- 8 hours ago
Ambulance - Season 16 - Episode 03
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00:00New incident, category one.
00:03Put you on an RTC, two cars head on.
00:08This lady has been on the floor since 5am.
00:11It's a two-year-old who's been stabbed, dogger.
00:15Every day across Yorkshire, more than 3,000 people call 999.
00:20They've just no breathing.
00:22She's pregnant.
00:23Right, she's pregnant.
00:24We've tried to borrow petrol load gases.
00:26The ambulance service must decide who gets help.
00:31We're going to look after you, mate.
00:32We've got you.
00:34Can I get you covered up?
00:35Lovely, lovely.
00:36And who must wait.
00:3834 jobs waiting for an ambulance now in Leeds alone.
00:42As the pressure on the NHS refuses to relent.
00:45We're creating the waiting room for a waiting room.
00:48The paramedics on the ground navigate England's largest county.
00:52Welcome to our office.
00:54All right, kid, well done.
00:56From the busiest cities.
00:57Chaos tonight.
00:59We'll need to get out of Leeds now.
01:01To the remotest villages.
01:03We're in the forest, in the middle of nowhere.
01:05Where each call is a crisis.
01:08Got a five-year-old found wandering in the street.
01:11Naked, malnourished.
01:12God, it breaks your heart.
01:13It's awful.
01:14And every decision critical.
01:16Hey, where are we going?
01:18You're all right.
01:18Please, let the kids out of there.
01:20Where are they going to land in the middle of Bradford?
01:23We go beyond the flashing blue lights.
01:26Well, well, well, well.
01:27To reveal the human stories behind every siren.
01:31Just keep going to the door.
01:32I'm sorry.
01:33Thank you for coming.
01:35You don't have to thank us.
01:36You do.
01:37You've got manners, you do.
01:39Are we all ready to set sail?
01:41Get her going.
01:42Get her going.
01:58Get her going.
02:13Are you feeling okay?
02:14Ten.
02:16Huh?
02:17Short of bread.
02:18Morgan, I should help for an hour.
02:19Stay on the line.
02:21The call in progress is a Category 1 emergency.
02:24The most life-threatening.
02:271696, please, Joyce.
02:301696, receiving.
02:32You're going to confirm for a 92-year-old lady.
02:36It's coming in as diff-breathing.
02:38999.
02:40Your lady's called Minnie.
02:42Yeah, I'll see you do it.
02:44Let's go see Minnie.
02:46Leads crew Nagina and Mo are 12 minutes away from the patient in Headingley.
02:53Okay.
02:57She's not looking very good.
02:59You know, breathing problem is increasing more and more.
03:04Okay.
03:11Hello, my love.
03:12What's going on today, Minnie?
03:14I don't know.
03:17You're struggling a little bit there, aren't you?
03:19Is he breathing?
03:20Yeah.
03:21Are you a carer?
03:22Yeah.
03:23Can I have a little listen?
03:25Yeah.
03:25Good stuff.
03:26Can I rub this on your finger while he's doing that?
03:29Your hands are freezing.
03:30I know.
03:32Have you felt unwell the past few days?
03:35Yeah.
03:36Sorry, just lean forward for me, Minnie.
03:38That's it.
03:39So.
03:40You've got some crackles at the bottom, at the bases, which could suggest a chest infection.
03:46Oh, God.
03:47All right.
03:48It's right now.
03:49No, no, you're telling me.
03:50Oh, you've got some guests.
03:52Lady Ella.
03:53Hello.
03:54I may run up there like...
03:55Who's this?
03:56Daughter.
03:58You don't need to wait, love.
03:59You go.
04:00Come on.
04:00All right.
04:01How many times do you come in a day?
04:03Four times.
04:04Remember, a family comes every day as well.
04:07So she's got plenty of...
04:08You're all nearby.
04:10We're all within ten minutes of her.
04:12Right, lovey.
04:12I need to pop this in your ear.
04:14Can you take one hearing aid out for me?
04:16What's this?
04:17A little bit of 37, 6.
04:1937, 6.
04:21She's starting with a bit of a temperature.
04:24This is what happened before, and then we ended up in hospital with just an infection,
04:28and then she got me on one ear set set.
04:31So, you've got everyone here now.
04:33This is the body start of the boss.
04:35The boss.
04:36At the moment, she's breathing a little bit faster than we'd like, so it's the start
04:42of the infection in her chest.
04:44It's just the start of it, yeah.
04:45Same as before.
04:47She was in three, four weeks ago for the week with pneumonia, and then we nearly lost her
04:52in November with it.
04:54Mm-hmm.
04:55So we don't want it to get any worse, do we?
04:57No.
04:57That's the thing.
04:58Yeah.
04:59So, we'll pop you down to St James's.
05:02Okay.
05:02Can you get a sit-door?
05:04Stretch your sit-door.
05:06Yeah.
05:10Chariot awaits, milady.
05:12Don't be speeding.
05:14Do you want to hold on to more now?
05:16Have a little dance with more.
05:17Well, then, at least you've had your hair done today.
05:20You look pussed.
05:21It's all right.
05:22You've got to puss places.
05:24Oh!
05:25A few bumps along the way.
05:31Are you coming with us, my love?
05:33I am, darling.
05:34What's your name, lovely?
05:35Janet.
05:36Janet, we'll get you in this seat here.
05:38You'll be sharp, isn't it?
05:40I won't, shall we?
05:42LAUGHTER
05:44Are you all ready to go?
05:45Yeah.
05:47Minnie, are you married?
05:49I was married, yeah.
05:50They weren't called Mickey, are they?
05:52No.
05:53That's my husband.
05:55You're joking?
05:56No.
05:57And she loves him dearly.
05:59Always on Google, I think I love to them.
06:01My best friend is Mickey.
06:04Cheese boss.
06:07Have you just accepted it now?
06:08Yeah.
06:09But she knows I don't look after her.
06:12Of course she does.
06:13100%.
06:15I'm getting used to this journey.
06:16Are you?
06:17I am, love.
06:18Every five to six feet.
06:20What are we doing, love?
06:21Don't know.
06:23So these chappies have caught you early, are you?
06:27In the past times, they've rushed us straight into resuscitation, haven't we?
06:31They've rushed us in.
06:33Really, what are you doing?
06:39We're in and out.
06:46She's very nice.
