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Terra.Anatolia
  • 21 hours ago
Transcript
00:00begins you never know what's gonna come through the door and after 12 is just coming at night you
00:07always have to be prepared for the unexpected multiple kicks to the face they said if anyone
00:11approaches them they're gonna talk us all across the uk we're trying to help you with extraordinary
00:17access to three of the most challenged emergency departments in the country guys i need help in
00:22here he could have died we follow the work of emergency medics who battle every night to save
00:27lives shocking now it's a stab wound with drugs and alcohol rife i've had five six points
00:38the department's just on fire
00:43the risk of violence and abuse looms large every night
00:52they can be verbally aggressive physically aggressive i've been punched up and spat at
00:56you've got nothing on me bro there have been days when there have been more police officers than
01:02patients what's going on all hell's broken loose patients running around security everywhere
01:11this is the sort of thing that we have to put up this get security to remove it it's chaos
01:15glorious chaos
01:28what's that in the book you got some analogies you're on board they won't explore last year violent
01:34offenses robberies knife and gun crime it's a stab wound were on the rise across the country
01:40we'll be away from this area there are some guys outside with masks
01:50he's been stabbed multiple times to the chest it's a complete station it's got it
01:55recently birmingham overtook london as the gun crime capital of britain
01:59yeah the kid in agp has been shot with firearm offenses rising 86 percent in a year
02:05just carnage
02:10and it's satson there 86 which fits with his abg
02:14registrar dr jake is running the resource department overnight hello it's jake the department's just on
02:20fire a bit we've just had a few big sick traumas in i've got ic down with one anesthetics down with the
02:27other because he's tubed and not doing well i've got tons of people who've been here more than a day
02:33a full corridor fully are you i've just got nowhere to do anything while dr jake is struggling
02:38to manage the cases already in another patient has rushed himself in who needs immediate help
02:44i'm jake i'm the ed reggers what happened tonight because i know what it looks like happened
02:50i'm not gonna pull it in my back we definitely don't go more than a couple of days without having
02:55a sick patient who's been stabbed shootings are rarer although some of that is because patients
03:02only come to us if they're still alive
03:08yeah that does indeed look like it bullet wounds never look like they do on films they're always
03:13tiny so that is about right for a bullet wound uh yeah gunshot wounds tend to come in one of three
03:23sorts which is military style high velocity rifles shotgun style and then there's low velocity
03:30penetrating trauma so pistols and things like that which we see a lot more of relax back let's have
03:37another look but often the difference between them and the patients who die or who end up on intensive
03:43care with massive surgery is a matter of a couple of centimeters any pains in your chest at all
03:54fine has anyone put a needle in you or took any blood from you no we're gonna do that give you
04:01some meds and then i'm gonna take you through for a scan because the problem with bullets is they bounce
04:06and they move around low velocity bounces off bones and whizzes around so even though we can see where it is
04:11now and i can see where it's probably one in it doesn't mean that that's the only place it's gone
04:17i've had someone who's been shot up here before and it bounced around and ended up coming out of their
04:22bum the bullet could be dangerously close to his spine partly because the wounds are usually tiny
04:28so they can be really difficult to assess you know you've got this one dot whether something went into
04:32them and who knows where the problems are can't tell you what's going on inside until i scan them
04:38until the scan has been done dr jake can't tell if there's been serious internal damage to the man's
04:44back i'm gonna get your scan sorted so we can see what we're dealing with
05:01hello norfolk and our jamie i don't think you've been playing football for briston no no you
05:07what night where else would you want to be i don't really don't get in norwich
05:18kerry has been admitted with a dangerously high heart rate and is being treated by nurse chloe
05:23her heart rate is going very very quick so it's like she's sprinting a marathon really we need to
05:28try and sort her heart rate out so that she starts feeling better i do need to try and pop another
05:34channel because we're going to give you a couple of different things out of the heart rate kerry's
