- 3 months ago
Category
🎥
Short filmTranscript
00:00New Incident, Category 1
00:04Put you on an RTC, two cars head on
00:08This lady has been on the floor since 5am
00:12It's a two year old who's been stabbed over
00:15Every day across Yorkshire, more than 3,000 people call 999
00:20They've done no breathing
00:22She's pregnant
00:23She's pregnant
00:24She's pregnant
00:25She's pregnant
00:26She's pregnant
00:27She's pregnant
00:28The ambulance service must decide who gets help
00:31We're going to look after you mate
00:33We've got you
00:34Can I get you covered up?
00:36Lovely jubbly
00:37And who must wait?
00:3934 jobs waiting for an ambulance now in Leeds alone
00:42As the pressure on the NHS refuses to relent
00:46We're creating the waiting room for a waiting room
00:49The paramedics on the ground navigate England's largest county
00:53Welcome to our office
00:55Alright kid, well done
00:57From the busiest cities
00:59Chaos tonight
01:00We'll need to get out of Leeds now
01:02To the remotest villages
01:04We're in the forest, in the middle of nowhere
01:06Where each call is a crisis
01:08I've got a five year old found wandering in the street
01:11Naked, malnourished
01:13God it breaks your heart, it's awful
01:15And every decision critical
01:17Hello, where are we going?
01:18You're alright?
01:19Jesus
01:20Get the kids out of there
01:21Where they're going to land in the middle of Bratford
01:25We go beyond the flashing blue lights
01:27Whoa, whoa, whoa, whoa
01:29To reveal the human stories behind every siren
01:32Just keep going to the door
01:34Absolutely
01:35Thank you for coming
01:36You don't have to thank us
01:37You do
01:38If you've got manners, you do
01:40Are we all ready to set sail?
01:42Get her going
01:43Get her going
01:44Ambulance service
01:57Ambulance service
01:58Is the patient breathing?
01:59No
02:00Tell me exactly what's happened
02:02Mother and love's just found us
02:05We've come straight over
02:06And they've had me lost
02:07Some help
02:08And this is just not breathing
02:10The hospital's doing chest compression
02:12Come on
02:13Okay
02:14The help is already arranged for you, okay?
02:17If your husband's there now
02:18We're going to give him some instructions
02:19Just make sure we're doing those chest compressions right
02:21Place the heel of the hand on the breast bone
02:23In the centre of the chest
02:24He's going to pump the chest hard and fast
02:26At least twice a second
02:27Two inches deep
02:28He's going at this pace
02:29And it's one
02:30Two
02:31Three
02:32Four
02:33One
02:34Two
02:35Three
02:36Four
02:37One
02:38Two
02:39Three
02:40Four
02:41Four
02:42One
02:43Two
02:44Three
02:45Four
02:46One
02:47Two
02:48Three
02:49Four
02:50Don't give up
02:51It's going to keep them going until the ambulance crew arrives
02:53Critical care paramedic Nick has specialist training
02:58Which means he is sent to the most life-threatening cases
03:011216 receiving
03:02Hi 1216 it's Aaron on the Crick care desk
03:03Just a bit of information about this detail
03:04The 78 year old male not conscious not breathing or showing 18 minutes away from seeing it
03:16All received thanks very much for the update Aaron
03:18Two ambulances have already been dispatched to the patient Nick will arrive last and is 13 minutes away
03:26Just let him know when the ambulance crew is right there with him or if anything does change okay
03:32Three
03:33Four
03:34Really good so keep going that pace
03:35One
03:36Two
03:37Three
03:38Four
03:39What's happening
03:40One
03:41He's trying to breathe
03:42He's trying to breathe
03:43Is he breathing now
03:44One
03:45No
03:46Two
03:47So keep going on those compressions Bobby
03:48One
03:49Two
03:50Three
03:51Four
03:52One
03:53Two
03:54Three
03:55Four
03:56One
03:57Two
03:58Three
03:59Four
04:00Oh
04:01Really good you're doing really really well
04:02Three
04:03Four
04:04Five
04:05Three
04:06Thank you
04:07Okay I'll leave you with Mr. Crude with you okay
04:08Okay
04:09Bye bye
04:14Hello
04:15Yeah good are you family
04:17My wife is the one of the daughters
04:19Okay fine
04:20We'll call him there at minute mate
04:22We'll just be straight to this four of us now
04:24The CPR was commenced when we got here
04:27We have one lot of adrenaline
04:28Perfect
04:29Can I come in when you are ready?
04:30As the most senior clinician Nick leads the team of paramedics
04:34What we'll do is we'll get airway sorted and then we'll put CPI device on
04:40Make sure no going off
04:42Thank you
04:43What's he called I'm sorry
04:44Ken
04:45Ken
04:46So we're in a shockable rhythm
04:47Right everybody clear shock in
04:52Do not touch patient
04:54Analyzing heart rhythm
05:00Okay he's had three lots of shocks
05:02He is now in a rhythm
05:04Which isn't looking like a life sustainable rhythm
05:06My gut feeling at the minute is that we'll continue for another 15 minutes
05:10And then make a decision from there
05:13The problem is everything we do isn't as good as what your own heart does
05:17And his brain is being deprived of oxygen all this time
05:20And he's got a 78 year old heart
05:23So trying to get it restarted is really challenging
05:26But we'll give it our best
05:27Yeah exactly
05:28Yeah
05:29Three heart attacks
05:30Can you feel a pulse?
05:32Can you feel a pulse?
05:39I think I've got a pulse
05:44I'll just explain to you guys if that's alright where we're at these points
05:47Yeah of course
05:49Hello my darling
05:50I'm Nick
05:51I'm one of the paramedics
05:52I'm just going to explain to you what's happening if that's alright
05:54When we arrived Ken's heart had stopped
05:57And we don't know the reason why it stopped today
06:00But he's obviously 78 with a history of quite a few heart attacks
06:04So at the minute the CPR that you guys were doing before we got here
06:08And the CPR that the ambulance crews have done
06:10Means that we've got his heart restarted
06:13But I think Ken is so unwell
06:15That I think he's going to stop his heartbeat again
06:18And what we need to establish really
06:21Is what's in Ken's best interests at these points
06:24Because we know that the drugs that we're giving him
06:26Are keeping his heart going
06:28But obviously he can't be on those drugs forever
06:30So at the minute his heart has restarted
06:33And we're trying to give him lots of different drugs
06:35In order to kind of keep that stabilised
06:38But if his heart was to stop again
06:40I think the fairest thing to do is to let him go
06:43I know it's all a big shock my darling
06:46But do you have any questions for me at the minute?
