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FunTranscript
00:01Ambulance service is patient breathing.
00:04This old gentleman, he can't walk no farther.
00:08There's a person on the floor and that he's talking about, he doesn't respond.
00:13The gentleman's following 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, every job's different.
00:30Do 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?
00:42Water availability of Helimuth.
00:45Embedded with eight emergency crews.
00:48Could be anything, couldn't it?
00:49Okay, okay.
00:51Filming simultaneously across the region.
00:54Time is everything in our job.
00:57Just relax, relax for me.
00:58Can you open your mouth as wide as you can?
01:02Capturing life.
01:03How's your vision? Got it?
01:05On the front line.
01:07I go to work every day and I make a difference.
01:16Stand well clear.
01:18Vehicle reverting.
01:20Hey, how comes I always end up getting on the truck before you?
01:23Age before beauty.
01:25It's gonna 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.
01:45I want to be able to just see a piano and just play it.
01:48In public? In 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 over.
02:00I'll get you back on time.
02:01I'll get you guys.
02:03Brill, thank you. Have 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 on a pitman that told me I
02:18was the most beautiful person that he'd ever seen.
02:21Oh, he was lying.
02:24A lady told me I'm gonna marry Johnny Depp and I was pretty complimented by that.
02:30I like getting called a handsome young man off all the women in the 90s.
02:35That's my favourite.
02:37The ones that wear glasses and should go with their eyesight?
02:39Yeah, those ones.
02:40Yeah.
02:53Oh, God, that was a good...
02:55That was a good crack.
02:57Click your neck.
02:59All right.
03:00Now.
03:01Show monkey.
03:01Actually, don't.
03:02I will be asleep.
03:05Yeah.
03:07Oh, stop it.
03:08I 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 and that's the difference between me and you.
03:18Yeah, I crack too much all the time.
03:22Honestly, I'm not surprised you didn't come and be like, oh, I can crack my nose.
03:26You know what?
03:27Can you crack your ear?
03:30Oh.
03:32I don't know how you do it.
03:33I don't know how you do it.
03:33It makes you feel like I'm going to break my head.
03:35Mm-hmm.
03:35Yeah, it does your own.
03:41I don't.
03:47Yeah.
03:54I don't know how you do it.
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.
04:24His speech appears to have become slurred and he is sweating.
04:29This could actually be a stroke.
04:32On the way to the job, it came through as slurred speech.
04:35So, obviously, that's a stroke symptom.
04:38We've only got a very short window of opportunity
04:41that 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? Bill.
05:02Bill, nice to meet you, Bill. I'm Brooke and that's Kira.
05:04Hello.
05:05So, what's happened?
05:06His legs have 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,
05:21neighbours Sheila and Karen came out to help and called 999.
05:26We're living there now.
05:28He rescued me.
05:29Oh, they rescued you, did they?
05:30Yeah.
05:30That's nice of them.
05:31So, what do you remember happening?
05:34Well, I couldn't walk and she was helping me walk around.
05:39And what were you doing?
05:40Were you just on a walk or...?
05:41Yeah.
05:42Yeah.
05:42She 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.
06:10Okie-dokie. Try that again. Keep them there for me. Okie-dokie. You can relax them down. Now, can you
06:19try 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.
06:32And then in towards my hand. Okie-dokie. Fabulous.
06:38You know, when you closed your eyes then, did you feel like you were going, leaning to one side at
06:42all? 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...
07:02He says he's not 80.
07:17If I had my weight, I would eat chicken every single day. It's just absolutely lovely.
07:22Would you have to be still 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.
07:36Especially if it's just come off the spit roast and it's juicy and you're just...
07:41I'm hungry now.
07:51Ambulance service is a patient breathing.
07:54He is, yeah. He has a lot of bronchitis. He's been coughing, coughing, coughing.
07:59And last night, he's been in pain with his chest.
08:06Going to a 77-year-old male with chest pain, the excruciating pain at onset.
08:14Right here.
08:16Could be absolutely anything with chest pain.
08:19Cardiac. Is it muscular? Musculoskeletal.
08:22Have they got a cough?
08:22Cough. Respiratory.
08:24Until we get there, it's that proverbial guessing game.
08:27Get your foot down and get there.
08:37Hello? Where is he? Where's he hiding?
08:41My name is Dave and this is Mick.
08:42Hi, you're right. What's going on with yourself?
08:45It's all between 25 and 25.
08:48Good, please.
08:49I just wrote a cough now, I'm having a hold.
08:52Yeah, I think I might have pulled something again.
08:54We're coughing, you've hurt yourself. Okay.
08:5677-year-old Bob has been struggling with a cough,
08:59and since yesterday, he's had a severe pain in his chest.
09:05So whereabouts is the pain in your chest, then?
09:07Just there.
09:08Just there, okay.
09:09Had you been coughing quite heavily prior to the change?
09:13Yeah, yeah, yeah.
09:13Was the pain around about here?
09:14Yeah, that's right.
09:15Well, I'm touching.
09:16I'm taking a deep breath for me.
09:18Does it hurt when you're taking a deep breath?
09:19No, no, no.
09:20No? Okay.
09:21When I first heard Bob coughing,
09:24quite a hacking, barking cough.
09:27As he pulled the chest muscle,
09:29popped the rib from all the coughing.
09:31That was my initial...
09:32That 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,
09:41it was quite noisy in it.
