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FunTranscript
00:01Ambulance service is patient breathing.
00:04There's a lot of blood all over the kitchen floor.
00:07I've just coughed and something went off.
00:11It's absolutely horrendous.
00:16There's been an accident.
00:18Motorbikes come across the road. We've had a collision.
00:21Righty-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,
00:32every job's different.
00:33Do you remember everything that's happened?
00:36It looks like you're having a heart attack.
00:39Saving lives and making a difference every call-out.
00:43Is she breathing normally?
00:45What availability of how we live?
00:48Embedded with eight emergency crews.
00:51Could be anything, couldn't it?
00:53OK, OK.
00:55Filming simultaneously across the region.
00:58Time is everything in our job.
01:00Just relax.
01:01Relax for me.
01:02Can you open your mouth as wide as you can?
01:05Capturing life.
01:07How's your vision?
01:08You got it?
01:09On the front line.
01:10I go to work every day and I make a difference.
01:22Bloody warm in here, that needs to turn it off.
01:24Woo!
01:24Too warm for you?
01:2528 degrees.
01:27No, thank you.
01:30Morning.
01:31Morning.
01:32How was your holiday?
01:33Oh, it was good, thank you.
01:35It was a nice rest.
01:36Just, not great weather.
01:38Oh dear.
01:39Could have been a bit sunnier, but here we are.
01:42Absolutely.
01:44Good morning.
01:46Good morning.
01:464077.
01:47Booking on now.
01:49Have a good shift.
01:51Yeah, thanks.
01:52Hope you have the same.
01:56So what do you prefer?
01:58Are you an early bird or a night owl?
01:59I'm not a morning person at all.
02:01It takes plenty of caffeine to get me through a day shift.
02:04Has been noted.
02:06Has it now?
02:07Yeah.
02:08I hate the initial week up, it's just, it's torture.
02:11You're never going to catch me in the morning.
02:13All my days off, honestly, I'll probably wake up about half ten.
02:17It's awful, innit?
02:18Trying to sleep through the sunshine.
02:21That's hard.
02:22Yeah, very true.
02:23My mum will get the vacuum out and she'll start vacuuming whilst I'm trying to sleep.
02:28Do you realise I need some sleep?
02:42If you were off today, what would you be doing right now?
02:46I'd be hiding in the house because it's too hot.
02:48With a salad.
02:49With cold slaw.
02:50Cold slaw, why did I say that?
02:52Cold slaw?
02:53Cold slaw, that's from you annually.
02:55Yeah, yeah, yeah.
02:56Cold slaw.
02:56Ooh.
02:57No, that's still sounding a bit slaw-y.
03:05Cold slaw.
03:06No!
03:08Has cold slaw got a lot of calories in?
03:10You can get a reduced fat one, but get it by a bus tomorrow, you never know what's going to
03:14happen.
03:21Yeah, he's breathing.
03:35Yeah, he's breathing.
03:39And what's happened?
03:41The patrol said somebody knocked off a motorbike and police are on route.
03:45That's never good.
03:47When a job comes through involving a motorbike, I get a little bit more nervous than I would, say, a
03:52car accident.
03:53Mm-hmm.
03:53Just because they're less protected and it could be quite bad.
03:57Yeah, definitely.
03:58If we go to one that includes a motorbike, then we are looking at a bad job normally.
04:04Right, so someone sat there.
04:06Airbags deployed.
04:07Oh, okay.
04:08The cycle's on the floor.
04:10The support in his head helmet's still on.
04:20Do you know what's happened?
04:23White car's pulled out to the junction.
04:25Yeah.
04:25Sons have backed her.
04:27Yeah.
04:27Not seen the motorbike.
04:28Head on.
04:30Bike has gone over.
04:32It's all assaulted.
04:34My name's Kyra and I've got Nick with me.
04:37What's your name, Ducky?
04:38Roman.
04:39Roman.
04:40How do you feel at the minute?
04:41I'm okay.
04:42You're okay?
04:43Do you remember everything that's happened in this?
04:45No.
04:46Okay.
04:47Do you have any pain anywhere?
04:48No.
04:49No?
04:49Okay.
04:50Nothing to your head or neck?
04:51No.
04:5437-year-old Roman usually drives HGVs for a living, but today his motorbike has collided with
05:01a car.
05:02Can you move your legs?
05:04Yes.
05:05Yeah?
05:05Brilliant.
05:06Bring this left leg down so it's next to your right one.
05:09You're just going to get you so you're completely straight on your back.
05:13Because Roman had been on a motorbike and he'd been thrown a distance, I was very concerned
05:19that there would be damage to his neck and spine.
05:21Therefore, we have to be extremely careful.
05:24So, did you actually see it happen, Sweet?
05:26After witnessing the accident, van driver Don stopped to help.
05:31Straight over his angle bars.
05:34Right.
