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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.
03:47What have we got then?
04:03Trio's not possible.
04:03Remote observer.
04:05No.
04:05No.
04:05But there's heavy blood loss.
04:09That's all we have.
04:10I kind of want to see where's this bleeding coming from.
04:14When we go to a patient that's got heavy blood loss, we're trying to think where's the
04:18blood coming from?
04:19How much blood have they actually lost?
04:21And do they need any further treatment to help stop the bleeding?
04:30Hello.
04:31Is he in the bathroom?
04:32He hasn't long come out of the hospital with the bleed on the brain.
04:36Is he on blood thinners?
04:37No.
04:37No.
04:37No, he's just had a bleed on the brain.
04:39Okay.
04:39I just come up to the toilet and I just, I did blow my nose and start to run and
04:45I knew
04:46straight away it was one of these.
04:48Yeah.
04:48Bless you.
04:49Oh yeah.
04:50Yeah.
04:51There's a clot in that one there.
04:52Try not to rub it if you can.
04:53Lean over the sink now while you're doing it.
04:5677 year old Robert recently had surgery to treat a bleed on his brain.
05:00Tonight, after bleeding heavily from his nose, his son called 999.
05:07What I've had it happen before, it's usually stopped within, you know, ten minutes or so.
05:13Ten minutes, but it's been half an hour.
05:14Yeah, it's been half an hour.
05:15Yeah, it's been half an hour.
05:16How much blood would you say that you've estimated?
05:18Well, a lot.
05:20A lot.
05:20A lot?
05:21Yeah.
05:21Bless you.
05:22Let me just pop that on there.
05:24Any headache?
05:25No.
05:25Any blurred vision?
05:27No.
05:27No, just the nosebleed.
05:29Robert was in quite a mess when we first arrived on scene.
05:32My major concern was the amount of blood loss and to make sure that his airway was clear.
05:38Well, we'll see what we'll do.
05:39We've got like this little clip that we can pop on your nose that can try and stop the bleeding
05:43all right.
05:44Right.
05:45This is supposed to clamp.
05:48Can you feel that pressure?
05:50Yeah, it's gone.
05:52It's not very tight though, is it?
05:53No.
05:53Let me try a bit higher up.
05:55Oh.
05:56Never get trying this in training school.
05:59Oh, there we go.
06:01Right, keep that there for a bit.
06:02I think it's doing its job.
06:04It's stopped bleeding now.
06:05It's stopped dripping down.
06:07There we go.
06:08Fixture!
06:09Can you breathe through your mouth okay?
06:11Yeah, yeah.
06:12You're not feeling anything?
06:13Oh no, it's still dripping.
06:14I was quite worried at this point because we had no other option to stop the nosebleed
06:20apart from him applying pressure himself and I was really worried about the amount of blood loss.
06:25What we'll do, we're just contacting our team.
06:28We've got a drug that's a blood clotting drug.
06:30Yeah.
06:30The fact that it's still going after half an hour and yet it is losing quite a bit,
06:35I'm thinking that that might be a go ahead if I'm honest, just to see if that stops the bleeding
06:41all right.
06:43Yeah.
06:44As Robert has recently undergone brain surgery, Amy needs to speak with a senior clinician
06:49before she can give blood clotting drugs.
06:52Amy, I'm just waiting for a response, mate.
06:54No worries.
06:55It's just my reasoning is the fact that it's been continuous for over half an hour now and it's
06:59still going quite...
07:02Yeah.
07:02Still, yeah.
07:03I'm going to take this off because it really isn't doing nothing, is it?
07:08If you just try and pinch a little bit more up here as well if you can, that normally stops
07:13it a bit.
07:14How's your walking like? Is that all okay?
07:16Yeah.
07:17Before I went to the hospital, I could hardly walk and I was tripping up and falling over,
07:21but since I had the operation and come out of the hospital, I've been fine.
07:26I only took the dressing off this morning.
07:28Wow.
07:29Ah, I see it.
07:31It's healed really, really well.
07:32Yeah.
07:34Do some fresh ones.
07:36There we go.
07:37Oh!
07:38Oh, God, that is a big clot.
07:40Oh, that...
07:41That was massive.
07:43Yeah.
07:44Was that in your nose or was it in your throat or was it when...?
07:47It come from my nose into my throat.
