Saturday, 25 December 2010

No, Ho Ho

Happy Christmas to you all! Thanks for sticking with me, even though I am not as prolific or consistent as I was before.

This is the time of year when people, for reasons known to themselves, decide to threaten or take their own lives. It is the time of year for depression, anxiety attacks, drunkenness and violence. It is, in that respect, just like a Christmas episode of East Enders. except, real people, with much better acting ability, are facing real crises... sometimes fatally.

I've had a good few Christmases with LAS now and I've seen the raw impact of people's emotions when they reach this particular date. They are suddenly reminded of their lost loved ones, or their loneliness or the lovers they are no longer in contact with or are losing. I've seen these people hang themselves, drown themselves and throw themselves in front of large, fast-moving vehicles with no expectation (or likelihood) of survival. All done for Christmas and without thought of the possibility that there may be a light at the end of the tunnel they are in.

So, Christmas reminds us of goodwill, etc. but it tags the memories of others in a less pedantic way. It is the season of folly for a lot of people and I am not saying that as a Grinch.

I've been watching two movies on the screens in here (I pulled a Christmas day early shift) and they are both about Santa Claus; both lift the spirits and remind viewers of their childhoods, even to the point of tears I would imagine. They evoke pleasure and warmth simply because they attract with their soppy, nonsensical good-goody message. All required, I should add, so that we may break from our reality on the front line because from this viewpoint, there is very little love being felt out there.

Christmas is filled with crying souls who have just lost their loved ones. That will always tear at me a little, whether on the phone or in person. I remind myself constantly that I am here by something's grace and I too could just not breathe anymore or could experience what the crying people are experiencing; the death of someone very close. It steels me to try and live as full a life as possible and to hold on to people I truly care for and value. You should all remind yourselves to do the same.

Be safe.

Saturday, 11 December 2010

Seeing red

Red calls that is. A shift on the car today because I have to keep my clinical skills sharp, right? So I waited outside the station at freezing o'clock in the morning until someone who knew the door code came along and opened it up. I was doing a shift out of an unfamiliar station you see.

I trundled out after a VDI that took forever 'cos I couldn't find anything - drugs, paperwork, general stuff - and hit the streets of the very south of London on my own, only to be found 'not required' and 'no patient contact' for the first two calls.

Then off to see a poor old 91 year-old lady with a library of geographical books who'd been stuck in her bath all night and was found by the carer when she popped by. The lady was covered in bruises and looked weak and frail - even for her age. She was lucid enough though and didn't want to go to hospital. Her battered old body said otherwise and it took the gentle persuasion of a friend to finally get her to consent to go for treatment. That's what friends are for.

My first (and only) road traffic collision of the day involved a small car and a large bus (see pic). The car U-turned in front of the bus, got hit side-on, dragged along the road and shoved into a lamp-post for good measure. The car driver was badly shaken but not injured, so she was taken gently from the car and strapped into a board after a 'rapid take down' from standing. It was the only safe way to deal with her and the crew on scene had decided not to allow the fire brigade to cut the roof off - they were very disappointed.

The road had been shut down for this incident, so there were plenty of cheesed-off drivers around and loads of people crossing the police tape and into the cordon so they could walk to the shops, or wherever. A young police woman tried to stop them but gave up after ten or so had ignored her. So much for accident investigation then.

Another red alert for a 'trapped behind locked doors' but I found the two young women standing outside the flat hadn't really given it much before persuading themselves their male friend inside was dead or dying. 'He hit his head earlier when he fell. Then we went out and when we came back and tried to get in, he didn't answer and was making noises,' the spokeswoman of the two told me.

I knocked once and he appeared. He looked tired - like he'd been asleep. He'd been on a long-haul flight and had not rested for over 24 hours. He fell earlier because he was just too tired to stand. He had a sore head but otherwise seemed fine but the crew took him away for checks, just in case.

