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00:00In the heart of Yorkshire
00:05A team like no other
00:09Busy, busy
00:11Fight to save lives
00:12Open your eyes for me
00:13Do you know where you are?
00:14You're in Barnsland
00:15For any department
00:16Charging
00:17Oh
00:2024 hours a day
00:21Wow
00:22Seven days a week
00:24Whoa
00:25Nail it
00:26I feel like a wet dishcloth
00:30Serving their community
00:31Looks like you have broken it
00:33Oh
00:35I don't think I'm going to look
00:37I'm dreaming of Eugenian Tonic
00:40Helping those most in need
00:42Love you
00:44I'm trying
00:45I know
00:46There's nothing to be frightened of
00:47These girls will sort her out
00:49They care for
00:50For anyone
00:51I think I've lost your hair up, haven't I?
00:53And everyone
00:54Looking more like himself
00:55Thanks to Barnsland
00:56Working together to make people's lives
01:00Who's better?
01:03You know, I just love to look at them
01:05I love to make a difference
01:07This is Barnsland Casualty 2015
01:10For some
01:11Must not be entering the beauty contest
01:15On shift tonight
01:18Dr.
01:20Heather Soudan
01:21Does it look painful anymore before?
01:22No
01:23It still is
01:24Okay
01:25Consultant
01:26Dr.
01:27Dave Walker
01:28Yes
01:30Well
01:31Yeah
01:32I've done one
01:33You might need three
01:35And
01:37Have you got her ready?
01:38It's announced ready
01:39Sister
01:40Jane
01:41So Primrose
01:42Is ready to move
01:45So
01:46Get ready to share a shift
01:48You know what you're used to doing
01:50Seats at the supermarket
01:51With the team of Barnsland Casualty
01:55I'll see you next time
01:56Bye
01:57Bye
01:58Bye
01:59Bye
02:00It's the start of the early shift
02:05Morning
02:06Morning
02:07And
02:08Sister Jane
02:09Is running the HUB
02:10I went to Turkey last year.
02:155th of October and two days of rain now.
02:20I went out in a week.
02:25But rain is the least of Sister Jane's worries today.
02:28The hospital is moving to a new patient.
02:30And Porta tracking system.
02:32Just got to get on with his job.
02:35Hopefully, we've gone smaller.
02:40They've cut out a lot of waiting time.
02:42Because they know where the beds are.
02:45When they're empty.
02:46When they're clean.
02:47And when we can put a new patient in there.
02:50Put this in an alphabetical order.
02:55The system will track the movements of patients in real time.
02:59And in charge.
03:00Of implementing it.
03:01Is service manager Lindsay.
03:03So this is one of.
03:05The badges.
03:06So when a patient is going to be admitted to the ward.
03:09They will.
03:10Have one of these badges placed.
03:12And what this does.
03:13Is then.
03:14Track the.
03:15Proσε rut.
03:16And what this is.
03:17Have one looking for.
03:18Through a girl.
03:19Can.
03:20amplified.
03:21Ali.
03:22Is.
03:23We're the suites.
03:24Is.
03:25It's a nearer donor
03:29must be used as.
03:30As.
03:31As.
03:32Through the hair.
03:33We're.
03:34We're.
03:35computer.
03:37Yes.
03:38We're.
03:39Ah.
03:40Here.
03:41social.
03:43Now.
03:44They are bringing in an eight-month-old boy who is really strong.
03:49They are struggling with the breathing and mum and dad are concerned that he is not as responsive as they would like him to be.
04:00Come here.
04:01Yeah.
04:02Cool.
04:03Cool.
04:04Paramedics arrive in Rhesus with eight-month-old Noah.
04:09He is accompanied by 18-year-old mum Maddy and 20-year-old dad Kieran.
04:14Right.
04:15So this is Noah.
04:17For the past two hours basically he's been...
04:19He's got worse.
04:20He's quite crackling on us.
04:22He's got worse.
04:23He has quite crackling on us.
04:24He likes quite cold, essentially quite cold.
04:27Yes.
04:28You could...
04:29assess Noah as he was coming in the door because you could hear him breathe.
04:32You could see he was working really...
04:34hard.
04:35He was pulling in between his ribs.
04:37He was clearly struggling with his breathing.
04:39Is he had any recent medicine to cope with ibuprofen or anything?
04:43No.
04:44Like that?
04:45Yeah.
04:46Just count all about 12 o'clock.
04:47Okie dokie.
04:48He's got a pencil in it.
04:49about our past two.
04:50Mum and Dad, do you want to come up the top?
04:52Mum and Dad, do you want to come up the top?
04:54Top ends?
04:55Yeah.
04:56Just so I can see you.
04:59So when did you start making the...
05:01Oh it says...
05:02Um, the only one that's on...
05:04not as bad as they were...
05:05now.
05:10Kieran has taken the day off work to be with his son.
05:12Kieran has taken the day off work to be with his son.
05:15It was really, really bad.
05:17We've noticed that...
05:19He was breathing.
05:20He was trying to cough.
05:21He couldn't cough.
05:22He couldn't cough.
05:23He couldn't cough.
05:24He was choking.
05:25And then...
05:26Then...
05:27Then...
05:28Then...
05:29Yeah.
05:30He was gasping for air.
05:31I wouldn't mind it.
05:32His heart's going like a clock post because he's hot.
