- 12 hours ago
Ambulance - Season 16 - Episode 01: Punched by a Patient
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TVTranscript
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?
05:41Is he still twitching?
05:42Jesus 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. Right. Shall we pull him backwards?
06:02Pull him back. He's going to hit his head on here.
06:03He's going to hit his head. We need to get him in, guys. Yeah?
06:05Ready? Ready, set it up. Go!
06:07There we go, darling. That's fine. Let's get in.
06:10Yeah.
06:14We're going to have to diazepam in, aren't we?
06:17Yeah.
06:20We've got a pillow, please. We've got a pillow or something.
06:22Anything 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.
06:36Oi, oi, oi, oi, oi, oi.
06:38All right, we're just going to get you some medicine.
06:42It's almost as if he's had something.
06:44Yeah.
06:48Because 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 before 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, whoa!
07:06Whoa!
07:111671.
07:131671, go ahead.
07:15Can we have police, please, to help with extraction with this patient?
07:18Right!
07:20Right!
07:22Oh!
07:23Oh!
07:25Oh!
07:26Oh!
07:27Oh!
07:28Oh!
07:28Oh!
07:29We've got a 45-year-old male having a seizure.
07:33The crew have got to see him and he's being violent and aggressive towards him.
07:36Stop!
07:38Stop!
07:41It must hit me.
07:44Oh!
07:44I haven't got any more information.
07:46They sounded quite panicky.
07:48Stop him going in the left!
07:50Come on.
07:52Oh!
07:53Oh!
07:55Right!
07:56Calm it now!
08:01You got it in the face.
08:02I got it in the face.
08:03I'm going to hit me in the nose.
08:05Shaking.
08:091671.
08:09Police are on route as an emergency.
08:12Yeah.
08:13Oh!
08:14Just try and keep yourself safe, mama.
08:24The marked times I've called in the 999.
08:26The marked times I've called 111.
08:28The marked times I've gone to my duties is unbelievable.
08:33Hello?
08:35I think he's glared on me.
08:38How many times has that guy called tonight?
08:423, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, yeah, 14 times.
08:51In control, the abusive caller, who has already turned away one ambulance,
08:55continues to phone 999 and be aggressive towards Abby's team.
09:01Why, I'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 and 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?
09:29You want to triage him?
09:34No.
09:36Is this the case you're breathing?
09:38I'm clearly intent, that's why I'm constantly falling into that foot swag.
09:42Er, sir, don't talk to me like that.
09:46He's not back with anyone else, is he?
09:48No, I'm not triaging him.
09:49We're not triaging him at all.
09:51Even 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.
10:07As a manager, I'm very protective of my team.
10:10When I see my entire team receiving abuse and 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 to people
10:25that are there to help.
10:28You can see how many other genuine emergency calls are sat waiting to be answered
10:33that need our help.
10:35And you think, why am I doing this?
10:48Are they assuming you're not?
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, should we go down to the ambulance now?
11:00They will assist with transporting the patient suffering suspected drug-induced seizures to hospital.
11:35I don't understand why I'm crying. I don't get it.
11:37I 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.
11:54We're not going to let him hurt you any more than he did.
12:14BELL RINGS
12:151671.
12:18How are you guys feeling? Are you guys okay at the minute?
12:23Yeah, it's been a bit of a night, to be honest.
12:27Poor Louise got full force, punched straight in her nose.
12:30I've been caught in the face and kicked.
12:34But, yeah, we're all right.
12:36That's the main thing. As long as you guys are okay, as I say, you go to work to do
12:39a job.
12:40And you don't expect to be assaulted.
12:42Obviously, take as long as time as you need to debrief.
12:45Have a word with the team leader.
12:46We might be able to avoid you for the rest of the night.
12:48I'm not counting any chickens.
12:52No, I wouldn't either, but we'll try and be nice.
12:58Brilliant. Thank you, my lovely.
13:16What have you got for your tea, then?
13:18I don't know what I'm going to have tonight.
13:19Do you know?
13:20Do you know what you're going to have?
13:21I've got a lasagna.
13:22Ooh!
13:24That sounds nice.
13:24Homemade?
13:25No.
