- 4 hours ago
999: On the Front Line - Season 14 - Episode 02
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TVTranscript
00:01Ambulance service is patient breathing.
00:04She's extremely dizzy and can't stand up.
00:07Hang on, she's going to fall over.
00:09My mum's in a lot of pain in her face.
00:12She can't swallow food.
00:14I don't know what is wrong with that.
00:16I think she's having a breakdown.
00:20Righty ho, let's get them bad boys on.
00:24West Midlands Ambulance Service looks after almost six million people.
00:28I love the fact that not just every shift's different,
00:31every job's different.
00:32Do you remember everything that's happened?
00:35It looks like you're having a heart attack.
00:39Saving lives and making a difference every call out.
00:42Is she breathing normally?
00:45Water variability of Hollywood.
00:48Embedded with eight emergency crews.
00:51Could be anything, couldn't it?
00:52OK, OK.
00:54Filming simultaneously across the region.
00:58Time is everything in our job.
01:00Just relax.
01:00Relax for me.
01:01Can you open your mouth as wide as you can?
01:05Capturing life.
01:06How's your vision?
01:07You got it?
01:08On the front line.
01:10I go to work every day and I make a difference.
01:21Do you reckon it's going to get cold tonight?
01:24Stay warm.
01:24Do you reckon?
01:25Yeah.
01:26See I'm going for cold because there's no clouds in the sky.
01:30What did you have for team Morgan?
01:31I had burgers.
01:32What did you have?
01:33I had jack potato.
01:35Beans.
01:35Oh, vile.
01:37Is that what you have on it?
01:38What would you have on a jack potato?
01:39I would have cheese.
01:41That's disgusting.
01:42Are you joking?
01:43I feel sick from what you have.
01:45That's vile.
01:46Literally can't even look at you.
01:47Yeah.
01:50Just booking on Jack Tienen and Sharnie Jones.
01:52Thank you, sweet.
01:53I'll book you on.
01:53Have a good shift.
01:55Thank you very much.
01:56Same to yourselves.
02:07Are you more of a text person or a phone call person?
02:11I'm a bit of a nightmare with my phone.
02:14But I do prefer to text.
02:16I prefer a text.
02:17But then I'm awful at text and it takes me at least six or seven working days for me to
02:21get back to you.
02:22Working days.
02:23Working days.
02:23Not on the weekends.
02:24The one that gets me and it really winds me up when someone texts you.
02:28They send you one message and then another, and then another, and then another.
02:31Yeah.
02:31And then it's like just one sentence.
02:33What did you do in one message?
02:34One paragraph.
02:35I completely agree.
02:36You know when you're doing this back and forth text and people are replying super quickly
02:39and then they reply to your text before you finish doing your little seven texts
02:42and you can't keep up.
02:44I'd just rather ring them.
02:45I'd get sore thumbs.
02:47You know what?
02:47The best conversation I have is with my dad.
02:49I'll ask him something or I'll tell him something and I'll just get a thumbs up.
02:53Thumbs up.
02:53Oh, yeah.
03:09I started buying the pick of mixed cups.
03:11Oh, yeah.
03:12Oh, I'm addicted.
03:14You have to like tactically stack it though, don't you, so that you can get the full max
03:17amount of sweets.
03:17Like, yeah.
03:18Fist pump and lower to fit more in.
03:21And then you strategically buy the jelly beans to fit in the holes and the gaps.
03:26And then the lid is always curved.
03:28And then the lid is always like that curved.
03:29Pick and mix from the shops is a skill and an art form.
03:33It just sounds like you do it probably on the daily from the technique that you use.
03:38No.
03:38It's just a technique built up over years of practice.
03:40And how long would one of those cups last year?
03:43Not long.
03:44Look at the size of me.
03:46I've now upgraded from the small cup to the middle cup.
03:49Ooh!
03:50It's only going one way, slippery slope.
03:53Ha, ha, ha, ha, ha.
04:03Ambulance at Asian breathing?
04:06Yes.
04:08They're conscious and awake?
04:10They're conscious but not awake.
04:12So is she responding to you?
04:14No.
04:16Does anyone see this?
