- 1 day ago
999 - On the front line S14E04 (15th Mar 2026)
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00:01Ambulance service, is the patient breathing?
00:04Every time he's moving, he's crying out in pain.
00:08He's had a really bad nosebleed. I can't stop it.
00:11It'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?
00:41Water variability of how we met.
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 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.
01:43Pinch, 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...
02:04Was it 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.
02:51There's some lists that they sent a male stripper to a care home.
02:54No way.
02:55The care home asked like...
02:56That is class.
02:57What would you like?
02:58And they had this male stripper come round.
03:01Love it.
03:02And they said that the ladies absolutely loved it.
03:05Oh bless them.
03:06And they asked if he was coming for Knitter Natter next week.
03:09Oh fantastic.
03:10Why not?
03:11I bet the 999 calls would increase after that though.
03:15Palpitations.
03:15Palpitations 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 so well.
03:30We could be talking about the weather in Turkey.
03:32The one minute next week we're having stripper grams in care homes.
03:47What have we got then?
04:02Trio's not possible.
04:03Remote observer.
04:05No.
04:05No.
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 blood 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 as it started to burn.
04:45And I knew straight away it was one of these.
04:48Bless you.
04:49Yeah.
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.
05:01Tonight, 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 good.
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.
05:23Any 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, isn't it?
05:53No.
05:53Let me try a bit higher up.
05:55Oh.
05:56You never get trying this in training school.
05:59Oh, there we go.
06:01Right.
06:01Keep 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 for 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 apart from him
06:20applying pressure himself.
06:22And 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.
06:36I'm thinking that that might be a go ahead if I'm honest.
06:38Yeah.
06:38Just to see if that stops the bleeding all right.
06:43Yeah.
06:43As Robert has recently undergone brain surgery, Amy needs to speak with a senior clinician before she can give blood
06:50clotting drugs.
06:52Amy, I'm just waiting for a response mate.
06:54No worries.
06:55No worries.
06:55It's just my reasoning is the fact that it's been continuous for over half an hour now.
06:59Yeah, I've said that.
06:59And it's still...
07:00Yeah.
07:01Going quite...
07:02Yeah.
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 but since
07:23I 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 haven't told us to get this much.
08:23I saw a train, I thought, I've never had a train in my life.
08:25We 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 an ice cream.
08:33You're going to take it, aren't you?
08:34Yeah.
08:35Do you want a chocolate all round my mouth?
08:37No, have I.
08:38Do you think your tongue out?
08:39Your tongue's blue.
08:43Morgan and Daisy come to the end of their break and are ready for the next call.
08:53The ambulance service, is the patient breathing?
08:57Yes.
08:58And what's the reason for the ambulance?
09:00The gentleman's had a fall, but he can't wait there.
09:04Right.
09:04And every time he's moving, he's crying out in pain.
09:08And how old is he?
09:09He's 92.
09:14We've got 92-year-old male, presses care line, leg injury, fall injuries unknown.
09:23OK.
09:23We could have a neck of fema fracture.
09:28Yeah, hip, hip, hip fracture.
09:29If we're looking at the leg.
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 they're a bit more frail.
09:44I mean, it's not nice.
09:46It's not a nice break.
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.
09:59It's really nice.
09:59I'm going to take these blankets off you, sweetheart, all right,
10:02so I can have a look at you.
10:04I know, I know, I know, I know.
10:06Crying kids still, sweet.
10:08I know.
10:10He's bent over and then fell.
10:12And where was he when he fell?
10:14Here?
10:14Here.
10:15OK.
10:15Yeah, his head was there.
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?
10:43Here?
10:44Yeah.
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.
10:57I'm not going to touch you.
10:59No, no, no, no, no, no.
