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00:00In the commotion, health care assistant Kerry gets kicked in the stomach.
00:10All right, my darling, keep blowing, keep blowing.
00:14Just go to P's and ask if they've got an incubator for a newborn.
00:17She didn't know she was pregnant.
00:21I can't get hold of anybody on 1327.
00:23I've tried 1301, 1304, and nobody's answering any phone.
00:30It's 9am. There's already a three-hour wait to see a doctor.
00:34We're not winning. Not winning at all.
00:38And things are about to get worse.
00:43Suddenly, there's an emergency in the hospital car park.
00:47Someone is laying on the floor.
00:50It looks as if they've been stabbed.
00:53Sister Jane heads to the scene.
00:55It is a shock. I think we all just work on adrenaline.
01:00There's apparently been a...
01:04It's as much as we know of, isn't it?
01:08We're not interested in how they got there, who brought them.
01:11Our interest is solely the patient.
01:14And with the patient losing consciousness,
01:16the team need to get them to recess immediately.
01:19It isn't an everyday occurrence that you get somebody
01:22fighting for their life in the car park.
01:25Generally, you know, certainly within the first sort of five, ten minutes,
01:29you know what you're dealing with immediately.
01:34As the senior member of staff on shift,
01:37Matron Val heads to the scene.
01:38The police declare the front entrance a crime scene
01:47and cordon it off.
01:50When they initially said, we're closing your department,
01:52I was like, you're absolutely not closing the department.
01:54We need to keep our front door going.
01:56If the front door is shut, patients can't get in.
01:59Consultant Dr Dave Walker and Matron Val need to find a solution.
02:05So, the truth is, if it's a crime scene,
02:08but this is that police guy.
02:11Hello.
02:12Are you all right?
02:13Having the entrance shut, it causes chaos.
02:16It just generally disrupts the whole flow of the department.
02:20So, there's a bit of a police incident up here at the minute.
02:23We've got someone else that's been stabbed.
02:24But, they've been dropped off by relatives or friends or something up here.
02:28So, the police are actually treating this as if it's a crime scene.
02:31It's difficult because, obviously,
02:33the police want to make sure that a potential crime scene is conserved.
02:38But, we've obviously got to run a department as well.
02:45The victim is rushed to recess for urgent treatment.
02:53And, Sister Jane's priority now is getting new patients into casualty.
02:59Apparently, until they can prove that it was done in town,
03:02they have to treat this as the crime scene.
03:04So, all patients now are going to come in through the gym
03:08and be redirected back up to stream in here.
03:12So, I've got a few coming from comms.
03:14Alison's on it and security.
03:16For the rest of the staff, it's back to work as usual.
03:20Doctors and nurses were still in the department,
03:22and still tending to patients who were already there.
03:25Nothing stops.
03:26The walking wounded that go into ED.
03:28So, they're the ones that, you know...
03:30I mean, we could have anything there.
03:31So, I need that entrance back into ED if it's all possible.
03:36A victim is being treated in recess after collapsing in the car park.
03:43The entrance is now a crime scene
03:45and closed to any walk-in patients.
03:48Mater and Val hope she's found a solution.
03:51What we can do is cordon off where the blood is,
03:54because I know that you need to investigate that.
03:56So, we can cordon off where the blood is,
03:57but I need to resume normal service.
03:59So, I'm just... I need a hand.
04:03You're a star. Thank you.
04:05Val and I work closely together
04:07as the lead consultant and nurse manager.
04:11Val's definitely a really strong character to have
04:14in a crisis like we're facing at the moment.
04:16We use each other's strengths, I think, to solve problems.
04:21And I think, together, we have got a very...
04:23You know, we've got a strong united front.
04:26There's been a conversation with scenes of crime
04:28and they've reduced the size of the crime scene.
04:32So, that's why the police cars are parked there.
04:34But we can now use our entrance again, which is good news.
04:36Dealing with a situation like this one
04:40makes me really proud of the team
04:42that they just pulled together and sorted it.
