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00:00You see, two cars head-on.
00:03This lady has been on the floor since 5am.
00:06It's a two-year-old who's been stabbed over.
00:10Every day across Yorkshire, more than 3,000 people call 999.
00:15He's just not breathing.
00:17He's pregnant.
00:18Right, he's pregnant.
00:19He's trying to pull a petrol over the glasses.
00:22The ambulance service must decide who gets help.
00:25Andre.
00:26We're going to look after you, mate.
00:28We'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.
00:50All 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.
01:03I've got a five-year-old found wandering in the street.
01:06Naked, malnourished.
01:07God, it breaks your heart. It's awful.
01:10And every decision critical.
01:11Hello!
01:12You're all right!
01:13Please, let the kids out of there!
01:15Where are they going to land in the middle of Bratford?
01:17We go beyond the flashing blue lights...
01:21Oh, well, well, well, well!
01:22...to reveal the human stories behind every siren.
01:26Just keep it going, I don't know.
01:27Absolutely.
01:29Thank you for coming.
01:30You don't have to thank us.
01:31You don't.
01:32If you've got manners, you know.
01:35Are we all ready to set sail?
01:36Get a going!
01:37Get a going!
01:38Ha, ha, ha, ha, ha, ha, ha, ha, ha.
02:08Just try and stay nice and calm.
02:09You're doing really well.
02:11I'm very quiet.
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, but on arrival,
02:26he's now peri-arrested of her.
02:29Yeah, that's received. On room now.
02:34Leeds crew, Ryan and Tom,
02:36are immediately dispatched to the Category 1 emergency,
02:39the ambulance service's highest priority.
02:49Already on scene is crew, 1466,
02:52who have begun assessing the patient.
03:03All right, guys?
03:04Stephen's woke up at half past seven,
03:07just feeling immediately short of breath.
03:08Right.
03:09No chest pain.
03:10Right.
03:14I'm going to have a quick listen to your chest, buddy, OK?
03:17Nice deep breath in for me, Stephen, bud.
03:22All right, we're going to look after you, mate.
03:27Stephen is in peri-arrest
03:29and his health is deteriorating rapidly.
03:34Let's get you into hospital, then, eh?
03:35I'm going to get you sorted out, bud.
03:37Without urgent medical treatment,
03:39he's at risk of going into cardiac arrest.
03:43On three, we're going to have a stand-up.
03:45Hold on to my hands.
03:46Hold on to my hands.
03:48Hold on to my hands, Stephen.
03:48Stephen, hold on to my hands.
03:50What are you doing?
03:50I'm going to help you.
03:51What are you doing?
03:53Stephen,
03:53do you think you're going to be able
03:56to stand up on your own, being honest?
03:59Yeah.
04:00Stephen, time's a bit of the essence.
04:02I'm going up.
04:03Can we start helping you a little bit?
04:05Just use your legs in front of you.
04:07Push down on your feet, mate, OK?
04:09One, two, three.
04:11Up you come.
04:14Well done, mate.
04:15Turn towards Tom.
04:17We've got you, don't we?
04:18Keep going.
04:19You just sit down.
04:20Down we go.
04:21Down we go.
04:22Yeah, you're pretty good.
04:24I'm definitely blessed.
04:25We do try.
04:41Hello, St James.
04:42I've got a medical for you.
04:44Stephen is en route to St James' Hospital,
04:47six and a half miles away,
04:49where staff are on standby to act immediately.
04:55You all right, bud?
04:57Always joking, bud.
04:59Not today, is that?
05:00BELL RINGS
05:00This is Stephen.
05:18Saturating at 55% on room air.
05:22100% O2 on.
05:23We're only managing to get it up to, like, 79% at best.
05:27My name's Amy.
05:28I'm one of the nurses.
05:30You're in good hands.
05:31All right.
05:34You're all right, Steve, bud.
05:35You've got everyone round her that you need.
05:36We would advise, just based on information that we've been given,
05:51that we would do chest compressions in order to help him
05:53until the ambulance crew does arrive.
05:56In control, call handlers Cam and Ellie
05:59are already facing a surge of Monday morning emergency calls.
06:03No, so you need to pump a chest hard and fast 30 times.
06:08You need to keep going for me.
06:09One, two, three, four.
06:12They are part of a 27-person team
06:14who have already received 94 calls in the first hour of their shift.
06:19I told you.
06:21Mondays are the new Saturdays.
06:24Responsible for allocating each emergency call
06:26are dispatchers Chloe and Jerome.
06:30Don't wait for my coffee.
06:31How many cups of coffee do you have a day as well?
06:34About 47?
06:35Probably about, yeah.
06:38Between them, they will coordinate 57 resources across Leeds,
06:43the most populated city in Yorkshire,
06:46home to over 800,000 people.