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 up his nose
11:20and then come out his right bear with me sorry we've just had a clot probably about three
11:24centimeter voice three centimeters round just come out of his mouth he said it was up his
11:28nose and it's about that big let's just get going then to the west of Birmingham paramedics Mark and
11:40Amy are with Robert having recently undergone brain surgery they're concerned his severe nosebleed
11:46won't stop there we go right then you okay don't feel dizzy at all let's get going then just nice
11:56and steady down the stairs okay Robert 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 to get
12:08him there fast it's put some straps on you and again just checking no headache no dizziness
12:21in the future just found 999 don't worry about anything we'd rather come to something like this
12:25a lot of people say oh it's only a nosebleed but there's different circumstances with yours you know
12:35what I mean you have arrived at your destination it has slowed down don't pick it at Russell's Hall
12:45Hospital in Dudley doctors will investigate why Robert's nose won't stop bleeding they'll also want
12:52to see if it's related to his recent brain surgery to the south of Birmingham paramedic Daisy and student
13:12paramedic Morgan are with Ron who's in agony after a fall days I'm not sure if we're gonna get this
13:19stretch your head do you know what I mean do you want to try or do because I just don't
13:23think we're
13:24gonna get him on carry chair I don't think we are I think putting him in even more pain just
13:28to get
13:28him out I think we need to try other ways first yeah I'm gonna game treatment here first yeah I
13:36don't
13:36want to move him Ron has very clearly hurt himself we think he might have broken his hip so he
13:42needs
13:42to go to hospital now we need to figure out how we're gonna get him there Ron what can you
13:49stay
13:49really really still for me really still whilst we do this heart tracing yeah before attempting to
13:57move Ron Morgan runs an ECG to check the state of his heart really still he's always dead oh Ron
14:07let's
14:07not say things like that what about your daughter no you're not she loves you she give up a lot
14:16of
14:16time for me well you gave up a lot of time when she were a baby when Ron said that
14:23he didn't want
14:24to be alive anymore it was quite upsetting and it was clearly because he was in so much pain so
14:30we
14:30just wanted to make him more comfortable try and get him feeling back to himself right I'm gonna
14:36give you some paracetamol through that vein okay was it shooting up and down your leg oh Ron
14:54Daisy and Morgan give Ron liquid paracetamol intravenously but it's having little effect
15:02why it's good from something stronger you know I don't think we're gonna move him without getting
15:08him so much stronger if I'm honest I agree Ron had very clearly hurt himself we do believe that he
15:14had
15:14broken his hip so in order to move him we knew we were gonna need to give him some strong
15:19pain relief
15:19just to try and keep him as comfortable as we can during the process is it all right if we
15:25give
15:25you some morphine carry on please we're just gonna grab it and we're gonna grab our stretcher okay
15:32yes thank you don't move whilst we're gone all right stay still we ain't got a prayer mate
15:46no moving on there's not really any other way to get him out other than on the chair it was
15:56quite
15:56difficult to figure out a way to extricate Ron we couldn't fit the stretcher through the door we
16:03couldn't use a spinal board the 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 I'm gonna give you some morphine I'm
16:18sorry I'm feeling so sorry why are you sorry this is our job do you want to try some gas
16:25and air Ron
16:27yes right so if you pop this in your mouth if you suck it in you got it
16:38Ron Ron if you suck that in it should ease the pain but you've got to keep sucking on it
16:45okay okay so
16:47breathe as normal with it Daisy and Morgan have now given Ron all the pain relief available to them
16:54right Ron we're gonna move you okay keep sucking on that whilst we move you because this might be
17:00quite painful I'm gonna move your legs okay I'm gonna sit you up ready that's it sweet there we go
17:10there we go there we go there we go in your mouth here we go take deep breath on this
17:15that's it we
17:17need you to try and sit up on the edge of the bed we can we can we've got to
17:22sweet because we're not
17:23gonna get you out put this in your mouth keep breathing on it it's there we go Yvonne you're
17:28on the chair now keep breathing on it Ron keep breathing on it there we go there we go okay
17:36yeah
17:37with the pain medication starting to take effect Morgan and Daisy can finally move Ron if he has
17:44broken his hip he's not alone 70,000 people break their neck of femur every year there you go
17:52got it right we're gonna take you into the hospital now okay okay yeah all right
18:06whoa keep having that gas and air for me I just go over a few bumps
