- 5 weeks ago
Category
🎥
Short filmTranscript
00:00New Incident, Category 1
00:03Put you on an RTC, two cars head on
00:07This lady has been on the floor since 5am
00:11It's a two-year-old who's been stabbed over
00:14Every day across Yorkshire, more than 3,000 people call 999
00:19He's just not breathing
00:21He's pregnant
00:22He's trying to borrow petrol load gases
00:26The ambulance service must decide who gets help
00:30We're going to look after you, mate
00:32We've got you
00:33Can I get you covered up? Lovely and jubbly
00:36And who must wait?
00:3834 jobs waiting for an ambulance now in Leeds alone
00:41As the pressure on the NHS refuses to relent
00:45We're creating the waiting room for a waiting room
00:48The paramedics on the ground navigate England's largest county
00:52Welcome to our office
00:53Alright, kid, well done
00:56From the busiest cities
00:57Chaos tonight, we'll need to get out of Leeds now
01:00To the remotest villages
01:03We're in the forest, in the middle of nowhere
01:05Where each call is a crisis
01:07Got a five-year-old found wandering in the street
01:10Naked, malnourished
01:12God, it breaks your heart, it's awful
01:14And every decision critical
01:16Hello, where are we going?
01:18You're alright?
01:18Please, let the kids out of there
01:20Where are they going to land in the middle of Bradford?
01:22We go beyond the flashing blue lights
01:26Whoa, whoa, whoa, whoa
01:27To reveal the human stories behind every siren
01:31Just keep going with the door
01:32Absolutely
01:32Thank you for coming
01:34You don't have to thank us
01:35You don't
01:36Because you've got manners, you know
01:39Are we all ready to set sail?
01:41Get a going
01:42Get a going
01:43It's my brother
01:58He's got difficulty in breathing
02:00He keeps saying he's dying
02:03I've gone, he says
02:04His eyes are closed
02:06Just keep trying to reassure him for me, okay?
02:09I'm going to be honest here
02:10I'm checking from eight to four
02:12I know, just trying to stay nice and calm
02:14You're doing really well
02:15I'm terrified
02:17Receiving
02:23Got a crew on scene at this one, 1466
02:27This is a 68-year-old male
02:28Came in with a difficulty breathing
02:30But on arrival, he's now peri-arrest of her
02:32Yeah, that's received, on room now
02:36Lead's crew, Ryan and Tom
02:40Are immediately dispatched to the Category 1 emergency
02:44The ambulance service's highest priority
02:47Already on scene is crew, 1466
02:57Who have begun assessing the patient
02:59All right, guys?
03:10Stephen's woke up at about half past seven
03:11Yeah
03:12Feeling immediately short of breath
03:13Right
03:14No chest pain
03:15Right
03:17I'm going to have a quick listen to your chest, buddy, okay?
03:22Nice deep breath in for me, Stephen, bud
03:24I can't
03:26I'm good
03:28You're all right
03:30We're going to look after you, mate
03:31Stephen is in peri-arrest
03:34And his health is deteriorating rapidly
03:37Let's get you into hospital in here
03:40I'm going to get you sorted out, bud
03:41Without urgent medical treatment
03:44He's at risk of going into cardiac arrest
03:46On three, we're going to have a stand-up
03:49Hold on to my hands
03:51Hold on to my hands
03:53Hold on to my hands, Stephen
03:54Hold on to my hands
03:55I'm going to help you
03:56When are you doing?
03:58Stephen
03:58Do you think you're going to be able to stand up on your own, being honest?
04:04Yeah
04:04Stephen
04:05Time's a bit of the essence
04:07Can we start helping you a little bit?
04:10Just use your legs over the front of you
04:12Push down on your feet, mate, okay?
04:13One, two, three, up you come
04:17Well done, mate
04:19Turn towards Tom
04:20We've got you, don't we?
04:23Keep going
04:24You can sit down
04:25Down we go
04:26Down we go
04:27We do try
04:31Hello, St. James
04:47I've got a medical for you
04:48Stephen is en route to St. James' Hospital
04:52Six and a half miles away
04:53Where staff are on standby to act immediately
04:56You alright, bud?
05:00All this dirty mud
05:03Not today, is that?
05:05This is Stephen
05:23Saturating at 55% on room air
05:26100% O2 on
05:28We're only managing to get it up to, like, 79% at best
05:31My name's Amy, I'm one of the nurses
05:34You're in good hands, alright?
05:38You're alright, Steve, bud
05:40You've got everyone round her that you need
05:41We would advise you, based on information that we've been given
05:56That we would do chest compressions in order to help him
05:58Until the ambulance crew does arrive
06:00In control, call handlers Cam and Ellie
06:04Are already facing a surge of Monday morning emergency calls
06:08No, so you need to pump her chest hard and fast 30 times
06:13You need to keep going for me
06:14One, two, three, four
06:16They are part of a 27-person team
06:19Who have already received 94 calls in the first hour of their shift
06:24I told you
06:25Mondays are the new Saturdays
06:27Responsible for allocating each emergency call
06:31Are dispatchers Chloe and Jerome
06:34Can't wait for my coffee
06:36How many cups of coffee do you have a day as well?
06:39About 47?
06:40Probably about, yeah
06:41Between them, they will coordinate 57 resources across Leeds
06:47The most populated city in Yorkshire
06:50Home to over 800,000 people
07:01I'm about services to patient briefing
07:03Is the patient's briefing?
07:07I'm ringing about my husband
07:09His name is Fred
07:11During the night he's got very confused
07:14Trying to get into rooms that are not there
07:17And he's laid on the floor now
07:19Okay, so at the moment is the patient's briefing?
07:22Oh God, I just can't hear you properly
07:24I'm really sorry
07:25Is Fred breathing now?
07:28Is, yeah
07:29Here we go
07:351671 receiving
07:37I've got a seat
07:39I've got a new old meal laid on the floor
07:41Bobbitted last night
07:42And now they're falling on the floor again
07:45Patient's conscious and breathing
07:47Yeah, thank you for the update
07:50We'll head over there
07:52This guy's been having a few falls on it soon, hasn't he?
