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00:01Ambulance service is patient breathing.
00:04She's extremely dizzy and can't stand up.
00:07Hang on, she's going to fall over.
00:09My mum's in a lot of pain in her face.
00:12She can't swallow food.
00:14I don't know what is wrong with that.
00:16I think she's having a breakdown.
00:20Righty ho, let's get them bad boys on.
00:24West Midlands Ambulance Service looks after almost six million people.
00:28I love the fact that not just every shift's different,
00:31every job's different.
00:32Do you remember everything that's happened?
00:35It looks like you're having a heart attack.
00:39Saving lives and making a difference every call out.
00:42Is she breathing normally?
00:45Water variability of Hollywood.
00:48Embedded with eight emergency crews.
00:51Could be anything, couldn't it?
00:52OK, OK.
00:54Filming simultaneously across the region.
00:58Time is everything in our job.
01:00Just relax.
01:00Relax for me.
01:01Can you open your mouth as wide as you can?
01:05Capturing life.
01:06How's your vision?
01:07You got it?
01:08On the front line.
01:10I go to work every day and I make a difference.
01:21Do you reckon it's going to get cold tonight?
01:24Stay warm.
01:24Do you reckon?
01:25Yeah.
01:26See I'm going for cold because there's no clouds in the sky.
01:30What did you have for team Morgan?
01:31I had burgers.
01:32What did you have?
01:33I had jack potato.
01:35Beans.
01:35Oh, vile.
01:37Is that what you have on it?
01:38What would you have on a jack potato?
01:39I would have cheese.
01:41That's disgusting.
01:42Are you joking?
01:43I feel sick from what you have.
01:45That's vile.
01:46Literally can't even look at you.
01:47Yeah.
01:50Just booking on Jack Tienen and Sharnie Jones.
01:52Thank you, sweet.
01:53I'll book you on.
01:53Have a good shift.
01:55Thank you very much.
01:56Same to yourselves.
02:07Are you more of a text person or a phone call person?
02:11I'm a bit of a nightmare with my phone.
02:14But I do prefer to text.
02:16I prefer a text.
02:17But then I'm awful at text and it takes me at least six or seven working days for me to
02:21get back to you.
02:22Working days.
02:23Working days.
02:23Not on the weekends.
02:24The one that gets me and it really winds me up when someone texts you.
02:28They send you one message and then another, and then another, and then another.
02:31Yeah.
02:31And then it's like just one sentence.
02:33What did you do in one message?
02:34One paragraph.
02:35I completely agree.
02:36You know when you're doing this back and forth text and people are replying super quickly
02:39and then they reply to your text before you finish doing your little seven texts
02:42and you can't keep up.
02:44I'd just rather ring them.
02:45I'd get sore thumbs.
02:47You know what?
02:47The best conversation I have is with my dad.
02:49I'll ask him something or I'll tell him something and I'll just get a thumbs up.
02:53Thumbs up.
02:53Oh, yeah.
03:09I started buying the pick and mixed cups.
03:11Oh, yeah.
03:12Oh, I'm addicted.
03:14You have to like tactically stack it though, don't you, so that you can get the full max
03:17amount of sweets.
03:17It's like, yeah.
03:18Fist pump and lower to fit more in.
03:21And then you strategically buy the jelly beans to fit in the holes and the gaps.
03:26And then the lid is always like that curved.
03:28Yeah.
03:29Pick and mix from the shops is a skill and an art form.
03:33It just sounds like you do it like probably on the daily from the technique that you use.
03:38No.
03:38It's just a technique built up over years of practice.
03:41And how long would one of those cups last you?
03:43Not long.
03:44Look at the size of me.
03:46I've now upgraded from the small cup to the middle cup.
03:49Ooh!
03:50It's only going one way, slippery slope.
03:54Ha, ha, ha, ha, ha.
04:03Ambient, Asian breathing?
04:06Yes.
04:08They're conscious and awake?
04:10They're conscious but not awake.
04:12So is she responding to you?
04:15No.
04:16She's having seizures now.
04:23Cat one.
04:25Hold on tight.
04:27Two, five.
04:29The patient's had a seizure.
04:33A seizure will always come through as a cat one because you don't know what condition the patient's going to
04:37be in when you get there.
