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Short filmTranscript
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 he's talking about 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.
00:29Do 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.
00:39Is she breathing normally?
00:42Water variability of how we met.
00:45Embedded with eight emergency crews.
00:48Could be anything, couldn't it? Okay, okay.
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?
01:04Got it?
01:05On the front line.
01:07I go to work every day and I make a difference.
01:16Stand well clear.
01:18Vehicle reversing.
01:20Hey, how comes I always end up getting on a truck before you?
01:23Age before beauty.
01:24Gotcha.
01:25It's going to be a long shift this is Mick.
01:33If you could master any talent, what would it be?
01:38Probably to learn every language.
01:41I'm jealous of that answer.
01:42Mine would be to be able to play the piano.
01:45I want to be able to just see a piano and just play it.
01:48In public.
01:48In a train station.
01:50Yeah.
01:50Do a little courtesy.
01:51Yeah.
01:52Thank you everybody.
01:53Good night.
01:53That's a good talent.
01:54It is, isn't it?
01:55Yeah.
01:56Good morning.
01:57It's Scott and Law on 7 till 7 today, over.
02:00I'll get you both.
02:01I'm done.
02:01I'll get you guys.
02:03Brill, thank you.
02:03Have 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 very high pet man
02:17that told me I was the most beautiful person I'd ever seen.
02:21Oh, he was lying.
02:23Yeah.
02:24A lady told me I'm going to marry Johnny Depp and I was pretty complimented by that.
02:29Yeah.
02:30I like getting called a handsome young man off all the women in the 90s.
02:35That's my favourite.
02:37Oh, the ones that wear glasses and should go with their eyesight?
02:39Yeah, those ones.
02:40Yeah.
02:53Oh, God.
02:54That was a good...
02:54That was a good crack.
02:57That was a good crack.
02:57Click your neck.
02:59All right.
02:59Not bloody.
03:00Now.
03:01Show monkey.
03:01Actually don't.
03:02I will be asleep.
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 and some people who are not and that's the
03:18difference between me and you.
03:19Yeah, I crack too much all the time.
03:22Yeah.
03:22Honestly, I'm not surprised you didn't come and be like, oh, I can crack my nose.
03:26You know what?
03:27Some people can.
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.
03:35Mm-hmm.
03:35Yeah, it does your own.
03:44I'm good at service.
03:45Is the patient breathing?
03:47Just to bed.
03:48This old gentleman, he can't walk no farther.
03:52Can I speak to him directly?
03:54Hello?
03:55So tell me what's the main problem?
03:57I'm struggling to walk.
03:59Right.
04:00What's going on with your speech, sir?
04:02You 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
04:41that we can help treat that stroke.
04:44So time really is not on our side.
04:47Oh, look, there he is.
04:49There he is.
04:49What are you doing there?
04:51In the middle of the field.
04:59Hello.
05:00Hello.
05:01What's your name?
05:02Bill.
05:02Bill, nice to meet you, Bill.
05:03I'm Brooke and that's Ciara.
05:04Hello.
05:05Hi.
05:05So what's happened?
05:07His legs had 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 and Karen came out to help
05:23and called 999.
05:26We're living there now.
05:28He rescued me.
05:29Oh, they rescued you, did they?
05:30Yeah.
05:30That's nice of them.
05:31So what do you remember happening?
05:34I couldn't walk.
05:36And she was helping me walk out.
05:39And what were you doing?
05:40Were you just on a walk or...?
05:41Yeah.
05:42Yeah.
05:42Just coming back from the shops.
05:43I 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.
05:52So it's nice to see that 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.
06:19Now can you try and kick your foot out towards me, against my hand?
06:24Brooke carries out what's called the fast test to try and identify the telltale signs of a stroke.
06:32And 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 at all?
06:43Yeah.
06:44I did a fast test on Bill to make sure that he didn't have any weakness to one specific side
06:49to 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 80.
07:17If I had my way I would eat chicken every single day.
07:21It's just absolutely lovely.
07:22It's 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.
07:36Especially if it's just come off the spit roast and it's juicy and you just...