06:48No
06:49Has he said anything today like he's had pains?
06:51No he's not
06:52To be honest he hadn't been himself today
06:54He had just had the tea
06:56Well all he'd had were ice cream and a few raspberries
06:58He was sat there and then he would bent over like
07:01That's how I ran for these
07:02Because they live Abbott Road
07:04I'll come and update you as soon as I can my darling
07:06All right
07:07All right
07:08Thank you
07:09So I've spoken to wife
07:11She understands that if his heart was to restock
07:14We might not restart again
07:16I think what we'll do is give him a couple of rounds
07:19Of adrenalins and see how we get from there
07:22So we'll do one more round of CPR and see where we're at
07:37So I can't feel a pulse
07:51He's no longer starting to respond to any of the bugs that we're giving
07:55So I think alternately we'll do making the procedure to stop at the same point
07:59But I'll come and explain everything first
08:00All right
08:01Just have to see if you hear heart sounds
08:06No
08:13Right
08:15We'll continue for one more cycle while I speak to wife
08:19Okay
08:20And then I'll see if she wants to be in the room when we stop
08:22Hiya Kath
08:25So just to give you a bit more of an update my darling
08:28So while we were talking Ken's heart stopped again
08:31Erm
08:33So we're in a position now where we've given him all the drugs that we can give
08:37So we've given him lots of fluid and lots of adrenaline
08:40And we've tried to get his heart restarted for now 30 minutes
08:43And his heart isn't responding anymore to those drugs
08:46And there is a certain time frame when we have to stop
08:49So I think in his best interest Kath
08:52We're going to stop our efforts to try and get his heart restarted
08:56Okay
08:57Do you want to be in the room when we stop?
09:00Can I please?
09:02Of course you can
09:03Go on
09:14Keep coming my sweet
09:15Are you able to get to the ground my darling?
09:18No
09:19It's fine
09:20If we can bring this chair a bit closer
09:27They say that the last thing to go is your hearing
09:29If you want to say any words to him before we stop
09:32It's so important
09:35Stop it
09:36Take off
09:38So what I'm going to do my darling
09:42I'm going to turn my CPR device off
09:45Okay
09:46I'm going to continue breathing for him
09:47Yeah
09:48Alright
09:49So you'll notice that he looks like he's trying to breathe a little bit
09:53Which is perfectly normal and that's because the brain wants to breathe
09:56Okay
09:57But his heart has stopped
09:58Okay
09:59But his heart has stopped
10:00I'm so sorry
10:01It's not your fault
10:02How long have you been married?
10:0350
10:0458 years
10:05Oh my darling
10:06Right we'll give you a bit of space and we'll come back in in a couple of minutes
10:08Alright and we'll explain everything
10:09I'm so sorry.
10:18It's not your fault.
10:20How long have you been married?
10:22Fifty... Fifty-eight years.
10:24Oh, darling.
10:33Right, we'll give you a bit of space and we'll come back in in a couple of minutes, all right?
10:36And we'll explain everything.
10:39I'll just have some time with him and...
10:46OK.
10:56So, I...
10:57You know...
10:58My grandad died recently. It's awful, isn't it, going through it?
11:01Oh, God, I don't...
11:02I mean, you say it all the time, though, don't you?
11:04But I don't suppose it gets any easier to...
11:06No, it doesn't.
11:07No.
11:07No, it's...
11:10You know, cos, obviously, I'd never had that conversation with Ken.
11:14It's Ken's family that make it real for us.
11:17Yeah, he's been...
11:18He's been poor before.
11:19Oh, God, he is.
11:21I'm sorry, it's not the outcome we wanted.
11:23I know. Thank you, everybody.
11:24Thank you, everybody.
11:30Kath.
11:31He's gone at home, where he's loved.
11:33He's not been in a hospital bed unwell for weeks, has he?
11:36No.
11:37Oh.
11:37So, we'll get him onto this sofa for you, and we'll make him comfortable for you, rather
11:48than having him on the floor.
11:49Yeah.
11:49OK, my darling.
11:51Do you guys want to step out while we do all that?
11:53Yeah.
11:54Do you want to take my hand, sweetie?
11:56Yeah.
11:58All right.
12:02Go back in back.
12:03I'll go back in.
12:03You all right there?
12:04Yeah.
12:06Thanks for everything.
12:08All right, then.
12:08I'll pop them out.
12:28Do you want the chair like this?
12:29Yes.
12:30OK.
12:36Do you have any questions at the minute?
12:38I don't think.
12:39Oh, my brain's not working.
12:40All right.
12:40All right, then.
12:41I'm so sorry for your loss.
12:43You all right, love?
12:44All right.
12:44It's not but his fault.
12:45I know.
12:45Only his.
12:46Yeah.
12:47Yeah.
12:48Could have stayed a bit longer, couldn't he?
12:49No.
12:50I kept telling him.
12:51If he carried on, we'd go to 60 years.
12:54How did you meet?
12:55He lived at one end of Earth Street,
12:57and I lived at a big ringing field in the middle,
13:01and we just used to...
13:02I don't really know.
13:03I can't remember.
13:05We just started going out together.
13:07He had a motorbike.
13:08Oh, well, there you go.
13:09Then he's out.
13:09Oh, yeah.
13:11Oh, yeah, the couple, actually.
13:13They weren't the days.
13:14Well, a life well lived, Kath.
13:16Yeah.
13:17Cheers, love.
13:18Thanks.
13:18All right.
13:18Thanks.
13:19Love you.
13:22Oh, he was well loved, wasn't he?
13:27What time were you up today?
13:49I've gone up at nine.
13:51I've passed seven.
