- 6 hours ago
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00:01Ambulance service is patient breathing.
00:04She's extremely dizzy and can't stand up.
00:07Hang on, she's going to fall over.
00:09My mum's in a lot of pain in her face.
00:12She can't swallow food.
00:14I don't know what is wrong with that.
00:16I think she's having a breakdown.
00:20Righty-ho, let's get them bad boys on.
00:24West Midlands Ambulance Service looks after almost six million people.
00:28I love the fact that not just every shift's different,
00:31every job's different.
00:32Do you remember everything that's happened?
00:35It looks like you're having a heart attack.
00:39Saving lives and making a difference every call-out.
00:42Is she breathing normally?
00:45Water variability of Helimuth.
00:48Embedded with eight emergency crews.
00:51Could be anything, couldn't it?
00:52Okay, okay.
00:54Filming simultaneously across the region.
00:58Time is everything in our job.
01:00Just relax.
01:00Relax for me.
01:01Can you open your mouth as wide as you can?
01:05Capturing life.
01:06How's your vision?
01:07You got it?
01:08Oh!
01:08On the front line.
01:10I go to work every day and I make a difference.
01:21Do you reckon it's going to get cold tonight?
01:24Stay warm.
01:24Do you reckon?
01:25Yeah.
01:26See, I'm going for cold because there's no clouds in the sky.
01:30What did you have for Team Morgan?
01:31I had burgers.
01:32What did you have?
01:33I had jack potato, beans.
01:35Oh, vile.
01:37Is that what you have on it?
01:38What would you have on a jack potato?
01:39I would have cheese.
01:41That's disgusting.
01:42Are you joking?
01:43I feel sick from what you have.
01:45That is vile.
01:46I literally can't even look at you.
01:50Just booking on Jack Tien and Sharnie Jones.
01:52Thank you, sweet.
01:53I'll book you on.
01:53Have a good shift, everyone.
01:55Thank you very much.
01:56Same to yourselves.
02:07Are you more of a text person or a phone call person?
02:11I'm a bit of a nightmare with my phone, but I do prefer to text.
02:16I prefer a text, but then I'm awful at texting.
02:19It takes me at least six or seven working days for me to get back to you.
02:22Working days?
02:23Working days.
02:23Not on the weekends.
02:24The one that gets me, and it really winds me up.
02:27When someone texts you, they send you one message,
02:29and then another, and then another, and then another.
02:31Yeah.
02:31And then it's like just one sentence.
02:33Put it in one message.
02:34One paragraph.
02:35I completely agree.
02:36You know when you're doing this back and forth text
02:37and people are replying super quickly,
02:39and then they reply to your text before you've finished doing
02:41your little seven texts, and you can't keep up.
02:44I'd just rather ring them.
02:45I get sore thumbs.
02:47You know what?
02:47The best conversation I have is with my dad.
02:49I'll ask him something, or I'll tell him something,
02:51and I'll just get a thumbs up.
02:53Oh, yeah.
03:09I started buying the pick and mixed cups.
03:11Oh, yeah.
03:12Oh, I'm addicted.
03:14You have to, like, tactically stack it, though, don't you,
03:15so that you can get the full max amount of sweets.
03:18Like, yeah.
03:18Fist pump and lower to fit more in.
03:21And then you strategically buy the jelly beans to fit in the holes
03:24and the gaps.
03:26And then the lid is always, like, that curved.
03:29Pick and mix from the shops is a skill and an art form.
03:33It just sounds like you do it, like, probably on the daily
03:36from the technique that you use.
03:38No.
03:38It's just a technique built up over years of practice.
03:41And how long would one of those cups last you?
03:43Not long.
03:44Look at the size of me.
03:46I've now upgraded from the small cup to the middle cup.
03:49Ooh!
03:49It's only going one way, slippery slope.
03:53Ha, ha, ha, ha, ha.
04:03Amblin, the patient breathing?
04:06Yes.
04:08No conscious and awake?
04:10They're conscious but not awake.
04:12So is she responding to you?
04:14No.
04:16They're having seizures, huh?
04:17BELL RINGS
04:23Cat one.
04:25Hold on tight.
04:27Two, five.
04:29A patient has had a seizure.
04:33A seizure will always come through as a cat one
04:35because you don't know what condition the patient's
04:37going to be in when you get there.
04:39You're automatically thinking,
04:40are they going to be struggling breathing?
04:42Could they go into cardiac arrest because of it?
04:45Or respiratory arrest?
04:47And neurological damage, ultimately.
04:49Yeah.
04:49Because when you're having a seizure,
04:50you're not getting enough oxygen to your brain.
04:52So it's making sure that we're there
04:53and we can try and stop it as soon as we can.
05:01Hello?
05:03Hi, mate.
05:05Hi.
05:05I'm Mark.
05:06This is Amy.
05:07Hello.
05:07Hi.
05:08You're out of the car, mate.
05:10Oh, hello.
05:11Stacey.
05:13Stacey, can you hear me?
05:17Stacey?
05:19Can you open your eyes for me?
05:20Everybody drinks the shed tonight?
