- 7 hours ago
Critical Condition Season 6 Episode 2
Category
😹
FunTranscript
00:01Cold red.
00:03We've got a cold red, we've got a stab wound.
00:07Oh, that can't help me.
00:09Oh, that can't help me.
00:11Hello, the laptop.
00:18So I'm very concerned about the injuries.
00:20This can potentially be life-changing.
00:23Oh, my God. This doesn't look good, man.
00:30Guys, be careful, there's a knife there,
00:33so let's not push onto that when you move her across.
00:36She's already lost a lot of blood.
00:38If there is any more bleeding once the knife is removed,
00:41that's when her life will really be at risk.
00:48This is obviously a situation which can be catastrophic
00:51if it's not dealt with quickly.
00:54Heart rate is dropping.
00:56Sir, you just stay with us.
01:00Bye.
01:04Breathe in and hold your breath.
01:08Breathe normally.
01:16Hello, QE.
01:1938-year-old male.
01:22Fallen off a quad bike.
01:23Yeah.
01:25ETA is 35 minutes.
01:29Thanks, mate.
01:31So they think he's impacted a tree.
01:34You've got space, haven't you?
01:35We have six can come out.
01:37Is one empty?
01:38No.
01:40So we've got a 38-year-old male who's been flown in an air ambulance from Wales.
01:47He's crushed his quad bike into a tree.
01:50And the suspect had seen that he could have a significant head injury.
01:54Injuries from quad bikes can be both life-threatening and life-changing.
01:58So he's classed as a critical patient.
02:16Yeah, got it.
02:18Perfect.
02:19Straight in.
02:24Are we stable to transfer?
02:26We are, yeah.
02:29Ready, brace and lift.
02:31Excellent.
02:36Okay, so this is Mackie, the 38-year-old farmer.
02:42He's been found lying on a track.
02:45There's a lot of blood on the track and the quad bike is actually down the side of the track
02:48into a tree.
02:49So we think he's actually come off that somehow.
02:51Okay.
02:51And he's tried to walk up?
02:52It seems to be.
02:54He's tried to get out of it.
02:55Okay.
02:56Injuries appear to be isolated to his head.
02:59With a very large laceration right across his frontal part of his forehead.
03:04Okay.
03:04GCS at that point was 13, dropping one for verbal and one for eyes.
03:11He was quite agitated, repetitive, a little bit combative at that point, very cerebrally agitated.
03:15He's also got bilateral subcontinental hemorrhages as well in there.
03:20Okay.
03:21We'll hook him up to our monitors and our vent, please.
03:25And then do a primary survey.
03:28Cheers. Thank you very much.
03:35We've got a suspected head injury.
03:38However, he could have other injuries as well to other parts of the body.
03:43He could have injured his chest wall.
03:46He could have injured his lungs.
03:48He could have bleeding in his abdomen.
03:50So we can't just think that it's only the head which is the problem.
03:56We are having the primary then, guys.
03:58So please listen.
03:59No chest wall crepitus.
04:01No bruising, no tinnitus either.
04:06Hot sounds one and two, no extra forms.
04:09Hot sounds normal.
04:12Low limbs, no long bone deformity.
04:15No long bone deformities in the upper limbs either.
04:20Keanu's ready.
04:22Keanu's ready.
04:29Keanu's ready.
04:29Keanu's ready.opee.
04:30him for the whole brain. So that's
04:30you do getting off the leg as possible. So you can
04:31look for any fractures to the skull and extent of bleeding on the brain.
04:35if he's got any. Perfect. Well, let's go guys. The main risk at the moment is bleeding on
04:49the brain because it can eventually lead to brain damage. Worst case scenario I'm worried
05:01about in this kind of a head injury is death or disability. The scan is really, really important
05:11because we need to find out how extensive the injury is, which will tell us eventually
05:17whether the patient needs surgery. Ready, steady, slide. Ready, steady, slide.
05:31Please breathe in and hold your breath.
05:43Let's just stop there for a second. Go back to the... Oh, it's broken multiple places.
05:49Oh, my God. This doesn't look good, man.
