- 12 hours 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?
05:38He's 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.
09:13Don't try to get clever and try and get argumentative, all right?
09:17I'm not being aggressive.
09:18I've had enough of speaking to you, disgusting, 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.
09:37You're not triaging?
09:37Yeah.
09:38You're not triaging?
09:50Well, even if he says he's got worse, we're not going to do it anymore.
09:53Because he's on his 24th, 25th call now, we're not doing it, no.
09:58No, the longer he's on the phone, the more opportunity he's got to be abusive to you.
10:02And we're not tolerating that.
10:04Thank you so much for taking this too.
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,
10:24but it certainly shouldn't happen to 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?
10:50Yeah, they're upstairs on the corridor with us now.
10:54Sarah and Louise have now been joined on scene by police.
10:58Right, 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, God.
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.
11:56HE SINGS
12:14BELLS
12:15BELLS
12:16BELLS
12:24BELLS
12:26and poor Louise got full force punch 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 a 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 fall falling into her walker
13:49I think the thing's stuck in her arm and she's losing like a lot of blood
13:58new incident category one is 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 that
15:14how's your pain at the moment bad bad so did you just trip and fall and fell backwards and fell
15:23backwards
15:24trying to get the dog upstairs oh was it the dog's fault no it's quite a large wound yeah okay
15:36have you
15:37got any pain to your arm or your shoulder at all yeah just need to see how far around it
15:42goes you see
15:43any bone or anything you can see all the structures inside yeah you can see it so she has had
15:54a
15:54mechanical fall and but it's the whole way around you can see all the structures inside and she's in a
16:00lot of pain if we're all in agreement do you think some wet gauze and then just
16:04put your hand down for me right if you can for me keep your hand lovely and still okay
16:08okay
16:08I'm just gonna give me some pain really nice
16:10is there not some in the bomber there
16:11oh yeah it's right right
16:13you were a nurse where were you a nurse
16:15yeah right wow amazing thank you
16:18it's okay
16:18baby care
16:19oh baby care
16:23I'm thinking
16:24yeah
16:25should we sit her up
16:26yeah
16:26because it's soaking through and it's not staying where it should be
16:29because it's just in a really awkward place
16:33so we'll try
16:35sit you up
16:36dress your wound
16:37but it might be a bit uncomfortable
16:39do you need any more gloves for you
16:41oh you got
16:42oh
16:43right
16:44well done
16:44fair enough
16:45cool
16:45if we just pull this down
16:47just need to be really careful
16:49cool
16:49erm
16:50I know I'm really sorry
16:52is that all
16:52hold on to me
16:53yeah
16:53all right let's
16:55okay
16:55well done
16:56I'm doing really really well
16:58I know it'll be a bit stingy
16:59and then we just need a bit on this side as well
17:02so we're just gonna have to do it like this
17:03and then if
17:04we just go
17:05if we go around
17:05toward the neck yeah
17:07I was gonna say it just needs
17:08you've got some beautiful necklaces
17:10yeah
17:11thank you
17:11really nice did you get them as a
17:12thank you
17:13did you get them as a gift or anything or
17:15one set my hand's stuck in it
17:16sorry
17:16keep talking to me
17:17keep talking to me
17:18try and forget about that
17:19if you can
17:20if you need to take a few deep breaths
17:23in through your nose
17:24out through your mouth
17:25there's a bit on
17:26there's a big hole
17:26if you feel any better
17:28they get in there all right
17:29can you try and put some more gauze
17:31so you say he was a nurse
17:32so you worked with
17:33children or babies
17:35babies
17:35oh my god I'd love that job
17:37was it newborns or was it
17:39preemies
17:40oh preemies
17:41oh wow
17:42was that your speciality then
17:44yeah
17:44yeah
17:45I like me prems
17:47your prems
17:47yeah
17:48yeah
17:48I enjoyed it
17:50you enjoyed it
17:51it was difficult because
17:53there were events with her
17:56ventilating
17:57oh I can imagine
17:58go back up here
17:59yeah
17:59go back up here
18:00yeah
18:00it's quite a difficult job
18:02it is
18:04you're doing really really well
18:05three
18:06two
18:06one
18:07ow
18:07ow
18:08all right
18:09well done
18:09you're doing really really well
18:11perfect
18:11and then all you need to do
18:13is sit down
18:14it's safe
18:14sit straight down
18:15but you are safe
18:16promise you
18:17sit down
18:17that's it
18:18great job
18:20good lass
