- 4 hours ago
Ambulance - Season 15 Episode 6 -
Don't Let Go
Don't Let Go
Category
😹
FunTranscript
00:00Two cars head on.
00:02This lady has been on the floor since 5 a.m.
00:06It's a two-year-old who's been stabbed over.
00:09Every day across Yorkshire, more than 3,000 people call 999.
00:14He's just not breathing!
00:16He's pregnant!
00:18He's trying to borrow petrol load gases.
00:21The ambulance service must decide who gets help.
00:25Andre.
00:26We're going to look after you, mate.
00:27We've got you.
00:28Can I get you covered up?
00:30Lovely, jubbly.
00:31And 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.
00:49All right, kid. Well done.
00:51From the busiest cities...
00:52Chaos 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.
01:00...where each call is a crisis...
01:02I've got a five-year-old found wandering in the street.
01:05Naked, malnourished.
01:07God, it breaks your heart. It's awful.
01:09...and every decision critical.
01:11Hello! Where are we going?
01:12You're all right!
01:13Please get the kids out of here!
01:14Where are they going to land in the middle of Bratford?
01:17We go beyond the flashing blue lights...
01:20Go! Go! Go! Go! Go!
01:22...to reveal the human stories behind every siren.
01:26You said you really want to do it?
01:27Absolutely.
01:28Thank you for coming.
01:29You don't have to thank us.
01:31You do.
01:32If you've got manners, you do.
01:34Are we all ready to set sail?
01:36Get her going!
01:37Get her going!
01:38Ha ha ha!
01:48Compulence services the patient breathing.
01:51It's me brother.
01:53He's got difficulty in breathing.
01:56He keeps saying he's dying.
01:58I've gone, they say.
01:59His eyes are closed.
02:01Just keep trying to reassure him for me, okay?
02:04I'm going to be honest here, I'm setting from eight to four.
02:07I know.
02:08Just try and stay nice and calm.
02:09You're doing really well.
02:10I'm so excited.
02:17Receiving.
02:19Got a crew on scene at this one, 1466.
02:22This is a 68-year-old male.
02:24Kevin has a difficulty breathing,
02:25but on arrival is now peri-arrest of her.
02:29Yeah, that's received.
02:30On room now.
02:31Leads crew, Ryan and Tom, are immediately dispatched to the Category 1 emergency,
02:38the ambulance service's highest priority.
02:48Already on scene is crew 1466, who have begun assessing the patient.
02:54All right, guys?
02:55Stephen's woke up about half past seven.
02:56Yeah.
02:57Feeling immediately short of breath.
02:58Right.
02:59No chest pain.
03:00Sat on her elbow just to die.
03:01Right.
03:02I'm going to have a quick listen to your chest, buddy, okay?
03:04Nice deep breath in for me, Stephen, bud.
03:05I can't.
03:06I'm going to have a...
03:07I can't.
03:08I'm going to have a...
03:09I'm going to have a...
03:10All right, we're going to look after you, mate.
03:12Stephen is in peri-arrest and his health is deteriorating rapidly.
03:16Let's get you into hospital then.
03:18Oh, my God.
03:20I don't know.
03:22I'm going to...
03:24I don't know.
03:25No, no.
03:26Oh, my God.
03:27Stephen is in peri-arrest and his health is deteriorating rapidly.
03:31rapidly without urgent medical treatment he's at risk of going into cardiac arrest
03:54do you think you're going to be able to stand up on your own being honest
03:57yeah steven time is a bit of the essence can we can we start helping you a little bit
04:05just use your legs i just want you to push down in your feet mate okay one two three up you come
04:13well done mate turn towards tom we've got you don't we don't keep going down we go down we go
04:22yeah we do try
04:41hello saint james i've got a medical for you stephen is en route to saint james's hospital six and a
04:47a half miles away where staff are on standby to act immediately all right bud
04:58not straight is that
05:17this is steven saturating at 55 on room air 100 or two on we're only managing to get it up to like
05:2479 at best my name's amy i'm one of the nurses you're in good hands all right
05:33you're all right steve bud you've got everyone around that you need
05:47we would advise us based on information that we've been given that we would do chest compressions
05:52in order to help until the ambulance crew does arrive
05:56in control call handlers cam and ellie are already facing a surge of monday morning emergency calls
06:04notice you need to pump a chest hard and fast 30 times you need to keep going for me one two three
06:10four they are part of a 27-person team who have already received 94 calls in the first hour of their
06:18shift i told you mondays are the new saturdays responsible for allocating each emergency call
06:26our dispatchers chloe and jerome i'll wait for my coffee how many cups of coffee do you have a day as
06:33well about 47 part yeah between them they will coordinate 57 resources across leeds the most
06:43populated city in yorkshire home to over 800 000 people
06:48and what service is the patient breathing um the patient's breathing i'm ringing about my husband
07:04his name is fred during the night he's got very confused trying to get into rooms that are not there
07:11and he's laid on the floor now okay and so at the moment is the patient breathing oh god i just can't
07:18hear you properly i'm really sorry it's fred breathing now it is yeah here we go 1671 receiving
07:31and now they've fallen on the floor again patient conscious and breathing yeah thank you for the
07:44update we'll head over there this guy's been having a few falls on it soon isn't it yeah and he's right
07:5289 yeah yeah that's it ryan and tom are six minutes away from the patient who is in osmanthorpe
08:01two miles east of the city center nearly there now hello ambulance service i think she just stood
08:19at all right hello what's his name fred fred fred what's your name norma norma hello fred nice to meet
