- 1 day ago
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00:01Ambulance service is patient breathing.
00:04This old gentleman, he can't walk no farther.
00:08There's a person on the floor, and that's if it's OK, but he doesn't respond.
00:13The gentleman's fallen over. We'll need a mountain rescue as well.
00:17Righty ho, let's get them bad boys on.
00:20West Midlands Ambulance Service looks after almost six million people.
00:25I love the fact that not just every shift's different, 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?
00:42What availability of HeliMed?
00:45Embedded with eight emergency crews.
00:48Could be anything, couldn't it?
00:49OK, OK.
00:51Filming simultaneously across the region.
00:55Time 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. Vehicle reversing.
01:20Hey, how comes I always end up getting on a truck before you?
01:23Age before beauty.
01:25It's going to be a long shift this is, Mick.
01:33If you could master any talent, what would it be?
01:37Probably to learn every language.
01:41I'm jealous of that answer.
01:42Mine would be to be able to play the piano.
01:44I want to be able to just see a piano and just play it.
01:48In public. In a train station.
01:50Yeah. Do a little courtesy.
01:51Yeah. Thank you, everybody.
01:53That's a good talent. It is, isn't it?
01:55Yeah.
01:56Good morning. It's Scott and Law on 7-7 today, over.
02:00I'll get you both. I'm good, 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,
02:16but told me I was the most beautiful person I'd ever seen.
02:21He was lying.
02:24A lady told me I'm going to marry Johnny Depp,
02:27and I was pretty complimented by that.
02:29Yeah.
02:30I like getting called a handsome young man
02:32off 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 click.
02:55That was a good crack.
02:57Click your neck.
02:58All right.
02:59Not bloody.
03:00Now.
03:01Show monkey.
03:01Actually, don't.
03:02I will get a snake.
03:05Yeah.
03:07Oh, stop it.
03:09I don't like your neck.
03:11I think there's two types of people in this world.
03:13People who are obsessively clicking themselves,
03:16and some people who are not, and that's the difference between me and you.
03:18Yeah, I crack too much all the time.
03:22Yeah, honestly, I'm not surprised you didn't come and be like,
03:24oh, I can crack my nose.
03:26Some people can.
03:27You know what?
03:27Can you crack your ear?
03:30Oh.
03:32I don't know how you do it.
03:33It makes you feel like I'm going to break my head.
03:35Yeah, it does your right.
03:41Who you is?
03:44I'm going to go to service.
03:45Is the patient breathing?
03:47Just to bed.
03:48This old gentleman, he can't walk no farther.
03:52Can I speak to him directly?
03:54Hello?
03:55So tell me what's the main problem?
03:58I'm struggling to walk.
03:59Right, what's going on with your speech, sir?
04:02You sound a little bit slurred to me.
04:04Have you ever had a stroke before?
04:07Yes, I've had a couple of limb strokes.
04:13We are going to a 71-year-old male exposed to the elements,
04:19apparently struggling to walk short of breath.
04:22He's previously had a stroke.
04:24His speech appears to have become slurred
04:28and he is sweating.
04:29This could actually be a stroke.
04:33On the way to this job, it came through as slurred speech, didn't it?
04:36So, obviously, that's a stroke symptom.
04:38We've only got a very short window of opportunity
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?
05:02Bill.
05:02Bill, nice to meet you, Bill.
05:03I'm Brock and that's Keira.
05:04Hello.
05:05So, what's happened?
05:06His legs had gone completely.
05:08He was going to one side and his legs were giving way.
05:12He just couldn't walk.
05:14When 71-year-old Bill found himself staggering
05:18while crossing this grassland,
05:20neighbours Sheila and Karen came out to help
05:23and called 999.
05:26We're living there now.
05:28He's been sorry.
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.
05:35And she was helping me walk down.
05:39And what were you doing?
05:40Were you just on a walk or...?
05:41Yeah, she was coming back from the shops.
05:44I think people that come out and help people
05:46like those ladies did, it's really thoughtful.
05:48It restores your faith that people actually do care about everybody,
05:52so it's nice to see that sense of community.
05:56Can I just have your hands for a second?
05:59Just give them a nice big squeeze for me.
06:01Nice and hard.
06:03Fabulous.
06:04Now, lift your arms up in the air for me.