05:23Okay.
05:23Bare half a bottle.
05:26Just doing your blood pressure, okay?
05:30Oh, hello.
05:32When 29-year-old Stacey had a seizure tonight, her friend Anthony called 999.
05:40Just take your temperature.
05:43Hello, Stacey.
05:44Sorry.
05:4537.8.
05:46She's a bit toasted.
05:48Come on, Stacey.
05:50Come on, have a sit-up for us, please.
05:53Don't kill you.
05:54Bobby, Bobby.
05:55As Mark and Amy begin to treat Stacey, a man enters the flat from outside.
06:018, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8.
06:07If you can do what you do, I'll do what I'll do.
06:10I was quite concerned and quite scared of this other man,
06:13of what he was going to do.
06:18This is one of those strange jobs where alcohol is obviously influencing people's behaviours.
06:23I love the beach.
06:24Yeah.
06:25I can give an old one.
06:26What are you doing, sir?
06:26No, no, no, no.
06:27Sir.
06:29No, don't, please.
06:30I can give an old one, please.
06:32I thought it was very odd that this man was drawing on this patient's face.
06:37He claimed to be the patient's friend, but you wouldn't draw on your friend's face when they're unwell.
06:45Stacey, should we help you up, mate?
06:46Come on.
06:48Ready?
06:48You can lean on me.
06:51Right then, Stacey, can you tell me what's happening?
06:53What's happened this evening?
06:54I feel sick.
06:56You feel sick?
06:57I haven't been sick as well.
06:58You have been sick.
07:00Have you had a bit too much to drink this evening?
07:05Come on, my lovely.
07:07Shall we roll over?
07:10There we go.
07:12Come on, let's have a sit-up.
07:15Who are you?
07:16Paramedic team.
07:18Paramedics.
07:19I've been to you before.
07:21Paramedics?
07:21Yeah.
07:21Yeah.
07:22I'd previously been attending Stacey's property a few months earlier, so I was aware of Stacey's
07:28alcohol dependence, so I knew it was going to be difficult to communicate, difficult to
07:33get Stacey to do what we wanted because of the alcohol.
07:36Come on, my lovely.
07:39That's it.
07:40Have a bit of a walk.
07:42Over to the sofa.
07:44There we go.
07:44Keep on going.
07:45Keep on going.
07:46Blank yourself on there.
07:47There we go.
07:48Wonderful.
07:50There we go.
07:52Do you want to take this jumper off?
07:54Have you got anything underneath?
07:55Yeah.
07:56Because you've got a bit of a temperature.
07:59Arms up in the air.
08:01Like we just don't care.
08:04There we go.
08:06That'll cool you down a bit, man.
08:07Is that a big jumper you've got on?
08:09Can I sit these on your wrist?
08:14Stacey, any allergies, bub?
08:17Hospitals.
08:18Hospitals.
08:19Fair comment.
08:20Fair comment.
08:20We have the same feeling.
08:23Right.
08:24Nice and still for me.
08:27So, quick question.
08:29Do you want to go to hospital or do you not want to go to hospital?
08:32No.
08:37When she was on the floor, was there any, like, shaking at all?
08:40Yeah, yeah, yeah.
08:41There was shaking.
08:43Okay.
08:44And she wasn't...
08:44Alcohol-induced epilepsy.
08:46Oh, got you.
08:48What's on your medical notes, that's all?
08:51Alcohol-induced epilepsy is exactly what it says on the tin.
08:56She suffers from seizures and sometimes it can be due to drinking too much alcohol.
09:01Are you sure you don't want to go to hospital?
09:03Yeah.
09:04Are you sure?
09:05Okay.
09:06Are you sure we can't convince you to come with us?
09:09I'd advise to try and stay well from the alcohol if you can.
09:13Let me just take these off you.
09:20Oh, that sounded like a bit of a bang.
09:32When I heard that bang, I'm thinking, has the patient fallen over?
09:36Is she okay?
09:37Is she injured at all?
09:39Ultimately I was hoping that she wasn't having another seizure.
09:41What's just happened?
09:43Stacy, can you talk to me?
09:59You know, in England, if something's banging, like, that's really good.
10:03Yeah, yeah.
10:03Like, oh, yeah, those cheesy chips are banging.
10:06Banging, yeah.
10:06In the Isle of Man...
10:07Is that bad?
10:07It's bad, yeah.
10:09Like, so I'll be like, ugh, those chips are banging.
10:13It means that they're gross.
10:15And it took me a while to, like, figure that one out.
10:19They'd be like, why are you pulling that face for?
10:22And I'm like, it's banging, it's gross.
10:23They're like, what?
10:24No, banging over here means great.
10:26Good, yeah.
10:27I don't even know if people use that any more, banging.
10:30No, it's outdated.
10:33We're too old for banging.
10:35Even just places, like, within England, it's just so different, isn't it?
10:39Yeah.
10:40Because they're in, like, Stoke, if you say, oh, just go up the bank.
10:43Like, people won't know.
10:44What does that mean?
10:45It's up a hill.
10:46You know what I mean?
10:47It's just at the top of the bank.
