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Short filmTranscript
00:00New Incident, Category 1
00:03Put you on an RTC, two cars head on
00:07This lady has been on the floor since 5am
00:11It's a two-year-old who's been stabbed over
00:15Every day across Yorkshire, more than 3,000 people call 999
00:19They've just no breathing
00:21She's pregnant
00:22Right, she's pregnant
00:23Right
00:24We've tried to borrow petrol over the office
00:26The ambulance service must decide who gets help
00:31We're going to look after you, mate
00:32We've got you
00:33Can I get you covered up? Lovely, jubbly
00:36And who must wait?
00:3834 jobs waiting for an ambulance now in Leeds alone
00:41As the pressure on the NHS refuses to relent
00:45We're creating the waiting room for a waiting room
00:48The paramedics on the ground navigate England's largest county
00:52Welcome to our office
00:54Alright, kid, well done
00:56From the busiest cities
00:57Chaos tonight, we'll need to get out of Leeds now
01:01To the remotest villages
01:03We're in the forest, in the middle of nowhere
01:05Where each call is a crisis
01:07Got a five-year-old found wandering in the street
01:11Naked, malnourished
01:12God, it breaks your heart, it's awful
01:14And every decision critical
01:16Hello, where are we going?
01:18You're all right?
01:19Please, the kid's out of there
01:20Where are they going to land in the middle of Bradford?
01:23We go beyond the flashing blue light
01:26Oh, well, well, well
01:27To reveal the human stories behind every siren
01:31Just keep going to do it
01:32Absolutely
01:33Thank you for coming
01:34You don't have to thank us
01:35You know
01:37If you've got manners, you know
01:39Are we all ready to set sail?
01:41Get her going
01:42Get her going
01:56Yes, they are
01:57It's a two-car crash
02:00It looks like one of them's unconscious in the car
02:03One's unconscious?
02:04The car's almost on its side
02:06It's struggling to get one of the guys out
02:13Hi, Matt
02:13You've got a two-car RTC
02:16Reports of one patient being unconscious
02:19Roger, that's great
02:20Thanks very much, Trevor
02:22Matt is one of six critical care paramedics
02:25Covering Yorkshire this morning
02:27His specialist skills mean he is able to give advanced care
02:31To the most seriously ill and injured patients
02:35Hello, please
02:36Hello, can you do a system?
02:38It's an RTC
02:41One vehicle
02:42The driver's twerved and hairdry's no more
02:46He's now trapped in the vehicle
02:50Two RTCs in the space of two minutes
02:53Who would have guessed it?
02:55In dispatch, Becky and Helen are responsible for coordinating 30 ambulances
02:59Across Halifax and Bradford
03:01Good morning, 1692
03:04Can we get you keyed on relatively quickly?
03:07Because I've got an RTC that I need a crew for quite urgently
03:12The vehicle is on its side
03:14We have the patient wedged against the roof by his seat
03:19Fire amputees are also on route
03:231692, Chris and Canada are dispatched to a second RTC
03:27Four miles from Halifax Ambulance Station
03:32Watch out, Pigeon!
03:33I thought we were going to kill a pigeon then
03:36We nearly had a pigeon RTC
03:42Tom, there's another RTC 4453
03:46Free car, going up banking into trees
03:49Oh, 1671 have got, they're ready to sign off
03:53Get them on, we've got another one
03:57In the last eight minutes
03:59The service has received three calls for road traffic collisions
04:03Four ambulances, three incident commanders
04:06And two critical care paramedics have been dispatched
04:09Depleting available critical care resources by almost half
04:16An ambulance crew have arrived at the first RTC in Doncaster
04:21On scene, Matt will be responsible for providing enhanced treatment and pain relief
04:26To injured patients
04:28As well as leading the team on the ground
04:31So if he's just doing a set of obs on that one there
04:33They was in that car
04:34He's not lost consciousness with us
04:36Okay
04:37But obviously he's trapped, he's got C-spine tenderness
04:40Okay, so he's got C-spine tenderness where he is
04:42Has he been unconscious at any point?
04:45They said he has, yeah, but only for a few seconds
04:47Okay, no worries
04:48So he's really our only clinical priority at this point
04:52Fire service are here, good
04:54Morning, guys, you alright?
04:55So our only clinical concern is this driver of this guy here
04:58Who has some neck pain
04:59So what we're going to do is get a collar on him
05:01Danny will stay down there looking after him for now
05:03But once we're in position to safely get him out under his own steam
05:07That'll be the plan
05:08Is that alright?
05:14Are we able to spring that door back further
05:17So you can get people either side of him to help him come up and out?
05:22Come up to us
05:24Yeah, no problem
05:25Come up to me, kid
05:26Come on
05:27Nice one
05:28You've done really well there, Neil
05:30Alright
05:30My head's going to explode
05:31I know, we're going to come have a seat with her
05:33And I'm going to sort you out of some pain relief soon, mate
05:34My head's going to explode
05:35I know, pal
05:35Honestly, my head's going to explode
05:37Oh, my head
05:39Okay
05:39Okay
05:40We're going to stay set up
05:41Can we get a scoop out, please?
05:42Oh, my head
05:43I know, I'm going to keep you set up
05:44And we're going to sort your head, okay
05:46Whereabouts in your head is it hurting?
05:47Front, back, back, back
05:49Alright
05:49I am just going to go get my drugs
05:53Because I think some ketamine might be indicated here
05:55Are you guys alright getting them inside?
06:0554 miles away in Halifax
06:07Chris and Canada have arrived on scene at the second RTC
06:10Where the patient is trapped
06:14What do we know?
06:15It is still trapped, these guys
06:16It's got to work
06:17They're getting out now
06:18It's called Dave
06:18Dave, yeah?
06:22It's alright, mate?
06:23It's just cutting
06:24It's just a roof rack at the other side of the edge, alright?
06:28Hello
06:28I'm Chris
06:29I'm a paramedic from the service
06:31What caused you to crash this morning?
