- 14 hours ago
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00:01Ambulance service is patient breathing.
00:04This old gentleman, he can't walk no farther.
00:08There's a person on the floor, and that's if it's OK, but he doesn't respond.
00:13The gentleman's fallen over. We'll need a mountain rescue as well.
00:17Righty ho, let's get them bad boys on.
00:20West Midlands Ambulance Service looks after almost six million people.
00:25I love the fact that not just every shift's different, every job's different.
00:30Do you remember everything that's happened?
00:32It looks like you're having a heart attack.
00:35Saving lives and making a difference every call out.
00:39Is she breathing normally?
00:42What availability of HeliMed?
00:45Embedded with eight emergency crews.
00:48Could be anything, couldn't it?
00:49OK, OK.
00:51Filming simultaneously across the region.
00:55Time is everything in our job.
00:57Just relax, relax for me.
00:58Can you open your mouth as wide as you can?
01:02Capturing life.
01:03How's your vision? Got it?
01:05On the front line.
01:07I go to work every day, and I make a difference.
01:16Stand well clear. Vehicle reversing.
01:20Hey, how comes I always end up getting on a truck before you?
01:23Age before beauty.
01:25It's going to be a long shift this is, Mick.
01:33If you could master any talent, what would it be?
01:37Probably to learn every language.
01:41I'm jealous of that answer.
01:42Mine would be to be able to play the piano.
01:44I want to be able to just see a piano and just play it.
01:48In public. In a train station.
01:50Yeah. Do a little courtesy.
01:51Yeah. Thank you, everybody.
01:53That's a good talent. It is, isn't it?
01:55Yeah.
01:56Good morning. It's Scott and Law on 7-7 today, over.
02:00I'll get you both. I'm good, guys.
02:03Brill, thank you. Have a good day.
02:07What's the best compliment you've ever received at work from a patient?
02:12There was a guy that was, a patient that was a bit high,
02:16but told me I was the most beautiful person I'd ever seen.
02:21He was lying.
02:24A lady told me I'm going to marry Johnny Depp,
02:27and I was pretty complimented by that.
02:29Yeah.
02:30I like getting called a handsome young man
02:32off all the women in the 90s.
02:35That's my favourite.
02:37The ones that wear glasses and should go with their eyesight.
02:39Yeah, those ones.
02:40Yeah.
02:53Oh, God, that was a good click.
02:55That was a good crack.
02:57Click your neck.
02:58All right.
02:59Not bloody.
03:00Now.
03:01Show monkey.
03:01Actually, don't.
03:02I will get a snake.
03:05Yeah.
03:07Oh, stop it.
03:09I don't like your neck.
03:11I think there's two types of people in this world.
03:13People who are obsessively clicking themselves,
03:16and some people who are not, and that's the difference between me and you.
03:18Yeah, I crack too much all the time.
03:22Yeah, honestly, I'm not surprised you didn't come and be like,
03:24oh, I can crack my nose.
03:26Some people can.
03:27You know what?
03:27Can you crack your ear?
03:30Oh.
03:32I don't know how you do it.
03:33It makes you feel like I'm going to break my head.
03:35Yeah, it does your right.
03:36Oh, I can't.
03:36Oh, I can't.
03:37Oh.
03:44Oh, yeah.
03:44I'm going to be at service.
03:45Is the patient breathing?
03:47Just to bed.
03:48This old gentleman, he can't walk now farther.
03:51Can I speak to him directly?
03:54Hello?
03:54Hello. So tell me what's the main problem?
03:58Struggling to walk.
03:59Right, what's going on with your speech, sir? You sound a little bit slurred to me.
04:04Have you ever had a stroke before?
04:07Yes, I've had a couple of little strokes.
04:13We are going to a 71-year-old male exposed to the elements.
04:19Apparently struggling to walk short of breath.
04:22He's previously had a stroke.
04:25His speech appears to have become slurred, and he is sweating.
04:29This could actually be a stroke.
04:33On the way to this job, it came through as slurred speech, didn't it?
04:36So obviously that's a stroke symptom.
04:38We've only got a very short window of opportunity that we can help treat that stroke.
04:44So time really is not on our side.
04:47Oh, look, there he is.
04:49What are you doing there?
04:51In the middle of the field.
05:00What's your name?
05:02Bill.
05:02Bill, nice to meet you, Bill. I'm Brooke, and that's Keira.
05:04Hello.
05:05So what's happened?
05:06His legs have gone completely.
05:08He was going to one side, and his legs were giving way.
05:12He just couldn't walk.
05:13When 71-year-old Bill found himself staggering while crossing this grassland, neighbours Sheila
05:21and Karen came out to help and called 999.
05:26We're living there now, especially with your story.
05:29Oh, they rescued you, did they?
05:30Yeah.
05:30That's nice of them.
05:31So what do you remember happening?
05:34Well, I couldn't walk, and she was helping me walk down.
05:39And what were you doing? Were you just on a walk or...?
05:41Yeah.
05:42Yeah.
05:42She was coming back from the shops.
05:44I think people that come out and help people like those ladies did, it's really thoughtful.
05:48It restores your faith that people actually do care about everybody, so it's nice to see
05:53that sense of community.
05:56Can I just have your hands for a second?
05:59Just give them a nice big squeeze for me.
06:01Nice and hard.
06:03Fabulous.
06:04Now lift your arms up in the air for me.
06:06Close your eyes.
06:07Keep them there.
06:08Don't let them drop.
06:10Okie dokie.
06:12Try that again.
06:13Keep them there for me.
06:15Okie dokie.
06:17You can relax them down.
06:18Now can you try and kick your foot out towards me, against my hand?
06:23Brooke carries out what's called the fast test to try and identify the telltale signs
06:29of a stroke.
06:33And then in towards my hand.
06:36Okie dokie.
06:37Fabulous.
06:38You know, when you closed your eyes then, did you feel like you were leaning to one side
06:42at all?
06:43Yeah.