10:56Ambulance services are patient breathing.
10:58Yes.
10:58What's the reason for the ambulance?
11:01She's extremely dizzy and can't stand up.
11:04Hang on, she's going to fall over.
11:06Put me on the floor, please.
11:08Sorry, she's...
11:09I think she's going to be sick.
11:13We're going to a 69-year-old female.
11:16Dizziness.
11:17No notes.
11:20But it does say Union Canal.
11:23I'm going to guess she's in a barge.
11:26And I can't say I'm the biggest fan of barges.
11:31Immediately, thinking, how are we going to get them out?
11:35You can't just, you know, throw them over your shoulder
11:38and carry them out that way.
11:45Hi, my name's Hami.
11:46Hi.
11:47Which one are we?
11:48That one there, isn't it?
11:49That one there, but you're probably easier.
11:50I just have to see from this bit.
11:52OK.
11:52A neighbour helps Keira and Brooke find the right narrowboat.
11:57It is quite obviously narrow.
12:00It's quite limited.
12:01Am I on the bottom step?
12:03No.
12:05Oh, she's on the floor.
12:19Oh, bless you.
12:20Hi, Jenny.
12:21Hi.
12:22My name's Brooke.
12:23And we've got Keira as well.
12:26You're feeling dizzy.
12:27Is that right?
12:28Yes.
12:28Yeah.
12:29I feel a bit disorientated.
12:31OK.
12:32I'm going to be sick.
12:34Yes.
12:34Oh!
12:39Paramedics Brooke and Keira are with retired primary school teacher Jenny,
12:43who's holidaying on a narrowboat.
12:46When she became dizzy and sick, husband Nick called 999.
12:53So, your blood pressure at the minute's OK.
12:55I know you're feeling dizzy, but for us to do some more assessments,
12:59would you be able to have a sit on this chair if we give you a hand up?
13:02Yeah.
13:02Yeah?
13:03If you want to just try and swing your legs, that's it.
13:06So they're straight.
13:07Where are we?
13:08On the boat, yeah.
13:11Ready?
13:12One, two, three.
13:13Oh!
13:15Oh!
13:16That's it?
13:17Yeah.
13:18Fabulous.
13:19I'm just going to do your blood sugars, OK?
13:23One, two, three.
13:24Oh!
13:26Jenny's observations all appear normal,
13:28but there could still be an issue with her brain.
13:32Where are we, Nick?
13:33On the boat, Jim.
13:35And where's the car?
13:37The car's just over there.
13:39OK.
13:40Do you know what day it is today?
13:45Er...
13:45Now, let me think.
13:46I want to see if you can figure it out.
13:49Let me think.
13:51Well, I was going to say 2024, but I don't think that's right.
13:55Not quite.
13:57Er...
13:58What else did you ask me?
14:00What day it was?
14:01Yeah.
14:02I don't know, to be truthful.
14:03OK.
14:04Not to worry.
14:06This state of confusion is new for Jenny and a worry for her husband, Nick.
14:12Did you call 999?
14:13Yeah.
14:14Yeah.
14:14What happened to me?
14:16You were on the floor when we got here.
14:18Oh, I didn't know that.
14:19Yeah.
14:20Did you call 999?
14:22Yeah.
14:22Oh, right.
14:23Oh.
14:24Oh, my goodness sake.
14:28Repetitiveness is a bit of a red flag for us in terms of something neurological going on.
14:32It doesn't necessarily mean that she's having a stroke, but it could be a sign towards something
14:37neurological happening.
14:39But you're having this dizziness and you've got a little bit of repetitiveness.
14:42You're kind of saying a few things again and again.
14:45I don't know if you're realising that you're doing it.
14:47But I think all of that together warrants a trip up to hospital.
14:52And now it's just about getting you out because you're not very steady on your feet, are you?
14:57We thought maybe it could be that she's having a bleed potentially that is developing as we're spending more time
15:03on scene.
15:04It did concern us a bit, didn't it?
15:06Just because she wasn't getting better, she was actually deteriorating, if anything.
15:09It's certainly amped up the pressure of it's getting worse, we need to get to hospital as soon as possible
15:13because we need to rule out that it's not something going on in her brain that we can't see.
15:19You ready?
15:20That's it.
15:20We'll get you either side.
15:22Hold on to us.
15:28Oh, oh.
15:29It's okay.
15:32Nice and steady.
15:33Are we at the boatyard?
15:34Yeah.
15:35We haven't moved.
15:36No, we haven't yet.
15:38That's it.
15:38Oh.
15:41Oh, no.
15:42It's okay.
15:43Take a step and then step onto this one.
15:47Take a step, that's it.
15:48Be careful with your foot, just move that foot a little bit further forward, that's it.
15:52Her blood pressure is okay, so we were quite happy with that in terms of her standing and her not
15:57passing out.
15:58But then it wasn't just as simple as getting her from her boat onto land, it was that we had
16:02to go over another boat as well.
16:04Right, hold on to me.
16:07Think you can do that big step?
16:10Well done.
16:10That's it.
16:12Well done.
16:13That's all the hard work done.