07:40Oh yeah, they've all run from the chops.
07:41I'm hungry now.
07:48BELL RINGS
07:51Ambulance services, a patient breathing.
07:54Yes, 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.
08:02BELL RINGS
08:06Going to a 77-year-old male with chest pain.
08:11The excruciating pain at onset.
08:14Right here.
08:16Could be absolutely anything with chest pain.
08:19Cardiac.
08:20Is it muscular?
08:21Musculoskeletal.
08:22Have they got a cough?
08:22Cough.
08:23Respiratory.
08:24Until we get there, it's that proverbial guessing game.
08:28Get your foot down and get there.
08:29MUSIC
08:37Hello.
08:38Where is he?
08:39Where is he hiding?
08:41My name is Dave and this is Mick.
08:42Hi, you're all right?
08:43What's going on with yourself?
08:45It's all in 205 and 205.
08:49I just wrote a cough now in Harrenhal.
08:52Yeah, I think I'm out of the pulse when we get...
08:54We're coughing, you've hurt yourself.
08:56Okay.
08:5677-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, okay.
09:10Had you been coughing quite heavily prior to the change of pain?
09:13Was the pain around about here?
09:15Yeah, that's right.
09:15Well, I'm searching.
09:16I'm taking a deep breath for me.
09:18Does it hurt when you're taking a deep breath?
09:20No, no, no.
09:21No? Okay.
09:21When I first heard Bob coughing,
09:24quite a hacking, barking cough.
09:27As he pulled the chest muscle,
09:29popped the rib from all the coughing.
09:31That was my initial...
09:32That was the initial?
09:33The initial thought, yes.
09:35Let's just have a quick listen to your chest.
09:39When I've listened to Bob's chest, it was quite noisy, innit?
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.
09:56I'll give you something for that, just to sort that out, okay?
09:58Right, I'll pop some dots on, we'll do an ECG, okay?
10:01Yeah.
10:01We never come out for one thing,
10:03we always come out and we find something else as well.
10:06The ECG provides a snapshot of how Bob's heart is functioning.
10:10So what did you do for the 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,
10:19you start to think, ah, right, okay.
10:21This 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, okay?
10:32Just clear some of that wheeze off your chest.
10:35While Mick secures the inhaler to help Bob with his breathing...
10:39Right.
10:41..Dave prepares to run the ECG on his heart.
10:45I feel a bit of pain now.
10:47Where about is it?
10:49Just right in the middle there.
10:51Yeah.
10:51Okay.
10:52It's definitely not going anywhere else.
10:53It's not going...
10:54Does it feel like it's going through to your back?
10:56No.
10:57Right.
10:58Nice and steady for me, okay?
10:59For 30 seconds while I do this ECG reading.
11:02You ready?
11:06You haven't had any pins and needles in your hands at all?
11:09When the spray come, I've got pins and needles here.
11:12In there.
11:13Okay.
11:22I'm going to Bob that through to cardiology and get him to have a look at it.
11:26Oh.
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 straight off where I was sitting.
11:42Absolutely.
11:43And to me, it looked like he was having a heart attack.
11:46James there now.
11:52Right.
11:59So I'm going to give you an aspirin.
12:02Right.
12:03Just pop that in.
12:05Okay.
12:05Just chew it.
12:06Don't swallow it because it's an aspirin.
12:08Okay.
12:09In Stoke, paramedics Mick and Dave are with Bob, who they suspect is having a heart attack.
12:17Hi, good morning.
12:17It's Mick, one of the paramedics.
12:19Okay.
12:19I'm just with a 77-year-old gentleman at the moment.
12:22Tongue up.
12:22Top of your mouth.
12:23While Mick calls the cardiology department at the nearest hospital.
12:27Right.
12:27I'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, reducing the strain on his heart.
12:40Right.
12:41It's a trip to the hospital anyway.
12:43We'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 that he is having a heart attack.
12:56I 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 because 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.
13:09It will be about 15, 20 minutes.
13:12Okay.
13:14That's great.
