managed to do something good for a change :)
Well all that was to change, at 1330hrs we get the do do do doop noise as we are pulling into Livi to give the outside of the Ambulance a quick clean, so pulling back out of the wash bay we are heading out of the station lights and sirens going to a call at a local industrial estate for a 'Male hit by sheet metal' we arrive to be waved in the direction of the patient, who is lying on the floor beside a very large machine, in obvious pain, but still fully conscious.
I am driving for this half of the shift so my partner goes to assess the patient whilst I gather some extra information from the patients colleagues. My partner shouts to get another crew with a paramedic for pain relief, I head back and gather some further equipment and call up to the EMDC at the same time requesting the second 'paramedic' crew and head back.
Our patient is given entonox for the pain before we even begin touching him, but we can see that this will not work that well and hope that the second crew are not that far from us.
Now the patient is a male in his 30's who has been working at a machine when some sheet metal struck him in both the legs just above his ankles, this caused one of them to snap and the other leg ended up being fractured (#) and the foot was rotated 180 degrees, causing the bones in that leg to tear through the skin.....
The 'paramedic' crew arrived and gave the patient more stronger pain relief, set up fluids because of the blood loss and shock and we then had to gently move the fractured ankle into box splint so that we could then move this leg off the one underneath which was the rotated open fracture (more serious due to the possibility of loosing the foot if the blood supply is restricted beyond the site of the injury).
Once we had the # ankle supported and moved out the way we could then see the full extent of the injury and begin to manipulate it back into line (we had to remember and turn it the right way!!), now the feeling of crepitus is not a nice one and I have only felt it once before, but today I was supporting this limb as my colleagues applied traction above and below and we all turned together, straightening the patients knee out and making sure the foot was pointing in the same direction as his knee, my hands were under the fracture, holding on the sterile dressings to control the bleeding and supporing the bones and I can honestly say if you want to feel crepitus then get some chicken bones, snap them and then rub them together in your hands!!
Once our both the legs were stabilised and the patient was feeling the effects of the pain relief medication he was lifted onto the trolley bed in the Ambulance and the 'paramedic' crew transported him to hospital, leaving me and my colleague to tidy and re-stock our vehicle and reponse bag because we found out that the 'paramedic' had used all our equipment! Thanks mate!
Oh well I guess that the patient will now be lying in a hospital bed, possibly following surgery today and looking forward to a fairly lenghty recovery process, well at least we managed to do something good for a change :)
Tuesday, January 31, 2006
Paramedic practical
Well I have just returned from the one of the most stressful set of assessments that you would want to sit during an afternoon. There were two, one was a medical and the other a cardiac arrest scenario. I completed both and have found out that I have PASSED!!!! So now I have to attend an interview with the Training Manager, Training Officer and Hospital Consultant to see if I am a suitable candidate to complete the paramedic training course.
Fingers crossed!
YIPEEEEEEEEeeeeeeeeeeeeee!!!!!!! :D
Fingers crossed!
YIPEEEEEEEEeeeeeeeeeeeeee!!!!!!! :D
Saturday, January 28, 2006
Can't sleep
Well here I am, sitting in my dressing gown, Kal is in bed, fast asleep and I am wide awake, I can't sleep... I don't know if it was all the coffee, the nerves about my forthcoming paramedic exam (2nd part) or what, but I just can't manage to close my eyes.
I have felt this before, but tonight, no matter what I do I just end up looking at the ceiling of my room, Kal is there beside me, warm, cosy, all sleepy and there I am turning in bed fighting with the pillows feeling all alone. I don't want to disturb him as he is teaching in the morning maybe I am overtired. I finished nights on Friday morning and managed to get a good sleep I then met up with Kal and two other friends and went to laser quest then bowling, via pizza hut for something to eat. It was a lovely night I was driving so I didn't drink, everyone else was indulging and then it was an early rise this morning as I was teaching on the First Responder Course in Penicuik.
I arrived at 0845hrs in Penicuik with Kal in tow, more rough than I because of the mix of red wine and beer. The class finished at 1430hrs, popped over to my folks to visit then back to the flat for tea, eventually sat down at 2030hrs and watched some TV before making pudding at 2100hrs, coffee was flowing and now here I am at 0005hrs on Sunday morning wide awake and feeling totally fed up and probably slightly jealous that Kal can climb into bed and within 5 minutes of his head hitting the pillow is breathing heavily and off deeply in sleep!!!
