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View Article  " "

The computer terminal in the cab of the ambulance rang.

The description of the job was blank. The address we were supposed to go to was blank. The ORCON start time wasn't blank.

The terminal continued to ring, it wanted us to press our 'on the way to the job' button.

But where were we supposed to go?

Twenty seconds later a postcode arrived on the screen. Still no proper address, still no patient complaint.

Another twenty seconds later and we had a full address, there was still nothing in the 'patient complaining of' section. We didn't know if it was one of the addresses in our area that was flagged as 'dangerous'.

Finally, a minute and a half later, the job description arrived - a young man with abdominal pain.

Then a few moments later we were cancelled as Control sent the call to our Clinical Telephone Advice desk, to see if they could determine if an ambulance really was required.

Finally I let the handbrake up and started to drive.


'Call Connect' was the new way of measuring ORCON (our eight minute response), brought in to standardise the way that ambulance trusts reported their response time. Until call connect came in, some trust started the clock when they had the address and complaint, some started in when the phone rang and some seemingly started it once the ambulance arrived on the scene...

Obviously this was unfair - so a new national standard was brought in to start the clock from the moment the patient phoned the ambulance service - as soon as BT connected the call the stopwatch starts.

What this means is that, via caller line identification, the service knows the rough area that the call is coming from and an ambulance is automatically assigned - even if we don't know the full address.

No longer do we start the clock with an address and a complaint - so we could be sent into 'man walking around shooting people indiscriminately' without back up and without warning. All to make a (pointless) government target.

It doesn't just mean that we are placing ambulance crews in more danger (because, being generally cynical swines, we'll sit by the side of the road until we get some relevant information). If you go racing off to a call that you get cancelled on a few moments later you are putting the general public at risk.

On more than one occasion I've been sent on, and cancelled, five times in the space of a minute - you end up dizzy while continuously doing three point turns in the middle of the road only to be cancelled and sent in the direction you were originally travelling in.

Crew safety is no longer a priority it would seem (if it ever was), instead it's just more chasing of the clock.

I wish someone up in our management would have the bollocks to take the government to task over the utterly pointless and now dangerous ORCON target.

But it was my boss, and governmental advisor, that thought up the new way of recording the time, so I don't think it'll be him.


I'm bunkering down at the moment, I need to have the sequel to 'Blood, Sweat and Tea' in to my publishers this Friday - I really should make a start on it...

View Article  Stranded

I have no internet connection at home. While I love the iPhone I can't really write out a long post on it's touch keyboard.

I can read comments though.

I've been thinking about a new thing where I ask you a question every Monday - an audience participation type thing.

So this is the first one.

'I have a freckle on my belly that if I scratch it makes my right elbow feel really strange - what weird things have you discovered about your body?'

And while you answer that I shall no doubt be shouting at Virgin media...

UPDATE: I now have my internet back and there was no need to shout at the Virgin helpdesk as the man that dealt with me was both knowledgeable and very, very helpful - I know that Virgin aren't the best loved ISP but this individual was a shining example of what helpdesk services should be. For those that are interested, for some unknown reason my UPnP on my router stopped working.

View Article  Getting High On Someone Else's Supply

I am a known lightweight when it comes to laughing gas.

The evidence...

Ripped to the tits.JPG

So, when you are a patient in my ambulance it really isn't in your best interest to breath this painkilling and euphoric gas so hard and fast that the majority of it is blowing out your nose.

Into the cab.

Where I am.

Because if you do, I will be getting high like yourself - and feeling sick...

(Currently struggling with a post that is resisting being beaten into shape and tackling statistical analysis for another, as yet unwritten, post).

View Article  Fast Car Also Sent

We'd just been kicked off our ambulance station for 'Active Area Cover' - the psychic computer that tells us where the next call is coming from obviously had a headache as this call was next door to our ambulance station.

Category 'A' response blue lights and sirens. Fast car also sent.

She's in her twenties, she has a cold.

Category 'A' response blue lights and sirens. Fast car also sent.

The call has been given as a 'severe difficulty in breathing' It's one of our highest priority calls.

Category 'A' response blue lights and sirens. Fast car also sent.

We've been doing calls like this for the last few days, this is just like the others.

Category 'A' response blue lights and sirens. Fast car also sent.

When we reach her, she's standing at the top of the stairs smiling at us.

Category 'A' response blue lights and sirens. Fast car also sent.

Her husband follows the ambulance to the hospital in his car.

Category 'A' response blue lights and sirens. Fast car also sent.

The hospital is less than half a mile away.

Category 'A' response blue lights and sirens. Fast car also sent.

When I *politely* remind him that the 999 number is for life-threatening emergencies and that he could have taken her in the car he gets defensive and tells me that he is not a doctor.

Category 'A' response blue lights and sirens. Fast car also sent.