08:29you all right i don't know what to do don't worry we'll do everything now are you happy if we get
08:37you off this floor i can't hear you no problem let's get you up fred bud
08:45fred i'm free we're gonna stand up one two three let's pop you on this bed fred
09:01oh we're very unsteady are we bud slip back slip back there we go oh there we are
09:09get her lay down no look at me you do a big smile for me
09:15lovely very nice one you give my hands a good squeeze squeeze out don't be shy squeeze his hands
09:23well squeeze your hands like that yeah lovely should we get you laid up in this bed for a
09:30couple of minutes just while we finish our assessment fred what did you used to do for work
09:39i worked for a few things i was to find another way at one time yes i threw a call in fire
09:46was that a hard job yes hard work yeah hard work you've got proper workers hands in here
09:56where was that taken talking talking it looks like you're abroad there no i've never been abroad
10:03you've never been abroad really no i won't fly yeah fair enough why won't you fly
10:09i just i can't imagine being fastened in an enclosed space up in the sky
10:17fair enough now you put it like that yeah
10:22because of what's happened today and the fact fred's fallen and he's banged his head
10:26he's got quite a big lump on me on his eye i wonder where that blood come from possibly from there
10:33we're gonna have to take him up to the hospital
10:35he's going to need looking at by the doctors and possibly a scan on his head
10:43i've got you fred don't worry well done perfect look at this how do we have it fred over to the side
10:53do you want
10:56i'm laughing at you now is that how he has it normal we'll have all the nurses after you now
11:01all right i'll see you later love
11:08normal are you shutting this door behind us my love all right you take care normal
11:19fred is being transferred the one and a half miles to saint james's hospital
11:23here we go here we are i'll get some eating on for you fred lovely
11:38when i was younger we used to get called a busy body because if there were ever any drama i always
11:43wanted to be there but i've always wanted to be the one that made people's days that bit better
11:49i was born in leeds the street that i grew up on it was called the rain and i think i could probably
11:58go into 90 percent of people's hours without knocking on the door that's how how close the community was
12:05the older generation that lived there that they remember how it were
12:08it was a very very community-based area but leeds is a large city now that's becoming larger by the day
12:23just waiting on ryan to come back we'll get you through can't hear me can you no
12:29we'll be leaving you now you're leaving don't you i am all right well it's been lovely to meet you
12:41i'll miss you too all the best lovely to meet you okay then see you later
12:45see you later
12:55did he say he lived there 56 years yeah i bet he's seen some right changes around that area
13:00i bet he used to be really really quiet back in day you know 56 years ago half of the mountains
13:05probably weren't even there no no and now he's in a concrete jungle isn't he he is
13:11he's 89 and independent you can't complain at that no it's like no we're not at that stage yet we
13:22don't need a stair lift a bit tough for that generation though aren't they hard as nails aren't they yeah
13:28oh yeah
13:38ambulance service is the patient breathing uh yeah she's literally she's pregnant and she's been
13:45listen listen to me is the patient awake you should awake just been spewing up in the water
13:51and they literally go in all over the kitchen.
13:54Yorkshire Ambulance Service is now receiving over 220 999 calls per hour.
14:00OK, just keep her awake and turn her gently on her side as she wakes up.
14:04I do just have to advise that due to how busy we are,
14:06the standard time frame in the area is showing anywhere up to two hours.
14:10In times of high demand, the service escalates its clinical safety plan.
14:15Guys, level three. Free, free, free. Mel.
14:17Which means it prioritises emergency ambulances to the most poorly and vulnerable patients.
14:23Well, I'd be on my way.
14:25They are coming to you as quickly as they can, OK?
14:27Yeah.
14:28Right.
14:31Ellie is on her 33rd call of the shift.
14:36Just keep yourselves calm. I know it's scary, all right, but just try and keep yourselves calm.
14:41What?
14:42Are they there?
14:44Yeah, they are.
14:45Right, I'll leave you with the crew, all right? Take care.
14:49There are currently 186 patients waiting for an ambulance.
14:54So I'm organising to help for you now. Stay on the line.
14:57With a new call being received every 15 seconds.
15:00Is she completely alert?
15:02And wait times are continuing to lengthen.
15:05I just want to know when it's going to come in.
15:07At the moment, it could be anywhere around one hour and 50 minutes.
15:11Oh, my gosh.
15:12One hour and 50 minutes is too much.
15:14I know, but I'm afraid there's nothing that can be done about that.
15:17That is just due to the high volume of calls at the moment.
15:19Jerome, can I take 1373 for a cat two at Batley, please?
15:24No, I'm going to need them. Sorry.
15:27Just gone to CSP level four.
15:29Got 97 just waiting in west at the moment and we're approaching 200 over Yorkshire, so just thought I'd let you know, all right.
15:37With CSP level four in place, lower priority calls won't be sent an emergency ambulance.
15:44Instead, they will receive alternative support.
15:47Got no available resources at all at the moment.
15:50What a day.
16:031692, Luke and Regan have just become available.
16:09Now you're 1692, I've got a job to pass to you, please.
16:15Yeah, go on.
16:17We've got an elderly female.
16:18Mel Mollie, she's fallen over.
16:20She's got a nosebleed and an arm injury.
