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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!
01:38HE LAUGHS
01:39Compulence services, the patient breathing.
01:52It's my brother.
01:53He's got difficulty in breathing.
01:56He keeps saying he's dying.
01:58I'm gone, they say.
02:00His eyes are closed.
02:01Just keep trying to reassure him for me, OK?
02:04I'm going to be honest with you.
02:05I'm setting from eight to four.
02:07I know, just try and stay nice and calm.
02:09You're doing really well.
02:11I'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, he's now peri-arrested her.
02:29Yeah, that's received.
02:30On room now.
02:34Leeds crew, Ryan and Tom,
02:36are immediately dispatched
02:37to 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.
02:54All right, guys?
03:04Stephen's woke up at half past seven,
03:07feeling immediately short of breath.
03:09Right.
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.
03:19All right, we're going to look after you, mate.
03:27Stephen is in peri-arrest
03:29and his health is deteriorating rapidly.
03:33Let's get you into hospital, 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.
03:42On three, we're going to have a stand-up.
03:44Hold on to my hands.
03:47Hold on to my hands, Stephen.
03:49Hold on to my hands.
03:50What are you doing?
03:50I'm going to help you.
03:51What are you doing?
03:53Stephen?
03:55Do you think you're going to be able
03:56to stand up on your own, being honest?
03:59Yeah.
04:00Stephen?
04:01Time's a bit of the essence.
04:02I'm going to.
04:03Can we start helping you a little bit?
04:05Just use your legs.
04:07I just want you to push down on your feet, mate, OK?
04:09One, two, three.
04:11Up you come.
04:12Well 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'll pay both of them.
04:24We do try.
04:31Can you get his back?
04:32Yeah.
04:32Hello, 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?
04:55All this parking lot.
04:58Not today, is that?
05:00This is Stephen, saturating at 55% on room air.
05:22100% O2 on.
05:23We're only managing to get it up to, like, 79% at best.
05:26OK.
05:27My name's Amy, I'm one of the nurses.
05:30You're in good hands, all right?
05:34You're all right, Steve, bud.
05:35You've got everyone around you 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.
06:29Don't wait for my coffee.
06:32How 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.
06:49Oh, God, I just can't hear you.
07:19You're probably, I'm really sorry.
07:21Is Fred breathing now?
07:23It's, yeah.
07:29Here we go.
07:311671 receiving.
07:33I've got a seat today.
07:35New old male laid on the floor, vomited last night.
07:38And now they've fallen on the floor again.
07:40Patient, conscious and breathing.
07:42Yeah, 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, what, 89?
07:53Yeah.
07:54Yeah, that's him.
07:56Ryan 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.
08:06Hello.
08:16Hello, ambulance service.
08:19I think she'll just stood at the door, right?
08:22Hello.
08:23What's his name?
08:25Fred.
08:25Fred.
08:25And what's your name?
08:26Norma.
08:27Norma.
08:28Hello, Fred.
08:29Nice to meet you.
08:31I like what I call it, aren't I?
08:32I 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?
08:40I can't hear you, Prof.
08:41I've no worries.
08:41I've no hearing you.
08:43No problem.
08:44Let's get you up, Fred, bud.
08:47Here, anyway.
08:48Yeah, yeah.
08:49Sorry to get Lana's back.
08:51Fred, I'm free.
08:52We're going to stand up.
08:53One, two, three.
08:57Let's pop you on this bed, Fred.
08:58Good.
09:01We're very unsteady, aren't we, bud?
09:04Slip back.
09:05Slip back.
09:06There we go.
09:07Oh.
09:08There we are.
09:09Get so low down.
09:11No, look at me.
09:12Do a big smile for me.
09:15Lovely.
09:16Very nice, love.
09:18You give my hands a good squeeze.
09:20Squeeze on.
09:21Don't be shy.
09:22Squeeze his hands.
09:24Well, 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,
09:31just while we finish our assessment?
09:36Fred, what did you used to do for work?
09:39I worked for a few things.
09:41I was a pilot on the rail, waiting on time.
09:44Yes, I threw a car in fire.
09:46Was that a hard job?
09:48Yes.
09:49Hard work, yeah.
09:50Yeah, hard work.
09:52You got proper workers' hands on, eh?
09:53Where was that taken?
09:58Talkie.
