- 8 hours ago
Ambulance - Season 16 - Episode 05: Lost in the Woods
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TVTranscript
00:00Incident category one put on an RTC two cars head-on
00:08It's a two-year-old who's been stabbed over every day across Yorkshire more than 3,000 people call 999
00:25The ambulance service must decide who gets help
00:30We're gonna look after you mate. We've got you. Can I get you covered up?
00:34Lovely jubbly and who must wait 34 jobs waiting for an ambulance now in Leeds alone
00:40As the pressure on the NHS refuses to relent we're creating the waiting room for a waiting room
00:47The paramedics on the ground navigate England's largest county welcome to our office
00:53All right kid well done from the busiest cities chaos tonight we'll need to get out of Leeds now
01:00To the remotest villages
01:01Where each call is a crisis
01:06I've got a five-year-old found wandering in the street naked malnourished
01:10God it breaks your heart it's awful
01:13And every decision critical
01:15Where they're gonna land in the middle of Bratford
01:22We go beyond the flashing blue lights
01:26To reveal the human stories behind every siren
01:29Just keep going to the door
01:30Absolutely
01:32Thank you for coming
01:33You don't have to thank us
01:34You do
01:36If you've got manners you know
01:38Are we all ready to set sail?
01:40Get a going
01:40Get a going
01:56Good morning
01:58Are you all right?
01:59Yes thank you
02:00Are you?
02:00Yes
02:01It's the start of a 12-hour day shift for the Yorkshire ambulance service
02:07We're gonna have a nice day
02:08We're gonna have a lovely day
02:12Chloe and Mark are part of a team of 28 dispatchers covering the region
02:16Chloe there's a job just come in for a patient
02:19He's rung up and said that he needs his phone case taking off his phone
02:22Are you joking?
02:24Oh my god
02:26They will also be looking after 36 ambulances across West Yorkshire
02:33Including 1692 Sam and Sophie
02:35What funny things have you done?
02:39I can think of quite a few
02:40I can think of you other weekends when I had to drag you up the stairs after night out on
02:45Raz in Leeds
02:46What about you were your four takeaways in one night?
02:50The thing is the morning after I don't know which takeaways upset the stomach
02:56The Yorkshire ambulance service spans 6,000 square miles of varied terrain
03:02and serves a population of 5 million
03:13Ambulance is the patient breathing?
03:15She's breathing yeah but she's got the fit
03:17Is she still jerking at all or twitching?
03:20No she's not she's not jerking now
03:21Is she awake?
03:22Not there no
03:23Right just tell me exactly what's happened love
03:25We've gone on this walk today
03:27Right tell me the address of the emergency my love
03:30It's the middle of the forest
03:32Which is in the middle of nowhere near Bingley
03:35Oh god
03:35Is somebody on the way?
03:46I'm just trying to see where it is
03:47Oh great they're in the middle of the woods by the looks of it
03:50Yeah my crew were eight minutes
03:52It was a tech crew
03:56Hello we just heard that cat one being called out
03:59Would you like us to run on it?
04:01Yes please that'd be great
04:03I believe to the looks of it in the middle of some woods
04:07We have got a Bradford tech crew running it at the moment
04:10But it's just to back them up just with them not being paramedics
04:13Perfect thank you
04:15So it's just a tech crew
04:16I'm going to run in just in case they need paramedic drugs
04:20And some diazepam
04:22Have you got what three words on your phone?
04:24No
04:25What i'm going to do i'm going to send you a link
04:27All right
04:30And just follow the instructions it's not going to delay any help okay
04:34It's just so i can find out exactly where you are all right look
04:36Using the gps tool what three words the caller gives the three unique words
04:43Which should pinpoint her exact location to help dispatch find them in the densely wooded forest
04:51As sam and sophie set off they are five miles away from the entry point
04:56A second ambulance is running two minutes ahead
05:01Right we're on like a big sloping hillside with loads of these big boulders
05:07I don't know how we're going to get up here
05:10I have search and rescue it's tom on me uh insulin desk
05:14Incident commander tom is seeking further assistance
05:18Will do mate bye
05:20Chloe mountain rescue have responded
05:22Oh great
05:23I'm just waiting for an updated ETA
05:24All right yeah
05:281692 receiving
05:311692 just about reached out
05:33Callers advise that she's potentially sat in like a ledge with some rocks around it so
05:38We might have to get mount and rescue to possibly help with extrication
05:44That's all received thank you so much for that update
05:49See what the patient's like first and then we can decide how are we going to obviously extricate her from
05:53the woods
05:54Yeah, let's do that i've watched enough bear grills
05:57Yeah
06:03So she's taking us down here
06:10We are literally in the middle of nowhere
06:13So this is a dead end now isn't it but you
06:15Oh here we are
06:16Right the other group here
06:17Yeah
06:20Please look
06:21Hi guys
06:22So she's in woodland that way
06:24Wow
06:24We need to drive and go back the way we've just come onto like a little dirt track
06:29We'll follow you
06:30All right
06:30All right
06:32Where's the road though the alternative
06:33So he's saying to go back on here and back round
06:37No surely not sophie we're going to end up in the same distance we're better off just walking down the
06:42track and going on and letting them go that way and see who gets there first then maybe
06:48The patient is plotting in woodlands between bradford and bingley
06:53The walking distance from the entrance to the exit is an hour
06:57To increase the chance of locating the patient quickly sam and sophie will approach the wood from the west
07:04The second ambulance crew will head in from the north while mountain rescue remain on standby 13 miles away
07:19Do you know we said probably bear grills didn't expect this no no
07:24um so i've put it on my map sam
07:27There's a river that's going that way i think it's this path yeah yeah
07:32You don't think it's a bit lower down on crap because this is let's have a look at that
07:37so we've come down this track and then where's the footpath
07:44To narrow down the search tom is on the phone with the caller
07:48Hi i'm just ringing from york's homeless service i'm just trying to ascertain how remote you are if i send
07:54you a text
07:55Would you just quickly give me a 360 view is that okay?