13:14Thanks, Sam.
13:15Bye-bye.
13:16So it looks like you're having a heart attack.
13:19Okay.
13:19That's what it's looking like.
13:21Don't worry.
13:21Okay.
13:22We'll get you in the right place.
13:23We're going to get you sorted out.
13:24Okay.
13:25That's what it looks like on the ECG.
13:26That's why we just phone the cardiology department so they can just confirm.
13:29So we're taking you directly there.
13:32All right.
13:33So don't get upset.
13:34Okay.
13:35Because if you start crying, you'll get me going.
13:36You'll get me mascara running.
13:38You'll be a right mess.
13:39We're going to look after you.
13:40Okay.
13:41What we don't want to do is put any more strain on your heart.
13:44All right.
13:45When I've told Bob he's having a heart attack, he was quite taken aback.
13:49He was quite shocked.
13:50To point out, I think he was getting a little bit upset.
13:53Because if somebody hears heart attack, they automatically think the worst.
13:58However, I have explained to him, we're going to take him to the hospital to get the right treatment.
14:04You're driving shoes, eh?
14:07How did you 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.
14:23You can put your feet up.
14:30So, obviously, we don't want to hang around, so we're going to pop the lights on.
14:33Yeah.
14:33Just to get through the traffic and get you in.
14:36I've never been in the ambulance without the lights.
14:39Have you not?
14:40Have you not?
14:40If you want to go fast, they just scream.
14:50I'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 in case it worsens.
15:02So, I've had a heart attack?
15:03Well, you're having one at the moment.
15:05Yeah.
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 when I told him he was having a heart attack.
15:16Because he was sat up, talking, and felt fine apart from this slight discomfort.
15:26So, we're chairing up, isn't it? Where are we at now?
15:29So, we're at the back of the hospital, because we're going straight up to cardiology.
15:32So, you're not going to be waiting outside the A&E.
15:34Having been alerted by Dave, the cardiology team at Royal Stoke University Hospital is standing by.
15:42Okay.
15:44Yeah.
15:52Well, I tell you what, I was not expecting that to be a cardiac issue.
15:57I wasn't either.
15:58At 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 and it sounded awful.
16:04And then you pop the leads on and, whoa, there we go.
16:08It just goes to show no 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, is see if we can get you into the ambulance,
16:26because I don't particularly want you to be sat out here for too long.
16:29In Canock, paramedics Kira and Brooke are with Bill.
16:34When he collapsed coming back from the shops, a couple of residents came out to help him.
16:40He says he's not eating and he'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.
16:47Oty doty.
16:48It's all he keeps.
16:51Not a big eater.
16:52Have you got a headache at the minute?
16:54No.
16:54You haven't.
16:55Oty dokey.
16:55No.
16:56Your blood pressure's rather high.
16:59It's 199 over 73.
17:04I've been sitting down for an hour.
17:06That's really high, isn't it?
17:07It's very high, yeah.
17:09Just pop your finger in here for me, Bill.
17:10Oh, you just pinch that.
17:12Let's take that off, yeah?
17:14Blood pressure this high could lead to a heart attack or stroke.
17:18It's a medical emergency.
17:21What I want to see, Bill, is just to see if you can stand up off that chair.
17:28Right.
17:30How does that feel?
17:31I think if I let go, you'll probably fall, wouldn't you?
17:34Right.
17:34Sit yourself down, then.
17:37There's no arms on the chair, so you've just got to go straight back.
17:40That's it.
17:42When we stood Bill up, he was really unsteady on his feet.
17:46Couldn't really stand up for himself without some support.
17:50So we had to use the carry chair to get him to the ambulance,
17:53which was quite difficult because he was in the middle of a field.
17:56Right, then.
17:56So this is probably going to be a bit of a bumpy ride.
18:00It might make you feel a bit travel sick.
18:03If not, it might bumpy, isn't it, this?
18:07If you didn't feel sick before, you 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?
18:22It might make this journey worth it.
18:29You know, when we were outside and 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 to just stand up where you are
18:38and I'll do your blood pressure when you stand up
18:40to see if that changes anything?