09:59Talkie?
10:00It looks like you're abroad there.
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?
10:10I 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.
10:20Yeah.
10:20Because 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.
10:29Yeah.
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.
10:49How 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.
11:08Norma, are you shutting this door behind us, my love?
11:12All right, you take care, Norma.
11:19Fred is being transferred the one and a half miles to St. James' Hospital.
11:25Here 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.
11:46But I've always wanted to be the one that made people's days that bit better.
11:50I 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.
12:33We'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.
13:25A bit tough for that generation, though, aren't they?
13:27Hard as nails, aren't they?
13:28Yeah.
13:28Yeah.
13:29Yeah.
13:29Yeah.
13:34On today.
13:39Ambulance Service, is the patient breathing?
13:41Yeah, she's literally supposed to take her and then she's been-
13:45Listen, listen to me.
13:47Is the patient awake?
13:48Is he awake?
13:49She's been squealing up and the water?
13:51She literally goes in all over my kitchen.
13:53Yorkshire 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
14:20to 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.
14:33Ellie is on her 33rd call of the shift.
14:36Just keep yourselves calm. I know it's scary, all right,
14:39but just try and keep yourselves calm.
14:43Are you there?
14:45Yeah, yeah.
14:46Right, I'll leave you with the crew, all right, take care.
14:48Yeah, thank you.
14:50There are currently 186 patients waiting for an ambulance.
14:54So I'm organising the help for you now, stay on the line.
14:57With a new call being received every 15 seconds...
15:01Is she completely alert?
15:03..and wait times are continuing to lengthen.
15:05I 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.
15:11Oh, 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.
15:20Jerome, can I take 1373 for Cat 2 at Batley, please?
15:24Er, no, I'm going to need them. Sorry.
15:26I've just gone to CSP Level 4.
15:30Got 97 just waiting in west at the moment
15:33and we're approaching 200 over Yorkshire,
15:35so just thought I'd let you know, all right.
15:38With CSP Level 4 in place,
15:40lower 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.
15:51What a day.
16:051692, Luke and Regan have just become available.
16:11Hiya, 1692. I've got a job to pass to you, please.
16:14Yeah, go on.
16:17We've got an elderly female.
16:19Malmoly, she's fallen over.
16:20She's got a nosebleed and an arm injury.
16:23The call did come in to us.
16:26Water 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 her, bless her.
16:35The crew have been dispatched to Pudsey,
16:39where the patient has fallen outside a library.
16:4345 minutes for a 91-year-old.
16:46We are, what, like six miles away
16:48and we're the closest available resource.
16:50Yeah.
16:51It's sad.
17:03Hello, Molly.
17:05Can 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.
17:16I'll finish wrecking the place, shall I?
17:19All right?
17:21Yes.
17:22Is this painful?
17:24I can imagine.
17:26One Christmas Eve many years ago, I broke both.
17:31Both what?
17:32Elbows.
17:34Oh, Molly, you do not have much luck.
17:37I'm going to get you to our ambulance
17:38and we're going to have a good look at you on the ambulance.
17:45Shove you up.
17:46Shove you up, eh?
17:48We're doing that, Molly.
17:49Don't you worry.
17:51Your day's obviously panned out a little bit differently
17:54to how you expected, hasn't it, Molly?
17:56I thought I was doing wonderful.
17:59I was on my way to B&M.
18:01Oh, and what did you get from B&M?
18:03Just some...
18:04Well, they didn't have what I wanted.
18:05I wanted some cream crackers and I got some toothpaste.
18:11Right.
18:12So, Molly, we need to have a look at you.
18:14We're going to try and get your arm and your shoulder more comfortable,
18:17but we need to assess what's wrong with it.
18:19So, are you okay for us to take your coat off?
18:24Bless her.
18:25Heating's on.
18:27I'm loving your little outfit.
18:28This is very trendy.
18:30What have I done?
18:32Right, keep it there.
18:33Okay.
18:34Keep it there.
18:36It might be a case that your worst injury might be your arm.
18:39It seems to be.
18:40Yeah.
18:42She's told you.
18:43I know, yeah. That's me told, isn't it?
18:45Is it broken?
18:47Chances are, yes.
18:49Your shoulder potentially is out, but I can't fully assess you at this present minute.
18:53No.
