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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.
01:25Do you know what I feel like I need?
01:27Go on.
01:28A little break away.
01:28You need to get a camper van, don't you?
01:30I'd love to.
01:30I'm trying to talk the other half into it.
01:32I just love seeing, you know when there's like them pictures online and it's like people
01:36wake up in the morning, open the back doors and there's a stunning view.
01:40I just need a bit of that in my life.
01:44Pinch, punch, first of the month.
01:47Oh God, we've got a job.
01:56What's the first band you ever went to see?
01:58I think it was Girls Aloud, you know.
02:00Was it?
02:02Yeah, in like...
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.
02:51Listen to this, they sent the Mousetripper 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 Mousetripper 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.
03:14Palpitations.
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 makes me run on the stripper grams in care homes.
03:46What have we got then?
04:02Trio's not possible.
04:03Remote 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, we're trying to think where's the blood
04:18coming from?
04:19How much blood have they actually lost?
04:21And did I 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, 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.
04:49Oh yeah.
04:50Yeah.
04:51There's a clot in that one then.
04:52Try not to rub it if you can.
04:53Lean over the sink now 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, his son called 999.
05:07What I've had it happen before, it's usually stopped within, you know, ten minutes or so.
05:13Ten minutes, but it's been half an hour.
05:14Yeah, it's been a good hour.
05:16How much blood would you say that you've estimated?
05:18Well, a lot.
05:20A lot.
05:20A lot.
05:21Yeah.
05:21Let 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 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.
05:44Yeah.
05:45This is supposed to clamp.
05:48Can you feel that pressure?
05:50Yeah, it's not very tight though, isn't it?
05:53No.
05:53Let me try a bit higher up.
05:54Oh.
05:56Never get trying this and trying in school.
05:59Oh, there we go.
06:01Right, keep that there for a bit.
06:02I think it's doing its job.
06:04It's stopped bleeding now.
06:05It's stopped dripping down.
06:07There we go.
06:08Fixture.
06:09Can you breathe through your mouth okay?
06:11Yeah, yeah.
06:12You're not feeling anything?
06:13Oh no, it's still dripping.
06:14I was quite worried at this point because we had no other option to stop the nosebleed 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.
06:29Yeah.
06:30The fact that it's still going after half an hour and yet it is losing quite a bit.
06:35I'm thinking that that might be a go ahead if I'm honest.
06:38Yeah.
06:38Just to see if that stops the bleeding all right.
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.
06:55It's just my reasoning is the fact that it's been continuous for over half an hour now and it's still...
07:00Yeah.
07:01...going quite...
07:02Yeah, still...
07:03Yeah.
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?
07:15Is that all okay?
07:17Yeah.
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, that 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.
08:23I saw a train, I thought, I've never had a train in my life.
08:26We saw the ice cream van, didn't we?
08:27And 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 I have chocolate all around my mouth?
08:37No, have I.
08:38Just take 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.
08:54The 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.
09:08Right.
09:08And how old is he?
09:09He's 92.
09:13We'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.
09:28Yeah.
09:28If we're looking at the leg.
09:30I think when you get cold to a 92-year-old that's fallen, we are thinking, is he going
09:36to have broken something?
09:38Is he going to have broken his hip?
09:39Generally, it's something that happens, isn't it, when they're older?
09:42Yeah.
09:43And a bit more frail.
09:44And it's not nice.
09:46It's not a nice break.
09:51Hello.
09:53What's...
09:54What's going on?
09:55I fell straight over this side of the pain there.
09:59I know.
10:00I'm going to take these blankets off you, sweet, all right?
10:02So I can have a look at you.
10:03I know, I know, I know, I know.
10:06Crying 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.
10:15Yeah, his head was there.
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 over here.
10:43Over here, back here.
10:44Here?
10:44Yeah.
10:46Our main concern was figuring out where this pain was,
10:49why he was in pain and getting this 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
11:19that's gone up his nose and then come out his mouth.
11:21Right, bear with me, sorry.
11:22We've just had a clot probably about three centimetres by three centimetres round
11:26just come out of his mouth.