05:35And then he's literally landed how we...
05:36No.
05:37He landed face down.
05:38Right.
05:39And then he sort of rolled over.
05:41Okay.
05:42We're just going to take this off, alright?
05:45Okay.
05:47Because we knew that Roman had hit the floor face first means that there could have been
05:53quite a lot of damage to his neck.
05:55So we do have to really think about what we're doing because any wrong movement can potentially
06:01make his injuries worse.
06:04Keep your head still Roman, okay?
06:20Right, go get a salad box and then go round to Delicatessen and get some nice ham.
06:25See, I like the hot chicken and stuff that they do, but I'm going to be good.
06:29You know, because health kick and all that.
06:31I'm going to the gym later.
06:33I know I'm on health kick and gym and that sort of stuff, but you still need to like...
06:37Eat.
06:37Eat.
06:38I've lost a star and a half, Adam.
06:41For them jeans that were a bit tight a few weeks back aren't too tight.
06:44Yeah, I don't need to undo them now to get them down.
06:47I think you're better at this losing weight than me.
06:49I've stuck to it better this time.
06:51Yeah, I'll give you that one.
06:51There's been times I haven't, but this time I've stuck to it.
06:54I have seen you in the crew room one week going, I'm losing weight and you've got a
06:58salad box in front of you.
06:59A week later, there's a kebab and chips.
07:00Oh, yeah.
07:01Got to be done though.
07:03You've got to give in to them cravings every now and again.
07:06I do that every week.
07:07I know, that's the issue.
07:08That's the problem.
07:09I'm like well further along in my belt loops as well.
07:11The whole one you've never used before.
07:12Yeah.
07:21Ambulance service, is the patient breathing?
07:23Yes.
07:25My husband's had a fall, he's in the kitchen on the floor.
07:28And there's a lot of blood, which is all over the kitchen floor.
07:35Bleeding wound.
07:36Birch's head.
07:37Guessing we've got no age, no nothing yet on this one?
07:40Nothing, just a male with a bleeding wound.
07:42Hopefully we'll get an update in a minute.
07:44A head injury can vary from being a very small minor problem to being something a lot more significant and
07:50more life threatening.
07:52We don't know what that is on the way, so our main priority is to just get there as quick
07:56as we can.
08:00Morning.
08:01My name's Colleen, this is Adam.
08:04What's happened this morning, darling?
08:08I'm just going to have a little look at your head okay, darling?
08:13Yeah, one sec.
08:16Ooh, that's going to need a stitch or two.
08:19While making a cup of tea, 71-year-old Pete suddenly felt dizzy and collapsed, hitting his head on the
08:26kitchen wall.
08:28Is this slurred speech normal for you at all?
08:35Do you remember falling, Peter?
08:37Yeah.
08:37You do.
08:38What happened around that fall then?
08:39Did you feel sick, dizzy?
08:43You've got poor balance anyway?
08:45Yeah.
08:45Pete suffers with a condition called ataxia, which affects both your speech and your balance.
08:51Unfortunately, on this occasion, it had caused Pete to have a fall.
08:55He'd sustained quite a significant head injury.
08:57There was quite a lot of blood and it was very important for us to look at that wound as
09:01soon as we could to see how we were going to treat it.
09:03I'm just going to have a quick feel of your neck, okay? Is it sore here at all?
09:06No.
09:07No?
09:08No.
09:08From looking at it at the minute, I do think you're going to need some stitches, sweetheart.
09:12Mm-hmm.
09:12Did you knock it on the corner of the wall?
09:14Yeah.
09:15There.
09:15Yeah.
09:16Done a proper job of it, haven't you?
09:17Yeah, done a proper job there, haven't you?
09:19Pete had smacked the back of his head on the tiled wall and, unfortunately for Pete, falling backwards is probably
09:26one of the worst ways for him to fall because you don't get that hands out.
09:30You don't save yourself.
09:31Yeah.
09:32So, banging the back of your head on the tiled wall, that can be absolutely devastating.
09:37I'm just going to have to pop some stickers on your chest, darling.
09:39I'll lift your top up, you just stay as you are.
09:41Ooh, you're a little bit hairy, so you're going to get a bit of a wax on the way off.
09:44Yeah.
09:45Just relax them down, darling.
09:48Colleen runs an ECG to check on Pete's heart.
09:52Wife Kathleen was shocked to find her husband covered in blood and rang 999.
09:58Yeah, I'm fracturing your end, isn't it?
10:01Not that we can see any evidence of.
10:03And observations are pretty perfect, to be fair.
10:06You say your initial heart rate was a bit quick, but it's...
10:09It's coming down.
10:10Slowing down a little bit.
10:11Lift your head up a little bit, Peter.
10:13I just want to make sure that that's just dripped from your head.
10:17There you go.
10:18Now, you're going to get a fancy bandage.