06:48She's a lovely lady.
06:49She's one of the lucky ones to have quite a big family.
06:52It's nice to have that support.
07:04Ambulance service.
07:05Is the patient breathing?
07:07It's Saturday, and Yorkshire Ambulance Service are two hours into the day shift.
07:12She's birthed as I was saying.
07:14Is the blood spurting or pouring out?
07:16It pours straight up to the bar.
07:19Call handlers have already answered 200 cries for help.
07:24Oh, my God.
07:26It's the right gas.
07:27Don't look at it.
07:28Right, OK.
07:29Just keep it covered up, OK?
07:30Tied it as hard as we can when we've had stock.
07:32OK, perfect.
07:34Hopefully it won't be much longer.
07:36Feel all right, Mum?
07:38Well, I'm embarrassing you.
07:39I've come on a nice walk.
07:40It happens.
07:43Did you hear it on radio?
07:44It was saying all weekend it's going to be hotter than Custard El Sol.
07:48Really?
07:49There'll just be more people out and about.
07:52Get some fresh air.
07:53Make yourself feel better.
07:55Call a little pub for a drink.
07:56Oh!
07:57I'll put your washing online.
07:59That's as exciting as I'm getting.
08:02In control, dispatcher Joyce and the team are responsible for looking after the 32 ambulances
08:08covering the 213 square miles of Leeds and its suburbs.
08:14How's your screen looking this morning, lovely?
08:17Oh, it's smashing.
08:19It is smashing.
08:20But when it's like this, it always lulls me into a false sense of security
08:24because, generally speaking, it will then go whoop.
08:38Oh, that's terrible, isn't it?
08:57Complex emergencies are led by incident commander, Darren.
09:01Yeah, 1813.
09:02I've got a job in Hare Hills.
09:04Reports of a fight in the street.
09:06Police have turned up.
09:08They've then threatened to throw petrol on the police.
09:11The patient is saying the longer the police are there, the more voluntary he's going to get.
09:15Yeah, I'm a super-period.
09:18A team leader is immediately dispatched.
09:21I'm unsure of scene safety.
09:23Oh, that's awful.
09:24I'm really worrying, obviously.
09:26It's because you don't know what's happening.
09:301696, see what's even have us?
09:32It's an ongoing situation at the moment.
09:35The patient's threatening the police officer with an accelerant.
09:40Nagina and Mo are also sent to the scene in Hare Hills.
09:44They are four minutes away.
09:46I believe it's for a male patient.
09:48No further details regarding that.
09:50Roger, obviously you don't make our way down.
09:54Are you wanting Hare, Dean?
09:55Yes, please.
09:56Just in case it does escalate.
09:59Given this threat, we need to make sure we've got all the right resources in place.
10:05Joining them on scene are police, fire and the Hazardous Area Response Team, Hart, who are trained to work in
10:13the most dangerous environments.
10:17The officers are standing off at the minute.
10:19The male is hard.
10:21They're a liquid underneath the door.
10:23They're not sure what the liquid is.
10:25We're looking to evacuate the nearby flats as well.
10:28It's quite a high-risk area.
10:30I don't like the sound of that at all.
10:33He's poured petrol all over the gap.
10:36One spark and the whole place is going boom.
10:53The team leader has also arrived on scene.
11:03There's a potential for more than just him in property.
11:06We think there's only two in there, but there's a potential being five.
11:09OK.
11:10So, the threat is to life, it's to the people who are in there that we don't know about at
11:13the moment.
11:16So, how many foot is this?
11:18Well, he is.
11:1916 to 20 foot.
11:21Just one slip and he's gone.
11:24So, we've got the property here.
11:26They are sending a police negotiator.
11:29Team leader's calling now.
11:3016 to 13, go ahead.
11:31Police are making a decision that the rest of life is great to wait for a negotiator.
11:37Suspicion that they've been on crack cocaine.
11:39They're also wanted by the police and want outstanding.
11:43With a significant threat to life, police are preparing to forcibly enter the property.
11:48The heart team will provide specialist medical care during the operation,
11:53whilst crewmates Nagina and Mole remain on standby to assist with potential casualties.
11:59We're going to go in with the fireman, the police, when they go.
12:01Right.
12:02When you do come in, when it's safe, are you able to bring those with you if we need them?
12:06Yes.
12:06It's just an orange bag and a stretcher.
12:08Yeah.
12:08So, as you said, what the excellent or what fluid is?
12:12They're just working on the risk that it is.
12:14Yeah.
12:21Can I do the thing?
12:22Are you ready?
12:32You can do it.
12:33I did not do it.
12:35I am not cool enough.
12:40You have to.
12:41New incident.
12:451705, Elliot and Jen have just cleared from their first job of the shift
12:49and are dispatched to a Category 2 call eight miles away.
12:53I'm going to send you.
12:54Up to Eden for a Catoody.
12:57I am a 61-year-old gentleman.
13:00Difficult it with his speech.
13:02I have a previous history of a stroke.
13:04Mail called fall.
13:07The worst case is that you've got a history of stroke.
13:09It's having another stroke and it's too late.
13:13Clear, clear. Still clear.
13:24Hi, my name's Jennifer. This is Elliot.
13:27Hello, sir. Nice to meet you.
13:28Is it Paul? Hello, Paul. Nice to meet you.
13:30How can we help you today?
13:32I keep having strokes.
13:33I've had about three of them already.
13:35Had about three today?
13:36No, 24 hours.
13:37In the last 24 hours.
13:39So, are they like mini strokes?
13:40Yeah.
13:40Strokes that happen and then they stop and go away on their own quite quickly.
13:44OK.
13:45And when you have these episodes and you go in, you get tested, they're like,
13:48yeah, we've had another one.
13:49Yeah.
13:49Is that right? OK.
13:51So, medical problems-wise, do you have any medical problems?
13:54Asthma.
13:55Asthma, yeah.
13:56I've got patched scones to hit some places.
13:58How have we got? Metal...
13:59Yeah, it might have titanium plate.
14:02Titanium plate.
14:03Titanium, great.
14:03Yeah, yeah.
14:04So, what happened?
14:07Assaulted?
14:07Yeah, 2004.
14:09Oh, my God.
14:092004?
14:10Yeah.
14:11Wow, OK.
14:12Yeah, yeah.
14:14Back where we are.