09:42The best way to describe it,
09:43it sounded like an organ.
09:45It was wheezes, it was crackles,
09:46there was all sorts of going on.
09:48However, when I'm listening,
09:49there's a little part of me going,
09:51could this be something else?
09:54So you are quite wheezy on your chest.
09:56We'll give you something for that,
09:57just to sort that out, okay?
09:58Right, we'll pop some dots on,
10:00we'll do an ECG, okay?
10:01Yeah.
10:01We never come out for one thing,
10:02we always come out and we find something else as well.
10:05The ECG provides a snapshot
10:07of how Bob's heart is functioning.
10:10So what do you do for the job?
10:12I've got a pit.
10:14Oh, that'll do it.
10:15So you've always been around dust.
10:16When Bob told us he worked down the mines,
10:19we started to think,
10:20ah, right, okay,
10:21this is what his problem is with his chest.
10:23He's got dust,
10:24he's got coal dust on there.
10:25And this is what's potentially causing him
10:27all his issues and his problems.
10:29This is a salbutamol inhaler, okay?
10:32Just clear some of that wheeze off your chest.
10:34While Mick secures the inhaler
10:36to help Bob with his breathing...
10:39Right.
10:41Dave prepares to run the ECG on his heart.
10:45Feeling a bit of pain now.
10:48Where about is it?
10:49Just right in the middle there?
10:51Yeah.
10:51Okay.
10:52It's definitely not going anywhere else.
10:53It's not good.
10:54Does it feel like it's going through to your back?
10:56No.
10:57Right.
10:58Nice and steady for me, okay?
10:59For 30 seconds while I do this ECG reading.
11:02You ready?
11:06You haven't had any pins and needles
11:07in your hands at all?
11:09When this pain come,
11:11I've got pins and needles here.
11:12In there?
11:13Okay.
11:21I'm going to bob that through to cardiology
11:23and get him to have a look at it.
11:26Oh.
11:28It was a bit of a woe moment.
11:30And after listening to his chest
11:32and listening to his story,
11:33I was expecting it to be a respiratory,
11:36not a cardiac event.
11:38I mean, you could see the changes
11:39on that heart tracing
11:40straight off where I was sitting.
11:42Absolutely.
11:43And to me,
11:44it looked like he was having a heart attack.
11:46Change there now.
11:59Right, so I'm going to give you
12:00an aspirin.
12:02Right.
12:03Just pop that in, okay?
12:05And just chew it.
12:06Don't swallow it,
12:07because it's an aspirin, okay?
12:09In Stoke,
12:10paramedics Mick and Dave
12:11are with Bob,
12:12who they suspect
12:14is having a heart attack.
12:17Hi, good morning.
12:17It's Mick,
12:18one of the paramedics.
12:18Is he okay?
12:19I'm just with a 77-year-old gentleman
12:21at the moment.
12:22Tongue up,
12:22top of your mouth.
12:23While Mick calls
12:24the cardiology department
12:25at the nearest hospital...
12:27Right, I'm just going to give you
12:28a squirt of this
12:29under your tongue as well.
12:30It'll help with that pain.
12:32Dave gives Bob
12:33GTN spray.
12:34This will help
12:35widen his blood vessels,
12:37reducing the strain
12:38on his heart.
12:40Right, it's a trip
12:41to the hospital anyway.
12:43We're just going to find
12:43out where we're taking you.
12:44There's some changes
12:45on your ECG.
12:46I'm just getting somebody
12:47to have another look at it.
12:48They know a little bit more
12:49about it than I do.
12:51I've had it confirmed
12:52by the cardiologist team
12:54that he is having
12:55a heart attack.
12:55I have now got to tell Bob.
12:57I have to be careful
12:58how I explain it to him.
12:59I don't want to frighten him,
13:01because that can put
13:02stress on the heart,
13:03and if we put any more
13:03stress on the heart
13:04that he's already under,
13:05it could be potentially fatal.
13:08It will be about
13:1015, 20 minutes.
13:12Okay.
13:13That's great.
13:14Thanks, Em.
13:15Bye-bye.
13:16So it looks like
13:17you're having a heart attack.
13:18Okay.
13:19That's what it's looking like.
13:21Don't worry.
13:21Okay.
13:22You're in the right place.
13:23We're going to get you
13:23sorted out, okay.
13:25That's what it looks like
13:25on the ECG,
13:26and that's where we just
13:27phone the cardiology department
13:28so they can just confirm.
13:29So we're taking you
13:30directly there.
13:32All right.
13:33So don't get upset.
13:34Okay.
13:35Because if you start crying,
13:36you'll get me going
13:36and you'll get me mascara
13:37running,
13:38it'll be a right mess.
13:39We're going to look
13:40after you, okay?
13:41And what we don't want
13:42to do is put any more
13:43strain on your heart,
13:44all right?
13:45When I've told Bob
13:46he's having a heart attack,
13:48he was quite taken aback.
13:49He was quite shocked
13:50to the point where
13:51I think he was getting
13:52a little bit upset
13:52because if somebody hears
13:54heart attack,
13:55they automatically think
13:57the worst.
13:58However,
13:59I have explained to him
14:00we're going to take him
14:01to the hospital
14:02to get the right treatment.
14:04On one day,
14:04he's in my driving shoes.
14:06Your driving shoes, eh?
14:07How did he grip
14:08the steering wheel?
14:10Right.
14:11Right.