10:25Well, you look a little bit better now.
10:29What we need you to do in a minute is shuffle your bum,
10:31so it's right in the middle of there, with your legs facing this way.
10:35What we don't want is for you to potentially fall and have another injury.
10:40With a new dressing on his wound,
10:42Colleen and Adam use an inflatable cushion
10:45to safely raise Pete off the floor.
10:48Oh, he's leaking again.
10:50Oh, he really is.
10:51When we moved in, the wound started to bleed through our initial dressing.
10:56Yeah, quite a lot.
10:57Yeah.
10:58When I saw that, I thought,
10:59has he nicked a small artery, a small vessel in the head?
11:02And is that now leaking?
11:04But a bleed that big can be quite significant.
11:08And he definitely needed to be taken to hospital for further treatment.
11:23Right, then, we have got a blanket just behind you.
11:28If you want to do a bit of a roll,
11:29because we've got a little lovely position there for his head.
11:33Right.
11:34And then if you just relax your head, just relax.
11:39Amazing.
11:42On a busy junction 10 miles west of Stoke,
11:45paramedics Nick and Kyra are with motorcyclist Roman,
11:49who's collided with a car.
11:52I'm just going to have a little feel of the back of your neck.
11:55Please tell me if there's any pain, OK?
11:57Anything at all?
11:58No.
11:58No, OK.
12:00I'm going to have a quick listen.
12:02Nice big breaths in, Ducky.
12:05Once we've done these checks, Ducky,
12:07we're going to get you on the ambulance, OK?
12:10A concern for us when we go to a motorbike accident
12:13is the potential for an internal injury or bleeding.
12:17Internal bleeding can be very dangerous for a patient.
12:19There's a lot of things that can happen inside of the patient's body
12:23which we may not be able to see.
12:25Roman, I'm just going to have a feel down your hips, all right?
12:28OK.
12:28Any pain at all?
12:30Nothing?
12:31There's no pain.
12:32I can feel you.
12:33You can feel me?
12:34Yeah, yeah.
12:35Good.
12:35That's what we want.
12:36I'm just going to go down each of your legs, all right?
12:38Tell me if any of your sensations altered at all, all right?
12:41The left knee a bit of pain.
12:42A little bit of pain, OK.
12:44Anything this side?
12:45No.
12:46No?
12:46Good.
12:46Let's just pop your T-shirt down.
12:50It's going to be shoving something just under your back, Ducky.
12:54To get Roman onto the ambulance, Nick and Kyra use a scoop stretcher.
12:59This splits in two, so they can slide it underneath him.
13:04Whilst we do roll, if we can hold him, have a quick feel down his spine.
13:08Yeah.
13:09One, two, three, roll.
13:15Anything there?
13:17No?
13:18Good.
13:18Right.
13:20Awesome, guys.
13:21Well done.
13:22Brilliant stuff.
13:23We've got you.
13:25Nick uses a strap to stop Roman from moving his head and neck.
13:31One, two, three, lift.
13:37Amazing, thank you.
13:39Awesome.
13:39Thanks so much, guys.
13:40The public being there as well, getting hands on, help to keep Roman in that natural alignment.
13:46You know, we literally were supporting him from his head right down to his feet.
13:51Because the last thing we want to do is move somebody without the right support.
13:57I need to get a good blood pressure without this jacket on.
14:00Would you mind if I cut it?
14:01Of course.
14:02OK.
14:03Do you remember any of it?
14:04No.
14:05No.
14:05What was the last thing you remember before now?
14:10Do you remember going out the house this morning?
14:13Yes.
14:13Yeah?
14:14Do you remember being on your bike?
14:18Roman, am I right to cut your trouser leg?
14:20Yeah.
14:20OK.
14:21It was important that I cut off Roman's clothes.
14:24We'd already checked his head, but we needed to do a top-to-toe assessment to make sure
14:28there was no further injuries that we may have missed.
14:31A bike crash or someone crashing to me?
14:33Your bike is directly in front of the bonnet.
14:37It's completely across.
14:39How you're lying here talking to us, I have no idea.
14:43No.
14:44With the damage to your helmet and the car, you must be built of concrete, Doc, honestly.
14:50It was quite surprising that we couldn't see any outward injuries on Roman,
14:55especially with the amount of damage to the car, his bike and the distance he'd been thrown,
15:00but that didn't rule out any internal injuries.
15:03The only way we can find out about this is if we get him to hospital so we can have
15:07the appropriate scans and x-rays.
15:12In the UK, an average of six motorcyclists are killed and more than 100 seriously injured every week.
15:22Almost half of the fatalities are caused by a collision with a car.
15:26Like I say, the main thing is that you're okay and that bike can be replaced but you can't.
15:37At Royal Stoke University Hospital, Roman will have x-rays and scans.
15:43These will check for any internal injuries that aren't obvious.