07:49That come out of my throat, that did.
07:51Okay.
07:52I'll just spit that out.
07:54When I saw the blood clot, it was rather grim.
07:57It was large.
07:58He's just had brain surgery.
07:59We needed to get him to hospital fast.
08:02We'll definitely think about going.
08:18Mmm.
08:19I feel a little bit sick.
08:21So do I.
08:22You told us to get this much.
08:24I saw a train.
08:24I thought, I've never had a train in my life.
08:26We saw the ice cream van, didn't we?
08:27And I'm pretty sure we drove past it and then went back.
08:30I think if there's an opportunity to have ice cream, I'm going to have.
08:33You're going to take it, aren't you?
08:34I'm going to have an ice cream.
08:35Do I have chocolate all round my mouth?
08:37No, have that.
08:37Do you see your tongue out?
08:38Your tongue's blue.
08:40Right.
08:43Do you see your tongue out?
08:43Morgan and Daisy come to the end of their break and are ready for the next call.
08:50PHONE RINGS
08:54Ambulance service, is the patient breathing?
08:57Yes.
08:57And what's the reason for the ambulance?
09:00The gentleman's had a fall, but he can't wait there.
09:04Right.
09:04Every time he's moving, he's crying out in pain.
09:08Right.
09:08And how old is he?
09:09He's 92.
09:12PHONE RINGS
09:13We've got a 92-year-old male, presses care line, leg injury, fall injuries unknown.
09:23OK.
09:23You could have a neck of female fracture.
09:28Yeah, hip, hip, hip fracture.
09:30I think when you get called to a 92-year-old that's fallen, we are thinking,
09:35is 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.
09:43And a bit more frail.
09:44And it's not nice.
09:46It's not a nice break.
09:50PHONE RINGS
09:52Hello?
09:54What's...what's going on here?
09:55I fell straight over at this side.
09:57I know.
09:57The pain's there.
09:59I'm going to take these blankets off you, sweet, all right?
10:02So I can have a look at you.
10:04I know, I know, I know, I know.
10:06Crying, keep still, sweet.
10:08I know.
10:10He's bent over and then fell.
10:12And where was he when he fell?
10:14Here.
10:15OK.
10:15Yeah, his head was weird.
10:17Retired cabbie Ron fell over while 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.
10:39Aaaaah!
10:41A voice over here, over here, back here.
10:44Here?
10:44Yeah.
10:45Uh-huh.
10:46Our main concern was figuring out where this pain was, why he was in pain and getting this
10:52under control.
10:53We did suspect that he may have broke his hip.
10:57Aaaaah!
10:58I'm not gonna, I'm not gonna touch you.
11:00Aaaaah!
11:00I'm not touching you.
11:16He's just had a massive clot about this big, just come out from his mouth that's gone
11:20up his nose and then come out his mouth.
11:21All right, bear, bear with me.
11:22Sorry.
11:22We've just had a clot probably about three centimetres by three centimetres round, just come out
11:27of his mouth.
11:27He 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, paramedics Mark and Amy are with Robert.
11:41Having recently undergone brain surgery, they're concerned his severe nosebleed won't stop.
11:49There we go.
11:50Right then.
11:51You okay?
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, okay?
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, so we needed
12:08to get him there fast.
12:10Just put some straps on you.
12:13And again, just checking, no headache, no dizziness.
12:16Right.
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, but there's different circumstances with yours,
12:30do you know what I mean?
12:36You have arrived at your destination.
12:39Hmm.
12:40It has slowed down.
12:41Has it?
12:41Oh, don't pick it.
12:44At Russell's Hall Hospital in Dudley, doctors 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.
13:03Oh, it came down my leg.
13:06It came down your leg?
13:07Yeah.
13:08Right.
13:09To the south of Birmingham, paramedic Daisy and student paramedic Morgan are with Ron, who's
13:14in 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 carry chair.
13:25I don't think we are.
13:26Yeah.
13:26I think putting him in even more pain just to get him out, I think we need to try other
13:30ways 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, Morgan runs an ECG to check the state of his heart.
14:02Really still.
14:05He's always dead.
14:06Oh, Ron, let's not say things like that.
14:09What about your daughter?
14:11No, we're not.
14:12No, you're not.
14:14She loves you.
14:15She gave up a lot of time for me.
