Well my first night shift last night out of the run of them, and a good night!

Firstly it was Friday night and I didn't see one person who's need for an ambulance resulted from the over use of ethanol! This is somewhat of an achievement for a Friday, when usually the patients are suffering from acute alcohol intoxication!

I went to a gentleman last night, who when I arrived and saw him struggling to sit up, looking white as a sheet, and sweating more than I’ve ever seen before, with crushing chest pain! My first reaction was S**T he don’t look too well, followed very quickly by phoning control to find out where my crew was, they were 20 min away!

My time is now spent for the next 20 min with a 16 odd stone gentleman who has now put himself on his knees in the middle of the floor because he felt so faint, and who is now completely stuck in this position, as he has no strength and I’m unable to get him moved on my own!

I no find out he has only got a pulse of 38 and virtually no blood pressure, my concern has increased now!

I’ve given him Oxygen, but there is very little more I can do for him until the ambulance comes. This is one of those patients that just need to be in the back of an ambulance as quickly as possible and being taken to hospital at light speed!

So a crew has arrived and we’re now in the ambulance and started giving him some drugs to speed his heart up, and having done an ECG it is glaringly obvious that he is having a massive MI!

It’s quite funny with ECG’s when a patient is clearly having an MI, everyone in the back of the ambulance just looks at each other, and without the need for anyone to be told what to do we all just find jobs and get on.

One of my colleagues is asking the questions so we can thrombolise the patient, I’m drawing up umpteen different drugs and my other colleague is checking the ECG and doing some more obs.

It’s nice to see when you get a really ill patient how everyone just gets on with their job and the team work kicks in!

So the patient is thrombolised and the crew take him to hospital, I heard later that his was doing much better, sat up and chatting!

Another good job!