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00:01In the heart of Yorkshire...
00:05Bouncy, I need a captain.
00:07Just a busy day.
00:09Everybody's decided to come today.
00:11An unbeatable team.
00:13Have you given it a clean, or did you just put that on?
00:15No, I wouldn't let my wife anywhere near it.
00:18Slide.
00:18Hard at work, 24 hours a day.
00:22Sorry.
00:23You've got the boobie fries, you've got me.
00:26Seven days a week.
00:30Saving lives.
00:33No, no.
00:34Helping loved ones.
00:36Well, this is shocking. They're actually broken bones.
00:39Making the community they serve better.
00:42As well as everybody's safe, that's all that matters.
00:45A health service treating anyone.
00:47Strain your temperature, Jane.
00:49And everyone.
00:51In and out, keep going.
00:53A team doing anything and everything for each other.
00:57The staff have been amazing.
00:58They've not been able to do enough for us.
01:01This is Barnsley Casualty 24-7.
01:05It brings me faith in the staff and NHS, definitely.
01:11I love you.
01:12I love you.
01:14I love you.
01:18On shift tonight, Dr Emma Farragut.
01:22We're a bit worried you might have an infection in your head.
01:27Sister Georgia.
01:28We should see them really within a 15 minute window when they're booking in.
01:35And Dr Kitty Price.
01:37I think we need a little bit more than a plaster for that one.
01:41So get ready to share a shift.
01:43I'm lucky to be alive really.
01:46With the team at Barnsley Casualty.
01:59It's a hectic start to the afternoon shift.
02:05Sister Georgia is in charge.
02:07Just a busy day.
02:09Everybody's decided to come today.
02:13So we've got patients that have been here 14 hours and 15 minutes and we're still waiting on bed.
02:19So not good.
02:20We're trying our best though.
02:24But getting to grips with running the department is an exciting new challenge.
02:29I've only actually been doing my sister role a couple of months.
02:33I do enjoy being a sister.
02:35Hello you dear sister.
02:36You need to make sure that all your patients are safe.
02:40It is really challenging especially being a sister and like managing the department.
02:47And Casualty's doors are open 24-7.
02:51Patients are sat in waiting room that have been here an hour and 20 minutes and not being triaged yet.
02:55So obviously it's patient safety that we need to maintain.
03:00Sometimes like your walking patients are actually the sickest patients in the department.
03:04So if there's a long triage wait down there you've got to prioritise getting them seen.
03:11So we've got nine to two patients in the department.
03:13We've got a two hour three minute doctor wait.
03:16It is a bit like a puzzle.
03:18We've got to move staff about to help in the areas that are more demanding.
03:24But yeah we're just very busy as always.
03:29And it's only an hour into her shift.
03:35To add to the pressure.
03:39Paramedics are rushing in a patient who's had a serious accident.
03:43Dr. Kitty Price is already in resus.
03:47So we've got an 85 year old male trauma at pre-alert who's coming in having fallen six foot forwards
03:54off a ladder and hit his head on the ground.
03:56The team prepare for his arrival.
04:1485 year old John has a severe head injury and pain in his back.
04:28So about 10.45 this morning John has been approximately two metres up some ladders in his garage.
04:38The paramedics hand over to Dr. John Shepard and the team.
04:43The ladders have slid away from him.
04:46He's gone forward.
04:47He's hit his chest and his head on the ladders as they've collapsed on the floor.
04:55Colleagues were quite keen to demonstrate how worried they were as well which always piques your interest.
05:00And it's important to try and bear their concern in mind and compare that with the patient that you've got
05:06in front of you.
05:07Notable injuries, about one inch laceration to the right side of his head and left clavicle about here.
05:19Tender.
05:20He's got potentially two different places that are causing him trouble and it's trying to unpick how much is one,
05:26how much is the other and how much we need to be worried about both of those together.
05:31Dr. Price takes charge.
05:33She needs to assess which injuries need to be prioritised first.
05:37Hi John, my name's Kitty, I'm one of the doctors.
05:40We're going to have to cut your top off just so we can have a good look at you and
05:43a good listen to your chest.
05:45Come on.
05:55John's wife Muriel has been with him since she called the ambulance.
06:00It's the old dentists.