13:26Oh.
13:27Do you know what? That's just such a let down, Hester.
13:33Leeds crew 1696 are en route to their second patient of the night.
13:42Ambulance service, is the patient for you, then?
13:45Yeah.
13:45It's my mum.
13:46She's had a fault 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.
14:01Aya 1696.
14:03Just some details on this category one that you're attending.
14:0676-year-old female.
14:07It says that she's fallen.
14:08And a walker's handle has gone into her armpit and it's bleeding.
14:12All right, thank you very much.
14:15Ooh, that sounds nasty.
14:21Yeah.
14:22Hester and Jess are immediately diverted to the category one call in progress.
14:26Hi, mate. It's Tom on the IT desk.
14:29We've got... Quick Care has allocated you to this.
14:31There's a DCA arriving a couple of minutes ahead of you
14:34and 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.
14:42Due to the complexities of the injury,
14:45specially trained critical care paramedic, Zach,
14:48has also been dispatched to assist the crew on scene.
14:51He is five minutes behind them.
15:00OK.
15:02Hello.
15:03Hello.
15:04How are you?
15:05I'm Jess. Nice to meet you. This is Hester.
15:07Hello.
15:08Hi.
15:08So what's happened?
15:10I fell a bit close into that.
15:13Into that.
15:14How's your pain at the moment?
15:16Bad.
15:17Bad.
15:18OK.
15:18So did you just trip and fall?
15:21I slipped and fell backwards.
15:23And fell backwards?
15:24Did you relax like that?
15:24I was trying to get the dog upstairs.
15:27Oh, was it the dog's fault?
15:29No, it didn't happen.
15:31Yeah?
15:31Ooh.
15:33It's quite a large wound.
15:35Yeah.
15:36OK.
15:36Have you got any pain to your arm or your shoulder at all?
15:40Yeah.
15:41Just need to see how far round it goes.
15:43Can you see any bone or anything?
15:45You can see all the structures inside.
15:47Yeah, you can see it.
15:48Hello.
15:50Hello.
15:51Hello.
15:51Hi.
15:51Hi, Zach.
15:52Yeah, good.
15:53So, she has had a mechanical fall, but it's the whole way around.
15:57She can see all the structures inside.
15:59Perfect.
16:00She's in a lot of pain.
16:01If we're all in agreement, do you think some wet gauze and then just...
16:04Put your hand down for me.
16:05Right, if you can, for me, keep your hand lovely and still, OK?
16:09I'm just going to give me some Hamlet now.
16:10Is there not some in the bone or there?
16:12Oh, yes.
16:12Right, right, in the bone.
16:13You were a nurse.
16:14Where were you a nurse?
16:16Yeah, right.
16:16Wow, amazing.
16:18It's OK.
16:19Oh, baby care.
16:23I'm thinking...
16:24Yeah.
16:25Shall we sit her up?
16:26Yeah.
16:26Cos it's soaking through and it's not staying where it should be.
16:30Cos it's just in a really awkward place.
16:33So, we'll try, sit you up, dress your wound, but it might be a bit uncomfortable.
16:40Do you need any more glasses for you?
16:42Oh, you got...
16:42Oh!
16:43Right on.
16:44Fair enough.
16:45Cool.
16:46If we just pull this down...
16:47Just need to be really careful.
16:49Cool.
16:50Um...
16:50I know.
16:51I'm really sorry.
16:52Is that all...?
16:52Hold on to me.
16:53Yeah.
16:53Right, let's...
16:55OK.
16:56Well done.
16:57You're doing really, really well.
16:58I know.
16:58It'll be a bit stingy and then we just need a bit on this side as well.
17:02So, we're just going to have to do it like this.
17:04And then if...
17:04We just go...
17:05If we go round...
17:06Towards the neck, yeah.
17:07I was going to say, it just needs pressure.
17:09You've got some beautiful necklaces.
17:10Yeah.
17:11Really nice.
17:12Did you get them as a...
17:13Did you get them as a gift or anything or...?
17:15I won't set my hands stuck in it.
17:16Sorry.
17:16Keep talking to me.
17:18Keep talking to me.
17:18Try and forget about that if you can.