16:22The call did come in to us.
16:25Water to two, so we're talking 45 minutes.
16:28So hopefully we'll get to her pretty quick.
16:32Yeah, we are on our way to her, bless her.
16:37The crew have been dispatched to Pudsey, where the patient has fallen outside a library.
16:4445 minutes for a 91-year-old.
16:46We are, what, like six miles away from where the closest available resource is?
16:50Yeah.
16:50It's sad.
16:51Hello, Mollie.
17:05Can I have a look at this arm of yours?
17:08Oh, God.
17:08Oh, dearie me.
17:09I didn't realise that was there.
17:10What a mess.
17:13Yes, love, if you can get to it.
17:15I'll finish wrecking the place, shall I?
17:19All right?
17:20Yes.
17:21Is this painful?
17:23I can imagine.
17:25One Christmas Eve many years ago, I broke both.
17:30Both what?
17:32Elbows.
17:33Oh, Mollie, you do not have much luck.
17:36I'm going to get you to our ambulance, and we're going to have a good look at you on the ambulance.
17:46Shove you up, eh?
17:47We're doing that, Mollie.
17:49Don't you worry.
17:50Your day's obviously panned out a little bit differently to how you expected, hasn't it, Mollie?
17:55You know, I thought I was doing wonderful.
17:58I was on my way to B&M.
18:00Oh, and what did you get from B&M?
18:02Some...
18:03Well, they didn't have what I wanted.
18:05I wanted some cream crackers, and I got some toothpaste.
18:08Right, so, Mollie, we need to have a look at you, and we're going to try and get your arm and your shoulder more comfortable, but we need to assess what's wrong with it.
18:18So, are you okay for us to take your coat off?
18:21Bless her.
18:24Heating's on.
18:25I'm loving your little outfit.
18:27This is very trendy.
18:28Ooh, ooh, ooh, ooh.
18:29What have I done?
18:30Ooh, ooh, ooh, ooh.
18:31Right, keep it there.
18:32Okay.
18:33Okay?
18:34Keep it there.
18:35It might be a case that your worst injury might be your arm, it seems to be.
18:39Oh, it is.
18:40Yeah.
18:42She's told you.
18:43I know, yeah, that's me told, isn't it?
18:45Is it broken?
18:46Chances are, yes.
18:48Your shoulder potentially is out, but I can't fully assess you at this present minute.
18:53No.
18:54Erm, so, what we're going to do is...
18:58Take me in.
18:59Oh, yes.
19:01Luke's going to support your back.
19:03I'm going to swing your legs up.
19:08Are you comfortable like that, Molly?
19:10Yes.
19:11Are you sure?
19:13Can you do the head a bit?
19:15Yes, we will get that sorted.
19:18We just want to also...
19:21Molly, give you some pain relief, because you're clearly in a lot of pain.
19:25All right?
19:26We'll support your arm in a couple of ways,
19:29so you can't feel it when we're moving about as much, okay?
19:32We need to get this arm out of the sleeve, okay?
19:43You know, when you fell,
19:45did you go dizzy or anything before you fell?
19:47No.
19:48Okay.
19:51Did you trip over something?
19:52I tried to stop myself, and there was no chance.
19:56Molly.
19:58Right, Molly.
19:59So, this is gas and air.
20:01I want you to breathe in and out through this straw.
20:04Right, and breathe in.
20:07Perfect.
20:08Nice, low, deep breaths for me.
20:10Okay?
20:15Right then, Molly.
20:17Molly, Molly, Molly, Molly.
20:18Yes, yes, yes.
20:19No, no, no, no, no, no, no, no, no.
20:28Stop panicking.
20:30I need you to stop panicking.
20:31I need you to slow your breathing down.
20:34You are panicking breathing, yeah.
20:36Okay?
20:37Slow it down.
20:38I'm not going to let anything bad happen to you, okay?
20:44All right.
20:47What part's that now?
20:48Oh!
20:55Yep, yep, yep, yep, yep.
20:56Yep, I've got it.
20:57I've got it.
21:07A few more bumps.
21:08Full of bumps.
21:11You've had a bit of an eventful day, haven't you?
21:17Oh, Molly.
21:19Can I adopt you?
21:20All right.
21:21Because you're amazing.
21:27All right.
21:39Ambulance service, is the patient breathing?
21:41Is the patient awake?
21:42Tell me exactly what's happened.
21:45Yorkshire Ambulance Service has now been operating at the highest demand level for four hours.
21:50Are you able to make your way to hospital without an ambulance at the moment?
21:54I can only breathe, I can only walk five yards.
21:57The average wait time for category three patients is now two and a half hours.
22:05Ambulance service, is the patient breathing?
22:08Yes.
22:09Okay, tell me exactly what's happened.
22:12I'm calling about myself, I am pregnant and I am getting bleeding from my vagina.
22:20How many weeks pregnant are you?
22:23Eight weeks.
22:24Okay, so I'm organising the help for you.
22:28Stay on the line and I'll tell you exactly what to do next.
22:30Okay.
22:31So you need to assume the most comfortable position.
22:33Just take a deep breath between any pain that you're having.
22:38All right.
22:39Okay, is there any serious bleeding?
22:44Yes.
22:47You're doing well, okay.
22:48We've got the help all organised for you.
22:52We will aim to respond to you as soon as we can, but we're experiencing an extremely hard demand for the service.
