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View Article  300, A Review
I've written a review of '300' over on Mental Kipple (my other blog that I really should write more for). Do please read it and let me know if it's useful.

...It is shot very prettily though, a vast majority of the scenes could be printed out as posters, the lighting and composition reminded me a lot of Caravaggio, and the comparison doesn’t end there with the large amount of stabby, stabby and beheadings in the film...

And I've just come back from a viewing for 'Sunshine', which will also get a review in short time.
View Article  'Choice'

Blair has been speaking about 'personalised' services,

"Other proposals include introducing more NHS "walk-in" centres, especially in places where there are not enough doctors"

Because, rather than employ doctors to provide primary health care, you can employ less skilled people for less money to provide a sub-standard service. How will this impact the ambulance service? Well if people want to see a doctor, they'll call us to take them to A&E because it's free and they think they'll get seen sooner.
That and we will be the ones providing the sub-standard care, because people will have the 'choice' to be treated at home by an ambulance Emergency Care Practitioner with a bit of extra training. ECPs are cheaper than doctors, especially when the Primary Care Trusts stop funding them and the ambulance service keeps running them anyway.

View Article  Broken Finger

First off - Go buy this book, huge amounts of the money you spend will go to Comic Relief.
Although Comic Relief on telly gets me trying to hibernate for a whole week to escape it; I suspect that this book is actually a good thing, and funny as well.

We found ourselves going to a woman who had a 'broken finger, bone sticking out'. This looked like it was going to be a pretty simple job, finger injuries are normally pretty simple.

Not this one.

As we entered the room we could tell that it wasn't a 'standard' broken finger. The workmen in the room had wrapped her hand as best they could and then held it above her head.

The patient had completely degloved the finger - her ring had got caught on a fence and had torn the skin off the finger. The skin of her finger was bunched up around the top joint of the finger, held in place by her ring. There was no way that we were going to be able to remove the ring and the skin was white and chalky - what this needed was immediate medical treatment before the tissue completely died.

So we 'blued' her into the local hospital where they cut her ring off and started to arrange transfer to a plastic surgery centre. Unfortunately the first choice was unavailable as they had no beds. So the next nearest facility is actually outside of London; my crewmate and I volunteered to take the patient there and Control agreed. It's nice if you can keep up this 'continuity of care' and I soon found myself driving 28 miles on blue lights to the hospital.

Of course, when I got there I didn't have any idea where the ward we were transferring the patient was - so I asked one of the local ambulance crew directions and he jumped into the ambulance to direct us. The patient was soon safely on the ward, slightly dazed on morphine, and with the best chance that she has (however slim) to save her finger.

The paramedic who helped me emailed me the day after to apologise for not taking us straight up to the ward, but his Control were already on his back. I still find it a bit weird to be 'recognised' if only because people talk to me after I've left them...

Welcome to Random Acts Of Reality, a Blog based in London, England, written by an E.M.T working for the London Ambulance Service. Also, number one search result for "Womble porn". All names have be changed to protect the guilty. This Blog was previously known as "Why I Hate Humanity" but the antipsychotic medication seems to have kicked in.

All opinions on this website are mine alone, and may not reflect those of the L.A.S or other ambulance crews

Find out more about me here.

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