17:20Have you got that bit of skin?
17:21If you need to take a few deep breaths in through your nose, out through your mouth.
17:25There's a bit on...
17:26There's a big hole...
17:27Don't you feel any better?
17:28They're getting there, all right?
17:30Please do.
17:30Do you want me to put some more gauze?
17:31You say he was a nurse and you worked with children or babies?
17:35Come on, babies.
17:35Babies.
17:36Oh, my God, I'd love that job.
17:37Was it newborns or was it...?
17:39Premies.
17:40Premies.
17:40Or preemies.
17:41Oh, wow.
17:43Was that your specialty then?
17:44Yeah.
17:45Yeah.
17:45I like me prems.
17:47Your prems, yeah.
17:48Yeah.
17:49I enjoyed it.
17:50You enjoyed it?
17:52It was difficult because there were vents with her ventilating.
17:57Oh, I can imagine.
17:58Can we go back up here?
17:59Can we go back up here?
18:00Yeah.
18:01Quite a difficult job.
18:02It is.
18:04You're doing really, really well.
18:06Three, two, one.
18:07Ow.
18:08Ow.
18:08All right, all right.
18:09Well done.
18:10You're doing really, really well.
18:11Perfect.
18:12And then all you need to do is sit down.
18:14It's here.
18:14Sit straight down.
18:15But you are safe.
18:16Yeah.
18:16I promise you, sit down.
18:17That's it.
18:18Great job.
18:20Good lass.
18:21We're just going to wrap you up in this blanket so we can keep you nice and warm on this
18:24trip
18:25out.
18:25There we go.
18:27I've got you, I promise.
18:33With the injury bandaged, Hester and Jess will take Kathleen to the Bradford Royal Infirmary
18:39for further treatment.
18:41Ready?
18:42One, two, three.
18:45You take care of yourself.
18:46No more fall than you.
18:48No.
18:50It'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 and sewing back up again.
19:16I know, but they'll give you some better pain relief than we can give you at the moment.
19:22All right?
19:30I'm going to take care of yourself.
19:34There we go.
19:44All right.
19:48All right.
19:56Oh, wasn't she just lovely?
19:58She was so sweet.
20:00Considering her injury as well,
20:01she was just so calm and nice about everything, wasn't she?
20:04Yeah. Yeah, you did a very good job.
20:06So did you. Thank you.
20:08Don't know where I'd be without you.
20:10Love you. Love you.
20:12Wait.
20:13Yes!
20:15Teamwork. Teamwork.
20:28I'm trying to help you, help you.
20:30I'm going to continue to inform you in the evening.
20:32I'm going to continue to inform you.
20:34To put the chain rate on the phone with that page.
20:39With the spate of abusive calls showing no signs of slowing,
20:43Abby has escalated the incident
20:44and reported the caller to the police.
20:50Just a statement for police.
20:52There's a very real possibility
20:53that 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.
21:00I couldn't believe him.
21:00Oh, have you got him now?
21:01Yeah.
21:02Tell him that someone will review his case and call him back.
21:05Say what?
21:05They'll review his case and call him back
21:07and just clear a line, please.
21:11Right, so we're going to be reviewing your case, OK?
21:14And 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 think.
21:24OK.
21:25I'll let them know. Thank you.
21:26Bye-bye.
21:32A little bit of good news.
21:34They're after going and arresting this gentleman.
21:36Oh, are they?
21:37Yes.
21:37Brilliant.
21:38Yeah.
21:40Good news.
21:45Oh, what a shift.
21:48What a shift.
22:1596.
22:1676-year-old female.
22:18She had chest pain this morning, but it says not having any now or had any since.
22:23It'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 and she doesn't want to bother us.
22:30That might be the case, but I'm sure you'll find out when you get there, have I?
22:32Yeah, we'll do our best and we'll keep you updated. Thank you.
22:37Hester and Jess are immediately dispatched to a Category 3 call in Leeds.
22:51Hello.
22:52Hello.
22:53Is it Marion?
22:54Marion.
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?
23:05It wasn't what we call a crushing pain.
23:07It was more like the gastritis pain, I remember.
23:09Well, it was just sort of...