06:01I'm sorry.
06:02I'm sorry.
06:04I'm sorry.
06:07Yeah.
06:08I stood halfway up.
06:09What were you doing?
06:13Trying to put a staircase in but I ain't got that far.
06:16Oh!
06:19After such a high fall, John's showing signs he may have broken his back.
06:25Then he said I've got the ball in the foot.
06:27Okay.
06:28You've got this side.
06:29Never gone right there.
06:31Saw here.
06:32Both sides.
06:33I've got saw of that.
06:36Can I have a squeeze of your hip?
06:38It's okay.
06:38I want you to tell me if there's any pain in anywhere.
06:42Where's that pain?
06:43Shoulder.
06:47I'm just going to check your temperature, my lovely.
06:50I'm going to go this side because I know you've got the cut on the other side, haven't you?
06:5436.
06:55John, have you got pain?
06:57Yeah.
06:57Yeah?
06:58There?
06:58Yeah.
06:59Just directly under there?
07:00Oh, yeah.
07:01Okay.
07:02How have you been with moving this hand?
07:05All right.
07:07Any pain in your shoulder joint here?
07:11Or is it only where I was pressing it here?
07:13There you come off.
07:15It's not gone.
07:16Enough.
07:17Perfect.
07:17I'm sorry.
07:19I have to have a good look so I know what's going on.
07:21Okay.
07:22Oh, sorry.
07:23All right, that arm on that side just to get some blood's all right?
07:25I know we're coming at you from all angles, aren't we?
07:27I don't want to hear that.
07:29I'm just going to pinch this arm to take some blood.
07:31Is that it?
07:32It is.
07:34John has multiple injuries, so Dr Price puts together a thorough treatment plan.
07:42What we're going to do is we're going to order you some scans and get you some pain relief.
07:46We're going to send these bloods up.
07:47We're going to scan this area.
07:49We're going to scan your head because you've got a bump to your head as well.
07:52It looks like you've got a bit of a gash here that we need to have a look at,
07:56but what we're worried about is whether there's any bleeding in your head as well.
07:59No.
07:59Okay.
08:03We're going to have a look on this side as well.
08:10I'm not straightening your arm.
08:12No.
08:14Try again there.
08:16Is that better?
08:17Yeah.
08:17See you next week.
08:23With the risk John has internal bleeding or a brain injury, he gets taken down for his CT scan.
08:31If he has a bleed on the brain, he will need emergency surgery.
08:37Beep.
08:39Beep.
08:42Beep.
08:43Beep.
08:44Beep.
08:44Beep.
08:44Beep.
08:44Beep.
08:47Beep.
08:48In casualty, Sister Georgia is only a couple of hours into running the department.
08:53Lisa, would you be able to go down to walk-ins?
08:56Because I think there's like nine to us.
08:58That's for you about an hour wait.
08:59Is that okay?
09:01Walk-in patients haven't stopped coming through the doors and the triage team can't keep up.
09:07We've sent more staff down though to try and get up with work because we've got an hour and 20
09:13minute triage wait.
09:15It just seems busy on triage this afternoon on walk-ins.
09:19When we're overflowing with walk-in patients, it's really, really stressful.
09:23You've got a long wait.
09:25You don't know what they've come in with really until you triage them.
09:30We should see them really within a 15 minute window when they're looking in.
09:34It's just influx we've had a lot in over a period, a short period of time.
09:40Hopefully we get back on top.
09:43While sister Georgia tries to keep the department on track.
09:5285-year-old John is having an urgent CT scan on his head and spine after he fell off a
09:58ladder in his garage.
10:07Now back in Reesos, daughter Beverly comes to visit her dad.
10:11That's fine, James.
10:12Right.
10:13I'm are laid in the garage here for an hour before I couldn't move.
10:20I couldn't move.
10:21When I turned round there had a lot of blood up on the right side.
10:24Yeah.
10:25So you knew then you'd done something.
10:27I knew I had to get open, you know, because I had got to fuck and go.