06:06Close your eyes.
06:07Keep them there.
06:08Don't let them drop.
06:10Okie-dokie.
06:12Try that again.
06:13Keep them there for me.
06:15Okie-dokie.
06:16You can relax them down.
06:18Now, can you try and kick your foot out towards me, against my hand?
06:23Brooke carries out what's called the fast test to try and identify the telltale signs of a stroke.
06:33And then in towards my hand.
06:36Okie-dokie.
06:37Fabulous.
06:38You know, when you closed your eyes then, did you feel like you were leaning to one side at all?
06:42Yeah.
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.
06:55We didn't know what was happening, so we needed to figure out quickly.
06:58Do you feel like you just feel a bit weak, or is it like that you're...
07:02He says he's not 80.
07:17If I had my way, I would eat chicken every single day.
07:21It's just absolutely lovely.
07:22Would you have it still warm on your salad?
07:23Oh, yeah, yeah.
07:24I can eat a cold drumstick.
07:26But if I sort of cut half a chicken up, I can't eat it cold.
07:30The law is you have to have a cold drumstick, but the breast has to be warm.
07:35Especially if it's just come off the spit roast, and it's juicy, and you're just...
07:40Oh, yeah, they're all running on your chops.
07:41I'm hungry now.
07:51Ambulance services the patient breathing.
07:54He is, yeah.
07:56He has a lot of bronchitis.
07:57He'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.
08:11The excruciating pain at onset.
08:14Right, you.
08:16Could be absolutely anything with chest pain.
08:19Cardiac.
08:20Is it muscular?
08:21Musculoskeletal.
08:21Have they got a cough?
08:22Cough.
08:23Muspiratory.
08:24Until we get there, it's that proverbial guessing game.
08:28Get your foot down and get there.
08:37Hello?
08:38Where is he?
08:39Where's he hiding?
08:41My name is Dave, and this is Mick.
08:42Hi, you're right.
08:43What's going on with yourself?
08:51I think I might have pulled so we get...
08:54We're coughing, you've hurt yourself, OK.
08:5777-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, OK.
09:09Had you been coughing quite heavily prior to the change of pain?
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? OK.
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, yes.
09:35Let's just have a quick listen to your chest.
09:39When I've listened to Bob's chest,
09:41it was quite noisy, innit?
09:42The best way to describe it, it 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.
09:56I'll give you something for that,
09:57just to sort that out, OK?
09:58Right, to pop some dots on, we'll do an ECG.
10:00OK?
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 a job?
10:12Over the pit.
10:14Oh, that'll do it.
10:15So you've always been around dust.
10:17When Bob told us he worked down the mines,
10:19we started to think,
10:20ah, right, OK,
10:21this is what his problem is with his chest.
10:23He's got dust, he's got coal dust on there.
10:25And this is what's potentially causing him
10:27all his issues and his problems.
10:28This is a salbutamol inhaler, OK?
10:32It's just clear some of that wheeze off your chest.
10:34While Mick secures the inhaler
10:36to help Bob with his breathing...
10:39All right.
10:41..Dave prepares to run the ECG on his heart.
10:45I'm feeling a bit of pain now.
10:47Where about is it?
10:49Just right in the middle there?
10:51OK.
10:52He's definitely not going anywhere else.
10:54Does it feel like he's going through to your back?
10:56No.
10:57Right.
10:58Nice and steady for me, OK,
10:59for 30 seconds while I do this ECG reading.
11:02You ready?
11:06You haven't had any pins and needles in your hands at all?
11:09When this pain come,
11:11I've got pins and needles here.
11:12In there?
11:13OK.
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.
11:30After listening to his chest and 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 on that heart tracing
11:40straight off where I was sitting.
11:42Absolutely.
11:43And to me, it looked like he was having a heart attack.
11:46Game's there now.
11:59Right, so I'm going to give you an aspirin.
12:02Right.
12:03Just pop that in, OK?
12:05And just chew it.
12:06Don't swallow it, because it's an aspirin, OK?
12:09In Stoke, paramedics Mick and Dave are with Bob,
12:13who they suspect is having a heart attack.
12:17Hi, good morning.
12:17It's Mick, one of the paramedics.
12:18OK?
12:19I'm just with a 77-year-old gentleman at the moment.