07:55Yeah
07:56And he's, like, 89?
07:58Yeah
07:58Yeah
07:59That's him
08:00Ryan and Tom are six minutes away from the patient
08:05Who is in Osmanthorpe
08:06Two miles east of the city centre
08:09Nearly there now
08:11Hello, ambulance service
08:23I think she'll just stood at the door, mate
08:25Hello
08:27What's his name?
08:30Fred
08:30Fred, and what's your name?
08:31Norma
08:32Norma
08:32Hello, Fred
08:33Nice to meet you
08:35I don't like whack that, haven't I?
08:38I just don't know what to do
08:39Don't worry, we'll do everything now
08:42Are you happy if we get you off this floor?
08:45I can't hear you, Robb
08:46I've no worries
08:46I've no hearing anything
08:47No problem
08:48Let's get you up, Fred, bud
08:51Yeah, yeah
08:53Fred, on three, we're going to stand up
08:58One, two, three
09:00Let's pop you on this bed, Fred
09:03We're very unsteady, aren't we, bud?
09:08Slip back
09:10Slip back
09:10There we go
09:12There we are
09:13Can you still lay down?
09:16No, look at me
09:16Do a big smile for me
09:18Lovely
09:20You give my hands a good squeeze
09:25Squeeze out
09:26Don't be shy
09:27Squeeze his hands
09:28Squeeze your hands
09:29Squeeze
09:30Like that
09:31Yeah, lovely
09:32Shall we get you laid up in this bed for a couple of minutes
09:36Just while we finish our assessment
09:37Fred, what did you used to do for work?
09:44I worked for a few things
09:46I was a fireman on the rear
09:47Wait a long time
09:48Yes, I threw a car in for you
09:51Was that a hard job?
09:53Yes
09:54Hard work
09:55Yeah, hard work
09:56You've got proper workers' hands on, eh?
09:58Where was that taken?
10:03Talkie
10:04Talkie?
10:05It looks like you're abroad there
10:07No, I've never been abroad
10:08You've never been abroad?
10:10Really?
10:11No, I won't fly
10:12Yeah, fair enough
10:13Why won't you fly?
10:16I just...
10:17I can't imagine being fastened in an enclosed space up in the sky
10:23Fair enough
10:24Now you put it like that
10:25Because of what's happened today
10:29And the fact Fred's fallen and he's banged his head
10:31He's got quite a big lump on his eye
10:34I wonder where that blood's come from
10:36Possibly from there
10:37We're going to have to take him up to the hospital
10:40He's going to need looking at by the doctors
10:43Yeah
10:43And possibly a scan on his head
10:45I've got you, Fred, don't we?
10:50Well done
10:51Perfect
10:52Look at this
10:54How do we have it, Fred?
10:56Over to the side?
10:58Do what you want
10:59You've got Norma laughing at you now
11:02Is that how he has it, Norma?
11:05We'll have all the nurses after you now
11:07All right, I'll see you later, love
11:10Norma, are you shutting this door behind us, my love?
11:17All right, you take care, Norma
11:18Fred is being transferred the one and a half miles to St. James' Hospital
11:29Here we go
11:30Here we are
11:32I'll get some eating on for you, Fred
11:34Lovely
11:35When I was younger, we used to get called a busybody
11:45Because if there were ever any drama, I always wanted to be there
11:49But I've always wanted to be the one that made people's days that bit better
11:55I was born in Leeds
11:58The street that I grew up on, it was called The Rain
12:02And I think I could probably go into 90% of people's houses without knocking on the door
12:06That's how close the community was
12:08The older generation that lived there, they remember how it were
12:13It was a very, very community-based area
12:16But Leeds is a large city now
12:21That's becoming larger by the day
12:24We're just waiting on Ryan to come back
12:30We'll get you through
12:31Can't hear me, can you?
12:34No
12:35We'll be leaving you now
12:41You're leaving, aren't you?
12:43I am, yeah
12:44Well, it's been lovely to meet you
12:45I shall miss you
12:46I'll miss you too
12:47All the best, lovely to meet you
12:49Take care, then
12:50See you later
12:51See you later, pal
12:55See you later
12:55See you later, bud
12:56Did he say he lived there 56 years?
13:02Yeah, I bet he's seen some right changes around that area
13:05I bet he used to be really, really quiet back in day, you know
13:0856 years ago, half of them hours was probably weren't even there
13:11No, no
13:12And now, he's in a concrete jungle, isn't he?
13:16He is
13:1789 and independent
13:21You can't complain at that
13:24No
13:25He's like, no, we're not at that stage yet
13:27We don't need a stair lift
13:28A bit tough for that generation, though, aren't they?
13:32Hard as nails, aren't they?
13:33Yeah
13:33Ambulance service, is the patient breathing?
13:46Yeah, she's literally, she's taken her and she's been
13:50Listen, listen to me, is the patient awake?
13:53She's awake, she's been spewing up in the water, she's literally going all over the kitchen
13:58Yorkshire ambulance service is now receiving over 220 999 calls per hour
14:05Okay, just keep her awake and turn her gently on her side as she wakes up
14:09I do just have to advise that due to how busy we are, the standard time frame in the area is showing anywhere up to two hours
14:15In times of high demand, the service escalates its clinical safety plan
14:20Guys, level three
14:21Free, free, free, Mel
14:22Which means it prioritises emergency ambulances to the most poorly and vulnerable patients
14:28Well, I feel my way
14:30They are coming to you as quickly as they can, okay?
14:33Yeah
14:33Right
14:34No, I'm scared
14:35Oh, yeah
14:36Ellie is on her 33rd call of the shift
14:41Just keep yourselves calm
14:43I know it is scary, alright, but just try and keep yourselves calm
14:46Are they there?
14:50Yeah
14:50Right, I'll leave you with the crew, alright, take care
14:53Thank you
14:54There are currently 186 patients waiting for an ambulance
14:59So I'm organising a healthy now, stay on the line
15:01With a new call being received every 15 seconds
15:06Is she completely alert?
