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00:02in the heart of Yorkshire
00:07just a busy day everybody's decided to come today an unbeatable team have you given it a clean or
00:15did you just I wouldn't let my wife anywhere near it slide hard at work 24 hours a day sorry
00:23you've
00:24got the booby prize you've got me seven days a week saving lives helping loved ones well this is
00:37shocking they're actually broken bone making the community they serve better everybody's safe
00:44that's all that matters a health service treating anyone strain your temperature Jane and everyone
00:53a team doing anything and everything for each other the staff have been amazing they've not
01:00been able to do enough for us this is Barnsley casualty 24 7 it brings me faith in the staff
01:09and NHS definitely on shift tonight advanced clinical practitioner Chantelle sounds like you're a
01:24trapped little hamster on a wheel dr. Helena Wilkinson this is gonna stink
01:35have you got into cubicles round here and sister Kim you're looking for a job are you so get ready
01:42to share a shift sharp scratch coming okay with the team at Barnsley casualty you can't leave me here
01:51what's a faint it's one o'clock she's ready to come back I'll send some around Ellen and sister Kim
02:04has
02:04just taken over for the afternoon shift yeah I was gonna come through the problem is in the fact
02:10there's just no where I'm using nine so I'd so I'll pop them into resource for assessment yeah casualty
02:16is almost full it's 16 free but new patients keep arriving it probably raises a 53 year old man
02:32is being blue lighted in with shortness of breath and chest pains Richard who works as a chef has a
02:46heart condition called atrial fibrillation feet on floor for me darling that's the one he woke up with
02:53his heart pounding but it's not stopped my name's Amy I'm one of the nurses you're all right you'll be
03:01fine if we could have cardiac monitor and you'll be treated by dr. Nick Orcroft if you start with
03:10what's happened this morning what specifically brought you in this morning then you can back
03:14track through the other side so I came off of work and I just really started to struggle really panicked
03:25it's managed to calm him down yeah it's been on amyodrome before complaining of pain someone's had morphine
03:35yeah atrial fibrillation is a condition of the heart the information from the top of your heart which is
03:40your atria is misfiring and sending too much information down to the bottom of your heart
03:45and that makes it beat fast and irregular I feel as if I'm really not but I'm not any chest
03:52pain at the moment yeah where's it hurting
04:13main priorities is to make sure the blood pressure is okay they're not getting fluid in the lungs where
04:18it shouldn't be they're not at risk of collapse and they're not having a heart attack does it go anywhere
04:25else
04:32yeah I think what we need to do yeah I want six bars the longer we're leaving that heart beating
04:40too fast the greater risk of it causing strange the heart and damage of the heart we need to take
04:46some
04:47blood tests off you and try to give you some medication to help slow down this heart Richard's
04:53heart needs to be brought back under control quickly and he needs tests to check if he's in fact having
04:59a heart attack have you went into cubicles around here back in the hub sister Kim needs to find beds
05:07for
05:07all the new patients party and then 15 in a minute and more staff to treat them John which one
05:15are you
05:15doing now I'm just gonna do the one in tools where today there's what a new one in one there
05:23is a lot of
05:24pressure in a knee so obviously as a coordinator as a person in charge department you've got to look at
05:29every area making sure do you need any more staff down in triage see what your ambulance where it is
05:35making sure you've got no ambulance on back corridor piling up them kind of things really so you've got to
05:40have eyes at back of your head and now there's an emergency in the hospital main entrance itself a
05:48woman arriving for a hospital appointment has fallen down the escalator 84 year old Sylvia is taken
05:55straight to recess to be urgently assessed she'll be treated by advanced clinical practitioner Chantel
06:14so Sylvia was taken into resource because she one fell from standing so fell from height being
06:21over 65 year old and she fell backwards down an escalator which is quite a significant mechanism
06:26I'm Chantel one at ACP isn't it are you okay yeah what's your name Debbie Debbie and is this your
06:33mom your mom well you was you with your mom yeah what's that what happened can you remember
06:37um I was going up the escalator I put one foot on yeah and the other foot I just couldn't
06:43place so
06:44you were going oh okay yeah before they managed to stop the stairs were still going underneath her
06:51so she's got a great lump at the back of her head it sounds like you were trapped little hamster