12:22Tongue up, top of your mouth.
12:23While Mick calls the cardiology department
12:25at the nearest hospital...
12:27Right, I'm just going to give you a squirt of this
12:29under your tongue as well.
12:30It'll help with that pain.
12:32Dave gives Bob GTN spray.
12:34This will help widen his blood vessels,
12:37reducing the strain on his heart.
12:40Right.
12:40It's a trip to the hospital anyway.
12:43We're just going to find out where we're taking you.
12:44There's some changes on your ECG.
12:46I'm just getting somebody to have another look at it.
12:48They know a little bit more about it than I do.
12:51I've had it confirmed by the cardiologist team
12:54that he is having a heart attack.
12:55I have now got to tell Bob.
12:57I have to be careful how I explain it to him.
12:59I don't want to frighten him,
13:01because that can put stress on the heart,
13:03and if we put any more stress on the heart
13:04that he's already under,
13:05it could be potentially fatal.
13:08It'll be about 15, 20 minutes.
13:12OK.
13:13That's great.
13:14Thanks, Em.
13:15Bye-bye.
13:16So it looks like you're having a heart attack.
13:18OK.
13:19That's what it's looking like.
13:21Don't worry.
13:21OK.
13:22You're in the right place.
13:23We're going to get you sorted out.
13:25That's what it looks like on the ECG,
13:26and that's why we just phoned the cardiology department
13:28so they can just confirm.
13:29So we're taking you directly there.
13:32All right?
13:33So don't get upset, OK?
13:35Because if you start crying,
13:36you'll get me going,
13:36you'll get me mascara running,
13:37you'll be a right mess.
13:39We're going to look after you, OK?
13:41And what we don't want to do
13:42is put any more strain on your heart, all right?
13:45When I've told Bob he's having a heart attack,
13:48he was quite taken aback.
13:49He was quite shocked,
13:50to the point where I think he was getting a little bit upset,
13:53because if somebody hears heart attack,
13:55they automatically think the worst.
13:58However, I have explained to him
14:00we're going to take him to the hospital
14:02to get the right treatment.
14:04On one day, he's going to be driving shoes.
14:06Your driving shoes, eh?
14:07How did he grip the steering wheel?
14:10Right.
14:11Right.
14:12Big stand.
14:13Nice and steady.
14:14And have a sit down.
14:15OK.
14:16That's it.
14:17There you go.
14:18OK.
14:22Get on there.
14:23You can put your feet up.
14:30So obviously, we don't want to hang around,
14:31so we're going to pop the lights on,
14:33just to get through the traffic and get you in.
14:36I've never...
14:37I've never had the hand in without the lights.
14:39Have you not?
14:40Have you not?
14:40If you want to go faster, just scream.
14:50I'm just going to do another ECG tracing, OK?
14:54Bob's heart is already struggling,
14:56so Dave needs to keep an eye on his condition
14:58in case it worsens.
15:02Shall I have a heart attack?
15:03Well, you're having one at the moment.
15:04Yeah.
15:05That's what your ECG points to.
15:08Heart attacks affect different people different ways.
15:11With Bob, I don't think he actually believed me
15:14when I told him he was having a heart attack
15:15because he was sat up, talking, and felt fine,
15:19apart from this slight discomfort.
15:26So we're at the back of the hospital,
15:30because we're going straight up to cardiology,
15:32so you're not going to be waiting outside the A&E.
15:35Having been alerted by Dave,
15:37the cardiology team at Royal Stoke University Hospital
15:40is standing by.
15:42OK.
15:52Well, I tell you what,
15:53I was not expecting that to be a cardiac issue.
15:57I wasn't dying.
15:58At all.
15:58I've had a cough.
15:59I think I pulled something, it's hurting.
16:01Yeah.
16:01I mean, I listened to his chest.
16:02It sounded awful.
16:04And then you pop the leads on,
16:06and whoa, there we go.
16:08Just goes to show,
16:09no two heart attacks present the same way.
16:12Yeah.
16:19I'm just going to roll this sleeve up.
16:21I'm going to do a blood pressure,
16:22and then what I want to do really
16:23is see if we can get you into the ambulance,
16:26because I don't particularly want you
16:27to be sat out here for too long.
