1st April 2002

FOR IMMEDIATE CIRCULATION to R1, M4, M2, M3, P2, P1, R1, Q1 & R3 STATIONS

The Cynical Audit department has identified a potentially life threatening hazard arising from the introduction of TramIdol for use within the Service

It is essential that when administering pain relief Paramedics use existing stock of  Entonox and Nubain first before considering TramIdol and carefully verify the presentation.

Given the abundance of tramlines and record shops in the service areas of the above stations it is possible to inadvertently administer the wrong type of TramIdol.

The correct initial dosage for adults over 12 is 100mg in 2ml mixed with 8ml 0.9% saline IV slowly over 2-3 minutes, with a maximum cumulative dose of 200mg. ETO 8 TramIdol refers.

This inhibits the uptake of seratonin and will wear off in approximately four hours.

The storage of Trams is proving difficult, however, cynical audits suggest that they should be taken TO EVERY CALL.

It is incorrect to rapidly apply 70tonnes of  Tram mixed with 11 stones of overpaid knicker-moistening pop idols as this will result in the death of the patient. The effects are in addition, unlikely to wear off.   Information from www.croydon-tramlink.co.uk also suggests that tram drivers are getting pretty hacked off with the delays we cause to the system!

Work is continuing to reduce the number of hopelessly unnecessary calls to addington, and we are currently developing the TRAMBULANCE shuttle.

The top secret rapid shuttle to the local maternity unit, PRAMLINK has been shelved.  So get ready to beep twice when you pull up outside the caller's address

For further information contact your tram leader, or visit

www.lasunofficial.co.uk

"it's that big white thing behind you!"