- 2 days ago
Ambulance - Season 16 - Episode 01: Punched by a Patient
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00:00New Incident, Category 1.
00:03Put you on an RTC, two cars head on.
00:07This lady has been on the floor since 5am.
00:11It's a two-year-old who's been stabbed over.
00:14Every day across Yorkshire, more than 3,000 people call 999.
00:19He's just not breathing.
00:21He's pregnant.
00:22He's pregnant.
00:24He's pregnant.
00:24He's pregnant.
00:24He's pregnant.
00:26The ambulance service must decide who gets help.
00:30We're going to look after you, mate.
00:32We've got you.
00:33Can I get you covered up?
00:35Lovely jubbly.
00:36And who must wait.
00:3734 jobs waiting for an ambulance now in Leeds alone.
00:41As the pressure on the NHS refuses to relent.
00:44We're creating the waiting room for a waiting room.
00:47The paramedics on the ground navigate England's largest county.
00:52Welcome to our office.
00:54All right, kid.
00:55Well done.
00:55From the busiest cities.
00:57Chaos tonight.
00:58We'll need to get out of Leeds now.
01:00To the remotest villages.
01:02We're in the forest.
01:03In the middle of nowhere.
01:05Where each call is a crisis.
01:07I've got a five-year-old found wandering in the street.
01:10Naked.
01:11Malnourished.
01:11God, it breaks your heart.
01:13It's awful.
01:13It's awful.
01:14And every decision critical.
01:16Hello!
01:16Where are we going?
01:17You all right?
01:18Jesus.
01:19Where are they going to land in the middle of Bratford?
01:23We go beyond the flashing blue lights.
01:26Whoa!
01:26Whoa, whoa, whoa!
01:27To reveal the human stories behind every siren.
01:30Just keep it going.
01:31I don't know.
01:33Thank you for coming.
01:34You don't have to thank us.
01:35You do.
01:37If you've got manners, you do.
01:39Are we all ready to set sail?
01:40Get her going!
01:41Get her going!
02:09We're organising help for you now, so just stay on the line.
02:13I've just had some disgusting ambulance workers out.
02:16They would be so arrogant and so rude, so I've sent them on the way.
02:20I didn't want to get seen by them.
02:23It's the start of the night shift for Yorkshire Ambulance Service.
02:28For the next 12 hours, Abby will oversee her team of 23 call handlers,
02:34stepping in to support them during their most serious and complex calls.
02:39I don't want you to turn my ambulance route.
02:41I could be having a heart attack.
02:43I could be having an angina attack.
02:44And I'm going to be holding NHS responsible for this.
02:46Can you just calm down, please?
02:48Because I'm trying to help you.
02:50I'm not having no dirty disgusting workers.
02:52Coming to me, I'll see if you're successful.
02:54Do you understand?
02:57All right.
02:58Thought we were awful, weren't it?
02:59Not that horrid.
03:00What address is that one?
03:01I'll keep an eye out.
03:03Anybody else that gets them, I'm going to report.
03:14Call handling, emergency call handling, it's not just any job.
03:19I know that after nine years.
03:22Is he still shaking?
03:24Is it just his arm?
03:26Is it just his arm?
03:28Being a call handler can be incredibly difficult.
03:33I've told him to tilt her head back.
03:35Yeah.
03:35What position is she in?
03:36I'll double check.
03:37Can I just confirm, what position is the patient in at the moment?
03:41Sometimes when you start a night shift, you'll hear everybody say,
03:44what's going on tonight?
03:46We all get a sense for it.
03:48So, are you in the underpass pit now?
03:51Yeah, that's fine, just stay there then.
03:52Right, I need you to stay there for me, OK?
03:56You do know that it is just going to be one of those nights.
03:59One of those shifts.
04:17I'm organising the help for you now.
04:19Please do not be rude.
04:25I hope that doesn't mean that that's a bad start to a shift.
04:31Oh, dear.
04:38Ambulance service, is the patient breathing?
04:40Who's here?
04:41Yes!
04:47So, I'm organising the help for you now.
04:49Just stay on the line and we'll tell you exactly what to do next.
04:54Right, OK.
04:57Oh, dear.
04:57You can't hear him screaming, man.
05:00Jesus Christ, man.
05:021671.
05:03Just to let you know, I've diverted you to this pre-alert category one.
05:06It's now coming through as a 45-year-old male having a seizure,
05:10but they've got an unknown conscious, unknown breathing.
05:13Brilliant.
05:14Thank you very much.
05:15Dispatcher Kieran has diverted the nearest available ambulance,
05:20leads crew 1671, Sarah and Louise, to the category one call in progress.
05:27I think we are just around the corner, so we're very close.
05:31They are two minutes away from the patient.
05:35Is he still twitching now?
05:38Is he still twitching?
05:41Jesus Christ!
05:50It's all right, my lovely. Yeah. It's OK. It's all right. It's all right.
05:55Right, we're going... Whoa, watch your face. Watch your head. Watch your head.
05:58Oh, whoa, whoa, whoa, whoa, whoa, whoa. Right. Shall we pull him backwards?
06:02Pull him back. He's going to hit his head on here. He's going to hit his head.
06:03We need to get him in, guys. Yeah? Ready? Ready, set. Go!
06:07There we go, darling. That's fine. Let's get in. Yeah.
06:14We're going to have to diazepam in, aren't we? Yeah.
