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00:01Ambulance service is patient breathing.
00:04This old gentleman, he can't walk no farther.
00:08There's a person on the floor,
00:10and that he's talking about, he doesn't respond.
00:13The gentleman's fallen over, we'll need a mountain rescue as well.
00:17Righty ho, let's get them bad boys on.
00:20West Midlands Ambulance Service looks after almost six million people.
00:25I love the fact that not just every shift's different,
00:28every job's different.
00:29Do you remember everything that's happened?
00:32It looks like you're having a heart attack.
00:35Saving lives and making a difference every call out.
00:39Is she breathing normally?
00:42What availability of how we met?
00:45Embedded with eight emergency crews.
00:48Could be anything, couldn't it?
00:49Okay, okay.
00:51Filming simultaneously across the region.
00:54Times everything in our job.
00:56Just relax.
00:57Relax for me.
00:58Can you open your mouth as wide as you can?
01:02Capturing life.
01:03How's your vision?
01:04Got it?
01:05On the front line.
01:07I go to work every day and I make a difference.
01:16Stand well clear.
01:18Vehicle reversing.
01:20Hey, how comes I always end up getting on a truck before you?
01:23Age before beauty.
01:24Gotcha.
01:25It's going to be a long shift, this is Mick.
01:33If you could master any talent, what would it be?
01:38Probably to learn every language.
01:41I'm jealous of that answer.
01:42Mine would be to be able to play the piano.
01:44I want to be able to just see a piano and just play it.
01:48In public?
01:48In a train station?
01:50Do a little courtesy.
01:51Yeah.
01:52Thank you, everybody.
01:53Good night.
01:53That's a good talent.
01:54It is, isn't it?
01:55Yeah.
01:56Good morning.
01:57It's Scott and Law on 7-7 today.
02:00I'll get you back up to an afternoon, guys.
02:03Brill, thank you.
02:03Have a good day.
02:07What's the best compliment you've ever received at work from a patient?
02:12There was a guy that was a patient that was a bit high headman
02:17but told me I was the most beautiful person that he'd ever seen.
02:21Aww.
02:22He was lying.
02:24A lady told me I'm going to marry Johnny Depp and I was pretty complimented by that.
02:29Yeah.
02:30I like getting called a handsome young man off all the women in the 90s.
02:35That's my favourite.
02:37Oh, the ones that wear glasses and struggle with their eyesight?
02:39Yeah, those ones.
02:40Yeah.
02:53Oh, God, that was a good click.
02:55That was a good crack.
02:57Click your neck.
02:58All right.
02:59Not bloody.
03:00Now.
03:01Show monkey.
03:01Actually, don't.
03:02I will get sick.
03:05Yeah.
03:07Oh, stop it.
03:09I don't like your neck.
03:11I think there's two types of people in this world.
03:13People who are obsessively clicking themselves and some people who are not
03:17and that's the difference between me and you.
03:18Yeah, I crack too much all the time.
03:22Yeah, honestly, I'm not surprised you didn't come and be like,
03:24oh, I can crack my nose.
03:26Some people can.
03:27You know what?
03:27Can you crack your ear?
03:30Oh.
03:32I don't know how you do it.
03:33It makes you feel like I'm going to break my head.
03:34Mm.
03:35Yeah, it does your right.
03:36I don't think so.
03:44I'm a bit at service.
03:45Is the patient breathing?
03:47Just to bed.
03:48This old gentleman, he can't walk no farther.
03:52Can I speak to him directly?
03:54Hello?
03:54Hello. So tell me what's the main problem?
03:58Struggling to walk.
03:59Right, what's going on with your speech, sir? You sound a little bit slurred to me.
04:04Have you ever had a stroke before?
04:07Yes, I've had a couple of little strokes.
04:13We are going to a 71-year-old male exposed to the elements.
04:19Apparently struggling to walk short of breath.
04:22He's previously had a stroke.
04:25His speech appears to have become slurred, and he is sweating.
04:29This could actually be a stroke.
04:33On the way to this job, it came through as slurred speech, didn't it?
04:36So obviously that's a stroke symptom.
04:38We've only got a very short window of opportunity that we can help treat that stroke.
04:44So time really is not on our side.
04:47Oh, look, there he is.
04:49What are you doing there?
04:51In the middle of the field.
04:59Hello.
05:00Hello.
05:01What's your name?
05:02Bill.
05:02Bill, nice to meet you, Bill. I'm Brooke and that's Keira.
05:04Hello.
05:05So what's happened?
05:06His legs had gone completely.
05:08He was going to one side and his legs were giving way.
05:12He just couldn't walk.
