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Ambulance (2016) Season 15 Episode 5 - Broken Heart
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Short filmTranscript
00:00You see two cars head-on
00:06It's a two-year-old who's been stabbed over
00:10Every day across Yorkshire more than 3,000 people call 999
00:15He's just not breathing
00:17He's pregnant
00:18Right, he's stuck right
00:19He's trying to borrow petrol over the glasses
00:22The ambulance service must decide who gets help
00:25Andre
00:26We're gonna look after you mate
00:28Who's got you?
00:29Can I get you covered up?
00:31Lovely jubbly
00:32And who must wait?
00:3334 jobs waiting for an ambulance now in Leeds alone
00:37As the pressure on the NHS refuses to relent
00:40We're creating the waiting room for a waiting room
00:43The paramedics on the ground navigate England's largest county
00:47Welcome to our office
00:50Alright kid, well done
00:51From the busiest cities
00:53Chaos tonight, we'll need to get out of Leeds now
00:56To the remotest villages
00:58We're in the forest, in the middle of nowhere
01:00Where each call is a crisis
01:02We've got a five-year-old found wandering in the street
01:05Naked, malnourished
01:07God, it breaks your heart, it's awful
01:09And every decision critical
01:11Hello, where are we going?
01:12You're alright
01:14Please let the kids out of there
01:15Well, they're gonna land in the middle of Bratford
01:19We go beyond the flashing blue lights
01:21Whoa, whoa, whoa, whoa
01:23To reveal the human stories behind every siren
01:26Just keep going with the door
01:28Absolutely
01:29Thank you for coming
01:30You don't have to thank us
01:31You know
01:32If you've got manners, you know
01:35Are we all ready to set sail?
01:36Get her going
01:37Get her going
01:38Ambulance service
01:52Is the patient breathing?
01:53No
01:54Tell me exactly what's happened
01:56What?
01:57We've got to be large just found out
01:59We've come straight over
02:00And it's hard to be lost
02:01Help
02:02And it's just not breathing
02:04The husband's doing chest compressions
02:06Come on
02:07OK
02:08The help is already arranged for you, OK?
02:11If your husband's there now
02:12We're gonna give him some instructions
02:13Just to make sure we're doing those chest compressions right
02:15Place a heel of the hand on the breast bone
02:17In the sense of the chest
02:18He's gonna pump the chest hard and fast
02:20At least twice per second
02:21Two inches deep
02:22He's going at this pace
02:24And it's 1, 2, 3, 4
02:261, 2, 3, 4
02:291, 2, 3, 4
02:311, 2, 3, 4
02:32Slow it down a little bit
02:33It's 1, 2, 3, 4
02:351, 2, 3, 4
02:371, 2, 3, 4
02:381, 2, 3, 4
02:401, 2, 3, 4
02:41Don't give up
02:42It's gonna keep him going
02:43Until the ambulance crew arrives
02:50Critical care paramedic Nick
02:51Has specialist training
02:52Which means he is sent to the most life-threatening cases
02:5512, 16 receiving
02:56Hi, 12, 16
02:57It's Aaron on the correct care desk
02:58Just a bit of information about this detail
02:59It's a 78-year-old male
03:00Not conscious
03:01Not breathing
03:02You're showing 18 minutes away from seeing it
03:03All received
03:04Thanks very much for the update, Aaron
03:05Two ambulances have already been dispatched to the patient
03:08Nick will arrive last
03:09And is 13 minutes away
03:10All received
03:11Thanks very much for the update, Aaron
03:12Two ambulances have already been dispatched to the patient
03:15Nick will arrive last
03:16And is 13 minutes away
03:17Just let him know when the ambulance crew is right there
03:18We'll be more of anything
03:19It does change, okay?
03:20Three, four
03:21Really good
03:22So keep going that pace
03:23One, two, three, four
03:24One, two, three, four
03:38One, two, three, four
03:47One, two, three, four
03:49One, two, three, four.
03:53Come on, buddy.
03:54You're doing really, really well.
03:57Three, four, five, three, yeah, thank you.
04:00OK, I'll leave you with me through there with you, OK?
04:03OK.
04:08Hello.
04:09Yeah, good.
04:10Are you family?
04:11My wife is the one of the daughters.
04:13OK, fine.
04:15Fine, mate, no worries.
04:19The CPR was commenced when we got here, yeah, please have one lot of adrenaline.
04:22Perfect, but I can remember when you're ready.
04:24As the most senior clinician, Nick leads the team of paramedics.
04:28What we'll do is we'll get our way sorted and then we'll put CPI device on.
04:34Make sure I'm going off.
04:37What's he called? I'm sorry.
04:39Ken.
04:39So we're in a shockable rhythm.
04:44Right, everybody clear, shock in.
04:47Do not touch patient.
04:49Analyzing heart rhythm.
04:54OK, he's had three lots of shocks.
04:57He is now in a rhythm, which isn't looking like a life-sustainable rhythm.
05:01My gut feeling at the minute is that we'll continue for another 15 minutes
05:04and then make a decision from there.
05:07The problem is, everything we do isn't as good as what your own heart does.
05:11And his brain is being deprived of oxygen all this time.
05:15And he's got a 78-year-old heart.
05:18So trying to get it restarted is really challenging.
05:20But we'll give it our best.
05:22Yeah, exactly.
05:23Yeah.
05:23Three heart attacks.
05:24Can you feel a pulse?
05:33I think I've got a pulse.
05:34I'll just explain to you guys, if that's all right, where we're at at these points.
05:41Do you need to speak to his wife in that room?
05:42Yeah, of course.
05:43Hello, my darling.
05:45I'm Nick.
05:45I'm one of the paramedics.
05:46I'm just going to explain to you what's happening, if that's all right.
05:49When we arrived, Ken's heart had stopped.
05:51And we don't know the reason why it stopped today.
05:55But he's obviously 78 with a history of quite a few heart attacks.
05:58So at the minute, the CPR that you guys were doing before we got here
06:02and the CPR that the ambulance crews have done
06:04means that we've got his heart restarted.
06:07But I think Ken is so unwell that I think he's going to stop his heartbeat again.
