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	<title>Hypoxic witterings &#187; exercise</title>
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	<description>Do mountains need rescuing that often?</description>
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		<title>Feeling sleepy</title>
		<link>http://www.thinknuts.net/2009/08/14/feeling-sleepy/</link>
		<comments>http://www.thinknuts.net/2009/08/14/feeling-sleepy/#comments</comments>
		<pubDate>Fri, 14 Aug 2009 13:00:04 +0000</pubDate>
		<dc:creator>Aled</dc:creator>
				<category><![CDATA[Mountain Rescue]]></category>
		<category><![CDATA[asthma]]></category>
		<category><![CDATA[casualty]]></category>
		<category><![CDATA[child]]></category>
		<category><![CDATA[exercise]]></category>
		<category><![CDATA[fall]]></category>
		<category><![CDATA[first aid]]></category>
		<category><![CDATA[head]]></category>
		<category><![CDATA[medicine]]></category>
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		<guid isPermaLink="false">http://www.thinknuts.net/?p=685</guid>
		<description><![CDATA[7pm and our incident controller approaches us as we&#8217;re taking kit off the Landrover.
&#8220;There&#8217;s been reports of a casualty across the road. I&#8217;m going to be staying here for better comms.&#8221;
We all nod and head off. I grab the radio I&#8217;ve got and call in to get a radio check and I&#8217;ve barely finished when [...]]]></description>
			<content:encoded><![CDATA[<p>7pm and our incident controller approaches us as we&#8217;re taking kit off the Landrover.</p>
<p>&#8220;There&#8217;s been reports of a casualty across the road. I&#8217;m going to be staying here for better comms.&#8221;</p>
<p>We all nod and head off. I grab the radio I&#8217;ve got and call in to get a radio check and I&#8217;ve barely finished when we find our casualty. A 7 year old girl with breathing difficulties. We&#8217;re on it like a shot, oxygen and a nebuliser mask out, I&#8217;m on to control to get some backup, Mum is upset and panicing. No air ambulance available and the nebulised salbutamol is having little effect. There&#8217;s no county ambulance either and our vehicle has a puncture. There&#8217;s a quick conversation &#8211; I arrived at this incident in my own vehicle, we&#8217;ll transport mum and daughter in that. We&#8217;re moving, rapidly through the trees whe the radio comes to life &#8211; there&#8217;s an ambulance en route to us now&#8230;</p>
<p>We&#8217;re still packing up and debriefing from that job when the radio comes to life again. &#8220;We&#8217;ve had a call nearby for a young child that&#8217;s fallen, no parents, friends have raised the alarm but are not with her.&#8221; We look at each other and we&#8217;re off again, this time I&#8217;ve got the purple gloves on my hands as we head through clouds of gnats. We find her next to a few old logs which she&#8217;d been climbing on. She&#8217;s 9 years old and looks quite healthy. She&#8217;s complaining of a bump on her forehead and a painful ankle. I talk to her, practice my new skill &#8211; talking with kids. I&#8217;m not good at it and I&#8217;ve been practicing. She responds well, I&#8217;m on a winner. I check her over carefully and she reports a painful neck. She&#8217;s talking to me and I&#8217;m adding up her GCS in my head as she tells me she&#8217;s feeling sleepy. GCS of 15, she&#8217;s alert and responsive&#8230;wait what?</p>
<p>She&#8217;s feeling sleepy.</p>
<p>Despite the warm summer evening and the gnats crawling all over me, my attention is focused on her as I slip my hands onto her neck and hold her head still. I look at the stump she fell off &#8211; 2 feet? 3 feet? A colleague takes over her C-spine management as I get oxygen going &#8211; but she doesn&#8217;t like the mask on her fact. She&#8217;s content to hold it near her mouth and breathe the cold gas though. We package her up and move her down to the road to be met by a county ambulance. I&#8217;m all smiles and chatty and she&#8217;s responding well.</p>
<p>We haven&#8217;t even started the debrief when somone runs up to us. &#8220;Come quickly, it&#8217;s my friend &#8211; he fell off the stile, I think he&#8217;s hurt!&#8221; We head down, shaking our heads and find a gentleman lying on rocks next to a river. He&#8217;s fallen some 2m and is complaining of a lack of sensation in his legs.</p>