18:43Brooke checks to see if 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, when your eyes are closed?
19:02I don't know.
19:03Yeah.
19:04I think if you closed your eyes for long enough,
19:07you'd hit the deck, to be honest.
19:10I think it might be worth a trip up to hospital today
19:13because your blood pressure's a little bit high
19:15and if your balance is off, a certain part of your brain
19:18might not be functioning properly.
19:21We obviously know his blood pressure was quite high,
19:23but we didn't really know what was going on,
19:25whether his balance was off because his blood pressure was high,
19:28whether it was, like, a neurological problem.
19:30But we were very much...
19:31It was a job where we were in the dark, I think,
19:33with what was going on,
19:34and it was taking him to hospital for that conclusion, really.
19:39You know, at least you're still getting about and looking and...
19:42Loses or loses.
19:44Well, exactly.
19:45Exactly.
19:46My nan told me that motto as well.
19:50Ready to go?
19:51Yeah.
19:55You're from Canuck?
19:56Scotland.
19:57Scotland?
19:58Oh, yeah.
19:59I don't pick up on the accent.
20:01You live on your own?
20:02Yeah.
20:04Do you feel like you need any support or not?
20:06No.
20:06You're OK?
20:10At New Cross Hospital in Wolverhampton,
20:12doctors will try to find out why Bill's blood pressure
20:15is so high and treat it.
20:29What is my most defining quality as a housemate?
20:33Your ability to cook.
20:35That's it.
20:35That's all I bring to the table.
20:37Yeah.
20:39If you got a personal chef, that'd be it.
20:40I'd just be done.
20:42You are an excellent cook, though.
20:45You've got to get a dishwasher.
20:46Yeah.
20:47Because you created so much mess.
20:50You don't get an artist to clean up his paint, do you?
20:53You can make one dish and then you'd need six bowls.
20:57I think living together definitely has its advantages,
21:00but also a few challenges.
21:02Definitely a few challenges.
21:04We squabble.
21:06Yeah, like siblings.
21:08Yeah.
21:08I'm right, you're wrong.
21:09We meet in the middle.
21:11And then they figure out that I'm right all along.
21:13No.
21:13Yeah.
21:14Never.
21:15See?
21:16Never, ever.
21:17If it was up to you, you'd have had a microwave curry
21:20without a microwave.
21:29Have a look, sir.
21:30Have a look, sir.
21:30Is the patient breathing?
21:32Yes.
21:34Okay, what's he read?
21:35See what's happened.
21:36The gentleman's fallen over and he's either broken an ankle or damaged soft tissue and he
21:42can't bear weight on it.
21:44We'll need a mountain rescue as well.
21:51Voice 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.
22:03He's fallen over, injury to ankle.
22:07It's difficult terrain for a retrieving patient calling mountain rescue.
22:13Oh, nice.
22:15When we got a call saying mountain rescue were on scene, I 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 and we were going
22:28to have to figure out some way to get him down because with the injury, there was no
22:32way he was going to walk.
22:33Yeah.
22:36We've made it.
22:37We've made it.
22:38We have.
22:38I saw the mountain rescue have made it.
22:40Me too.
22:42There's mountain rescue.
22:52Across the West Midlands, there are around 400 paramedic crews on the road every day.
22:59We're on board with eight of them to see the work that they do.
23:11So, Madge slipped on the top of Fort Cloud.
23:13Okay.
23:14At approximately three o'clock, he managed to get himself down to the path.
23:18Okay.
23:19We've got suspected lower left ankle.
23:25Paramedic Sharni and technician Jack have just arrived in Dovedale National Park in the Peak District.
23:33Lovely.
23:34All yours.
23:35Lovely.
23:36Thank you very much.
23:36Thank you very much.
23:38Thank you very much.
23:3854-year-old Madge was hiking here with his 11-year-old son, Victor, when he fell and injured his
23:44left ankle.
23:47What have you been up to?
23:48I've heard you've had a bit of it before.
23:49Found a loose rock and just put my foot that direction.
