- 1 hour ago
999 on the front line s14e04
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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 6 million people.
00:25I 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 Helimuth.
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.
02:00Stop, so it was fine.
02:02Was it?
02:02Yeah, in like...
02:04I was used to be 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.
02:14It's a bit premature, innit?
02:15Not really, not at my age.
02:18You've got to think of the future.
02:20Or we'll 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.
02:51Listen, listen, they sent the male stripper to a care home.
02:54No way.
02:55The care home asked, like, what would you like?
02:58And they had this male stripper from Brown.
03:01For lovies.
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?
03:12I bet the 999 calls would increase after that, though.
03:15Palpitations.
03:15Palpitations and sweating.
03:17Palpitations.
03:18I 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 the world.
03:31We could be talking about the weather in Turkey.
03:32The one minute.
03:33Next we're on the strippergrams in care homes.
03:46What have we got, then?
04:02Trio's not possible.
04:04Remote observer.
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,
04:17we'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 come out of the hospital with the bleed on the brain.
04:36Is he on blood thinners?
04:37No.
04:37No.
04:37He's just had a bleed on the brain.
04:39OK.
04:39I just come up to the toilet, and I just...
04:43I did blow my nose as it started to go on,
04:45and I knew straight away it was one of these.
04:48Bless you.
04:49Oh, yeah.
04:50Yeah.
04:51There's a clot in that one, then.
04:52Try not to rub it if you can.
04:53Lean out of the sink, though, while you do this.
04:5677-year-old Robert recently had surgery to treat a bleed on his brain.
05:01Tonight, after bleeding heavily from his nose,
05:04his son called 999.
05:07What I've had it happen before,
05:10it'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 a bit awkward.
05:16How much blood would you say that you've estimated?
05:18Well, a lot.
05:20A lot.
05:20A lot?
05:21Yeah.
05:21Let 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
05:35and 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
05:41that can try and stop the bleeding all 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 and trying in 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 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
06:18to stop the nosebleed apart from him applying 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
06:33and it is losing quite a bit,
06:35I'm thinking that that might be a go ahead if I'm honest,
06:38just to see if that stops the bleeding all right.
06:43As Robert has recently undergone brain surgery,
06:46Amy 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
06:58for over half an hour now and it's still...
07:00Yeah.
07:01..going quite...
07:02Yeah, it's still...
07:03Yeah.
07:03I'm going to take this off because it really isn't...
07:05Good.
07:06..doing nothing, is it?
07:08If you just try and pinch a little bit more up here as well,
07:11if you can.
07:11That normally stops it a bit.
07:14How's your walking like?
07:16Is that all okay?
07:17Yeah.
07:17Before I went to the hospital, I could hardly walk
07:19and I was tripping up and falling over,
07:21but since I had the operation and come out of hospital,
07:24I'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...
07:42That 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, I thought, I've never had a train in my life.
08:26We saw the ice cream van, didn't we?
08:27Yeah, and 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?
08:34In ice cream.
08:34Yeah.
08:35Do I have chocolate all round my mouth?
08:37No, have that.
08:38Is it your tongue out?
08:38Your tongue's blue.
08:40Yeah.
08:43Morgan and Daisy come to the end of their break
08:45and are ready for the next call.
08:54Ambulance 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.
09:08Hi.
09:08And how old is he?
09:09He's 92.
09:14We've got a 92-year-old male, presses care line, leg injury, fall injuries unknown.
09:23OK.
09:23We could have a neck of fema fracture.
09:27Yeah.
09:28Hip is where I'm looking at the leg.
09:30I think when you get called to a 92-year-old that's fallen, we are thinking,
09:36is 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.
09:45It'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.
09:58I'm going to take these blankets off you, sweet, all right, so I can have a look at you.
10:03I know, I know, I know, I know.
10:06Try and keep still, sweet.
10:08I know.
10:10He's bent over and then fell.
10:12And where was he when he fell?
10:14Here.
10:14Here.
10:15OK.
10:15Yeah, he's helping me.
10:18Retired 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.
10:41A voice up to me, up to me, 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
10:51this under control.
