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00:00Our job is hardcore, it is life and it's death.
00:15Everything we do relies on there's bond between us all.
00:19I've got secrets I can't tell.
00:24Just stay down, no, no, no. You're okay, you're okay.
00:26You have to be comfortable in high stress situations.
00:29In this immersive series.
00:34You're in the hospital.
00:36How much? Do you want to tell me what drugs you want to win?
00:39We take you into the theatres and wards of Sydney's busiest hospitals.
00:44And into the world of nurses.
00:47Nurses are the backbone of the hospital.
00:49Through their eyes, you'll see life.
00:52Big deep breath in. Push, push, push.
00:54Good girl!
00:56Death.
00:58Unfortunately, we can't receive her.
01:05And everything in between.
01:07Coughs, colds and sore holes.
01:09Take me to the fire burn.
01:12Welcome to the front line.
01:14Two, three.
01:15Of one of the world's toughest.
01:17It's alright darling, we're looking after you, okay?
01:20A most trusted profession.
01:25It was scary, hey?
01:26Good.
01:27Nurses are superheroes.
01:28Without capes.
01:29Just in scrubs.
01:30Just in scrubs.
01:39This time on Nurses.
01:41A patient with just days to live.
01:43Any time that you see a young person unwell, that's really hard to think about a life so short-lived.
01:49But will his last chance transplant go ahead?
01:53If there's a malignancy that's found, that could mean that these organs aren't viable for transplant.
01:58In emergency, something very simple.
02:01Bruce, is it okay if I have a little bit of that leg of yours?
02:04Yeah.
02:05It feels a lot hotter than normal.
02:06It's a clear indication that there's something wrong.
02:08Lee's a patient fighting for his life.
02:11I don't know what I'm doing.
02:13Just look at me, mate.
02:15Look at me.
02:16Plus, his symptoms are concerning, but he can't speak English.
02:21How old were you when you started to drink it, really?
02:32There are high stakes in organ transplant.
02:46Our job as transplant coordinators is to give patients on death's door a second chance at life.
02:53It is an immense responsibility.
03:02It's 3am, and while Sydney sleeps, the day is only just beginning for transplant nurse Holly.
03:12I'm Holly, and I'm one of the heart-lung transplant coordinators at St. Vincent's Hospital in Sydney.
03:18It's a team of seven of us nurses in the state, so it's a fairly niche role.
03:23Holly has been called to the heart-lung clinic after an urgent appeal was made for donor lungs,
03:31to save a young man's life.
03:34When you put out a compassionate listing, we put it out to all the other states in Australia and New Zealand
03:40to consider us and our patient that probably won't make it very long, more than a week.
03:46An interstate hospital has answered the call.
03:49Donor lungs have become available.
03:52The transplant that we're doing today is for a guy who's extremely unwell.
03:57The 39-year-old patient suffers from an irreversible lung disease.
04:02He's ended up intubated and on ECMO.
04:05Extracorporeal membrane oxygenation, or ECMO, takes over the work of the heart and lungs.
04:12Without it, the patient could not survive.
04:16Whichever part of nursing you're in, any time that you see a young person unwell,
04:20that's really hard to think about, you know, a life so short-lived.
04:25The retrieval mission will take Holly and a team of surgeons on a flight across the country.
04:31Okay. You ready?
04:36Happy leaving at 4am. Be back by 8.30.
04:40Time is off the essence with organ transplantation.
04:43Sometimes we go by road, sometimes we fly.
04:46A 4am flight time gives Holly just under 30 minutes to get everything prepared.
04:53In terms of, like, gear, we've got checklists and checklists,
04:59and there's one person who checks it, and there's another person who checks it.
05:02It's important that we just take everything with us.
05:05It pays to check, as Holly has discovered, they're missing something essential.
05:12Um...
05:13I just need to grab one more bag from the theatre.
05:16It's something as simple as, like, a plastic bag,
05:19but it's obviously what we packaged the organs up to bring them home in.