05:40heart rate has been beating at more than double the speed it should be for hours
05:45medics have tried to treat it with medicine with no luck if they can't slow it down she could have a
05:50cardiac arrest oh still up there aren't we yeah dr lucia has joined them with a plan b
06:01right so what we're going to do is we're going to get your heart rate down to a normal level we're
06:07going to give you a wee bit of electric shock that's to think it's like no you won't be
06:15basically you will be sedated oh right okay does that make sense yes absolutely shocking the heart
06:22back into a safe rhythm is painful so kerry needs to be sedated so the plan is to try to get yourself
06:29sleepy a little bit knocked out but not too knocked out yeah to the point that you're still conversing
06:35yeah you won't remember fair enough well the point is is is that ketamine gives you sort of like that
06:42forgetfulness yeah and that's all all the bonus can we drop some ketamine yeah kerry has persistently
06:49low blood pressure so ketamine is being used for sedation to prevent this becoming dangerously low
06:55okay have you been feeling pretty naughty uh uh when when it happens yes emergency department
07:04consultant dr sean is overseeing the procedure it's not efficient yeah sorry do you really want to get
07:12it back is using electricity basically i've got to turn it up and on as long as you turn me back all
07:17again atrial fibrillation is a very common condition and it's when your heart rate is way too fast you
07:26either want to control the rate or control the rhythm so for rate control is medication and if that's not
07:35working delivering a shock is one of our treatment options it's a risk of it not working yeah in which
07:40case we'll wake you up and we'll have to try out the methods rest your head back and just breathe in and
07:47out these things wear 200 beats per minute kerry's heart rate is still climbing and so the team need to act
07:57quickly uh no deep breaths are we not very good we'll go away mushy mushy mushy
08:10pleasure oh sorry oh you're all right darling how are you feeling okay you're all right sweetheart
08:18okay so we're going to be doing a synchronized dc cardioversion with kerry and the ketamine sedation
08:31we're going to be starting at 150 jewels if we need to we'll escalate jules with kerry's heart rate
08:38still climbing after racing for hours the shock needs to work as she can't sustain this much longer
08:45please step away everybody everybody clear so i'm going to shock shocking now
09:03in the uk over a third of accidents and emergencies that happen at night are brought in by ambulance
09:08including violent attacks is our blood pressure cycling now yes falls and cardiac events she's gcs 11
09:18no speed started with a headache
09:27we're 200 beats per minute in norwich kerry's heart rate is over double its normal beats per minute
09:34and won't slow down she needs an electric shock to the muscle in her heart to reset its rhythm
09:44we're going to be starting at 150 joules so the defibrillator itself um you need paddles that go on
09:51either side of the heart and the idea is to pass an electrical current from one to the other um through
09:57the heart uh to try and deliver that shock to the right part of the heart muscle it looks quite violent
10:03i suppose if you don't know what's happening and it is painful if dr sean and the team can't slow
10:10her heart down kerry could go into heart failure so charging
10:18nobody touching everybody clear so i'm going to shock shocking now
10:22all right we're going to go up increase to 200
10:31charging
10:34is everybody clear i'm going to shock shock now
10:39shock delivered all right let's go up to three years in the history that's as far as we can go
10:44kerry's heart rate is not coming down they have one final chance to get it back into rhythm and prevent
10:50her potentially going into heart failure i'll just increase the jewels
10:57360. i'm going to charge we're at 360 joules if they shock her at anything higher than 360 joules
11:06the electricity could permanently damage her heart charging now
11:10i'm going to shock shock now
11:19hang fire
11:23i do well then you can pop some back down your face you know
11:26you all right
11:30all right darling
11:35how we doing
11:36feeling a bit better the final shock did the job
11:44you're a bit zonked out but you'll you'll be okay
11:49kerry's heart rate is slowing
11:52well done give me the real one
11:54not too bad there
11:56no fantastic yeah we escalated our electricity we gave um about as high as we were going to go at
12:03that stage and i'm just glad that worked but yeah got her back to a nice normal rhythm
12:06she doesn't remember it she quite enjoyed her trip so i'm quite pleased with how it went for her
12:11kerry can be stepped down to a less critical ward