<p>Fuck.</p>
<p>I&#8217;m running this incident as my colleagues deal with first aid. I request backup from Ambulance control to be told that there&#8217;s no land ambulance available. They check on a helicopter for me as we request more people and more equipment. Our landrover pulls up, blue lights flashing and cars slow down on their way past, their occupants staring at a blue-shirted throng of rescuers arranging to move this man onto a stretcher from one of the most awkward positions I&#8217;ve ever seen. It&#8217;s not long before he&#8217;s on a stretcher and moving. We look at the fence &#8211; it&#8217;s in our way. Bolt croppers are called for and the fence is ready to become a casualty of this incident.</p>
<p>&#8220;Ok, hold it there folks.&#8221; A voice calls from behind me and the &#8216;casualty&#8217; pulls his collar and spinal management kit off.</p>
<p>&#8220;That collar&#8217;s really uncomfortable.&#8221; He says, rubbing his neck. I turn around and find &#8216;mum&#8217; and our two previous casualties grinning behind me. The exercise is over and we&#8217;re talking amongst ourselves about how it went. There&#8217;s lessons to be learned &#8211; there are always lessons to be learned. But we have three people who are alive and kicking (in the scenarios) because of the care we gave them.</p>
<p>As we head back to base I&#8217;m thinking that I&#8217;m glad I got to practice on children tonight. I&#8217;m rusty in dealing with children, but I seem to be getting the hang of it. I shudder as I think of the moment when my casualty told me she was feeling sleepy and know that I&#8217;m better prepared for the next one. Chances are, the next one won&#8217;t be practice.</p>
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		<title>Sun, wind, pollen and rocks</title>
		<link>http://www.thinknuts.net/2008/06/23/sun-wind-pollen-and-rocks/</link>
		<comments>http://www.thinknuts.net/2008/06/23/sun-wind-pollen-and-rocks/#comments</comments>
		<pubDate>Mon, 23 Jun 2008 05:57:21 +0000</pubDate>
		<dc:creator>Aled</dc:creator>
				<category><![CDATA[Callout]]></category>
		<category><![CDATA[Mountain Rescue]]></category>
		<category><![CDATA[mountain]]></category>
		<category><![CDATA[crag]]></category>
		<category><![CDATA[exercise]]></category>
		<category><![CDATA[Gower]]></category>
		<category><![CDATA[hayfever]]></category>
		<category><![CDATA[rescue]]></category>
		<category><![CDATA[search]]></category>
		<category><![CDATA[sunshine]]></category>
		<category><![CDATA[wind]]></category>

		<guid isPermaLink="false">http://www.thinknuts.net/2008/06/23/sun-wind-pollen-and-rocks/</guid>
		<description><![CDATA[Hayfever is hitting me pretty hard this year &#8211; I&#8217;ve had a number of people comment that they&#8217;re finding it difficult to cope as well, so it looks like there&#8217;s seriously potent pollen out there for some reason. As a result, I&#8217;ve not been spending much time outdoors, but I decided to partake in this [...]]]></description>
			<content:encoded><![CDATA[<p>Hayfever is hitting me pretty hard this year &#8211; I&#8217;ve had a number of people comment that they&#8217;re finding it difficult to cope as well, so it looks like there&#8217;s seriously potent pollen out there for some reason. As a result, I&#8217;ve not been spending much time outdoors, but I decided to partake in this month&#8217;s exercise &#8211; the grass pollen season is nearing its end, so I should be calming down a bit in theory. Thursday night however brought some interesting news &#8211; this month&#8217;s exercise was to be a search in the Gower, for the chap we were looking for two weeks ago.</p>
<p>So, with the Met Office promising gales of up to 50mph, we headed off in the glorious sunshine on Sunday morning, with the remnants of last night&#8217;s torrential rain still making it&#8217;s presence felt on the heads of the valleys road. Down on the Gower, the wind was gusting uncomfortably high, so the pneumatic aerial mast was only raised a little and control was set up. Tasked with leading a party in an area of fields the police needed covered, we headed off and spent the next few hours making our way through fields of &#8230;well knee-high (or occasionally higher) meadow grass &#8211; that is, grass with a random spattering of wild flowers and grasses in it. In other words, hayfever hell.</p>