05:23So...
05:24I even take, um...
05:26So...
05:27I see you.
05:37Um...
05:38So that's the arrest alarm for I see you.
05:41Um...
05:42So our theatre team go to arrests.
05:45Um...
05:47As you can see behind me.
05:49So...
05:50But, yeah, it's like a chilling alarm.
05:52I hate that alarm.
05:54The surgeons that were about to embark on the organ retrieval with Holly
05:58have now been called to the intensive care unit
06:01to help the critical patient.
06:07The patient that's arresting at the moment is our first priority.
06:11I guess fortunate timing that our surgeons are on site
06:14cos we're about to head out.
06:16Unfortunately for me, that means that they're tied up.
06:18Without surgeons, the organ retrieval will be delayed.
06:22And there's another problem.
06:24A bit of a bugger because they've gone to that arrest
06:29and I needed one of those bags.
06:31Holly's on her own,
06:33with no surgical team and a plane to catch.
06:36It's, um, just over, like, the red line in theatres,
06:39which means that you have to be in scrubs.
06:41So I'm going to go chuck on a pair of scrubs
06:43and running at the back myself.
06:53Easy.
06:54I will dump these scrubs and we can get going.
07:00Alright.
07:02Take two.
07:04Get ourselves down to the ambulance bay
07:06and get ready to head out to the airport.
07:08Thanks.
07:12Thanks, H.
07:14We'll load up the car with all the gear.
07:17And then hopefully our surgeons aren't too far off.
07:20There are things that are completely out of our control.
07:27But it's a setback that could cost Holly's patient
07:32his chance of getting the life-saving transplant today.
07:36I mean, these are the things that you can't predict, right?
07:39We'll just hang tight.
07:44With the trajectory that he looks like he's on,
07:46yeah, it's a pretty dire-looking picture
07:49if he doesn't go on to get a lung transplant.
07:59In emergency, there's no rest
08:01for the 13 nurses on shift tonight.
08:04Briggle your toes for us.
08:07In emergency, you just never know
08:08what's going to come through that door.
08:10One, two, three.
08:16Well, we've got to be prepared for anything.
08:18He has fallen about three metres off of a building site.
08:22A second can be a difference between life or death.
08:25Hello, emergency doctor speaking.
08:27When the back phone goes off,
08:28with me being the operational nurse manager,
08:29I go to the phone.
08:30I want to hear the story.
08:31I want to know what's coming in.
08:32We are coming to you with a 63-year-old male bariatric patient.
08:34He's been complaining for approximately five days
08:35of abdominal pain on the right side,
08:36associated nausea or vomiting.
08:37And we'll see you in about five minutes.
08:38And based on that one-minute phone call, we have to assemble our team together.
08:45Things change from that phone call going off.
08:46And so we always go worst-case scenario.
08:52We'll need everyone in to help with this.
09:15Words meant to recess, please.
09:16Words meant to recess, please.
09:17Words meant to recess, thank you.
09:18So we've just got quite a large man coming in.
09:21He's a below-the-knee amputee.
09:23He weighs 166 kilos, bed-bound.
09:29Bariatric patients have increased health complications
09:32with heart disease and stroke and blood pressure,
09:35and so obviously a lot of risk there with him coming in.
09:38So resuscitation nurse Yuen is preparing for all possibilities.
09:43We just want all the airway equipment to be ready,
09:46just in case things go south.
09:49Even though we've got a little detail
09:51of what the patient's going to be like through the backbone,
09:53sometimes when they come in,
09:55if you're not prepared for the situation,
09:57things can get really stressful.
10:02So, this is Bruce.
10:03He's 63 years old from a nursing home.
10:05He's been complaining about five days
10:07of right-sided abdominal pain.
10:09Bruce needs to be moved onto a resuscitation bed
10:13using an inflatable mattress.
10:15Just watch your back, sir.
10:19Thanks, Bruce.