13:53I did try and go back to bed, though,
13:55so we shall see how I fare tonight.
13:58It's one hour into the Saturday night shift
14:01for the Yorkshire Ambulance Service.
14:03Tonight, dispatchers Wendy and Wendy
14:06are responsible for 54 resources
14:08across the 344 square miles of Leeds and Wakefield.
14:13Thank you for my birthday present.
14:17You're very welcome.
14:17Do you have a nice day?
14:18The one thing I asked my husband for,
14:21I didn't want anything after all these years.
14:23I said, I just want a nice bunch of flowers.
14:26And what did you get?
14:27Oh, I got a bunch of flowers.
14:28Originally, they were delivered at wrong address.
14:31And on the card, it said,
14:33Love Keith.
14:35Not Kevin.
14:37Why did he put Keith?
14:38He didn't.
14:38He ordered him over the phone
14:40and they must have heard him wrong.
14:41Did Kevin laugh?
14:43No, he said it was Keith.
14:50In the past two hours,
14:52Control have received more than 300 calls for help.
14:55They've got a call from an off-duty officer.
14:58They've found a female that's been punched in the head.
15:00She's got bruising all over them.
15:01She's bleeding from the nose and mouth.
15:05It's a car crash.
15:06A road traffic accident.
15:08Take it all the way now.
15:09Apparently they're intoxicated.
15:11It's been assaulted by a metal bat.
15:14And is the attacker still nearby?
15:16It's a grave been arrested.
15:281705.
15:29Rachel and Ambrish
15:30have just cleared from their first patient of the evening.
15:33Oh, I loved my house.
15:36Absolutely loved it.
15:38I went to an old girl's school.
15:39Did you?
15:40Yeah.
15:40Well, you kept that quiet.
15:41That's probably why I'm a lesbian now, but...
15:42Yeah.
15:42That's funny.
15:46Yeah.
15:46It was run by a nun.
15:48She was great.
15:48Receiving 1705.
15:53Yeah, 1705, thanks.
15:55Little nine-month-old.
15:57Developed a rash two hours ago.
15:59She's got a temperature of 38.5.
16:01Oh, bless her.
16:04Yeah, no problem.
16:04That's a bit of a raging temperature.
16:06We are setting off en route,
16:08and we'll go see what we can do.
16:10She's got a stab in.
16:31And how old is she?
16:33She's two.
16:35Two years old.
16:37It's okay, baby.
16:38It's okay.
16:39What do you mean?
16:40What have you done in?
16:41I'm organising a help for you.
16:42Just stay on the line.
16:44Oh, it's a two-year-old.
16:50New job.
16:521705.
16:53This job that you've been diverted to,
16:55it's a two-year-old female who's been stabbed of her.
16:59Been what?
17:00Okay, just to confirm,
17:01two-year-old that's been stabbed.
17:03Yeah, it is two, a two-year-old of her.
17:06Yeah, that's no problem at all.
17:08We're on route.
17:09I thought I'm missing.
17:11It's not...
17:11Crick Care's going to get there first.
17:18Rachel and Amrish are three minutes behind the critical care car.
17:22Ready?
17:23Ready?
17:23Yeah.
17:24All fails.
17:27Ready?
17:28Yeah.
17:29All fails.
17:44So, at the entrance to this, but the intercom's not working.
17:55It just says call fail.
17:56Is someone able to let us in?
17:57Yeah, all we think we're rigged in the bank.
18:00There's blood everywhere, aren't you?
18:03And on the door inside.
18:05I mean, that's a fair bit of blood.
18:07Well, it's going into there, isn't it?
18:08Yeah.
18:101705.
18:10Yeah, Roger, it's not a stabbing.
18:13They've actually impaled themselves on a piece of glass while playing in the park.
18:17Just go back to your ambulance.
18:22He's going to bring the baby down to your other.
18:24All received.
18:26What's your daughter's name?
18:28Erin.
18:28Erin?
18:29Hi, Erin.
18:29Yeah.
18:30Would you like to see our ambulance?
18:33That's for you.
18:36Do you like the lights?
18:39Yeah?
18:41How's your wife doing?
18:42Is she okay?
18:43She's settled.
18:44Settled?
18:44Yeah.
18:45She's panicking.
18:46Yeah, I'm not surprised.
18:50And then, would you like to take a seat on here?
18:53Pop your feet up, Dad.
18:55Did our guys come quite quickly?
18:57Yeah.
18:57Yeah?
18:57Good, good.
18:58She's doing a really good job of wrapping that up and it's settled.
19:04Wonderful.
19:04Okay.
19:06Wow, you're so brave.
19:08It's okay.
19:10Hey, Mum.
19:11Hiya.
19:12Come and take a seat here.
19:13Thanks so much.
19:13No, you're more than welcome.
19:15It's okay.
19:15Your daughter is so brave.
19:17Oh, thank you so much.
19:18She's been amazing.
19:20Some naughty people leave some rubbish in the park.
19:23That's why we have to put things in the bin, don't we?
19:27You guys all right?
19:28Yeah?
19:28Yeah.
19:28I know, I know, okay.
19:30You all right?
19:30Baby, it is.
19:31It's all okay?
19:32She's okay.
19:33She's absolutely fine.
19:34She's happy as Larry.
19:36It's not your fault.
19:37You wouldn't have known.
19:41They'll take it off at the hospital and the doctor will have a good look at it.
19:45Is that the doctor?
19:47Oh, I wish.
19:48That's my friend, Rachel.
19:50Hello.
19:51She's the paramedic.
19:52Do you think we should go see the doctor?
19:54What do you think about that?
19:55There's the doctor.
19:58It might be one day.
19:59She's the paramedic.
20:00I'll take the salary.
20:01You took her a re-kick.
20:03Yeah?
20:03Yeah.
20:04And she can drive the ambulance with Aninor.
20:07Remember you saw the lights on the ambulance flashing?
20:09She loves ambulance.
20:10Oh, do you?
20:11Yeah.
20:12Super cool.
20:13High five for being brave?
20:14She's ready for some ice cream, aren't you?
20:19I like chocolate.
20:20Mm.
20:21You like chocolate?
