I’ve often thought that the activation phone on station is linked to the boiler in the kitchen. I was just pouring a cup of coffee for me and my new crewmate, Graham, when it rang.
“We’ve got someone unconscious on a bus,” said the cheerful dispatcher.
It was just round the corner, and the police were on scene when we arrived.
“We can’t rouse him – we’ve tried inflicting some pain but we’ve got no response. We found these next to him,” said one of the officers.
“These” were two 200ml bottles of Surgical Spirit.
We strongly suspected him of having drunk them. He was definitely unconscious – he scored 3 on the
Glasgow Coma Scale (GCS). None of the usual stimulus techniques worked. We put in a nasal airway (a tube up his right nostril), started him on 100% oxygen and took a blood glucose level reading, which was normal. We managed to get the bed onto the bus, as it had a wheelchair ramp on the exit doors. With the help of the police and the bus driver, we got him onto the bed.
Back on the ambulance, I attached the blood pressure cuff, and took his temperature while Graham got IV access and took bloods ready for the hospital. His blood pressure was low, so while Graham secured the cannula, I set up a bag of fluid. The police looked through his belongings and found a card with his name on it. He was still unconscious, so we put in a “blue call” to let the hospital know we were coming, and telling them that he had a GCS of 3.
The patient started to regain consciousness on the way in to hospital, and by the time we arrived, he was beginning to become slightly agitated. We took him into the resuscitation room, and after handing over to the doctor and explaining that the patient had a GCS of 3 on scene and had started to regain consciousness on route to hospital, we transferred him to the hospital trolley. Graham took the trolley out while I knelt down to plug the oxygen mask into the hospital supply (why it’s almost on the floor I have no idea. It’s the only hospital I’ve noticed this in).
It must’ve been a case of “Out of sight, out of mind”, but the doctor spoke to the patient and told him to open his eyes, and when he did (because his level of consciousness had started to improve as we’d just told him) he said “GCS of three, yeah right!”
I got up from attaching the oxygen and said to the doctor, “Actually, he
did have a GCS of 3 while on scene, but as we’ve just told you, he started to come round on the way in to hospital. Clearly our treatment was beginning to work!”
It bugs me that some hospital staff clearly think we are telling them rubbish simply because a patient’s condition has improved during transport to hospital. Surely improving a patient’s condition is our goal isn’t it?
I’m doing overtime on the FRU tonight and tomorrow night. I hope there’ll be some interesting calls I can write about, although England are playing again tomorrow – there’ll probably be a sudden increase in calls when the match ends….