05:57I'm very concerned about the injuries. He's broken his skull in multiple places. He looks
06:04like he's got a significant amount of bleeding on his brain. This can be life-threatening,
06:09and if not life-threatening, definitely life-changing. The longer you leave an organ with pressure
06:22on it, especially the brain with the bleeding, it can swell up and cause permanent damage. So,
06:32you're going to have a chat with your surgery and make a treatment plan. The only time will
06:39tell whether he will get any worse or he'll improve.
06:52You guys, sorry, can we give them a hand, please? Yeah.
07:00Hello, alert phone. Yeah. Okay.
07:07Okay, can I repeat back to you? Yeah, so we've got a code red. We've got a stab wound. We
07:13need
07:14the general search. We need the trauma team as well. ETA is 12 minutes. Thanks, Frank.
07:30I don't know. Self-implicate stabbed to the arm. Blood pressure is low. That's as much as we
07:38know so far. Do you need a bed? Hello, blood pressure out of the vehicle, please.
07:52Anyone who's not doing anything directly with the patient, I want them to go.
08:00And then, who's doing the primary survey? I need my primary survey to stand there and
08:04do not move from there, please. It's easier for them.
08:10The last blood pressure was 95 over 62. That's after two hits of red cells and two hits of plasma.
08:16The knife is still in situ and she's spontaneously breathing at the moment. Yeah.
08:21Where exactly is the knife, boss? There and there. She's got two.
08:24So yeah, one's been removed, one's still in situ.
08:37Guys, be careful. There's a knife there. So let's not push onto that when you move across.
08:56We have a knife there. We have a patient who has inflicted two knife injuries to herself. Let's make sure
09:04we don't lose any lines.
09:05Yeah. This case has been alerted to us as a code red because we've got somebody who's bleeding,
09:12whose blood pressure is low. So it can be very serious, life threatening.
09:24OK, let's listen. This is Jackie. She's 55. She's got self-inflicted knife wounds times two to her upper middle
09:33abdomen.
09:35She was refusing to go into hospital. She didn't have capacity. So we sedated her with 40 milligrams of ketamine
09:41and brought her in.
09:42We don't know anything about allergies or any other stuff. It's unimportant.
09:46She's got extensive medical history with lots of anti-psychotics.
09:49And she's normally on 28 milligrams of Dazepam daily on a reducing regimen.
09:54When you assessed her, she had got air entry on both sides with you, boss.
09:57She's got a GCS 15. GCS.
09:59Completely normal.
10:01Boss, are you connected?
10:03We are connected.
10:04She's breathing. She's awake.
10:07Put this on the table so you can change this.
10:12You're in a heart.
10:13Be careful with the knife. Mind your forearms.
10:20Yes.
10:23Abdomen is soft.
10:24And there is a wound on the subconscious area, one knife.
10:28Can you see any other stuff on the sides?
10:30No, I can't see.
10:31Nothing on the chest.
10:32Can you see anything around the neck?
10:33No, nothing.
10:40She has two injuries to the abdomen.
10:43It doesn't look like there's a significant blood loss externally.
10:47But what's going on underneath, we don't know yet.
10:50So as soon as we can, we'll get her to the CT scanner and see where that knife goes.
10:56Okay, listen in team.
10:58We are just waiting on arterial blood pressure and then we'll take her because we don't know
11:03the target.
11:03We don't know where the problem is.
11:05So there is nothing else we can do in any further assessment.
11:07We need a CT on her.
11:09Can we prepare her while we...
11:11Let's just get her round.
11:13Should we cover her, please, in preparation to go?
11:18Can we start wheeling her?
11:20We've got AT2 systolic.
11:21We know that she responds to fluid.
11:23Happy?
11:28You mind just holding this, please?
11:31Just while you...
11:34Looking at her at the moment, it looks like that she's breathing down.
11:38It's fine.
11:39So it's probably not in the lungs.
11:41It probably is below the diaphragm.
11:46But lots of things can be injured below the diaphragm.
11:57We're talking about the bowels, the liver, pancreas, spleen.
12:01They all live in and around this region.
12:17OK, she's got an abdomen full of blood.
12:23OK.
12:24There's a lot of free blood in the abdomen, so it could be injury to one of the big organs.