20:22I do.
20:22I love chocolate.
20:24Bit too much.
20:28You will be the best patient of the day.
20:31You'll be our favourite.
20:32Yeah.
20:35It's a stethoscope.
20:38It's a stethoscope, not a telescope.
20:42Yeah.
20:43It goes on you and you can hear inside.
20:45Right.
20:46Do you?
20:47She loves pregnant.
20:48Wow.
20:49Do you want to have a little listen in the stethoscope?
20:54You can go like that.
20:57If you want to.
20:59How are you lovely?
21:00Shall we have a listen to you?
21:04Oh, very healthy.
21:06Very strong.
21:07She must eat lots of fruit.
21:10Wonderful.
21:11A little bit of watermelon in there.
21:13Yeah.
21:14You are very strong.
21:17Well done.
21:19Shall we take you to hospital?
21:21Wonderful.
21:22Erin will be taken to Leeds General Infirmary two miles away, where her injury will be assessed.
21:36You did have failed.
21:40You couldn't have known that somebody was going to be irresponsible and leave glass in the park.
21:44Yeah, yeah.
21:45Absolutely.
21:45You could have known at all.
21:46Absolutely.
21:47You could have known at all.
21:48Absolutely.
21:49You could have known at the hospital.
21:50You're here now, Mama.
21:51We'll take you into paediatrics and get the scenes there.
21:52Printers.
21:53We're here now.
21:54We're here now, Mama.
21:57We'll take you into paediatrics and get scenes there.
22:01Printers! We're here now.
22:04We're at the hospital.
22:12I feel like you need some more blankets.
22:14Oh! Come to me!
22:16OK. Go on, then.
22:18She's amazing!
22:20I got a bit jealous, then.
22:24Straight away for Rachel.
22:26I know, that was so cute.
22:28Even my own nieces don't do that.
22:30She hurt me, pop it.
22:32There's how many? There's four!
22:36Wow!
22:38I said, when you're better,
22:40if ever you want to come for a tour in this station, you can come.
22:47She was cute.
22:48Oh, she was adorable.
22:50She was so cute.
22:51Absolutely adorable.
22:52I love the way she came to you when you opened the back bars.
22:54I felt like... I was like, aww!
22:56I know.
22:57She's like...
22:58There was a hint of jealousy in me.
23:00I was like...
23:01You do all the work and then I just get in the puddles at the end.
23:05I'm organising help for him now, stay on the line, I'll tell you exactly what to do next.
23:23We are currently very busy, but we'll respond to you as soon as we can.
23:26The response times in the area are currently up to 55 minutes.
23:30Six hours into the night shift and control have answered over a thousand calls for help.
23:36Oh, we're getting loads of jobs in now.
23:39There are currently 102 patients waiting for an ambulance.
23:43We've got 25 outstanding jobs on Leeds at the minute.
23:45Have you got as many as us?
23:46No.
23:47Can we borrow some of your crews then?
23:48I have got any crews available.
23:50If I get anybody available, I'll let you know.
23:52Thanks.
23:53That's great.
23:54Thanks ever so much.
23:591707.
24:001707.
24:02You're going for a 54-year-old female, Paula, who's been breathless and wheezing for three days.
24:11It's a cat to her.
24:13Yeah, no worries.
24:14Absolutely.
24:16Wakefield crew, Shekinah and Tash are the nearest available ambulance and are seven miles away.
24:30Hello.
24:31Hello.
24:32Hi, it's Ambulance.
24:34What's your name?
24:35Paula.
24:36Paula.
24:37I'm Natasha, this is Shekinah.
24:38What can we do for you then, lovey?
24:40My doctor said I've got CRPD.
24:41OK.
24:42But when I went to hospital last time, I only had asthma.
24:47OK.
24:48OK.
24:49I'll let Tash do some checks on you and then I'll have a quick listen to your chest.
24:52You sound wheezy sweet.
24:54I take it you had a chest infection?
24:56Yeah.
24:57I'm scared.
24:58When was the last time you had any antibiotics or anything?
25:01About two weeks ago.
25:04OK.
25:05Because I had breast cancer.
25:07OK.
25:08So I'm on chemo tablets.
25:11But since I've had that, I'm just...
25:14..privileous all the time.
25:16Don't feel right since.
25:17Oh, darling.
25:18No.
25:19So in terms of the cancer, what did they do then?
25:20I took it from the breast cancer.
25:22All right, OK.
25:23And then you're just on the chemo tablets from that?
25:24Yeah.
25:25OK.
25:26Well, your oxygen levels are good.
25:28You do sound wheezy though.
25:29So let me have a quick listen to your chest then and see what it sounds like.
25:35And depression as well and anxiety.
25:40Yeah.
25:41I think I'm dying anyway.
25:44Is that with the anxiety?
25:46Is that what...is that how you feel like?
25:48Yeah.
25:49Cos I'm on antidepressants.
25:50Yeah.
25:51How long have you suffered with anxiety for?
25:53Years.
25:54I've been worse since I've had...
25:57It's probably just made your health anxiety worse, hasn't it?
26:02I've got a heart disease, borderline diabetes.
26:06It's just illnesses.
26:09Yeah, it's really difficult, isn't it?
26:11Yeah.
26:12Feels like one after another.
26:13Oh, yeah.
26:15So you've got a little bit of a wheeze, but I feel like it's a wheeze
26:19that your inhaler will clear rather than a nebuliser
26:21because your oxygen levels are perfect, you don't need any supplementary oxygen.
26:25Have two puffs of your inhaler, let me have another listen.
26:28Just take a deep breath for me, sweetie.
26:38On this side.
26:43Wow.
26:44You might not believe me, but it's got rid of it.
26:46Has it?
26:47Yeah.
26:48Good.
26:49Your chest sounds clear now.
26:50I think what it is with my mental health.
26:52I think to myself, oh, I'm having a heart attack.
26:54And then I think, oh, it's coming down.
26:56I think it's all just...
26:58It very much sounds like anxiety.
27:00So I suffer with anxiety myself, and I'm...
27:02Yeah.
27:03I mean, Tash will tell you I'm the worst person ever for anxiety.