16:29In Canock, paramedics Kira and Brooke are with Bill.
16:33When he collapsed coming back from the shops,
16:36a couple of residents came out to help him.
16:40He says he's not eating,
16:42and he's only having a cough in the morning.
16:43You say you haven't been eating well.
16:45Normal for me.
16:46Normal for you.
16:47Okey-dokey.
16:48It's all he keeps.
16:50Not a big eater.
16:52Have you got a headache at the minute?
16:54You haven't.
16:55Okey-dokey.
16:55No.
16:56Your blood pressure's rather high.
16:59It's 199 over 73.
17:04So...
17:06That's really high, isn't it?
17:07It's very high, yeah.
17:09Just pop your finger in here for me, Bill.
17:10Oh, you just pinch that.
17:12Let's take that off, yeah?
17:14Blood pressure this high
17:15could lead to a heart attack or stroke.
17:18It's a medical emergency.
17:21What I want to see, Bill,
17:23is just to see if you can stand up off that chair.
17:28Right.
17:30How's that feel?
17:31I think if I let go, you'll probably fall, wouldn't you?
17:34Right, sit yourself down, then.
17:37There's no arms on the chair,
17:38so you've just got to go straight back.
17:40That's it.
17:41Ooh.
17:42When we stood Bill up,
17:44he was really unsteady on his feet,
17:46couldn't really stand up for himself without some support,
17:49so we had to use the carry chair to get him to the ambulance,
17:53which was quite difficult,
17:54because he was in the middle of a field.
17:56Right, then, so this is probably going to be a bit of a bumpy ride.
18:00Might make you feel a bit travel sick.
18:02Yeah.
18:03If not, might bumpy, isn't it, this?
18:07If you didn't feel...
18:08Sick before.
18:09If you didn't feel sick before, you definitely do now.
18:11Right, then.
18:13What were you picking up from the shops?
18:15I was going for a bed shop.
18:18Put a bed on?
18:20Well, let's hope it checks out, eh?
18:22Might make this journey worth it.
18:29You know, when we were outside and we got you to stand up,
18:31how did you feel you were then?
18:34A bit dizzy.
18:35A bit dizzy.
18:36Shall I try and get you to just stand up where you are,
18:38and I'll do your blood pressure when you stand up
18:40to see if that changes anything?
18:42Brooke checks to see if Bill's blood pressure is still dangerously high.
18:48Fabulous.
18:49Right.
18:49Just close your eyes for me.
18:55Is that when you go...?
19:00That's when you're leaning, isn't it, when your eyes are closed?
19:02I don't know.
19:03Yeah.
19:03Yeah.
19:04I think if you close your eyes for long enough, you'd hit the deck, to be honest.
19:10I think it might be worth a trip up to hospital today, because your blood pressure's a little
19:14bit high, and if your balance is off, a certain part of your brain might not be functioning properly.
19:21We obviously know his blood pressure was quite high, but we didn't really know what was going on,
19:25whether that was...his balance was off because his blood pressure was high, whether it was, like,
19:28a neurological problem, but we were very much...it was a job where we were in the dark, I think,
19:33weren't we, with what was going on, and it was...take him to hospital for that conclusion, really.
19:39You know, at least you're still getting about and looking and...
19:42Newsies or losers.
19:44Well, exactly.
19:45Exactly.
19:46My nan told me that motto 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 accent.
20:01You live on your own?
20:02Yeah.
20:03Do you feel like you need any support or not?
20:06No.
20:06You're OK?
20:10At New Cross Hospital in Wolverhampton, doctors will try to find out why Bill's blood pressure
20:15is so high and treat it.
20:29What is my most defining quality as a housemate?
20:33Your ability to cook.
20:35That's it, that's all I bring to you, Mabel.
20:37Yeah.
20:38If you got a personal chef, that'd be it, I'd just be...
20:41Out on you.
20:42You want an excellent cook, though.
20:45You've got to get a dishwasher.
20:46Yeah.
20:47Because you created so much mess.
20:50You don't get an artist to clean up his pain, do you?
20:53You'd make one dish and then you'd need six bowls.
20:57I think living together definitely has its advantages, but also a few challenges.
21:01Definitely a few challenges.
21:04We squabble.
21:06Yeah, like siblings.
21:07Yeah.