06:44I did a fast test on Bill to make sure that he didn't have any weakness to one specific
06:49side to rule out the fact that he was having a stroke.
06:51He didn't, however, he was still leaning to his side significantly.
06:55We didn't know what was happening, so we needed to figure out quickly.
06:58Do you feel like you just feel a bit weak or is it like that you're...
07:02He says he's not eating.
07:17If I had my way, I would eat chicken every single day.
07:21It's just absolutely lovely.
07:22Would you have it still warm on your salad?
07:23Oh, yeah, yeah.
07:24I can eat a cold drumstick.
07:26But if I sort of cut half a chicken up, I can't eat it cold.
07:30The law is you have to have a cold drumstick, but the breast has to be warm.
07:35Especially if it's just come off the spit roast and it's juicy and you're just...
07:40Oh, yeah, they're all running on your chops.
07:41I'm hungry now.
07:51Ambulance, sir, this is a patient breathing.
07:54He is, yeah.
07:56He has a lot of bronchitis.
07:57He's been coughing, coughing, coughing.
07:59And last night, he's been in pain with his chest.
08:06Going to a 77-year-old male with chest pain, excruciating pain at onset.
08:14Right, you.
08:16Could be absolutely anything with chest pain.
08:19Cardiac, is it muscular, musculoskeletal?
08:22Have they got a cough?
08:22Cough, respiratory.
08:24Until we get there, it's that proverbial guessing game.
08:27Get your foot down and get there.
08:37Hello?
08:38Where is he?
08:39Where's he hiding?
08:41My name is Dave and this is Mick.
08:42Hi, you're right.
08:43What's going on with yourself?
08:45I'll be 25 in 2.5.
08:49I just want to cough now, I'm having a hold.
08:52Yeah, I think I might have pulled something again.
08:54We're coughing, you've hurt yourself.
08:56OK.
08:5777-year-old Bob has been struggling with a cough,
08:59and since yesterday, he's had a severe pain in his chest.
09:05So whereabouts is the pain in your chest, then?
09:07Just there.
09:08Just there, OK.
09:09Had you been coughing quite heavily prior to the change?
09:13There's pain around about here.
09:14Yeah, that's right.
09:15Well, I'm touching.
09:16I'm taking a deep breath for me.
09:18Does it hurt when you're taking a deep breath?
09:19No, no.
09:20No?
09:21OK.
09:21When I first heard Bob coughing, quite a hacking, barking cough.
09:27As he pulled the chest muscle, popped the rib from all the coughing.
09:31That was my initial...
09:32That was the initial thought.
09:33The initial thought, yes.
09:35Just have a quick listen to your chest.
09:39When I've listened to Bob's chest, it was quite noisy, isn't it?
09:42The best way to describe it, it sounded like an organ.
09:45It was wheezes, it was crackles, there was all sorts of going on.
09:48However, when I'm listening, there's a little part of me going,
09:51could this be something else?
09:54So you are quite wheezy on your chest.
09:56We'll give you something for that, just to sort that out, OK?
09:58Right, we'll pop some dots on, we'll do an ECG, OK?
10:01Yeah.
10:01We never come out for one thing, we always come out and we find something else as well.
10:05The ECG provides a snapshot of how Bob's heart is functioning.
10:10So what do you do for a job?
10:12Over the pit.
10:14Oh, that'll do it.
10:15So you've always been around dust.
10:17When Bob told us he worked down the mines,
10:19we started to think, ah, right, OK, this is what his problem is with his chest.
10:23He's got dust, he's got coal dust on there.
10:25And this is what's potentially causing him all his issues and his problems.
10:29This is a salbutamol inhaler, OK?
10:32Just clear some of that wheeze off your chest.
10:34While Mick secures the inhaler to help Bob with his breathing...
10:39Right.
10:41..Dave prepares to run the ECG on his heart.
10:45Feeling a bit of pain now.
10:47Where about is it?
10:49Just right in the middle there?
10:51Yeah. OK.
10:52It's definitely not going anywhere else.
10:54Does it feel like it's going through to your back?
10:56No.
10:57Right, nice and steady for me, OK, for 30 seconds
11:00while I do this ECG reading.
11:01You ready?
11:06You haven't had any pins and needles in your hands at all?
11:09When there's pain come, I've got pins and needles here.
11:12In there? OK.
11:21I'm going to bob that through to cardiology and get him to have a look at it.
11:28It was a bit of a woe moment.
11:30After listening to his chest and listening to his story,
11:33I was expecting it to be a respiratory, not a cardiac event.
11:38I mean, you could see the changes on that heart tracing
11:40straight off where I was sitting.
11:42Absolutely.
11:43And to me, it looked like he was having a heart attack.
11:46Game's there now.
11:59Right, so I'm going to give you an aspirin.
12:02Right.
12:03Just pop that in, OK?
12:05And just chew it.
12:06Don't swallow it, because it's an aspirin, OK?
12:09In Stoke, paramedics Mick and Dave are with Bob,
12:12who they suspect is having a heart attack.
12:17Hi, good morning. It's Mick, one of the paramedics.
12:18You OK?
12:19I'm just with a 77-year-old gentleman at the moment.
12:22Tongue up, top of your mouth.
12:23While Mick calls the cardiology department at the nearest hospital...
12:27Right, I'm just going to give you a squirt of this under your tongue as well.
12:30It'll help with that pain.
12:32Dave gives Bob GTN spray.
12:34This will help widen his blood vessels,
12:37reducing the strain on his heart.
12:40Right, it's a trip to the hospital anyway.
12:42We're just going to find out where we're taking you.
12:44There's some changes on your ECG.
12:46I'm just getting somebody to have another look at it.
12:48They know a little bit more about it than I do.
12:51I've had it confirmed by the cardiologist team
12:54that he is having a heart attack.
12:55I have now got to tell Bob.
12:57I have to be careful how I explain it to him.