04:23off
04:23cap one hold on tight
04:33a seizure will always come through as a cap one because you don't know what
04:36condition the patient's going to be when you get there
04:39you're automatically thinking are they going to be struggling breathing
04:42could they go to cardiac arrest because of it
04:45or respiratory arrest and and neurological damage ultimately because
04:49when you're having a seizure you're not getting enough oxygen to your brain
04:52so it's making sure that we're there and we can try and stop it as soon as we can
05:02hello hi mate i'm mark this is amy hello
05:08you're out of the crew mate
05:11stacy
05:13stacy can you hear me
05:17stacy
05:17can you open your eyes for me
05:21how many drinks she had tonight
05:23bear half a bottle
05:26just doing your blood pressure okay
05:32when 29 year old stacy had a seizure tonight her friend anthony called 999
05:40just take your temperature hello stacy sorry 37 8 she's a bit toasted to her
05:48come on stacy come and have a sit up for us please
05:53don't kill you
05:55as mark and amy begin to treat stacy a man enters the flat from outside
06:07if you can do what you do i'll do what i'll do
06:10i was quite concerned and quite scared of this with the man of what he was going to do
06:28i thought it was very odd that this man was drawing on this patient's face he claimed to be the
06:37patient's friend but you wouldn't draw on your friend's face when they're unwell
06:45stacy should we help you up mate come on ready you can lean on me right then stacy can you
06:52tell
06:52me what's happening what's happened this evening you feel sick you have been sick
07:00have you had a bit too much to drink this evening
07:05come on more lovely should we roll over
07:10there we go come on let's have a sit up
07:15what are you paramedic team paramedics i've been to you before
07:21yeah i'd previously been attending stacy's property a few months earlier so i was aware of
07:27stacy's alcohol dependence so i knew it was going to be difficult to communicate difficult to get
07:34stacy to do what we wanted because of the alcohol come on my lovely
07:39that's it have a bit of a walk over to the sofa there we go keep on going keep on
07:45going
07:45plank yourself on there there we go wonderful there we go do you want to take this jumper off have
07:54you
07:54got anything underneath because you you've got a bit of a temperature arms up in the air like we just
08:01don't care
08:04there we go there we go that'll cool you've got one can i stick these on your wrist thank you
08:14stacy any allergies bub hospitals hospitals fair comment we have the same feeling
08:24right nice and still forming
08:27so quick question do you want to go to hospital do you not want to go to hospital no
08:37when she was on the floor was there any like shaking at all yeah yeah there was shaking okay and
08:44she was an induced epilepsy oh got you what's what on your medical notes that's all
08:51alcohol induced epilepsy is exactly what it says on the tin
08:56she suffers from seizures and sometimes it can be due to drinking too much alcohol are you sure you
09:02don't want to go to hospital yeah you're sure okay are you sure we can't convince you to come with
09:08us
09:09i'd advise to try and stay well from the alcohol if you can let me just take these off you
09:26you okay oh that sounded like a bit of a bang when i heard that bang i'm thinking has the
09:35patient
09:35fallen over is she okay is she injured at all ultimately i was hoping that she wasn't having
09:40another seizure what's just happened stacy can you talk to me
09:58you know in england if something's banging like that's really good like oh yeah that those cheesy
10:05chips are banging yeah in the isle of man is that bad it's bad yeah like like oh so i'll
10:10be like
10:10uh those ish that those chips are banging means that they're gross and it took me a while to like
10:17figure that one out they'd be like why are you pulling that face for and i'm like it's banging
10:22it's gross they're like what they're no banging over here means great yeah i don't even know if
10:28people use that anymore no it's outdated we're too old for banging even just places
10:37like within england it's just so different isn't it yeah something like stoke if you say oh just go
10:42up the bank like people won't know what does that mean it's up a hill you know what i mean
10:46it's just
11:03i can't stand up hang on she's gonna fall over put me on the floor please sorry she's good i
11:09think she's
11:10going to be sick we're going to a 69 year old female dizziness no notes but it does say union
11:22canal
11:23i'm gonna guess she's in a barge and i can't say i'm the biggest fan of barges immediately thinking
11:32how are we gonna get them out you can't just you know throw them over your shoulder and and carry
11:38them out that way um hi my name's homie hi which one are we that one there's that one there
11:49but
11:49you're probably easier i just have to see from this bit okay a neighbor helps kira and brock find the
11:55right narrow bones it is quite obviously narrow it's quite limited am i in the bottom step no
