- 2 giorni fa
Categoria
📚
ApprendimentoTrascrizione
00:00Today, a battle to save the life of a stabbing victim.
00:05He's arrested, so can we have four costumi on arrival, please?
00:08John treats a woman in unbearable pain.
00:12Shouldn't take three years, shall we?
00:14Still a private friend.
00:16And a toddler needs help after a seizure.
00:19Sometimes people do fit again, so don't be worried.
00:24We're primarily tasked to major trauma jobs, cardiac arrests, that sort of thing.
00:28Mainly because we are more experienced and more used to dealing with patients
00:32who are seriously unwell and critically injured.
00:35We had a warning in the city centre.
00:40There's been no message to say that the attacker has left scene.
00:44In fact, there might have been one of the callers who said that the attacker is still on scene.
00:47So it's normally sensible to not wander into the middle of the scene
00:51when the person who's been in is still around.
00:54Currently, we're the only response.
00:56There's also no police in attendance as yet, waiting for the update there.
01:01So we've now got a land ambulance going.
01:05We're no longer the only response.
01:07Just arrested, Ryan.
01:20OK, go on the chest then.
01:22On the chest.
01:24As far as we can see, a single wound to the left side of the chest.
01:27Out here.
01:28As far as we can see, single wound to the left side of the chest.
01:31I don't know if I can see any of the wounds.
01:34When we got there, there was concern as to whether or not his heart was still beating.
01:38And the thought was that actually his heart may have stopped already.
01:41OK, get the top then.
01:42Get the top then.
01:43Go on, I got it.
01:43Yeah.
01:43We took him off the back of the truck, and as I started to examine him, I thought I could
01:49feel a very weak pulse in his neck.
01:51So I thought that maybe his heart was still beating, and that just changes the nature a
01:55little bit of the interventions that we look to provide for that patient.
01:58As far as we can see, just a single wound to the left side.
02:01On arrival, no radial pulses.
02:02OK, he has got a central.
02:04He's just was four.
02:08OK, guys.
02:09Guys, I want our airway kit.
02:13We're just going to get a tube in him.
02:14Yeah, it's pop-tubed out.
02:16So if you just open up his airway, mate, see if you can get as much as you can.
02:20In.
02:22OK, so, Rob, we just think we've got one isolated wound to wear.
02:26Sorry?
02:27The left side of the chest.
02:28OK, nowhere else.
02:29That's the only one we've felt.
02:30We've checked his back, we've checked his legs, his neck.
02:32That side's rising nicely.
02:34We've got equal rise and fall.
02:36Can you just try and open his eyes for me?
02:42OK, and this side again.
02:44OK, equal and reactive.
02:45That side's four.
02:51He's not rested yet.
02:54But he's going to rest soon?
02:55Yes.
02:56Currently, we're going to load and go.
02:57So we're going to give them some TXA en route.
03:00If we can activate the major haemorrhage protocol, please.
03:03And we'll update you as to any other injuries when we check en route.
03:09If we can get cardiothoracics waiting for us in A&E, that would be awesome.
03:12Receive.
03:13Right, let's have a quick check.
03:14So we passed an alert message to the hospital to allow them to get ready to receive the patient.
03:19He was going to need blood on arrival and he was going to need surgery on arrival.
03:24Happy?
03:24And it's trying to communicate that need so that there's no delays in his care when he gets to hospital.
03:30On slide.
03:31Everyone happy?
03:32Ready, set, slide.
03:33And stop there.
03:34Chris, come on in.
03:37Just put that seat up.
03:47Eyes are one.
03:49Verbal two.
03:50Motor one.
03:51So cardiovascular hasn't really changed.
03:55I just, it doesn't appear with a single snap wound.
03:57I mean, can you just check on that right and see if we've got a radio because I've got one on the left.
04:01It's weak, but we've got it.
04:03Are we all good?
04:04Yeah, yeah.
04:05The team can feel a weak pulse.
04:09I did have an inch to speed as well.
04:10I'm just in here, look.
04:12Yeah, look, there you go.