04:45I am absolutely elated because the door is open now
04:49and I know that the patients coming through now
04:52will be seen, so it's all good.
04:54We're open again.
05:03Yeah, we're open again.
05:05With the police incident finally resolved,
05:09Dr. Walker spreads the good news.
05:14Come here.
05:15The front door's open again.
05:17Oh, fabulous.
05:19Rachel, the front door's open again.
05:22You can see it's fine. It's all sorted.
05:24It's good news from Rhesus as well.
05:27The victim is stable.
05:30Police are continuing their investigations.
05:33Get it out of the house!
05:35Get it out!
05:37Get it out of my arm!
05:39In the commotion,
05:41healthcare assistant Kerry gets kicked in the stomach.
05:44She heads to a cubicle to get checked over.
05:47We're about to put the cannula in.
05:49We just turn around and say,
05:51if you put that in, I'm going to...
05:52effing kick, yeah?
05:55Get it out of my arm, girl!
05:57Get it out of my arm!
05:57We do put up with a lot of violence
06:00within the department.
06:02I don't want to sound blasé about it
06:04and say, you know, it happens,
06:06but it does happen.
06:09It is something that is on the increase.
06:12It's all!
06:12I promise you it's all.
06:13It's all right.
06:15It's not his pleasure, isn't it?
06:17Oh, it's not a nice feeling getting kicked in.
06:19It's a shock.
06:20You know what I mean?
06:20It winded me and that, you know what I mean?
06:22And you feel a bit like
06:23you're coming to work just...
06:2512 people and you're just getting,
06:27you know, just abuse.
06:32Last year, one in seven NHS staff
06:35were physically abused.
06:37Today,
06:39the police have been called
06:40and security is making sure
06:42the patient stays put until they arrive.
06:45I went in to see this gentleman,
06:47Travis and his loved to take him.
06:49Talked him through it,
06:51but he just launched out anyway,
06:53kicked me in stomach.
06:54and I went in to see this gentleman.
06:57Winded me.
07:00I've worked with mental health,
07:02so I know what happens,
07:04but I do feel like
07:05that you've come to work
07:07to do this job
07:08in a situation that we're in
07:10with COVID and all that.
07:12You go on the end of the day thinking,
07:14that were a pretty crap day,
07:16you know what I mean?
07:17But yeah, you do feel
07:19hurt,
07:22but
07:23and just get on with it.
07:26After the patient calmed down,
07:28he didn't require further treatment
07:29and was discharged.
07:32I've just signed a statement
07:34saying I'm not putting
07:35on the press charges anymore.
07:37It's just my job
07:38and I love doing my job.
07:40So...
07:41I think you have to work here
07:43to appreciate how that is.
07:46Do you take any regular medication
07:47for anything?
07:49We have worked on adrenaline
07:51for two years,
07:52pretty much,
07:54and it's got busier
07:55and busier
07:56and busier
07:57and busier.
07:58and we're just exhausted
07:59now,
08:01physically and mentally,
08:03but we're still here.
08:05OK, take a seat
08:05back outside
08:06in the waiting room for me.
08:07The GP will give you
08:08a shout, shortly.
08:09It's been quite a day
08:16for the staff
08:17at Barnsley Casualty.
08:18I've been threatened
08:19a few times.
08:21You should really
08:21have to expect
08:22to deal with that,
08:23but sadly,
08:24it's something
08:24that we do have to get you
08:25to stop.
08:26I feel all right now.
08:29I feel like I've got
08:29two days off,
08:30so I might
08:31have a nice bath
08:33and just chill out.
08:34and that's not really
08:38all she can do,
08:39is there?
08:43A 28-year-old woman
08:45who's come in
08:45with stomachache
08:46is actually in labour
08:47and she had no idea
08:49she was pregnant.
08:54She's in cubicle 40.
08:57OK, sweetheart,
08:58here you go.
08:59Nice deep breaths.
09:00A lady's just come in
09:01with abdo pain
09:03and she's having a baby
09:04and he's in labour.
09:06Breathe, sweetheart.
09:07You keep breathing.
