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00:01Ambulance service, is the patient breathing?
00:04Every time he's soothing, he's crying out in pain.
00:08He's had a really bad nosebleed and he can't stop it.
00:12It's painful and my heart's racing.
00:14I think I'm having a heart attack.
00:17Righty-ho, let's get them bad boys on.
00:20West Midlands Ambulance Service looks after almost six million people.
00:24I love the fact that not just every shift's different,
00:28every job's different.
00:29Do you remember everything that's happened?
00:32It looks like you're having a heart attack.
00:35Saving lives and making a difference every call-out.
00:38Is she breathing normally?
00:41Watch availability of Hallimuth.
00:44Embedded with eight emergency crews.
00:47Could be anything, couldn't it?
00:49Okay, okay.
00:51Filming simultaneously across the region.
00:54Time is everything in our job.
00:56Just relax, relax for me.
00:57Can you open your mouth as wide as you can?
01:01Capturing life.
01:02How's your vision?
01:03You got it?
01:05On the front line.
01:06I go to work every day and I make a difference.
01:20What did you have for dinner?
01:21McDonald's.
01:21Oh, good.
01:22Yeah.
01:23Absolutely.
01:24Thank you, thank you.
01:26Do you know what I feel like I need?
01:27Go on.
01:28A little break away.
01:28You need to get a camper van, don't you?
01:30I'd love to.
01:30I'm trying to talk the other half into it.
01:32I just love seeing, you know when there's like them pictures online and it's like people
01:36wake up in the morning, open the back doors and there's a stunning view.
01:40I just need a bit of that in my life.
01:44Pinch, punch, first of the month.
01:47Oh God, we've got a job.
01:56What's the first band you ever went to see?
01:58I think it was Girls Aloud, you know.
02:00Was it?
02:02Yeah, in like 2007.
02:06I'm a big fan of a band called The Wonder Stuff.
02:08I've seen them about 200 times.
02:11That's a lot.
02:12I want one of their songs at my funeral.
02:14Bit premature, innit?
02:15Not really, not at my age.
02:18You've got to think of the future.
02:20Or lack of it.
02:22It's a bit far ahead.
02:24It was the circus tour.
02:28Take that.
02:29Oh my God.
02:29With my mum and my neighbour.
02:32Yeah.
02:32It was great.
02:33Are you like 90?
02:34You wish you saw Take That.
02:35No I don't.
02:36Yeah you do.
02:37Excuse me.
02:54Yeah.
03:10Yeah.
03:10Yeah.
03:10Yeah.
03:13Yeah.
03:14Palpitations.
03:15Palpitations.
03:16Palpitations and sweating.
03:17Palpitations.
03:17I love the idea of a stripper visiting a care home.
03:22Magic Mike Monday.
03:24Stripper Sundays.
03:26Tassel Tuesdays.
03:28That's why we get on to work.
03:30We could be talking about the weather in Turkey.
03:32The one minute makes me run on the stripper grams in care homes.
03:44TRIOS
03:44Ambulance service is a patient breathing.
03:47Yes.
03:47It's my father.
03:49He's had a really bad nose bleed.
03:51Bleeding for the last half an hour.
03:52You can't stop it.
03:53Would you say that it's heavy blood loss?
03:56Is it gushing?
03:57It's heavy non-stop.
04:00What have we got then?
04:02TRIOS Not Possible, remote observer.