12:15i can't have disappeared i can tell another world somewhere
12:19while the ketamine wears off
12:21enjoying courtesy of the nhs
12:22yes thank you very much hello hello how are you in harryland
12:43in birmingham dr jake has a patient who needs an immediate scan after being shot in the back
12:49but at the minute he's in recess in that he's already there yeah is there any old police officers
12:54there no while the scan is prepared following protocol police officers on site are called to a
13:00and e it does look like he's been shot the story fits he heard a loud bang and then felt like you're
13:06hit in the back it is my young gentleman here at the minute he is stable i'm going to get him through
13:13the scan and see okay what's going on so gunshots and stabbings regardless of whether the patient
13:21wants to or not we have to let the police know and but beyond that it's up to the adult concerned
13:28whether they want to involve the police
13:29what's happening at the moment i don't consent for you don't want to tell us because i'm a bit drunk
13:39i don't think it's fair so you don't want to tell us what's led you to being here or anything like
13:44that no the more while i'm drunk okay how much have you had to drink quite a lot to be honest okay
13:51at this point in time i don't even actually remember nothing whatsoever
13:55i just don't remember seeing anyone
14:00are we saying that the x-ray showing he's got the bullet wound to his back so he needs a
14:06scan like a an invasive scan to show what's actually there okay scans free so let's go scan
14:12so as far as we're concerned he's not really engaging with us so as long as we confirm it's
14:16not life-changing or life-threatening it's not a lot much for us here the patient is not talking to
14:22the police and they need to get him to the scanner quickly to see what damage has been done to his
14:26back until his torso and spine are scanned dr jake has no idea if the shooting has caused any serious
14:41injuries please breathe in and hold your breath
14:50you're described last year in the uk one million people experienced a violent act
14:59in the left lumbar region with 160 000 of those resulting in injury
15:05ah so we need a few more people then don't we
15:14whoa stop resisting
15:21can you remember what happened yeah like i was just on this train and then i got jumped
15:27but like this group of boys they started punching my head in and yeah just punching me up yeah it's pretty
15:36bad i don't really remember what happened after that to be fair in the waiting room 27 year old ollie
15:42has been brought into a and e by mum emma with multiple wounds to his head
15:46i got a call from the station saying been assaulted could i come an ambulance was waiting that is
15:59crazy yeah yeah i felt sick platform's covered in blood head injuries can result in serious complications
16:07so it's crucial dr aisha gives oliver a thorough examination right so what happened uh i just got
16:20assaulted basically punched kicked i don't even i don't remember what happened i just got hit in the
16:27back of the head someone came from behind and then did you go on the floor i don't know i don't remember
16:32they don't remember anything okay so you lost the consciousness all right yeah nobody knows how long
16:38he passed for no no when someone has been assaulted we worry about loss of consciousness especially if
16:46it's more than five minutes because that worry is if there is an injury in them you know in the inside
16:51the brain any visual disturbance at all no no double vision no floaters or bright lights at all
16:57fine let's shine the lights in your eyes and back what do i look just stay looks great okay we are
17:05looking into the reaction of the pupils any changes in a not equal and reactive pupils both sides if one
17:14is not reacting as well as the other you worry about a bleed in the brain or injury to the to the brain
17:20and just keep looking uh without moving your head just follow my finger
17:28right okay so i'm just gonna ask you to close your eyes kindly
17:32okay raise your eyebrows for me puff your cheeks good show me your teeth stick your tongue out and
17:39move it side to side good and i'm gonna press your face push it down for me good uh shrug your shoulders up
17:46five can do that push me away good can you do that for me now perfect and if there's some memory loss
17:56which he had um in his scenario we like to scan the head to ensure that there is no sort of bleating
18:02going on just over there a bleed on the brain can cause increased pressure in the skull leading to
18:08permanent brain damage you're also going to scan the face because obviously there's an obvious
18:14deformity of the nose but you might have other factors around the skull yeah and because he's
18:19lost consciousness any trauma like that we need to make sure there's no bleed in the brain