22:57At the moment in your area, the current waiting times could be three hours.
23:01But with the current pressures, that is likely to be significantly longer.
23:05You may be able to access some help faster by making your own way to an emergency department.
23:09Okay, all right.
23:13I would rather wait for the ambulance.
23:15You're going to wait?
23:16Okay.
23:17So in that meantime, you need to keep your telephone line free because you may be called back.
23:22But if your condition changes or if you no longer require this ambulance, you are to call us back on 999, okay?
23:28Yes, I'm fine.
23:30All right then, take care.
23:31All right, thank you.
23:33All right, you're more than welcome.
23:54Ambulance, the patient breathing.
23:56I can't see in the car, all the airbags have gone off.
23:59There's been an RTT with a car and a lorry on the M606 towards Bradford.
24:05Right, so how many patients can you see?
24:08It looks like three at the moment.
24:11There's a driver, a child and then a passenger.
24:13There's other people in the car by the look of it.
24:15I think they're trying to get in now.
24:17Hi, Zach, it's Nick on the quick care desk.
24:20I'm just getting reports of an RTT that's coming in on the M606.
24:25Are you okay if I give you a bit of an update around what's going on?
24:27Yeah, please, mate, go ahead.
24:29So it's looking like we've got three patients, one adult patient and two children.
24:34And there's an 11-year-old who has reported the unconscious.
24:37And it's going to be a multi-agency response.
24:40Yeah, Roger, all received, mate.
24:42Thanks very much.
24:43Specialist paramedic Zach is eight minutes away.
24:47Also en route are three ambulances, a team leader and Yorkshire's Air Ambulance Service.
24:53As the first clinician on scene, Zach needs to identify who requires the most urgent medical treatment.
25:10Three vehicle RTC, wagon and wagon behind us.
25:24Mum and Dad here with the youngest son.
25:26We've got Kian, head injury, leg injury.
25:30He's on O2 at the moment.
25:31We are trying to keep C-spine stable.
25:33Are you telling me he's all right?
25:39Kian, my name's Zach.
25:40I'm one of the paramedics.
25:41Where are you hurting, buddy?
25:43Kian?
25:44Look at me, buddy.
25:46Where are you hurting, mate?
25:48Daddy's got a decent leg to his head.
25:51Yeah, son, I think he's six.
25:53He's got a hurting ankle.
25:55And this kid in here is 11, reduced GCS with a head injury.
25:58My plan for him, pin this door back.
26:01Get a board in and just get him out.
26:03And then we can proper look in.
26:04Yeah.
26:05I want him laying down on the board, yeah?
26:07So, sit him onto it, lay his back down, slide him up it.
26:11Once he's out, we're going to go straight onto the stretcher, which will be here.
26:14Get him immediately onto an ambulance.
26:16And then we can have a look in properly.
26:18Thanks, buddy.
26:33No, no, you're fine.
26:38Hi, can you leave Hems running, please?
26:40We've got an 11-year-old male, GCS 13.
26:45Yeah, all received, mate.
26:46I'll update.
26:47So, Hems, 11-year-old male, GCS 13 out of 15.
26:50Loss of one to iron, two to voiceover.
26:57Main issues are head and leg.
27:01Mate, could you try and cut his socks and shin pads down?
27:05And if you can, get his shoes off without.
27:06Yeah, yeah, yeah.
27:07Is that right?
27:08Just squeeze that hand from it.
27:15I'm going to try and put a candle in here, mate, but I'm not convinced.
27:19Zach needs to administer pain relief to Kian
27:22in order to straighten his leg and ensure blood circulation.
27:30Do you want a hand holding me?
27:31If you want mine, that'd be sweet.
27:35Keep squeezing.
27:36Ah, fine.
27:36Do you want me to go to get him?
27:37Yeah, would you just let him on?
27:43Hey, Stu, how are you, mate?
27:44Interesting.
27:45Yeah, so, 11-year-old, backseat passenger.
27:50My biggest concern is a head injury and this mishar femur.
27:53We've had about four guys at cannulating and can't get any access.
27:56Has he talked to us?
27:57He's sort of talking to us, yeah.
27:59What's his name?
28:00Kian.
28:00Kian.
28:01I'll go and figure him out.
28:04Right, have you got any other options?
28:06We've got an IO option.
28:07Yeah.
28:08So, humeral IO.
28:10I'd say if we can't get anything in the...
28:12Couple of minutes, yeah.
28:13Yeah.
28:14Yeah.
28:15So, we need to put an intraosseous needle in because we're unable to get intravenous access.
28:21We want to give him some station and sort out this femur.
28:24So, we've got that drill.
28:26Intraosseous access delivers medication directly into the bone marrow.
28:33It's commonly used in children who are often harder to cannulate.
28:37Can you squeeze his hands and you squeeze his hand?
28:40That's it.
28:41Right.
28:42Strong.
28:43Kian, it's going to feel a bit strange, mate.
28:45Okay.
28:46It feels a bit strange, but it's absolutely fine.
28:49All right, buddy.
28:50Kian, needle coming up.
28:52Squeeze my hand, won't you?
28:54That's it, mate.
28:55That's it.
28:56It's okay.
28:57It's all right, buddy.
28:58You're doing really well.
28:59It's okay, mate.
29:00It's okay.
29:01Well done, buddy.
29:02Well done.
29:03You squeeze.