04:05but there's heavy blood loss that's all we have I kind of want to see where's this bleeding coming
04:13from when we go to a patient that's got heavy blood loss we're trying to think where's the
04:18blood coming from how much blood have that she lost and do they need any further treatment to
04:23help stop the bleeding hello is in the bathroom yeah I can't come out the hospital with it
04:34bleed on the brain he's on blood finish oh no no he's just had a bleed on the brain okay
04:39I'll just
04:40come up to the toilet and I just I did blow me know it's starting Lord I don't know straight
04:46away yes bless you oh yeah yeah there's a clot in that one there try not to rub it if
04:53you can
04:53lean over sink that while you do this 77 year old Robert recently had surgery to treat a bleed on
05:00his brain tonight after bleeding heavily from his nose his son called 999 what I've had it happen for
05:09it's usually stopped within you know 10 minutes 10 minutes but it's been half an hour yeah how much
05:16blood would you say that you've estimated a lot yeah pressure let me just pop that on there any
05:24headache no any blurred vision no no just the nose bleed Robert was in quite the mess when we first
05:31arrived on scene my major concern was the amount of blood loss and to make sure that his airway was
05:36clear well we'll see what we do we've got like this little clip that we can pop on your nose
05:41that can
05:41try and stop yeah the bleeding all right right this is supposed to clamp can you feel that pressure
05:50oh yeah it's gone it's not very tight though no let me try a bit higher up never get trying
05:57this
05:57and trying in school oh there we go right keep that there for a bit I think it's doing its
06:03job it's
06:04stopped bleeding now it's stopped dripping down there we go fixture can you breathe through your mouth okay
06:11yeah yeah you're not feeling anything oh no it's still dripping I was quite worried at this point
06:17because we had no other option to stop the nosebleed apart from him applying pressure himself and I was
06:22really worried about the amount of blood loss what we'll do we're just going to contact in our team
06:28we've got a drug that's a blood clotting drug yeah the fact that it's still going after half an hour
06:33and
06:33yeah it is losing quite a bit I'm thinking that that might be a go ahead if I'm honest just
06:38to see if
06:39that stops the bleeding all right as Robert has recently undergone brain surgery Amy needs to speak
06:47with a senior clinician before she can give blood clotting drugs I mean I'm just waiting for a response
06:54mate no worries it's just my reasoning is the fact that it's been continuous for over half an hour now
06:59and it's still yeah going quite yeah I'm going to take this off because it really isn't doing nothing
07:07is it if you try and pinch a little bit more up here as well if you can that normally
07:12stops it a bit
07:14how's your walking like is that all okay yeah before I went to the hospital I could hardly walk and
07:19I was
07:20dripping up and falling over but since I had the operation and come out of hospital I've been fine
07:25I've only took the dressing office order wow ah I see it it's healed really really well yeah
07:34do some fresh ones there we go oh oh god that is a big clot oh that that was massive
07:42yeah
07:44was that in your nose or was it in your throat or was it when you come from my nose
07:48into my throat
07:49that come out of my throat that did okay I'll just spit that out when I saw the blood clot
07:55it was
07:56rather grim it was large he's just had brain surgery we needed to get him to hospital fast
08:02we'll definitely think about going
08:18mmm I feel a little bit sick so do I
08:22you told us to get this much I saw a train I thought I've never had a train in my
08:25life
08:26we saw the ice cream van didn't we and I'm pretty sure we drove past it and then went back
08:30I think
08:31if there's an opportunity to have ice cream you're gonna take it aren't you ice cream yeah
08:34throw chocolate all around my mouth no have I sit your tongue out your tongue's blue
08:43Morgan and Daisy come to the end of their break and are ready for the next call
08:53ambulance service is the patient breathing yes and what's the reason for the ambulance
08:59the gentleman's had a fall but he can't wait there and every time he's moving he's crying out in pain
09:07hi and how old is he he's 92
09:14you've got 92 year old male and presses Caroline leg injury fall injuries unknown
09:23OK. You could have a neck of female fracture.
09:28Yeah, hip, hip, hip fracture. If we're looking at the leg.
09:30I think when you get called to a 92-year-old that's fallen,
09:34we are thinking, is he going to have broken something?
09:37Is he going to have broken his hip?
09:39Generally, it's something that happens, isn't it, when they're older?
09:42Yeah. And a bit more frail.
09:44I mean, it's not nice. It's not a nice break.
09:54Hello? What's...what's going on here?
09:55I fell straight over at this side, at the bank's there.
09:59I'm going to take these blankets off you, sweet, all right,
10:02so I can have a look at you.
10:03I know, I know, I know, I know.
10:06Try and keep still, sweet. I know.
10:10He's bent over and then fell.
10:12And where was he when he fell? Here.
10:14Here. Okay. Yeah, his head was weird.
10:17Retired cabbie Ron fell over
10:19while trying to switch on his electric blanket.
10:22Daughter Karen rushed over when she heard her dad was hurt.
10:27Ron, we need to just try and straighten you up a little bit.
10:30This might be a bit very uncomfortable.
10:33I'm really sorry.
10:35Is it just in your hip?
10:37My hip.
10:43Here? Yeah.