15:47Take it steady over this bum.
15:59He was a very lucky gentleman.
16:02Yeah.
16:03I couldn't see one scrape, abrasion, anything on him at all.
16:09Yeah.
16:09It took me what felt like an hour to take them to cut everything off.
16:13I was going out for ages, yeah, like I just couldn't...
16:16It was that good and high-quality stuff and all the padding in it.
16:20But it's for a reason.
16:22It's worth every single penny.
16:24Yeah.
16:24When you see that compared to when we go to crashes with bikes,
16:31when they've not got any of that on, it's such a difference.
16:42Ready?
16:43Yeah.
16:43Sure.
16:45I'm just going to steady you.
16:46As it lifts you up, darling, just bend your legs so then you're sat in like a seated position.
16:50There you go.
16:53In Stoke, paramedics Colleen and Adam are treating Pete.
16:57He fell hitting his head on the kitchen wall and now it won't stop bleeding.
17:04Right.
17:04We're up.
17:05I'll get the chair and then we'll get him standing up.
17:07Yep.
17:07And then I'll do his bandage on the ambulance.
17:08Yeah.
17:09I'm just going to pry a bit of pressure to this.
17:10OK, Pete, while we're here.
17:12When I realised Pete's wound had started to bleed through the bandage we'd applied,
17:16it was very clear to me that we needed to do something about that and pretty quickly,
17:20because we didn't want him to lose any more blood than he already had.
17:22What we needed to do was apply pressure to that wound as quick as possible and to get a new
17:26dressing on there.
17:27Where is it?
17:28I've got the chair.
17:29If you can stand up whilst holding this for us, I'm literally right behind you.
17:33Now, there's a chair going to be right behind you in a minute.
17:36It's quite low, but it is there.
17:38Trust us, OK?
17:39Ready?
17:40Sit down.
17:41Keep going.
17:42Keep going.
17:43Keep going.
17:44And you're on.
17:44Then push your bum all the way back for us.
17:46Oh!
17:47Mind that.
17:47Watch your elbow.
17:48Is that funny, baby?
17:49More injuries.
17:50Yeah.
17:55You'll be all right.
18:01Watch your elbow, fella.
18:02There you go.
18:03Be blinded.
18:06Okey-doke.
18:07Let's see what started this bleeding again.
18:10This doesn't want to stop, Peter.
18:12No.
18:13I think we'll put a bit of a different bandage on.
18:16Couldn't get us a compression bandage.
18:17Yeah.
18:17If I take this off and you, like, put it on.
18:19Yeah.
18:21All right, go.
18:24The compression bandage we put on is actually from the military.
18:28It's designed for major traumas to be put on and stay on,
18:33and it applies pressure, so it does the job of our hands
18:36without having to actually hold it, so it frees us up to do more things.
18:43Are you ready?
18:45Yeah, all ready.
18:48How did you meet the wife, then, Peter?
18:50I was, um, 20, I think.
18:53No, but I thought it would have been assigned for me.
18:57Oh, bless you.
18:58Well, 51 years of marriage, you must be doing something right, mustn't you?
19:01Yeah.
19:02Yeah, yeah.
19:03Colleen and Adam arrive at the nearest trauma centre,
19:07Royal Stoke University Hospital.
19:09A couple of little bumps as we come down.
19:11Yeah.
19:12Here, doctors will stem the bleeding to Pete's head
19:15and check for any internal injuries.
19:26Oh, Pete, bless him.
19:28Not what he wanted for his morning.
19:30Poor fella was just trying to make a cup of tea.
19:32Oh, it could have been so much worse if he had the hot kettle in his hand.
19:35I know, I'm glad you didn't.
19:36That would have been horrendous.
19:37I know.
19:38You've got two trauma jobs, then.
19:40Got away with that one, luckily.
19:56At least the sun's showing to come out to top your tan up.
19:58Yes, I need it.
20:00Well, to give you a tan, not to top it up.
20:02I can't even say I've got dodgy tan lines.
20:03I think I've got, like, one little faint strap bar, if that.
20:07If I get back off a holiday, I still look as white as I did when I left.
20:11Yeah.
20:11I sit in the shade when I go abroad anyway, so...
20:14Oh.
20:14I'm not really one for tanning.
20:16I'd say...
20:17I'd say this is me tanned at the moment, but...
20:18This is me tan now.
20:20Hmm.
20:21No, there's no point in having a tan in the West Midlands.
20:27I'm starting to rain.
20:29Do-do-do-do.
20:31Do-do-do-do.
20:38Ambulance services the patient breathing.
20:41There's one lying on the floor, and then there's two that are not responding.
20:44Were they breathing?
20:45They're all breathing, but they're just out of it.
20:47They're really bad.
20:48Do they look like they've taken anything?
20:50Yeah, definitely.
20:52Okay.