09:10Hi, can you fast
09:11leap me,
09:11the obstetrician registrar
09:13to wear A&E.
09:15Obstetrician
09:16to wear A&E
09:16straight away.
09:17The patient needs
09:18to get to a labour suite
09:19immediately
09:20or mum and baby
09:21could be in danger.
09:23Right, sweetheart,
09:24we're just going
09:24to move you, my darling.
09:25You keep blowing
09:26on that thing, all right?
09:29Keep blowing, darling.
09:31But labour
09:32is progressing
09:33fast
09:33so they divert
09:34to recess.
09:37All right, my darling,
09:38keep blowing,
09:39keep blowing.
09:40Just go to P's
09:41and ask if they've
09:41got an incubator
09:42for a newborn.
09:43So she's in labour.
09:45She didn't know
09:46she was pregnant.
09:49I think he'll
09:49look for 13
09:50to start with.
09:50So I fast bleeped
09:51the obstetrician
09:52and she's just said
09:54that I don't think
09:54I've got time
09:55to get her up
09:55to the labour suite.
09:57With the baby
09:57about to be born,
09:59the obstetrics team
10:00comes to recess.
10:01It's just for them,
10:02it's just like
10:03being upstairs
10:03and using their own space.
10:05But they're in here.
10:07Yeah.
10:08There's a fetal heartbeat
10:10anyway,
10:10they've just had a listen.
10:13You all right, darling?
10:14After examining her,
10:16the obstetrics team
10:17decide they do
10:18have time to rush
10:19the patient up
10:19to the labour suite
10:20to deliver the baby.
10:22You haven't had the baby
10:23when you were growing.
10:24You got her into
10:24the delivery suite.
10:25Quick thinking
10:26by the team
10:27saved the day.
10:28Thanks, sister,
10:29for being on hand today.
10:31Oh, it's all right.
10:32I didn't do her.
10:33I was just like,
10:33we need to get her upstairs.
10:35We don't need any babies
10:36being delivered
10:37in this department
10:37this moment.
10:39It was a shock
10:40for everyone,
10:41not least the patient.
10:43Had she done
10:44any pregnancy tests?
10:46She did one
10:46about two months ago.
10:47She said it came
10:48back negative,
10:48but, you know,
10:49things aren't available.
10:51The thing she said
10:52to me when I told
10:52her that she was
10:53in labour
10:54was that she started
10:55crying and said
10:56that she didn't
10:56have a car seat for it.
10:58Bless her.
10:59It was good.
11:00So when they pull her bed,
11:01I'm trying to get
11:02patients up to the wards
11:04just so that it gives
11:05us some space
11:06in the department.
11:07But amid the mayhem,
11:09she gets a call
11:09from maternity.
11:10That lady had a little boy,
11:12eight pound little boy.
11:13Jane shares the news
11:14with Dr Andrew Snell.
11:16Called it Andrew.
11:18Oh, that's brilliant.
11:21Eight pound and well.
11:22Yeah.
11:23Forceps delivery.
11:25She's happy I know.
11:27So a husband
11:27or a partner
11:29is going to have
11:29to go and buy one,
11:30isn't she?
11:30Same day delivery.
11:31Yeah.
11:32Yeah.
11:32Yeah.
11:32Yeah.
11:32Yeah.
11:35Back in the hub,
11:37the heat's causing havoc.
11:39This one really
11:40doesn't need the lights on,
11:41does it?
11:41because we've got
11:43enough sunshine
11:44at the moment anyway.
11:46The hospital generator
11:47is struggling
11:48to cope with the heat
11:49and staff
11:50are taking emergency action.
11:52It's high temperatures
11:53roughly 40 degrees today.
11:55It's really, really hot.
11:56Obviously,
11:57it's having a massive effect
11:58on the hospital
11:59generator system.
12:01It's failing, basically.
12:03So we're trying
12:03to maintain
12:04the department
12:05on as minimal electricity
12:06as we possibly can.