06:13And what we need to establish, really,
06:16is what's in Ken's best interests at these points
06:18because we know that the drugs that we're giving him are keeping his heart going.
06:22But obviously he can't be on those drugs forever.
06:25So at the minute, his heart has restarted
06:28and we're trying to give him lots of different drugs
06:30in order to kind of keep that stabilised.
06:32But if his heart was to stop again,
06:34I think the fairest thing to do is to let him go.
06:38I know it's all a big shock, my darling,
06:40but do you have any questions for me at the minute?
06:42No.
06:43Has he said anything today, like he's had pains?
06:45No, he's not.
06:46To be honest, he hasn't been himself today.
06:48We'd just had the tea.
06:50Well, all he'd had were ice cream and a few raspberries.
06:53He was sat there and then he would bend over like,
06:55that's why I ran for these, because they live Abbott Road.
06:58I'll come and update you as soon as I can, my darling, all right?
07:00Yeah, thank you.
07:04So I've spoken to wife.
07:06She understands that if his heart was to restock,
07:08we might not restart again.
07:11I think what we'll do is give him a couple of rounds of adrenalins
07:15and see how we get from there.
07:18So we'll do one more round of CPR and see where we're at.
07:31So I can't feel a pulse.
07:47He's no longer starting to respond to any of the bugs that we're giving.
07:51So I think ultimately we'll be making a decision to stop at some point,
07:54but I'll come and explain everything, but...
07:56All right.
08:03Just hope to see if you hear heart sounds.
08:08No.
08:09Right.
08:09We'll continue for one more cycle while I speak to wife.
08:13OK.
08:14And then I'll see if she wants to be in the room when we stop.
08:19Hiya, Kath.
08:20So just to give you a bit more of an update, my darling.
08:22So while we were talking, Ken's heart stopped again.
08:25So we're in a position now where we've given him all the drugs that we can give.
08:31So we've given him lots of fluid and lots of adrenaline
08:34and we've tried to get his heart restarted for now 30 minutes
08:37and his heart isn't responding any more to those drugs.
08:40And there is a certain time frame when we have to stop.
08:44So I think in his best interest, Kath,
08:47we're going to stop our efforts to try and get his heart restarted.
08:50OK.
08:52Do you want to be in the room when we stop?
08:55Come on, please.
08:56Of course you can.
08:57Go on.
08:57Come on, boy.
09:08You've come in, my sweet.
09:10Are you able to get to the ground, my darling?
09:13No?
09:13It's fine.
09:14If we can bring this chair a bit closer.
09:20They say that the last thing to go is you're hearing.
09:24If you want to say any words to him before we stop.
09:28Just tell him to love him.
09:30Stop it.
09:31Take off.
09:35So what I'm going to do, my darling,
09:37I'm going to turn my CPR device off, OK?
09:40I'm going to continue breathing for him, all right?
09:45So you'll notice that he looks like he's trying to breathe a little bit,
09:48which is perfectly normal,
09:49and that's because the brain wants to breathe, OK?
09:51But his heart has stopped.
09:52I'm so sorry.
10:12Not your fault.
10:14How long have you been married?
10:17Fifty-fifty-eight years.
10:18Oh, darling.
10:19All right, we'll give you a bit of space,
10:29and we'll come back in in a couple of minutes, all right?
10:31And we'll explain everything.
10:38We'll just have some time with him, OK?
10:40So, you know...
10:52My granda died recently.
10:54It's awful, you know, going through it.
10:56Oh, God.
10:56You say it all the time, love, don't you?
10:58But I don't suppose it gets any easier to think.
11:00No, it doesn't.
11:01No.
11:02It's, you know, cos, obviously, I'd never had that conversation with Ken.
11:08It's Ken's family that make it real for us.
11:11Yeah, he's been...
11:12He's been poor before.
11:14Oh, God, he is.
11:15I'm sorry, it's not the outcome we wanted.
11:17No, thank you, everybody.
11:19Oh, God, I'm sorry.
11:49Do you want to take my hand, sweetie?
11:52All right.
11:56If you go back in back, I'll go back into...
11:58You all right there?
11:58Yeah.
12:01Thanks for everything.
12:02All right, OK.
12:03No problem, all right.
12:03No problem.
12:19Do you have any questions at the minute?
12:32I don't think.
12:33Oh, my brain's not working.
12:34All right, darling.
12:36I'm so sorry for your loss.
12:37All right, love.
12:38All right.
12:38It's not but his fault.
12:39Only his.
12:40Yeah.
12:41Yeah.
12:42Could have stayed a bit longer, couldn't he?
12:44No.
12:45I kept telling him, if he carried on, we'd go to 60 years.
12:48How did you meet?
12:49He lived at one end of the street, and I lived at other.
12:52There were a big ringing, you know, field in the middle.
12:55And we just used to...
12:57I don't really know.
12:58I carried on.
12:59We just started going out together.
13:01He had a motorbike.
13:02Oh, well, there you go.
13:03Then he's out.
13:03Oh, yeah.
13:04Motorbike.
13:05Oh, yeah, the couple, actually.
13:07They were the days.
13:08Well, a life well-lived, Kath.
13:10Yeah.
13:11Cheers, little.
13:12Thanks.
13:13All right.
13:13Love you, though.
13:17Oh, he's well-loved, wasn't he?
13:18What time were you up today?
13:44Got up at nine.
13:46Half past seven.
13:47I did try and go back to bed, though, so we shall see how I fare tonight.
13:53It's one hour into the Saturday night shift for the Yorkshire Ambulance Service.
13:58Tonight, dispatchers Wendy and Wendy are responsible for 54 resources across the 344 square miles of Leeds and Wakefield.
14:09Thank you for my birthday, Pleasant.
14:11You're very welcome.
14:12Do you have a nice day?
14:12The one thing I asked my husband for, I didn't want anything after all these years.
14:18I said, I just want a nice bunch of flowers.
14:20And what did you get?
14:21Oh, got caught one.
14:21I got a bunch of flowers.
14:22Originally, they were delivered at wrong address.
14:25And on the card, it said, love Keith.
14:30Not Kevin.
14:31Why did he put Keith?