18:32the car has projected him into the road fluctuations of 100 on high flow oxygen last year 30 000 people
18:40in britain were killed or seriously injured in road traffic accidents well done
18:50in birmingham 43 year old abdullah has been rushed in by air ambulance after being involved in an
18:56accident at the car wash where he works he was cleaning the car and then a manager running over
19:02he's trying the car he works at the car wash and the moment he goes in the front
19:07the drivers just lose control squashing me into another car he's just asking when can you give
19:15him some painkillers okay thank you very much abdullah was fast-tracked through scanning and
19:21x-ray as soon as he arrived to look for internal bleeding and trauma to the pelvis and spine but
19:27nothing life-threatening was found at the time of the accident he had pain from stomach all the way down
19:34there despite initial findings abdullah still has extreme pain in his legs and registrar dr dan is
19:42on hand to investigate hello abdullah is kurdish and needs help with his english so his son rebwa
19:51is going to translate for his dad can you tell me at the minute where have you got the most amount of
19:55pain especially the left leg from here starting from the fight all the way up down at us where he
20:08feels the most pain on this side starting from the knee all the way down he feels a lot of pain okay
20:13good can you feel me touching your foot there has to be the key yes good can you bend your knee for me
20:23can you feel me touching no no there no can't feel anything the side no okay all right
20:35a loss of sensation could be an indicator that something else is going on and to be sure they
20:41order further x-rays and scans on his lower legs immediately
20:47he was looking there for quite a moment if you look at it stuck there for at least 15 seconds while
20:54the car is still pushing against his body these could show if he has broken bones nerve damage or something
21:03more serious i'm just still shocked to be honest
21:11sorry mate sorry but hopefully um it doesn't get worse
21:33you need to calm down across the uk 45 of shootings are with handguns
21:42and 89 of the victims are male 21 real
21:45he's going to theater i need a makerspace trauma and air ambulance in birmingham a and e a victim of
22:02the city's gum crime problem has come in after being shot in the back yeah that doesn't even look like
22:08a bullet wound he's having an emergency scan as the entrance wound is so close to his spine
22:15it could cause life-changing injuries breathe away normally dr jeku is treating him as his scan results
22:26he's got a single bullet with a few bony fragments in his spine around t12s
22:32at this sort of level there's no massive spinal injury but it's nicked some of the peritoneum
22:40um at the back of his abdomen so and it'll be a discussion between neurosurgeons and general
22:46surgeons and the trauma team about what to do next and it's in a bit of a dodgy place to operate
22:52so it may be that they leave it in although most of the time they do take them out
23:01so all right get your trousers off and i'll do a proper check of all the nerves and see if any of
23:06the sensation is impaired as the scans aren't conclusive dr jake still needs to look for anything
23:12that could influence the surgeon's decision to remove the bullet or not can you feel here
23:19and here same both sides okay same both sides down here there and there yeah definitely cool fine
23:30how close is it to us man touching yes there's there's not many ways to get shot that i wouldn't
23:39say are dangerously close i think so put your trousers up and i'll show you your scan
23:46often when people present who have been stabbed or shot there's an element of bravado and they still
23:55know that this is something big bad and nasty so this is like a slice through from the top down so
24:02your head's at that end and your feet are this sentence this is your right hand side dr jake is
24:07showing the patient just how close he came to being paralyzed or killed and it's probably just taken off a
24:12tiny bit of bone there and it's sitting right on the side of your spine so yeah you don't get much
24:19closer without it just being in your spine so let's come in that sort of direction just below the level
24:29of the lungs so it's just in front of your liver if it hit your liver there'd be a much bigger problem
24:36because that's when you bleed a lot with the facts presented to him the patient seems to understand
24:44how serious tonight could have been i think a lot of patients do know but it takes a little while for
24:51it sinking i think once they get here and they have this whole team on top of them they go through
24:57scanner they have all the discussions about surgery they tend to see how big it is
25:02what we'll do i'm going to keep you in for a while we'll get the neurosurgeons just gone to theatre