07:59Used across various emergency services the good sam app enables a person to stream video live from their location
08:09Helen this is where that patient is
08:15So she's in that bit she's down here it does look really remote
08:20And there's no obvious easy track to just walk it out
08:23It's better or not she's starting to fit again isn't it
08:26I'll just let us back to know
08:27Okay
08:29Whoo
08:38That's all received thank you so much for that update
08:43We're definitely going to need mountain rescue surely
08:48Have you got somewhere are you are you still on some rocks yeah so can you
08:54Try and get her out of there i don't know how we're going to move her from there i don't
09:00How are we going to go up there?
09:03We must surely be nearly there because look there's all like rocky verges now
09:09Ah there's people ahead yeah we're definitely in the right place aren't we
09:16Excuse me guys you all right
09:19I don't suppose you've come across anybody who's had a seizure no one who said that they're waiting for an
09:24ambulance
09:25We'll carry on thanks guys thank you so much
09:29It has been 30 minutes since the category one call was made
09:35We couldn't be in a workplace
09:38We'll get to you don't worry i'm concerned i mean she's woken up but she was fine and they turned
09:43around and she wasn't having a fit
09:46They're definitely near the track as well they're not in the forest just ask as well so if if the
09:51tech crew's made any contact or whether they're on the same
09:55receiving
10:00Hello um so we are on a path in the woods is this patient on the pathway or are they
10:06in the woods
10:09It's just saying it's up a very steep hill that is the steep hill it's nearly taken us out
10:20That's all they've said at the moment
10:23Just tell me if anything changes with her won't you
10:26She's just like staring
10:30What what what can you see oh i'm here
10:36Hello oh actually we've reached the patient are you with her that's great um thank you
10:42Obviously we'll we'll keep mount and rescue running for now
10:45We haven't assessed the patient but she is down some quite large rocks
10:49All right is you okay
10:51They're with her 1692 are with her
10:54Take it steady so
10:57Hello so my name's sam this is sophia
11:02Tell you what me and sophia are going to do now we're going to do a really quick set of
11:05checks on
11:05you all right and then we'll take it from there and then we'll see what you're like on your feet
11:151692 receiving
11:18yeah it's al from the main rescue team how are you doing hello al it's sam we're just going to
11:23quickly assess mobility because all observations are looking in sort of like expected normal remit
11:28if we are fine on our feet and mobilizing we're going to be standing you guys down
11:32yeah we'll get our vehicles ready to go and then i'll give you a shout back in two or three
11:36minutes
11:37that's all received perfect thank you
11:50hi al thank you so much we are on foot now and we're just making our way back to ambulance
11:55but
11:55thank you so much anyway guys that's a stand down no worries thanks very much for letting us know
12:03the patient will be taken to bradford royal infirmary for further investigations
12:15serving the needs of the uk's largest county requires a network of volunteers to reach patients
12:24quickly
12:25the yorkshire ambulance service relies on 900 community first responders cfrs
12:34there are 96 on shift today across the region each is trained to administer life-saving treatment
12:41when you're on seeing any clinical spot just let us know
12:45on the community first responder desk is dispatcher krish allocating jobs to the volunteers on shift
12:52including 74 year old roy
12:57hi chris hello there roy yeah available for all calls yeah anywhere as usual yeah brilliant
13:05his skills include managing airways administering oxygen and resuscitation
13:13when we attend the cardiac arrest we are trained basically to put the defibrillator pads on and start cpr
13:22if we're fortunate enough to achieve a rusk that means the patient's breathing again and heart's beating
13:28again yes always sends us an appreciation letter and the little pin badge in total i've been fortunate to help
13:37out with 15 rosks
13:42i'm just going to do a quick kick check that we're asked to do every time we book on duty
13:47roy is one of the longest standing volunteers
13:50unit okay and gives over 100 hours a month to the yorkshire ambulance service and that's it we're ready to
13:59go
14:04already on shift our crew mates paramedic jordan and associate ambulance practitioner josh
14:13are your grandma's sunglasses then yeah they are they're not you bought them do you know what funnily enough
14:22she did actually buy me
14:33hello 1671 this is connor from huddersfield dispatch here i'm just advising of this category 2
14:38detail that i'm using you for um it is for a 85 year old female called joan she's had a
14:45heart attack
14:45in the past and she's having chest pains today thank you yeah we're about 20 minutes out
14:53you see that kid lady oh they've been diverted they're going to a cat one now in halifax sorry
15:12it's coming in as an 89 year old male unconscious after a fall you are the first resource on scene
15:18okay
15:27is the patient breathing is he awake okay is he is he conscious
15:42okay okay okay is breathing sounds noisy here oh no i know who it is it's donald regular
15:55oh i have been here before yeah all right
16:00oh no you're on the phone to the ambulance
16:05hey mate is that the call landlord thank you
16:09ronald ronald ronald ronald what's wrong
16:14can we turn your tellies down ronald i don't know i don't know how you watched two at once
16:20what's been happening today mate you've got pain in your chest yeah i think you had pains in your