10:53We did suspect that he may have broke his hip.
10:58I'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 that's gone
11:20up his nose and then come out his mouth.
11:21Right, bear with me.
11:22Sorry.
11:22We've just had a clot probably about three centimetre by three centimetres round just
11:26come out of 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
11:47stop.
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.
11:55Just nice and steady down the stairs.
11:58Okay.
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.
12:10Let's put some straps on you.
12:13And again, just checking no headache, no dizziness.
12:16No.
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,
12:30you know what I mean?
12:36You have arrived at your destination.
12:39Hmm.
12:40It has slowed down.
12:41Does 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.
13:04Oh, 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 mum carried here.
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.
13:35Yeah, 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?
13:51Really still whilst we do this heart tracing?
13:54Keep still.
13:55Yeah.
13:56Before attempting to move Ron,
13:59Morgan 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, didn't he?
14:17Well, you gave up a lot of time when she were a baby.
14:20Yes.
14:21Oh, yeah.
14:22When Ron said that he didn't want to be alive anymore,
14:25it was quite upsetting,
14:26and it was clearly because he was in so much pain.
14:30So we just wanted to make him more comfortable,
14:32try and get him feeling back to himself.
14:35Right.
14:36I'm going to give you some paracetamol through that vein, OK?
14:40Oh!
14:42It was by the leg.
14:44Was it shooting?
14:46Up and down your leg?
14:49Or Ron?
14:51Oh, yeah.
14:52Oh, yeah.
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 know.
15:06I don't think we're going to move him
15:08without giving him something stronger, if I'm honest.
15:10I 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.
15:28Please.
15:29We're just going to grab it
15:31and we're going to grab our stretcher, OK?
15:33Yes, thank you.
15:34Don't move whilst we're gone, all right?
15:36No.
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.
16:19I'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?
16:27Gas and air, yeah.
16:29Right, so if you pop this in your mouth,
16:30if you suck it in...
16:32You got it?
16:33Whoa!
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,
16:59because 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.
17:12Put 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,
17:22because we're not going to get you out.
17:24Put this in your mouth.
17:25Keep 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.
17:36You OK?
17:36Yeah.
17:37With the pain medication starting to take effect,
17:40Morgan and Daisy can finally move Ron.
17:44If 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.
17:57All right.
18:05All 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.
18:28Good.
18:31At Queen Elizabeth Hospital in Birmingham, Ron will have x-rays to see if he has broken
18:36his hip.
18:51He was clearly in a lot of pain.
18:53He was not having a good time.
18:55Oh, well, at least we've got him to hospital.
18:57I know.
18:57Bless him.
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.
19:21So, what European country has the longest coastline?
19:27The longest coastline?
19:29Yes.
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.
19:38That's what we sat-nav's for.
19:40That's why you are no good at geography, because you realise 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.
19:57Oh!
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?
20:27Yes.
20:28I think I'm having a heart attack.
20:45Yeah, right, thanks, we'll have to see what we can do.
20:48Going out of time the call came in.
20:51She woke up with chest pain.
20:52that can be quite concerning she's never a good sign we're only nine minutes away
20:59bit tight it's scary into some of the rural communities and how isolated and vulnerable
21:06they actually are this was potentially quite a serious case just given her age given the
21:12location of where it is and the amount of time it would take to get there yeah the location of
21:17a
21:17property was up a really long narrow road which just made it extra hard to get to her
21:26so what's been going on then well i've got a heart valve problem and you know waiting to have it
21:34done
21:34but oh tonight it really got me i woke up and i got this real pain and my heart was
21:43racing
21:46when racehorse breeder rosalie was woken in the night with pains in her chest
21:50she rang 999 husband peter is with her what time did she wake up with the chest pain though
21:57i think what time do you want to go for the chest bank about three o'clock
22:01about three o'clock do you have an irregular heartbeat by any chance not normally i don't think
22:06you can see they've they've put it in she's got aortic valve stenosis rosalie was experiencing some
22:12chest pain 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
22:29sweet heart no no no did did you have okay the longer i spent with rosalie the more concerned i
22:36got she was telling me about needing the heart operation how she's now got chest pains and
22:41palpitations so the longer i was there the more concerned i was becoming for her nice and still a
22:47second adam carries out an ecg to check the electrical activity of rosalie's heart
22:54yep we'll be going you're going to hospital sweetheart is it all right or is it you've got a
23:00heart rate at the minute it's about 160. yeah it should be ideally between sort of 60 and 100.