14:32He didn't.
14:33He ordered him over the phone and they must have heard him wrong.
14:35Did Kevin laugh?
14:37No, he said it was Keith.
14:45In the past two hours, control have received more than 300 calls for help.
14:50They've got a call from an off-duty officer.
14:52They've found a female that's been punched in the head.
14:55She's got bruising all over and she's bleeding from the nose and mouth.
14:58It's a car crash, a real traffic accident.
15:02Take it all the way now.
15:04Apparently they're intoxicated.
15:07Inforted by a metal bat.
15:08And is the attack still nearby?
15:10Yeah, he's been arrested.
15:111705, Rachel and Ambrish have just cleared from their first patient of the evening.
15:28I loved my house.
15:31Absolutely loved it.
15:32I went to an all-girls school.
15:33Did you?
15:34Well, you get that quiet.
15:35That's probably why I'm a lesbian now.
15:37Yeah, it was run by a nun.
15:42She was great.
15:45Receiving 1705.
15:47Yeah, 1705, thanks.
15:49Little nine-month-old.
15:51Developed a rash two hours ago.
15:53She's got a temperature of 38.5.
15:57Oh, bless her.
15:58Yeah, no problem.
15:59That's a bit of a raging temperature.
16:01We are setting off en route and we'll go see what we can do.
16:07I'm going to see if she's breathing.
16:15Yes, it's extremely serious.
16:18She's bleeding a lot.
16:20There's a lot of blood.
16:22Got a stab in.
16:24I don't know how to send the bleeding.
16:26And how old is she?
16:27She's two.
16:29Two years old.
16:31It's not two, baby.
16:33It's okay.
16:34What are they coming?
16:35I'm organising the help for you.
16:37Just stay on the line.
16:39Oh, it's a two-year-old.
16:44New job.
16:461705.
16:47This job that you've been diverted to,
16:49it's a two-year-old female who's been stabbed of her.
16:54Been what?
16:55Okay, just to confirm, two-year-old that's been stabbed.
16:57Yeah, it is two, a two-year-old of her.
17:01Yeah, that's no problem at all.
17:02We're on route.
17:04I thought I'm missing.
17:05It's not...
17:06Crick Care's going to get there first.
17:07Rachel and Amrish are three minutes behind the critical care car.
17:30Ready?
17:31Yeah.
17:31There's blood everywhere, aren't you?
17:56And on the door inside.
17:59I mean, that's a fair bit of blood.
18:01Well, it's going into there, isn't it?
18:02Yeah.
18:041705.
18:06Yeah, Roger, it's not a stab in.
18:07They've actually impaled themselves on a piece of glass.
18:10While playing in the park.
18:14Just go back to you, ambulance.
18:16He's going to break the baby down to you, other.
18:18All received.
18:19What's your daughter's name?
18:22Erin.
18:22Erin?
18:23Hi, Erin.
18:24Yeah.
18:25Would you like to see our ambulance?
18:27That's for you.
18:30Do you like the lights?
18:33Yeah?
18:35How's your wife doing?
18:36Is she okay?
18:37She's settled.
18:38Settled?
18:39Yeah.
18:39She's panicking.
18:40Yeah, I'm not surprised.
18:45And then, would you like to take a seat on here?
18:48Pop your feet up, Dad.
18:49Did our guys come quite quickly?
18:51Yeah.
18:51Yeah?
18:52Good, good.
18:53She's doing a really good job of wrapping that up.
18:55Erm.
18:55Trying to take you this way.
18:56Settle.
18:58Wonderful.
18:59Okay.
19:00Wow, you're so brave.
19:03It's okay.
19:04Hey, Mum.
19:05Hiya.
19:06Come, take a seat here.
19:07Thanks so much.
19:08No, you're more than welcome.
19:09It's okay.
19:09Your daughter is so brave.
19:11Oh, thank you so much.
19:12She's been amazing.
19:14If some naughty people leave some rubbish in the park,
19:17that's why we have to put things in the bin, don't we?
19:20You guys all right?
19:22Yeah?
19:22Yeah.
19:23I know, I know, okay.
19:24You all right?
19:25Baby, it is.
19:25It's all okay?
19:26She's okay.
19:27She's absolutely fine.
19:28She's happy as Larry.
19:31It's not your fault.
19:32You wouldn't have known.
19:33They'll take it off of the hospital, and the doctor will have a good look at it.
19:39Is that the doctor?
19:41Oh, I wish.
19:43That's my friend, Rachel.
19:45Hello.
19:45She's the paramedic.
19:46Do you think we should go see the doctor?
19:48What do you think about that?
19:50There's the doctor.
19:52She might be one day.
19:53She's the paramedic.
19:54I'll take the salary.
19:55Is the paramedic?
19:57Yeah?
19:57Yeah.
19:58And she can drive the ambulance with an Enor.
20:01Remember when you saw the lights on the ambulance flashing?
20:03She loves ambulance.
20:04Ah, do you?
20:05Yeah.
20:06Super cool.
20:07High five for being brave?
20:12She's ready for some ice cream, aren't you?
20:14I like chocolate.
20:15You like chocolate?
20:16I do.
20:17I love chocolate.
20:18Bit too much.
20:19You will be the best patient of the day.
20:25You'll be our favourite.
20:26Yeah.
20:30It's not a stethoscope.
20:32It's a stethoscope, not a telescope.
20:36Yeah.
20:37It goes on you and you can hear inside.
20:40Do you?
20:42Wow.
20:44Do you want to have a little listen in a stethoscope?
20:49You can go like that.
20:52Ah, if you want to.
20:54Oh, lovely.
20:55Shall we have a listen to you?
20:58Oh, very healthy.
21:00Very strong.
21:01She must eat lots of fruit.
21:04Wonderful.
21:05Yeah, a little bit of watermelon in there.
21:07Yeah.
21:09You are very strong.
21:12Well done.
21:13Shall we take you to hospital?
21:16Wonderful.
21:19Erin will be taken to Leeds General Infirmary two miles away,
21:27where her injury will be assessed.
21:30You did have failed.
21:32You did have failed.