16:29chest the last time i saw you oh you've been here before i have been here before i know you
16:34very well
16:34yeah in the last 30 days ronald has made 25 calls to the ambulance service
16:48and you did what sorry you split your knot that's no good is it did you go to hospital
16:56i have to take the bandage off today you've taken the bandage off today yeah okay do you have any
17:04carers i can't quite remember do you have any carers it's just gone ronald we'll get a quick picture
17:11of your heart see what that's doing can i put these on your chest don't have the bugger in my
17:17bloody
17:17what do you call them hoovers up oh it blocks your hoovers up yeah if i promise to take them
17:23all
17:23with me can i do it yeah oh good lad does the paint go anywhere into your neck down your
17:29arm into your
17:30jaw sometimes it goes in your arm okay i don't want to go to the hospital well we can worry
17:39about
17:39that in a minute ronald we'll just get this this heart tracing done and then we'll go from there
17:45it was a friend that called you not me okay ronald don't you worry well we're here now aren't we
17:53what do you have two tellies for so you know which one you're gonna watch oh it's a dvd yeah
17:58we've
17:59done all your checks ronald and we've taken this picture of your heart which looks okay but we can't
18:06rule everything out at your home for chest pain you need a blood test done yeah that many times when
18:15i go
18:19so the thing is ronald do you need your troponin levels checking in hospital no they only need to
18:26do this there's some good programs on tonight i know but like i said ronald soon as they get this
18:34one
18:34blood test back that's it if it's good if they take them 35 hours to do it it won't because
18:41you'll
18:41get your bloods done straight off and they'll send them straight to that last i don't like waiting in
18:46there i'm too old to wait ronald we want to do what's best for you don't win uh ronald ronald
18:53ronald
18:55ronald hear me out yeah that's it as where he is is that if we leave you and you are
19:01having a heart attack
19:02that you could die that's the worst case scenario isn't it we don't want that and that's why we're
19:08here we don't smoke us we're pinnacles of health you know i've been spoke to those six years old
19:22yeah wow i love 89 90 in in august really yeah so you've been smoking all those years yep were
19:34you
19:35ever in the the military yeah i don't mind natural service in cyprus did you oh wow how long were
19:43you
19:43stationed there for yeah we'll go outside now ronald and we'll start our paperwork
19:59and then we'll come back in and see you all right if you change your mind let us know okay
20:04we'll come
20:19back in
20:21in control the female patient who jordan and josh were diverted from is being reassigned to another
20:27crew good afternoon there roy i've just allocated you a category two uh call it's for an 85 year old
20:33female called charles it's come by nhs 111 and she's been having a bad angina uh chest pains
20:40okay okay no problem let me know if you need a clinical problem yeah will do thanks grish thank
20:44you very much bye bye all right before i retired i was a technical sales rep for a chemical business
20:53i thought we'd only say you got a job as a medical record supporter
20:59and you hear lots of stories about retirement and the demise of people once they retire i was
21:06determined that wasn't going to happen to me i would have loved to have been in the ambulance service
21:11years ago because walking into somebody's house in that moment of need that's a privilege
21:21hello is it joan yes hi joan you've got some chest pains have we no no
21:29pain across my back and down my arms okay sit yourself down let's have a look at you
21:34how long have you had these pain for like this ages ages so what's made you call the ambulance today
21:42has it got worse because i've taken that spray seven times today what sort of pain is it joan is
21:48it
21:48it's a it's a real severe ache a severe ache not pain as such i'll do your blood pressure because
21:55you've taken your gtn you said how many times i've taken it seven times today that's why i rang 111
22:03i didn't know you were only supposed to take it three well the gtn will drop your blood pressure so
22:08let me
22:08just have a look see what we're doing rest your arm down for me joan right just relax oxygen levels
22:15are good so that's always a good start isn't it is it it is yeah i'm still breathing you mean
22:21you're
22:21still breathing you have plenty of oxygen going in you know when you get to my age you've got to
22:27be
22:27cheerful you certainly have got to be strong and you've got to have a sense of humour your blood pressure's
22:34up quite a lot it is yeah that's because i'm scared just pretend you're lying on the beach
22:43as if have we still got this ache or this pain no not at the minute see if you do
22:49look no yeah
22:51well let's have a look see if your blood pressure's dropping a bit more
22:56oh 148 65 it's dropping all the time look perhaps i'm dying we don't do dying when i come
23:05i can't do much and when i do something i get the pain and i'm frightened because i'm on my
23:12own
23:12when the crew come i'll go make you a cup of tea oh that's easy done how's that i've got
23:17a water
23:18violent here's the crew now look we've got the a team here now come in hiya oh hello how are
23:24you
23:24this is joan hello joan how are you joan's been complaining of pain across the shoulders they're
23:31both arms bp was high when i got here 151 138 148 okay tell them to make you a cup
23:39of joan
23:40yes please i know roy's been here and he's been looking after you really well but can i just double
23:45check you don't have any pain whatsoever at the moment okay teabags teabags teabags