11:28He said it was up his nose.
11:29It was up his nose and then he felt like it's gone into the throat and spat it out.
11:32And it's about that big.
11:34Let's just get going then.
11:37To the west of Birmingham, paramedics Mark and Amy are with Robert.
11:41Having recently undergone brain surgery,
11:44they're concerned his severe nosebleed won't stop.
11:49There we go.
11:50Right then.
11:51You OK?
11:52Yeah.
11:52Don't feel dizzy at all?
11:53No, I should.
11:54Let's get going then.
11:56Just nice and steady down the stairs, OK?
11:59Robert needed to go to hospital as he had had recent brain surgery.
12:03Nosebleeds can be a symptom if something's gone wrong with the brain surgery
12:07so we needed to get him there fast.
12:10Let's put some straps on you.
12:13And again, just checking no headache, no dizziness.
12:15No.
12:21In the future, just phone 999, don't worry about anything.
12:24We'd rather come to something like this.
12:26A lot of people say, oh, it's only a nosebleed,
12:27but there's different circumstances with yours, you know what I mean?
12:36You have arrived at your destination.
12:40Hmm, it has slowed down.
12:41Oh, 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.
13:10Right.
13:11Paramedic Daisy and student paramedic Morgan are with Ron, who's in agony after a fall.
13:18Dizz, I'm not sure if we're going to get this stretcher in.
13:20Do you know what I mean?
13:21Do you want to try?
13:22Or do you...?
13:23Cos I just don't think we're going to get him on carry chair.
13:25I don't think we are.
13:26I think putting him in even more pain just to get him out, I think we need to try other
13:30ways first.
13:32Yeah.
13:34I'm going to give him treatment here first.
13:36Yeah, I don't want to move him.
13:38Ron has very clearly hurt himself.
13:40We think he might have broken his hip, so he needs to go to hospital.
13:44Now we need to figure out how we're going to get him there.
13:47Ron?
13:48What?
13:48Can you stay really, really still for me?
13:51Yeah.
13:52Really still whilst we do this heart tracing?
13:54Still?
13:55Yeah.
13:56Before attempting to move Ron, Morgan runs an ECG to check the state of his heart.
14:02Really still.
14:05He's always dead.
14:06Oh, Ron, let's not say things like that.
14:09What about your daughter?
14:11No, we're not.
14:12No, you're not.
14:14She loves you.
14:15She gave up a lot of time for me.
14:17Well, you gave up a lot of time when she were a baby.
14:20Yeah.
14:21Oh, yeah.
14:22When Ron said that he didn't want to be alive anymore, it was quite upsetting,
14:26and it was clearly because he was in so much pain,
14:29so we just wanted to make him more comfortable,
14:32try and get him feeling back to himself.
14:35Right, I'm going to give you some paracetamol through that vein, OK?
14:40Oh!
14:42Oh!
14:43It was by the leg.
14:44Was it shooting?
14:46Up and down your leg?
14:49Oh, 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 without giving him something stronger,
15:09if I'm honest.
15:10I agree.
15:11Ron had very clearly hurt himself.
15:12We 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 during the process.
15:24Is it all right if we give you some morphine?
15:27Carry on, please.
15:28Please.
15:30We're just going to grab it and we're going to grab our stretcher, OK?
15:33Yes, thank you.
15:34Don'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 other than on a chair.
15:55It was quite difficult to figure out a way to extricate Ron.
16:00We couldn't fit the stretcher through the door.
16:03We couldn't use a spinal board.
16:05The only other option that we had was a chair,
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 feel like we're so sorry.
16:20Why are you sorry?
16:22This is our job.
16:23Do you want to try some gas and air, Ron?
16:26Gas and air, yeah.
16:28Right, 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 all the pain relief available to them.
16:54Right, Ron, we're going to move you, OK?
16:57Keep sucking on that whilst we move you,
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.
17:09There we go.
17:10There we go.
17:11There we go.
17:12There we go.
17:12Put it in your mouth.
17:13Here we go.
17:14Take deep breaths on this.
17:15That's it.