14:17Well, you gave up a lot of time when she were a baby.
14:20Yeah.
14:21Oh, yeah.
14:22When Ron said that he didn't want to be alive anymore, it was quite upsetting.
14:26And it was clearly because he was in so much pain.
14:29So we just wanted to make him more comfortable, try and get him feeling back to himself.
14:35Right.
14:36I'm going to give you some paracetamol through that vein, OK?
14:40Oh!
14:42Just bite the leg.
14:44Was it shooting?
14:46Up and down your leg?
14:47Oh, Ron.
14:51Oh, yeah.
14:52Oh, yeah.
14:53Oh, yeah.
14:54Oh, yeah.
15:17We knew we were going to need to give him some strong pain relief, just to try and keep him
15:21as comfortable as we can during the process.
15:24Is it all right if we give you some morphine?
15:27Carry on, please.
15:28Please.
15:30We're just going to grab it and we're going to grab our stretcher, OK?
15:33Yes, thank you.
15:33Don't move whilst we're gone, all right?
15:36Well...
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 other 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, which was quite uncomfortable.
16:11But it was just a short-term solution until we got him sorted.
16:16I'm going to give you some morphine.
16:18I'm sorry. I'm feeling very so sorry.
16:20Why are you sorry? This is our job.
16:23Do you want to try some gas and air, Ron?
16:26Gas and air, yeah.
16:28Right, so if you pop this in your mouth, if you suck it in...
16:32You got it?
16:33Oh!
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 all 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, cos 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.
17:09Here we go.
17:10Here we go.
17:11Here we go.
17:12Here we go.
17:12Put it in your mouth.
17:13Here we go.
17:14Take deep breaths on this.
17:15That'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.
17:25Keep breathing on it.
17:26It's cold.
17:27There we go.
17:27You're on.
17:28You'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?
17:36OK.
17:36Yeah.
17:37With the pain medication starting to take effect, Morgan 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.
18:31At Queen Elizabeth Hospital in Birmingham, Ron will have x-rays to see if he has broken
18:36his hip.
18:50Poor Ron.
18:51He was killing a lot of pain.
18:53He was not having a good time.
18:54Oh, well, at least we've got him to hospital.
18:57I know.
18:57Bless it.
18:58Got him in, didn't we?
18:59Yeah.
18:59We'll get him sorted.
19:16You like a pub quiz, don't you?
19:17I don't mind a pub quiz.
19:18I'm not saying I'm great at it, but...
19:20Right then.
19:20Right then.
19:21So, what European country has the longest coastline?
19:27Oh, geography.
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.
19:54Believe it or not, Norway has the longest coastline in Europe.
19:58You know I'm going to look at that on the map now, right?
20:00Yeah.
20:00Google it.
20:08Ambulance service, is 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?
20:21It's painful, and my heart's racing.
20:24And can you feel the pain right now?
20:26Yes.
20:28I think I'm having a heart attack.
20:35Yeah.
20:36007.
20:38007.
20:39007, you're a 83-year-old female from chest pain.
20:42It does especially have a heart valve problem.
20:45Yeah, Roger, thanks.
20:46We'll get you what we can do.
20:48007.
20:49007.
20:49007.
20:50007.
20:51007.
20:51007.
20:51007.
20:51007.
20:52007.
20:52007.
20:54007.
20:57007.
21:00007.
21:01It's scary, isn't it?
21:02Some of the rural communities, and how isolated and vulnerable they actually are.
21:08This was potentially quite a serious case, just given her age, given the location of where
21:13it is, and the amount of time it would take to get there.
21:15007.
21:18007.
21:19007.
21:20007.
21:21007.
21:22007.
21:23007.
21:27008.
21:30007.
21:31007.