06:55on a
06:55wheel yes oh I'm still in shock if I'm honest I think like the whole thing's just it was just
07:03like you trying to save her but you couldn't automatically you think of the worst and like
07:09she was obviously in quite a state at the bottom of the escalators can I have a quick look of
07:14your
07:14head now is it right at the back just there that little lump is may feel it and are you
07:24on blood
07:25thinners yes okay so I want to strip you off and get you in a gown so I can have
07:30a look good look at
07:30all your body so I don't miss any injuries Sylvia needs an urgent examination to check the extent of
07:40the injuries to her head and body sister Kim is two hours into her shift right let's just move you
07:55into another room sweetheart and with more patients than usual flooding into casualty today there's
08:02three pre-alerts all coming into resource so if we pre-empted this room then obviously one of the
08:06three alerts can step down so that'd be resourceful she's battling so step one out ADC one's free I've
08:14just cleaned it to make room for new arrivals working a stressful job like this is hard and I couldn't
08:22do
08:22my job if I didn't have the people that I worked with and obviously you know it's not just me
08:26as a
08:27person being coordinating it's all my team back in recess chef Richard's heart is still beating abnormally
08:40fast I've been there head chef at Sheffield United football club I've been head chef at Sheffield Wednesday football club
08:49I've been there head chef at the Hilton in Sheffield I've worked in Paris I've worked in Blackpool and I've
08:57had a really good career I don't worry because
09:02chief's chief's happening you know I just want a solution right darling sharp scratch coming okay
09:11staff nurse Amy is monitoring him absolutely smashing it's as if I knew what I were doing
09:22I'm not just winging it like they all say I do I won't be doing my job right if I
09:30weren't kind
09:32Dr. Orcroft needs to urgently slow down Richard's heart and make sure he isn't having a heart attack
09:39where's hurting at the moment still up there hopefully once we get this heart rate a bit
09:46more slow it should make you feel more comfortable okay so that we'll get on to that now okay
09:57student Dr. Jack Hatton is shadowing Dr. Orcroft today we could think about cardioversioning him
10:05because it's yeah it does have some chest pain cardioversion has its own risks to it yeah a
10:14cardioversion is when we reset someone's heart so that's what you see on the movies where they
10:20have the pads on the chest we would think about doing that when they're having signs of a heart
10:26attack signs of heart failure or their blood pressure so low that causing collapses and it's
10:32trying to work out is it safe to do because as you might imagine electrocuting someone's heart comes
10:38with its own risks he's also asking for some more pain for us please yeah he had 10 a morphine
10:43with him
10:44thank you if if once the treatment starts going in within half an hour he's not feeling a bit better
10:50from the chest pain point of view we may need to think about cardioverting just because he has got
10:54significant chest pain in the context of a fast heart yeah no you're welcome hopefully it slows that heart rate
11:05down on yours it feels like it's trembling all the time pop me that arm straight for me
11:15i've got you some magnesium to try and slow your heart rate down as well i don't want to feel
11:21tired all
11:22the time and everything being an extra effort hello there so we're gonna keep going with the medication and
11:33give it a little chance to take effect but what we may need to think about is whether we need
11:38to try
11:39and cardiovert you again now you've had this done quite a few times and twice in the past was it
11:45when
11:46you had it done in the past did you have any problems with it that you remember no no no
11:52whenever we do any
11:53sort of shocks of the chest is just thinking there is a risk that your heart could go into a
11:59different
12:00unusual river and that could result in the most extreme cases with something like a cardiac arrest
12:06which would be very unlikely but we just have to talk for it yeah okay i imagine they've gone through
12:12this spiel you before yeah with that all in mind if if sort of our chest pains not getting better
12:17and
12:18our heart rate's not getting better controlled would you be happy for us to do that would i be happy
12:22just
12:22uh it is affecting it's starting to affect me mental health yeah now because yeah i don't want
12:29to lose my job of course it doesn't affect it i want to be well i want to be well
12:35yeah yeah completely
12:36understandable um yeah dc cardioversion for etrial fibrillation dr allcroft would prefer not to
12:43shock richard's racing heart that's what i need to sign patient needs to sign up here but if tests confirm
12:50he
12:50is having a heart attack and his heart rate stays dangerously high it may be essential