18:22all right my darling how is that pain is it any better good a Queen Elizabeth Hospital in Birmingham Ron
18:34will have x-rays to see if he has broken his hip
18:50put him on he was killing a lot of pain he was not having a good time oh well at
18:55least we've got him to
18:56the hospital I know bless it got him in didn't we yeah we'll get him sorted
19:16you like a pub quiz don't you I don't mind a pub quiz I'm not saying I'm great at it
19:19but right then so what European country has the longest
19:26coastline the longest coastline yes oh god Italy no idea I think geography is important in our job so you
19:36know which direction roughly to travel that's what we sat navs for that's why you are no good at geography
19:42because you realize on your sat nav it's a country that potentially had Vikings there
19:50Sweden no Norway yeah but or not Norway has the longest coastline you know I'm gonna look at that on
19:59the map now right yeah
20:00Google it
20:08ambulance service is the patient breathing yes it's me I've got something wrong with my heart valve
20:15and I'm supposed to have it operated on what symptoms do you have my love it's painful my heart racing
20:23and can
20:24you feel the pain right now yes I think I'm having your heart attack
20:35the boy seven
20:44yeah right thanks well I'll get you what we can do
20:48all that 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 hmm bit tight it's scary into some of the rural
21:03communities and how isolated and vulnerable they actually are this was potentially quite a serious
21:10case just given her age given the location of where it is and the amount of time it would take
21:15to get
21:15there yeah the location of a property was up a really long narrow road which just made it extra hard
21:21to get to her
21:26so what's been going on then
21:29well I've got a heart valve problem and you know waiting to have it done but
21:35oh tonight it really got me I woke up and I got this real
21:41pain and my heart was racing
21:46when racehorse breeder Rosalie was woken in the night with pains in her chest she rang nine nine nine
21:52husband Peter is with her
21:54what time did she wake up with the chest pain though
21:57how little time do you want to go for chest pain at three o'clock at three o'clock do
22:03you have an irregular heartbeat by any chance
22:05not normal I don't think
22:06you can see they've they put it in she's got aortic valve stenosis
22:11Rosalie was experiencing some chest pain which could be caused by her pre-existing heart condition
22:17aortic valve stenosis is the narrowing of a valve within a heart which affects the blood flow into the arteries
22:24it effectively means the heart has to work a little bit harder
22:27so you've got palpitations in your chest at the minute sweetheart
22:30no no no did did you have
22:32no
22:33okay
22:34the longer I spent with Rosalie the more concerned I got
22:37she was telling me about needing a heart operation
22:39how she's now got chest pains and palpitations
22:42so the longer I was there the more concerned I was becoming for her
22:45nice and still a second
22:49Adam carries out an ECG to check the electrical activity of Rosalie's heart
22:54yep we'll be going
22:55you're going to hospital sweetheart
22:57is it all right or is it
22:59you've got a heart rate at the minute it's about 160
23:02yeah
23:03it should be ideally between sort of 60 and 100
23:06it's very fast basically
23:08I knew something was wrong anyway
23:10I've been getting shorter breath
23:12have you
23:13I'm not surprised with a heart rate like that
23:16so it's saying STEMI
23:19yep so we're going to have to ring
23:20yeah we'll give him a buzz
23:22once we completed a heart tracing on Rosalie
23:25it showed us that not only was her heart beating pretty fast
23:29at over 160 beats per minute
23:31but it was also showing us that she was actively having what we call a STEMI
23:35which is a heart attack
23:45as the West Midlands sleeps we're on board with eight paramedic crews working the night shift until 6.30 in
23:52the morning
23:57we are going to be taking her to hospital and we are probably going to be going quite quickly
24:03on the outskirts of Stoke paramedics Colleen and Adam are with Rosalie who they suspect is having a heart attack
24:10I'm just going to give you a spray under your tongue if I can
24:13yeah
24:13this will hopefully take some of the chest pain away
24:16Adam gives Rosalie a spray under her tongue
24:19this opens up her blood vessels reducing the strain on her heart
24:24we're going to look and see if we can give her aspirin
24:27then we're going to look at giving her a needle in her arm as well
24:29I'm just going to pop in your hall and make a phone call okay
24:32okay
24:34Colleen calls the hospital to let them know they'll be arriving soon with a patient who's having a heart attack
24:40so I did the right thing calling you
24:42oh yeah
24:42I don't like to think I'm wasting anybody's time
24:45nope you have definitely done the right thing by calling
24:48they said go to A&E initially but give resource a quarter to go there
24:52which A&E?