04:38You're automatically thinking, are they going to be struggling breathing?
04:42Could they go into cardiac arrest because of it?
04:45Or respiratory arrest?
04:47And neurological damage, ultimately.
04:49Because when you're having a seizure, you're not getting enough oxygen to your brain.
04:52So it's making sure that we're there and we can try and stop it as soon as we can.
05:01Hello.
05:02Hello.
05:03Hi, mate.
05:05I'm Mark.
05:06This is Amy.
05:07Hello.
05:08You're the crew, mate.
05:10Hello.
05:11Stacey.
05:13Stacey, can you hear me?
05:16Can you open your eyes for me?
05:20How many drinks has she had tonight?
05:23Okay.
05:23Bare half a bottle.
05:26Just doing your blood pressure, okay?
05:32When 29-year-old Stacey had a seizure tonight, her friend Anthony called 999.
05:40Just take your temperature.
05:43Hello, Stacey.
05:44Sorry.
05:4537-8.
05:46She's a bit toasted, isn't she?
05:49Come on, Stacey.
05:50Come and have a sit up for us, please.
05:55As Mark and Amy begin to treat Stacey, a man enters the flat from outside.
06:00Hey!
06:02Hey!
06:02Hey!
06:03Hey!
06:03Hey!
06:05Hey!
06:06Hey!
06:07If you can do what you do, I'll do what I'll do.
06:10I was quite concerned and quite scared of this other man, of what he was going to do.
06:18This is one of those strange jobs where alcohol is obviously influencing people's behaviours.
06:23I love the beach.
06:24Yep.
06:25What are you doing, sir?
06:26No, no, no, no.
06:27Sir?
06:29No, don't, please.
06:30I can give you an old one.
06:31Will you come on?
06:32I thought it was very odd that this man was drawing on this patient's face.
06:37He claimed to be the patient's friend, but you wouldn't draw on your friend's face when they're unwell.
06:45Stacey, should we help you up, mate?
06:46Come on.
06:48Ready?
06:48No.
06:49You can lean on me.
06:51Right then, Stacey, can you tell me what's happening?
06:53What's happened this evening?
06:54I'm sick.
06:56You feel sick?
06:57I've been sick as well.
06:58You have been sick.
07:00You have been sick.
07:00Have you had a bit too much to drink this evening?
07:04No.
07:05Come on, mon lovely.
07:07Shall we roll over?
07:10There we go.
07:12Come on.
07:13Let's have a sit up.
07:15What are you doing?
07:16What are you doing?
07:17Paramedic team.
07:18Paramedics.
07:19I've been to you before.
07:21Paramedics?
07:21Yeah?
07:21Yeah.
07:22I'd previously been attending Stacey's property a few months earlier, so I was aware of Stacey's
07:28alcohol dependence, so I knew it was going to be difficult to communicate, difficult to get
07:34Stacey to do what we wanted because of the alcohol.
07:36Come on, mon lovely.
07:39That's it.
07:40Have a bit of a walk.
07:42Over to the sofa.
07:44There we go.
07:44Keep on going, keep on going.
07:46Plank yourself on there.
07:47There we go.
07:48Wonderful.
07:50There we go.
07:52Do you want to take this jumper off?
07:54Have you got anything underneath?
07:55Yeah.
07:56Because you've got a bit of a temperature.
07:59Arms up in the air.
08:01Like we just don't care.
08:04There we go.
08:05Sure.
08:06That'll cool you down a bit.
08:08Can I stick these on your wrist?
08:14Stacey, any allergies, bub?
08:17Hospitals.
08:18Hospitals.
08:19Fair comment.
08:20Fair comment.
08:20We have the same feeling.
08:23Right.
08:24Nice and still for me.
08:27So, quick question.
08:29Do you want to go to hospital?
08:30Do you not want to go to hospital?
08:32No.
08:37OK.
08:37When she was on the floor, was there any, like, shaking at all?
08:40Yeah.
08:41Yeah, yeah, yeah.
08:41There was shaking.
08:44And she wasn't...
08:44Alcohol-induced epilepsy.
08:46Oh, got you.
08:48What's on your medical note, that's all?
