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999: On the Front Line - Season 14 - Episode 02
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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 and 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.
03:17It's like, 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 like that curved.
03:28Yeah.
03:29Pick and mix from the shops is a skill and an art form.
03:33It just sounds like you do it like probably on the daily from the technique that you use.
03:38No.
03:38It's just a technique built up over years of practice.
03:41And how long would one of those cups last you?
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.
04:03Amblin, the Asian breathing?
04:06Yes.
04:08They're conscious and awake?
04:10They're conscious but not awake.
04:12So is she responding to you?
04:15No.
04:16She's having seizures now.
04:23Cat one.
04:25Hold on tight.
04:27Two, five.
04:29The patient's had a seizure.
04:33A seizure will always come through as a cat one because you don't know what condition the patient's going to
04:37be in when you get there.
04:38You're automatically thinking, are they going to be struggling breathing?
04:42Could they go into cardiac arrest because of it?
04:45Or respiratory arrest?
04:47And neurological damage, ultimately.
04:49Because when 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.
05:01Hello?
05:03Hi, mate.
05:05I'm Mark.
05:06This is Amy.
05:07Hello.
05:08You're the crew, mate.
05:10Hello.
05:11Stacey.
05:13Stacey, can you hear me?
05:16Stacey?
05:19Can you open your eyes for me?
05:20How many drinks have she had tonight?
05:22Okay.
05:23Bare half a bottle.
05:26Just doing your blood pressure, okay?
05:32When 29-year-old Stacey had a seizure tonight, her friend Anthony called 999.
05:40Just take your temperature.
05:43Hello, Stacey.
05:44Sorry.
05:4537-8.
05:46She's a bit toasted, isn't she?
05:49Come on, Stacey.
05:50Come and have a sit up for us, please.
05:55As Mark and Amy begin to treat Stacey, a man enters the flat from outside.
06:00Hey!
06:02Hey!
06:02Hey!
06:03Hey!
06:03Hey!
06:05Hey!
06:06Hey!
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 other man, of what he was going to do.
06:18This is one of those strange jobs where alcohol is obviously influencing people's behaviours.
06:23I love the beach.
06:24Yep.
06:25What are you doing, sir?
06:26No, no, no, no.
06:27Sir?
06:29No, don't, please.
06:30I can give you an old one.
06:31Will you come on?
06:32I thought it was very odd that this man was drawing on this patient's face.
06:37He claimed to be the patient's friend, but you wouldn't draw on your friend's face when they're unwell.
06:45Stacey, should we help you up, mate?
06:46Come on.
06:48Ready?
06:48No.
06:49You can lean on me.
06:51Right then, Stacey, can you tell me what's happening?
06:53What's happened this evening?
06:54I'm sick.
06:56You feel sick?
06:57I haven't been sick as well.
06:58You have been sick.
07:00Have you had a bit too much to drink this evening?
07:05Come on, mon lovely.
07:07Shall we roll over?
07:10There we go.
07:12Come on.
07:13Let's have a sit up.
07:15What are you doing?
07:16What are you doing?
07:17Paramedic team.
07:18Paramedics.
07:19I've been to you before.
07:20Paramedics?
07:21Yeah?
07:21Yeah.
07:22I'd previously been attending Stacey's property a few months earlier, so I was aware of Stacey's
07:28alcohol dependence.
07:29So I knew it was going to be difficult to communicate.
07:33Difficult to get Stacey to do what we wanted because of the alcohol.
07:37Come on, mon lovely.
07:39That's it.
07:40Have a bit of a walk.
07:42Over to the sofa.
07:44There we go.
07:44There we go.
07:44Keep on going.
07:45Keep on going.
07:46Plank yourself on there.
07:47There we go.
07:50Do you want to take this jumper off?
07:54Have you got anything underneath?
07:55Yeah.
07:56Because you've got a bit of a temperature.
07:59Arms up in the air.
08:01Like we just don't care.
08:04There we go.
08:06That'll cool you down a bit, man.
08:09Can I stick these on your wrist?
08:14Stacey, any allergies, bub?
08:16Most of it all.
08:17Hospitals.