25:10but they'll come and have a look because we need to work out whether we need to
25:13take you to the theatre take it out sometimes they do sometimes they don't
25:18he's been shot in an area that doesn't have any major vessels that doesn't bleed a lot and they
25:22haven't hit a nerve um so he's probably going to get away without anything major beyond some scarring
25:29yeah lucky on that side although not as lucky as someone who didn't get shot
25:44hello
25:47have you gone through the boat not there
25:50cut through an artery oh yeah it's all coming through underneath isn't it
25:54oh i think we might have ended the cricket season fairly early weren't we but oh i still have a beer
26:05in 2023 one and a half million people were treated for minor injuries in a and e
26:11so you don't know what they're going to do yet no they've just got the x-ray back
26:15so he's having a look at the x-ray now and then they'll call me through emily was rushed through
26:20radiology earlier after an accident with a wine glass oh right hopefully i just i just care about
26:26getting some pain relief at this point she's been brought in by her dad kevin emily i'm not getting
26:32called in are you coming here hi thank you dr muhammad will be assessing emily's hand for serious damage
26:42do you want to tell me how did it happen yeah i opened my cupboard in the kitchen to get a glass out
26:47um a wine glass fell off the top shelf bounced on my kitchen counter as it smashed and bounced back
26:52up it's just cut straight into my finger okay whenever a patient comes to us in the ane and
27:00we have open wound we worry about any foreign body retained there some there to bacteria that got into the
27:08wound uh and most of the time we do an x-ray we worry about serious infection or
27:16losing the function of the finger so the wound is extending from the front side into this side
27:25aspect of the finger lovely yes it's going all the way to the back side so the good thing is i can't
27:33see any foreign body at the moment lovely okay and i can't see any evidence for a fracture here but
27:41you couldn't feel the touch sensation here properly yeah and you couldn't flex the finger
27:49no so whenever we find these findings we worry about damage to the underlying structures like
27:55the tendons yeah and one of the nerves here okay okay so that's the reason we didn't uh close it
28:04immediately we had to share these images with the plastic team with potential nerve damage causing her
28:12numbness dr muhammad needs to call in the specialist plastic surgeons it's all about uh detecting it early
28:20and delivering the concerns to the specialized team as soon as possible my concern is sensations so
28:27in the distal areas to the site of the wound loss of the function of the tendon might happen which will
28:33lead to a lot of uh functional disability so at the moment we will just wait for the plastic surgery to
28:41come here thank you abdullah's having a scan after his legs were crushed between two cars at his job at a car wash
29:04the drivers just lose control still shocked to be honest his family have rushed to hospital including
29:13his son rebwa concerned if his dad will be able to walk again i got there a bit later when i came
29:18and there were already ambulances and the road was closed i pulled into the car wash i walked up to
29:27them and i told them he's my dad and i need to see him and uh when i went to see him they had given
29:33him some medicine so he was responding but very poorly not nothing much just an eye movement of an eye
29:42it was absolutely heartbreaking
29:47feels a bit weird yeah normally he looks after me but all the time he does but today i guess the rules
29:54are reversed
29:54dr dan has been treating abdullah and found despite his pain he had a loss of feeling in his
30:03lower legs if there are fractures as a result of the crush injury then that those can be fixed but
30:09unfortunately for crush injury to soft tissue like muscle there's not really an awful lot that we can
30:14do treat that surgically hello again so i've had a look through all of your imaging again okay so on
30:23this side there's a fibular fracture and on this side it's also broken but the bone position hasn't
30:29moved okay they don't need any surgical intervention all right the feet look okay the heels look okay
30:35okay a lot of this is going to be bruising and muscle swelling after being crushed yeah okay how long
30:43does it take to walk again just normal walking normally could take a little bit longer how long
30:48that is i don't know it all depends on how you go with physiotherapy how sore it is and that's that's
30:53guided by you that has to be at the pace that's comfortable for you okay thank you thank you abdullah's
31:00injuries aren't life-changing and he escaped permanent injury with stable fractures to both legs