05:14When 71-year-old Bill found himself staggering while crossing this grassland, neighbours Sheila and Karen came out to help
05:23and called 999.
05:28Oh, they rescued you the day. That's nice of them. So what do you remember happening?
05:34Well, I couldn't walk and she was helping me walk down.
05:39And what were you doing? Were you just on a walk or...?
05:41Yeah, she was coming back from the shops.
05:44I think people that come out and help people like those ladies did, it's really thoughtful.
05:48It restores your faith that people actually do care about everybody, so it's nice to see that sense of community.
05:56Can I just have your hands for a second? Just give them a nice big squeeze for me. Nice and
06:01hard. Fabulous. Now lift your arms up in the air for me. Close your eyes. Keep them there. Don't let
06:08them drop. Okie dokie. Try that again. Keep them there for me. Okie dokie. You can relax them down. Now,
06:19can you try and kick your foot out towards me against my hand?
06:23Brooke carries out what's called the fast test to try and identify the tell-tale signs of a stroke.
06:33And then in towards my hand. Okie dokie. Fabulous. You know, when you closed your eyes then, did you feel
06:40like you were leaning to one side at all? Yeah.
06:44I did a fast test on Bill to make sure that he didn't have any weakness to one specific side
06:49to rule out the fact that he was having a stroke.
06:51He didn't. However, he was still leaning to his side significantly. We didn't know what was happening, so we needed
06:57to figure out quickly.
06:58Do you feel like you just feel a bit weak, or is it like that you're...?
07:02He says he's not 80.
07:17If I had my way, I would eat chicken every single day. It's just absolutely lovely. Would you have it
07:22still warm on your salad?
07:23Oh, yeah, yeah. I can eat a cold drumstick. But if I sort of cut half a chicken up, I
07:28can't eat it cold.
07:30The law is you have to have a cold drumstick, but the breast has to be warm.
07:35Especially if it's just come off the spit roast, and it's juicy, and you just...
07:40Oh, yeah, they're all running on your chops.
07:41I'm hungry now.
07:51Ambulance service, is the patient breathing?
07:54He is, yeah. He has a lot of bronchitis. He's been coughing, coughing, coughing. And last night, he's been in
08:01pain with his chest.
08:06I'm going to a 77-year-old male with chest pain. Excruciating pain at onset.
08:14Right here.
08:16Could be absolutely anything with chest pain. Cardiac. Is it muscular? Musculoskeletal.
08:22Have they got a cough?
08:22Cough. Respiratory. Until we get there, it's that proverbial guessing game.
08:27Get your foot down and get there.
08:38Hello. Where is he? Where's he hiding?
08:41My name is Dave, and this is Mick. Hi, you're right.
08:43What's going on with yourself?
08:45It's all been 25 in 2.5.
08:49I just want to cough now, I'm having a hug.
08:52Yeah, I think I might have pulled something again.
08:54We're coughing, you've hurt yourself. OK.
08:5777-year-old Bob has been struggling with a cough, and since yesterday,
09:01he's had a severe pain in his chest.
09:05So where about is the pain in your chest, then?
09:07Just there, yeah. Just there, OK.
09:09Had you been coughing quite heavily prior to the change of pain?
09:13Yeah, yeah. Yeah, yeah.
09:13Is the pain around about here? Yeah, that's right, you've got there.
09:16Where I'm touching. I'm taking a deep breath for me.
09:18Does it hurt when you're taking a deep breath?
09:19No, don't know. No? OK.
09:21When I first heard Bob coughing, quite a hacking, barking cough.
09:27As he pulled the chest muscle, popped the rib from all the coughing.
09:31That was my initial... That was the initial thought.
09:33The initial thought, yes.
09:35Just have a quick listen to your chest.
09:39When I've listened to Bob's chest, it was quite noisy, innit?
09:42The best way to describe it, it sounded like an organ.
09:45It was wheezes, it was crackles, there was all sorts of going on.
09:48However, when I'm listening, there's a little part of me going,
09:51could this be something else?
09:54So you are quite wheezy on your chest.
09:56I'll give you something for that, just to sort that out, OK?
09:58Right, they'll pop some dots on, we'll do an ECG, OK?
10:01Yeah. We never come out for one thing,
10:02we always come up and we find something else as well.
10:05The ECG provides a snapshot of how Bob's heart is functioning.
10:10So what do you do for a job?
10:12Over the pit.
10:14Oh, that'll do it.
10:15So you've always been around dust.
10:17When Bob told us he worked down the mines,
10:19we started to think, ah, right, OK,
10:21this is what his problem is with his chest.
10:23He's got dust, he's got coal dust on there.
10:25And this is what's potentially causing him all his issues and his problems.
10:29This is a salbutamol inhaler, OK?