16:15With Jenny free of the cramped conditions of the narrowboat, Brooke and Kira can now treat her more easily on
16:21the ambulance.
16:26What day is it, Nick?
16:28Is it the day we came on the boat?
16:30It is, yes.
16:31I didn't know we came on a Friday.
16:34We haven't actually sailed anywhere, have we?
16:37No.
16:37I don't remember anything really.
16:39Right, can I have this arm?
16:41I'm just going to give you an anti-sickness, okay?
16:45Right, I'm going to jump in the front and start heading towards Stoke.
16:49Jenny and Nick were about to start a four-day canal holiday, but now she needs specialist medical treatment.
16:56So, explain to me, Nick, what's happened.
17:00What's happened?
17:01Well, I don't know.
17:02I've forgotten.
17:04I mean, I haven't forgotten.
17:05I can't remember.
17:13Right then, darling.
17:15At Royal Stoke University Hospital, Jenny will have scans to see if her dizziness and confusion are neurological.
17:29I have no idea what was going on with her.
17:32To me, screen's neurological.
17:35Oh, yeah.
17:36Do you reckon it was a stroke?
17:37I don't know.
17:38It's all very strange, wasn't it?
17:39Yeah.
17:40I'm just glad she could walk, because, oh, my gosh.
17:43I don't think we would have got her off.
17:44That would have been so hard.
17:48Hey, thanks, Lacey.
17:54What's just happened?
17:57In Starobridge, paramedics Amy and Mark are with Stacey, who's had an alcohol-induced seizure tonight.
18:04After refusing to go to hospital, she's just collapsed again.
18:10Stacey, can you open your eyes for me?
18:13Can I have your finger?
18:17Hello, kitty cat.
18:18Come on then, Stacey.
18:20You okay?
18:21Shall you have a sit up again?
18:24Yeah.
18:26Your head.
18:27Does it hurt a little bit?
18:28Shall we help you on to the bed, Stacey?
18:31Yeah.
18:31Yeah.
18:32Ready?
18:32Come on then.
18:33Ready to stand?
18:34Ready.
18:35Push through your legs.
18:35Steady.
18:36Stand.
18:37That's it.
18:41There you go.
18:43I don't feel very well.
18:46And you still don't want to come to hospital with us?
18:48I don't know.
18:50I don't know anymore.
18:53What's happened to me?
18:55I think you've had a couple of non-epileptic seizures.
19:05I don't know anything happened to me, so nothing is happening to me.
19:13I don't know.
19:14I don't know.
19:14What're we thinking, Stacey?
19:18It's entirely up to you, mate.
19:21You're staying here?
19:22Yeah.
19:24I thought you'd say that.
19:26Right, get some sleep.
19:28Look after yourself.
19:30Alright, babe?
19:30Look after yourself, Stacey. All right, mate. No one is at all.
19:36In this case, I believe Stacey needed to go to hospital,
19:39but ultimately we can't force anyone to go to hospital if they don't want to go.
19:43We can't drag them kicking and screaming,
19:45so in this case we did have to leave Stacey at home
19:48because that was what she wished for.
19:53That man was a bit of a joke, wasn't he?
19:56Putting that pen all over her face.
19:57It's like, what was that all about?
20:00Why would he do that?
20:01No idea.
20:16I've got an ambulance-centric question for you.
20:19Okay.
20:20Which siren is your favourite?
20:23The second siren, you know, the close-together one.
20:26The wee-woo.
20:27Yeah, yeah.
20:27The classic.
20:28Wee-woo, wee-woo, wee-woo.
20:33It's like I'm actually there.
20:34I can't do it.
20:36The pacer one, the last one, is just very loud and very, like, well, it paces your ears.
20:41It's not nice to listen to for a while.
20:42It's useful, though.
20:43It is useful.
20:52Ambulance service.
20:53Is the patient breathing?
20:54She is.
20:56Okay, and what's the reason for the call?
20:57I'm the doctor triaging the call. It's an 83-year-old lady.
21:02She's having diarrhoea, vomiting, not keeping any fluids down,
21:07not eating for a few days.
21:13So they've been allocated an 83-year-old female reporting dizziness
21:17and she's currently bed-bound.
21:21With an elderly patient with these kind of symptoms,
21:23weakness, diarrhoea, vomiting and not eating,
21:26you're thinking about their recovery time
21:28and how they aren't as able to bounce back from an illness
21:31as somebody who's younger would be able to.
21:41Hiya, Doc. I'm Jack and this is Sarnie.
21:44Hello.
21:44What can we help you with, sweetheart? What's going on?
21:48Is this your daughter? Granddaughter.
21:50Granddaughter. Do you want your granddaughter to tell us what's going on?
21:53Er, she's very weak. Like I say, she can't eat or drink.
21:56Hit you like a truck, has it?
21:58Yeah. Pain on the left side here.
22:00And to me, her stomach does feel fine.
22:03So when was the last time you had a normal poo?
22:07Weekend.
22:08Last weekend. OK.
22:10When was the last time you were up and out of bed?
22:13Tuesday.
22:14Tuesday.