18:54So, 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, Molly?
19:11Yes.
19:12Are you sure?
19:14Can you do the head?
19:16Yes.
19:17We will get that sorted.
19:19We just want to also...
19:21Molly, give you some pain relief, because you're clearly in a lot of pain.
19:26All right?
19:28We'll support your arm in a couple of ways, so you can't feel it when we're moving about as much, okay?
19:33No.
19:38We 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.
19:49Okay.
19:51Did you trip over something?
19:52I tried to stop myself, and there was no chance.
19:58Right, Molly, so this is gas and air.
20:01I want you to breathe in and out through this straw.
20:05Right, and breathe in.
20:08Perfect.
20:09Nice, low, deep rest for me.
20:11Okay?
20:15Right there, Molly.
20:17Molly, Molly, Molly, Molly!
20:19Yes, yes, yes.
20:21No, no, no, no, no, no, no, no.
20:28Stop panicking.
20:29Stop panicking.
20:30I need you to stop panicking.
20:31I need you to slow your breathing down.
20:32I'm super panicking.
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?
20:46What part's that now?
20:47Oh!
20:48Yep, yep, yep, yep, yep.
20:49Yep, I've got it.
20:54A few more bumps.
20:55Full of bumps.
20:56You've had a bit of an eventful day, haven't you?
20:57Oh, Molly.
20:58Can I adopt you?
20:59All right.
21:00Because you're amazing.
21:02Oh, Molly.
21:03Can I adopt you?
21:04All right.
21:05Because you're amazing.
21:07All right.
21:08All right.
21:09Because you're amazing.
21:11Ambulance service.
21:12Is the patient breathing?
21:13Is the patient breathing?
21:14Is the patient breathing?
21:15Is the patient breathing?
21:16Oh, no.
21:17It's okay, yeah.
21:19It's okay.
21:20But I've got a lot of pain, but I've got to do it.
21:21because you're amazing
21:38ambulance service is the patient breathing is the patient awake tell me
21:43exactly what's happened Yorkshire ambulance service has now been
21:47operating at the highest demand level for four hours are you able to make your
21:51way to hospital without an ambulance at the moment the average wait time for
21:59category 3 patients is now two and a half hours
22:05ambulance service the patient breathing okay tell me exactly what's happened I'm
22:13calling about myself I am pregnant and I am getting bleeding from my vagina how
22:21many weeks pregnant are you eight weeks so I'm organizing the help for you stay on
22:29the line and I'll tell you exactly what to do next okay so you need to assume the
22:33most comfortable position just take deep breaths between any pain that you're
22:36having okay is there any serious bleeding you're doing well okay we've got the
22:51help all organized for you we will aim to respond to you as soon as we can but we're
22:55experiencing an extremely hard demand for the service at the moment in your area
23:00the current waiting times could be three hours but with the current pressures that
23:03is likely to be significantly longer you may be able to access some help faster by
23:08making your own way to an emergency department okay you're gonna wait okay so
23:18in that meantime you need to keep your telephone line free because you may be
23:22called back but if your condition changes or if you no longer require this
23:26ambulance you are to call us back on 999 okay all right then take care all right
23:34you're more than welcome
23:39ambulance service is the patient breathing I can't see in the car all the airbags has gone off
23:43there's been an RTC with a car and a lorry on the M606 towards Bradford right so how many patients can you see
23:46it looks like three at the moment there's the driver a child and then a passenger there's other people in the car by the
23:51the look of the look of it I think they're trying to get in now
23:55hi Isaac it's Nick on the Cerick care desk um I'm just getting reports of an RTC that's coming in on the
24:02end of 6706 right ZC it's Nick on the Crick care desk um and I'm just getting reports of an RTC that's coming in on the edge 6708
24:11there's the driver a child and then a passenger there's other people in the car by the look of it
24:16i think they're trying to get in now hi isaac it's nick on the quick care desk um i'm just
24:22getting reports of an rtc that's coming in on the end of the day are you okay if i give you a bit of
24:27an update around what's going on yeah please mate go ahead so it's looking like we've got three
24:32patients one adult patient and two children and there's an 11 year old who is reported
24:37they are unconscious and it's going to be a multi-agency response yeah roger all received
24:43mate thanks very much specialist paramedic zach is eight minutes away also on route are three