14:12Big stand.
14:13Nice and steady.
14:14And have a sit down.
14:15Okay.
14:16That's it.
14:17There you go.
14:18Okay.
14:22Get on there.
14:23You can put your feet up.
14:30So obviously,
14:30we don't want to hang around,
14:32so we're going to
14:32pop the lights on
14:33just to get through
14:34the traffic
14:34and get you in.
14:36I've never
14:37even armed in
14:38without the lights.
14:39Have you not?
14:40Have you not?
14:40If you want to go faster,
14:41just scream.
14:50I'm just going to do
14:51another ECG tracing,
14:52okay?
14:54Bob's heart
14:54is already struggling,
14:56so Dave needs
14:57to keep an eye
14:58on his condition
14:58in case it worsens.
15:02So I've had a heart attack?
15:03Well, you're having
15:04one at the moment.
15:05Yeah.
15:05That's what
15:06your ECG points to.
15:08Heart attacks
15:09affect different people
15:10in different ways.
15:11With Bob,
15:12I don't think
15:13he actually believed me
15:14when I told him
15:14he was having
15:15a heart attack
15:15because he was
15:17sat up talking
15:18and felt fine
15:19apart from this
15:20slight discomfort.
15:26So we're
15:27at the back
15:29of the hospital
15:30because we're
15:30going straight
15:30up to cardiology,
15:31so you're not
15:32going to be
15:32waiting outside
15:33the A&E.
15:35Having been
15:36alerted by Dave,
15:37the cardiology team
15:38at Royal Stoke
15:39University Hospital
15:40is standing by.
15:52Well, I tell you
15:52what, I was not
15:54expecting that
15:54to be a cardiac
15:56issue.
15:57I wasn't done it.
15:58At all.
15:58I've had a cough,
15:59I think I pulled
16:00so it's hurting.
16:01I mean, I listened
16:02to his chest,
16:02it sounded awful.
16:04And then you
16:05pop the leads on
16:06and whoa, there we go.
16:08Just goes to show
16:09no two heart attacks
16:10present the same way.
16:12Yeah.
16:19I'm just going to
16:20roll this sleeve up,
16:21I'm going to do a blood
16:21pressure,
16:22and then what I want
16:23to do really
16:23is see if we can get
16:25you into the ambulance
16:26because I don't
16:26particularly want you
16:27to be sat out here
16:28for too long.
16:29In Canock,
16:31paramedics Kira and
16:32Brooke are with Bill.
16:33When he collapsed
16:34coming back from the
16:35shops, a couple of
16:37residents came out
16:38to help him.
16:40He says he's not
16:41eating, he's only
16:42having a cough in the
16:43morning.
16:43You say you haven't
16:44been eating well?
16:45Normal for me.
16:46Normal for you?
16:47Okey-dokey.
16:48It's all a cute.
16:50Not a big eater.
16:52Have you got a
16:53headache at the
16:53minute?
16:54You haven't?
16:55Okey-dokey.
16:55No.
16:56Your blood pressure's
16:57rather high.
16:59It's 199 over 73.
17:04So...
17:06That's really high,
17:07isn't it?
17:07It's very high,
17:08yeah.
17:09Just pop your finger
17:10in here for me,
17:10Bill.
17:10Oh, you just pinch
17:12that.
17:12Let's take that
17:13off, yeah?
17:14Blood pressure
17:14this high could lead
17:16to a heart attack
17:17or stroke.
17:18It's a medical
17:19emergency.
17:21What I want to
17:22see, Bill, is just
17:23to see if you can
17:23stand up off that
17:24chair.
17:28Right.
17:30How's that feel?
17:31I think if I let go,
17:32you'll probably fall,
17:33wouldn't you?
17:34Right, sit yourself
17:35down, then.
17:37There's no arms on the
17:38chair, so you've just
17:39got to go straight back.
17:40That's it.
17:42When we stood
17:43Bill up, he was
17:45really unsteady on
17:45his feet, couldn't
17:46really stand up for
17:47himself without some
17:48support, so we had to
17:51use the carry chair to
17:52get him to the
17:52ambulance, which was
17:53quite difficult because
17:54he was in the middle of
17:54a field.
17:56Right, then, so this is
17:57probably going to be a bit
17:57of a bumpy ride.
18:00Might make you feel a bit
18:02travel sick.
18:03If not, it's a bit bumpy,
18:04isn't it, this?
18:07If you didn't feel sick
18:09before, you definitely
18:10do now.
18:11Right, then.
18:13What were you picking up
18:14from the shops?
18:15I'm going for a bet on.
18:18Put a bet on?
18:20Well, let's hope it
18:21checks out, eh?
18:22It might make this
18:22journey worth it.
18:29You know when we were
18:30outside and we got you
18:31to stand up, how did you
18:32feel you were then?
18:34A bit dizzy.
18:35A bit dizzy.
18:36Shall I try and get you
18:37to just stand up where
18:38you are, and I'll do
18:39your blood pressure when
18:40you stand up to see if
18:41that changes anything?
18:43Brooke checks to see
18:44if Bill's blood pressure
18:45is still dangerously high.
18:48Fabulous.
18:49Right, just close your
18:51eyes for me.
18:55Is that when you go...
19:00That's when you're
19:01leaning, isn't it,
19:01when your eyes are
19:02closed?
19:02I don't know.
19:03Yeah.