10:32Just clear some of that wheeze off your chest.
10:34While Mick secures the inhaler to help Bob with his breathing...
10:39Right.
10:41..Dave prepares to run the ECG on his heart.
10:45I'm feeling a bit of pain now.
10:47And where about is it?
10:49Just right in the middle there? Yeah. OK.
10:52And he's definitely not going anywhere else.
10:54Does it feel like it's going through to your back?
10:56No.
10:57Right, nice and steady for me, OK, for 30 seconds
11:00while I do this ECG reading. You ready?
11:06You haven't had any pins and needles in your hands at all?
11:09When there's pain come, I've got pins and needles here.
11:12In there? OK.
11:22I'm going to bob that through to cardiology and get him to have a look at it.
11:26Oh.
11:28It was a bit of a woe moment.
11:30After listening to his chest and listening to his story,
11:33I was expecting it to be a respiratory, not a cardiac event.
11:37I mean, you could see the changes on that heart tracing
11:40straight off where I was sitting.
11:42Absolutely.
11:43And to me, it looked like he was having a heart attack.
11:46Game's there now.
11:59Right, so I'm going to give you an aspirin.
12:02Right.
12:03Just pop that in, OK?
12:05And just chew it.
12:06Don't swallow it, because it's an aspirin, OK?
12:09In Stoke, paramedics Mick and Dave are with Bob,
12:12who they suspect is having a heart attack.
12:17Hi, good morning, it's Mick, one of the paramedics.
12:19OK?
12:19I'm just with a 77-year-old gentleman at the moment.
12:22Tongue up, top of your mouth.
12:23While Mick calls the cardiology department at the nearest hospital...
12:27Right, so I'm just going to give you a squirt of this
12:29under your tongue as well.
12:30It'll help with that pain.
12:32Dave gives Bob GTN spray.
12:34This will help widen his blood vessels,
12:37reducing the strain on his heart.
12:40Right, it's a trip to the hospital anyway.
12:42We're just going to find out where we're taking you.
12:44If there's some changes on your ECG,
12:46I'm just getting somebody to have another look at it.
12:48They know a little bit more about it than riding.
12:51I've had it confirmed by the cardiologist team
12:54that he is having a heart attack.
12:55I have now got to tell Bob.
12:57I have to be careful how I explain it to him.
12:59I don't want to frighten him,
13:01because that can put stress on the heart,
13:03and if we put any more stress on the heart that he's already under,
13:05it could be potentially fatal.
13:08It'll be about 15, 20 minutes.
13:13OK, that's great. Thanks, Em. Bye-bye.
13:16So it looks like you're having a heart attack.
13:19OK, that's what it's looking like.
13:21Don't worry, OK?
13:22We'll get you in the right place.
13:23We're going to get you sorted out, OK?
13:25That's what it looks like on the ECG,
13:26and that's why we just phoned the cardiology department
13:28so they can just confirm.
13:29So we're taking you directly there, all right?
13:33So don't get upset, OK?
13:35Because if you start crying, you'll get me going,
13:36you'll get me mascara running, you'll be a right mess.
13:39We're going to look after you, OK?
13:41And what we don't want to do
13:42is put any more strain on your heart, all right?
13:45When I've told Bob he's having a heart attack,
13:48he was quite taken aback.
13:49He was quite shocked.
13:50I think he was getting a little bit upset,
13:53because if somebody hears heart attack,
13:56they automatically think the worst.
13:58However, I have explained to him,
14:00we're going to take him to the hospital
14:02to get the right treatment.
14:04On one day, it's me driving shoes.
14:06Your driving shoes, eh?
14:07How did you grip the steering wheel?
14:09HE LAUGHS
14:10Right.
14:12Big stand, nice and steady.
14:14And have a sit down.
14:15OK. That's it.
14:17There you go.
14:18OK.
14:22Get on there, you can put your feet up.
14:30So, obviously, we don't want to hang around,
14:32so we're going to pop the lights on.
14:33Yeah.
14:33Just to get through the traffic and get you in.
14:35Yeah, all right.
14:36I've never even had them without the lights.
14:39Have you not?
14:40Have you not?
14:40Well, if you want to go fast, then just scream.
14:50Right, I'm just going to do another ECG tracing, OK?
14:53OK.
14:53Bob's heart is already struggling,
14:56so Dave needs to keep an eye on his condition
14:58in case it worsens.
15:02Shall I have a heart attack?
15:03Well, you're having one at the moment.
15:05Yeah.
15:05That's what your ECG points to.
15:08Heart attacks affect different people different ways.
15:11With Bob, I don't think he actually believed me
15:14when I told him he was having a heart attack
15:15because he was sat up talking and felt fine,
15:19apart from this slight discomfort.
