Today was a very good day, we only had three jobs, but the last one took around four hours.
To start the day we carried out an urgent transfer of a patient that had been stabbed several times in the chest. He had a pneumothorax on the right side and as such I was shown how to create a chest drain. The transfer took around 30 minutes and we delivered him in a stable condition.
The second job of the day was a fall from height at a construction site. The male had fallen approximately four meters and suffered a potential pelvic fracture. We immobilised him on a spinal board, administered fluids and transported him to the emergency department.
The final call of the day was probably the best call I have had since being here. We were called to an elderly male that had been walking in one of the valleys on the outskirts of Guadalajara, after searching the woodland for around twenty minutes a local pointed us in the right direction.
We arrived at the top of the steep valley and the crew I was working with was reluctant to venture down due the terrain. I grabbed the trauma bag and climbed down myself to find I was first on scene.
The elderly male was complaining of pain in the lower back and pelvis. I completed an assessment and a set of obs, to find that he was hypotensive (86/56) and also hyperglycemic (320mg/dl). Being on my own, I shouted up to the crew who agreed that I should cannulate and start administering fluids.
About ten minutes after this the Bomberos USAR arrived to help with extrication. They set up the ropes and using a SKED stretcher we formed a litter and carried the patient up the valley, out of the woodland and into the back of the ambulance.
Completing another set of obs on the way to the ED the patients blood pressure had risen to 103/76 and his glucose levels had dropped to 210mg/dl. In total this call from start to finish lasted around 4 hours.
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