21:08I'm right.
21:09You're wrong.
21:09We meet in the middle.
21:11I'm gonna figure out that I'm right all along.
21:13No.
21:13Yeah.
21:14Never.
21:15See?
21:16Never, ever.
21:17If it was up to you, you'd have had a microwave curry without a microwave.
21:21No, that is too, never異ßed.
21:29Well, we let's have.
21:30Is the part of the ship breathing?
21:32Yes.
21:34OK, what's he read?
21:35See what's happened.
21:36The gentleman's fallen over and he's either broken an ankle or damaged soft tissue, and
21:42he can't bear weight on it.
21:44We'll need a mountain rescue as well.
21:50voice accept zero nine patient's fallen they've got an ankle injury mounting rescue are on scene
21:58so we're going to a 54 year old male he's fallen over injury to ankle it's difficult terrain for
22:10retrieving patient calling mountain rescue oh nice when we got a call saying not in rescue
22:17we're on scene i think our first thought is where on earth are we going yeah and how are we
22:21getting
22:21there i did anticipate that he was going to be halfway up the mountain and we were going to have
22:28to figure out some way to get him down because with the injury there's no way he's going to walk
22:32yeah we've made it made it i saw those mountain rescue have made it me too there's mountain rescue
22:52across the west midlands there are around 400 paramedic crews on the road every day
22:59we're on board with eight of them to see the work that they do
23:10so madge slipped on the top of four cloud okay approximately three o'clock he managed to get
23:16himself down to the path okay um we've got suspected lower left ankle
23:25paramedic sharni and technician jack have just arrived in dovetail national park in the peak
23:30district lovely all yours lovely thank you thank you very much 54 year old madge was hiking here with
23:40his 11 year old son victor when he fell and injured his left ankle what have you been up to
23:48i've heard
23:48you've had a bit of it before found a loose rock and just put my foot that direction okay so
23:53you
23:53sort of rolled onto your ankle uh yeah yeah i rolled on it and what i just experienced was that
24:00you
24:00know tissues just come and lose you didn't hear any crunches or bone breaking or feel anything like that
24:06no no no it was it was like a soft tissue so you know ligaments tendons things like this and
24:10you're paying at the minute at the minute that's amazing i expected that we were going to give
24:16significant amounts of pain relief and when madge told us that he was in no pain at all
24:21it threw me off guard a little bit i thought how strong is he can i have a quick look
24:28i'll lift your
24:29leg up yeah and then we'll just come out grab a quick feel wiggle your teeth actually yeah it's working
24:35i think good people i got some some some mobility in it but of course it's swollen so is this
24:40pain
24:40more this size yes because that's where it's swollen when i first had a look at madge's leg
24:45it looked a little bit swollen but not significantly injured i expected a lot worse he was able to move
24:52his toes and it looked okay normal feeling normal sensation yeah nothing like that perfect what we'll
24:59do is we'll put our vacuum splint on all right this one's going to be the slightly nasty strap jack
25:05fits a vacuum splint to madge's ankle this uses air pressure to help immobilize his leg
25:14yeah does that feel okay can't move it can you no good perfect
25:24you're all ready to go yeah good to go yeah imagine his son victor are on holiday
25:31the hospital closest to their hotel in meccersfield is 30 miles away
25:37this is your first day of the trip oh no yeah should have done it on the last day yeah
25:43no it shouldn't happen at all no well that would be yeah what would be best do you enjoy the
25:47hiking as
25:48well yeah you picked the right day for it and you walk up the mountain two times and that's very
25:53tiring you've done very well because i don't think i could have walked up it once
26:01still feeling okay no pain oh that's right okay you're much tougher than me
26:12take the next right i think we've arrived
26:17a walk with his son in the countryside has ended with an hour-long trip to macclesfield district
26:23general hospital pull up on here or me easy you are amazing stella here doctors will carry
26:34out x-rays to see exactly what damage has been done to match his ankle
26:50what a trooper i've never seen someone so relaxed
26:54had no pain no zero pain but it's clearly swollen and isn't it yeah there's got to be something in
27:02there something there's at least a sprain possibly a fracture they haven't given me x-ray eyes yet
27:07that's coming in the future in the future
27:21you know what the foot is really hurting okay okay so just confirm he's conscious and away
27:26madge's ankle injury was the 2200th call today and the team here have no idea what the next call will
27:37bring of course there are certain calls that you don't want to get like majority of things to do