23:07it's very fast basically i knew something wrong anyway i've been getting shorter breath have you
23:13i'm not surprised with a heart rate like that so it's saying stemmy yep so we're going off the ring
23:20yeah we'll give him a buzz once we completed a heart tracing on rosalie it showed us that not only
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
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
23:58we are going to be taken at a 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
24:10a heart attack just going to give you a spray on your tongue if i can yeah this will hopefully
24:14take
24:14some 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
24:31hall and make a phone call okay colleen calls the hospital to let them know they'll be arriving soon
24:37with a patient who's having a heart attack so i did the right thing calling oh yeah don't like to
24:44think i'm wasting anybody's time nope you have definitely done the right thing by calling they
24:48said go to aone initially but give resource a quarter to go there which aone stoke rosalie has
24:55to go to hospital because she's actively having a heart attack she needs further treatment that we
24:59cannot provide her it's imperative that we get her there pretty quickly to get the treatment she
25:04needs as fast as she can we're going in on blue lights we're going to be going quite quickly she
25:08is
25:08done well so it's up to you what you choose to do but if you do you're doing your job
25:13anyway that's
25:14all they'll look after me i know that we'll get you onto the ambulance and we'll get you to stoke
25:18as
25:18quick as we can okay okay no no absolutely not no all right absolutely not well your heart rate's
25:26already going 160 try and get you up and about you'll be on the floor i find with the older
25:31generation
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 duck not with your
25:45heart rate like that well you know your job indeed how are you feeling not too bad so like we
25:54said we
25:55will be going up going in with the blues and twos okay okay so we need to get you there
26:02sooner rather
26:03than later breaking bad news is never fun but unfortunately we need to do it in a way that
26:12the patient understands so they have all the information they need hello resource it's adam
26:18one of the paramedics can i put a medical standby in please okay and we'll see you in about 20
26:23minutes
26:24we're going to be waiting for you so we'll go straight in straight to see someone hopefully
26:30i feel a bit of a fraud going in like this honestly you're really not really yeah well
26:38your 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 bop her is she absolutely needed to
27:09though no didn't she like as soon as i seen that ecg yeah all right that's not right not right
27:14at all
27:16but 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 don't make them like her
27:25anymore do they oh definitely absolute trooper
27:39so 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 to
27:52save lives there is always something that is completely out of the box and you're not expecting
28:01it and i think that's what makes this job so interesting ambulance service is the patient breathing
28:09ambulance please it's the ambulance service is the patient breathing
28:13yeah okay are they conscious are they awake she's panting she's ready breathing okay i just need to
28:23know if they're conscious are they responding to you is she responding to it no i don't think she is
28:30okay is is her breathing noisy or abnormal it's like gargling heavy it's gargling okay is she responding
28:39to you is she making any effort to move yeah okay right okay okay caller listen to me it's really
28:50important that you follow my instructions okay i need you to have a look at her breathing is she breathing
28:55normally is she breathing normally no not really as soon as i hear the words that they're not conscious
29:02and not breathing it's almost like a wall comes down around me and i'm completely locked in on that
29:09call nothing 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 she's on like a
29:27a roof ledge she's on a roof ledge when i heard the patient was on the roof i think i
29:36was genuinely
29:36really confused but it just changed things in the moment then it meant that i needed to then
29:41think about how we were going to get the caller to the patient safely to do cpr so when you
29:47say she's
29:48on a roof ledge what do you mean it's like a ledge like a lake is it is it a
29:54ledge on top of the house
29:56is it like a balcony out there yeah like like like a roof can you see the ambulance caller is
30:04the other
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 we're going to get to that patient minutes later control has informed the
30:39woman was trying to take her own life we've got some updates on that case so she's alive they've now
30:49got her off the roof fire were there as well i assume that's to help get her down yeah because
30:55they weren't quite sure how they were going to get down to be fair i just couldn't couldn't get my
