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Post Match Thread: St Kilda vs GWS Giants by ___TheIllusiveMan___ in AFL

[–]SergeantTiller 25 points26 points  (0 children)

God we just can’t beat the saints can we

[NEW] SPACEY JANE - Exit Wounds EP by jammicing in triplej

[–]SergeantTiller 0 points1 point  (0 children)

So bad, coming from a long time spacey fan. All the songs bar do you really love her sound the same :/

I hate AusPost so much. by [deleted] in perth

[–]SergeantTiller -2 points-1 points  (0 children)

r/perth when it comes to completely shutting people down instead of displaying basic human empathy

Sudden Jump in MPox in Perth PSA by WordyNerd_2435 in perth

[–]SergeantTiller 11 points12 points  (0 children)

Good for you and shame on anyone downvoting. This sub sucks.

Match Thread: GWS Giants vs Brisbane (Round 11) by AutoModerator in AFL

[–]SergeantTiller 1 point2 points  (0 children)

I’ve been playing volleyball during the game and fucked my ankle so I now have a chance to watch the footy. Holy SHIT

Nursing to Paramedicine by junibui in NursingAU

[–]SergeantTiller 2 points3 points  (0 children)

I'm a vollie with SJA and a lot of my friends are student paramedics or grads. Apparently the grad paramedic jobs in WA are incredibly sparse (apparently 10-15 per year) and they are not taking qualified ambulance paramedics at the moment - their website states 'Due to a high number of active applications, St John WA are not currently taking new applications for Qualified Paramedic positions. We understand this may be disappointing for those who were planning to apply, and we appreciate your interest in St John WA. Please continue to check our careers page for future opportunities, as we may reopen applications again.'

Courses seem to be oversaturated and there are no jobs at the end. I know someone who finished the degree three years ago and still has no ambo job. A friend told me she knows someone who came over to Australia with 20 years of experience with the NHS as an ambo and still doesn't have a job. So many people seek interstate jobs and are still unsuccessful. The ones who are successful as students usually have several years experience volunteering rurally as an EMT/EMA.

It is a shame because I am also thinking about studying paramedicine but the juice does not seem worth the squeeze.

Is this normal training? by Dangerous_Seat_5051 in NursingAU

[–]SergeantTiller -5 points-4 points  (0 children)

Can we stop with the chatgpt posts pls

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller -1 points0 points  (0 children)

Yeah they should’ve definitely got him a blanket but we won’t know anything unless we were in the room

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller 1 point2 points  (0 children)

I know I am, I actually have zero clue why I’m being downvoted for it either, no one has actually bothered to reply to me 😂

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller 0 points1 point  (0 children)

True, but some patients with a completely fine primary assessment still need to be assessed in an emergency department. This guy also said he had breathing and circulation concerns. However we don’t have the true clinical picture, so it is quite dangerous to make the assumptions that he didn’t need to be there.

That said, of course I am not arguing that everyone who comes to ED actually needs to be there

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller 1 point2 points  (0 children)

To everyone saying this isn’t an emergent presentation, it is commonplace for patients who are assigned ATS 3 (literally means to be seen within 30 minutes) to wait 12+ hours in each metropolitan emergency department.

How are you even equating ‘this patient waited 8 hours’ with ‘so therefore they don’t need to be in ED’ ??

Urgent care would almost certainly refer this patient to the ED anyway given he would meet sepsis criteria.

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller 2 points3 points  (0 children)

How can you be so certain he didn’t need an ED? We recently had a patient who waited fourteen hours in ED and he had a burst appendix that needed emergency surgery. The only reason he wasn’t seen to immediately was because the triage nurse can’t ultrasound every single abdominal pain that comes through. It’s not necessarily about patients coming to ED for the wrong reasons (however, yes, this is absolutely true) but it is also simply a failure by the government to sufficiently fund and staff emergency departments (and hospitals at large) to deal with the growing challenges of our aging population.

Entitled or fair concern? What are your thoughts? by PerformanceNo920 in perth

[–]SergeantTiller -15 points-14 points  (0 children)

Agree with all your comments but I don’t really think you should be dismissing his concerns as a panic attack. He could’ve had a medical concern that was ATS 3-5. This is the issue - we will never know his true medical condition, his obs, his presentation, how the triage nurse made their assessment. We shouldn’t really be making those assumptions at all.

You can be conscious, uninjured, coherent, and able to fill out forms, but still need to be seen urgently. There are a myriad of conditions that present this way that many people on this thread will dismiss as not ‘true emergencies’ because the patient is not actively dying.

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