Oh well may I will try a horlicks to see if that helps, but knowing my luck it wont!
I have felt this before, but tonight, no matter what I do I just end up looking at the ceiling of my room, Kal is there beside me, warm, cosy, all sleepy and there I am turning in bed fighting with the pillows feeling all alone. I don't want to disturb him as he is teaching in the morning maybe I am overtired. I finished nights on Friday morning and managed to get a good sleep I then met up with Kal and two other friends and went to laser quest then bowling, via pizza hut for something to eat. It was a lovely night I was driving so I didn't drink, everyone else was indulging and then it was an early rise this morning as I was teaching on the First Responder Course in Penicuik.
I arrived at 0845hrs in Penicuik with Kal in tow, more rough than I because of the mix of red wine and beer. The class finished at 1430hrs, popped over to my folks to visit then back to the flat for tea, eventually sat down at 2030hrs and watched some TV before making pudding at 2100hrs, coffee was flowing and now here I am at 0005hrs on Sunday morning wide awake and feeling totally fed up and probably slightly jealous that Kal can climb into bed and within 5 minutes of his head hitting the pillow is breathing heavily and off deeply in sleep!!!
Oh well may I will try a horlicks to see if that helps, but knowing my luck it wont!
Monday, January 23, 2006
Let your fingers do the tapping!
You should check this out, it is fun... Song Tapper, it is where you can find the name of that tune that is stuck in your head.
Now everyone knows that is a good idea!
Now everyone knows that is a good idea!
Sunday, January 22, 2006
NIght shifts
Well I am working the full weekend nights this week and it has been a fairly eventful set of shifts so far.
Friday Night:
It started out quietly, with our first call being that of an anaphylactic female, she was treated with epinephrine, salbutamol and oxygen and transported to hospital for further care. Our next call was some 2 1/2hrs later, now this is unusual for a Friday night, but it sometimes happens.
The calls started to pick up and the night started getting busier, we were sent to stand by at one of the designated dispatch points and after being there for a whole 15 minutes we were winging our way to a reported hit and run on a busy street near by, 4 minutes later we are pulling up to be met by a group of excited people standing around a male who is lying on his back with facial (minor) injuries. The Police quickly arrive on mass and we quickly assess and treat the patient, placing him on a rescue board and securing his head with a rigid collar and head blocks, once he was secured he was taken into the back of the Ambulance and was examined further to see if he had any other injuries. This patient was lucky and he had relatively minor injuries. We transported him to Edinburgh Royal Infirmary due to the mechanisms of his injury.
We were heading back after doing some 999 calls in Edinburgh and stopped to fuel up the Ambulance, as I was in paying for the fuel my colleague signalled that we had a call, this time it was a car that had left the road and rolled down an embankment landing on its roof with a report of 5 people trapped. When we arrived we were the second crew on scene and quickly found out from the fire service that there were only two trapped and a third patient in the back of one of the fire engines, my colleague went to check the person who was not trapped and I started to gather together all the necessary equipment for our trapped male patient.
Now picture the scene, dark slippery embankment with clio sized car on its roof, 8 firemen, myself and one paramedic all in the car with the two patients, it was like a Guinness book of records challenge for how many people you could get into one car... The male was eventually extricated from the car, placed onto a rescue board and with collar and straps etc all applied carried out and up the embankment to the warmth of our waiting Ambulance where we did a head to toe check to rule out any other obvious injuries.
The female was removed in much the same fashion and was taken to the other vehicle for a check over and she and the patient in the fire engine were re-united and both transported to hospital. Our patient was taken to the same hospital, I however did not travel, because the patient was requiring paramedic interventions en route (pain relief etc) I jumped on with the third vehicle which had arrived (bringing my replacement paramedic) and LS (paramedic) travelled with my colleague and patient.
Now by this stage it was 0545hrs and I was wet and muddy, once clearing on scene and updating the EMDC I was asked if we were able to do an urgent call or if we wanted our now long forgotten meal break.... as you can guess I plumped for the meal break so that I could get cleaned and warmed up.