21:34You couldn't have known that somebody was going to be irresponsible
21:37and leave glass in the park.
21:38Yeah, yeah.
21:39That's not a policy.
21:39Absolutely.
21:40You could have known at all.
21:42Mm.
21:42Sure.
21:43We're here now, Mama.
21:52We'll take you into paediatrics and get scenes there.
21:56Printers.
21:57We're here now.
21:59We're at the hospital.
22:00I feel like you eat some more blankets.
22:09Oh!
22:10Come to me!
22:11OK.
22:12Go on, then.
22:13She's amazing.
22:17I got a bit jealous, then.
22:20Straight away for Rachel.
22:21I know, that was so cute.
22:23Even me own nieces don't do that.
22:24There's no more one up there.
22:26She'll let me pop it.
22:27There's no more one up there.
22:29There's how many?
22:30There's four!
22:33Wow!
22:35I said, when you're better.
22:36If ever you want to come for a tour in this station, you can come.
22:42She was cute.
22:43Oh, she was adorable.
22:45She was so cute.
22:46Absolutely adorable.
22:46I love the way she came to you when you opened the back bars.
22:49I felt like, I was like, aww!
22:51I know.
22:51She's like, mm-mm.
22:53There was a hint of jealousy in me.
22:55I was like, oh, wow.
22:57You do all the work and then I just get in the puddles at the end.
22:59LAUGHTER
23:00I know.
23:12It's Sandy's dating, Jones.
23:14I'm organising help for him now.
23:16Stay on the line.
23:16I'll tell you exactly what to do next.
23:18We are currently very busy, but we'll respond to you as soon as we can.
23:21The response times in the area are currently up to 55 minutes.
23:26Six hours into the night shift,
23:27and control have answered over 1,000 calls for help.
23:32Oh, we're getting loads of jobs in now.
23:34There are currently 102 patients waiting for an ambulance.
23:38We've got 25 outstanding jobs on Leeds at the minute.
23:40Have you got as many as us?
23:41No.
23:42Can we borrow some of your crews then?
23:44I have got any crews available.
23:45If I get anybody available, I'll let you know.
23:47Thanks.
23:47That's great.
23:48Thanks ever so much.
23:541707.
23:561707, thank you.
23:57So, um, you're going for a 54-year-old female, Paula, who's been breathless and wheezing for three days.
24:06It's, um, it's a cap to over.
24:08Yeah, no worries.
24:09Absolutely.
24:11Wakefield crew, Shekinah and Tash are the nearest available ambulance and are seven miles away.
24:16Hi, it's an ambulance.
24:27What's your name?
24:29Paula.
24:30Paula.
24:30I'm Natasha, this is Shekinah.
24:33What can we do for you then, lovey?
24:34My doctor said I've got CRPD, but when I went to hospital last time, I only had asthma.
24:42OK.
24:43OK.
24:44I'll let Tash do some checks on you and then I'll have a quick listen to your chest.
24:47You sound wheezy sweet.
24:48I take it you had a chest infection?
24:50Yeah.
24:51I'm scared.
24:52When was the last time you had any antibiotics or anything?
24:55Er, back to a week ago.
24:57OK.
24:58But soon was it, because I had breast cancer.
25:01OK.
25:02So I'm on chemo tablets.
25:05But since I've had that, I'm just...
25:08..criveless all the time.
25:09Don't feel right since.
25:10Oh, darling.
25:11No.
25:12So in terms of the cancer, what did they do then?
25:14Took it from the breast cancer.
25:15Took it, all right, OK.
25:16And then you just saw the chemo tablets from there?
25:18Yeah.
25:19OK.
25:20Well, your oxygen levels are good.
25:22You do sound wheezy, though, so let me have a quick listen to your chest then,
25:25see what it sounds like.
25:31I'm...depression as well, aren't I?
25:34Yeah.
25:35I think I'm dying anyway.
25:37Is that with the anxiety, is that what...is that how you feel like?
25:42Yeah, cos I'm on antidepressants.
25:44Yeah.
25:45Yeah.
25:46How long have you suffered with anxiety for?
25:48Years.
25:49I've been worse since I've had...
25:52It's probably just made your health anxiety worse, hasn't it?
25:56I've got a heart disease.
25:58Model line of diabetes.
26:00It's just illnesses.
26:03Yeah, it's really difficult, isn't it?
26:04You know, they're throwing at me.
26:05Yeah.
26:06Feels like one after another.
26:08Oh, yeah.
26:09So, you've got a little bit of a wheeze, but I feel like it's a wheeze that your inhaler will clear rather than a nebuliser,
26:16because your oxygen levels are perfect, you don't need any supplementary oxygen.
26:19Have two puffs of your inhaler, let me have another listen.
26:22Just take a deep breath for me, sweetie.
26:32And this side.
26:35Wow.
26:37You might not believe me, but it's got rid of it.
26:40Has it?
26:41Yeah.
26:42Good.
26:43Your chest sounds clear now.
26:44I think what it is with my mental health.
26:46I think to myself, oh, I'm having a heart attack.
26:49And then I think, oh, it's coming down.
26:51I think it's all just...
26:53It very much sounds like anxiety.
26:55So, I suffer with anxiety myself, and I'm...
26:57Yeah.
26:58I mean, Tash will tell you I'm the worst person ever for anxiety.
27:00The smallest little thing sets me off.
27:02I'm terrible.
27:03You're telling me I'm fine.
27:05Yeah.
27:06But my head's still telling me I'm dying.
27:07Yeah.
27:08You're definitely not dying.
27:09And do you know what?
27:10When you start thinking you've got everything...
27:11I feel awful now.
27:12Why?
27:13Because you could have been...
27:15Don't be down!
27:16..somewhere else.
27:17We will never know.
27:18We will never know.
27:19That's the beauty of this job.
27:20We're here and that's it, isn't it?
27:21While we're with you...
27:22You know when your thing's telling you you're dying.
27:25Yeah.
27:26You need help.
27:27Oh, yeah, I completely understand.
27:29It's hard.
27:30Yeah.
27:31But this is what we're here for.
27:32Do you live on your own?
27:34No, my daughter...
27:35Your daughter's here with you?