15:08And wait times are continuing to lengthen
15:10I just want to know when it's going to come in
15:13At the moment it could be anywhere around 1 hour and 50 minutes
15:16Oh my gosh
15:181 hour and 50 minutes is too much
15:20I know, but I'm afraid there's nothing that can be done about that
15:22That is just due to the high volume of calls at the moment
15:24Jerome, can I take 1373 for a cat 2 at Batley, please?
15:29No, I'm going to need them
15:30Sorry
15:31Just gone to CSP level 4
15:34Got 97 just waiting in west at the moment
15:39And we're approaching 200 over Yorkshire
15:40So just thought I'd let you know, alright
15:42With CSP level 4 in place
15:45Lower priority calls won't be sent an emergency ambulance
15:49Instead, they will receive alternative support
15:52Got no available resources at all at the moment
15:55What a day
15:571692, Luke and Regan have just become available
16:15Now you're 1692, I've got a job to pass to you, please
16:20Yeah, go on
16:21We've got an elderly fever
16:23A male mollied and she's fallen over
16:25She's got a nosebleed and an arm injury
16:27The call did come in to us
16:30Water to 2, so we're talking 45 minutes
16:34So hopefully we'll get to her pretty quick
16:37Yeah, we are on our way to her, bless her
16:41The crew have been dispatched to Pudsey
16:45Where the patient has fallen outside a library
16:4845 minutes for a 91-year-old
16:51We are, what, like 6 miles away
16:53And we're the closest available resource
16:55Yeah
16:56It's sad
16:57Hello, Molly
17:09Can I have a look at this arm of yours?
17:13Oh, God, oh, dearie me
17:15I didn't realise that was there
17:15What a mess
17:17Yes, let me see if you can get to
17:20I'll finish wrecking the place, shall I?
17:24Are you all right?
17:26Yes
17:26This is painful
17:27I can imagine
17:29One Christmas Eve many years ago
17:33I broke both
17:35Both what?
17:37Elbows
17:38Oh, Molly, you do not have much luck
17:41I'm going to get you to our ambulance
17:43And we're going to have a good look at you on the ambulance
17:45Shove you up
17:51Shove you up, eh?
17:53We're doing that, Molly
17:54Don't you worry
17:55Your day's obviously panned out a little bit differently to how you expected, hasn't it, Molly?
18:00You know, I thought I was doing wonderful
18:03I was on my way to B&M
18:06Oh, and what did you get from B&M?
18:08Some...
18:08Well, they didn't have what I wanted
18:10I wanted some cream crackers and I got some toothpaste
18:14Right, so Molly, we need to have a look at you and we're going to try and get your arm and your shoulder more comfortable
18:22But we need to assess what's wrong with it
18:23So, are you okay for us to take your coat off?
18:26Bless her
18:28Heating's on
18:30I'm loving your little outfit, this is very trendy
18:34What have I done?
18:37Right, keep it there
18:38Okay, keep it there
18:40It might be a case that your worst injury might be your arm, it seems to be
18:45Oh, it is
18:45Yeah
18:45She's told you
18:48I know, yeah, that's me told, isn't it?
18:50Is it broken?
18:52Chances are, yes
18:53Your shoulder potentially is out
18:55But I can't fully assess you at this present minute
18:59No
18:59So, erm, so what we're going to do is
19:02Take me in
19:04Oh, yes
19:05Luke's going to support your back
19:08I'm going to swing your legs up
19:12Are you comfortable like that, Molly?
19:16Yes
19:16Are you sure?
19:18Can you do the head?
19:20Yes, we will get that sorted
19:22We just want to also, Molly, give you some pain relief
19:29Because you're clearly in a lot of pain
19:30All right
19:31We'll support your arm
19:33In a couple of ways
19:35So you can't feel it when we're moving about as much, okay?
19:43We need to get this arm out of the sleeve
19:45Okay
19:46You know when you fell
19:50Did you go dizzy or anything before you fell?
19:53No
19:53Okay
19:54Did you trip over something?
19:57I tried to stop myself and there was no chance
20:01Right, Molly
20:04So this is gas and air
20:06I want you to breathe in and out through this straw
20:09Right, and breathe in
20:11Perfect
20:13Nice, low, deep breaths for me
20:15Okay?
20:20Right then, Molly
20:21Molly, Molly, Molly, Molly
20:24Yes, yes, yes
20:25No, no, no, no, no, no, no, no
20:27Stop panicking
20:34I need you to stop panicking
20:36I need you to slow your breathing down
20:38You are panicking breathing, yeah
20:41Okay?
20:43Slow it down
20:43I'm not going to let anything bad happen to you
20:46Okay
20:47All right
20:51What part's that now?
20:54Oh
20:55Yep, yep, yep, yep, yep
21:02Yep, I've got it
21:03A few more bumps
21:13Full of bumps
21:14You've had a bit of an event for all day, haven't you?
21:22Oh, Molly
21:22Can I adopt you?
21:25All right
21:26Because you're amazing
21:27Ambulance service
21:45Is the patient breathing?
21:46Is the patient awake?
21:48Tell me exactly what's happened
21:49Yorkshire Ambulance Service
21:51Has now been operating
21:52At the highest demand level
21:54For four hours
21:55Are you able to make your way to hospital
21:57Without an ambulance at the moment?
21:59I can only breathe
22:00I can only walk
22:01My God
22:02The average wait time
22:04For category three patients
22:05Is now two and a half hours
22:07Ambulance service
22:11Is the patient breathing?
22:13Yes
22:14Okay
22:15Tell me exactly what's happened
22:16I'm calling about myself
22:19I am pregnant
22:20And I am getting bleeding
22:21From my vagina
22:22How many weeks pregnant are you?
22:28Eight weeks
22:29Okay
22:32So I'm organising the help for you
22:33Stay on the line
22:34And I'll tell you exactly what to do next
22:36Okay
22:36So you need to assume
22:37The most comfortable position
22:38Just take a deep breath
22:40Between any pain that you're having
22:41All right
22:44Okay
22:46Is there any serious bleeding?