17:17We need you to try and sit up on the edge of the bed.
17:20We can't.
17:21We can.
17:21We've got to, sweet, because 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.
17:35You OK?
17:37Yeah.
17:37With the pain medication starting to take effect,
17:41Morgan and Daisy can finally move Ron.
17:43If he has broken his hip, he's not alone.
17:4770,000 people break their neck of femur every year.
17:51There you go.
17:52Got it?
17:53Right, we're going to take you into the hospital now, OK?
17:56OK, yeah.
17:57All right.
18:05Whoa!
18:07Keep having that gas and air for me.
18:10I've just gone over a few bumps.
18:22All right, my darling.
18:23How was that pain?
18:25Is it any better?
18:27Good.
18:27Good.
18:31At Queen Elizabeth Hospital in Birmingham, Ron will have x-rays to see if he has broken his 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 it.
18:58Got him in, didn't we?
18:59Yeah.
18:59We'll get him sorted.
19:16You like a pub quiz, don't you?
19:17I don't mind a pub quiz.
19:18I'm not saying I'm great at it.
19:20Right then.
19:20So, what European country has the longest coastline?
19:27Oh, geography.
19:27The longest coastline?
19:28Yes.
19:29Oh, God.
19:31Italy?
19:32I have no idea.
19:34Yeah.
19:34I think geography is important in our job, so you know which direction roughly to travel.
19:39That's what we sat-nav's for.
19:40That's why you are no good at geography, because you rely on your sat-nav.
19:44It's a country that potentially had Vikings there.
19:50Sweden?
19:51No.
19:52Norway?
19:53Yeah.
19:54Believe it or not, Norway has the longest coastline in Europe.
19:57You know I'm going to look at that on the map now, right?
20:00Yeah.
20:00Google it.
20:08Ambulance service, is the patient breathing?
20:11Yes, it's me.
20:12I've got something wrong with my heart valve, and I'm supposed to have it operated on.
20:18What symptoms do you have, my love?
20:21It's painful and my heart's racing.
20:24And can you feel the pain right now?
20:26Yes.
20:28I think I'm having a heart attack.
20:35That's funny.
20:36007.
20:38007.
20:39007, you have got a 23-year-old female from Stepway.
20:42He does clearly have a heart valve problem.
20:45Yeah, Roger, thanks.
20:46We'll go see what we can do.
20:48007.
20:48007.
20:49007.
20:49007.
21:00007.
21:01it's scary into some of the rural communities and how isolated and vulnerable they actually are
21:08this was potentially quite a serious case just given her age given the location of where it is
21:13and the amount of time it would take to get there yeah the location of a property was up
21:17a really long narrow road which just made it extra hard to get to her so what's been going on
21:28then
21:29well i've got a heart valve problem and you know waiting to have it done but oh tonight it really
21:36got me i woke up and i got this real pain and my heart was racing
21:46when racehorse breeder rosalie was woken in the night with pains in her chest
21:50she rang 999 husband peter is with her what time did she wake up with the chest pain though
21:57how little time do you want to go for the chest bank no three o'clock right three o'clock
22:02do you have an irregular heartbeat by any chance not normal i don't think no
22:07i can see they've they put it in she's got aortic valve stenosis rosalie was experiencing some chest
22:13pain which could be caused by her pre-existing heart condition aortic valve stenosis is the narrowing of
22:20a valve within a heart which affects the blood flow into the arteries it effectively means
22:26the heart has to work a little bit harder so you've got palpitations in your chest at the minute
22:29sweetheart no no no did did you have okay the longer i spent with rosalie the more concerned i got
22:37she was telling me about needing the heart operation how she's now got chest pains and palpitations
22:42so the longer i was there the more concerned i was becoming for her my license still a second
22:49adam 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
23:06very fast basically i knew something wrong anyway i've been getting shorter breath have you i'm
23:13not surprised with a heart rate like that so it's saying stemmy yep so we're gonna have to ring
23:20yeah we'll give him a buzz once we completed a heart tracing on rosalie it showed us that not
23:27only was her heart beating pretty fast at over 160 beats per minute but it was also showing us that
23:33she was actively having what we call a stemmy which is a heart attack as the west midland sleeps we're
23:47on board with eight paramedic crews working the night shift until 6 30 in the morning
23:57we are going to be taken to hospital and we are probably going to be going quite quickly
24:04on the outskirts of stoke paramedics colleen and adam with rosalie who they suspect is having a heart
24:10attack i'm just going to give you a spray on your tongue if i can yeah this will hopefully take
