the thickness of the blanket, and the difficulty of carrying vomit bowls into houses, the blanket can catch any vomitus the patient may produce while leaving the house. Reassuring the patient that it is fine to vomit on the blanket is important in case they become embarrassed.
When moving a dead body from a location, two blankets in the ‘T-wrap’ will disguise the lack of life from bystanders. It’s also good for wrapping up very frail LOLs when it is freezing outside.
With the addition of two triangular bandages the ambulance blanket can be converted into a pelvic splint. This helps stabilise pelvic fractures which can become life threatening if allowed to wobble. As an aside, the next time I see a trauma surgeon flex the pelvis in a suspected fracture, I’m going to find their car and let down their tyres.
If you don’t have the head blocks that go either side of the head to protect a possibly broken neck, then by the correct folding of the blanket you can form a snug-fitting c-spine restraint. I prefer the use of blankets to the specialist kit here because the blanket is better able to form itself to the patient’s head and neck.
Our blankets are red—this makes them ideal for hiding blood.
If you have a nasty trauma in a public place the blankets are large enough to be used as screens. This requires the use of two firefighters to hold each end. Don’t worry, they were probably standing around doing nothing anyway.
The blanket also works well as an ‘NHS special’ pillow. We don’t carry pillows on our ambulances and many hospitals are short of them. So roll up your blanket and place under the patient’s head. LOLs with a curvature of the spine will be especially grateful, as in a moving ambulance without a pillow their heads tend to roll around like a nodding dog.
If folded correctly, you can put it on your trolley bed and have ‘AMBULANCE’ written down each side. This not only looks good but also makes it really easy to wrap patients up in it.
If you have a patient who might become aggressive then the blanket—if tucked in tightly—can provide a mild restraint.
Doing CPR on the floor for an extended period of time can be wearing on your knees—a folded blanket makes a nice cushion to rest on while pounding away on some dead person’s chest.
If someone decides to have an epileptic fit in the back of your ambulance, the blanket can be used to protect the head (or other part of the body) from hitting the ambulance wall or other hard surface.
Have you had a huge spillage of some noxious fluid? Are you worried that as you return to your station to mop out the back of the ambulance the fluid will run through the door into the driver’s cab and thus contaminate your packed lunch? Simply mop it up with a blanket.
If someone tries to attack you, throw it at them like a net—it may distract them long enough for you to run away.
There are probably a hundred more uses for the ambulance blanket—and no doubt as soon as I publish this I’ll think of another 20. Still, I think that you will see that the humble blanket has many more uses than our defibrillators and ECG machines.
Friday Night’s All Right for Fighting
The first job of our Friday night was to a little old lady (actually, she wasn’t that little). She had been standing on her bed with her daughter to fix the curtains when she’d felt dizzy and fell down. She then bounced off the bed and landed on the floor. Unfortunately for her, she had landed on her neck and head.
One of the first things that I do in a case like this is to make sure that there isn’t an injury to the neck. I’ll do this by gently feeling the neck while the patient tells me if it is sore. If there is soreness to one side of the neck then this will normally be a muscular injury while if the pain is in the middle of the neck then there is a chance that the injury is more serious. Like a broken neck.
This woman nearly leapt from her bed when I gently touched her neck—she had a potentially serious neck injury.
So we needed to be extremely careful in order to make sure that if the patient had broken her neck, we wouldn’t make her injury worse by bouncing her down the stairs from her flat to the ambulance. Unfortunately, everything we had to tell the patient had to be translated by the daughter. I need to learn Bengali; it’s a real shame I have no head for languages.
The patient had to be moved down the bed so that our scoop stretcher could go under her then she needed to be securely strapped onto it ready to be carried downstairs. In this case I used a blanket roll to secure her head rather than the more expensive and less effective head blocks. We called for another crew to give us a hand because in a case like this it is better to be safe than sorry, and you need to be careful carrying a potentially unstable neck fracture down two flights of stairs.
We were all really impressed with the neatness and effectiveness of the strapping. I wanted to take a photo of it because it doesn’t often look as good as it did with that job.
As mentioned, she wasn’t too light, and it’s really tricky to manoeuvre a six-foot-long orthopaedic stretcher out onto a balcony, around half the building and down two flights of stairs. At one point we had to suspend the poor woman’s head over the balcony in order to get her around the awkward architecture of her building—pretty lucky that she wasn’t looking down at that point.
The job itself went like clockwork.
My back, however, was starting to hurt from the less-than-safe lifting that we needed to do to get the woman out her flat and into the ambulance.
We then had a couple of ‘nothing’ jobs—coughs, colds and bellyaches.
We got to around midnight when we were sent on a call for a ‘17-year-old male, has a knife, cutting wrist, suicidal’. As it was in the street I thought that we’d go and have a look—if he was violent then we could soon drive off and await the arrival of the police.
The young man was lying on the floor, his left hand was covered in blood and there were already two policemen there. They looked happy to see us.
A quick assessment later and it turned out that the patient had nearly severed his left little finger. He was covered in blood and refusing to say anything except that he wanted to die. I managed to get a ‘quick and nasty’ bandage on his hand while the police and I wrestled with him. He wasn’t very happy with being put into the ambulance and once inside fought with us like a man possessed. Blood was everywhere, he was trying to bite us and the police had to handcuff him (which for some reason, probably paperwork, they really didn’t like doing). It took the three of us struggling with him to get him to hospital and when he reached the department there needed to be six police guarding him in the psychiatric room.
He was, to use an ambulance service technical medical phrase, ‘proper mad’.
I felt sorry for the fellow—he didn’t ask to go out of his gourd.
I also felt pain.
Pain in my back.
While fighting with the patient in the back of the ambulance I had somehow wrenched my back and the whole right side of my body was in pain.
So we went back to station, I filled out the required paperwork and went home. I stayed home for the next two nights, partly due to the pain and partly due to a desire on my part to avoid exacerbating the injury.
I often bemoan the fact that I tend not to get sent to many jobs involving ‘trauma’. If you’ve been stabbed, I’ll be down the road picking up a matern-a-taxi. If you’ve fallen out of a second-floor window, I’ll be one street over dealing with the sleeping drunk. And if you’ve thrown yourself under a tube train, I’ll be one stop down dealing with the twisted ankle.
It’s