06:49And what service is the patient breathing?
06:59Erm, erm...
07:01Is the patient breathing?
07:02I'm ringing about my husband.
07:05His name is Fred.
07:06During the night, he's got very confused,
07:09trying to get into rooms that are not there,
07:12and he's laid on the floor now.
07:14OK, and so at the moment, is the patient breathing?
07:17Oh, God, I just can't hear you properly.
07:19I'm really sorry.
07:21Is Fred breathing now?
07:23It is... yeah.
07:29Here we go.
07:311671 receiving.
07:32And now they've fallen on the floor again.
07:40Patient's conscious and breathing.
07:44Yeah, thank you for the update.
07:46We'll head over there.
07:48This guy's been having a few falls on it soon, hasn't it?
07:51Yeah.
07:52And he's, like, 89?
07:53Yeah.
07:54Yeah, that's it.
07:55Ryan and Tom are six minutes away from the patient
08:00who is in Osmanthorpe,
08:02two miles east of the city centre.
08:05Nearly there now.
08:16Hello, ambulance service.
08:19I think she just stood at the eye.
08:21Hello.
08:23What's his name?
08:25Fred.
08:25Fred, what's your name?
08:26Norma.
08:27Norma.
08:28Hello, Fred.
08:29Nice to meet you.
08:31I don't like what I can't, I don't know.
08:33I just don't know what to do.
08:35Don't worry.
08:35We'll do everything now.
08:37Are you happy if we get you off this floor?
08:39I can't hear you, Prof.
08:41I've no hearing you.
08:43No problem.
08:44Let's get you up, Fred, bud.
08:47Yeah, yeah.
08:51Fred, on three, we're going to stand up.
08:53One, two...
08:55One, two, three.
08:57Let's pop you on this bed, Fred.
09:01We're very unsteady, aren't we, bud?
09:04Slip back, slip back.
09:06There we go.
09:07Oh.
09:07There we are.
09:09Get her lay down.
09:11No, look at me.
09:12Do a big smile for me.
09:15Lovely.
09:15Very nice, bud.
09:17You give my hands a good squeeze.
09:20Squeeze on.
09:21Don't be shy.
09:22Squeeze his hands.
09:24Like, squeeze your hands.
09:25Squeeze.
09:26Like that.
09:26Yeah, lovely.
09:28Shall we get you laid up in this bed for a couple of minutes, just while we finish our assessment?
09:32Fred, what did you used to do for work?
09:39I worked for a few things.
09:41I was a pilot on the rail at work one time.
09:44Yes, I threw a coin for you.
09:47Was that a hard job?
09:48Yes.
09:49Hard work, yeah.
09:50Yeah, hard work.
09:52You've got proper workers' hands on, eh?
09:56Where was that taken?
09:58Talkie.
09:59Talkie?
10:00It looks like you're abroad, eh?
10:02No, I've never been abroad.
10:04You've never been abroad?
10:05Really?
10:06No, I won't fly.
10:07Yeah, fair enough.
10:09Why won't you fly?
10:11I just, I can't imagine being fastened in an enclosed space up in the sky.
10:18Fair enough.
10:19Now 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,
10:27he's got quite a big lump on his eye.
10:29I wonder where that blood's come from.
10:31Possibly from there.
10:33We're going to have to take him up to the hospital.
10:36He's going to need looking at by the doctors.
10:38Yeah.
10:38And possibly a scan on his head.
10:44I've got you, Fred.
10:45Don't worry.
10:45Well done.
10:47Perfect.
10:49Look at this.
10:50How do we have it, Fred?
10:51Over to the side?
10:53Do it what you want.
10:56You've got Norma laughing at you now.
10:58Is that how he has it, Norma?
11:00We'll have all the nurses after you now.
11:03Right, I'll see you later, love.
11:05Norma, are you shutting this door behind us, my love?
11:12All right, you take care, Norma.
11:20Fred is being transferred the one and a half miles to St. James' Hospital.
11:24There we go.
11:26Here we are.
11:27I'll get some eating on for you, Fred.
11:30Lovely.
11:30When I was younger, we used to get called a busybody.
11:42Because if there were ever any drama, I always wanted to be there.
11:44But I've always wanted to be the one that made people's days that bit better.
11:52I was born in Leeds.
11:54The street that I grew up on, it was called The Rain.
11:57And I think I could probably go into 90% of people's houses without knocking on the door.
12:02That's how close the community was.
12:03The older generation that lived there, that they remember how it were.
12:09It was a very, very community-based area.
12:13But Leeds is a large city now.
12:17That's becoming larger by the day.
12:24Just waiting on Ryan to come back.
12:26We'll get you through.
12:28Get out of here, can you?