19:04I think if you closed
19:06your eyes for long
19:06enough, you'd hit the
19:07deck, to be honest.
19:10I think it might be
19:11worth a trip up to
19:12hospital today because
19:14your blood pressure's a
19:14little bit high, and if
19:16your balance is off, a
19:17certain part of your
19:18brain might not be
19:19functioning properly.
19:21We obviously know his
19:22blood pressure was quite
19:22high, but we didn't
19:24really know what was
19:25going on, whether that
19:25was his balance was off
19:27because his blood pressure
19:27was high, whether it
19:28was, like, a
19:29neurological problem.
19:30But we were very much...
19:31It was a job where we
19:32were in the dark, I think,
19:33weren't we, with what was
19:33going on, and it was
19:35taken to hospital for that
19:37conclusion, really.
19:39You know, at least you're
19:40still getting about and
19:41looking and...
19:42Newsies or losers.
19:43Well, exactly.
19:45Exactly.
19:46My nan told me that
19:47motto as well.
19:50Ready to go?
19:51Yeah.
19:55You're from Cunwick?
19:56Scotland.
19:57Scotland?
19:58Oh, yeah.
19:59I didn't pick up on the
20:00accent.
20:01You live on your own?
20:03Yeah.
20:03Do you feel like you need
20:04any support or not?
20:06Yeah.
20:06You're OK?
20:10At New Cross Hospital in
20:11Wolverhampton, doctors will
20:13try to find out why Bill's
20:15blood pressure is so high
20:16and treat it.
20:29What is my most defining
20:31quality as a house, mate?
20:33Your ability to cook.
20:35That's it, that's all I
20:36bring you to the table.
20:37Yeah.
20:38If you got a personal chef,
20:40that'd be it, I'd just be
20:41done.
20:41Out from you.
20:42You want an excellent
20:43cook, though.
20:45You've got to get a dishwasher.
20:46Yeah.
20:47Because you created so much
20:50mess.
20:50You don't get an artist to
20:51clean up his pain, do you?
20:53You'd make one dish and
20:54then you'd need six bowls.
20:57I think living together
20:58definitely has its
20:59advantages, but also a few
21:01challenges.
21:02Definitely a few
21:03challenges.
21:04We squabble.
21:06Yeah, like siblings.
21:07Yeah.
21:08I'm right, you're wrong.
21:10We meet in the middle.
21:11And then they figure out
21:12that I'm right all along.
21:13No.
21:13Yeah.
21:14Never.
21:15See?
21:15Never, ever.
21:17If it was up to you,
21:18you'd have had a microwave
21:19curry without a microwave.
21:29I'll be looking at
21:30service.
21:30Is the patient breathing?
21:32Yes.
21:34Okay, what's the word?
21:35See what's happened.
21:37The gentleman's fallen over
21:38and he's either broken an
21:40ankle or damaged soft tissue
21:42and he can't bear weight on it.
21:44We'll need a mountain rescue
21:45as well.
21:50Voice accept.
21:52Zero nine.
21:53Patient's fallen.
21:55They've got an ankle injury.
21:57Mountain rescue are on scene
21:58as well.
21:59So we're going to a
22:0154-year-old male.
22:02He's fallen over.
22:05Injury to ankle.
22:08It's difficult terrain
22:10for a retrieving patient
22:11calling mountain rescue.
22:13Oh, nice.
22:15When we got a call
22:16saying mountain rescue
22:17we're on scene,
22:18I 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
22:25that he was going to be
22:26halfway up the mountain
22:27and we were going to have
22:28to figure out
22:29some way to get him down
22:30because with the injury,
22:31there was no way
22:32he was going to walk.
22:33Yeah.
22:35We've made it.
22:37We've made it.
22:38I've.
22:38So I know
22:39mountain rescue
22:39we've made it.
22:40Me too.
22:42There's mountain rescue.
22:52Across the West Midlands
22:54there are around
22:54400 paramedic crews
22:56on the road every day.
22:59We're on board
23:00with eight of them
23:01to see the work
23:02that they do.
23:10So, Madge
23:12slipped on the top
23:13of Fort Cloud.
23:13Okay.
23:14At approximately
23:15three o'clock
23:16he managed to get himself
23:16down to the path.
23:18Okay.
23:19We've got suspected
23:20lower left ankle.
23:25Paramedic Sharni
23:26and technician Jack
23:27have just arrived
23:28in Dovedale National Park
23:30in the Peak District.
23:33Lovely.
23:34All yours.
23:35Lovely.
23:35Thank you very much.
23:3754-year-old Madge
23:39was hiking here
23:40with his 11-year-old son
23:41Victor
23:42when he fell
23:43and injured
23:44his left ankle.
23:47What have you been up to?
23:48I've heard you've had a bit of it before.
23:49Found a loose rock.
23:50I just put my foot
23:51that direction.
23:52Okay.
23:53So, you sort of rolled
23:53onto your ankle?
23:55Er, yeah.
23:56I rolled on it
23:57and what I experienced
23:59was that, you know,
24:01tissues just come in loose.
24:02You didn't hear any crunches
24:04or bone breaking
24:05or feel anything like that?
24:06No, no.
24:06It was like a soft tissue
24:08so, you know,
24:08ligaments,
24:09tongue-gone,
24:09things like this.
24:10And your pain at the minute?
24:11At the minute.
24:12It's not pain.
24:13That's amazing.