24:50ambulances a team leader and yorkshire's air ambulance service
24:56as 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 we tell me he's all right
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 light to his head uh yeah son's i think he's
25:54six yeah i got a hurting ankle and this kid in here is 11 reduced gcs with a head injury okay my plan for
26:00him pin this door back get a board and just get him out and then we can pop a look in yeah i want
26:06him laying down on the board yeah so sit him onto it lays back down slide him up it once he's out
26:13we're going to go straight onto the stretcher which will be here getting me immediately onto an ambulance
26:17and then we can have a look in properly
26:30okay thanks 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
26:46mate i'll update so hems uh 11 year old male gcs 13 out of 15 loss of one to iron two to voiceover
26:52main issues are head and uh leg mate could you try and um cut his socks and shin pads down if you
27:06can get his shoes off without all right just squeeze that hand from it
27:10i'm gonna try and put a candle in here mate but i'm not convinced zach needs to administer pain relief
27:22to kian in order to straighten his leg and ensure blood circulation
27:26the other way to get him so we're going to get him at the gym okay i'm gonna get him
27:32uh if you want mine that'd be sweet thank you
27:35i guess you should show it up
27:35i'm gonna get him squeezing
27:36oh fine
27:37do you want me to go to get him
27:38yeah would you just let him on
27:43hey stew how are you mate
27:45interesting
27:45yeah um so um 11 year old
27:48backseat passenger my biggest concern is a head injury and there's no char femur
27:54yeah we've had about four guys that cannulate him can't get access because
27:57he thought to us he's he's sort of talking to us yeah
28:00what's his name? Kian. Right we've got any other options we've got an IO option
28:07yeah so he and Relio I'd say if we can't get anything in a couple of minutes
28:13yeah yeah so we need to put an intra osseous needle in because we're unable
28:21to get intra venous access and want to give him some station and sort out this
28:24femur so we've got that drill. Intra osseous access delivers medication
28:31directly into the bone marrow it's commonly used in children who are often
28:36harder to cannulate you squeeze this hand that's it it's gonna feel a bit strange
28:44mate okay it feels a bit strange but it's absolutely fine all right buddy
28:50okay a needle coming up
28:52squeeze my hand won't you that's it mate
28:55that's it it's okay it's all right buddy you're doing really well
28:57it's okay mate it's okay well done buddy well done
29:02well done mate you squeeze squeeze his hands you squeeze that's it okay
29:07really well this might sting a little bit but it's completely normal buddy all right
29:11well done well done well done well done well done right that's enough medicine for now
29:30that's it mate that's out it's off it's off it's off it's all this leg out
29:33it's okay keep squeezing well done well done well done
29:49well done Kean you've been absolutely brilliant sat to 100 BP is nice and stable
29:55he seems sedated catmography has been solid
29:58yeah yeah
30:03amazing job thanks mate thanks guys Cheers Kean will be taken by ambulance to
30:11Leeds 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
30:26and I'm really sorry but it's been mental you know I don't make an habit of
30:35leaving it with really old cat phrase but it's just been flat out no problem get
30:41yourself up thank you and I shall see you bright and early in the morning after
30:49operating at the highest demand for over 10 hours the ambulance service de-escalates to CSP level 3 but 138
30:57patients are still waiting for an ambulance
31:03what was yesterday like calm horrendous mate it's Tuesday and the start of another 12-hour shift for call handler camp today he's joined by cat
31:29ambulance service to the patient breathing
31:36I need some food okay what's the telephone number that you're calling from just in case the lines disconnected
31:40hello the call in progress is from a patient well known to the ambulance service
31:48Kathleen 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
32:00Kathleen it's the ambulance service you need to talk to me you're holding up an emergency line
32:07I need something to wait okay Kathleen you've called 999 for an emergency life-saving ambulance okay we cannot provide you any breakfast
32:16I didn't say it was breakfast okay
32:20I'm gonna help you hello would just confirm the last number for me please
