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Ambulance Season 15 Episode 6
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#Ambulance
#RealityInsightHub
🎞 Please subscribe to our official channel to watch the full movie for free, as soon as possible. ❤️Reality Insight Hub❤️
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FunTranscript
00:00This lady has been on the floor since 5 a.m.
00:04It's a two-year-old who's been stabbed, Dougher.
00:08Every day across Yorkshire, more than 3,000 people call 999.
00:13You don't know I'm breathing!
00:15She's pregnant!
00:16Right, she's on track.
00:17She's trying to pull her actual load glasses.
00:20The ambulance service must decide who gets help.
00:23I'm going.
00:24We're going to look after you, mate.
00:26We've got you.
00:27Can I get you covered up?
00:28Lovely, jubbly.
00:30And who must wait?
00:3134 jobs waiting for an ambulance now in Leeds alone.
00:35As the pressure on the NHS refuses to relent...
00:38We're creating the waiting room for a waiting room.
00:41The paramedics on the ground navigate England's largest county...
00:45Welcome to our office.
00:48All right, kid, well done.
00:49..from the busiest cities...
00:50Chaos tonight!
00:52We'll need to get out of Leeds now.
00:54..to the remotest villages...
00:56We're in the middle of nowhere.
00:58..where each call is a crisis.
01:00I've got a five-year-old found wandering in the street.
01:04Naked, malnourished.
01:05God, it breaks your heart.
01:06It's awful.
01:08..and every decision critical.
01:09Hello!
01:10Where are we going?
01:11You're all right!
01:11Please, let me get out of here!
01:13Where are they going to land in the middle of Bratford?
01:15We go beyond the flashing blue lights...
01:19Well, well, well, well!
01:20..to reveal the human stories behind every siren.
01:24Just keep going to the door.
01:25Absolutely.
01:26Thank you for coming.
01:28You don't have to thank us.
01:29You know, if you've got manners, you know.
01:33Are we all ready to set sail?
01:34Get a going!
01:35Get a going!
01:36Ha, ha, ha, ha!
01:37MUSIC PLAYS
01:38MUSIC PLAYS
01:40MUSIC PLAYS
01:41MUSIC PLAYS
01:42MUSIC PLAYS
01:44MUSIC PLAYS
01:45COMPULENT SERVICES
01:48THE PATIENT BREATHING
01:49It's me brother.
01:51He's got difficulty in breathing.
01:54He keeps saying he's dying.
01:56I haven't gone, he says.
01:58His eyes are closed.
01:59Just keep trying to reassure him for me, OK?
02:02I'm going to be honest here.
02:04I'm checking from eight to four.
02:05I know, just try and stay nice and calm.
02:07You're doing really well.
02:09I'm very quiet.
02:15Receiving.
02:17Got a crew on scene at this one, 1466.
02:20This is a 68-year-old male.
02:22Kevin has a difficulty breathing,
02:23but on arrival, he's now peri-arrest of her.
02:27Yeah, that's received.
02:28On room now.
02:32Leeds crew, Ryan and Tom,
02:34are immediately dispatched
02:35to the Category 1 emergency,
02:37the ambulance service's highest priority.
02:47Already on scene is crew 1466,
02:50who have begun assessing the patient.
02:52Stephen's woke up at half past seven,
03:05feeling immediately short of breath.
03:06Right.
03:07No chest pain.
03:08Right.
03:12I'm going to have a quick listen to your chest, buddy, OK?
03:15Nice deep-breath in for me, Stephen, bud.
03:18I can't.
03:20I'm going.
03:22You all right?
03:23We're going to look after you, mate.
03:25Stephen is in peri-arrest,
03:27and his health is deteriorating rapidly.
03:32Let's get you into hospital, then.
03:33I'm going to get you sorted out, bud.
03:35Without urgent medical treatment,
03:37he's at risk of going into cardiac arrest.
03:39Honestly, we're going to have a stand-up.
03:43Hold on to my hands.
03:45Hold on to my hands, Stephen.
03:47Hold on to my hands.
03:48I'm going to help you.
03:49What are you doing?
03:51Stephen?
03:53Do you think you're going to be able to stand up on your own,
03:55being honest?
03:57Yeah.
03:58Stephen?
03:59Time's a bit of the essence.
04:00I'm not.
04:01Can we start helping you a little bit?
04:03Just use your legs over the front.
04:05You're pushed down on your feet, mate, OK?
04:06One, two, three.
04:09Up you come.
04:12Well done, mate.
04:13Turn towards Tom.
04:15We've got you, don't we?
04:16Keep going.
04:17You just sit down.
04:18Down we go.
04:19Down we go.
04:23We do try.
04:29Can we get his mate?
04:36Hello, St. James.
04:40I've got a medical for you.
04:42Stephen is en route to St. James' Hospital,
04:45six and a half miles away,
04:47where staff are on standby to act immediately.
04:53You all right, bud?
04:54Oh, he's taking mud.
04:57Not straight, is that?
04:58This is Stephen.
05:17Saturating at 55% on room air.
05:20100% O2 on.
05:21We're only managing to get it up to, like, 79% at best.
05:25OK.
05:25My name's Amy, I'm one of the nurses.
05:28You're in good hands, all right?
05:32You're all right, Steve, bud.
05:33You've got everyone around you that you need.
05:47We would advise you, based on information that we've been given,
05:49that we would do chest compressions in order to help him
05:51until the ambulance crew does arrive.
05:53In control, call handlers Cam and Ellie
05:57are already facing a surge of Monday morning emergency calls.
06:03You need to pump a chest hard and fast 30 times.
06:06You need to keep going for me.
06:07One, two, three, four.
06:10They are part of a 27-person team
06:12who have already received 94 calls in the first hour of their shift.
06:17I told you, Mondays are the new Saturdays.