04:14Just here.
04:16On the way to hospital, the situation changes dramatically.
04:19Have a listen, if you can.
04:25I know it's going to be tricky.
04:26It's a good ride for falling both sides.
04:29The man's heart appears to have stopped.
04:34Certainly not barrelled, is it?
04:36And normal resonant by the sounds of that.
04:38Stick it.
04:40Just going to stick a hole in that chest anyway and see what happens.
04:44We're quite close to getting to see...
04:46Getting to...
04:47In order to try and relieve the pressure, I got a scalpel, I made some holes and I essentially let the blood out of his chest.
04:53Then we're in the right place.
04:55And we got quite a significant amount of blood out of one side.
05:03And actually that change in pressure enabled his heart to start beating again.
05:08OK, let's get that fluid attached.
05:10He's arrested, so can we have Thor across to me on arrival, please?
05:13He had such serious injuries that he was going to need surgery within the next five minutes.
05:20OK, one blade.
05:22Don't worry about the chest.
05:23It's all complex.
05:23Lung up on this side.
05:24Is he coming on this side?
05:25There you go.
05:26Don't worry about the chest.
05:27He's not dropping it, is it?
05:28It's about recognising that and giving him the care that he needs as quickly as you can do.
05:33In the back of a moving ambulance.
05:36Otherwise, he's got no chance of surviving.
05:39We're increasing our output again.
05:41We're coming in.
05:42So that's work made at us.
05:44So whatever's on this side, I think...
05:45It's just tamping up.
05:46We've done the job, yeah.
05:47So we're back up again.
05:48Gently venting.
05:50ETA, please.
05:5190 seconds.
05:52We're in there.
05:53Wonderful.
05:54As soon as we get there, let's make sure all that cable's up and ready.
05:58Just a bit of that scalpel.
05:59Got it.
05:59Yeah, it's in there now, mate.
06:01Yeah, it's all good.
06:01Thank you.
06:0212 minutes later, the crew arrive at Queen Elizabeth Hospital.
06:09No, it's just slow.
06:10No, it's just slow.
06:12OK, good.
06:14Do you want to get any hand up?
06:16Critical.
06:16That's how serious this incident is.
06:18So he's obviously experienced a single wound into his heart.
06:23So it doesn't get really much more serious than that.
06:26Luckily for the patient, he's been brought to a major trauma centre.
06:30And very quickly, on arrival here, he was sent straight up to theatres.
06:36So he's currently in theatre with cardiothoracics, opening his chest and hopefully sealing the
06:41hole that's been caused by this assault, or alleged assault.
06:44I have been in the ambulance service for 16 years now.
07:03I've been a paramedic for just nearly 10.
07:05The worst thing about being a paramedic, it's the strain within the service.
07:10The amount of jobs that we do, they're escalating, they're getting bigger and bigger by the day.
07:15The best thing is the ultimate, it's saving someone's life.
07:17Being there and the actions that you do actually save someone's life, it's, I don't think there's any other feeling that you can have.
07:22In 16 years, it's, it's done me, done me fine, fingers crossed.
07:27We're currently on our way to a lady who's suffering with severe abdominal pain.
07:34So he's going into her back and into her groin.
07:36Could be an altitude of different things, really.
07:38Anything from kidney stones to a water infection.
07:41See what the history is before we get there and see what we fucking help her out.
07:46So what's been going on again, remind me.
07:47I've slept since.
07:49Keep getting this pain in me, stubborn.
07:50Yeah.
07:51In my groin, really.
07:52OK.
07:53Keep having flare-ups.
07:55I was great.
07:56I've been down the park with the kids.
07:57I've done nothing strenuous.
07:58I've like...
07:59It's just covered my rear vengeance.
08:04It started off three years ago.
08:06Now, this really intense pain in my stomach.
08:09I thought it was appendicitis.
08:12And so did the doctors when I got to the hospital.
08:14But it wasn't.
08:16They did every test imaginable.
08:19I mean, I was in there for four days.
08:20And they couldn't find out what it was.