08:18Hospitals.
08:19Fair comment.
08:20Fair comment.
08:20We have the same feeling.
08:23Right.
08:24Nice and still for me.
08:27So, quick question.
08:29Do you want to go to hospital?
08:30Do you not want to go to hospital?
08:32No?
08:37When she was on the floor, was there any, like, shaking at all?
08:40Yeah.
08:41Yeah, yeah.
08:41There was shaking.
08:44And she wasn't...
08:44Alcohol-induced epilepsy.
08:46Oh, got you.
08:48What's on your medical note, 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.
09:01Are you sure you don't want to go to hospital?
09:03Yeah.
09:04Are you sure?
09:05OK.
09:06Are you sure we can't convince you to come with us?
09:09I'd advise to try and stay well from the alcohol if you can.
09:13Let me just take these off you.
09:28Oh, that sounded like a bit of a bang.
09:32When I heard that bang, I'm thinking, has the patient fallen over? Is she OK? Is she injured at all?
09:38Ultimately, I was hoping that she wasn't having another seizure.
09:41What's just happened?
09:44Stacy, can you talk to me?
09:59You know, in England, if something's banging, like, that's really good.
10:03Yeah.
10:03Oh, yeah, those cheesy chips are banging.
10:06Banging.
10:06Yeah.
10:06In the Isle of Man.
10:07Is that bad?
10:07It's bad, yeah.
10:09Like, like, so I'd be like, ugh, those, ugh, those chips are banging.
10:14It means that they're gross.
10:15And it took me a while to, like, figure that one out.
10:19They'd be like, why are you pulling that face for?
10:22And I'm like, it's banging, it's gross.
10:23They're like, what?
10:24No, banging over here means great.
10:27Good, yeah.
10:27I don't even know if people use that anymore, banging.
10:30No, it's outdated.
10:33We're too old for banging.
10:35Even just places, like, within England, it's just so different, isn't it?
10:40Yeah.
10:40Something like Stoke, if you say, oh, just go up the bank.
10:43Like, people won't know.
10:44What does that mean?
10:45It's up a hill.
10:46You know what I mean?
10:47It's just at the top of the bank.
10:48What?
10:55Ambulance services, the patient breathing.
10:58Yes.
10:58What's the reason for the ambulance?
11:01She's extremely dizzy and can't stand up.
11:04Hang on, she's going to fall over.
11:06Put me on the floor, please.
11:08Sorry, she's going to, I think she's going to be sick.
11:13We're going to a 69-year-old female.
11:16Dizziness.
11:17No notes.
11:20But it does say Union Canal.
11:23I'm going to guess she's in a barge.
11:26And I can't say I'm the biggest fan of barges.
11:31Immediately thinking, how are we going to get them out?
11:35You can't just, you know, throw them over your shoulder
11:38and carry them out that way.
11:45Hi, my name's Tommy.
11:46Hi.
11:47Which one are we?
11:48That one there, isn't it?
11:49That one there, but you're probably easier.
11:50I just have to see from this bit.
11:52OK.
11:52A neighbour helps Keira and Brooke find the right narrowboat.
11:57It is quite obviously narrow, but it's quite limited.
12:02Am I on the bottom step?
12:02No.
12:05Oh, she's on the floor.
12:19Oh, bless you.
12:20Hi, Jenny.
12:21Hi.
12:22My name's Brooke.
12:23And we've got Keira as well.
12:26You're feeling dizzy.
12:27Is that right?
12:28Yes.
12:28Yeah.
12:29I feel a bit disoriented.
12:31OK.
12:32I'm going to be sick.
12:34Yeah, let's go here.
12:35Oh!
12:39Paramedics Brooke and Keira are with retired primary school teacher Jenny,
12:43who's holidaying on a narrowboat.
12:46When she became dizzy and sick, husband Nick called 999.
12:53So, your blood pressure at the minute's OK.
12:55I know you're feeling dizzy, but for us to do some more assessments,
12:58would you be able to have a sit on this chair if we give you a hand up?
13:02Yeah.
13:02Yeah?
13:03If you want to just try and swing your legs, that's it.