24:14some
24:14of the chest pain away adam gives rosalie a spray under her tongue this opens up her blood vessels
24:21producing the strain on her heart we're going to look and see if we can give her aspirin then we're
24:27going to look at giving her a needle in her arm as well i'm just going to pop in your
24:30hall and make a
24:31phone call okay colleen calls the hospital to let them know they'll be arriving soon with a patient
24:38who's having a heart attack so i did the right thing calling oh yeah i don't like to think i'm
24:44wasting anybody's time nope you have definitely done the right thing by conch they said go to a
24:49and e initially but give resource a call to go there which a and e stoke rosalie has to go
24:55to hospital
24:55because she's actively having a heart attack she needs further treatment that we cannot provide her
25:00it's imperative that we get her there pretty quickly to get the treatment she needs as fast as
25:04she can we're going in on blue lights we're going to be going quite quickly she is unwell
25:09so it's up to you what you choose to do but if you do you're doing your job anyway that's
25:14all
25:14they'll look after me i know that we'll get onto the ambulance and we'll get you to stoke as quick
25:18as we can okay okay no no absolutely not no all right absolutely not well your heart rate's already
25:26going to 160 try and get you up and about you'll be on the floor i find with the older
25:31generation they
25:32don't want to make a fuss they just want to get on with things but when something like this is
25:36happening
25:36you really should make a fuss about it
25:42you're not walking anywhere not with your heart rate like that
25:47well you know your job indeed how are you feeling not too bad so like we said we will be
25:55going on
25:55going in with the blues and twos okay okay so we need to get you there sooner rather than later
26:07breaking bad news is never fun but unfortunately we need to do it in a way that the patient
26:12understands so they have all the information they need hello resource it's adam one of the paramedics
26:19can i put a medical standby in please okay and we'll see you in about 20 minutes we're going to
26:25be
26:25waiting for you so we'll go straight in straight to see someone hopefully i feel a bit of a fraud
26:32going
26:32in like this honestly you're really not really yeah well your heart rate being as it is you ain't no
26:40fraud
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
27:02rosalie was lovely wasn't she yeah i don't think she wanted to bother us
27:08she absolutely needed to though no didn't she as soon as i seen that ecg
27:11yeah all right hmm that's not right not right at all
27:16it would not shock me she didn't seem particularly bothered about it
27:19she was really chilled yeah that's what i mean they weren't more than i'd be
27:23bless her they don't make them like her anymore 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
28:14yeah is she breathing yes yes okay are they conscious are they awake she's panting she's ready
28:22breathing okay i just need to know if they're conscious are they responding to you is she responding
28:27to it no i don't think she is okay is is her breathing noisy or abnormal it's like gargling heavy
28:36it's gargling okay is she responding to you is she making any effort to move
28:46okay okay caller listen to me it's really important that you follow my instructions okay i need you
28:52to have a look at her breathing is she breathing normally is she breathing normally no not really
29:00as soon as i hear the words that they're not conscious and not breathing it's almost like
29:04a wall comes down around me and i'm completely locked in on that call
29:10nothing else around me matters okay we've got some help arranged i need you to listen to my
29:16instructions okay are you within easy reach of her yeah somebody's on the roof uh she's on a roof
29:24she's on a what sorry not like a lay a roof ledge she's on a roof ledge yeah when i
29:33heard the patient
29:33was on the roof i think i was genuinely really confused but it just changed things in the moment
29:39then it meant that i needed to then think about how we were going to get the caller to the
29:44patient safely
29:45to do cpr so when you say she's on the roof ledge what do you mean it's like a ledge
29:52like a ledge
29:53is it is it a ledge on top of the house is it like a balcony out yeah yeah like
29:58like a roof
30:00can you see the ambulance caller is the other paramedics there one on your left door on your left
30:09hello caller yeah is that the crew with you yeah okay i'll leave you with them
30:19even though we get calls quite often for people in unconventional places it's not often that you get
30:26somebody that's on a roof unconscious not breathing needing cpr and trying to figure out how we're going
