tag:blogger.com,1999:blog-5498194182629204271.post7048279422439117814..comments2023-09-26T12:58:21.651+00:00Comments on The Paramedic's Diary: Out of itXfhttp://www.blogger.com/profile/08189044083128101123noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-5498194182629204271.post-3044321977148568612008-07-22T08:32:00.000+00:002008-07-22T08:32:00.000+00:00anon and SueThanks but I'm not sure of the 'be ver...anon and Sue<BR/><BR/>Thanks but I'm not sure of the 'be very afraid' bit :-) I'm like a lamb really.Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-25313864804046694492008-07-22T08:31:00.000+00:002008-07-22T08:31:00.000+00:00aussieparaWe did consider this possibility but hi...aussiepara<BR/><BR/>We did consider this possibility but his family swore that he took nothing more than analgesics.Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-67947888720655595752008-07-22T08:30:00.000+00:002008-07-22T08:30:00.000+00:00webbyThank you. She probably did step on broken gl...webby<BR/><BR/>Thank you. She probably did step on broken glass. Time to give out plastic 'glasses' in these places then, don't you think?Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-74571756926430810432008-07-22T08:29:00.000+00:002008-07-22T08:29:00.000+00:00anonThanks for the info on functional disorder...y...anon<BR/><BR/>Thanks for the info on functional disorder...you may be right and it does sound exactly like my patient. I'll do some reading, although it sounds like nothing would change 'treatment' wise out of hospital...Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-48313173792716727632008-07-20T21:20:00.000+00:002008-07-20T21:20:00.000+00:00"Why would anyone want to feign unconsciousne..."Why would anyone want to feign unconsciousness … especially when you get a paramedic like Stuart Gray turn up to inflict “deep pain” on you?!!"<BR/><BR/>Maybe that's the attraction... ;-) <BR/><BR/><BR/>We had a young frequent flyer at A&E that would regularly feign unconsciousness. Sometimes she would score a GCS of 3, yet everyone knew she was faking. She claimed to have a whole host of serious medical conditions, and was on some heavy duty drugs, yet no one had any proof of any diagnosis and she refused to undergo any further tests, and no other hospital had any record of her. <BR/><BR/>We had another one with pseudo-seizures. I was an in-patient on the medical ward once and she landed up in the bed opposite. She'd only "fit" if there was a nurse around... She tried it once when no one was there and I just ignored her - she soon stopped!<BR/><BR/>It really is amazing the lengths some people go to.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-33443269459249314632008-07-20T18:49:00.000+00:002008-07-20T18:49:00.000+00:00Why would anyone want to feign unconsciousness … e...Why would anyone want to feign unconsciousness … especially when you get a paramedic like Stuart Gray turn up to inflict “deep pain” on you?!!<BR/><BR/>Be very afraid.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-91757894095849901512008-07-19T06:57:00.000+00:002008-07-19T06:57:00.000+00:00Your 'unconscious' male is interesting. I have se...Your 'unconscious' male is interesting. I have seen two patients recently with 'functional' disorders and they both had similarities with your patient. Your statement about something being strangely not right is exactly what we felt when we were investigating these two.<BR/>One was a young male who had taken an overdose. He recovered fully within 24 hours then began having seizures. We CT'd his head which was normal and then watched and waited. What transpired was that he would talk to the nursing staff and his family (ie. GCS15/15), but as soon as we (medical team) came along he would lapse into 'unconsciousness' where he was unresponsive to deep pain/sternal rub and would tolerate airway adjuncts YET could maintain an airway. <BR/>He was diagnosed with a functional disorder secondary to his psychiatric state. From what you have said, this case sounds quite similar in nature...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-10415577589861770872008-07-17T01:22:00.000+00:002008-07-17T01:22:00.000+00:00We have a paramedic where I work that can tolerate...We have a paramedic where I work that can tolerate an LMA whilst conscious, so tolerating an OP is possible. Is it possible that benzos were also involved? That can make the patient a bit flakey.<BR/><BR/>Regional ParaAussieparahttps://www.blogger.com/profile/11884354273073991331noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-62193137418032656782008-07-16T22:33:00.000+00:002008-07-16T22:33:00.000+00:00I've met a fireman who could sit there with an OP ...I've met a fireman who could sit there with an OP in place no problem.... was his party trick. The paramedic who did some of my training treated a girl who tolerated an ET tube in resus for 5 minutes... there's some freaks out there!<BR/><BR/>One the toe job I've done my fair share of event work and nightclub work and often it's dropped glass bottles, ladies wearing open toed shoes or shoes with thin fabrics don't see the broken bottle and accidently kick it resulting in injuries..Webbyhttps://www.blogger.com/profile/15496818387264114921noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-7670541395643906392008-07-16T19:11:00.000+00:002008-07-16T19:11:00.000+00:00How could he tolerate an OP airway if he wasn't pr...How could he tolerate an OP airway if he wasn't properly unconscious??<BR/><BR/>Thats vv odd and must be really frustrating for you guys!Anonymousnoreply@blogger.com