12:29No.
12:30No.
12:33We'll be leaving you now.
12:37You're leaving, don't you?
12:38I am.
12:39Yeah.
12:39Well, it's been lovely to meet you.
12:40I shall miss you.
12:41I'll miss you too.
12:43All the best.
12:44Lovely to meet you.
12:44Okay, then.
12:45See you later.
12:49See you later, pal.
12:50See you later.
12:51See you later, bud.
12:56Did he say he lived there 56 years?
12:57Yeah.
12:58I bet he's seen some right changes around that area.
13:00I bet he used to be really, really quiet back in the day, you know.
13:0356 years ago, half of them ourselves probably weren't even there.
13:06No, no.
13:08And now he's in a concrete jungle, isn't he?
13:11He is.
13:1489 and independent.
13:17You can't complain at that.
13:20No.
13:21He's like, no, we're not at that stage yet.
13:22We don't need a stair lift.
13:24A bit tough for that generation, though, aren't they?
13:27Hard as nails, aren't they?
13:28Yeah.
13:28Yeah.
13:29Ambulance service.
13:40Is the patient breathing?
13:42Yeah.
13:43She's literally, she's pregnant and she's been...
13:45Listen.
13:46Listen to me.
13:47Is the patient awake?
13:49She's awake.
13:50She's been spewing up in the water.
13:51They literally go in all over the kitchen.
13:53Yorkshire Ambulance Service is now receiving over 220 999 calls per hour.
14:01OK, 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, the standard time frame in the area
14:08is showing anywhere up to two hours.
14:10In times of high demand, the service escalates its clinical safety plan.
14:15Guys, level three.
14:17Three, three, three.
14:17Mel.
14:17Which means it prioritises emergency ambulances to the most poorly and vulnerable patients.
14:24Hello, I feel my way.
14:25They are coming to you as quickly as they can, OK?
14:28Yeah.
14:29Right.
14:30No, I'm scared.
14:31Oh, my God.
14:33Ellie is on her 33rd call of the shift.
14:37Just keep yourselves calm.
14:38I know it is scary, all right, but just try and keep yourselves calm.
14:42What?
14:43Are they there?
14:45Yeah.
14:45Right, I'll leave you with the crew, all right?
14:47Take care.
14:50There are currently 186 patients waiting for an ambulance.
14:55So I'm organising to help for you now.
14:56Stay on the line.
14:57With a new call being received every 15 seconds.
15:01Is she completely alert?
15:03And wait times are continuing to lengthen.
15:06I just want to know when it's going to come in.
15:08At the moment, it could be anywhere around one hour and 50 minutes.
15:12Oh, my gosh.
15:13One hour and 50 minutes is too much.
15:15I 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.
15:20Jerome, can I take 1373 for a cat 2 at Batley, please?
15:24No, I'm going to need them.
15:26Sorry.
15:26I've just gone to CSP level 4.
15:31Got 97 just waiting in west at the moment, and we're approaching 200 over Yorkshire,
15:35so just thought I'd let you know, all right.
15:38With CSP level 4 in place, lower priority calls won't be sent an emergency ambulance.
15:44Instead, they will receive alternative support.
15:47I've got no available resources at all at the moment.
15:51What a day.
15:521692, Luke and Regan have just become available.
16:10Now you're 1692, I've got a job to pass to you, please.
16:15Yeah, go on.
16:17We've got an elderly female.
16:19Mel 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 early.
16:30So hopefully we'll get to her pretty quick.
16:33Yeah, we are on our way to a busser.
16:37The crew have been dispatched to Pudsey, where the patient has fallen outside a library.
16:4445 minutes for a 91-year-old.
16:47We are, what, like six miles away and we're the closest available resource.
16:51It's sad.
16:52Hello, Mollie.
17:06Can I have a look at this arm of yours?
17:08Oh, God, oh, dearie me.
17:10I didn't realise what was there.
17:11What a mess.
17:13Yes, love, if you can get a tour.
17:16I'll finish wrecking the place, shall I?
17:19All right?
17:21Yes.
17:21Is this painful?
17:23I can imagine.
17:26One Christmas Eve many years ago, I broke both.
17:31Both 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.
17:40Shove you up.
17:42Shove you up.
17:46Shove you up, eh?
17:48We're doing that, Mollie.
17:49Don't you worry.
17:52Your 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.
17:59I was on my way to B&M.
18:01Oh, and what did you get from B&M?
18:03Well, they didn't have what I wanted.
18:05I wanted some cream crackers and I got some toothpaste.
18:09Right, so Mollie, we need to have a look at you.
18:14We'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 all okay for us to take your coat off?
18:24Bless her.
18:25Pete is on.
18:26I'm loving your little outfit.
18:28This is very trendy.