18:21we're just going to wrap you up in this blanket
18:23so we can keep you nice and warm on this trip out
18:25here we go
18:27I've got you I promise
18:33with the injury bandaged
18:35Hester and Jess will take Kathleen
18:37to the Bradford Royal Infirmary
18:39for further treatment
18:41ready one
18:42two
18:42three
18:45you take care of yourself
18:46no more fall
18:47and you
18:48no
18:49it's all right
18:56are you proud of our bandaging then
19:02at least we can make you smile a little bit
19:09but they might just need a bit of a clean
19:11and sewing back up again
19:16I know but
19:17they'll give you some better pain relief
19:19than we can give you at the moment
19:21all right
19:29no no problem at all
19:31you've been a pleasure
19:33but we need to get your arm sorted
19:35so should we go see the doctors then
19:36come on then
19:40there we go
19:42there we go
19:54action
19:56aww wasn't she just lovely
19:58she was so sweet
19:59considering her injury as well
20:01she was just so calm and nice about everything
20:04wasn't she
20:04yeah
20:04yeah you did a very good job
20:06so did you
20:07thank you
20:07don't know where I'd be without you
20:09love you
20:10love you
20:12wait
20:13yes
20:15teamwork
20:15teamwork
20:38with the spate of abusive calls showing no signs of slowing
20:42abby has escalated the incident and reported the caller to the police
20:50just a statement for police
20:52there's a very real possibility that police are going to turn up and not us
20:55if he carries on where he has
20:57what's happened
20:58looking to arrest him
21:00oh have you got him now
21:02tell him that someone will review his case and call him back
21:04say what
21:05they'll review his case and call him back and just clear it 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
21:16what are you going on about
21:17you guys are absolutely disgusting
21:21you don't need to stink
21:23okay thank you I'll let him know thank you
21:26bye bye
21:26she's great for him
21:32a little bit of good news they're after going and arresting this gentleman
21:36oh are they
21:37yes
21:37brilliant
21:38so yeah
21:40good 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 or 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 that she's tough
22:28and she doesn't want to bother us
22:30that might be the case
22:30but I'm sure you will find out when you get there over
22:33yeah we'll do our best and we'll keep you updated
22:35thank you
22:37hello
22:38Hester and Jess are immediately dispatched to a category 3 call in Leeds
22:51hello
22:53is it Marion
22:54hi Marion
22:56you can take a seat if you want
22:59so if you had to describe the pain
23:02what did it feel like
23:04it wasn't what we call the crushing pain
23:07it was more like the gastritis pain
23:08I remember well it was just like
23:11oh it's not going away is it
23:13and I talked to the GP
23:14and he says well
23:16you should really call up and see if they can come and tell us an EEG
23:20if you have
23:20an ECG
23:21ECG there if 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 we can do your blood pressure as well
23:40where were you from originally
23:42from New 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
23:50no
23:51well I thought it had
23:52they think it has over there
23:54senior American
23:55if I am
23:57I'm going to pop these sticks on your arms
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
24:11onto Brindisi
24:12to catch a ferry
24:13and we were playing frisbee
24:15and this gorgeous man
24:17fell a frisbee tune
24:19and he was from
24:22Leeds
24:22oh
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
24:36so your heart treating was fine
24:38good
24:39that's good
24:40how have you found coming from America to the NHS
24:43I was I was I was totally amazed
24:46amazed
24:47but I had no idea when I came here that everything was free
24:50yeah
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
24:59that was amazing
24:59yeah
25:00I would have been a goner
25:02yeah
25:02totally it was like they did a fantastic job
25:05yeah
25:05you know I mean I'm lucky
25:06I am I 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
25:23okay
25:25any further problems make sure you ring 111
25:27okay
25:28all right then we'll leave you be
25:30okay
25:31right
25:32thank you
25:32we'll let ourselves out
25:34we'll see you later
25:34see you later
25:35request us to
25:48I'm doing services
25:50breathing
25:53is she breathing
25:54at the moment
25:57you don't know
26:01How old is she just being born that I'm organizing some help for you now just stay on the line
26:10this
26:11She changing color she's looking a bit blue what position is she in now what what position is she in
26:21All right, that's fine. She wants a color like now. She's still looking a bit blue
26:28Just her lips. What's her cheeks like? What what do what do her cheeks look like?