10:46Our main concern was figuring out where this pain was,
10:50why he was in pain and getting this under control.
10:53We did suspect that he may have broke his hip.
10:57I'm not going to touch you.
11:00I'm not touching you.
11:16He's just had a massive clot about this big just come out from his mouth
11:19that's gone up his nose and then come out his mouth.
11:21Right, bear with me, sorry.
11:22We've just had a clot probably about three centimetres by three centimetres round
11:26just come out of his mouth.
11:28He said it was up his nose.
11:29It was up his nose and then he felt like it's gone into the throat and spat it out.
11:32And it's about that big.
11:34Let's just get going then.
11:37To the west of Birmingham,
11:39paramedics Mark and Amy are with Robert.
11:41Having recently undergone brain surgery,
11:44they're concerned his severe nosebleed won't stop.
11:49There we go.
11:50Right then, you OK?
11:52Yeah.
11:52Don't feel dizzy at all?
11:53No, I should.
11:54Let's get going then.
11:56Just nice and steady down the stairs, OK?
11:59Robert needed to go to hospital as he had had recent brain surgery.
12:03Nosebleeds can be a symptom if something's gone wrong with the brain surgery
12:07so we needed to get him there fast.
12:10Just put some straps on you.
12:13And again, just checking no headache, no dizziness.
12:15Right.
12:21In the future, just phone 999, don't worry about anything.
12:24We'd rather come to something like this.
12:26A lot of people say, oh, it's only a nosebleed,
12:27but there's different circumstances with yours, you know what I mean?
12:36You have arrived at your destination.
12:40Hmm, it has slowed down.
12:41Has it?
12:41Oh, don't pick it.
12:44Yeah.
12:44At Russell's Hall Hospital in Dudley,
12:46doctors will investigate why Robert's nose won't stop bleeding.
12:51They'll also want to see if it's related to his recent brain surgery.
13:04Oh, it came down my leg.
13:06It came down your leg?
13:07Yeah.
13:08It's like shooting.
13:09To the south of Birmingham, paramedic Daisy and student paramedic Morgan are with Ron,
13:14who's in agony after a fall.
13:18Dizz, I'm not sure if we're going to get this stretcher in.
13:20Do you know what I mean?
13:21Do you want to try?
13:22Or do you...?
13:23Cos I just don't think we're going to get him on a cabaret chair.
13:25I don't think we are.
13:26I think putting him in even more pain just to get him out,
13:29I think we need to try other ways first.
13:32Yeah.
13:34We're going to get him treatment here first.
13:36Yeah, I don't want to move him.
13:38Ron has very clearly hurt himself.
13:40We think he might have broken his hip, so he needs to go to hospital.
13:44Now we need to figure out how we're going to get him there.
13:47Ron?
13:48What?
13:48Can you stay really, really still for me?
13:52Really still whilst we do this heart tracing?
13:54Keep still.
13:55Yeah.
13:56Before attempting to move Ron,
13:58Morgan runs an ECG to check the state of his heart.
14:02Really still.
14:06Oh, Ron, let's not say things like that.
14:09What about your daughter?
14:13No, you're not. She loves you.
14:17Well, you gave up a lot of time when she were a baby.
14:22When Ron said that he didn't want to be alive anymore,
14:24it was quite upsetting.
14:27And it was clearly because he was in so much pain.
14:29So we just wanted to make him more comfortable,
14:32try and get him feeling back to himself.
14:35Right, I'm going to give you some paracetamol
14:38through that vein, OK?
14:44Was it shooting up and down your leg?
14:49Or Ron?
14:51Oh, no.
14:54Daisy and Morgan give Ron liquid paracetamol intravenously,
14:59but it's having little effect.
15:02Right, you need to give him something stronger, you know?
15:04I don't know.
15:06I don't think we're going to move him
15:08without giving him something stronger, if I'm honest.
15:09I agree.
15:11Ron had very clearly hurt himself.
15:13We do believe that he had broken his hip,
15:15so in order to move him,
15:17we knew we were going to need to give him some strong pain relief
15:19just to try and keep him as comfortable as we can
15:22during the process.
15:24Is it all right if we give you some morphine?
15:27Carry on, please.
15:30We're just going to grab it
15:31and we're going to grab our stretcher, OK?
15:33Yes, thank you.
15:33Don't move whilst we're gone, all right?