21:33waiting to have it done but oh tonight it really got me i woke up and i got this real
21:41pain and my heart was racing when racehorse breeder rosalie was woken in the night with
21:49pains in her chest she rang 999 husband peter is with her what time did she wake up with
21:56chest pain though how little time do you want to go for chest pain about three o'clock do you
22:03have
22:03an irregular heartbeat by any chance i can see they've they put it in she's got aortic valve
22:10stenosis rosalie was experiencing some chest pain which could be caused by her pre-existing heart
22:16condition aortic valve stenosis is the narrowing of a valve within a heart which affects the blood
22:22flow into the arteries it effectively means the heart has to work a little bit harder so you've
22:28got palpitations in your chest at the minute sweetheart no no did did you have okay the longer
22:35i spent with rosalie the more concerned i got she was telling me about needing the heart operation
22:39how she's now got chest pains and palpitations so the longer i was there the more concerned i was
22:45coming for her nice and still a second adam carries out an ecg to check the electrical activity of
22:53rosalie's heart yep we'll be going you're going to hospital sweetheart is it all right or is it
22:59you've got a heart rate at the minute it's about 160 yeah it should be ideally between sort of 60
23:06and
23:06100. it's very fast basically i knew something wrong anyway i've been getting short of breath have
23:12you i'm not surprised with a heart rate like that so it's saying stemmy yeah so we're gonna have to
23:20ring yeah we'll give him a buzz once we completed a heart tracing on rosalie it showed us that not
23:27only
23:27was her heart beating pretty fast at over 160 beats per minute but it was also showing us that she
23:33was
23:33actively having what we call a stemmy which is a heart attack as the west midlands sleeps we're on
23:48board with eight paramedic crews working the night shift until 6 30 in the morning
23:57we are going to be taken to hospital and we are probably going to be going quite quickly
24:04on the outskirts of stoke paramedics colleen and adam with rosalie who they suspect is having a heart
24:10attack i'm just going to give you a spray on your tongue if i can yeah this will hopefully take
24:14some
24:14of the chest pain away adam gives rosalie a spray under her tongue this opens up her blood vessels
24:21reducing the strain on her heart we're going to look and see if we can give her aspirin then we're
24:27going to look at giving her a needle in her arm as well i'm just going to pop in your
24:30hall and make a
24:31phone call okay colleen calls the hospital to let them know they'll be arriving soon with a patient
24:38who's having a heart attack so i did the right thing calling oh yeah i don't like to think i'm
24:44wasting anywhere this time nope you have definitely done the right thing by conch they said go to a
24:49and e initially but give resource a call to go there which a and e stoke rosalie has to go
24:55to hospital
24:55because she's actively having a heart attack she needs further treatment that we can not provide
25:00her it's imperative that we get her there pretty quickly to get the treatment she needs as fast as
25:04she 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 don't you no no absolutely not no all right absolutely not your heart rate's
25:26already going to 160 try and get you up and about you'll be on the floor i find with the
25:31older generation
25:32they don't want to make a fuss they just want to get on with things but when something like this
25:36is
25:36happening you really should make a fuss about it no you're not walking anywhere not with your heart
25:45rate like that well you know your job indeed how you feeling not too bad so like we said we
25:54will be
25:55going up going in with the blues and twos okay okay so we need to get you there sooner rather
26:03than later
26:07breaking bad news is never fun but unfortunately we need to do it in a way that the patient understands
26:13so they have all the information they need hello resource it's adam on the paramedics can i put a
26:19medical standby in please okay and we'll see you in about 20 minutes we're going to be waiting for
26:25you so we'll go straight in straight to see someone hopefully i feel a bit of a fraud going in
26:32like
26:33this 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 she absolutely needed
27:09to though no didn't she like as soon as i seen that ecg yeah all right that's not right not
27:14right
27:14at all it would not shock me she didn't seem particularly bothered about it she was really
27:21chilled yeah that's what i mean they weren't more than i'd be bless her they don't make them like
27:24air anymore do they oh definitely absolute trooper
27:40so is he able to respond to you at all and speak to you is she awake at the moment
27:46every minute of every day the call assessors of west midlands ambulance service are working hard
27:52to save lives there is always something that is completely out of the box and you're not
28:00expecting it and i think that's what makes this job so interesting ambulance service is the patient
28:07breathing it's the ambulance service is the patient breathing is she breathing yes yes okay are they
28:19conscious are they awake she's panting she's ready breathing okay i just need to know if they're