Red for a 52 year-old lady who was sitting in a Chemist's shop complaining of chest pain that was actually not. She felt 'panicky', she told me as she slumped against the counter. 'I have dizziness too', she said. The pharmacist had given her a chair but not aspirin (for her chest pain) because she'd also stated that she'd had a per rectum bleed earlier. It all seemed so 'put together' to be honest and I couldn't be sure of her at all. Still, that's me isn't it? Cynical and disbelieving til proven otherwise.

Up in the West End, where I'd been dragged eventually, I saw the damage that had been done by the protests over the week. Vandalism and graffiti are not fitting tributes to the great future minds of the generation who are defending their right to an education. Sorry but your argument is lost in this kind of protest; nobody wants to see violence and destruction wrapped up in any argument. Get rid of that small minority of people who cover their faces - they are killing your validity.

I don't think the phrase 'can't get him off the floor' could ever be given the designation 'emergency' but, unfortunately for us, the taxpayer and you, the genuinely ill person, if you are an alcoholic and you are drunk and you fall down and can't get back up - you are a Red priority call and everyone else - the fractured people, the vomiting people and the sickling people - can all wait until me and a crew turn up to lift him from the sticky carpet of his grubby 'hotel' room onto a thickly dark-stained bed.

I could, of course also complain about the 'cardiac arrest' (Red1) that came from an area well known for its sleeping vagrants. Even as I got there, in the wake of two ambulances, I could smell embarrassment for the emergency services. Another victory for the people of London who dial 999 because someone doesn't 'look right' but they won't go and ask first. 'I say, young man who looks like an alcoholic. Are you dead?' It really is that easy. Instead the cost is more than £500 in emergency vehicles and THREE resources taken up looking for this cardiac arrest who, in the meantime (and spotted immediately by myself because I just knew), was actually asleep and sitting up in a corner. He did make the place look untidy but that was his only crime. He had not cost the taxpayer a penny in that instant. Someone with an itchy 999 finger had.

Christmas Carols always sound great when played by a steel band. Why is that? On Oxford Street, near Marble Arch, I sat and listened to one as they drummed out silent night and other songs for the benefit of the shopping public. It was soothing. And on Baker Street, a man dressed as Sherlock Holmes walked around advertising the 'Sherlock tour'. Only in this town can you pay to be taken on a tour of places where a fictitious character never went and never did anything.

On a hot underground platform I reassured a female passenger who'd been stuck on a train that was itself stuck in the tunnel for 20 minutes. Initially the plan was to walk all 120 passengers along the track to safety. This means myself, at least two crews, an officer and almost the entire HART team (might be an exaggeration) will attend to help them out. Luckily, by the time I was walked down there, the train had learned it's lesson and was on the platform - well, not on the platform but you know what I mean.

My exhausted, thirsty lady was the only person to 'treat' so I called off the dogs, so to speak, before it got out of hand and silly around there. I offered to drive her to her meeting up the road and she gladly accepted. There was no point in letting her carry on in the tunnels after her ordeal.

A tall, blond Finnish man felt sick and generally unwell at work. He fell down (fainted) and vomited a number of times, so his colleague called an ambulance. Now, at first sight, there seemed to be a rational explanation. He'd had a drink or two the night before - he may even have had a bug but his falling down and frequent runs towards the sink to throw up and retch as I spoke to him were suspicious. So, when the crew arrived, he was given an ECG and it revealed a problem. He had PVC's; fairly irregularly and all over the place - these are known as multifocal and suggest that the heart's electrical system is sustaining itself by firing off at different locations at different times to keep going. It can be very unstable, as was proven when he started to retch again. As soon as he did the ECG changed to SVT. The guy could slip into VF without batting an eyelid. He needed to go to hospital and the little box we know as the FR2 needed to be on hand.

I finished that shift thinking how much I had missed being out here. I guess I need to keep it in balance to enjoy it. I will still criticise the stupidity of the calls sometimes but that's my heart I'm afraid; I can't change it now.

Be safe.