10:30yeah but i thought someone go you know a click i i just couldn't move at the time i just
10:38couldn't
10:38move have you had any morphine around no i didn't want no i'm not in bed i'm not i won
10:44at first
10:45it seized off this bed well that's good it seized off a lot after assessing john's results
10:52dr price heads to see him john how you doing all right yeah how's your pain it's gone a bit
10:58okay
10:59so we're going to give you some pain relief so we've got a bit more to do before that all
11:05right
11:06so first things first from your scan you've had done you've fractured your clavicle here i've spoken
11:13to the bone doctors who want to have an x-ray of that specific area so that they can see
11:18how bad
11:19it is and what they're going to have to do about it the scan of your head didn't show any
11:24bleeding
11:24inside your brain it just shows that we know about this okay we're waiting for the rest of
11:31the scan to be reported from your clavicle downwards okay this has started seeping through a bit this
11:37cut so i need to have a look at it all right i'm moving out all right i'm just gonna
11:41have a good
11:42look at it all right cowards just cowards that's going all right yeah well it can't be going all
11:52right just put a plaster on it i think we need a little bit more than a plaster for that
11:57one
11:57oh sure i know we need some pain relief don't we is it broke yeah it's broke that i think
12:03likelihood
12:03is is we can close it with a bit of glue at the minute it doesn't look like you've caused
12:10much
12:10damage other than that clavicle here all right keep that head still for me just whilst we wait that glue
12:23any questions for me no john's now got to wait for the final scan results before he can be moved
12:30out of recess but there's still a chance he could have badly broken his back
12:45paramedics are bringing in another patient who will be going straight into recess
13:08a little bit more blood just to see if there's any bugs in it is that okay
13:18people coming in with textbook things is very rare if everyone did that we wouldn't have a job
13:24because the computer would do it jane has a rare condition called addison's disease
13:31if an addison's patient's coming in i'd be concerned that they're going to be quite sick
13:35they can get quite sick quite quickly so they need to have steroids because their bodies won't produce
13:40their own steroids to counteract them being sick jane is prone to serious infections
13:50if we give you some morphine will you be okay should we try that
13:56i love problem solving i always loved learning it's one of those industries where
14:01you always learn it's always advancing there's always something new with resus filling up nurse
14:11olivia has been drafted in to help dr farragher my first day in resus i've only just qualified
14:19but i've been in amy two years now every shift is different you don't always work in the same place
14:26resus
14:27is one of the ones that everybody fights to go in because it's adrenaline packed
14:35i'm just going to take some blood darling okay it's a big learning curve in resus there's lots of
14:43things to learn new um cases that we find that i've never come across
14:53i'm just going to pop your blood pressure cuff on as well okay jane's daughter melanie has arrived
15:02hello trouble you causing chaos are we hey you tired tired i am not surprised still not with her here
15:20still not with her are you she's looking very hot and clammy very pale very lethargic
15:27she seems to be a little bit confused as well very weak and just not herself at all
15:33we think she's got some sort of infection somewhere you're warm enough you're shaking a little
15:45dr farragher and the team need to monitor jane closely in case of vital organs start to shut down
16:02back in the hub patients are piling through the doors
16:06are you all right down there because i know it's really busy in terms faster than sister georgia and
16:11the team can treat them is there any spare cubicles for somebody to assess or not
16:16we've only got two uh triage rooms we've got doctors rooms as well but then obviously doctors
16:20need to go in there and see patients in there as well so it's hard otherwise there'd be no no
16:27patients getting seen by doctors if we use our rooms
16:35in paediatrics they have eight dedicated rooms for poorly children and when it's as busy as
16:41today the staff know the importance of pulling together teamwork here at barnes is incredible
16:48especially in our emergency department
16:53becomes like a little family that you have around you that's important i wouldn't change that for the
17:00world and advanced clinical practitioner liam might need to call on his colleagues for help
17:09with his next patient energetic three-year-old leo has been brought in by his mum jess and dad craig
17:19i don't know if he just constantly lives off adrenaline but it's nothing phases him at all
17:28but yes very active
17:32he might not look poorly but this morning leo burnt his hand while his mum was ironing
17:43hello there is this leo yes yeah i've seen you running up and down
17:49and who are you guys mum and dad fantastic so tell me what brings you into a and e today