06:21Responsible for allocating each emergency call
06:24are dispatchers Chloe and Jerome.
06:28I've got to wait for my coffee.
06:30How many cups of coffee?
06:31Do you have a day as well?
06:32About 47?
06:33Yeah.
06:34Between them, they will coordinate 57 resources across Leeds,
06:41the most populated city in Yorkshire,
06:44home to over 800,000 people.
06:47Um, but services to patient breathing?
06:57Um, um...
06:59The patient's breathing?
07:00I'm ringing about my husband.
07:03His name is Fred.
07:04During the night, he's got very confused,
07:07trying to get into rooms that are not there,
07:10and he's laid on the floor now.
07:12OK, and so at the moment, is the patient breathing?
07:15Oh, God, I just can't hear you properly.
07:17I'm really sorry.
07:19Is Fred breathing now?
07:21It is... yeah.
07:27Here we go.
07:291671 receiving.
07:31I've got a seat, nine-year-old male,
07:33laid on the floor, vomited last night.
07:36And now they've fallen on the floor again.
07:38Patient's conscious and breathing.
07:40Yeah, thank you for the update.
07:44We'll head over there.
07:46This guy's been having a few falls on it soon, hasn't it?
07:49Yeah.
07:50And he's, what, 89?
07:51Yeah.
07:52Yeah, that's him.
07:54Ryan and Tom are six minutes away from the patient,
07:58who is in Osmanthorpe, two miles east of the city centre.
08:03Nearly there now.
08:10Hello, ambulance service.
08:17I think she'll just stood at dawn, right?
08:20Hello.
08:21What's his name?
08:23Fred.
08:23Fred.
08:23And what's your name?
08:24Norma.
08:25Norma.
08:26Hello, Fred.
08:27Nice to meet you.
08:29I just don't know what to do.
08:32Don't worry, we'll do everything now.
08:35Are you happy if we get you off this floor?
08:38I can't hear you, Prof.
08:39I've no hearing you.
08:41No problem.
08:42Let's get you up, Fred, bud.
08:45Anyway.
08:46Yeah, yeah.
08:47Sorry to get on his back.
08:49Fred, on three, we're going to stand up.
08:51One, two, three.
08:55Let's pop you on this bed, Fred.
08:56Oh, we're very unsteady, aren't we, bud?
09:02Slip back.
09:03Slip back.
09:04There we go.
09:05Oh.
09:06There we are.
09:07Get so low down.
09:09No, look at me.
09:10Do a big smile for me.
09:13Lovely.
09:14Very nice, love.
09:16You give my hands a good squeeze.
09:18Squeeze on.
09:19Don't be shy.
09:20Squeeze his hands.
09:22Squeeze your hands.
09:23Squeeze.
09:24Like that.
09:24Yeah, lovely.
09:25Lovely.
09:26Shall we get you laid up in this bed for a couple of minutes,
09:29just while we finish our assessment?
09:34Fred, what did you used to do for work?
09:37I worked for a few things.
09:39I was fine with all the ring at work one time.
09:42Yes, I threw a call in fire.
09:44Was that a hard job?
09:46Yes.
09:47Hard work, yeah.
09:48Yeah, hard work.
09:50You got proper workers' hands on, eh?
09:54Where was that taken?
09:55Talkie.
09:56Talkie.
09:57Talkie?
09:58It looks like you're abroad there.
10:00No, I've never been abroad.
10:02You've never been abroad?
10:03Really?
10:04No, I won't fly.
10:05Yeah, fair enough.
10:07Why won't you fly?
10:09I just...
10:10I can't imagine being fastened in an enclosed space up in the sky.
10:16Fair enough.
10:17Now you put it like that.
10:18Because of what's happened today,
10:22and the fact Fred's fallen and he's banged his head,
10:25he's got quite a big lump on his eye.
10:27I wonder where that blood's come from?
10:29Possibly from there.
10:31We're going to have to take him up to the hospital.
10:34He's going to need looking at by the doctors.
10:36Yeah.
10:36And possibly a scan on his head.
10:38I've got you, Fred.
10:43Don't worry.
10:43Well done.
10:45Perfect.
10:47Look at this.
10:48How do we have it, Fred?
10:49Over to the side?
10:51Do what you want.
10:54You've got Norma laughing at you now.
10:56Is that how he has it, Norma?
10:58We'll have all the nurses after you now.
11:00All right, I'll see you later, love.
11:06Norma, are you shutting this door behind us, my love?
11:10All right, you take care, Norma.
11:18Fred is being transferred the one and a half miles
11:20to St James' Hospital.
11:23There we go.
11:24Here we are.
11:25I'll get some eating on for you, Fred.
11:28Lovely.
11:30When I was younger, we used to get called a busybody.
11:40Because if there were ever any drama,
11:41I always wanted to be there.
11:44But I've always wanted to be the one
11:45that made people's days that bit better.
11:50I was born in Leeds.
11:52The street that I grew up on, it was called The Rain.
11:55And I think I could probably go into 90% of people's houses
11:58without knocking on the door.
11:59That's how close the community was.
12:03The older generation that lived there,
12:05they remember how it were.
12:07It was a very, very community-based area.
12:11But Leeds is a large city now
12:14that's becoming larger by the day.
12:17I'm just waiting on Ryan to come back.
12:24We'll get you through.
12:26Can't hear me, can you?
12:27No.
12:33We'll be leaving you now.
12:35You're leaving, aren't you?
12:36I am, yeah.
12:37Well, it's been lovely to meet you.
12:38I shall miss you.
12:39I'll miss you too.
12:41All the best.
12:42Lovely to meet you.
12:43Take care, then.
12:43See you later.
12:47See you later, pal.
12:48See you later.
12:49You'll have a...
12:49Did he say he lived there 56 years?
12:55Yeah.
12:56I bet he's seen some right changes around that area.