08:51Alcohol-induced epilepsy is exactly what it says on the tin.
08:56She suffers from seizures and sometimes it can be due to
08:59drinking too much alcohol.
09:01Are you sure you don't want to go to hospital?
09:03Yeah.
09:04Are you sure?
09:05OK.
09:06Are you sure we can't convince you to come with us?
09:09I'd advise to try and stay well from the alcohol if you can.
09:13Let me just take these off you.
09:20Oh, that sounded like a bit of a bang.
09:32Yeah.
09:33When I heard that bang, I'm thinking, has the patient fallen over?
09:36Is she OK?
09:37Is she injured at all?
09:38Ultimately, I was hoping that she wasn't having another seizure.
09:41What's just happened?
09:44Stacy, can you talk to me?
09:59You know, in England, if something's banging, like, that's really good.
10:03Yeah, yeah.
10:03Like, oh, yeah, those cheesy chips are banging.
10:06Banging, yeah.
10:06In the Isle of Man.
10:07Is that bad?
10:07It's bad, yeah.
10:09Like, oh, so I'd be like, ugh, those, ugh, those chips are banging.
10:14It means that they're gross.
10:15And it took me a while to, like, figure that one out.
10:19They'd be like, why are you pulling that face for?
10:22And I'm like, it's banging, it's gross.
10:23They're like, what?
10:24No, banging over here means great.
10:26Good, yeah.
10:27I don't even know if people use that anymore.
10:29Banging.
10:30No, it's outdated.
10:33We're too old for banging.
10:35Even just places, like, within England, it's just so different, isn't it?
10:40Yeah.
10:40Something like Stoke, if you say, oh, just go up the bank.
10:43Like, people won't know.
10:44What does that mean?
10:45It's up a hill.
10:46You know what I mean?
10:47It's just at the top of the bank.
10:48What?
10:55Ambulance services, the patient breathing.
10:58Yes.
10:58What's the reason for the ambulance?
11:01She's extremely dizzy and can't stand up.
11:04Hang on, she's going to fall over.
11:06Put me on the floor, please.
11:08Sorry, she's going to, I think she's going to be sick.
11:13We're going to a 69-year-old female.
11:16Dizziness.
11:17No notes.
11:20But it does say Union Canal.
11:23I'm going to guess she's in a barge.
11:26And I can't say I'm the biggest fan of barges.
11:31Immediately thinking, how are we going to get them out?
11:35You can't just, you know, throw them over your shoulder
11:38and carry them out that way.
11:45Hi, my name's Tommy.
11:46Hi.
11:47Which one are we?
11:48That one there, isn't it?
11:49That one there, but you're probably easier.
11:50I just have to see from this bit.
11:52OK.
11:52A neighbour helps Keira and Brooke find the right narrowboat.
11:57It is quite obviously narrow.
12:00It's quite limited.
12:02Am I on the bottom step?
12:03No.
12:05Oh, she's on the floor.
12:19Oh, bless you.
12:20Hi, Jenny.
12:21My name's Brooke.
12:23And we've got Keira as well.
12:26You're feeling dizzy, is that right?
12:28Yes.
12:28Yeah.
12:29I feel a bit disoriented.
12:31OK.
12:32I'm going to be sick.
12:34Yes, well here.
12:35Oh!
12:39Paramedics Brooke and Keira are with retired primary school teacher Jenny,
12:43who's holidaying on a narrowboat.
12:46When she became dizzy and sick, husband Nick called 999.
12:53So, your blood pressure at the minute's OK.
12:55I know you're feeling dizzy, but for us to do some more assessments,
12:59would you be able to have a sit on this chair?
13:01Yeah.
13:01If we give you a hand up?
13:02Yeah.
13:02Yeah?
13:03If you want to just try and swing your legs, that's it.
13:06So they're straight.
13:07Where are we?
13:08On the boat, Jenny.
13:11Ready?
13:12One, two, three.
13:14Oh!
13:15Oh!
13:16That's it?
13:17Yeah.
13:18Fabulous.
13:19I'm just going to do your blood sugars, OK?
13:23One, two, three.
13:24Ooh!
13:26Jenny's observations all appear normal,
13:28but there could still be an issue with her brain.