12:59I don't want to frighten him,
13:01because that can put stress on the heart,
13:03and if we put any more stress on the heart that he's already under,
13:05it could be potentially fatal.
13:08It will be about 15, 20 minutes.
13:13Okay, that's great.
13:14Thanks, Em.
13:15Bye-bye.
13:16So it looks like you're having a heart attack.
13:18Okay?
13:19That's what it's looking like.
13:21Don't worry, okay?
13:22You're in the right place.
13:23We're going to get you sorted out, okay?
13:25That's what it looks like on the ECG,
13:26and that's why we just phoned the cardiology department
13:28so they can just confirm.
13:29So we're taking you directly there.
13:32All right?
13:33So don't get upset, okay?
13:35Because if you start crying,
13:36you'll get me going,
13:36you'll get me mascara running,
13:37you'll be a right mess.
13:39We're going to look after you, okay?
13:41What we don't want to do
13:42is put any more strain on your heart, all right?
13:45When I've told Bob he's having a heart attack,
13:48he was quite taken aback.
13:49He was quite shocked.
13:50To the point where I think he was getting a little bit upset,
13:53because if somebody hears heart attack,
13:55they automatically think the worst.
13:58However, I have explained to him
14:00we're going to take him to the hospital
14:02to get the right treatment.
14:04One day is me driving shoes.
14:06Your driving shoes, eh?
14:07How did he grip the steering wheel?
14:11Right.
14:12Big stand.
14:13Nice and steady.
14:14And have a sit down.
14:15Okay.
14:16That's it.
14:17There you go.
14:18Okay.
14:22Get on there.
14:23Put your feet up.
14:30So, obviously, we don't want to hang around,
14:32so we're going to pop the lights on
14:33just to get through the traffic and get you in.
14:36I've never...
14:37Even hand in through the lights.
14:39Have you not?
14:40Have you not?
14:40If you want to go faster, just scream.
14:50Right, I'm just going to do another ECG tracing, okay?
14:54Bob's heart is already struggling,
14:56so Dave needs to keep an eye on his condition
14:58in case it worsens.
15:02Shall I have a heart attack?
15:03Well, you're having one at the moment.
15:04Yeah.
15:05That's what your ECG points to.
15:08Heart attacks affect different people different ways.
15:11With Bob, I don't think he actually believed me
15:14when I told him he was having a heart attack
15:15because he was sat up, talking, and felt fine,
15:19apart from this slight discomfort.
15:26So, we're chairing up, isn't it?
15:28Where are we at now?
15:28So, we're at the back of the hospital
15:30because we're going straight up to cardiology.
15:32So, you're not going to be waiting outside the A&E.
15:35Having been alerted by Dave,
15:37the cardiology team at Royal Stoke University Hospital
15:40is standing by.
15:42Okay.
15:45Yeah.
15:52Well, I tell you what,
15:53I was not expecting that to be a cardiac issue.
15:57I wasn't either.
15:57That's all.
15:58I've had a cough.
15:59I think I pulled something.
16:00It's hurting.
16:01Yeah.
16:01I mean, I listened to his chest.
16:02It sounded awful.
16:04And then you pop the leads on,
16:06and, whoa, there we go.
16:08It just goes to show
16:09no two heart attacks present the same way.
16:12Yeah.
16:19I'm just going to roll this sleeve up.
16:21I'm going to do a blood pressure,
16:22and then what I want to do, really,
16:24is see if we can get you into the ambulance,
16:26because I don't particularly want you to be set out here for too long.
16:29In Canuck, paramedics,
16:31and he says he's not eating.
16:42He says he's not eating.
16:42He's only having a cough in the morning.
16:43You say you haven't been eating well.
16:45Normal for me.
16:46Normal for you.
16:47Okey-dokey.
16:48It's all a case.
16:50Mm.
16:50Not a big eater.
16:52Have you got a headache at the minute?
16:54You haven't.
16:55Okey-dokey.
16:55No.
16:56Your blood pressure's rather high.
16:59It's 199 over 73.
17:04So...
17:06That's really high, isn't it?
17:07It's very high, yeah.
17:09Just pop your finger in here for me, Will.
17:10Oh, you just pinch that.
17:12Let's take that off, yeah?
17:14Blood pressure this high
17:15could lead to a heart attack or stroke.
17:18It's a medical emergency.
17:21What I want to see, Will,
17:23is just to see if you can stand up off that chair.
17:28Right.
17:30How's that feel?
17:31I think if I let go,
17:32you'll probably fall, wouldn't you?
17:34Right, sit yourself down, then.
17:37There's no arms on the chair,
17:38so you've just got to go straight back.
17:40That's it.
17:42When we stood Bill up,
17:44he was really unsteady on his feet,
17:46couldn't really stand up for himself
17:48without some support,
17:49so we had to use the carry chair
17:51to get him to the ambulance,
17:53which was quite difficult
17:53because he was in the middle of a field.
17:56Right, then.
17:56So this is probably going to be
17:57a bit of a bumpy ride.
18:00Might make you feel a bit travel sick.
18:03If not, might bumpy, isn't it, this?
18:07If you didn't feel sick before,
18:10you definitely do now.
18:11Right, then.
18:13What were you picking up from the shops?
18:15I was going to put a bed on.
18:18Put a bed on?
18:20Well, let's hope it checks out, eh?
18:22Might make this journey worth it.
18:29You know when we were outside
18:30and we got you to stand up,
18:31how did you feel you were then?
18:34A bit dizzy.
18:35A bit dizzy.
18:36Should I try and get you
18:37to just stand up where you are
18:38and I'll do your blood pressure
18:39when you stand up
18:40to see if that changes anything?
18:43Brooke checks to see
18:44if Bill's blood pressure
18:45is still dangerously high.
18:48Fabulous.
18:49Right.
18:49Just close your eyes for me.
18:55Is that when you go...
19:00That's when you're leaning, isn't it?
19:01When your eyes are closed.
19:02I don't know.
19:03Yeah.