32:26thank you Kathleen
32:29she keeps hanging up the line but then BT keeps saying she's reconnecting so she's just redialing straight away
32:35got you yeah just ask it on this one ask this one
32:39okay so Kathleen can you still hear me
32:41because she's not going to give you any answers
32:44see if you can try her as much as you can if not we'll do as yesterday cup it and if not send it to 111
32:49Kathleen the ambulance service is still on the line for you okay
32:53so when you when you're ready to talk to me just let me know what's happening
32:57I think she keeps pressing 999 you can hear it
33:02can 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
33:12you never know what's going to happen then
33:13so she's called nine times yesterday
33:1615 times on the 13th
33:18the 12th the 11th the 9th the 10th the 7th the 6th
33:22ambulance service
33:25is the patient breathing
33:27only just
33:28is the patient awake
33:31I'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
33:41I already have
33:42Kathleen's response has classified her as having ineffective breathing
33:47the 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
33:58just because at the minute we're running as a cat one
34:00it's a call handler gone that's an ambulance gone
34:03even though she's a frequent
34:05you have to go
34:06we're going to have to travel because what if she
34:08in
34:09is the patient breathing
34:14oh yes it's just a small kid got hit with the car
34:21and how old is he
34:23yes
34:23he's 10 years old
34:25can you get everyone to just remain calm for him for now okay
34:321671 receiving over
34:37hi yeah 1671 I've got a job for you please
34:42we've got a 10 year old male being hit by a car
34:46there is a lot of shouting and swearing in the background
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
34:58so they've said there's a lot of shouting and swearing in the background
35:02yeah imagine parents won't be happy
35:04no it's the worst thing as a parent to see one of your children hurt
35:13oh it's outside my land street doctors isn't it
35:17yeah far from it
35:18i don't think few streets down
35:25so no police here
35:37oh is it that we're here to see
35:40oh is it that we're here to see
35:43is it this little man here
35:47what's his name
35:51dominic
35:52dominic
35:53dominic nice to meet you sir
35:54what's happened today
35:56i got in a crash and my leg broke up
35:59you got in a crash
36:01was it this car here
36:02yeah
36:03yeah okay
36:04how old are you dominic
36:05dominic
36:06nine years old
36:07and whereabouts is the pain
36:09can you point to it
36:11on the top
36:12yeah
36:13the blue
36:14anything underneath
36:15no pain
36:16no pain
36:17can you wiggle your toes
36:18no
36:19and does this foot hurt
36:21no
36:22not this bruise here
36:23a little bit
36:24a little bit
36:25okay
36:26so what we're gonna do
36:27is we're gonna get our stretcher out of the ambulance
36:30okay
36:31we'll bring it here
36:32and then we can lift you onto the stretcher
36:34and we'll wheel you to the ambulance and we'll do all your checks there
36:38does that sound okay
36:39lovely stuff
36:40lovely stuff
36:41yeah
36:42is 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
36:53and just hit the wing mirror
36:54so he's hit the wing mirror
36:55yeah and that's it
36:56okay
36:57but his foot probably i don't know
36:58get hit at the wheel or something like that
36:59so his foot's hit the wheel
37:01probably potential that police are gonna 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
37:10and we'll just sit him on here
37:11is that all right
37:13what's your name mum
37:14Alena
37:15Alena
37:16Alena
37:17oh that's funny that's my wife's name
37:25any pain in your head
37:26no you don't have a headache
37:28can you see me okay
37:30yeah
37:33hello
37:34is it broken
37:35we don't know without an x-ray
37:37so we'll take him down to the hospital
37:38he can have an x-ray done
37:39are you sister
37:40no
37:41sister-in-law
37:42sister-in-law
37:43are you brother
37:44yeah yeah yeah
37:45what's your name
37:46cammy
37:47cammy nice to meet you cammy
37:48i'm gonna come and have a chat with your dad
37:52hi sir
37:53he's gonna need an x-ray on his foot
37:55okay so we're gonna take him down to the hospital
37:57do you want to come with us
37:58and you're gonna
37:59you're gonna drive in your car
38:00yeah
38:01lovely
38:04there's like a big monitor
38:06and it's just light
38:07shows my bones
38:08yeah
38:09and if it's broken
38:10they're just gonna fix it
38:11it won't hurt nothing
38:14so looking at the trainer
38:16i would say there's a
38:18a possibility that there's a tyre going over your foot