12:33So the scan is all done.
12:34You're free to go in the room.
12:35Thank you very much.
12:41So the knife is still in situ because it might be stopping some other bleed from occurring.
12:48Maybe there's a clot forming around it and it could cause further injury when we try to remove it.
12:55We are going to remove it at some point.
12:57It's just a case of where and when.
13:00But it needs to be in a safe environment so that we maximise Jackie's chances of surviving.
13:14Where does the knife go?
13:16Do you know the mechanism?
13:17So she's got to be in stabbing, please.
13:20Where's the other wing?
13:21That's more lateral to where the knife is.
13:28Hi.
13:30I'd be dubious if there's anything about it.
13:34So what we've managed to look at from the scan is that there's no bowel injury.
13:39And we don't think there's anything above the diaphragm.
13:41So the heart's OK.
13:42Big vessels are OK.
13:45It looks like the main problem is that she's got a deep laceration into her liver.
13:53If you're happy, you don't need to be involved at all.
13:55We'll just be directly to the liver.
13:56Yeah.
13:57I mean, if they want me to be about to come and have a look or they need a spare
13:59pair of hats,
14:00they're going to stay, but I doubt they'll need that.
14:05At the moment, we just don't know how serious these injuries are going to be.
14:09So we're going to just try and remove the knife in theatre
14:12and just see if this can be done without upsetting any clot that has already formed.
14:20Apart from what we discussed, there's no other injury.
14:23It's about to be good.
14:24Yeah.
14:25Just take notes.
14:37The liver is quite a forgiving organ.
14:40However, this is absolutely life-threatening.
14:43If you injure one of the vessels that are contained within the liver,
14:47then you have got potential for an injury that won't be able to seal itself.
14:52And that's when the surgeons will need to step in.
14:56The dangers for her at the moment is that she's already lost a lot of blood.
15:01If there is any more bleeding once the knife is removed,
15:04and that's when her life will really be at risk.
15:14One of you can go into that one for a primary step,
15:16and the other one can go into this one for a primary step.
15:21So can we tilt him, Emma, 30 degrees, and then bear hug him?
15:27No, no.
15:40Hi, Sonali.
15:42Hi.
15:43I'm coming in Area B.
15:44We've got a 38-year-old man who's had a head injury
15:47because he was on a quad bike.
15:50Neurosurgeons are on their way.
15:51They're going to review him.
15:52And depending on what they do, they might want to take him to the doctor.
15:59We've had a look at the scan.
16:00Apart from the injuries to the head, we can't see anything obvious at the moment.
16:07But unfortunately, he's got quite a lot of skull fractures.
16:13And bleed on his brain.
16:17This can potentially be life-changing.
16:20So we have to act quickly.
16:24We're going to have to speak to the neurosurgeons to tell us how they're going to manage this.
16:31Have a set of blue gauzes, please.
16:35Have a bit of a...
16:45Our main focus at the moment is just to try and protect the brain
16:48from any further damage.
16:50The more the brain tissue is pressed and compressed,
16:54the less chances of it healing well and getting back to the normal function.
17:01All right, so you've got the neurosurgeon down.
17:04We're going to have a look at his head wound.
17:06Have you opened it?
17:08Brain tissue or no?
17:09No brain tissue, you just see a directly over life.
17:11It's a scourge, yeah.
17:19It is too early to tell at this stage what the outcome is going to be.
17:24He may or may not get his full neurological function back.
17:32The neurosurgeons are now planning to take the patient to theatres tonight to decompress the brain.
17:39That can be done by evacuating some of the blood out
17:43and also pulling the parts of the skull which are sticking into the brain tissue,
17:47so just lifting them up a little bit.
17:49So that helps in reducing swelling on the brain.
17:54So that's why the surgery needs to be done as an emergency tonight
17:57so you can have the best possible outcome.
18:10We're happy that he's stable for transfer.
18:12Yes, please.
18:13Arm lift, ready, set, lift.
18:16Just taken.
18:19Hello, QB.
18:21Yeah, no problem, we'll see you soon.
18:23This one's the cardiac prevent.
18:26Do you want to call the cardiologist?