08:23And after that, it seemed to be every week, I was calling an ambulance for this pain.
08:29Excruciating.
08:29Can't explain how bad it was.
08:33I've had three children.
08:36And I would rather give birth five times than go through that pain.
08:42Come on, here's a buzzer.
08:43It's me back.
08:49Right.
08:49So I've lost two discs in me back.
08:51Right.
08:52And me back's on crumbling.
08:54And it's dust.
08:55It's in the nose.
08:56OK, OK.
08:57It's all right.
08:57Ah.
08:59Wendy's condition is chronic.
09:02All John can do is offer her different levels of pain relief.
09:05When's the last time you've had some paratetamol?
09:11A quarter past two.
09:12One hits out.
09:13Like that, then.
09:16Right.
09:17And I'll call her out of gas in here because that makes me sick.
09:19Right.
09:20Get a cannula into her hand.
09:21Give her some morphine.
09:22It'll pop up to us as well.
09:23This lady, she's known to me.
09:27She's got a long-standing history of disc problems.
09:30Pain going down to her arm.
09:31She's waiting to see the pain clinic, basically long-term chronic pain relief.
09:36But it's obviously flared up today.
09:37She's done a bit of out and about, haven't you?
09:39So you've been down to the park, so.
09:43I'm just kneeling.
09:47Have you all right, sweetheart?
09:49Yeah, I'm going to wait until he's got...
09:51Oh!
09:57Sorry.
09:57That's all right.
09:58Can I hike these, be gentle?
09:59You do get used to seeing people in pain.
10:02That's definitely part of the job.
10:05It's worse to deal with when you can't do anything about it.
10:08We've got quite significant pain clinics we can give intravenously.
10:12But when you've given all that you can give and they're still in pain,
10:16it's quite hard to deal with.
10:18And you kind of...
10:19It's just...
10:20Or you can offer them sympathy, really.
10:21This is John's third visit to Wendy in the past 12 months.
10:27Oh, can I have you some water?
10:30Can you?
10:31You got some water, chick?
10:32I've got some.
10:35You need some grapes as well, if you want.
10:36See, I've got some.
10:37Can you have a fan as well?
10:38I could do it.
10:39So when you've got somebody like John, who's really friendly,
10:43he does put you at ease.
10:45I think I've seen him in the daytime, middle of the afternoon,
10:48and I've also seen him, like, 3, 4 o'clock in the morning.
10:51And he never seems down.
10:52He's always upbeat, always happy and smiling, you know.
10:56He's probably dead on his feet.
10:58But he still puts you at ease and does his job so professionally.
11:04He's just a nice, nice bloke.
11:06Shouldn't take three years, should it?
11:09To be playing for him.
11:11The problem is we don't really know what's causing it, do we?
11:13If you don't really need to...
11:16When you don't know what's wrong with you,
11:19but you're in constant, constant pain,
11:22you do get angry and frustrated.
11:24Think, you know, what the hell is going on?
11:26Am I going to die?
11:27And you do think that a lot.
11:29I've had very dark days, and I have cried and cried.
11:33And it's an awful thing to say to your children,
11:35but I've even said to my children,
11:37if this is the rest of my life, I don't want it.
11:43How are you feeling now?
11:45A bit better.
11:46Anything kicking in?
11:48Anything making you feel funny?
11:50Sorry?
11:51Anything making you feel funny?
11:52No, I'm all right.
11:53I'm just itching.
11:54Just my arm's itching.
11:55And that's normal for you?
11:56Yeah.
11:59It's crazy instant, as soon as I'm walking,
12:01because he...
12:02My arm reaches.
12:05Oh, it's ever such a funny sensation, that is.
12:08That is.
12:09Oh, you can feel it all up here.
12:11It's a good job of it, the right one, then.
12:18Eighteen minutes after being given the morphine,
12:21Wendy is on her way to hospital,
12:23where she will receive even stronger painkillers.
12:26The hardest thing about being a paramedic
12:28is the suffering that you deal with.
12:32You're giving everything that you can,
12:33and if you're still not working,
12:34well, then...