38:22did you feel it go over your foot
38:24yeah
38:27you're a strong lad aren't you
38:28mm-hmm
38:29confident
38:30knows his worth yeah
38:31he's like that yeah
38:32he'll say it
38:36it's lively down here isn't it
38:38what's your postcode
38:59you live in seacroft
39:01that's where i'm from
39:03yeah that's where i was born
39:04how long have you lived in seacroft for then dominic
39:09i don't know
39:11seven or eight months
39:12seven or eight months
39:13when did
39:14is that when you came from czech republic
39:15no we came long time ago
39:17was you a baby when you came from czech republic
39:19no no he was born here
39:21he 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
39:31i think it helped me a lot with my job
39:35i'd like to think that i can talk to most people
39:39i think i owe a lot of that to my upbringing and where i were born
39:44i say to anyone that starts with the ambulance service
39:48the job is probably ten percent treating and ninety percent communication
39:52so do you know where that happened with the car
39:57who lives there
39:59my brother's girlfriend
40:01you brought this brother
40:03cammy's girlfriend
40:05is that who got on the back of the ambulance cammy
40:07yeah
40:09i was gonna give my niece to them
40:11you was gonna give your niece to them
40:12you was gonna give your niece to them
40:14what as a present
40:16here i have my niece
40:18yeah it's cause i've got twins
40:19you've got twins
40:20yeah
40:21and you're fifteen
40:22yeah
40:23wow
40:24gypsy
40:26how's it going
40:28good
40:29not that hard like people who will see
40:30not that hard
40:31are you getting much sleep on a night time
40:33yeah yeah yeah
40:34have you got family helping you
40:35yeah
40:36yeah
40:38do you have a girlfriend dominic
40:39no
40:41why are you 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
41:07leeds 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
41:20anyone can be a liner
41:24i'm proud that leeds is somewhere that people can come from wherever they are
41:28what circumstance are in
41:30and call it their home
41:32okay
41:34lovely to meet you dominic
41:36do i get a handshake
41:39see you later mate
41:52ambulance service is the patient breathing
41:55yes
41:59mel's got kathleen
42:01roger
42:03kathleen is calling the ambulance service for the sixth time today
42:07is the patient awake
42:09yes
42:11another ambulance that was sent earlier to her as a category one was refused entry
42:16okay just tell me exactly what's happened
42:19please someone help me
42:21she sounds like she's talking
42:23so i'm organising the help for you now
42:26just stay on the line for me okay
42:28still go down six with her
42:30so just send the 111
42:32give her all the instructions and then clear the line
42:34so i'm giving some instructions before i let you go kathleen okay
42:37we are just currently extremely busy in there at the moment
42:40NHS 111 service are going to give you a call back on this number
42:44so i need you to keep this phone line free
42:45i do need to hang up now to take another call but the help's all been in place for you okay kathleen
42:49okay take care
42:50you need to hang up the phone kathleen
42:51she's not gonna hang up the phone
42:55she's not gonna hang up the phone
43:03she's not gonna hang up the phone
43:05she has cleared
43:09come
43:12have you took kathleen
43:14oh yeah
43:15she spoke to me
43:16she spoke to you
43:17yeah i got a full triage of her
43:18straight
43:20in like three minutes
43:22you must have a tone to your voice
43:24i've just got a touch
43:25you've got a magic touch
43:26a magic touch
43:27central leads crew
43:431696 matt and reese
43:45are attending a patient who has waited 10 hours for an ambulance
43:49there's 20 there
43:5111 there
43:52Hiya. Hello, Matt. This is Rhys.
43:56Hello. I am so sorry.
44:00Do you know what? It's a serious setting. We've had a really good laugh.
44:04Just going down, this is... this is like...
44:08She's pretty cheery. Yeah. The morale's been high
44:12over the last few hours. Why do you feel like
44:16you can't move from the chair at the moment? I have
44:20very progressive MS. Right. Diagnosed in 1994.
44:24Right. So I'm a bit of a hero.
44:28Cos I'm 31 years this May with it. Okay. And as a result
44:32I'm very stiff. Mm-hmm. What you've noticed is it's taken me longer
44:36to get dressed and get undressed and do the stuff
44:40I usually do. And is that... Do you do that independently normally?
44:44Yeah. So it just feels like I'm wading through treacle
44:48the whole time the same. Okay.
44:50We'll see if we can get you
44:52up. See if you can start
44:54to unstiffen
44:56these things. Yeah.