31:07very very good news for me you know all of the bones been squashed together with the muscles so
31:12in the next couple of days his legs gonna turn blue and purple definitely
31:17complaining about his pain in the legs which is a good thing then we know there's at least some pain
31:22in the legs and he's not paralyzed could have been worse much worse and we'll get him to an orthopedic
31:27bed and from there i'll have some physio some pain relief on balance the safest thing to do is keep
31:34him in overnight at least keep an eye on him monitor him and just to ensure that his pain is well controlled
31:39gonna take a few days for him to get mobilizing a bit more comfortably and then yeah i would hope
31:43that he'd be home in a few days could have been a lot worse yeah luckily it's not too bad
31:57i'm gonna kick assaults against police officers has been on a steady increase for over 10 years
32:08with around a quarter of those ending in injury to the police officer
32:14that's the equivalent of one officer being assaulted every 10 minutes
32:18i ain't got nothing bro joining the steady stream of ambulances arriving at a and e in birmingham
32:25is a police van
32:30this is the first time it's happened to me really to you um yeah it's good to me
32:35police constable ben has been attacked in the line of duty and bitten
32:38he's been brought in by a colleague
32:40moral support here is a beacon of hope it definitely hurt when it first happened it still
32:45hurts a bit now i think it's more just a shock but i might expect enough to happen to you really
32:51pc ben needs to be triaged to check for any underlying injury so you arrested someone is that
32:57all right so yeah one of my colleagues arrested someone yeah and he got a bit tired and um and
33:01grabbed hold of another officer as i went to take his hand away he just latched on to him and uh
33:06uh there's beef so okay so we're going to clean this yes and because it's a human bite yeah you see
33:14we're going to clean it take some blood from you just make sure it's not infected or anything
33:18i'll also get you some pain medication yeah assaults quite common now especially uh in today's
33:23police and it happens most most weeks probably biting is quite unusual but it's happened today
33:30how someone polluted your blood clean the wound pc ben needs a blood test to check if he's contracted
33:37anything serious or life-changing from his attacker we do the born viruses so like hep b hiv because
33:50we don't know who bit him we don't know what they've got
34:00so
34:18pc ben has been bitten by an unknown man in the line of duty normally we'd like to get a blood test from the
34:24person that bit you but i'm guessing that's not an option yeah probably not no the medics are concerned
34:30he may have caught something from the attacker and he's having blood tests there's nothing worse
34:35than being bit biting is atrocious the human mouth is disgusting um so especially when he's doing his
34:43job it's it's not a nice job it's it's not a nice world so you won't get these results
34:48right they're going to go to the lab and they get them run a few jobs how long are they drinking
34:52yeah um if nothing comes back from them then you won't oh there you go so
34:58right take a seat back in the waiting room while they're also going through
35:00thank you very much what's up thank you
35:03human bites can be even more dangerous than animal bites
35:07because of the types of bacteria and viruses in the human mouth
35:12they just requires very little addressing for the next few days all pc ben can do is hope he doesn't
35:18get a call from the hospital thank you very much no one goes to work to get assaulted um
35:24and i think even though we're kind of in a unique position where we probably can't
35:28assault him all in close people uh we still don't expect it when it happens
35:32yes at least he knows his attacker will be held to account for their crimes
35:38yes i know yeah we know you did it and uh yeah they'll be down with
35:53come on you can't touch me bro i'm not going to touch yourself
35:55come on all of you go away back in tunbridge wells
35:59ah there the night shift is well underway with a waiting room full of the walking wounded
36:0827 year old oliver has been brought into a and e with multiple head injuries
36:13which he sustained in an unprovoked gang attack
36:18this one seems clear okay this one i can't visualize that well
36:24dr aishi is concerned there may be a bleed on the brain as oliver lost consciousness during the attack
36:32it's always a concern where somebody has assaulted a patient who has just left there bleeding but most
36:38importantly if it's a loss of consciousness for a significant period of time we worry about bleed in
36:44the brain which can be a life-changing event a bleed on the brain could be deadly so oliver has been sent
