19th Floor – Lift Broken
Not-on-my-shift | A Paramedic Blog
by binder
1y ago
The tower block loomed in front of me, like a gigantic mountain sized monolith.  Due to a power cut, not a single light was on throughout the building.  This just added to its dark and evil mystique.  My eyes slowly moved up the floors searching for its peak.  But against the dark London back drop, the building seemed to blend as one with the night sky. Somewhere up on the 19th floor, someone had turned their ankle and was in “so much pain, they could not walk”.  So, standing with my paramedic bag on my back and all the other essentials I always took into jobs, I prepa ..read more
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[not-on-my-shift.org] New submission from Conta
Not-on-my-shift | A Paramedic Blog
by binder
1y ago
not-on-my-shift.org has posted a new item, ‘New submission from Contact’ New submission from Contact […] You may view the latest post at https://not-on-my-shift.org/2022/07/27/new-submission-from-contact/ You received this e-mail because you asked to be notified when new updates are posted. Best regards, binder binder@not-on-my-shift.org The post [not-on-my-shift.org] New submission from Conta first appeared on not-on-my-shift.org ..read more
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The 2nd Victim and Me (guest blog).
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
Whether you’ve had a run in with your line manager, being had up on MAP for being off for yet another amount of time, or having disagreements over procedures – it’s easy to feel that “they” have their beedy little eyes on you and are gunning for you. Unfortunately though, there has been real history of bullying and harrassment in trusts and I have seen valued colleagues broken down in an effort to have them gone. However, times are slowly changing and I’d like to think this pre-school primitive behaviour is being weeded out. But what about when you revieve a genuine complaint on a job you atte ..read more
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Testicles
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
I sat in the consultation room with my chin leant on a fist, whilst the forefinger tapped my cheek slowly. My face was twisted in deliberation, pondering over my patient’s presentation and the how best to broach the subject. “Hmmm . . . ” my eybrows furrowed, “does it hurt?” “It smarts a bit. Uncomfortable I’d say.” My patient stood directly in front of me, trousers and boxers round his ankles, family jewels thrust forward in presentation. They had an inguinal hernia. A very obvious inguinal hernia at that. So obvious, their intestines had bulged and spilled out from the inguinal origin in the ..read more
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Getting off on time
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
I gripped the seat and the door handle for my life, and sat rigid in the passenger seat of the ambulance. My crewmate, nonchalant, yet transfixed in their psycotic driving, was hammering it on blue lights – tearing through the city streets, bareley putting in any thought of using the brake pedal. Cars swerved off the road, quickly mounted curbs, almost ploughed into one another – anything to get out of the way of our speeding ambulance screaming it on blues and twos. My crewmate was taking no prisoners. It was their way, or . . . well, it was their way. That is all. I have never been so terrif ..read more
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Update . . .
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
So, I’ve just caught up with loads of comments people had placed. So, they’re all responded to. I’m also currently getting my guru buddy from Webholism.com to sort my contact form thing out, as well as everything else. Basically, he’s sorted the technical side of this blog from day 1. I’ve been away from the blog for a loooong time and am slowly getting back into the wants and desires to write! I’ve been working on ambulances solidly for last 2 months and confidence has been flowing back. So, within a week I hope to have couple of blog posts up as a gentle move back into the game. The blog is ..read more
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Not on my shift . . .
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
I collapse to the ground and lean back against the trig-point atop the small hill of Brunt Knott.  My body is awash with sweat from the short walk up.  Working in London has certainly taken its toll on my fitness. Sitting back, I take in the majestic views of the Kentmere valley and the surrounding Lake District.  The sun beats brightly above me.  A gentle breeze blows across my face, and Skylarks singing above mark the only break in the mountain silence. I breath in deeply.  The air is fresh and clean. Sitting in this joyous solitude I can feel tears rolling freely do ..read more
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Stopping a thief
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
I like my coffee.  I mean, I REALLY like my coffee! “QUICK!  Someone’s being beaten up! By five men . . . over THERE!”  The old man looked frantic and genuinely concerned. I was about to take the first sip out of an extra hot, posh, independent artisan cappuccino that I’d just purchased.  As such, I wasn’t overly impressed by this rude interruption.  So, just like the fishing pilot at the beginning of Raiders of the Lost Ark, who had the dilemma of finishing catching his fish or starting the plane to escape, I toyed with my coffee for a few seconds before exiting the F ..read more
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Top 10 Do’s and Don’ts of Obtaining an ECG
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
If you’ve ever wondered what all those leads and sticky dots were doing when placed over a patient in a hospital or in a film then they were probably having their heart monitored.  And by monitored, they were probably having some form of ECG (Electrocardiogram . . . with a C, for Cardio.  Not EKG, like how the septics spell.  ECG!). ECG’s are a fantastic system used in lots of hospital and pre-hospital environments to help determine cardiological issues and help us determine the correct course of treatment and outcome for the patient. They measure the electrical output of the he ..read more
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A visit to Control
Not-on-my-shift | A Paramedic Blog
by binder
2y ago
I did an observer shift in Control a while back.  I wanted to watch and listen to how calls come in, got triaged, allocated and then managed. So, sitting with Laffieres*, a Clinical Team Leader, I was able to listen in to a patient call back.  They had rung 999 feeling faint and had won themself an Amber response that could see her waiting a long while for an ambulance.   London were holding a ridiculous amount of calls and, as usual, only had a finite amount of ambulances to send.  So, it was Laffieres’ job to ring the patient back and re-check their clinical status t ..read more
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