10:20One, two, three.
10:21That's it.
10:22Perfect.
10:23Pull that board out.
10:24There it is.
10:26Thank you, everyone.
10:27You're all right.
10:28Oh, you're all right.
10:29Before all the ambulance people leave,
10:32thank you very much.
10:34You're very welcome, Bruce.
10:35No.
10:36We'll get you sorted, Doreen.
10:38With the patient safely moved,
10:40Nurse Ewan must now work out
10:42what's causing his severe abdominal pain.
10:45Do you want to point with your finger?
10:48Up there.
10:49OK.
10:50I've got this leg amputated four months ago.
10:53The skin feels a bit rough.
10:54Is that normally like that?
10:55No.
10:56No.
10:57It's hot as well.
10:58That looks like it's angry, so I'll let Ed know.
11:01All right.
11:03Yuen has serious concerns about Bruce's amputated limb.
11:08Ed, it looks like it's got some cellulitis on the amputation.
11:11OK, we'll get a look at that.
11:12Yeah.
11:13Cellulitis is a dangerous bacterial infection of the skin.
11:17If left untreated, the infection can spread and become life-threatening.
11:23Bruce, is it OK if I have a look at that leg of yours?
11:25Yeah, I meant to tell you, it feels a lot hotter than normal.
11:30But that just might be my imagination.
11:33It's certainly warm.
11:36Yeah.
11:37It's very red and it's warm to touch.
11:40It's a clear indication that there's something wrong.
11:43The infection on Bruce's skin might have already spread to his bloodstream.
11:48You OK?
11:50We're worried about signs of sepsis.
11:53Septicemia, or sepsis, is a bacteria in your blood that's spreading amongst your organs.
12:00It does cause organ failure.
12:02So I've collected bloods.
12:04It'll just tell us pretty much what his organs are doing and how sick he is.
12:09Sepsis is a very time-critical thing.
12:12You're going to find the source of sepsis and treat it immediately.
12:16As soon as possible.
12:17It's potentially fatal.
12:19In the early hours of the morning, an organ retrieval mission to save a young man's life
12:31has suddenly come to a standstill.
12:33I see you.
12:34As you can see behind me.
12:37Holly is meant to be flying interstate to get the donor lungs, but the retrieval surgeons
12:43have been called to the intensive care unit for an emergency.
12:47It's a bit hard, like, with the surgeons not being here yet.
12:51Like, I mean, how long's a piece of string?
12:53I don't know if we're going to be an hour and a half behind or two hours behind.
12:56Yeah, it just gets all a bit tight.
12:59Transplant nurse Holly has been waiting in the car park for close to two hours, and there's still no signs of the surgeons.
13:08The coordination role definitely challenges me.
13:12I don't think anything would prepare you for transplant coordination.
13:17I'm feeling pretty cold, pretty tired.
13:20Oh, come on, boys.
13:27Patience is a virtue.
13:29Oh, thank God.
13:33Seeing the surgeons, seeing the whites of their eyes.
13:35I'm pretty relieved that we can get this show on the road.
13:38All right.
13:40Three of us across the back.
13:43With the massive delay, it's now a race against the clock.
13:48It's just a lung transplant.
13:50We are about two hours behind schedule.
13:53Charles and Wen had to pop a patient onto ECMO in ICU,
13:56so we're just heading to the airport now.
13:59I have got the medical team here.
14:04Open the gate.
14:05Come on in.
14:09Thank you so much.
14:12As a transplant nurse, it's our goal to give critically ill patients a second chance at life.
14:17I think it's important to remember that for this to happen,
14:20there is a family at the other end who's saying goodbye to someone else.
14:29In emergency.
14:30Looks a bit red.
14:31Resuscitation nurse Yun suspects that bariatric patient Bruce may be suffering from sepsis,
14:39a life-threatening bacterial infection.
14:42It's all right, mate.
14:43You just relax.
14:44Okay?
