Allright, I have been a little lax this week but HAVE to fit in one before Christmas Day. The last week has been a little interesting, as the title suggests, a few different presentations. Jo and I were called out the other night to a suspected snake bite which on inspection revealed no broken skin, no discolouration, no bruising...no nothing. We did all the right things like blood coagulation timing and the usual obs but nothing showed anything out of the usual. The lady in question though it had bitten her on the big toe, which was possible as she was sleeping outside on the verandah. Further conversation revealed that she only thought she had been bitten as she thought that it felt like it! She had not seen the snake sooo...was she dreaming or???? Anyway, after a reasonable amount of time and numerous blood tests nothing eventuated so she asks to go home again, fine by me.
The next night I was on call with a non nurse responder and was called out about 4:00 AM by a Mother worried that an insect had crawled into her 5 year old daughter's ear while asleep. The little girl was very distraught so I went out to try to fine the culprit. Again no evidence of insect or other wildlife in her ear so maybe something crawled in only to evacuate again leaving a feeling that it was still there. A few flushes with warm saline and some drops seemed to allay all fears that said insect was gone so all happy to go home again.
The next night the two on call nurses had another snake bite issue though this one was accompanied by a puncture wound so this lady was flown out by RFDS. The next day there was quite a commotion near the front door of the clinic when one of the old ladies spotted some snake tracks in the sand leading to an irrigation pit. Luckily one of the guys in the clinic at the time was quite happy to investigate and in no time had the reptile in a bucket to be released a long way from Yuendumu.
To finish off the week Jo and were just back from lunch when there was a report of a vehicle rollover 180 kms west of Yuendumu. We were dispatched in the Ambulance for a retrieval accompanied by the local Police. Long story short on arrival at the MVA all occupants had self extricated from the vehicle and ourselves and the Police retrieved the 3 occupants back to Yuendumu. The RFDS plane was waiting when we arrived back so all were whipped off soon after to Alice Springs Hospital. One lady was then sent on to Adelaide Hospital with a crushed pelvis plus possible internal injuries. Of the others, a fractured Orbit, (eye socket), broken tibia, (leg) plus a variety of cuts and contusions. All in all could have been much worse but just another run-of-the-mill week at a remote clinic.