23:54thanks i'm not doing very good here i can't find the table where's your tea bags joan
24:02is this the first cup of tea you've ever made bro well there we go joan if your angina is
24:10becoming
24:11so problematic that every time you're moving and you're climbing the stairs and going to the
24:15bathroom that's causing your problems i think we might need to go back and have that revisited today
24:21right i mean i came downstairs the other night and packed my bag i thought i'm gonna have to
24:27i have a care phone right yeah joan you gotta have a sip of tea just to tell me it's
24:33good
24:38it's a lovely cup of tea thank you joan a little bit shorter bill
24:45you okay there yes i think so yeah
24:49are you gonna put my light out i'll turn your light have you got your key do you want me
24:52to lock up
24:53my keys are on me sterling okay
25:02joan will be taken to huddersfield royal infirmary
25:08you are joan thank you very much all the best
25:13at the age of 65 i jumped at the chance to be so far
25:20quite a few the ambulance drivers and prime medics used to say you ought to join us right
25:26but jumping in an house of ambulances at 65 i was too old then knowing that you've supported somebody
25:33that's the satisfaction that i get from doing the job
25:36that's what's going to do
25:42oh dear we're all right
25:47yeah
25:49jordan and josh have been attending ronald for 44 minutes
25:57they need to inform the clinical team of his refusal to go to hospital and discussing next steps
26:04we explained it to ronald and if it is a heart attack we can't drill it out in the community
26:09just with an ecg he needs his traponins doing it would be a trip down to calderdale and he's just
26:15not for for going um he's he's dead against it um he is able to reel back to us that
26:22if it is
26:23something cardiac going on um he's happy that if you know he could then go into cardiac arrest
26:29following a heart attack if if it is that
26:31the ccg was normal sinus yeah
26:38so they come in twice a day
26:40uh sorry yeah thank you so much thank you take care bye
26:52hello again ronald do you still not want to come to hospital
26:58you may as well do you're definitely gonna come with us ronald yeah well we'll get to the bottom of
27:06this chest pain then won't we you're gonna give me a breathing condition ronald yeah
27:14not as tough as you have been smoking since you were six
27:19can you come here yeah where's your comb he loves coming here does this lad
27:24the uh social worker's gonna cut it on wednesday oh lovely
27:31all right it does need a trim i cut my granddad's hair do you want me to come and do
27:35yours after
27:36that yeah yeah you couldn't do it no no i've not i've not got done with me who was this
27:46me
27:49we all know the story about the boy who cried wolf the regular callers we can go to them again
27:56and
27:56again and it can be frustrating but we have to treat every job like it's a new job because one
28:03day
28:03we go to them and they're really unwell
28:08most of the time regular callers they need something but i don't think it's always us
28:18sometimes it is a social problem people call quite often because they're lonely and it's hard to
28:25establish are they just lonely or is this something else going on and the issue is it's
28:31still the responsibility of us as an ambulance service because we have a duty of care but you
28:34learn that not everything's what it says on the tin do you like boats or something yeah it was my
28:41hobby yeah i was in the uh the rescue service in morcom oh wow
28:49bit of fresh air look oh do you some good this last time you were outside
28:58ronald will be taken to calderdale royal hospital for further investigations
29:07what did you do after your national service then i went driving all right
29:12down the arctics arctics yeah and i'll tell you something we didn't have no bloody breaks you have no
29:26breaks
29:27hey oh a little bum mate all right
29:38I'll be here for you, don't you?
29:40It's so good.
29:42I'll bring you to the place.
29:44Right, Ronald, in it nice this way, hopefully we don't have to see you again.
29:48I've been far too many times to your house.
29:50I know what it is more than I do my own.
29:53All right, bye then.
30:05When I was younger, I never had any real interest to work for the ambulance service.
30:10But I like problem solving, I like helping people.
30:14So I started out as a community first responder to test it out and see if I liked the idea
30:18of being a paramedic.
30:20And actually, I thought it were awesome.
30:22You walk into a person's house, no one has a clue who you are,
30:25I look to about 10 years old, and people just think you have all the answers,
30:29and they just feel a million times better.
30:31Normally, it's that older people that go into doing it.
30:34I were doing it as a bypass because I wanted to learn and I wanted to progress,
30:37but these CFRs don't want that.
30:40They're not getting paid for it and they're doing it because they love it.
30:42They just want to help people.
30:44That's amazing.
30:50If you're a volunteer, you're giving something back without payment.
30:56I'd say 98% of folk are really good, help anybody.
31:00The lady or the gentleman who takes the tea trolley around the wards,
31:04all the charity shops, the church, food banks, that's all volunteering.
31:12I'm not unique in that sense.
31:14I just enjoy doing it.
31:30The team are back for another day shift.
31:34Teamwork.
31:35Did you end up having your pizza last night, then?
31:37No.
31:38No?
31:38I had chips for tea because I'm a child, apparently.
31:42I think I was in bed for like half eight last night, I wish I had.
31:44No, no, not really early.
31:47Also returning are Jordan and Josh.
31:50Hopefully it's quiet.
31:51Oh, you've said that word now.