27:05The smallest little thing sets me off.
27:07I'm terrible.
27:08You're telling me I'm fine, but my head's still telling me I'm dying.
27:12Yeah.
27:13Yeah.
27:14You're definitely not dying.
27:15And do you know what?
27:16When you start thinking you've got everything...
27:17I feel awful now.
27:18Why?
27:19Because...
27:20You could have been...
27:21Don't be down.
27:22...somewhere else.
27:23We will never know.
27:24We will never know.
27:25That's the beauty of this job.
27:26We're here, and that's it, isn't it?
27:27While we're with you...
27:28You know when your thing's telling you you're dying?
27:31Yeah.
27:32You need help.
27:33Oh, yeah, I completely understand.
27:34It's hard.
27:35Yeah.
27:36But this is what we're here for.
27:38Do you live on your own?
27:39No, my daughter.
27:40Your daughter's here with you?
27:41No.
27:42This is my daughter.
27:44Yeah.
27:45I want to be with her all the time.
27:48Yeah.
27:49She's my baby.
27:50Aw, that's nice.
27:51How old is she?
27:5235.
27:53She's a big baby, then.
27:55Yeah.
27:56Who's that?
27:57Top right.
27:58Me and my dad.
27:59Oh, is it?
28:00Yeah.
28:01That would be 70s.
28:03Bloody hell.
28:04I love old pictures like that.
28:06I like it when people have old pictures.
28:08Yes, in 10 minutes.
28:09You will, will you?
28:10How long you been without him for?
28:12Er, 20 years.
28:14Oh, God, it's a long time, isn't it?
28:16I'll meet him again.
28:17Yeah.
28:18You will?
28:19Not any time you're soon, though.
28:20Aw, don't get upset.
28:22Don't get upset.
28:23Oh, come here.
28:24I can't cope with your beefing.
28:25Come here.
28:26It's all right.
28:28I love it to be here.
28:29Don't start, because you've just fixed your breathing.
28:31You're going to set yourself up again.
28:32I know.
28:33It's hard losing family, isn't it?
28:36Really hard.
28:37But you've got a good relationship with your daughter,
28:39haven't you?
28:40Oh, yeah.
28:41So that's good.
28:42She's my baby.
28:43She looks after you, doesn't she?
28:44She does everything.
28:46Aw.
28:47That's really lovely.
28:48Yeah.
28:49That's nice.
28:50You'd be surprised with how many people don't have close family
28:52around them.
28:53Yeah.
28:54Aw, darling.
28:57Yeah.
28:58Well, we have made you feel a bit better, and then we've made you
29:00set you off again, haven't we?
29:01I know, but I'm not dying so much.
29:04You're definitely not dying.
29:05You've got a little while yet, I reckon.
29:07I thought I was, honestly.
29:10It's crazy what anxiety does, isn't it?
29:12I don't think you need to go to hospital unless you want to go.
29:17No, no.
29:18No.
29:19Well, we've got a leaflet that's got quite a few useful numbers on
29:22for, like, mental health services.
29:24What's your plan, then, for when we leave?
29:26What are you going to do?
29:28Have a cup of tea, a cigarette.
29:31After you've just called us for your breathing and your reason,
29:34let me leave before you smoke that cigarette.
29:37Oh, no.
29:38And then...
29:39And you're going to go to bed?
29:41Yeah.
29:42OK.
29:43Right, come here, give me a cuddle.
29:45Really nice to meet you.
29:46And you, love.
29:54It's like in Liverpool, it's not Asda, it's the Asda.
30:02You could...
30:03You could add an Asian twang for it and call it Asdari.
30:06So, the money mess is still like, oh, I'm off to the Asdari, yeah.
30:09HE LAUGHS
30:14Receiving 1705.
30:15Yeah, 1705, thank you.
30:17I have a Cat 2 detail for you, please.
30:19We've got Howard, who is 73.
30:23He's fallen, he has been on the floor now for over two hours.
30:28Oh, bless him, that's a very long time.
30:31Yeah, Roger, well, he says he's been on the floor,
30:33it could be even longer than that.
30:35That's all I acknowledge, we are en route.
30:37That's great, thanks ever so much, Amrish.
30:39Hello.
30:40And what's your name, sir?
30:53Hello.
30:54How have you ended up on the floor?
30:56Must have rolled out and ended up on the floor.
30:58Must have rolled out and ended up on the floor this morning.
31:01So, yeah.
31:03The biggest problem was trying to attract my wife's attention.
31:07Bless you.
31:08OK.
31:09It's not a night, but, er...
31:12Eventually, I think, you know...
31:15And you should be up in the morning.
31:19Your response this morning, really appreciate that.
31:22Oh, no, it's no problem at all.
31:24And, er...
31:25I wish we could have been here sooner.
31:27It's fairly embarrassed.
31:30I spent 25 years working in the NHS,
31:34and so, er...
31:36I don't mind causing the NHS work as it is.
31:40No, no, not at all.
31:41This is what we're here for, Howard.
31:42This is what we're here for, yeah, absolutely.
31:44Keep us in a job.
31:45Yeah.
31:46Don't worry about that.
31:52I'm just incredibly tired.
31:55Yeah.
31:57Not really.
31:58Has that been sort of a gradual thing over...?
32:02Yeah, over the last 15 months.
32:04I've got this problem with the terminal brain tumour.
32:09I discovered on an MRI,
32:11while they were doing hearing tests
32:13on the way out, to be honest.
32:15Oh, wow, OK.
32:17Obviously, you've had this fall this morning,
32:19but day-to-day,
32:20how does this tumour affect you physically?
32:23It's completely stopped my life.
32:26OK.
32:27Not allowed to drive,
32:28not allowed to do anything.
32:30So, I mean, it's devastating.
32:36Howard?
32:37Yeah?
32:38We've got a fancy cushion,
32:39and I think it's probably the safest way to get you up.
32:41Can we go on three?
32:42One, two...
32:43Three.
32:44Three.
32:45Good, well done.
32:46OK.
32:47I'm behind you, so...
32:49It's very noisy.
32:50It's like an air compressor.
32:51I got it.
