Paeds Major Trauma

Generally isn’t that major.

The vast majority of incidents that trigger the ‘trauma tree’ in paediatrics are discharged within 24 hours.

The first paeds major trauma I saw sounded pretty serious on the way in: a hypotensive 12 year old boy involved in an RTC with part of his jaw missing. When he came in he was conscious, talking and haemodynamically stable…it turned out that the bit of his jaw missing was a couple of teeth. This boy had snapped the steel bar connecting the wing mirror to a minivan with his head and he had no brain bleed at all!

Other kids have fallen down tens of stairs and seemingly just bounced. Because of the mechanism of injury they are classified as ‘major trauma’ but many of these kids don’t have a scratch on them!

Even the girl who had to be intubated and sent to neurointensive care after a very high speed car accident was discharged four days later.

Saying that, whenever the ‘blue call’ alarm goes off in A&E I still stop talking to find out if it’s for us.

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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… 😉 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.