Saturday Night:
This started out once again with us being sent out at the start of the shift for a diabetic male who had taken unwell whilst driving his car, when we arrived he was starting to respond to the chocolate that his father had given him, his blood sugars were still low so he was given an injection to raise his levels and we transported him to Livingston (St. John's Hospital) for further care.
Back on station for our vehicle check and once this is complete coffee!
The following calls were all relatively small in comparison to the night of car accidents, we did still manage to get a call that took us into Edinburgh and we were then captured for a couple of calls, one was a male found confused and wandering around in his underwear in the common stair well of his block of flats. We transported him to hospital to get him examined and to see if they could find out what had happened to him, as he was not showing any physical injuries.
We eventually got back on station at about 0400hrs and had our second break (tea and toast) and then got the chance to clean the outside of the vehicle and re stock for the day shift coming in. We were lucky that we did not get called out again and managed to finish on time this morning....
Oh well only one more to go then off until Tuesday NIGHTSHIFT!
Friday Night:
It started out quietly, with our first call being that of an anaphylactic female, she was treated with epinephrine, salbutamol and oxygen and transported to hospital for further care. Our next call was some 2 1/2hrs later, now this is unusual for a Friday night, but it sometimes happens.
The calls started to pick up and the night started getting busier, we were sent to stand by at one of the designated dispatch points and after being there for a whole 15 minutes we were winging our way to a reported hit and run on a busy street near by, 4 minutes later we are pulling up to be met by a group of excited people standing around a male who is lying on his back with facial (minor) injuries. The Police quickly arrive on mass and we quickly assess and treat the patient, placing him on a rescue board and securing his head with a rigid collar and head blocks, once he was secured he was taken into the back of the Ambulance and was examined further to see if he had any other injuries. This patient was lucky and he had relatively minor injuries. We transported him to Edinburgh Royal Infirmary due to the mechanisms of his injury.
We were heading back after doing some 999 calls in Edinburgh and stopped to fuel up the Ambulance, as I was in paying for the fuel my colleague signalled that we had a call, this time it was a car that had left the road and rolled down an embankment landing on its roof with a report of 5 people trapped. When we arrived we were the second crew on scene and quickly found out from the fire service that there were only two trapped and a third patient in the back of one of the fire engines, my colleague went to check the person who was not trapped and I started to gather together all the necessary equipment for our trapped male patient.
Now picture the scene, dark slippery embankment with clio sized car on its roof, 8 firemen, myself and one paramedic all in the car with the two patients, it was like a Guinness book of records challenge for how many people you could get into one car... The male was eventually extricated from the car, placed onto a rescue board and with collar and straps etc all applied carried out and up the embankment to the warmth of our waiting Ambulance where we did a head to toe check to rule out any other obvious injuries.
The female was removed in much the same fashion and was taken to the other vehicle for a check over and she and the patient in the fire engine were re-united and both transported to hospital. Our patient was taken to the same hospital, I however did not travel, because the patient was requiring paramedic interventions en route (pain relief etc) I jumped on with the third vehicle which had arrived (bringing my replacement paramedic) and LS (paramedic) travelled with my colleague and patient.
Now by this stage it was 0545hrs and I was wet and muddy, once clearing on scene and updating the EMDC I was asked if we were able to do an urgent call or if we wanted our now long forgotten meal break.... as you can guess I plumped for the meal break so that I could get cleaned and warmed up.
Saturday Night:
This started out once again with us being sent out at the start of the shift for a diabetic male who had taken unwell whilst driving his car, when we arrived he was starting to respond to the chocolate that his father had given him, his blood sugars were still low so he was given an injection to raise his levels and we transported him to Livingston (St. John's Hospital) for further care.
Back on station for our vehicle check and once this is complete coffee!
The following calls were all relatively small in comparison to the night of car accidents, we did still manage to get a call that took us into Edinburgh and we were then captured for a couple of calls, one was a male found confused and wandering around in his underwear in the common stair well of his block of flats. We transported him to hospital to get him examined and to see if they could find out what had happened to him, as he was not showing any physical injuries.