14:15Oh, my God.
14:18So, today.
14:19Tell me about today.
14:20His speech.
14:21That's not normal speech?
14:22No, I can't understand what he's saying.
14:24OK.
14:25So, normally he would be able to speak clearly?
14:28Yeah.
14:28Yeah, OK.
14:29When did that speech change?
14:31About two days ago.
14:32OK.
14:33And it hasn't quite recovered?
14:35No.
14:35No.
14:36OK, then.
14:37And then...
14:40Right, we're going to do a lot of checks, all right?
14:43Yeah.
14:43Well, it's just so we can try and find out if any nerves have been affected,
14:46and if so, which one's OK.
14:47Yeah.
14:47What I'm going to do is examine your sense of touch throughout your body,
14:51and I'm going to press here.
14:54Yeah.
14:55And I'm going to do one that is soft and one that is hard, OK?
14:58Right, close your eyes.
15:02Soft.
15:03Hard.
15:07Soft.
15:09Hard.
15:11Hard.
15:12Soft.
15:13Hard.
15:13OK.
15:14Right, relax.
15:15So, the closer we got to the centre of your body,
15:18you could easily tell what was soft and what was hard,
15:22but the further away we got, you struggled differentiating between...
15:26..your...do you struggle with your sense of touch?
15:29I must go.
15:30Yeah?
15:30No.
15:31OK.
15:33I think it's worth a trip down to LGI, isn't it?
15:35Yeah.
15:36Yeah.
15:37Just to try and figure out why your speech has gone funny the past few times.
15:41Yeah.
15:41Yeah.
15:42Right, come on then, watch your head.
15:45Off we go.
15:46You shouldn't go.
15:49Well, take a seat.
15:51Oh, hasn't she got a gorgeous smile, your wife?
15:54How long have you been married?
15:5711 years, though.
15:5811 years?
15:59Wow.
16:02How has she?
16:03Is that how you met?
16:04Yeah, we met, yeah.
16:06General, stop you winning everything, all right?
16:08Are you married?
16:10We're married.
16:11We are married.
16:12Like, we're married, yeah!
16:14Oh!
16:15Yeah, I know!
16:18How many years have we been married?
16:20Five.
16:22Is it five, nearly six in May?
16:24Six? Bloody hell.
16:26Hang on.
16:2619, 20...
16:2921, 22, 23, 24.
16:3125.
16:32It'll be six years in May.
16:33Six.
16:35Six.
16:36That won't go.
16:36We've got to work, can you?
16:38Six in May.
16:40We don't get to work together that often anymore.
16:43That's why we've been married six years.
16:45A-ha!
16:51Allie, where do you meet him?
16:52At work.
16:53You know, you chat.
16:54You're together for twelve hours a day.
16:56You've become good friends.
16:57And then you're a good team when you work together and then you...
17:05Do I hear you? Look at that.
17:13Look at that sound. You made that look easy.
17:21Right, let's go and find you a chair.
17:27Six years in there.
17:28But we dodged Covid by getting married in 2019.
17:31Yeah, because we were meant to get married in 2020.
17:34All because I wanted a cat.
17:35Really? Yeah, do you not remember? I wanted a cat.
17:38And you said, right, well, fine, then if you're getting a cat,
17:41then we're moving the wedding forward a year then.
17:43And I went, deal. Sounds about right.
17:47Jen's amazing. We've built a great life together.
17:49I need to just see if the kids are all right.
17:53Jen had two children when I met her,
17:55so becoming a parent happened very quickly.
17:59That responsibility felt like a piece in a jigsaw
18:02that just fit.
18:05We've got a house together,
18:06and now we have two more children together.
18:10Having a family makes you put down roots
18:13and provide that stability for their sake.
18:15OK. Right.
18:17That stable family life far exceeded
18:20whatever I thought was possible for myself.
18:30Ambulance services, the patient breathing.
18:33Seven hours into the shift,
18:34and call volume has more than doubled
18:36since the start of the day.
18:39Do we know how he got onto the floor?
18:40I was concerned, I thought,
18:42if somebody got into the flat,
18:44it was to break.
18:46We've got some bruising on his arm and on his legs.
18:51Currently, there are 151 patients
18:54waiting for an ambulance across Yorkshire.
18:57Tell me exactly what's happened.
18:59We were just walking past,
19:00and the cars just hit him.
19:03Ambulance services, the patient breathing.
19:05He is, but he's fallen off his bed.
19:07He's got advanced Parkinson's.
19:10We are currently very busy.
19:11At the moment, we are seeing delays
19:13of anywhere up to three hours.
19:16We've had a temperature all day,
19:17which is now 40.4.
19:19How old is the patient, please?
19:21Six.
19:22OK, at the moment,
19:23do you think how busy the service is?
19:24An emergency ambulance is not being sent.
19:26We've arranged for you to receive a call back
19:28from the NHS 111 service.
19:31Do you know how you're looking?
19:33I'm really busy.
19:34We've got quite a lot of uncovered jobs.
19:35We've got 25 jobs without any crews on them.
19:39Unfortunately, there's no ambulances
19:41at this time to send them.
19:44With the service under pressure,
19:46duty manager Michael is overseeing
19:48the allocation of resources.
19:50One of us cruises tied up
19:52at that incident in Hare Hills.
19:54I don't know how long it's going to go on, really.
20:00Nagina and Mo have been on scene
20:02at the siege in Hare Hills
20:04for almost two hours.
20:06The fire risks the problem.
20:16Bloody hell.
20:20Police are preparing to force entry.
20:27EOC receiving, go ahead.
20:29Police now have a tactical team
20:31that have got fire time kits
20:32that are going to deploy into the property.
20:35Behind them will be a fire for an accelerant.
20:37We're deploying a heart just behind them,
20:40in case of casualties.
20:41Alzheimer's career,
20:42or any other injuries,
20:44or if you decide to leave the property via the window.
20:46Sorry, Steve.
20:47Thanks very much.
20:47I will await any further update from you.
20:50Police are going to go fire retardant.
20:51And then we're going to have deployment onto your vehicle.
20:55If there's any interest.
20:55Yeah, that's fine.
20:56All right.
20:57So I'll get you to the back of the property,
20:58because I think that's where you're going to get access to currently.
21:02What are you situating?
21:03I'm going to hear so I've got eyes on front,
21:05and therefore I can update you to the back.