13:32Where are we, Nick?
13:33We're on the boat jump.
13:35And where's the car?
13:37The car's just over there.
13:39OK.
13:40Do you know what day it is today?
13:45Er...
13:45Now, let me think.
13:46I want to see if you can figure it out.
13:48Let me think.
13:51Well, I was going to say 2024, but I don't think that's right.
13:55Not quite.
13:57Er...
13:58What answer did you ask me?
14:00What day it was?
14:01Yeah.
14:02I don't know, to be truthful.
14:03OK.
14:03That's a good worry.
14:06This state of confusion is new for Jenny and a worry for her husband, Nick.
14:12Did you phone 999?
14:13Yeah.
14:14Yeah.
14:14What happened to me?
14:16You were on the floor when we got here.
14:18Oh, I didn't know that.
14:19Yeah.
14:20Did you phone 999?
14:22Yeah.
14:22All right.
14:23Oh.
14:24All right, goodness sake.
14:28Repetitiveness is a bit of a red flag for us in terms of something neurological going on.
14:32It doesn't necessarily mean that she's having a stroke, but it could be a sign towards something neurological happening.
14:39But you're having this dizziness and you've got a little bit of repetitiveness.
14:42You're kind of saying a few things again and again.
14:45I don't know if you're realising that you're doing it.
14:47But I think all of that together warrants a trip up to hospital.
14:52And now it's just about getting you out because you're not very steady on your feet, are you?
14:57We thought maybe it could be that she's having a bleed potentially that is developing as we're spending more time
15:03on scene.
15:04Did concern us a bit, didn't it?
15:06Yeah.
15:06Because she wasn't getting better.
15:07She was actually deteriorating.
15:09It certainly amped up the pressure of it's getting worse.
15:11We need to get to hospital as soon as possible because we need to rule out that it's not something
15:15going on in her brain that we can't see.
15:19You ready?
15:20Yeah.
15:20That's it.
15:20We'll get you either side.
15:22Hold on to us.
15:24You go for it.
15:29It's okay.
15:32Nice and steady.
15:33Are we at the boatyard?
15:34Yeah.
15:35We haven't moved.
15:36No, we haven't yet.
15:38That's it.
15:39Oh.
15:41Oh, no.
15:42It's okay.
15:43Take a step and then step onto this one.
15:47Take a step.
15:48That's it.
15:48Be careful with your foot.
15:49Just move that foot a little bit further forward.
15:51That's it.
15:51Oh, no.
15:52The blood pressure is okay.
15:53So we were quite happy with that in terms of her standing and her not, like, passing out.
15:58But then it wasn't just as simple as getting her from her boat onto land.
16:01it was that we had to go over like another boat as well right hold on to me i think
16:07you can do
16:08that big step that's it well done that's all the hard work done with jenny free of the cramped
16:16conditions of the narrowboat brooke and kira can now treat her more easily on the ambulance
16:26what day is it nick is it the day we came on the boat it is yes i didn't know
16:32we came on a friday
16:34we haven't actually sailed anywhere have we i don't remember anything really right can i have
16:41this arm i'm just going to give you an anti-sickness okay right i'm going to jump in the front
16:46and start
16:47heading towards stoke jenny and nick were about to start a four-day canal holiday
16:53but now she needs specialist medical treatment so explain to me what's happened
17:01i don't know i forgot i mean i haven't forgotten i can't remember
17:12right then darling at royal stock university hospital jenny will have scans to see if her
17:20dizziness and confusion are neurological
17:29i have no idea what's going on with her to me screams neurological oh yeah do you reckon it was
17:37a
17:37stroke i don't know it's all very strange wasn't it yeah i'm just glad she could walk because oh my
17:42gosh i don't think we would have got her off that would have been so hard
17:48sorry
17:54what's just happened in starbridge paramedics amy and mark are with stacy who's had an alcohol induced
18:02seizure tonight after refusing to go to hospital she's just collapsed again
18:08i don't know what's going on
18:10stacy can you open your eyes for me can i have your finger thank you hello kitty cat come on
18:19then
18:19stacy you okay should you have a sit up again yeah your head does it hurt a little bit
18:28should we help you on to the bed stacy yeah yeah ready ready to stand ready push through your legs
18:35steady stand
18:37that's it
18:41there you go
18:45and you still don't want to come to hospital with us i don't know i don't know anymore
18:52what's happened to me
18:56i think you've had a couple of non-epileptic seizures
19:13what we're thinking stacy
19:18it's entirely up to you mate you're staying here yeah
19:24i thought you'd say that right get some sleep look after yourself all right
19:30look after yourself all right mate no one is at all
19:35in this case i believe stacy needed to go to hospital but ultimately we can't force anyone to go
19:41to hospital if they don't want to go we can't drag them kicking and screaming so in this case we