30:34to get to that patient minutes later control has informed the woman was trying to take her own life
30:42we've got some updates on that case so she's alive they've now got her off the roof fire
30:50were there as well i assume that's to help get a dinosaur yeah because they weren't quite sure how
30:55they were going to get a dying to be fair i just couldn't couldn't get my head around it no
31:00just didn't
31:00make sense as to why she would be on the roof and she's on the back of the ambulance so
31:04hopefully
31:04she'll be okay are you sweet rather than savory then if i have a tub of ice cream there's no
31:28like
31:28scooping it out and putting it in a bowl i just eat all of it do you know what really
31:33annoys me
31:33though about say if you've got ice cream and you get it out the freezer and you've got to wait
31:37for
31:38it to defrost a bit your spoon just bends because it's the ice you put in the microwave microwave it
31:43for about 10 15 20 seconds depending there has been a few mishaps on a couple of occasions where it
31:50has been too soft so then do i eat it or do i put it back in the freezer to
31:58freeze up a little bit
31:59more but then am i going to be starting back at the same point where i'm gonna have to put
32:04it in the
32:04microwave this is too much it's a science it's it's a science i do like ice cream when it's all
32:24nice 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 a factor
32:42a lot of people struggle with that don't they yeah yeah diverticulitis is a condition in the
32:47bowel 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 yeah i had to do a runner to the bathroom right okay 74 year old maddie has lived with
33:30chronic
33:30inflammation of the bowel for 30 years but tonight after experiencing heavy bleeding she called for help
33:38and are you getting any pain yeah is the pain different to normal diverticulitis pain yeah it's
33:46a crossy yeah let's do your blood pressure ducky right so would you say the amount of blood that
33:54you've lost and like tonight and that isn't is is fine it's getting worse oh yeah with the amount of
34:02blood maddie was losing i was concerned as things can get quite serious quite fast oh right okay so it's
34:10definitely red fresh yeah
34:27that's
34:28oh 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 not
34:39really like working together because we're quite good friends anyway yeah yeah definitely if you
34:44have a laugh with someone time goes so fast yeah it does and you bring loads of snacks so that
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 being in 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 is the breathing noisy or
35:12abnormal it's abnormal um i gotta go outside the guy can't go up
35:19voice exit we've got a cat one
35:23so we have arrest perry arrest exposed to the elements five minutes away
35:31when a patient's heart is highly unstable but it's still beating it's called perry arrest it's the
35:38stage before a full cardiac arrest onwards and upwards let's go see
35:45this is unconscious noisy breathing obviously you've done route over yeah unconscious noisy breathing
35:54so i mean sunday morning um it'd be a good guess to say that he might have been out
35:59it's a good night
36:04hello what's happened just found
36:09he's breathing oh yeah i can detect my injuries he's letting us all 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
36:54shall we get your legs around 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
37:09stretcher don't worry about me what i saw with it sat there again oh no we are worried about you
37:16with the ambulance you'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'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 so asking me where home is going to fucking go home when he was coming around and he
38:06was talking to us he was very defensive and aggressive in his answers and at these moments
38:13you just sigh and just think what can i do is there any other way we can help you
38:25let me just do your blood sugar sweetheart
38:300.4 in stoke paramedics nick and kyra are with maddie she has diverticulitis a condition that causes
38:39severe inflammation of the bowel do you take any pain relief for it does anything work no i don't
38:46bother yeah i know what i think it's got to do with the down reticulitis there's not a lot i
38:53can do
38:54no that's the problem with that your arms are okay but someone like yourself that has got this ongoing
39:04issue for you to be worried and be ringing people yeah that's a concern in itself because something's
39:13not normal for you i think we need more more thorough tests done right more than what i can do
39:20with
39:20this thing and so that's giving me like yeah let's take you the reason we wanted to take maddie to
39:26hospital is due to our concern about the amount of blood she was losing where she was losing it from