30:59head
30:59around it no it just didn't make sense as to why she would be on the roof and she's on
31:03the back of the
31:03ambulance so hopefully she'll be okay are you sweet rather than savory then if i have a tub of ice
31:26cream there's no like scooping it out and putting it in a bowl i just eat all of it do
31:32you know what
31:33really annoys me though about say if you've got ice cream and you get it out the freezer and you
31:37got to wait for it to defrost a bit your spoon just bends because 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 of
31:49occasions where it has been too soft so then do i eat it or do i put it back in
31:57the freezer
31:58to freeze up a little bit more but then am i going to be starting back at the same point
32:03where i'm going to have to put it in the microwave this is too much it's a science it's it's
32:07a science
32:08i do like ice cream when it's all running though i'll purposely mix it until it goes
32:11i used to do that when i was little kid yeah i don't want it sloppy now i want it
32:17just nice
32:22nine nine nine category two 70s lady with something very unfortunate she has rectal bleeding
32:35she's got diverticulitis as well right okay so that could be
32:40a factor a lot of people struggle with that don't they yeah yeah diverticulitis is a condition in
32:47the bowel which can cause bleeding and discomfort and sometimes a lot of pain
32:52we knew this lady had been bleeding and so it's quite important that we found out what was going on
33:08what's been going on sweetheart i've been having bleeds i've got diverticulitis okay i'm used to
33:14having small bleeds i had to do a runner to the bathroom i had a massive bleed you can go
33:24look in the
33:24loops 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 and are you getting any pain
33:40yeah is the pain different to normal diverticulitis pain yeah it's a crossy yeah 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 that
33:57isn't is is fine it's getting worse oh yeah with the amount of blood maddie was losing i was concerned
34:05as things can get quite serious quite fast oh right okay so it's definitely red fresh yeah
34:27oh 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 like together it's
34:39not really like working together because we're quite good friends anyway yeah yeah definitely if
34:44you have a laugh with someone time goes so fast yeah it does and you bring loads of snacks so
34:49that
34:49definitely helps that's very true that's very true can't wait for a cup of tea in bed tomorrow morning
35:00i'm going to go up
35:01ambulance service is the patient breathing yes he's laying in his own throw up
35:05is the patient conscious no he's not he's laying there um on the street
35:10is the breathing noisy or abnormal it's abnormal um i gotta 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
35:31when a patient's heart is highly unstable but it's still beating
35:35it's called peri-arrest it's the stage before a full cardiac arrest
35:41onwards and upwards let's go see
35:45so she's unconscious noisy breathing
35:49obviously you've done right over yeah unconscious noisy breathing
35:53so i mean sunday morning
35:55it'd be a good guess to say that he might have been out
35:59a good night
36:04hello what's happened just found
36:09he's breathing oh yeah i can detect my injuries he's laying in his own throw up so
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
36:33when we arrived on scene we came across a man covered in vomit we both took a good guess that
36:38he'd been on a night out the night before and he was just taking a sleep on the side of
36:42the road
36:43right mate it's time to get on this stretcher let's set you up you've definitely had a good night
36:54so 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 for you she's good get you to stand up we've got to get
37:09you on this
37:10stretcher don't worry about me don't worry about myself what's that there again don't worry about me
37:14don't worry about ourselves 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 around a bit
37:26it was very difficult to talk to him he didn't want to speak to us and we very quickly got
37:30that
37:31vibe but also there was a part of us that wanted to make sure it was okay you can't stay
37:35here though
37:36you'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 you 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
37:59fuck off ask me where i'm just going to fucking go home when he was coming round and he was
38:06talking
38:06to us he was very defensive and aggressive in his answers and at these moments you just
38:14sigh 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
38:300.4 in stoke paramedics nick and kyra are with maddie she has diverticulitis
38:37a 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 yeah i know what i
38:48think it's
38:49got to do with the down reticulitis there's not a lot i can do no that's the problem with that
38:56your arms are okay but someone like yourself that has got this ongoing issue for you to be worried
39:07and be ringing people yeah that's a concern in itself because something's something's not normal