28:24conscious are they responding to you is she responding to it no i don't think she is okay is
28:31is her breathing noisy or abnormal it's like gargling heavy it's gargling okay is she responding to you
28:39is she making any effort to move yeah okay right okay okay caller listen to me it's really important
28:50that you follow my instructions okay 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
29:02not breathing 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 she's on a what sorry
29:26she's on like a lay a roof ledge she's on a roof ledge yeah when i heard the patient was
29:33on the roof
29:35i think i was genuinely really confused but it just changed things in the moment then it meant that
29:41i needed to then think about how we were going to get the caller to the patient safely to do
29:45cpr
29:46so when you say she's on the roof ledge what do you mean
29:51it's like a ledge like a lake is it is it a ledge on top of the house is it
29:56like a balcony out
29:57yeah yeah like like a like a roof can you see the ambulance
30:03caller is the other paramedics there one on your left door on your left
30:11is that the crew with you yeah okay i'll leave you with them
30:19even though we get calls quite often for people
30:23in unconventional places it's not often that you get somebody that's on a roof unconscious not
30:28breathing needing cpr and trying to figure out how we're going to get to that patient
30:36minutes later control has informed the woman was trying to take her own life
30:42we've got some updates on that case so she's alive they've now got her off the roof fire were there
30:51as well i assume that's to help get her down off the roof yeah because they weren't quite sure how
30:55they were going to get her down to be fair i just couldn't couldn't get my head around it no
31:00it just
31:00didn't make sense as to why she would be on the roof and she's on the back of the ambulance
31:03so hopefully
31:21she'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 got
31:37to
31:37wait for it to defrost a bit and your spoon just bends because it's the ice you put it in
31:42the microwave
31:42microwave it for about 10 15 20 seconds depending there has been a few mishaps on a couple occasions
31:49where it has been too soft so then do i eat it or do i put it back in the
31:57freezer to freeze up a
31:59little bit more but then am i going to be starting back at the same point where i'm going to
32:04have to
32:04put it in the microwave this is too much it's a science it's it's a science i do like ice
32:09cream
32:09when it's all running though i'll purposely mix it until it goes to that when i was little kid
32:13yeah i don't want it sloppy now i want it just nice
32:23999
32:27category 270s 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 was quite
32:55important that we found out what was going on hello what's been going on sweetheart i've been having
33:11bleeds i've got diverticulitis okay i'm used to having yeah small bleeds i had to do a runner to the
33:18bathroom right okay 74 year old maddie has lived with chronic inflammation of the bowel for 30 years
33:33but tonight after experiencing heavy bleeding she called for help you know you're 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 isn't 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
34:27us oh goodness i am tired yeah i definitely prefer the day shifts what do you prefer day shifts 100
34:35it's always better when you're working with a friend so when me and sean work together it's not really like
34:39working together because we're quite good friends anyway yeah yeah definitely if you have a laugh
34:44with someone time goes so fast yeah it does and you bring loads of snacks so that definitely helps
34:49that's very true that's very true can't wait for a cup of tea in bed tomorrow morning
35:20we've got a cat one
35:23so we have a rest peri-arrest exposed to the elements five minutes away when a patient's heart
35:32is highly unstable but is still beating it's called peri-arrest it's the stage before a full cardiac arrest
35:40and so we start to see what we do but what we do we do we do know that we
35:52don't know what what's up and just found
35:55we don't know what you don't know what we do it's like it's like a single problem
36:02yeah he's about to um
36:04that and i knew what it is
36:06He was found.
36:09He's breathing. Oh, yeah, yeah.
36:14Hiya, mate. Can you wake up for us?
36:18Can you wake up? Definitely had a good night.
36:22We'll get the stretcher and get him on the ambulance.
36:25Yeah.
36:27A doorman called 999 after finding the man lying unconscious
36:31on the pavement.
36:33When we arrived on scene, we came across a man covered in vomit.
36:37We both took a good guess that he'd been on a night out the night before
36:40and he was just taking a sleep on the side of the road.
36:43Right, mate.
36:45It's time to get on this stretcher.
36:48Let's set you up.
36:50You've definitely had a good night.
36:54Shall we get your legs round?
36:58You able to pull him up from that way? Yes, mate.
37:01Oh, he's wet himself as well.
37:02Yeah.
37:04Hello.
37:05All right?
37:06I can find you.
37:07Good.
37:08We've got to get you on this stretcher.
37:11Don't worry about me.
37:12Don't worry about yourself.
37:13It's out there again.
37:14Don't worry about me.
37:15Don't worry about yourself.
37:15Oh, no, we are worried about you with the ambulance.
37:17Don't worry about me.
37:18I'm all right.
37:19You're in the street.