24:14I expected
24:15that we were going to give
24:16significant amounts
24:17of pain relief
24:18and when Madge told us
24:19that he was in no pain at all
24:21it threw me off guard
24:23a little bit.
24:23I thought,
24:24how strong is he?
24:26Can I have a quick look?
24:28I'll lift your leg up
24:29and then we'll just come out.
24:31We'll have a quick feel.
24:33Wiggle your toes.
24:34Is that okay?
24:34Yeah, it's working.
24:35Good peel-up.
24:35I got some mobility in it
24:38but, of course,
24:38it's swollen so...
24:39Is the pain more this size?
24:41Yes.
24:42Because that's where
24:42it's swollen the most.
24:43Yeah, yeah, yeah.
24:43When I first had a look
24:44at Madge's leg
24:45it looked a little bit swollen
24:47but not significantly injured.
24:49I expected a lot worse.
24:51He was able to move his toes
24:52and it looked okay.
24:54Normal feeling,
24:55normal sensation.
24:56Yeah.
24:57Nothing like that.
24:58Perfect.
24:58What we'll do
24:59is we'll put our vacuum splint on.
25:02Right, this one's going to be
25:03the slightly nasty strap.
25:05Jack fits a vacuum splint
25:06to Madge's ankle.
25:08This uses air pressure
25:09to help immobilise his leg.
25:14Yeah.
25:15Does that feel okay?
25:16Yeah.
25:17Can't move it, can you?
25:18No.
25:19Good.
25:19Perfect.
25:24We all ready to go?
25:25Yeah, good to go.
25:26Yeah.
25:28Madge and his son Victor
25:29are on holiday.
25:31The hospital closest to their hotel
25:33in Meckersfield
25:34is 30 miles away.
25:37Is this your first day of the trip?
25:38Yeah.
25:38Oh, no.
25:40Yeah.
25:41Should have done it on the last day.
25:42Yeah.
25:43No, it shouldn't happen at all.
25:44No, well, that would be best.
25:47Do you enjoy the hiking as well?
25:48Yeah.
25:49You picked the right day for it.
25:51I woke up the mountain two times
25:52and I was very tiring.
25:54You've done very well
25:55because I don't think I could have walked up it once.
26:01Still feeling okay?
26:02No pain?
26:03Oh, that's all right.
26:04Okay.
26:05Yeah, good.
26:06You're much tougher than me.
26:12Take the next ride.
26:14I think we've arrived.
26:17A walk with his son in the countryside
26:19has ended with an hour-long trip
26:22to Mecklesfield District General Hospital.
26:26Pull up on here, or me.
26:29Easy.
26:30You are.
26:31Amazing.
26:31Stella.
26:32Here, doctors will carry out x-rays
26:35to see exactly what damage has been done
26:37to Madge's ankle.
26:50What a trooper.
26:51I've never seen someone so relaxed.
26:54Had no pain.
26:55None.
26:56Zero pain.
26:57But it's clearly swollen and...
26:59Isn't it, yeah?
27:00There's got to be something in there.
27:02Something.
27:02There's at least a sprain,
27:03possibly a fracture.
27:05They haven't given me x-ray eyes yet.
27:07That's coming in the future.
27:08In the future.
27:21You, boy, the foot is really hurting.
27:22OK.
27:23OK, so just confirm he's conscious and awake.
27:26Madge's ankle injury
27:28was the 2,200th call today,
27:31and the team here have no idea
27:34what the next call will bring.
27:38Of course, there are certain calls
27:39that you don't want to get,
27:40like, the majority of things to do with children.
27:43Something about them just being so little
27:44just makes it a lot more difficult.
27:46I don't know whether it's
27:46because I've got a daughter as well.
27:48Like, you can sort of
27:49put yourself in their shoes.
27:52Ambulance service.
27:53Is the patient breathing?
27:55Yes.
27:56Are they conscious and awake?
27:57Yes.
27:58What's the reason for the ambulance, please?
28:00One of our pupils
28:01has just fallen up the steps
28:02and hit her forehead
28:04off the edge of the step,
28:06and she has a large wound
28:08that we're applying pressure to.
28:10Blast her. OK.
28:10Is she bleeding at the moment?
28:12Yes.
28:13OK.
28:13Has she been bleeding red blood
28:15very heavily in the last 30 minutes?
28:17Yes.
28:18It was red blood,
28:18and it's coming from the forehead.
28:20Might be a bit difficult.
28:21Can you see the bones
28:22sticking out through the skin?
28:24You can see flesh
28:25because obviously it's on her forehead.
28:27Children are so resilient,
28:28and they're so good at bouncing back.
28:30But if something's wrong,
28:31they tend to kind of dive quite quickly,
28:34which can be incredibly scary.
28:36She's gone cold now.
28:39We've got a blanket over her.
28:41OK.
28:42Yeah, just do best to keep her comfortable,
28:43keep her safe.
28:45Is she limp or floppy at the moment?
28:47She's not limp or floppy.
28:48I think she's just shocked.
28:50Oh, yeah.
28:50I know, of course.
28:51Any new weakness or coordination problems
28:53in her arms or legs?
28:55Can you lift your arms up for me?
28:58Wave to me.
28:59And the other one.
29:00Give me a wave.
29:01And can you wiggle your legs?
29:02Can you kick them?
29:03Kick, kick, kick.
29:05Yeah, she's just a bit dazed,
29:07but she's lifting her arms
29:08and she's moving her legs up.