06:33Someone jumped over the wall from my right-hand side
06:36Right
06:36And me being a dick and I swerved to the left
06:38Okay
06:38I don't know whether I hit it
06:40Have you lost consciousness at all?
06:43No
06:43You've not
06:43Have you got any pain anyway?
06:45My neck feeling sore
06:46Okay
06:46Before we can get to that
06:48We need these guys to obviously remove this roof and everything, okay?
06:51So you just have to bear with?
06:53Yeah
06:53Alright, buddy
07:01There's going to be a few bangs and pops, Davey
07:04Alright, but I'm with you, alright?
07:07You okay, mate?
07:08Yeah, it's good
07:09Alright
07:10Where were you off, Davey, this morning?
07:12We found we picked up on this track about half a mile up
07:15Right, what were you going with letting cattle out?
07:16I've only got, I've got a Highland bull calf
07:18Yeah
07:19A donkey
07:20Four cooney cooney pigs
07:22Yeah
07:22We've got some chickens
07:23Oh, nice
07:24This is my little farm vehicle
07:26Alright, okay
07:27We try and enjoy this
07:2824-year-old, but I love it
07:31Oh, well
07:32Loved it
07:34Don't throw that as well
07:36Yeah
07:36Oh, is he asked about birthday?
07:38So
07:38Well, I said to him, like, I don't think we were like, so good if his dogs are
07:42Yeah, yeah, I've just said it, it'll be his car and his dog
07:47On three, one, two, three
07:54One, two, three, move
07:56That's it
07:58You're doing really well, mate
08:05Give me a little bit of a bump, I would clip you in
08:22We're probably going to cut half of your clothes off to give you a full check over
08:25Don't cut my trousers
08:26Don't cut your trousers
08:27You might have to do, Dave
08:28No, look at her with the scissors
08:30I'm ready, I'm ready to chop
08:32I'm just going to loosen your belt for beginning with
08:34Oh, it's me elbow
08:36I know
08:37Don't move it
08:40Any pain where I'm touching, Dave?
08:42No
08:43Just a little bit sore
08:44Which
08:46Where's that hurting, mate?
08:47The elbow
08:47The elbow
08:49Oh, sorry, mate
08:50I know it's going to be a little bit sore, buddy
08:51I'm just going to wipe this
08:52So I can have a look at it
08:53Jeez
08:54Where are you from?
08:55I'm just going to put something over it, alright?
08:58No abdo
08:59There's no long bones, no pelvis
09:01The only injuries that we've got is neck and right elbow at the moment
09:04Yeah, okay
09:05What's special about these trousers anyway, Dave?
09:08They're new
09:09They're new
09:11They're a bit mucky, I wore pressure washing yesterday, but they are new
09:14Are they expensive?
09:15About fifty-odd quid
09:21You're trying to find a vein?
09:23Yeah
09:23Oh, good luck with that one
09:25Oh
09:25I'm a Yorkshireman, I don't like giving out all my heels, that's right
09:29Do you like your trousers?
09:30Yeah
09:31Do you want to have a quick word in before we do it?
09:33Yes, please, if that's alright
09:33I'll give him his phone back as well so he can ring us
09:35Alright
09:37Oh
09:38Silly thing
09:42So we're going to start hurting out
09:45He's fine?
09:45Yeah, he's a bit fine, he's shaky
09:47He hit the windscreen
09:48Oh, did he?
09:49And then me
09:50Oh
09:51Then he just sat and just was shaking
09:54Is he alright?
09:55I'm going to ask Leah to have him, I'm going to let him out
09:57Adam's going to go get his car so we can go to Leah's innit?
10:00Yeah
10:01Love you
10:02Okay, we're going to come to Leah's innit?
10:04I'll see you there
10:04See you in a bit
10:05Okay
10:07Right, do you want anything else from me?
10:11Just give us a shot when we're ten minutes out?
10:13Yeah, will do
10:19Happy Chris?
10:20Yeah, happy
10:20Yeah
10:29Dave will be taken to Leeds General Infirmary 30 minutes away
10:33Where he can be scanned and his injuries assessed
10:43So what we need to do, Neil, we just need to get to your arms and your chest
10:46Alright, are we okay to cut all these clothes off?
10:48Yeah, yeah
10:48Good man
10:48I'm going to get a little needle in your arm and give you some medicine
10:51Have you had morphine before, kid?
10:53No
10:54We'll get you some of that on
10:57Hello, Northern General Rhesus, it's Matt, one of the crit care paramedics
11:00So we've got a 55-year-old male involved in an RTC with head and neck pain scoring 9 out
11:05of 10
11:06With both retrograde and anterograde amnesia
11:08We're unable to lay him down because of significant pain in his head
11:12So I'm as convinced as I can be this gentleman has a neck injury and he also has potentially a
11:16head injury
11:21Nice, let's get gone
11:23Neil will be taken to the nearest major trauma centre in Sheffield, 31 miles away
11:30I have no idea, Paul, what's going on
11:32You've had a car accident this morning
11:37Which way were I facing?
11:38You were facing up towards Stainforth
11:41Going back up towards Donny
11:44That's totally opposite way to what I would have turned in to drive this morning
11:48Yeah
11:49How?
11:50I don't know, I think you've had a collision with another car
11:54How's the pain feeling now?
11:59About 8 or 9 down back in the way
12:01About an 8 or 9 down back in the way
12:02Down back in the way
12:02Alright, I'm going to give you a little bit more pain killing
12:05Thank you
12:07Why am I thinking I've gone to work and gone back out to do something?
12:11I don't know, kid
12:13What is he you do at work?
12:15Tractor driver, machine driver
12:17One of those general people who make farms work?