29:04Squeeze his hands.
29:05You squeeze.
29:06That's it.
29:07Okay.
29:08Doing really well.
29:09This might sting a little bit, but it's completely normal, buddy.
29:11All right.
29:12Well done, mate.
29:13Are you ready?
29:14Big squeeze.
29:15Okay.
29:16I know.
29:17Get something going in there.
29:18It's okay.
29:19I know, I know.
29:20It's okay.
29:21That's probably the leg that's hurting you more than anything else.
29:23It's going to make you feel better from this.
29:26Well done, well done.
29:27I know, I know.
29:28I know, I know.
29:29Well done.
29:30Right, that's enough medicine for now.
29:31That's it, mate.
29:32It's off.
29:33It's off.
29:34I'm going to sort this leg out.
29:35Squeeze.
29:36Squeeze, squeeze, squeeze, squeeze.
29:38Squeeze.
29:39Squeeze.
29:40I know.
29:41I know, I know, mate.
29:43It's okay.
29:44Keep squeezing.
29:45Squeeze.
29:46I'm in up here.
29:47Well done, Kian.
29:48You've been absolutely brilliant.
29:49Absolutely brilliant.
29:50Sats are 100.
29:51BP's nice and stable.
29:52He seems sedated.
29:53Capnography has been solid.
29:54Yeah.
29:55Yeah.
29:56Amazing job.
29:57Thanks, mate.
29:58Thanks, guys.
29:59Cheers.
30:00See you later.
30:01See you later.
30:02Kian will be taken by ambulance to Leeds General Infirmary, where staff will continue to care
30:14for him.
30:19In control, Chloe and Jerome are coming to the end of their 12-hour shift.
30:26Are you all right?
30:27I'm really sorry, but it's been mental.
30:28You know, I don't make an habit of leaving it with really old cap phrase, but it's just
30:33been flat out.
30:34No problem.
30:35Get yourself up.
30:36Thank you, and I shall see you bright and early in the morning.
30:47After operating at the highest demand for over ten hours, the ambulance service de-escalates
30:53to CSP Level 3, but 138 patients are still waiting for an ambulance.
31:00What was yesterday like, Cam?
31:19Horrendous, mate.
31:22It's Tuesday, and the start of another 12-hour shift for call handler Cam.
31:27Today, he's joined by Cat.
31:30Ambulance service.
31:32Is the patient breathing?
31:33I won't be through.
31:35I need some food.
31:36OK, what's the telephone number that you're calling from, just in case the line's disconnected?
31:40Hello?
31:44The call in progress is from a patient well known to the ambulance service.
31:49Kathleen, what is the reason that you require an emergency ambulance?
31:54In the last two weeks, she has made over 50 999 calls to the ambulance service.
32:02Kathleen, it's the ambulance service. You need to talk to me.
32:05You're holding up an emergency line.
32:07I need something to eat.
32:09OK, Kathleen, you've called 999 for an emergency life-saving ambulance, OK?
32:14We cannot provide you any breakfast.
32:16I didn't say it was breakfast.
32:19OK.
32:20PHONE RINGS
32:22Can I help you?
32:24Hello, would you confirm the last number for me, please?
32:26OK, sir.
32:27Thank you. Kathleen?
32:28PHONE RINGS
32:30She keeps hanging up the line, but then BT keeps saying she's reconnecting,
32:33so she's just re-dialing straight away.
32:35Got you.
32:36Yeah, just ask it on this one.
32:37Ask this one.
32:38OK, so Kathleen, can you still hear me?
32:41Because she's not going to give you any answers.
32:43See if you can try her as much as you can.
32:45If not, we'll do as yesterday, cup it, and if not, send it to 111.
32:50Kathleen, the ambulance service is still on the line for you, OK?
32:53So when you're ready to talk to me, just let me know what's happening.
32:58PHONE RINGS
32:59I think she keeps pressing 999.
33:01You can hear it, dialing the buttons.
33:03Yeah, she keeps dialing the buttons.
33:04Can we try and transfer it to 111?
33:06Right, I've sent it to them.
33:08So if she just follows the options, they'll sort her out.
33:11You never know what's going to happen then.
33:13So she's called nine times yesterday, 15 times on the 13th,
33:18the 12th, the 11th, the 9th, the 10th, the 7th, the 6th.
33:22PHONE RINGS
33:24Ambulance service.
33:25Is the patient breathing?
33:27It's not the only guilt.
33:29Is the patient awake?
33:30I've got Kathleen.
33:34She said she's only just breathing.
33:36See what you can get from her?
33:38If she's talking normally, don't ineffective her.
33:40I already have.
33:42Kathleen's response has classified her as having ineffective breathing.
33:46The system has now automatically allocated her a category one ambulance.
33:52Tell him that we've got a care plan in place for this lady.
33:56Do they want to call it back just because at the minute we're running as a cat one?
34:00Is the call handler gone?
34:02That's an ambulance gone.
34:04Even though she's a frequent...
34:06We have to go.
34:07We're going to have to travel because what if she didn't?
34:10Oh!
34:11..and you're in this patient breathing?
34:16Yes, it's just a small kid that got hit with a car.
34:21And how old is he?
34:22Yes, he's 10 years old.
34:24Well, don't talk to me.
34:26I know the parents are giving me someone...
34:29..trying to get everyone to just remain calm for him for now, OK?