06:20We've got a pillow, please. We've got a pillow or something.
06:22We've got anything to stop him hitting his head. Pass the coat, please.
06:25Yeah. Anything.
06:30Are you...? Yeah, I'm all right if you start getting diazepam out.
06:38All right, we're just going to get you some medicine.
06:41It's almost as if he's had something. Yeah.
06:47Because he has got the strength of ten men.
06:51Do you know if he's taken anything?
06:53And when we're not bothered, we just need to know
06:55before we give him anything.
06:57Right, you just climb over, mate. Yeah.
06:59Right, we're going to need backup for this.
07:02Wait!
07:03Whoa! Whoa, whoa, whoa, whoa, whoa, whoa!
07:06Whoa!
07:111671.
07:131671, go ahead.
07:15Can we have police, please, to help with extraction with this patient?
07:18Oh!
07:19Oh!
07:20Yeah!
07:21Right!
07:22Oh!
07:24Oh!
07:26Oh!
07:27Oh!
07:28Oh!
07:29We've got a 45-year-old male having a seizure.
07:33The crew have got to the scene and he's being violent and aggressive towards him.
07:36Stop!
07:37Stop!
07:38Stop!
07:41It must hit me.
07:44Oh!
07:45I haven't got any more information.
07:46They sounded quite panicky.
07:48Stop him going in the lift!
07:50Come on.
07:55Right, calm it now!
07:57Come on.
07:57Come on.
08:01You got it in the face.
08:02I got it in the face.
08:03I might hit me in the nose.
08:05I'm shaking.
08:091671.
08:10Police are on route as an emergency.
08:12Yeah.
08:13Oh!
08:13Oh!
08:14Just try to keep yourself safe, Mum.
08:33PHONE RINGS
08:33Hello?
08:35I think he's cleared on me.
08:38How many times has that guy called tonight?
08:423, 4, 5, 6, 7, 8...
08:479, 10, 11, 12, 13, yeah, 14 times.
08:51In control, the abusive caller, who has already turned away one ambulance,
08:56continues to phone 999 and be aggressive towards Abi's team.
09:01I've just been speaking to you because you are absolutely disgusting.
09:04I'm not happy to carry on talking to you.
09:05I'm sorry, you are disgusting.
09:07All right, I'm sorry you feel that way.
09:09He is currently making a new call every minute.
09:13Do you want to try to get clever or trying to get hard bit into, all right?
09:17I'm not being aggressive.
09:18I've had enough of speaking to you.
09:19Disgusting advisers.
09:22So if you'd like me to triage you, I need you to answer these questions, okay?
09:32You're not triaging.
09:34Yeah.
09:36PHONE RINGS
09:36Is this the case you're breathing?
09:38I'm clearly in jail. That's why I'm constantly calling
09:41to that full swag.
09:43Er, don't talk to me like that.
09:46He's not back with anyone else, is he?
09:48No, I'm not triaging him. We're not triaging him at all.
09:51Even if he says he's got worse, we're not going to do it any more
09:53cos he's on his 24th, 25th call now, we're not doing it.
09:57No. No, the longer he's on the phone,
09:59the more opportunity he's got to be abusive to you
10:02then we're not tolerating that.
10:04Thank you so much.
10:07As a manager, I'm very protective of my team.
10:10When I see my entire team receiving abuse
10:14and it affects multiple people,
10:16it is really difficult to see, because no-one deserves that.
10:22That shouldn't happen at all, but it certainly shouldn't happen
10:25to people that are there to help.
10:27You can see how many other genuine emergency calls
10:31are sat waiting to be answered that need our help.
10:35And you think, why am I doing this?
10:48Are they actually looking at us?
10:50Yeah, they're upstairs on the corridor with us now.
10:54Sarah and Louise have now been joined on scene by police.
10:57Right, shall we go down to the ambulance now?
11:01They will assist with transporting the patient
11:04suffering suspected drug-induced seizures to hospital.
11:35I don't understand why I'm crying. I don't get it.
11:37I'm just going to get a drink.
11:40Oh, gosh.
11:51Are you okay? Sorry.
11:53I'm all right.
11:54I'm not going to let him hurt you any more than he did.
12:07I'm not going to let him rest.
12:10BUZZER
12:11BUZZER
12:13BUZZER
12:15BUZZER
12:15BUZZER
12:16BUZZER
12:16BUZZER
12:16BUZZER
12:16BUZZER
12:17BUZZER
12:18BUZZER
12:18BUZZER
12:18BUZZER
12:18How are you guys feeling? Are you guys okay at the minute?