12:20Yeah, yeah
12:21Good man
12:23Thank you
12:28Steady as we go, good lad
12:31That's brilliant there, well done
12:35See you later guys, thank you
12:40Hi Matt, thank you
12:41Hi Matt, thank you
12:41Thank you very much, just a new clear from that RTC
12:46Yeah, roger that mate, so he's, er, this gentleman's been involved in a two car RTC
12:50The mechanism's unclear but he appears to have spun his car
12:54And then ended up in a ditch after being hit by a second car
12:57Thankfully, colleague had got down into the ditch before my arrival
13:01So I didn't need to slide down a muddy bank
13:03Fire service was superb at helping him get out of the car
13:06But then just got very agitated with significant head and neck pain
13:10Once we tried to lay him down and secure him on the scoop
13:13Based on that I made the decision to come to the major trauma centre in heaven
13:17Sounds like a complex job
13:19It's been RTC's madness throughout Yorkshire this morning, if I'm honest
13:24Thanks for attending Matt, and return to base
13:27Roger, we'll head back to Doncaster, thanks mate
13:33Every time I put on my uniform, I'm genuinely proud of what I do
13:38But when I'm not in uniform, I'm also a son and a dad and a brother and a husband
13:45And a bloke who likes a pint
13:48And all of those things, that whole wealth of human experience, builds you as a clinician
13:53I'm better at managing parents, because I'm a parent myself
13:58I'm better at managing older people, because I've looked after my dad
14:03What people really want when they're in a difficult place, is a human
14:13Ryan, have you seen this assault on 5638?
14:17Open call, open call
14:18If any crews are ill, please, for cat one detail at Greengate
14:22Or someone in a canal
14:24I'm beginning to stack now
14:27It's four hours into the shift
14:29An ambulance is going to be responding as soon as we can
14:32Let me know when they're with you, when they're inside
14:34And Yorkshire Ambulance Service are currently receiving a new call every 23 seconds
14:40What is going on, Helen?
14:42I don't know
14:43I've got a hand, you're going
14:44Is there a patient breathing?
14:46No
14:48Not breathing, not for the address of the emergency
14:50No
14:50What's happened?
14:53What's happened?
14:58Another cat one coming in
15:01In the last hour, the service has received over 160 new calls
15:0667 patients are still waiting for an ambulance to be dispatched to them
15:11Ambulance for the patient breathing
15:12She's off the roof and I think she brought both her ankles
15:16Get out, Liz!
15:19She's one and a half years old
15:20It's blue
15:22And she's just constantly very dark
15:25She's closing her eyes like she's about to pop out
15:29Scooter
15:30She's on her back
15:33The ambulance is on the way
15:34Yeah, we've got ambulance arranges in emergency, OK
15:391692
15:39I've got your next job for you
15:42It is a 62-year-old female
15:44It states that she's come off an electric scooter
15:48Now my brain says it's probably a mobility scooter
15:52Rather than a ride-on
15:55Gangster, gangster, granny
16:00Chris and Canada are eight minutes from the patient in Elland
16:04A market town four miles south of Halifax
16:08She is conscious and breathing
16:10And it is still active, they've just rung in for an ETA
16:14The Category 2 patient has been waiting for 36 minutes
16:18Double the target response time
16:25There she is
16:37What's she called?
16:38Jane
16:39Jane
16:39How are you guys, I'm going off to have to be firefighted
16:42She's insulated on the floor, conscious breathing
16:44She's come downhill, she's passed her by and they've lifted her up
16:48Hello sweetheart, is it Jane?
16:50My name's Canada and this is Chris
16:52I'm just going to do some checks on you sweetheart
16:55And then we'll get you up off the floor, is that alright?
16:57I'd love to get up off
16:58Have you fallen and hit your head all in this mud?
17:02Yes, it was like a soft landing
17:04Nice to meet you, I'm sorry I'm getting this way
17:08Jane, can I just ask you a couple of questions?
17:10Have you got any pain?
17:11No more than normal
17:13So there's nothing new?
17:14No
17:15You've not lost consciousness?
17:17No
17:17Can I have a quick feel of your neck?
17:19No
17:19Any pain here?
17:21No
17:22Anything around the back of your head?
17:24Should we wait for firefighters, eh?
17:28Sorry
17:29What's wrong with us?
17:30Is Chris not good enough for you?
17:32No
17:34I'll leave you then, shall I?
17:42Right, this is going to feel a little bit funny
17:43Alright, it's just a big air cushion
17:45And it's going to come up in stages
17:48Okay?
17:49So as we get you a little bit higher
17:50We'll support you to sit up
17:52Okay?
17:54Right
17:54Right, are we ready?
17:55I think we'll be best sitting up first
17:56And why she's just going to
17:59That's it
17:59As we go up we'll go
18:01Try not to push off of the cushion
18:03You've got a little bruise on your eye
18:06Is that from this fall, do you think?
18:08I didn't have one before
18:09Possibly then
18:10It's comfortable in a fall
18:11Can I have one of these from my house?
18:15Right, you just stay there, okay?
18:17Could you just all...
18:18Yeah, I've got to be there
18:19Are you sure?
18:19Right, I'll grab a stretcher
18:21Thank you
18:30You're welcome
18:30Let's drop this dressing gown
18:32And freeze some of them hands up
18:33Yeah
18:33Right, so on three
18:34One
18:35Two
18:36Three
18:36Right, get your bearings
18:38Nice and steady
18:39Nice and steady
18:42Ready?
18:42One, two, three
18:44There we go
18:45Perfect
18:45Look at that
18:46Give me that gloves
18:48I'm out of here
18:49I'm going to get my kids
18:50Thank you so much
18:51Thank you
18:52Thank you
18:52That's all right, no worries
18:53Thank you
19:01Right, just a bit of a bump while we go up here, okay?
19:03Two bumps all right
19:04Ready?
19:09There we go
19:11Is Paul your partner?
19:12Is Paul your partner?
19:13Yeah?
19:14Are you jumping on, Paul?
19:15Do you want to jump on?
19:16Is that all right?
19:17Of course it is, not a problem
19:18How are we looking?
19:19Just got a bit of a black eye, haven't you?
19:22Yeah
19:23You have
19:23Do you want to see it?
19:25Have a look in this camera
19:29Yeah
19:30You got a bruise, baby
19:30You're joking
19:34Yep
19:34You've given it a good whack, haven't you?