14:45Bruce can deteriorate very quickly because the sepsis works very quickly on the body.
14:52Just look at me, mate. Look at me.
14:54He's very sick.
14:56They're waiting for the results of his blood tests when Bruce's condition suddenly worsens.
15:03Here, Bruce.
15:04Can you tell me?
15:05Yeah, I just want to have a funny rhythm there for a few days.
15:06I don't know.
15:07I don't know.
15:08I don't know.
15:09I don't know.
15:10I don't know.
15:11I don't know.
15:12I don't know.
15:13I don't know.
15:14I don't know.
15:15I don't know.
15:16I don't know.
15:17I don't know.
15:18I don't know.
15:19I don't know.
15:20I don't know.
15:21So Bruce is having what we call conscious VT.
15:24So he's heart slipping into this abnormal rhythm, which is probably related to his infection
15:29that he's got.
15:30You okay, Bruce?
15:31You okay, Bruce?
15:32With VT, ventricular tachycardia, if you have prolonged runs of this, you go into cardiac
15:39arrest.
15:40Bruce is going downhill fast.
15:42Do you know where you are?
15:45Yeah.
15:46Where are you?
15:47I'm sorry.
15:48You think you're in South Australia?
15:50We really need to keep a close eye on Bruce at this stage.
15:53He's close.
15:54Hey, Bruce.
15:55You all right?
15:56Bruce has deteriorated.
15:58We're worried about his heart at the moment.
16:00We're worried that he'll go into a cardiac arrest until we put the defibs on.
16:04If we need a shock in, we will.
16:06Defibrillation is a procedure that provides an electric shock to the heart.
16:11It's a last resort.
16:13But where are you now?
16:14I don't think I am.
16:17Hello?
16:18Hey, man.
16:20Bruce?
16:21Hello?
16:22Bruce?
16:23Just look at me, mate.
16:27Look at me.
16:28Well, there's been a without a kidney here.
16:31I'm missing a kidney injury in the hospital.
16:33With this cancer has become a kidney injury.
16:34One of the most recent injuries.
16:35It's been hit to the end of the hospital.
16:37I've never met.
16:38I'm missing a kidney injury.
16:40I've never met an injury injury or a kidney injury.
16:42I've never met.
16:43I've never met in a kidney injury.
16:45I've never met him.
16:46He's one of the Herzog.
16:47do access the chest of the donor and there is something that is untoward
16:56a lesion was found on the donor's liver and has been sent for urgent testing
17:02if there's a malignancy that's found i mean that could have spread to other places in the body
17:08we'd immunosuppress our patients afterwards so you can imagine if you have a small lesion and then
17:14you're going to completely immunosuppress someone that's just going to be like you know a wildfire
17:20throughout someone's body that could mean that these organs aren't viable for transplant
17:28at st vincent's the icu team prepares the young patient for the worst
17:44the retrieval team has landed in sydney and holly is sweating on the results of the lesion test
17:55hey shona it's holly just wondering if you've heard anything regarding the frozen section
18:02okay if the patient doesn't get his transplant today he won't survive there are times when
18:10you're so close to bringing home this transplant for this patient you think you've got it all
18:17wrapped up with a bow and it just unraveled in front of you
18:20in emergency the team is closely monitoring bariatric patient bruce as they suspect he has life
18:40threatening sepsis that's okay that's just all your wires giving you all the all the good stuff you're
18:47attached there's so many different wires at the moment bruce is becoming increasingly disorientated
18:54but it's his irregular heartbeat that is the most concerning with ventricular tachycardia you know if
19:01you have prolonged runs of this you go into cardiac arrest yeah but he's having fairly short episodes
19:11at the moment so we really need to get on top of that sudden heart failure is a real possibility
19:21um i think it's probably second year of your life mate let's give him a mini bag okay
19:32they're going to give him some iv electrolyte replacement and see if that can flip his heart
19:37rate into a more normal rhythm so you've started that potassium oh just look at me mate look at me
19:46okay i'm hoping that's when we get this k mag into him make a result the blood test results confirm
19:56their fears the blood cultures have come back positive for sepsis it's good that we found it
20:02we just need to treat it with our antibiotics so he doesn't deteriorate any further with the right
20:07medication bruce's condition should improve bruce just gonna ask you again do you know where you are
20:14which hospital are you in the early signs of the treatment are positive but bruce will still have