12:58I bet he used to be really, really quiet back in day, you know.
13:0256 years ago, half of the houses probably weren't even there.
13:04No, no.
13:05And now, he's in a concrete jungle, isn't he?
13:09He is.
13:1289 and independent.
13:15You can't complain at that.
13:18No.
13:19He's like, no, we're not at that stage yet.
13:20We don't need a stair lift.
13:22A bit tough for that generation, aren't they?
13:25Hard as nails, aren't they?
13:26Yeah.
13:35Ambulance service, is the patient breathing?
13:40Yeah, she's literally pregnant and she's been...
13:43Listen, listen to me.
13:45Is the patient awake?
13:47She's awake, but she's been spewing up in the water.
13:49She'll literally go in all over my kitchen.
13:53Yorkshire Ambulance Service is now receiving over 220 999 calls per hour.
13:58OK, just keep her awake and turn her gently on her side as she wakes up.
14:02I do just have to advise that due to how busy we are,
14:05now the standard time frame in the area is showing anywhere up to two hours.
14:09In times of high demand, the service escalates its clinical safety plan.
14:13Guys, level three.
14:15Free, free, free. Mel.
14:16Which means it prioritises emergency ambulances
14:18to the most poorly and vulnerable patients.
14:22Well, I'd be on my way.
14:23They are coming to you as quickly as they can, OK?
14:26Yeah.
14:27Right.
14:27I'm getting my fucking help!
14:31Ellie is on her 33rd call of the shift.
14:35Just keep yourselves calm.
14:36I know it is scary, all right?
14:38But just try and keep yourselves calm.
14:40What?
14:41Are they there?
14:43Yeah, yeah.
14:44Right, I'll leave you with the crew, all right?
14:45Take care.
14:48There are currently 186 patients waiting for an ambulance.
14:53So I'm organising to help you now.
14:54Stay on the line.
14:54With a new call being received every 15 seconds...
14:59Is she completely alert?
15:01..and wait times are continuing to lengthen.
15:04I just want to know when it's going to come in.
15:06At the moment, it could be anywhere around one hour and 50 minutes.
15:10Oh, my gosh.
15:11One hour and 50 minutes is too much.
15:13I know, but I'm afraid there's nothing that can be done about that.
15:15That is just due to the high volume of calls at the moment.
15:17Jerome, can I take 1373 for a Cat 2 at Batley, please?
15:22No, I'm going to need them.
15:24Sorry.
15:26Just gone to CSP Level 4.
15:29Got 97 just waiting in west at the moment,
15:32and we're approaching 200 over Yorkshire,
15:33so just thought I'd let you know, all right?
15:36With CSP Level 4 in place,
15:39lower-priority calls won't be sent an emergency ambulance.
15:42Instead, they will receive alternative support.
15:45I've got no available resources at all at the moment.
15:49What a day.
16:041692, Luke and Regan have just become available.
16:09Hiya, 1692. I've got a job to pass to you, please.
16:13Yeah, go on.
16:15We've got an elderly female.
16:17Mel Mollie, she's fallen over.
16:18She's got a nosebleed and an arm injury.
16:21The call did come in to us.
16:23Water to two, so we're talking 45-minute curve already.
16:28So hopefully we'll get to her pretty quick.
16:32Yeah, we are on our way to her blood, sir.
16:34The crew have been dispatched to Pudsey,
16:38where the patient has fallen outside a library.
16:4345 minutes for a 91-year-old.
16:45We are, what, like, six miles away,
16:46where the closest available resource is?
16:49Yeah.
16:49It's sad.
16:50Hello, Molly.
17:02Can I have a look at this arm of yours?
17:06Oh, God, oh, dearie me.
17:08I didn't realise that was there.
17:09What a mess.
17:11Yes, love, if you can get a tool.
17:14I'll finish wrecking the place, shall I?
17:17All right?
17:19Yes.
17:19Is this painful?
17:21I can imagine.
17:24One Christmas Eve many years ago, I broke both.
17:29Both what?
17:30Elbows.
17:31Oh, Molly, you do not have much luck.
17:35I'm going to get you to our ambulance,
17:37and we're going to have a good look at you on the ambulance.
17:43Shove me up.
17:44Shove you up, eh?
17:46We're doing that, Molly.
17:47Don't you worry.
17:49Your day's obviously panned out a little bit differently
17:52to how you expected, hasn't it, Molly?
17:53You know, I thought I was doing wonderful.
17:57I was on my way to B&M.
17:59Oh, and what did you get from B&M?
18:01Well, they didn't have what I wanted.
18:03I wanted some cream crackers, and I got some toothpaste.
18:09Right, so, Molly, we need to have a look at you.
18:12We're going to try and get your arm and your shoulder more comfortable,
18:15but we need to assess what's wrong with it.
18:17So, are you okay for us to take your coat off?
18:19Bless her.
18:23Heating's on.
18:24I'm loving your little outfit.
18:26This is very trendy.
18:27What have I done?
18:30Right, keep it there.
18:32Okay?
18:33Keep it there.
18:33It might be a case that your worst injury might be your arm.
18:37It seems to be.
18:38Oh, it is.
18:38Yeah.
18:38She's told you.
18:41Oh, yeah, that's me told, isn't it?
18:43Is it broken?
18:45Chances are, yes.
18:46Your shoulder potentially is out, but I can't fully assess you at this present minute.
18:52No.
18:52So, what we're going to do is...
18:56Take me in.
18:58Oh, yes.
19:00Luke's going to support your back.
19:02I'm going to swing your legs up.
19:05Are you comfortable like that, Molly?
19:09Yes.
19:10Are you sure?
19:12Can you do the head?
19:13Yes.
19:14We will get that sorted.
19:16We just want to also...
19:19Molly, give you some pain relief,
19:22because you're clearly in a lot of pain.
19:24All right?