24:53Stoke
24:54Rosalie has to go to hospital because she's actively having a heart attack
24:58she needs further treatment that we cannot provide her
25:00it's imperative that we get her there pretty quickly to get the treatment she needs
25:04as fast as she can
25:05we're going in on blue lights we're going to be going quite quickly
25:08she is unwell
25:09so it's up to you what you choose to do
25:11but if you do
25:14they'll look after me I know that
25:16we'll get you on to the ambulance and we'll get you to Stoke as quick as we can okay
25:19I can't walk I think
25:21no
25:21no absolutely not
25:22you're all right
25:23absolutely not
25:24you're all right
25:25your heart rate's already going to 160
25:27try and get you up and about
25:28you'll be on the floor
25:30I find with the older generation
25:32they don't want to make a fuss
25:33they just want to get on with things
25:35but when something like this is happening
25:36you really should make a fuss about it
25:43you're not walking anywhere duck not with your heart rate like that
25:47well you know your job
25:50indeed
25:51how are you feeling
25:52not too bad
25:53so like we said we will be going off going in with the blues and twos okay
25:58okay
26:00so we need to get you there sooner rather than later
26:07breaking bad news is never fun
26:09but unfortunately we need to do it in a way that the patient understands so they have all the information
26:14they need
26:16hello resource it's Adam one of the paramedics can I put a medical standby in please
26:20okay and we'll see you in about 20 minutes
26:24we're going to be waiting for you
26:26so we'll go straight in straight to see someone hopefully
26:30I feel a bit of a fraud going in like this
26:33honestly you're really not
26:36really?
26:37yeah
26:37with your heart rate being as it is you ain't no fraud
26:45right then sweet couple of bumps
26:47I'm a pro don't worry
26:49yes she is
26:50at Royal Stoke University Hospital
26:53the cardiac team are ready and waiting to treat Rosalie
27:02Rosalie was lovely wasn't she?
27:05yeah
27:06don't think she wanted to bother us
27:07she absolutely needed to though
27:09no didn't she just
27:10like as soon as I seen that ECG
27:11yeah
27:12I was like hmm that's not right
27:14not right at all
27:16it would not shock me
27:18but she didn't seem particularly bothered about it
27:19she was really chilled
27:21yeah that's what I mean
27:22they weren't more chilled than I'd be
27:23bless her
27:24they don't make them like her anymore do they?
27:26oh
27:26definitely don't
27:27absolute trooper
27:39so is he able to respond to you at all and speak to you?
27:43is she awake at the moment?
27:46every minute of every day the call assessors of West Midlands Ambulance Service are working hard to save lives
27:53there is always something that is completely out of the box and you're not expecting it and I think that's
28:02what makes this job so interesting
28:05ambulance service is the patient breathing?
28:09ambulance please
28:10it's the ambulance service is the patient breathing?
28:14yes
28:14is she breathing?
28:15yes
28:16is she breathing?
28:17yes
28:17yes sort of
28:18okay are they conscious are they awake?
28:20she's panting she's ready breathing
28:22okay I just need to know if they're conscious are they responding to you?
28:26is she responding to it?
28:28no I don't think she is
28:30okay
28:30is her breathing noisy or abnormal?
28:34it's like gargling heavy
28:36it's gargling
28:37okay
28:37is she responding to you?
28:39is she making any effort to move?