34:351671 receiving over.
34:38Hi, yeah, 1671.
34:39I've got a job for you, please.
34:41We've got a 10-year-old male being hit by a car.
34:45There is a lot of shouting and swearing in the background, so...
34:48Yeah, just let me know how you get on with this one, please.
34:52Yeah, Roger, not a problem. We're heading there now.
34:54So, they've said there's a lot of shouting and swearing in the background.
34:59Yeah, quite an aggressive signal.
35:01I can imagine parents won't be happy.
35:03No.
35:04It's the worst thing as a parent to see one of your children hurt.
35:13Oh, it's outside my land street. Doctus, isn't it?
35:15Yeah, not far from it.
35:17I think a few streets down.
35:24There's no police here.
35:29So, no police here?
35:40Oh, is it that we're here to see?
35:43Is it this little man here?
35:50What's his name?
35:51Dominic.
35:52Dominic.
35:53Dominic, nice to meet you, sir.
35:55What's happened today?
35:59You got in a crash?
36:01Was it this car here?
36:02Yeah.
36:03OK.
36:04How old are you, Dominic?
36:06Nine years old.
36:07And whereabouts is the pain?
36:09Can you point to it?
36:11On the...
36:12On the top?
36:14Anything underneath?
36:16No pain.
36:17Can you wiggle your toes?
36:18No.
36:20And does this foot hurt?
36:22Not this bruise here?
36:24A little bit.
36:26OK.
36:27So what we're going to do is we're going to get our stretcher out of the ambulance.
36:32OK?
36:33We'll bring it here and then we can lift you onto the stretcher and we'll wheel you to the ambulance and we'll do all your checks there.
36:38Yeah.
36:39Does that sound OK?
36:40Lovely stuff.
36:43Is this the driver?
36:44What happens in your words?
36:46Well, I was coming from that side.
36:48It goes very slowly.
36:49Yeah.
36:50And then one of the boys jumped out from the car.
36:52Straight.
36:53Just hit the wing mirror.
36:54So he's hit the wing mirror?
36:55Yeah, that's it.
36:56OK.
36:57But his foot probably, I don't know, get hit at the wheel or something like that.
36:59So his foot's hit the wheel.
37:01Probably the potential that police are going to be coming down.
37:03Yeah.
37:04Are you all right just to stay where you are for now?
37:06Yeah, I'm all right, yeah.
37:07Perfect.
37:08So, Dad, do you want to get Dominic out of the car and we'll just sit him on here?
37:11Is that all right?
37:13What's your name, Mum?
37:14Alana.
37:15Alana.
37:16Alana.
37:17Yeah.
37:18Oh, that's funny. That's my wife's name.
37:25Any pain in your head?
37:27No, you don't have a headache.
37:29Can you see me OK?
37:31Yeah.
37:34Hello.
37:35Is it broken?
37:36We don't know without an x-ray, so we'll take him down to the hospital.
37:39He can have an x-ray done.
37:40Are you sister?
37:41No, sister-in-law.
37:42Sister-in-law.
37:43Are you brother?
37:44Yeah, yeah, yeah.
37:45What's your name?
37:46Cami.
37:47Cami, nice to meet you, Cami.
37:48I'm going to come and have a chat with your dad.
37:52Hi, sir.
37:53He's going to need an x-ray on his foot.
37:55OK, so we're going to take him down to the hospital.
37:57Do you want to come with us?
37:58Are you going to drive in your car?
38:00Yeah.
38:01Lovely.
38:04There's like a big monitor, and it's just light.
38:07Shows my bones.
38:08Yeah.
38:09And if it's broken, they're just going to fix it.
38:11It won't hurt nothing.
38:13So, looking at the trainer, I would say there's a possibility that there's a tyre gone over your foot.
38:22Did you feel it go over your foot?
38:24Yeah.
38:25You're a strong lad, aren't you?
38:28Mm-hmm.
38:29Confident.
38:30Knows his worth, yeah?
38:31He's like that, yeah.
38:32Yes, I am.
38:36It's lively down here, isn't it?
38:38What's your postcode?
38:39That was 14.
38:40You live in Seacroft?
38:41That's where I'm from.
38:42Yeah, that's where I was born.
38:44How long have you lived in Seacroft for then, Dominic?
38:45I don't know.
38:46Seven or eight months.
38:47Seven or eight months.
38:48Seven or eight months.
38:49Yeah.
38:50Is that when you came from Czech Republic?
38:51No, we did a long time for them.
38:52Well, we did a long time for them.
38:53For them.
38:54Why?
38:55What are you doing?
38:56What are you doing?
38:57What's your postcode?
38:58That was 14.
38:59You live in Seacroft?
39:00That's where I'm from.
39:01Seacroft?
39:02Yeah, that's where I was born.
39:03How long have you lived in Seacroft for then, Dominic?
39:08I don't know.
39:10Seven or eight months.
39:12Seven or eight months.
39:13When, did, is that when you came from Czech Republic?
39:15No, we did, a long time for them.
39:16No, we didn't get a long time ago.
39:18Was you a baby when you came from Czech Republic?
39:20I don't know, he was born here, innit?
39:22He was born in the UK?
39:26My mum was a youth worker in Seacroft when I was growing up.
39:30We know everyone on the street.
39:33I think it helped me a lot with my job.
39:36I'd like to think that I can talk to most people.