We eventually got back on station at about 0400hrs and had our second break (tea and toast) and then got the chance to clean the outside of the vehicle and re stock for the day shift coming in. We were lucky that we did not get called out again and managed to finish on time this morning....
Oh well only one more to go then off until Tuesday NIGHTSHIFT!
Friday, January 13, 2006
What seat first?
This is the question I pose when working with a colleague for the first shift, it means what role am I fulfilling for the first part of the shift (work 12 hrs normally and therefore you change role halfway with your colleague to give them / get a break).
I asked that question today and was told, "You are in the back first" = I am in the attendant seat and have responsibility of the patient care. So it started well, kettle on after the vehicle being checked stocked and made ready for the road. Settled down in the reclining leather (ish) chairs and waiting on the phone to go... and waited and waited and waited.... zzzzz Ring ring! SMM, Nee Naw station (cheers Nee Naw for the noise!) It was the Police looking for information in regards to a call a few days ago, unfortunately I was not able to help but gave him the number of someone who could (The EMDC :) ). 1000hrs and the phone goes again, it is the EMDC Dispatcher booking us off for our meal break... porridge for both of us for our breakfast.... zzzzz 1130hrs Ring ring, Hi I have an urgent call (this is a call where a Doctor has been out (normally) to see the patient and has placed a time scale on them being into hospital for their care). Finished this call and cleared now in Edinburgh in the Western Triangle (You always get caught for a call when you clear at the Western General Hospital) and we are given the RTB = Return To Base Station, just as we are pulling out ... Do do doop! Another urgent call this time to go to Stirling Royal Hospital with a patient who is unwell and needs to be in hospital within 1hr.
We collect the patient, get her settled into the Ambulance and off to the hospital, upon arrival in the unit we are met with what looks like a scene from Casualty with patients lying all over on trolleys, sitting in chairs and relatives walking about, we are eventually spoken to by the nurse in charge of the bed in the hospital and she advised that our patient has a bed in a ward, now you would think this is good news and it is but not for us, we have to because of the lack of trolleys request permission from our EMDC to take the patient to the ward. This is not policy and when we advise the nurse of this she has a lot to say about the policy, we listen and then take our patient to the ward, explaining to the family what is happening.
We clear and are now returned to station for our second meal break (now 1530hrs), just as we pull up outside the station door Do do doop! An emergency call for a female who, when we arrive it turns out has been unwell for 4 months and decided that she did not want to wait any longer for her Doctor to refer her to hospital for an out-patient review of her chronic condition. We clear (now 1645hrs) and back for our second attempt of our second meal break.
Back in the station on the recliner again and just relaxing when (1800hrs) Ring ring.. Hi I have a fire call with persons reported inside.. Off we go again lights and sirens going, we arrive and park behind the 3 Fire engines and 2 police cars and make our way to the patient, who is a female not wanting to travel, we check her out and she still refuses to travel so we clear. Back in the vehicle we think 1830hrs and still a chance to finish on time, just as we get out of the village Do do doop, the same address that we have just been at, we call the EMDC to confirm if we are still to attend, they advise that a second patient has been found, so around the round about and back again.
When we arrive we are told that there is now a male with difficulty breathing, we check him and offer to take him to hospital for a further follow up and with this we also offer the original female patient the same again, this time she agrees so with two patients on-board we set off to the hospital. We eventually arrived back at station 45 minutes late and our colleagues were out in the spare, oh well hope they have a better quieter night!
I asked that question today and was told, "You are in the back first" = I am in the attendant seat and have responsibility of the patient care. So it started well, kettle on after the vehicle being checked stocked and made ready for the road. Settled down in the reclining leather (ish) chairs and waiting on the phone to go... and waited and waited and waited.... zzzzz Ring ring! SMM, Nee Naw station (cheers Nee Naw for the noise!) It was the Police looking for information in regards to a call a few days ago, unfortunately I was not able to help but gave him the number of someone who could (The EMDC :) ). 1000hrs and the phone goes again, it is the EMDC Dispatcher booking us off for our meal break... porridge for both of us for our breakfast.... zzzzz 1130hrs Ring ring, Hi I have an urgent call (this is a call where a Doctor has been out (normally) to see the patient and has placed a time scale on them being into hospital for their care). Finished this call and cleared now in Edinburgh in the Western Triangle (You always get caught for a call when you clear at the Western General Hospital) and we are given the RTB = Return To Base Station, just as we are pulling out ... Do do doop! Another urgent call this time to go to Stirling Royal Hospital with a patient who is unwell and needs to be in hospital within 1hr.
