Second night shift has been okay (ish) so far. I,m writing this at 6a.m. Its amazing what caffeine tablets and plenty of Red Bull can do!! If we get a late job I,ll punch someone!! But in a “conducive to patient care” kind of way!!
I,ve had time to catch up on some CPD stuff. (Continuing Professional Development). All the Paramedics in my service have been given nice new folders with all the advice and backup needed to start our portfolios.
I,ve been looking at a few things on the web. First time I,ve seen the ASA magazine. (Ambulance Service Association). Some good articles and links all in one place. So I,m now up to speed now on the Bradley Report on the future of U.K. Ambulance services. Also read up on the new 2007/08 JRCALC guidelines. (Joint Royal Colleges Ambulance Liasion Committee – our rules/reg/protocols for using drugs, treatments etc). Looked at a case study on Paediatric Entrapment in a RTC, and an article on the MIRG (Maritime Incident Response Group – to deal with off shore jobs on ships etc) something which I,m hoping to join.
Went to an RTC early on in the shift. Called to a two vehicle RTC with reports of one person trapped. We arrived on scene to find both cars on the grass central reservation. I made my way over to the most obviously damaged car where I could see the female driver sitting in the front. She was conscious and complaining of chest pain. I had noticed that the side impact airbag had deployed ( T bone crash).
Fortunately she was not trapped, so after a collar had been fitted we extricated her from the car using the longboard with the help of the fire brigade. Securely strapped and headblocked as a precaution we made a more thorough exam in the back of the ambulance. Apart from the chest pain, which was due more than likely to the seatbelt, she was uninjured.
She was taken to the A/E for a check up. The interesting part of the job was remembering what had been said at a training day on “Scene Safety and Patient Extrication” recently. Never put yourself between the patient and the steering wheel if the airbag has not deployed. I asked the fire brigade commander if they had a special device/cover that fits over the steering wheel to prevent it accidently going off. He said no they did,nt and he thought we would have one. (we dont even have a pillow on our vehicle so getting one of these pieces of kit is fantasy!).
About time we took RTC safety more seriously. When an airbag goes off it can push you, or a piece of equipment, straight into the patient. Not a good thing!
The chap below should have had an airbag in his jacket!