12:36It's get them in somewhere where you can give them something better.
12:38I recently changed doctors,
12:58and she was marvellous,
12:59and got me to see different specialists.
13:02And things started to really move then,
13:05and I had an MRI scan,
13:07and I finally had a diagnosis.
13:08After three years, it was amazing.
13:13I've been diagnosed with disc degeneration.
13:17After the diagnosis, I went in for a procedure,
13:20which I think, I hope, has worked.
13:24I had injections in my back into my nerve endings,
13:26and I've only had the pain once since.
13:30So we might be getting there now.
13:34It feels absolutely amazing.
13:37It really does.
13:38I feel like I've got a life again,
13:41because my life was prone to old for three years.
13:44In those days, I just felt that life wasn't worth living.
13:47Most of the time, I was just sat in the armchair all day watching telly,
13:50and it was so depressing and so lonely,
13:54and I've got it back.
13:56I am so grateful to every paramedic I have seen.
14:01They are worth their weight in gold.
14:05They really are.
14:06If I could give them a medal, I would.
14:08So, well, it would be interesting if this is a job.
14:13with CARSIC stands for the British Association of Immediate Care Specialists.
14:20Roger, many thanks out.
14:21It's purely charitable what we do.
14:22It's all in our own time, just aiming to bring the skills that we've learnt and use every day in the hospital,
14:28and taking those out to work alongside paramedics, and just assist them in these more complicated injuries.
14:34One thing that's hard to train is teamwork, team leadership, communicating with your patients.
14:43You can know everything in the world about medicine,
14:45but if you don't know how to deal with patients, don't know how to deal with the scene,
14:48you'll never get anywhere.
14:52OK, so we're going to a two-year-old girl who's being found by a mum of fitting.
14:55The most common cause of fitting in young children is having a high temperature or being diagnosed with epilepsy.
15:04So, the problem is, with children, if they have prolonged fits, you can end up getting significant brain injury.
15:27Yeah, this is quite a tough job to start with, especially for my first shift on here.
15:31So, I'm going to be watching what Ben, how Ben interacts and what Ben does,
15:34because it's certainly something that the textbooks don't tell you.
15:44How do we get into you? Around here?
15:45That's right.
15:46Oh, good.
15:47In the worst-case scenario, a fit can be life-threatening.
15:53Ben needs to quickly assess the toddler.
15:56OK, hello there.
15:57How are you doing?
15:58How are we doing?
15:59I don't know.
16:00Has this young one been diagnosed with fits before?
16:03She's had a fit before because of a high temperature.
16:05OK.
16:06But she hasn't been diagnosed with epilepsy or anything like that.
16:09OK.
16:10So quick.
16:11Ashanti's temperature was way above 39 degrees, so she was very, very hot.
16:16So, much too hot for a baby, and that's almost certainly why she fitted.
16:20So, what was she doing earlier?
16:21She was lying on the settee with me in the next one, so I just noticed that she was fitting.
16:26OK.
16:27Fine.
16:28And when you say fitting, what do you mean by fitting?
16:29Fitting from the mouth.
16:30OK.
16:31OK.
16:32Shaking.
16:33And she's stopped shaking since then.
16:34How long did the shaking last?
16:36I think about ten minutes.
16:38Take a stretch.
16:39Hello there, sweetie.
16:40Yeah.
16:41Aren't I horrible?
16:43Let's pop your finger in there.
16:48So, sometimes people do fit again.
16:50OK.
16:51So, don't be worried.
16:52She's got the right people here now.
16:54And we've got an ambulance on the way, and we will be going in.
16:57OK.
16:58It's a real pressure dealing with children.
17:00And the smaller they are, the more pressure you feel.
17:06Well done.
17:07Thank you very much.
17:08So, this is just a little bit of oxygen, because her oxygenation isn't perfect.
17:11It's nothing that I would be worried about.
17:14But I can...
17:15Oh, look at that.
17:17There's two reasons why we routinely give oxygen to children at a fitting.