26:36That's really good. Oh, yeah, that's good
26:41Is that her crying is that her crying? Yeah, okay, make sure she's kept nice and warm
26:47Okay, she's still looking at a little bit blue. She's crying. Just just keep her warm. Okay
26:57Put the phone next to her let's just listen to it. Can you put the phone next to it just
27:00so I can listen to her breathing
27:09That's fine, thank you
27:13Just keep her awake keep a close eye on it. Just keep her awake and just keep a close eye
27:18on her. Okay, just let me know if anything changes at all
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, sir. Well done
27:43Emergency call handlers are the first responder
27:47People think of the first responder as the first person on scene, but actually it's the person that picks up
27:52the phone
27:53And they're really so overlooked
27:57I think it's really important for me to tell them at the end of every shift
28:01I really 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
28:11Is that something you have?
28:12Go home
28:13Yeah
28:14Go home, sleep
28:16Right, I'll see you later
28:17Bye, babe
28:22Right, thank you for tonight guys. See you later
28:24Night
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
28:51I'm just walking up and a guy just falling from the roof
28:51You're nervous
28:52Is the patient
28:53Oh, you're always nervous
28:54Is the patient
28:54You're nervous?
28:56Just barely breathing
29:01I don't know, I was just looking to be paralyzed
29:04I can't move
29:07I was just walking up and a guy just falling from the roof
29:13I think you've died.
29:26I will. Cheers, my love.
29:29It's the start of the Tuesday night shift for dispatcher John
29:32and the rest of the team in control.
29:35You got on your screen?
29:37I've got 15. How many you've got?
29:4021.
29:4021.
29:42Are we at CSP level 4?
29:44Yeah, CSP 4.
29:45A busy day shift has left 197 patients
29:49still waiting for an ambulance across Yorkshire
29:53and pushed the service into Clinical Safety Plan 4,
29:57the highest level of alertness.
30:00The oldest job I've got at the minute is from 11.57,
30:03I've capped three out of Leeds,
30:05so that's over six hours old at the minute.
30:08Due to demand exceeding available resources,
30:11the service will no longer send ambulances
30:13to some less critically ill patients.
30:16I've got a 12.46, Cat 3 in Featherstone,
30:20and then a Cat 2 from just before 5.
30:23That's way out of target,
30:25so just waiting for crews to book on duty now.
30:35Wakefield crew 1707, Sam and Tom
30:40will be one of 281 ambulances
30:43working to help clear the backlog of patients.
30:47Are you ready?
30:48Yeah, absolutely.
30:49Nothing out.
30:52We're having to go.
30:561707, good evening.
30:57I've got an outstanding Cat 2 at Pontefract for you.
31:00It's for a 45-year-old male
31:03taking an overdose on medication.
31:05You've got details, you can get rolling.
31:14Sam and Tom are immediately dispatched
31:16to the Cat 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
31:28with 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
31:37I can usually give for this type of overdose
31:40if it's contraindicated
31:41and I wouldn't be able to give it.
31:44It's one of these little houses back, I think.
31:52Hello.
31:53The big old sofa.
31:54Hello.
31:55Is it Sean?
31:56Yeah.
31:58Do you want to live with him?
31:59Yes.
32:00Sean, can I do some checks on you
32:02while Tom's having a chat with you?
32:04Is that OK?
32:05We'll have a chat and we'll get to the bottom of it, eh?
32:07It took 15.
32:08I took 15 tablets.
32:1015 of his tablets?
32:11Yes.
32:12I don't really, you know.
32:14Have 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?
32:20It's come home more...
32:22It's a bit more drunk than you.
32:23Yeah.
32:23Has he done anything like this before or has come home and taken tablets?
32:28No, never.
32:29Do you struggle with your mental health, Sean?
32:33Yeah.
32:34Yeah.
32:35I probably do.
32:35I probably do.
32:36And what do you think's brought it on tonight
32:38that's made you take these tablets?
32:47Have you got any other medical problems, Sean?
32:51Well, I've got advanced liver disease.
32:53Yeah.
32:55And I've been in rehab.
32:56Did they not give you a plan when you left rehab?
32:58No.
32:59Nothing.
33:00So has it taken us being released and rehab?
33:02Have we kind of been gone downhill again?
33:04Yeah, no, it went downhill.
33:07Need you to have a little bit of something to eat
33:08because your blood sugars are a bit on low side.