12:25BUZZER
12:26and poor Louise got full force punched straight in her nose I've been caught in
12:31the face and kicked but yeah we're all right that's the main thing as long as
12:37you guys are okay as I say you go to work to do a job and you don't expect to
12:41be assaulted obviously take as long as time as you need to debrief have a word
12:45with the team leader we might be able to avoid you for the rest of the night I'm
12:49not counting any chickens no I wouldn't either but we'll we'll try and be nice
12:58brilliant thank you my lovely
13:16what I've got for your tea then I don't know what I'm going to have tonight do you know what
13:20you're
13:20gonna have got a lasagna oh that sounds nice homemade no you know what that's just such a
13:28letdown Hester Leeds crew 1696 are en route to their second patient of the night
13:42ambulance service is the patient breathing yeah it's my mom she's had a false
13:47fallen into her walker I think the thing's stuck in her arm and she's losing like a lot of blood
13:58new incident category one I 1696 just some details on this category one that you're attending
14:0576 year old female it says that she's fallen and a walker's handle has gone into her armpit and it's
14:11bleeding all right thank you very much oh that sounds nasty
14:21Hester and Jess are immediately diverted to the category one call in progress hi mate it's Tom on
14:27icing desk we've got quick cares allocated you to this there's a DCA arriving a couple of minutes
14:32ahead of you and bleeding control has been provided by the Carl Hamlin team at the minute
14:38yeah no dramas at all Tom I'll give you a shout when I get there due to the complexities of
14:44the
14:44injury specially trained critical care paramedic Zach has also been dispatched to assist the crew on
14:50scene he is five minutes behind them
15:04I'm just nice to meet you this is Hester hello so what's happened I fell backwards into that into
15:13that how's your pain at the moment bad bad okay so did you just trip and fall I slipped and
15:22fell
15:22backwards and fell backwards I was trying to get the dog upstairs oh was it the dog's fault
15:28no it's quite a large wound yeah okay have you got any pain to your arm or your shoulder at
15:39all
15:40yeah just need to see how far round it goes you see any bone or anything you can see all
15:46the structures
15:46inside yeah you can see it so she has had a mechanical fall but it's the whole way around you
15:57can see all the structures inside and she's in a lot of pain if we're all in agreement do you
16:03think some wet gauze and then just
16:04just pop your hand down for me right if you can for me keep your hand lovely and still okay
16:08okay
16:10is there not some in the bottom of there oh yes right right you were a nurse where were you
16:15a nurse
16:15yeah right wow amazing thank you it's okay baby care oh baby care
16:22I'm thinking yeah should we sit her up because it's soaking through and it's not staying where it
16:29should be because it's just in a really awkward place so we'll try sit you up dress your wound but
16:38it might be a bit uncomfortable you need any more okay oh you got all right well done fair enough
16:45cool if
16:46we just pull this just need to be really careful um I know I'm really sorry hold them to me
16:53yeah
16:53all right let's okay well done I'm doing really really I know it'll be a bit stingy and then we
17:00just need a bit on this side as well so we're just gonna have to do it like this and
17:04then if we
17:05just go around the neck yeah I was gonna say it just needs you've got some beautiful necklaces
17:10yeah thank you really nice did you get them as a gift or anything or one set my hand's stuck
17:16in it
17:16sorry keep talking to me keep talking to me try and forget about that if you can do that if
17:21you
17:21need to take a few deep breaths in through your nose out through your mouth there's a bit there's a
17:26big hole if you feel any better they get in there all right can you put some more gauze so
17:32you say
17:32he was a nurse and you worked with children or babies babies oh my god I'd love that job
17:37was it newborns or was it preemies oh wow well that your speciality then yeah yeah I like me
17:46prems your prems yeah yeah I enjoyed it you enjoyed it it was difficult because there were
17:54events with her ventilating oh I can imagine going back up here yeah yeah it's quite a difficult job it
18:02is
18:04doing really really well three two one ow ow ow all right all right well done doing really really well
18:11perfect and then all you need to do is sit down it here sit straight down but you are safe
18:16promise you sit down that's it great job good lass we're just going to wrap you up in this blanket
18:23so
18:23we can keep you nice and warm on this trip out there we go I've got you I promise
18:33with the injury bandaged Hester and Jess will take Kathleen to the Bradford Royal Infirmary for further
18:49treatment are you proud of our bandaging then at least we can make you smile a little bit but it
19:09might just need a bit of a clean and sewing back up again I know but they'll give you some
19:18better
19:18pain relief than we can give you at the moment all right no no problem at all you've been a
19:32pleasure
19:32but we need to get your arm sorted so should we go see the doctors then come on then
19:40there we go
19:56oh wasn't she just lovely she was so sweet considering her injury as well she was just so calm and
20:03nice
20:03about everything once yeah yeah yeah you did a very good job so did you thank you don't know where
20:08I'd be without you love you I'm trying to help you help you okay I don't know I'm going to
20:31continue to form in the evening I'm going to continue to form in the evening I'm going to continue to
20:35form in
21:06case case and calling back and just clear line please
21:11right so we're going to be reviewing your case okay and then someone will get back to you
21:15what the hell what the hell what the hell what the hell what the hell what you're going on about
21:17you guys are absolutely disgusting
21:23okay thank you I'll let them know thank you bye bye
21:26she's great
21:27um a little bit of good news they're after going and arresting this gentleman
21:36hello there yes so yeah good news
21:44oh what a shift
21:59I feel in service is the patient breathing
22:02hello the patient is me and I am breathing
22:05okay tell me exactly what happened
22:08this morning I had some chest pains
22:15hiya 1696 76 year old female
22:18she had chest pain this morning
22:19but it says not having any now
22:21or had any since
22:22it's a bit of an odd one this isn't it really
22:25it might be one of them where she thinks
22:27that she's tough and she doesn't want
22:29to bother us that might be the case but I'm sure
22:31you'll find out when you get there over
22:33yeah we'll do our best and we'll keep you updated
22:35thank you
22:37Hester and Jess are immediately
22:39dispatched to a category 3
22:51recall in Leeds
22:51hello
22:53is it Marion
22:55hi Marion
22:57you can take a seat if you want
23:00so if you had to describe the pain what did it feel like
23:04it was a thing called a crushing pain it was more like the gastritis pain I remember
23:09well it was just sort of oh it's not going away is it and I talked to the GP and
23:15he says well
23:16you should really call up and see if they can come and tell it was an EEG if you have
23:20an ECG
23:22if there was anything to do with the heart
23:24I've had ischemic colitis and I was given a stoma last February
23:27an emergency operation
23:29can you point to where it was
23:32in fact Marion if it's okay with you can we slip your jacket off
23:34just so it can do your blood pressure as well
23:40where are you from originally
23:42New York
23:43really?