05:34That's what kids do.
05:35So when they've got a temperature the heart goes like the cappers and they breathe faster.
05:39He's having to work a bit harder.
05:41So he's sucking in under his ribs.
05:43Five seconds.
05:44No.
05:45So he'll be breathing a lot faster because he's hot.
05:49Noah was born prematurely and he spent most of his life...
05:54in and out of hospital.
05:55It just leaves him more...
05:59acceptable than other kids of his age to chest infections.
06:01And when he gets them he might not deal with them as...
06:04well as other kids.
06:05Erm...
06:06He actually weighed less than a kilo when he was born.
06:09I can't imagine how small that is.
06:12But we're just trying to convince ourselves...
06:14that we can reliably tell what his options levels are.
06:17We've got a good trace now.
06:19Oh buddy I'm sorry you're so hot.
06:22Bye.
06:24Alright thank you.
06:25I'm just gonna do a bit of a mousetting.
06:26Is that alright?
06:27Yeah.
06:28We'll get a blood gas on.
06:29That would be lovely.
06:30That would be lovely.
06:31I love you.
06:34I love you.
06:35I love you.
06:37I love you.
06:39As Dr. Soudan continues her assessment, she notices another cause.
06:44For these old spots that are known about.
06:50So these, you've not seen these before?
06:52No.
06:53Okay, thank you.
06:54I know, he's got a few little heat in his neck, but he's recently had a handful of mouth as well.
06:58So that's...
06:59There's a new birth market there.
07:00Yeah.
07:01But these are, these are new.
07:02Yeah, I've got them in the car.
07:04I noticed some spots on his back and I asked mum and dad, have these been there before?
07:09Have you seen them?
07:09And when they say no, you go, okay, it's a new rash.
07:12Do I need to worry about the rash?
07:14So some of the spots go away when I press and some don't.
07:17Yeah.
07:18So we're gonna cover him with some strong...
07:19We're just waiting for his hands and feet that are cold when he's got a temperature.
07:24So we're just waiting for him to warm up and then we're gonna put a drip in and do some
07:27floods and then we can give him some strongheads.
07:29We were told that non-blanching spots are meningitis until...
07:34we've proven otherwise.
07:35But none of us are brave enough to say we can be relaxed about these spots yet.
07:39Infection of the brain, that's...
07:44We can leave kids with brain damage.
07:47The team must...
07:49work quickly before his condition deteriorates.
07:54The team must...
07:55the team must continue...
07:56Infection Boone...
07:57Book Ella, let's see...
07:59it's taking you away, but...
08:01Not holding up holding healing over.
08:13Please look forward and sestock all over.
08:14propre jusqu'au te saute.
08:17FAKE BAIBER
08:21Yeah, and Toni's trying to walk in on her own, loving it.
08:25Wait, because there's so much...
08:26They put it on as an app as well.
08:28At the end of the day, it's for the patient's safety.
08:31And to make their journey in hospital better.
08:36But there are teething problems.
08:38I think that's fine. We just move her off and we put her in...
08:41I need to make sure I'm lost it or she's going to my bed.
08:45Right.
08:46But that's your problem, love, isn't it? Not mine?
08:49It is.
08:50Right, that's alright.
08:51But none of the auto-bartering seems to have sent it.
08:56I'm not partying it.
08:57Okay.
08:58How do you complete it?
09:01Thank you very much.
09:02Thank you very much.
09:06Thank you very much.
09:12Over in Resos, baby Noah is...
09:16still struggling to breathe.
09:21And, you know, this is also much of a good thing.
09:26Dr. Sowden has spotted a rush on his back.
09:31Which could be meningitis.
09:33She's called paediatric registrar Dr. Miles Whitfield.
09:36For a specialist opinion.
09:39But mum and dad said they weren't there.
09:41Yeah, it's good.
09:47Yeah.
09:48Noah has been in and out of hospital since birth.
09:51It was 26 weeks and two days.
09:57So I came three and a half months early.
09:59And then...
10:01Yeah, very scary.
10:06...aspected stepsis, which is blood poisoning.
10:09Which were very, very...
10:11Like...
10:12Very worrying.
10:15So then...
10:16They had to put a breathing tube in him.
10:18For...
10:20Well, I'm not...
10:21A few weeks, weren't they?
10:22I've got a good trace now.
10:26It's nice and all that.
10:27Let's have a listen for them.
10:29A little bit of a wish question after.
10:31Noah's pre...
10:32Noah's pre...
10:36mature birth means he's vulnerable to infections. The team need to find a
10:41vein so they can start to treat him with IV antibiotics.
10:46I'm just going to put a drip in his foot.
10:51So it won't be our friends, just to warn you, he will get upset with us.
10:56We have trays for gas tubes.
10:58So what I'm looking at is just here.
11:00So if you bring it up a little.
11:01A little bit for me.
11:02Down slightly just about where my hand is.
11:04Just to here.
11:05Further down?
11:06Further down.
11:06Perfect.
11:07Perfect.
11:09We just know that.
11:11It's better to give IV antibiotics if you're worried about a serious infection over tablets.
11:16And if someone can't swallow, you want to get fluids in, you want to do it through a drip.
11:21I know, darling.
11:22I know.
11:23I know, darling.
11:24I know, darling.
11:26I know.
11:27I know.
11:28I know.
11:29I know.