36:51to have an emergency ct scan with radiographer james
36:56hi james hi james you all right you're gonna be scanning your head and face yeah sure no problem
37:01first of all you might need your change of oh yeah of course cheers man thank you
37:08scanning this young man's head and face
37:12they asked for a head scan to roll out bleed in the brain we also do some facial bone x-rays but it's quite
37:19difficult to um roll out any facial injuries especially for tiny fractures
37:27i think they're all good okay can get up get your bearings back first yeah yeah yeah
37:34we'll come back to you mate thank you very much
37:41dr aisha has received the ct scan report it should tell her exactly what's happened in oliver's head
37:47let's have a look
37:54so obviously nose is uh deviated
37:59is that my point then no oh check it has broken yeah that's the sinuses okay and then i don't think
38:08there's any bleed in the brain oliver's injuries seem to be superficial with no damage to his brain
38:14but his nose still needs attention but for this you're going to be under the ent anyway so what
38:20their advice was pay for the pushing to settle down yeah okay so they will then manually maneuver it
38:26and if it doesn't work then they'll do a surgical okay procedure but that's going to be as an outpatient
38:31right right okay yeah so facial bones are looking yeah okay he'll need to return to hospital to have
38:40his nose reset thank you so much you're very welcome thank you but tonight he's safe to leave a and e
38:47and finally finish his journey home we just need to rest for a few days now lovely yeah yeah
38:53not seen went home yeah yeah yeah in norfolk and norwich university hospitals a and e the night
39:15shift is in full swing we're gonna be focused we've got a trauma pre-alert every day is a busy day
39:23every day is business and the waiting room is starting to fill up i just saw the blood squirt
39:29go flying past me and i thought that's gonna be bad grab a flannel a plastic surgeon is assessing emily's
39:35badly damaged finger which she sliced open in a freak accident at home wine glass fell off the top shelf
39:42bounced on the kitchen counter as it smashed and bounced back up it's just cut straight into my
39:47finger the medical team is concerned she's severed a tendon and sustained nerve damage that could
39:53result in her losing the use of her finger all right can you do the finger uh uh this is my chest
40:05that's what i can do can you straighten it up again um i'm trying sorry
40:12all right there you go all right can you bend just at the tip
40:20all right sorry all right um have i really done it what what am i looking at from the examination it
40:29looks like that you may have cut a little bit of it okay so normally any cut about 50 percent through
40:35the tendon root you tend to fix them but it is just a nick you tend to leave them alone because they
40:38are able to get by themselves okay so we're going to open the finger up make the wound a little bit
40:43wider have a look and see the structures are damaged for a surgery on monday right okay the job of plastic
40:51surgery is uh to do early interventions to guarantee quick recovery and to prevent the complications
41:00so if it's dealt with ill i think the uh the complications can be minimized i'm being such
41:07a wimp but my gosh you're in pain on you i'm in pain i can see it let me just see here what needs to be
41:14done and then thank you before emily goes home she'll need to have the wound cleaned and dressed to help
41:21prevent an infection which could make her finger even worse it's now up to nurse dave to finish the
41:28treatment starting with giving emily a powerful dose of oxycodone for the pain this is your
41:33antibiotic thank you it's quite big though thank you oh that's a good one that's a good big one oh
41:39thank you this is your penalty wonderful thank you
41:44perfect lovely now let's dress your wound you just brace yourself down this is probably going to be the
41:50painful bit isn't it wonderful it's my emotional support parent yeah you can't leave me
41:58of course we all need our parents i miss them oh
42:07let's just clean them with water how does it feel not great yep that has
42:14oh my god oh he's done that before ain't he yeah all right let's do this
42:29oh dave thank you you've been so gentle i tried because it's painful amazing and
42:38you're good to go thank you you're welcome thank you so monday monday monday monday is one email
42:48i don't know how much damage you've done
42:52that's not a bit better yeah all right thank you thank you
43:04i was very polite oh
43:30How the heck am I going to cook the kids' dinner?
43:58I hope you have a good chef.
44:00I hope you have a good chef.
44:30I hope you have a good chef.
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