22:1683-year-old Maureen has been ill in bed for three days.
22:20Granddaughter Kirstie called her GP and he rang 999.
22:25Husband Bill is by her side.
22:29Let's have a look at your ticket, see what that's doing.
22:32The best description she's said is she feels like she's been kicked around
22:35like a Stoke City football team.
22:37A Stoke City football team.
22:39She's going to pop these stickers on your chest, sweetheart.
22:42She's talking, it's bubbling like anything.
22:44I've heard it, I've been sitting here and I've heard it.
22:47You just try and stay nice and still for me, Maureen.
22:50Jack runs an ECG to check Maureen's heart.
22:54Let's have a peek at this.
22:56You ever been told that you have some extra little heartbeats every now and again?
23:01I used to have palpitations.
23:02Used to have them.
23:03One time I was with my thyroid.
23:05That could explain it.
23:06You have just every now and again, you just have a little extra...
23:08BOOM!
23:09..it just drops it in randomly.
23:12So they're not that regular.
23:14Can I have a feel of your tummy?
23:16Would that be OK?
23:17I'll start on this side.
23:19Nothing on there.
23:20Nothing on there, so that's all OK.
23:22That's all right.
23:24There.
23:24There.
23:25So that's where the most painful bit is.
23:27OK.
23:28Yeah.
23:28So your tummy does feel a bit swollen.
23:31Your pain's right over that side, which is like stomach, a bit of intestine.
23:34I can't really leave you here if you can't get out of bed.
23:38So I think we have to have a trip up to Royal Stoke.
23:41I decided to take her to hospital because of the length of time that her symptoms had been going on
23:46for.
23:46And we'd hit a point where she needed a little bit of outside help from an A&E department to
23:52recover and get back to how she normally was.
23:54Now, my next question is, how are we going to get you out?
24:08We're following eight paramedic crews as they work through the night, responding to emergency calls from across the West Midlands.
24:19I'm ready for you.
24:21So we need you, like, here, ideally.
24:23How can I help you?
24:26In Stoke, technician Jack and paramedic Sharni are with Maureen, who's been suffering with vomiting and diarrhoea for three days.
24:36Almost there, Maureen.
24:37You're doing great.
24:38Oh, there we go.
24:41That's it.
24:41You've landed.
24:43Perfectly done.
24:44I don't know.
24:46If you lean back a little bit for me.
24:49When I saw the stair lift, very Geordie of me, but I thought, Belter, meant that we don't have to
24:54carry Maureen down the stairs, so we get her down to the ambulance nice and quickly.
24:58There you go.
25:00Perfect.
25:02Ready, steady, lift.
25:05I told you that would be easy, didn't I, Maureen?
25:07Yeah.
25:10There we go.
25:14Maureen, you did fantastically.
25:17I bet you feel like you've just ran a marathon.
25:19In operation.
25:20You did amazing.
25:25How did the two of you meet?
25:27Starting with a kiss and a tick-toe.
25:29We've been married 65 years in October.
25:3365 years, eh?
25:36What's the secret?
25:37We've worked together.
25:39Yeah, we've worked together.
25:42At this point in time, I don't see myself doing anything for 65 years.
25:46But I'd like to find somebody brave and stupid enough to be married to me for that long.
25:51Okay, I think we're just about here now, Maureen.
25:56At Royal Stoke University Hospital, doctors will help Maureen start eating and drinking again.
26:02They'll also carry out tests to work out what's causing her pain.
26:22Maureen's emergency call was answered here, where a team of call assessors are available 24-7.
26:29I have this deep, innate feeling that I am doing this job for a reason.
26:35I really want to be a part of something bigger than me.
26:38I like to think that I have impacted that person's life in a positive way.
26:44Ambulance service.
26:45Is the patient breathing?
26:47Yes.
26:48And is the patient awake?
26:51Yes.
26:51And what's the reason for the call?
27:09Is it that she's been removed from her house or that she's locked herself out?
27:16No, somebody's locked it out.
27:18It's got now slippers, now shoes on.
27:23It's just got a little top on and a pants.
27:26It's upsetting, I mean, it's stressful.
27:30And I wanted to bring the place for a while, let me bring the place because it's bright.
27:35Okay, no, we're going to help her.
27:36A lot of the time, people don't volunteer information on certain circumstances.
27:43You can hear it in somebody's voice.
27:46There's more to this story.
27:48She lost any blood from anywhere?
27:52All her knees are all knocked about and scuffed.
27:56Though I need some dressing on her knees, I'm all bleeding.
28:00Okay, has anyone harmed her?
28:04Well, that's not for me to say.
28:07Okay, can I speak to her?
28:09Hello.
28:10Hello there, my sweet.
28:11It's the ambulance service.
28:14Yes.
28:14What's been happening tonight?
28:16I've climbed some branches.
28:18Do you know what?
28:20You've been climbing what?
28:21You've been climbing some branches?
28:24Brunches.
28:24Oh, fences.
28:27And what were you climbing the fences for?
28:33Oh, you were trying to get into the back of your property?
28:37Oh, you was climbing...