18:32So we've been alerted that we have an acute heart attack coming in.
18:37It's a middle-aged gentleman who's already had a cardiac arrest as well
18:42before he's arrived and he's been successfully resuscitated by the ambulance crew.
18:47So this is an emergency heart attack that we're going to be treating very, very shortly.
19:03A cardiac arrest is essentially a situation that occurs when the heart completely stops beating
19:09and as a result, there's no blood going either to the brain or the vital organs.
19:16This is obviously a situation which can be catastrophic if it's not dealt with quickly.
19:23Leads to go straight across.
19:28And we'll go again.
19:30Ready, steady, slide.
19:31Ready, steady, slide.
19:37This is Jason.
19:38He's 55 years of age.
19:40At about 21.30 this evening, he was exercising at home in his home gym,
19:45lifting heavy weights, which is quite normal for him.
19:48He's developed central chest pain, started to feel generally unwell with it.
19:52Went upstairs to his bedroom, lay down,
19:54and then at approximately 21.35 he was witnessed to have a cardiac arrest.
19:59Ambulance crew arrived, began CPR, put him on the monitor and he was in VF.
20:04He was shocked once.
20:06Within a minute or so, he was back to GCS 15 and he's remained like that since.
20:11Heart rate of 80.
20:13Last blood pressure was 128 over 69.
20:17In terms of previous medical history, he's got high cholesterol
20:20and he does have a family history of cardiac health problems on his father's side.
20:25His father died around the age of 50 from a heart attack,
20:28but otherwise he's usually fitting well, non-smoker.
20:31Thank you very much.
20:32OK.
20:32Thank you, thank you.
20:33All right, thanks for that.
20:33Jason, how are you doing?
20:36Have you got any more chest pain at the moment?
20:39I feel it out of my heart, but it's cold.
20:46If you could just tie me up here, please.
20:53So this is an angioplasty procedure that we're going to be performing on this gentleman
20:58for an acute heart attack.
21:10OK, so just nice and still, we'll get this artery open for you very quickly.
21:14Just hold on to that grip there and turn your palm upwards.
21:20The procedure is carried out from the wrist artery
21:24and we can carry out our whole procedure,
21:26including unblocking the artery all through this very tiny hole.
21:33Give me that wire, please.
21:42I'm just going to get access to the artery here.
21:46Just passing this wire up into your arm.
21:51OK, big breath in now, sir.
21:53Jason, just take a big breath in now.
21:55Big breath in and hold, Jason.
22:00Tip of the wire, please.
22:04And again, big breath in and hold.
22:07Breathe normally now.
22:15OK, let's just have a look at the right carrie.
22:18We'll probably find it's blocked.
22:23See the bottom?
22:27OK, that half is blocked.
22:32This is a very large artery.
22:34Not a surprise that he had a cardiac arrest
22:37because it's supplying a big portion of his heart muscle.
22:42And we know that the longer we leave the artery blocked,
22:46the more damage there will be to the heart muscle
22:48and the patient will have a higher risk of dying,
22:51higher risk of having a stroke
22:53and higher risk of having a further heart attack.
22:57So really time critical.
23:00We're having to work very quickly here.
23:03Is the balloon prepped and ready?
23:05Yeah.
23:06So we're going to go ahead and balloon this artery.
23:11There are risks with the procedure.
23:13There are complications that can arise,
23:16such as low heart rate.
23:18And if their heart rate drops much below 30 beats per minute,
23:22there's a risk that the patient could go into cardiac arrest.
23:25So you have to give them drugs to try and increase their heart rate.
23:29OK, be ready with the atropine.
23:33So this is going up with a balloon now.
23:37It's a 2.5 balloon, 10 atmospheres.
23:40And down.
23:49Heart rate is dropping.
23:52OK, give half dose atropine now.
23:55OK.
23:58Heart rate is 40 beats a minute now.
24:01It's 30 now.
24:03Go ahead.
24:03Give the atropine.
24:05OK, sir.
24:06You just stay with us.
24:20Heart rate is dropping.
24:25Heart rate is 40 beats a minute now.
24:28It's 30 now.
24:35We need some drugs just to help us.
24:38Yep.
24:38I'm going to help you now.