13:06So they're straight.
13:07Where are we?
13:08On the boat, yeah.
13:11Ready?
13:12One, two, three, four.
13:15Oh, that's it?
13:17Yeah.
13:18Fabulous.
13:19I'm just going to do your blood sugars, OK?
13:23One, two, three.
13:26Jenny's observations all appear normal,
13:29but there could still be an issue with her brain.
13:32Where are we, Nick?
13:33On the boat, Jim.
13:35And where's the car?
13:37The car's just over there.
13:39OK.
13:40Do you know what day it is today?
13:45Er...
13:45Now, let me think.
13:46I want to see if you can figure it out.
13:49Let me think.
13:51Well, I was going to say 2024, but I don't think that's right.
13:55Not quite.
13:57Er...
13:58What answer did you ask me?
14:00What day it was?
14:01Yeah.
14:02I don't know, to be truthful.
14:03OK.
14:04What's a worry?
14:06This state of confusion is new for Jenny and a worry for her husband, Nick.
14:12Did you call 999?
14:13Yeah.
14:14Yeah.
14:14What happened to me?
14:16You were on the floor when we got here.
14:18Oh, I didn't know that.
14:19Yeah.
14:20Did you call 999?
14:22Yeah.
14:22Oh, my goodness sake.
14:28Repetitiveness is a bit of a red flag for us in terms of something neurological going on.
14:33It doesn't necessarily mean that she's having a stroke, but it could be a sign towards something neurological happening.
14:39But you're having this dizziness and you've got a little bit of repetitiveness.
14:42You're kind of saying a few things again and again.
14:45I don't know if you're realising that you're doing it.
14:47Erm, 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?
14:57We thought maybe it could be that she's having a bleed potentially that is developing as we're spending more time
15:03on scene.
15:04It did concern us a bit, didn't it?
15:06Just because she wasn't getting better, she was actually deteriorating, if anything.
15:09It certainly amped up the pressure of it's getting worse.
15:11We need to get to hospital as soon as possible because we need to rule out that it's not something
15:15going on in her brain that we can't see.
15:19You ready? Yeah. That's it.
15:20We'll get you either side. Hold on to us.
15:24You go for it.
15:29It's OK.
15:32Nice and steady.
15:33Are we at the boatyard? Yeah.
15:35We haven't moved.
15:36No, we haven't yet.
15:38That's it.
15:41Oh, no.
15:42It's OK.
15:43Take a step and then step onto this one.
15:47Take a step. That's it.
15:48Be careful with your foot.
15:49Just move that foot a little bit further forward. That's it.
15:51Her blood pressure is OK.
15:53So we were quite happy with that in terms of her standing and her not, like, passing out.
15:58But then it wasn't just as simple as getting her from her boat onto land.
16:02It was that we had to go over, like, another boat as well.
16:04Right, hold on to me.
16:07Think you can do that big step?
16:10Well done.
16:10That's it.
16:11Well done.
16:13That'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 easily on
16:21the ambulance.
16:26What day is it, Nick?
16:28Is it the day we came on the boat?
16:30It is, yes.
16:31I didn't know we came on a Friday.
16:34We haven't actually sailed anywhere, have we?
16:37No.
16:37I don't remember anything, really.
16:39Right.
16:40Can I have this arm?
16:41I'm just going to give you an anti-sickness, OK?
16:45Right.
16:45I'm going to jump in the front and start heading towards Stoke.
16:49Jenny and Nick were about to start a four-day canal holiday.
16:54But now she needs specialist medical treatment.
16:57So, explain to me, Nick, what's happened.
17:00What's happened?
17:01Well, I don't know.
17:02I've forgotten.
17:04I mean, I haven't forgotten.
17:05I can't remember.
17:13Right then, darling.
17:15At Royal Stoke University Hospital, Jenny will have scans to see if her dizziness and confusion are neurological.
17:29I have no idea what was going on with her.
17:32To me, screams neurological.
17:35Oh, yeah.
17:36Do you reckon it was a stroke?
17:37I don't know.
17:38Yeah.
17:38It's all very strange, wasn't it?