23:11It's not going away, is it?
23:13And I talked to the GP and he says,
23:15Well, you should really call up and see if they can come and tell us an EEG if 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, an emergency operation.
23:30Can you point to where it was?
23:32In fact, Marion, if it's okay with you, can we slip your jacket off?
23:34Yeah, yeah, of course we can.
23:35Just so we can do your blood pressure as well.
23:40Where were you from originally?
23:42From New York.
23:43Oh, really?
23:44That's where the accent comes from.
23:45I've been here since 1974.
23:47Have you?
23:48Wow.
23:49The accent hasn't left though, has it?
23:51No.
23:51Well, I thought it had.
23:52They think it has over there.
23:54Senior 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.
24:08I was 23.
24:09Wow.
24:10And I took the train onto Brindisi to catch a ferry.
24:13And we were playing frisbee.
24:15And this gorgeous man...
24:17LAUGHTER
24:18..fled a frisbee tune.
24:20And he was from...
24:22Leeds.
24:22Ooh!
24:24So, three years later we got married.
24:26Do you enjoy living here though?
24:28Oh yeah, I loved it.
24:29It 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.
24:39Good.
24:39That's good.
24:40How have you found coming from America to the NHS?
24:44I was...I was...I was totally amazed.
24:46Amazed?
24:47But I had no idea when I came here that everything was free.
24:51I 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...
24:56Under pressure, but we're lucky to have it.
24:58It's amazing.
25:00I would have been a goner.
25:02Yeah.
25:02Totally.
25:03It was like, they do a fantastic job.
25:05Yeah.
25:05You know, I mean, I'm lucky.
25:07I am.
25:07I know I am lucky to be alive.
25:14It doesn't sound like it's anything to do with your heart,
25:17which is a really good sign.
25:18It sounds like it could be a bit of, sort of,
25:21gastritis or acid reflux.
25:23Yeah.
25:24OK.
25:25Any further problems, Mitch?
25:26Are you ringing 111?
25:27OK.
25:28All right, then.
25:29We'll leave you be.
25:31OK.
25:32Right.
25:32Thank you so much.
25:33We'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.
25:53See you later.
25:54And at the moment...
25:57You don't know.
26:01How old is she?
26:05Just being bond.
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 what what position is she in all right that's
26:21fine she wants a color like now what's a color like now is she still looking a
26:26bit blue just to lips what's the cheeks like what what do what do her cheeks
26:32look like that's really good oh that's good
26:41is that her crying is that her crying yeah okay make sure she's kept nice and warm okay she's
26:48still looking 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 her can you put the phone next to her just
27:00so i can
27:01listen to her breathing that's fine thank you actually keep her awake keep a close eye on it
27:15just keep her awake and just keep her close eye on her okay just let me know if anything changes
27:20at
27:22all right she's crying okay just let me know once the ambulance crew are there and then i can leave
27:29you with them all right i'll leave you with them bye well done emergency call handlers are the first
27:47responder people think of the first responder as the first person on scene but actually it's the
27:51person that picks up the phone and they're really so overlooked i think it's really important for me
27:59to tell them at the end of every shift really appreciate what you've done because i do i'm not
28:06just saying it because i'm a manager i'm saying it because i've done the job myself i know how hard
28:11it
28:12is go home yeah go home sleep right i'll see you later
28:17thank you for tonight guys see you later night you can have had abusive callers all night you can
28:30have had a really busy difficult shift but one call can make all the difference
28:37you sort of go oh yeah that's that's why we're here that's why we do this job
29:07i was just walking up and the guy's just falling from the roof
29:13i think you die
29:26i will cheers my love it's the start of the tuesday night shift for dispatcher john
29:32and the rest of the team in control you're out on your screen i've got 15 how many you've got
29:4021 21 and are we at csp level 4 yeah csp 4 a busy day shift has left 197 patients
29:49still waiting for an
29:50ambulance across yorkshire and pushed the service into clinical safety plan 4 the highest level of
29:59alertness the oldest job i've got at the minute is from 11 57 a cat 3 out of leeds so
30:05that's over six
30:06hours old at the minute due to demand exceeding available resources the service will no longer