20:53I'm more concerned about the one on the floor is unconscious.
20:58Two patients on the floor, not responding, but breathing regular.
21:01One patient standing, but froze state, not responding to caller when spoken to.
21:06Caller believes they've taken something.
21:08Are they outside?
21:09Yeah, outside.
21:11When we get a call with a possible drug overdose, I'm thinking what drugs have they taken,
21:15and then potentially they could go into respiratory arrest, which is if they've taken too much,
21:21they can stop breathing.
21:22We have to think about safety as well, because you don't know what paraphernalia you're going
21:25to find on scene.
21:27Needles, other users could still be on the premises, so...
21:31The patient could be violent themselves.
21:32You just never know, do you?
21:33No.
21:36See if he'll get off.
21:38Yeah, you are.
21:39Hello, are you OK?
21:41All three of them have had Mamba.
21:43He is currently...
21:44Well, he's now responsible.
21:47There are three patients, but only one who is lying on the ground.
21:52Amy and Mark are the second crew to arrive.
21:58What was in it?
22:00Was it why have you taken Mamba?
22:02Spice?
22:02No.
22:05Alcohol?
22:06So what have you taken to put you in this state?
22:09No.
22:09It's not yours?
22:12Mamba is a form of synthetic cannabis that can leave users in a zombie-like state.
22:19What have we taken?
22:21Do you take it regularly?
22:23I think Mamba's becoming a big issue for the ambulance service.
22:26It's known as the zombie drug, so the effects it has on people are quite severe.
22:32It's very draining on the service.
22:33We're seeing an increasing rate of Mamba use in the public with a lot of overdoses happening.
22:40Come on then.
22:41On the back of the truck.
22:42That way.
22:45Come on then.
22:46Watch you don't fall over.
22:48Are you going to get on the ambulance?
22:50Are you getting on?
22:52You've taken something.
22:53So what are you going to do?
22:57I can't leave you there though mate.
22:59It's too dangerous.
23:00It's too dangerous.
23:01You're going to get run over.
23:02You're going to get on the back with me.
23:03No, no, no.
23:04So what are you going to do?
23:06I can't leave you there.
23:07The risk to him not getting on the ambulance is he could walk away, get hit by a car, cause
23:14an accident to an innocent person, genuinely collapsing the street, resulting in other people phoning for us to come back
23:21again.
23:21Come on then.
23:23We'll have to wait here for police then.
23:35Across the West Midlands, we're following eight paramedic crews simultaneously as they work a typical 12 hour shift.
23:47Can't understand.
23:49No, no, no.
23:50You're not going to the hospital?
23:51No, no, no.
23:53Don't understand.
23:54In Birmingham, paramedics Amy and Mark are with a patient who is suspected of taking Mamba, a powerful man-made
24:02form of cannabis.
24:04It's up to you.
24:05Do you want me to speak the whole language with him?
24:07You can do mate, if you don't mind.
24:09The passerby was really useful to be at the scene.
24:12We were getting nowhere with a patient with sign language and language barrier issues.
24:18The passerby spoke the same language as the patient, so we were hopeful he could encourage the patient onto the
24:24ambulance.
24:34You're not safe to walk, mate.
24:37I'm explaining to him that you are looking after his health.
24:40Yeah, yeah, absolutely.
24:40Are you going to drive him home?
24:41I'm not going to drive him home.
24:43I'll take him to hospital.
24:44I'll take him to hospital.
24:44Yeah, yeah, no, I appreciate that mate.
24:47He's saying I'm alright, I wasn't there.
24:48Someone found you and you weren't responding to them.
24:52You were on the floor when I came.
24:55He's saying I'm alright now.
24:57But you're not, you can't stand upright.
24:59Are you going to walk with your friends?
25:01He's saying I don't want to go to hospital, just go walk home.
25:03OK.
25:03Come on then, let's have a walk.
25:05Let's see how you walk.
25:06Thank you guys.
25:08We can't force them to go to hospital.
25:10If they don't want to go to hospital, they can make that decision.
25:13So we had to let him walk.
25:15Come on then, have a walk.
25:16Come on then, walk with me.
25:17Walk.
25:19No, I'm not laughing.
25:20I'm not finding it funny.
25:22It's annoying when the patient laughs at the situation.
25:26We're a professional medical service trying to help him.
25:29So it's a little bit, he's throwing our help back in our face.
25:32You're going to hold on to each other so you don't fall.
25:38Which way's home?
25:46They're going home now?
25:47All three of them?
25:51I think the NHS and the ambulance service are stretched to the limits at the moment
25:54so to have two ambulances for effectively one patient is very frustrating.
25:59It's a selfish world at the moment and the patients desperately need our help.
26:03And we're wasting two ambulances on one guy that doesn't want to even consider hospital.
26:08It's like cases like that, that they'll walk round the corner now, they'll fall over again.