22:50Yes
22:50You're doing well
22:53Okay
22:54We've got the help all organised for you
22:57We will aim to respond to you
22:59As soon as we can
23:00But we're experiencing
23:01An extremely high demand for the service
23:03At the moment in your area
23:04The current waiting times
23:06Could be three hours
23:07But with the current pressures
23:08That is likely to be significantly longer
23:10You may be able to access
23:12Some help faster
23:12By making your own way
23:14To an emergency department
23:15Okay
23:18I would rather wait for the ambulance
23:20You're going to wait
23:21Okay
23:22So in that meantime
23:24You need to keep your telephone line free
23:26Because you may be called back
23:27But if your condition changes
23:29Or if you no longer require this ambulance
23:31You are to call us back on 999
23:33Okay
23:34Yes
23:35I'm fine
23:36All right
23:36Then take care
23:37All right
23:39Thank you
23:39All right
23:39You're more than welcome
23:40Ambulance
24:00Ambulance
24:00The patient breathing
24:02I can't see in the car
24:03All the airbags has gone off
24:04There's been an RTC
24:06With a car
24:06And a lorry
24:07On the M606
24:09Towards Bradford
24:10Right
24:11So how many patients
24:12Can you see
24:13It looks like
24:15Three at the moment
24:16There's the driver
24:17A child
24:18And then a passenger
24:18There's other people
24:20In the car
24:20By the luck of it
24:21I think they're trying
24:21To get in now
24:22Hi Isaac
24:24It's Nick
24:24On the quick care desk
24:25I'm just getting reports
24:28Of an RTC
24:29That's coming in
24:29On the M606
24:30Are you okay
24:31If I give you a bit of an update
24:32Around what's going on
24:33Yeah please mate
24:35Go ahead
24:35So it's looking like
24:36We've got three patients
24:38One adult patient
24:39And two children
24:40And there's an 11 year old
24:41Who's reportedly unconscious
24:42It's going to be a multi-agency response
24:45Yeah Roger
24:47All received mate
24:48Thanks very much
24:48Specialist paramedic
24:51Zach
24:52Is eight minutes away
24:53Also en route
24:54Are three ambulances
24:55A team leader
24:56And Yorkshire's
24:57Air Ambulance Service
24:59As the first clinician
25:11On scene
25:11Zach needs to identify
25:13Who requires
25:14The most urgent
25:15Medical treatment
25:16Three vehicle RTC
25:25Wagon
25:26And wagon behind us
25:27Mum and dad here
25:30With the youngest son
25:31We've got Kian
25:32Head injury
25:33Leg injury
25:35He's on or two
25:36At the moment
25:36We are trying to keep
25:37C-spine stable
25:38Are you telling me he's alright?
25:45Kian
25:45My name's Zach
25:46I'm one of the paramedics
25:47Where are you hurting buddy?
25:50Kian
25:50Look at me buddy
25:52Where are you hurting mate?
25:55We've got
25:55Daddy's got a decent
25:56Lack to his head
25:57Yeah
25:58Son's six
25:59Got a hurting ankle
26:01And this kid in here
26:02Is 11
26:02Reduced GCS
26:03With a head injury
26:04My plan for him
26:06Pin this door back
26:07Get a board in
26:08And just get him out
26:08And then we can
26:09Pop a look in
26:10Yeah
26:10I want him laying down
26:12On the board yeah
26:12So sit him onto it
26:14Lay his back down
26:15Slide him up here
26:16Once he's out
26:18We're going to go
26:18Straight onto the stretcher
26:19Which will be here
26:20Get him immediately
26:21Onto an ambulance
26:21And then we can have a look at him properly
26:23Thanks buddy
26:27No no you're fine thank you
26:40Hiya can you leave Hems running please
26:46So we've got a 11 year old male
26:48GCS 13
26:50Yeah I'll receive mate
26:51I'll update
26:52So Hems 11 year old male
26:54GCS 13 out of 15
26:55Loss of 1 to eye
26:56And 2 to voiceover
26:57Main issues are
27:04Head and leg
27:06Mate could you try
27:08And cut his socks
27:09And shin pads down
27:10And if you can get his shoes off
27:12Without
27:12Is that right
27:13Just squeeze the hand from it
27:15Squeeze it out
27:16I'm going to try and put a candle in here mate
27:23But I'm not convinced
27:23Zach needs to administer pain relief to Kian
27:28In order to straighten his leg
27:29And ensure blood circulation
27:31Do you want a hand holding it?
27:36If you want mine that'd be sweet
27:38Thank you
27:39Sorry
27:40I'm squeezing
27:41Ah fine
27:42Do you want me to get him?
27:43Yeah would you just let him off?
27:45Very very very
27:47Hey Stu how are you mate
27:49Interesting
27:50Yeah so
27:5111 year old
27:53Yeah
27:54Back seat passenger
27:55My biggest concern is a head injury
27:57Yeah
27:58We've had about 4 guys at cannulating
28:00Can't get any access
28:01Has he talked to us?
28:02He's sort of talking to us
28:04What's his name?
28:05Kian
28:06Kian
28:07Kian
28:08Kian
28:09Kian
28:10Right we've got any other options
28:11We've got an IO option
28:12Yeah
28:13So here we're an IO
28:15I'd say if we can't get anything in then
28:17Couple of minutes
28:18Yeah
28:19Yeah
28:20Yeah
28:21So we need to put an intraosseous needle in
28:25Because we're unable to get intravenous access
28:27We want to give him some station
28:28And sort out this femur
28:29So we've got that drill
28:31Intraosseous access delivers medication directly into the bone marrow
28:37It's commonly used in children who are often harder to cannulate
28:41Can you squeeze his ears and you squeeze his hand
28:44That's it
28:45Right
28:46Strong
28:47Kian it's going to feel a bit strange mate
28:49Okay
28:50Yeah
28:51It feels a bit strange but it's absolutely fine
28:53Alright buddy
28:54You're doing really well
28:55It's okay mate
28:56It's okay
28:57Well done buddy
28:58Well done
28:59You squeeze his hands
29:00You squeeze that's it
29:01Okay
29:02You're doing really well
29:03It might sting a little bit but it's completely normal buddy alright
29:16Well done mate
29:17Are you ready?
