***
A day in the life of a diabetic casualty.

One of the perks of the course is that you get to role play.

Either you are the crew leader (being assessed), the buddy (paramedic assistant), the "abang"(ambulance driver) or the casualty.

And for Uncle Raymond's call today, Its my turn to be the casualty.
Nothing really special but it is good to be the casualty today as today's lesson is the Unconcious (Nót.Yet.Diagnosed) protocol.

Which means i have to act totally unconcious till intervention is done.

In other words, i get to sleep during lesson.

Teeheeheeheeheee....How cool is that.*sniggers*

But when Mr Bravo tell me the clinical presentation of the casualty.....

Mr Bravo: You'll act unconcious with some snoring,(as tongue falls back), attempted airway guerdal but you'll gag, snoring only stops till the SSLP position is attempted.
San-d: Ok. What other medical history do i have?
MrBravo: You are a diabetic for 10 yrs, on insulin jab, took jab this morning, rushing to work, forgot to take breakfast hence hypoglycemic. He will administer diabetic protocol and when i kick your feet, you will slowly regain consiousness.
San-d: Roger.

This is a relatively simple case and just as long uncle raymond turns me to the SSLP position, i can go into my lala land.

Case Starts:

Uncle Raymond: Approach casualty, hello i am the medic and this is my buddy, if you can hear me, please do not move your head...............blah blah blah.....
San-d: *eyes closed,snoring*

Uncle Raymond then carry on his assessment and when he attempted to insert airway guerdal into my mouth, i pretended to gag.

Uncle Raymond: Casualty refused guerdal, will attempt later.
San-d: *thinking* huh, what the fark? SSLP??? SSLP???!!!

He then carries on his other assessment and i just kept on snoring and snoring.

Ben (his buddy) knew why i was snoring so much (and very loud too) purposely asked uncle raymond....

Ben: Buddy! Why casualty snore so loud?
Uncle Raymond: Ya! Dunno ley, why she snore until like that
San-d: *thinking* Wtf???? *faintz*

I sneaked a peek to ben and ben was shocked too. He had this don't know to laugh or not to laugh look on his face.

At the positioning stage, uncle raymond decided to turn me to SSLP position.

FINALLY!!! i can stop snoring. Do you have any idea how hard it is to keep on pretending to snore and snore and snore (and it sounds like pig snorting) for about 5 mins?

After positioning is the decision point.

Uncle Raymond: Buddy, what is the Hypocount (blood gulcose level) reading?
Ben: 3 mmol/l
Uncle Raymond: Hmmmmm.... Casualty have a hypocount of 3 and her factory manager says she is a diabetic.....*wonders for a while then decided* This is a case of HYPERglycemia and i will load and go.

Ben and i nearly fainted.

Sometimes, when Uncle Raymond is "kan cheong" (excited), he tends to mix up his protocols.

In this case, Patient is HYPOglycemic as normal people's blood glucose level ranges from 4-8 mmol/l. Casualty's hypocount is 3, hence low blood sugar level. The treatment should be stay and give glucose. However he choose to go.

It is ok to make mistakes coz as you err like this, it will be ethched into your memory so vividly that you not forget.

Ben almost fainted coz uncle raymond forgot his protocol, i almost fainted coz.........

They had to turn me from SSLP(lying on my side) to supine (lying on my back) onto the maincot.

Hence......

San-d: *snores.....snores........snores.....*

Other people become causualty gets to sleep, i get to snore.

Hahahahahahhahahaha

I was so pissed that i purposely snored VERY loudly to get Uncle raymond's attention to turn me over to SSLP or attempts an airway guerdal on me (again).

Just then Mr Bravo came over and whispered to me.

Mr Bravo: You can act unconcious now.

*phew*

Finally can stop my pig-snorting sound a like snoring attempt. I think i snored for about 15 mins at least!

Just when i thought i can go into my lala land....

Mr Bravo: Ok, you reach hospital already.
Uncle Raymond: Now i will report to staff nurse.....blah....blah....
San-d:Agggrrrrhhhh!!!!

End of call.

Really not my day.