15:22WHISTLE BLOWS
15:26So we're turning up, isn't it? Where are we at now?
15:28So we're at the back of the hospital
15:30because we're going straight up to cardiology,
15:31so you're not going to be waiting outside of your A&E.
15:35Having been alerted by Dave,
15:37the cardiology team at Royal Stoke University Hospital
15:40is standing by.
15:42OK.
15:44Like a foot?
15:45Yeah.
15:52Well, I tell you what, I was not expecting that to be...
15:55...a cardiac issue.
15:57I wasn't on it.
15:58...at all.
15:58I've had a cough, I think I've pulled something, it's hurting.
16:01Yeah.
16:01I mean, I listened to his chest, it sounded awful.
16:04And then you pop the leads on and, whoa, there we go.
16:08Just goes to show no two heart attacks present the same way.
16:12Yeah.
16:19I'm just going to roll this sleeve up,
16:21I'm going to do a blood pressure,
16:22and then what I want to do, really,
16:24is see if we can get you into the ambulance,
16:26because I don't particularly want you to be sat out here for too long.
16:29In Cannock, paramedics Kira and Brooke are with Bill.
16:33When he collapsed coming back from the shops,
16:36a couple of residents came out to help him.
16:40He says he's not eating and he's only having a cough in the morning.
16:43You say you haven't been eating well?
16:45Normal for me.
16:46Normal for you, okie dokie.
16:48It's all a cute thing.
16:50Not a big eater.
16:52Have you got a headache at the minute?
16:54You haven't, okie dokie.
16:55No.
16:56Your blood pressure's rather high.
16:59It's 199 over 73.
17:04I've been sitting down for an hour.
17:06That's really high, isn't it?
17:07It's very high, yeah.
17:09Just pop your finger in here for me, Bill.
17:10Oh, you just pinch that.
17:12Let's take that off, yeah?
17:14Blood pressure this high could lead to a heart attack or stroke.
17:18It's a medical emergency.
17:21What I want to see, Bill, is just to see if you can stand up off that chair.
17:28Right.
17:30How's that feel?
17:31I think if I let go, you'll probably fall, wouldn't you?
17:34Right, sit yourself down then.
17:37There's no arms on the chair, so you've just got to go straight back.
17:40That's it.
17:42When we stood Bill up, he was really unsteady on his feet.
17:46Couldn't really stand up for himself without some support.
17:49So we had to use the carry chair to get him to the ambulance,
17:52which was quite difficult because he was in the middle of a field.
17:56Right then, so this is probably going to be a bit of a bumpy ride.
18:00Might make you feel a bit travel sick.
18:03Yeah.
18:03If not, might bumpy, isn't it, this?
18:07If you didn't feel sick before, you definitely do now.
18:11Right then.
18:13What were you picking up from the shops?
18:16Put a bet on?
18:20Well, let's hope it checks out, eh?
18:22Might make this journey worth it.
18:29You know, when we were outside and we got you to stand up,
18:31how did you feel you were then?
18:34A bit dizzy.
18:36Shall I try and get you to just stand up where you are?
18:38And I'll do your blood pressure when you stand up
18:40to see if that changes anything.
18:42Brooke checks to see if Bill's blood pressure is still dangerously high.
18:48Fabulous.
18:49Right. Just close your eyes for me.
18:55Is that when you go...?
19:00That's when you're leaning, isn't it, when your eyes are closed?
19:02I don't know.
19:03Yeah.
19:04I think if you closed your eyes for long enough,
19:07you'd hit the deck, to be honest.
19:10I think it might be worth a trip up to hospital today,
19:13because your blood pressure's a little bit high,
19:15and if your balance is off, a certain part of your brain
19:18might not be functioning properly.
19:21We obviously know his blood pressure was quite high,
19:23but we didn't really know what was going on,
19:25whether that was...
19:26..his balance was off because his blood pressure was high,
19:28whether it was, like, a neurological problem.
19:29But we were very much...
19:31It was a job where we were in the dark, I think,
19:33weren't we, with what was going on,
19:34and it was to take him to hospital for that conclusion, really.
19:39You know, at least you're still getting about and looking and...
19:42..kitching and seeing things.
19:43Newsies or losers.
19:44Well, exactly.
19:45Exactly. My nan told me that motto as well.
19:50Ready to go? Yeah.
19:58Do you feel like you need any support or not?
20:06No. You're OK?
20:10At New Cross Hospital in Wolverhampton, doctors will try to find out
20:14why Bill's blood pressure is so high and treated.
20:29What is my most defining quality as a house, mate?
20:33Your ability to cook.