18:29What have I done?
18:32Right, keep it there.
18:34Okay?
18:35Keep it there.
18:36It might be a case that your worst injury might be your arm.
18:39It seems to be.
18:42She's told you.
18:43Oh, yeah, that's me told, isn't it?
18:45Is it broken?
18:47Chances are, yes.
18:48Your shoulder potentially is out, but I can't fully assess you at this present minute.
18:54No.
18:55So, what we're going to do is...
18:58Take me in.
19:00Oh, yes.
19:02Luke's going to support your back.
19:04I'm going to swing your legs up.
19:09Are you comfortable like that, Mollie?
19:11Yes.
19:12Are you sure?
19:13Can you do the head?
19:15Yes, we will get that sorted.
19:18We just want to also, Mollie, give you some pain relief, because you're clearly in a lot of pain.
19:26All right?
19:27We'll support your arm in a couple of ways, so you can't feel it when we're moving about as much, okay?
19:33We need to get this arm out of the sleeve, okay?
19:43You know when you fell, did you go dizzy or anything before you fell?
19:48No.
19:48Okay.
19:51Did you trip over something?
19:52I tried to stop myself and there was no chance.
19:58Right, Mollie, so this is gas and air.
20:02I want you to breathe in and out through this straw.
20:05Right, and breathe in.
20:06Perfect.
20:08Nice, slow, deep rest for me.
20:11Okay?
20:15Right there, Mollie.
20:18Mollie, Mollie, Mollie, Mollie!
20:19Yes, yes, yes!
20:20No, no, no, no, no, no, no, no.
20:22Stop panicking.
20:30I need you to stop panicking.
20:32I need you to slow your breathing down.
20:34You are panicking breathing, yeah.
20:36Okay?
20:38Slow it down.
20:39I'm not going to let anything bad happen to you, okay?
20:45All right.
20:48What part's that now?
20:49Oh!
20:52Yep, yep, yep, yep, yep, yep, yep, yep, I'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, Mollie.
21:19Can I adopt you?
21:20All right.
21:21Yes, you're amazing.
21:39Ambulance service, is the patient breathing?
21:41Is the patient awake?
21:43Tell me exactly what's happened.
21:44I'm calling about my phone.
21:45I'm calling about my phone.
21:46I'm calling about my phone.
21:47I'm calling about my phone.
21:48I'm calling about my phone.
21:49I'm calling about my phone.
21:50Are you able to make your way to hospital without an ambulance at the moment?
21:54I can only breathe.
21:55I can only walk five yards.
21:57The average wait time.
21:58The average wait time for category three patients is now two and a half hours.
22:05Ambulance service, is the patient breathing?
22:08Yes.
22:09OK.
22:10Tell me exactly what's happened.
22:12I'm calling about myself.
22:14I am pregnant and I am getting bleeding from my vagina.
22:20How many weeks pregnant are you?
22:23Eight weeks.
22:24So I'm organising the help for you.
22:28Stay on the line and I'll tell you exactly what to do next.
22:31OK.
22:31So you need to assume the most comfortable position.
22:34Just take a deep breath between any pain that you're having.
22:38All right.
22:39OK, is there any serious bleeding?
22:45Yes.
22:48You're doing well, OK.
22:50We've got the help all organised for you.
22:53We will aim to respond to you as soon as we can,
22:55but we're experiencing an extremely hard demand for the service.
22:58At the moment in your area, the current waiting times could be three hours,
23:02but with the current pressures, that is likely to be significantly longer.
23:06You may be able to access some help faster
23:08by making your own way to an emergency department.
23:12OK.
23:14All right.
23:14I would rather wait for the ambulance.
23:16You're going to wait.
23:17OK.
23:18So in that meantime, you need to keep your telephone line free
23:21because you may be called back,
23:23but if your condition changes or if you no longer require this ambulance,
23:27you are to call us back on 999, OK?
23:30Yes, that's fine.
23:31All right, then take care.
23:33All right, thank you.
23:34All right, you're more than welcome.
23:38All right, thank you.
