Monday, February 8, 2010

Movie time....

Hi guys

Today was the first day of the course and it went smoothly with the usual safety stuff being gone over in preparation for the hard work of the course over the next few weeks.

On another happy note I got sent a copy of a trailer for Ondine (Thanks Steve!) a film that 2 of our Ambulances and 4 of our staff appeared in. The trailer can be viewed at http://www.youtube.com/watch?v=Cn7AQe8SqVA and we are around the 1minute 27 mark. The film is released on the 5th March in UK and I presume in Ireland as well (Not heard of any premier :( ) but at least we now know that some of our shots are in it.

Happy viewing!

Sunday, January 24, 2010

Exercise time...

One of the things that we do on a regularish basis is to take part in training exercises designed to either test people, train people in new skills or to assess the competency of a team of people working together.

I used to be an associate member of a mountain rescue team and as such became used as a body during a part of an exercise. It was during one of these exercises that I was promised a winching into the coast guard helicopter taking part in the exercise once it was completed. over 100 members of Mountain Rescue were gathered at the briefing point for the exercise while myself, two other "victims" and our escort left early to get into position.

Arriving at the foot of the hill we decided to cross the river at the base of the hill before walking up on the slightly steeper path on the opposite side from the trail as it was easier to cross the river there than at the top. On reaching the top of the hill we scouted around for a suitable site to bed ourselves for a while and found two nice hollows to put our three casualties.

We sat down and proceeded to have a chat for about half an hour and admired the scenery at the same time while waiting for the sound of the helicopter to herald the approach of the search teams. It had been decided that for this exercise that the search teams were going to be positioned by the helicopter which is why we waited for the helicopter to come. We eventually heard the hum of the approaching helicopter and watched as it flew below us in the valley until it started rising to fly directly over us.

Luckily for us the helicopter crew did not give away our location as it would have been easy for them to find us with their infa-red camera. Unfortunately for me the position I had selected was not ideal although it had been selected for the right reasons. I had picked a hollow to lie down in so that it would take the teams time to find me but little did I realise that the hollow was also a channel for a breeze leading down into the valley.

I was stuck in this position for nearly 90 minutes before I heard a team walking up the path on the far side of the river. We could hear them talking as they debated the best way to cross the river that was blocking their way across. The inevitable happened and we heard a loud splash as some of the search team fell into the river. We were able to hear them laughing at their missfortune so we knew there was no need for us to reveal our location and go to their assistance.

They quickly extricated themselves from the cold water and dragged themselves back onto dry land and continued the search for us. Without realising it they almost walked right on top of me such was my hidden position. Luckily they saw me just in time to avoid giving me some genuine injuries to cope with.

They quickly got into action to assess our simulated injuries and recognised that I had a serious injury (fractured femur but should actually have been a fractured pelvis!). After a while of assessments by them of my "health" I advised them of the real simulated injury at which stage they changed tack and realised that my condition was more serious than initially expected.

Unfortunately for them my injuries were severe enough that I was loosing vast quantities of blood into my pelvic area (simulated of course!) and eventually I went into cardiac arrest and "died". Unfortunately this ment that I did not get my helicopter ride out and had to walk back down to the start point!

Wednesday, January 20, 2010

We tried to put it back in...

Many years ago on a Scout Jamboree I was just preparing to head off to breakfast with a few of my fellow medics before starting my shifts for the day. As we were walking away from the medical center I noticed a scout walking towards us with one of his arms being held up by his good arm and his leader supporting him. The look of pain on his face made me realise that he was not having a good time.

On seeing this I grabbed a chair and walked towards the scout and had him sit down where I met him. The leader advised us that the scout had a history of dislocated shoulders and that he had suffered another one on waking up.

Unfortunately for the scout we are not trained to reduce dislocations outside of the hospital so we gave him some pain relief and organised for him to be transferred to the hospital with one of his leaders. The leader and scout later came back to us to tell us that they got on fine in the hospital and that his shoulder was back in place. We wished them well and sent them off to get their dinner and to enjoy the rest of the camp.

The next morning I was again just about to head off to get breakfast when I saw the scout coming towards me with his leader, I recognised the same look on his face and knew straight away that he had dislocated his shoulder again. Once again we gave him some pain relief and sent him off to hospital with one of his leaders. This time a second leader had come with him and remained behind with us. I pulled them aside and asked them for more information about what had happened.