24:39Yep.
24:40Go ahead.
24:41Quickly give the atropine, please.
24:44That's just us, sir.
24:45You just hang on in there.
24:49Atropine, there you go.
24:53Atropine given.
25:02Heart rate is coming back.
25:07OK, that's fine.
25:09Ready, please.
25:12OK, so blood pressure has recovered there.
25:14This is the heart rate.
25:17OK, ready for Sinny?
25:21OK, good.
25:23Well, we've managed to open that up.
25:24It's wonderful.
25:26There's probably a slight tear in the artery, and we're going to just cover that with a stent.
25:30So, can I take a 3-5 stent, please?
25:39Stent to me, thank you.
25:44A stent is essentially a metal scaffold, and it stays within the artery, so we leave it
25:51in place so that the blood supply, which will be reduced in this gentleman, will be opened
25:57up, and completely restored.
26:00This stent should be coming around now.
26:05There they are.
26:09So here, we've got the balloon, which has been inflated within the stent.
26:14Let me just check that everything's looking good here.
26:19And then we'll take this balloon out.
26:21The stent will just remain in place.
26:27Beautiful.
26:28You can see the flow's been restored now, pretty much back to normal.
26:34So all of this territory wasn't being supplied with blood before, but you can see it's opened
26:39up very nicely.
26:41It's looking wonderful.
26:43OK, good.
26:44We're done here.
26:48OK, Mason, that's gone really well.
26:51How are you feeling now?
26:55Yes.
26:56Has the chest vein settled down now?
26:59Good.
27:00Oh, look, you had a blocked artery there.
27:02It was one of the main arteries supplying your heart muscle.
27:06We've managed to open that up successfully today.
27:08So you're going to be in the hospital a few days whilst you've recovered from this.
27:12OK.
27:13Really well done.
27:23OK, guys.
27:26I'm going home.
27:28OK, guys.
27:37You're going home.
27:40OK, guys.
27:43Don't move on.
27:43trauma with the impact of his head on a tree his skull was splintered into many
27:52little parts and flattened from the normal rounded skull that we all have
28:00parts of the broken bits impacted into the brain causing bruising and bleeding
28:07within the right frontal lobe of course that is the area of the brain that is
28:12used by the large majority of us in keeping our spoken language fluent and logical
28:24this is before the operation and this is after the operation the operation that we did for Matt was
28:33to open up his scalp so that we could lift out the pieces of the fracture give it a good
28:41wash
28:41clean the surface of the brain repair it from any bleeding and to put the pieces together with
28:49these little plates essentially like a jigsaw return the skull to its original shape without
28:57any flattening and pressing inwards into the brain the purpose of that is to afford more space within
29:07the skull for the brain to swell and reduce intracranial pressure the hope is that it allows for brain
29:17function to be returned in the course of time
29:32I'm going to roll you I'm going to look at the back I'm going to check the back as well
29:35yeah
29:55what actually led her to being brought here was she suffers with her mental health quite badly and
30:02she's quite heavily medicated and always have been for her whole life
30:10so what she was trying to do was wean off these drugs but due to the severe withdrawal symptoms took
30:18quite a big toll on her body which led her to do what she did and I think to do
30:27something like that she must have been suffering quite badly
30:35I'm Amy and I'm Jackie's daughter I'm actually one of three for family members it's absolutely heartbreaking to watch someone
30:46deal with mental health and if you feel someone isn't coping to intervene as soon as possible I would say
30:54my only regret is not intervening sooner
30:59because I would have never thought in a million years it would come to this we're all just heartbroken and
31:07just praying that she pulls through
31:32I don't know
31:40where you are okay all right what's your ETA please all right see you shortly thanks bye
31:54guys you've got a 45 year old male RTC van versus car isolated right forearm fractured
32:00distal radial bone is protruding up ETA is 30 minutes and the alert is out thank you thank
32:06you very much thank you very much
32:11Alex do you want to do you want to take it yeah road traffic accidents are the most significant
32:20trauma that regularly comes in Teresa's you can get quite significant injuries that aren't obvious
32:27when they arrive in A&E they can be both life-threatening limb-threatening anything
32:35can come through the door and you never really know how sick somebody is until they get here
32:54okay we are James 45 year old male basically driving a transit type van turning in the road on an
33:03industrial