12:05oh she's on the floor oh bless you hi jenny my name's brooke we've got kira as well
12:26you're feeling dizzy is that right yes yeah i feel a bit disoriented okay i'm going to be
12:38sick paramedics brooke and kira are with retired primary school teacher jenny
12:43who's holidaying on a narrowboat when she became dizzy and sick husband nick called 999
12:53so your blood pressure at the minute is okay i know you're feeling dizzy but for us to do some
12:58more assessments would you be able to have a sit on this chair if we give you a hand up
13:02yeah yeah
13:03if you want to just try and swing your legs that's it so they're straight ready one two three oh
13:15oh that's it fabulous i'm just gonna do your your blood sugars okay one two three
13:26jenny's observations all appear normal but there could still be an issue with her brain
13:32where are we nick where's the car the car's just over there okay do you know what day it is
13:41today
13:45uh now let me think i want to see if you you can figure it out let me think well
13:51i was gonna say 2024 but i
14:10have a worry for her husband nick did you call 999 yeah what did what happened to me you were
14:16on the floor
14:17when we got here oh i didn't know that yeah did you phone 999 yeah oh my goodness sake
14:28repetitiveness is a bit of a red flag for us in terms of something neurological going on
14:32doesn't necessarily mean that she's having a stroke but it could be a sign towards something
14:37neurological happening but you're having this dizziness and you've got a little bit of
14:41repetitiveness you're kind of saying a few things again and again i don't know if you're realising
14:46that you're doing it um but i think all of that together warrants a trip up to hospital
14:52and now it's just about getting you out because you're not very steady on your feet are you
14:57okay we thought maybe it could be that she's having a bleed potentially that is developing as
15:02we're we're spending more time on scene did concern us a bit didn't it just because she wasn't getting
15:07better she was actually deteriorating yeah it certainly amped up the pressure of it's getting
15:11worse we need to get to hospital as soon as possible because we need to rule out that it's not
15:14something going on in her brain that we can't see you ready yeah that's it we'll get you either side
15:22hold on to us you go for it it's okay
15:32nice and steady are we at the boat yard yeah we haven't moved no we haven't yet that's it
15:41oh no it's okay take a step and then step onto this one take a step that's it be careful
15:49with your
15:49foot just move that foot a little bit further forward that's it her blood pressure is okay so
15:54we were quite happy with that in terms of her standing and her not like passing out but then
15:58it wasn't just as simple as getting her from her boat onto land it was that we had to go
16:02over
16:03like another boat as well right hold on to me think you can do that big step
16:10that's it well done that's all the hard work done
16:15with jenny free of the cramped conditions of the narrowboat brooke and kira can now treat her more
16:20easily on the ambulance
16:26what day is it nick is it the day we came on the boat it is yes i didn't know
16:32we came on a friday
16:34we haven't actually sailed anywhere have we no i don't remember anything really right can i have this
16:41arm it's going to give you an anti-sickness okay right i'm going to jump in the front and start
16:47heading towards stoke jenny and nick were about to start a four-day canal holiday
16:53but now she needs specialist medical treatment so explain to me nick what's happened
17:00what's happened well i don't know i forgot i mean i haven't forgotten i can't remember
17:12right then darling at royal stock university hospital jenny will have scans to see if her
17:20dizziness and confusion are neurological
17:29i have no idea what was going on with her to me screams
17:34neurological oh yeah do you reckon it was a stroke i don't know it's all very strange wasn't it
17:39yeah i'm just glad she could walk because oh my gosh i don't think we would have got her off
17:44that would
17:45have been so hard
17:48okay what's just happened in starbridge paramedics amy and mark are with stacy who's had an alcohol
18:02induced seizure tonight after refusing to go to hospital she's just collapsed again
18:08i don't know what's going on
18:10stacy can you open your eyes for me can i have your finger thank you hello kitty cat come on
18:19then
18:19stacy you okay should you have a sit up again yeah your head does it hurt a little bit
18:28should we help you on to the bed stacy yeah yeah ready ready to stand ready push through your legs
18:35steady stand
18:37that's it
18:41there you go
18:45and you still don't want to come to hospital with us i don't know i don't know anymore
18:52what's happened to me i think you've had a couple of non-epileptic seizures
19:04i don't know what we're thinking stacy
19:18it's entirely up to you mate you're staying here yeah
19:24i thought you'd say that right get some sleep look after yourself all right back
19:30look after yourself all right mate no one is at all