They went to hospital two days earlier for the same problem. The hospital gave her Paracetamol for the temperature and told her to take it regularly.

Category 'A' response blue lights and sirens. Fast car also sent.

She last took it fourteen hours ago

Category 'A' response blue lights and sirens. Fast car also sent.

We tried to give her advice, but she ignored it.

Category 'A' response blue lights and sirens. Fast car also sent.

We take her to hospital, I grind my teeth, the husband follows behind in his car, Control call out on the radio - looking for an ambulance to attend to an elderly chest pain.

Category 'A' response blue lights and sirens. Fast car also sent.

It's not news anymore, it's not unusual, it doesn't seem to matter. Our 'No Send' policy is foiled by a patient reporting a blocked nose.

Category 'A' response blue lights and sirens. Fast car also sent.

Elsewhere in our area a man was dying from a heart attack.

View Article  Great Things

"Let's do great things."

-Warren Ellis

He's right.

For some time I think I've been coasting on this blog, much as I've been coasting in my life. The blog has degenerated into 'watch me have a nervous breakdown' while I write about the same old things. Likewise, while I have started hating my job and while feeling generally burnt out I've been doing very little to change this.

The credit crunch is a good excuse not to look for work, as is the lethargy brought on by working rotating shifts. Writing about the same old thing has worked out fine for me so far so why should I change it?

Before the Christmas break I applied for a different post within the LAS, that of 'Web communication officer', a role that I consider myself uniquely qualified for. Unfortunately I wasn't successful in getting it. I am not going to speculate on the reasons why I didn't get the post, but in any case 'on paper' I shouldn't have even been given the interview that I was granted.

As part of the preparation for trying for an internal promotion I've been keeping my blogging 'safe'. I've not been writing about the plummeting staff morale and some of the reasons behind it, about how our adherence to government targets has had a negative impact on patient care or how some of our ambulances have been dangerous to use.

Keeping these things quiet has been causing me no end of internal turmoil. When writing this blog I've always tried to be as honest and open as possible, yet I found myself sitting on stories that really should be made public. For the sake of my career I've been toeing the company line. It's been costing me sleep at night as the things that I should be writing about rattle through my head.

Well, no more.

Realising that I'm going to be stuck at my current level for as long as I work for the ambulance service has freed me to become honest again. While I will still write about the jobs that I go to and congratulate the ambulance service for the things that we do well, I will now also be writing about the things that we do poorly.

But it's not enough for me to just write about the things that directly impact me, I'm going to start digging for information. Using information gathered under the Freedom of Information act as well as talking to other people within the service I hope to bring the truth, warts and all, to this blog.

I'm going to try thinking like a journalist.

There will be some longer pieces by myself that will be properly researched and actually drafted and edited (unlike how I normally write which is 'first draft goes up after I run it through a spellchecker'). I will also be working on preparing a 'safety net' to enable me to keep paying my rent should I be disciplined by LAS management.

My goal? To have questions asked in the house of parliament, to try and change things for the better for as many people as possible and to change my own life for the better.

The other thing that I've been guilty of is that of letting things happen to me - Most of the good, interesting and fun things that I've done related to blogging have not been initiated by me, instead someone or some group has approached me with a request. What I need to do is be more proactive in seeking out opportunities and maybe creating some good things for myself and other people. To do this I'm planning some new projects and will be looking for collaborators to help me out with some of these.

As always the only resource that I have to spend will be my time and energy - something that I have in short supply. I plan to get around this by reorganising the way I run my life, streamlining things like the amount of RSS feeds I read and cutting down on playing World of Warcraft*.

So - I'm returning to this blog with new direction and hopefully some more vigour, reworking some projects that I've left fallow and hopefully joining up with some people to create new and interesting 'stuff'.

Let's see if I can do 'Great Things'.


*I've only managed to increase the level of my Warcraft character by four in the last two months which shows my flagging level of commitment to it...

View Article  Hiatus

This blog will be on hiatus until the new year while I consider my future and the future direction of this blog.

It should be interesting...

Happy holidays.

View Article  First Responders
Talk about teamwork: The First Responders-H bring pack pride to Lightning's Edge (US) in a big way. This two-and-a-half-year-old, multi-game clan had cleared most of Black Temple prior to Wrath's launch, is digging into Naxxramas with a vengeance and, beyond WoW, maintains a well known and successful XBox team.

Their tactics: military precision – literally. The First Responders are primarily firefighters, medics, police officers and military personnel. The guild accepts civilians on a case-by-case basis, emphasizing common attitudes about teamwork rather than the usual min/maxing or gear focus of other guilds. While their nontraditional schedules may dampen progression speed, it certainly doesn't dampen their enthusiasm or guild pride.

From the always entertaining WowInsider

I wish that there was an EU equivalent, preferably Alliance though...

I have two 'friends' on my Xbox - and one of them is my brother, perhaps I'm just not that social.

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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