20:35a long recovery ahead he sends up bruce to intensive care and where he will be looked after closely and
20:41from the nurses and the doctors up there and make sure the antibiotics and things are working for him
20:50you're all right mate it's one of the nicest things when patients thank us and we certainly
20:55get a lot from that i would not be alive but for those ambulance and this hospital
21:04knowing that we've done our best for the patients it is an amazing feeling there is nothing better than
21:09being a nurse
21:19next door to st vincent's emergency department is the panda unit which treats patients with addiction
21:26and complex mental health issues the six bed specialty ward is the only one of its kind in australia
21:34panda is the psychiatric and non-prescription drug and alcohol assessment unit you see the doctors
21:41it's built as a safe space for people with psychiatric disorders or substance use disorders
21:47to seek assistance you want some clean pajamas yes a staggering one in 20 australians has an addiction
21:55or substance abuse problem as a society we see it as a failing or a downfall but there's so many
22:03factors in someone's life that leads to them needing to use a substance in a setting like panda it's so
22:09important to treat them with kindness and respect and reduce barriers when people come
22:14in and not have them feel like they're going to be judged i'm ali i'm one of the nurses my name's ali
22:25i'm from nelson a small town in canada i moved to australia two and a half years ago nurse ali has
22:32received a call from emergency hi sorry who's the patient about a patient suffering abdominal pain
22:38you said he's french speaking he's being transferred to the panda unit after revealing a history of
22:45alcohol dependency which might be related his english is limited are you feeling okay right now
22:53so it sounds like he's come in with some quite severe abdominal pain he sounds like he's homeless
22:58do you want some coffee or tea it sounds like he's drinking a fair bit as well you're in pain just
23:03seems quite vulnerable it's not super great at english so it would be really difficult to be in
23:08the healthcare setting especially when you're in pain and you're trying to get support for whatever
23:12you're going through and i have some pain some pain relief for you here okay great thanks muhammad i think
23:22we fail people in society so much who use substances the last thing they need is to feel that you're
23:26kind of maybe looking down on them or taking a moral stance on their substance use relax so i think
23:34as nurses there's so many things we can do to people making them feel like it's a safe space versus
23:39a space where there might be judgment are you shaky do you feel shaky a little bit if they can't
23:46understand him it will be difficult to trace the problem ali organizes an interpreter know that my
23:52name is alie and i'm his nurse today can i just ask some questions about your alcohol
24:05okay how old are you when you started to drink every day
24:24when you hear that it can be very shocking but it also i just think gives you such a better picture
24:37of what his life might have looked like like as a child and leading up to now people don't just drink
24:42five liters a day for fun they're usually coping with something
24:46for me i found that really sad thinking about someone reaching out for a coping mechanism at 10
24:57years old and alcohol being that coping mechanism it really just hurts your heart
25:04what's been happening for you recently mohammad
25:06how long have you been spitting blood for two days just try and relax your tummy a little bit more
25:26painful there have you had an injury to your chest recently wait can you tell me more about that
25:33what's going on when did that happen a month ago yeah when people have injuries to their ribs
25:46sometimes it's hard to breathe and then sometimes you can get an infection um in your pneumonia because
25:54of that mohammad will be sent for an urgent ct scan to determine the cause of his abdominal pain
26:03the ct scan is crucial right now to make sure that mohammad doesn't have any sort of injury or underlying condition
26:19in the panda unit
26:22a french-speaking patient's abdominal pain is cause for concern
26:27it's got mohammad here from panda nurse ali is taking mohammad for a ct scan to help find the source
26:39of his severe abdominal pain oh i don't know how this will translate
26:43it to help with the language barrier the ct machine is set to speak in french