19:36in this case i believe stacy needed to go to hospital but ultimately we can't force
19:40anyone to go to hospital if they don't want to go we can't drag them kicking and screaming
19:45so in this case we did have to leave stacy time because that was what she wished for
19:53that man was a bit of a joke wasn't he putting that pen all over a phone it's like what
19:58was
19:59what was that all about why would he do that no idea
20:16i've got an ambulance centric question for you okay which siren is your favorite
20:23the second siren you know the close together one we will yeah yeah classic
20:33it's like i'm actually there i can't do it the pacer one the last one is just very loud and
20:39very
20:39like well it pierces your ears it's not nice to listen to for a while it's useful though it is
20:51so it's useful
20:52ambulance service is the patient breathing she is okay and what's the reason for the cause i'm the
20:58doctor triaging the call it's the 83 year old lady she's having diarrhea vomiting not keeping
21:05any fluids down not eaten for a few days
21:13so they've been allocated a 83 year old female reporting dizziness and she's currently bed bound
21:21with an elderly patient with these kind of symptoms weakness diarrhea vomiting and not eating you're
21:26thinking about their recovery time and how they aren't as able to bounce back from an illness
21:31as there's somebody who's younger would be able to
21:41i'm jack and this is sharnie hello what can we help you with sweetheart what's going on
21:48is this your daughter granddaughter do you want your granddaughter to tell us what's going on
21:52um she's very weak like this she can't eat or drink hit you like a truck has it yeah pain
21:59on the left
21:59side here and to me it doesn't just feel fine so when was the last time you had a normal
22:05poo
22:08last weekend okay when was the last time you were up and out of bed tuesday tuesday
22:1683 year old maureen has been ill in bed for three days
22:20granddaughter kirsty called her gp and he rang 999 husband bill is by her side
22:29let's have a look at your ticket see what that's doing the best description she's said is she feels
22:34like she's been kicked around while i still got so excited i still look city football team
22:39just gonna pop these stickers on your chest sweetheart you should talk it's bubbling like anything i've heard
22:45it i've been sitting here and i've heard it you just try and stay nice and still for me maureen
22:50jack runs an ecg to check maureen's heart let's have a peek at this you ever been told that you
22:57have some extra little heartbeats every now and again you used to have them that could explain it
23:06you have just every now and again you just have a little extra it just drops it in randomly so
23:12they're
23:12not that regular can i have a feel of your tummy that'll be okay i'll start on this side nothing
23:20on
23:20there so that's all okay that's all right there there so that's where the most painful bit is okay
23:27yeah so your tummy does feel a bit swollen your pain's right over that side which is like stomach
23:33a bit of intestine i can't really leave you here if you can't get out of bed so i think
23:38we have to
23:39have a trip up to royal stoke i decided to take it hospital because of the length of time that
23:44her
23:44symptoms had been going on for and we'd hit a point where she needed a little bit of outside help
23:50from an amy department to recover and get back to how she normally was now my next question is how
23:56are we gonna get you out
24:08we're following eight paramedic crews as they work through the night
24:12responding to emergency calls from across the west midlands
24:19i'm ready for you so we need you like here ideally how can i help you
24:26in stoke technician jack and paramedic shani are with maureen who's been suffering with
24:32vomiting and diarrhea for three days
24:36almost there maureen you're doing great yeah oh there we go
24:41that's it you've landed perfectly done
24:45if you lean back a little bit for me when i saw the stair lifts very geordy of me but
24:52i thought
24:53it meant that we don't have to carry maureen down the stairs so we get her down to the ambulance
24:57nice
24:57and quickly there you go perfect ready steady lift i told you that'd be easy didn't i maureen yeah
25:09there we go
25:14maureen you did fantastically i bet you feel like you've just ran a marathon
25:19he's in operation you did amazing
25:25how did the two of you meet starting with a kiss and he does
25:3365 years eh what's the secret
25:40work together yeah at this point in time i don't see myself doing anything for 65 years
25:46but i'd like to find somebody brave and stupid enough to be married to me for that long
25:51hey hey i think we're just about here now maureen
25:56at royal stoke university hospital doctors will help maureen start eating and drinking again
26:02they'll also carry out tests to work out what's causing her pain
26:17just confirm patients not breathing so where is she falling where in the house is she
26:22maureen's emergency call was answered here where a team of call assessors are available 24 7.