17:39Yeah.
17:40I'm just glad she could walk because, oh, my gosh.
17:43I don't think we would have got her off.
17:44That would have been so hard.
17:48I'm sorry, too.
17:49Oh, my God!
17:51Oh, my God!
17:53Oh, my God!
17:53OK, Stacy?
17:54What's just happened?
17:57In Starobridge, paramedics Amy and Mark are with Stacy, who's had an alcohol-induced seizure tonight.
18:04After refusing to go to hospital, she's just collapsed again.
18:10Stacey, can you open your eyes for me? Can I have your finger? Thank you. Hello, kitty
18:17cat. Come on then, Stacey. You OK? Shall we have a sit up again? Yeah. Your head. Does
18:27it hurt a little bit? Shall we help you onto the bed, Stacey? Yeah. Ready? Come on then.
18:33Ready to stand? Ready. Push through your legs. Steady. Stand. That's it. There 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.
19:05I don't know. What are we thinking, Stacey? It's entirely up to you, mate. You're staying
19:21here? Yeah. I thought you'd say that. Right. Get some sleep. Look after yourself. All right,
19:30mate. No one is at all. Take care. In this case, I believe Stacey needed to go to hospital,
19:39but ultimately, we can't force anyone to go to hospital if they don't want to go. We
19:44can't drag them kicking and screaming, so in this case, we did have to leave Stacey at home
19:48because that was what she wished for. That man was a bit of a joke, wasn't he? Yeah.
19:56Putting that pen all over her face. Yeah. Like, what was that all about? Yeah. Why would he
20:00do that? No idea.
20:16I've got an ambulance-centric question for you. Okay. Which siren is your favourite? The
20:23second siren, you know, the close-together one. The wee-woo. Yeah, yeah. The classic.
20:28Wee-woo, wee-woo, wee-woo. Wee-woo, wee-woo. It's like I'm actually there. I can't do it.
20:36The pacer one, the last one, is just very loud and very, like, well, it paces your ears. It's
20:41not nice to listen to for a while. It's useful, Lou. It is useful.
20:52Ambulance service, is the patient breathing? She is. Okay, and what's the reason for the
20:57call? I'm the doctor triaging the call. It's a 83-year-old lady. She's having diarrhoea,
21:03vomiting, not keeping any fluids down, not eaten for a few days.
21:13So we'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
21:25not eating, you're thinking about their recovery time and how they aren't as able to bounce
21:30back from an illness as somebody who's younger would be able to.
21:41Hiya, duck. I'm Jack, and this is Sharnie. Hello. What can we help you with, sweetheart? What's going on?
21:48Is this your daughter? Granddaughter. Granddaughter. Do you want your granddaughter to tell us what's going on?
21:53She's very weak. Like I say, she can't eat or drink. Hit you like a truck, has it? Yeah.
21:58She's got pain on the left side here. And to me, her stomach does feel fine.
22:03So when was the last time you had a normal poo? Weekend.
22:08Last weekend. Okay. When was the last time you were up and out of bed?
22:13Tuesday. Tuesday.
22:1683-year-old Maureen has been ill in bed for three days. Granddaughter Kirsty called her GP, and he rang
22:23999.
22:25Husband Bill is by her side.
22:29Let's have a look at your ticker, see what that's doing.
22:32The best description she's said is she feels like she's been kicked around like High Stoke City football.
22:37High Stoke City football team.
22:39I'm just going to pop these stickers on your chest, sweetheart.
22:42This tuck is bubbling like anything.
22:44I've heard it. I've been sitting here and I've heard it.
22:47Can you just try and stay nice and still for me, Maureen?
22:50Jack runs an ECG to check Maureen's heart.
22:54Let's have a peek at this.
22:56Have you ever been told that you have some extra little heartbeats every now and again?
23:01I used to have palpitations.
23:02Used to have them.
23:05That could explain it. You have just every now and again, you just have a little extra...
23:08Boom!
23:09It just drops it in randomly.
23:12So they're not that regular.
23:14Can I have a feel of your tummy? Will that be okay?
23:17I'll start on this side.
23:19Nothing on there.