37:20You've been sick.
37:21Do I want, man?
37:22OK.
37:23When he sat up and came round a bit, it was very difficult to talk to him.
37:28He didn't want to speak to us and we very quickly got that vibe,
37:31but also there was a part of us that wanted to make sure he was OK.
37:35You can't stay here, though.
37:36You're going to have someone else phone an ambulance for you?
37:38No, I'm not.
37:39You're not?
37:40No ambulance for me.
37:40I shall go mad, you know.
37:42What's that?
37:44Yeah, someone's phone an ambulance for you.
37:46Well, I'm mad.
37:47Why?
37:47Why not?
37:49Because you're not waking up, you're sleeping on the street.
37:51I do want one, man.
37:53OK.
37:54Where's home?
37:56You tell me.
37:57I don't know.
37:58Do you have a house?
37:59Fuck off.
38:00Ask me where home is.
38:01I ain't got fucking no home.
38:04When he was coming round and he was talking to us,
38:07he was very defensive and aggressive in his answers
38:12and at these moments you just sigh and just think,
38:15what can I do?
38:16Is there any other way we can help you?
38:25Let me just do your blood sugar, sweetheart.
38:30Not point four.
38:32In Stoke, paramedics Nick and Kyra are with Maddy.
38:35She has diverticulitis,
38:38a condition that causes severe inflammation of the bowel.
38:42Do you take any pain relief for it?
38:44Does anything work?
38:45No, I don't bother.
38:47Yeah, I know what I think.
38:49It's got to do with the...
38:51Down reticulitis, so there's not a lot I can do.
38:54No, that's the problem with that.
38:56Your arms are OK.
38:59But for someone like yourself that's got this ongoing issue,
39:06for you to be worried and be ringing people.
39:09Yeah.
39:10That's a concern in itself.
39:12Because something's not normal for you.
39:15I think we need more thorough tests done.
39:19Right.
39:19More than what I can do with this thing.
39:21And so that's giving me, like, yeah, let's take you.
39:24The reason we wanted to take Maddy to hospital
39:27is due to our concern about the amount of blood she was losing,
39:31where she was losing it from.
39:33Therefore, we had to find out what was going on
39:36so we could get her treated.
39:37I don't know.
39:38I was folding this up.
39:40Yeah, good.
39:41I had to bring one of your nice patched ones.
39:42Can I have a look at it?
39:43Yeah.
39:44Well, she can't just rip it open.
39:47While Maddy gets ready to go to hospital,
39:49Nick and Kyra admire her homemade quilt.
39:53That'd look lovely in my bedroom, that would.
39:55Oh, yeah.
39:56I'd put an order in.
39:57How perfect it is.
39:59I've got loads of UFOs.
40:02UFOs?
40:03UFOs?
40:03Unfinished objects.
40:05Oh.
40:07Don't get her started on space and stuff.
40:09She loves it.
40:10I'm obsessed.
40:12Handmade quilts with UFOs on.
40:14The thought of having one would be absolutely amazing.
40:18It would take pride of place on my bed.
40:20I would love it.
40:24Ready when you are, thank you.
40:28I always say the human body, it's a marvellous thing,
40:33but it can really go wrong in some dramatic ways.
40:36People, unless they've got something like this,
40:38they don't understand at all how debilitating it is.
40:51At Royal Stoke University Hospital,
40:54medical staff will try to find out
40:56why Maddy's blood loss has been so heavy tonight.
41:04Is there any other way we can help you as an ambulance?
41:07Oh, is there any way we can take you?
41:10In Birmingham city centre,
41:13paramedic Sian and technician Brogan
41:15are with a man who was found lying unconscious in the street.
41:18Have you been drinking alcohol?
41:21Yes.
41:21Yeah.
41:22I'm doing that too.
41:24Right, I'm done with this swearing and abuse now.
41:26Let's go.
41:28I guess that's it then, mate.
41:30Fine.
41:31Yeah.
41:32That's it.
41:33That's what we can really do.
41:34Trying to get you some help?
41:36Well, we've been trying, but you're not being very nice, so...
41:42Well, OK.
41:43We decided to leave him there because,
41:46despite offering him help multiple times
41:48and him initially rejecting it,
41:51we can't force him to accept the help that we offer.
41:57What?
41:58Was I just not breathing then?