26:29i have this deep innate feeling that i am doing this job for a reason i really want to be
26:36a part of
26:37something bigger than me i like to think that i have impacted that person's life in a positive way
26:44ambulance service is the patient breathing yes and is the patient awake yes and what's the reason for
26:52the calls uh her neighbor's come to my house in distress i can't take her in and they won't let
27:02her
27:02back in the house they've got now clouds and has got nothing on her face and has been hiding in
27:09some bushes
27:10is it that she's been removed from her house so that she's locked herself out
27:16now somebody's locked it out it's got now slippers now shoes on it's just got a little top on in
27:25the
27:25pants it's upsetting it's stressful and i know i wanted to bring the place for a while let me leave
27:33the place because it's bright okay no we're gonna help her a lot of the time people don't volunteer
27:39to hear information on certain circumstances you can hear it in somebody's voice there's more to
27:47this story she lost any blood from anywhere all her knees are all knocked out and scuffed
27:56so i need some dressing on her knees i'm all bleeding okay has anyone has anyone harmed her
28:04well that's not for me to say okay can i can i speak to her hello hello there my sweet
28:11it's the ambulance
28:12service yes what's been happening tonight i've climbed some bricks you've been climbing what you've
28:21been climbing some branches oh you were trying to get into the back of your property
28:40oh you was quite right okay and is there somebody in your property that's that you're trying to get
28:47away from in a situation like this where i have suspicions but haven't directly been told that there
29:00may be a risk or a threat there basically you know you need the police there other cases need a
29:07bit more
29:07investigation okay okay when did this happen a couple of hours ago all right then my sweet so
29:15what we're gonna do we are gonna get some help arranged okay so yeah do you just need to speak
29:22to
29:22one of our clinicians so i can arrange some further help okay so we'll call back shortly okay thank you
29:29all right my sweet you take care bye bye bye uh 3638 i've put it in there um it's a
29:40possible
29:40safeguarding more than anything when we refer a case to safeguarding that usually means that there's
29:46a vulnerable person or a vulnerable situation it's a very wide range of things why somebody may be
29:53safeguarded it means this person needs extra support and they need a safety net and they need a
29:59blanket of of help the neighbor she's run to the neighbor's house naked from the waist down no shoes
30:06but thankfully the the neighbor's taken the moment taken her in and i know it's horrible
30:27oh what a chunky cat
30:29i didn't like that that scared me that did that scared me was it a chunky car it might have
30:49been a
30:49chunky cat or was it a badger i remember it looking us in the eyes and that was not that
30:55must be why
30:55we screamed that was not a cat i don't know what it was i don't want to know what it
31:00was a wild animal
31:02across the road shaking his little booty it looked at it was like i have no cat
31:11i've never saw a badger before i've never saw a badger before that was terrifying
31:27but i don't know what is wrong with that okay she awake and conscious
31:37okay what's happening with her at the moment she's just thinking i think she's having a breakdown
31:51female cartoon mental breakdown was there anything else on that just mental breakdown
32:00my thoughts were mental health this could be absolutely anything it could have been a case
32:05where this patient had really injured themselves or someone else so it was just a matter of urgency to
32:12get that police are here what's going on the patient is said to have assaulted a member of staff
32:32and the police as a result she's been arrested the patient's mother is with her
32:38yeah is this how she normally is never okay i've never seen her like can you do i am actually
32:44worried
32:45do you think you can calm her down no no hello what's going on she's not responding okay
32:56right let's get her on ambulance we'll do our checks on there we need to get you up
33:00I'm to an ambulance. Are you going to work with us?