32:03Is he awake at the moment?
32:06Right.
32:06So you've got pins and needles in your arm as well?
32:09Bear with me one moment.
32:10I'm just going to look into the job for you and see what update I can give you, OK?
32:15In the last three hours, control have received 300 calls.
32:21If anything with your condition changes, then please do just call us back on 999, OK?
32:27His chest isn't moving at all.
32:30Right, no pulse and he's not breathing.
32:44Ambulance there, is it the patient breathing?
32:47Yes, it's the patient.
32:49OK, tell me, Gakka, what's happened?
32:51I'm at one of the weeks today and I'm just on the coastal path going up on the steps and
32:59I've fallen and I think I've broken my leg and my ankle because it's a big lump.
33:04OK, so are you able to get on your internet and type in what three words?
33:11Is it loading?
33:13Not very well, not yet.
33:16It's shuffling.
33:17Look on your phone now, has it got any signals?
33:20It's just an emergency call.
33:22I'm being sorry, it's not coming up, are you saying?
33:25It's OK.
33:3089 miles away from Ronswick Bay, control are receiving a new call every 21 seconds.
33:37Well, we're playing a football game and it's one of the opposition.
33:41He's got tackled, he's gone over and he's just snapped really bad.
33:45He's had an accident, he's broken his right leg.
33:49The response time is averaging up to 90 minutes in that area.
33:53But obviously we didn't mean a child.
33:54Forget about it, forget about it.
33:56Yeah, come off his bike, we're just next to Scamondon, so we're at last.
34:01Right, is there any serious bleeding?
34:03Yeah, he could have his head pretty bad, there's quite a lot of blood.
34:06What's his name?
34:08He's called Ash.
34:09We are going to respond to you as quickly as we can, though we are experiencing very high demand in
34:13the area at the moment.
34:18In the last hour across Yorkshire, the service has been attending 116 patients.
34:25Hey, mate, sorry for the delay, I was just dealing with another incident.
34:28With another 144 patients still waiting for an ambulance.
34:3329-year-old, query stroke, not making sense.
34:36That's a child that's rung that in and they're all out of time already.
34:41What, a day?
34:42Yeah.
34:43Oh, my goodness.
34:44I've got someone who's come off a bicycle at Scamondon Reservoir now.
34:48What is going on?
34:51As control juggles the high demand, an ambulance is allocated to the patient at Runswick Bay,
34:5718 minutes after the call came in.
35:01It's still quite cold now.
35:04Is there anybody else around you can shout for some help?
35:07No-one's walked past.
35:10I'm just speaking to my colleague about your location.
35:12OK.
35:14As the patient's exact position is difficult to pin down, the crew en route need further assistance.
35:21Yeah, we're just on the line with Coast Guard.
35:23If you want to proceed to the scene of us.
35:25Yeah, roger.
35:26It just sounds like we're going to need it.
35:30Wait times increase as the service continues to balance limited resources whilst prioritising the sickest patients.
35:39It was cold a little bit before with Scamondon.
35:43My friend's come off his bike.
35:44He gashed sort of his head and his shoulder.
35:46And he was like, unresponsive.
35:49We caught the ambulance.
35:50He's feeling really weak and it got quite cold.
35:52Just go and turn to me right now.
35:53Is he awake?
35:55Yes, he's awake, are you?
35:57Yes.
35:59He's just about.
36:00He keeps...
36:03The patient is reallocated as a Category 1.
36:08Jordan and Josh are immediately dispatched.
36:10They are 15 minutes away.
36:13You got it.
36:1416, 71.
36:1816, 71.
36:19I have got a job for you, please.
36:21It's a 29-year-old male.
36:24He's had a fall off his bike.
36:26It's a friend that's rung it in.
36:28It's right in the middle of the red flag.
36:31It has been currently working 40 minutes.
36:40What are we, 40 minutes have been working?
36:42Yeah.
36:49With this, we're going to be worried that he has obviously been waiting for about a while.
36:55Yeah, it could have some injuries that we don't know about.
36:58Really cold.
36:59Hyperthermia is big.
37:01Yeah.
37:03This patient could have actually probably needed us a lot sooner.
37:08Let's see what these want.
37:12Hello.
37:13How far down?
37:14It's down at the bottom.
37:16Is it quite a trek?
37:17A bit of trek, yeah.
37:18Yeah.
37:19It's a spot with a hill.
37:20I can call it the bottom of a hill.
37:24Right then.
37:29Are you guys relatives or friends?
37:32Does he appear himself?
37:35Completely out of it.
37:36Ash, my name's Josh.
37:39I've got Jordan with me.
37:40What's happened?
37:42Can you remember?
37:44You come off your bike?
37:45Came off just at the bottom of that hill.
37:47He's got clipping shoes, so they clip into his bike.
37:49Yeah, yeah.
37:50His bike went over.
37:51He kind of just got dragged.
37:52And he stopped there.
37:54Right.
37:54Roughly how long would you say we're unconscious for?
37:57Ashley?
37:58Ashley?
37:59Shall we get another crew for a lift?
38:01Yeah.
38:03No.
38:04Perfect.
38:04I'll have a feeling in a second.
38:06OK.
38:07Hello.
38:08Could you just send us another crew for a lift, please?
38:12I'll process that.
38:13Have a look.
38:16Right.