26:13Somebody else will call.
26:14And then someone else will call and phone.
26:16So it's like, what do you do?
26:18But it's also when you get to the point where they're laughing at you, that they're finding it funny that
26:23they're wasting a resource like ourselves.
26:25You know, you have to be very professional and bite your lip and not say what you're really thinking sometimes
26:31because you've still got to treat them if they need treating.
26:34But unfortunately, when drugs are involved, it's a tricky situation.
26:39Definitely.
26:54Are you struggling with your mental health at the moment?
26:57You're feeling quite down?
26:58What symptoms are you having?
27:01On average, 4,000 calls are received by West Midlands Ambulance Service every day of the year.
27:08To be a good call assessor, I think one of the most important qualities is patience
27:14because people panic and don't understand why you're asking them all these questions.
27:19Ambulance Service, is the patient breathing?
27:21I don't know. I don't know.
27:23Are you with them?
27:24Yes.
27:25Have a look. Can you see them breathing at all?
27:28I think I can feel a heartbeat but I'm not sure.
27:30So not a heartbeat, I'm asking if she's breathing.
27:33I don't think so.
27:34OK, I'm going to tell you what to do, OK?
27:36As quickly as you can, my lovely, OK, just get her onto her back on the floor.
27:41I don't know how to.
27:42Just grab, can you grab onto her clothes and just give it a, give it a pull?
27:46Don't worry about hurting her.
27:48I don't think I can.
27:49That's OK. Is she on her back, is she on the sofa, did you say, or on her bed?
27:54On the sofa.
27:55It can be scary when the caller is a family member of the patient because they've got a personal relationship
28:00with this person and it's up to them, essentially, to kind of save their life in some cases.
28:05And that's a lot of pressure to put on somebody that they love.
28:09OK, so I need you to kneel by her side and put one hand flat in the centre of her
28:13chest.
28:14Put the other hand on top and lock your fingers together.
28:17Push about two times a second and say, push out loud with every push so I know how fast you're
28:21going.
28:22And you're going to go at this rate.
28:23Push, push, push, push, push, push.
28:26Do that now for me. Keep pushing hard and fast, OK?
28:30Push, push, push, push.
28:32That's it. And you said you're on your own with her there?
28:35Yeah.
28:35All right. You keep going, OK? Don't stop until the crew tell you to at that same rate.
28:39Push, push, push, push, push, push.
28:43Push, push, push.
28:45Doing CPR is really, really tiring, especially if you're not used to doing that.
28:49So you can hear oftentimes on the phone how tired they are and you just have to keep encouraging them
28:54to keep going.
28:54Push, push, push.
28:55Well done, my lovely. You're doing really, really well. Keep going.
28:58Push, push, push, push, push.
29:00I'm going to stay with you until the crew are directly in the room with her, OK?
29:03So you don't stop until they tell you to.
29:05Push, push, push, push, push. There's literally no response.
29:10That's OK at the moment. Don't worry about that. We're just going to keep going with the compressions, OK?
29:15I've got to open the door.
29:16All right. That's fine.
29:17Can you give me the instructions again if you need them?
29:22Can you get her onto the floor now that there's two of you there?
29:25Yeah, there's two of us here. OK, I need you to work together. Get her onto the floor on her
29:30back for me quickly as you can.
29:31It was a massive relief because there was an extra set of hands then to carry on with CPR, to
29:35swap over if they needed to, and just to make sure that the CPR carries on until the crew get
29:39there.
29:44Is she on the floor?
29:46Yeah, I'm on the floor.
29:47All right.
29:47Push, push, push.
29:49That's perfect. Well done. Don't stop until the crew tell you to, OK?
29:53You're doing really, really well. If you get tired, you can swap over, but keep going with those compressions, all
29:58right?
29:58Push, push, push. They're just pulling up now, so is the door open for us?
30:04Push, push, push. In the room.
30:06All right, lovely. I'll leave you with the crew, OK?
30:13You don't know the outcome of the call, but you just kind of get used to it, because as soon
30:17as you hang up with that caller, a few seconds later, it beeps again in your ear, and you've got
30:21the next one to deal with, so you don't really have time to reflect.
30:40What's the difference, right, between Dubai and Abu Dhabi?
30:46Go on.
30:48Dubai don't like Flintstones.
30:50But Abu Dhabi do.
30:53You liked that one, didn't you? I can tell.
30:55I have got some bright, cheesy, vintage old jokes.
30:59You have?
31:00Yeah.
31:01You've got an endless list of them.
31:02Two snowmen in the field, and one goes, can you smell carrots?
31:09Oh!
31:15BUZZER
31:20AMBULANCE SERVICE
31:22Is the patient breathing?
31:29Is she having a seizure?
31:43We're going to a cat one now.
31:44Cat one.
31:45Voice except.