19:04I think if you close your eyes
19:06for long enough,
19:07you'd hit the deck,
19:08to be honest.
19:10I think it might be worth
19:11a trip up to hospital today
19:13because your blood pressure
19:14is a little bit high
19:15and if your balance is off,
19:17a certain part of your brain
19:18might not be functioning properly.
19:21We obviously know
19:22his blood pressure was quite high,
19:23but we didn't really know
19:24what was going on,
19:25whether that was...
19:26his balance was off
19:27because his blood pressure was high
19:28or there was, like,
19:28a neurological problem.
19:30But we were very much...
19:31It was a job where we were
19:32in the dark, I think,
19:33with what was going on
19:34and it was taking him to hospital
19:36for that conclusion, really.
19:39At least you're still getting about
19:40and looking and...
19:42Newsies or losers.
19:44Well, exactly.
19:45Exactly.
19:46My nan told me that matter as well.
19:50Ready to go?
19:51Yeah.
19:55Are you from Canuck?
19:56Scotland.
19:57Scotland.
19:58Scotland?
19:58Oh, yeah.
19:59I don't pick up on the accent.
20:01You live on your own.
20:02Yeah.
20:03Do you feel like you need
20:04any support or not?
20:06No.
20:06You're OK?
20:10At New Cross Hospital
20:11in Wolverhampton,
20:12doctors will try to find out
20:14why Bill's blood pressure
20:15is so high and treated.
20:29What is my most defining quality
20:31as a house, mate?
20:33Your ability to cook.
20:35That's it?
20:35That's all I bring to you, mate?
20:37Yeah.
20:38If you got a personal chef,
20:40that'd be it.
20:40I'd just be...
20:41Out on you.
20:42...done.
20:42You want an excellent cook, though.
20:45You've got to get a dishwasher.
20:46Yeah.
20:47Because you created
20:49so much mess.
20:50You don't get an artist
20:51to clean up his pain, do you?
20:53You'd make one dish
20:54and then you'd need
20:55six bowls.
20:57I think living together
20:58definitely has its advantages,
21:00but also a few challenges.
21:02Definitely a few challenges.
21:04We squabble.
21:06Yeah, like siblings.
21:07Yeah.
21:08I'm right.
21:09You're wrong.
21:10We meet in the middle.
21:11I'm going to figure out
21:12that I'm right all along.
21:13No.
21:13Yeah.
21:14Never.
21:15See?
21:16Never, ever.
21:17If it was up to you,
21:18you'd have had a microwave curry
21:20without a microwave.
21:29I'll be at service.
21:30Is the patient breathing?
21:32Yes.
21:34OK, what's the word?
21:35See what's happened.
21:36The gentleman's fallen over
21:38and he's either broken an ankle
21:40or damaged soft tissue
21:42and he can't bear weight on it.
21:44We'll need a mountain rescue as well.
21:50Voice accept.
21:52Zero nine.
21:54Patient's fallen.
21:55They've got an ankle injury.
21:57Mountain rescue are on scene as well.
21:59So we're going to a 54-year-old male.
22:02He's fallen over, injury to ankle.
22:07It's difficult terrain for a retrieving patient
22:11calling mountain rescue.
22:12Oh, nice.
22:15When we got a call saying mountain rescue were on scene,
22:18I think our first thought is,
22:19where on earth are we going?
22:20Yeah.
22:21And how are we getting there?
22:24I did anticipate that he was going to be halfway up the mountain
22:27and we were going to have to figure out
22:29some way to get him down
22:30because with the injury,
22:31there was no way he was going to walk.
22:33Yeah.
22:35We've made it.
22:37We've made it.
22:38I've.
22:38I saw those mountain rescue have made it.
22:40Me too.
22:42There's mountain rescue.
22:50We've made it.
22:52Across the West Midlands,
22:54there are around 400 paramedic crews on the road every day.
22:59We're on board with eight of them
23:01to see the work that they do.
23:11So, Madge slipped on the top of Fort Cloud.
23:13OK.
23:14At approximately 3 o'clock,
23:16he managed to get himself down to the path.
23:18OK.
23:19We've got a suspected lower left ankle.
23:25Paramedic Sharni and Technician Jack
23:27have just arrived in Dovedale National Park
23:29in the Peak District.
23:33Lovely.
23:34All yours.
23:35Lovely.
23:35Thank you very much.
23:36Thank you very much.
23:3754-year-old Madge was hiking here
23:40with his 11-year-old son, Victor,
23:42when he fell and injured his left ankle.
23:47What have you been up to?
23:48I've heard you've had a bit of it before.
23:49Found a little rock.
23:50I just flipped my foot that direction.
23:52OK.
23:53So, you sort of rolled onto your ankle?
23:55Er, yeah.
23:56I rolled on it,
23:57and what I just experienced
23:59was that, you know,
24:01tissues just come and lose.
24:02You didn't hear any crunches
24:04or bone breaking
24:05or feel anything like that?
24:06No, no, no, no.
24:06It was like a soft tissue,
24:08you know, ligaments,
24:09tangons, things like this.
24:10And your pain at the minute?
24:11At the minute.
24:12It's not pain.
24:13That's amazing.
24:14I expected that we were going
24:16to give significant amounts
24:17of pain relief,
24:18and when Madge told us
24:19that he was in no pain at all,
24:21it threw me off guard a little bit.
24:23I thought,
24:24how strong is he?
24:26Can I have a quick look?
24:28I'll lift your leg up,
24:30and then we'll just come out.
24:31Grab a quick feel.
24:33Wiggle your toes, actually.
24:34Yeah, it's working.
24:35I got some mobility in it,
24:38but, of course,
24:38it's swollen, so...
24:39Is the pain more this side?
24:41Yes.
24:42Because that's where
24:42it's swollen the most.
24:43When I first had a look
24:44at Madge's leg,
24:45it looked a little bit swollen,
24:47but not significantly injured.
24:49I expected a lot worse.