19:37Bloody hell
19:38It'll go down
19:40That's a good whack
19:41Good bump on the grass, I think
19:43You've got mud in your hair as well
19:45Yeah
19:45I thought you would
19:46I don't know, sorry
19:47I feel guilty
19:49Who were it from?
19:50I tried to catch you, didn't I?
19:51Oh, did you?
19:52You put it on three wheels
19:53Because the scooter just died, didn't it?
19:55So the scooter could be turned around
19:57It was just rough
19:59Gone
19:59It must have been about 20, 25 miles an hour
20:04Next time you'll have to put your all-weather tyres on, I think
20:07Instead of your socks
20:07Yeah, we'll have to do it
20:13Right, I'm just going to have a quick feel around your face
20:16Any pain where I'm touching?
20:18Any pain in your jaw?
20:20No
20:21Can you open it nice and wide?
20:23Close
20:23Bite
20:24Any pain?
20:26No
20:27And there's nothing round your neck?
20:29No
20:30No
20:30Okay
20:31Do you live on your own?
20:34No
20:35With Paul?
20:37Yeah
20:37Yeah
20:38My sister lives next door
20:39That's even better then, isn't it?
20:41Yeah
20:41She's on standby for you
20:43She is
20:44She does a lot for her
20:46What's your thoughts of going to hospital today?
20:50Yeah
20:50Can I be honest?
20:51Yeah
20:51I'd rather not go if I didn't have to
20:54Okay
20:55But I've spent so much time in them places
20:57You've got a little bruise to your eye
21:00Other than that, everything else is okay
21:03So ultimately, yeah, it's down to you what you'd like to do
21:06Well
21:06I think I could probably feel a lot more at ease and more comfortable if I could go home
21:12We can't kidnap you, Jane
21:14I'll get the scooter on
21:15Okay
21:16Are you alright there, Paul? Yeah, are you sure?
21:18He's quite mad in me
21:19Yeah, he'll meet you at home
21:21Thank you
21:27Where were you going today? Were you gonna go anywhere interesting?
21:31I was supposed to be going to my mates
21:34It was nice of that firefighter, wasn't it?
21:36So lovely, yes
21:47Once we've got you sat on the sofa, I'll make you a brew if you want
21:54Oh
21:54This is a posh little station, this
21:56Thank you
21:56Would you like me to just let your sister know next door?
21:59Oh, please
21:59Yeah, if you want, Mary
22:00Wonderful, I'll just bob round then, alright?
22:03Yeah
22:03She makes a belting cup right, Canada
22:04I bet she does
22:06Yeah
22:07It should be part of job description
22:10You put a sweetener in
22:12I put a beer in after I put a really sweet too
22:15But at least I stay away from sugar
22:18At least it's sweetener and not sugar
22:19Yeah
22:20That's it
22:20So that's sweeteners
22:23Put that under there
22:27Thank you, love
22:28Do you want anything else?
22:29No
22:30No, you're sure
22:31You'd be so good, thank you
22:34Hello
22:35Hello, that didn't last so long, did it?
22:37No
22:38You're throwing your syndrome out again?
22:39Oh dearie be
22:40I know
22:42Are you alright?
22:43I know
22:43Don't you?
22:44I would have thought that I'd have had a lot more wrong, were you lucky?
22:50Okay
22:50And you're still probably running on a little bit of adrenaline
22:54So once all that wears off and you've settled down in a little bit
22:57You might actually think, do you know what? I'm sore
22:59Or you might feel something that you don't feel at the moment
23:02So you can ring us back at any point
23:04It's been lovely to meet you
23:05Okay
23:06Thank you
23:07Take care everybody
23:07Take care, see you later deli
23:17Ambulance service
23:18Is the patient breathing?
23:20Yes it is, but I've just been sick and you've been coughing the same out
23:25Okay, so reassuring that that helps being arranged?
23:28No problem
23:28Thank you
23:32New incident, category 2
23:35It is a 91 year old male complaining of breathing problems
23:39He is coughing up phlegm
23:41Over
23:42Oh bless him, yeah, we'll see what we find when we get there, thanks for that
23:47Halifax crew 1671, Siobhan and Ellie are seven miles away from their sixth patient of the shift
23:5591, bless him
23:57He's coughing up phlegm
23:59Yeah
24:01I feel like he might be a regular, you're clear left
24:05I'm pretty, pretty certain this guy's a regular
24:09He's in a hospital bed in his living room
24:12He's a poorly man
24:14In 110 yards turn right
24:24Hello
24:26Hiya
24:28Hello Terry
24:29Hello
24:33Terry
24:34Hello my love
24:35Did you know that we'd been called?
24:39Oh, we're from the ambulance service Terry, I've met you before
24:43I came last time and he'd fallen out of bed
24:46Can I have a quick listen to your chest Terry, is that alright my love?
24:51Oh my God
24:53Oh my God
24:54Oh my God
24:56Does he have any end of life medication in place?
24:59These are the medication that he's brought
25:01Does he have like a yellow folder with him?
25:03Oh
25:04For the nurses?
25:05For the nurses
25:07Let's have a look
25:08Yeah
25:11Tala, thank you
25:14Yeah, these pink forms
25:16Yeah
25:17Do you know where these are?
25:18These drugs?
25:22So it's the hyacinbutyl bromide
25:25Super
25:29Terry, so this is some medication that's going to go into the top of your arm, okay?
25:34Sorry my love
25:36The medication that I've given you will help with that noisiness that you're feeling
25:43So his respect form says that he's not for Huddersfield Hospital, but he would go to Calderdale for reversible causes
25:51Terry
25:52If you had the option, would you rather stay at home?
25:57Yeah?
25:57Okay
26:01We're going to speak with the nursing team and we'll see what we can do to make sure that you're
26:05nice and sick
26:06Because you've got to stay safe at home, don't you?
26:09Hey?
26:12A cup of tea?
26:13We can do that for you
26:15How do you have your tea?
26:18Oh, it's the one on there
26:19I'll pass it to you
26:21You've got cake
26:23Would you like some cake?