11:30I know.
11:31I know, hey, I know.
11:32I know.
11:33Thanks, documenting.
11:34Finding a vein can be difficult.
11:36New Bonds, really slim.
11:41Lovely things and then over three, getting that.
11:46Nice veins, in the middle you've got chunks and they're just full of nice...
11:51doughy, chewy skin that's nice and snuggly, but I like my...
11:56Just get lining.
12:01Thank you very much.
12:06Venture.
12:11Eventually, the team find one of Noah's veins.
12:14Well done, sweetie. We're finished.
12:16Now...
12:21No...
12:25No...
12:26The doctor is given fast-acting antibiotics.
12:29His parents must now wait...
12:31to see if his condition improves.
12:36Over in minor injuries, janitors...
12:41She's come in with a suspected broken wrist.
12:44It's her 60th birthday today.
12:46Getting ready to go take the dog for a walk.
12:50Went to the dust...
12:51My husband came back, slipped straight down on the ice.
12:55She's now under the...
12:56I'm going to take care of emergency nurse practitioner, Claire.
12:59I'm Claire.
13:00Hi Claire.
13:01So, you've been already for an x-ray.
13:03Yes.
13:04And the x-ray shows that you've broken your wrist.
13:05Right.
13:06Okay?
13:06So, it's in a...
13:07Not a great position.
13:08So, we'll need to put some anaesthetic into it.
13:10And...
13:11Make it all nice and numb.
13:12Right.
13:13And then make it a lot straighter for you.
13:14Right.
13:15And then make it a lot straighter for you.
13:16I know the injection is going to work because it's into your wrist and I know injections into your wrist.
13:21It's so painful. So I'm not looking forward to this.
13:26I decided looking at the...
13:31X-ray on the screen, it will look perfectly okay.
13:33Oh, really?
13:34Yeah.
13:34Well, you'll be a lot happier when...
13:36And I've straightened it up.
13:37Janet's wrist needs to be numbed before emergency nurse...
13:41And practitioner Claire can manipulate it back into place.
13:45Ooh!
13:46There's where the fracture site is, okay?
13:48Yeah.
13:48So that's where I'm going to go into, all right?
13:51I don't think I'm going to look.
13:52So I'm not going to lie to you, it does sting.
13:55Yeah.
13:56Hopefully we'll get straight in.
13:58That's your work.
13:59Yeah.
14:00It's going to...
14:00It's going to really hurt.
14:01Yeah.
14:02Remember to breathe.
14:05Okay?
14:06You ready?
14:06Yeah.
14:07Yeah.
14:07Yeah.
14:10Yeah.
14:11You ready?
14:14Yeah.
14:14Yeah.
14:15You alright?
14:16Yep.
14:17I can lie.
14:18You're doing brilliant.
14:20Yeah.
14:21Yeah.
14:22Yeah.
14:23Yeah.
14:24Yeah.
14:25Yeah.
14:25Yeah.
14:26Yeah.
14:27Yeah.
14:28Yeah.
14:29That's it.
14:30Over.
14:32Right then, so you'll just rest it like that.
14:35Now.
14:36Alright.
14:37Until it works.
14:38Until.
14:39Okay.
14:40I'm not crying.
14:41Are you crying?
14:42What I'm making, are you crying?
14:43You are not.
14:44No, they were just.
14:45Running.
14:46They're just running.
14:47I don't know why.
14:48I cry, but only happy things.
14:50I can cry at everything.
14:51I think I do cry at sad things as well.
14:53I think I have got an emotion.
14:55Yeah.
14:56But I don't cry at happy things.
14:57Yeah.
14:58I'll pass you that back.
14:59You can finish it.
15:00Oh, thank you.
15:01Can you finish my gin and tonic?
15:02Yeah.
15:03Can't wait for mine.
15:05Yeah.
15:06Yeah.
15:07Yeah.
15:08Yeah.
15:09Yeah.
15:10In the hub, the new patient and portrait tracking system is still causing problems.
15:15So, I bet Primrose is ready to move because she's fit to see it.
15:20Yeah.
15:20I need to know if Primrose is ready to move.
15:25Have you got...
15:25What I'm ready is, I know it's ready.
15:27So Primrose is ready to...
15:30Service manager Lindsay is overseeing the change.
15:35I mean, it's never an easy time to roll out a new system in the emergency department.
15:40Because patients don't stop booking in, so we're always busy.
15:45On the pending screen there, somebody's put up every question to me.
15:50It's a remover.
15:51Why have they put wheelchair?
15:52So she's ordered the parter.
15:54So should she do that?
15:55Well, no, no.
15:56It should be auto-partering.
15:57Some of the patient location information isn't coming through.
16:00You know when you're used to doing receipts at supermarket.
16:06So we're just working on that.
16:07We're just waiting for IT support to come in there.
16:10Do some tweaking for us.
16:12This is very slow if you've got trolley breaches.
16:15So we're going to come in there.
16:20Whether the system works or not,
16:25new patients keep arriving.
16:30The next to be brought in by ambulance is 78-year-old
16:35Kathleen, who's fallen over on her doorstep.
16:40Yeah, I was really cool on it all.
16:43Oh, that's better.
16:44Just a minute.
16:45Mom's right now.
16:50Paramedic Tracy hangs over to Sister Beth.
16:55Kathleen, she's going to have to get her milk off the doorstep.