23:44that's where the accent comes from
23:45I've been here since 1974
23:47have you?
23:48wow
23:48the accent hasn't left though has it?
23:51no
23:51well I thought it had but they think it has over there
23:54see you're not American
23:56if I am
23:57I'm going to pop these sticks on your arms and like
23:59so how did you end up in Yorkshire
24:01from New York anyway?
24:03well I wasn't planning on coming to England at all
24:05I had a two-month rail pass
24:07I was 23
24:09wow
24:10and I took the train on to Brindisi to catch a ferry
24:13and we were playing frisbee
24:15and this gorgeous man
24:17and he was from Leeds
24:24so three years later we got married
24:26do you enjoy living here though?
24:28oh yeah I loved it it was great
24:30especially the pubs and all that
24:31oh the pubs are brilliant aren't they?
24:37so your heart tracing was fine
24:38good
24:39that's good
24:40how have you found coming from America to the NHS?
24:44I was totally amazed
24:46amazed
24:47but I had no idea when I came here that everything was free
24:50I mean you'd pay for it in your taxes but I was like
24:53I suppose in that sense we are quite lucky
24:55nowhere in the world
24:56nowhere in the world
24:56under pressure but we're lucky to have it
24:59oh it's amazing
25:00yeah
25:01I would have been a goner
25:02yeah
25:02totally
25:03it was like they did a fantastic job
25:05yeah
25:05you know I mean I'm lucky
25:06I am
25:07I know I am lucky to be alive
25:14it doesn't sound like it's anything to do with your heart
25:16which is a really good sign
25:18it sounds like it could be a bit of sort of gastritis or acid reflux
25:23yeah
25:24okay
25:25any further problems make sure you ring one one one
25:27okay
25:28alright then we'll leave you be
25:30okay
25:31thank you
25:32we'll let ourselves out
25:34we'll see you later
25:34see you later
25:35request us to
25:38see you later
25:39see you later
25:39see you later
25:39see you later
26:01how old is she
26:05just being bon
26:07right I'm organising some help for you now
26:09just stay on the line
26:10is she changing colour
26:13she's looking a bit blue
26:14what position is she in now
26:16what position is she in
26:20oh right that's fine
26:23what's her colour like now
26:24is she still looking a bit blue
26:25what's her colour like now is she still looking a bit blue
26:28just her lips
26:29what's her cheeks like
26:30what do her cheeks look like
26:35they're red
26:36that's really good
26:37okay that's good
26:41is that her crying
26:42is that her crying
26:43is that her crying
26:44yeah okay
26:45make sure she's kept nice and warm okay
26:47she's still looking a little bit blue
26:49she's crying
26:50just
26:50just keep her warm okay
26:57put the phone next to her
26:58let's just listen to her
26:59can you put the phone next to her
27:00just so I can listen to her breathing
27:09that's fine
27:11that's fine thank you
27:13actually keep her awake
27:14keep a close eye on her
27:15that's fine
27:16just keep her awake and just keep her close eye on her okay
27:18just let me know if anything changes at all
27:22she's all right she's crazy she's crying
27:24she's making some noises okay
27:26just let me know once the ambulance crew are there and then I can leave you with them
27:33all right I'll leave you with them
27:37bye
27:38okay
27:38bless her
27:39well done
27:43emergency call handlers are the first responder
27:47people think of the first responder as the first person on scene
27:50but actually it's the person that picks up the phone
27:53and their role is so overlooked
27:55overlooked
27:57I think it's really important for me to tell them at the end of every shift
28:01really appreciate what you've done
28:04because I do I'm not just saying it because I'm a manager
28:07I'm saying it because I've done the job myself I know how hard it is
28:11right
28:11is that something you have
28:12go home
28:13yeah
28:14go home sleep
28:16right I'll see you later
28:22good night
28:26you can have had abusive callers all night or you can have had a really busy difficult shift
28:31but one call can make all the difference
28:37you sort of go oh yeah that's why we're here
28:40that's why we do this job
29:07I was just walking up and a guy just falling from the roof
29:13I think he died
29:26I will cheers my love
29:29it's the start of the Tuesday night shift for dispatcher John and the rest of the team in control
29:35you got on your screen
29:37I've got 15 how many you got
29:4021
29:4121
29:42and are we at CSP level 4
29:43yeah CSP 4
29:45a busy day shift has left 197 patients still waiting for an ambulance across Yorkshire
29:53and pushed the service into clinical safety plan for the highest level of alertness
30:00the oldest job I've got at the minute is from 11 57 a cat 3 out of Leeds
30:05so that's over six hours old at the minute
30:08due to demand exceeding available resources the service will no longer send ambulances to some less critically ill patients
30:16I've got a 12 46 cat 3 in Featherstone and then a cat 2 from just before 5
30:23that's way out of target so just waiting for crews to book on duty now
30:35wakefield crew 1707 Sam
30:39and Tom
30:41will be one of 281 ambulances working to help clear the backlog of patients
30:47are ready
30:48are ready?