33:10Oh, you could do with a bit of a sugary drink?
33:12I mean, you're going to have to go up to hospital, Sean.
33:15It'll be classed as...
33:17I used to work for NHS and I know you guys.
33:21Did you?
33:22What did you do?
33:23I was a part of the punch crack.
33:26Oh, lovely.
33:27The only concern to have is if you've got advanced liver disease already
33:32and 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 on
33:39and see if there's any medications hospital can give you
33:41to try and reverse any side effects.
33:43Oh, look at that, lovely.
33:45Have a bit of that jam sarnie then, Sean.
33:48Oh, yeah.
33:48That should do, Sean, just...
33:50They just need to be up a little bit more.
33:52I just feel, you know, that I've lost my way a bit, I think.
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 and we'll get going.
34:07It's a waste of everybody's time here.
34:10It's not a waste of anybody's time.
34:12We're here for everybody.
34:15I know you are.
34:16And that's a great thing about you, isn't it?
34:18It is.
34:19Isn't it normally this nice?
34:28I'll just sit it up for you, Sean.
34:29I know my problem is, I'll be on these bloody beds too many times.
34:32Get your bum right up here then.
34:34If you've been on them too many times, you'll know.
34:36Are you sure you'll have your shoes on?
34:38That's it, good man.
34:39I bet you're old, mate.
34:41We do.
34:41You're a lovable rogue, aren't you, Sean?
34:44Right, I'm going to get us up to hospital.
34:46Tom will be in back with you.
34:47I know.
34:48I'll keep an eye on you.
34:49I never speed.
34:50I'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?
35:14God 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, oh, they're just a drug addict,
35:42or they're just an alcoholic.
35:44But you're not seeing the person that they are.
35:49That's why I signed up to do this job.
35:52And what drives me is just to help people.
35:56It doesn't matter the circumstances.
35:59We're there to help.
36:03Do you want a wheelchair to go in, mate?
36:05No.
36:06Are you walking in right then?
36:09Oh, yeah.
36:38I'm going to stay in line with you.
36:40I want you to watch her very closely for me.
36:41If she does become less awake and she vomits,
36:43just to go in.
36:45Right, 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.
36:56So they will be trying to get a crew there as soon as they can.
36:59Just make sure that somebody's there to wave down the ambulance crews.
37:03I'll leave you with them, OK?
37:05Call handlers have already answered more than 500 new calls
37:09since the shift began,
37:11with a backlog of over 130 patients
37:14still waiting for an ambulance across Yorkshire.
37:18When you get a crew clear, will you shout me?
37:20Yeah, Rob.
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 now have crews that are waiting at Pinderfields Emergency and LGI.
37:38We've got quite a few queuing now,
37:40so if you could ask all the crews to look for alternative pathways.
37:42OK.
37:49Yeah, 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.
38:0312.25.8, Remy, love.
38:05Put you on an RTC.
38:08Two cars head-on at 60 mile an hour.
38:12Yeah, Roger, thank you.
38:14Have we got any crews en route yet?
38:1815.12.
38:18I'm rolling them towards it.
38:20John, heli-med are going as well.
38:22Heli-med's en route as well from Nostal.
38:27All received, thank you.
38:2812.25, operational commander, Remy, is immediately dispatched to the road traffic collision and is six minutes from scene.
38:40She is specially trained to manage large-scale incidents and will coordinate all medical resources on scene.
38:4812.25, go ahead.
38:51Quick 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 stretched resources across the service, the seriousness of the incident means that Remy will be joined on scene
39:08by six police vehicles, two fire engines, two ambulance crews, two pre-hospital emergency doctors and a Yorkshire Air Ambulance.
39:44Hello?
39:44Yes.
39:45Is this the one that's trapped?
39:46Yeah, get out, get out.
39:47OK.
39:51It's been a lot of pain, this champ.
39:54Yeah.
39:54Looks like it's a mid-shaft fever, at least, and 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.
40:11We've done a primary survey.
40:12Yeah.
40:1312.25, just looking to see if you've got a clinical update.
40:16Two patients, both going to be requiring major trauma.
40:20Erm, I 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.
40:32LGI, we've got two patients triggering for major trauma.
40:36Patient one is a fractured pelvis with abdo injury and chest injury, and patient two is a fractured femur, which
40:42is described as a mangled lower leg.
