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Posts archive for: January, 2009
  • I really hope thats gravy on that plate

    Overtime today. Ive done a lot of overtime this month cos I need the money.

    Anyway, off to a village to the south of our patch, its virtually on the border with another county but we cover it. The message we had about the job didn't make for good reading and we both had the feeling that we would be jumping up and down on the old chaps chest before the end of the job.

    Elderly, alchoholic, grey in colour, not responding, shallow breathing. Not good.

     A responder car and a community responder had beaten us there. We walked in, or tried to because it was only possible to open the door a wedge due to the amount of rubbish in the way.

    We walked into a scene that I have seen more often than I think is proper in this country. Dust lay inches thick on ornaments around the room, rotting food lay on the floor, full an half full bottles of alchohol surrounded the old chap in his chair. He was small deshevelled and breathing heavily into the oxygen mask that had been placed on his face. His clothes were of indeterminate colour. Under the chair were plates that were filled with a brown liquid.

    The reponder told us that the chaps blood sugar was about 1.3. Normally an adults will run at about 4.5. We couldnt get a blood pressure or a pulse in his wrist. He was very cold. He was very unwell.

    The responder was a Paramedic so he was trying to put a needle in his arm so we could give him fluids and sugar.

    Talking to the district nurse who had found him we discovered that he hadnt been out of the chair for at least three weeks. Literally he hadn't moved in three weeks.

    He needed to be in Hospital. How to get him out? A surprising amount of this job is logistics and we conferenced to try and work out a way.

    A carry chair was got (by me) and the others cleared a route from his chair to the ambulance. Now wether we'd disturbed something or what I don't know but the smell hit us.

    A chorus of strangled coughs.

    The brown liquid in the plates wasn't gravy. He was absolutely covered in something very unpleasant. It had soaked into his clothes and into the chair and dripped onto the floor.

    The smell was now overpowering but we needed to get him onto the ambulance. We needed to lift him onto the carrychair. I, feeling charitable, voluteered to lift his legs.

    His trousers were undone and  there was the remains of a cigarette in his pubic area. It had obviously dropped there while lit, ironically the only thing that had stopped him catching fire was the dampness of his clothes.

    Lifting him onto the chair was initially quite hard as he was stuck to the chair. After we had freed him the state of things became more apparent. The chair was rotten.

    We rang the hospital to let them know we were coming and hot footed it. The smell was making all three of us quite sick. I was the luckiest because I was driving. The other two were looking quite green by the end of the trip.

    We got him there. He didnt die. But I don't think he'll be going home again.

     That is a sad story. That man has been left alone for far too long and has been failed by social services because it didnt happen quick.  We see things like that on almost daily basis so how do we deal with it?

    We laugh about it, we make bad jokes about it, we talk about it, we tell our colleagues about it and we remember. Whenever we meet again we will have that, and jobs like that, as a shared experience.

    Thats how we deal with it.  

  • The horde of the Pringle king

    1 am. Dark, wet, quiet. Apart from an ambulance on its way to a male fitting.

    Thats us by the way.

    We get there and struggle, as is so often the way in council developments, to find the house.

    Someone appears out of the dark, "IN HERE." he shouts.

    "Ok", says my crewmate

    "HE'S FITTING,"

    Bags grabbed we indicate to the man to lead the way. We head under a low arch and up some stairs that are full of junk to a room and a semi naked man lieing on the floor (Not fitting).

    "I DIDN'T KNOW WHAT TO DO. SO I PUT A PILLOW UNDER HIS HEAD"

    "Is he epileptic?" asks my crewmate.

    "WHAT?"

    "IS HE EPILEPTIC?"

    I'm putting oxygen on him at this point. He is showing all the signs of being post-ictal. This is normal after a fit, sort of the brain rebooting itself

    The other man, who is very deaf, is shuffling about so we give him something to do which is writing down all the fitting guys details on a piece of paper. He picks up a leaflet and writes things across the print. The result is completely illegible so we send him off to do it again.

    Oxygen on its just a waiting game really. I take in the room and it is very cluttered but what really stands out is that it is full of tubes of Pringles. Hundreds of tubes of Pringles. Flavours I've never heard of, flavours I have heard of. Hundreds of tubes. He was obviously a collecter.

    The deaf man reappears.

    "Is this a council place?" asks my crewmate

    "WE USED TO BE UNDER SOCIAL SERVICES BUT THEY BEAT HIM UP SO WE LEFT. I'M HIS CARER"

    Trying to shake off the image of a social worker standing over him with a bloodied clipboard shouting "Give me some Pringles" we change the subject.
    "How often does he fit?"
    "EVERY DAY"
    "He has a fit every day?"
    "YES"
    "Did he have one yesterday?
    "NO."
    "What about the day before?"
    "NO."
    "When he fits does he have one or more than one"
    "JUST ONE. HE NEEDS TO GO TO HOPITAL TO BE CHECKED OUT"
    "We know whats wrong with him. He's epileptic"

    Anyway. This arguement was going round in circles but the guy who had fitted had come round enough to say he didnt want to go to hospital so we left him there.

  • Theyre all mad

    We were sat on cover at the hospital. We had had coffee and I was considering toast when control decided I didnt need any and gave us a job.
    "RTC. One male. Rollover. Possible entrapment" and then the address.
    The road was litterally 30 seconds away from where we were and was a quiet residential street. So a rollover was unlikely. But I've been wrong before
    And was again.
    We got there and found. Chaos.
    A car on its roof. Glass, oil, rubber all over the road.
    We could see a pair of legs sticking through on of the broken doors. They were wiggling about so obviously whoever was in there was still alive.
    I got on my knees to have a look.
    Inside the car was an old chap hanging from his seat belt
    There was an odd whistling noise coming from somewhere.
    "You all right mate?" I said. No answer so I shouted it. He fiddled with his ear and the whistling stopped.
    Ah. Hearing aid.
    "Yes fine. I can't get out" he said. The drivers seat was blocking his way.
    "Whats your name"
    "Ted" We'll call him Ted
    "Ok Ted. We'll get you out"
    My crewmate had got the boot open and it provided a perfect escape route.
    Ted didnt want to go out of the boot. He wanted to go out of the door an no amount of cajoling from us would change his mind.
    At that point the cavalry, in the shape of the fire brigade turned up. We unleashed them and they made short work of the seat. Ted was free.
    He had no pain and no injuries and his speed was quite slow so we were happy to walk him to the ambulance.
    We gave him a quick MOT while the police cordonned off the area and the fire brigade made PR announcements.
    My crewmate did his blood pressure and I could tell from her expression that something wasn't quite right.
    Teds blood pressure was sky high. (260/86 if you're interested). It turns out it was usually very high because he was a diallysis patient but we weren't happy to just let him go home. We took him to casualty so they could keep an eye on him
    So, what had happened? It was a combination of partially defrosted windscreen, dark road, another parked car and angles
    And luck of course

  • A new start (maybe)

    Seven months have passed since my last post. Things have settled down a bit at work. The ECA issue is sorting itself out, mainley because the management have realised that having a group of people on ambulances who are not allowed to care for people was possible not the best idea in the world.
    I've got a new crewmate. She is very laid back and We are having a laugh.
    And most importantly, I feel a bit happier and more comfortable than I have for a long time.
    So, I'm going to start blogging again. I don't know how often its going to be.
    But for the first time for ages I actually feel inspired to write things

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