29:19Big squeeze
29:20Okay
29:21I know
29:22Ketamine going in mate
29:23I know I know
29:24It's okay
29:25I know mate
29:26That's probably the leg that's hurting you more than anything else
29:28It's going to make you feel better from us
29:30Well done
29:31I know
29:32I know
29:33I know
29:34I know
29:35I know
29:36I know
29:37I know
29:38I know
29:39I know
29:48I know
29:49I know
29:50I know
29:51Well done Kian you've been absolutely brilliant
29:55I'm so brilliant
29:56Sats are 100
29:57BP is nice and stable
29:59He seems sedated.
30:01The catenography has been solid.
30:08Amazing job, thanks, mate. Thanks, guys. Cheers.
30:13Kian will be taken by ambulance to Leeds General Infirmary,
30:17where staff will continue to care for him.
30:20In control, Chloe and Jerome are coming to the end of their 12-hour shift.
30:33Are you all right?
30:35I'm really sorry, but it's been mental.
30:38You know, I don't make an habit of leaving it with really old cat phrase,
30:41but it's just been flat out.
30:44No problem. Get yourself up.
30:46Thank you, and I shall see you bright and early in the morning.
30:53After operating at the highest demand for over 10 hours,
30:56the ambulance service de-escalates to CSP Level 3,
31:00but 138 patients are still waiting for an ambulance.
31:16What was yesterday like, Cam?
31:23Horrendous, mate.
31:25It's Tuesday,
31:27and the start of another 12-hour shift for call handler Cam.
31:31Today, he's joined by Cat.
31:35Ambulance service. Is the patient breathing?
31:38I won't be too. I need some food.
31:41OK, what's the telephone number that you're calling from,
31:43just in case the line's disconnected?
31:47Hello?
31:49The call in progress is from a patient well-known to the ambulance service.
31:54Kathleen, what is the reason that you require an emergency ambulance?
31:57In the last two weeks,
32:00she has made over 50 999 calls to the ambulance service.
32:07Kathleen, it's the ambulance service.
32:08You need to talk to me.
32:09You're holding up an emergency line.
32:11I need something to eat.
32:13OK, Kathleen, you've called 999 for an emergency life-saving ambulance.
32:18OK, we cannot provide you any breakfast.
32:20I didn't say it was breakfast.
32:24OK.
32:27I'm going to help you.
32:28Hello, would you just confirm the last number for me, please?
32:31OK, sir.
32:32Thank you. Kathleen?
32:35She keeps hanging up the line,
32:36but then BT keeps saying she's reconnecting,
32:38so she's just redialing straight away.
32:39Got you.
32:40Yeah, just ask it on this one.
32:42Ask this one.
32:43OK, so Kathleen, can you still hear me?
32:46Because she's not going to give you any answers.
32:48See if you can try her as much as you can.
32:50If not, we'll do as yes to cup it,
32:51and if not, send it to 111.
32:55Kathleen, the ambulance service is still on the line for you, OK?
32:58So when you're ready to talk to me,
33:00just let me know what's happening.
33:01PHONE RINGS
33:04I think she keeps pressing 999.
33:06You can hear it. Yeah, she keeps down and down.
33:07Dining the buttons.
33:08Can we try and transfer it to 111?
33:11Right, I've sent it to them.
33:13So if she just follows the options, they'll sort her out.
33:16You never know what's going to happen then.
33:18So she's called nine times yesterday, 15 times on the 13th,
33:22the 12th, the 11th, the 9th, the 10th, the 7th, the 6th.
33:26PHONE RINGS
33:29Ambulance service. Is the patient breathing?
33:31Only just.
33:33Is the patient awake?
33:35No.
33:37I've got Kathleen.
33:39She said she's only just breathing.
33:41See what you can get from her.
33:43If she's talking normally, don't ineffective her.
33:45I already have.
33:47Kathleen's response has classified her
33:49as having ineffective breathing.
33:51The system has now automatically allocated her
33:54a Category 1 ambulance.
33:57Tell him that we've got a care plan in place for this lady.
34:00Do they want to call it back
34:02just because at the minute we're running as a Cat 1?
34:05Is the call handler gone? That's an ambulance gone?
34:07Even though she's a frequent...
34:09You have to go.
34:10..we're going to have to travel, because what if she didn't?
34:14Oh.
34:18PHONE RINGS
34:19Ambulance is patient breathing?
34:21Oh, yes.
34:22It's just a small kid got hit with a car.
34:26And how old is he?
34:27Yes, sir.
34:28He's 10 years old.
34:29We're both fucking...
34:30I don't know.
34:31The parents are arguing with someone who...
34:33Try and get everyone to just remain calm for him for now, OK?
34:361671 receiving over.
34:39Hiya, 1671.
34:40I've got a job for you, please.
34:42We'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...
34:47Yeah, just let me know how you get on with this one, please.
34:49Yeah, Roger, not a problem.
34:50We're heading there now.
34:51So, they've said there's a lot of shouting and swearing in the background, so...
34:53Yeah, just let me know how you get on with this one, please.
34:56Yeah, Roger, not a problem.
34:57We're heading there now.
35:02So, they've said there's a lot of shouting and swearing in the background.
35:04Yeah, it's quite an aggressive scene, all right?
35:06Yeah.
35:07I can imagine parents will be happy.
35:08No.
35:09It's the worst thing as a parent to see one of your children hurt.
35:17Oh, it's outside Milan Street.
35:19Docks, isn't it?
35:20Yeah, I'm not far from it.
35:22A big few streets down.
35:24So, no police here?
35:45Oh, is it that we're here to see?
35:48Is it this little man here?
35:54What's his name?
35:55Dominic.
35:56Dominic.
35:57Dominic.
35:58Nice to meet you, sir.
35:59What's happened today?
36:01I got in a crash and my leg wasn't hurt.
36:04You got in a crash?
36:05Was it this car here?
36:07Yeah.
36:08Okay.