24:08you see it looks like three at the moment there's the driver a child and then a passenger there's
24:14other people in the car by the look of it i think they're trying to get in now
24:19hi isaac it's nick on the quick care desk um i'm just getting reports of an rtc that's coming in
24:24on the edge are you okay to give you a bit of an update around what's going on yeah please
24:29mate go ahead so it's looking like we've got three patients one adult patient and two children
24:35and there's an 11 year old who has reported a unconscious and it's going to be a multi-agency
24:40response yeah roger all received mate thanks very much specialist paramedic zach is eight minutes
24:48away also on route are three ambulances a team leader and yorkshire's air ambulance service
24:54as the first clinician on scene zach needs to identify who requires the most urgent medical
25:10treatment
25:18preview to our tc uh wagon and wagon behind us
25:24mum and dad here with the youngest son we've got kian head injury uh leg injury he's on or two at
25:31the moment we are trying to keep c-spine stable your tongue is all right
25:35okay
25:40kian my name's zach i'm one of the paramedics where are you hurting buddy kian look at me buddy
25:48where are you hurting mate we've got daddy's got a decent leg to his head
25:53yeah son's i think he's six yeah i got a hurting ankle and this kid in here is 11 reduced gcs with a
25:59head injury okay my plan for him pin this door back get a board and just get him out and then we can
26:04proper look at him yeah i want him laying down on the board yeah so sit him onto it lay his back
26:10down slide him up it once he's out we're going to go straight onto the stretcher which will be here
26:15getting me immediately onto an ambulance and then we can have a look at him properly
26:25thanks no no you're fine thank you
26:39hi can you leave hems running please we've got a um 11 year old male gcs 13. yeah i'll receive mate i'll
26:46update so hems uh 11 year old male gcs 13 out of 15 loss of one to iron two to voiceover
26:58main issues are head and uh leg mate could you try and um cut your socks and shin pads down
27:05if you can get his shoes off without all right just squeeze that hand from it
27:16i'm gonna try and put a candle in here mate but i'm not convinced
27:20zach needs to administer pain relief to kian in order to straighten his leg and ensure blood circulation
27:26that's what i'm going to do
27:31do you want a hand holding you uh if you want mine that'd be sweet thank you
27:36ah fine yeah would you just let him on
27:43hey stew how are you mate yeah um so um 11 year old
27:49back seat passenger my biggest concern is a head injury and there's a femur
27:54yeah yeah we've had about four guys that cannulate in and can't get any access because he
27:57kind of he talked to us he's he's sort of talking to us yeah what's his name kian kian
28:05right we've got any other options we've got an io option yeah so he and rely out
28:11i'd say if we can't get anything in the next couple of minutes yeah yeah
28:18so we need to put an intra osseous needle in because we're unable to get into venous access
28:22we want to give him some station and sort out this femur so we've got that drill
28:28intra osseous access delivers medication directly into the bone marrow it's commonly used in children
28:35who are often harder to cannulate you squeeze this hand that's it all right strong again it's gonna
28:44feel a bit strange mate okay it feels a bit strange but it's absolutely fine all right buddy
28:50okay a needle coming up squeeze my hand won't you that's it mate that's it it's okay all right
28:56buddy you're doing really well it's okay mate it's okay well done buddy oh well done
29:03you'll squeeze squeeze his hands you squeeze that's it okay
29:08doing really well this might sting a little bit but it's completely normal buddy all right
29:11okay i know it's okay i know i know it's okay okay that's probably the leg that's hurting you more
29:23than anything else it's gonna feel better from it well done well done well done right that's enough
29:29that's enough to head some for now that's it mate that's out it's off it's off it's off
29:44keep squeezing squeeze i'm in up here well done kian you've been absolutely brilliant
29:52sat's are 100 bp is nice and stable he seems sedated
29:56catnography has been solid
29:57yeah yeah amazing job thanks mate thanks guys cheers
30:08kian will be taken by ambulance to leeds general infirmary where staff will continue to care for him
30:15in control chloe and jerome are coming to the end of their 12-hour shift
30:30i'm really sorry but it's been mental you know i don't make an habit of leaving it we've really all
30:36kept phrase but it's just been flat out no problem get yourself up thank you and i shall see you bright
30:44and early in the morning
30:48after operating at the highest demand for over 10 hours the ambulance service de-escalates to csp
30:55level 3 but 138 patients are still waiting for an ambulance
31:17what was yesterday like cam horrendous mate
31:20it's tuesday and the start of another 12-hour shift for call handler cam today he's joined by cat
31:32ambulance service is the patient breathing i won't be too i need some food okay what's
31:38the telephone number that you're calling from just in case the line's disconnected
31:43hello the call in progress is from a patient well known to the ambulance service
31:50kathleen what is the reason that you require an emergency ambulance
31:55in 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 you're holding up an emergency line
32:07i need something to eat okay kathleen you've called 999 for an emergency life-saving ambulance okay we
32:14cannot provide you any breakfast i didn't say it was breakfast okay
32:23i'm gonna kind of help you hello would just confirm the last number for me please
32:26thank you kathleen she keeps hanging up the line but then bt keeps saying she's reconnecting so she's
32:34just redialing straight away got yeah yeah just asking on this one ask this one okay so kathleen
32:40can you still hear me because she's not going to give you any answers see if you can try as much as