15:36Stay still.
15:42We ain't got a prayer, mate.
15:45No.
15:47Moving on.
15:51There's not really any other way to get him out
15:53other than on a chair.
15:55It was quite difficult to figure out a way to extricate Ron.
16:00We couldn't fit the stretcher through the door.
16:03We couldn't use a spinal board.
16:05The only other option that we had was a chair,
16:09which was quite uncomfortable,
16:11but it was just a short-term solution
16:13until we got him sorted.
16:16I'm going to give you some morphine.
16:18I'm sorry. I'm feeling so sorry.
16:20Why are you sorry?
16:22This is our job.
16:23Do you want to try some gas and air, Ron?
16:26Gas and air, yeah.
16:29Right, so if you pop this in your mouth,
16:31if you suck it in...
16:33You got it?
16:34Go steady.
16:37Ron.
16:39Ron.
16:40What?
16:40If you suck that in, it should ease the pain,
16:43but you've got to keep sucking on it, OK?
16:46OK.
16:46So, breathe as normal with it.
16:49Daisy and Morgan have now given Ron
16:51all the pain relief available to them.
16:54Right, Ron, we're going to move you, OK?
16:57Keep sucking on that whilst we move you,
16:59cos this might be quite painful.
17:01I'm going to move your legs, OK?
17:04I'm going to sit you up.
17:06Ready?
17:08That's it, sweet.
17:09There we go, there we go, there we go, there we go.
17:12Put it in your mouth.
17:13Here we go.
17:14Take deep breaths on this, that's it.
17:17We need you to try and sit up on the edge of the bed.
17:20We can't.
17:21We can.
17:21We've got to, sweet, cos we're not going to get you out.
17:24Put this in your mouth, keep breathing on it.
17:26There we go.
17:27Yvonne, you're on the chair now.
17:30Keep breathing on it.
17:32Ron, keep breathing on it.
17:33There we go.
17:34There we go.
17:35You OK?
17:37With the pain medication starting to take effect,
17:41Morgan and Daisy can finally move Ron.
17:43If he has broken his hip, he's not alone.
17:4770,000 people break their neck of femur every year.
17:51There you go.
17:52Got it?
17:53Right, we're going to take you into the hospital now, OK?
17:56OK.
17:56All right.
18:07Keep having that gas and air for me.
18:10I've just gone over a few bumps.
18:22All right, my darling.
18:23How was that pain?
18:25Is it any better?
18:27Good.
18:27Good.
18:29Good.
18:31At Queen Elizabeth Hospital in Birmingham,
18:34Ron will have x-rays to see if he has broken his hip.
18:50Poor Ron. He was clearly in a lot of pain.
18:53He was not having a good time.
18:55Oh, well, at least we got him to hospital.
18:57I know, bless it.
18:58Got him in, didn't we?
18:59Yeah.
18:59We'll get them sorted.
19:16You like a pub quiz, don't you?
19:17I don't mind a pub quiz.
19:18Right then.
19:19I'm not saying I'm great at it, but...
19:20Right then.
19:21So, what European country has the longest coastal line?
19:27The longest coastline?
19:28Yes.
19:29Oh, God.
19:31Italy?
19:32I have no idea.
19:34I think geography is important in our job, so you know which direction, roughly, to travel.
19:39That's what we sat-nav's for.
19:40That's why you are no good at geography, because you rely on your sat-nav.
19:44It's a country that potentially had vikings there.
19:50Sweden?
19:51No.
19:52Norway?
19:53Yeah.
19:54Or not, Norway has the longest coastal line in Europe.
19:57Okay.
19:58You know I'm going to look at that on the map now, right?
20:00Yeah, Google it.
20:08Ambulance Service.
20:09Is the patient breathing?
20:11Yes, it's me.
20:12I've got something wrong with my heart valve, and I'm supposed to have it operated on.