36:09How old are you, Dominic?
36:10Nine.
36:11Nine years old.
36:12And whereabouts is the pain?
36:14Can you point to it?
36:16On the top.
36:18The blue.
36:19Anything underneath?
36:20No.
36:21Can you wiggle your toes?
36:22No.
36:24And does this foot hurt?
36:26No.
36:27Not this bruise here?
36:28No.
36:29A little bit.
36:30Okay.
36:31So, what we're going to do is we're going to get our stretcher out of the ambulance.
36:36Okay?
36:37We'll bring it here and then we can lift you onto the stretcher and we'll wheel you to the
36:41ambulance and we'll do all your checks there.
36:43Does that sound okay?
36:45Lovely stuff.
36:47Is this the driver?
36:49What happens in your words?
36:51Well, I was coming from that side.
36:53It goes very slowly.
36:54Yeah.
36:55And then one of the boys jumped out from the car, straight.
36:57Just hit the wing mirror.
36:59So, he's hit the wing mirror?
37:00Yeah, that's it.
37:01Okay.
37:02But his foot probably, I don't know, will get hit at the wheel or something like that.
37:04So, his foot's hit the wheel?
37:05Yeah.
37:06Probably potential that police are going to be coming down.
37:08Yeah.
37:09Are you alright just to stay where you are for now?
37:10Yeah, I'm alright, yeah.
37:11Perfect.
37:12So, Dad, do you want to get Dominic out of the car and we'll just sit him on here?
37:16Is that alright?
37:17What's your name, Mum?
37:19Alana.
37:20Alana.
37:21Alana.
37:22Yeah.
37:23Oh, that's funny.
37:24That's my wife's name.
37:30Any pain in your head?
37:31No, you don't have a headache.
37:33Can you see me okay?
37:35Yeah.
37:36Hello.
37:37Is it broken?
37:39We don't know without an x-ray, so we'll take him down to the hospital.
37:43He can have an x-ray done.
37:44Are you a sister?
37:45I'm not a sister-in-law.
37:46Sister-in-law.
37:47Are you a brother?
37:48Yeah, yeah, yeah.
37:49What's your name?
37:50Cammie.
37:51Cammie, nice to meet you, Cammie.
37:52Are you going to the hospital?
37:53I'm going to come and have a chat with your dad.
37:55Hi, sir.
37:57He's going to need an x-ray on his foot, okay?
38:00So, we're going to take him down to the hospital.
38:02Do you want to come with us?
38:03Are you going to drive in your car?
38:05Lovely.
38:06There's, like, a big monitor, and it's just light.
38:11It shows my bones.
38:12Yeah.
38:13And if it's broken, they're just going to fix it.
38:16It won't hurt nothing.
38:18So, looking at the trainer, I would say there's a possibility
38:23that there's a tyre gone over your foot.
38:26Did you feel it go over your foot?
38:28Yeah.
38:30You're a strong lad, aren't you?
38:33Yeah.
38:34Mm-hmm.
38:35Confident.
38:36Knows his worth, yeah?
38:37He's like, hi, yeah.
38:38He'll say it.
38:40It's lively down here, isn't it?
38:43And what's your postcode?
38:50That was 14.
38:51You live in Seacroft?
38:52That's where I'm from.
38:53Seacroft.
38:54Yeah, that's where I was born.
38:57How long have you lived in Seacroft for then, Dominic?
38:58I don't know.
38:59Seven or eight months.
39:00Seven or eight months.
39:01Is that when you came from Czech Republic?
39:02Was you a baby when you came from Czech Republic?
39:03I don't know.
39:04He was born here, innit?
39:05He was born in the UK?
39:06He was born in the UK.
39:07My mum was a youth worker in Seacroft when I was growing up.
39:09We know everyone on street, but I don't know.
39:10That's where I'm from.
39:11That's where I'm from.
39:12Yeah, that's where I was born.
39:13How long have you lived in Seacroft for then, Dominic?
39:14I don't know.
39:15Like, seven or eight months.
39:17Seven or eight months.
39:18Is that when you came from Czech Republic?
39:20No, we didn't born time for long.
39:22Was you a baby when you came from Czech Republic?
39:24I don't know.
39:25He was born here, innit?
39:27He was born in the UK?
39:30My mum was a youth worker in Seacroft when I was growing up.
39:35We know everyone on the street.
39:38I think it helped me a lot with my job.
39:41I'd like to think that I can talk to the most people.
39:45I think I owe a lot of that to my upbringing and where I were born.
39:50I say to anyone that starts with the ambulance service,
39:53the job is probably 10% treating and 90% communication.
39:58So, do you know where that happened with the car?
40:02Who lives there?
40:04My brother's girlfriend.
40:06This brother?
40:08Cammie's girlfriend?
40:09Is that who got on the back of the ambulance, Cammie?
40:11Yeah.
40:12Yeah.
40:13I was going to give my niece to them.
40:17You was going to give your niece to them?
40:18What, as a present?
40:19No.
40:20Here, I have my niece.
40:21No, it's because I've got twins.
40:23You've got twins?
40:24Yeah.
40:25And you're 15?
40:26Yeah.
40:27Gypsy.
40:28Gypsy.
40:29Aye.
40:30How's it going?
40:31Good?
40:32Not that hard, like people even see.
40:34Not that hard?
40:35Are you getting much sleep on at night time?
40:37Yeah, yeah, yeah.
40:38Have you got family helping you?
40:40Yeah.
40:41Yeah.
40:42Do you have a girlfriend, Dominic?
40:44No?
40:45Why, you're a good-looking, strong lad.
40:47Surely the girls are after you.
40:49Are you going shy now?
40:50No.
40:51Are we here?
40:52You can just about see the hospital now.
41:05Okay.
41:06Come on.
41:07Let's have a clean.
41:08Come on.
41:09Let's have a clean water.
41:10Come on.
41:11Come on.
41:12Come on.
41:13Leeds is a city with a multitude of different communities.
41:17Someone from Leeds is called a liner.
41:21So long as you buy into what people of Leeds are about,
41:25anyone can be a liner.