19:47have to leave stacy at home because that was what she wished for
19:53that man was a bit of a joke wasn't he putting that pen all over her face like what was
19:58what was that all about why would you do that no idea
20:16i've got an ambulance centric question for you okay which siren is your favorite
20:23the second siren you know the close together one we will yeah yeah classic
20:33it's like i'm actually there i can't do it the pacer one the last one is just very loud and
20:39very like well it pierces your ears it's not nice to listen to for a while it's useful though it
20:44is
20:51useful
20:52ambulance service is the patient breathing she is okay and what's the reason for the cause
20:57i'm the doctor triaging the call it's a 83 year old lady she's having diarrhea vomiting not keeping
21:05any fluid down not eaten for a few days
21:13they've been allocated a 83 year old female reporting dizziness and she's currently bed bound
21:21with an elderly patient with these kind of symptoms weakness diarrhea vomiting and not eating you're
21:26thinking about their recovery time and how they aren't as able to bounce back from an illness
21:31as there's somebody who's younger would be able to
21:41hiya duck i'm jack and this is shawnee hello what can we help you with sweetheart what's going on
21:48is this your daughter granddaughter do you want your granddaughter to tell us what's going on
21:53um she's very weak like i say she can't eat or drink hit you like a truck has it yeah
21:58pain on the left
21:59side here and to me your stomach does feel fine so when was the last time you had a normal
22:05poo
22:08last weekend okay when was the last time you were up and out of bed tuesday tuesday
22:1683 year old maureen has been ill in bed for three days granddaughter kirsty called her gp and he rang
22:23999
22:25husband bill is by her side
22:29let's have a look at your ticket see what that's doing the best description she's said is she feels
22:34like she's been kicked around with her five stroke city football team i still have city football team
22:39she's gonna pop these stickers on your chest sweetheart you're stuck it's bubbling like anything
22:44i've heard it i've been sitting here and i've heard it you just try and stay nice and still for
22:48me maureen
22:50jack runs an ecg to check maureen's heart let's have a peek of this
22:56you ever been told that you have some extra little heartbeats every now and again
23:01used to have them
23:04that could explain it you have just every now and again you just have a little extra
23:09it just drops it in randomly so they're not that regular can i have a feel of your tummy that'd
23:16be
23:16okay i'll start on this side nothing on there nothing on there so that's all okay that's all right
23:24there there so that's where the most painful bit is okay yeah so your tummy does feel a bit swollen
23:30your pain's right over that side which is like stomach a bit of intestine i can't really leave you
23:36here if you can't get out of bed so i think we have to have a trip up to royal
23:40stoke i decided to take
23:42in hospital because of the length of time that her symptoms had been going on for and we'd hit a
23:47point
23:47where she needed a little bit of outside help from an e department to recover and get back to how
23:53she normally
23:54was now my next question is how are we gonna get you out
24:08we're following eight paramedic crews as they work through the night
24:12responding to emergency calls from across the west midlands
24:19i'm ready for you so we need you like here ideally how can i help you
24:25in stoke technician jack and paramedic sharni are with maureen who's been suffering with vomiting
24:32and diarrhea for three days
24:36almost there maureen you're doing great yeah oh there we go that's it you've landed perfectly done
24:44i don't know if you lean back a little bit for me
24:49when i saw the stair lifts very jolly of me but i thought belter meant that we don't have to
24:54carry
24:54maureen down the stairs so we get her down to the ambulance nice and quickly there you go perfect
25:02ready steady lift i told you that'd be easy didn't i maureen yeah there we go
25:14maureen maureen you did fantastically i bet you feel like you've just ran a marathon you did amazing
25:25how did the two of you meet starting with the case that he does
25:3365 years eh what's the secret
25:40work together yeah at this point in time i don't see myself doing anything for 65 years
25:46but i'd like to find somebody brave and stupid enough to be married to me for that long
25:51hey hey i think we're just about here now maureen
25:56at royal stoke university hospital doctors will help maureen start eating and drinking again
26:02they'll also carry out tests to work out what's causing her pain
26:19so where is she falling where in the house is she
26:22maureen's emergency call was answered here where a team of call assessors are available 24 7.