39:33therefore we had to find out what was going on so we could get her treated i don't want that
39:38i was
39:39folding this up yeah good to bring one of your nice patched ones can i have a look at it
39:43yeah
39:44well she can just rip it open while maddie gets ready to go to hospital nick and kyra admire her
39:52homemade quilt that would look lovely in my bedroom that would oh yeah i put an order in look how
39:58perfect it is
39:59i've got loads of ufos ufos unfinished objects oh don't get 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 it would
40:18take 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 at all how debilitating it is
40:51at royal stoke university hospital medical staff will try to find out why maddie's blood loss has
40:58been so heavy tonight is there any other way we can help you as an ambulance oh is there any
41:07way we
41:08can take you in birmingham city centre paramedic sean and technician brogan are with a man who was
41:16found lying unconscious in the street have you been drinking alcohol yes yeah i'm done with this
41:25swearing and abuse now let's go i guess that's it then mate yeah that's it that's what we can really
41:44there because despite offering him help multiple times and him initially rejecting it um we can't
41:51force him to accept the help that we offer all right what was i just not breathing then no you
42:01were
42:01breathing but you're unconscious on the floor you had to wake up that's why we were called and we're
42:07worried about you but you're not being all that nice make sure you don't fall over because i've been
42:14doing it you just said no you're gonna help me well what do you want help with you just told
42:20us to
42:20go away and leave you alone do you want us to make sure you're okay if i was sat there
42:24yeah we're sick
42:25yeah that's what are you meant to do look i'm not having an argument do you want your checks done
42:29i was really frustrated with this man because anything i was offering or brogan was offering
42:35it just wasn't good enough he just wanted an argument or a fight or something similar to that
42:40and you just can't help them people do you want your checks done no honestly i don't have time for
42:46this do you want to be real so do you want your checkston or not hey am i in the
42:50mental state for
42:51you do you want to check us at all it doesn't matter bro don't fucking start shouting at me bro
42:56what are you gonna do let me walk away yeah if you want you're more than welcome to
43:06my concern when he stood up and he started shouting and getting aggressive was that he was
43:12getting close to the ambulance and he could have assaulted me and i think it would have turned
43:16worse if we'd have stayed there so i think it was a good decision for us to leave at that
43:20point
43:21i think we should just 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
43:42at west midlands ambulance service nine incidents of physical or verbal abuse
43:47are carried out against the staff every single day well that was a bit scary wasn't it escalated
43:54quite quickly that job yeah it was really threatening it is quite scary and as far as i'm concerned when
44:01he says can you really leave me in this state yes i mean you're not in much of a state
44:06when
44:06you're able to stand up and verbally abuse us yeah i mean sometimes we get sent to people
44:13that don't want our help and are vile to us and then there's some people out there who just can't
44:18get our help and they're in a waiting like they're in a queue for 999 and they're waiting for jobs
44:23where
44:23we'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
44:52here she received treatment for blocked coronary arteries
44:57robert whose nose was bleeding heavily spent six hours in hospital the bleeding was stopped
45:04and he was prescribed a nasal cream to treat any possible infection
45:10and maddie who had rectal bleeding spent three days in hospital
45:14she may require surgery to repair her intestines we went straight through to see a consultant who was
45:23brilliant so hopefully he's going to have some answers for me to help me get my life back
45:35next time yeah you're really wheezy aren't you darling a man is struggling to breathe right let's
45:41pop this on you COPD is like breathing through a straw day to day when you're unwell
45:47it can get even worse yeah she's going into one a young woman has multiple seizures she'd been having
45:56a seizure every day she'd had more than one whilst we were with her this can't keep happening it's
46:01dangerous what have you done and a patient falls badly cutting her head when i looked at
46:08her injury i could see that it was down to a skull it needed some serious stitching
46:16so
46:28so
46:30so
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