12:59in the hub the patient's actively bleeding a patient needs life-saving treatment
13:10a little bit oh sorry sorry sorry 42 year old farmer duncan has been crushed by one of his herd
13:21of bulls
13:24his spleen has ruptured and he needs to get to the specialist trauma team
13:28at sheffield what's he doing going to straight teresa's at northern that bull's got a lot to
13:36answer hasn't it what happened today we just don't feel they're not all inside all inside and just
13:44went a bit yeah yeah what do you do knocked it knocked it far knocked me into a steel girder
13:51very lucky then aren't you yeah yeah have you got quite a lot 250. wow what are you going to
13:59do with
13:59this bull we're going to get the bull off him i'll count the ball down so his dad literally just
14:07run into
14:08a pen and pulled him out at pen then obviously rang an ambulance and the man's he's done his spleen
14:14so
14:14that's where i'll get sent sent to uh northern but with ambulances in short supply sister kim must work
14:21quickly to get the transfer he needs waiting to be seen in minor injuries is 56 year old tracy
14:31i might go to me shopping you can't leave me here what if i faint might need tracy's sliced her
14:38finger
14:39on a vase just got all hydrangeas in my thing and it was that paper thing i didn't realize so
14:46picked it up and it's just crushed in my hand and then obviously bleeding to death
14:50it's good job capital here she'll be treated by emergency nurse practitioner claire
15:02hello come in love have a seat i'm claire hey love what's happened my love i've cut it me and
15:09with
15:09some glass on some glass how did it happen i've bought a vase for some new flowers and it's just
15:15gone in my hand and come yeah shattered okay have a seat on there and i'll get some bits and
15:19we'll have
15:19a look and what time did you do it um about an hour ago i'm not very good with blood
15:25so i nearly past
15:25start oh dear nice nails thank you holiday nails holiday being or going where have you been nice anywhere
15:34nice my bear my bear lovely turn over when i started my nurse training i always wanted to work in
15:45accident
15:45and emergency and every day brings a new set of patients with different injuries put your hand down
15:51flat for me lift that finger up for me and then turn over make a fist for me and straighten
15:59out
16:00and then again like that bend again straighten bend again straighten and i'll just pop this on it
16:11i'll give it a good clean and have a look how deep it is but we'll get an x-ray
16:14and make sure there's
16:14no glass in it all right first okay if something external has contaminated then we need to make
16:22sure that we've cleaned it as best we can before we close it to reduce infection and to aid healing
16:32as well as causing infection tracy glass in a wound can sever a nerve what are you doing to it
16:42cut it
16:42with some glass really still there first one lovely all finished for you thank you tracy must now wait for
16:55the results of the x-ray in recess you don't feel sick no you've not vomited since you've hit your
17:07head you can remember what you did this morning yeah you can move your arms and your legs yeah
17:12advanced clinical practitioner chantelle is assessing the extent of sylvia's injuries after she fell down
17:19an escalator in the hospital when she fell down the stairs and banged her head my concern would
17:24be that one um has she got a cut and will it stop bleeding and two has she got a
17:29bleed inside the
17:30head that i need to act upon now and you know where you are at the minute exactly you failed
17:37on that one
17:38well give you a minute okay i'm going to examine this patient in a minute she's a head injury
17:44on blood thinners she's had some transient unable to move a leg and that's what stopped her from
17:51um that's what caused the fall um but i'm just going to check all the body for injuries so pull
17:57yourself up hey well done right so you've got some scuff marks here so this is where you've hit the
18:06um
18:06the stripes on the escalator isn't it and if i touch your neck here is this painful
18:14a little bit yes okay look up to the ceiling is that okay yeah okay let's have a look at
18:21head now let's see if it's got any bigger
18:27at least you've not caught your head that's really good
18:31and like she's got some bruises coming on her yeah as well you're going to have loads of bruises
18:36i think doing roly polies down an escalator especially when you're on blood thinners yeah
18:40exactly have you had some painkillers no we'll get you some okay sylvia needs an urgent scan
18:48to check if the blow to her head has caused a life-threatening bleed on the brain
18:56uh let me just dip outside sister kim needs to get farmer duncan to sheffield for urgent treatment
19:05any uh what a job with his blood pressure falling you're not looking for a job are you
19:13are yeah i've got cat transfer a spleen bleed she takes matters into her own hands