24:51He was able to move his toes,
24:52and it looked OK.
24:54Normal feeling,
24:55normal sensation.
24:56Yeah.
24:57Nothing like that.
24:58Perfect.
24:58What we'll do is we'll put
24:59our vacuum splint on.
25:01Right, this one's going to be
25:03the slightly nasty strap.
25:04Jack fits a vacuum splint
25:06to Madge's ankle.
25:08This uses air pressure
25:09to help immobilise his leg.
25:13Yeah.
25:15Does that feel OK?
25:16Yeah.
25:17Can't move it, can you?
25:18No?
25:18Good.
25:19Perfect.
25:24Are we all ready to go?
25:25Yeah, good to go.
25:26Yeah.
25:28Madge and his son, Victor,
25:29are on holiday.
25:31The hospital closest
25:32to their hotel in Meckersfield
25:34is 30 miles away.
25:37Is this your first day
25:38of the trip?
25:39Oh, no!
25:40Yeah.
25:41Should have done it
25:41on the last day.
25:42Yeah.
25:43No, it shouldn't happen at all.
25:44No, well, that would be...
25:45Yeah.
25:46That would be best.
25:47Do you enjoy the hiking as well?
25:48Yeah.
25:49You picked the right day for it.
25:51I woke up the mountain
25:52two times
25:52and I was very tiring.
25:54You've done very well
25:55because I don't think
25:56I could have walked up it once.
26:01Still feeling OK?
26:02No pain?
26:03Oh, I wasn't right.
26:04OK.
26:05Yeah, I'm good.
26:06You're much tougher than me.
26:12Take the next right.
26:14I think we've arrived.
26:17A walk with his son
26:18in the countryside
26:19has ended
26:20with an hour-long trip
26:22to Meckersfield
26:22District General Hospital.
26:26Pull up on here
26:27or me.
26:29Easy.
26:30You are.
26:31Amazing.
26:31Stella.
26:33Here, doctors
26:33will carry out x-rays
26:35to see exactly
26:36what damage
26:36has been done
26:37to Matt's ankle.
26:50What a trooper.
26:51I've never seen
26:52someone so relaxed.
26:54Had no pain?
26:55None.
26:56Zero pain?
26:57But it's clearly
26:58swollen and...
26:59Isn't it?
27:00Yeah.
27:00There's got to be
27:01something in there.
27:02Something.
27:02Is it at least a sprain
27:03possibly a fracture?
27:04They haven't given me
27:05x-ray eyes yet.
27:07That's coming in the future.
27:08In the future.
27:21You boy,
27:22the foot is really hurting.
27:22OK.
27:23OK, so just confirm
27:24he's conscious and away.
27:26Matt's ankle injury
27:28was the 2,200th call today
27:31and the team here
27:33have no idea
27:34what the next call
27:35will bring.
27:38Of course,
27:38there are certain calls
27:39that you don't want
27:40to get, like,
27:41the majority of things
27:42to do with children.
27:43Something about them
27:43just being so little
27:44just makes it
27:45a lot more difficult.
27:46I don't know whether
27:46it's because I've got
27:47a daughter as well.
27:48Like, you can sort of
27:49put yourself in their shoes.
27:52Ambulance service.
27:53Is the patient breathing?
27:55Yes.
27:56Are they conscious and awake?
27:57Yes.
27:58And what's the reason
27:59for the ambulance, please?
28:00One of our pupils
28:01has just fallen up the steps
28:02and hit her forehead
28:04off the edge of the step
28:06and she has a large wound
28:07that we're applying pressure to.
28:09Blutter.
28:10OK.
28:10Is she bleeding at the moment?
28:12Yes.
28:13OK.
28:13Has she been bleeding
28:14red blood very heavily
28:15in the last 30 minutes?
28:17Yes.
28:18It was red blood
28:18and it's coming
28:19from the forehead.
28:20Might be a bit difficult.
28:21Can you see the bones
28:22sticking out through the skin?
28:24You can see flesh
28:25because obviously
28:25it's on her forehead.
28:27Children are so resilient
28:28and they're so good
28:29at bouncing back.
28:30But if something's wrong
28:31they tend to kind of dive
28:33quite quickly
28:34which can be incredibly scary.
28:36She's gone cold now.
28:39We've got a blanket over her.
28:41OK.
28:42Yeah.
28:42Just do best to keep her comfortable.
28:44Keep her safe.
28:45Is she limp or floppy
28:46at the moment?
28:47She's not limp or floppy.
28:48I think she's just shocked.
28:50Oh yeah.
28:50I know.
28:51Of course.
28:51Any new weakness
28:52or coordination problems
28:53in her arms or legs?
28:55Can you lift your arms up for me?
28:58Wave to me.
28:59And the other one.
29:00Give me a wave.
29:01And can you wiggle your legs?
29:02Can you kick them?
29:03Kick, kick, kick.
29:05Yeah, she's just a bit dazed
29:07but she's lifting her arms
29:08and she's moving her legs
29:09but she's quite dazed
29:10for herself.
29:11OK.
29:12If a child is quiet
29:14or more subdued
29:15then that can be
29:16a lot more concerning.
29:17I'd much rather
29:17them be making noise
29:19if I can hear them
29:20chatting, laughing
29:21or crying
29:21then for me
29:22at least I know
29:23that they're OK.
29:24I do have some help
29:25arranged for her.
29:27Sounds like you are
29:27doing all of the right things
29:28but if the blood does
29:29soak through that pad
29:30don't take it off
29:31just put another pad
29:32on top of it.
29:33And we do just need
29:33to advise.
29:34That's what we've done.
29:34We've just added.
29:35That's why it's quite thick
29:36because onto the others
29:37we've added another section
29:38on top to apply the pressure.
29:40Was it soaking through
29:41the initial one
29:42quite quickly?
29:43It did soak quite quickly
29:45on the initial one.
29:46Right.
29:47No, that's fine.
29:47And it was all going
29:48down her face.