40:46OK, OK, OK, I'll let them know.
40:4812.25, go ahead.
40:5012.25, they're still consistent, so long.
40:53They're happy they can accept both patients.
40:56Yep, not a problem.
40:59LGI are expecting you.
41:01We've got a pelvic binder ready.
41:03It's ready to go.
41:04We are just currently loading our first patient.
41:07Journey time's probably about 10 minutes on blue light, so 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, the team are trying to free the second patient,
41:21who is still trapped.
41:27I presume they'll give you an update about this one, so 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.
41:36Yeah.
41:37It 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, we can't, yeah.
41:45Can't get...
41:46Oh, they're free.
41:47Oh, feet are free.
41:48Feet are free, yeah.
41:49Ready, guys.
42:06I'm going to follow you up, because there's a kit all over the place, so I shall see you at
42:10LGI.
42:19Ambulance service.
42:20It's the case of breathing.
42:22I'm breathing.
42:24I'm breathing.
42:24It's quite lighted.
42:27It works.
42:30Okay.
42:31Are you on your own?
42:34Yeah.
42:36Open call, open call.
42:38All Wakefield resources.
42:39If anyone can clear for a confirmed cat 1, Nottingley.
42:43Confirm cat 1, Nottingley.
42:45If anyone can clear, current run time, 19.
42:48One, nine minutes.
42:49Anyone closer, please clear.
42:52An ambulance has automatically been dispatched to the Category 1 call, but due to stretch resources,
42:58the nearest crew are 18 minutes away, well over twice the target time of arrival, which is within seven minutes.
43:15And with ambulances stuck in queues outside hospitals in Leeds and Wakefield, nearly 60 patients are still waiting for a
43:24crew to arrive.
43:25We've been waiting for seven hours.
43:28She's 91 years old.
43:30I just wondered if it was on its way.
43:33We have had an exceptional demand on the service throughout the year.
43:37We have been very busy, I'm afraid.
43:40Is the patient breathing?
43:43Yes.
43:43Okay.
43:44I thought he's really cut his arm terribly.
43:46They are assembling an ambulance, but not for a while.
43:50You all right?
43:51Yeah.
43:52Oh, that frightened me then.
43:53I thought he'd gone.
43:58It has now been 40 minutes since John dispatched an ambulance for the Category 1 patient in Nottingly with difficulty
44:06breathing.
44:07But the crew has yet to arrive.
44:111704.
44:12I've just seen you still trying to get off motorway.
44:16We've just taken roadblock after roadblock.
44:19This works all over now.
44:21Normally they give us like a warning, so I'd say, all right, you need to come off here.
44:26I don't know how we can approach it from any other way.
44:29We should be there within seven minutes.
44:32We're currently looking at a 40-minute ETA, 40.
44:38Ryan, they've gone along 62 to A19, come back.
44:44Yeah, couldn't even get north because that's shut.
44:48So, both directions are shut.
44:50Yeah.
44:51The Follett diversions just basically go to a dead end.
44:54Yeah.
44:55What motorway's shut?
44:57M62 and A1.
45:01So, 46 minutes so far.
45:04They're now down at Barnsdale Bar, that crew.
45:07They're what?
45:09Two thin hell.
45:11So, they've gone all the way down to Barnsdale Bar?
45:13Yeah.
45:14Well, miles away from it.
45:18John, they're in Cass at a minute of 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.
45:28Yeah.
45:33Sam and Tom are currently on route to a Category 3 call in Castleford, eight miles to the east of
45:40the Category 1 patient.
45:43Oh, stand down.
45:44Stand down.
45:45Stand down.
45:45Advocated to view.
45:46Voice accept.
45:47Stand down.
45:48Acknowledged.
45:49Going clear.
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.
46:16Yeah, Roger that.
46:17That's all received.
46:18We 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.
46:47He's been in since 0054. That's nearly an hour.
46:51That's really bad, that.
46:52For a Category 1.
46:53Right, let me put you in on ways.
46:56Let me just pull over on it, you.
47:00Right, it's given me another route here.
47:03So it's taken a step out.
47:04Is that through the services?
47:06Erm.
47:08Yeah.
47:08Yeah.
47:12I don't know what I am yet.
47:14I think they're just struggling with all the road closures, but don't worry, it shouldn't be too much.
47:18How can I get a taxi?
47:231707.
47:24Right, for info, they have tried to cancel us.