17:55so our ironing uniform this morning and then just as i've gone to put the iron down onto the t
18:00-shirt
18:00his arm slid up and the irons touched corner his hand here um i ran it i ran it underwater
18:07and it
18:07just kind of looked red so it didn't look bad um so i've took i've gone to school and in
18:12that time
18:13it's like blistered up okay okay um so how long did you run it underneath the water for about 10
18:1915 minutes
18:19about 10 15 minutes fab leo do you want to just sit on mommy's knee over there for me so
18:24that i can
18:25take a look hello oh nice juice bottle so and does you say you didn't have any medical conditions
18:35so no eczema or anything like that oh it's okay just just taking a quick look at it it's okay
18:40i'm
18:41not going to touch it so it's just a bit of eryphema around this bit here yeah it's not gone
18:47round can i just see the bottom of his hand if that's all right the position of a burn is
18:53really
18:54important the burn itself can cause constriction of the skin which then could pretend to cause
19:00issues for circulation um nerve sensation and stuff like that so it's quite important to check
19:07exactly where that burn is no it's just that that one and we're reaching for the chocolate
19:12i'm literally just gonna press on it a second so i might not like me unfortunately it's okay
19:18it's okay buddy it's okay
19:23one two three four five good stuff okay
19:28good boy fantastic thank you
19:33so couple of really positive points inside that is one you've done exactly what you should have done
19:37in terms of running it underneath the water yeah he's just wanted to run up and down blessing
19:44the other good thing is that it's not around any of his fingers and it's not on what we call
19:49flexor bits so the bits that bend down and get less okay so it's not going to constrict that muscle
19:57there the fact that it's on the top is actually better
20:04it's very active isn't it bye bye mister bye
20:15leo's had a lucky escape his blister could be much worse but he would still have to endure the painful
20:22procedure of having it burst in resus nurse olivia is caring for jane who came in with addison's disease
20:40addison's disease is where the body doesn't produce enough of hormones such as steroids and
20:47adrenaline and which makes it hard for the patient to fight off any illness
20:54jane's now been stabilized and is being moved out of resus
21:01so she wasn't as poorly as we feared so she was suitable to be in htc rather than resus which
21:07is
21:07just a slightly lower level of monitoring she's taken round to a high dependency cubicle
21:14she had a really bad headache haven't you
21:20her daughter melanie has been with her since she came in
21:25yeah
21:28you can't go home i'm sorry
21:32not well enough
21:38you're quite poorly yeah not very well dr farrager has come to check in on jane
21:46can i borrow this arm for a blood test a few more bloods from you
21:54you are very very warm
21:59can we go home no you're very poorly jane you can't go home we need to keep you
22:06i don't think you're going to do very well if you go home sorry i think we've fluctuated because i
22:11thought that we'd had a bit of a a breakthrough if she had the headquarters or she seemed a bit
22:15more lucid
22:16yeah um and then she's kind of gone again yeah check whether her sugars have dropped or anything
22:21like that she looks worse from the end of the bed than she did earlier and her gcs so her
22:27consciousness level is a little bit lower and that's just a bit concerning for other things not
22:33just addison's that there might be something going on inside her brain that we need to make sure is okay
22:38because jane has deteriorated so rapidly dr farrager has ordered a scan of her head
22:49you're having a scar on your head because it's been quite sore
22:57it's got to find out what's going on
23:05i know you want to go home but you can't not yet
23:14that's what we're trying to find out
23:20this is a particularly bad bit of a confusion
23:25um there's only one time it's been slightly worse than this where
23:29it's been unconsciousness but this is a particularly bad episode
23:43mom lose your pain jane's rapid decline could indicate a much more serious condition than
23:50originally thought
24:08it's 4 30 pm and sister georgia hasn't stopped since she clocked on oh lacy are here
24:16and even with 92 patients in the department she's embracing the challenge i do enjoy being a sister
24:23and i'm glad that um i went for this job role i do feel like i'm ready for next chapter
24:28in my career
24:29and the next step when adam gets back um obviously if there's no one else that comes in here you
24:36can go
24:36back on to walk-ins if that's all right thank you you're managing all the staff you're managing like
24:42the department when you're in charge you need to make sure all your staff are happy and um then
24:47it's really good teamwork then when you've got a good team
24:52so lisa what a walking nurse that i sent down to help on walk-ins but we've got a patient
24:57in resus
24:58now so i've had to swap her because adam's on his break so she's going to cover resus
25:03so we're still a nurse short on walk-ins now so we're gonna have to wait for adam to get