38:17Jordan's going to give you some pain relief.
38:18Don't care.
38:19We're going to get another crew to come and help us get up that hill.
38:23What I want you to do is keep your head really still.
38:25Don't move it.
38:25Just keep looking up if you can.
38:27And then straighten this because we're going to need your blood pressure.
38:29Keep it down.
38:30That's it.
38:31I know you're cold, lad.
38:32We're going to try to keep you as warm as we can.
38:37Coming off their meal break are crewmates Claire and Katie, 19 minutes away.
38:43Receiving.
38:451596.
38:46I hope you guys are well rested.
38:48I have sent you this job, please.
38:50It is a backup from 1671 on scene, please.
38:54They are just needing help with extrication.
38:57A lift bar in sleep.
38:58Miles away.
39:01Keep going.
39:02Keep going.
39:03Chaos.
39:04We're never going to get there.
39:07Do we know how long you were unconscious for?
39:0915 seconds.
39:1015 seconds.
39:12Is this?
39:12That's his wife.
39:13His wife.
39:14Yeah.
39:16Is it Sam?
39:18Yeah.
39:19So I'm Josh.
39:19This is Jordan.
39:21Three years old kids.
39:21He's just quite asleep because he's been here a while.
39:24It's quite cold.
39:24Try and keep that head still for me.
39:27So now we're in 40, it's come off.
39:29We've had, obviously, a witnessed LOC, high mechanism.
39:33Yeah.
39:35It's going to be a way for him to set the traumas on, isn't it?
39:39They're down there.
39:40It's a pretty steep...
39:42Oh, it is, isn't it?
39:44Yeah, Ash.
39:4510.35.
39:46Other crew's here now.
39:58The crew will be making their way to you.
40:01They'll be at the closest place to get the ambulance to you.
40:04and then the walk's on there to you.
40:06I can't believe I've filmed it.
40:09Just don't worry yourself about that right now.
40:11What's important is that we get you some help
40:13and we get you checked over, OK?
40:16So I'm going to have to get off this call now
40:18because our ambulance crew want to call you.
40:20OK.
40:24The Coast Guard and crew were all around the area.
40:26Supposedly. Right.
40:28Coast Guard's on to me now.
40:30I feel so sorry for her.
40:34The patient has been waiting for an ambulance crew
40:36for more than two hours.
40:38I've been on the phone to them, so I call Charlotte.
40:41I just want someone to get to me now.
40:43The crew are near you.
40:45Are you able to try and shout for me?
40:47Just shout help.
40:48I think there's struggling to find exactly where you are.
40:52Hello!
40:53Keep going for me.
40:55Are you doing really well?
40:56Help!
40:58I can see people shouting tonight.
41:00OK, keep going.
41:01Hello!
41:02I can see you.
41:03You can see them now.
41:05Yeah.
41:06All right.
41:06I'll do them with you.
41:07You've done really well, OK?
41:08Thank you very much.
41:10You've been working.
41:11Bye.
41:11Parts of her life.
41:13She was nice.
41:13She was lovely.
41:21So you've got pain in your shoulder.
41:24Yeah.
41:24Where else?
41:26Yeah, the hip.
41:27Right elbow.
41:27Your hip.
41:29Yeah.
41:29Which hip?
41:30Which side?
41:31Right.
41:31Your right.
41:32OK.
41:34111 miles away at Scamondon Reservoir, the crews have been treating Ash for half an hour.
41:42So what we're going to do now, we're going to get this hardboard underneath you.
41:45Everyone happy?
41:46Yeah.
41:46Ready?
41:47Roll.
41:49Very good.
41:52Let's block him now and then just move him after.
41:54Ash, so you're not going to be able to move your head or your neck now.
41:57All right.
42:00Right, are you two getting to the bottom?
42:01Yeah.
42:02Right, we're ready.
42:03Steady.
42:04Lift.
42:08We're done.
42:10Ash.
42:10Ash.
42:11Ash.
42:12Open your eyes.
42:13Good lad.
42:26Nearly there.
42:26Sorry Ash.
42:28Bit bumpy.
42:29Are you happy, mate?
42:31Yeah.
42:34What's your name?
42:35Sam.
42:36Sam.
42:36He'll go to either Huddersfield or Leeds.
42:39Right.
42:40So the crew will let you know.
42:42What are we doing now?
42:43Of course you can if you want to go, yeah?
42:44Of course you can.
42:48How are you feeling?
42:54Ash.
42:55Ash.
42:57Ash.
42:58Ash.
42:58Open your eyes.
43:00Open your eyes.
43:02Jesus has to start out the box.
43:04I'm going to give him some TXA.
43:05I am.
43:06Yeah.
43:07Ash.
43:08We're going to be rolling you over in a second, OK?
43:10Right.
43:11On you, Josh.
43:12Yeah.
43:13Red it.
43:13Steady.
43:13Roll.
43:14You keep your head still, Ash.
43:15I've got it.
43:16You're going to be sick?
43:18Yeah.
43:18Oh, yeah.
43:19Oh, yeah.
43:21But it's because he's head injured and you hurt.
43:24That blood pressure has dropped that way.
43:26Do you just get sort of fluid fluid?
43:28Yeah, yeah.
43:29Right.
43:29Red it.
43:29Steady.
43:30Roll.
43:32You got injured.