27:36No.
27:37It's my daughter.
27:39Yeah.
27:40I want to be with her.
27:42Yeah.
27:43All the time.
27:44Yeah.
27:45She's my baby.
27:46Aw, that's nice.
27:47How old is she?
27:4835.
27:49She's a big baby then.
27:50Yeah.
27:51Who's that?
27:52Top right.
27:53Me and my dad.
27:54Oh, is it?
27:55Yeah.
27:56That would be 70s.
27:58Bloody hell.
27:59I love old pictures like that.
28:01I like it when people have old pictures.
28:02And I'm missing 10 pictures.
28:03You will.
28:04Do you?
28:05How long have you been without him for?
28:07Er, 20 years.
28:08Oh, God, it's a long time, isn't it?
28:11I'll meet him again.
28:12Yeah.
28:13You will?
28:14Not any time you're soon, though.
28:15Aw, don't get upset.
28:17Don't get upset.
28:18Oh, come here.
28:19I can't cope with your beefing.
28:20Come here.
28:21It's all right.
28:22I love it to be here.
28:24Don't start, cos you've just fixed your breathing.
28:26You're gonna set yourself up again.
28:27I know.
28:28It's hard losing a family, isn't it?
28:31Really hard.
28:32But you've got a good relationship with your daughter,
28:34haven't you?
28:35Oh, yeah.
28:36So that's good.
28:37She's my baby.
28:38She looks after you, doesn't she?
28:39She does everything.
28:40Aw.
28:41That's really lovely.
28:42Yeah.
28:43That's nice.
28:44You'll be surprised with how many people don't have close family.
28:47Yeah.
28:48Around them.
28:49Aw, darling.
28:51Well, we have made you feel a bit better, and then we'll just set you off again, haven't we?
28:56I know, but I'm not dying so much.
28:59You're definitely not dying.
29:00You've got a little while yet, I reckon.
29:02I thought, oh, what?
29:03I'm listening.
29:04It's crazy what anxiety does, isn't it?
29:09I don't think you need to go to hospital unless you want to go.
29:12No, no.
29:13No.
29:14Well, we've got a leaflet that's got quite a few useful numbers on for, like, mental health services.
29:19What's your plan, then, for when we leave? What are you gonna do?
29:23Have a cup of tea.
29:25A cigarette.
29:26After you've just called us for your breathing and your reason.
29:29Let me leave before you smoke that cigarette.
29:31Oh, no.
29:32And then...
29:33And you're gonna go to bed?
29:35Yeah.
29:36OK.
29:37Right, come here, give me a cuddle.
29:39Really nice to meet you.
29:40And you, love.
29:41It's like in Liverpool, it's not Asda, it's Biasna.
29:56You could...
29:57You could...
29:58You could add an Asian twang for it and call it Azdari.
30:00So, the moon and my sister are like, oh, I'm off to the Azdari.
30:03Yeah.
30:04Yeah, 1705, thank you.
30:05I have a cut to detail for you, please.
30:06We've got Howard, who is 73.
30:19He's fallen, he has been on the floor now for over two hours.
30:22Oh, bless him, that's a very long time.
30:25Yeah, Roger, well, he says he's been on the floor.
30:27It could be even longer than that.
30:29That's all I acknowledge, we are en route.
30:31That's great, thanks ever so much, Amrish.
30:33Hello, and what's your name, sir?
30:48How have you ended up on the floor?
30:51Must have rolled out and ended about one o'clock this morning.
30:57The biggest problem was trying to attract my wife's attention.
31:02Bless you.
31:03Okay.
31:04Over the night, but eventually, I think, you know,
31:10and you should be up in the morning.
31:13Your response this morning, really appreciate that.
31:17Oh, no, it's no problem at all.
31:19I wish we could have been here sooner.
31:21It's fairly embarrassing.
31:24I spent 25 years working in the NHS,
31:28and so I don't like causing the NHS work as it is.
31:35No, no, not at all.
31:36This is what we're here for.
31:37This is what we're here for, yeah, absolutely.
31:38Keep us in a job.
31:39Yeah.
31:40Don't worry about that.
31:41I'm just incredibly tired and not really...
31:53Has that been sort of a gradual thing over sort of...?
31:56Over the last 15 months, I've got this problem
32:00with the terminal brain tumour.
32:03I discovered on an MRI while they were doing hearing tests
32:07on the way out, to be honest.
32:09Oh, wow.
32:10Okay.
32:11Obviously, you've had this fall this morning,
32:13but day-to-day, how does this tumour affect you physically?
32:18It's completely stopped my life.
32:21Okay.
32:22Not allowed to drive, not allowed to do anything.
32:25So, I mean, it's devastating.
32:31Howard?
32:32Yeah?
32:33We've got a fancy cushion,
32:34and I think it's probably the safest way to get you up.
32:36Let me go on three.
32:37One.
32:38Two.
32:39Three.
32:40Good.
32:41Well done.
32:42Okay.
32:43I'm behind you, so it's very noisy.
32:45It's like an air compressor.
32:46I like it.
32:47Oh, right, so just brace yourself.
32:48Yeah.
32:54Okay?
32:55I've got you.
32:57As we come up, if you just adjust your feet,
33:00so that's it, so you're, like, in a sitting position.
33:02Perfect.
33:03Well done.
33:06Yeah.
33:07Is that us?
33:08Fully inflated.
33:09Perfect.
33:11So, only when you're ready,
33:12because you've been on the floor a while,
33:15That's okay.
33:16That's okay.
33:17Have a second, Howard.
33:18Yeah, take a moment.
33:22Up.
33:23Good.
33:24Well done.
33:25Right.
33:26Nice and steady.
33:27I'll take the brakes off.
33:28Okay.
33:29Zoom.
33:30No speeding.
33:34Nice and steady.
33:36Well done.
33:37Wow.
33:39Now you're up and off the floor.
33:41No new pains or aches?
33:43Oh, no.
33:44Relief.
33:45Oh, good.
33:46Good.
33:47No relief.
33:48Feel very comfortable.
33:49Good.
33:50It looks like a comfy bed.
33:52So what did you do for the NHS, if you don't mind asking, Howard?