21:07If you're happy updating me from the...
21:08That's fine.
21:09Well, cheers mate.
21:10Thank you very much.
21:15Team leader's just called us,
21:17they've got a plan to go in.
21:18Right.
21:19It's always concerning,
21:20given the threat that's been highlighted,
21:22we just have to wait for that update coming in.
21:24Oh, I'm really worried about this.
21:30There's a lot of unpredictability.
21:33I do feel scared sometimes.
21:37I can have like a hundred different scenarios in my head
21:39of how this job is going to end up being.
21:41Oh, that's powerful.
21:42Especially if it's hostile situations,
21:46you sort of get yourself mentally ready.
21:49Like, okay, how am I going to get out of there
21:52if anything happens?
21:54It looks like they're about to go in.
21:59With concern for the welfare of residents,
22:02police prepare to siege the property.
22:181813, go ahead.
22:19The threat of the accelerant's gone down.
22:22So we're de-escalating to a negotiation situation,
22:25which is not siege and negotiation, only...
22:28Aw, that is marvellous.
22:33Very low probability now that we've still got an accident,
22:36if anything.
22:37Yeah.
22:37Wonderful.
22:38Yeah, do you want to get out of there?
22:39The phone is waiting for you.
22:44Brilliant.
22:46Right.
22:46They've got 20 outstanding patients.
22:48Ten of those are Cat 2s and one Cat 1.
22:51So I'd like that relayed to see...
22:53Yeah.
22:53...to see if we can release that emergency crew.
22:55Can you float that with him?
22:591813, we've got an outstanding Cat 1
23:02and ten outstanding Cat 2s.
23:04If we could get that crew released to the door,
23:06do you want to keep them there, over?
23:09Yeah, that's what I see, thank you.
23:12I'll pass that information on you.
23:13Right.
23:14Joyce, you've got your crew back, love.
23:15Oh, brilliant.
23:216096 receiving.
23:25I believe you have been stood down from that incident
23:27at Hare Hills.
23:29Are you both OK?
23:31Yeah, we're all fine.
23:32The police negotiators are trying the best with the patient.
23:36We'll leave it with the team leader and heart team
23:39to see what happens on that detail.
23:41Really appreciate you coming clear.
23:43We have got lots of outstanding work.
23:45So, that's great.
23:46Thank you both.
23:47I will speak to you shortly.
23:50We'll see you, thank you.
23:58With everything you see in the job,
24:00my family say, you know, I don't know how you do it.
24:03I think it's made me a stronger person.
24:06I do want to help people.
24:09It's just something that I've always been passionate about.
24:13And what I've been through.
24:14I wanted to be a good role model for my kids.
24:18And it just shows them, I think, a lot of hard work, perseverance.
24:23You'll get there.
24:32Ambulance service.
24:33Is the patient breathing?
24:35Yes.
24:36Okay, tell me exactly what happened.
24:38He's just fallen down the stairs.
24:41Oh, my goodness me.
24:42I heard his awful clatter.
24:45I shouted out and he didn't say anything for a while.
24:48I just thought the worst.
24:51New incident.
24:52Cat agreed to.
24:54Fallen down stairs.
24:56Traumatic.
24:59696.
25:00Thank you, my darling.
25:02I have said you would have two details.
25:04You're going for John?
25:05Yes.
25:0672-year-old gentleman.
25:08And he's now fallen down the stairs.
25:10And that's all details for the moment, have I?
25:13After clearing from the siege, Nagina and Mo are dispatched
25:17to the call in progress.
25:20What caused the fall was it that from him?
25:23He said he lost his balance and he's been quite wobbly.
25:27Do you reassure him that that house is arranged?
25:30Okay.
25:30He's looking quite pale.
25:40Hello.
25:41Oh, dear.
25:43So, John, what's going on?
25:44Tell me what's happened.
25:46Why at the bottom of the stairs?
25:48I was going up the stairs and lost my balance.
25:54Can I have a check around your head and your neck?
25:56Right.
25:57So, no pain there?
25:59No.
25:59Okay, anywhere there?
26:01No.
26:01Right.
26:02We'll just do a couple of checks while we're here on the floor.
26:05Just check your temperature.
26:08395.
26:09That's up, isn't it?
26:10It is, yeah.
26:11Have you felt unwell the past few days, John?
26:13No, I haven't.
26:15You haven't?
26:15Okay.
26:16You've got a raging temperature at the minute, though.
26:20Right, what we'll do is try and sit you up first.
26:22Right.
26:22I'm going to come under your arms, okay?
26:25Right.
26:27There you go.
26:28The chair behind you.
26:30Have a sit down.
26:32There we are.
26:32Fab.
26:34So, was the dizziness only when you sort of started walking up the stairs?
26:38Or were you feeling dizzy before?
26:40Like, throughout the day or, you know, when you got up to go up the stairs?
26:54I don't know why I asked you.
26:55I don't know why I asked you.
26:56I don't know why I asked you.
26:59Do you feel a bit confused now?
27:00A little bit.
27:01Yeah.
27:04Right.
27:05It's all right, Jean.
27:06He's okay.
27:06He's okay.
27:07Don't worry.
27:11It's okay, Jean.
27:12We're looking after him, aren't we?
27:15Yeah?
27:17Right, love.
27:20So, you've got some infection somewhere,
27:25so I think we need to take you down to hospital today
27:28to the emergency department
27:30and get you checked over there properly.
27:37Right. Right.
27:38Come this way, John.
27:42There we are. Wonderful.
27:44I'm going to get a cannula in your arm now.
27:46Sharp scratch coming, OK?
27:50Right then, John.
27:52I'm going to give you a little bit of fluid, is that all right?
27:55John?
27:57Yeah?
27:58OK.
28:02How do you feel, John?
28:04Do you feel poorly?
28:05Probably, yeah.
28:06Yeah.
28:08We'll just get you seated at the front there on the left.
28:13How's he doing?
28:15He's doing OK.
28:17Yeah, I've just popped some fluid in him.
28:18It's like his infection's gone a bit worse than it should.
28:24Borderline sepsis, possibly.
28:25Oh, no.
28:26So, I don't want it to get to that stage.
28:28And, obviously, when you get into hospital,
28:29we'll do some blood tests and everything.
28:31Right, John.
28:33We're going to take this one off now.