19:25We'll support your arm in a couple of ways,
19:28so you can't feel it when we're moving about as much, OK?
19:36We need to get this arm out of the sleeve, OK?
19:41You know when you fell,
19:43did you go dizzy or anything before you fell?
19:46No.
19:47OK.
19:49Did you trip over something?
19:50I tried to stop myself, and there was no chance.
19:56Right, Molly.
19:57So, this is gas and air.
20:00I want you to breathe in and out through this straw.
20:03Right, and breathe in.
20:06Perfect.
20:07Nice, slow, deep breaths for me.
20:09OK?
20:13Right then, Molly.
20:16Molly, Molly, Molly, Molly!
20:17Yes, yes, yes.
20:18No, no, no, no, no, no, no.
20:20No.
20:27Stop panicking.
20:28I need you to stop panicking.
20:30I need you to slow your breathing down.
20:31I'm so panicking.
20:32You are panicking breathing, yeah.
20:34OK?
20:36Slow it down.
20:37I'm not going to let anything bad happen to you, OK?
20:43All right.
20:44What part's that now?
20:47And the boat.
20:54Yep, yep, yep, yep, yep.
20:55Yep, I've got it.
20:56A few more bumps.
21:06Full of bumps.
21:09You've had a bit of an eventful day, haven't you?
21:11Oh, Molly.
21:17Can I adopt you?
21:18All right.
21:20Because you're amazing.
21:37Ambulance service.
21:38Is the patient breathing?
21:39Is the patient awake?
21:41Tell me exactly what's happened.
21:43Yorkshire Ambulance Service has now been operating at the highest demand level for four hours.
21:48Are you able to make your way to hospital without an ambulance at the moment?
21:52I can only breathe.
21:53I can only walk five hours.
21:56The average wait time for Category 3 patients is now two and a half hours.
22:03Ambulance service.
22:04Is the patient breathing?
22:06No.
22:08OK, tell me exactly what's happened.
22:09I'm calling about myself.
22:12I am pregnant and I am getting bleeding from my vagina.
22:15How many weeks pregnant are you?
22:21Eight weeks.
22:25So I'm organising the help for you.
22:26Stay on the line and I'll tell you exactly what to do next.
22:29OK.
22:29So you need to assume the most comfortable position.
22:32Just take a deep breath between any pain that you're having.
22:36All right.
22:37OK, is there any serious bleeding?
22:43Yes.
22:46You're doing well, OK.
22:47We've got the help all organised for you.
22:51We will aim to respond to you as soon as we can, but we're experiencing an extremely high demand for the service.
22:56At the moment in your area, the current waiting times could be three hours, but with the current pressures, that is likely to be significantly longer.
23:03You may be able to access some help faster by making your own way to an emergency department.
23:10OK.
23:12All right.
23:12I would rather wait for the ambulance.
23:14You're going to wait.
23:15OK.
23:15So in that meantime, you need to keep your telephone line free because you may be called back.
23:21But if your condition changes or if you no longer require this ambulance, you are to call us back on 999, OK?
23:28Yes, I'm fine.
23:29All right, then take care.
23:31All right, thank you.
23:32All right, you're more than welcome.
23:39Oh.
23:40Oh.
23:45Ambulance, sir.
23:54Is the patient breathing?
23:55I can't see in the car or all the airbags has gone off.
23:58There's been an RTT with a car and a lorry on the M606 towards Bradford.
24:03Right, so how many patients can you see?
24:07It looks like three at the moment.
24:09There's the driver, a child and then a passenger.
24:12There's other people in the car by the looks of it.
24:14I think they're trying to get in now.
24:17Hiya, Zach.
24:17It's Nick on the quick care desk.
24:19I'm just getting reports of an RTT that's coming in on the M606.
24:24Are you OK if I give you a bit of an update around what's going on?
24:27Yeah, please, mate.
24:28Go ahead.
24:29So it's looking like we've got three patients, one adult patient and two children.
24:33And there's an 11-year-old who has reported the unconscious.
24:35It's going to be a multi-agency response.
24:39Yeah, well, you're all received, mate.
24:41Thanks very much.
24:43Specialist paramedic Zach is eight minutes away.
24:46Also en route are three ambulances, a team leader and Yorkshire's Air Ambulance Service.
24:52As the first clinician on scene, Zach needs to identify who requires the most urgent medical treatment.
25:09We're going to go to our team team.
25:18Wagon and wagon behind us.
25:22Mum and Dad here with the youngest son.
25:24We've got Kian, head injury, leg injury.
25:28He's on hotel at the moment.
25:29We are trying to keep C-spine stable.
25:32Are you telling me he's all right?
25:33Kian, my name's Zach.
25:39I'm one of the paramedics.
25:40Where are you hurting, buddy?
25:43Kian?
25:44Look at me, buddy.
25:46Where are you hurting, mate?
25:48We've got Dad who's got a decent leg to his head.
25:51Yeah, son's, I think he's six.
25:53Got a hurty ankle.
25:54And this kid in here is 11.
25:56Reduced GCS with a head injury.
25:58My plan for him, pin this door back, get a board in and just get him out.
26:02And then we can pop a look in.
26:03Yeah.
26:04I want him laying down on the board, yeah?
26:05So sit him onto it.
26:07Lay his back down.
26:08Slide him up it.
26:10Once he's out, we're going to go straight onto the stretcher, which will be here.
26:13Getting me immediately onto an ambulance.
26:15And then we can have a look at him properly.
26:31Thanks, buddy.
26:32No, no, you're fine.
26:37Hiya.
26:37Can you leave Hems running, please?
26:39We've got a 11-year-old male, GCS 13.
26:43Yeah, I'll receive, mate.
26:44I'll update.
26:45So Hems, 11-year-old male, GCS 13 out of 15.
26:48Loss of one to I and two to voiceover.