44:58Lindsay, normally when
45:00Jill struggles
45:02with a movement, normally
45:04would you be able to help her up and move
45:06if it's too heavy?
45:08Also, she doesn't trust anyone.
45:10Okay. She'll trust you guys.
45:12Yeah. I've got no chance.
45:14You know.
45:16Right. Now we're going to be task focused. Okay?
45:18Yes. We're going to stand up.
45:20Alright? We will not drop you.
45:22Okay? I promise you.
45:24Worst case scenario, we won't drop you.
45:26Okay.
45:28Okay.
45:34I can't do it. Why?
45:36Because I can't reach it as I would usually reach it.
45:42Right. Let me help you.
45:44Okay.
45:46Okay? Right.
45:47Yep. One, two, three, four...
45:50I've got you. You got it?
45:52I've got you. I've got that arm.
45:54Good, good. Please don't let go.
45:56I won't.
46:00I've got you.
46:02Okay.
46:07Move forward a bit.
46:08Mm-hm. Yep.
46:09And take the brakes off this and...
46:13I then...
46:14That's it, Jane.
46:16Right. Relax back on my knee for a second.
46:19Okay.
46:20Right.
46:21Do you want me to move this round here?
46:22Yeah. Yep.
46:23Got you.
46:24I've got you. I've got you.
46:25Are you able to let go of this?
46:27Oh, sugar.
46:28Right, okay.
46:29Well done.
46:30Well done.
46:33I should have, I should have a bell going, please.
46:37Should have a wheelchair and go forward.
46:40Yeah, well that. Should have, should have, would have, yeah.
46:46How often do you come up?
46:48That was often, I was just saying that. I've got a nine-year-old and an eleven-year-old.
46:51My husband's job's in London, so I can't get up as often.
46:55It's hard.
46:56I mean, the way she is at the moment, she can't live independently.
46:59The way she's been the last three days. Yeah.
47:01But this isn't the way that she is, has been normally.
47:03Yeah, yeah.
47:04So obviously the concern is this was a permanent change.
47:07Yeah. And that's what she's scared of as well.
47:09Yeah, absolutely.
47:11If you don't mind me asking, you seem like a little bit, a little bit upset about it.
47:14Yeah. Yeah.
47:16It's the single biggest heartbreak of my life what's happened to you.
47:18Yeah.
47:19And it's been so slow.
47:21But it's so bad now and she's so resistant to, you know,
47:25this is the way she's done it and this has got her this far.
47:28And now I say to all her, I think this is getting in the way of you having a better quality of life.
47:32Yeah.
47:33But she won't be told.
47:35She's the younger.
47:36I'm the eldest, thanks, person.
47:37By a clear three years.
47:38Bless her, she cares though, doesn't she?
47:39She does.
47:40Yeah.
47:41Yeah.
47:42What I'm scared of is that I'm not going to get back to where I was.
47:46What in the chair?
47:47In life.
47:48Oh.
47:49Right, okay.
47:50If you and Lindsay have an argument and she's like, nah, I'm sodding off.
47:51Yeah.
47:52And you're like, oh, well, how am I meant to get something to eat now?
47:53Well, she can't stay forever, can she?
47:54No, no, she's got...
47:55And my carer's coming thirsty but then she's grabbing it.
47:56Exactly.
47:57Then I'm on my own Friday.
47:58Then I'm on my own Friday.
47:59Is that playing in your head at all?
48:00Or has that been playing in your head?
48:01Survival.
48:02It always is.
48:03I really don't want to take you in, but I think realistically...
48:05I don't want to take you in, but I think realistically...
48:06I don't want to take you in.
48:07I don't want to take you in.
48:08I don't want to take you in.
48:09I don't want to take you in.
48:10Right, okay.
48:11If you and Lindsay have an argument and she's like, nah, I'm sodding off.
48:12Yeah.
48:13And you're like, oh, well, how am I meant to get something to eat now?
48:14Well, she can't stay forever, can she?
48:15No.
48:16No, she's got...
48:17And my carer's coming thirsty but then she's grabbing it.
48:18Exactly.
48:19Then I'm on my own Friday.
48:20Is that playing in your head at all?
48:22Or has that been playing in your head?
48:23Survival.
48:24It always is.
48:25I really don't want to take you in, but I think realistically...
48:32We need to get you seen by people who are smarter and better trained than us.
