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The Paramedic's Diary - xf
The Paramedic's Diary - xf A record of the working life of a London Ambulance Paramedic. All in-confidence. All real. I am a Registered Paramedic, with a degree in Paramedic Science. I work for the London Ambulance Service in Central London. I have been involved in pre-hospital care at every level (including the army) since 1992. This diary reflects my daily routine in my own words, as accurately and honestly as possible. It does not purport to reflect the views of the London Ambulance Service NHS Trust, who neither read nor approve the content. I cannot identify patients or locations and may change certain facts in order to protect patient confidentiality and I hope you understand why that needs to be done.
For charity

Mr Tonsilpus has caught your imaginations I see. The FB group is up and running and I have now registered him for his own website, so look out for the link (he may have his own blog soon too)!

The charity I have chosen is the London Air Ambulance and you will find a widget on the left so that you can donate (if you wish).

I'm hoping Mr T will raise at least five grand for the charity and it is up to you to make that happen. Of course, he'll need to have those adventures we are all talking about now, right?

He's been promised a 'rideout' on the air ambulance and car very soon and he starts touring the UK in a few days before leaving the country for warmer climes.

Thank you for your enthusiasm with this - it's been great fun so far!

Xf
26 August 2010
Mr T's Facebook group

Mr Tonsilpus Facebook Group

I've created the FB group for you all to join. Please click on the photo of him on the left to join.


So far, he has been invited to more than 40 different places around the world and will be going out for a day or two with some very important people! If you want him for a while, please join the group. If you are not on FB or you don't want to join FB, please email your request instead.

I hope to create a website for him as he travels, so pics and videos will also appear on that.

Let's have some fun!







Xf








23 August 2010
The Tonsilpus adventure

Well, thank you all very much for being so enthusiastic about this! I have so far received almost thirty invites for him to travel across the USA, Australia, New Zealand and other far-flung (and a few not-so far-flung) places.

So, the plan is to create a Facebook group which you should all join when you get the invite (I will place a button on here). Then I will send out a little form for you to fill in if you are taking custody of him. I'll need to know where he's going, when and what you plan to do with him. All of your personal stuff; name and address, will be kept strictly private but I need to have a valid postal address.

Mr Tonsilpus will travel with a little passport which custodians will sign and record a little note in, stating where he's been. You may photograph him and video him and they can be shared with everyone on the FB page.

Then, after your holding period is up, I will email you to advise you of his next destination. This means, of course that you will have the next person's mailing address and will be responsible for posting him off (at you own cost, I'm afraid) but I will try to keep the next destination within reason to limit your postage costs.

If you don't mind this, then please re-apply when the Facebook page is up. Incidentally, my email address has always been accessible via the blog - it's
thexfileman@aol.com.

The DEADLINE for initial applications (just an email or message to say you want him) will be the 1st of September. After that, he will be prepared and sent off to the first applicant, probably in the UK for a tour of his home ground before setting off abroad. Of course, you can still apply to have him as he travels but I will want him posted off in a logical way to limit the time he is exposed to the outside world (he's only little and a bit fragile).

He will return to a UK host before finally coming back to me at my office address in London.

This is all a bit of fun but I'd like, with your permission, to do something magnanimous with him - if this goes well, I'd like everyone who is taking him (and those of who are just watching) to contribute a little bit to a charity that I have in mind. A link will be set up so that you can donate directly to it and then, when he returns home with all his experience and a fully completed passport, I will auction him off, passport and all - again for charity.

If you want to ave a little Tonsilpus of your own, I can ask Lottie - who made him - to knit you your very own Mr T! Just email me and I will pass on the request. She will probably need to charge for him but I will leave that to you and her.

What do you think? If he travels to a lot of places, I might pack myself in an envelope and try it!




Xf

21 August 2010
Alcol-demic

I had a look at some of the vehicles that may be suitable for our new Fast Response fleet and have decided on this. At a mere £170,000, I think the investment will pay off in around twenty or thirty years. However, we must consider the comfort of our patients (oh, and the FRU pilots) – and with a 0-60 in less than 5 seconds pedigree, surely getting to them before they vomit into the gutter is important? I can't wait to take delivery of it - and I hope the Booze Bus crews get a similar re-vamp; perhaps a Rolls Royce Estate? :-)

So, the big headline news is that we are currently dealing with one drunken (or alcohol-related) person every eight minutes. I did a bit of calculating and this is what I discovered: there are 288 hours in 24 hours (clever, eh?); that means there are 36 eight-minute periods every day. Effectively, as long as we are taking on an alcohol call every eight minutes, there are thirty-six crews in work if they all take one call a shift. There would still be three or four crews employed if they were dedicated to taking every call of this nature every shift.