26:29i have this deep innate feeling that i am doing this job for a reason i really want to be
26:36a part of
26:36something bigger than me i like to think that have impacted that person's life in a positive way
26:44ambulance service is the patient breathing
27:07is it that she's been removed from her house or that she's locked herself out
27:16now somebody's locked it out it's got now slippers now shoes on
27:23it's just got a little top on in the pants it's upsetting i need it it's stressful
27:30and i know i wanted to bring the place for a while let me leave the place because it's bright
27:34okay no we're gonna help her a lot of the time people don't volunteer information on certain
27:42circumstances you can hear it in somebody's voice there's more to this story
27:48she lost any blood from anywhere all her knees are all knocked about and scuffed
27:56so i need some dressing done i need them all bleeding okay has anyone has anyone harmed her
28:04well that's not for me to say okay can i can i speak to her hello hello there my sweet
28:11it's the
28:11ambulance service yes what's been happening tonight i've climbed some branches too well
28:20you've been climbing what you've been climbing some branches
28:26and what were you climbing the fences for
28:33oh you were trying to get into the back of your property
28:40oh you was quite right okay and is there somebody in your property that's that you're trying to get
28:47away from i don't discuss it please in a situation like this where i have suspicions but haven't
28:58directly been told that there may be a risk or a threat there basically you know you need the police
29:05there other cases need a bit more investigation okay when did this happen a couple of hours ago
29:14all right then my sweet so what we're gonna do we are gonna get some help arranged okay so yeah
29:21do
29:21you just need to speak to one of our clinicians so i can arrange some further help okay so we'll
29:27call
29:27back shortly okay all right my sweet you take care bye bye bye bye uh 3638
29:36okay i've put it in there um it's a possible safeguarding more than anything when we refer
29:43a case to safeguarding that usually means that there's a vulnerable person or a vulnerable situation
29:49it's a very wide range of things why somebody may be safeguarded it means this person needs extra
29:57support and they need a safety net and they need a blanket of of help the neighbor she's run to
30:02the
30:02neighbor's house naked from the waist down no shoes but thankfully the neighbor's taken the moment
30:08taken her in and i know it's horrible
30:27oh what a chunky cat
30:32was that a badger oh my god was that a badger or oh it was oh was it a raccoon
30:41i didn't like that that scared me that did that scared me was it a chunky cat it might have
30:49been
30:49a chunky cat or was it a badger i remember it looking us in the eyes and that was not
30:54that must
30:55be why we screamed that was not a cat i don't know what it was i don't want to know
31:00what it was
31:01a wild animal across the road shaking his little booty
31:06it looked as it was like i have no cats
31:11i've never saw a badger before that was terrifying
31:23the patient is breathing but i don't know what is wrong with that okay she awake and conscious
31:36okay what's happening with her at the moment she's just thinking i think she's having a breakdown
31:52female cartoon mental breakdown was there anything else on that just mental breakdown
32:00my thoughts were mental health this could be absolutely anything it could have been a case
32:05where this patient had really injured themselves or someone else so it was just a matter of urgency
32:11to get there police are here
32:15i help you most high
32:23what's going on
32:29the patient is said to have assaulted a member of staff and the police as a result she's been
32:34arrested the patient's mother is with her this is how she normally is never okay i've never seen her
32:43like can you do i'm actually worried do you think you can calm her down no no hello what's going
32:52on
32:53she's not responding okay all right let's get her on ambulance we'll do our checks on there
32:59we need to get you up onto an ambulance are you going to work with us i'm going to pick
33:04you up
33:04all right there you go
33:09daisy and morgan need to check if the patient is well enough to be taken into police custody
33:16just sit her here for me
33:19the lady was shouting screaming i hail you um to us it was coming across like
33:29some sort of script from the bible and she was just preaching that
33:34i hail you she was chanting it sounded like religious chanting i had never seen anything like it
33:44before