27:42with children something about them just being so little just makes it a lot more difficult i don't
27:46know whether it's because i've got a daughter as well like you can sort of put yourself in their shoes
27:52ambulance service is the patient breathing yes are they conscious and awake yes what's the reason for
27:59the ambulance please one of our pupils has just fallen up the steps and hit her forehead
28:04off the edge of the step and she has a large wound that we're applying pressure to
28:09that's okay is she bleeding at the moment yes okay has she been bleeding red blood very heavily in the
28:15last 30 minutes yes it was red blood and it's coming from the forehead might be a bit difficult
28:21can you see the bones sticking out through the skin you can see flesh because obviously it's on her
28:26forehead children are so resilient and they're so good at bouncing back but if something's wrong they tend to
28:32kind of dive quite quickly which can be incredibly scary she's gone cold now
28:39we've got a blanket over her okay yeah just do best keep her comfortable keep her safe
28:44is she limp or floppy at the moment she's not limp or floppy i think she's just shocked oh yeah
28:50i know of
28:51course any new weakness or coordination problems in her arms or legs can you lift your arms up for
28:57me wave to me and the other one give me a wave and can you wiggle your legs can you
29:03kick them kick
29:03kick kick kick yeah she's just a bit dazed but she's lifting her arms and she's moving her legs
29:09quite dazed for herself okay if a child is quiet or more subdued then that can be a lot more
29:16concerning i'd much rather than be making noise if i can hear them chatting laughing or crying then for
29:22me at least i know that they're okay i do have some help arranged for her sounds like you are
29:27doing all
29:28of the right things but if the blood does soak through that pad don't take it off just put another
29:31pad on top of it um and we do just need to advise that's why it's quite thick because onto
29:37the others
29:37we've added another section on top to apply the pressure was it soaking through the initial one
29:42quite quickly it did fight quite quickly on the initial one right okay and it was all going down her
29:48face it came to light that actually that was the second lot of dressing that they put on the first
29:55lot had bled through quite quickly so at that point i knew actually this was significant blood loss
30:00especially for someone so little all right i now have this down as a high priority response okay
30:06just because of that um thank you so i will stay on the phone with you until the crew get
30:10there um
30:11and just keep her safe and comfortable where she is then
30:16they're just coming in now all right then i'll leave you guys thank you bye bye
30:21bye bye
30:26great little girl
30:27the patient was taken to the pediatric unit where she was treated for her injury
30:52a patient thought that i was a lot lot younger than i was and bear in mind this was on
30:56a
30:56fourth night shift in a row you're not doing bad for 40 are you you're cheeky get you're closer to
31:0140
31:02than me i've got less wrinkles though aren't i shut up i've got really bad smile lines though to be
31:09fair because more smiling not when i'm working with you and definitely not first thing in the
31:16bloody morning working shifts on an ambulance definitely ages you it does it does also the
31:23company you're with sometimes ages you like working with colleen ages me about 10 years every
31:28shift speak for yourself night shifts though i'm delightful we are polar opposites absolutely which
31:35is why we work ambulance service is the patient breathing yeah it is basically there's a person
31:48on the floor is he able to tell you what's happened they approach him and ask if it's okay but
31:55he doesn't
31:55on his phone has he got his eyes open i can't see because his head's on the floor
32:07so an unconscious in the street i'm guessing we don't have much information
32:12no going to these jobs in the streets can put you on edge because is it something something sinister
32:21like a drugs related thing is it a homeless person who's collapsed yeah but in fairness it could even
32:29just be someone who is generally unwell can't it a call for someone unconscious in the street could
32:35be a thousand and one things have they been hit by a car have they collapsed are they intoxicated
32:41absolutely anything the only way we know is by getting there so we need to get there quite quickly
32:50there they are oh yeah maybe block them so they don't get hit by a car leave that there yep
32:58i'll let go check it out wakey wakey buddy you're asleep in the street squashed your bread there you go
33:11have you fallen or just passed out a passerby called 999 after seeing the man lying in the road
33:21unresponsive you had any gear or anything matey we don't care if you have by the way we just want
33:25to make sure that you're okay it's not every day that we we come across someone on the side of