20:18what symptoms do you have my love it's painful and my heart's racing and can you feel the pain
20:25right now yes i think i'm having a heart attack
20:44yeah roger thanks we'll get you what we can do
20:48all the time the call came in she's woken up with chest pain that can be quite concerning
20:54she's never a good sign we're only nine minutes away a bit tight it's scary isn't it some of the
21:02rural communities and how isolated and vulnerable they actually are this was potentially quite a
21:10serious case just given her age given the location of where it is and the amount of time it would
21:15take to get there yeah the location of a property was up a really long narrow road which just made
21:21it extra hard to get to her so what's been going on then well i've got a heart valve problem
21:31and you
21:32know waiting to have it done but oh tonight it really got me i woke up and i got this
21:39real
21:41pain and my heart was racing
21:46when racehorse breeder rosalie was woken in the night with pains in her chest
21:50she rang 999 husband peter is with her
21:55what time did she wake up with the chest pain though
21:59about three o'clock do you have an irregular heartbeat by any chance
22:05i can see they've they put it in she's got aortic valve stenosis rosalie was experiencing some chest
22:13pain which could be caused by her pre-existing heart condition aortic valve stenosis is the
22:19narrowing of a valve within a heart which affects the blood flow into the arteries it effectively means
22:26the heart has to work a little bit harder so you've got palpitations in your chest at the minute
22:29sweetheart no no no did did you have okay the longer i spent with rosalie the more concerned i got
22:37she was telling me about needing the heart operation how she's now got chest pains and palpitations
22:42so the longer i was there the more concerned i was becoming for her nice and still a second
22:49adam carries out an ecg to check the electrical activity of rosalie's heart
22:54yeah we'll be going you're going to hospital sweetheart is it all right or is it you've got
23:00a heart rate at the minute it's about 160 yeah it should be ideally between sort of 60 and 100
23:06it's very fast basically i knew something wrong anyway i've been getting short of breath
23:12have you i'm not surprised with a heart rate like that so it's saying stemmy
23:19yep so we're going to have to ring yeah we'll give him a buzz once we completed a heart tracing
23:24on
23:24rosalie it showed us that not only was her heart beating pretty fast at over 160 beats per minute
23:31but it was also showing us that she was actively having what we call a stemmy which is a heart
23:36attack
23:45as the west midlands sleeps we're on board with eight paramedic crews working the night shift until
23:516 30 in the morning we are going to be taken at a hospital and we are probably going to
24:00be going
24:01quite quickly on the outskirts of stoke paramedics colleen and adam with rosalie who they suspect is
24:09having a heart attack i'm just going to give you a spray on your tongue if i can yeah this
24:14will hopefully
24:14take some of the chest pain away adam gives rosalie a spray under her tongue this opens up her blood
24:21vessels reducing the strain on her heart we're going to look and see if we can give her aspirin
24:27and we're going to look at giving her a needle in her arm as well i'm just going to pop
24:30in your hall
24:31and make a phone call okay colleen calls the hospital to let them know they'll be arriving soon with a
24:38patient who's having a heart attack so i did the right thing calling oh yeah i don't like to think
24:44i'm
24:44wasting anybody's time nope you have definitely done the right thing by conch they said go to
24:49a and e initially but give resource a quarter to go there which a and e stoke rosalie has to
24:55go to
24:55hospital because she's actively having a heart attack she needs further treatment that we cannot
25:00provide her it's imperative that we get her there pretty quickly to get the treatment she needs as
25:04fast as she can we're going in on blue lights we're going to be going quite quickly she is unwell
25:09so it's up to you what you choose to do but if you do you're doing your job anyway that's
25:14all
25:14they'll look after me i know that we'll get onto the ambulance and we'll get you to stoke as quick
25:18as we can okay okay no no absolutely not no all right absolutely not well your heart rate's already
25:26going to 160 try and get you up and about you'll be on the floor i find with the older
25:31generation they
25:32don't want to make a fuss they just want to get on with things but when something like this is
25:36happening
25:36you really should make a fuss about it
25:43you're not walking anywhere not with your heart rate like that
25:47well you know your job indeed how are you feeling not too bad so like we said we will be
25:55going off
25:55going in with the blues and twos okay okay so we need to get you there sooner rather than later
26:07breaking bad news is never fun but unfortunately we need to do it in a way that the patient
26:12understands so they have all the information they need hello resource it's adam on the paramedics can