20:35That's it. That's all I bring to you, mate.
20:37Yeah.
20:38If you got a personal chef, that'd be it.
20:40I'd just be done. Out on you.
20:42You want an excellent cook, though.
20:45You've got to get a dishwasher. Yeah.
20:47Because you've created so much mess.
20:50You don't get an artist to clean up his pain, do you?
20:53You'd make one dish and then you'd need six bowls.
20:57I think living together definitely has its advantages,
21:00but also a few challenges.
21:02Definitely a few challenges.
21:04We squabble.
21:06Yeah, like siblings.
21:07Yeah. I'm right, you're wrong.
21:10We meet in the middle.
21:11And then they figure out that I'm right all along.
21:13No. Yeah.
21:14Never.
21:15See?
21:16Never, ever.
21:17If it was up to you, you'd have had a microwave curry without a microwave.
21:21No, it is.
21:29I'll be at service.
21:30Is the patient breathing?
21:32Yes.
21:34Okay, what's the word?
21:35See what's happened.
21:36The gentleman's fallen over and he's either broken an ankle or damaged soft tissue
21:42and he can't bear weight on it.
21:44We'll need a mountain rescue as well.
21:50Voice accept, zero nine.
21:53Patient's fallen, they've got an ankle injury.
21:57Mountain rescue are on scene as well.
21:59So we're going to a 54-year-old male.
22:02He's fallen over, injury to ankle.
22:07It's difficult terrain for retrieving patient calling mountain rescue.
22:12Oh, nice.
22:15When we got a call saying mountain rescue were on scene, I think our first thought is,
22:19where on earth are we going?
22:20Yeah.
22:21And how are we getting there?
22:24I did anticipate that he was going to be halfway up the mountain and we were going to have to
22:28figure
22:28out some way to get him down because with the injury, there was no way he was going to walk.
22:33Yeah.
22:36We've made it.
22:37We've made it.
22:38I have.
22:38I saw a mountain rescue have made it.
22:40Me too.
22:42There's mountain rescue.
22:52Across the West Midlands, there are around 400 paramedic crews on the road every day.
22:59We're on board with eight of them to see the work that they do.
23:11So, Madge slipped on the top of Fort Cloud.
23:13OK.
23:14At approximately three o'clock, he managed to get himself down to the path.
23:18OK.
23:18We've got a suspected lower left ankle.
23:24Paramedic Sharni and Technician Jack have just arrived in Dovedale National Park in the Peak District.
23:33Lovely.
23:34All yours.
23:35Lovely.
23:35Thank you very much.
23:36Thank you very much.
23:3754-year-old Madge was hiking here with his 11-year-old son, Victor, when he fell and injured his
23:44left ankle.
23:47What have you been up to?
23:48I've heard you've had a bit of it before.
23:49Found a little rock and just put my foot that direction.
23:52OK.
23:53So, you sort of rolled onto your ankle?
23:55Er, yeah.
23:56I rolled on it and what I just experienced was that, you know, tissues just come and lose.
24:02You didn't hear any crunches or bone breaking or feel anything like that?
24:06No, no, no, no.
24:06It was like soft tissues, you know, ligaments, telgons, things like this.
24:10And your pain at the minute?
24:11At the minute.
24:13That's amazing.
24:14I expected that we were going to give significant amounts of pain relief.
24:18And when Madge told us that he was in no pain at all, it threw me off guard a little
24:23bit.
24:23I thought, how strong is he?
24:26Can I have a quick look?
24:28I'll lift your leg up.
24:29Yeah.
24:30And we'll just come out.
24:31We'll have a quick feel.
24:33Wiggle your teeth.
24:34Is that okay?
24:34Yeah, it's working.
24:35Good pain.
24:35I got some mobility in it, but of course it's swollen, so...
24:39Is the pain more this side?
24:41Yes.
24:41Because that's where it's swollen the most.
24:43Yeah, yeah, yeah.
24:43When I first had a look at Madge's leg, it looked a little bit swollen, but not significantly injured.
24:49I expected a lot worse.
24:51He was able to move his toes and it looked okay.
24:54Normal feeling, normal sensation.
24:56Yeah, nothing like that.
24:58Perfect.
24:58What we'll do is we'll put our vacuum splint on.
25:01Right, this one's going to be the slightly nasty strap.
25:04Jack fits a vacuum splint to Madge's ankle.
25:08This uses air pressure to help immobilise his leg.
25:14Yeah.
25:15Does that feel okay?
25:16Yeah, that's fine.
25:17You can't move it, can you?
25:18No, good.
25:19Perfect.
25:24You all ready to go?
25:25Yeah, good to go.
25:26Yeah.
25:28Madge and his son, Victor, are on holiday.