33:29the
33:29street literally in the road unconscious when i first seen this patient my first thoughts were
33:37how on earth has he ended up in this situation could it be a medical episode or could it be
33:41something more like illicit drugs or alcohol should you get your stuff off the road i don't want you
33:46to lose any of it is that a handle like yours some pretty serious gloves i don't think your milky
33:52way
33:52is salvageable to be honest you got any medical conditions that would make you fall in the street
33:59okay have you taken them today and you say you don't think you've had your diazepam today
34:05you have the patient is known to take diazepam a powerful sedative drug only available on
34:13prescription should we get you on the bed and get you in the truck yeah can we go and assess
34:16you on
34:17the truck instead rather than on the floor come on try and wake up fella if we help you do
34:22you think
34:23you could stand up when he disclosed he'd taken diazepam that was a bit of a red flag that would
34:29explain why potentially is unconscious in the street but has he taken anything else right you ready
34:40we're gonna go assess you on the truck i'll get a bag and i'll put your stuff in it okay
34:43on this way
34:45oh
34:54lift your head up a second you want another look in them eyes darling there you go in stoke paramedics
35:01adam and colleen are with a patient they suspect has taken an overdose they are small but they're not
35:08a pin point that's diazepam though look at his eyes how much diazepam have you had today
35:15a lot i'm guessing when you look at a patient's eyes it can tell you quite a lot so if
35:21they've taken
35:22anything like drugs or opiates it can make their eyes really really small however some other drugs can
35:28make their pupils really really big so it can give you a lot of information i'm just going to get
35:32a bit
35:32of blood from the tip of your finger darling okay you're just going to feel a sharp scratch but it'll
35:38only be for a second there you go
35:433.8 use hypoglycemia as well as being sleepy due 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 if i get it for you
36:02it is a bit squashed you just need your blood sugars up okay
36:09you don't want it
36:12like you put it in your hand it's your milky way it's a bit just a bit squashed
36:17gel down on that mate i don't think he's gonna eat that i'm gonna have to put some gluca gel
36:21in
36:22your mouth because you're not going to be able to eat that by the looks of it
36:25i'm just gonna tip your head back a little bit now because you can't eat this i'm gonna
36:29put this gel in your mouth okay it's gonna taste very very sweet colleen tries to give him a fast
36:36acting glucose gel designed to bring blood sugar levels up quickly but the patient has now become
36:42too unresponsive to take it
36:51so this goes i'm gonna squirt something up your nose okay gonna feel weird as overdoses often
37:00involve a mix of drugs colleen gives the patient narcan if he's also taking any opioids this will reverse
37:08the effects of the overdose tip your head back for us just want that airway open perfect we gave the
37:16patient narcan because it was apparent that he'd taken some form of drug and potentially others
37:23narcan's given to be able to increase a patient's consciousness and make them more awake
37:28come on fella we're gonna need you to wake up and stay awake for us if you can
37:31because you're you're not in a good place at the minute shall we go
37:43say when mate yeah ready when you are
37:48as the patient isn't responding to narcan and adam and colleen don't know exactly what he's taken
37:55they decide to head for hospital there you go rest your head down sweetie that's it perfect i'm just
38:03going to keep holding your head just so it stays in this position okay
38:10at royal stoke university hospital the patient will be monitored and may be given medication to reverse
38:17the effects of an overdose
38:18i don't know how much of god knows what he's taken but he's taken a lot of a lot of
38:32it
38:33probably too much of it if i'm honest yep it could be anything
38:39it could have been a combination of a lot of different things unfortunately with him
38:43milky way man that's what he is milky way man look your way man out of this world
39:00if you would give yourself a different name what would you name yourself
39:06oh i'm seeing an ellie really yeah i think that's too girly for me or like a sasha oh no
39:13okay
39:14sasha i mean my name is literally unisex so mine's not girly yours is girly at all no
39:21mine's quite girly yeah i don't love it yours is literally a flower yeah it's rather feminine isn't
39:29it i don't even think i sit daisy to be fair i think it's a bit innocent no
39:42ambulance service is the patient breathing it's me it's me i've got an infection again
39:50it's a sign pain and that's what i had before and is the pain in your stomach or is it
39:55anywhere else
39:56yeah it's in the lungs oh there we go bicep sex we've got a 74 year old male