32:52All right, so just brace yourself.
32:59OK?
33:00I've got you.
33:02As we come up,
33:03if you just adjust your feet,
33:05that's it,
33:06so you're, like, in a sitting position.
33:07Perfect.
33:08Well done.
33:09Yeah?
33:10Is that us?
33:11Fully inflated.
33:12Perfect.
33:13So, only when you're ready,
33:14because you've been on the floor a while.
33:17That's OK.
33:18That's OK.
33:19Have a second, Howard.
33:20Yeah, take a moment.
33:24Good, well done.
33:26Right, nice and steady.
33:27I'll take the brakes off.
33:28OK.
33:29Zoom.
33:30No speeding.
33:32Nice and steady.
33:33Well done.
33:34Wow.
33:35Now you're up and off the floor,
33:36no new pains or aches?
33:37Oh, no.
33:38Relief.
33:39Oh, good.
33:40Good.
33:41No relief.
33:42Feel very comfortable.
33:43Good.
33:44It looks like a comfy bed.
33:45So, what did you do?
33:46For the NHS?
33:47I was a pharmacist.
33:48I worked in the hospitals for 20 odd years, I think.
33:53Seen a lot of change over the years.
33:55Anybody who's worked in the NHS has seen a lot of different,
33:57or anything.
33:58Anyone who's worked in the NHS has seen a lot of different.
34:00Right.
34:01Okay.
34:03Why?
34:08for 20-odd years, I've been.
34:12Seen a lot of change over the years.
34:14Anybody who's worked in the NHS has seen change.
34:17Yeah.
34:18When you've worked for it, you realise how much personal dedication,
34:24I think, if there's one thing that demonstrates a commitment,
34:30it's that personal dedication.
34:33And I mean that at every level.
34:38How have you guys been coping?
34:44Exhausted with it all. Bless you.
34:46Well, you've done a wonderful job so far.
34:48He says, look, I've been a bit stubborn towards any other support.
34:51He's been so stubborn. Has he?
34:53We need to be able to accept help when it's on.
34:56Absolutely.
34:57I mean, normally he can cope, but we're getting to the point
35:00where I've got care support coming in twice a week.
35:03It's a lot for one person to do kind of on their own as well.
35:06I can't do it, which is why I've asked for help.
35:09So we're open to having increased care.
35:11Yeah.
35:12Absolutely.
35:13I understand that you get people coming in twice a week at the moment.
35:18And how would you feel about slowly upping that to kind of on a more regular basis?
35:24We can always put a referral in as well.
35:27My wife's in charge.
35:28OK.
35:29If you say leave it to the wife, I'd say that makes you a very wise man.
35:35Or a very scared man.
35:40Any time you need us, just ring us, honestly.
35:42I know the number.
35:44Absolutely.
35:45Thank you so much.
35:46All right. All the best, Howard. Take care of yourself.
35:48OK, thank you.
35:49Lovely to meet you.
35:50All the best.
35:54Sad.
35:58Receiving 1705.
35:59Do you have an update on Howard, please, Abba?
36:02This gentleman, unfortunately, has been diagnosed with a brain tumour.
36:07And we've kind of discussed increased support at the moment.
36:11He has his wife and some carers attending twice a week.
36:14But they're open to now having some more support in place.
36:17And also in future, if this ever happens, having a pendant or kind of a fall's alarm.
36:23A really lovely gentleman.
36:24Also worked for the NHS as a pharmacist for 25 years.
36:28He didn't want to, obviously, initially bother us.
36:30But we obviously told him that he can call us any time he needs.
36:33He's paid his dues to the NHS and that's his turn to receive it in return.
36:39Yeah, Roger, I think that's the thing with us, isn't it?
36:42We never ask for help, I think, when you work in the NHS
36:44and you see things day in, day out.
36:47Unless you are really, really polar, you don't want to contact anybody.
36:53Absolutely. I can relate to that as well myself.
36:55I believe it is nearly home time for you, Wendy.
36:59It is, thank you very much. Thanks for a lovely evening.
37:03You too, it's always been a pleasure. Have a safe journey home.
37:07I see many patients that are reluctant to ask for help, but at some point we all need it.
37:19When we do go to patients, it makes us realise that anyone is vulnerable.
37:24You put the uniform on and in some ways you become this person that is fearless.
37:32We're not affected by anything.
37:34But the truth is that I'm no different to anybody else.
37:38Evening. Are you all right?
38:00Evening. Are you all right?
38:03In control, the team are back for another 12-hour night shift.
38:08Ambulance services the patient breathing.
38:11No. It is now unadvanted.
38:14Pump the chest hard and fast at least twice per second and two inches deep.
38:17It looks quite busy, is it?
38:21It's been a crazy day. Absolutely crazy.
38:24They are starting their shift facing a backlog of patients waiting for an ambulance.
38:29I've been waiting for an ambulance and it's been two hours.
38:32We are operating at a critical level this evening and we are extremely busy with severe delays across the whole of Yorkshire.
38:38We're at CSP 4. That's not very good, is it?
38:42Due to the build-up of jobs from the day shift, CSP Level 4, which is the most severe clinical safety clamp, has been activated.
38:51This will ensure patients with the greatest clinical need are prioritised.
38:56We are extremely busy. We'll respond to you as soon as we can.
38:59But it may be up to eight hours in that area. In fact, eight hours and a half in that area at the moment with our extreme delays.
39:05Busy. Busy. Busy. Very busy.
39:09Ambulance, how can I help?
39:12I phoned an ambulance quite a while back and they said it was coming straight out.
39:17Wondered how long it was going to be.
39:19Can't believe we're coming to so much work.
39:26Ambulance, is the patient breathing?
39:29Yes.
39:30I phoned not long ago. He's had testicle pain and then just now he's thrown up everywhere. And he's saying he's got chest pain. But that it's working since when I last called.
39:42OK, they are coming as quickly as they can. I know it seems a long time when you're waiting.
39:471707, go ahead. Yeah, Roger, thank you. Just had to divate you to a cat one detail in Pontefracts. 26-year-old male. I believe he's vomiting blood of her.
40:05Yeah, no problem. Thank you. We're on route.