25:07back and
25:08then we can swap again in resus john came in after falling from a ladder
25:27he's with wife muriel and daughter beverly taking a photo of that bad boy
25:45oh i got married dinner with minors because it used to be august holidays august holidays for
25:53minors we got the double wages in there for two weeks and we used to go to the doctors and
25:58get a
25:58sick note right and get two more weeks sick no i know and that was only time you could afford
26:05to get
26:05married and that's when we got married when we're 20. it's true that it's true isn't it when i come
26:13out of church i stood on the steps down ladies lane near front of steps outside and she took that
26:21where do you use this different what is it straight out of my hand she slashed the street
26:25out of my hand when i got out of the door i don't think you've seen it i've never seen
26:28it since
26:32dr price who's been caring for john has his final scan results sounds like we're having a good time
26:39in here you've gone quiet i'm feeling a bit tired are you in pain no right we've got you some
26:46pain
26:46relief coming now a bit of an update from the rest of the scan that we've had done yeah okay
26:52it shows
26:53that you've got some fractures in your spine new fractures so they've been reported we know about
27:00the fracture here but with the fractures being new in your back we have to keep you on your back
27:05okay and we have to get you into hospital at the moment until we've had the full report and it's
27:13been looked into by detail by the orthopedic doctors so unfortunately we're gonna have to keep
27:19you flat on your back for the minute but we're going to clean this up give you a fresh pillow
27:22and get you comfortable and you can have a nap i think you're quite a strong cookie
27:26all right thank you very much
27:33john was taken up to the orthopedic ward and stayed in hospital for eight weeks
27:44back in the pediatric department three-year-old leo is waiting to have the burn on his hand treated
27:52after he caught it on the iron at home he's with his mum jess and dad craig
28:00charge nurse greg is ready to treat him i think we're gonna have some tears on this to be honest
28:06guys hello dude i'm surprised you're not tired but they might you've been running up and down
28:11we just need to hold his hands still it might be one of you give them a hug if they're
28:17really young
28:18and you're there obviously trying to have a look at the wound trying to clean it poke around obviously
28:22it's causing them pain
28:33you need to be kind and compassionate you need to be understanding because if you're medical to you
28:40that's just a standard ordinary day for you but to that child it could be one of the worst days
28:44you've
28:44ever ever had so you've got to put yourself in other people's shoes i think so if you hold him
28:49at his elbow mum if that's all right like that last bit
28:56all sorted leo heads home with mum and dad he's soon recovered and hasn't touched the iron since
29:10it's late afternoon in barnesley casualty and it's still chock-a-block sarah has cube 13 gone
29:18to 36 she's gone ct and then so she's gone real i'll take her off thank you
29:26sometimes you might come on to shift and have like 20 patients waiting for beds but there's no
29:32beds in the hospital so it's like where do these patients go we haven't got no beds have we we
29:37were on we're on a minus nine seven and we were nine beds which nine
29:44so it's a case of waiting for discharges on the ward for us to be able to move out of
29:48a
29:48and that's what makes a and e so crowded because there's no beds in the hospital they're going to
29:54try and move some of the patients um back back across from um from medical you just need to make
30:03sure that them patients are safe um they've had all the treatments medications make sure that they're
30:09clean make sure that they've been fed and get them a drink just look after them really
30:24over in radiology jane is having an urgent ct scan of her head
30:29the team are worried her confusion is being caused by an abnormality in her brain
30:40because she's deteriorated so rapidly the team are sending her back to recess so they can keep a
30:47closer eye on her all right darling i'm just going to pop them stickers on yeah hello sweetheart
30:54back again it's all right back with me and olivia now okay
30:59newly qualified nurse olivia and nurse adam take over where's your pain jane
31:09all over dr farragher has the results from jane's ct scan hi
31:16i think we're going to give you some different antibiotics because you've got this headache
31:23and you've been feeling sick and you're a bit confused we're a bit worried you might have an
31:29infection in your head in my head yeah because you're a lot sicker than i would expect you to be
31:38from all your results because of her fever and how unwell she's been and how confused she is
31:44we're going to cover her for an infection in the brain called encephalitis we don't know for sure that
31:50she's got this it's just that with her presentation this is a concern and it's really important to cover