41:29I'm proud that Leeds is somewhere that people can come from
41:32wherever they are or circumstance they're in
41:35and call it their home.
41:38OK, lovely to meet you, Dominic.
41:41Do I get a handshake?
41:44See you later, mate.
41:51PHONE RINGS
41:57Ambulance service, is the patient breathing?
42:01Yes.
42:04Mel's got Kathleen. Roger.
42:08Kathleen is calling the ambulance service for the sixth time today.
42:12Is the patient awake?
42:14Yes, it's me.
42:16Another ambulance that was sent earlier to her as a Category 1
42:20was refused entry.
42:22OK, just tell me exactly what's happened.
42:24Please, someone help me up here now.
42:27She sounds like she's talking.
42:30So I'm organising the help for you now.
42:31Just stay on the line for me, OK?
42:34Still go down to six with her.
42:35So just send to 111?
42:37Give her all the instructions and then clear the line.
42:40So I'm giving you some instructions before I let you go, Kathleen, OK?
42:43We are just currently extremely busy in there at the moment.
42:45NHS 111 service are going to give you a call back on this number,
42:49so I need you to keep this phone line free.
42:51I do need to hang up now to take another call,
42:53but the help's all been in place for you, OK, Kathleen?
42:59OK, take care.
43:03You need to hang up the phone, Kathleen.
43:07She's not going to hang up the phone.
43:09Yeah, she's going to hang up the phone line.
43:10She has cleared.
43:15She has cleared.
43:16Come.
43:18Have you done Kathleen?
43:19Oh, yeah.
43:20She spoke to me.
43:21She spoke to you?
43:22Yeah, I got a full tray, I'd have a strip,
43:24within, like, three minutes.
43:26You must have a tone to your voice.
43:28I've just got a touch.
43:29You've got a magic touch.
43:31A magic touch.
43:32Central Leeds crew, 1696, Matt and Rhys,
43:50are attending a patient who has waited ten hours for an ambulance.
43:54There's 20 there, 11 there.
43:59Hiya.
44:00Hello.
44:00I'm Matt.
44:01This is Rhys.
44:02Hello.
44:04I am so sorry.
44:05Do you know what?
44:06It's a big, mysterious setting.
44:08I'm having a really good laugh.
44:09Just going down.
44:10This is...
44:11This is like a delirium.
44:13I can't wait for...
44:14She's pretty cheery.
44:16Yeah.
44:17The morale's been high over the last few hours.
44:20Why do you feel like you can't move from the chair at the moment?
44:23Erm, I have, erm, secondary progressive MS.
44:26Right.
44:27Diagnosed in 1994.
44:30Right.
44:30So, I'm...
44:31I'm a bit of a hemo.
44:33Yeah.
44:33Cos I'm 31 years this May with it.
44:36OK.
44:36And, er, as a result, I'm very stiff.
44:38Mm-hm.
44:39But I've noticed it's taken me longer
44:42to get dressed and get undressed
44:45and do the stuff I usually do.
44:46And is that...
44:47Do you do that independently, normally?
44:49Yeah.
44:50I just...
44:50So it just feels like I'm
44:52wading through treacle, type of thing.
44:54OK.
44:56We'll see if we can get you up.
44:58See if you can start to unstiffen these things.
45:02Yeah.
45:03Lindsay?
45:04Yes?
45:04Normally, when Jill struggles with a movement,
45:08normally would you be able to help her up and move if...
45:11It's too heavy.
45:12It's too heavy.
45:13..so if she doesn't trust anyone.
45:15OK.
45:16She'll trust you guys.
45:17Yeah.
45:18I've got no chance.
45:19So, you know.
45:20Right.
45:21Now we're going to be task-focused, OK?
45:23Yes.
45:24We're going to stand up.
45:25All right?
45:26We will not drop you, OK?
45:28I promise you.
45:29Worst-case scenario, we won't drop you.
45:32OK.
45:34OK.
45:40I can't do it.
45:41Why?
45:42Because I can't reach it as I would usually reach it.
45:48Right.
45:49Let me help you.
45:50OK.
45:51OK?
45:51Right.
45:53Yep.
45:54One, two, three...
45:55Ooh.
45:56I've got you.
45:57You got it?
45:58I've got that arm.
45:59Good, good.
46:00Please don't let go.
46:01I won't.
46:06I've got you.
46:12OK.
46:13Move forward a bit.
46:14Mm-hm. Yep.
46:15And take the brakes off this.
46:19And then...
46:22Right.
46:23Relax back on my knee for a second.
46:25OK.
46:25Right.
46:26Do you want me to move this round here?
46:28Yeah.
46:29Got you.
46:29I've got you.
46:30I've got you.
46:30Are you able to let go of this?
46:33Oh, sugar.
46:33Right, OK.
46:34Good.
46:35Well done.
46:38I should have a...
46:39I should have a bell.
46:40I've got...
46:41LAUGHTER
46:42Should have a wheelchair and go forward.
46:45Yeah.
46:45Or that.
46:46Should have...
46:51How often do you come up?
46:53Not as often.
46:54I was just saying that.
46:54I've got a nine-year-old and an 11-year-old.
46:56My husband's job's in London, so...
46:58I can't get up as often.
46:59It's hard.
47:00I mean, the way she is at the moment, she can't live independently.
47:04The way she's been the last three days.
47:05Yeah.
47:06But this isn't the way that she has been normally.
47:08Yeah.
47:09So, obviously, the concern is this was a permanent change.
47:11Yeah.
47:12And that's what she's scared off as well.
47:14Yeah, absolutely.
47:16If you don't mind me asking, you seem, like, a little bit...
47:18A little bit upset about it.
47:19Yeah.
47:20Yeah.
47:21It's the single biggest heartbreak of my life, what's happened to you.
47:23Yeah.
47:24And it's been so slow, but it's so bad now, and she's so resistant to, you know, this is the way she's done it, and this has got her this far.
47:33And now I say to her, look, I think this is getting in the way of you having a better quality of life.
47:37Yeah.
47:38But she won't be told.