26:19i put a medical standby in please okay and we'll see you in about 20 minutes we're going to be
26:25waiting
26:25for you so we'll go straight in straight to see someone hopefully i feel a bit of a fraud going
26:32in
26:32like this honestly you're really not really yeah well your heart rate being as it is you ain't no fraud
26:45right then sweet couple of bumps i'm a pro don't worry yes at royal stoke university hospital
26:53the cardiac team are ready and waiting to treat rosalie
27:03rosalie was lovely wasn't she yeah i don't think she wanted to bother us
27:08she absolutely needed to though no didn't like as soon as i seen that ecg yeah all right that's not
27:13right not right at all it would not seem particularly bothered about it she was really
27:21chilled yeah that's what i mean way more than i'd be bless her don't make them like her anymore do
27:25they
27:25oh definitely absolutely true so is he able to respond to you at all and speak to you is she
27:43awake at
27:44the moment every minute of every day the call assessors of west midlands ambulance service are
27:51working hard to save lives there is always something that is completely out of the box and
28:00you're not expecting it and i think that's what makes this job so interesting ambulance service is
28:06the patient breathing ambulance please it's the ambulance service is the patient breathing
28:14yeah is she breathing yes yes okay are they conscious are they awake she's panting she's ready
28:22breathing okay i just need to know if they're conscious are they responding to you is she responding
28:27to it no i don't think she is okay is is her breathing noisy or abnormal it's like gargling heavy
28:37okay is she responding to you is she making any effort to move
28:46okay right okay okay caller listen to me it's really important that you follow my instructions
28:51okay i need you to have a look at her breathing is she breathing normally
28:56is she breathing normally no not really as soon as i hear the words that they're not conscious and not
29:03breathing it's almost like a wall comes down around me and i'm completely locked in on that call
29:10nothing else around me matters okay we've got some help arranged i need you to listen to my
29:16instructions okay are you within easy reach of her yeah somebody's on the roof uh she's on a roof
29:24she's on a what sorry not like a lay a roof ledge she's on a roof ledge yeah when i
29:33heard the patient
29:33was on the roof i think i was genuinely really confused but it just changed things in the moment
29:39then it meant that i needed to then think about how we were going to get the caller to the
29:44patient safely
29:45to do cpr so when you say she's on the roof ledge what do you mean is it is it
29:54a ledge on top of the
29:55house is it like a balcony out there yeah like like a roof can you see the ambulance caller are
30:04the
30:04paramedics there one on your left door on your left hello caller yeah is that the crew with you
30:14yeah okay i'll leave you with them even though we get calls quite often for people in unconventional
30:24places it's not often that you get somebody that's on a roof unconscious not breathing needing cpr
30:32and trying to figure out how they're going to get to that patient minutes later control has informed
30:39the woman was trying to take her own life we've got some updates on that case so she's alive
30:48they've now got her off the roof fire were there as well i assume that's to help get her down
30:54yeah because they weren't quite sure how they were going to get her down to be fair
30:57i just couldn't couldn't get my head around it no it just didn't make sense as to why she would
31:01be
31:02on the roof and she's on the back of the ambulance so hopefully she'll be okay
31:22are you sweet rather than savory then if i have a tub of ice cream
31:27there's no like scooping it out and putting it in a bowl i just eat all of it do you
31:32know what really
31:33annoys me though about say if you've got ice cream and you get it out the freezer and you've
31:37got to wait for it to defrost a bit and your spoon just bends because it's the ice you put
31:42it in
31:42the microwave wave it for about 10 15 20 seconds depending there has been a few mishaps on a couple
31:49of occasions where it has been too soft so then do i eat it or do i put it back
31:57in the freezer to
31:58freeze up a little bit more but then am i going to be starting back at the same point where
32:03i'm going
32:03to have to put it in the microwave this is too much it's a science it's it's a science i
32:08do like ice
32:09cream when it's all running though i'll purposely mix it until it goes i used to do that when i
32:12was
32:12little kid i don't want it sloppy now i want it just nice
32:23nine nine nine
32:25category two 70s lady with something very unfortunate she has rectal bleeding
32:35she's got diverticulitis as well right okay so that could be a factor a lot of people struggle
32:43with that don't they yeah yeah diverticulitis is a condition in the bowel which can cause bleeding
32:49and discomfort and sometimes a lot of pain we knew this lady had been bleeding and so it's
32:55quite important that we found out what was going on hello what's been going on sweetheart i've been