26:56the liver's fatty isn't it jeez that's not normal the results show that mohammad has signs of fatty liver
27:16disease a condition that can progress to psoriasis and liver failure if not treated mohammad will stay
27:24in the panda unit for treatment of his acute condition but he also has a long-term goal
27:30what would you like to do about the alcohol would you like us to help you stop
27:36oh yeah sit the blue
27:39yeah okay good
27:42what if you could stay in the hospital with us so we can manage your alcohol withdrawal
27:47he's keen to go to gorman which is the detox unit at saint vincent and just have a supported
27:51medicated withdrawal but he's been drinking since he was 10 years old recovery is a lifelong
27:58process and relapse is often part of recovery bye nice to meet you i love drug and alcohol nursing
28:08see ya i think the clients are the best part of my work to be able to sit with people and hear
28:15those life experiences and what's maybe brought people to where they might be today
28:19it's quite an honor i think and quite a privilege
28:28there's your lips the retrieval team has landed in sydney and holly is anxious for the results on the
28:35lesion hey shona it's holly just wondering if you've heard anything regarding the frozen section
28:44okay if it is malignant the transplant won't go ahead
28:50our superpower and our biggest weakness is being empathetic
28:55i do believe that it obviously makes you a very good nurse it's not just the clinical side that we do
29:00it's all the little bits that stick it all together no malignancy okay awesome okay that's great
29:11no malignancy it's a biliary adenoma it's really good news
29:19it is such a relief to know that it isn't malignant and we can go ahead today
29:24and this is potentially the start of a really beautiful journey for this young patient the
29:29transplant is on holly's patient will go straight from the intensive care ward to the operating theater
29:39for a patient pre-transplant it's a bit like a pit stop before a formula one
29:45they come out from all angles anesthetic surgeons cannulas are in art lines are in you know we have them
29:51prepped locked and loaded ready to go because as soon as we get the green light from our retrieving
29:56team it's all stations go on arriving back to st vincent's i go to the magical red line at the end of
30:06the theater corridor oh yeah and hand over the esky to our scrub team time to drop off the new set of
30:12lungs that's got your cardioplasia and everything in it i'll start implanting now
30:17so holly is the scrub nurse uh in this instance so she will get passed on the baton as such um and
30:27take those lungs into the theater to kick off obviously surgery carries a risk transplant a greater
30:38risk than some surgeries fingers and toes crossed that we've made it this far and although there's been
30:44a few cars hopefully it'll all go well today just do your best with your clothes scout nurse holly
30:58is one of three nurses working alongside four surgeons for the complex operation my name's holly
31:05and i'm a perioperative scrub scout nurse so today i'm the hands for everybody that's scrubbed in
31:12we're doing a bilateral single squattial lung transplant this patient has been on ecmo in
31:19icu and this lung transplant is vital right now to save his life the organs have just arrived into the
31:29theater which is really exciting so from this point on the clock is ticking
31:34so i'm gonna go on and then as soon as we're happy i want to turn off the uh the echo for the last six
31:44weeks the ecmo machine has kept the patient alive by taking over the function of his heart and lungs
31:52now they need to turn it off and transfer him onto another type of life support
31:58it's a really critical moment of the surgery we're actually taking the patient off ecmo the patient's
32:05survival depends on this moment so if anything goes wrong the case can't go ahead
32:19australians love sport which is why the waiting room of emergency is the busiest place in
32:25st vincent's on the weekend we see a lot of broken bones you know because we've just got kids off
32:31school we've got sporting injuries accidents happen all the time so nice and relaxed up to 60 000
32:39australians are hospitalized every year for sports related injuries the most common are fractures
32:48i do feel for people who i see that have broken bones because you can just see how painful it is
32:52there's no typical day in emergency we're ready for whatever comes through those doors
33:09my name is carly and i am a registered nurse in the emergency department