47:40She's the young guy.
47:46I'm the oldest, thanks, person.
47:49By a clear three years.
47:52Bless her, she cares, though, doesn't she?
47:55She does.
47:56Yeah.
47:59What I'm scared of is that I'm not going to get back to where I was.
48:04What, in the chair?
48:06In life.
48:07Oh.
48:08Right, OK.
48:10If you and Lindsay have an argument and she's like, nah, I'm sodding off, and you're like, oh, well, how am I meant to get something to eat now?
48:17Well, she can't stay forever, can't she?
48:19No, no, she's got...
48:20And my carer's coming Thursday, but then she's coming.
48:23Exactly.
48:24Then I'm on my own Friday.
48:26Is that playing in your head at all, or has that been playing in your head?
48:29Survival.
48:29It always is.
48:34I really don't want to take you in, but I think, realistically,
48:37we need to get you seen by people who are smarter and better trained than us.
48:48Right, you good?
48:49Yeah.
48:49The ramp is in operation.
48:55VR.
49:01Obviously, I really am for the NHS, because I can't control her, but I have to put my hands up and say, yeah, I might be knackered.
49:14It might, it might get worse.
49:18You seem to be faced with a very, erm, realistic mindset.
49:24Yeah.
49:25Yeah.
49:25With that background of, I'm still going to fight, which is amazing to see, it's good to see.
49:31Yeah.
49:32But if it comes to the point where you need to accept more help, start using things like that, that chair.
49:40I'm trying to do that.
49:42I'm trying to, I've been trying to do that, because this one knows exactly what I should be doing.
49:50Way before I do.
49:52And she knows me.
49:531671, receiving.
50:11Hiya, 1671, I've sent you a job down.
50:16Hands burn in fire.
50:17Erm, this is a house fire, the fire is on, it seems, I think everyone's safe and out of danger.
50:26Brilliant, that's all received.
50:371671.
50:40Hiya, 1671, just so you know, you have been diverted to a cardiac arrest.
50:47That's a cardiac arrest.
50:52Cardiac arrest, but they've had to gain entry.
51:171671, receiving.
51:191671, catch your message.
51:22Yeah, if you stand down all of the resources, unfortunately, this patient is deceased.
51:27So, neighbour said last time was heard over a week ago.
51:33Do you encounter this kind of thing quite often, then, in your role?
51:38OK.
51:39Yeah.
51:40The difficulty, from our aspect, is where a tenant refuses support.
51:43Yeah.
51:44There's always so much we can really help from you.
51:46Yeah.
51:47Particularly when he tried to offer him help, he was adamant who wouldn't have it.
51:51And we go to people that are in quite severe medical need, and they're still like, well, yeah, I can manage.
52:01And you're like, you can't, though, today, you know.
52:04People refuse help for a number of different reasons, or whatever that be.
52:12They're ashamed, almost, of the proud person that they once were, and now they're unable to live their life how they used to.
52:19And others, it's because they have no-one.
52:22But I think that's due to life nowadays.
52:26Everyone's too busy to check in on the neighbour.
52:30Yeah.
52:31Although the world's changed for the better, in ways like that, it's changed for the worse.
52:38I'm pretty sure that he's Mexican, so we can potentially get through to him.
52:43Yeah.
52:44Does he live quite close by?
52:51Not close by him.
52:52OK.
52:56Hi, I'm from Yorkshire Mullins Service.
52:59I'm just having to call you in regards to your dad.
53:03So, unfortunately, this morning, the Leeds City Council have been around and had to gain access to his property.
53:10And I'm sorry to tell you that your dad's died.
53:13I'm really sorry to tell you this news over the phone, and I understand that you're quite some distance away from your father.
53:22Right.
53:23I'll leave you being, once again, I'm sorry for having to pass that information on to you today.
53:30All right, you'll take care.
53:32Goodbye.
53:33That was my grandma's favourite poem.
53:47Oh.
53:48I had the words to footprints tattooed on my arm there, yeah.
53:53Oh.
53:54So, just the end bit.
53:55When you see only one set of footprints, that's what I kind of do.
53:59Very nice.
54:00My mum was a single mum.
54:09So, we laid heavy on my grandparents.
54:12I had a very close relationship with them.
54:22I lost my grandma about 12 years ago.
54:27I think the job that we do, we learn that death's a natural process of life.
54:32I'm glad that she got to see me join the ambulance service.
54:36She was definitely proud of me.
54:40She wrote poems, and I write them now.
54:44So, maybe it's something that she's passed down, and it can help me reflect on jobs.
54:54We can't save everyone.
54:57But, so long as you can walk away from a job and think you've put your heart and soul into it,
55:02and you've done everything that you can for that person, then I don't know why anyone wouldn't be proud.
55:09Today has been a day of where I can go home and think we've made a difference.
55:14Yeah.
55:20In Yorkshire's land, where Greenhills roll,
55:24a call comes in, a lifeline's toll.
55:27From Leeds to Harrogate, up Whitby's shore,
55:33the Yorkshire ambulance is evermore.
55:38Call handler's voice, sharp and clear.
55:41Bye everyone.
55:42See you later.
55:44Takes down the details.
55:46Goodbye.
55:47Calms the fear.
55:49The medics in the cab prepare, for every twist, for every scare.
55:53With every patient a story told, in every heart a bit of gold.
56:00Do you know, Regan, I've had such a good time, I might stay on and do a night shift.
56:03Really?
56:04Just carry it on, yeah. Why not?
56:05Yeah, perfect mate.
56:06So here's to those, who heed the call.
56:13In Yorkshire's name, they give her all.
56:18From start to end, they serve with cheer.
56:23Yorkshire Ambulance, ever near.
56:26By a nice place and everyone standing up,
56:28I'll watch you for the next two weeks.
56:29Maybe you'll see what's next.
56:30Wait, why did you see here in the next one?
56:31I'll see you again.
56:32I'll see you in the next two weeks.
56:34I'll see you next time.
56:36I'll see you in the next two weeks.
56:40Good morning.
56:42Good morning.
56:44Good morning.
56:47Good morning.
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