29:50It came to light
29:51that actually
29:52that was the second
29:53lot of dressing
29:54that they'd put on.
29:55The first lot
29:55had bled through
29:56quite quickly
29:56so at that point
29:57I knew actually
29:58this was significant
29:59blood loss
30:00especially for someone
30:01so little.
30:02I now have this down
30:03as a high priority
30:05response
30:05just because of that.
30:07So I will stay
30:09on the phone with you
30:09until the crew get there
30:10and just keep her
30:12safe and comfortable
30:12where she is then.
30:16They're just coming in now.
30:17All right then
30:18I'll leave you guys
30:19with the crew.
30:20Take care.
30:21Bye.
30:21Bye bye.
30:26Brave little girl.
30:28Bessa.
30:30The patient was taken
30:32to the paediatric unit
30:33where she was treated
30:35for her injury.
30:52A patient thought
30:53that I was a lot
30:54lot younger than I was
30:55and bear in mind
30:55this was on a fourth
30:56night shift in a row.
30:58You're not doing bad
30:58for 40 are you?
30:59You're a cheeky get.
31:00You're closer to 40
31:02than me.
31:03Got less wrinkles
31:04though aren't I?
31:05Shut up.
31:07I'm worried about
31:08smile lines though
31:09to be fair
31:09because I'm always smiling.
31:12Not when I'm working
31:13with you.
31:15I'm definitely not
31:15first wing
31:16in the bloody morning.
31:17Working shifts
31:18on an ambulance
31:19definitely ages you.
31:20It does.
31:20It does.
31:23Also the company
31:24you're with
31:24sometimes ages you
31:25like working with Colleen
31:26ages me about 10 years
31:28every shift.
31:28Speak for yourself.
31:31Night shifts though
31:32aren't delightful.
31:33We are polar opposites.
31:34Absolutely
31:35which is why we work.
31:43Ambulance services
31:44the patient breathing.
31:46Yeah it is.
31:47Basically there's
31:48a person on the floor.
31:50Is he able to
31:51tell you what's happened?
31:53I approach him
31:54and ask if it's okay
31:54but he doesn't respond.
31:56Has he got his eyes open?
31:58I can't see
31:59because his head
32:00is on the floor.
32:07So an unconscious
32:09in the street.
32:10I'm guessing
32:11we don't have
32:12much information.
32:13No.
32:14Going to these
32:15jobs in the streets
32:16can put you on edge
32:18because is it
32:19something sinister
32:20like a drugs
32:23related thing?
32:24Is it a homeless
32:24person who's
32:25collapsed?
32:26Yeah.
32:28But in fairness
32:29it could even just
32:29be someone
32:30who is generally
32:31unweld,
32:31can't it?
32:33A call for someone
32:33unconscious in the street
32:34could be a thousand
32:35and one things.
32:36Have they been
32:37hit by a car?
32:39Have they collapsed?
32:40Are they intoxicated?
32:42Absolutely anything.
32:43The only way we know
32:44is by getting there
32:45so we need to get there
32:47quite quickly.
32:50There they are.
32:51Oh yeah.
32:53Maybe block them
32:55so they don't get
32:55hit by a car.
32:56Let's leave that there.
32:57Yep.
32:58I'll go check it out.
33:05Wakey, wakey, buddy.
33:06You were asleep
33:07in the street.
33:08Squashed your bread.
33:09There you go.
33:11Have you fallen
33:12or just passed out?
33:15A passerby called
33:16999 after seeing
33:18the man lying
33:18in the road
33:20unresponsive.
33:21Have you had any
33:22gear or anything,
33:23matey?
33:23We don't care
33:24if you have,
33:25by the way.
33:25We just want to
33:26make sure that you're
33:26OK.
33:27It's not every day
33:28that we come across
33:28someone on the side
33:29of the street
33:30literally in the road
33:31unconscious.
33:34When I first
33:34seen this patient
33:35my first thoughts
33:36were how on earth
33:38has he ended up
33:38in this situation?
33:39Could it be
33:40a medical episode
33:40or could it be
33:41something more
33:42like illicit drugs
33:43or alcohol?
33:44Shall we get
33:44your stuff off the road?
33:45I don't want you
33:46to lose any of it.
33:47Is that a handle?
33:47Is that yours?
33:49Some pretty serious gloves.
33:51I don't think
33:51your Milky Way
33:52is salvageable
33:53to be honest.
33:54Have you got any
33:55medical conditions
33:55that would make
33:56you fall in the street?
33:59OK.
33:59Have you taken them
34:00today?
34:01You say you don't
34:01think you've had
34:02your diazepam today?
34:05You have?
34:06The patient
34:07is known
34:07to take diazepam
34:09a powerful
34:10sedative drug
34:11only available
34:12on prescription.
34:14Shall we get you
34:14on the bed
34:15and get you
34:15in the truck?
34:16Yeah.
34:16Can we go and
34:16assess you
34:17on the truck
34:17instead
34:17rather than
34:18on the floor?
34:20Come on.
34:20Try and wake up,
34:21fella.
34:22If we help you
34:22do you think
34:23you could stand up?
34:25When he disclosed
34:26he'd taken diazepam
34:27that was a bit
34:28of a red flag.
34:29That would explain
34:29why potentially
34:30he was unconscious
34:31in the street.
34:33but has he
34:33taken anything else?
34:34Right.
34:35Are you ready?
34:36Yeah.
34:40We're going to go
34:41assess you
34:41on the truck.
34:42I'll get a bag
34:42and I'll put your
34:43stuff in it,
34:43OK?
34:44On this way.
34:54Lift your head up a second.
34:56Do you want another
34:56look in them eyes,
34:57darling?
34:58There you go.
34:59In Stoke,
35:00paramedics Adam
35:01and Colleen
35:02are with a patient
35:03they suspect
35:03has taken an overdose.
35:06They are small
35:07but they're not
35:08pinpoint.