33:10having bleeds i've got diverticulitis okay i'm used to having yeah small bleeds i had to do a runner to
33:18the bathroom right okay 74 year old maddie has lived with chronic inflammation of the bowel for 30
33:32years but tonight after experiencing heavy bleeding she called for help and are you getting any pain
33:40yeah is the pain different to normal diverticulitis pain yeah it's across a year let's do your blood
33:48pressure ducky right so would you say the amount of blood that you've lost and like tonight and
33:57that is is is fine it's getting worse oh yeah with the amount of blood maddie was losing i was
34:04concerned as things can get quite serious quite fast oh right okay so it's definitely red fresh yeah
34:28oh goodness tired bob i am tired yeah i definitely prefer the day shifts what do you prefer day shifts
34:34100 it's always better when you're working with a friend so when me and sean like together it's not
34:39really like working together because we're quite good friends anyway yeah yeah definitely if you have a
34:44laugh for someone time goes so fast yeah it does and you bring loads of snacks so that definitely
34:49helps that's very true that's very true can't wait for a cup of tea in bed tomorrow morning
35:00ambulance service is the patient breathing yes he's laying in his own throw up is the patient conscious
35:06no he's not he's laying there um on the street is the breathing noisy or abnormal it's abnormal um i
35:15got
35:15to go outside the guy can't go up
35:20voice exit we've got a cat one
35:23so we have arrest peri-arrest exposed to the elements five minutes away when a patient's heart is highly
35:33unstable but it's still beating it's called peri-arrest it's the stage before a full cardiac arrest
35:41onwards and upwards let's go see
35:45focus unconscious noisy breathing
35:49obviously you've done right over yeah unconscious noisy breathing so i mean sunday morning
35:56so it'd be a good guess to say that he might have been out of the night before
36:04hello what's happened just found
36:09he's breathing oh yeah yeah i can detect my injuries he's saying it's all throw up so hi
36:14mate can you wake up for us can you wake up definitely had a good night
36:22we'll get the stretcher and get him on the ambulance yeah a doorman called 999 after finding
36:30the man lying unconscious on the pavement when we arrived on scene we came across a man covered in
36:36vomit we both took a good guess that he'd been on a night out the night before and he was
36:41just
36:41taking a sleep on the side of the road right mate it's time to get on this stretcher let's set
36:49you up
36:50you've definitely had a good night
36:54shall we get your legs round oh you're able to pull him up from that way yes mate oh he's
37:01wet himself
37:02as well yeah hello all right good get you to send it we're gonna get you on this stretcher
37:13sat there again oh no we are worried about you with the ambulance
37:19you're in the street you've been sick okay when he sat up and came round a bit it was very
37:27difficult
37:27to talk to him he didn't want to speak to us and we very quickly got that vibe but also
37:31there was
37:32a part of us that wanted to make sure he was okay you can't stay here though you're gonna have
37:36someone
37:36else phone an ambulance for you no i'm not you're not you know what's that yeah someone's found an
37:45ambulance for you well that much why why that because you you're not waking up you're sleeping on
37:51the street i do i want man okay where's home you tell me i don't know do you have a
37:58house
37:59fuck off don't ask me where home is i ain't got fucking no home when he was coming round and
38:06he
38:06was talking to us he was very defensive and aggressive in his answers and at these moments
38:13you just sigh and just think what can i do is there any other way we can help you
38:25let me just do your blood sugar sweetheart
38:30not point four in stoke paramedics nick and kyra are with maddie
38:35she has diverticulitis a condition that causes severe inflammation of the bowel
38:42do you take any pain relief for it does anything work no i don't bother
38:47yeah i know what i think it's got to do with the down reticulitis there's not a lot i can
38:53do no
38:54that's the problem with that your arms are okay but someone like yourself that has got this ongoing
39:04issue for you to be worried and be ringing people yeah that's a concern in itself because something's
39:13something's not normal for you i think we need more more thorough tests done right more than what i can
39:20do with this thing and so that's giving me like yeah let's take you the reason we wanted to take
39:26maddie
39:26to hospital is due to our concern about the amount of blood she was losing where she was losing it
39:33from
39:33therefore we had to find out what was going on so we could get her treated i don't want that
39:38i was
39:39folding this up yeah good to bring one of your nice patch ones can i have a look at it
39:43yeah
39:44well she can just rip it open while maddie gets ready to go to hospital nick and kyra admire her
39:52homemade quilt that would look lovely in my bedroom that would oh yeah i'll put an order in
39:57look how perfect it is i've got loads of ufos ufos unfinished objects oh don't get her started on