17:21One of the causes of a fit could be not enough oxygen in the brain.
17:25So, we give it for that reason.
17:27The other reason is we want to make sure there's plenty of oxygen getting to the brain,
17:30because there's increased brain activity during a fit.
17:33So, we want to avoid this second damage to Ashanti.
17:37I've never seen a child ever seen.
17:39Oh, dear.
17:40It's not nice, is it?
17:42Especially not when you're mum.
17:43All right.
17:44All right, sweetie.
17:45Hello there.
17:46Let's just leave you where you are.
17:48Well done.
17:49The ambulance team arrive, and Ben updates them on Ashanti's condition.
17:54She's coming round a bit.
17:55She's eye-opening.
17:56We'll just see what the BM is.
17:58Do you mind taking over the head end and just making sure?
18:00She's maintaining her own airway.
18:01Of course.
18:02The respiratory rate's 24, and GCS is picking up as we go along.
18:06She's just eye-opened spontaneously.
18:08I'll just have a quick word with your crewmate,
18:10and I'll give them a hand getting everything prepared so we can get her into hospital.
18:13Smush it.
18:14I'm not sure.
18:15I don't know.
18:16I'm not sure.
18:17I'm not sure.
18:18the crew needs to be ready to come with it
18:21e
18:23we want to have intravenous access
18:24so we can give the necessary drugs
18:26in order to stop any further fitting
18:28but hopefully if we can get a temperature down
18:30we can reduce the risk of that
18:33okay
18:34then if you want to
18:36the head end is at the far end
18:37so if you want to lay down here
18:40that's great
18:41and if you want to sit next to her
18:42okay well done
18:44Ashanti's dad Rich
18:47ha riuscito a casa per essere con lei.
18:49Come hai fatto?
18:51Come hai fatto?
18:53Sì, sono un po' confuso.
18:55Si non si riconosce molto più,
18:57ma è proprio perché ha fatto una fitza.
18:59Non si preoccupi.
19:01Come hai fatto?
19:07Now, i'm going to try and put a little plastic needle in her hand.
19:09So, se vuoi concentrare sull'interno
19:11so che si può vedere l'interno.
19:13Ok.
19:15Sì, sì, sì, sì.
19:45Sì, sì, sì, sì, sì.
20:15Sì, sì, sì, sì, sì, sì.
21:17Sì, sì, sì, sì, sì, sì, sì, sì, sì, sì, sì, sì.
21:19But she did an absolutely excellent job.
21:19Yeah, go on. Follow alongside. Hold her hand if you want to.
21:22Can't reiterate to her what a great job she did.
21:25At Royal Stoke University Hospital,
21:27Ashanti is taken into the children's area.
21:30Hello, hello, hello.
21:31Hello.
21:32How are you doing?
21:32Hiya.
21:33Questa è la mia chianti, è due anni, ha avuto un episodio precedente di una convulsione febrile.
21:45Oh, dear.
21:47Non mi piace quando si fai.
21:51Ho, spero che non si fai ancora.
21:53Ma se si fai, si fai ancora.
21:55Si fai ancora, si fai ancora.
21:56Si fai ancora, si fai ancora.
21:57Si fai ancora, si fai ancora ancora.
22:01La prima parte, pop some IV access in and give her any appropriate drugs.
22:04Ok, right, take care.
22:06Allora, thank you very much.
22:09Today she was just lying down on the sofa behind her mum's legs.
22:12Mum felt a couple of kicks, thought she was playing and she turned around, saw her and saw that she was having a convulsion.
22:18And then got on my phone to me and I had to go get back shortish, type of thing.
22:23So scary, very scary.
22:25You know, I'll have a little cry about it later.
22:28Off camera, of course.
22:29...i a song.
22:29...I will, but you know you have to try and stay calm...
22:33...as mother you're going to panic but, you know...
22:37...she's done well, her mum has today just done really well.
22:51...I think the profession paramedic is all about...
22:54...helping people, being you know available in the community...
22:57...particularly where I work in Stourbridge...