26:50Main issues are head and leg.
26:59Mate, could you try and cut his socks and shin pads down?
27:04And if you can, get his shoes off without...
27:05Yeah, yeah.
27:05Is that all right?
27:06I'm going to try and put a candle in here, mate, but I'm not convinced.
27:16Zach needs to administer pain relief to Kian in order to straighten his leg and ensure blood circulation.
27:24Do you want a hand holding him?
27:30If you want mine, that'd be sweet.
27:32Oh, fine.
27:35Do you want me to get him?
27:36Yeah, would you just let him on?
27:41Hey, Stu, how are you, mate?
27:43Yeah, so, 11-year-old, backseat passenger.
27:49My biggest concern is a head injury and this mishar femur.
27:52We've had about four guys at cannulating and can't get any access.
27:55Has he talked to us?
27:56He's sort of talking to us, yeah.
27:58What's his name?
27:58Kian.
27:59Kian.
28:02I'll go and see him, mate.
28:03Right, we've got any other options?
28:04We've got an I.O. option.
28:06Yeah.
28:07So, he and we're an I.O.
28:09I'd say, if we can't get anything in the...
28:11A couple of minutes, yeah.
28:12Yeah.
28:12Yeah.
28:16So, we need to put an intra-osseous needle in because we're unable to get intravenous access.
28:20We want to give him some station and sort out this femur.
28:23So, we've got that drill.
28:25All right.
28:26Intra-osseous access delivers medication directly into the bone marrow.
28:31It's commonly used in children who are often harder to cannulate.
28:36You squeeze this hand.
28:38That's it.
28:39All right.
28:40Strong.
28:41Okay, and it's going to feel a bit strange, mate.
28:43Okay.
28:44It feels a bit strange, but it's absolutely fine.
28:47All right, buddy.
28:48Kian, needle coming up.
28:50Squeeze.
28:50Squeeze my hand, won't you?
28:52That's it, mate.
28:53That's it.
28:53It's okay.
28:54It's all right, buddy.
28:55You're doing really well.
28:56It's okay, mate.
28:57It's okay.
28:58Well done, buddy.
28:59Well done.
29:00Well done, mate.
29:01You squeeze.
29:02Squeeze his hand.
29:03You squeeze.
29:04That's it.
29:04Okay.
29:06Doing really well.
29:07This might sting a little bit, but it's completely normal, buddy.
29:09All right.
29:09Well done, mate.
29:12Are you ready?
29:13Big squeeze.
29:14Okay.
29:15I know.
29:15Get something going in, mate.
29:16It's okay.
29:17I know, I know.
29:17It's okay.
29:18Okay.
29:18I know, mate.
29:19That's probably the leg that's hurting you more than anything else.
29:21It's going to be a few stretcher from it.
29:23It's not my portion.
29:24It's okay.
29:24Well done.
29:25I know, mate.
29:25I know, I know, I know, I know.
29:26Well done.
29:27That's enough for now.
29:28That's it, mate.
29:29That's out.
29:29He's off this house.
29:30I'm going to sort this leg out.
29:34I'm at that.
29:35Squeeze.
29:35Well done, mate.
29:35Squeeze, mate.
29:36Squeeze.
29:38Squeeze.
29:39Squeeze.
29:39I know.
29:40I know, I know, mate.
29:41Keep squeezing.
29:44Squeeze.
29:45I'm in up there.
29:47Well done, Cian.
29:47You've been absolutely brilliant.
29:49I'm so brilliant.
29:49Sats are 100, BP is nice and stable, he seems sedated.
29:54The catnography has been solid.
29:56Yeah.
29:57Yeah.
30:02Amazing job, thanks, mate. Thanks, guys. Cheers.
30:04See you later.
30:06Kian will be taken by ambulance to Leeds General Infirmary,
30:10where staff will continue to care for him.
30:19In control, Chloe and Jerome are coming to the end of their 12-hour shift.
30:28I'm really sorry, but it's been mental.
30:31You know, I don't make an habit of leaving it with really old cat phrase,
30:35but it's just been flat out.
30:37No problem. Get yourself up.
30:39Thank you, and I shall see you bright and early in the morning.
30:43After operating at the highest demand for over 10 hours,
30:49the ambulance service de-escalates to CSP Level 3,
30:53but 138 patients are still waiting for an ambulance.
30:58What was yesterday like, Cam?
31:17Horrendous, mate.
31:19It's Tuesday, and the start of another 12-hour shift
31:23for call handler Cam.
31:25Today, he is joined by Cat.
31:29Ambulance service. Is the patient breathing?
31:31I won't be through. I need some food.
31:34OK, what's the telephone number that you're calling from,
31:36just in case the line's disconnected?
31:41Hello?
31:42The call in progress is from a patient well-known
31:45to the ambulance service.
31:47Kathleen, what is the reason
31:48that you require an emergency ambulance?
31:50PHONE RINGS
31:52In the last two weeks,
31:53she has made over 50 999 calls to the ambulance service.
32:00Kathleen, it's the ambulance service.
32:01You need to talk to me.
32:02You're holding up an emergency line.
32:04I need something to eat.
32:06OK, Kathleen, you've called 999
32:09for an emergency life-saving ambulance, OK?
32:11We cannot provide you any breakfast.
32:13I didn't say it was breakfast.
32:17OK.
32:18PHONE RINGS
32:19PHONE RINGS
32:20Can I help you?
32:21Hello, would you confirm the last number for me, please?
32:23OK, sir.
32:24Thank you. Kathleen?
32:26PHONE RINGS
32:28She keeps hanging up the line,
32:29but then BT keeps saying she's reconnecting,
32:31so she's just redialing straight away.
32:33Got you.
32:34Yeah, just ask it on this one.
32:35Ask this one.
32:36OK, so Kathleen, can you still hear me?
32:39Because she's not going to give you any answers.