25:31The hospital closest to their hotel in Meckersfield is 30 miles away.
25:37Is this your first day of the trip?
25:39Oh, no.
25:40Yeah.
25:41You should have done it on the last day.
25:42Yeah.
25:43No, it shouldn't happen at all.
25:44No, well, that would be.
25:45Yeah.
25:46That would be best.
25:47Do you enjoy the hiking as well?
25:48Yeah.
25:49You picked the right day for it.
25:51I had to walk up the mountain two times and I was very tired.
25:54You've done very well because I don't think I could have walked up it once.
26:01I don't think I could have walked up.
26:23I don't think I could have walked up.
26:26I don't think I could have walked up.
26:26I'm here or me.
26:29Easy.
26:30You are.
26:31Amazing.
26:31Stella.
26:33Here, doctors will carry out x-rays to see exactly what damage has been done to Madge's
26:48an ankle what a trooper I've never seen someone so relaxed had no pain not zero pain but it's
26:58clearly swollen isn't it yeah there's gotta be something in there something is at least a sprain
27:03possibly a fracture they haven't given me x-ray eyes yet that's coming in the future in the future
27:21you were the foot is really hurting okay okay so just confirming he's conscious in a way
27:26Madge's ankle injury was the 2,200th call today and the team here have no idea what the next call
27:35will bring of course there are certain calls that you don't want to get like majority of things to
27:42do with children something about them just being so little just makes it a lot more difficult I don't
27:46know whether it's because I've got a daughter as well like you can sort of put yourself in their
27:51shoes ambulance service is the patient breathing yes are they conscious and awake yes what's the
27:58reason for the ambulance please one of our pupils has just fallen up the steps and hit her forehead
28:04off the edge of the step and she has a large wound that we're applying pressure to yes okay is
28:11she
28:11bleeding at the moment yes okay she's been bleeding red blood very heavily in the last 30 minutes
28:17yeah it was red blood and it's coming from the forehead might be a bit difficult can you see the
28:22bones sticking out through the skin you can see flesh because obviously it's on her forehead children
28:27are so resilient and they're so good at bouncing back but if something's wrong they tend to kind of
28:33dive quite quickly which can be incredibly scary she's gone cold now we've got a blanket over her
28:41okay yeah just do best to keep her comfortable keep her safe is she limp or floppy at the moment
28:47she's not limp or floppy I think she's just shocked oh yeah no of course any new weakness or
28:52coordination problems in her arms or legs can you lift your arms up for me wave to me and the
28:59other
28:59one give me a wave and can you wiggle your legs can you kick them kick kick kick yeah she's
29:06just a bit
29:06dazed but she's lifting her arms and she's moving her legs quite dazed for herself okay
29:12if a child is quiet or more subdued then that can be a lot more concerning I'd much rather than
29:18be
29:18making noise if I can hear them chatting laughing or crying then for me at least I know that they're
29:23okay
29:24I do have some help arranged for her sounds like you are doing all of the right things but if
29:29the
29:29blood does soak through that pad don't take it off just put another pad on top of it
29:32and we do just need to advise yeah that's why it's quite thick because onto the others we've
29:37added another section on top to apply the pressure was it soaking through the initial one quite quickly
29:43it did fight quite quickly on the initial one right okay no that's fine and it was all going down
29:48her
29:48face it came to light that actually that was the second lot of dressing that they put on the first
29:55lot had bled through quite quickly so at that point I knew actually this was significant blood loss
30:00especially for someone so little all right I now have this down as a high priority response okay
30:06just because of that thank you so I will stay on the phone with you until the crew get there
30:10and just keep her safe and comfortable where she is then
30:16they're just coming in now all right then I'll leave you guys with the crew thank you
30:30the patient was taken to the pediatric unit where she was treated for her injury
30:52a patient thought that I was a lot lot younger than I was and bear in mind this was on
30:56a fourth
30:56night shift in a row you're not doing bad for 40 are you you're cheeky get you're closer to 40
31:02than me
31:03got less wrinkles though I know shut up I've got really bad smile lines though to be fair because
31:10I'm always smiling not when I'm working with you I definitely not first thing in the bloody morning
31:17working shifts on an ambulance definitely ages you it does it does also the company you're with
31:24sometimes ages you like working with Colleen ages me about 10 years every shift speak for yourself
31:31night shifts though I'm delightful we are polar opposites absolutely which is why we work
31:43ambulance service is the patient breathing yeah basically there's a person on the floor
31:49is he able to tell you what's happened I approach him and ask if it's okay but he doesn't respond
31:55has he got his eyes open I can't see because his head's on the floor
32:07so an unconscious in the street I'm guessing we don't have much information no going to these