<p>Nevertheless, onwards we plodded working our way through the fields and hedgerows. In searches like this, where there&#8217;s a real possibility that the person you&#8217;re looking for is dead, you have to look under hedges and in undergrowth in case they&#8217;ve crawled in there to seek shelter and died. It&#8217;s not a particularly joyful kind of searching and, heartless though it may seem to onlookers, we joke and laugh amongst ourselves, sometimes with exceedingly black humour to try and keep our spirits high.</p>
<p>By 1400 I was slowly collapsing in a sneezing lump of streaming mucous and with everyone&#8217;s stomachs grumbling we headed back to the pub for a lunch of sausage and chips. It&#8217;s amazing just how good simple food tastes after hard work. With the masses fed and watered, the afternoon&#8217;s plans were outlined and with a few changes of plan as more information about the morning&#8217;s searches was acted upon, I ended up staying around the control vehicle &#8211; good for my hayfever at least!</p>
<p>By 1700 it was decided that we&#8217;d done enough and the long job of packing up and making the vehicles ready for the next job, whenever that may be, was started. No sooner had I taken the cap off the generator to check the fuel levels than the pagers went off &#8211; area call in the Swansea area. What luck &#8211; we were already in the Swansea area. So, hurriedly repacking everything, mobiles, radios and police radios blaring all around us as more information rapidly came in, we jumped into Alpha and headed off &#8211; our destination was north of Swansea, in Glais.</p>
<p>The journey through Swansea was rapid &#8211; combination of sirens and two-tone air horn works well to clear traffic on what had been a very busy day in Swansea with the Race for Life on. It didn&#8217;t take us long to clear the traffic and as we arrived on scene&nbsp;the full details were apparent. Two men had fallen 25m down a cliff face &#8211; ambulance and fire brigade on scene, 169 en route in.</p>
<p>A complete contrast to the gentle start to that morning&#8217;s activities, helmets and harnesses were thrown on and within minutes the area was empty of personnel as people headed up to the casualty site. I stayed behind to man the radios and start the paperwork. It soon became apparent however that they desperately needed more personnel up on scene. Leaving the incident in the hands of a senior member who couldn&#8217;t go onto the hill, I headed off. <a href="http://www.flickr.com/photos/aledt/2603273553/"><img height="500" alt="Winching the casualty" src="http://static.flickr.com/3293/2603273553_e4448a789a.jpg" width="375" /></a></p>
<p>169 had already winched the first casualty out as I arrived on scene to help with the second casualty. Helimed was providing some medical assistance along with the paramedic winchman from 169; the fire brigade was helping us with the technical equipment and they&#8217;d already cleared a few trees to allow 169 to winch clearly. It didn&#8217;t take long for the chap to be packaged properly and his stretcher was soon being passed the 20m up to the winching point hand-over-hand, his IV bag following him. The usual clatter of rotors overhead soon drowned out any conversation and within minutes, the casualty and winchman were on board and rapidly making their way to Morriston hospital which was only a few minutes away, leaving us to clear up and get everyone out safely. Reversing down the track was interesting, and we passed Pete our team leader giving a TV interview at the bottom of the hill on our way out.</p>
<p>It was a good job for what was a long and fruitless search &#8211; always nice to end the day on a high note.</p>
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		<title>You wait ages for one and then a whole bunch come along at once!</title>
		<link>http://www.thinknuts.net/2008/05/21/you-wait-ages-for-one-and-then-a-whole-bunch-come-along-at-once/</link>
		<comments>http://www.thinknuts.net/2008/05/21/you-wait-ages-for-one-and-then-a-whole-bunch-come-along-at-once/#comments</comments>
		<pubDate>Wed, 21 May 2008 05:13:34 +0000</pubDate>