39:40I think I owe a lot of that to my upbringing and where I were born.
39:45I say to anyone that starts with the ambulance service,
39:48the job is probably 10% treating and 90% communication.
39:54So, do you know where that happened with the car?
39:57Who lives there?
39:59My brother's girlfriend.
40:02This brother?
40:03Cami's girlfriend?
40:05Is that who got on the back of the ambulance, Cami?
40:07Yeah.
40:08I was going to give my niece to them.
40:12You was going to give your niece to them?
40:14What, as a present?
40:16Here, I have my niece.
40:17It's because I've got twins.
40:19You've got twins?
40:20Yeah.
40:20And you're 15?
40:21Yeah.
40:22Wow.
40:23Gypsy.
40:24Gypsy.
40:26How's it going?
40:27Good.
40:28Not that hard like people have seen.
40:30Not that hard?
40:31Are you getting much sleep on at night time?
40:32Yeah, yeah, yeah.
40:33Have you got family helping you?
40:35Yeah.
40:36Yeah.
40:38Do you have a girlfriend, Dominic?
40:39No.
40:41Why, you're a good-looking, strong lad.
40:43Surely the girls are after you.
40:47Are you going shy now?
40:57Over here.
40:59You can just about see the hospital now.
41:08Leeds is a city with a multitude of different communities.
41:14Someone from Leeds is called a liner.
41:17So long as you buy into what people of Leeds are about, anyone can be a liner.
41:24I'm proud that Leeds is somewhere that people can come from wherever they are, what circumstance
41:29are in, and call it their home.
41:31OK.
41:32Please, Dominic.
41:33OK.
41:34Lovely to meet you, Dominic.
41:35Do I get a handshake?
41:39See you later, mate.
41:40TREATENING
41:52Ambulance service is the patient breathing.
41:54Very good.
41:56Yes!
41:57Mel's got Kathleen.
42:00Roger!
42:01Kathleen is calling the ambulance service for the sixth time today is the patient awake
42:08another ambulance that was sent earlier to her as a category one was refused entry just tell me
42:17exactly what's happened she sounds like she's talking so I'm organizing the help for you now
42:26just down the line for me okay still go down six with her give her the instructions and then you
42:33clear the line so I'm giving instructions before I let you go Kathleen okay we are just currently
42:38extremely busy in there at the moment NHS 111 service are going to give you a call back on
42:43this number so I need you to keep this phone line free I do need to hang out to take another call
42:47but the help's all been in place for you okay Kathleen okay take care you need to have the phone
42:58Kathleen she's not gonna she's not gonna hang up the phone she has cleared come over sir Kathleen oh yeah
43:14she spoke to me she spoke to you yeah I got a full trailer strip within like three minutes you must
43:22have a turn to your voice I just got a touch you've got a magic touch it's a magic touch
43:26central Leeds crew 1696 Matt and Reese are attending a patient who has waited 10 hours for an ambulance
43:48there's there's 20 there 11 there hiya hello I'm Matt this is Reese hello I am so sorry do you know what it's been a serious setting we've had a really good laugh just going down this is this is like this is like
44:08oh my book she's pretty cheery yeah the morale's been high over the last few hours why do you feel like
44:16you can't move from the chair at the moment um I have um secondary progressive MS right diagnosed in
44:221994 right so I'm a bit of a hero because I'm 31 years this May with it okay and as a result very stiff
44:32mm-hmm but I've noticed it's taken me longer to get dressed and get undressed and do the stuff I usually do and is that do you do that independently normally yeah I just so it just feels like I'm
44:46wading through treacle time saying okay we'll see if we can get you up see if you can start to
44:54un-stiffen these things Lindsay normally when Jill struggles with a movement normally would you be
45:04able to help her up and move if it's too heavy doesn't trust anyone okay she'll trust you guys yeah
45:12I've got no chance you know right now we're gonna be task focused okay yeah we're gonna stand up all
45:20right all right we will not drop you okay I promise you worst case scenario we won't drop you
45:26okay I can't do it why because I can't reach it as I would usually reach it right let me help you okay
45:45okay right yep one two three oh I've got you all right I've got you I've got that arm good good please don't let go I won't
45:56I've got you
46:02okay move forward a bit yeah and take the brakes off this
46:11all right relax back on my knee for a second okay right move this round here yeah got it I've got
46:24you I've got you I've got you you able to let go of this oh sugar right okay well done
46:30I should have I should have a bell I should have a wheelchair and a four-wheel yeah all that I should have one of them yeah
46:45how often do you come up not as often I was just saying that I've got a nine-year-old and an 11-year-old my
46:51husband's jobs in London so I can't get up as often it's hard I mean the way she is at the moment she can't live
46:58independently the way she's been the last three days yeah but this isn't the way that she is has
47:02been normally it's obviously the concern is this was a permanent change yeah and that's what she's
47:08scared of as well yeah absolutely if you don't mind me asking you seem like a little bit a little bit
47:14upset about it yeah yeah it's the single biggest heartbreak of my life what's happened sure and it's
47:19been so slow but it's so bad that she's so resistant to you know she this is the way she's done it and
47:26this has got her this far and now I say to all that I think this is getting in the way of you having a
47:31better quality of life yeah but she won't be told she's the younger I'm the eldest person by a clear
47:46three years bless her she cares though doesn't she she does yeah what I'm scared of is that I'm not
47:57going to get back to where I was what in the chair big life okay if you and Lindsay have an argument and
48:07she's like nah I'm sodding off and you're like oh well how am I meant to get something to eat now
48:12well she can't stay forever can she no no she's got and yeah my carer's coming thirsty but then
48:17she's grabbing exactly then I'm on my own Friday is that playing in your head at all or has that
48:23been playing survival it always is I really don't want to take you in but I think realistically we
48:34need to get you seen by people who are smarter and better trained than us right you good yeah
48:44you are obviously I really hope it's not the answer because I can't control her but I have to put my
49:05hands up and say yeah well I'm just my I might be knackered I might it might get worse
49:11you seem to be faced with a very realistic mindset yeah yeah with that background of I'm still gonna
49:22fight which is amazing to see it's good to see but if it comes to the point where you need to accept
49:30more help start using things like that that chair I'm trying to do that I'm trying out I've been trying
49:40to do that because this one knows exactly what I should be doing way before I do and she knows me
50:00how do you think it's a lot inside the house fire the fire is on scenes I think everyone's safe and
50:18out of danger brilliant that's all received
50:221671
50:33I hear 1671, just so you know, you have been diverted to a cardiac arrest
50:41Cardiac arrest?