28:36I'll give you a bit of paracetamol time,
28:38bring your temperature down a bit.
28:40Don't worry.
28:40We've got you.
28:43John will be taken to St James's University Hospital, five miles away.
28:50Hiya, can I have a medical pre-allure, please?
28:53Query sepsis.
28:56He's fallen sort of halfway downstairs.
28:59There's no injuries or anything that we've noticed.
29:02He's just really acutely confused.
29:05Temperature is at 39.5.
29:08About ten minutes.
29:10All right.
29:12Thanks, love.
29:12Bye.
29:15All right, John.
29:18About the same.
29:19About the same.
29:23How long have you been together, Jean?
29:26We got married in...
29:2886.
29:29We met in...
29:3018.
29:3218.
29:3218.
29:33Right.
29:3440 years or so.
29:36We was in the area.
29:39Right.
29:40We're nearly here now.
29:41OK.
29:42Not long.
29:46Actually, moving is a nice part of it.
29:48They look a bit better.
29:49Because at first they were...
29:53A lot of that stunt.
29:55Yeah.
29:56Yeah.
29:57His eyes don't have to be improved.
30:00I feel in love with his speedy eyes.
30:05That's nice.
30:15You OK, John?
30:22So this is John.
30:23He's 72 years old.
30:25It's ready.
30:28Temperature's 39.5.
30:29And he's acutely confused.
30:32I'm just going to get his wife in if that's OK, yeah?
30:34Yeah, yeah.
30:34That's fine, yeah.
30:35Right, Jean.
30:37Take you to him.
30:39She's just going to get a chair for you, my love.
30:40All right?
30:41Keep doing that.
30:41Take care.
30:45It's a time-critical emergency from John.
30:48Some poorly patient was a...
30:50Oh!
30:53Hello, my darling.
30:54Hey, it's John T.
30:55I'm just wondering how you get on with...
30:56Ah, John and Jean.
30:58We found that he was actually really poorly.
31:01Lovely Jean was, erm, in tears.
31:03Had they been married a long time?
31:06Going on to 40 years, yeah, so a long time, yeah.
31:09Oh, no wonder she were upset.
31:11Thank you both.
31:12I'll leave you to do your stuff.
31:19A lot of hard work went into becoming a paramedic.
31:24If I didn't have the support of my husband and my sister,
31:28I don't think I would have got through getting the degree.
31:35My kids are always telling their school friends
31:37that, oh, my mum's a paramedic.
31:39And it's really nice to hear that they're proud of me.
31:42It just makes me think I'm one of the lucky ones
31:45where I do get this support.
31:48You get a lot of people who have to manage it all themselves
31:50and it's hard and I'm just...
31:54I feel really happy, privileged that I do.
32:05New incident.
32:081705, thanks.
32:10It's still quite busy.
32:16Roger, 35-year-old female having a seizure,
32:20at Leeds train station.
32:23Jen and Elliot are five minutes away
32:26from the Category 1 patient.
32:28A community first responder is also dispatched
32:31and will be first to arrive on scene.
32:34No one crossing, no one crossing.
32:36Clear left.
32:37Great.
32:40Are we going in here then?
32:41Yeah, that's fine.
32:46Hello, mate, you all right?
32:48Sitting down.
32:49Had a seizure and collapsed.
32:50I only turned up when she started coming round.
32:52Yeah.
32:53When she started coming round, she was definitely shivering.
32:55Okay.
32:55Hello, how are we doing?
32:57Is this your daughter's name?
32:58Martina.
32:59Martina.
33:00Hello.
33:01Jennifer, Elliot, nice to meet you, okay?
33:04Epilepsy?
33:05Does Martina have epilepsy?
33:07Like fits?
33:09Yeah.
33:10So she just goes tight, okay.
33:15Your heart?
33:17Heart, very fast.
33:19Very stressed.
33:19Very stressed, yeah.
33:21Yeah, okay.
33:24It seems like this lady's epileptic and that had a seizure
33:27and has came round.
33:28So...
33:29It might be undiagnosed, epilepsy.
33:31Yeah.
33:32For me, I'd rather take it to hospital.
33:35Do you want to go for a walk to the ambulance
33:38where it's a bit quieter?
33:41And then...
33:42Go outside.
33:44Yeah?
33:45Less noise.
33:46Too much noise?
33:47Go outside, it'll be a bit quieter.
33:50Yeah?
33:52Okay.
33:53What language?
33:55Polish?
33:56You could do a Google Translate on your phone
33:58and it wouldn't show...
33:59No.
34:01What are you saying?
34:02Would you please come to hospital with us
34:04because the checks with us are not good?
34:06No.
34:07No?
34:08No.
34:09No?
34:09Okay.
34:10It's free.
34:11No money.
34:12It's okay.
34:13No.
34:16Do you need any help?
34:19You need help?
34:20What?
34:21How?
34:21What help?
34:21I think they're a...
34:24A room?
34:26You...
34:27No house?
34:28Homeless?
34:30Where?
34:31Where?
34:32Just on the street?
34:33Yeah.
34:35Okay.
34:36Do you want to come...
34:37Come to hospital and doctors...
34:40I know, I know.
34:42But they can then...
34:44They can arrange, they can...
34:45They can get emergency, like, house and check-ups.
34:56Yeah, so we can do this.
34:58Come with us.
34:59Come with us.
35:00And we can help.
35:01And then we'll get you, like, Polish.
35:03Someone to speak Polish.
35:04And then they'll be able to help you.
35:07Okay.
35:07You come with us?
35:08Yeah?
35:08Yeah, okay.
35:09No problem.
35:10No problem.
35:19You put your feet up?
35:20It's okay.
35:23How long have you been in the UK for?
35:26How long have you been in Great Britain?
35:30Six...
35:30Six years.
35:32Six years?
35:33Six years?
35:34Yeah.
35:35Okay.
35:38Four...
35:39Four days?
35:40Four days.
35:41So they've been sleeping for...
35:42They've been homeless for four days, yeah.
35:44My landlord told me to move out because he's selling the apartment and I have nowhere to go.
35:56Okay.
35:57Okay.
35:59Yeah, no good.
36:09What will happen to me when she is in the hospital?
36:11I won't have anywhere to sleep.
36:14Keep them together.
36:15Troll. Together.
36:18Together.
36:20We have homeless shelters or hostels.