32:41See if you can try her as much as you can.
32:43If not, we'll do as yesterday, cup it, and if not, send it to 111.
32:46Kathleen, the ambulance service is still on the line for you, OK?
32:50So when you're ready to talk to me, just let me know what's happening.
32:54PHONE RINGS
32:56I think she keeps pressing 999.
32:58You can hear it down in the buttons.
33:01Can we try and transfer it to 111?
33:04Right, I've sent it to them.
33:06So if she just follows the options, they'll sort her out.
33:09You never know what's going to happen then.
33:11So she's called nine times yesterday, 15 times on the 13th,
33:15the 12th, the 11th, the 9th, the 10th, the 7th, the 6th.
33:19PHONE RINGS
33:21Ambulance service. Is the patient breathing?
33:24Only just.
33:26Is the patient awake?
33:28No.
33:30I've got Kathleen.
33:32She said she's only just breathing.
33:34See what you can get from her.
33:36If she's talking normally, don't ineffective her.
33:38I already have.
33:40Kathleen's response has classified her as having ineffective breathing.
33:44The system has now automatically allocated her a category one ambulance.
33:50Tell him that we've got a care plan in place for this lady.
33:53Do they want to call it back, just because at the minute we're running as a cat one?
33:58Is the call handler gone? That's an ambulance gone.
34:01Even though she's a frequent...
34:03We have to go.
34:04We're going to have to travel, because what if she didn't?
34:07Oh.
34:12Are you Lindsay's patient breathing?
34:14Oh, yes, it's just a small kid that got hit with a car.
34:19And how old are you?
34:20Yes.
34:21He's 10 years old.
34:22Well, don't talk to me.
34:23I don't know.
34:24The parents are arguing with someone.
34:26Trying to get everyone to just remain calm for him for now, OK?
34:30Yeah.
34:311671 receiving over.
34:34Hiya, 1671.
34:37I've got a job for you, please.
34:39We've got a 10-year-old male being hit by a car.
34:43There is a lot of shouting and swearing in the background, so...
34:46Yeah, just let me know how you get on with this one, please.
34:49Yeah, Roger, not a problem.
34:50We're heading there now.
34:55So, they've said there's a lot of shouting and swearing in the background.
34:58Yeah, quite an aggressive scene.
34:59I can't imagine parents won't be up here.
35:01No.
35:02It's the worst thing as a parent to see one of your children hurt.
35:06Oh, it's outside Milan Street Docks, isn't it?
35:13Yeah, is it?
35:14Oh, far from it.
35:15Think for your streets down.
35:27So, no police here?
35:36Oh, is it that we're here to see?
35:39Is it this little man here?
35:48What's his name?
35:49Dominic.
35:50Dominic.
35:51Dominic, nice to meet you, sir.
35:52What's happened today?
35:54I got in a crash and my leg broke.
35:57You got in a crash?
35:59Was it this car here?
36:00Yeah.
36:01OK.
36:02How old are you, Dominic?
36:03Nine years old.
36:05And whereabouts is the pain?
36:07Can you point to it?
36:08On the...
36:09On the top?
36:10Yeah, the blue.
36:12Anything underneath?
36:13No.
36:14No pain.
36:15Can you wiggle your toes?
36:16No.
36:17And does this foot hurt?
36:19No.
36:20Not this bruise here?
36:21No.
36:22A little bit.
36:23A little bit.
36:24OK.
36:25So, what we're going to do is we're going to get our stretcher out of the ambulance.
36:29OK?
36:30We'll bring it here and then we can lift you onto the stretcher
36:33and we'll wheel you to the ambulance and we'll do all your checks there.
36:36Does that sound OK?
36:38Lovely stuff.
36:40Is this the driver?
36:42What happens in your words?
36:44Well, I was coming from that side.
36:46It goes very slowly.
36:47Yeah.
36:48And then one of the boys jumped out from the car, straight.
36:50He just hit the wing mirror.
36:52So, he's hit the wing mirror?
36:53Yeah, that's it.
36:54OK.
36:55His foot probably, I don't know, will get hit at the wheel or something like that.
36:57So, his foot's hit the wheel?
36:58Yeah.
36:59Probably potential that police are going to be coming down.
37:01Yeah.
37:02Are you all right just to stay where you are for now?
37:03Yeah, I'm all right, yeah.
37:04Perfect.
37:05So, Dad, do you want to get Dominic out of the car and we'll just sit him on here?
37:09Is that all right?
37:10What's your name, Mum?
37:12Alena.
37:13Alena.
37:14Alena.
37:15Yeah.
37:16Oh, that's funny.
37:17That's my wife's name.
37:18Any pain in your head?
37:24No, you don't have a headache.
37:26Can you see me OK?
37:28Yeah.
37:31Hello.
37:32Is it broken?
37:33We don't know without an x-ray, so we'll take him down to the hospital.
37:36He can have an x-ray done.
37:38Are you sister?
37:39I'm not, sister-in-law.
37:40Sister-in-law.
37:41Are you brother?
37:42Yeah, yeah, yeah.
37:43What's your name?
37:44Cammie.
37:45Cammie, nice to meet you, Cammie.
37:46I'm going to come and have a chat with your dad.
37:50Hi, sir.
37:51He's going to need an x-ray on his foot, OK?
37:53So we're going to take him down to the hospital.
37:55Do you want to come with us?
37:56Are you going to drive in your car?
37:58Yeah.
37:59Lovely.
38:03There's like a big monitor and it's just light.
38:06It shows my bones.
38:07Yeah.
38:08And if it's broken, they're just going to fix it.
38:10It won't hurt nothing.
38:12So, looking at the trainer, I would say there's a possibility
38:16that there's a tyre gone over your foot.
38:20Did you feel it go over your foot?
38:22Yeah.
38:25You're a strong lad, aren't you?