22:58che è stato molto di quello che è sempre stato un po' di persone che ho sempre stato un partito.
23:03Si è stato un po' di un male patient, è 28 anni, è in un posto pubblico, il job ha come
23:09tru, è stato un po' di chest pain e palpitazioni, ha un po' di tempo limitato.
23:15In certi casi non vuoi essere outside, soprattutto con un paese con un po' di un po' di un po' di
23:20conoscenza, che possono cambiare rapidamente e si possono essere un po' di un po' di un po'
23:27get cold the man was driving when he felt chest pains so pulled into a car park and asked the
23:35passerby for help i was driving down the road and he just flagged me down i asked if he could call
23:42an ambulance for him hello there mate oh is he dave oh amazing okay hello mate i'll tell you what
23:47do you want to come and have a seat uh just on the back of the car and we'll have a chat all right
23:51so what's been happening um i've started getting these flutters in my chest and my heart right and
23:59it keeps making me want to go cough okay spell my hair and i can feel it like speeding up and then
24:06thumping and it's making me feel like it's going to stop and i can't stop like keep coughing like that
24:12so the pain you had how would you describe it to me um it's quite sharp sharp pain all right is that
24:18pass now yeah it has but my heart just keeps like doesn't feel right all right right then what i
24:23want to do with the symptoms that you've explained an ecg is obviously the the foremost thing we'll
24:28have a look at your heart okay all right we'll have a look at the heart rhythm and see what's going on
24:31is that okay i knew something was pretty serious at that moment and i needed to get help as soon as
24:39possible i was very worried with my two children in the car for their safety as well because i was
24:47driving the vehicle at the time if i were to have passed out or anything and the car was moving i
24:53could have caused a lot of injury to myself and my children let alone to the public okay do you
24:59suffer with anxiety um i have had anxiety yes but i've never had it on this scale never does this feel
25:06like anxiety but worse yeah yeah it just my heart just doesn't feel right okay dave's complaining of
25:13symptoms suggestive of sort of like palpitations so potentially a a cardiac problem there's four
25:18sticky dots one on each ankle and one on each wrist and then the six sticky ones ones on your chest as
25:23well so we can do an ecg uh have a look at the electrical activity in his heart see if everything's
25:28where it should be and we'll take it from there see you're shaking there mate you cold no not really
25:33no just a bit shaky initially having the feel of his wrist his pulse does feel fast not excessively fast but
25:39faster than sort of what we'd expect as normal let's just let this settle down a moment he said
25:44he's something anxiety has been in the past so it may be something along the lines of that but we'll
25:48have a further sort of investigation and what's what's going on
25:54your ecg's okay all right there's nothing abnormal on there apart from it's ever so slightly fast
25:59what sort of pain did you have yesterday um it was when i was lying down in bed i was getting a bit of
26:05sharp chest pain um that was sort of radiating around the center of my chest yeah i'm thinking
26:12after looking at his ecg his ecg looks looks okay everything's where it should be on the tracing um
26:17so i think i'm going to go down the route sort of like an anxiety type thing what davy's explained to
26:21me with his symptoms yesterday is the suggestive of of anxiety in fact it was a sharp pain uh which
26:25came and went of its own accord um cardiac pain we wouldn't expect it to pass on its own somebody'd
26:31have to intervene and do something for him so you know everything's looking okay for him at the moment
26:35but i think there's an element of anxiety with him so we'll try and calm him down and then put
26:38his mind at rest all right your chest sounds are nice and clear now your heart rate's reduced a
26:44little bit it's not quite as fast as it was all right and say your ecg's fine i don't think with
26:48everything we've checked and what we've found or not found in this case i don't think there's any
26:51reason for you to go to the hospital okay that's all right peace of mind for you yeah okay ste the paramedic
26:58he was very calm relaxed he knows what he's doing that to me picking up those vibes you know was kind
27:07of telling me that he wasn't too concerned i think in in everyday life uh in a modern day society then
27:15uh stresses and strains of uh home life work life social life become sort of greater i'd say that
27:21anxiety is uh uh on the on the up really i mean we can associate fast heart rate and palpitations