23:20Nothing on there. So that's all okay.
23:22That's all right.
23:24There.
23:24There.
23:25So that's where the most painful bit is.
23:27Okay.
23:28So your tummy does feel a bit swollen.
23:31Your pain's right over that side, which is like stomach, a bit of intestine.
23:34I can't really leave you here if you can't get out of bed.
23:38So I think we have to have a trip up to Royal Stoke.
23:41I decided to take her to hospital because of the length of time that her symptoms had been going on
23:46for.
23:46And we'd hit a point where she needed a little bit of outside help from an A&E department to
23:52recover and get back to how she normally was.
23:54Now my next question is, how are we going to get you out?
24:08We're following eight paramedic crews as they work through the night, responding to emergency calls from across the West Midlands.
24:19I'm ready for you.
24:21So we need you like here ideally.
24:23How can I help you?
24:26In Stoke, technician Jack and paramedic Shani are with Maureen, who's been suffering with vomiting and diarrhoea for three days.
24:36Almost there Maureen, you're doing great.
24:38Ooh, there we go.
24:41That's it, you've landed.
24:43Perfectly done.
24:44I don't know.
24:46If you lean back a little bit for me.
24:49When I saw the stair lift, very Geordie of me but I thought Belter, meant that we don't have to
24:54carry Maureen down the stairs so we get her down to the ambulance nice and quickly.
24:58There you go.
25:00Perfect.
25:02Ready, steady, lift.
25:05I told you that would be easy, didn't I Maureen?
25:07Yeah.
25:10There we go.
25:14Maureen, you did fantastically.
25:17I bet you feel like you've just run a marathon.
25:20You did amazing.
25:25How did the two of you meet?
25:26Starting with a case that he does.
25:29We've been married 65 years in October.
25:3365 years, eh?
25:36What's the secret?
25:37We work together.
25:39Yeah, we work together.
25:41Work together?
25:42Yeah.
25:42At this point in time I don't see myself doing anything for 65 years, but I'd like to find somebody
25:47brave and stupid enough to be married to me for that long.
25:51I think we're just about here now, Maureen.
25:55At Royal Stoke University Hospital, doctors will help Maureen start eating and drinking again.
26:01They'll also carry out tests to work out what's causing her pain.
26:17Just confirm, patient's not breathing.
26:19So where is she falling?
26:20Where 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.
26:35I really want to be a part of something bigger than me.
26:38I like to think that I have impacted that person's life in a positive way.
26:44Ambulance service, is the patient breathing?
26:47Yes.
26:48And is the patient awake?
26:51Yes.
26:51And what's the reason for the call?
27:09Is it that she's been removed from her house or that she's locked herself out?
27:16Now somebody's locked it out.
27:18It's got now slippers, now shoes on.
27:23It's just got a little top on and a pants.
27:26It's upsetting I need it. It's stressful.
27:30And I wanted to free my place for a while and let me leave my place because it's bright.
27:35OK, no, we're going to help her.
27:37A lot of the time people don't volunteer information on certain circumstances.
27:43You can hear it in somebody's voice.
27:46There's more to this story.
27:48Has she lost any blood from anywhere?
27:52All her knees are all knocked out and scuffed.
27:56Though I need some dressing on her knees.
27:59I'm all bleeding.
28:00OK, has anyone harmed her?
28:04Well, that's not for me to say.
28:07OK, can I speak to her?
28:09Hello.
28:10Hello there, my sweet. It's the ambulance service.
28:14Yes.
28:14What's been happening tonight?
28:16I was climbing some branches.
28:19You've been climbing what? You've been climbing some branches?
28:23Fences.
28:24Oh, fences.
28:26And what were you climbing the fences for?
28:33Oh, you were trying to get into the back of your property?
28:37No, I was getting away from it.
28:40Oh, you was quite... Right, OK.
28:43And is there somebody in your property that you're trying to get away from?
28:49I don't want to discuss it, please.
28:53In a situation like this where I have suspicions but haven't directly been told that there may be a risk
29:01or a threat there,
29:02basically, you know you need the police there.
29:06Other cases need a bit more investigation.