32:45you can if not we'll do as yesterday cup it and if not send it to 111 kathleen the ambulance service is
32:52still on the line for you okay so when you when you're ready to talk to me just let me know what's
32:56happening
32:58i think she keeps pressing 999 you can hear it can we try and transfer it to 111 right i've sent it to
33:08them so if she just follows the options they'll sort her out you know what's going to happen then
33:14so she's called nine times yesterday 15 times on the 13th the 12th the 11th the 9th the 10th the 7th
33:21ambulance service is the patient breathing only do is the patient awake
33:33i've got kathleen she said she's only just breathing see what you can get from her
33:39if she's talking normally don't ineffective i already have kathleen's response has classified
33:45her as having ineffective breathing the system has now automatically allocated her a category one
33:51ambulance tell him that we've got a care plan in place for this lady do they want to call it
33:58back um just because at the minute we're running as a cat one so call handler gone that's an ambulance
34:03gone even though she's a frequent you have to go we're going to have to travel because what if she in
34:09is
34:15amulet is patient reading uh yes it's just a small kid got hit with the car and how old is he yes he's 10
34:24years old well don't talk about the parents they are giving me someone trying to get everyone to just
34:30remain calm for him for now okay
34:361671 receiving over hi yeah 1671 i've got a job for you please and we've got a 10 year old male
34:44being hit by a car there is a lot of shouting and swearing in the background so yeah just let me know
34:50how you get on with this one please yeah roger not a problem we're heading there now
34:55so they've said there's a lot of shouting yeah it's quite an aggressive signal all right yeah
35:02imagine parents won't be happy no it's the worst thing as a parent to see one of your children hurt
35:13oh it's outside my land street doctor's in that yeah far from it pick few streets down
35:25oh is it that we're here to see
35:43is it this little man here
35:50what's his name dominic dominic nice to meet you sir
35:55what's happened today i got in a crash and my leg you got in a crash
36:01was it this car here yeah okay how old are you dominant dominic nine years old and where
36:08abouts is the pain can you point to it on the top anything underneath no pain can you wiggle your toes no
36:18and does this foot hurt not the not this bruise here a little bit okay so what we're going to do
36:28is we're going to get our our stretcher out of the ambulance okay we'll bring it here and then we can
36:34lift you onto the stretcher and we'll wheel you to the ambulance and we'll do all your checks there does
36:39that sound okay lovely stuff is this the driver what happens in your words well i was coming from
36:48that side it was very slowly yeah and then one of the boys jumped out from the car straight
36:53just hit the wing mirror so he's hit the wing mirror yeah that's it okay but his foot probably
36:58i don't know get hit to the wheel or something so his foot's hit the wheel probably potential that
37:02police are going to be coming down yeah are you all right just to stay where you are for now yeah
37:06perfect so dad do you want to get dominic out of the car and we'll just sit him on here is that all
37:12right what's your name mom alana alana oh that's funny that's my wife's name
37:25any pain in your head no you don't have a headache can you see me okay yeah
37:31hello is it broken we don't know without an x-ray so we'll take him down to the hospital he can have
37:39an x-ray done are you sister sister-in-law are you brother yeah what's your name cammy nice to meet
37:47you cammy i'm going to come and have a chat with your dad hi sir he's going to need an x-ray on his
37:55foot okay so we're going to take him down to the hospital do you want to come with us are you
37:59going to you're going to drive in your car lovely there's like a big monitor and it's just light
38:08shows my bones yeah and if it's broken they're just going to fix it it won't hurt nothing
38:15so looking at the trainer i would say there's a a possibility that there's a tire gone over your foot
38:22did you feel it go over your foot yeah
38:25you're a strong lad aren't you confident he knows his worth yeah he's like that yeah
38:37it's lively down there isn't it
38:55what's your postcode you live in seacroft that's where i'm from yeah that's where i was born
39:07how long have you lived in seacroft for then dominic
39:10i don't know seven or eight months seven or eight months when did is that when you came from czech
39:16republic was you a baby when you came from czech republic he was born in the uk
39:26my mum was a youth worker in seacroft when i was growing up
39:30we know everyone on street i think it helped me a lot with my job
39:37i'd like to think that i can talk to most people
39:39i think i owe a lot of that to my my upbringing and where i where i were born
39:46i say to anyone that starts with the ambulance service the job is probably 10
39:5030 and 90 communication so do you know where that happened with the car who lives there
40:02he brought this brother cammy's girlfriend is that who got on the back of the ambulance cammy
40:07yeah yeah i was gonna give uh my niece to them you was gonna give your niece to them what as a
40:15present here i have my niece nice because i've got twins you've got twins yeah and you're 15 wow
40:23gypsy gypsy how's it going good not that hard like people will see not that hard are you getting
40:32much sleep on a night time yeah have you got family helping you yeah yeah do you have a girlfriend
40:39dominic no why are you a good-looking strong lad surely the girls are after you
40:47are you going shy now
40:48you can just about see the hospital now
41:08leeds is a city with a multitude of different communities
41:12someone from leeds is called a liner so long as you buy into what people of leeds are about
41:21anyone can be a liner
41:25i'm proud that leeds is somewhere that people can come from wherever they are or circumstance are in
41:30and call it their home okay lovely to meet you dominic do i get a handshake