28:42yeah she's sort of
28:45okay
28:46right
28:47okay
28:47okay caller listen to me it's really important that you follow my instructions okay
28:52I need you to have a look at her breathing
28:54is she breathing normally?
28:56is she breathing normally?
28:59no not really
29:00as soon as I hear the words that they're not conscious and not breathing
29:03it's almost like a wall comes down around me and I'm completely locked in on that call
29:09nothing else around me matters
29:13okay we've got some help arranged I need you to listen to my instructions okay?
29:17are you within easy reach of her?
29:20yeah
29:20somebody's on the roof
29:21she's on a roof
29:24she's on a what sorry?
29:26she's on like a roof ledge
29:28she's on a roof ledge
29:30yeah
29:32when I heard the patient was on the roof
29:35I think I was genuinely really confused
29:37but it just changed things in the moment then
29:40it meant that I needed to then think about how we were going to get the caller
29:44to the patient safely to do CPR
29:46so when you say she's on a roof ledge what do you mean?
29:51it's like a ledge
29:52like a ledge
29:53is it a ledge on top of the house? is it like a balcony out there?
29:57yeah yeah like a roof
30:00can you see the ambulance?
30:03Paula are the paramedics there?
30:05one on your left
30:05one on your left
30:06the door on your left
30:09hello caller?
30:12yeah
30:12is that the crew with you?
30:14yeah
30:14okay I'll leave you with them
30:19even though we get calls quite often for people
30:23in unconventional places
30:24it's not often that you get somebody that's on a roof
30:27unconscious
30:28not breathing
30:30needing CPR
30:31and
30:32trying to figure out how we're going to get to that patient
30:36minutes later
30:37control has informed the woman was trying to take her own life
30:42we've got some updates on that case
30:45so
30:46she's alive
30:48they've now got her off the roof by her
30:51we're there as well
30:52I assume that's to help get her down off the roof
30:54yeah
30:55because they weren't quite sure how they were going to get her down to be fair
30:57I just couldn't get my head around it
30:59no
31:00it just didn't make sense as to why she would be on the roof
31:02and she's on the back of the ambulance so hopefully she'll be okay
31:22are you sweet rather than savoury then?
31:25if I have a tub of ice cream
31:27there's no like scooping it out and putting it in a bowl
31:31I just eat all of it
31:32do you know what really annoys me though about
31:34say if you've got ice cream and you get it out of the freezer
31:36and you've got to wait for it to defrost a bit
31:39and your spoon just bends because it's the ice
31:41I put it in the microwave
31:41you put it in the microwave
31:42microwave it for about 10, 15, 20 seconds depending
31:45there has been a few mishaps on a couple of occasions where it has been too soft
31:53so then do I eat it or do I put it back in the freezer to freeze it up a
31:59little bit more
32:00but then am I going to be starting back at the same point where I'm going to have to put
32:04it in the microwave
32:04this is too much for my head
32:06it's a science
32:06it's a science
32:08I do like ice cream when it's all runny though I'll purposely mix it until it goes to my soup
32:11I used to do that when I was little
32:12as a kid
32:13I don't want it sloppy now
32:16I want it just nice
32:25Category 2, 70s lady with something very unfortunate
32:32she has rectal bleeding
32:35she's got diverticulitis as well
32:37Right, okay
32:38so that could be a factor
32:41A lot of people struggle with that don't they, diverticulitis
32:44Yeah, yeah
32:46Diverticulitis is a condition in the bowel which can cause bleeding and discomfort
32:50and sometimes a lot of pain
32:52we knew this lady had been bleeding and so it was quite important that we found out what was going
32:57on
33:07Hello
33:08What's been going on, sweetheart?
33:10I've been having bleeds, I've got diverticulitis
33:13Okay
33:13I'm used to having small bleeds
33:17Yeah
33:17I had to do a runner to the bathroom
33:19Mm-hmm
33:21I had a massive bleed
33:23You can go look in the loo upstairs
33:25Right, okay
33:2874-year-old Maddy has lived with chronic inflammation of the bowel for 30 years
33:33But tonight, after experiencing heavy bleeding, she called for help
33:38And are you getting any pain?