48:43Right, you good?
48:44Yeah.
48:48Ramp is in operation.
48:50VR.
48:55Obviously, I'm really open for the NHS because I can't control her.
49:02But I have to put my hands up and say, yeah, I might be knackered.
49:09It might get worse.
49:12You seem to be faced up with a very realistic mindset.
49:18Yeah.
49:19Yeah.
49:20With that background of, I'm still going to fight, which is amazing to see.
49:25It's good to see.
49:26Yeah.
49:27But if it comes to the point where you need to accept more help, start using things like
49:33that chair.
49:34I'm trying to do that.
49:37I'm trying...
49:39I've been trying to do that because this one knows exactly what I should be doing.
49:45Way before I do.
49:47And she knows me.
49:48I was trying to do the same thing.
49:50Jeremy Goorey, Ali, Ali.
49:51She's coming in the same way.
49:52Hello, everyone.
49:54Look at me, you can see.
50:041671, receiving.
50:06Hiya, 1671.
50:07I've sent you a job down.
50:08Hands burn in fire.
50:09This is a house fire.
50:10hands burn in fire and this is a house fire the fire is on seems I think
50:18everyone's safe and out of danger brilliant that's all received
50:251671 I hear 1671 just so you know you have been diverted to a cardiac arrest
50:45there's a cardiac arrest cardiac arrest let's put the bat again entry
50:511671 receiving
51:15yeah if you stand down all of the resources unfortunately this patient is deceased
51:23so neighbor said last time was heard over a week ago
51:29do you encounter this kind of thing quite often then in your role
51:34yeah the difficulty from our aspect is where a tenant refuses support
51:40yeah and we got to people that are in quite severe medical need and they're
51:55still like yeah I can manage and you're like you can't though today you know
51:59people refuse help for a number of different reasons or whatever that be
52:07they're ashamed almost of the proud person that they once were and and now
52:11they're unable to live the life how they used to and others it's because they have
52:16no one but I think that's due to life nowadays everyone's too busy to check in
52:24on the neighbor although the world's changed for the better in ways like that
52:31he's changed for the worse I'm pretty sure that he's Mexican so we can potentially get through to him
52:38does he look quite close by not close by okay
52:48hi trying from Yorkshire ambulance service and I'm just having to call you in regards to your dad
52:57so unfortunately this morning that the Leeds City Council have been run and had to gain access to
53:03to his property and I'm sorry to tell you your dad's died
53:07I'm really sorry to tell you that this news over the phone and I understand that you're quite some
53:15distance away from your father right I'll leave you leave you being once again I'm sorry for
53:22for having to pass out that information on to you today all right you'll you'll take care goodbye
53:28that was my grandma's favorite poem I had the words to footprints titled on my arm there yeah
53:48just the end bit when I use the only one set of footprints that's what I kind of do
53:53my mom was a single mom
54:01so we we laid heavy on my grandparents
54:06I had a very close relationship with them
54:13I lost my grandma about 12 years ago
54:20I think the job that we do we will learn that death's a natural process of life
54:27I'm glad that she got to see me join the ambulance service she was definitely proud of me
54:34she wrote poems and I write them now so maybe it's something that she's passed down and it can help me reflect on jobs
54:44we can't save everyone
54:51but so long as you can walk away from a job and think you've you've put your heart and soul into it and
54:58you've done everything that you can for that person then I don't know why anyone wouldn't be proud
55:02today has been a day of where I can go home and think we've made a difference
55:09in Yorkshire's land where green hills roll a call comes in a lifeline's toll
55:22from Leeds to Harrogate up Whitby's shore the Yorkshire ambulance is evermore
55:32call handler's voice sharp and clear
55:36hi everyone see you later
55:38takes down the details
55:41goodbye
55:42calms the fear
55:43the medics in the cab prepare
55:46for every twist for every scare
55:48with every patient a story told
55:51in every heart a bit of gold
55:54yeah Regan I've had such a good time I might stay on and do a night shift
55:59really just carry it on yeah
56:00yeah perfect mate
56:01so here's to those who heed the call
56:05in Yorkshire's name they give her all
56:11from start to end they serve with cheer
56:16Yorkshire ambulance ever near
56:24oh
56:27do
56:29go
56:32do
56:33you
56:39I
56:39kuin
56:41do
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