31:56for it daughter melanie is back by her mum's side do we know what the calls for like if there's
32:08an
32:08infection of the brain what can cause that i don't really know they're a part of what's come back from
32:12a scan i know they're just thinking it's infection on the brain main thing is we're going to get it
32:19sorted we'll get you sorted you're not a nuisance won't be sat here if you're a nuisance
32:29you're all right we're gonna take you to the ward now jane is that all right
32:40amu jane was taken to the acute medical unit where she stayed for two days
32:46she's now back at home fully recovered
32:55the next walking patient to be seen is 59 year old maxine
33:01i've come in because i had a really bad acute pain overnight in my um between my shoulder blades
33:08and it was radiating down both arms and legs and i tried to see my gp but couldn't so they
33:15suggested
33:15i had to come to lane in advanced clinical practitioner chantelle takes over her care
33:24maxine my name is chantelle i'm one of acps in a and e so maxine tell me about you tell
33:29me what's been
33:29going off started with a um some onset pain it started started friday yeah i worked friday as
33:36the afternoon went on i was getting more and more pain in my left shoulder and then last night it
33:41just
33:42started but it was central like between your shoulders but then it's actually been my legs
33:47as well with this pain any shortness of breath not specifically unless i got if i was lying flat yes
33:55but so long as i'd kept propped up on a couple of killers what about when you're walking around
33:59uh i do get a bit breathless anyway my initial thoughts with maxine is could this be a chest
34:04infection so she's coming breathless she's got an oxygen requirement she's got a pain to her back
34:11any other medical history uh yeah i've got um i've got the sarcoidosis high blood pressure um i'm on
34:20medication for yeah i've just like i said a couple weeks ago i've got
34:26tipped over into type 2 diabetes okay which i'm not surprised at maxine's got a complicated health
34:33history so it's harder to get to the root cause of her pain
34:39um let me have a listen to the back of your lungs first so nice big deep breaths
34:45let me try to feel down your spine and tell me if there's any pain
34:48or anything oh it's all there okay and what about here yeah sorry i'm really sorry and have you
34:55noticed this pain before um no nothing intense like that no okay let's get you some strong painkillers
35:02get a chest x-ray as well and steve sent your bloods off yeah the parter will take you around
35:07okay thank you it's okay the chest x-ray will hopefully give advanced clinical practitioner
35:12chantelle more of an idea of what's causing maxine's pain and she's trying to stay as positive as she can
35:20i'm hoping that they say yes you pull the muscle and you and let me go home that's what i'm
35:26hoping for
35:30sister georgia is 10 hours into her 12-hour shift i mean we've got 73 patients at the department at
35:38minute um we're on a three hour 11 minute doctor weight um beds are coming up slowly but surely
35:47sometimes you do feel like you want to just like stop patients coming in but obviously that's not
35:53anything that you can ever do in an emergency department you can never close the doors and
35:57just say oh we're not taking any more patients it's always a 24-hour service
36:08and a new patient is on their way in
36:1665 year old ken has a large wound on his head after a serious car crash
36:24he's taken straight to an ambulance bay it's just been driving on from work and says
36:29he can't really remember what happened paramedic jack hands over he's gone to a concrete fence
36:35and down about i say about three or four foot ditch there's nobody else involved
36:42so these are the pictures of the actual rtc
36:49there's the wall that has come down he's done three of those concrete posts
36:57he's climbed through from the driver's side i climbed out the passenger side i was slightly
37:02worried about the car like i feel the old mind i thought if time's gone like it'll be petrol or
37:09that's why i wanted to get out of car yeah i didn't want to get burned to learn about that
37:14dr heather white comes to do an initial assessment on ken's injuries
37:19what's so i say you've been in a car crash yeah what's happened just talking through it there's
37:24like a gap in the memory i was driving along i mean i don't know next thing i know i've
37:30been
37:30thrown all over and do you remember before the crash if that makes sense no just before the crash
37:38you saw a picture that i've been quite lucky really have you been sick at all no no any pain
37:45anywhere
38:08it seems on the surface ken has had a lucky escape but he can't go anywhere until
38:15the team investigate what has caused his memory loss
38:32hiya it's sister in ed i'm just wondering if you're ready for a mail
38:36in casualty sister georgia is in the last hour of her shift and finally making progress we've got 67
38:44patients in department we've got an hour and seven minute doctor wait which is better than what it
38:48was earlier assessment time's looking better so it's a 33 minute wait for assessment nurse
38:57so yeah it's looking better to hand over to 19.