43:35The effects of Ash's head injury will require additional support
43:39while en route to hospital.
43:41Are you receiving?
43:42We were just letting you know.
43:43Me, Katie and Claire are going to be transporting with 1691.
43:49We're going to Leeds and patient's vomiting.
43:51Ash!
43:52We're gazing, so right.
43:53Ash!
43:55Ash!
43:56Right, his pupils are different now.
43:58What's going on?
43:59Right, shall we go?
43:59Yeah.
44:00We need to go, Katie.
44:01Pupil.
44:07We're going to go on lights, so it'll be a bit of a speedy drive.
44:10Are you OK?
44:11Just a bit of shock.
44:13Yeah.
44:13Don't imagine.
44:15With Ash's condition deteriorating, he is taken to the nearest major trauma hospital,
44:2140 minutes away.
44:24Ash?
44:26Ash, open your eyes.
44:32Paramedic Katie updates the trauma team at the hospital.
44:36Hello.
44:36He's pulling again.
44:37I'm 1671 with him.
44:40Yeah, we'll just let you know he is GCS9.
44:43Yeah, his pupil has got size.
44:44We're size 2 on his lap.
44:46Size 2.
44:48Yes, he has.
44:51No, thank you.
44:52No, thank you.
44:53No, thank you.
44:53Ah, have a look.
44:54Ah, straight in this arm, buddy.
45:04One, two, three.
45:14This is Ash.
45:171350, he's been going down the hill at Scamondon.
45:20It's a very, very steep hill.
45:21Going down on his bike, appears to have lost control.
45:24Gone over the handlebars, gone flying quite a wee bit.
45:27It was witnessed by one of his friends.
45:28He had an LOC lasting approximately 15 seconds,
45:31to which he came round to sort of a painful stimulus.
45:35Injuries-wise, he's complaining of pain to his right clavicle.
45:38A head injury at his right side, to which you can see.
45:41And right side is sort of pelvic hip pain.
45:44His right pupil's a size 5, and his left is a size 2.
45:48He has vomited quite a bit.
45:50Thank you very much.
45:51Not all right.
45:53Excellent.
45:54Any allergies?
45:55No allergies.
45:56We'll come to end about head injury and pelvic injury.
45:59Can we get some hands, please?
46:03The line doesn't sit you in his appropriate sighting.
46:07Cover him over, warm him up.
46:13Where do we start?
46:15No idea.
46:16I'll go and have a look for the mop.
46:19He's OK.
46:20He's OK.
46:20You should stand.
46:29He's just come through, but he's come off this tree,
46:32wearing his slippers.
46:33He's got a chainsaw.
46:3670-year-old tree's fallen on his head.
46:39Oh, God.
46:39He's gone up a ladder with a chainsaw.
46:42I don't know if he's been trying to cut the tree down,
46:44and then it's, like, fallen on top of him by the looks of it.
46:47Has he still got the pressure on the wound?
46:50Yeah, I can imagine.
46:51Did you manage to find your finger?
46:55No, I wouldn't advise for you to have a beer.
46:59What's he done?
47:00Cut his finger off?
47:01Cut his finger off.
47:01Then he's like, is it all right if I have a beer?
47:04I'm like, well, not really.
47:06Yeah, and then he said, well, I've already had four.
47:17Yeah.
47:20Yeah.
47:22Yeah.
47:24Yeah.
47:25I phoned you yesterday.
47:26And my mum had very high blood pressure.
47:28But in my opinion, she's just got worse today.
47:31She can't use her right arm at all now, or her hand.
47:34Her face down the right side, yesterday,
47:37it was just starting to tingle in her mouth.
47:38And now she's complaining they'd be going all the way
47:40up to the side of her head.
47:42She's not herself.
47:43She's definitely not herself.
47:53Yes, Chris.
47:54Good afternoon there, Roy.
47:56Just allocated to you another category two detail.
47:58It's for a 75-year-old female.
48:01Her name is Denise.
48:02Let me know if you need the clinical hub early, OK?
48:05Yeah, well done.
48:06No problems.
48:06Thanks, Chris.
48:07You're that way.
48:07Thank you very much again, Roy.
48:11Roy is running 15 minutes ahead of the ambulance crew.
48:21Hello.
48:21Is it Denise?
48:22What are you doing sitting there, Denise?
48:24Tell me what's happened.
48:26Thursday, I just felt a tingling in my face.
48:30Didn't do anything because I thought, oh, well, it'll go away.
48:33Then got to Friday at the end of time and it got a little bit worse.
48:36So my daughter rang.
48:37The ambulance came.
48:39I was taking two passengers.
48:41Call the dial.
48:42They gave me a heavy safety scan.
48:45There was no bleed on the brain.
48:48My blood pressure was 247.
48:50Ooh!
48:52And then I just had to lay there until my blood pressure went down.
48:57And then they said I could go home.
48:59But today I feel worse.
49:01My face seems to have gone numb up here.
49:05Yeah.
49:06You're spreading up your face, isn't it?
49:07Whereas yesterday she just had a little bit heater.
49:09My hand, my arm and my leg are just...
49:12She can't use it at all.
49:14They're just dead.
49:15Give me a nice smile.
49:17No, I don't think I've got...
49:18No, you've got no facial drill.
49:19No, I don't think I've got that.