23:52Okay.
23:53So, you sort of rolled onto your ankle?
23:55Er, yeah.
23:56I rolled on it and what I just experienced was that, you know, tissues just come in loose.
24:02You didn't hear any crunches or bone breaking or feel anything like that?
24:06No, no.
24:06It was like a soft tissue.
24:08You know, ligaments tend to go and sleep like this.
24:10And your pain at the minute?
24:12At the minute.
24:12It's not good.
24:13That's amazing.
24:14I expected that we were going to give significant amounts of pain relief.
24:18And when Madge told us that he was in no pain at all, it threw me off guard a little
24:23bit.
24:23I thought, how strong is he?
24:26Can I have a quick look?
24:28I'll lift your leg up.
24:30Yeah.
24:30And then we'll just come out.
24:31We'll have a quick feel.
24:33Wiggle your toes actually.
24:34Yeah, it's working.
24:35I got some mobility in it, but of course it's swollen, so...
24:39Is his pain more this side?
24:41Yes.
24:42Because that's where it's swollen the most.
24:43When I first had a look at Madge's leg, it looked a little bit swollen, but not significantly injured.
24:49I expected a lot worse.
24:51He was able to move his toes and it looked okay.
24:54Normal feeling, normal sensation.
24:56Yeah.
24:57Nothing like that.
24:58Perfect.
24:58What we'll do is we'll put our vacuum splint on.
25:02Right, this one's going to be the slightly nasty strap.
25:04Okay.
25:04Jack fits a vacuum splint to Madge's ankle.
25:08This uses air pressure to help immobilise his leg.
25:14Yeah.
25:15Does that feel okay?
25:16Yeah, that's fine.
25:17Can't move it, can you?
25:18No.
25:19Good.
25:19Perfect.
25:24We all ready to go?
25:25Yeah, good to go.
25:26Yeah.
25:28Madge and his son Victor are on holiday.
25:31The hospital closest to their hotel in Meckersfield is 30 miles away.
25:37Yeah.
25:37Is this your first day of the trip?
25:39Oh, no!
25:40Yeah.
25:41Should have done it on the last day.
25:42Yeah.
25:43No, it shouldn't happen at all.
25:45No, well, that would be...
25:46Yeah.
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 had to walk up the mountain two times and it was very tiring.
25:54You've done very well because I don't think I could have walked up it once.
26:01Still feeling okay?
26:02No pain?
26:03No, that's fine.
26:04Okay.
26:05Yeah, good.
26:06You're much tougher than me.
26:12Take the next ride.
26:14I think we've arrived.
26:17A walk with his son in the countryside has ended with an hour-long trip to Macclesfield District General Hospital.
26:26Pull up on here, or me.
26:29Easy.
26:30You are.
26:31Amazing.
26:31It's stellar.
26:33Here, doctors will carry out x-rays to see exactly what damage has been done to Maccles's ankle.
26:50What a trooper.
26:51I've never seen someone so relaxed.
26:54Have no pain.
26:56None.
26:56Zero pain.
26:57But it's clearly swollen and...
26:59Isn't it, yeah.
27:00There's got to be something in there.
27:02Something.
27:03Is it at least a sprain, possibly a fracture?
27:05They haven't given me x-ray eyes yet.
27:07That's coming in the future.
27:08In the future.
27:09Yeah.
27:21You boy, the foot is really hurting.
27:23Okay.
27:23Okay.
27:23So just confirm he's conscious in a way?
27:25Yeah.