Alcohol-related calls are a waste of time for the most part, as well as other minor and time-wasting jobs that we encounter every single day, 24-hours a day, but the caveat here is that dozens, if not hundreds of additional people are gainfully employed as a result – across the UK, that could amount to thousands of individuals, including of course, nurses and doctors.
I don’t like the waste – you all know that; our tax money and precious life-saving skills are frittered away on these people but I am pragmatic and realise that they are the source of some, if not most of my income. That, however, will not stop me believing that it is time to penalise them - a steep fine when they sober up is required.


The long four-night weekend starts now and a strange assault call came to me with a request to let Control know if an ambulance was required. The cops were on scene with a young girl who had (by her own admission) hit a 61 year-old man with a bottle, which shattered and sliced open his hand.

The man was denying this and stuck to a story in which he sustained the injury during a fight between two young men who were with the girl. He said he’d ‘smacked one of them in the mouth’ and the toothy contact caused the damage to his mitten. This story, of course, helped keep his ‘hard man’ character intact, whilst the other one – where a girl hit him with a bottle (and the evidence for that was everywhere) – led to his emasculation in front of his neighbours, who’d witnessed the fracas and, in fact, bore out the story given by the young girl.

It was strange to hear this teenager telling the cops all they wanted to know – confessing it all – while the assaulted man denied she’d ever hit him. It meant she’d get away with it and that, from what she was saying, was something she didn’t want. ‘I did it. Take me away if you need to, I don’t mind’, she said to the very bemused cops. They must have thought Christmas had come early.

I had to take him to hospital because a vein or two in his hand had been severed. Blood spattered and pooled, depending on his movements after the assault, all over the place. It smeared and dotted the windscreen and body of a car outside the man’s flat. The car belonged to some poor sod who’d wake up in the morning, stretch his body for the coming day and then scream blue murder at the sight of someone else’s blood all over his beloved carriage. If I could spend the extra time awake just to witness it I would.

It seems to be a bottle-themed night because the next call was for a man who’d been hit by one during an alleged robbery. He had a superficial head injury and hadn’t been knocked out. Here’s the test:

‘Were you knocked out at all?’ I ask.


‘Yes’, he answers.

‘Where were you hit?’

He points exactly to the place he was hit on the head.


‘If you can remember being hit and where on the head you were hit, then you must have been conscious when you were hit, don’t you agree?’

He nods.

He also knew what had been taken from him and, while his girlfriend (with tears in her eyes) and other friends stood around him, he seemed to feel a lot worse.

He was lucid and not at all bloodied by the incident. I wouldn’t want to detract the seriousness of his experience of course but I think he may have been clubbed by a rubber mallet.
Maybe a clown robbed him.

Be safe.

~

 

20 August 2010
Leg stuff

A cardboard box crushing woman twisted her knee so badly at work that she needed a lot of morphine to stop her screaming in pain. She had been stamping down cardboard boxes at work when she suddenly lost her balance and fell over, twisting her leg badly as she went.

Her knee cap wasn’t the culprit; her entire knee joint was over to the left at an unnatural angle, so I was asked to support a crew who was already on scene and bring on the Class A drug. She needed heavy-duty pain relief, not just gas and air. She also needed a lot of padding and splinting before we could move her – she was a largish lady and we had very steep stairs to descend. The chair was out of the question, so I asked for another pair of hands and got the nearest cycle responder to help.

It took a while but eventually we got her down by strapping her securely to a board and using the four of us to carry her from the first floor. I had warmed up nicely at the end of it and we all took a moment or two to cool down before setting off for hospital, where that leg could be x-rayed and hopefully fixed.


A 17 year-old Somali boy crashed after being chased through the streets by police. He was riding a moped and had a pillion passenger with no helmet on, so naturally that attracted the attention of the local cops. He tried to run on foot when his bike met its demise after rounding a bend too fast. His mate got away but he was grabbed by other cops who turned up on scene.

I was called because he’d complained of leg pain but all I found was a couple of baby-sized grazes and a very smelly foot. He was fine and well enough to go to a police cell for the day, if not the night. I think he needs to consider some clean socks before he goers onto his next great adventure.

Be safe.
17 August 2010
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