26:25No
26:25Oh, okay
26:26Let's bring your tea to you
26:30Let me help you
26:41Nice-nest, did it?
26:50Thank you for calling the Calderdale District nursing team
26:58Hello, it's Siobhan from the ambulance service
27:00So Alan goes by Terry, so if I call him Terry, that's why
27:05Alan has been having some fairly significant respiratory secretions
27:11He's got a respect form in place that's wishing not to go to hospital if possible
27:16But are you happy for Terry to stay at home?
27:19I mean, I can't really make that decision because I'm not a qualified nurse
27:23I'm just here to take the calls
27:24Go on
27:25What time do you finish? Are you on duty all night?
27:29Er, no, we finish around half past six
27:33Oh, right, right
27:36It's fine
27:36It is, yeah
27:38I tell you what, I'm going to have a chat with one of our band sixes and see that they're
27:43happy with that
27:45Sorry, Terry, we're still just figuring out a plan for you
27:59The most valuable job that I go to is an end-of-life job
28:05They require a level of care and calm and cup of tea making
28:12A hospital is not the place for everybody
28:17Sometimes when we go to a patient who is dying
28:20You have to be that patient's advocate
28:24Following somebody's wishes
28:26And keeping them comfortable and happy
28:30No matter how difficult that is
28:34Naomi, hello, it's Siobhan
28:36We've had the conversation with Terry, he doesn't want to go to hospital
28:39When a cable can be pressed to get help in the room
28:43There it is
28:45Yeah
28:46Can you add one of these so we can check you can buzz for someone if you need anything?
28:54One of these are quite aware and happy that you just need to press his buzzer and we'll come straight
28:58up out
28:58Yeah
29:00Right, super
29:02Thanks so much for that Naomi, thank you
29:04No worries, take care
29:05Cheers love, bye
29:07So, we're planning to leave you at home
29:10Are you okay with that?
29:12Yeah
29:12Terry, you know if you were panicking and you were poorly, would you press that?
29:18Not really
29:18How would you ring us then?
29:22He won't
29:23Even when he's been on the floor before, he's not pressed the Caroline pendant
29:26You willingly choose not to press that pendant, don't you?
29:29Why?
29:30You don't press it even if you need help
29:32Why?
29:34No
29:35You just do
29:36Terry
29:38The medication that we've given you today
29:41Yeah
29:41That's for when you're dying, okay?
29:45And it may not be now and it might just be that you needed that little bit of medication to
29:50help you along a little bit with your breathing
29:53But I just want you to know that if you feel rubbish, please call us, we'll more than happily come
30:00out and see you Terry
30:02And we can keep you nice and comfortable
30:05Don't laugh at me, I'm being nice
30:10Oh Terry
30:11Oh Terry
30:13Promise me
30:15If you need us, press that button
30:18Alright my love
30:19Alright my love
30:39So I've met Terry before
30:42And the Terry that we went into
30:45We're so different
30:46But I don't think that there's no more that we
30:49No, I was just going to say I think we've done the right thing by him there
30:52He didn't want to go to hospital
30:54And you know, when someone's on palliative care, you know, is it the right thing to do to take them
31:00out of a nice warm home what they used to?
31:02Yeah
31:04Bless him
31:08Hi 1671, thank you for running on that
31:10I appreciate the fact that it's made you overrun a little bit
31:13You know, they're all worth it, but sometimes they're extra worth it
31:17And this sounds like one
31:18So you two, enjoy your evening
31:21And I will speak to you soon
31:25Cheers Chick, speak to you tomorrow, thank you
31:28Let's go home now
31:29Let's
31:45Super
31:45Morning, morning
31:46Morning Charlie, how's your night been?
31:48Nice and steady to be fair
31:49Oh, good stuff
31:51It's the start of a new day shift for Yorkshire Ambulance Service
31:55Morning Emily
31:56Morning y'all
31:57Morning
32:00Back for another 12 hour shift, our Halifax crew, Siobhan and Ellie
32:06Morning 1671, we're not looking too busy at the moment
32:12Do you want to go and grab a quick cuppa?
32:16She's saying bold things
32:18Yep, that sounds about right, we'll go grab a cuppa, thank you
32:21It's going to be a mild morning
32:24Oh, shush!
32:25Shush you!
32:26She's fully dinks it
32:28And Canada and Chris
32:32Good morning 1692, how are we this Sunday morning?
32:36We're okay on this dark, gloomy morning
32:39I will hopefully not have anyone falling off any mobility scooters today for you
32:44That's perfect, thank you
32:49I'm doing service is the patient breathing
32:52Yes
32:52Is the patient awake?
32:55Err, no
32:57Okay, tell me that what's happened
33:00She's on end of life care
33:02We've come down this morning and she's fallen out of bed
33:04But me and my husband are able to pick her up and put her back into bed
33:09How long are you staying here?
33:11She's 96
33:11Oh, okay
33:161279
33:17Yeah, 1279, it sounds
33:18I've got a 96 year old female end of life patient who's fallen out of bed
33:23She's currently conscious but some difficulty breathing
33:26There is a crew that's seven minutes behind you of her
33:30Roger that mate, all we're safe, thank you
33:35Heading up critical care again today is Matt
33:38He's the closest specialist paramedic to the patient
33:54Hello, my name's Matt, what's been happening?
33:58She's on end of life
33:59Okay, have we got her end of life paperwork just for me to have a look at?
34:03Hello sweetheart, what do we call her?
34:05Sylvia
34:05Hello Sylvia
34:06So we come down, she's got herself wedge
34:08So she's gently, we've laid it at floor
34:12Yeah
34:12But because of how she is, when you try to move her
34:17Yeah
34:17She starts screaming because her legs hurt and everything hurts
34:20Is that normal for her?
34:22Well it is
34:22It is in the last two days
34:24Okay, clearly that form is quite clear
34:27Yes
34:27Are we happy that the right thing for us to do is just to get Sylvia back to bed and
34:31make her as comfortable as possible?
34:34Alright Sylvia love, we're going to get you up off the floor as soon as we can darling, okay?