29:09OK, and when did this happen?
29:12A couple of hours ago.
29:14All right then, my sweet.
29:15So, what we're going to do, we are going to get some help arranged, OK?
29:20So...
29:21Yeah.
29:21Do you just need to speak to one of our clinicians so I can arrange some further help, OK?
29:26OK, thank you.
29:27So, we'll call back shortly.
29:28OK, thank you.
29:29All right, my sweet. You take care.
29:31Bye-bye.
29:32Bye-bye.
29:35Uh, 3638.
29:37I've put it in there.
29:39It's a possible safeguarding more than anything.
29:42When we refer a case to safeguarding, it usually means that there's a vulnerable person or a vulnerable situation.
29:49It's a very wide range of things why somebody may be safeguarded.
29:54It means this person needs extra support and they need a safety net and they need a blanket of help.
30:01The neighbour, she's run to the neighbour's house.
30:03Naked from the waist down, no shoes.
30:06Thankfully, the neighbour's taken her in and...
30:10I know, it's horrible, isn't it?
30:27Oh, what a chunky cat.
30:33Was that a badger?
30:34Was that a badger?
30:35It was a badger.
30:35Oh, my God.
30:37Was that a badger?
30:38Oh, it was...
30:39Oh, was it a raccoon?
30:41I didn't like that.
30:43That scared me, that did.
30:45That scared me.
30:47Was it a chunky cat?
30:48It might have been a chunky cat.
30:49Or was it a badger?
30:50I remember it looking us in the eyes and that was not...
30:54That must be why we screamed.
30:56That was not a cat.
30:57I don't know what it was.
30:59I don't want to know what it was.
31:01A wild animal across the road shaking its little booty.
31:06It looked as if it was like, I have no cat.
31:11I've never saw a badger before.
31:13I've never saw a badger before.
31:13That was terrifying.
31:18I see.
31:18BEEP.
31:23I did a service if the patient is breathing.
31:26The patient is breathing, but I don't know what is wrong with that.
31:30Okay, is she awake unconscious?
31:32Yes.
31:33Is Tanai has an ambulance.
31:35I don't know what is going on.
31:37OK, but what's happening with her at the moment?
31:40She's just this thing, and I think she's having a breakdown.
31:51Female cartoon, mental breakdown.
31:54Was there anything else on there?
31:56Just mental breakdown.
32:00My thoughts were, mental health, this could be absolutely anything.
32:03It could have been a case where this patient had really injured themselves or someone else,
32:10so it was just a matter of urgency to get there.
32:13Police are here.
32:16I hail you most high.
32:23What's going on?
32:25She's just been trying to be some police officer.
32:29The patient is said to have assaulted a member of staff and the police
32:33as a result, she's been arrested.
32:35The patient's mother is with her.
32:38Is this how she normally is?
32:41Never.
32:41OK.
32:42I've never seen her like it.
32:43Can you...
32:44I'm actually worried.
32:45Do you think you can calm her down?
32:47No?
32:48I have tried.
32:50Hello?
32:52What's going on?
32:53She's not responding.
32:55OK.
32:56Right, let's get her on ambulance.
32:57We'll do our checks on there.
32:59We need to get you up onto an ambulance.
33:01Are you going to work with us?
33:03We're going to kick you up.
33:04There you go.
33:06There you go.
33:06Come 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.
33:18I'm going to sit there for me.
33:19The 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.
33:39It sounded like religious chanting.
33:41I had never seen anything like it before.
33:44I hail you most high.
34:03I really struggle with some words.
34:05So, I don't know whether it's my accent or my lips or what.
34:08It come out upside down backwards.
34:11What's that word that everyone struggles to say?
34:13It's like anonymously.
34:15Anonymously.
34:17Anonymously.
34:18Anom...
34:18Isn't this the two Ns?
34:21Anonymously.
34:21A-N-O-N.
34:22That's as much as you're getting from me.
34:25Anonymously.
34:27Anonymously.
34:28I know what you mean with some words.
34:30It's how you say them, ain't it?
34:31Oh, what's the word I like?
34:34Kaleidoscope.
34:34A what?