30:48yeah absolutely
30:49nothing out
30:51raring to go
30:551707 good evening
30:57I've got an outstanding cat 2 at Pontefract for you
31:00for a 45 year old male taking an overdose on medication
31:04you've got details you can get rolling
31:14Sam and Tom are immediately dispatched to the category 2 patient
31:18who has already been waiting an hour for an ambulance
31:21it's a 45 year old male
31:24alcoholic
31:25has taken 15 tablets of medication with intent to self harm
31:30they are 14 minutes from scene
31:33because we've had this call waiting for so long
31:36the activator charcoal I can usually give for this type of overdose
31:40if it comes to indicate that I wouldn't be able to give it
31:44and it's one of these little houses back I think
31:52hello
31:53the big old sofa
31:54hello
31:55is it Sean?
31:56yeah
31:57do you all live with him?
31:59yes
32:00Sean?
32:01can I do some checks on you while Tom's having a chat with you
32:04is that okay?
32:05we'll have a chat and we'll get to the bottom of it
32:07top 15
32:08top 15
32:0915 of his tablets
32:11yes
32:12I don't really
32:13have you had to drink tonight?
32:15he's had a drink all day
32:16he's been out all day
32:17have you had what you normally would have Sean?
32:20he's come home more
32:21a bit more drunk than
32:23yeah
32:23has he done anything like this before?
32:25he's come home and taken tablets
32:27no never
32:29do you struggle with your mental health Sean?
32:32erm
32:33yeah
32:34yeah
32:34I probably do
32:36and what do you think's brought it on tonight that's made you take these tablets?
32:41yeah
32:42well let's face it
32:43I'm just like a blue leopard in this town
32:46yeah
32:47have you got any other medical problems Sean?
32:51well I've got advanced liver disease
32:53yeah
32:54and I've been in rehab
32:56did they not give you a plan when you left rehab?
32:58nothing
32:59so has it taken us being relational rehab?
33:02it's my best
33:02have we kind of been
33:03gone downhill again?
33:04no
33:04no
33:07need you to have a little bit of something to eat
33:08because your blood sugars are a bit on the low side
33:10oh you could do with a bit of a sugary drink?
33:12yeah
33:13you're going to have to go to hospital Sean
33:15it'd be classed as
33:16I'll be waiting hours
33:18I used to work for NHS
33:20and I know you guys
33:21did you?
33:22what did you do?
33:23I was a porter
33:25oh lovely
33:27the only concerns I have
33:29is if you've got advanced liver disease already
33:31and you've taken an overdose of tablets
33:33your body's not going to process the tablets as I should
33:36so we need to go up and have some blood test done
33:39and see if there's any medications hospital can give you to try and reverse any side effects
33:43oh look at that lovely
33:45have a bit of that jam sarnie then Sean
33:47oh yeah
33:48that should do job
33:49they just need to be up a little bit more
33:51I just feel you know that
33:54I've lost my way a bit of it
33:56would that be understandable?
33:58yeah
33:59it's not too late to make those changes
34:01and you've done it once before so
34:03I know
34:04finish that bit of your sandwich off then
34:06and we'll get going
34:07it's a waste of everybody's time here
34:10it's not a waste of anybody's time
34:11we're here for everybody
34:14I know you are
34:16and that's a great thing about you isn't it?
34:18it is
34:19isn't normally this nice
34:27I'll just sit it up for you Sean
34:32get your bum right up here then
34:34if you've been on them too many times
34:35you'll know
34:36have your shoes on
34:38that's a good man
34:39I bet you love me
34:40we do
34:41you're a lovable rogue aren't you Sean
34:44right
34:44I'm going to get us up to hospital
34:45Tom will be in back with you
34:47I know
34:48I'll keep an eye on you
34:49I've been
34:49I'm so good at driving
34:59do you feel like you're taking these tablets intentionally Sean?
35:05yeah
35:07what's the reason you've taken them tonight?
35:10well what can we say?
35:12I've cried for help
35:14god bless you
35:15god bless you
35:19you do get more mental health on a night shift
35:24especially if people use drugs or alcohol as a way to cope
35:28I can relate to those people
35:34I've had people close to me who've suffered with addiction issues
35:40it's easy for people to say
35:41oh they're just a drug addict
35:42or they're just an alcoholic
35:44but you're not seeing the person that they are
35:50that's why I signed up to do this job
35:51and what drives me
35:54is just to help people
35:55it doesn't matter the circumstances
35:59we're there to help
36:03do you want a wheelchair to go in with?
36:05no
36:06are you walking in?
36:08right then
36:09hold on
36:09yeah
36:33ambulance
36:33ambulance
36:33is the patient breathing?
36:35is patient awake?
36:38okay
36:38tell me exactly everything
36:39I'm going to stay in line with you
36:40I want you to watch very closely for me
36:41if she does become less awake
36:42and she commits
36:43just quickly lay on the side
36:44but she gets worse anyway
36:45just tell me immediately
36:46right I'm organising the help for you now
36:47just stay on the line
36:49it is nearly three hours into the shift
36:51and the service still remains in CSP level 4
36:56they will be trying to get a crew there as soon as they can
37:00just make sure that somebody's there to wave down the ambulance crews
37:03I'll leave you with them okay?