28:41Right, okay.
28:43And is there somebody in your property that you're trying to get away from?
28:49Well, I don't want to discuss it, please.
28:54In a situation like this where I have suspicions but haven't directly been told that there may be a risk
29:01or a threat there,
29:02basically, you know you need the police there.
29:06Other cases need a bit more investigation.
29:09Okay, when did this happen?
29:12A couple of hours ago.
29:14All right, then, my sweet.
29:15So, what we're going to do, we are going to get some help arranged, okay?
29:21So, do you just need to speak to one of our clinicians so I can arrange some further help, okay?
29:26So, we'll call back shortly.
29:28Okay, thank you.
29:29All right, my sweet.
29:30You take care.
29:32Bye-bye.
29:32Bye-bye.
29:34Uh, three, six, three, eight.
29:37I've put it in there.
29:38Um, it's a possible safeguarding more than anything.
29:42When we refer a case to safeguarding, it usually means that there's a vulnerable person or a vulnerable situation.
29:49It's a very wide range of things why somebody may be safeguarded.
29:54It means this person needs extra support and they need a safety net and they need a blanket of help.
30:00The neighbour, she's run to the neighbour's house, naked from the waist down, no shoes.
30:06But thankfully, the neighbour's taken her in and, I know, it's horrible, isn't it?
30:27Oh, what a chunky cat.
30:33Oh, what a badger.
30:34Oh, what a badger.
30:34Was that a badger?
30:35Oh, my God.
30:37Was it a badger or a raccoon?
30:38Oh, it was...
30:39Oh, was it a raccoon?
30:41I didn't like that.
30:43That scared me, that did.
30:44That scared me.
30:47Was it a chunky cat?
30:48It might have been a chunky cat.
30:49Or was it a badger?
30:50I remember it looking us in the eyes and that was not...
30:54That must be why we screamed.
30:56That was not a cat.
30:57I don't know what it was.
30:59I don't want to know what it was.
31:01A wild animal across the road shaking its little booty.
31:06It looked as if it was like, I am no cat.
31:11I've never saw a badger before.
31:13That was terrifying.
31:19I will see you again.
31:23I'm in a service with the patient breathing.
31:26The patient is breathing, but I don't know what is wrong with her.
31:30OK, is she awake and conscious?
31:37OK, what's happening with her at the moment?
31:51Female, cartoon, mental breakdown.
31:54Was there anything else on there?
31:56Just mental breakdown.
32:00My thoughts were, mental health,
32:02this could be absolutely anything.
32:04It could have been a case where this patient
32:07had really injured themselves or someone else,
32:10so it was just a matter of urgency to get there.
32:13Police are here.
32:23What's going on?
32:24She's just been trying to do some information
32:26after you get her.
32:29The patient is said to have assaulted
32:31a member of staff and the police.
32:33As a result, she's been arrested.
32:35The patient's mother is with her.
32:38Is this how she normally is?
32:40Never.
32:41OK.
32:42I've never seen her like her.
32:43I'm actually worried.
32:45Do you think you can calm her down?
32:47No.
32:47No.
32:50Hello?
32:52What's going on?
32:53She's not responding.
32:55OK.
32:56Right.
32:56Let's get her on ambulance.
32:57We'll do our checks on there.
32:59We need to get you up onto an ambulance.
33:01Are you going to work with us?
33:03We're going to pick you up.
33:04There you go.
33:05There you go.
33:06Come on.
33:09Daisy and Morgan need to check if the patient
33:12is well enough to be taken into police custody.
33:16Just sit her here for me.
33:19The lady was shouting, screaming,
33:23I hail you.
33:26To us, it was coming across like
33:28some sort of script from the Bible
33:32and she was just preaching that.
33:35I hail you.
33:38She was chanting.
33:39It sounded like religious chanting.
33:42I had never seen anything like it before.
33:44I hail you most high.
34:03I really struggle with some words.
34:05I don't know whether it's my accent or my lips or what,
34:08but it come out upside down, backwards.
34:11What's that word that everyone struggles to say?
34:13It's like anonymously.
34:15Anonymously.
34:17Anonymously.
34:18Isn't this the two Ns?
34:21Anonymously.
34:21A-N-O-N.
34:22That's as much as you're getting from me.
34:24I do.
34:26Anonymously.
34:27Anonymously.
34:28I know what you mean with some words.
34:30It's how you say them, isn't it?
34:31What's the word I like?
34:32A kaleidoscope.
34:34A what?
34:36A kaleidoscope.
34:38A kaleidoscope.
34:39But do you know what it is now?
34:41No.
34:42You look through like a tube.
34:45That's what I was about to say, yeah.
34:46With the glittery picture things at the end,
34:50and then you turn it and it all falls
34:53and it's all different colours and shapes.
34:55A kaleidoscope.
34:57A kaleidoscope.
34:57There we go.
34:58Is that what it is?
34:59A kaleidoscope.
35:00A kaleidoscope?
35:03Kaleidoscope.
35:04A kaleidoscope.
35:09A kaleidoscope.
35:09A kaleidoscope.
35:11A kaleidoscope.