		<dc:creator>Aled</dc:creator>
				<category><![CDATA[Callout]]></category>
		<category><![CDATA[First responder]]></category>
		<category><![CDATA[Mountain Rescue]]></category>
		<category><![CDATA[mountain]]></category>
		<category><![CDATA[sean]]></category>
		<category><![CDATA[Aberystwyth]]></category>
		<category><![CDATA[Ambulance]]></category>
		<category><![CDATA[Brecon team]]></category>
		<category><![CDATA[diesel]]></category>
		<category><![CDATA[exercise]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[Greek restaurant]]></category>
		<category><![CDATA[hanglider]]></category>
		<category><![CDATA[ice cream]]></category>
		<category><![CDATA[rescue]]></category>
		<category><![CDATA[reservoir]]></category>
		<category><![CDATA[search]]></category>
		<category><![CDATA[shift]]></category>
		<category><![CDATA[Storey Arms]]></category>
		<category><![CDATA[waterfalls]]></category>
		<category><![CDATA[Ystradfellte]]></category>

		<guid isPermaLink="false">http://www.thinknuts.net/2008/05/21/you-wait-ages-for-one-and-then-a-whole-bunch-come-along-at-once/</guid>
		<description><![CDATA[The past few weeks have been mostly unbroken by shrill beeping of the pager with the exception of the regular Thursday night tests. That is, until Saturday. And it&#8217;s been a bizarre series of callouts.
After doing my Ambulance shift on Saturday, I headed up to Aberystwyth. Sean and I headed out to a Greek restaurant [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.flickr.com/photos/aledt/2510440061/" target="_blank"></a>The past few weeks have been mostly unbroken by shrill beeping of the pager with the exception of the regular Thursday night tests. That is, until Saturday. And it&#8217;s been a bizarre series of callouts.</p>
<p>After doing my Ambulance shift on Saturday, I headed up to Aberystwyth. Sean and I headed out to a <a href="http://www.qype.co.uk/place/58224-The-Olive-Branch-Aberystwyth" target="_blank">Greek restaurant in town</a>, where I think I surprised the waitress by actually knowing what I was ordering and pronouncing it fairly accurately too. It was a cracking meal and as Sean and I were relaxing in his room later on, the pager went off for the first time in a while. This one was for a search in Penarth for a missing elderly gentleman. Weighing up the options, I decided to not attend &#8211; it would be a 100-mile journey to base, 2 hours minimum. Not really worth it &#8211; a decision that&#8217;s becoming harder to make with rising fuel prices, since I have to pay for my own diesel for going to callouts.</p>
<p>The search continued into the early hours when it was stood down &#8211; the team had an ex on Sunday which was supposed to go ahead until the pager went off again at 1000 &#8211; a continuation of the previous nights&#8217; callout. Whilst my colleagues were scouring scrubland in South Wales, I was eating ice cream and relaxing on the beach in Mid Wales (sorry guys!). The afternoon peace was broken by another pager message &#8211; this time for an area call in the waterfalls which finished fairly quickly. With the afternoon dying away, the search was finally stood down and I enjoyed a peaceful night.</p>
<p><a href="http://www.flickr.com/photos/aledt/2510440061/"><img height="375" alt="Sunset on North Beach" src="http://static.flickr.com/3289/2510440061_7a010241b6.jpg" width="500" /></a></p>
<p>Until last night when, as I was pulling away from Tesco&#8217;s, the pager went off. I headed up to base, vaguely concerned about my frozen pizza in the boot. Once there, I found that we had a sighting of a flare in or around the <a href="http://www.streetmap.co.uk/streetmap.dll?G2M?X=294709&amp;Y=218088&amp;A=Y&amp;Z=3" target="_blank">Ystradfellte Reservoir</a> and so we headed up to Storey Arms to meet the Brecon team. With people approaching the valley from all directions, it wasn&#8217;t long before we stumbled across some people who had been setting off flares for no good reason and should have known better. I can&#8217;t go into detail, but suffice to say, they&#8217;re probably not having a good day today.</p>