50:47Cardiac arrest, but the matigate entry
50:491671, receiving
51:151671, catch message
51:18Yeah, if you stand down all of the resources, unfortunately this patient is deceased
51:25So, neighbour said last time was heard over a week ago
51:29Do you encounter this kind of thing quite often then in your role?
51:33Occasionally
51:34Yeah
51:35The difficulty from our aspect is where a tenant refuses support
51:39Yeah
51:40Yeah
51:41Yeah
51:42Yeah
51:43Yeah
51:44I think when he tried to offer him help, he was adamant, couldn't have it
51:49And we go to people that are in quite severe medical need and they're still like, yeah, I can manage
51:56You can't though today, you know
51:58People refuse help for a number of different reasons, whatever that be
52:06They're ashamed almost of the proud person that they once were and now they're unable to live their life how they used to
52:13And others, it's because they have no one, but I think that's due to life nowadays
52:20Everyone's too busy to check in on the neighbour
52:24Yeah
52:25Yeah
52:26Although the world's changed for the better, in ways like that, he's changed for the worse
52:32I'm pretty sure that he's Mexican, erm, so we can potentially get through to him
52:38Yeah
52:39Does he live quite close by? Not close by him
52:46OK
52:47Hi, I'm from Yorkshire Ambulance Service
52:52Erm, I'm just having to call you in regards to your dad
52:56So, unfortunately this morning, the Leeds City Council have been around and had to gain access to his property
53:03And I'm sorry to tell you that your dad's, erm, died
53:07I'm really sorry to tell you that this news, erm, over the phone
53:11And I understand that you're quite some distance away from your father
53:17Right, I'll leave you, leave you being
53:20Once again, I'm sorry for having to pass that information on to you today
53:24Alright, you'll take care, goodbye
53:28That was my grandma's favourite poem
53:42Oh
53:43I had the words to footprints titled on my arm there, yeah
53:47Oh
53:48So, erm, just the end bit, when you see only one set of footprints, that's what I kind of do
53:53Very nice
53:55My mum was a single mum
54:00So, we, we laid heavy on my grandparents
54:06I had a very close relationship with them
54:12I lost my grandma about 12 years ago
54:19I think the job that we do, we, we learn that death's a natural process of life
54:26I'm glad that she got to see me join the ambulance service
54:31She was definitely proud of me
54:33She wrote poems and I write them now
54:38So maybe it's something that she's passed down
54:41And it, it can help me reflect on jobs
54:44We can't save everyone
54:50But so long as you can walk away from a job and think you've, you've put your heart and soul into it
54:56And you've done everything that you can for that person
54:58Then I, I don't know why anyone wouldn't be proud
55:02Today has been a, a day of where I can go home and think we've made a difference
55:08Yeah
55:14In Yorkshire's land, where Greenhills roll
55:19A call comes in, a lifeline's toll
55:22From Leeds to Harrogate
55:25Up Whitby's shore
55:27The Yorkshire ambulance
55:29Is evermore
55:31Call handler's voice, sharp and clear
55:36Bye everyone
55:37See you later
55:38Takes down the details
55:40Goodbye
55:41Calms the fear
55:43The medics in the cab prepare
55:45For every twist, for every scare
55:48With every patient a story told
55:50In every heart a bit of gold
55:55Yeah Regan, I've had such a good time
55:56I might stay on and do a night shift
55:58Really?
55:59Just carry it on, yeah
56:00Why not?
56:01Yeah, perfect mate
56:02So here's to those, who heed the call
56:07In Yorkshire's name, they give her her all
56:12From start to end, they serve with cheer
56:15Yorkshire
56:17Yorkshire Ambulance
56:18Ever near
56:20Older
56:22From second to'll
56:23But first, we've had such a good time
56:25To how much may be
56:26Because of the catch
56:27Off, the few things
56:28In the best days
56:30We've had such a good time
56:32We've had such a good day
56:33Did you have such a good time?
56:34I feel like it's not coming
56:35It's a good time
56:36Oh, come on
56:37And we've had such a good time
56:38With a big time
56:39To have you
56:40The best day
56:41To have you
56:42To have you
56:43To have you
56:45Of the best day
56:46For every day
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