38:26Mm.
38:27Confident.
38:28Knows his worth, yeah?
38:29He's like, yeah.
38:30Yes, I am.
38:34It's lively down here, isn't it?
38:36And what's your postcode?
38:55I was 14.
38:56You live in Seacroft?
38:58That's where I'm from.
38:59Seacroft?
39:00Yeah, that's where I was born.
39:02How long have you lived in Seacroft for then, Dominic?
39:07I don't know.
39:09Seven or eight months.
39:10Seven or eight months?
39:11Yeah.
39:12Is that when you came from Czech Republic?
39:13No.
39:14We came from a long time ago.
39:15Was you a baby when you came from Czech Republic?
39:17I don't know.
39:18He was born here then.
39:19He was born in the UK?
39:24My mum was a youth worker in Seacroft when I was growing up.
39:28We knew everyone on the street.
39:29I think it helped me a lot with my job.
39:34I'd like to think that I can talk to the most people.
39:38I think I owe a lot of that to my upbringing and where I were born.
39:43I say to anyone that starts with the ambulance service,
39:46the job is probably 10% treating and 90% communication.
39:52So, do you know where that happened with the car?
39:55Who lives there?
39:57Hi.
39:58Brother's girlfriend.
40:00This brother?
40:01Cami's girlfriend?
40:03Is that who got on the back of the ambulance, Cami?
40:05Yeah.
40:06Yeah.
40:07I was going to give my niece to them.
40:10You was going to give your niece to them?
40:12What, as a present?
40:13No.
40:14Here, I have my niece.
40:15No, it's because I've got twins.
40:17You've got twins?
40:18Yeah.
40:19And you're 15?
40:20Yeah.
40:21Wow.
40:22Gypsy.
40:23Hi.
40:24How's it going?
40:25Good?
40:26Not that hard like people haven't seen.
40:27Not that hard?
40:28Are you getting much sleep on at night time?
40:30Yeah, yeah, yeah.
40:31Have you got family helping you?
40:33Yeah.
40:34Yeah.
40:36Do you have a girlfriend, Dominic?
40:37No.
40:38Why, you're a good-looking, strong lad.
40:41Surely the girls are after you.
40:45Are you going shy now?
40:46Over here.
40:47You can just about see the hospital now.
41:01Leeds is a city with a multitude of different communities.
41:09Someone from Leeds is called a liner.
41:14So long as you buy into what people of Leeds are about, anyone can be a liner.
41:21I'm proud that Leeds is somewhere that people can come from wherever they are, what circumstance
41:27are in, and call it their home.
41:30OK.
41:31Lovely to meet you, Dominic.
41:33Do I get a handshake?
41:35See you later, mate.
41:38And you look for a patient breathing.
41:39A patient breathing.
41:41Do you remember it?
41:42Yes.
41:44Mel's got Kathleen.
41:45Roger?
41:46Kathleen is calling the ambulance service for the sixth time today.
41:53Is the patient awake?
41:56Mel's got Kathleen. Roger!
42:00Kathleen is calling the ambulance service for the sixth time today.
42:05Is the patient awake?
42:09Another ambulance that was sent earlier to her as a Category 1 was refused entry.
42:14Just tell me exactly what's happened.
42:19She sounds like she's talking.
42:22So, I'm organising the help for you now. Just stay on the line for me, OK?
42:27Still go down to 6th with her.
42:28So, do you send the 111?
42:29Give her all the instructions and then clear the line.
42:33So, give me some instructions before I let you go, Kathleen, OK?
42:35We are just currently extremely busy in there at the moment.
42:38NHS 111 service are going to give you a call back on this number,
42:41so I need you to keep this phone line free.
42:43I do need to hang up now to take another call,
42:45but the help's all been in place for you, OK, Kathleen?
42:51OK, take care.
42:55You need to hang up the phone, Kathleen.
42:59She's not going to hang up the phone.
43:01It's her landline.
43:07She has cleared.
43:09Come.
43:11Have you checked Kathleen?
43:12Oh, yeah.
43:13She spoke to me.
43:14She spoke to you?
43:15Yeah, I got a full triage of a strip within, like, three minutes.
43:19You must have a tone to your voice.
43:21I just got a touch.
43:22You've got a magic touch.
43:23A magic touch.
43:24A magic touch.
43:25A magic touch.
43:26A magic touch.
43:27A magic touch.
43:28A magic touch.
43:29A magic touch.
43:30A magic touch.
43:31A magic touch.
43:32A magic touch.
43:33A magic touch.
43:34A magic touch.
43:35A magic touch.
43:36A magic touch.
43:37A magic touch.
43:38A magic touch.
43:39A magic touch.
43:40A magic touch.
43:41A magic touch.
43:42A magic touch.
43:43A magic touch.
43:44A magic touch.
43:45A magic touch.
43:46A magic touch.
43:47A magic touch.
43:48A magic touch.
43:49A magic touch.
43:50A magic touch.
43:51A magic touch.
43:52A magic touch.