41:37i'll see you later mate
41:52ambulance services the patient breathing
41:59mel's got kathleen roger
42:01kathleen is calling the ambulance service for the sixth time today okay is the patient awake
42:12another ambulance that was sent earlier to her as a category one was refused entry
42:16okay just tell me exactly what's happened
42:22she sounds like she's talking
42:25so i'm organizing the help for you now just stay on the line for me okay
42:28still go down six with her so just send the 111 give her the instructions and then clear the line
42:35so i'm giving some instructions before i let you go kathleen okay we are just currently extremely
42:39busy in there at the moment nhs 111 service are going to give you a call back on this number
42:44so i need you to keep this phone line free i do need to hang out to take another call but the
42:48help's all been in place for you okay kathleen
42:50okay take care
42:58you need to hang up the phone kathleen
43:02she's not gonna she's not gonna hang up the phone
43:04yeah
43:04it's a landline
43:10she has cleared
43:10she spoke to me she spoke to you yeah i got a full triage of her strip within like three minutes
43:22you must have a a turn to your voice i just got a touch you've got a magic touch magic touch
43:36she's not going to be able to hang out to her but she's not going to be able to hang out
43:41central leeds crew 1696 matt and reese are attending a patient who has waited 10 hours for an ambulance
43:49there's 20 there 11 there
43:54hiya hello i'm matt this is reese hello
43:57i am so sorry
44:00do you know what it's so far
44:01i think this theory is set in we've had a really good laugh just go now this is this is like
44:07it's like delirium hard way for
44:10she's pretty cheery yeah the morale's been high over the last few hours
44:15why do you feel like you can't move from the chair at the moment um i have um secondary progressive
44:21rams right diagnosed in 1994 right so i'm i'm a bit of a hero because i'm 31 years this may with it
44:31okay and uh as a result very stiff mm-hmm but i've noticed it's taken me longer to get dressed
44:38and get undressed and do the stuff i usually do and is that do you do that independently normally
44:44yeah i just so it just feels like i'm wading through treacle type of thing okay we'll see if
44:52we can get you up see if you can start to unstiffen these things yeah lindsay normally when jill
45:02struggles with a movement normally would you be able to help her up and move if it's too heavy
45:08also she doesn't trust anyone okay she'll trust you guys yeah yeah i've got no chance
45:14you know right now we're gonna be task focused okay yeah we're gonna stand up all right we will
45:22not drop you okay i promise you worst case scenario we won't drop you okay okay okay
45:35i can't do it why because i can't reach it as i would usually reach it
45:41okay right let me help you okay okay right yep one two three
45:49four 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
46:02i've got you
46:07okay move forward a bit mm-hmm yep and take the brakes off this
46:14i've been
46:14right relax back on my knee for a second okay right move this round here yeah i've got you
46:25i'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 go please i should have a wheelchair go forward
46:40yeah all that should have water
46:46how often do you come on that was often i was just saying that i've got a nine-year-old and
46:5011 year old my husband's job's in london so i can't get up as often it's hard i mean the way
46:57she is at the moment she can't live independently the way she's been the last three days yeah but
47:01this isn't the way that she is has been normally so obviously the concern is this was a permanent
47:06change yeah and that's what she's scared off as well yeah absolutely if you don't mind me asking
47:12you seem like a little bit a little bit upset about it yeah yeah it's the single biggest heartbreak
47:17for my life what's happened to her and it's been so slow but it's so bad now and she's so resistant
47:23to you know she this is the way she's done it and this has got her this far and now i say to all that
47:29i think this is getting in the way of you having a better quality of life yeah but she won't be told
47:35she's the younger i'm the eldest steaks person by a clear three years bless her she cares though
47:49doesn't she she does yeah
47:51what i'm scared of is that i'm not going to get back to where i was what in the chair
48:02in life right okay if you and lindsay have an argument and she's like nah i'm sodden off
48:10and you're like oh well how am i meant to get something to eat now well she can't stay forever
48:14can she no no she's got and yeah my carer's coming thirsty but then she's grabbing exactly then i'm on my
48:20on friday is that playing in your head at all or has that been playing survival it always is
48:29i really don't want to take you in but i think realistically
48:34we need to get you seen by people who are smarter and better trained than us
48:37all right you good yeah
48:46the ramp is in operation you are
48:56obviously i really hope it's not really nice because
49:01i can't control her but i have to put my hands up and say yeah i'm this my i might be knackered
49:09and my it might get worse you seem to be faced with a very um realistic mindset yeah yeah with that
49:21background of i'm still gonna fight which is amazing to see it's good to see but if it comes to the
49:29point where you need to accept more help start using things like that that chair i'm trying to do that
49:37i'm trying i've been trying to do that because this one knows exactly what i should be doing way before i
49:46be and she knows me
50:051671 receiving
50:06hands burn in fire um this is a house fire the fire is on scenes i think everyone's safe and out of danger
50:21brilliant that's all received
50:23that's what i'm trying to do that's what i'm trying to do that's what i'm trying to do that's what i'm trying to do
50:331671
50:35i year 1671 just so you know you have been diverted to a cardiac arrest
50:41so it's a cardiac arrest cardiac arrest but the matagate entry
51:111671 receiving.