17:00She's come back in and tripped over the lip of the dark way.
17:05And face-planted straight down.
17:08She's got a large even toe.
17:10And she's got like a skin tear underneath the eye.
17:15And on the top of the eyelid as well.
17:17Hello.
17:18Hello.
17:20My name's Beth.
17:21Nice to meet you.
17:22Sister Beth will be looking after Kathleen.
17:25First, she needs to assess her injuries.
17:30What is she reading?
17:31I feel like she is a woman's wife.
17:32Listen to the ladies.
17:33Unfortunately, she's a huge fan of her.
17:34Yeah!
17:35I know.
17:36I know.
17:37I know.
17:38I have to sing.
17:39She just broke.
17:40I know.
17:41Nons of the smell.
17:42I know.
17:43I want to be healed.
17:44I know.
17:45I don't know.
17:46I know.
17:47I know.
17:48I know.
17:49I know.
17:50I know.
17:51I know.
17:52I know.
17:55I know.
17:56I know.
17:58I know.
17:59I know.
17:40Is it bad?
17:43That's not the end.
17:45You live on your own.
17:50Yeah.
17:53I'm sorry.
17:54I'm just trying to get this skin right.
17:55I think my husband's in the home.
17:59He's got Alzheimer's.
18:01What did you do?
18:03I used to be a dinner lady at school.
18:05Hey, Joe.
18:07Adios.
18:08Big round.
18:09Big round.
18:09Big round.
18:10Big round.
18:10Big round.
18:10I used to go to the same school.
18:13They all pilgrims like this.
18:15As Catherine has a nasty skin tear.
18:20Sister Beth wants to consult with a colleague.
18:25I need, I need to look at his eye before I dress it.
18:29She's got a human...
18:30I've got a tummy here, a skin tear here, a skin tear on her eyelid and a massive one here.
18:34We're going to have to get a...
18:35Scanning your head, my love.
18:36It's been all right.
18:37Because you banged your head and your pupils are different.
18:40Yeah.
18:40And that could be a sign that there might be a bleed inside your brain, okay?
18:45If...
18:45Scan does show a bleed on the brain, Kathleen will need an emergency operation.
18:50I just told them they don't find out serious.
18:54Yes.
18:55Thank you very much, I will see you on the schedule.
19:00Bye.
19:01Bye.
19:01Bye.
19:01Bye.
19:02Bye.
19:02Bye.
19:04Bye.
19:04Bye.
19:05Bye.
19:06Bye.
19:07Bye.
19:08Bye.
19:10Bye.
19:15Bye.
19:19Bye.
19:20Bye.
19:21Bye.
19:23Bye.
19:24bye.
19:24Bye.
19:00A new patient is rushed from the high department.
19:05Dependency unit into recess, 55 years old.
19:10The 20-year-old mother of two, Joanne, has atrial fibrillation, an irregular heartbeat.
19:15Her heart is beating more than twice as fast as it should.
19:20Registrar Dr Alice Morgan, head straight to see her.
19:24Hello.
19:26Hello.
19:27How are we feeling?
19:28I feel as I'm having palpitis.
19:30Okay, all right.
19:33Rapid heart rhythms create blood clots.
19:35Which can lead to strokes.
19:37Because her palpitations are atrial fibrillation.
19:40Started within the last two hours.
19:43She was a good candidate for what we call DC code.
19:45So a synchronised shock using the defibrillator to try and beat.
19:50Basically shock the heart back into a normal rhythm.
19:52You look like you've got fairly good veins there.
19:54So let's just have a...
19:55Let's just have a little look.
19:57Oh, I like socks.
19:59Very jazzy.
20:00So what we basically do...
20:05Is we pop the pads on for the defibrillator.
20:10I give you some medication through this drip to make you feel nice and relaxed.
20:14Nice and settled.
20:15And when I'm happy that you're at a point that you're really, really relaxed.
20:20We administer one shock and we check what rhythm you're in.
20:24And then there you should...
20:25We should be back in a normal rhythm.
20:30The team are planning to put a strong electrical shock through Joanne's body.
20:35Little scratch.
20:40We'll pop some extra monitoring on in a second so it's a little bit of oxygen.
20:45Pressure, heart rate and CO2 monitoring.
20:48So that just measures your breathing.
20:50The actual...
20:50Procedure takes seconds.
20:52It's the...
20:53It's the build up.
20:54It's the prep.
20:54Yeah.
20:55It's all right.
20:56Don't worry.
20:57Do you want to keep your glasses on or do you want them off for a bit?
20:59I'm happy to take them off.
21:00Yeah.
21:00I'll look after them.
21:01We'll put the pads on.
21:02And then Liz, my colleague, so she's one of the consultants.
21:05We'll come in and she'll be the one that does the machine part.
21:09I'll be the...
21:10The doctor that's doing the sleepy part.
21:15Joanne is given defibrillation.
21:20She'll put the ventilator pads to place under her clothes, which will deliver the shock to her heart.