39:05over in cubicle 12
39:06ken is waiting for another assessment after he crashed his car into some concrete posts i'm lucky to be alive
39:15really i mean i don't know if you're going to black out or what dr fanula sherbet comes to investigate
39:26further what caused him to crash so you don't remember what happened pre-axing the car have you ever had
39:34a
39:34blackout before no any problems with your heart uh no not aware of and when you were in the car
39:44did you
39:44have any chest pain no we just wanted to make sure that there wasn't anything related to your heart
39:51that caused it i'm gonna get some glue to see if we can just glue that up yeah
40:01that's the worst bit
40:07an artist at work we're gonna get a scan of your head to make sure that there's not a reason
40:13that you
40:13can't remember it we want to see if something's happened before the crash or if the reason you
40:19can't remember it is because you've bulked your head no no and then i will come back to him and
40:24i'll
40:24let you know what the report says and i will go from there okay sounds good to me dr sherbet
40:32wants
40:33to find out if ken's memory loss is due to a bleed on the brain so sends him down to
40:38have a ct scan
40:47already in radiology is maxine maxine breathing hold your breath breathe normally
40:56she's just had a chest x-ray after coming in with pain in her shoulder and legs
41:05i am back advanced clinical practitioner chantelle comes to give her the results
41:11um so let me tell you the plan
41:17so we're going to keep you in hospital so the blood clot test that we do it's not specific for
41:22a blood clot but it could signify a blood clot has come back a little bit raised so we need
41:27to keep
41:27it in and do a scan of your lungs something's going off and you're not a simple patient as well
41:34you're
41:34on a lot of medication and special ones too simple and special so when patients come in and they've got
41:41they either present with lots of weird and wonderful symptoms or they have a long medical history
41:47generally it can be quite difficult to save out certain symptoms and get to the root emergency
41:53any questions no i think you're fairly comprehensive i understand why you've got to keep me in right
41:59just come and get me if you need me actually you know okay and then you'll be going up onto
42:04the
42:04acute medical unit which is ward 2728 yeah okay thank you
42:10it's always a little bit difficult because of my underlying health conditions and the the
42:15all of them together sort of complicate a lot of things so yeah i'm not happy about it but it's
42:20it is what it is that i've got to stay in they're really good on the wards so i can't
42:25quibble
42:26maxine spent eight days in hospital where she learned she had a compressed fractured vertebrae
42:32now back at home she's on the mend
42:37back in radiology ken is having a ct scan to rule out a bleed on the brain
42:43all right what you do keep your head still all right
42:55so send your results to your doctor okay armed with the new information dr sherbert updates him
43:03good news no bleeding which is what we're worried about so the inside is fine so we couldn't see
43:08any reason from a brain point of view why you had the loss of consciousness so you're okay to leave
43:14the hospital today but i'd like you to come back into medical estec you shouldn't drive until you've
43:20had that appointment have you got any questions about it no no it makes sense all right yeah
43:24okay ken's still not driving and is undergoing tests to find out if he blacked out
43:39it's home time for sister georgia we had a busy afternoon but um we got it back and we've left
43:47it quite a nice hot night let's go let's go going home and just relaxing and sticking telly on having
43:56your tea and being with your family like just chills you out and although each shift brings a new
44:03challenge i just i don't know where else i'd want to work um yeah i do enjoy it i love
44:09it she goes home
44:11happy and ready to do it all again the next day
44:31and brand new casualty 24 7 continues next thursday at eight if you or someone you know has been affected
44:38by any of the issues raised in this program please go to channel 5.com slash helplines for information
44:44and support next can alex polizzi help a 24 year old landlord who's never even pulled a pint
44:50in the hotel inspector new after the break
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