37:05call handlers have already answered more than 500 new calls since the shift began
37:10with a backlog of over 130 patients still waiting for an ambulance across Yorkshire
37:18when you get a crew clear will you shout me?
37:20yeah
37:20yeah
37:21because we need to put the person from SART to the prison
37:26right okie dokie
37:29are you free John?
37:31yeah yeah yeah
37:32just to let you know
37:33we've now got crews that are waiting at Pinderfields emergency and at LGI
37:38we've got quite a few queuing now
37:39so if you could ask all the crews to look for alternative pathways
37:42okay
37:43thank you
37:43thank you
37:47what are you doing?
37:48yeah the patient's breathing
37:51there's been a car crash
37:53how many people are hurt?
37:56two
37:58one of them's out the car on the floor
38:00one person's trapped
38:041225A at Remi Love
38:05put you on an RTC
38:08two cars head on
38:11at 60 miles an hour
38:12yeah Roger thank you
38:14have we got any crews en route yet?
38:1715-12 I'm rolling them towards it
38:20John heli med you going as well?
38:22heli med's en route as well from Nostos
38:27all received thank you
38:301225 Operational Commander Remi
38:32is immediately dispatched to the road traffic collision
38:35and is six minutes from scene
38:40she is specially trained to manage large scale incidents and will coordinate all medical resources on scene
38:481225 go ahead
38:50quick care paramedics just saying we've got basics available 10-15 minutes if you want them setting off
38:56that's perfect thank you very much
38:58yes please Mike
39:01despite the stretch resources across the service
39:04the seriousness of the incident means that Remi will be joined on scene by
39:09six police vehicles
39:11two fire engines
39:13two ambulance crews
39:15two pre-hospital emergency doctors
39:18and a Yorkshire Air Ambulance
39:20we need a REP.
39:25okay
39:25we need to arrive at your destination
39:27ZO thestes
39:41ZO?
39:44Hello. Is this the one that's trapped?
39:46Yeah, he can't get out. OK.
39:51It's been a lot of pain, this champ. Yeah.
39:54Looks like it's a mid-shaft fever, at least,
39:56and bottom half of his leg looks mangled at the bottom,
39:59but we can't get to it because he's physically trapped.
40:05What are we thinking, we've got, injuries-wise?
40:07Yeah, I think abdominal bleed, I think possibly... Pelvis.
40:11Pelvis. We've done a primary survey. Yeah.
40:1312.25. Just looking to see if you've got a clinical update.
40:16Two patients, both going to be requiring major trauma.
40:21I think Leeds is probably going to be our nearest from here.
40:25I can ring ahead and check LGI are able to accept both.
40:29Yeah, please, both patients.
40:33LGI, we've got two patients triggering for major trauma.
40:35Patient one is a fractured pelvis with abdo injury and chest injury,
40:39and patient two is a fractured femur,
40:41which is described as a mangled lower leg.
40:46OK, OK, I'll let them know.
40:4812.25, go ahead.
40:5012.25, they're spoken to them so long.
40:53At LGI, they're happy they can accept both patients.
40:56Yep, not a problem.
40:59LGI are expecting you.
41:00We've got a pelvic binder ready.
41:02It's ready to go.
41:04We are just currently loading our first patient.
41:07Journey time is probably about ten minutes on blue light,
41:10so approximately 15 minutes.
41:12No worries, thank you.
41:14Just a little bit of a bump.
41:15With the first patient now en route to Leeds General Infirmary,
41:18the team are trying to free the second patient who is still trapped.
41:27I presume they'll give you an update about this one.
41:30He's all...
41:30So we're just concerned about the foot.
41:32Yeah.
41:32Can you see where it's...?
41:34They can't, they've had a quick feel underneath.
41:37Yeah.
41:37And it does feel like his foot's kind of wedged a little bit.
41:42Is the chair all the way back at the minute?
41:44Yeah.
41:44Yeah.
41:45Can't get...
41:46They're free.
41:48Feet are free.
41:48Feet are free.
41:49Yeah.
41:50Ready, guys?
41:52Oh!
41:54Oh!
41:56Oh!
41:58Oh!
42:00Oh!
42:01Oh!
42:02Oh!
42:03Oh!
42:04Oh!
42:06I'm going to follow you up because there's a kit all over the place.
42:09So I shall see you at LGI.
42:19Yeah.
42:19Ambulance service.
42:20The taste of breathing?
42:22I've been breathing...
42:24It's quite lighted.
42:28It live.
42:30Okay.
42:31Are you on your own?
42:34Yeah.
42:36Open call, open call our Wakefield resources.
42:39If anyone can clear for a confirmed Cat 1 Nottingly. Confirmed Cat 1 Nottingly.
42:45If anyone can clear, current run time 19, one nine minutes. Anyone closer, please clear.
42:52An ambulance has automatically been dispatched to the Category 1 call,
42:56but due to stretch resources, the nearest crew are 18 minutes away,
43:01well over twice the target time of arrival, which is within seven minutes.
43:0812 in a Pinderfields General waiting to hand over, so I've got no one closer to centre this.
43:16And with ambulances stuck in queues outside hospitals in Leeds and Wakefield,
43:21nearly 60 patients are still waiting for a crew to arrive.