21:25are you happy for us to start i'll do a little bit of talking
21:30um probably mainly to you all right we'll just have a chat and then when you stop answering
21:35now all right okay all right lovely i'll give you a little bit of the painkiller
21:40um all right let's see how we we get on to keep jo
21:45and calm the team used some distraction techniques do you have like a tipple
21:50choice if you were out having a drink my favorite drinks malibu okay so be like having a couple of
21:55malibu sounds like a plan do you have it with coke
22:00yeah or pineapple oh nice is it
22:05okay that's making me think of caribbean tropical yeah yeah
22:10aren't they we sort of gauge based on how chatty they are and they're
22:15a bit less chatty um as the drugs kick in how are we feeling
22:20yeah a little bit of sleep yeah don't worry that'll pass it's just they
22:25malibu's kicking him
22:30if the electric shock doesn't reset her heart joanne will still be
22:35at risk of a stroke
22:38we're getting there i think
22:40we're getting there
22:43yeah
22:45Beep. Beep. Beep. Beep.
22:50Sister Jane is halfway through a challenging ship.
22:55She's changed it here to surgical, but she's not took the AMU.
23:00Bed out.
23:01I'm not sure if she, I think she's learning or if she's not.
23:04I'm sure she is.
23:05The team are implementing a new system.
23:10It will track patients around the hospital in real time.
23:15She's just meant to look at the screen and think, oh.
23:16Yeah.
23:17It's not fire up there.
23:18Just have a look.
23:19Cubicle eight.
23:20It's an x-ray, lovey.
23:21He'll be glad you're x-ray.
23:22Yeah, please.
23:25Where's the budges?
23:27Service manager Lindsay is rolling out.
23:30A badge system, which will track the journey of the patients around the hospital.
23:35I'm hoping it goes well because if it works as it's intended.
23:40We'll get much faster access to beds on the ward.
23:43So if you start off on AMU and then go to...
23:4533, you know that that's where they are because of the badging system.
23:49So it should speak...
23:50Speed up the process of discharge and thus provide us with beds.
23:55earlier in the day.
23:56Do you know, I just think if they can do without badging now for the next week, which
24:00it's going to be...
24:00We need to just drop that all together.
24:01We still can't badge.
24:02Yeah.
24:07Bye.
24:10In Rhesus, Joan's heart is beating at twice the normal rate.
24:15Putting her at risk of a stroke.
24:20Once Joan is fully sedated, Dr. Morgan and the...
24:25team will try to shock her heart into a safe rhythm.
24:30How are we feeling, Joan?
24:32Yeah.
24:33Yeah.
24:34Yeah.
24:35Okay.
24:36I won't be able to drive.
24:39I won't be able to drive.
24:40I won't be able to drive.
24:41I won't be able to drive.
24:42Sounds good.
24:44Joan...
24:45The human is sufficiently anaesthetized.
24:47Now the team will administer an electric shock to her heart.
24:51Move with me.
24:52thumb.
24:53Road.
24:54Webgy.
24:55So I'm going to charge, so can we take the oxygen away please?
25:00Okay, we're charging.
25:03I'm going to charge.
25:06Doing really well Joanne.
25:07Okay, delivering shot now, stand back please.
25:10Oh!
25:14Wow!
25:15I'm going to charge.
25:20Okay?
25:21Okay.
25:25That's hot right now.
25:26Wow.
25:27It's hot right now.
25:28It's hot right now.
25:29It's hot right now.
25:30Wow.
25:3024.
25:31Ah, well done.
25:32Well done Joanne.
25:33We'll let you have a little rest.
25:35Joanne's heart rate has come down by more than half.
25:40Her risk of having a stroke has been immediately reduced.
25:44Oh.
25:45It's going to work first now.
25:46Well, it provisionally looks like it but we just need to keep an eye on it.
25:50keep an eye on you for a bit longer because sometimes you go back into the other rhythm.
25:54Erm.
25:55But touch wood, it's looking good.
26:00So, ups are good.
26:01Breathing's good.
26:03We'll just let that medication...
26:05Just go through your system alright?
26:08Soon, Joanne is alive.
26:10Just go through her alert again.
26:14Do you want something to...
26:15Yes, please.
26:16What do you answer?
26:18Erm, just some hot sauce.
26:20Hospital toast, please.
26:21Hospital toast?
26:22Hospital toast is always nice.
26:25Does your heart feel slower than it did before?
26:27It does feel slower than it was before, yeah.
26:29Good, yeah.
26:30It's pretty nice with them now, so it's 89 beats.
26:32Before it was 100 and er...
26:34100 and...
26:3590.
26:36Ouch.
26:37Do you remember anything from the sedation?
26:39I remember...
26:40I remember talking to you about it.
26:41Fine, but that's it.
26:42Perfect, there you go.
26:43It's worked.
26:44Yeah, excellent.
26:45So it's really quick.
26:46It's a two-second procedure to get her back into a normal rhythm.
26:50It's just the setting up and the safety measures that take the longest time.
26:55But she's had a good outcome, so hopefully we don't see her back in here.
26:58There you go.
26:59Stop.
27:02Joanne recovered the same day, and he's now on med.
27:07Bye-bye.
27:09Bye-bye.
27:10Bye-bye.
27:15Bye-bye.
27:16Bye-bye.
27:17Yeah.
27:18Kathleen had a fall at home, and...
27:20Banged her head.
27:21She's in cubicle one, waiting for a CT scan.
27:26Can you come home yet?
27:27Sorry?
27:28I said, can you come home yet?
27:30I'm...
27:31I'm seeing the doctor yet.
27:32You've seen the doctor?
27:33Yeah.
27:34Her daughter Tracy...