27:27with anxiety symptoms you know they're they're one of the one of the uh observations that we
27:31we tend to see with anxiety okay all right okay you do seem quite anxious as well yeah i am a little
27:36bit yeah just worried and outside my two boys in the car and obviously are they still there now yeah
27:41they are they're eating their food at the moment did your boys know what's happening
27:44they all explain to them later they they i think they think it's pretty cool because obviously kids
27:50and ambulances and firefighters and i feel a lot better now and obviously um the gentleman said anxiety
28:01and that so i'm going to um go to the gp and talk to him really and see what what they can do for me
28:09and that because i've never had that sort of episode before happen i think when i get back
28:14i think i'm going to sit down and have myself a cuppa and uh watch a bit of tv and just relax i
28:20think that's what i need to do now all right i'm going to join back do you want me to follow you
28:23back or um i'll be okay yeah yeah yeah as well as calling 999 good samaritan anthony has been keeping
28:31an eye on the kids tell when someone's not feeling good and he didn't look so well so you're not going
28:38to turn you're not going to keep driving are you you're going to stop and help somebody out really
28:41it's what you have to do and i've got a load of them all up here as well touch wood hey so
28:47everything's all all right they're getting them they're all clear so good news at the end of the
28:50day anybody with a chest tightness and palpitations they do need to get it checked out you know
28:56anxiety isn't the only cause for them you know that you can obviously can have an underlying heart
29:00condition um so if those symptoms do uh occur then it's always important to get an ecg done you know or
29:06see a gp or or you know the ambulance service so you know the the guy's done the right thing in
29:11sort of like getting checked over you know to rule out anything more serious but uh yeah we're quite
29:15happy that he's sort of like um he's okay
29:19they started to listen with my chest and that is when they picked up on something that was abnormal
29:36with my heart rate and that's when they told me that you know it was a diastolic murmur from what i
29:43believe a diastolic murmur can be a result of your valves in your heart being faulty basically i've
29:53got to go and see a cardiologist uh currently at the moment i'm wearing a heart monitor stay that night
30:02when he advised me to go to my gp it's almost like a bit of a blessing in disguise maybe that that happened
30:08and you know kind of it was fight for him this to happen and for him to be there because otherwise
30:15i might have not ever found out
30:23right so you're walking okay but you're still feeling wobbly let's come back here i get called
30:28out to a lot of elderly people on their own ranging from just a general safe and well check
30:35right to the other end of the spectrum chest nice and clear what i want to do now is shine a light
30:43in your eyes okay we get caught to a lot of falls with elderly as well and again you just have to
30:50treat them with tender loving care
30:52we've got um an elderly gentleman who's fallen on the floor um don't know if it's a mechanical fall or
31:06he's had some sort of fame we don't know yet he's unable to get up off the floor and it is reported
31:12that he's got some sort of back injury she's only a few miles away but the traffic is causing problems
31:19for cath and an ambulance on a different job see it's difficult at traffic lights when they're on
31:25red because you don't want to push cars over into the path of an oncoming car but now they're green
31:31the cars still remain where they are instead of just going to let us through they stop and you have
31:37to weave through them but people do panic when they hear blue blue lights and sirens behind them
31:51two five three
31:54are you sure at the man's house cath is met by his daughter
31:58right so he hasn't probably fallen from standing height okay has he complained of any pain anywhere
32:19right so pain's not unusual for him
32:31where are we oh we're here
32:36hello my darling what are you doing down there hey
32:40you tell me malcolm was actually on the floor he had fall no initial injuries but again he just
32:49could not get yourself up off the floor
32:56can you move this leg at all yeah yeah can you bend it at all
33:03good is that hurt in there no it's just just there
33:08and you've got no pain at the bottom of your back no nothing going up your back at all
33:14unable to lift malcolm on her own calf radios for assistance i'm going to ask for an amber response
33:20because the patient is outside in the garden and he's quite cold so amber responds and we're going to