40:08space and stuff she loves it i'm obsessed handmade quilts with ufos on the thought of having one
40:16would be absolutely amazing it would take pride of place on my bed i would love it
40:24ready when you are thank you
40:28i always say the human body it's a marvelous thing but it can really go wrong in some dramatic ways
40:36people unless they've got something like this they don't understand it at all how debilitating it is
40:51at royal stoke university hospital medical staff will try to find out why maddie's blood loss has
40:58been so heavy tonight
40:59is there any other way we can help you as an ambulance i was only we can take you
41:10in birmingham city center paramedic sean and technician brogan are with a man who was found lying
41:17unconscious in the street have you been drinking alcohol yes yeah right i'm i'm done with this
41:25swearing and abuse now let's go i guess that's it then mate yeah that's it
41:32that's what we can really do trying to get you some help well we've been trying but you're not
41:38being very nice so well okay we decided to leave him there because despite offering him
41:47help multiple times and him initially rejecting it um we can't force him to accept the help that we
41:53offer all right what was i just not being there no you were breathing but you're unconscious on the
42:03floor you're hard to wake up that's why we were called and we're worried about you but you're not
42:08being all that nice make sure you don't fall over because i've been drinking though yeah yeah i get it
42:14you're gonna help me you just said no you're gonna help me well what do you want help with you
42:19just told us to go away and leave you alone do you want us to make sure you're okay if
42:23i was
42:24sat there yeah we're sick yeah what are you meant to do look i'm not having an argument do you
42:28want your checks done i was really frustrated with this man because anything i was offering
42:33or brogan was offering um it just wasn't good enough he just wanted an argument or a fight
42:39or something similar to that and you just can't help them people do you want your checks done
42:44two minutes no honestly i don't have time for this do you want to be real so do you want
42:49your
42:49checks then or not all right am i in the mental state for you do you want you want to
42:52check this
42:52at all it doesn't matter bro don't fucking start shouting at me bro what are you going to do let
42:57me walk away yeah if you want you're more than welcome to wait for me wait for me bro go
43:02that way
43:04bro what are you going to do bro my concern when he stood up and he started shouting and getting
43:10aggressive was that he was getting close to the ambulance and he could have assaulted me and i
43:16think it would have turned worse if we'd have stayed there so i think it was a good decision for
43:20us to leave at that point i think we should just go yeah let's go no step away please step
43:31away please
43:32step away having to deal with aggressive patients like this is not uncommon at west
43:42midlands ambulance service nine incidents of physical or verbal abuse are carried out against
43:48the staff every single day that was a bit scary wasn't it escalated quite quickly that job yeah it was
43:57really threatening it is quite scary and as far as i'm concerned when he says can you really leave
44:03me in this state yes i mean you're not in much of a state when you're able to stand up
44:07and verbally
44:09abuse us yeah i mean sometimes we get sent to people that don't want our help and are vile to
44:16us
44:16and then there's some people out there who just can't get our help and they're in a waiting like
44:21they're in a queue for 999 and they're waiting for jobs where we're wasting our time with people
44:25who would just verbally assault us ron who fell and was in agony hadn't broken his hip x-rays showed
44:38a plate in his hip had come loose he spent four hours in surgery having it screwed back in place
44:47rosalie who was having a heart attack was admitted to the cardiology ward
44:52here she received treatment for blocked coronary arteries
44:57robert whose nose was bleeding heavily spent six hours in hospital the bleeding was stopped
45:04and he was prescribed a nasal cream to treat any possible infection
45:09and maddie who had rectal bleeding spent three days in hospital she may require surgery to repair her
45:17intestines we went straight through to see a consultant who was brilliant so hopefully
45:25he's going to have some answers for me to help me get my life back
45:35next time yeah you're really wheezy aren't you darling a man is struggling to breathe right let's
45:41pop this on you cpd is like breathing through a straw day to day when you're unwell it can get
45:48even worse
45:52a young woman has multiple seizures she'd been having a seizure every day she'd had more than one
45:58whilst we were with her this can't keep happening it's dangerous what have you done and a patient falls
46:05badly cutting her head when i looked at her injury i could see that it was down to a skull
46:11it needed some
46:11serious stature
46:12so
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46:45so
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