12:07to keep the generator going,
12:10Matron Hannah
12:11and Deputy Medical Director
12:12Joe
12:13are turning off
12:13all non-essential lights.
12:15Let's see what
12:16we can switch the lights off.
12:18I'm going to make
12:18you all sit in dark,
12:19sorry.
12:20If we can find
12:21the light switches.
12:22We just need to keep
12:23as many lights switched off
12:25as we can
12:25for the next few hours.
12:27OK, so there's a bit
12:28of a problem
12:29with the hospital
12:29generator currently.
12:32If the generator fails,
12:33the disruption
12:34would be felt
12:35far beyond the hub.
12:36We do have
12:37emergency generators
12:38but things like
12:40theatres potentially
12:41are normal.
12:43A lot of these
12:44computers would probably
12:45go off.
12:46So, yeah,
12:47we just really struggle
12:47to run our
12:48sort of core services.
12:53There's record
12:54temperatures across
12:55the UK
12:55and the lights
12:56are going out
12:57in casualty.
12:58So we're just
12:59switching lights off
13:00to reduce the
13:00power that's being
13:02used on-site.
13:03The generator's
13:04struggling a bit
13:04in the heat
13:05so we're just
13:05a bit concerned
13:06that we might
13:07lose power
13:08to the site
13:08if we don't
13:09reduce demands.
13:11Every little helps
13:12but Jo knows
13:13she can't get
13:13carried away.
13:14It's that balance,
13:16isn't it,
13:16of making sure
13:17it's still
13:17safe.
13:21I guess
13:22Mises is one
13:22of those places
13:23that we probably
13:23shouldn't be
13:24switching the lights
13:25off.
13:25But we should in
13:29rooms that have
13:30got windows in.
13:32You are embracing
13:33the switching
13:33the lights off
13:34in here,
13:34aren't you?
13:35Back in the hub,
13:36consultant Jo is
13:37looking for more
13:38lights to turn off.
13:39The hospital generator
13:41is running at 60
13:44degrees and
13:45apparently that's
13:46the point at which
13:47it could just
13:47suddenly lose power.
13:49Yeah, so we're
13:50switching what we
13:51can off.
13:51Everyone's working
13:52in darkness.
13:53I don't think we
13:54can make it much
13:55darker here than
13:55we have now.
13:56No, I think it's
13:57got to be reasonable.
13:58Yeah, we like it
13:59dark.
14:01I think it's
14:02romantic.
14:04Romantic,
14:04Anita?
14:05Do we need the
14:06music on?
14:07Oh, the music's
14:13still playing.
14:16Madonna, you
14:16can't stop Madonna.
14:18Oh, we can
14:18stop Madonna.
14:20But the staff
14:21know if the
14:21generator fails,
14:23it'll be no
14:23laughing matter.
14:26You are embracing
14:28the switching the
14:28lights off in here,
14:30aren't you?
14:31Paediatrics have
14:31massively embraced
14:32the darkness.
14:33The generator's
14:34holding up and
14:35so are the staff.
14:37We've gone
14:37round, switched
14:38what we can off.
14:39I think we need to
14:39leave the fans running
14:40because it's red hot
14:42for all the patients.
14:43In the intense heat,
14:44Hannah's had to take
14:45emergency action of
14:46her own.
14:47So what's happened
14:48to your matron
14:48uniform?
14:49Oh, Jo, it's just
14:50too hot, it's too
14:51thick, it's too heavy,
14:52the tights.
14:54And it's 40 degrees.
14:56Yeah, I get that.
14:57Scrubs are much
14:58more comfortable.
15:00At last, the light
15:02monitors get their
15:03reward.
15:03Cold drinks.
15:04So these are what
15:06the Trust is
15:07supplying us because
15:08of the hot weather
15:08to keep staff
15:09hydrated.
15:10It's not normally
15:11this hot in Barnsley.
15:18The generator's been
15:19saved, but temperatures
15:21continue to rise.
15:22Sister Vicky's
15:23growing concerned.
15:24Just going to have
15:25to keep maintaining
15:26plenty of fluids for
15:27his patients and
15:27his staff and just
15:28try and get through
15:29it as we can.