33:44i really struggle with some words i don't know whether it's my accent or my lips or what but
34:08it came out upside down backwards what's that word that everyone struggles to say it's like
34:14anonymously anonymously and non-in-a-n-a-n-o-n isn't this the two n's anonymous a-n-o
34:22-n that's as much
34:23as you're getting from me anonymous anonymously i know what you mean with some words it's how you say
34:30it's like what's the word i like that's what i was about to say with the glittery
34:48picture things at the end and then you turn it and it all falls and it's all different colors and
34:55shapes a collide there we go it's how it is kaleidoscope kaleidoscope kaleidoscope
35:11ambulance service the patient breathing yeah okay what was the reason for the call please
35:16my mom's done a lot of pain she's saying pain where in the face in the face okay and the
35:23back and she
35:24can't swallow food it's got gradually got worse over the last couple of days
35:30right we've got a category two um 90 year old lady chest pain back pain lip swelling difficulty swallowing
35:38and pain so let's have a look
35:44this lady it stated she was 90 and she was in a lot of pain so i think instantly we
35:49started to think
35:49what kind of pain is she in where is it coming from and how much is it affecting her with
35:54obviously her age
36:00hi ducky you're right are you sweetheart i'm nick this is kyra is that hurting you though
36:09let me have a check your pulse
36:10what's your life is
36:1290 year old nova has been suffering with pain in her back and mouth for the past four years
36:19but tonight when the pain became unbearable daughter sue called 999
36:25we'll get all these checks sorted and then we'll make a plan of what we're going to do all right
36:29sweet heart every four minutes this is happening and it just comes in like it then it'll go but she
36:39can't lean on her back pain in the back triggers the pain in face she can't eat a meal when
36:47it goes in
36:47the mouth she's getting a pain at the back of the tongue okay it was quite perplexing as to what
36:54was
36:55going on with the pain in the face the pain in the back how it was related so we were
36:59quite confused as
37:00to what was going on when you get this pain sweetheart i know this i know it's really difficult to
37:06describe
37:07pain but what sort of pain is it is it burning stinging it's coming quickly are you ready yeah
37:14it sounds very it's coming it's coming more frequently yeah okay blood pressure's high at the
37:20minute could be because of the pain that would make sense i'm just going to do a little pinprick
37:27on your thumb sweet top sharp scratch okay can i pop these stickers across your chest to do an ecg
37:35is that all right because your heart rate's jumping around a little bit yeah anything you want
37:41nick carries out an ecg this will provide a trace of nova's heart and might give a clue as to
37:48what's
37:48causing her pain have you still got your tonsils no where's that accent from i thought it was
37:56somewhere down there yeah you don't sound like a stokey duck in your mouth yeah are you okay too
38:07but you can tell your lips swollen oh up there looks a bit swollen up there yeah okay okay and
38:18under
38:18there does it feel sore yeah whenever anybody is in any pain or discomfort in the mouth we have to
38:25be
38:25very careful of the airway because it needs to be kept clear at all times so we have to consider
38:31if
38:31this allergic reaction any damage with nova we could see that she was in pain but we had absolutely no
38:38idea what was causing it let me have a little listen to your chest we thought i'm starting again
38:46so it's like comes in spasms don't it we need to get you sorted out
38:58rest are fine because she's able to sing so she's not lacking in breath
39:03is that the only thing i know is there is a more to it you can sing but can you
39:11sing it a bit quieter
39:12please do a complete opposite hit
39:18in birmingham paramedic daisy and student paramedic morgan are with a patient who's been arrested
39:25she's allegedly assaulted reception staff and the police
39:37we can't see any abnormalities the heart rate was a little bit high wasn't it yeah it was up a
39:44little
39:44bit we didn't do an ecg to sort of rule out anything to do with that um but she was
39:50quite erratic
39:51so we would expect the heart rate to be a little bit higher than we don't think there was anything
39:55medical going on no not at all
39:57okay
40:16daisy and morgan's observations show that this patient doesn't need to go to ame
40:22she can now be taken to the police station
40:27she is understanding what we're saying as well she's acknowledging things when you said you said