19:20northern trauma center yeah i could see the patient deteriorating it's looking quite pale clammy
19:28luckily enough on this day we're a winner there were a crew sat outside
19:33and he managed to um we're getting transferred straight to northern general hospital adam crew
19:38outside's gonna attack
19:49but as one critically unwell patient leaves
19:54another emergency arrives
19:59and is rushed straight through to radiology
20:0679 year old alan needs an urgent head scan
20:09nice and still this table's just going to go in and out a few times okay
20:13you're nice and so forth he had a fall at home two days ago
20:19alan just keep your jaw really still now very still and woke up this morning with intense pain in
20:26his head and neck smash it's been done thank you
20:32you from barnesley morning bread
20:35i did it on sunday i woke up with this head and i couldn't tell the pain
20:47he'll be seen by dr helena wilkinson
20:51alan yes hello i'm helena from one of the doctors you too what's brought you to aidy i fell on
20:57sunday
20:59and uh everything seemed all right but i woke up
21:04tell me a bit more about the fall what what were you doing
21:07getting up just getting up so you were getting up from your chair
21:12with care yeah okay had you been asleep do you maybe yes okay do you think you stood up too
21:20fast or
21:21yeah could be yes so what's happened today woke up four o'clock
21:27but i never okay so you've had a ct of your head and neck yeah which says that there is
21:36no bleed
21:37which is good and there is no fracture of your skull okay so any other symptoms
21:44no
21:46that remains you mean the grace to your elbow yeah
21:52yeah
21:57yeah okay okay you've got a little skin tear there okay
22:06that's a junkie that's skin there well the skin tear there skin tear there probably one up there okay
22:14again that's just when the skin's straight off the skin's not oh have you chopped it off yeah
22:20so the problem is you've chopped the skin off and we've got this this big wound now that i can't
22:27pull the skin over no we will give that a clean and get it some proper dressings okay
22:33so i'm going to sort those out well done willy it's coming out
22:40dr wilkinson needs to act fast to stop alan's wounds becoming seriously infected
22:54hello bansley four hours into the shift i wrote nothing on this log me today nothing but all
23:01and sister kim is still feeling the pressure as an unusually high number of patients continue to arrive
23:10just got the the graph up and we're about 50 over expected this afternoon already so from the
23:16hours between one o'clock and four o'clock we've had 50 over expected it's challenging it's difficult you
23:22just have to pull staff from where you can and obviously move to every area and just just help
23:26each other and work with the team just to try and battle through one of those helping out in majors
23:33so i've come prepared is dr wilkinson who needs to dress alan's open wounds
23:40i don't expect you to do it yeah it is part of my job he's cut off the broken skin
23:49that should be
23:49protecting it i'm using these tweezers yes i know it's going to be sore i'm sorry what you want to
24:06do is not have the top of the skin folded underneath so i'm kind of unfolding it all
24:13and then stery strip it takes your mind off my head so that one's done this is going to sting
24:22because you've taken all the skin all right all right
24:28right there's not much more we can do to that apart from put this dressing on right this is just
24:34a
24:34dressing that doesn't stick to the wound a bit of gauze on top right we can sit you up and
24:41then let's
24:42have your neck is it sore where i press there it's when you're moving okay that's fine don't
24:52don't do it anymore it's okay it's okay over the next few days it's going to be sore so i'd
24:57recommend
24:57taking two tablets four times a day okay yes so regular because you need to get on top of the
25:04pain
25:04so that you can then move your neck normally okay otherwise you will start to be stiff and then you'll
25:09end up just getting stiff and sore and you're getting this cycle of it being a problem do you
25:15want any pain for this before you go no absolutely no how are we going to get you home my
25:19son okay
25:24you're welcome the pain in alan's neck is getting better and his wounds are healing well
25:31see you later in radiology silvia's already had an urgent ct scan of her head well we'll go back to
25:47x-rays and has been taken straight to x-ray to check for injuries to her body so i'm all
25:55right after
25:56tumbling down the escalator in the hospital entrance i feel myself rolled up like a ball did you oh gosh
26:03do you remember it sometimes it takes you and you can't remember can you she's waiting with nurse emma
26:09just trying to get on the escalation just couldn't get one leg up you know on the escalator yeah you
26:15know as the steps go up have you got any grandchildren yeah but two oh it's a good story to