30:13send ambulances to some less critically ill patients i've got a 12 46 cat 3 in fetherston and then a
30:20cat
30:20two from just before five that's way out of target so just waiting for crews to book on duty now
30:35wakefield crew 1707 sam and tom will be one of 281 ambulances working to help clear the backlog of
30:45patients all ready yeah absolutely nothing out raring to go
30:551707 good evening i've got an outstanding cat to a pontefract for you it's for a 45 year old male
31:03taking over dorsal medication you've got details you can get rolling
31:14sam and tom are immediately dispatched to the category two patient who has already been waiting
31:20an hour for an ambulance it's a 45 year old male um alcoholic has taken 15 tablets of medication with
31:28intent to uh self-harm they are 14 minutes from scene because we've had this call waiting for so long
31:36they activate a charcoal i can usually give for this type of overdose if it contraindicate and i
31:41wouldn't be able to give it and it's one of these little houses back i think
31:53hello hello is it sean yeah do you want live with it
32:00yes sean can i do some checks on you while tom's having a chat with you is that okay we'll
32:05have
32:05a chat and we'll get to the bottom of it it took 15 i'm told 15 15 of his tablets
32:11don't really have
32:14you had to drink tonight he's had a drink all day he's been out all day have you had what
32:18you normally
32:19would have sean it's come on more it's a bit of our junk yeah yeah has he done anything like
32:25this
32:25before or has come on and taken tablets no never do you struggle with your mental health sean
32:33um yeah yeah i probably do i probably do and what what do you think's brought it on tonight that's
32:38made
32:38you take these tablets have you got any other medical problems sean well i've got advanced liver
32:53disease yeah and i've been in rehab did they not give you a plan when you left rehab nothing so
33:00has
33:00it has it taken us being relationary have we kind of been gone down hill again you need you to
33:07have
33:07a little bit of something to eat your blood sugars are a bit on low side oh you could do
33:11with a bit
33:11of a sugary drink i mean we're gonna have to go to hospital sean it'd be classed as uh i'll
33:17be waiting
33:17hours i used to work for an hs and i know you guys did you what did you do i
33:23was a part of the
33:25of the ponds correct oh lovely and the only concerns i have is if you've got advanced liver
33:30disease already and you've taken an overdose of tablets your body's not going to process the
33:35tablets as assured so we need to go up and have some blood test stone and see if there's any
33:40medications hospital can give you to try and reverse any side effects oh look at that lovely
33:45have a bit of that jam sarnie then job oh yeah that should do job just they just need to
33:50be up a
33:51little bit more i just feel you know that i've lost my way a bit of it would that be
33:57understandable
33:58yeah it's not too late to make those changes and you've done it once before so i know finish that
34:05bit of your sandwich off then and we'll uh we'll get going it's a waste of everybody's time here
34:10it's not a waste of anybody's time we're here for everybody i know you are and that's great
34:17thinking about you isn't it is it normally this nice
34:27i'll just sit it up for you sean
34:32get your bum right up here then if you've been on them too many times you'll know
34:36keep your shoes on good man we do you're a lovable rogue aren't you sean right i'm gonna get us
34:45up to
34:45hospital tom i'll be in back with you i'll keep an eye on you i never speed i'm so good
34:50at driving
34:59do you feel like you're taking his tablets intentionally sean yeah what's the reason you've
35:08taken them tonight well what can we say i've cried for help god bless you
35:19you do get more mental health on a night shift especially if people use drugs or alcohol as a
35:26way to cope i 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 or 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 and what drives me is just to help people it doesn't
35:56matter
35:56circumstances we're there to help
36:03do you want a wheelchair to go in wait are you walking in right then
36:32okay
36:33ambulance is the patient breathing is patient awake
36:38okay tell me exactly everything i'm going to still align with you i want you to watch very
36:41closely for me if she does become less awake and she comments just quickly there on the side but
36:44she gets worse anyway just tell me immediately right i'm organizing the help for you now just stay
