Another Day At The Office

EMERGENCY 🤕🤒

Greet smiley RN at the fish- bowl command centre then head off into the mix of unwell humanity

What’ll the day bring? Slight nerves give an edge working in a place like this, keeps you on yer toes.

People everywhere, organised chaos.

Police, bodies slumped on trolleys, paramedics queue with their unwell human cargo, “not too bad today” says one. A baby wails in the background. A young beetroot faced lass is “finding it hard to breathe.”

First up.

Gigantic human of a man, breathing hard, curled in a ball, feet dangling off the end of a trolley, white hospital blanket pulled up over his head. His entire body shaking, face grey, teeth chattering

Sepsis âž• drug withdrawal

Vomiting up the methadone and sedatives that kept him steady, off the hard stuff

He’s in a bad way an emergency is called

Teams swoop

Everyone has a job

IV access gained with ultrasound guide, steady doctor hands into meaty, tattoo covered arms

Massive doses of double/ triple checked antibiotics pumped into his huge frame, paracetamol, painkillers, sedative. “Kill a horse” springs to mind but this pharmaceutical cocktail is exactly what he needs

He starts to feel better, “You’re all great, I’ve been trying not to get angry”

So satisfying to help, glad he kept his temper.

WOMENS’s THEATRE 🩸🩸

“Coming from DEM, active bleeding”

She arrives, crumpled on the trolley

Sheet – white face, tiny voice, eyes shut

Blood seeping, pooling beneath her, bag of blood dripping into her vein, drip, drip, drip, drip, drip

We swoop, urgency, speed, focus, no words needed

In the blink, anaesthesia, surgeon, a simple surgical procedure, bleeding stopped

Looking at each other

The big sighs

The mini debriefs

The “thank god’s”

Later at home thinking, another time

Another place,

Another country

She would have died

MATERNITY v EMERGENCY 🤒👩‍🍼

Midwifing in maternity, delightful task of weighing newborn babies going home

Wheeling them to the scales one at time in goldfish bowl hospital cots

Quickly, gently, wrangling them out of clothes and nappy

Placing them on a blanket nest on the scale, tiny bums in the air

Talking to them, shushing them, apologising for cold hands

Beep! All done

Just as quick, dress them em up again, straight back to mum’s arms

Next day a nurse shift in emergency, the polar opposite example of human … a murderous looking character from the worst horror movie, shuffling past shackled , unkempt , muttering to himself, three big towering cops in tow (thank god)

And angry muscle man next door, baring his chest, looking ready to pounce, scoring three security guards, one cop, all poised, ready for anything

Both these men once tiny, precious newborn babies too. What happened to them in the intervening years, what’s their story, what contributed to the state they’re in?

Do we really want to know?

Lindsey Crossan Registered Nurse/Midwife

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