29:09She's quite dazed for herself.
29:11OK.
29:12If a child is quiet or more subdued,
29:15then that can be a lot more concerning.
29:17I'd much rather them be making noise
29:19if I can hear them chatting,
29:20laughing or crying,
29:22then for me,
29:22at least I know that they're OK.
29:24I do have some help arranged for her.
29:27Sounds like you are doing all of the right things,
29:28but if the blood does soak through that pad,
29:30don't take it off.
29:31Just put another pad on top of it.
29:32And we do just need to advise.
29:34That's what we've done.
29:34We've just added.
29:35That's why it's quite thick,
29:36because onto the others,
29:37we've added another section on top
29:39to apply the pressure.
29:40Was it soaking through the initial one quite quickly?
29:43It did soak quite quickly on the initial one, yeah.
29:46Right, OK.
29:47No, that's fine.
29:47And it was all going down her face.
29:50It came to light that actually
29:52that was the second lot of dressing
29:54that they'd put on.
29:55The first lot had bled through quite quickly.
29:56So at that point,
29:57I knew actually
29:58this was significant blood loss,
30:00especially for someone so little.
30:02All right,
30:02I now have this down
30:03as a high-priority response,
30:05OK, just because of that.
30:07So I will stay on the phone with you
30:09until the crew get there
30:10and just keep her safe and comfortable
30:12where she is then.
30:16They're just coming in now.
30:18All right then,
30:18I'll leave you guys with the crew.
30:20Bye-bye.
30:22Bye-bye.
30:23Oh, brave little girl.
30:28Bless her.
30:30The patient was taken
30:32to the paediatric unit
30:33where she was treated for her injury.
30:52A patient thought that I was
30:54a lot, lot younger than I was.
30:55And bear in mind,
30:56this was on a fourth night shift in a row.
30:58You're not doing bad for 40, are you?
30:59You're a cheeky get.
31:01You're closer to 40 than me.
31:03I've got less wrinkles, though, aren't I?
31:05Shut up.
31:07I've got really bad smile lines,
31:09though, to be fair,
31:09because I'm always smiling.
31:12Not when I'm working with you.
31:14I'm definitely not
31:15first thing in the bloody morning.
31:17Working shifts on an ambulance
31:19definitely ages you.
31:20It does.
31:20It does.
31:23Also, the company you're with
31:24sometimes ages you.
31:25Like, working with Colleen
31:27ages me about 10 years every shift.
31:28Speak for yourself.
31:31Night shifts, though,
31:32aren't delightful.
31:33We are polar opposites.
31:34Absolutely,
31:35which is why we work.
31:36Mm.
31:43Ambulance services,
31:44the patient breathing.
31:46Yeah, it is.
31:47Basically, there's a person
31:48on the floor.
31:50Is he able to tell you
31:52what's happened?
31:53The approach to him
31:54and that if he's OK,
31:55but he doesn't respond.
31:56Has he got his eyes open?
31:58I can't see
31:59because his head
32:00is on the floor.
32:07So, an unconscious
32:09in the street.
32:10I'm guessing
32:11we don't have
32:12much information.
32:13No.
32:14Going to these
32:15jobs in the streets
32:16can put you on edge
32:18because is it
32:19something sinister
32:20like a drugs-related thing?
32:24Is it a homeless person
32:25who's collapsed?
32:27Yeah.
32:28But in fairness,
32:29it could even just
32:29be someone
32:30who is generally
32:31unwell, can't it?
32:33A call for someone
32:33unconscious in the street
32:34could be 1,001 things.
32:36Have they been hit by a car?
32:39Have they collapsed?
32:40Are they intoxicated?
32:42Absolutely anything.
32:43The only way we know
32:44is by getting there.
32:46So we need to get there
32:47quite quickly.
32:50There they are.
32:51Oh, yeah.
32:54Maybe block them
32:55so they don't get
32:55hit by a car.
32:56Let's leave that there.
32:57Yep.
32:58I'll go check it out.
33:05Wakey, wakey, buddy.
33:06You were asleep
33:07in the street?
33:08Squashed your bread.
33:09There you go.
33:11Have you fallen or just passed out?
33:15A passer-by called 999 after seeing the man lying in the road unresponsive.
33:21Have you had any gear or anything, matey?
33:23We don't care if you have, by the way.
33:25We just want to make sure that you're OK.
33:27It's not every day that we come across someone on the side of the street,
33:30literally in the road, unconscious.
33:34When I first seen this patient, my first thoughts were,
33:37how on earth has he ended up in this situation?
33:39Could it be a medical episode
33:40or could it be something more like illicit drugs or alcohol?
33:44Shall we get your stuff off the road? I don't want you to lose any of it.
33:47Is that a handle? Is that yours?
33:50Some pretty serious gloves.
33:51I don't think your Milky Way is salvageable, to be honest.
33:54Have you got any medical conditions that would make you fall in the street?
33:59OK, have you taken them today?
34:01And you say you don't think you've had your diazepam today?
34:05You have.
34:06The patient is known to take diazepam,
34:09a powerful sedative drug, only available on prescription.
34:14Shall we get you on the bed and get you in the truck?
34:16Yeah, can we go and assess you on the truck instead,
34:18rather than on the floor?
34:20Come on, try and wake up, fella.
34:22If we help you, do you think you could stand up?