He started by telling me the exact same things as we had been told the day before before saying "Oh and we did try to put it back in". It turned out they had been told by the parents to try to put the dislocated shoulder back in if it happened but the parents never told them how to put it back in. The end result was they tried to get him to put it back in Mel Gibson style (see video below)! Needless to say this is not a recommended method and for his sins the poor scout ended up with a broken arm as well going from his shoulder to his elbow!

Friday, January 15, 2010

This weekend..

Hi guys

No updates for this weekend as I am working and Im not sure if I will be able to get online at any stage as I dont know if the hotel I am staying in has an internet connection. Normal service will resume on Monday.

Shane

Wednesday, January 13, 2010

Doctors...

Over the years I have worked with many individuals and have seen some excellent people but at the same time I have come across individuals who are dangerous.

I was on duty with a crew of two others covering a rugby match on a fine sunny day. During the match one of the players was observed by us to have taken a bad kick to the head who then walked over to us at the ambulance stumbling a fair bit.

We quickly examined him and it was very obvious that he had a head injury and we were preparing to place him onto a spinal board with a standing take down when the club doctor waddled out and ordered us to stop what we were doing. He then proceeded to do his own "examination" of the patient which amounted to feeling his neck for any spinal tenderness etc. After this 10 second check he says to the player, "your fine, on you go and play". All three of us looked at each other in surprise and the player looks at me and asks me what I thought. I simply said to the player "Its up to you what happens, we cannot force you to go to hospital however we strongly recommend you do go based on what we saw". At this stage the doctor interrupted me and told the player not to mind us and to go back on and play.

The player reluctantly walked back towards the lines man and from there onto the pitch. To our horror he started vomiting onto the pitch however the doctor refused to allow us to take the player off the pitch and take him to hospital for the assessment he genuinely needed.

Eventually after another 25 minutes of playing the match finally ended. All through the 25 minutes we could see that the player was struggling and quite slow to follow the ball around the pitch. As soon as the final whistle went we went straight over to them and asked them how they felt. He confirmed that he felt 10 times worse than he had felt when he was with us earlier and agreed to go to hospital with us there and then.

As quickly and safely as we could we brought him over to the ambulance and placed him onto a spinal board and onto the stretcher. As I closed the ambulance door I saw the doctor waddling as fast as he could towards us, seeing this I slammed the door shut and shouted through to the driver to drive. He quickly realised why I wanted us moving and drive off leaving the doctor behind us in the gathering dust.

We repeated the patients vital signs on the ambulance while taking him to the hospital to find that he had a very high blood pressure and a very slow pulse indicating a potentially serious head injury based on what we had seen happen to him. We were very surprised that he had managed to last until the end of the match.

On arrival at the hospital he was quickly rushed into the resusitation room and very quickly they organised various tests for him praising us for recognising the potential seriousness of the situation and under their breaths muttering about useless GPs who forced players to play on.

The good news is the player suffered no long lasting effects from the delay in getting treatment but things could have been a lot worse....

Tuesday, January 12, 2010

EDSFAT Videos

No actual blog entry tonight but some videos for you to look at: (nb you may need a facebook account to view these)

Video 1

And

Video 2

And finally:

Video 3

Monday, January 11, 2010

A little scratch

It all started with a little scratch...

An emergency call to an unconscious patient at a train station had us rushing through the streets. On arrival there was a First Responder on scene gave us a brief run down indicating that the patient had complained of a scratch to the lower leg some two hours previously. By now the scratch was an angry looking yellow rash that may or may not explain the patients current unconsciousness.

We quickly transferred the patient to an Ambulance and completed a more detailed assessment including a 12 lead ECG. We did not find anything remarkable on the ECG but did notice that his blood pressure was on the low side and his heart rate and breathing rate were on the fast side indicating that the patient was suffering from shock.

With no obvious explanation for the scratch which his friends said had not been yellow until an hour previously we took the decision to rush him into hospital in order to get an explanation for the causes of his unconsciousnes.

Along the way the patient had brief moments of lucidity when they woke up and tried lashing out at the crew. Unfortunately we are not allowed to restrain a patient so we have to make do with deflecting their half hearted attempts to hit us which for the most part they do not realise they are doing in the first place.

Luckily for us we were only a few minutes drive from the hospital and we were able to get him transferred to a resuscitation trolley where they quickly got to work assessing the patient and finding out what was wrong with him.

Sadly for us we never got a chance to find out what was causing his unconsciousness but we suspect it was as a result of the scratch that he obtained some hours earlier.

It just goes to show the need to ensure that you keep covered up in areas that your not normally in to prevent any bites or scratchs causing problems at a later stage.