We collect the patient, get her settled into the Ambulance and off to the hospital, upon arrival in the unit we are met with what looks like a scene from Casualty with patients lying all over on trolleys, sitting in chairs and relatives walking about, we are eventually spoken to by the nurse in charge of the bed in the hospital and she advised that our patient has a bed in a ward, now you would think this is good news and it is but not for us, we have to because of the lack of trolleys request permission from our EMDC to take the patient to the ward. This is not policy and when we advise the nurse of this she has a lot to say about the policy, we listen and then take our patient to the ward, explaining to the family what is happening.
We clear and are now returned to station for our second meal break (now 1530hrs), just as we pull up outside the station door Do do doop! An emergency call for a female who, when we arrive it turns out has been unwell for 4 months and decided that she did not want to wait any longer for her Doctor to refer her to hospital for an out-patient review of her chronic condition. We clear (now 1645hrs) and back for our second attempt of our second meal break.
Back in the station on the recliner again and just relaxing when (1800hrs) Ring ring.. Hi I have a fire call with persons reported inside.. Off we go again lights and sirens going, we arrive and park behind the 3 Fire engines and 2 police cars and make our way to the patient, who is a female not wanting to travel, we check her out and she still refuses to travel so we clear. Back in the vehicle we think 1830hrs and still a chance to finish on time, just as we get out of the village Do do doop, the same address that we have just been at, we call the EMDC to confirm if we are still to attend, they advise that a second patient has been found, so around the round about and back again.
When we arrive we are told that there is now a male with difficulty breathing, we check him and offer to take him to hospital for a further follow up and with this we also offer the original female patient the same again, this time she agrees so with two patients on-board we set off to the hospital. We eventually arrived back at station 45 minutes late and our colleagues were out in the spare, oh well hope they have a better quieter night!
Sunday, January 08, 2006
I survived!
Well my first night back on after my accident and I managed to survive and not have a panic attack or prange the Ambulance. I was working with a female paramedic who, informed me at the start of my shift that I would be driving second half of the 12 hrs, which is what I had done on the shift when I had crashed. She was considerate enough to ask if this would be ok after we had checked the vehicle and had our cuppa.
I did have a few moments of ...."Oh my god I remember this bit... this is where..." and "Are the wheels sliding again?" but I am happy to say that I survived and hope that this will be the last time I feel like this when driving on the Motorway, but I am not sure if it will be......
I did have a few moments of ...."Oh my god I remember this bit... this is where..." and "Are the wheels sliding again?" but I am happy to say that I survived and hope that this will be the last time I feel like this when driving on the Motorway, but I am not sure if it will be......
This is what saved my life....
You can't see it that well, but this is the wire barrier that stopped me from shooting across into the other cariageway.
Thursday, January 05, 2006
Thanks for not hitting me....
That is the thoughts that were going through my head as I was being strapped to the spinal board yesterday morning, you may wonder why I was think this or even in fact why I was being strapped to a board, but it was because I was involved in a collision in my Ambulance returning back from a call as I lost control on the un-treated M9 motorway, spun 3 times on ice and collided with the crash barrier causing the passenger door to blow open and nearly ejecting my partner, who luckily was wearing his seat belt.
This all occurred at 0647hrs, 13 minutes before we were due to finish our night shift.
As we were sitting in the Ambulance we both called our respective “loved ones” to let them know what had happened, this was after we had placed a priority call to the EMDC informing them what had happened and that we were now facing on-coming traffic, in the outside lane of the motorway with only our roof blue lights working (Not very good considering the freezing fog gave you a visibility of 100 meters!)