47:29Because the patient is now going to get into a taxi and go...
47:32John, 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 1707 on it.
47:42Yeah, we'll do.
47:431707.
47:44Right, 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 was panting on phones at EMD, who were patient.
47:52Right.
47:55Yeah, Roger that.
47:56We're plotting at 1.6 miles away, so we're out four minutes to this job, so we'll let you know
48:01when we arrive.
48:03They're just asking us to go through, like, this right-hand lane next to the service station.
48:08Yeah, it's her still here.
48:14Take the next right.
48:27Receive in.
48:301707.
48:32Have you been diverted off, over?
48:34Yeah, so we've popped it into our sat-nav, which accounts for the road closure, and this is the road
48:39that has brought us up,
48:40so it says we're 0.7 miles away at the moment.
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.
49:07This is unbelievable.
49:09Yeah.
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, but sometimes things are beyond your control.
49:46All right, this is looking a bit more promising.
49:53From that big fence at the 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.
50:15John?
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 to their own sat-nav.
50:28Is this 7-8-0-7?
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, right?
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?
51:03It's about highways.
51:04They're going to let the ambulance through,
51:06so they need to go back onto the A-162,
51:08and there's going to be someone she's letting through.
51:11Receiving.
51:141707, if you make your way back to the round,
51:18all the services are on, they'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.
51:321707.
51:32Right, further update for you.
51:35The patient's got a previous history of myocardial infarction,
51:41and the Clinical Hub believe she's having another one at this time.
51:51I'm going to go home to there if I can.
51:53And that's it.
51:58I just don't want to squint that home fair.
52:18We've now made access to the A-1, 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, Wilbur.
52:32Thank you very much.
52:41Hello, Ambulance!
52:45Hello!
52:45Hello!
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?
52:56It's morning, but I don't breathe properly.
53:00And what time would you say that started this morning?
53:03At 10 o'clock.
53:0410 o'clock.
53:06Can I have a quick listen to your chest for the need?
53:07Is that OK?
53:09Are you diagnosed with any breathing problems, any COPD, asthma?
53:13I had an 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.
53:29No.
53:30Is there anything that's making you think it could be another heart attack?
53:34No, I don't think so.
53:36You don't think so?
53:38I'm going to say your chest, Benita,
53:41it 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
53:48and help your breathing 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.
54:12Slightly.
54:13Easing a little bit.
54:14But 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.
54:22Your heart rate's going a little bit quick.
54:25So we'll want to get you up to hospital.
54:27OK.
54:35I'll take you 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.
55:11It's fine.
55:12That's what we're here for.
55:13Eventually.
55:15No.
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
55:44or pneumonia.
55:45The main thing is that we've treated her
55:47and got her into resus at hospital.
55:50I'm going to say brilliant,
55:51but I suppose pneumonia and chest infection ain't good.
55:55If it had been anything worse than what it was,
55:58outcome would not have been good at all.
56:00Absolutely.
56:01Yeah, definitely.
56:02An hour and 23 minutes and 52 seconds
56:06it took us to get to her.
56:08Well, thank you very much for navigating us
56:11through some very tricky roads
56:13and I'm glad we managed to get there in the end.
56:16I will leave you to finish up your paperwork,
56:19press clear when you're ready
56:20and I'll stick a new one on your screen, over.
56:23No worries, that's all received
56:24and we shall talk to you soon.
56:28Certainly will.
56:29Control, out.
56:40On a night shift,
56:42I know that I'm helping people
56:43when they're the most vulnerable.
56:45They've made that call
56:47because they need you.
56:48They need you in that moment.
56:52If we give up,
56:53we're letting the patients down
56:55and that's not what we're about.
56:56We're about helping people.
57:01Things aren't always straightforward sometimes
57:03and we might run into obstacles,
57:06but we will get there.
57:09If not now,
57:13it's true
57:14And whatever is right for you
57:17We'll guide you
57:23Cause if not now is soon
57:29And whatever is right for you
57:32We'll guide you
57:35Cause if not now is soon
57:44Whatever is right for you
57:47Whatever is right for you
57:48We'll guide you
57:50Through
58:01Details of organisations
58:03offering information and support
58:05with addiction, mental health or self-harm
58:08are available on the Action Line pages
58:10of the BBC website.
58:12For more information, visit www.fema.org
58:15www.fema.org
58:15клуб
58:15The Aspenex
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