27:27Madge's ankle injury was the 2200th call today and the team here have no idea what the next call
27:35will bring of course there are certain calls that you don't want to get like majority of things to
27:42do with children something about them just being so little just makes it a lot more difficult I
27:46don't know whether it's because I've got a daughter as well like you can sort of put yourself in their
27:52shoes ambulance service is the patient breathing yes are they conscious and awake yes what's the
27:59reason for the ambulance please one of our pupils has just fallen up the steps and hit her forehead
28:04off the edge of the step and she has a large wound that we're applying pressure to okay is she
28:11bleeding
28:11at the moment yes okay she's been bleeding red blood very heavily in the last 30 minutes
28:16yes was red blood and it's coming from the forehead might be a bit difficult can you see the bone
28:22sticking out through the skin you can see flesh because obviously it's on her forehead children
28:27are so resilient and they're so good at bouncing back but if something's wrong they tend to kind
28:33of dive quite quickly which can be incredibly scary she's gone cold now we've got a blanket over her
28:41okay yeah just do best to keep her comfortable keep her safe is she limp or floppy at the moment
28:47she's not limp or floppy I think she's just shocked oh yeah I know of course any new weakness or
28:52coordination problems in her arms or legs can you lift your arms up for me wave to me and the
28:59other
29:00one give me a wave and can you wiggle your legs can you kick them kick kick kick yeah she's
29:06just a bit
29:06dazed but she's lifting her arms and she's moving her legs quite dazed for herself okay
29:12if a child is quiet or more subdued then that can be a lot more concerning I'd much rather than
29:18be
29:18making noise if I can hear them chatting laughing or crying then for me at least I know that they're
29:23okay I do have some help arranged for her sounds like you are doing all of the right things but
29:29if
29:29the blood does soak through that pad don't take it off just put another pad on top of it
29:32and we do just need to advise that's what we've done we've just added that's why it's quite sick
29:36because onto the others we've added another section on top to apply the pressure was it soaking through
29:41the initial one quite quickly it did quite quickly on the initial one right okay no that's fine and it
29:47was all going down her face it came to light that actually that was the second lot of dressing that
29:54they'd put on the first lot had bled through quite quickly so at that point I knew actually
29:58this was significant blood loss especially for someone so little all right I now have this down
30:03as a high priority response okay just because of that um thank you so I will stay on the phone
30:09with you until the crew get there um and just keep her safe and comfortable where she is then
30:16they're just coming in now all right then I'll leave you guys with the crew
30:30the patient was taken to the pediatric unit where she was treated for her injury
30:52a patient thought that I was a lot lot younger than I was and bear in mind this was on
30:56a fourth
30:56night shift in a row you're not doing bad for 40 are you you're a cheeky get you're closer to
31:0140
31:02than me got less wrinkles though I know shut up I'm worried about smile lines though to be fair
31:09because mom's smiling not when I'm working with you I definitely not first thing in the bloody
31:16morning working shifts on an ambulance definitely ages you it does it does also the company you're
31:24with sometimes ages you like working with Colleen ages me about 10 years every shift speak for
31:29yourself night shifts though I'm delightful we are polar opposites absolutely which is why we work
31:43ambulance services the patient breathing yeah basically there's a person on the floor is he able
31:51to tell you what's happened does he got his eyes open I can't see because his head is on the
32:01floor
32:07so unconscious in the streets I'm guessing we don't have much information no going to these jobs in the
32:16streets can put you on edge because is it something something sinister like a drugs related
32:23thing there's a homeless person who's collapsed yeah I mean fairness it could even just be someone who
32:30is generally well on it a call for someone unconscious in the street could be a thousand and one things
32:36have they been hit by a car have they collapsed are the intoxicated absolutely anything the only way we
32:44know is by getting there so we need to get there quite quickly there they are oh yeah maybe block
32:54them so
32:55they don't get hit by a car yeah I'll let go check it out wakey wakey buddy you're asleep in
33:07the street
33:08squashed your bread there you go have you fallen or just passed out a passerby called 999 after seeing