42:01No, you were breathing, but you're unconscious.
42:03On the floor, you're hard to wake up.
42:05That's why we were called and were worried about you,
42:08but you're not being all that nice.
42:10Make sure I don't fall over.
42:12Because I've been drinking though.
42:13Yeah, yeah, I get it.
42:14Are you going to help me or not?
42:16You just said no.
42:17Are you going to help me or not?
42:18Well, what do you want help with?
42:19You just told us to go away and leave you alone.
42:21Do you want us to make sure you're OK?
42:23If I was sat there, yeah, I'd be sick.
42:25Yeah?
42:25What are you meant to do?
42:26Look, I'm not having an argument.
42:28Do you want your checks done?
42:30I was really frustrated with this man
42:31because anything I was offering or Brogan was offering,
42:35it just wasn't good enough.
42:36He just wanted an argument or a fight
42:39or something similar to that
42:40and you just can't help them people.
42:42Do you want your checks done?
42:43No, listen.
42:44Do you want me to...
42:45No, honestly, I don't have time for this.
42:47Why? Come on.
42:47Do you want to be real?
42:48Do you want your checks done or not?
42:50Hey, am I in a mental state for you?
42:51Do you want your checks done or not?
42:52It doesn't matter, bro!
42:54Don't fucking start shouting at me, bro.
42:56What are you going to do?
42:57Let me walk away?
42:58Yeah, if you want.
42:59You're more than welcome to.
43:00Come away from me.
43:01Come away from me.
43:02Bro, go that way.
43:04What are you going to do, bro?
43:06My concern when he stood up and he started shouting
43:09and getting aggressive was that he was getting close
43:12to the ambulance and he could have assaulted me
43:15and I think it would have turned worse if we had stayed there
43:18so I think it was a good decision for us to leave at that point.
43:21I think we should just go.
43:22Yeah, this is just...
43:23Yeah, let's go.
43:29No, step away.
43:31Please step away.
43:32Please step away.
43:37Having to deal with aggressive patients like this is not uncommon.
43:42At West Midlands Ambulance Service, nine incidents of physical or verbal abuse
43:47are carried out against the staff every single day.
43:50Well, that was a bit scary, wasn't it?
43:54Escalated quite quickly, that job.
43:56Yeah.
43:57It was really threatening.
43:58It was quite scary.
43:59And as far as I'm concerned, when he says,
44:02can you really leave me in this state?
44:04Yes, I can.
44:04I mean, you're not in much of a state when you're able to stand up
44:07and verbally abuse us.
44:09Yeah.
44:10I mean, sometimes we get sent to people that don't want our help
44:15and are vile to us and then there's some people out there
44:17who just can't get our help.
44:19Yeah.
44:19And they're in a waiting, they're in a queue for 999
44:22and they're waiting for jobs where we're wasting our time
44:25with people who would just verbally assault us.
44:33Ron, who fell and was in agony, hadn't broken his hip.
44:37X-rays showed a plate in his hip had come loose.
44:40He 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.
44:58Robert, whose nose was bleeding heavily, spent six hours in hospital.
45:03The bleeding was stopped and he was prescribed a nasal cream
45:06to treat any possible infection.
45:09And Maddie, who had rectal bleeding, spent three days in hospital.
45:14She may require surgery to repair her intestines.
45:18We went straight through to see a consultant who was brilliant.
45:24So hopefully he's going to have some answers for me to help me get my life back.
45:35Next time...
45:36Yeah, you're really wheezy, aren't you, darling?
45:39..a man is struggling to breathe.
45:41Right, let's pop this on you.
45:43COPD is like breathing through a straw day to day.
45:46When you're unwell, it can get even worse.
45:50She's got her need to watch.
45:52A young woman has multiple seizures.
45:55She'd been having a seizure every day.
45:57She'd had more than one whilst we were with her.
45:59This can't keep happening, it's dangerous.
46:02What have you done?
46:03And a patient falls, badly cutting her head.
46:06When I looked at her injury, I could see that it was down to her skull.
46:11It needed some serious stitching.
46:13I think the thing's wrong to forget that it's...
46:22Good job, thank you.
46:23Good job, thank you.
46:26See you guys, good shop and thank you very much.
46:26Good job, thank you, quit.
46:27Come on, thank you.
46:27Good job, thank you.
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