33:03I'm going to kick you off. There you go.
33:06There you go. Come on.
33:09Daisy and Morgan need to check if the patient is well enough
33:12to be taken into police custody.
33:16Just sit her here for me.
33:20The lady was shouting, screaming, I hail you.
33:25To us, it was coming across like some sort of script from the Bible
33:32and she was just preaching that.
33:35I hail you.
33:38She was chanting. It sounded like religious chanting.
33:42I had never seen anything like it before.
33:44I hail you most high.
34:03I really struggle with some words.
34:05I don't know whether it's my accent or my lips or what,
34:08but it comes out upside down backwards.
34:11What's that word that everyone struggles to say?
34:13It's like anonymously.
34:15Anonymously.
34:17Anonymously.
34:18Isn't this the two Ns?
34:21Anonymously.
34:21A-N-O-N.
34:22And that's as much as you're getting from me.
34:24I don't know.
34:26Anonymously.
34:27Anonymously.
34:28I know what you mean with some words.
34:30It's how you say it, isn't it?
34:31Oh, what's the word I like?
34:34Tileidoscope.
34:34A what?
34:35Erm.
34:37Kaleidoscope.
34:39Kaleidoscope.
34:39But do you know what it is now?
34:41No.
34:42You look through like a tube.
34:45That's what I was about to say, yeah.
34:46With the glittery picture things at the end and then you turn it and it all falls and it's all
34:54different colours and shapes.
34:56A kaleidoscope.
34:57Kaleidoscope.
34:57There we go.
34:58Is that what it is?
34:59Kaleidoscope.
35:03Kaleidoscope.
35:07Kaleidoscope.
35:08Kaleidoscope.
35:09Kaleidoscope.
35:11Ambulance service.
35:13The patient breathing.
35:14Yeah.
35:15Okay.
35:15What was the reason for the call, please?
35:17My mum's done a lot of pain.
35:19She's saying pain where?
35:20In her face.
35:22In her face.
35:22Okay.
35:22In her back.
35:23And she can't swallow food.
35:25It's gradually got worse over the last couple of days.
35:30Right, we've got a category two, a 90-year-old lady.
35:35Chest pain, back pain, lip swelling, difficulty swallowing and pain.
35:39So, let's have a look.
35:44This lady, it stated she was 90 and she was in a lot of pain.
35:48So, I think instantly we started to think, what kind of pain is she in?
35:51Where is it coming from?
35:52And how much is it affecting her with, obviously, her age?
36:00Hi, Ducky.
36:01You all right?
36:04Hiya, sweetheart.
36:05I'm Nick.
36:06This is Kyra.
36:07Is that hurting you, though?
36:09Let me have a check your pulse.
36:1290-year-old Nova has been suffering with pain in her back and mouth for the past four years.
36:18But tonight, when the pain became unbearable, daughter Sue called 999.
36:25We'll get all these checks sorted and then we'll make a plan of what we're going to do.
36:29All right, sweetheart.
36:31Every four minutes, this is happening.
36:35And it just comes in like a...
36:37Yeah, then it'll go.
36:39But she can't lean on her back.
36:40Pain in her back triggers the pain in her face.
36:44She can't eat a meal.
36:46When it goes in her mouth, she's getting a pain at the back of her tongue.
36:50OK.
36:51It was quite perplexing as to what was going on with the pain in her face, the pain in her
36:57back, how it was related.
36:58So we were quite confused as to what was going on.
37:02When you get this pain, sweetheart, I know it's really difficult to describe pain.
37:08But what sort of pain is it? Is it burning?
37:11Stinging.
37:12It's coming quickly.
37:14Are you ready?
37:14It's on go, it's coming quickly.
37:16It's coming more frequently.
37:17Yeah.
37:18OK.
37:19Blood pressure's high at the minute.
37:21Could be because of the pain.
37:22That would make sense.