33:58I was a pharmacist.
33:59Ah, very good.
34:00I worked in the hospitals for 20 odd years, I think.
34:06Seen a lot of change over the years.
34:08Anybody who's worked in the NHS has seen change.
34:11Yeah.
34:12I don't know.
34:13When you've worked for it, you realize how much personal dedication.
34:18I think if there's one thing that demonstrates a commitment, it's that personal dedication.
34:27And I mean that at every level.
34:28Mm-hmm.
34:29How have you guys been coping?
34:30Exhausted a little.
34:31Bless you.
34:32Well, you've done a wonderful job so far.
34:33He says, look, I've been a bit stubborn towards any other support.
34:34He's been so stubborn.
34:35Has he?
34:36He didn't have to accept help when it's on.
34:37Absolutely.
34:38I mean, normally he can cope, but we're getting to the point where I've got care support coming
34:43in.
34:44Twice a week.
34:45It's a lot for one person to do kind of on their own as well.
34:46Yeah.
34:47I can't do it, which is why I've asked for help.
34:48So we're open to having increased care.
34:49Yeah.
34:50Absolutely.
34:51I understand that you get people come in, is it twice a week at the moment?
34:54And how would you feel?
34:55Yeah.
34:56Yeah.
34:57Yeah.
34:58Yeah.
34:59Yeah.
35:00Yeah.
35:01Yeah.
35:02Yeah.
35:03Yeah.
35:04Yeah.
35:05Yeah.
35:06Yeah.
35:07Yeah.
35:08Yeah.
35:09Yeah.
35:10Yeah.
35:11Yeah.
35:12Yeah.
35:13Yeah.
35:22Yeah.
35:23Yeah.
35:24My wife's in charge.
35:25Yeah, okay.
35:26If you say leave it to the wife, I'd say that makes you a very wise man.
35:29Or a very scared...
35:32Any time you need us, just ring us, honestly.
35:37I know the number.
35:39Absolutely. Thank you so much.
35:41All right. All the best, Howard. Take care of yourself.
35:43Take care. Lovely to meet you. Thank you, sir.
35:44All the best.
35:49Sad.
35:53Receiving 17.05.
35:54Do you have an update on Howard, please, Abba?
35:57This gentleman, unfortunately, has been diagnosed with a brain tumour,
36:03and we've kind of discussed increased support at the moment.
36:06He has his wife and some carers attending twice a week,
36:09but they're open to now having some more support in place
36:12and also, in future, if this ever happens,
36:15having a pendant or kind of a fall's alarm.
36:18A really lovely gentleman.
36:19Also worked for the NHS as a pharmacist for 25 years.
36:23He didn't want to, obviously, initially bother us,
36:25but we obviously told him that he can call us any time he needs.
36:29He's paid his dues to the NHS,
36:30and that was his turn to receive it in return.
36:33Yeah, Roger, I think that's the thing with us, isn't it?
36:37We never ask for help, I think, when you work in the NHS
36:40and you see things day in, day out.
36:41Unless you are really, really polar,
36:45you don't want to contact anybody.
36:47Absolutely. I can relate to that as well myself.
36:50I believe it is nearly home time for you, Wendy.
36:54It is. Thank you very much. Thanks for a lovely evening.
36:57You too. It's always been a pleasure. Have a safe journey home.
37:02I see many patients that are reluctant to ask for help,
37:10but at some point, we all need it.
37:13When we do go to patients,
37:16it makes us realise that anyone is vulnerable.
37:18You put the uniform on,
37:21and in some ways, you become this person that is fearless.
37:25because we're not affected by anything.
37:29But the truth is that I'm no different to anybody else.
37:32Evening.
37:42Are you all right?
37:43Evening.
37:43Are you all right?
37:45In control, the team are back for another 12-hour night shift.
38:02Ambulance services the patient breathing.
38:04No. It is now unresponsive.
38:08Pump the chest hard and fast,
38:10at least twice per second and two inches deep.
38:14It looks quite busy, is it?
38:16It's been a crazy day. Absolutely crazy.
38:19They are starting their shift,
38:21facing a backlog of patients waiting for an ambulance.
38:23I've been waiting for an ambulance in two hours.
38:26We are operating at a critical level this evening,
38:29and we are extremely busy with severe delays
38:32across the whole of Yorkshire.
38:34Where's CSP4?
38:35That's not very good, is it?
38:37Due to the build-up of jobs from the day shift,
38:40CSP Level 4,
38:41which is the most severe clinical safety plan,
38:44has been activated.
38:46This will ensure patients
38:47with the greatest clinical need are prioritised.
38:50We are extremely busy.
38:51We'll respond to you as soon as we can,
38:53but it may be up to eight hours in that area.
38:56In fact, you know,
38:57eight hours and a half in that area at the moment,
38:59with our extreme delays.
39:01Busy. Busy.
39:03Very busy.
39:04Ambulance, how can I help?
39:07I phoned an ambulance quite a while back,
39:09and they said it was coming straight out.
39:11Wondered how long it was going to be.
39:13Can't believe we're coming to so much work.
39:21Ambulance, is the patient breathing?
39:23Yes.
39:24So I called not long ago.
39:26He's had testicle pain,
39:28and then just now he's thrown up everywhere,
39:31and he's saying he's got chest pain,
39:33but that it's worsened since when I last called.
39:36Where are you going to call?
39:37OK, they are coming as quickly as they can.
39:40I know it seems a long time when you're waiting.
39:42It's over 1707. Go ahead.
39:43Yeah, Roger, thank you.
39:44I just had to divate you to a Cat 1 detail in Pontefrat.
39:5426-year-old male.
39:55I believe he's vomiting blood.
39:56Yeah, no problem, thank you, we're on route.
39:58Shekinah and Tash are 11 minutes away from the patient.
40:00Chest pain and vomiting blood, what do you reckon then?
40:02Not surely. It's not interlinked. God knows.
40:04What could be wrong with you, Coward?
40:05We're about to find out.
40:07WE'RE ABOUT TO FIND OUT.
40:21Hello.
40:25Hi, darling.