35:10That's diazepam,
35:11though.
35:11Look at his eyes.
35:12How much diazepam have you had
35:13today?
35:15A lot,
35:16I'm guessing.
35:17When you look at
35:18a patient's eyes
35:19it can tell you
35:20quite a lot.
35:21So if they've taken
35:22anything like drugs
35:22or opiates
35:23it can make their eyes
35:24really, really small.
35:26However,
35:27some other drugs
35:27can make their pupils
35:28really, really big
35:29so it can give you
35:30a lot of information.
35:31I'm just going to get
35:32a bit of blood
35:33from the tip of your finger,
35:34darling, OK?
35:35You're just going to feel
35:36a sharp scratch
35:37but it'll only be
35:38for a second.
35:39There you go.
35:423.8
35:43is hyperglycemia.
35:45As well as being
35:46sleepy due to
35:47an overdose
35:48of prescription
35:49medication
35:49the patient
35:50has a slightly
35:51low blood sugar level.
35:54Do you think
35:55you'll be able
35:55to eat your Milky Way
35:56for me
35:57if I get it for you?
36:01It is a bit squashed.
36:04You just need
36:05your blood sugars up,
36:05OK?
36:09You don't want it?
36:10No, that's what
36:10you don't see on here.
36:12Put it in your hand.
36:14It's your Milky Way.
36:15It's just a bit squashed.
36:17Jow down on that, mate.
36:18I don't think
36:19he's going to eat that.
36:20I'm going to have
36:20to put some
36:21gluca gel in your mouth
36:22because you're not
36:22going to be able
36:23to eat that
36:23by the looks of it.
36:25I'm just going to
36:26tip your head
36:26back a little bit.
36:27Now, because you
36:28can't eat this,
36:29I'm going to put
36:29this gel in your mouth,
36:30OK?
36:31It's going to taste
36:32very, very sweet.
36:34Colleen tries to give
36:35him a fast-acting
36:36glucose gel
36:37designed to bring
36:38blood sugar levels up
36:39quickly,
36:40but the patient
36:41has now become
36:42too unresponsive
36:43to take it.
36:48I think we just
36:48narcan on it,
36:49to be honest.
36:50He isn't going to have that.
36:51Let me take that off.
36:52Yeah.
36:53See how this goes.
36:54I'm going to squirt
36:55something up your nose,
36:56it's OK.
36:57It's going to feel weird.
36:58As overdoses
36:59often involve
37:00a mix of drugs,
37:02Colleen gives
37:03the patient narcan.
37:04If he's also
37:05taken any opioids,
37:07this will reverse
37:08the effects
37:09of the overdose.
37:11Tip your head
37:12back for us.
37:13Just want that
37:14airway open.
37:14Perfect.
37:16We gave the patient
37:17narcan because
37:18it was apparent
37:19that he'd taken
37:20some form of drug
37:21and potentially
37:22others narcan's
37:24given to be able
37:24to increase
37:25a patient's
37:26consciousness
37:26and make them
37:27more awake.
37:28Come on, fella.
37:29We're going to need
37:29you to wake up
37:30and stay awake
37:31for us if you can
37:31because you're
37:33not in a good
37:34place at the minute.
37:36Shall we go?
37:44Say when, mate?
37:45Yeah, ready when you are.
37:48As the patient
37:49isn't responding
37:50to narcan,
37:51and Adam and
37:52Colleen don't know
37:53exactly what he's
37:54taken, they decide
37:56to head for hospital.
37:59There you go.
38:00Rest your head
38:00down, sweetie.
38:01That's it.
38:02Perfect.
38:03I'm just going to
38:04keep hold of your
38:04head just so it
38:05stays in this
38:05position, okay?
38:10At Royal Stoke
38:11University Hospital,
38:12the patient will
38:14be monitored and
38:15may be given
38:15medication to
38:16reverse the effects
38:18of an overdose.
38:27I don't know how
38:28much of God knows
38:29what he's taken,
38:30but he's taken a
38:30lot of it.
38:31A lot of it.
38:34Probably too much
38:35of it, if I'm
38:35honest.
38:36Yep.
38:37It could be
38:38anything.
38:39It could have been
38:40a combination of a lot
38:41of different things,
38:42unfortunately, with him.
38:43Milky Way man, that's
38:44what he is.
38:44Milky Way man.
38:45Milky Way man.
38:46Out of this world.
39:00If you would give
39:01yourself a different
39:02name, what would
39:03you name yourself?
39:05Oh.
39:06I'm seeing an Ellie.
39:08Really?
39:09Yeah.
39:10I think that's too
39:10girly for me.
39:11Or like a Sasha.
39:13Oh, no.
39:13Okay.
39:14Sasha.
39:16I mean, my name
39:17is literally unisex,
39:18so mine's not girly.
39:19Yours is girly at all.
39:20No.
39:21Mine's quite girly.
39:23Yeah.
39:24I don't love it.
39:25Yours is literally
39:25a flower.
39:26Yeah.
39:27It's rather feminine,
39:29isn't it?
39:30I don't even think
39:31I said Daisy,
39:31to be fair.
39:32I think it's a bit
39:32innocent.
39:34No.
39:47Oh, there we go.
40:04Bicep sex.
40:05We've got a 74-year-old
40:07male.
40:09Arbidol pain.
40:10Oh, bless him.
40:11Could be anything,
40:12couldn't it?
40:12Could be D&V.
40:14Could be.
40:15Could be UTI.
40:16D&V stands for
40:18diarrhoea and
40:19vomiting.
40:20UTI, urinary tract
40:22infection.
40:23Urinary tract infection,
40:23yeah.
40:23We don't actually know
40:24what's going on with
40:25this patient they're doing.
40:26No.
40:26Not yet.
40:30Is this the back
40:32or is this the front?
40:35Ambulance.
40:36Hello?
40:38Oh, hello.
40:40You okay?
40:41Yeah.
40:42Have you rang for us?
40:43Yeah.