The EMDC Dispatcher asked if anyone was injured and if we needed another Ambulance etc, we were both shook up and sore so we confirmed that this would be appropriate and that we urgently needed the Police to make the area safe. After several more phone and radio calls the cavalry arrived in the form of the Day shift at our station (I was never so glad to see the blue lights and flashing head lights of an Ambulance). They parked in the Fend-off position to protect us, put on all their outside lights to try and illuminate the scene and prevent any further vehicles nearly colliding with us. Whilst we were sitting waiting on the crew arriving we had witnessed 4 vehicles stomping along at high speed in our lane, heading straight for us and only noticing at the last moment that there was in fact a smashed up Ambulance facing them, they all managed to swerve to avoid us, both my shift partner and I had various moments of terror seeing this happening and we both discussed which would be safer, staying with the vehicle, belted in or getting onto either the hard shoulder or central reservation and taking the chance of being hit or aggravating any possible injuries further…. We decided to sit tight and pray for a quick response.
Once the first crew arrived, it was apparent that both of us were going to get the full treatment and would be collared and boarded as a precaution and because we were both complaining of neck / back and I had right shoulder pain. The second crew arrived and I was transferred to their vehicle for further care, whilst my colleague was secured to a spinal board, checked over and transported to Stirling Royal AE (Because we were facing that direction on the Motorway). I was given the same treatment, collar applied to my neck, placed on a board, blood pressure, ECG and Oxygen levels monitored, I even trusted my colleague who was attending to me to cannulate my arm and give me some stronger pain relief for my shoulder. I was taken on a strange journey to AE, when I say strange it felt strange because I was the patient, I was the one lying there being cared for and not being able to do anything but just lie there. When I arrived at AE I was undressed, examined and x-rays were taken, I had the AE Consultant looking after me, which was comforting, as I knew I was in very safe hands.
Throughout the entire process my Station Officer (Area Service Manager) was floating between me and my injured colleague seeing if we were ok and if we needed anyone contacted. My flat mate was the first to arrive as Kal had called her telling her what had happened and she offered to come to the AE until he arrived (Because the M9 was now completely closed and she could come via the back roads until Kal arrived by train). Kal arrived fairly soon after I had been assessed and was with me before I went for x-rays, My Station Officer went to my colleague to keep him company until his wife arrived. We were both given the all clear after our x-ray results had been checked and were discharged with information re ongoing care for neck / back pain.
I went home, via the station to collect my car, had a very long hot shower and a big mug of tea and went with Kal to Edinburgh to visit my folks, I dropped him off at his work (for which he was now 5 hours late) and spent the rest of the day with my parents being pampered and fed numerous cups of tea etc.
I met Kal after his work (for which he had stayed late to catch up on the stuff he should have done during his time in AE with me) and we had a lazy night in front of the TV with a Chinese take away and that is when it hit me, what had happened, what might have happened and how it could have turned out horribly different. I was glad to be safe in his arms, maybe a bit sore, but still safe….
This all occurred at 0647hrs, 13 minutes before we were due to finish our night shift.
As we were sitting in the Ambulance we both called our respective “loved ones” to let them know what had happened, this was after we had placed a priority call to the EMDC informing them what had happened and that we were now facing on-coming traffic, in the outside lane of the motorway with only our roof blue lights working (Not very good considering the freezing fog gave you a visibility of 100 meters!)
The EMDC Dispatcher asked if anyone was injured and if we needed another Ambulance etc, we were both shook up and sore so we confirmed that this would be appropriate and that we urgently needed the Police to make the area safe. After several more phone and radio calls the cavalry arrived in the form of the Day shift at our station (I was never so glad to see the blue lights and flashing head lights of an Ambulance). They parked in the Fend-off position to protect us, put on all their outside lights to try and illuminate the scene and prevent any further vehicles nearly colliding with us. Whilst we were sitting waiting on the crew arriving we had witnessed 4 vehicles stomping along at high speed in our lane, heading straight for us and only noticing at the last moment that there was in fact a smashed up Ambulance facing them, they all managed to swerve to avoid us, both my shift partner and I had various moments of terror seeing this happening and we both discussed which would be safer, staying with the vehicle, belted in or getting onto either the hard shoulder or central reservation and taking the chance of being hit or aggravating any possible injuries further…. We decided to sit tight and pray for a quick response.