40:09Shekinah and Tash are 11 minutes away from the patient.
40:13Chest pain and vomiting blood. What do you reckon, then?
40:16Surely. It's not interlinked.
40:19God knows.
40:21What could be wrong with you, Callan? We're about to find out.
40:23PHONE RINGS
40:31Hello. Hiya, darling.
40:33So, I'm Natasha. This is Shekinah. Can you tell us what's happened?
40:36I was just sitting there, playing my game.
40:38Yeah.
40:39I started throwing up.
40:41I came to the bathroom and I've been throwing up more.
40:44OK.
40:45I haven't made a bad chest pain.
40:46OK.
40:47Have you had pain anywhere else other than your chest?
40:56Testicle pain and I get numbness in my left leg.
40:59How long you had that for?
41:00Like, six, seven years.
41:02Oh, is that...? OK.
41:04Have you ever found out why you get that pain?
41:06I had varicocele. I have testicle pain now.
41:11When did you have that?
41:12Three years ago.
41:17Testicular varicocele is an enlargement of veins within the scrotum.
41:21Symptoms include pain and swelling.
41:26Can I just get to you to stick these stickers on your chest?
41:29Yeah.
41:30If you have to take a big deep breath in, does that pain in your chest get worse?
41:37Oh, darling.
41:40You OK?
41:42I can't breathe.
41:43OK.
41:44You're all right.
41:45Just take a few deep breaths.
41:49It's quite dark, that vomit, but I'm not massively convinced it's blood,
41:52but I think we need to go to the hospital anyway, don't we?
41:55This chest pain that you've got, the vomiting,
41:57you're in quite a bit of pain, aren't you?
41:59Yeah.
42:01How old's your little one, then?
42:03He's nearly six months.
42:05Oh!
42:06So a little, little baby!
42:08What's his name?
42:09Arlo.
42:10Oh, that's really lovely.
42:11I like the name Arlo.
42:14We'll see if we can get the cannula in, we'll give you some anti-signals,
42:16we can give you some paracetamol, and then we'll bob you up to Pinders.
42:20It's going to be a sharp scratch, all right?
42:23You'll feel better shortly, hopefully.
42:26Right.
42:27This is some paracetamol for you, darling, all right?
42:29I'll have that chair, right?
42:30Yeah.
42:31All right, then, mate.
42:32Oh, darling.
42:33I'll just have to sit down for a second before we get you on the ambulance.
42:34No, please help me, please.
42:35Come on, let's get you on this chair and then we'll get you out.
42:59Swing your legs round, just put your feet on that bar.
43:06You're all right, will you?
43:07No, please.
43:08You're all right?
43:09You're all right?
43:10Look at me.
43:11Look at me.
43:12We've got you.
43:13Yeah?
43:15Just take some nice, steady breaths.
43:18Nothing's going to happen to you while we're with you.
43:20Put some weight through your legs for us.
43:33Where's hurting at the minute, Callum?
43:35Everywhere.
43:37What, your whole body?
43:39Yeah.
43:43Callum will be taken to Pinderfields Hospital, which is ten miles away.
43:48Have they ever said to you why it causes pain everywhere else?
43:52Information just over time.
43:55That's something you say.
43:59Well, that's not helping you, is it?
44:00Because you're not getting anywhere.
44:01Oh, you haven't had a referral yet, haven't you?
44:03Yeah.
44:04And you said nine months.
44:05Eight, nine months.
44:07It's bad, isn't it?
44:08Like, it's understandable that everything's really busy,
44:10but when you're the one going through it, it's hard, isn't it?
44:14Yeah.
44:15I thought my mum had to go private because it's been so right.
44:18Mmm.
44:19Test's got a problem.
44:27How are you feeling?
44:29Not good.
44:30Ready?
44:31Ready.
44:32It's a shame that his mum's having to pay for him to go private to stop seeing him in pain.
44:49But why, though?
44:50Why do you have to go private for something like that?
44:52He's been waiting nine months for a referral, haven't he, to urology?
44:55Like, nine months.
44:56Nine months?
44:57Is that how long he's been waiting for?
44:58That's how long he's been waiting for the referral.
44:59It's bad that you have to go private, isn't it?
45:01Like, the NHS is absolutely amazing, isn't it?
45:03But then you look at people that have got these long-term chronic illnesses
45:06that are just getting absolutely nowhere with it, and you think, like, why?
45:09Everyone's waiting for referrals.
45:11The only way you're going to get away anyway is if you pay a lot of money.
45:14I just don't know what the solution is.
45:16Like, when does it get better?
45:18You're stuck on the bathroom floor now?
45:27How old is she?
45:28Eight, two, one.
45:29OK.
45:30We are very busy, but we are facing delays up for three hours in the area.
45:33OK, thank you.
45:34OK.
45:35Four hours into the night shift, and there are over 150 patients waiting for an ambulance.
45:43Have you had time to catch my breath yet?
45:48Just fighting a losing battle with it all, aren't we?
45:50Yeah.
45:51Well, especially on a day like today.
45:52Yeah.
45:53Still at CSP level four.
45:55Yeah.
45:56Oh, dear me.
45:59She has been breathing for quite a while, but she's breathing a lot right now.
46:04We are at the service of an extremely high demand for our service.
46:07Be able to access help faster by making your own way to an emergency department.
46:11As the service is answering a new call every 20 seconds, an 84-year-old patient, who has
46:17fallen, has been kept waiting for over eight hours.
46:22Have you seen we've had to divert off that lady at Tingler?
46:25Yeah, is that that one that's...
46:26That one that's been waiting since 10 to 11.
46:28Yeah.
46:29So, eight hours now, and potentially we're not going to get to her all night.
46:34Just makes me think that could be your grandma.
46:37Could be your grandma off floor that's been led there for hours.
46:42It breaks my heart.
46:44It's right upset me, has that job.
46:47I find it heartbreaking for some of these patients.
46:53We don't have enough ambulances for the amount of people.
46:58I've been working for the ambulance service for nearly 30 years now.
47:06The demand for ambulances has changed.
47:09In 1996-97, we'd average probably five, six hundred calls a day.