34:38Who's your mum?
34:39Yeah, it's my mum
34:40Your mum
34:40What we're going to do, I'm going to give your mum another dose of Oxycodone
34:44Yeah
34:45Just to get her some pain relief in before we get up off the floor
34:47Is that okay?
34:48Yes, thank you
34:52Hiya guys
34:53This is Sylvia
34:55Sylvia is on end of life care
34:58Has fallen out of bed in the night
35:00Family have done great jobs, as we often find with these things, to wedge her in with mattresses
35:04And Sylvia's still somehow managed to negotiate her way around that
35:07So she's on the floor down here, in quite a lot of pain whenever we're trying to move her
35:11So what I was going to do was just get her some Oxycodone, give that a couple of minutes to
35:14work
35:14And then we'll get her up
35:15I think it's going to be sore however we do it
35:17Yeah, yeah, yeah
35:20Sylvia, darling, I'm going to give you an injection in your leg
35:22I know, darling, I know
35:24I'm going to give you an injection in your leg
35:26And then we're going to get you up off the floor, darling, okay?
35:29A sharp scratch in your leg, darling
35:36Sylvia, love, we need to get you up off the floor, darling, okay?
35:39Ready?
35:40Up we go
35:42There we go, darling
35:45That's better, isn't it, love, eh?
35:47That's it, sweetheart
35:51That's better, isn't it?
36:00Hello?
36:02Michael?
36:03It's me, yeah
36:05I've done it, yes
36:07Now she's back in bed, she's nice and subtle, isn't she?
36:10Thank you, yeah
36:10It's all right, sir, sorry
36:11Is there anything else I can tell you, anything else we can do?
36:13No, no, no
36:15Just keep it off the door, absolutely
36:17It's all right, it's all right
36:21It's all for you
36:25It's funny looking after your own parents, I mean, when they've looked after you for so long
36:29Yeah
36:30Yeah
36:30But this
36:31This is here
36:37I tell you what, she's got her constitution
36:40She's fighting, fighting to the end, she has blessed her
36:44Nothing as tough as little old ladies
36:46Nothing as tough as little old ladies
36:48I agree there
36:48I really do
36:50Having had a very similar experience with my own dad
36:55We talk a lot about end-of-life care
36:56But, of course, we can't predict when it's going to be
36:59It's a marathon, not a sprint
37:01Yeah
37:03And looking after yourselves
37:04To be able to manage all of that is important
37:08Are we okay, Sylvia, love?
37:13It's a massive privilege to be able to look after your parents when they need it the most
37:18I would say the last two weeks of my dad's life were physically some of the most challenging I've ever
37:23had
37:23But mentally were exhausting as well
37:27Thank you very much
37:28Is it Matt?
37:30Matt, yeah
37:31Well, thank you
37:32It's an absolute pleasure
37:35Right, am I okay to leave things in your cake?
37:38Yeah
37:38Absolutely
37:39Happy, happy
37:40Happy
37:40Happy
37:41Thank you very much, Matt
37:43Absolute pleasure, guys
37:44You take care
37:45Yeah, thank you, Matt
37:48The worst I think I've ever felt
37:50Was coming downstairs in the night
37:52Because he'd fallen out of bed
37:54And seeing my dad
37:56In a heap on the floor
37:58Looking up at me
38:00Just terrified
38:07I think that's informed my practice about how can I work in such a way that it takes some of
38:13that burden off that family
38:14Even if it's just for a short period of time
38:17How can I give them a little breather in this unremittingly challenging time?
38:28Yeah, I was on the desk, mate
38:29You've got a nail in cardiac arrest
38:32CPR in progress
38:34And we've got a crew that's two minutes away
38:36Second crew, 14
38:37And you're showing four minutes behind them, over
38:41Roger
38:41Roger
38:41Thanks, mate
39:01So, he was disconnecting something, what was he disconnecting?
39:08OK
39:10They are travelling as quickly as they can
39:14Demand on the service is increasing
39:15In the last hour, the number of calls have doubled
39:21Oh, we've got a few jobs coming in
39:23I think this is the car before the storm
39:24It's beginning to pick up, you can feel it
39:28I'm in the loop
39:29It's the patient breathing
39:30Yeah, it's me
39:31I'm in the labour
39:33Tell me exactly what's happened
39:36And the label of
39:37My contacts are like two minutes left
39:44We heard a screamer and we've all just flipped over a wall
39:47And there's literally an eight foot wall blown over with the wind
39:50And landed on somebody who walked underneath it
39:52Is the screwdriver still in his eye?
39:55Someone get police, please, if they're free
40:021671, I have a further job for you
40:04It is a tattoo for a 70-year-old female in Ellen
40:09Siobhan and Ellie are the closest available resource to the patient
40:14She has COPD
40:16There's lower crackles on her lungs
40:18Sats are dropping to 85
40:21We'll go see what we can do for her
40:24Lovely, thank you
40:44Hello, is it Sheila?
40:46Hello
40:49So tell us what's been happening a little bit if you don't mind
40:52I've just been a bit light-headed
40:55My sister says my mouth and my tongue were blue
40:59So it came down, Sheila, have you rang 111?
41:03My daughter must have
41:04So it said something about lower crackles
41:07What's your daughter? Is she a nurse?
41:09Yes
41:11What else feels not normal to you, Sheila?
41:16My mouth talking
41:18In what sense?
41:20I don't talk right
41:22So, how long have you felt like your mouth doesn't feel normal?
41:27Hello!
41:27Hello, hello, is it Deborah?
41:29It is, yeah
41:29Hiya Deborah, and Siobhan, this is Ellie
41:31Debbie, have you seen your mum today then?
41:33Yeah, I came down early, she was trying to roll herself a cigarette
41:36but we're talking about 20 minutes to do
41:39How have you felt over the last couple of dates?
41:43Tired
41:43Yeah?
41:44Yeah
41:45Headachy?
41:47Yes, I've been waking up with headaches
41:49Any family history of strokes?