31:46A patient fitting.
31:48Eleven-year-old child fitting.
31:49Eleven-year-old child.
31:50I think, for a parent or carer,
31:52to witness a child having a seizure can be quite scary for them.
31:56Well, it is for us.
31:57It does.
31:58Especially if it's a young child.
31:59You know, even though we're trained paramedics, it's still scary.
32:03But for a parent, I can imagine it's tenfold,
32:06because they don't know what to do.
32:07They don't know what to do, do they?
32:08No.
32:08The pain.
32:19This is Dave.
32:21And I'm Mick.
32:21Hiya. Are you okay?
32:22You're okay.
32:25your head hurts how long has your head been hurting for since this morning how long did
32:33the seizures last for about five minutes five minutes in the early hours of the morning 11
32:41year old Lena had a seizure when she had another fit just 15 minutes ago dad Darius called 999
32:51can I do a couple little things with you put something on your finger that's all right
32:55not finger in there for me that's it we put this one to your arm all right it's like a
33:00little balloon that squeezes it shouldn't get a little bit tight on your arm okay
33:05have you bit your tongue at all and that does it hurt when you and no no he's not hurt
33:12because
33:12then put some something something you show me yeah you show me oh no no don't do that no no
33:30she'll break her teeth if she bites down hard enough no I know the thing is though putting
33:37that in there it'll cause problems the jaw it'll break it can break it so if ever happens again
33:43roll onto a so don't don't stop it put it in a safe place make sure you don't bang your
33:47head or
33:47anything but roll around to a side and anything that's in the mouth will just drain out naturally
33:51but don't put that in the mouth okay I'll just cause you a few problems that will during a seizure
33:58years ago people used to put objects into people's mouths to stop and biting the tongue but as we know
34:04these days that when you bite down you bite down hard which can cause damage to teeth and the mouth
34:10itself and also put part of the object into the airway so when she was having the seizure what was
34:17she actually doing well with her with her eyes rolling with her arms moving the legs moving it's
34:23she's she's just gone stiff and drooling for enough okay but we like it as a teenager we have proper
34:43golf
34:43because I was a bit of an emo yeah I used to wear two belts one to keep my trousers
34:50up and one like
34:51below my bum like a studded belt two belts that was the fashion honestly how did it stay on the
34:56trousers well I had one in the belt loop and then one just hanging around behind me basically just
35:02around my bum of course I get into my emo gear right now I'd go right back to the phase
35:07two studded
35:08about skinny jeans everything the band t-shirt the ice dip dye my hair the big fringe I've nearly got
35:15it
35:15going on now once an emo you're always an emo and you can't change it it always comes back I
35:20was in
35:21a band myself actually I used to play guitar and I was a bit of a rocker I'm kind of
35:25surprised and
35:26then not at all a lot of people aren't surprised I still have I still have the music taste like
35:30as soon
35:31I used to turn on the radio everyone everyone was like you were an emo and I'm like yeah I
35:34was
35:42ambulance service is a patient breathing yeah it's me okay what's the reason for the ball
35:48I've just coughed and something went pop oh I've had this pain underneath my ribs for a week it's
35:58absolutely horrendous oh thank you what we got pain in ribcage a 56 year old female chest and upper back
36:12pain previously diagnosed heart condition previous bypass okay well not far four minutes yeah on
36:20the way to this call when it caught with chest pain I was thinking a range of things could be
36:25a
36:25heart attack could be a blood clot in the lung could be a torn muscle could be a popped rib
36:29we just
36:36don't know I'll come around the back are we all right oh bless you if you ever sit down
36:52oh bless you into the start I've had a bad cough and pain all week but I coughed earlier that
37:00it was
37:00like something went pop okay I've had it all week as I say but since the top it's got worse
37:07much worse
37:07okay for a week 56 year old Lydia has been struggling with a cough but today when the pain in
37:16her ribs
37:16became unbearable she called 999 can I do some checks on you while you're talking is that okay
37:24yeah what does it feel like does anything make it worse other than the movement it couldn't get that
37:32worse when I saw Lydia was in so much pain and she was bent over panting in pain I thought
37:39we really
37:40need to get some painkillers into her and we really need to get it under control have you taken in
37:45for the
37:45pain and got any paracetamol or anything are you allergic to anything morphe okay do you take any
37:51other medications like no no it's whereabouts are they in the bedroom okay to go and have a look
37:58yeah or just some just do some basic checks and we'll get some pain relief for you okay have you
38:04had any of these cocodomol today no I'll get you a glass of water okay cocodomol is a strong
38:11painkiller combining paracetamol and codeine Lydia takes this drug on prescription from her GP you've
38:19had this cough for a week I have had a checks right chest x-ray two weeks ago did they
38:27say what
38:27it was is a chest infection I haven't had any anything back yet and why did they send you for
38:34the x-ray oh because I wanted to check for and for seeing my okay oh have you got anything