Once the first crew arrived, it was apparent that both of us were going to get the full treatment and would be collared and boarded as a precaution and because we were both complaining of neck / back and I had right shoulder pain. The second crew arrived and I was transferred to their vehicle for further care, whilst my colleague was secured to a spinal board, checked over and transported to Stirling Royal AE (Because we were facing that direction on the Motorway). I was given the same treatment, collar applied to my neck, placed on a board, blood pressure, ECG and Oxygen levels monitored, I even trusted my colleague who was attending to me to cannulate my arm and give me some stronger pain relief for my shoulder. I was taken on a strange journey to AE, when I say strange it felt strange because I was the patient, I was the one lying there being cared for and not being able to do anything but just lie there. When I arrived at AE I was undressed, examined and x-rays were taken, I had the AE Consultant looking after me, which was comforting, as I knew I was in very safe hands.
Throughout the entire process my Station Officer (Area Service Manager) was floating between me and my injured colleague seeing if we were ok and if we needed anyone contacted. My flat mate was the first to arrive as Kal had called her telling her what had happened and she offered to come to the AE until he arrived (Because the M9 was now completely closed and she could come via the back roads until Kal arrived by train). Kal arrived fairly soon after I had been assessed and was with me before I went for x-rays, My Station Officer went to my colleague to keep him company until his wife arrived. We were both given the all clear after our x-ray results had been checked and were discharged with information re ongoing care for neck / back pain.
I went home, via the station to collect my car, had a very long hot shower and a big mug of tea and went with Kal to Edinburgh to visit my folks, I dropped him off at his work (for which he was now 5 hours late) and spent the rest of the day with my parents being pampered and fed numerous cups of tea etc.
I met Kal after his work (for which he had stayed late to catch up on the stuff he should have done during his time in AE with me) and we had a lazy night in front of the TV with a Chinese take away and that is when it hit me, what had happened, what might have happened and how it could have turned out horribly different. I was glad to be safe in his arms, maybe a bit sore, but still safe….
Tuesday, January 03, 2006
The vampire shifts...
Well I have been the lucky one and over the Christmas and New Year period I had the pleasure of working NIGHTS.
I know that I should be happy because I got to go up North to see Kal and his family and friends between the shifts finishing on Tuesday 27th Dec and starting again on Sat 31st of December, and I am, it was a very pleasant trip north, the food was good, the alcohol was even better but most of all the company was amazing. I come from a family where less is sometimes more... i.e. SMM Mum "How has your day been SMM?" Me "Oh ok busy with calls etc, managed to get finished on time so that is a bonus" SMM Mum "Oh that is good, so what's your plans for your days off?" and so it goes on. Kal and his family on the other had have discussions that go off on tangents and force your brain to actually work and it is wonderful seeing how they interact as a unit, the discussions, the body language, the knowing.... I find it challenging at times to keep up with the two or three conversations that are happening at once (Yes I know men can't multi-task very well...I am slightly better than most I think because I have to at work), but it is enjoyable, fulfilling and enthralling to be part of this and you are definitely made to feel welcome with your comments, but be prepared to explain why you think something, or clarify your answer to the questions that are being posed.
I always look forward to my time up there because of the atmosphere and the people along with the beauty of the place and especially because I get to spend lazy time with Kal.
I know that I should be happy because I got to go up North to see Kal and his family and friends between the shifts finishing on Tuesday 27th Dec and starting again on Sat 31st of December, and I am, it was a very pleasant trip north, the food was good, the alcohol was even better but most of all the company was amazing. I come from a family where less is sometimes more... i.e. SMM Mum "How has your day been SMM?" Me "Oh ok busy with calls etc, managed to get finished on time so that is a bonus" SMM Mum "Oh that is good, so what's your plans for your days off?" and so it goes on. Kal and his family on the other had have discussions that go off on tangents and force your brain to actually work and it is wonderful seeing how they interact as a unit, the discussions, the body language, the knowing.... I find it challenging at times to keep up with the two or three conversations that are happening at once (Yes I know men can't multi-task very well...I am slightly better than most I think because I have to at work), but it is enjoyable, fulfilling and enthralling to be part of this and you are definitely made to feel welcome with your comments, but be prepared to explain why you think something, or clarify your answer to the questions that are being posed.
I always look forward to my time up there because of the atmosphere and the people along with the beauty of the place and especially because I get to spend lazy time with Kal.
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