33:26need a crew with a manga elk please when we have elderly people on the floor we have to look at ways of
33:34getting them upright safely long gone are the days where we get behind them and just physically lift
33:40them up it causes injury to ourselves and can cause injury to the patient all the ambulances now carry a
33:49piece of equipment called a manga elk it's a big lifting cushion and it's the only way now to safely
33:57lift somebody up off the floor we're not going to know you know so he's got no pain in his neck or
34:03down his back at all i normally go out at night about half past five to water the garden
34:08and i sat on the seat on the patio and i've got this condition where i just fall asleep
34:15fell off the seat well i took the seat with me under the table and knocked the table on top of me and all
34:21the plants couldn't get up at all i couldn't turn over and i panicked then because i thought well and
34:27then i remembered i got the house found in my pocket he's been on the floor possibly three quarters of an
34:32hour um because these young ladies weren't in the house at the time they've come and found him
34:36have you done all these flowers how fabulous is that it's beautiful did you used to be a butcher yes
34:50you look like a butcher you know why why i've just sued your bike
34:54hello hi folks hello all right right before we do anything just look at this wonderful video
35:09it is it is we're going to try and get this cushion underneath your bottom okay okay and then once it's
35:17underneath your bottom we're going to roll you onto your back so you're onto it yes then we're going to
35:22try and sit you up okay okay right if you can just try and roll nice and steady and we'll move the
35:29cushions with you keep going go on you're safe you're safe you're safe right okay Vanessa can just have
35:41a look it's a big lifting cushion it's in four sections and each one blows up individually nice and
35:50steady so we go up probably three or four inches the first one then the second then the third then
35:57the fourth so we go up a bit just go slightly up and he ends up with his patient safely up off the floor
36:05in a sitting position you're better sitting up okay how do you feel
36:14still a bit shaky right what we'll do we'll just try and stand you if you can't get up the seats right
36:20behind you again all right do you want to try yes okay should we go after three one two three push push
36:29fabulous that's it right okay we've got you you're not going anywhere
36:42that's it we've got malcolm up off the floor with the with the mangorelk he has lifted quite well
36:49however he is still very shaky it's complaining of pain not in his hip but more in his lumbar region just
36:56let yourself go right because of his age and we are going to take him up the a and e mainly just
37:05for the daughter's sake as well because she's really concerned about him says how pale he looks and i
37:10mean she knows her dad better than anybody um so he's just sitting there now he's settling down but
37:17i'm happy with him going into hospital as well hopefully i've got my phone with me yeah
37:23be even better if you'd have had your pendant on you wouldn't it yes hey consider yourself told off
37:29yeah a lot of elderly people have an alarm in the house and they also have either a bracelet to wear
37:37with a big red button to press or one that's around the neck the amount of times we go to
37:43elderly people on the floor who have got these alarms and they're hanging up on a picture or
37:49they're on the bedside table as far as you can just lean back into the chair put your arms on your lap
37:56and we're gonna luckily brought his mobile phone out with him i had a phone call when i was driving
38:00home to say he'd fallen in the garden so i came here and he was he was out and shaking very cold
38:06and said his hip was hurting couldn't get him up so we found the ambulance right
38:12okay thank you you're welcome so he knows he's supposed to wear his fob but doesn't like wearing
38:17it but if he hadn't got his phone out here he'd have been out here all by himself all night
38:26malcolm now wears his pendant all of the time
38:29yes i'll make sure i wear it now because uh well i suppose they're lifesavers aren't they you
38:36know i mean i could uh the week before my daughter was in portugal so what would i have done you know
38:42so no they are they're lifesavers without a doubt i love gardening so try to do as much as i can
38:51i mean people used to say they say i was hard because i used to garden in the dark
38:59it worries my daughter what what i do but um she knows it you know that's what i enjoy my son's
39:04the same you know he he worries about me i'm a bit stubborn i'll do it my way they call me frank snartere
Consigliato
1:30:59
|
Prossimi video
1:55:48
1:31:11
16:00
1:35:29
1:49:47
1:40:50
16:00
41:06