34:25When he disclosed he'd taken diazepam,
34:27that was a bit of a red flag.
34:29That would explain why potentially he was unconscious in the street,
34:32but has he taken anything else?
34:34Right.
34:35Are you ready?
34:36Yeah.
34:40We're going to go assess you on the truck.
34:42I'll get a bag and I'll put your stuff in it, OK?
34:44On this way.
34:45Oh!
34:54Lift your head up, Rissetta.
34:56Do you want another look in them eyes, darling?
34:58There you go.
34:59In Stoke, paramedics Adam and Colleen
35:02are with a patient they suspect has taken an overdose.
35:06They are small, but they're not pinpoint.
35:10That's diazepam, though.
35:11Look at his eyes.
35:12How much diazepam have you had today?
35:15A lot, I'm guessing.
35:17When you look at a patient's eyes,
35:19it can tell you quite a lot.
35:21So if they've taken anything like drugs or opiates,
35:23it can make their eyes really, really small.
35:26However, some other drugs can make their pupils really, really big.
35:29So it can give you a lot of information.
35:31I'm just going to get a bit of blood
35:33from the tip of your finger, darling, OK?
35:35You're just going to feel a sharp scratch,
35:37but it'll only be for a second.
35:39There you go.
35:423.8.
35:44Use hyperglotamide.
35:45As well as being sleepy
35:47due to an overdose of prescription medication,
35:50the patient has a slightly low blood sugar level.
35:55Do you think you'll be able to eat your Milky Way for me
35:57if I get it for you?
36:02It is a bit squashed.
36:04You just need your blood sugars up, OK?
36:09You don't want it?
36:12Like it, put it in your hand.
36:14It's your Milky Way.
36:16It's just a bit squashed.
36:17Jow down on that, mate.
36:18I don't think he's going to eat that.
36:20I'm going to have to put some gluca gel in your mouth
36:22because you're not going to be able to eat that
36:23by the looks of it.
36:25I'm just going to tip your head back a little bit.
36:27Now, because you can't eat this,
36:29I'm going to put this gel in your mouth, OK?
36:31It's going to taste very, very sweet.
36:34Colleen tries to give him a fast-acting glucose gel
36:37designed to bring blood sugar levels up quickly,
36:40but the patient has now become too unresponsive to take it.
36:48I think we're just Narcan on it, to be honest.
36:50He isn't going to have that.
36:51Let me take that off, yeah.
36:53See how this goes.
36:54I'm going to squirt something up your nose, OK?
36:57I'm going to feel weird.
36:59As overdoses often involve a mix of drugs,
37:02Colleen gives the patient Narcan.
37:04If he's also taken any opioids,
37:07this will reverse the effects of the overdose.
37:12Tip your head back for us.
37:13Just want that airway open.
37:14Perfect.
37:16We gave the patient Narcan
37:17because it was apparent that he'd taken some form of drug
37:21and potentially others.
37:23Narcan's given to be able to increase a patient's consciousness
37:26and make them more awake.
37:28Come on, fella.
37:29We're going to need you to wake up
37:30and stay awake for us if you can
37:31because you're not in a good place at the minute.
37:36Shall we go?
37:44Say when, mate?
37:45Yeah, ready when you are.
37:48As the patient isn't responding to Narcan
37:51and Adam and Colleen don't know exactly what he's taken,
37:55they decide to head for hospital.
37:59There you go.
38:00Rest your head down, sweetie.
38:01That's it.
38:02Perfect.
38:03I'm just going to keep hold of your head
38:04just so it stays in this position, OK?
38:06OK.
38:10At Royal Stoke University Hospital,
38:13the patient will be monitored
38:14and may be given medication
38:16to reverse the effects of an overdose.
38:27I don't know how much of God knows what he's taken,
38:30but he's taken a lot of it.
38:31A lot of it.
38:34Probably too much of it, if I'm honest.
38:36Yep.
38:37It could be anything.
38:39It could have been a combination
38:40of a lot of different things, unfortunately, with him.
38:43Milky Way man, that's what he is.
38:45Milky Way man.
38:45Milky Way man.
38:46Out of this world.
39:00If you would give yourself a different name,
39:03what would you name yourself?
39:05Oh, I'm seeing an Ellie.
39:08Really?
39:09Yeah.
39:10I think that's too girly for me.
39:11Or like a Sasha.
39:13Oh, no.
39:14OK.
39:14Sasha.
39:16I mean, my name is literally unisex,
39:18so mine's not girly.
39:19Yours is girly at all.
39:20No.
39:21Mine's quite girly.
39:23Yeah.
39:24I don't love it.
39:25Yours is literally a flower.
39:26Yeah.
39:27It's rather feminine, isn't it?
39:30I don't even think that's it does, to be fair.
39:32I think it's a bit innocent.
39:34No.
39:42Ambulance service.
39:43Is the patient breathing?
39:45It's me.
39:47I've got an infection again.
39:50It's a sign, pain, as well they had before.
39:53And is the pain in your stomach?
39:55Or is it anywhere else?
39:56Yeah.
39:57It's in the lungs.
40:01Oh, there we go.
40:04Vice accept.
40:05We've got a 74-year-old male abdure pain.
40:10Oh, bless him.
40:11Could be anything, couldn't it?
40:12Could be DNV.
40:14Could be.
40:15Could be UTI.
40:17DNV stands for diarrhoea and vomiting.
40:20UTI, urinary tract infection.