36:24First, check at hospital.
36:26And then, housing.
36:30Hospital will get you an interpreter to help you better.
36:35Right, OK, so, I drive, OK?
36:42People can end up homeless for any number of reasons, and...
36:47The basic human things, like somewhere to live and somewhere to sleep,
36:51come first, and without those,
36:53you're never even going to think about healthcare and education
36:58because you haven't got the basic human necessities to build on.
37:03I really empathise with people who have fallen upon hard times.
37:07Before, getting a job within the ambulance service,
37:10I had no money for rent,
37:12and I ended up living in a tent.
37:15I remember feeling ashamed and embarrassed.
37:20I also remember feeling like a fraud
37:21because when I saw my colleagues going home,
37:25people were discussing their plans.
37:27I kind of just stayed quiet
37:29because I didn't want them to know
37:30that actually my plans were lingering around work
37:34when everyone else had left so that I could have a shower.
37:38When you really do try and keep it hidden,
37:41you keep it to yourself and you feel alone.
37:48So, a 30-year-old lady, Martina,
37:51was witnessed to have a seizure in a public place.
37:55I don't think they're very health-literate or engaged with services.
37:58I think there's a few cultural boundaries with them associating it with a cost.
38:03Also, they've recently just been made homeless.
38:07The stress and the tiredness has just triggered it.
38:10Or literally on the streets.
38:11They're on the streets tonight, yeah.
38:14Living in a tent,
38:15it's helped me help other people who are experiencing homelessness.
38:20We're going now. Get well soon. Try and get some rest.
38:32Let's go home.
38:33Let's go home.
38:37There was one night when I was laid looking up at the stars,
38:41eating a tin of cold beans,
38:43and I remember thinking,
38:45wow, you've made a mistake somewhere,
38:47and I wish I could go back and say,
38:49look, stick with it, you'll be all right.
38:54I think they're the jobs that bother me the most
38:57out of all the things we go to.
38:59For me, to see a patient look at you with that fear,
39:03staring at you blank in the face and saying,
39:05please help me.
39:08That is sad.
39:10What gets me is I get frustrated
39:12at the amount of cracks in the system
39:14and angry for the people who fall through it.
39:18Yeah.
39:18We sell the 24-hour NHS,
39:21but what about 24-hour social care and housing services
39:24and the knock-on effect means people can't be discharged
39:28and it backlogs all the way to the front door of A&E.
39:30Our patient did need to go to hospital in this instance,
39:33but how many get taken there as just a place of safety?
39:37Because there's nowhere to take a vulnerable person.
39:48Morning.
39:51It's Sunday,
39:52and dispatcher Joyce is back for another 12-hour shift.
39:56Joyce, I've got an update on the Hair Hills job from yesterday.
40:00Oh, yeah.
40:00It was resolved about half-eight last night,
40:02so negotiators managed to get in the property.
40:04Apparently, while they were still negotiating with him,
40:06he was continuing to take crack cocaine and heroin.
40:10It's outrageous.
40:11Yeah.
40:11He eventually agreed to come out of the property.
40:14However, he insisted on being conveyed to hospital
40:17for pressure source for sitting in the window.
40:20You're joking?
40:20No.
40:21Police have been in touch with me today for a statement
40:24because they're going to prosecute him for causing a public nuisance.
40:27Well, let's hope we don't have another one of those.
40:29Hopefully not.
40:29Hopefully not today.
40:30Super Sunday.
40:32Let's hope.
40:33Thanks, Leblanc.
40:34All right.
40:40Thinking about food already.
40:43Also back on duty in Leeds are Nagina and Mo.
40:47I'm thinking about coffee.
40:50Imagine drinking coffee.
40:51That's horrible.
40:53Coffee?
40:54Mm-hmm.
40:55Well, that's because you're a baby and I'm a mature adult.
40:58I don't think so, because I drink tea.
41:00Yeah.
41:01That's not coffee.
41:02Yeah, but...
41:03That's not coffee.
41:04Tea's more mature than coffee.
41:05No, it's not.
41:06You have Gen Z nowadays walking around with nice coffee.
41:11How many young people do you know that drink tea?
41:16Exactly.
41:18Tea?
41:22I'm giving 1696 a job.
41:24Somebody's been up the floor since five o'clock.
41:27She's 94.
41:29She has not been kept waiting.
41:31We're getting somebody to work.
41:32She's a long life, so it should upgrade to a cat too.
41:34Where are you?
41:39Thanks, my darling.
41:41I am sending you a job that you are literally across the street from, I believe.
41:46Nice.
41:46It's a 94-year-old lady, Audrey.
41:49This lady has been on the floor since 5am.
41:53Very fortunately, you are just a moment away.
41:56Just give us a shout if you need anything.
42:00Nagina and Mo are one minute away from the patient in Otley,
42:04who has been found by her carer after nearly five hours on the floor.
42:09Hello, there's people here.
42:10You have arrived at your destination.
42:16Hello, Audrey.
42:18Have you injured yourself anywhere?
42:20I don't think so.
42:22She says, like, down her hip side hurts.
42:26She did try and get up and you couldn't get up, could you, Audrey?
42:29No.
42:30Would you normally be able to get yourself up?
42:32I normally could get myself up.
42:34The pain's in your right hip, is it?
42:36Yeah, it is.
42:37Am I OK to have a feel of your hips?
42:39Yes.
42:41Any pain down here?
42:42No.
42:43No.
42:44Down your leg?
42:45No.
42:46You can feel me touching there?
42:48Is that ticklish?
42:49It's ticklish.
42:49All right.
42:50Take that as a yes.
42:51OK.
42:53So, shall we try and stand you?
42:56Right.
42:57So, we'll go under your arms and sit you up, OK?
43:01Are you ready?
43:02On three.
43:03One, two, three.
43:07There you are.
43:08Keep coming.
43:09It's been all right, love.
43:10Keep coming.
43:11That's...
43:12Is that painful?
43:13No.
43:14No?
43:15OK.
43:15Big push.
43:19There we are, nice and tall.
43:21OK, there's a chair behind you.
43:23Sit.
43:23Sit yourself down when you're ready.
43:26Lovely.
43:27Now, put this pillow over.
43:28Oh, bless you.
43:29You see us better now.
43:31There you are.
43:32Bless you.
43:33Good.
43:34You look...