36:47on the line it is nearly three hours into the shift and the service still remains in csp level four
36:56so they will be trying to get a crew there as soon as they can just make sure that somebody's
37:01there
37:01to wave down the ambulance crews i'll leave you with them okay call handlers have already answered
37:07more than 500 new calls since the ship began with a backlog of over 130 patients still waiting for an
37:15ambulance across yorkshire when you get a crew clear will you shout me yeah because we need that
37:23what the person from sort to the prison right okay
37:29are you free john karen yeah yeah yeah um just let you know we now got crews that are waiting
37:34um
37:35at pinderfield's emergency and lgi um we've got quite a few queuing now so if you could ask all
37:40crews to look for alternative pathways okay thank you thank you
37:47what are you doing yeah the patient's breathing there's been a car crash
37:53how many people are hurt two one of them's out the car on the floor one person's trapped
38:0312 25 8 remy love uh put you on an rtc uh two cars head on at 60 mile an
38:12hour yeah roger thank you
38:14um have we got any crews on route yet 15 12 i'm rolling them towards it heli meds on route
38:23as well from
38:26nostrils all received thank you 12 25 operational commander remy is immediately dispatched to the
38:34road traffic collision and is six minutes from scene she is specially trained to manage large-scale
38:42incidents and will coordinate all medical resources on scene 12 25 go ahead uh quick care paramedics just
38:52saying we've got basics available 10 15 minutes if you want them saying off that's perfect thank you
38:57very much yes please mike despite the stretch resources across the service the seriousness of
39:05the incident means that remy will be joined on scene by six police vehicles two fire engines
39:13two ambulance crews two pre-hospital emergency doctors and a yorkshire air ambulance
39:23one of the people who are going to arrive at your destination
39:27MUSIC PLAYS
39:44Hello. Yes.
39:45Is this the one that's trapped? Yeah, get out, get out. OK.
39:51It's been a lot of pain, this jam. Yeah.
39:54Looks like it's a mid-shaft fever, at least. Yeah.
39:57And 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?
40:07I think abdominal, I think possibly... Pelvic.
40:11We'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.
40:21Erm...
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
40:37with abdo injury and chest injury.
40:40And 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 still consistent.
40:52At LGI.
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.
41:02It's ready to go.
41:04We are just currently loading our first patient.
41:07Journey time's 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,
41:21who is still trapped.
41:27I presume they'll give you an update about this one.
41:30So we're just concerned about the foot.
41:32Yeah.
41:32Can you see where it's...?
41:34They've had a quick feel underneath.
41:36Yeah.
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, we can't, yeah.
41:45Can't get...
41:46They're free.
41:48Feet are free.
41:48Feet are free.
41:49Yeah.
41:50Ready, guys?
41:50Yes.
41:52Oh!
41:54Oh!
41:58Oh!
42:00Oh!
42:02Oh!
42:03Oh!
42:04Oh!
42:07Oh!
42:09Oh!
42:09Oh, no, no, no.
42:09Oh, no, no, no...
42:09So I shall see you at LGI.
42:19Ambulance service.
42:20The taste of breathing.
42:22I'm breathing.
42:23I like it.
42:26I like it.
42:28I like it.
42:30OK.
42:31You want your own?
42:34Yeah.
42:36Open call, open call.
42:38Hello, Wakefield Resources.
42:39If anyone can clear.
42:40For a confirmed Cat 1 Nottingly.
42:43Confirmed Cat 1 Nottingly.
42:45If anyone can clear.
42:46Current runtime, 19.
42:48One, nine minutes.
42:50Anyone closer, please clear.
42:52An ambulance has automatically been dispatched
42:54to the Category 1 call,
42:56but due to stretch resources,
42:58the nearest crew are 18 minutes away.
43:01Well over twice the target time of arrival,
43:04which is within seven minutes.
43:0812 in at Pinderfields General waiting to hand over.
43:12So I've got no one closer to centre this.
43:16And with ambulances stuck in queues outside hospitals
43:19in Leeds and Wakefield,
43:21nearly 60 patients are still waiting for a crew to arrive.
43:25We've been waiting 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.
43:43OK.
43:44He's really cut his arm terribly.
43:46They are assembling an ambulance, but not for a while.
43:58It has now been 40 minutes since John dispatched an ambulance
44:02for the Category 1 patient in Nottingley,
44:05with difficulty breathing.