33:18the man lying in the road unresponsive you had any gear or anything matey we don't care if you have
33:25by
33:25the way we just want to make sure that you're okay it's not every day that we we come across
33:29someone on
33:29the side of the street literally in the road unconscious when I first seen this patient my
33:36first thoughts were how on earth has he ended up in this situation could it be a medical episode or
33:41could it be something more like illicit drugs or alcohol should you get your stuff off the road I
33:45don't need to lose any of it is that a handle like yours some pretty serious gloves I don't think
33:52your
33:52Milky Way is salvageable to be honest you got any medical conditions that would make you fall in the
33:57street okay have you taken them today you say you don't think you've had your diazepam today you
34:05have the patient is known to take diazepam a powerful sedative drug only available on prescription
34:14should we get you on the bed and get you in the truck yeah can we go and assess you
34:17on the truck
34:17instead rather than on the floor come on try and wake up fella if we help you do you think
34:23you could
34:23stand up when he disclosed he'd taken diazepam that was a bit of a red flag that would explain why
34:30potentially is unconscious in the street but has he taken anything else right you ready
34:36yeah we're gonna go assess you on the truck I'll get a bag and I'll put your stuff in it
34:43okay on this
34:45way lift your head up a second try another look in them eyes darling there you go in Stoke paramedics
35:01Adam and Colleen are with a patient they suspect has taken an overdose they are small but they're not
35:08pinpoint that's diazepam now look at his eyes how much diazepam have you had today a lot I'm guessing
35:17when you look at a patient's eyes it can tell you quite a lot so if they've taken anything like
35:22drugs or
35:23opiates it can make their eyes really really small however some other drugs can make their pupils
35:28really really big so it can give you a lot of information I'm just gonna get a bit of blood
35:33from the tip of your finger darling okay you're just gonna feel a sharp scratch but it'll only be
35:38for a second there you go 3.8 is hyperglutamate as well as being sleepy due to an overdose of
35:48prescription medication the patient has a slightly low blood sugar level do you think you'll be able to
35:56eat your Milky Way for me if I get it for you it is a bit squashed we just need
36:05your blood sugars up
36:06okay you don't want it like you put it in your hand it's your Milky Way it's a bit just
36:16a bit squashed
36:17gel down on that mate I don't think he's gonna eat that I'm gonna have to put some gluca gel
36:21in your
36:22mouth because you're not going to be able to eat that by the looks of it I'm just gonna tip
36:26your head
36:26back a little bit now because you can't eat this I'm gonna put this gel in your mouth okay it's
36:32gonna
36:32taste very very sweet Colleen tries to give him a fast-acting glucose gel designed to bring blood
36:39sugar levels up quickly but the patient has now become too unresponsive to take it
36:48I think we're just not gonna make to be honest he isn't gonna want that let me take that off
36:52yeah
36:52so this goes I'm gonna squirt something up your nose okay I'm gonna feel weird as overdoses often
37:00involve a mix of drugs Colleen gives the patient Narcan if he's also taking any opioids this will reverse
37:08the effects of the overdose tip your head back for us just want that airway open perfect we gave the
37:16patient Narcan because it was apparent that he'd taken some form of drug and potentially others Narcan's
37:24given to be able to increase a patient's consciousness and make them more awake well fella we're gonna need
37:30you to wake up and stay awake for us if you can because you you're not in a good place
37:34at the
37:34minute shall we go say when mate yeah ready when you are as the patient isn't responding to Narcan
37:51and Adam and Colleen don't know exactly what he's taken they decide to head for hospital
37:59there you go rest your head down sweetie that's it perfect I'm just gonna keep hold of your head
38:04just so it stays in this position okay at Royal Stoke University Hospital the patient will be monitored
38:14and may be given medication to reverse the effects of an overdose
38:27I don't know how much of God knows what he's taken but he's taken a lot of a lot of
38:32it
38:34probably too much of it if I'm honest yep it could be anything it could have been a combination of
38:41a lot
38:41of different things unfortunately with him Milky Way man that's what he is Milky Way man Milky Way man out
38:47of this world
39:00if you would give yourself a different name what would you name yourself oh I'm seeing an Ellie really yeah
39:09I think that's too girly for me I could Sasha oh no okay I mean my name is literally unisex
39:18so
