Its dusk and after sitting out on the balcony with my computer, I’m about to go downstairs to the communal kitchen to prepare dinner. I was on ND last night and after a busy shift night, slept soundly all day, lulled by the sound of the constant rain.
Last night there was high octane in the air. One of our Paramedics from NZ came in at 11am with “retro sternal chest pain and difficulty breathing”. When I met him at the ward entrance he looked terrible and instantly we knew that it had to be 'all systems go'.
His ECG's showed an evolving septal infact. The ST segments were nearly tombstone in appearance and his first Trop, which was recorded 30min after onset of his first symptom was 0.3. He was also having runs of SVT.
The medical-nursing management was brilliant and whilst talking to a Cardiologist at Royal Brisbane Hospital, his ECG's were faxed. Fortunately the last ECG showed some resolution of the ST segments and the decision to administer thrombolytics was withdrawn.
He was emergency evacuated for an urgent coronary angiogram today. The report indicates that he had 95% RCA occlusion and 75% LAD.
Angels must have been watching over him last night.
…now it’s time to chill out.
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