39:15for you i think we need more more thorough tests done right more than what i can do with this
39:21thing
39:21and so that's giving me like yeah let's take you the reason we wanted to take maddie to hospital
39:27is due to our concern about the amount of blood she was losing where she was losing it from therefore
39:34we had to find out what was going on so we could get her treated i don't want one i
39:39was folding this
39:39up yeah good to bring one of your nice patched ones can i look at it yeah she can just
39:44rip it open
39:47while maddie gets ready to go to hospital nick and kyra admire her homemade quilt that'd look lovely in
39:54my bedroom that would oh yeah i'll put an order in look how perfect it is i've got loads of
40:00ufos
40:02ufos ufos unfinished objects oh don't get her started on space and stuff she loves it
40:10i'm obsessed handmade quilts with ufos on the thought of having one would be absolutely amazing
40:18it would take pride of place on my bed i would love it ready 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 says
40:51that 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 there's only a way we can take you
41:10in birmingham city centre paramedic sean and technician brogan
41:15and with a man who was found lying unconscious in the street have you been drinking alcohol
41:23right i'm i'm done with this swearing and abuse now let's go i guess that's it then mate
41:31yeah that's it
41:36we've been trying but you're not being very nice so
41:41well okay we decided to leave him there because despite offering him help multiple times and
41:49him initially rejecting it um we can't force him to accept the help that we offer
41:57what what was i just not breathing then no you were breathing but you're unconscious
42:03on the floor you had to wake up that's why we were called and we're worried about you but
42:08you're not being all that nice make sure you don't fall over
42:13yeah yeah i get it you just said no you're gonna help me well what do you want help with
42:19you just
42:19told us to go away and leave you alone do you want us to make sure you're okay
42:23if i was sat there yeah we're sick yeah something we're meant to do look i'm not having an argument
42:28what do you want your checks done i was really frustrated with this man because anything i was
42:33offering or 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 no
42:45honestly i don't have time for this do you want to be real don't do you want your checks then
42:49or not
42:50all right am i in the mental state for you do you want your checks at all it doesn't matter
42:53bro don't
42:55fucking start shouting at me bro what are you gonna do let me walk away yeah if you want you're
42:59more
43:00than welcome to away from me away from me bro go that way i'll catch you man bro what are
43:05you gonna do
43:05my concern when he stood up and he started shouting and getting aggressive was that he was getting
43:12close to the ambulance and he could have assaulted me and i think it would have turned worse if we'd
43:17have stayed there so i think it was a good decision for us to leave at that point i think
43:21we should
43:21just go yeah let's go no step away please step away please step away
43:37having to deal with aggressive patients like this is not uncommon at west midlands ambulance service
43:44nine incidents of physical or verbal abuse are carried out against the staff every single day
43:50that was a bit scary wasn't it escalated quite quickly that job yeah it was really threatening
43:58it is quite scary and as far as i'm concerned when he says can you really leave me in this
44:03state yes i
44:04mean you're not in much of a state when you're able to stand up and verbally abuse us yeah i
44:10mean
44:10sometimes we get sent to people that don't want our help and are vile to us and then there's some
44:17people out there who just can't get our help and they're in a waiting like they're in a queue for
44:22999
44:22and they're waiting for jobs where we're wasting our time with people who would just verbally assault us
44:33ron who fell and was in agony hadn't broken his hip x-rays showed a plate in his hip had
44:39come 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 here she received treatment for
44:54to block coronary arteries robert whose nose was bleeding heavily spent six hours in hospital
45:03the bleeding was stopped and 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 he's
45:26going 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 copd is like breathing through a straw day to day when you're unwell it can get
45:48even
45:48worse yeah she's going into one a young woman has multiple seizures she'd been having a seizure every
45:56day she'd had more than one whilst we were with her this can't keep happening it's dangerous what have
46:03you done and a patient falls badly cutting her head when i looked at her injury i could see that
46:10it was
46:10down to a skull it needed some serious stature
46:40so
46:41so
46:41so
46:43you
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