32:15jobs in the streets can put you on edge because is it something something sinister like a drugs
32:23related thing is it a homeless person who's collapsed yeah but in fairness it could even just be someone
32:30who is generally unwelcome it a call for someone unconscious in the street could be a thousand
32:35and one things have they been hit by a car have they collapsed are they intoxicated absolutely anything
32:43the only way we know is by getting there so we need to get there quite quickly there they are
32:50oh yeah
32:53maybe block them so they don't get hit by a car leave up there yep I'll let go check it
32:59out
33:05wakey wakey buddy you're asleep in the street squash your bread there you go have you fallen or just
33:13passed out a passerby called 999 after seeing the man lying in the road unresponsive
33:21you had any gear or anything matey we don't care if you have by the way we just want to
33:26make sure that you're okay
33:26it's not every day that we we come across someone on the side of the street literally in the road
33:31unconscious
33:34when I first seen this patient my first thoughts were how on earth has he ended up in this situation
33:39could it be a medical episode or could it be something more like illicit drugs or alcohol
33:43should we get your stuff off the road I don't want you to lose any of it is that a
33:47handle
33:47is that yours some pretty serious gloves I don't think your milky way is salvageable to be honest
33:54you got any medical conditions that would make you fall in the street
33:59okay have you taken them today and you say you don't think you've had your diazepam today
34:05you have the patient is known to take diazepam a powerful sedative drug only available on
34:13prescription should we get you on the bed and get you in the truck yeah can we go and assess
34:16you
34:17on the truck instead rather than on the floor come on try and wake up fella if we help you
34:22do you
34:22think you could stand up when he disclosed he'd taken diazepam that was a bit of a red flag that
34:29would explain why potentially is unconscious in the street but has he taken anything else right you
34:35ready we're gonna go assess you on the truck I'll get a bag and I'll put your stuff in it
34:43okay on this
34:54way lift your head up a sec to try another look in them eyes darling there you go in stoke
35:00paramedics
35:01Adam and Colleen are with a patient they suspect has taken an overdose they are small but they're not
35:10pinpoint that's diazepam though look at his eyes how much diazepam have you had today a lot I'm guessing
35:17when you look at a patient's eyes it can tell you quite a lot so if they've taken anything like
35:22drugs
35:22or opiates it can make their eyes really really small however some other drugs can make their pupils
35:28really really big so it can give you a lot of information I'm just gonna get a bit of blood
35:33from
35:33the tip of your finger darling okay he's gonna feel a sharp scratch but it'll only be for a second
35:39there you go 3.8 is hyperglycerin as well as being sleepy due to an overdose of prescription medication
35:49the patient has a slightly low blood sugar level do you think you'd be able to eat your Milky Way
35:56for
35:57me if I get it for you it is a bit squashed you just need your blood sugars up okay
36:06you don't want
36:09it like you put it in your hand it's your Milky Way it's a bit just a bit squashed
36:17gel down on that mate I don't think he's gonna eat that I'm gonna have to put some gluca gel
36:21in your
36:22mouth because you're not gonna be able to eat that by the looks of it I'm just gonna tip your
36:26head back a
36:26little bit now because you can't eat this I'm gonna put this gel in your mouth okay it's gonna
36:32taste very very sweet Colleen tries to give him a fast-acting glucose gel designed to bring blood
36:39sugar levels up quickly but the patient has now become too unresponsive to take it I think we're just
36:48not gonna make to be honest he isn't gonna love that let me take that off yeah so this goes
36:53I'm gonna
36:55squirt something up your nose okay gonna feel weird as overdoses often involve a mix of drugs Colleen
37:02gives the patient Narcan if he's also taking any opioids this will reverse the effects of the overdose
37:11tip your head back for us just want that airway open perfect we gave the patient Narcan because it
37:18was apparent that he'd taken some form of drug and potentially others Narcan's given to be able to
37:25increase the patient's consciousness and make them more awake come on fella we're gonna need you to wake
37:30up and stay awake for us if you can because you you're not in a good place at the minute
37:34shall we go
37:44say when mate yeah ready when you are as the patient isn't responding to Narcan and Adam and
37:52Colleen don't know exactly what he's taken they decide to head for hospital there you go rest your
38:00head down sweetie that's it perfect I'm just gonna keep all the ahead just so it stays in this position
38:06okay at Royal Stoke University Hospital the patient will be monitored and may be given medication to reverse
38:17the effects of an overdose I don't know how much of God knows what he's taken but he's taken a
38:30lot of a lot
38:31of it probably too much of it if I'm honest yep it could be anything it could have been a
38:40combination of a