33:13i'm normally stationed out the front as a triage nurse
33:16morning um 46 year old gentleman fell off the skateboard and he's had 10 of more with
33:22ambos and three of methoxy carly's first weekend warrior is probably feeling more embarrassed than
33:29in pain hello nicholas is it how are you going i'm carly one of the nurses what have you done i just
33:38fell off my skateboard all right you're right to walk over there man nicholas believes his elbow
33:44dislocated from the fall and then pop back into place
33:50lie down in there for us if you can i'm just gonna have a quick look at it have you ever injured
33:53this elbow before not the elbow no you're able to straighten it no no okay back in ah sorry mate
34:02do you want something else with pain at the moment yeah maybe yeah yeah all right after administering
34:08some pain relief carly needs to organize an x-ray to see if the elbow is still dislocated or fractured
34:19i used to skate when i was 15 and now my son's in skating so he's at the park today i was doing a few
34:25turns it was all going fine of course i fell off had a big pop came out and then it popped went back in and
34:33so yeah misadventure hey it's carly in ed i was just wondering if i could bring someone
34:41around for an x-ray oh legend i'll bring him through thanks like i think my son was uh begrudgingly quite
34:47impressed by his dad's skills um until i fell off now x-rays ready for you do you want me to get your
34:55wheelchair oh well you're a good skateboarder or just a okay skateboarder just to be okay like kick
35:03flips and stuff are we talking growing up my brother was a really good skateboarder obviously i wanted
35:07to be just like my brother so i used to skate as well i used to be able to do like an ollie and you
35:12know a few things i really enjoy the patient interaction and meeting people from all walks of
35:17life and i just love to chat to everyone as if they were my friends so i really enjoy that part of the
35:21job so no kickflips no no look when i was when i was that age they only just invented right okay
35:31x-ray this is the sore part sorry
35:37no i can't turn it as nicholas waits to find out his fate another patient has willed in with a skate
35:43park injury except this one is a pro this afternoon i was at a skate park my foot's gotten slipped
35:50under the deck of my scooter and it's twisted and cracked and oh it's severely painful while he
35:57waits in triage nicholas's x-ray results are in and it's not good news all right then
36:06so it turns out he has fractured his elbow he's done the radial head sounds like he won't need any
36:11theater at the moment so they're going to put him in a sling give him some good painkillers and send him
36:14home and he'll go and see the orthopedic doctors next week in the clinic just to make sure it's healing
36:18and they don't have to do anything with the novice skateboarder on his way carly checks in on the pro
36:24rider hey buddy how you going i'm carly one of the nurses how's your pain at the moment
36:31you want something for it can you pop your leg down for me for a second so i have a quick look
36:35is there any pain in your foot there all right what about here sorry here oh yeah he's hurt his
36:45right ankle it may be fractured you can't walk on it it's very swollen so i'm going to get an x-ray
36:50and see what injuries he has done poor fella
36:56are you a good skateboarder i've been a pro for 13 years i've worked at monster skate park for four and
37:00a half years and three tricks so far that i've got under my belt for world records that's hectic
37:06that's better than the guy before couldn't even do a kick flip i could kick flip when i was four and
37:10a half oh my god that's so good that's what i did today that's true is that you yeah
37:18and then my foot got caught under the deck oh gonna go to room two room two oh room two roll
37:25oh i love center cruise but the impressive move could be his last for a while lift the right leg for
37:34me good just the motherboard under there perfect
37:42in the heart and lung theater the surgeons are facing the riskiest part of a lung transplant
37:49temporarily turning off the patient's life support
37:52now they need to swiftly transfer him onto a heart and lung bypass machine the bypass machine is
38:00taking over the functioning of the heart and the lungs
38:06with the bypass machine now keeping the patient alive they can start the transplant
38:12the patient's native lungs are going to come out
38:15two teams of surgeons will work simultaneously to get the timing exact they'll separate the organs and