33:41Yeah
33:41Is the pain different to normal diverticulitis pain?
33:45Yeah, it's across a year
33:47Let's do your blood pressure, Ducky
33:49Right
33:50Right
33:50So, would you say the amount of blood that you've lost, like tonight and that, is...
33:57Over a couple of months
33:58Do you find it's getting worse?
34:00Oh, yeah
34:00Yeah
34:01With the amount of blood Maddy was losing, I was concerned as things can get quite serious quite fast
34:08Oh, right, okay
34:09So, it's definitely red, fresh, even less
34:12Yeah
34:28Oh, goodness
34:29Tired, bub?
34:30I am tired, yeah
34:31I definitely prefer the day shifts
34:32What do you prefer?
34:33Day shifts, 100%
34:35It's always better when you're working with a friend
34:37So, when me and Sean work together, it's not really, like, working together
34:40Because we're quite good friends anyway
34:42Yeah, yeah, definitely
34:43If you have a laugh with someone, time goes so fast
34:46Yeah, it does
34:47And you bring loads of snacks, so that definitely helps
34:49That's also very true, that's very true
34:52Can't wait for a cup of tea in bed tomorrow morning
34:57The rest of the class
35:00Ambulance service
35:01Is the patient breathing?
35:02Yes, he's laying in his own throw up
35:05Is the patient conscious?
35:07No he's not
35:07He's laying there, on the street
35:10Is the breathing noisy or abnormal?
35:14It's abnormal
35:15I gotta go outside
35:16I don't want to throw up
35:20We six it
35:20We've got a cat one
35:23So we have arrest peri-arrest exposed to the elements five minutes away when a patient's
35:32heart is highly unstable but is still beating it's called peri-arrest it's the stage before
35:38a full cardiac arrest onwards and upwards let's go see
35:53so I mean Sunday morning it'd be a good guess to say that he might have been out
36:04hello what's happened just found
36:14hiya mate 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
36:27a doorman called 999 after finding the man lying unconscious on the pavement when we arrived on
36:34scene we came across a man covered in vomit we both took a good guess that he'd been on a
36:38night
36:39out the night before and he was just taking a sleep on the side of the road right mate it's
36:45time to
36:46get on this stretcher let's set you up you've definitely had a good night shall we get your
36:55legs round oh you're able to pull him up from that way yes mate oh he's wet himself as well
37:02yeah
37:04hello all right go for you she's good get you to send it we're gonna get you on this stretcher
37:10don't worry about me it's not there again don't worry about me it's not there again oh no we are
37:16worried about you with the ambulance you're in the street you've been sick okay when he sat up and
37:25came round a bit it was very difficult to talk to him he didn't want to speak to us and
37:30we very
37:30quickly got that vibe but also there was a part of us that wanted to make sure he was okay
37:33you can't
37:35stay here though you're gonna have someone else phone an ambulance for you no I'm not you're not
37:42what's that yeah someone's found an ambulance for you why why not because you're you're not waking
37:50up you're sleeping on the street okay where's home you tell me I don't know do you have a house
38:03when he was coming round and he was talking to us he was very defensive and aggressive in his answers
38:12and at these moments you just sigh and just think what can I do is there any other way we
38:17can help
38:25you let me just do your blood sugar sweetheart no point for in stoke paramedics Nick and Kyra with
38:35Maddy she has diverticulitis a condition that causes severe inflammation of the bowel do you take any pain
38:43relief for it does anything work no I don't bother yeah I know what I think it's got to do
38:49with the
38:50down reticulitis there's not a lot I can you know that's the problem with that your arms are okay but
39:00someone like yourself that has got this ongoing issue for you to be worried and be ringing people
39:08yeah that's a concern in itself because something something's not normal for you I think we need
39:16more more thorough tests done right more than what I can do with this thing and so that's giving me
39:23like yeah let's take you the reason we wanted to take Maddy to hospital is due to our concern about
39:29the amount of blood she was losing where she was losing it from therefore we had to find out what
39:35was going on so we could get her treated I was folding it up yeah to bring one of your
39:41nice patch ones