38:41a lot of different things unfortunately with him Milky Way man that's what he is Milky Way man
38:45Milky Way man out of this world
39:00if you would give yourself a different name what would you name yourself oh I'm seeing an Ellie really
39:09yeah I think that's too girly for me like a Sasha oh no okay I mean my name is literally
39:17unisex so
39:18mine's not girly no mine's quite girly yeah I don't love it yours is literally a flower yeah it's rather
39:28feminine isn't it I don't even think I said Daisy to be fair I think it's a bit innocent
39:42ambulance service is the patient breathing it's me I've got a an infection again it must
39:49much it's a sign pain and I go there before and is the pain in your stomach or is it
39:55anywhere else
39:56yet it's in the lungs oh there we go bisect set we've got a 74 year old male abdor pain
40:10oh bless him
40:11could be anything goodness could be DNV could be could be UTI DNV stands for diarrhea and vomiting UTI
40:21urinary tract infection action yeah we don't actually know what's going on with this patient
40:25they're doing no not yet is this the back or is this the front ambulance hello oh hello okay have
40:42you rang for us yeah I just couldn't sleep all night and I'm coughing coughing coughing where have
40:52you got the pain yeah in your chest when did the pain come on last night really after a night
41:00of
41:00constant coughing 74 year old John called 999 have you took anything for the pain like paracetamol yeah yeah
41:11who did you call this morning for us to get yeah did you call 111 or 999 no no no
41:18no what were
41:19you hoping for from us are you are you wanting pain relief no just to check me out just to
41:24have a
41:24chat okay because I'm diabetic as well so you know right you need to speak to your doctor so that
41:32they
41:32can sort you out a nurse that can show you how to do you checks for your diabetes
41:39I think the story changed slightly as we once we were on there yeah went from chest pain to
41:47cough to a woman's diabetes checking the triggers yeah yeah just to check you're not allergic to
41:59man yeah unfortunately all right nice and still as the pain is in John's chest Daisy checks his heart rate
42:11just on the low so I'm not overly concerned now cuz he's presenting well isn't it yeah do you feel
42:18dizzy at
42:19all I'm worried okay right I'll tell you blood sugars 4.3 it's a bit on the lower side what
42:33have you got in
42:33to eat toast you want me to make you some John's blood sugar was on the lower side the solution
42:41to
42:41this is to just get some sugar in him whether that be a sugary cup of tea some toast with
42:46a
42:46bit of jam on it it's not really something that an ambulance needs to do he could have probably
42:51done this by himself let's have a look what covers the microwave in it above the microwave
43:02I'm not taking you to hospital because your heart rate's a bit low I don't think they're gonna do
43:07anything for you it's not that low that we would treat it there you go you can sit up don't
43:14sit up no no
43:17do you want a cup of tea can you make tea I can make tea I can I'm from Yorkshire
43:24tea tea is in me veins
43:29I like your pink kettle did you pick that I reckon that is a good cup of tea cracking I
43:43think you
43:44looks all right that yeah happy I don't know yeah you're right please you had enough I don't eat
43:56the mud well you should probably a bit more at some point because your blood sugars were on the lower
44:02side John didn't need to go to hospital today I think John just wanted a cup of tea and a
44:06little
44:06bit of company are you happy to stay at home yeah yeah but you need to speak to your GP
44:12you know
44:14where we are if you need is all right all right nice to meet you John see you later
44:30all we've really done for him was give him some tea and toast do you know what I think you
44:35might
44:35have been a bit lonely I think you want to I think you wanted some company didn't he
44:45John called another ambulance crew later that same day like Morgan and Daisy they advised he should
44:52take the painkillers he'd been prescribed and speak to his GP Bob who was having a heart attack
45:00was found to have a blockage in one of his arteries he had a stent fitted to widen it two
45:06days later he
45:07was able to return home Bill's blood pressure eventually returned to normal but he may have
45:14problems with his kidneys that could require medication and match who had fallen while hiking
45:22had an x-ray in the fracture clinic this confirmed he'd broken his ankle
45:33next time
45:34a man is in agony put this in your mouth keep breathing on it open your mouth our main concern
45:42was figuring out where this pain was and then getting this under control we did suspect that he
45:48may have broke his hip oh god that is a big clock that was massive a patient has a severe
45:54nosebleed when
45:55I saw the blood clot it was rather grim it was large he's just had brain surgery we needed to
46:01get him to
46:02hospital fast I woke up and I got this real pain and my heart was racing and the woman is
46:10complaining of
46:11chest pain once we completed her heart tracer it showed us that she was actively having what we
46:16call a STEMI which is a heart attack we are going to be taken at a hospital and we are
46:20probably going
46:21to be going quite quickly
46:50all right
46:51you
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