40:46I just couldn't sleep all night
40:48and I just got the pain.
40:50I'm coughing, coughing,
40:51coughing.
40:51Where have you got the pain?
40:52Yeah.
40:53In your chest?
40:54Yeah.
40:55When did the pain come on?
40:57Well, that's not really.
41:00After a night of
41:00constant coughing,
41:0274-year-old John
41:03called 999.
41:06Have you took anything
41:07for the pain?
41:08Like paracetamol?
41:09Yeah, yeah.
41:10I got some, yeah.
41:11Yeah.
41:12Who did you call
41:13this morning for us
41:13to get here?
41:15Did you call 111
41:16or 999?
41:17999.
41:18What were you hoping
41:19for from us?
41:20Are you wanting
41:21pain relief?
41:22No, just to
41:23check me out.
41:24Just to have a check?
41:25Yeah.
41:25Okay.
41:26Because I'm
41:26diabetics as well,
41:27so you know.
41:28Right.
41:29You need to speak
41:29to your doctor
41:31so that they can
41:32sort you out
41:33a nurse
41:34that can show you
41:36how to do your
41:37checks for your diabetes.
41:39I think the story
41:41changed slightly
41:42as we...
41:43Once we were on scene.
41:44Yeah.
41:45Went from chest pain
41:46to cough.
41:48To a woman's diabetes.
41:50He's checking.
41:51The trigger's checked, yeah.
41:53Just to check,
41:54you're not allergic
41:54to anything.
41:56Yeah, with me.
41:58I'm allergic to men.
41:59You're outnumbered here,
42:00unfortunately.
42:02Right, nice and still.
42:04As the pain
42:05pain is in John's chest,
42:07Daisy checks his heart rate.
42:12It's on the lower side,
42:13but I'm not overly concerned.
42:15No, because he's presenting
42:16well, isn't it?
42:17Yeah.
42:18Do you feel dizzy at all?
42:19I'm already dizzy.
42:21OK.
42:23Right, I'll do your blood sugars.
42:284.3.
42:30It's a bit on the lower side.
42:32What have you got in to eat?
42:34A toast.
42:35Toast?
42:36Do you want me to make you some?
42:37John's blood sugar
42:38was on the lower side.
42:40The solution to this
42:41is to just get some sugar in him,
42:43whether that be
42:43a sugary cup of tea,
42:45some toast
42:45with a bit of jam on it.
42:47It's not really
42:48something that
42:49an ambulance needs to do.
42:51He could have probably
42:51done this by himself.
42:53Let's have a look.
42:54What cupboards the bread in?
42:56It's on top of the microwave, isn't it?
42:57Above the microwave.
43:02I'm not taking you to hospital
43:04because your heart rate's a bit low.
43:06I don't think they're
43:07going to do anything for you.
43:09It's not that low
43:10that we would treat it.
43:12There you go.
43:13You can sit up.
43:14Do you want to sit up?
43:15No.
43:16No?
43:17Do you want a cup of tea?
43:19Can you make tea?
43:21I can make tea.
43:22I can.
43:23I'm from Yorkshire.
43:24Tea is in me veins.
43:29I like your pink kettle.
43:31Did you pick that?
43:36I reckon that
43:38is a good cup of tea.
43:40Crack him.
43:43I think he looks
43:44all right, that.
43:47Yeah?
43:47Happy?
43:48I don't know, yeah.
43:49I'm excited.
43:52You're right, please.
43:54Have you had enough?
43:56I don't eat the mud.
43:57Well, you should probably
43:59eat a bit more at some point
44:00because your blood sugars
44:01were on the lower side.
44:03John didn't need to go to hospital today.
44:05I think John just wanted a cup of tea
44:06and a little bit of company.
44:08Are you happy to stay at home?
44:09Yeah.
44:10Yeah.
44:11But you need to speak to your GP.
44:13You know where we are
44:14if you need us, all right?
44:16All right.
44:17Nice to meet you, John.
44:18All right.
44:19See you later.
44:23Let's go.
44:30All we really didn't for him
44:32was give him some tea and toast.
44:34Do you know what?
44:35I think he might have been a bit lonely.
44:36I think he wanted a bit of company.
44:37I think he wanted some company, didn't he?
44:45John called another ambulance crew
44:48later that same day.
44:50Like Morgan and Daisy,
44:51they advised he should take the painkillers
44:53he'd been prescribed
44:54and speak to his GP.
44:58Bob, who was having a heart attack,
45:00was found to have a blockage
45:01in one of his arteries.
45:03He had a stent fitted to widen it.
45:06Two days later,
45:06he was able to return home.
45:10Bill's blood pressure
45:11eventually returned to normal,
45:13but he may have problems
45:14with his kidneys
45:15that could require medication.
45:19And Madge,
45:20who'd fallen while hiking,
45:22had an X-ray
45:23in the fracture clinic.
45:24This confirmed
45:26he'd broken his ankle.
45:33Next time...
45:36A man is in agony.
45:39Put this in your mouth.
45:39Keep breathing on it.
45:41Open your mouth.
45:41Our main concern
45:42was figuring out
45:43where this pain was.
45:45And then getting this under control,
45:47we did suspect
45:48that he may have broke his hip.
45:50Oh, God,
45:51that is a big clot.
45:52That was massive.
45:53A patient has a severe nosebleed.
45:55When I saw the blood clot,
45:57it was rather grim.
45:58It was large.
45:59He's just had brain surgery.
46:01We needed to get him to hospital fast.
46:03I woke up and I got this real pain
46:06and my heart was racing.
46:09And the woman
46:10is complaining of chest pain.
46:12Once we completed
46:12a heart tracer,
46:13it showed us
46:14that she was actively having
46:15what we call a STEMI,
46:17which is a heart attack.
46:18We are going to be
46:19taking her to hospital
46:20and we are probably
46:21going to be going
46:21quite quickly.
46:22We are going to be
46:53in the hospital.
46:53We are going to be