26:20tell them then
26:21isn't it but i've got two great-grandchildren have you wow how old are they you're 12 and seven
26:28oh two little boys are they well behaved very well behaved yes were they brought up by the best yes
26:36of
26:42course
26:43hello silvia hello you've got some x-rays to do sweetheart okay so we've got a few but i think
26:49we've got your hip yeah um lower leg yeah elbow yeah and finger is it somewhere yeah i'll have a
27:00look
27:02okay just move your hands away from there that's lovely just a second right lovely well done
27:12sylvia must now wait to hear if the injuries she sustained means she'll need emergency surgery
27:21in the hub so i think you've caught up with all ambulances aren't you there's a brief lull in the
27:27number of patients arriving but it's only it's just a 25 minute walk in wait so i've just got three
27:33ambulance now waiting to hand over the longest one's been here 40 minutes so it's better than
27:38the the hour and 10 minutes that we had earlier on hi hello two jobs as well see we're winning
27:45two parts jobs from 20. it's all coming together isn't it it is just down yeah but still needing
27:53close monitoring in resus is richard hello is it richard yeah hello my name's shelley i'm just going
27:59to take a quick chest x-ray oh and i'm going to sit you up nice and straight just try
28:03bending the middle
28:04for me a chest x-ray is checking for fluid on his lungs so i'm going to shout for you
28:13to breathe in
28:14and hold your breath i'll let you know when or for any damage to the heart
28:21richard big breath in
28:26breathe normally welcome i'll rest you back tell me when
28:38if tests show richard has had a heart attack dr orcroft may decide electric shock treatment is needed
28:45to reset his racing heart so we'll have a little check of his bloods because they're all back now
28:51which is really helpful trough is actually eight which is actually really reassuring from a heart
28:58attack point of view it's not horribly hurt but nothing nothing overly exciting his bloods are all
29:09fine by the way that's perfect thank you so much the results mean medication can be used instead of
29:16emergency shock treatment to slow richard's heart i think taking all things into consideration i think
29:23probably the best way for us to sort your heart out in the longer term is to get the medications
29:29on boards to slow down your heart and try to switch it back that way because i think if we
29:34do a shock
29:35down here it might work for a little bit but we won't have got the long-term organization to hopefully
29:40keep you symptom free and better for longer if that makes sense we want to put a proper plan in
29:46so we
29:46can properly fix you rather than knee-jerk try and get it sorted okay so what we're going to do
29:51is get you
29:52up to the ward shortly where we can get you seen by our medical team and kind of make plans
29:57of what
29:57we do to try and prevent this happening a bit more in the long term okay
30:04if we admit him into hospital we'll have a better chance of controlling his rate of
30:08his heart but also discussing him with the specialist heart doctors to decide
30:12how best to proceed with managing his atrial fibrillation
30:16right telling all the best i hope you get sorted okay
30:21yeah it's wrote up it's already wrote up he's already prescribed it
30:25keep it straight i just like to see people laugh before the leaves
30:39thanks
30:44what three in a nice way i hope to not see you again richard spent two nights in hospital he's
30:53now
30:54back home while cardiology decides on a long-term plan for his heart
31:02back in the hub what we're like for beds now is any any movement or sister kim's brief respite
31:09seems to be over i've just got 20 down here waiting beds
31:14and i've like got an envelope back corridor now i've just got no moment at all the backlog
31:18impatience is building once again they say we fixed it 20 to triage again
31:28see what happens the thing is obviously you never know what's going to come through door
31:32so you you're turning one place around but then obviously another place has just
31:37it's just it's just like it's just like a roller coaster it just never ever stops
31:42in miners tracy is waiting to find out if there's glass in her cup finger
31:48it's paining a bit but if it were dripping i'd be i don't like blood emergency nurse practitioner
31:55claire checks the x-ray right no glass in there so we'll give it a clean and see how deep
32:01it is
32:01all right all right love we as practitioners can't change how people heal so thinking about where the
32:08wound is how you can close it in a better way for the patient such as steady strips when we're
32:13closing
32:13so that you don't make extra holes then that's good for the patient
32:19yeah so it's okay that it's um just in your skin right no deep structures involved so i think we
32:26can
32:26get away with some glue on it great as long as it's not bleeding it's got me out of ironing
32:30tonight
