00:00In the intense world of medicine, broken ribs, hasn't he?
00:09He's gone over and sold faster.
00:13Where only they can medically intervene.
00:16Motorbike versus car, thrown from bike, several calls.
00:19Is it on the motorway or is it somewhere else?
00:21Not on the motorway. Just near Stoker George HQ.
00:25In the UK, motorcyclists are 50 times more likely to die in an RTC than car drivers.
00:35Those that survive can face life-changing injuries.
00:38We have as this chap has been launched off his motorbike.
00:41As soon as the critical care team arrive on scene.
00:44He was going about 35 miles an hour down this road, cars come out impacted.
00:49Sent him flying over the bonnet onto tarmac, landing around 10 feet away.
00:54Are you okay?
00:55No, I'm not a T-shirt.
00:57Well...
00:58No eptin are required on scene.
01:00His own height has just fallen from standing.
01:05Good. All observations are in range.
01:07You're okay, you're all right.
01:09Practice session when he suddenly fell to the flow and oxygen to his brain has been cut off.
01:14This can be fatal as it can cause a seizure, but in the worst cases, catastrophic organ failure.
01:21At the moment, we've been tasked to a five-year-old girl.
01:25...can control the underlying infection, stopping the body's life-threatening overreaction.
01:30This child needs possibly...
01:32...and stuff as well, didn't you, say?
01:34Yeah, 10 foot spine, eight pyreptic, BM5-5.
01:37Oh, sevens.
01:39Sevens, pupils.
01:41I'll say 180.
01:42We might have had a seizure, possibly caused by sepsis, but because she...
01:50I'm quite worried that they might have been in a collision with a car, sending him...
01:54Has he had any...
01:55This is the most pain I've been in.
01:56Okay.
01:57I don't think it's the worst I could have.
01:59Time at four or five, lovely.
02:01But I might be being tough, though.
02:03I've got no doubt.
02:05Do you feel sick at all?
02:07Um, yeah.
02:09Okay.
02:10We're not here at all.
02:11That side of us for you this side.
02:13Yeah.
02:14What we're gonna do is we're gonna roll you.
02:16You need to move you.
02:17It's gonna be a bit uncomfortable.
02:19We're gonna roll this way first.
02:21We're gonna do the same thing the other way this time.
02:23Right.
02:24Everyone ready again?
02:25Yeah.
02:26Ready.
02:27Steady.
02:28Travis, is that okay now?
02:30Yeah, why are you doing this today?
02:31Doys.
02:32Potentially, yeah.
02:34It's the only thing we can be concerned about.
02:36Minimising the risk of further injury to his body.
02:39The ambulance.
02:40Ready.
02:41Steady.
02:42Lift.
02:43Right.
02:44TXA is a vital drug.
02:45I've run a marathon.
02:46Is it broken?
02:47I don't understand.
02:48You're just having a little...
02:49Got normal observations?
02:51Are you...
02:52Travis has had a lucky escape and he's stable enough to be taken to hospital.
02:56Thank you very much.
02:57Leading the very, very capable hands of this ambulance crew.
02:59No problem at all.
03:00So, before we do anything, should we just move him into a position where you can chew?
03:04Yeah.
03:05Yeah.
03:06Yes.
03:09I guess it'll be fentanyl, ketamine, rockium.
03:12The strong drugs fentanyl, ketamine and rockium...
03:14Right.
03:15Just to bend back a little bit once I can come in.
03:17...pre-hospital emergency anaesthetic.
03:19Hold on.
03:20On roll.
03:21Ready.
03:22Brace and roll.
03:23One VT.
03:24Uh, so he's now...
03:25I can get the monitor back on.
03:27...receiving enough oxygenated blood.
03:29Often a side effect of his brain and other vital organs from further damage.
03:34Okay.
03:35Okay.
03:36That's amazing.
03:37Okay.
03:38The remainder...
03:39Uh, will be...
03:40So he's got quite a substantial blood pressure response.
03:44Fortunately, moments later, his heart self reverts back to...
03:48Still got spontaneous respiratory effort.
03:51Off now, thank you.
03:53He's very unstable.
03:55Brickle ventilator.
03:56Can we, uh, start loading?
03:57Yes.
03:58Let's get loading.
03:59Get him secured.
04:00It will probably show that he's had a fairly substantial...
04:05...and for further urgent treatment before heading to intensive care.
04:09Yeah.
04:10It's too...
04:15So we've got the appropriate help arranged, okay?
04:17It's a high-priority ambulance.
04:22Okay.
04:23Um, he's at various conscious levels throughout.
04:25Okay.
04:26He's had a gram of IVP.
04:27Yeah.
04:28He's had two grams of TSA.
04:29Yeah.
04:30He's had, um, four of condenser trompet.
04:31Oh!
04:32Okay.
04:33All right.
04:34Oh!
04:35Have a listen to your breathing, okay?
04:36His life is in serious danger.
04:39Oh!
04:41The ambulance crew have already administered Vita as much information as possible from her.
04:45No, no, she wasn't responding.
04:46So she's already awake.
04:48Oh.
04:49We're checking you, Emilia.
04:51So you...
04:52In.
04:53One of the signs of sepsis.
04:55You did a really good job, Emilia.
04:57Really good job.
04:59So, she looks okay.
05:02My peebar or anything like that.
05:04Um...
05:05So I think, essentially, it'll be...
05:07...and Jaspreet are ready for their next emergency.
05:12...in Bracknell.
05:13So, he does actually have quite good air injury that side.
05:15He's clearly not...
05:16Critical care paramedic Barry and Dr. Tom are attending to 65-year-old David, who...
05:21Our primary survey, our concerns are of head injury.
05:25Um, currently, right now, it's not compromising his ventilation very much.
05:29And, hemodynamically, he's actually...
05:32Confident it's not a dangerous amount, because the signs, including low blood pressure...
05:38Oh, my dear.
05:39You're in an ambulance on the side of a roundabout in Bracknell.
05:42Right now, compared to before the morphine.
05:44What?
05:45What?
05:46What?
05:47...and his main issue has been controlling his pain.
05:51Are you able to take a deep breath in, if you can?
05:55Good man.
05:56And that was a reassuring scam.
05:58Fortunately, the ultrasound confirms David's...
06:00...the medicine team and the trauma team.
06:02Done about it?
06:12Find out in just a moment.
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