38:43else that
38:43oxmoor and oh okay oh turn me an hepatitis okay liver failure find your toes whatever they've got
39:00something they're only in stoke paramedics Mick and Dave are with 11 year old Lena who's just had a
39:09seizure they suspect she may have undiagnosed epilepsy who's this who's that young lady and who
39:20are we that'll do that'll do me follow an epileptic seizure there people have what is called a post
39:29ectal moment which basically their brain is scrambled they can't remember stuff or they get
39:34things confused so we ask them do you recognize somebody in the room I'm going to shine a light
39:39into your eyes now look at your eyes so look at my nose for me that doesn't hurt at all
39:47does it
39:47when I shine the light him no pupils are three and reactive so far Lena's observations are all normal
39:56but epilepsy is very difficult to diagnose with certainty you've got no funny feelings in your fingers or
40:03your toes you don't feel like they're tingling no can you wiggle your fingers and your toes when she
40:11had the season last time is it just the one seizure she's had last year yeah so she had two
40:16at the same
40:17time last year yeah okay how's your headache is it still hurting now as bad was it going off a
40:23little
40:23bit is it the front the back the top all across the front okay to help with the headache Mick
40:33gives Lena
40:34some liquid paracetamol do you think you know when you're gonna have ones you have a funny feeling or a
40:40funny sensation like a like a taste or a smell or I'm sleeping and when I wake up I have
40:50a seizure
40:51when she wake up she's very confused afraid yeah yeah yeah so while the brain is settling down they
41:06don't know where they are they don't know what's going on which is why they become scared they will
41:11take you up to the hospital see one of the doctors up there okay just because you've happened today and
41:15you can keep a track then of how many you've had that way we can try and find out what's
41:19causing it
41:20all right you okay with that the decision was made really for me to take Lena to the hospital because
41:28she was having repeated seizures and there was no underlying root cause and no diagnosis of epilepsy
41:35jump on there for me that's it push your bottom right up here for me
41:41there we go i'm going to fasten you in in a minute put some seat belts and all sorts on
41:49ready when you are Dave
41:52in the UK over a hundred thousand children and young people have thought to live with epilepsy
41:59that's two in every primary school
42:03how was your headache
42:07a little bit better
42:13right we're here we've arrived think of a little walking for us
42:19at royal stoke university hospital lena will be seen by pediatric specialists who will investigate
42:26what's been causing her seizures
42:32i'm just going to pop these on you're all right and i'm going to go outside get you some pain
42:36relief
42:37okay in albury to the west of birmingham paramedic sean and student paramedic john are with lydia who's
42:45struggling with severe pain in her ribs have you had gas and air before yeah yeah there you go that
42:54that's for you slow deep breaths okay that's it i know it's hard to take deep breaths when it hurts
43:00but
43:01after assessing lydia's chest sean gives her gas and air pain relief normally used during childbirth
43:10what would you say the pain was out of 10
43:1520 20 and what about now no it was 10 it's probably just a nine lip okay talk oh
43:24so can i be listening to your chest okay okay
43:31can you just lean forward for me that's fine i'll just work just you stay where you are
43:40perfect that all sounds good so lydia i think where we're at at the moment is i think we need
43:44to get you up to the hospital for some more tests anyway given your history with this long
43:50coughing the pain before and it does sound like you've maybe pulled a muscle when you've been
43:55coughing and that's possibly what's went pop and but we can't rule out anything else so it's probably
44:01the best we get you checked to make sure it's not anything more serious okay
44:14so i'm gonna pop your seat belt over you okay
44:21let me know when you're ready yeah
44:26you just keep taking that gas in the air okay
44:53i was on intravenous antibiotics and oxygen
45:03um i was diagnosed with pneumonia and an eighth rib fracture i'm back at home now and feeling loads
45:12better motorcyclist roman who collided with a car was diagnosed with three fractured ribs
45:20after treatment he was able to go home the same day
45:25pete who fell in his kitchen had blood drained from underneath his scalp
45:31he needed eight stitches in his head wound and lena had several tests in hospital but her diagnosis
45:40of epilepsy was not confirmed
45:46next time i'm going to be sick
45:49i'm going to be sick
45:50oh a woman collapses on a narrowboat
45:53it could be that she's having a bleed it did concern us a bit she wasn't getting better she was
45:57actually
45:58deteriorated
46:00oh that sounded a bit of a bang
46:01the patient is having multiple seizures when i heard that bang i'm thinking has the patient fallen
46:07over is she okay is she injured at all ultimately i was hoping that she wasn't having another seizure
46:13hello what's going on she's not responding
46:18and paramedics are called to a woman under arrest just sit her here
46:22she was chanting it sounded like religious chanting i had never seen anything like it before
46:31i hail you
46:34so
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