47:15And now it's about four or five thousand calls.
47:19Sometimes you look at all the work on your screen and you think to yourself,
47:22how on earth am I going to get rid of all these jobs?
47:25But you sit and you plough through it and just...
47:29You just do what you can.
47:43Ambulance, sir, is the patient breathing?
47:46I'm so sorry, I've just had enough.
47:50I can't take it anymore.
47:52I don't know what to do.
47:54Don't apologise, there's no reason to be embarrassed.
47:57Okay, we're here to get you some help.
47:59Me wife's upstairs and I've got family in the house,
48:02but I just can't carry on.
48:04Are you with your subtle health conditions?
48:07Just getting anxiety and depression.
48:11I just don't want to be here and stop it.
48:15If I can help for you now, stay on the line,
48:17I'll tell you exactly what to do next.
48:19Okay.
48:26We've seen this 1705.
48:271705, thank you.
48:28We've got a male here.
48:30He is feeling suicidal.
48:32His wife has found him armed with a knife,
48:36wanting to hurt himself.
48:38He has attempted suicide in the past,
48:40and he does have a history of anxiety,
48:42depression and ADHD.
48:44The wife's taking the knife off him.
48:46There are some children on scene as well, of her.
48:52That's all received.
48:53That sounds like a little bit of a complex one.
49:03This is going to be so complicated.
49:07At least the knife's been taken off a bit.
49:09It does seem to be so small and a difficult time,
49:11as well as the problem trabajar.
49:16PHONE RINGS
49:22My name is Amrish,
49:23and I've got my colleague, Rachel, here.
49:27We're from the ambulance service.
49:29Can we have a chat as to...?
49:40Why are you feeling like that?
49:52What we need to do is talk to someone, isn't it?
49:55Yeah. Who can help you deal with these emotions.
49:59But we need to try and get you help.
50:01We don't want you feeling like this.
50:06Do you have mental health problems normally?
50:08So you've got an Andy's man called Brispondom.
50:11Do you go there quite a bit?
50:13Yeah. Good.
50:15They do brilliant stuff, don't they?
50:24That's what we do as men, though.
50:26We don't want other people to know.
50:28So we have to get you in a better place.
50:30Mm-hmm.
50:31Mm-hmm.
50:32We can do that with the right people,
50:34with the right help.
50:36You can do this for your wife,
50:37for your children, for yourself.
50:41There are plenty of reasons to do it.
50:42We'll get you in touch with a mental health professional.
50:45We'll take you to a hospital.
50:46Yeah?
50:48And we'll look...
50:50We'll look that far ahead.
50:52And we'll take the rest as it comes.
50:54Yeah.
50:55Yeah.
51:10Oh, come on.
51:14Don't be sorry, she's happy you're going to get help.
51:16Mm-hmm.
51:17Mm-hmm.
51:18Mm-hmm.
51:19Mm-hmm.
51:28Do you like a blanket?
51:29Mm-hmm.
51:30Mm-hmm.
51:31Mm-hmm.
51:32The patient is taken to St. James's Hospital,
51:35where he will be treated by the mental health team.
51:44Some men do struggle to ask for support.
51:48And I can relate to that myself.
51:52When people see me,
51:54they think that I'm immune to the pressures of life,
51:56but the truth is,
51:57I'm not.
52:04We are at St. James's.
52:11Oh, no, I can't tell you that.
52:12Good.
52:16I love what it represents now.
52:17I have in the past struggled with my mental health
52:26and have sought help and therapy.
52:31I've realised the importance for asking for help.
52:36Having therapy has helped me enormously.
52:40And it's important for me to ask for that support.
52:44If I don't do that,
52:45then I am not in a position to help other people.
52:52Take care.
53:08Yeah, it's given us a response,
53:09and I haven't really stopped looking at it
53:10since he gave it to me.
53:11I'm a man that's clearly got quite a lot of things going on,
53:13and just struggling, um, on how to deal with it.
53:16But he did give me his wristband,
53:16it's OK to talk, and...
53:17..and his man club.
53:18I'm a little bit concerned about this gentleman.
53:22A man that's clearly got quite a lot of things going on
53:26and just struggling on how to deal with it.
53:29But he did give me his wristband,
53:30it's OK to talk, and his man club.
53:34And personally, I've kind of gained a lot from this detail.
53:40Just shows that, you know, no-one's immune
53:42to the challenges that come to us in life.
53:45But at least he's in the right place.
53:46You've both been amazing. And good night, Ova.
53:49That's good night and Ova from 1705.
53:56Wow. It's blowing my mind.
54:06Well, I'm glad it's calmed down a bit.
54:07Back to normal operating levels.
54:10So we've gone from CSP level four to one.
54:13It's technos all night, but we're there.
54:16I wonder what he'll get back up to tomorrow.
54:18It's down, walk on through the house.
54:21It's down, walk on through the house.
54:25It is time to go home. Let's do it.
54:28Keep moving, keep moving on.
54:34I'll see you tonight, Wendy. Bye.
54:46Thank you. See you all later.
54:49Bye.
54:51She's got to sleep.
54:53Hopefully I will. See you later.
54:55There's a way, there's a way, there's a different way
55:01that you came from.
55:06Get me over that back. Get me over that back.
55:08What a stunning morning.
55:09Hello.
55:10How nice is that?
55:11Stop it.
55:23You can't change the world in one day,
55:25but when you manage to touch someone's life
55:27and they explain to you that they're very grateful
55:30for the help you've given them, that's a great feeling.
55:33We are ready to rock and roll.
55:36I want to look back on my life and think,
55:40wow, I got to make a difference.
55:41I got to give back with a great sense of satisfaction.
55:46We live in a society which functions better
55:48if we're all good to each other,
55:49if we're kind to each other, if we help each other.
55:53And there is no better feeling.
55:56The stars in the constellations
56:00know your name.
56:03The stars in the constellations
56:06know your name.
56:19The stars in the constellations
56:24know your name.
56:25No one has forgotten here.
56:26No one has forgotten here.
56:27No time is wasting time.
56:32Waste of your time, no time, waste of your time, no time, waste of your time.
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