32:30anyway i did all mine last night because i'm going to tunis here on friday oh lovely i've never been
32:36tunis yet me neither nice just relax that finger for me i've been all over the world but benidorm i
32:44love
32:45i love benidorm the beaches in benidorm are stunning clean long yeah white old town's beautiful not
32:53that i've seen much at our town but it is lovely you can't beat it it's cheap and cheerful and
32:58it's
32:59great oh that hurts we've put in a comb on me if i don't really bad happen to me
33:09could do a bit on my face 10 years off
33:17just dry up now and how long will it take yeah they say that it is
33:24instantaneously sealed oh did you have it pulled through unfortunately for tracy there's no two
33:32for one on gluing today but the outlook for her finger is good that's better thank you right so
33:40keep it clean and dry for a couple of days okay you can let some air get to it in
33:45between times but
33:46cover it over if you're out and about doing something or in bed cheers and then it should be
33:50be fine thank you very much treat it like any other wound i will thank you with her finger
33:57covered tracy can go home they've glued it
34:03oh mended and it should heal in time for her next trip to benidorm oh i'm glad that were quite
34:10quick really good for any and all staff were amazing
34:17also battling the high number of patients today is the paediatrics department the next patient waiting
34:23to be seen is it hurt yes mom it hurts is 14 year old poppy hi i love i'm greg
34:32i'm one of the nurses
34:33this is your mom yeah should we wait for her so we don't leave her yeah she's come in with
34:39mom
34:39elizabeth come with me nice to meet you come on after a prank during school break time left poppy
34:45with a nasty gash on her chin can you just stand on here just so i can wait you please
34:49is that all right
34:50she's gonna be embarrassing yeah take your bag off all right yeah that's gonna be good yeah what is in
34:54that she'll be assessed by charge nurse greg lovely let me just pull this up because we've gone all
35:03digital it's at school you're digital at school yeah really yeah everything on a laptop at school
35:12that's mad innit yeah i have textbooks and that and some but everything else is digital yeah yeah
35:18and then that homework through it and everything that's crazy no more my dog ate my homework then
35:24no more of that right poppy what have you done uh curb stomped myself you curb stomped yourself
35:29explain how you did that i ran i ran i don't know what that means oh i ran and i
35:36slipped and i
35:38well curb and i didn't smash my head on the curb and i know i've not got concussion because i've
35:44had that before so you hit your like your chin hit my chin it's not gone through my lip i
35:49have bust my
35:49lip and my teeth aren't wobbly good it's just cut you're answering all the questions i would have
35:55asked that's fantastic but why was your face so close to the floor it's a slim it's not my fault
36:01i'm
36:01really trying to figure out how you did this in mind i need to do an example what were you
36:05actually
36:05playing with your friends i took penelope's shoe and she came running after me oh well there you go
36:12the loudest patient that i've had all day and i've had screaming babies as well all right thanks you
36:18welcome rather me be honest i think having a sense of humor and having a laugh is really really really
36:25important to the job you've got to have a laugh to get through the day you've got you've got to
36:29joke with each other because otherwise it's just serious all the time right can you look over my
36:33shoulder please lovely right squeeze my hands as you can lovely you can stop looking over my shoulder
36:42now you're giving me a dead pants there put your hands like this lovely and push against mine lovely
36:47fab and the other way in can i have a look at the inside of your lip
36:55fine lovely yeah so it's not gone through anything like that it's just a little graze so i can put
36:59a
37:09little so if i can if i can close it you can go home without seeing a doctor because we've
37:14got a
37:15new nurse-led head injury so we don't do anything in this triangle but yours is below the lip you've
37:19got not got a hole through your lip and all your opposite fine so i can glue you up you
37:22can get gone
37:23if you want or you can wait you can wait a couple of hours to see a doctor it's up
37:25to you no all right
37:48if he gets the go-ahead charge nurse greg will glue the gash on poppy's chin and spare her the
37:58need for
38:07stitches almost six hours in keep smiling and sister kim is still juggling an overflowing department
38:17no cubicles is there none at all
38:23obviously been in charge in department it reflects on all my colleagues and all my staff
38:27so if they see me smiling happy with all the pressures i'm dealing with then obviously
38:32them as their team they can smile and be happy and they manage to deal with all their pressures