43:25We've been waiting seven hours. She's 91 years old. I just wondered if it was on its way.
43:33We have had an exceptional demand on the service throughout the year. We have been very busy, I'm afraid.
43:40Is the patient breathing?
43:43Yes. OK. I thought he's really cut his arm terribly. They are assembling an ambulance, but not for a while.
43:50You all right? Yeah.
43:51Oh, that frightened me then. I thought he'd gone.
43:58It has now been 40 minutes since John dispatched an ambulance for the Category 1 patient in Nottingly,
44:05with difficulty breathing. But the crew has yet to arrive.
44:1017-04. I've just seen you still trying to get off motorway.
44:16We've just hit roadblock after roadblock. This works all over now.
44:21Normally they give us like a warning, so I'd say, all right, you need to come off here.
44:25I don't know how we can approach it from any other way.
44:28We should be there within seven minutes. We're currently looking at a 40-minute ETA 40.
44:38Ryan, they've gone along 62 to A19, come back, couldn't even get north because that's shut.
44:48So, both directions are shut. Yeah. The Follett diversions just basically go to a dead end.
44:54Yeah. What motorway's shut? M62 and A1.
45:01So, 46 minutes so far. They're now down at Barnsdale Bar, that crew.
45:07They're what?
45:09Two thin hell. So they've gone all the way down to Barnsdale Bar?
45:13Yeah. Well, they're miles away from it.
45:18John, they're in Cass at a minute at 17.07.
45:21Yeah, let's see if they can cut through Castleford,
45:24because they shouldn't have to go near a motorway then.
45:26Yeah, I'll have a look.
45:33Sam and Tom are currently en route to a Category 3 call in Castleford,
45:39eight miles to the east of the Category 1 patient.
45:43Oh, stand down.
45:44Ah. Stand down.
45:45Advocated to...
45:46Voice accept.
45:48Stand down.
45:48Acknowledged. Going clear.
45:5217.07.
45:5517.07. Right, change of plan. Swap E onto a Cat 1.
46:00The trouble is, you need to stay off the A1 and the M62.
46:07Because I've had a crew running on this so far for 45, 50 minutes nearly now.
46:14Oh.
46:15Yeah, Roger that. That's all received. We will try and avoid the route that you've just given us.
46:22Unexpected road closures on the A1 and the M62 have left the first ambulance dispatched unable to reach the patient's
46:30location.
46:34With a response time already over seven times longer than the target of seven minutes, Sam and Tom are diverted
46:42to help find an alternative route.
46:47It's been in since 0054. That's nearly an hour.
46:51That's really bad, that.
46:52For a Cat 1.
46:53Right, let me put it in on ways.
46:56Let me just pull over on it, yeah.
47:00Right, it's given me another route here.
47:03So it's taken... Is that through the services?
47:08Yeah.
47:08Yeah.
47:14I think they're just struggling with all the road closures, but don't worry, it shouldn't be too much.
47:2317.07. Right, for info, they have tried to cancel us.
47:29Because the patient is now going to get into a taxi and go...
47:33John, leave the crew on it, because they're not going to be able to get a taxi anywhere near it,
47:36because all motorways are closed.
47:38Oh, right, yeah.
47:38So stand top one down, but if we can leave 17.07 on it.
47:42Yeah, we'll do.
47:4317.07. Right, we're going to leave you running just in case.
47:46A clinician's bringing them back, John.
47:48And we've got a clinician giving a call back.
47:50Because she were panting on the phone to EMD with patient.
47:52All right.
47:55Yeah, Roger that. We're plotting at 1.6 miles away, so around four minutes to this job.
48:00So we'll let you know when we arrive.
48:03They're just asking us to go through, like, this right-hand lane next to the service station.
48:08Yeah, it says you're here.
48:14Take the next right.
48:32Yeah, so we've popped it into our sat-nav, which accounts for the road closure.
48:38And this is the road that has brought us up, so it says we're 0.7 miles away at the
48:42moment.
48:44Yeah, I'm just following you now. You're on, like, a track.
48:47Just keep me updated with how you're going, because you will come up and over the 62.
48:52So hopefully it's not got any gates on it over.
48:57Yeah, I mean, the road is a bit of a dirt track.
49:00It's not very ambulance-friendly, but so far all the gates are open.
49:03So we'll see how much progress we can make.
49:07Oh, this is unbelievable.
49:15The ringers, when they desperately need us, when they've got nowhere else to turn.
49:22They'll be watching that clock waiting for us.
49:25I can only imagine how anxious and scared they must be feeling.
49:33You want to help these people as quickly as you can.
49:41Right, this is looking a bit more promising.
49:53Apart from that big fence end.
49:58We can't get past this.
50:00It's big blocks.
50:03Hello, just to let you know, we've followed this dirt track down,
50:06and there's, like, concrete bollards at the end.
50:10Received.
50:12I'll let you dispatch it over.
50:14John?
50:17Just onto Highways at the moment.
50:19They're going to ring the site themselves,
50:21and if we need to, we'll get access through the roadworks.
50:24No, it's...
50:25Well, at the moment, the crews are putting into their own sat-nav.
50:28Is this 7-107?
50:30He says that he's encountered some concrete bollards,
50:33and he's got to turn round, so he ain't going to be able to go that way.
50:35Right.
50:38Highways are going to have to open road.
50:40Yeah, they're going to have to let us through.
