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Tom Reynolds is an ambulance worker. On any given day he can be attacked by strangers, sworn at by motorists, puked on, covered in blood, and other much more unpleasant substances. He could help to deliver a baby in the morning and witness the last moments of a dying man in the afternoon. He deals with road accidents, knife attacks, domestic violence, drug overdoses, neglect, and suffering. Tom blogs about his experiences at the end of each shift. His Random Acts of Reality website has a huge following with more than 30,000 visitors every day. Here, Tom charts the past two years of his life as an ambulance worker. He is tired, he is frustrated, and he is more pissed off than ever but he still manages to capture the more moving, heartwarming, and inspirational moments alongside the chaos.