51:141671, catch your message.
51:17Yeah, if you stand down all of the resources,
51:20unfortunately, this patient is deceased.
51:24So, 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. Yeah.
51:35The difficulty from our aspect is where a tenant refuses support...
51:39Yeah.
51:40Yeah.
51:42Yeah.
51:43Yeah.
51:46Particularly when he tried to offer him help,
51:48he was adamant he wouldn't have it.
51:50We go to people that are in quite severe medical need
51:54and they're still like, yeah, I can manage,
51:56and you're like, you can't, though, today, you know.
52:02People refuse help for a number of different reasons,
52:05or whatever that be.
52:06They're ashamed, almost, of the proud person
52:09that they once were, and now they're unable to live their life
52:12how they used to.
52:14And others, it's because they have no one.
52:17But I think that's due to life nowadays.
52:21Everyone's too busy to check in on the neighbour.
52:24Yeah.
52:25Although the world's changed for the better,
52:28in ways like that, he's changed for the worse.
52:32I'm pretty sure that he's Mexican,
52:34so we can potentially get through to him.
52:37Yeah.
52:43Does he look quite close by?
52:45Not close by.
52:46OK.
52:47Hi, I'm from Yorkshire Ambulance Service.
52:52I'm just having to call you in regards to your dad.
52:56So, unfortunately, this morning the Leeds City Council have been around
53:00and had to gain access to his property.
53:03And I'm sorry to tell you that your dad's died.
53:09I'm really sorry to tell you this news over the phone
53:12and I understand that you're quite some distance away from your father.
53:17Right, I'll leave you being...
53:20Once again, I'm sorry for having to pass that information on to you today.
53:24All right, you'll take care.
53:27Goodbye.
53:40That was my grandma's favourite poem.
53:42Oh.
53:43I had the words to Footprints titled on my arm there, yeah.
53:47Oh.
53:48Just the end bit, when I used to see only one set of footprints,
53:51that's what I kind of do.
53:53Oh.
53:54Very nice.
53:58My mum was a single mum.
54:03So we laid heavy on my grandparents.
54:11I had a very close relationship with them.
54:16I lost my grandma about 12 years ago.
54:20I think the job that we do, we learn that death's a natural process of life.
54:29I'm glad that she got to see me join the ambulance service.
54:32She was definitely proud of me.
54:33She wrote poems and I write them now.
54:36So maybe it's something that she's passed down.
54:41And it can help me reflect on jobs.
54:43We can't save everyone.
54:44But so long as you can walk away from a job and think 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.
55:00Today has been a day of where I can go home and think we've made a difference.
55:09Yeah.
55:10In Yorkshire's land, where Greenhills roll, a call comes in, a lifeline's toll.
55:22From Leeds to Harrogate, up Whitby's shore, the Yorkshire ambulance is 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 for every twist, for every scare.
55:48With every patient a story told, in every heart a bit of gold.
55:53Yeah Regan, I've had such a good time, I 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.
56:08In Yorkshire's name, they give our all.
56:12From start to end, they serve with cheer.
56:17Yorkshire ambulance, ever near.
56:23May the year's age.
56:24I'm not having a new event.
56:25I'm not having a new event.
56:26Even if I tell the story, I can't wait the time to move the line.
56:27Every time I ride on a treat, I can't wait for a minute.
56:28I am not having a new event.
56:29In Yorkshire's name, the Jaskow.
56:30I'm not having a new event.
56:31The night has been able to join us, but I'm not having a new event.
56:33It's called the night's deck.
56:34It's like a night.
56:35You can't wait for a night.
56:36To be a night.
56:37Even if I saw the night if I can, I don't have to wait for you.
56:38It's like a night.
56:40It's like a while.
56:42I'm having to wait for you.
56:43From this time, I guess.
56:44What about you do?
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