41:51Her dad
41:52Her dad
41:54Okie dokie
41:59Right, give my hands a big squeeze
42:03Nice and strong
42:05Brilliant
42:05Brilliant
42:06Then I want you to push my hand away with your leg
42:09Brilliant
42:13Great
42:15I think it's probably worth taking you down to hospital
42:19Let's rule out that there's maybe not been potentially a mini stroke
42:25I'm less worried about the crackles at the bases of your lungs
42:28I'm less worried about your oxygen levels which had dropped
42:32whereas these things that you've told me about are slightly more significant
42:37Oh
42:38I know nobody wants to go to a hospital
42:42but sometimes I think it's for the best
42:45Yes
42:46I agree
42:47Let's get your coat on
42:50Will you feed me cats please?
42:52Do you want to feed them before we go?
42:54If they're fed, they'll make a run for the door when it opens
42:58If they're not fed, they'll stay here till they get fed
43:00Because they know it's tea time soon
43:01Yeah
43:02I see
43:02They'll follow me
43:04I see
43:04They know the system don't they?
43:05Are you a bit Scottish?
43:08No
43:08Oh, you just sounded like you had a Scottish accent
43:12It's probably because my mouth's not belonging to me
43:14Maybe
43:15Maybe
43:15Maybe
43:19So were you a nurse, Sheila?
43:20Is Debbie following in your footsteps?
43:22No, no
43:23I worked in Mill
43:25In Mill?
43:27Right, let's get you on to Calderdale and let's get you checked over
43:30Would you like my arm?
43:34No
43:34Good morning
43:36I think it's a good idea
43:45Right, nice and steady up here for me
43:48Do you want to take your jacket off before you get on to bed?
43:51Because it's like a massive duvet, is that?
43:53It is
43:54It's lovely
44:01Scutch a bit further over for me
44:05There you go, that'll do
44:06Super
44:13We're going
44:13Cheers, Jake
44:16Sheila will be taken to Calderdale Royal Hospital three miles away
44:19Where she will be treated by stroke specialists
44:23How long have you lived in that house, Sheila?
44:26Oh, about ten years, I think
44:28Have you always been from Elland?
44:29Yes
44:30Yeah
44:31So is that what you used to do then? You used to work in the mills?
44:34I did, yeah
44:35Did you like it?
44:36I did
44:38I loved it
44:39How long ago has it been since you retired?
44:43I retired because of my arthritis that fucked it
44:47Oh, crikey
44:48How do you enjoy your retirement then?
44:51With my animals
44:52Okay, are you just cats and dogs?
44:56No, there are the toy toys running around the house
44:58No, there wasn't
44:59No, there wasn't
45:00Oh, no, as if we left
45:02Yeah
45:03What's your tortoise called?
45:06Michelle
45:06It's Michelle
45:12Oh, did you pick it up?
45:14Oh, yeah, we sit and watch telly at night together
45:17Stupid, do you?
45:18Yeah
45:20That's lovely, I like that
45:21Sit to be a lovely chest up and watch telly
45:27Right, feet on that one and then we'll get you inside
45:38How was that detail? Over
45:40So the findings of Sheila were different to what we were alerted to with regards to a COPD
45:46So she's been taken into Calderdale with a suspected mini stroke
45:53Oh, bless her
45:53Probably quite a good job it was coded as a cat too, over
45:56Yeah, so my dad had had a stroke just a week ago which Ellie had gone to my dad for
46:01So I'm a little bit more aware of it and maybe, I don't know, a bit cautious around that one
46:08So that's, I think that's probably more why we've come down that route just in case
46:12I think that's very sensible
46:14Are you okay though? Over
46:17Oh, yeah, I'm good, my dad's good
46:19But yeah, life experience adds to the job all the time, doesn't it?
46:24Brilliant, I'm glad to hear that you and your dad are both doing well
46:28Ah, you're a superstar, thank you so much and we'll chat to you soon, I'm sure
46:39Ambulance Davis, patient breathing
46:41Hiya, we're currently caring for this man
46:43And we've walked in and he's laid on the bed and his breathing is just not right
46:50It sounds like he's like drowning in his own phlegm
46:55New incident, category one, sob, ineffective breathing
46:59You will see we've diverted you onto a cat one, 91 year old male
47:05It's coming through a short of breath breathing problems
47:08No worries, that's absolutely fine
47:10It doesn't look like we're too far away anyway
47:13So once we get there and get eyes on, we'll give you an update
47:21Chris and Canada are four minutes away from the category one patient in Halifax
47:3423, 25, right door
47:42Hello
47:42What do we call this gentleman?
47:44Alan
47:45Hello Alan, how are you feeling?
47:47I walked in and the way he was breathing sounds like he's got a load of stuff
47:52Rattling
47:52He's stuck and it sounds like he's drowning, innit?
47:54Oh, bless him
47:55I think you guys did come out last night from what we've been told
47:59What's his respect? Form says to stay at home
48:02I don't want admission to Huddersfield but would accept Calderdale
48:06for a treatment for reversible causes
48:08That's it, I'm back again
48:10OK, do you want any help?
48:12No, you're all right, thank you
48:13Super
48:14So he will travel to Halifax?
48:16He will travel to Halifax
48:18Do you want to have a look at him?
48:19Yeah
48:21Are you guys happy if I sit this up?
48:23Yeah
48:25Bend his knees at the same time
48:31I don't know if he's got right-sided facial droop, you know
48:38How many times have you seen Alan?
48:40I have met him before
48:42Right, so you know what he normally looks like?
48:44Yeah
48:44Will you just have a quick look at Alan's face for me?
48:47Would you say that's normal for him?
48:49It is a little bit though, innit?
48:50Now you say it
48:52Do you know if he's had any previous strokes or TIAs or anything like that?
48:58He is on Cocky Dog Roll
49:00In that one?
49:01And that one
49:03Thank you
49:04Have you got any pain, Alan?
49:06Can you nod your head for me if you have?
49:08You have?
49:10No?