<p>As I was about to pull out of the layby after packing up, the pager went off again, this time for a possible downed hanglider north of Cardiff. By the time I got to base, we&#8217;d been stood down since no actual evidence of the crash had been found. We packed up and headed home where, at 2300, I finally managed to cook my now-deformed and defrosted pizza. I finally collapsed into bed around 0100 and fell deep asleep&#8230;</p>
<p>&#8230;until about 0145 when the pager woke me &#8211; search for a misper in Porth. With feet of lead, I dragged my reluctant self downstairs and headed off to base again. Not much to say about this one, there wasn&#8217;t a huge amount of information, it was a horrendously shitty area to search and he was found outside of our search area. By the time I&#8217;d packed up the vehicle in base and reached home it was 0600 and I managed a few hours&#8217; sleep before I had to get up for work.</p>
<p>I just hope that this isn&#8217;t the trend for the week.</p>
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		<title>It started so well and ended so badly</title>
		<link>http://www.thinknuts.net/2008/05/08/it-started-so-well-and-ended-so-badly/</link>
		<comments>http://www.thinknuts.net/2008/05/08/it-started-so-well-and-ended-so-badly/#comments</comments>
		<pubDate>Thu, 08 May 2008 13:40:21 +0000</pubDate>
		<dc:creator>Aled</dc:creator>
				<category><![CDATA[Mountain Rescue]]></category>
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		<guid isPermaLink="false">http://www.thinknuts.net/2008/05/08/it-started-so-well-and-ended-so-badly/</guid>
		<description><![CDATA[Sorry I&#8217;ve been quiet recently but the last few weeks have been pretty chaotic. Today, however, deserves a post of its own
First of all my car died. I ended up renting one for a week, followed by borrowing one from a used car dealership that was able to get me out of a very difficult [...]]]></description>
			<content:encoded><![CDATA[<p>Sorry I&#8217;ve been quiet recently but the last few weeks have been pretty chaotic. Today, however, deserves a post of its own</p>
<p>First of all my car died. I ended up renting one for a week, followed by borrowing one from a used car dealership that was able to get me out of a very difficult situation, but that&#8217;s a different post. Finally, I managed to find a new car &#8211; a nice shiny red VW Golf estate which has impressed me a lot. I&#8217;m loving it.</p>
<p>So in my nice new car I was heading to base this morning, not to work and for once not to a callout. Meeting at base at 1000 we set about to prepare ourselves and the base for today&#8217;s event &#8211; a royal visit.</p>
<p><img height="333" alt="Meeting Prince William" src="http://static.flickr.com/2236/2477368932_1ac989eabd.jpg" width="500" /></p>
<p>At about 1400 today, a number of cars pulled up outside base and out stepped Prince William. As the news reports, he was visiting a number of places in the valleys and stopped off to see us as his final visit of the day. We had some fun prepared for him &#8211; some hobnobbing with the local dignitaries, a light lunch and then change and head up to Morlais Quarry where we took him to the top off the cliff and he got to lower someone down a cliff &#8211; I don&#8217;t think his protection detail would have been too amused by my idea of lowering him off the edge of a cliff, but nevertheless, we had some great photo opportunities. It was a great day with fantastic weather and we all thoroughly enjoyed.</p>
<p>That&#8217;s when it all went downhill though, because on the way home, some drunken twat drove into my nice shiny new car and drove off without stopping. The damage isn&#8217;t too bad, it was a glancing blow but it&#8217;s knackered one of my wheels (it&#8217;s bent the actual metal bit) and twatted my rear door and rear wing, and after a drive tonight, I think it might have done something to the suspension or thereabouts. I only managed to grab a partial index &#8211; &#8220;S633&#8230;&#8221;, and I know it was a pale blue or silver hatchback &#8211; a large one, quite wide. Beyond that, the prick didn&#8217;t even slow down &#8211; no brake lights. I&#8217;ve just got home after filling in a police report which was gratifyingly easy and quick, though the nice young PC didn&#8217;t hold much hope of catching the turd, and reckoned he was probably drunk anyway.</p>
<p>Great.</p>
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