40:25So, I'm Natasha, this is Shekinah.
40:26Can you tell us what's happened?
40:27I was just sitting there, pain in pen.
40:31Yeah.
40:32It started throwing up, came to the bathroom,
40:34I've been throwing up, came to the bathroom and I've been throwing up more.
40:39I've been having a really bad chest pain.
40:41OK.
40:42And then I've looked and it looks like there's blood in there.
40:46I'm 100% sure what it looks like.
40:49Have you had pain anywhere else other than your chest?
40:51Testicle pain and I get numbness in my left leg.
40:54How long have you had that for?
40:56Like six, seven years, but I lived in Coventry.
40:58Oh, OK. Have you ever found out why you get that pain?
41:01I had varicocele. I had a testicle pain.
41:05When did you have that?
41:06Three years ago.
41:11Testicular varicocele is an enlargement of veins within the scrotum.
41:15Symptoms include pain and swelling.
41:21Can I just get to you to stick these stickers on your chest?
41:23Yeah.
41:24If you have to take a big deep breath in, does that pain in your chest get worse?
41:32Oh, darling.
41:35You OK?
41:37I can't breathe.
41:38OK.
41:39You're all right.
41:40Just take a few deep breaths.
41:43It's quite dark, that vomit, but I'm not massively convinced it's blood,
41:47but I think we need to go to the hospital anyway, don't we?
41:49This chest pain that you've got, the vomiting,
41:51you're in quite a bit of pain, aren't you?
41:53Yeah.
41:54Yeah.
41:55How old's your little one then?
41:57He's near six months.
41:59Oh!
42:00So a little, little baby!
42:02What's his name?
42:03Arlo.
42:04Oh, that's really lovely.
42:05I like the name Arlo.
42:07We'll see if we can get the cannula in, we'll give you some anti-sickness,
42:10we can give you some paracetamol and then we'll bob you up to pinders.
42:13It's going to be a sharp scratch, all right?
42:16Yeah.
42:17You'll feel better shortly, hopefully.
42:20Right.
42:21This is some paracetamol for you, darling, all right?
42:27I'll put your...
42:28Cheer up.
42:29Yeah.
42:30All right then, mate.
42:33Oh, darling.
42:34We'll just have to sit down for a second before we get you on the ambulance.
42:49No, please help me, please.
42:51Come on, let's get you on this chair and then we'll get you out.
42:58Swing your legs round, just put your feet on that bar.
43:01You all right, were you?
43:02No, please.
43:03You all right?
43:04You all right?
43:05Look at me.
43:06Look at me.
43:07We've got you.
43:08Yeah?
43:09Just take some nice, steady breaths.
43:12Nothing's going to happen to you while we're with you.
43:23Put some weight through your legs for us.
43:28Where's hurting at the minute, Callum?
43:30Everywhere.
43:31Yeah.
43:32What, your whole body?
43:33Yeah.
43:38Callum will be taken to Pinderfields Hospital, which is ten miles away.
43:42Have they ever said to you why it causes pain everywhere else?
43:47Information just over time.
43:49That's, that's something you say.
43:53Well, that's not helping you, is it?
43:54Because you're not getting anywhere with a guy.
43:56Oh, you haven't had a referral yet?
43:57Yeah.
43:58Yeah.
43:59Yeah.
44:00Okay, fine.
44:01I'm good.
44:02It's bad, isn't it?
44:03Like, it's understandable that everything's where they've been there, but when you're the
44:06one going through it, it's, it's hard, isn't it?
44:09I thought my mum had to go private because it's been so angry, but the test has got problems.
44:21How are you feeling? Not good.
44:24Ready?
44:40It's a shame that his mum's having to pay for him to go private to stop seeing him in pain.
44:44But why, though? Why do you have to go private for something like that?
44:47He's been waiting nine months for a referral, hasn't he, to urology?
44:50Nine months? Is that what he's been waiting for?
44:52That's how long he's been waiting for the referral.
44:54It's bad that you have to go private, isn't it? Like, the NHS is absolutely amazing, isn't it?
44:58But then you look at people that have got these long-term chronic illnesses that are just getting absolutely nowhere with it, and you think, like, why?
45:04Everyone's waiting for referrals. The only way you're going to get anywhere, anyway, is if you pay a lot of money.
45:08I just don't know what the solution is. Like, when does it get better?
45:19She's stuck on the bathroom floor now.
45:21How old is she?
45:22Three, two, one.
45:24She has been very busy. We are facing delays up to three hours in the area.
45:28OK, thank you.
45:32Four hours into the night shift, and there are over 150 patients waiting for an ambulance.
45:37I haven't had time to catch my breath yet.
45:39Just fighting a losing battle with it all, aren't we?
45:40Yeah.
45:41Well, especially on a day like today.
45:42Yeah.
45:43Still at CSP level four.
45:44Yeah.
45:45Oh, dear me.
45:46We have been bleeding for quite a while, but she's bleeding a lot right now.
45:53We are experiencing an extremely high demand for our survey.
45:54Be able to access help faster by making your own way to an emergency department.
46:06As the service is answering a new call every 20 seconds, an 84-year-old patient, who has
46:12fallen, has been kept waiting for over eight hours.
46:15Have you seen we've had to divert off that lady at Tingler?
46:19Yeah.
46:20Is that that one that's to...
46:21That one that's been waiting since 10 to 11.
46:23Yeah.
46:24So eight hours now, and potentially we're not going to get to her all night.
46:31Just makes me think that could be your grandma.
46:33Could be your grandma on floor that's been led there for hours.
46:38It breaks my heart.
46:40It's right upset me as that job.
46:45I find it heartbreaking for some of these patients.
46:48We don't have enough ambulances for the amount of people.
46:56I've been working for the ambulance service for nearly 30 years now.
47:00The demand for ambulances has changed.
47:03In 1996-97, we'd average probably five, six hundred calls a day.
47:09And now it's about four or five thousand calls.
47:14Sometimes you look at all the work on your screen and you think to yourself,
47:17how on earth am I going to get rid of all these jobs?
47:21But you sit and you plough through it and just...
47:24You just do what you can.
47:26I can't take it anymore.