35:12I'm in service to patient breathing?
35:14Yeah, but in pain.
35:15What was the reason for the call, please?
35:17My mum's in a lot of pain.
35:19She's in pain where?
35:20In the face.
35:22In her face.
35:22In her face, OK.
35:22In the back.
35:23And she can't swallow food.
35:25It's gradually got worse over the last couple of days.
35:30Right, we've got a Category 2, 90-year-old lady.
35:35Chest pain, back pain, lip swelling, difficulty swallowing and pain.
35:39So, let's have a look.
35:44This lady, it stated she was 90 and she was in a lot of pain.
35:48So, I think instantly we started to think,
35:50what kind of pain is she in, where is it coming from
35:52and how much is it affecting her with, obviously, her age?
36:00Hi, Ducky, you all right?
36:04Hiya, sweetheart. I'm Nick, this is Kyra.
36:07Is that hurting you, though?
36:09Let me have to have a check your pulse.
36:1290-year-old Nova has been suffering with pain in her back and mouth
36:17for the past four years.
36:18But tonight, when the pain became unbearable,
36:22daughter Sue called 999.
36:25We'll get all these checks sorted
36:27and then we'll make a plan of what we're going to do.
36:29All right, sweetheart.
36:31Every four minutes, this is happening.
36:35And it just comes in like a...
36:37Yeah, then it'll go, but she can't lean on her back.
36:41Pain in her back triggers the pain in her face.
36:44She can't eat a meal.
36:46When it goes in her mouth, she's getting a pain at the back of her tongue.
36:50OK.
36:51It was quite perplexing as to what was going on with the pain in her face,
36:57the pain in her back, how it was related.
36:58So we were quite confused as to what was going on.
37:02When you get this pain, sweetheart, I know this...
37:05I know it's really difficult to describe pain,
37:08but what sort of pain is it? Is it burning?
37:11Stinging.
37:12It's coming quickly.
37:13Are you ready?
37:15It's on go, it's coming quickly.
37:16It's coming more frequently.
37:17Yeah.
37:18OK.
37:19Blood pressure's high at the minute.
37:21Could be because of the pain.
37:22That would make sense.
37:23I'm just going to do a little pin prick on your thumb, sweetheart.
37:29Short scratch.
37:30OK.
37:32Can I pop these stickers across your chest to do an ECG?
37:35Is that all right?
37:36Because your heart rate's jumping round a little bit.
37:38Yeah, anything you want.
37:41Yeah.
37:42Nick carries out an ECG.
37:44This will provide a trace of Nova's heart
37:46and might give a clue as to what's causing her pain.
37:50Have you still got your tonsils?
37:52No.
37:53Where's that accent from?
37:55Tense.
37:55I thought it was from somewhere down there.
37:58Yeah.
37:58You don't sound like a stokey duck.
38:00No.
38:01Some bumps at the bottom of the left side.
38:05In your mouth?
38:06Yeah.
38:07Are you OK too?
38:07You can tell your lips are swollen.
38:12Oh, up there.
38:14Looks a bit strong.
38:15Oh, yeah.
38:15Up there.
38:16OK.
38:17OK.
38:18And under there.
38:19Does it feel sore?
38:20Yeah.
38:21Whenever anybody is in any pain or discomfort in the mouth, we have to be very careful of the airway
38:27because it needs to be kept clear at all times.
38:30So we have to consider if there's allergic reaction, any damage.
38:34With Nova, we could see that she was in pain, but we had absolutely no idea what was causing it.
38:40We have a little listen to your chest, sweetheart.
38:44I'm starting again.
38:47It just comes in spasms, doesn't it?
38:50We need to get you sorted out.
38:57The rest are fine because she's able to sing, so she's not lacking in breath.
39:04Is that the only...
39:06I know.
39:08It's a more to it.
39:09You can sing, but can you sing it a bit quieter, please?
39:13I hail you most time.
39:16I hail you most time.
39:18I hail you most time.
39:19In Birmingham, paramedic Daisy and student paramedic Morgan are with a patient who's been arrested.
39:25She's allegedly assaulted reception staff and the police.
39:32I hail you most time.
39:38I hail you most time.
39:38We can't see any abnormalities.
39:41Her heart rate was a little bit high, wasn't it?
39:43Yeah, it was up a little bit.
39:45We didn't do an ECG to sort of rule out anything to do with that.
39:49But she was quite erratic, so we would expect the heart rate to be a little bit higher than...
39:54We don't think there was anything medical going on there.
39:56No, not at all.
40:00I hail you most time.
40:02I hail you most time.
40:07So I'm going to take you with me, okay?
40:10Stand up for me.
40:11Stand up for me.
40:13Stand up.
40:15I hail you most time.
40:17Daisy and Morgan's observations show that this patient doesn't need to go to A&E.
40:22She can now be taken to the police station.
40:27She is understanding what we're saying as well.
40:29Yes, she is.
40:29She's acknowledging things.
40:30When you said you can sing, sing a bit quieter, she went off.
40:34She went louder.
40:34She's stood up when they're back.
40:36She's eye contact.