38:36with the end of a shift fast approaching she's trying to get things moving for the night team
38:45it's just really busy down here obviously doctor weight's just gone up
38:4918 waiting beds waiting on half three beds so it's not going to really get much better for
38:56for four nights
39:03in resus hoping she won't have to stay in overnight is sylvia advanced clinical practitioner
39:09chantelle has the results of her scans so sylvia your ct head's normal no fracture no bleed and you've
39:17got no fractures anywhere else so that's good news yeah do you think there's going to be any sort of
39:22like
39:22reaction later or anything no no there's just some super just superficial braids as cuts um but no
39:29it's fine we're going to put um a different type of dressing on that like a spongy nice one
39:34yeah okay but no fractures to fingers no fracture to elbow no fracture to pelvis no fracture to skull
39:40no bleed nothing thank you so much okay for daughter debbie the news is a huge relief she's come out
39:49very
39:49lucky from it just like lots of cuts and bruises and i think she's going to be sore for a
39:55few days
39:56things that you should um should not worry about yeah things that you should things that can help
40:01recovery okay i do like working in resus i would say it's my most favorite part of the ane department
40:08um i like the severity of patients that come in i like the variety i like the acuity
40:14i feel given my experience and knowledge base it's where i give the best care to patients and relatives
40:21bye thank you sylvia returned home and is recovering well after today it's lift only mother
40:29yes no more escalators in paediatrics poppy is waiting to hear if she has to have stitches in her
40:44chin liam charge nurse greg wants the go-ahead to glue the wound i've got a young lady who's got
40:52a
40:52little bit of a lack below her lip it's not across the vermilion border it's not a through and through
40:56injury it's literally just there it's all right to glue it and send her home aren't it yeah as long
41:02as it's not true and she meets all the rest of the pathway all the rest of the criteria yeah
41:06yeah and
41:06in age range and everything in age range yes she's 14 years old yeah yeah mate i'm happy to be
41:11here to
41:11send them home as long as you are and parents are yeah yeah they're fine thank you yeah we can
41:16glue you
41:16and send you home oh yes so you're gonna have to try and keep this little bit of your face
41:19dry for
41:20three to five days while it heals that's gonna be fun no makeup nope no makeup nope lips together
41:29i love a and e because you never know what's gonna come through the door every day is different
41:34and i find that if i'm doing the same thing day in and day out i just get a bit
41:38bored
41:40that's one let me do a little bit more looks better already is that glue yeah distinct
41:47a little bit i love seeing kids when they leave the department i love seeing like we've made a
41:52difference you can see how happy they are how much better they feel reals let's give it a second
42:06you just shake your face to try and dry it it's all that
42:09all right good job it looks good yeah you glue my lip i've not show you mum no no you're
42:19not
42:19allowed to touch it yeah it looks yeah yeah yeah it's like just like a film over it isn't it
42:26yeah so
42:26it has it has pushed it together with it being on our lip it's never going to be perfect if
42:31it's
42:31quite open it right yeah fine you just have to be quiet yeah no just sew your mouth yeah use
42:38the glue
42:39on that yeah that'd be a winner i'll go get some advice sheets and you're good to go thank you
42:43very
42:44more no problem two seconds look at that poppy better yeah home earlier than you would usually be
42:55poppy's chin is healing well and mum elizabeth hopes she's learned her lesson no you won't be
43:01stealing your friend's shoes again will you and running off with them you'll be mildly more mature
43:05okay possibly yeah
43:16it's finally time for sister kim to hand over to the night team
43:25you'll obviously go out there it's been busy really really busy shift i left it with 125 department
43:33uh yeah there's not much you can really do much you can say resource is full there's five patients
43:40in there you have got 18 awaiting beds some of them's medical medicine and orthopedics and then 14
43:47walk-ins we are one hour wait it's just it's meddling out there i want to make people better you
43:54know i want
43:54to i want to do good in myself good for other patients make them comfortable and obviously that's
43:59that's what a and e's all about it's just a rewarding job and you know that's what i'm here to
44:04do
44:04just to let things better and her sister kim and her team get a well-earned rest
44:13she knows the night shifter also ready and waiting for whatever comes their way
44:30she knows the night shifter also ready and waiting for the night
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