40:23Urinary tract infection, yeah.
40:24We don't actually know what's going on with this patient they're doing.
40:26No.
40:27Not yet.
40:30Is this the back or is this the front?
40:35Ambulance.
40:36Hello?
40:38Oh, hello.
40:40You OK?
40:41Yeah.
40:42Have you rang for us?
40:43Yeah.
40:46I just couldn't sleep all night and I just got the pain.
40:50I'm coughing, coughing, coughing.
40:51Where have you got the pain?
40:53Yeah.
40:53In your chest?
40:54Yeah.
40:55When did the pain come on?
40:57Last night, really.
41:00After a night of constant coughing, 74-year-old John called 999.
41:06Have you took anything for the pain?
41:08Like paracetamol?
41:09Yeah, yeah, I got some, yeah.
41:11Who did you call this morning for us to get, yeah?
41:15Did you call 111 or 999?
41:17999.
41:18What were you hoping for from us?
41:20Are you wanting pain relief?
41:22No, just to check me out.
41:24Just to have a check?
41:25Yeah.
41:25OK.
41:26Because I'm diabetics as well, so you know.
41:28Right.
41:28You need to speak to your doctor so that they can sort you out a nurse
41:34that can show you how to do your checks for your diabetes.
41:39I think the story changed slightly as we...
41:43Once we were on scene.
41:44Yeah.
41:45Went from chest pain to cough.
41:49To a woman's diabetes check-in.
41:51Blood sugars check, yeah.
41:53Just to check, you're not allergic to anything?
41:56Yeah, with me.
41:58Oh, you're outnumbered, yeah, unfortunately.
42:02Right, nice and still.
42:04As the pain is in John's chest, Daisy checks his heart rate.
42:11Just on the low, I say, I'm not overly concerned.
42:15No, because he's presenting well, isn't it?
42:17Yeah.
42:18Do you feel dizzy at all?
42:19I'm always dizzy.
42:21OK.
42:23Right, I'll tell you your blood sugars.
42:294.3.
42:30It's a bit on the lower side.
42:32What have you got in to eat?
42:35Toast.
42:35Toast?
42:36Do you want me to make you some?
42:37John's blood sugar was on the lower side.
42:40The solution to this is to just get some sugar in him,
42:43whether that be a sugary cup of tea,
42:44some toast with a bit of jam on it.
42:47It's not really something that an ambulance needs to do.
42:51He could have probably done this by himself.
42:53Let's have a look.
42:54What covers the bread in?
42:56It's on top of the microwave, isn't it?
42:57Above the microwave.
43:02I'm not taking you to hospital, because your heart rate's a bit low.
43:06I don't think they're going to do anything for you.
43:09It's not that low that we would treat it.
43:12There you go.
43:13You can sit up.
43:14Do you want to sit up?
43:15No.
43:16No?
43:17Do you want a cup of tea?
43:19Can you make tea?
43:20I can make tea.
43:23I'm from Yorkshire.
43:24Tea is in me veins.
43:29I like your pink kettle.
43:31Did you pick that?
43:36I reckon that is a good cup of tea.
43:40Cracking.
43:43I think he looks all right, that.
43:47Yeah? Happy?
43:48I don't know, yeah.
43:49I'm excited.
43:52You're right, please.
43:54You had enough?
43:56I don't eat the mud.
43:57Well, you should probably eat a bit more at some point,
44:00because your blood sugars were on the lower side.
44:03John didn't need to go to hospital today.
44:05I think John just wanted a cup of tea and a little bit of company.
44:08Are you happy to stay at home?
44:09Yeah.
44:10Yeah.
44:11But you need to speak to your GP.
44:13You know where we are if you need us, all right?
44:16All right.
44:17Nice to meet you, John.
44:18All right, thank you.
44:19See you later.
44:23Let's go.
44:30All we really didn't fall in was give him some tea and toast.
44:34Do you know what?
44:35I think he might have been a bit lonely.
44:36I think he wanted a bit of company.
44:37I think he wanted some company, didn't he?
44:45John called another ambulance crew later that same day.
44:50Like Morgan and Daisy, they advised he should take the painkillers he'd been prescribed and speak to his GP.
44:58Bob, who was having a heart attack, was found to have a blockage in one of his arteries.
45:03He had a stent fitted to widen it.
45:06Two days later, he was able to return home.
45:10Bill's blood pressure eventually returned to normal, but he may have problems with his kidneys that could require medication.
45:19And Madge, who'd fallen while hiking, had an x-ray in the fracture clinic.
45:24This confirmed he'd broken his ankle.
45:34Next time...
45:36That's it, sweetie.
45:37..the man is in agony.
45:38Put this in your mouth.
45:39Keep breathing on it.
45:40Open your mouth.
45:41Our main concern was figuring out where this pain was.
45:45And then getting this under control, we did suspect that he may have broke his hip.
45:50Oh, God, that is a big clot. That was massive.
45:53A patient has a severe nosebleed.
45:55When I saw the blood clot, it was rather grim. It was large.
45:59He's just had brain surgery. We needed to get him to hospital fast.
46:03I woke up and I got this real pain and my heart was racing.
46:09And the woman is complaining of chest pain.
46:12Once we completed a heart tracer, it showed us that she was actively having what we call a STEMI, which
46:18is a heart attack.
46:18We are going to be taken into hospital and we are probably going to be going quite quickly.
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