50:41Yeah.
50:41I'm on it.
50:45Concrete bollards are blocking the track,
50:47making the motorway bridge inaccessible for the crew who must turn back.
50:53Meanwhile, for the Category 1 patient,
50:55the wait for an ambulance has now stretched to an hour and four minutes.
51:02John, it's about to Highways.
51:04They're going to let the ambulance through,
51:06so they need to go back onto the A162,
51:08and there's going to be someone to let them through.
51:11Receiving.
51:1417-07.
51:15If you make your way back to the round that the service is on,
51:19they're going to let you through.
51:21Just let the crew know that the Clinic Club have spoke to her.
51:24She's got a history of heart attack.
51:27The clinicians are leaving it as a cat wonker,
51:29so I believe she might be having another.
51:3117-07.
51:32Right, further update for you.
51:35The patient's got a previous history of myocardial infarction,
51:41and the Clinical Hub believes she's having another one at this time.
51:47We need to get to this patient, over.
51:51I'm going to go onto there if I can.
51:53And that's it.
51:58I just don't want to squint that hump where...
52:01There will be it.
52:03There will be it.
52:05There will be it.
52:17We've now made access to the A1, which was originally closed.
52:25We're on the path down to the address now.
52:28Brilliant, yeah, I can see where you're tracking.
52:30Thank you, over.
52:31Thank you very much.
52:41Hello, ambulance!
52:44Hello!
52:46Hello!
52:46Is it Benita?
52:48Oh, bless you.
52:49You've been waiting a long time for us, haven't you?
52:52Can you tell us what's been going on then, Benita?
52:59And what time would you say that started this morning?
53:0310 o'clock.
53:05Can I have a quick listen to your chest, Benita, is that OK?
53:09Are you diagnosed with any breathing problems, any COPD, asthma?
53:13I had a heart attack a few years ago.
53:15An heart attack, OK.
53:16I haven't been as bad as this.
53:18Put some nice deep breaths on me.
53:20I'm going to pop some stickers on you while Tom does that, all right?
53:23Have you had any chest pain today?
53:25Constantly.
53:26Constantly?
53:27Any new pain today?
53:29No.
53:30Is there anything that's making you think it could be another heart attack?
53:34That's not how it does.
53:35I don't think so.
53:37You don't think so?
53:38I'm going to say your chest, Benita, it sounds very crackly on both sides,
53:43on your bases of your lungs and in your upper lungs as well.
53:46I think we'll start you on the nebuliser and help you breathe in a little bit,
53:50because you've got a little bit of a wheeze going on.
53:52Is that OK?
53:53OK.
53:53Just sit nice and relaxed for me.
53:58So this is just to help with your breathing a little bit, OK?
54:05She'll be fine, don't worry.
54:07Does your breathing feel any easier since you've had that nebuliser?
54:11Slightly.
54:13Easing a little bit.
54:14Because at the moment, I think you've got quite a nasty chest infection,
54:17possibly pneumonia going on.
54:19Very sore.
54:20And you've got a temperature as well, and your heart rate's going a little bit quick,
54:25so we'll want to get you up to hospital, OK?
54:35I'll take your back for you.
54:36Right, bob yourself up on that bed, Benita.
54:38Get your bum all the way up into that crack, OK?
54:41That's it.
54:41Bob yourself round up on bed.
54:43Don't worry about your feet on sheets.
54:47Right, I'm going to put back up, Tom.
54:48Yeah, there it is.
54:49I'll get some fluids for you.
55:05Right, I'm going to go book you in, OK?
55:08So I'll leave you with these guys.
55:10You're welcome.
55:10No, that's what you've done.
55:11Well, it's fine.
55:12That's what we're here for.
55:13Eventually.
55:16Right, I'm going to go book in, all right?
55:18Yeah, thank you.
55:32707, go ahead.
55:34Yeah, just an update on that last job for you.
55:36So we finally did get access to Benita's caravan.
55:39Not a very well lady.
55:41I think she's potentially got a quite severe chest infection or pneumonia.
55:45The main thing is that we've treated her and got her into resus at hospital.
55:50I'm going to say brilliant, but I suppose pneumonia, chest infection, ain't good.
55:55If it had been anything worse than what it was, outcome would not have been good at all.
56:00Absolutely.
56:01Yeah, definitely.
56:02An hour and 23 minutes and 52 seconds it took us to get to her.
56:08Well, thank you very much for navigating us through some very tricky roads, and I'm glad we managed to get
56:14there in the end.
56:16I will leave you to finish up your paperwork, press clear when you're ready, and I'll stick a new one
56:21on your screen, over.
56:23No worries, that's all received, and we shall talk to you soon.
56:40On a night shift, I know that I'm helping people when they're the most vulnerable.
56:45They've made that call because they need you, they need you in that moment.
56:52If we give up, we're letting the patients down, and that's not what we're about.
56:57We're about helping people.
57:01Things aren't always straightforward sometimes, and we might run into obstacles, but we will get there.
57:08If not now, it's soon, and whatever is right for you, we'll guide you through.
57:24If not now, it's soon, and whatever is right for you, we'll guide you through.
57:38Because if not now, it's soon, and whatever is right for you, we'll guide you through.
58:01Details of organisations offering information and support with addiction, mental health or self-harm are available on the Action Line
58:10pages of the BBC website.
58:12lifestyle 03
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