A quieter day, only attending three calls, the first was to a cardiac arrest, two motorcycle paramedics were in attendance on arrival and my first job was to secure the airway using a LMA (laryngeal mask airway) after this we continued with compressions with a ventilation every five seconds. The AED that the motorcycle paramedics were using ran out of battery about five minutes into the resus attempt and it was swapped over for another. This was also on low battery, but sufficient for the time being. We continued with resuscitation attempts for 25 minutes before the senior paramedic called the time of death.
The second call of the day was to a bicycle rider who had been knocked down by a car. The rider, sat at the side of the road was complaining of lower leg pain and after inspecting the area I deemed it to be a likely tibia fracture. We splinted the leg using the cardboard on the ambulance and cannulated on route to the hospital.
The final call of the day was the transfer of a motorcycle rider with massive head trauma. Before leaving the hospital the doctor decided that RSI (Rapid Sequence Induction) was necessary, so I assisted in intubating the patient. On arrival we took the patient in to have CT scans of the brain, to find out the extent of injury, he had a massive fracture across the skull and bleeding inside causing compression of the brain. After the scan we returned back to the emergency department, where we then cleaned and prepped the patient for surgery.
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