27:35She's arrived.
27:36I've been all gone down.
27:38No, no.
27:39Well, I don't...
27:40I don't know how big it was before.
27:41Well, it was as big as a golf ball, I said.
27:44Well...
27:45Not quite as big as a golf ball now.
27:48Maybe grandson Thomas might know.
27:50Hey Thomas.
27:51Who have you been fighting with now?
27:54Erm...
27:55Well, it won't taste, I can tell you that.
28:00It was bloomin' milk.
28:02I went flat on me face.
28:04Do we need to...
28:05They were...
28:06Started bringing you milk for you or something?
28:08Maybe if the milkman delivers to our...
28:10So we take it down.
28:11Do you want to call a new tower then?
28:12On your way back and have a biscuit.
28:15A jacket potato with cheese.
28:17What the hell?
28:18It's not a restaurant.
28:20It is waiting on Mars about.
28:21Ha, ha, ha, ha.
28:22Ha, ha, ha.
28:23Ha, ha, ha.
28:24Ha, ha, ha.
28:25Ha, ha, ha, ha, ha.
28:28In the hub, the new patient tracking...
28:30...system is still causing problems.
28:32So badging's still not...
28:36Working.
28:37We've not sent one badge to patient yet.
28:39Just stop badging.
28:40There's been a few teething problems.
28:44So the badging has...
28:45Hasn't worked as yet.
28:46They're just trying to work with it now.
28:49But the system is...
28:50Up and running.
28:51We've gone live.
28:52Just with a few elements of it not...
28:55Fully switched on yet.
28:56So hopefully...
28:57That shouldn't be too long.
28:58So far...
28:59Not too long.
29:00Too bad.
29:01We're about 70% there.
29:02So how will that work then if we're not badging?
29:05How do you know rules work?
29:08Sister Jane wants to go back to base...
29:10There's a phone there.
29:11Can you not have that phone?
29:12Ugh.
29:15There are some kind of phones.
29:17So we're going to give you this phone...
29:18Yeah.
29:19So that the coordinator can bring it.
29:207-1-1-7.
29:217-1-1-7.
29:22Yes.
29:23Very good.
29:24Oh I need a drink now.
29:25I've got a daily drink.
29:26I've got a daily drink.
29:27I've got a daily drink.
29:30All pan one the time ahead.
29:31I've got a little baby.
29:33I've got a daily drink.
29:34There's one.
29:35There's two of us here at...
29:36We have got a few..."
29:37We have got hello!"
29:38Good Pete.
29:39Entonces who came or predictable was also eating it.
29:41All on this night...
29:42It's just nice to know how you wanted to be.
29:44Yes.
29:45When you're VSP I'd oracle okay.
29:46Well yeah well that's really great.
29:48The looks like that we have some friends.
29:51That's really good remember what happened there...
29:53This is Imm understood.
29:54So in the moment there...
29:55I loveã‚“...
29:57We're nervous.
29:58Lookful?
29:59preservation cubicle
30:02It's chewing on his fingers
30:05Yeah, he's working more like himself
30:08Thankfully
30:09Thanks to Barnsley
30:14The treatments have worked
30:15His breathing settle down is a lot better
30:17There'll be a period of observation
30:19So that when the medicines we give him wear off
30:21We just check that he doesn't go back to being as poorly as he was
30:24When he came in and depending on whether his symptoms recur or whether he remains stable
30:29He's got to stay in overnight, do some observations and just keep touching
30:34See how he is
30:35And I'll have to be back home tomorrow
30:37Very stressful
30:39Especially with everything that he's been through so far
30:44I set an ombudsman and they're going to transfer you up to the children's ward
30:47Yeah, it's fine
30:49We're back into normal limits now
30:53That was good
30:54So we think Noah had croup
30:56Which is a virus
30:57Which is a virus
30:59Me and you group
31:00But because our air was a bit bigger
31:02Had a little bit of swelling
31:03We wouldn't
31:04Even notice it
31:05Noah being so small
31:06And being
31:07A history of prematurity
31:08That's
31:09Probably why he needed to come in to A&E and get some drugs to help him
31:14Noah's
31:15Noah spent the night in the children's ward
31:17And has now made a full
31:19For recovery
31:24That's
31:25That's
31:26That's
31:27That's
31:28Yeah
31:29And
31:30Will it show it without them allocating the porter
31:32Or have you got to allocate the porter
31:34For it to show up
31:35For it to show up
31:38The porters are still
31:39Not all connected to the new real-time tracking system
31:44So at the minute it's going a bit chaotic
31:46We're having a few issues
31:47But summoners are on
31:48Summoners are not
31:49Or have you got to draw
31:51It's
31:52izations
31:53About
31:54Microf pag�
31:55Step 5
31:56Step 6
31:57Step 6
31:58Step 6
31:59Step 6
32:00Step 6
32:01Step 6
32:02Step 6
32:03Step 3
32:04Step 9
32:05Step 6
32:06Step 7
32:07Step 7
32:09Duck 911
32:12Step 4
32:14Step 7
32:15Step 11
32:17Step 7
32:19Step 11
32:19In Cuba
32:24In Cuba
32:29In Cuba
32:31This year
32:35In Cuba
32:36In Cuba
32:38Raw
32:40With Led
32:41In Cuba
32:43In Cuba
32:44Three
32:46Two
32:48Three
32:52Three
32:53Three
32:54Three
32:54Andre
32:34you okay, makes you feel a bit woozy, a bit relaxed, helps with
32:39the pain okay? Dr. Sowden has been called from Rhesus
32:44to have a look at Janet's x-ray. Hello, I'm Heather, nice to meet you.