15:30Luckily, she can count
15:34on volunteer Jane.
15:36We've got us water
15:37there, there's some
15:38cups, so anybody down
15:40here can constantly
15:41have drinks.
15:42It takes more than a
15:43bit of sun to stop
15:44Jane reporting for
15:45duty.
15:46They did send us an
15:47email so that we'd
15:47no need to come in if
15:48we didn't want to,
15:49but quite frankly, I'm
15:50afraid that this could
15:51be day that they need
15:52extra hands because
15:54they'll be getting
15:54tired quicker.
15:56You know, they've been
15:56working all day in
15:57these extreme ease.
15:58I mean, because these
15:58are doing, you know,
15:59nine and ten hours,
16:01they're going to get
16:02really tired really
16:03quicker, aren't they?
16:04But on a day like
16:05today, even the water
16:06cooler's struggling to
16:07cope.
16:08It's like waiting to be
16:09young for that to come
16:10out.
16:13You've got to drink,
16:14haven't you, sweetheart?
16:15Are you drinking it?
16:17As temperatures hit
16:1840 degrees, volunteer
16:19Jane's leading the fight
16:21against thirst.
16:22It's the hottest day
16:22here today.
16:23We've got to make sure
16:24everybody's got to drink
16:25when it's hot.
16:25The hospital chief
16:26executive, Richard, has
16:28come down to check how
16:29the staff are bearing
16:30up.
16:31Sweetheart!
16:33You all right?
16:33Yes, you?
16:34We're bearing up,
16:35aren't we, Stray?
16:36You're very, you look
16:37very cool, very calm.
16:39I'm pulling out here.
16:40I wasn't pulling
16:40my office.
16:41Oh, so that's why
16:42you've come out, to
16:43slum it with us a lot.
16:45Volunteer Jane
16:45appreciates the visit.
16:47It's nice for you to
16:48come down though,
16:48sweetheart, in our
16:49hour of need.
16:50There's an even more
16:52welcome arrival.
16:53Thank you so much.
16:54These are for Peeves
16:56and CDU.
16:58They are for everybody.
16:59The ice pops take the
17:00heat off volunteer Jane
17:02and sister Vicky.
17:03Vicky's cool.
17:04Cool as a cucumber.
17:06I am.
17:08Have to have a look at
17:08waiting room, but I think
17:09everybody's...
17:10The hottest day on record
17:11is drawing to a close.
17:13Volunteer Jane is delivering
17:14her final drinks of the day.
17:16Who's going home?
17:17I'm on babysitting duty
17:19for my beautiful
17:21granddaughter.
17:23It'll be paddling pool
17:24and sandpit
17:26under Broly.
17:27It's been a long day,
17:28but at least there's a
17:29reward at the end of it.
17:31Oh, you bloody star
17:33you are.
17:33Thank you.
17:34The heat's finally off
17:36and tomorrow
17:36they'll be back for more,
17:39hopefully a little cooler.
17:41In the hub,
17:42sister Benita has gathered
17:43the casualty team together
17:44for an urgent update.
17:46Yeah, child update.
17:4840 beds.
17:49Yeah, 14 beds in medicine
17:51with 16 potential discharges
17:53so not cracking.
17:54Surgery, there's three.
17:57Goggles.
17:59Back in a sec.
17:59Unless they discover
18:18what's triggered the alarm,
18:20sister Benita will need
18:21to prepare casualty
18:22for a full evacuation.
18:25It's horrendous.
18:26so we've got about
18:27seven or eight ambulances
18:28because there's no room
18:29for anybody
18:30and now we're about
18:31to go out.
18:32Sister Benita
18:33is ready to evacuate
18:34the department.
18:36Thank you.
18:37Yeah, they're getting
18:38security on it.
18:40Are you all OK?
18:41Are you all right?
18:42So?
18:43Hey, it's stopped.
18:46Security confirm
18:47it's a false alarm
18:48so the team can get
18:49back to work.
18:50OK.
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