A&E Waiting Times

Just a brief one.

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I’ve just watched a video about paramedics/A&E support having to wait for hours outside A&E departments to handover (http://www.bbc.co.uk/news/health-25298066). The lady from the NHS was talking about pumping more money into the NHS – good idea – but putting it into the ambulance service to prevent the waits. To me, the obvious primary limiting factor is A&E capacity, and one  solution (rather than changing the mindsets of people calling 999 unnecessarily) would be to increase the capacity of A&E departments, both numbers of staff and space, rather than increasing the queue of ambulances. By decreasing waiting times outside A&E, ambulances would spend more time on the road anyway.

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Last week of term!

Interesting term thus far.

The actual hour by hour plan hasn’t really been stuck to so far, but that’s only to be expected I guess. However, my two pieces of coursework submitted so far this year have received a 70 and a 75 which I’m very happy with…achieving a c.64/5 this year is seeming more and more likely!

Work is fun. I had a shift last week where a young woman was in a mosh pit and fainted, she had been standing among a lot of (weed) smokers which was probably the reason for spO2 of 88. I told the trainee paramedic with me this girl’s sats, and she (the trainee para) screamed them back at me with a worried face. You do not do this. Cue aggravated patient and worried 20 questions from patient’s drunk friends. Patient’s spO2 returned to normal within 5 minutes.

A couple of weeks ago I was working on a Friday and then a Saturday. On the Friday I had a guy who drank a whole bottle of cognac and his spO2 dropped to 74, very stupid thing to do, so I had to call an ambulance out, and that was fine. Also, side point, got the oxygen out, to be face with this:
ImageThe following night, I was at a different venue and was called out to a homeless man outside the front, I got to him and he said ‘I have chest pain and had a heart attack in January’, whether this was the case or he wanted a bed on a cold November night, who am I to say… đŸ˜‰ Whatever though, I had to call an ambulance as he had the magic chest pain symptoms, the ambulance arrived and it was the same paramedics…I really hope there isn’t a 999 blacklist!

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Choir’s Christmas concert is this week, and is only minorly stressful – should be fantastic!

Otherwise, I’ve received my two (surprisingly very) good references for my MSc, just need to write my personal statement now.

So, a good term I think.