32:49One of the other doctors. I'm not looking forward to this.
32:54Why not? I can move my fingers where I was struggling to move them.
32:59All right. They're going numb. They're starting to go numb.
33:01Good. Any wrist if you did that? I can't.
33:04Better. I can't really do that.
33:05No. Is it less painful than it was before?
33:07No, it's still it.
33:09Okay, fine.
33:10And I'm not usually a baby, but it still is.
33:12Yeah, this is...
33:14Oh, yeah. Okay, fine.
33:15Oh, you're definitely allowed to be upset.
33:17Yes. All right.
33:18You've done a good...
33:19Good job.
33:19That bit's pointing the wrong way.
33:21I didn't think it looked that bad, actually.
33:24I mean, it's still attached.
33:26I'm not a doctor.
33:26It's still attached.
33:28It could be worse.
33:29Dr. Soudan and emergency nurse practitioners...
33:34practitioner Claire are going to attempt to manipulate Janet's wrist back into place.
33:39So, nice breaths on that, if you can.
33:53So, nice breaths on that, if you can.
33:44Do you want to come first?
33:48Try...
33:49Relax your hand from it and try to not hold onto me if you can, so...
33:53it doesn't tense the bones up, yeah?
33:56You all right?
33:57Mm-hmm.
33:58You're dreaming...
33:58All right.
34:01I'll take a pint of your gin and tonic.
34:02Yeah.
34:03Okay.
34:05you're starting off with someone who is in pain because something is broken and all
34:10the tissues around the brake will be swollen and every time that brake moves
34:15it's gonna hurt
34:16breathing in out for me
34:20all right
34:23it's open
34:25all right
34:30now that janet's wrist has been repositioned a custody
34:35this fitted quickly to hold the bones in place
34:40you're starting to hold the bones in place
34:45you all right janet
34:46i'll say yes
34:50positive vibes
34:55so that's the pot for now we're gonna see what it looks like
35:00now on another x-ray
35:01right
35:02but it's very unstable
35:05while janet heads to x-ray
35:08kathleen
35:10is taken for her ct scan
35:11she's been
35:15smoked after by health care assistant lisa
35:20what have you been doing
35:21i'm only fetch milking
35:22i went
35:25to try and shut down and i just went
35:27psh
35:28so i have to stop
35:30drinking
35:30i could do but i don't drink i'm allergic to alcohol
35:35god bless you
35:36i'm going to york today
35:37can you change
35:40it to another day
35:41it'll have to do well
35:42i don't think they'll let me go this afternoon
35:45oh no they'll not let you go
35:47so what were you going to be doing in york
35:50today then
35:50well
35:51um
35:52because it was my birthday
35:54they were buying me a birthday
35:55birthday present
35:56and i'm going to betty's
35:58betty's what's that
36:00it's a restaurant
36:01yeah
36:03you'll have to do it another day
36:05when you're feeling a bit better
36:06i feel alright
36:07yeah you might get it for free
36:09if you're sure
36:10when you bruise
36:10might take pity on you
36:12do you think so
36:13do you think so
36:13do you think so
36:15you might get your tea and cake
36:17for now
36:17lass
36:18the city scan
36:20will show if kathleen
36:21has a bleed on the brain
36:25do i have to sit
36:26hold on
36:26hold on
36:27alright with it
36:27and i'll come and get you when you're done
36:30you
36:35Beep. Beep. Beep. Beep. Beep. Beep.
36:40Beep. Beep.
36:45Sister Jane and her team are nine hours into their shift.
36:50There isn't a consultancy. Well, they're all in handover at the minute.
36:55The Washington Porter tracking system is now almost fully operational.
37:00If you want to admit a patient, you do your DTA on care flow and then you would click that button.
37:05So if you click on clinical operations, it's very futuristic.
37:10The Porter is automatically dispatched to come and collect them.
37:15The Porter is automatically dispatched to come and collect them.
37:20The Porter is automatically dispatched to come and collect them.
37:24See ya.
37:25In radiology, Grandma Kathleen...
37:30...and has just had a CT scan to see if she's had a bleed on her brain.
37:34Following her...
37:35...for.
37:36Hello?
37:37Bo Ev Moo.
37:38...sat guest.
37:39Told GuillemiaSer Harlan, oh, great!
37:40Thank you,imas Toume, for your life!
37:43Doctor beau.
37:45Sout..
37:46Bonos b
38:02Oh, boy!
38:03...very bad.
38:04Am I alright to take some bloods off ya?
38:06And some more
38:07Have you had, you've not had any done?
38:09If you'd have said I could have brought some of my kitchen floor
38:15You've made a bit of a mess of that eye, haven't you?
38:17Eh, looks like it
38:18Aww
38:20You live on your own
38:22Aww
38:23You got a button on
38:24Or out press
38:25Well, what do I want one of them for?
38:27In case this happens
38:28Ha ha ha
38:29Hey lads, what are you doing?
