"She's fitting; four minutes" shouted the escort, bursting through our front door with Mog and then running back to the bus. One smallish girl, eyes wide, gasping for breath, yes I can see how it might look like a seizure, but no, this was a child in serious need of some suctioning. Slurp slurp gurgle gurgle and the panicked look subsided, leaving one very hot and gurgly little girl. More suction, saline nebs, major amounts of fever relievers, and 90 minutes later the realisation we weren't actually managing to calm her breathing.
Call for reinforcements and a call for an ambulance; cover for Little Fish, and two crews debating the best way to get Mog, the "I will sit upright or stop breathing" child into hospital together with all her gear. Oxygen for Mog, who takes three breaths through the mask and relaxes totally, all panic gone. Apnoea in the ambulance isn't great, but better than at home, and it does ensure a dr or two ready and waiting when we arrive.
Salbutamol, then bloods and an x-ray, and Mog has a beautiful lower right sided chest infection. According to her book, she was absolutely fine at school apart from needing some extra suction. I'm trying not to think this could have been avoided if the escorts were able to suction, but this is now the second time she's come off the bus in distress and ended up being bluelighted to hospital.
Oral antibiotics, wean her off the o2 overnight and home this morning was the plan. Down from 10litres to 8, switch masks and down to room air by 4am. Great. Except that at 7 she decided she really quite liked the oxygen, and since then she's been alarming steadily until the nurses gave up on wafting it and she's now back on a steady 5litres. So I'm thinking probably not home this morning. We're up at the top of the hospital at the moment; very pretty views out over the main entrance. There have been mutterings about moving us down to the medical ward; but as this is the busiest time of year, who knows?