39:18mine's not girly no mine's quite girly yeah I don't love it yours is literally a flower yeah
39:27it's rather feminine isn't it I don't even think I said Daisy to be fair I think it's a bit
39:32innocent
39:42ambulance service is the patient breathing it's me it's me I've got an infection again
39:50it's a sign pain and that's what I had before and is the pain in your stomach or is it
39:55anywhere else
39:56yet it's in the lungs oh there we go bisac set we've got a 74 year old male abdor pain
40:10oh bless him
40:11could be anything goodness could be DNV could be could be UTI DNV stands for diarrhea and vomiting UTI
40:21urinary tract infection action yeah we don't actually know what's going on with this patient they're doing
40:26no not yet is this the back or is this the front ambulance hello oh hello okay yeah have you
40:42rang for
40:42us yeah I just couldn't sleep all night and I'm copying copying copying where have you got the pain yeah
40:53in your chest when did the pain come on last night really after a night of constant coughing 74 year
41:03old
41:03John called 999 have you took anything for the pain like paracetamol yeah yeah who did you call this
41:13morning for us to get here did you call 111 or 999 no no what were you hoping for from
41:20us are you are you
41:21wanting pain relief no just to check me out just to have a check okay because I'm diabetics as well
41:27so
41:28you know right you need to speak to your doctor so that they can sort you out a nurse that
41:35can show
41:36you how to do you checks for your diabetes I think the story changed slightly as we once we were
41:44on there
41:44yeah yeah went from chest pain to cough to a woman's diabetes check-in the triggers yeah yeah just to
41:53check
41:54you're not allergic to anything yeah with me I'm allergic to men you're out number dear unfortunately
42:02all right nice and still as the pain is in John's chest Daisy checks his heart rate
42:11just on the lower so I'm not overly concerned now he's presenting well isn't it yeah do you feel dizzy
42:18at
42:19all I'm worried is it okay right I'll tell you your blood sugars
42:294.3 it's a bit on the lower side what have you got in to eat toast want me to
42:36make you some
42:38John's blood sugar was on the lower side the solution to this is to just get some sugar in
42:43him whether that be a sugary cup of tea some toast with a bit of jam on it it's not
42:48really
42:48something that an ambulance needs to do he could have probably done this by himself let's have a look
42:54what covered the microwave in it above the microwave I'm not taking you to hospital because your heart
43:05rate's a bit low I don't think I'm gonna do anything for you it's not that low that we would
43:10treat it
43:11there you go you can sit up do you want to sit up no no do you want a cup
43:18of tea can you make tea
43:20I can make tea I can I'm from Yorkshire tea tea is in me veins I like your pink kettle
43:31did you pick
43:36that I reckon that is a good cup of tea cracking I think he looks all right that
43:47yeah happy I don't know yeah you're right please you had enough I don't eat well you should probably
43:59a bit more at some point because your blood sugars were on the lower side John didn't need to go
44:03to
44:03hospital today I think John just wanted a cup of tea and a little bit of company are you happy
44:08to stay
44:09at home yeah yeah but you need to speak to your GP you know where we are if you need
44:15us all right
44:16all right nice to meet you John see you later
44:45John called another ambulance crew later that same day
44:49like Morgan and Daisy they advised he should take the painkillers he'd been prescribed and speak to
44:55his GP Bob who was having a heart attack was found to have a blockage in one of his arteries
45:03he had a
45:04stent fitted to widen it two days later he was able to return home Bill's blood pressure eventually
45:12returned to normal but he may have problems with his kidneys that could require medication
45:19and match who'd fallen while hiking had an x-ray in the fracture clinic this confirmed he'd broken his
45:26ankle next time man is in agony put this in your mouth keep breathing on it open your mouth our
45:42main
45:42concern was figuring out where this pain was and getting this under control we did suspect that he
45:48may have broke his hip oh god that is a big clock that was massive a patient has a severe
45:54nosebleed when
45:56I saw the blood cut it was rather grim it was large he's just had brain surgery we needed to
46:01get him to
46:02hospital fast I woke up and I got this real pain and my heart was racing and the woman is
46:10complaining of
46:11chest pain once we completed a heart tracer it showed us that she was actively having what we call a
46:16STEMI which is a heart attack we are going to be taken at a hospital and we are probably going
46:21to be going
46:21quite quickly
46:22so
46:51You
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