43:35You look better.
43:36You look good.
43:37Yeah.
43:37Yeah?
43:38I think so.
43:41But sometimes...
43:42This is where the book comes.
43:44Yeah.
43:45Because you've been on the floor for over two hours now,
43:49what I'd like to do is maybe take you down to the hospital.
43:53I've got somebody coming this morning from Homeward.
44:03Homeward.
44:03OK.
44:04So, if they're coming, possibly they can do the bloods that we require.
44:08Do you feel fine in your legs?
44:10I mean, you don't feel that pain that you said you felt in your right leg,
44:14your right hip?
44:15No.
44:15Yeah, I think.
44:17I think we just try and contact Homeward.
44:20Do you want me to have a drink?
44:21Yeah, yeah, of course you can.
44:23Yeah, yeah, yeah.
44:23Do you want to drink, Audrey?
44:25A drink?
44:26Yeah.
44:27You can't have dinner or wine.
44:29Tea.
44:30Tea.
44:30Tea?
44:31Oh.
44:31Tea.
44:32A woman after my own heart.
44:34Tea.
44:35Love tea.
44:37Hello.
44:37It's Nagina, paramedic with the ambulance service.
44:40It's nothing to worry about, really.
44:42She's just had a little fall this morning.
44:44I'll hold the saucer.
44:45I'll hold the saucer.
44:45I'll hold the saucer.
44:47And I was just wondering if you could do some bloods, you know,
44:50just for her long lie.
44:52Yeah.
44:54Ah, it is.
44:58All right, wonderful.
44:59Thank you for that.
45:00Cheers.
45:01Take care.
45:01Bye now.
45:04We're in luck.
45:05You can stay home.
45:06Lovely.
45:07And one of the nurses is going to come over and do some blood tests on you.
45:12Right.
45:12Right, you are.
45:13OK.
45:14Can you have some breakfast?
45:16Or is it too late for that now?
45:17It's time.
45:18Well, if you've not had any.
45:21Do you manage to cook yourself and things?
45:23Cook, push it in the microwave.
45:26Oh.
45:27I'd think making a pot of noodles cooking too.
45:30LAUGHTER
45:31Right, Audrey?
45:33Right.
45:33Thank you very much.
45:34We're going to be off now, Audrey.
45:35All right.
45:36Nice to meet you.
45:37All right.
45:39She was very nice.
45:41Well, at B94, you don't want to be dragging her into hospital.
45:45Yeah, when she sat on that chair and she just looked up,
45:49that she could actually see everyone properly.
45:51It's just the little things in here that make a big difference, I think.
45:54Yeah.
45:57BEEP
45:58Ambulance service, is the patient breathing?
46:00Yes, but his eyes have gone back in his head and he's very cold and sweaty.
46:05OK.
46:06Is he conscious?
46:07No.
46:08He's gone from a grey colour generally.
46:10He's got a horrible kind of draining sound in his mouth when he breathes.
46:15Oh, I think he's gone.
46:17Oh, shit.
46:18Listen carefully and I'm going to tell you how to do chest compressions.
46:23OK.
46:27Go ahead.
46:28Yeah, John.
46:28A 67-year-old male.
46:30Not breathing.
46:31That CPR isn't very aggressive, mate.
46:32Rod's understood.
46:34Critical care paramedic John is immediately dispatched.
46:38He's 12 minutes away from the patient.
46:40Two ambulances are also en route and will arrive first on scene.
46:46I don't think it's three minutes at all.
46:49OK.
46:49We're doing really well.
46:51Just keep going.
46:52I know it's really difficult.
46:53One, two, three, four.
46:55One, two, three, four.
46:59Don't give up.
47:00This will keep him going until the ambulance crew get there, OK?
47:05Oh, the crew is excellent.
47:08Who?
47:14Assess heart rhythm.
47:17So, we're a systolic.
47:19Just want to stick an eye gel in, Kelly.
47:23Are you happy running an owl?
47:24Yeah, yeah.
47:27That's me and you have a chat.
47:30OK.
47:32I'm John.
47:33I'm the critical care paramedic.
47:34What do we call you?
47:35Penny.
47:36Penny.
47:37At the moment, the heart rhythm, Steve's heart, there's no electrical activity at all.
47:42It's not good, is it?
47:43It's really not good, I'm afraid.
47:45I don't believe this has happened.
47:48One minute he's standing there and the next minute he's gone, you know.
47:51Yeah.
47:52It's just...
47:53Obviously, at the moment, we're pumping his heart round and we're breathing for him.
47:58He's not doing anything himself.
47:59Obviously, the guys are doing the best they can.
48:02Everything that we do here is what would happen in hospital.
48:05Yes.
48:06So, there's no...
48:07I'm absolutely competent.
48:08So, there's no detriment to us treating him here.
48:11Yeah.
48:11But I think you need to prepare yourself.
48:14He's very...
48:14He's very bloody-minded and he's quite stubborn, so...
48:17So, maybe...
48:18Maybe he'll...
48:19He'll prove me wrong.
48:20Yes.
48:23We're not there yet.
48:24I'm going to go back and talk to the guys and find out what's going on.
48:26But I just wanted to have a word with you so that you're aware of what we're doing.
48:34As the team performs CPR on Steven, multiple cardiac arrest calls are being received in control.
48:43We've just broken into his house, as we haven't heard from him.
48:46And we just found him on the kitchen floor.
48:49I'm going to tell you how to do CPR now, okay?
48:52Okay.
48:59You need to pump the chest hard and fast at least twice per second and two inches deep.
49:05There's a gentleman that's in the flat below me.
49:08He's woke up this morning to find that his friend's dead.
49:12So, Darren, that's 10 cardiac arrests now in an hour.
49:15Like, I've now got jobs where I can't allocate CCRVs to.
49:19It's, um, busy.
49:21Hello, 17-0-5.
49:2417-0-5, thanks.
49:26Is somebody's called in and said, woke up, found his friend dead.
49:35But obviously that's not been confirmed.
49:38We have gone down cardiac arrest.
49:40So, at the moment, until proven otherwise, we're going to treat as such.
49:44It is pre-alerting as a Category 1 call.
49:46I'm going to send you another crew and see about critical care also.
49:51I think Hannah has just been allocated to a different job.
49:55I'll keep you posted about that. I appreciate it. Thank you.
