Last Thursday was either the shift from hell or the shift from heaven depending on your point of view. From an experience point of view it was heaven sent. From the patients point of view it would have been hell. I was just finishing a batch of four days after a quick turnaround from three night shifts. I had also just worked three overtime night shifts over the Christmas Bank Holidays so I was a little tired as you can imagine.
First call was to an 11 year old seizing, no history of epilepsy but he was diabetic. BM was 3.2, GCS 11 so he was blued in to hospital for review.
Second call was to a 14 year old unresponsive. He was at the bottom of the stairs, GCS 9, pyrexic, 2 day history of illness. He got blued in to A&E where he was RSI'ed in resus and then admitted to ITU. Further tests showed he was suffering from meningitis.
Third call was to a 76 year old male Chest Pain. On arrival I found him sweaty and grey with 10/10 central chest pain, no radial pulse. Cardiac stents had recently been fitted. ECG showed massive ST segment elevation so we blued him in to the nearest A&E. They took one look at him and arranged for us to immediately blue light transfer him to the nearest PCI centre. We did this and watched the angioplasty which was very interesting.
Fourth call was to a collapse ? cause. Found an elderly gentleman unresponsive on the floor. After 20 minutes of CPR with 3 rounds of Adrenaline we called him.

What a day!