49:20I think you might be just slaying your words just a little bit.
49:24Yeah, I am.
49:26Give me your hands, sweetheart.
49:27Give me a good squeeze.
49:28Can you not do that one?
49:30Can I have one of that?
49:30This is the one that I injured in December.
49:34So is that normal, that?
49:36Er, not the...
49:37Not as bad as that?
49:38All right.
49:39Can you hold your arms up in front of you for me?
49:41No.
49:42I can hold that arm up, but this is difficult with the injury.
49:45Can you lift this leg?
49:48Look.
49:49Just a little bit.
49:50Can I do your blood pressure?
49:52Yeah.
49:52This is going to be cold, so I do apologise.
49:55Right.
49:56Rest down.
49:57Rest your arm down.
49:59Right, Denise.
50:00I'm a community responder, but there will be an ambulance response as well.
50:04And then they'll decide from my ops what they need to do with it.
50:10But I think it might be a trip back up to Calderdale.
50:13To me, your right leg seems weak.
50:17It is.
50:18And you are definitely slaying your words to me.
50:22So it's possible you might have had a...
50:23Well, they said I've had a mini stroke.
50:25Yeah, I was going to say.
50:26It might be another TIA.
50:29Hello.
50:29Hello.
50:29Hi, guys.
50:30This is Denise.
50:32Denise had an episode on Friday where she went to Calderdale Royal with a possible stroke
50:38symptoms.
50:39She's gone worse today again.
50:41Face tingling.
50:43And to me, she's slaying her words.
50:44I'll let you step in and you're your ops.
50:48OK.
50:49So, apart from these recent sort of TIA stroke type symptoms, are you normally quite fit and
50:56well?
50:56Do you have any other people in your shoes?
50:58Yeah.
50:59So, I think we should have a little trip back up to the hospital again.
51:02Give you a look at it again.
51:04Whilst your symptoms are a bit worse.
51:06One, two, three, three.
51:08Well done.
51:14You OK then, guys?
51:15Cheers, Roy.
51:16Thank you very much.
51:17See you, Roy.
51:19Denise will be taken to Calderdale Royal Hospital for further investigations.
51:30All of this lot can go, yeah.
51:381671.
51:38I just wondered if you had a little update after that last job, please, over.
51:42We've obviously got him to Leeds, handed him over.
51:45Injuries-wise, now they've scanned him.
51:47So, he's got a skull fracture, a subarachnoid hemorrhage.
51:50Clavicle fracture.
51:51A clavicle fracture.
51:52And some lacerations.
51:55Wow.
51:55I didn't expect that at all.
51:57Apologies, obviously.
51:58It took a while just because we were getting absolutely hammered earlier.
52:01So, sorry for the delay.
52:09As the shift draws to an end, Jordan and Josh return Katie and Claire back to their ambulance,
52:15a 50-minute drive away.
52:18Ladies and gentlemen, this is your captain speaking.
52:23After which, they will travel a further 19 minutes back to base.
52:30Hi, Grish.
52:32Hello there, Roy.
52:33Yeah, just about to book off, my friend.
52:34Many thanks for today.
52:36Yeah, many thanks for all your help.
52:38Signing on today as a volunteer.
52:39Cheers, pal.
52:40Thanks.
52:43In the job we do, you realise life's too short, how lucky we are just to be alive.
52:52I was diagnosed with prostate cancer last year.
52:56I had to go and have radiotherapy.
52:59And that does take it out of you.
53:02Your energy levels drop.
53:04You think to yourself, am I going to be able to do this much longer?
53:10Yeah.
53:11And I always think, if I've got the CFR blue bag, then it needs to be utilised.
53:19We've got Missy Joe blogs or somebody lying on the floor somewhere who needs a bit of support.
53:26Unless I'm booked on, I'm not going to be able to help.
53:32I don't hate packing it in, but I think I'll know when I need to say that's it, come to
53:37a stop.
53:39Let the young ones carry on.
53:42But for now, I carry on doing it because I love the job.
54:01When I was sort of 15, 16, so my last year of high school, I had an illness that wrote
54:08me off.
54:09Loads of hospital stairs, loads of ambulances.
54:11My mobility reduced and I was told I'd never walk again.
54:17I spent a couple of years in a wheelchair.
54:19I'll see you through, that's what I'll do.
54:23My parents, my family sacrificed an enormous part of their lives to support me and look after me full time.
54:31That's what I'll do.
54:32I was like the worst patient.
54:34I'll see you through your bad times.
54:39I remember the paramedics that came to me.
54:41They have no idea that they were a big part of the reason that I decided to do what I'll
54:48do now.
54:53From there, I knew I wanted to be helping people too.
55:02Hello, yes are you?
55:04Have a good day?
55:04It's been busy, it's nice now.
55:07All right guys, see you all later.
55:09Bye everyone.
55:11See you later guys.
55:13I'll see you next week for night.
55:16See you next week mate.
55:17Plenty of snacks.
55:18Thanks.
55:19See you in a bit mate.
55:19See you in a bit, thank you.
55:31Let's see you next week.
55:49When my luck got heavy, did you see me through?
55:53When my luck got too hard to bear, did you see me through?
55:59I will see you through.
56:01I will see you through.
56:03I will see you through.
56:19Are available on the BBC Action Line website.
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