34:36Erm...
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
34:50and then you turn it and it all falls
34:53and it's all different colours and shapes.
34:56A kaleidoscope.
34:57There we go.
34:58Is that what it is?
34:59Kaleidoscope.
35:00Kaleidoscope?
35:03Kaleidoscope.
35:11Ambulance service, the patient breathing.
35:14Yeah, but in pain.
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, okay.
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's 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, you all right?
36:04Hiya, sweetheart.
36:05I'm Nick.
36:06This is Kyra.
36:06Is that hurting you, Ducky?
36:09Let me have a check of 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, but she can't lean on her back.
36:40The pain 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.
37:11Stinging.
37:12It's coming quickly.
37:14Are you ready?
37:14Yeah.
37:15It'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.
37:29Sharp scratch.
37:30OK.
37:31Can 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?
37:55I thought it was from somewhere down there.
37:58Yeah.
37:58You don't sound like a stokey duck.
38:00No.
38:01There's some bumps at the bottom of the left side.
38:05In your mouth?
38:06Yeah.
38:07Are you OK to open it?
38:08You can tell your lips swollen.
38:12Oh, up there.
38:14It looks a bit strong.
38:15Up there.
38:15Up there.
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.
38:40Let me have a little listen to your chest, sweetheart.
38:44I'm in pain.
38:46Starting 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 it's just not lacking breath.
39:04Is that the only...
39:05I don't know if you can sing.
39:07That's the only bit of thought.
39:08I know, it's the more to it.
39:10You can sing, but can you sing it a bit quieter, please?
39:14Do a complete opposite hit.
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.
39:32I think it's just because it's fast and smart.
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, so we would expect the heart rate to be a little bit higher than...
39:54We don't think there was anything medical going on there.
39:56No, not at all.
39:58You're being checked by ambulance, OK?
40:02And there's no ambulance, no other T-shirt.
40:06Right, so I'm going to take you with me, OK?
40:10Stand up for me.
40:11Stand up for me.
40:12Stand up.
40:17Daisy and Morgan's observations show that this patient doesn't need to go to A&E.
40:22She can now be taken to the police station.
40:27She is understanding what we're saying as well.
40:29She's acknowledging things.
40:30When you said you can sing, sing a bit quieter, she went off.
40:34She went louder.
40:35She's stood up when they're back.
40:36She's eye contact.
40:38She understands.
40:41We were there to determine whether the patient needed help medically
40:44or if it was something that the police needed to deal with.
40:48And ultimately, we decided that it was something for the police.
40:52She's under arrest, all right?
40:55I don't understand it.
40:56I know, I know, I know.
40:58So, I'm calling mine right now.
41:00She's under arrest.
41:01Yeah, she's done other things.
41:04It was not a normal case.
41:06No.
41:07This is 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, um...
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, plan 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,
42:24and 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
42:35to help manage her chronic pain.
42:39Right, you'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. I'm not going to be riding like a bike.
42:47Otherwise, we'll all be in hospital.
42:49Right, we're ready, sweetheart.
42:55Right, door.
42:57Right, so if we...
42:57Do you want to come?
42:59OK.
43:00You need to breathe through it.
43:03OK, you lean back.
43:08Could you score, out of ten for me, the pain?
43:11Zero, nothing, ten being the worst pain.
43:13Well, yeah, they turn 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 62, because I was a six.
43:38Oh, you were the baby, were you?
43:39Yeah, I was born in 1934.
43:42Right.
43:43Oh, my name's not a good start.
43:45Oh, really?
43:47I know you're up here.
43:48Yeah, I love your name.
43:50It's so unusual.
43:52Could it say you've gone backwards?
43:57Brilliant.
43:59I 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 to determine the cause of the
44:25excruciating 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 to help.
44:43Yeah.
44:44It's really frustrating.
44:45Well, hopefully she gets sorted.
44:47She could be back with, well, 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.
45:41Next time.
45:43These legs have gone completely.
45:44A 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, I think our first thought is, where on earth
46:09are 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, it could be potentially fake.
46:26Don't get upset.
46:27We're going to look after you, okay?
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