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View Article  Alone

Wow, loads of people editing the holiday wiki - many thanks for all the ideas although if I were to take them all on it'd take me a year to see it all.


I've seen my future, well it'll be my future if I'm lucky and don't drop dead in my 50's.

It was a lovely day, one of the first sunny days we'd had all year and our patients were obviously riffing off the change in the weather, everyone was being really nice.

We were sent on a 'green' job, essentially a transport job with no blue lights or sirens. We were to pick up an elderly man from his flat and run him into hospital. No emergency, no stress, no worries.

One of his neighbours in the block held a key to his flat, so we opened the door and announced ourselves. The interior of the flat was grimy. Junk mail and bills spread on every flat surface. Underpants were hanging over the bath, and a few empty cans of beans spilled over the bin onto the floor. Sepia photographs lined the walls, men in army uniforms, women with babies in arm looking stern.

The reason for the flat being in this state was because of the patient's heart failure, it had caused the lower half of his body to swell up with retained water. He couldn't move around the flat, he was pretty much stuck in his chair, watching the horse-racing on a tiny television.

We had a chat with him, he'd lived in the area all his life, seen his family grow up and move away. He'd seen the population of the area change from English people to Afro-Carribean people to Bangladeshi people, he didn't seem upset by this. He'd only moved house once, when they knocked down where he'd been born and put up this block of flats in it's place.

The only person he saw was the woman who held his key, she hadn't been to visit for some time as she couldn't stand the state of the flat.

We talked about different subjects, from football to politics, the odd joke and the odd tale. We drove him to hospital - none of our medical skills were needed but it still felt like we had used our expertise to put him at ease.

He seemed sad to be wheeled into the A&E department. It was as we went to leave him that he turned to us and with moist eyes said, "Thank you for the company, it's a shame you can't stay with me".

It upset me to leave him there, we had probably been the first human beings that he'd spoken to in quite some time. He'd been living out of that chair for some months. We were company to him for that short time and now he was probably going to become another meat parcel passing through the hospital system.

Hopefully the nurses on the ward will have the time to sit and chat with him, maybe they can refer him to the social services and they might try to place him in a residential home. I think that the company he'd have there would do him a lot of good.

View Article  My Wiki Holiday

OK.

Time for something stupid...

I have a holiday due in a few weeks, from the 16th to the 29th of June. No work for two glorious weeks.

This makes me happy.

The idea is that I get to travel around the UK visiting places that I've never seen. But how do I avoid just going to places that are hiding in the recesses of my mind?

I get you folks to write my itinerary.

I've set up a wiki (an website that anyone can edit), and I'll leave it up to you folks to edit in some interesting places to go and/or people to meet.

So please, go to this website, and write down some interesting places for me to go. I believe that this is the first time someone has done something like this.

Consider it an open-source, public domain, user-generated holiday.

Or an experiment in being really silly.

View Article  Inappropriate

After the last post Cookie left a comment asking if I still wanted to leave my job...

We were sent on blue lights and sirens to a young woman who had 'collapsed'. We arrived and found her writhing around on the floor. She wasn't too happy to talk to us, instead she kept pretending to be unconscious.

It transpired that she was having period pain.

My crewmate (who is female) asked her if she had taken any painkillers for it, after some grunting, groaning and flailing around she was told that, no, the patient hadn't taken any painkillers.

"Do you have painkillers?", asked my crewmate.

"Yes", said the patient and named a rather good painkiller.

"Why haven't you taken them then?"

The patient then pretended to be unconscious.

We asked a couple of times, at no point did she answer. Instead she kept 'passing out' in a way that wouldn't win her any Oscars.

So we popped her in the carry-chair (because otherwise she would be throwing herself about) and popped her to the hospital.

She was given two Paracetamol tablets and sat out in the waiting room.

By London Ambulance Service numbers, 8 out of 10 of our jobs are like this, not needing an ambulance or hospital treatment. I think I get more than my fair share. I find myself going to people younger than me, often healthier than me and yet having to carry them downstairs because their 'flu' makes them unable to walk.

I'm glad I don't have 'proper' jobs all the time, I also like it when my patient can walk on and off my ambulance at both ends of the journey. What does happen is that these 'inappropriate' calls* eventually grind you down, the endless parade of people who don't need any of the skills I have except the ability for me to write down what they say and drive them to hospital.

I knew it would be like this before I joined the job.

It's not the main reason why I want to change jobs, not by a long chalk, I'd say it's around reason #17. But the jobs that make me want to stay, the serious jobs where I can make a difference, are few and far between.

*Of course there are, according to people on much higher payscales than me, no 'inappropriate callers', only 'inappropriate responses'. Which is why we spend so much money on dealing with people who don't need hospital treatment but can't be bothered to see their GP or local walk in centre. At times it seems to be our main focus as an ambulance service.

View Article  Squeeze

Squeeze

I'm covered in the urine from the five year old child.

Squeeze

We get the call as a child having a fit.

Squeeze

There is a solo responder there, he's giving oxygen to the child while it lies on the floor.

Squeeze

I look at the child's eyes, he's still fitting, his body isn't moving but his eyes are darting around in an unnatural fashion.

Squeeze

His chest isn't moving in the the way it needs to in order to breathe.

Squeeze

I pick him up, covering myself in the urine and race downstairs.

Squeeze

I kick the door release button to the block of flats, my crewmate jokes about me being able to get my leg up that high.

Squeeze

I lay the child on the stretcher in the ambulance. My crewmate hands me the ambu-bag.

Squeeze

Fitting the mask over the child's mouth I start squeezing the bag, I'm now breathing for the child.

Squeeze

My crewmate jumps into the cab of the ambulance, she weaves through the traffic towards the hospital.

Squeeze

I sit calmly, I explain to the child's mother what I am doing.

Squeeze

I keep checking the child. Good pulses and an oxygen saturation level of 100%. It means the child is getting the oxygen it needs.

Squeeze

We reach the hospital. I scoop up the child and jog into the Resuscitation room. The nurses and doctors take over.

Squeeze

Someone else is squeezing the bag now. I stay and watch a while, the child stops fitting.

Squeeze

We head back to the ambulance station, I need a shower and a change of uniform. I have to shower with cold water as it appears the heater is broken.

I sit on the station sofa, I can still feel the ambu-bag in my hand. I sit and look at the TV, my mind is empty.

View Article  A New Job Title?
I should have a new title added after my name. 'Professional waker-upper'.

Two calls in the space of one shift to people who are sleeping in a public place.

One person fell asleep in a magistrate's court, waiting for his friend to be finished in one of the courts. His friend must have been so excited not to receive a custodial sentence that he left his friend behind.

Smelling slightly of alcohol he'd bedded himself down and fell asleep. We were called by one of the security officers, no-one seemed too happy to shake him awake.

One application of slight pain from the nice ambulance man and the patient woke up, thanked me n his own language and walked off home.

The second patient was asleep on a bus, he'd had a bit more to drink and needed a bit more... ahem... stimulation to wake up.

No thanks from this patient, but at least he didn't make good his threat to punch me. And we didn't need to call the police on him either. A good result all round really.

It's strange that some people seem to think that you need an ambulance in order to wake someone up. I've even been called to nursing homes when one of their patients has been asleep at 3am in the morning.

In fact the whole shift was like that, fourteen jobs in twelve hours with only five of them travelling to hospital.

Ho-hum. Easy money I suppose.
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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