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 hit roadblock after roadblock.
44:20This works all over now.
44:21Normally they give us, like, a warning,
44:23so 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.
44:28We should be there within seven minutes.
44:32We're currently looking at a 40-minute ETA.
44:3640.
44:39Ryan, they've gone along 62 to A19,
44:43come back, couldn't even get north because that's shut.
44:48So...
44:48Both 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?
45:09To Fennel.
45:11So we'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 1707.
45:21Yeah, no way.
45:22Let's see if they can cut through Castleford.
45:24Um, because I shouldn't have to go near a motorway then.
45:26Yeah.
45:27I'll have a look.
45:28I'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.
45:44Stand down.
45:45Stand down.
45:45Advocated to...
45:46Voice accept.
45:47Stand down.
45:48Acknowledged.
45:49Going clear.
45:49BELL RINGS
45:51BELL RINGS
45:52BELL RINGS
45:521707.
45:551707.
45:56Right.
45:56Change of plan.
45:57Swap 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.
46:13What?
46:13Oh.
46:15BELL RINGS
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
46:26have left the first ambulance dispatched unable to reach the patient's location.
46:34With a response time already over seven times longer than the target of seven minutes, Sam
46:40and Tom are diverted to help find an alternative route.
46:47It's been in since 0054.
46:49That'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, you.
47:00Right, it's given me another route here.
47:03So it's taken a separate...
47:04Is that through the services?
47:07Erm...
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?
47:23Erm...
47:231707.
47:24Right, for info, they have tried to cancel us.
47:29John?
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 1707 on it.
47:42Yeah, will do.
47:431707.
47:44Right, we're going to leave you running just in case...
47:46A clinician's bringing them back, John.
47:48Yeah, and we've got a clinician giving a call back.
47:50Because she was panting on the phone to EMD workpatient.
47:52Right.
47:55Yeah, Roger that.
47:56We're plotting at 1.6 miles away, so we're out 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,
48:06next to the service station.
48:08Yeah, it says you're here.
48:14Take the next right.
48:29Yeah.
48:34Yeah, 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,
48:40so it says we're 0.7 miles away at the moment.
48:44I'm just following you now, you're on, like, a track.
48:47Just keep me updated with how you're going,
48:49because 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.
49:09Yeah.
49:15The ring us when they desperately need us,
49:18when 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,
49:37but sometimes things are beyond your control.
49:46Right, 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.
50:24Well, at the moment,
50:26the crews are putting into their own sat-nav.
50:28Is this 707?
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.
50:37They're going to have to do it.
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 one patient,
50:55the wait for an ambulance has now stretched to an hour and four minutes.
51:02John?
51:04It's about to Highways.
51:05They're going to let the ambulance through,
51:06so they need to go back onto the A162.
51:08Yep.
51:08And there's going to be someone to let them through.
51:11PHONE RINGS
51:11Receiving.
51:141707.
51:15If you make your way back to the round that the service is on,
51:20they'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.
51:47We 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 home fair.
52:03PHONE RINGS
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, Wilbur.
52:32PHONE RINGS
52:33Thank you very much.
52:41Hello, ambulance!
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 where 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 with you?
53:08Is 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.
53:19I'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?
53:34No, I don't think so.
53:36You don't think so?
53:38I'm going to say your chest, Benita,
53:40it 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.
54:14At 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.
55:10That'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.
55:19I'll go.
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, chest infection, ain't good.
55:55If it had been anything worse than what it was,
55:58the 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
56:11through some very tricky roads
56:12and 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, I know that I'm helping people
56:43when they're the most vulnerable.
56:45They've made that call because they need you.
56:48They need you in that moment.
56:51If we give up, we're letting the patients down
56:55and that's not what we're about.
56:57We're about helping people.
57:01Things aren't always straightforward sometimes
57:03and we might run into obstacles,
57:05but we will get there.
57:09No.
57:12No.
57:13We'll see you soon.
57:16We'll see you soon.
57:30Whatever is right for you.
57:33We'll see you soon.
57:37Cause if not now, it's soon
57:44Whatever is right for you
57:47We'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
58:27Copyright Australian Broadcasting Corporation
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