40:31you can sing sing a bit quieter she went she went louder she's stood up when the best she's eye
40:37contact she understands we were there to determine whether the patient needed help medically or if it
40:45was something that the police needed to deal with and ultimately we decided that it was something for the
40:50police she's under arrest all right i don't understand i know i know i know
41:00she's under arrest yes she's done other things it was not a normal case it was no this is not
41:07what
41:07you see every day it was a bit of a mystery in terms of we didn't know exactly what was
41:11going on
41:12we couldn't pinpoint it oh dear i felt so from that yeah i did but then also she knew we
41:22were there
41:23she was acknowledging us she knew we were talking to her what a strange way to be i just don't
41:30get it
41:30i don't get why she started doing that like what is going through her head
41:44right plan of action in stoke paramedics nick and kyra are with nova who's been experiencing severe pain
41:53in her face once we get the hospital we'll have a word and explain we need the specialist people on
42:00the ward that know more about this and they can hopefully start looking at medication we decided to
42:08take nova to hospital due to us not really knowing what was causing this mouth pain and having a knock
42:14-on
42:14effect with the back more tests needs to be performed so we get down to the bottom of it
42:19right let's get rid of these you can have some oromorph now and then once we get the hospital
42:26we'll see what we can try and sort out for you oromorph is liquid morphine it's already prescribed
42:34for nova by the gp to help manage her chronic pain right you're going to get on here ducky we're
42:41going
42:41to put a blanket on first wrap you up like et it's all right though i'm not going to be
42:45riding like a bike
42:47otherwise we'll all be in hospital right we're ready sweetheart
42:55right door right so if we do you want to come
42:58you breathe through it
43:03okay you lean back
43:07could you score out of 10 for me the pain zero nothing 10 being the worst pain
43:13well yeah they turn out of 10. sometimes it comes on quick
43:19okay are we happy yep but if there's anything you need please let me know okay
43:25yes we're not quite the ilton but we do our best
43:34come on that six children i was a six
43:38oh you were the baby were you
43:45yeah i love your name it's so unusual
43:57brilliant
43:58i really enjoy having a chat and that with the patients i'm quite a nosy person anyway but i find
44:04people really interesting nova was so lovely it was really lovely chatting to her
44:11right then there'll be a couple of little bumps but we'll do it as
44:15gently as we can sweetheart okay at royal stoke university hospital nick wants to get nova seen
44:22by a specialist to determine the cause of the excruciating pain in her face
44:34oh she was a lovely lady i know it's not nice when they're in so much pain and discomfort and
44:42we
44:42can't really do anything to help them yeah it's really frustrating well hopefully she gets sorted
44:47she could be back with while at home with a little dog soon yeah
44:56nova was diagnosed with trigeminal neuralgia
45:00a condition where nerves in the face get compressed
45:03she was monitored in hospital for 10 days and given new medication to better manage the pain
45:11maureen had a scan that revealed she had an inflammation of her bowel
45:16she was given antibiotics to help treat the infection
45:22and after collapsing on a narrowboat jenny had scans in hospital these showed she hadn't had a stroke
45:30doctors diagnosed an inner ear infection that can cause vertigo and nausea
45:41next time his legs have gone completely a man has a suspected stroke you know when you closed your
45:48eyes then did you feel like you were going leaning to one side at all yeah
45:52we've only got a very short window of opportunity that we can help and save and treat that stroke so
45:58time really is not on our side while hiking a man falls injuring his leg when we got a call
46:05saying
46:05mountain rescue were on scene i think our first thought is where on earth are we going yeah and how
46:11are we getting there what we don't want to do is put any more strain on your heart all right
46:16and pain
46:16from coughing masks a heart attack i have to be careful how i explain it to him if we put
46:22any more
46:23stress on the heart that is already under it could be potentially fake don't get upset we're gonna look
46:28after you okay
46:58so
46:58so
46:58so
46:58so
46:59so
46:59so
46:59so
46:59so
46:59so
46:59so
46:59so
46:59so
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