40:09arbidural pain oh bless him could be anything couldn't it could be dnv could be could be uti
40:16dnv stands for diarrhea and vomiting uti urinary tract infection action yeah we don't actually know
40:24what's going on with this patient they're doing no not yet is this the back or is this the front
40:36ambulance hello oh hello you okay yeah have you rang for us yeah
40:46i just couldn't sleep all night and i just got the pain i'm coughing coughing coughing where have you
40:52got the pain yeah in your chest when did the pain come on well last night really after a night
41:00of
41:00constant coughing 74 year old john called 999 have you took anything for the pain like paracetamol yeah
41:09yeah who did you call this morning for us to get here did you call 111 or 999
41:18what were you hoping for from us are you are you wanting pain relief no just to check me out
41:24just to
41:24have a chat yeah okay because i'm diabetics as well so you know right you need to speak to your
41:30doctor
41:31so that they can sort you out a nurse that can show you how to do your checks for your
41:38diabetes
41:39i think the story changed slightly as we once we were on there yeah went from chest pain to
41:48cough to a woman's diabetes check-in blood sugars yeah yeah just to check you're not allergic to
41:58man yeah unfortunately right nice and still as the pain is in john's chest daisy checks his heart rate
42:11just on the low so i'm not overly concerned now because he's presenting well isn't it yeah
42:17do you feel dizzy at all i'm already dizzy okay right i'll tell you your blood sugar's
42:284.3 it's a bit on the lower side what have you got in to eat
42:35toast do you want me to make you some john's blood sugar was on the lower side the solution to
42:41this is
42:41just get some sugar in him whether that be a sugary cup of tea some toast with a bit of
42:46jam on it it's
42:47not really something that an ambulance needs to do he could have probably done this by himself
42:53let's have a look what covers the microwave above the microwave
43:02i'm not taking you to hospital because your heart rate's a bit low i don't think they're
43:07going to do anything for you it's not that low that we would treat it there you go you can
43:13sit up
43:14do you want to sit up no no do you want a cup of tea can you make tea i
43:21can make tea i can i'm from
43:23yorkshire tea tea is in me veins i like your pink kettle did you pick that
43:37i reckon that is a good cup of tea cracking i think he looks all right that
43:47yeah happy i don't know yeah i tried to do
43:52you're right please you had enough i don't eat well you should probably eat a bit more at some
44:00point because your blood sugars were on the lower side john didn't need to go to hospital today
44:04i think john just wanted a cup of tea and a little bit of company are you happy to stay
44:08at home yeah
44:09yeah but you need to speak to your gp you know where we are if you need us all right
44:16all right nice to meet you john see you later
44:23let's go
44:30all we've really done for him was give him some tea and toast do you know what i think
44:35he might have been a bit lonely i think he wanted i think he wanted some company didn't he
44:45john called another ambulance crew later that same day like morgan and daisy they advised he should
44:52take the painkillers he'd been prescribed and speak to his gp
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 two 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
45:16require medication and madge who'd fallen while hiking had an x-ray in the fracture clinic
45:24this confirmed he'd broken his ankle
45:33next time
45:36the man is in agony put this in your mouth keep breathing on it open your mouth our main concern
45:42was figuring out where this pain was and then getting this under control we did suspect that
45:48he may have broke his hip oh god that is a big clot that was massive a patient has a
45:54severe nosebleed
45:55when i saw the blood clot it was rather grim it was large he's just had brain surgery we needed
46:01to
46:01get him to hospital fast i woke up and i got this real pain and my heart was racing and
46:09the woman is
46:10complaining of chest pain once we completed a heart tracer it showed us that she was actively having
46:15what we call a stemmy which is a heart attack we are going to be taking her to hospital and
46:20we are
46:20probably going to be going quite quickly
46:50she jumped back in the middle of her face when she realized how she works they can do it
46:51she felt like an anti-facetal condition to be the injured so that she doesn't have to be low
46:51at the disabled for everybody she got to be able to get the injured so that she has to be
46:51on top of her
46:51she was just not quite close to the job that she walked out and that she was able to get
46:51the law
46:51she was a small man and that she said she was the man-san and he said she was the
46:53man in the job
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