49:58Roger, will do. Thank you.
50:00Jen and Elliot are seven minutes away from the cardiac arrest in Armly.
50:05With no critical care resource available, they will be first to arrive on scene and will lead the response.
50:12If you can get straight on the chest, I'll put the pads on.
50:16If they're unconscious and not breathing, we're going to apply the panels and start CPR.
50:20Most important thing, let's get an early shock, if required, and really good compressions.
50:26And get in that routine, and that's going to make more difference than all of our drugs.
50:34Slow down, slow down, slow down.
50:44It's still warm, it's still really warm.
50:45Hello? Can you hear me?
50:47OK, on the chest, please, Jen.
50:50Hello, 1705, CPR in progress.
50:54That's an affirmative. CPR in progress.
50:57Hannah has gone on that other one. She's deceased.
51:00I'll bring her in, see if she can come clear.
51:03Yeah, that's fine. Sometimes we do have to make some difficult decisions, unfortunately.
51:08Hi, Hannah.
51:09It was just a quick one to see if you might be able to come clear in the next couple
51:13of minutes.
51:14I've got another job for you.
51:17Yeah, give me a call as soon as you come clear.
51:20Awesome. Thanks, Hannah. Cheers.
51:25Analyzing Patrick.
51:27Still asystole.
51:28Swap sides, please.
51:30Ten minutes after Jen and Elliot are first on scene, a second crew arrive to support.
51:35Hi. OK.
51:37This gentleman, we don't know if it was a witness to rest.
51:42It was kind of in a gonadal rhythm when we got here.
51:45Quickly went into asystole.
51:46Still warm.
51:48So, we're non-shockable, so we'll get some IV access and we'll get some drugs in.
51:56Thank you, darling.
51:58I think that's in.
52:01OK.
52:02Is that adrenaline?
52:02It's been checked.
52:03OK.
52:04That is 10.52 adrenaline.
52:10Critical care paramedic Hannah is en route to support Jen and Elliot.
52:15She is five minutes away from scene.
52:17Thirty-four miles away, John and the team are still on scene with patient Stephen, who collapsed at home.
52:24Assess heart rhythm.
52:27So we're asystike.
52:28He's been receiving CPR for 32 minutes.
52:31I don't think we're doing any favours, continuing, because we've got no response to the adrenaline.
52:38I don't think there's an outcome we're going to get from this.
52:41Yeah.
52:41Happy birthday, Pete.
52:50Penny, we've stopped.
52:53I can't believe this is happening.
52:55I'm really sorry.
53:00Do you want to grab a seat?
53:01Do you want to go for a walk round?
53:03I think I'll just have a walk round.
53:05I'll leave you, I'll leave you to it.
53:07We're going to make everybody a cup of tea.
53:09I need to do something to do.
53:11Get the kettle on, make some brews.
53:13Shake it, very shaky.
53:15Oh, dear.
53:16Is this your daughter who's ringing?
53:20Oh, yeah.
53:23Hiya, it's me.
53:24I think so, yeah.
53:28You know those episodes he's been having.
53:36She's like me, she starts talking and she's like, you know, like, when you're upset, your mouth starts to go.
53:41Yeah, yeah, yeah.
53:44I can't understand how one minute he was standing up at the doorway and the next minute he was gone.
53:50It was just, it was mad because he managed to get himself into...
53:54Back into bed.
53:55Yeah.
53:57So I just threw a t-shirt on and opened the curtains and then realised what had gone on.
54:02Yeah.
54:04It's just, I wish he'd brought me up a bit earlier.
54:07I mean, he was up in the night and nobody said, I should have just been more forceful.
54:11Penny.
54:13Don't second guess it.
54:14I know, I'm sorry, I'm going to, you said, yeah, I'll listen to you.
54:16Yeah, don't second guess it because it wouldn't have changed anything.
54:22You know, I'm, yeah.
54:23Yeah.
54:26Nothing you could have done would have stopped that from happening.
54:33I'm sorry, I couldn't do any more.
54:36Did you see that incredible sunset on Wednesday?
54:39Yeah, yeah.
54:40At least we saw that.
54:41Yeah.
54:49Assess heart rhythm.
54:52Now one hour into our resuscitation attempt.
54:55An unknown amount of time into when his heart stopped.
55:00In Armly, critical care paramedic Hannah has been on scene for seven minutes.
55:06People can surprise us.
55:08So let's see what this adrenaline and a round of this fluids.
55:12Assessed heart rhythm.
55:13So pausing for rhythm analysis.
55:16Check is what?
55:17Sorry.
55:19Did you see some movement or is it?
55:22Right, stop there.
55:27You can feel it.
55:28I can feel that, pulsed.
55:29You can see it.
55:32Right, okay.
55:34Airway, patient breathing.
55:35Can you start to ventilate one every sort of six seconds?
55:38Not too much.
55:39Yes, Jen.
55:40Just until you see it kind of natural.
55:42All right.
55:45Do you know what?
55:45His heart rate actually just went up to 73.
55:48And that was without adrenaline.
55:51At the moment, this patient is alive.
55:54He's very unwell, but he's alive.
55:56So he needs to go to hospital because he's unwell.
55:59Okay.
56:04Okay.
56:11Hopefully it makes me better at my job having experienced some adversity.
56:16We meet people who are not as lucky as us and we feel more connected to them.
56:22This girl I know.
56:24Need some shelter.
56:27We're just part of other people's journey.
56:32They're tapestry.
56:33She's doing so much harm.
56:36Doing so much damage.
56:39But you don't wanna get involved.
56:41You tell her she's...
56:4360 and 96 receiving.
56:44Only me.
56:46Just calling you both.
56:47Thank you ever so much.
56:49You've absolutely been phenomenal.
56:52Yeah, likewise.
56:53So we'll do it all again, eh?
56:55We certainly will.
56:56Could you forgive yourself?
57:00Come on, let's go.
57:03Taking a moment to realise how lucky you are is really important.
57:08I'm driving home to my wife and my children in a house that is safe.
57:13It makes you incredibly thankful.
57:16Stand in front of you.
57:18Take the force of the blow.
57:22Protection.
57:27Stand in front of you.
57:30Take the force of the blow.
57:34Protection.
57:39You're a gun, I'm a boy.
57:45No, no.
57:46Oh, no, no...
58:12Um, um...
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