40:38She understands.
40:39Do you want to help me?
40:41We were there to determine whether the patient needed help medically or if it was something
40:46that the police needed to deal with.
40:48And ultimately, we decided that it was something for the police.
40:52She's under arrest.
40:53All right.
40:55I don't understand it.
40:56I know.
40:57I know.
40:58I know.
40:58I know.
41:00She's under arrest.
41:01Yes, she's done other things.
41:04It was not a normal case.
41:06No.
41:06This is not what you see every day.
41:08It was a bit of a mystery in terms of we didn't know exactly what was going on.
41:12We couldn't pinpoint it.
41:15Oh, dear.
41:17I felt so from, um...
41:19Yeah, I did.
41:20But then, also, she knew we were there.
41:23She was acknowledging us.
41:25She knew we were talking to her.
41:28What a strange way to be.
41:29I just don't get it.
41:30I don't get why she started doing that.
41:33Like, what is going through her head?
41:44Right, plan of action.
41:47In Stoke, paramedics Nick and Kyra are with Nova,
41:51who's been experiencing severe pain in her face.
41:55Once we get to the hospital, we'll have a word and explain.
41:58We need the specialist people on the ward that know more about this
42:03and they can hopefully start looking at medication.
42:07We decided to take Nova to hospital
42:08due to us not really knowing what was causing this mouth pain
42:13and having a knock-on effect with the back.
42:15More tests needed to be performed so we could get down to the bottom of it.
42:20Right, let's get rid of these.
42:21You can have some Oromorph now
42:24and then, once we get to the hospital,
42:26we'll see what we can try and sort out for you.
42:30Oromorph is liquid morphine.
42:32It's already prescribed for Nova by the GP
42:36to help manage her chronic pain.
42:39Right, you're going to get on here, ducky.
42:41We're going to put a blanket on first.
42:43Wrap you up like E.T.
42:44It's all right, though. I'm not going to be riding like a bike.
42:47Otherwise, we'll all be in hospital.
42:49Right, we're ready, sweetheart.
42:55Right, door.
42:57Right, so if we...
42:57Do you want to come?
42:58Pain.
42:59OK.
43:00Breathe through it.
43:03OK, you lean back.
43:07Could you score, out of ten for me, the pain?
43:11Zero, nothing.
43:12Ten being the worst pain.
43:13Well, yeah, I'd say ten out of ten.
43:17Sometimes it comes on quick.
43:20OK.
43:21Are we happy?
43:22Yep.
43:22But if there's anything you need, please let me know, OK?
43:25Yes, love.
43:26We're not quite the Hilton, but we do our best.
43:37Oh, you were the baby, were you?
43:42Right.
43:43Oh, really?
43:48Yeah, I love your name. It's so unusual.
43:54Brilliant.
43:59I really enjoy having a chat and that with the patients.
44:02I'm quite a nosy person anyway, but I find people really interesting.
44:05Nova was so lovely.
44:07It was really lovely chatting to her.
44:11Right, then.
44:12There'll be a couple of little bumps, but we'll do it as gently as we can, sweetheart, OK?
44:17At Royal Stoke University Hospital, Nick wants to get Nova seen by a specialist
44:23to determine the cause of the excruciating pain in her face.
44:34Oh, she was a lovely lady.
44:36I know.
44:37It's not nice when they're in so much pain and discomfort and we can't really do anything to help.
44:43Yeah.
44:44It's really frustrating.
44:46Well, hopefully she gets sorted.
44:47She could be back with, while at home with her little dog soon.
44:50Yeah.
44:55Nova was diagnosed with trigeminal neuralgia.
44:59A condition where nerves in the face get compressed.
45:03She was monitored in hospital for 10 days and given new medication to better manage the pain.
45:11Maureen had a scan that revealed she had an inflammation of her bowel.
45:16She was given antibiotics to help treat the infection.
45:22And after collapsing on a narrowboat, Jenny had scans in hospital.
45:27These showed she hadn't had a stroke.
45:30Doctors diagnosed an inner ear infection that can cause vertigo and nausea.
45:39She was diagnosed in hospital.
45:41She was diagnosed in hospital.
45:41Next time...
45:42These legs have gone completely.
45:44A man has a suspected stroke.
45:47You know, when you closed your eyes then, did you feel like you were leaning to one side at all?
45:51Yeah.
45:52We've only got a very short window of opportunity that we can help and save and treat that stroke.
45:58So time really is not on our side.
46:00While hiking, a man falls, injuring his leg.
46:04When we got a call saying mountain rescue were on scene,
46:07I think our first thought is, where on earth are we going?
46:10Yeah.
46:10And how are we getting there?
46:12What we don't want to do is put any more strain on your heart, all right?
46:16And pain from coughing masks a heart attack.
46:19I have to be careful how I explain it to him.
46:22If we put any more stress on the heart that he's already under,
46:24it could be potentially fatal.
46:26Don't get upset.
46:27We're going to look after you, okay?
46:55I'm ready for an rest of the night water telebourg.
46:58We'll see you after watch the video.
46:58You're going to be looking at the distance.
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