47:27I don't know what to do.
47:28Don't apologize.
47:29There's no reason to be embarrassed, okay?
47:30We're here to get you some help.
47:31Me wife's upstairs and I've got family in the house, but I just can't carry on.
47:36What?
47:37What?
47:38What?
47:39What?
47:40What?
47:41Mom, I can't take it anymore.
47:42I can't take it anymore.
47:43What?
47:44What is yourк jต at 1h3 confirmed barely?
47:45Mm?
47:46Online call and I can't take it anymore.
47:47Or you don't know what to do.
47:50Don't apologize.
47:51There's no reason to be embarrassed, okay, we're here to get you some help.
47:53Me wife's upstairs and I've got family in the house.
47:57I just can't carry on.
47:59I can help for you now. Stay on the line.
48:12I'll tell you exactly what to do next.
48:14OK.
48:20We've seen 1705.
48:221705, thank you.
48:23We've got a male here.
48:25He is feeling suicidal.
48:28His wife has found him armed with a knife,
48:31wanting to hurt himself.
48:32He has attempted suicide in the past
48:34and he does have a history of anxiety, depression and ADHD.
48:39The wife's taking the knife off him.
48:41There are some children on scene as well, love her.
48:47That's all received.
48:48That sounds like a little bit of a complex one.
48:58Oh, this is going to be so complicated.
49:01Well, at least the knife has been taken off a bit.
49:03THEY LAUGH
49:05THEY LAUGH
49:16My name's Amrish, and I've got my colleague Rachel here.
49:19Leave me alone.
49:21We're from the ambulance service.
49:23Can we have a chat as to...?
49:26Why are you feeling like that?
49:35I'm such a disappointment.
49:37I don't know what to do.
49:43You hate me so much.
49:45I really don't.
49:46What we need to do is talk to someone, isn't it?
49:49Yeah.
49:50Who can help you deal with these emotions.
49:52I don't want to go on.
49:54But we need to try and get you help.
49:56We don't want you feeling like this.
49:57Leave me alone. I'm sorry.
50:00Do you have mental health problems normally?
50:02So you've got an Andy's man called Briss Band on.
50:05Do you go there quite a bit?
50:07Yeah. Good.
50:09They do brilliant stuff, don't they?
50:11I just want to be like the direct chat to the opposite.
50:14I just can't do it anymore. It's just so much.
50:19That's what we do, man, though.
50:20We don't want other people to know.
50:23So we have to get you in a better place.
50:25Oh, yeah.
50:27We can do that with the right people, with the right help.
50:30You can do this for your wife, for your children, for yourself.
50:33There are plenty of reasons to do it.
50:37We'll get you in touch with a mental health professional.
50:40We'll take you to hospital.
50:41Yeah?
50:43And we'll look that far ahead.
50:47And we'll take the rest as it comes.
50:49And we'll take the rest as it comes.
50:50Yeah?
50:51Yeah?
50:52Yeah.
50:53Yeah.
50:54Yeah.
50:55Yeah.
50:56Yeah.
50:57Yeah.
50:58Yeah.
50:59Yeah.
51:00Yeah.
51:01Yeah.
51:02Yeah.
51:03Yeah.
51:04Yeah.
51:05Yeah.
51:06Yeah.
51:07I'm sorry.
51:08She's happy you're going to get help.
51:10Yeah.
51:11Yeah.
51:12Yeah.
51:13Yeah.
51:14Yeah.
51:15Yeah.
51:18Yeah.
51:19Yeah.
51:20Yeah.
51:21Yeah.
51:22Yeah.
51:23Yeah.
51:24Yeah.
51:26The patient is taken to St. James's hospital, where he will be treated by the mental health
51:31team.
51:32some men do struggle to ask for support
51:41and i can relate to that myself
51:44when people see me they think that i'm immune to the pressures of life but the truth is i'm not
51:58we are at st james's
52:00oh no i can't take that
52:06i love what it represents now
52:12i have in the past struggled with my mental health and have sought help and therapy
52:24i've realized the importance for asking for help
52:28having therapy has helped me enormously and it's important for me to ask for that support
52:37if i don't do that then i am not in a position to help other people
52:42take care
52:48it's given us a response and i haven't really stopped looking at it since he gave it to me
53:03a little bit concerned about this gentleman
53:14a man that's clearly got quite a lot of things going on and just struggling um on how to deal with it but he did give me his wristband it's okay to talk and and his mind club um and personally i've kind of gained a lot from this detail just shows that you know no one's immune to the challenges that come to us in life
53:38uh but at least he's in the right place you've both been amazing and good night over that's good night and over from 1705
53:45wow it's blowing my mind
53:52well i'm glad it's calmed down a bit back to normal operating levels so we've gone from csp level four to one it's technos all night but we're there
54:04i wonder what i'll get back up to tomorrow
54:11it is time to go home let's do it
54:21keep moving
54:25keep moving on
54:29though you
54:31come find
54:33your way
54:35there will be
54:37i'll see you tonight wendy
54:39bye
54:40thank you
54:41see you all later
54:44she got to sleep
54:46hopefully i will
54:48see you later
54:49there's a way
54:51there's a way
54:53there's a different way
54:55there's a way
54:56there's a way
54:57there's a way
54:58i don't know
54:59get me up
55:00get me up
55:01get me up
55:02what a stunning morning
55:03how nice is that
55:04how nice is that
55:05stunning
55:06you can't change the world in one day but when you manage to touch someone's life and they explain to you that they're very grateful for the help you've given that they're very grateful for the help you've given that they're very grateful
55:16how you've given up
55:18world in one day but when you manage to touch someone's life and they explain to you that
55:23they're very grateful for the help you've given them that's a great feeling we are ready to rock
55:30and roll i want to look back on my life and think wow i got to make a difference i got to give back
55:36with a great sense of satisfaction we live in a society which functions better if we're all good
55:43to each other if we're kind to each other if we help each other and there is no better feeling
56:02no one is forgotten
56:16no one is forgotten
56:18he no time is wasting time
56:24no time
56:26wasted no time
56:28no time
56:34no time
56:48Transcription by CastingWords
57:18CastingWords
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