38:34Oh
38:35Sorry sweetheart
38:36That's why they all said
38:37But they still stick it in
38:39Ha ha ha
38:40I stick it in then I say sorry
38:42It's time for Dr. Walker
38:44To examine Kathleen's wound
38:46It's not going to be right comfy I'm afraid
38:49Daughter Tracy is by her side
38:52Kathleen?
38:53Yes, I'm alright
38:54She's happy but the rest of us
38:58She's happy but the rest of us
38:59So
39:00So you just keep saying that until somebody lets you go
39:01Is that the plan?
39:02Yeah
39:03Done
39:04What do you think about your elderly relatives when you're treating a patient this age
39:08I mean, I think
39:09I was always told to subscribe to the sort of grandma rule and say you know how would you treat your grandma
39:14And that's how you should treat your patients
39:15So I'll just peel that off
39:16I'll try not to take the skin with you
39:19Oh
39:20Oh
39:21Sorry
39:22This should be wet
39:24I'm told
39:25Oh
39:26God
39:27Bennett
39:28Bennett
39:29Yeah
39:29Thank you
39:30Thank you
39:34Dr. Walker is going to stitch up Kathleen's wounds
39:37Dr. Walker is going to stitch up Kathleen's wounds
39:39First, he needs to apply an anesthetic
39:44I've had injections in me under
39:46I've had injections in me under
39:49Your eye but they numb it
39:50What when you've had injections actually into your eyeball
39:53Well
39:54Me
39:54I don't
39:55I can't see what they're doing
39:57No
39:58Oh
39:59Right
39:59I don't
40:00either
40:01Maybe
40:18I don't
40:19Oh
40:20Oh
40:21No
40:22No
40:23No
40:24No
40:26No
40:28Yeah, that's where it's good to sit.
40:30Around the eye is difficult.
40:31The lid, uh...
40:33It's really tricky to get right, and if you get that wrong, obviously, if you can't close
40:37your eye, that...
40:38It will damage your eye.
40:39Pull that together there.
40:42It's like a little...
40:43It'll take so a puzzle.
40:48Okay.
40:49Is that it?
40:50Well, yeah, I've done one.
40:53You might need three.
40:54We'll...
40:55We shall see.
40:58With a lot of older patients, their skin's quite fragile and tears quite easily.
41:03So you have to be really gentle with elderly skin.
41:09Be very gentle.
41:11I'll be...
41:12Dissolve it, won't.
41:13Yeah.
41:14Yeah.
41:15I thought we were only having one.
41:17Yeah.
41:18It needed more.
41:19It's just the very top of your lid, just above your lid.
41:23Close your eye.
41:24I know what boxes feel like now.
41:28That's it.
41:29I know.
41:30You're right.
41:32Oh wait, my girl.
41:34How's that?
41:35Get back.
41:37I'm gonna lie.
41:39I'm gonna lie.
41:41I'm gonna lie.
41:43I'm gonna lie.
41:44All purpose is not goodbye.
41:47I'm gonna lie.
41:49You can lie, you can lie.
41:50You can lie.
41:51Even when you're likeks,
41:52You can lie.
41:53You can lie.
41:54You can lie.
41:55I'm gonna lie.
41:56Not goodbye.
41:57I'm shouting.
42:02It's been a long day for Kathleen, but she's now ready to go.
42:07Home sweet home.
42:12The jacket potato was waiting for her and her face healed after a few weeks rest.
42:17I think we're going to eat that.
42:22But.
42:27Birthday girl Janet is spending the day at Barnsley Casualty after she badly broke her.
42:33Hello, I'm back again.
42:35Another x-ray please.
42:37You forgot to wish me happy birthday doll.
42:39Is it your birthday?
42:40I've had to cancel all my b-
42:42birthday plans to come here.
42:45An x-ray will show if the team
42:47have managed to successfully manipulate it back into position.
42:50B-
42:52B-
42:53B-
42:54B-
42:55B-
42:56B-
42:57B-
42:58B-
42:59B-
43:00B-
43:01B-
43:02B-
43:04B-
43:05B-
43:06B-
43:07B-
43:08B-
43:09B-
43:10B-
43:11B-
43:12B-
43:13B-
43:14B-
43:15B-
43:16B-
42:52B-
42:53B-
42:54B-
42:55B-
42:56B-
42:57B-
42:58B-
42:59B-
43:00B-
43:01B-
43:02B-
43:03B-
43:04B-
43:05B-
43:06B-
43:07B-
43:08B-
43:09B-
43:10B-
43:11B-
43:12B-
43:13B-
43:14B-
43:15B-
43:16B-
43:17B-
43:18B-
43:19B-
43:20B-
43:21Yeah. However, it's still really unstable.
43:26Janet came back to Barnsley Hospital for surgery on her wrist.
43:31And has now made a full recovery.
43:36Vicky, wait.
43:41And as soon as it comes back, we'll go.
43:44The team's first shift using the new...
43:46...patient and porter tracking system is coming to a close.
43:51It's gone okay, really, I suppose.
43:53Apparently, badging is now alive.
43:56Let's go and give it a go, then let's look at time level.
43:58Watering is now operational, so we...
44:01...using the new system for portering.
44:03It's okay. It's okay. Time will...
44:06As the shift ends...
44:10See you later.
44:11It's quite a lovely...
44:12Sister Jane and the team head home, but the doors to Barnsley...
44:16...casualty remain open 24-7.
44:26I'll be right back.
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