49:10Super
49:11I think there will be a trip in
49:13And whether maybe he's had something go on neurologically or chest
49:18That would be Calderdale
49:19And he is happy to travel to Calderdale for reversible causes
49:23Yeah
49:24Is that alright?
49:25You happy with that?
49:27Yeah
49:31You're off on your jollies, Alan
49:32We're taking you up to hospital
49:44Do you have a bag that we can just put maybe some clean pyjamas in?
49:55Could you just hold that chair for me so it doesn't slip out?
50:01Let's get you in out that way
50:08You're okay sweetheart?
50:11We'll go get you checked out
50:18Alan will be urgently assessed for a suspected stroke at Calderdale Royal Hospital
50:38There is a window for strokes for the treatment and the thrombolysis
50:41So it's important that we got him there as fast as we could
50:46Hopefully he'll get the right treatment at hospital and he'll be home in no time
50:51It would have been nice to keep him at home
50:53His respect for him
50:55Yeah
50:55Was all about trying to keep him at home, keep him comfortable
51:0446 miles away in Doncaster
51:06A crew have requested critical care backup for an end of life patient in severe pain
51:15Hiya, you alright?
51:16So this lady's 83
51:19She has had a left-sided hip dislocation
51:23It is swollen out here
51:26The GP has given her a new respect for home
51:28Which clearly says no hospital admission
51:31It's alright, it's okay
51:33I don't want to take the hospital
51:34No, but
51:36I do think at this moment in time
51:38It is our only source of option
51:42I suppose it's difficult to gauge isn't it?
51:45It's a rock and a hard place
51:47You know her better than us
51:48What do you want to happen today?
51:50You want her to be pain free?
51:52Okay
51:53So I think what we'll start with
51:54We're going to give her an injection of morphine into her arm
51:56If that settles her
51:59We'll think then about what we're going to do
52:01Yeah
52:04I'm...
52:05I'm actually happier with the plan of
52:08We give this
52:09And the working plan is
52:11If it wears off
52:12We come back again and give some more
52:13Of course if this doesn't work
52:14We then have no other option but to take her through to a hospital
52:17But I think if we can do that and leave her here
52:20I think it's a better experience for Rita
52:22Definitely, yeah
52:23She was my mum
52:28And I'd rather us come out again
52:30Do another quick dose of morphine with everything in place that we'll put in place for her
52:34Than I think her being down in the hospital
52:37Is that okay?
52:38Yeah, that sounds right, yeah
52:40Okay Rita, look
52:41Can we like this back?
52:43I think it's...
52:44There we go
52:44You've got to get it right, haven't we?
52:46There we go, darling
52:47It's alright, look at that
52:48You have a cuddle with Matt?
52:49Hey
52:51You just wanted a cuddle, aren't you?
52:53Yeah
52:53It's alright, darling
52:54Can you have a cuddle with me?
52:55Oh...
52:56I know
52:59My experience with my dad really does underline that
53:02That my patient isn't just their pain or their symptoms
53:07The patient is a whole person
53:09Who has lived a full and interesting life
53:15Should I have a scratch, okay?
53:17Come here, darling
53:18Well done
53:18Well done
53:21You have to understand the patient's wishes, the family's wishes
53:26And very often when you get to that point of saying
53:29If this was my mum or my dad, this is what I'd do
53:33You see the relief on the family's face that a decision is being reached that they can be at peace
53:38with
53:41Look at this sheet's soaking as well
53:43I think we're going to have to have a brief transfer onto trolley
53:47Just to get a bed changed and get her back into a clean dry bed
53:50What you like, eh, trouble?
53:52I know
53:53I know
53:55Come on
53:55Come on
54:01Right, my darling
54:02Everyone happy?
54:03Ready, steady
54:04And move
54:04Look at that
54:05That's a good move, guys
54:07Well done
54:12Right, my darling
54:14So I want to try and get her back into bed as she is
54:16Because I think she'll be a lot more comfortable if she's not propping herself up
54:21Ready, steady
54:22And move
54:24There we go, darling
54:25Yeah, yeah
54:26We no longer need big lights on so they can come off
54:34How long's Rita lived here?
54:37Since September
54:38Was she at home before then?
54:39Yeah, yeah
54:40Well, she's done well there
54:42Was she having some problems with kind of memory loss and stuff before she came in?
54:46Yeah, yeah
54:47I think we were asking it a lot, isn't it?
54:49Yeah, yeah
54:50Well, you do your best, don't you, but there comes a point where you can't do any more
54:53No
54:54No, no
54:55But then a week after she came and needed her, her brother collapsed and died unexpectedly
55:01Oh
55:02Blimey
55:03That's it
55:03It's been a hard time for you, hasn't it?
55:06Oh
55:08Oh, sorry
55:09It's okay, don't worry
55:11It's been a really tough time for you
55:16You just don't know, because you don't know
55:18No, of course
55:19It makes it harder, doesn't it?
55:27I think as we are now
55:29I'm happy now she's asleep
55:32That she can stay at home
55:33Are you comfortable with that?
55:36I've written some notes, I'll have a chat with the care staff
55:39Basically the instruction is if anything changes
55:41Call 999
55:43Is there anything else we can do for you while we are?
55:46All right, you take care guys
55:47No problem
55:48You take care
55:49Thank you guys
56:07My feelings very strongly that culturally we don't talk enough around death
56:11It's the one thing you can guarantee
56:14Hopefully it comes to us after a long and happy life
56:17That doesn't make it easy
56:19It's never easy
56:21Honey
56:23It's been a long time
56:27Come in
56:29Come in
56:30We're home
56:30Home James
56:32Home James
56:48Our job is doing the best we can to help with that
56:58Just wanted to say I think you most definitely have made a difference today without a shadow of a doubt
57:08Ultimately if we can't save a life how do we allow that patient to die with maximum dignity in the
57:14most peaceful possible way?
57:16That's in line with their wishes
57:20Can you hear my heart beating, or do you hear that sound, cause I can't help crying, and I won't
57:44look down
57:47I'm not going to die
57:53I'm not going to die
57:55I'm not going to die
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