38:24get them ready to go into the patient the first line has been taken out and is ready to go into the
38:31patient the other lung has been separated it's pretty good
38:36the first healthy lung is placed in his chest we've got the surgical team working on getting one lung in
38:47and we've got another part of the surgical team that are working on the other lung to get it ready
38:56yeah
38:56the new lungs in what they'll do is connect the vessels from the donor lung up to the vessels of the patient
39:11with the organs connected the patient should be able to breathe on his own the only way to find out
39:18is to switch off the bypass machine just turned the patient's heart lungs back on we have a moment
39:27where everybody goes quiet and we just wait to see how the lungs have taken to the patient's body
39:38a minute has passed and there's no sign that the lungs have taken
39:48lift the right leg for me good just the motherboard under there perfect in emergency a pro scooter rider
40:03is waiting to find out if a risky maneuver has broken his ankle
40:07it's like tyran's got a fracture
40:19yeah sorry this young man's got a broken ankle now i know what's swelled up so far yeah yeah so he'll
40:27go up to the physio room and get a half cast put on and next week he'll go to the orthopedic clinic
40:32where they'll decide what treatment he needs from there whether it's surgery or whether it's something
40:35can be managed at home with a full cast and some crutches we're gonna probably go upstairs to the
40:40plaster room i'm assuming the break means tyrone won't be doing anything radical for a while
40:49but the same can't be said for carly it is a pretty gory injury but it has not put me off skating
40:55i'll just stick to the ground and the little ramps that's about as exciting as i'll do
41:01upstairs in the cardiothoracic theater nurse holly and the entire surgical team are holding their
41:12breath waiting for their patients new lungs to inflate they've just turned the patient's heart
41:20lungs back on pretty much now what they're waiting for is to see if the organs are working
41:50seeing the patient's new lungs inflate and get color back for the first time has got to be one
41:58of the best parts of the procedure
42:05really happy so the footage is just finishing closing up now
42:11long day
42:11after eight hours in theater the transplant is complete and we're going to get the patient ready
42:20to go back to icu
42:29it's a moment of celebration for the 12 strong medical team who have worked tirelessly in the
42:36theater to give the patient a new set of lungs we've given the patient a new shot at life which is
42:44amazing i count myself very lucky every single day that i get to do this for a job
42:50it's the end of a 12-hour shift for carly but before heading home she wants to sweeten the night shift
43:07for the incoming team yum oh this is my famous salted caramel fudge which i've been making for a fair few
43:15years i've made a batch tonight to bring to work to give to everyone to keep up their sugar and
43:22keep them going for the shift women are many times oh yeah would you like some of my fudge
43:28i want a big bit we'll take two two thanks holly you're very welcome delicious just a bit of a
43:34pick me up you're welcome always brings a smile to people's faces homemade fudge oh gosh is there a
43:40small one is there a big one yeah that one in the middle has got your name all over it it's very
43:45important to spread a bit of cheer where we work because it can be such a high impact area that
43:50can cause a lot of stress and worry oh thank you so much people always come back for more tony
43:57did you make it yeah you got a mask on maybe i'll have one myself
44:03delicious i think it's been a hit it always is a hit though it's my one claim to fame my fudge
44:15when i was just a little child we have such great staff we're all one big happy team
44:27i love the work that i do i love coming to work every day oh happy birthday corner and just yeah
44:32helping people
44:37but yeah we'll get home and hopefully get a good sleep and do it all again tonight hey i'm done
44:41when patients do get better there's no better feeling because you know that you've done your
44:45bit for them and you've helped another human being and that's what i get out of this job
44:49i'm so tired i've just got the giggles the greatest joy in this role i think is seeing when patients
44:55get back to a sense of normal so it's like i will enjoy i will get out of here to know that
45:01we have given patients on death's door another shot at life
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