43:53this is Rhys hello I am so sorry she's pretty cheery yeah the morale's been
44:10high over the last few hours why do you feel like you can't move from the chair
44:15at the moment I have a secondary progressive MS right diagnosed in 1994
44:22right so I'm a bit of a hero because I'm 31 years this May with it okay and as a
44:30result very stiff mm-hmm what you've noticed is taking me longer to get dressed
44:36and get undressed and do the stuff I usually do and is that do you do that
44:41independently normally yeah I just so it just feels like I'm wading through
44:46treacle type of thing okay we'll see if we can get you up see if you can start to
44:53un-stiffen these things Lindsay normally when Jill struggles with a movement
45:01normally would you be able to help her open movie it's too heavy doesn't trust
45:08spending all this okay she'll trust you guys yeah yeah I've got no chance you
45:13know right now we're gonna be task focused okay yeah we're gonna stand up
45:18all right we will not drop you okay I promise you worst case scenario we won't
45:24drop you okay I can't do it why because I can't reach it as I would usually reach it
45:39right let me help you okay okay right yep one two three four oh I've got you got it I've got you I've got that arm
45:51good good please don't let go I won't I've got you okay move forward a bit mm-hmm yep and take the brakes off
46:09this all right relax back on my knee for a second okay right move this round
46:21here yeah I've got you I've got you able to let go of this oh sugar right okay
46:27well done I should have a I should have a bell I should have a wheelchair in your footwear yeah
46:38should have water how often do you come up that was often I was just saying that I've got a nine
46:48year old and 11 year old my husband's jobs in London so I can't get up as often it's hard I
46:54mean the way she is at the moment she can't live independently the way she's been last three days
46:58yeah but this is the way that she is has been normally it's obviously the concern is this was
47:03a permanent change and that's what she's scared of as well yeah absolutely you don't mind me asking
47:10you seem like a little bit a little bit upset about it yeah yeah it's the single biggest heartbreak
47:15of my life what's happened to you and it's been so slow but it's so bad now and she's so resistant
47:21to you know she this is the way she's done it and this has got her this far and now I say to all
47:27that I think this is getting in the way of you having a better quality of life yeah but she won't be told
47:33she's the younger I'm the eldest steaks person by a clear three years bless her she cares though doesn't she she does yeah
47:49what I'm scared of is that I'm not gonna get back to where I was what in the chair in life
48:00right okay if you and Lindsay have an argument and she's like nah I'm sodding off and you're like oh
48:08well how am I meant to get something to eat now well she can't stay forever can't she no no she's got
48:13and yeah my carer's coming thirsty but then she's coming exactly then I'm on my own Friday is that
48:19playing in your head at all or has that been playing in survival it always is I really don't
48:28want to take you in but I think realistically we need to get you seen by people who are smarter and
48:34better trained than us right you good yeah ramp is in operation you are obviously I'm really open for
48:56the others because I can't control or I have to put my hands up and say yeah I'm this one I might be knackered
49:07and my it might get worse you seem to be faced with a very realistic mindset yeah yeah with that
49:19background of I'm still gonna fight which is amazing to see it's good to see but if it comes
49:27to the point where you need to accept more help start using things like that that chair I'm trying
49:33to do that I'm trying I've been trying to do that because this one knows exactly what I should be doing
49:42way before I did and she knows me 1671 receiving
50:04hands burn in fire and this is a house fire the fire is on seems I think everyone's safe and out of
50:17danger brilliant that's all received
50:211671 I year 1671 just so you know you have been diverted to a cardiac arrest
50:39a cardiac arrest for the vatican entry
51:09yeah if you stand down all of the resources unfortunately this patient is deceased
51:21so neighbor said last time was heard over a week ago do you encounter this kind of thing quite often
51:31and then in your role okay yeah the difficult from our aspect is where a tenant refuses support yeah
51:38there's also yeah security tried to offer him help he was adamant he wouldn't have it we got to
51:50people that are in quite severe medical need and they're still like yeah I can manage and you're
51:55like you can't though today you know
51:57people refuse help for a number of different reasons whatever that be they're ashamed almost
52:06of the proud person that they once were and and now they're unable to live the life how they used to
52:12and others it's because they have no one but I think that's due to life nowadays everyone's too busy
52:21to check in on the neighbor although the world's changed for the better in ways like that it's changed for the worst
52:30I'm pretty sure that he's Mexican so we can potentially get through to him
52:36does he live quite close by not close by okay
52:46hi it's Ryan from Yorkshire ambulance service
52:51um I'm just having to call you in regards to your dad so unfortunately this morning that the
52:58Leeds City Council have been run had to gain access to to his property and I'm sorry to tell you your dad's
53:05died I'm really sorry to tell you that this news over the phone and I understand that you're quite some
53:13distance away from your father right I'll I'll leave you leave your being once again I'm sorry for
53:20for having to pass on that information on to you today all right you'll you'll take care goodbye
53:26that was my grandma's favorite poem I had the the words to footprints titled on my arm there yeah
53:46just the end bit when I use the only one set of footprints that's what I kind of do
53:51very nice
53:53my mom was a single mom
53:59so we we laid heavy on my grandparents
54:04I had a very close relationship with them
54:11I lost my grandma about 12 years ago
54:18I think the job that we do we we learned that that's a natural process of life I'm glad that she
54:28got to see me join the ambulance service she was definitely proud of me she wrote poems and I write
54:36them now so maybe it's something that she's passed down and it can help me reflect on jobs
54:42we can't save everyone but so long as you can walk away from a job and think you've you've put your heart and soul into it and you've done everything that you can for that person then I don't know why anyone wouldn't be proud
54:58today has been a day of where I can go home and think we've made a difference yeah
55:10in Yorkshire's land where Greenhills roll
55:16a call comes in a lifeline's toll
55:21from Leeds to Harrogate
55:23up Whitby's shore
55:25the Yorkshire ambulance
55:27the Yorkshire ambulance
55:29is evermore
55:31call handler's voice
55:33sharp and clear
55:34hi everyone
55:35see you later
55:36takes down the details
55:38goodbye
55:39calms the fear
55:40the medics in the cab prepare
55:43for every twist
55:45for every scare
55:46with every patient a story told
55:48in every heart a bit of gold
55:51I've had such a good time I might stay on and do a night shift
55:56really?
55:57just carry it on yeah
55:58why not?
55:59yeah perfect mate
56:00so here's to those
56:01who heed the call
56:03in Yorkshire's name
56:07they give her her all
56:09from start to end
56:12they serve with cheer
56:14Yorkshire ambulance
56:17ever near
56:19a
56:32the
56:34the
56:36the
56:42the
56:46the
56:47the
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