37:23I'm just going to do a little pinprick on your thumb, sweetheart.
37:29Short scratch.
37:30OK.
37:32Can I pop these stickers across your chest to do an ECG?
37:35Is that all right?
37:36Because your heart rate's jumping around a little bit.
37:38Yeah, anything you want.
37:41Nick carries out an ECG.
37:44This will provide a trace of Nova's heart and might give a clue as to what's causing her pain.
37:50Have you still got your tonsils?
37:52No.
37:53Where's that accent from?
37:55Tense.
37:55I thought it was from somewhere down there.
37:58Yeah.
37:58You don't sound like a stokey duck.
38:00No.
38:01Some bumps at the bottom of the left side.
38:05In your mouth?
38:06Yeah.
38:06Are you OK too?
38:07You can tell your lips are swollen.
38:12Oh, up there.
38:13Looks a bit strong up there, yeah.
38:16OK.
38:17OK.
38:18And under there.
38:19Does it feel sore?
38:20Yeah.
38:21Whenever anybody is in any pain or discomfort in the mouth, we have to be very careful of
38:26the airway because it needs to be kept clear at all times, so we have to consider if there's
38:31allergic reaction, any damage.
38:34With Nova, we could see that she was in pain, but we had absolutely no idea what was causing
38:39it.
38:40We have a little bit of pain.
38:41Let me have a little listen to your chest, sweetheart.
38:44I have a little pain.
38:45I'm starting again.
38:47It's like it comes in spasms, doesn't it?
38:50We need to get you sorted out.
38:57The rest are fine because she's unable to sing, so she's just not lacking breath.
39:02I have a little pain.
39:04I have a little pain.
39:04Is that the only thing?
39:06I have a little bit of thought.
39:08I know.
39:08It's a more to it.
39:10You can sing, but can you sing it a bit quieter, please?
39:13I have a little pain.
39:18In Birmingham, paramedic Daisy and student paramedic Morgan are with a patient who's
39:24been arrested.
39:25She's allegedly assaulted reception staff and the police.
39:29It's there.
39:29I just had it.
39:32I think it's just because it's spasms.
39:38We can't see any abnormalities.
39:41The heart rate was a little bit high, wasn't it?
39:43Yeah, it was up a little bit.
39:44We didn't do an ECG to sort of rule out anything to do with that.
39:49But she was quite erratic.
39:51Yeah.
39:52So we would expect the heart rate to be a little bit higher than...
39:54Yeah.
39:54We don't think there was anything medical going on there.
39:56No.
39:57Not at all.
39:58It's being checked by ambulance.
40:00OK.
40:07So I'm going to take you with me.
40:09OK.
40:10Stand up for me.
40:11Stand up for me.
40:12Stand up.
40:16Daisy and Morgan's observations show that this patient doesn't need to go to AME.
40:22She can now be taken to the police station.
40:27She is understanding what we're saying as well.
40:29Yeah, she is.
40:29She's acknowledging things.
40:30When you said...
40:31You said you can sing.
40:32Sing a bit quieter.
40:33She went off.
40:34She went louder.
40:35She's stood up when they're best.
40:36She's eye contact.
40:38She understands.
40:41We were there to determine whether the patient needed help medically or if it was something
40:46that the police needed to deal with and ultimately we decided that it was something for the police.
40:52She's under arrest.
40:53All right.
40:55I don't understand it.
40:56I know.
40:57I know.
40:57I know.
40:58I know.
41:00She's under arrest.
41:01Yeah.
41:02She's done other things.
41:04It's because she's...
41:04It was not a normal case.
41:06No.
41:07It was not what you see every day.
41:08It was a bit of a mystery in terms of we didn't know exactly what was going on.
41:12We couldn't pinpoint it.
41:15Oh, dear.
41:17I felt so from my arm.
41:19Yeah, I did.
41:20But then, also, she knew we were there.
41:23She was acknowledging us.
41:25She knew we were talking to her.
41:28What a strange way to be.
41:29I just don't get it.
41:30I don't get why she started doing that.
41:33Like, what is going through her head?
41:44Right.
41:45Plan of action.