39:42can I look at it yeah she can just rip it open while Maddy gets ready to go to hospital
39:49Nick and
39:50Kyra admire her homemade quilt that would look lovely in my bedroom that would I 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 space
40:08and
40:09stuff she loves it I'm obsessed handmade quilts with UFOs on the thought of having one would be
40:17absolutely amazing it would take pride of place on my bed I would love it ready when you are thank
40:25you
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 says
40:52at Royal Stoke University Hospital medical staff will try to find out why Maddy's blood loss has
40:58been so heavy tonight is there any other way we can help you as an ambulance there's only a way
41:08we can
41:10take you in Birmingham city centre paramedic Sean and technician Brogan are with a man who was found
41:16lying unconscious in the street have you been drinking alcohol yeah I'm done with this swearing and abuse
41:26now let's go I guess that's it then mate yeah that's it we've been trying but you're not being very
41:38nice so
41:42well okay we decided to leave him there because despite offering him help multiple times and him
41:49initially rejecting it we can't force him to accept the help that we offer
41:58what was I just not breathing then no you were breathing but you're unconscious on the floor you're
42:04hard to wake up that's why we were called and we're worried about you but you're not being all
42:09that nice make sure you don't fall over yeah yeah I get it you just said no you're gonna help
42:17me
42:18well what do you want help with you just told us to go away and leave you alone do you
42:21want us to
42:22make sure you're okay if I was sat there yeah we're sick yeah that's what you meant to do look
42:27I'm not
42:27having an argument you want you want your checks done I was really frustrated with this man because
42:31anything I was offering or Brogan was offering um it just wasn't good enough he just wanted an
42:38argument or a fight or something similar to that and you just can't help them people do you want your
42:43checkston no honestly I don't have time for this do you want to be real don't do you want your
42:49checkston or not yeah if you want you're more than welcome to my concern when he stood up and he
43:08started shouting and getting aggressive was that he was getting close to the ambulance and he could
43:14have assaulted me and I think it would have turned worse if we'd have stayed there so I think it
43:19was a
43:19good decision for us to leave at that point I think we should just go yeah yeah let's go
43:29no step away please step away please step away having to deal with aggressive patients like this is
43:40not uncommon at West Midlands Ambulance Service nine incidents of physical or verbal abuse are carried
43:48out against the staff every single day that was a bit scary wasn't it escalated quite quickly that job
43:56yeah it was really threatening it is quite scary and as far as I'm concerned when he says
44:02can you really leave me in this state yes I mean you're not in much of a state when you're
44:06able to
44:07stand up and verbally abuse us yeah I mean sometimes we get sent to people that don't want our help
44:15and are vile to
44:16us and 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 who
44:25would just verbally assault us Ron who fell and was in agony hadn't broken his hip x-rays showed a
44:38plate in
44:38his 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 here she received treatment
44:54for blocked coronary arteries Robert whose nose was bleeding heavily spent six hours in hospital the
45:03bleeding was stopped and he was prescribed a nasal cream to treat any possible infection and maddie who
45:11had rectal bleeding spent three days in hospital she may require surgery to repair her intestines we
45:19went straight through to see a consultant who was brilliant so hopefully he's going to have some answers
45:27for me to help me get my life back next time yeah you're really wheezy aren't you darling a man
45:39is
45:39struggling to breathe right let's pop this on you COPD is like breathing through a straw day to day when
45:47you're unwell it can get even worse a young woman has multiple seizures she'd been having a seizure
45:56every day she'd had more than one whilst we were with her this can't keep happening it's dangerous what
46:02have you done and a patient falls badly cutting her head when i looked at her injury i could see
46:10that
46:10it was down to a skull it needed some serious stitching
46:14so
46:41you