After a bit of confusion as to where I was supposed to be working I ended up at my base station. I was on overtime so it didn't really matter.
The first job of the night was for a haemorrhage/lacerations call. The patient was a lady in her fifties who had an illeostomy bag and it was filling with blood. This had started at 11 am and a slow trickle continued all day. Between 6 pm and 7 pm she emptied the bag 5 times, the bag's capacity was around 250 ml. If you consider the average circulating blood volume for an adult is around 5 litres, that's a lot of blood to be loosing! We got her on to the truck pretty quick. Her pulse was rapid and she felt thirsty, some of the signs of shock. I got a line in and set up some fluid. Her BP was intially 177/86 which I found hard to believe and her pulse was 130. After a recheck of her BP it came out at a more realistic 72/48.
At hospital a Dr tried to get another IV and messed it up twice. Eventually she managed to get one in. Oh well, a bit like me the night before where I missed twice. I don't usually miss and when I do I get annoyed with myself, but as my crewmate reminded me 'It's swings and roundabouts mate, swings and roundabouts!'
The rest of the night was pretty uneventful.
I've now got a few days off before yet another set of weekend nights!