41:47In Stoke, paramedics Nick and Kyra are with Nova,
41:51who's been experiencing severe pain in her face.
41:55Once we get to the hospital, we'll have a word and explain.
41:59We need the specialist people on the ward that know more about this
42:03and that can hopefully start looking at medication.
42:07We decided to take Nova to hospital due to us not really knowing
42:11what was causing this mouth pain and having a knock-on effect with the back.
42:15More tests needed to be performed so we could get down to the bottom of it.
42:20Right, let's get rid of these.
42:21You can have some Oromorph now and then, once we get to the hospital,
42:26we'll see what we can try and sort out for you.
42:31Oromorph is liquid morphine.
42:33It's already prescribed for Nova by the GP to help manage her chronic pain.
42:39Right.
42:40You're going to get on here, Ducky.
42:41We're going to put a blanket on first.
42:43Wrap you up like E.T.
42:44It's all right, though.
42:45I'm not going to be riding like a bike.
42:47Otherwise, we'll all be in hospital.
42:49Right.
42:49We're ready, sweetheart.
42:55Right, door.
42:57Right.
42:57So, if we...
42:57Do you want to come?
42:59OK.
43:00Breathe through it.
43:03You lean back.
43:08Could you score, out of ten for me, the pain?
43:11Zero, nothing.
43:12Ten being the worst pain.
43:13Well, yeah.
43:14They came out of ten.
43:17Sometimes it comes on quick.
43:20OK.
43:21Are we happy?
43:22Yep.
43:22But if there's anything you need, please let me know, OK?
43:25Yes, love.
43:26We're not quite the Hilton, but we'll do our best.
43:34Hold on, that's six to the house of six.
43:37Oh, you were the baby, were you?
43:39Yeah, I was born in 1934.
43:42Right.
43:43Oh, really?
43:47Yeah, I love your name.
43:50It's so unusual.
43:55Brilliant.
43:58I really enjoy having a chat and that with the patients.
44:02I'm quite a nosy person anyway, but I find people really interesting.
44:05Nova was so lovely.
44:07It was really lovely chatting to her.
44:11Right, then.
44:12There'll be a couple of little bumps, but we'll do it as gently as we can, sweetheart, OK?
44:17At Royal Stoke University Hospital, Nick wants to get Nova seen by a specialist
44:23to determine the cause of the excruciating pain in her face.
44:34Oh, she was a lovely lady.
44:36I know.
44:37Blessing.
44:38It's not nice when they're in so much pain and discomfort and we can't really do anything
44:43to help.
44:43Yeah.
44:44It's really frustrating.
44:45Well, hopefully she gets sorted.
44:47She could be back with, while at home with her little dog soon.
44:50Yeah.
44:56Nova was diagnosed with trigeminal neuralgia, a condition where nerves in the face get compressed.
45:02She was monitored in hospital for 10 days and given new medication to better manage the pain.
45:11Maureen had a scan that revealed she had an inflammation of her bowel.
45:16She was given antibiotics to help treat the infection.
45:22And after collapsing on a narrowboat, Jenny had scans in hospital.
45:27These showed she hadn't had a stroke.
45:29Doctors diagnosed an inner ear infection that can cause vertigo and nausea.
45:39She was diagnosed in hospital.
45:41She was diagnosed in hospital.
45:41Next time...
45:43These legs have gone completely.
45:44..a man has a suspected stroke.
45:47You know, when you closed your eyes then, did you feel like you were leaning to one side at all?
45:51Yeah.
45:52We've only got a very short window of opportunity that we can help and save and treat that stroke,
45:58so time really is not on our side.
46:00While hiking, a man falls, injuring his leg.
46:04When we got a call saying Mountain Rescue were on scene,
46:07I think our first thought is, where on earth are we going?
46:10Yeah.
46:10And how are we getting there?
46:12What we don't want to do is put any more strain on your heart, all right?
46:16And pain from coughing masks a heart attack.
46:19I have to be careful how I explain it to him.
46:22If we put any more stress on the heart that he's already under,
46:24it could be potentially fake.
46:26Don't get upset. We're going to look after you, OK?
46:43I'm going to look after you, OK?
46:46.
46:49.
46:50.
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