33:03estate a two-way traffic and during the the turn another car has collided him and he has sort of
33:09gone
33:10front on into the side of another vehicle and he sustained Royce radial open fracture query and all
33:18that and radial mid shaft as well there's some deformity just in the middle of the arm
33:25how's the state of the cars uh not that bad actually your one side your one point it's just uh
33:31indentation in the vehicle but no injuries
33:33on that side okay so once he's all clipped out of all of these we can start
33:56there's no external wound on the neck
34:00trachea central no external wound on the chest bilateral axilla clear
34:10bilateral low limbs good and he was standing as well and putting weight that's good okay so there's
34:17nothing particularly significant primary survey but I know that we may gonna have to have a look at
34:22his arm his capillor rifle is slightly sluggish and his fingers are cold I can see the bone protruding over
34:32here
34:32you feel the pulse
34:43have we got any excessive bleeding from the wound or anything
34:48I just want to focus I'll need something to wrap up a crepe or something like that
35:01so we're happy that here to here is fine there's nothing that's kind of jumped out your observations
35:08are all okay but this is open and we kind of need to know what's going on
35:19what's happening in the arm and then it will plan for them and how they're going to need to do
35:25an
35:25operation on them all right all right everyone scans vetted lovely do you guys want to take the patient
35:47to take the patient's hand of the arm because we want to see if there's any sort of vessel injuries
35:55worst case scenario is that he's completely severed
35:58the arteries and the nerves within his hand and within his arm which would need potentially an amputation
36:05to take the patient's hand to take the patient's hand to take the patient's hand to take the patient's hand
36:26okay can you spread your fingers
36:31no okay can you make a fist
36:49looking at his wrist so that's his radius there
36:56so that's where your pressure is that's pretty nasty though that's supposed to be one piece there
37:06so this needs to be repositioned
37:12i don't think there's any damage to his arteries which is good but because he's got all this gas
37:19within his tissue this is an infection risk so you need to wash out that needs to happen relatively
37:26soon so they'll just take him straight to fear and do it
37:36so i just need to tell you
37:38it's uh multiple factors in one bone what we need to do is because this is
37:42an open fracture means there's increased chances of infection okay so to prevent from that we're
37:49planning to take you to operation theater today so we'll have to look inside we'll clean that up
37:54and we'll remove anything that's dead kind of dead tissues or anything you'll be able to fix it all
38:01that depends we'll put this bone back in its position okay and then we'll see further
38:06but we'll try our best okay thank you thank you yeah we're booked for the emergency uh here and i
38:15can't say exactly at what time consultants away and emergency teams they are away okay thank you
38:25looks like the plan is for the patient to go to theater tonight where they will be able to assess
38:29the full extent of the damage and whether they will be able to preserve the function in his hand
38:34to this stage there's no absolute guarantee that he'll regain function in his hand given the degree of
39:02injury
39:03so the day of the accident from what i'm told i was just on a quad bike and i hit
39:09a tree that was
39:10falling down at the time and that's well that's all i got told that happened i can't i lost all
39:17memory of it really yeah and then i was in a coma for five days yeah that's the last thing
39:24i know
39:29when i had the accident apparently i just phoned my wife up and
39:33uh explained to her about a bad accident she was there within a couple of minutes and without her
39:41yeah i wouldn't have been very good really she come down and put pressure onto the mother cuts within a
39:49couple of minutes and probably stopped me from bleeding to death really until the until the air
39:56ambulance camp me and the wife have a six and eight year old yeah a boy and a girl they're
40:05pretty
40:05confused at the moment because they're not allowed in the hospital yeah but they don't know i'm as bad
40:09as i am probably yeah well i'll get better when i i want to get back to full recovery really
40:19but it's going
40:20to be a while it's going to be a while but there's got to be a light at the end
40:24of the tunnel really
40:25yeah and yeah you've got to show a positive attitude towards everything really
40:51well you definitely look a lot better than you did actually quite a normal color now as well which
40:57is yeah which is nice to know isn't it the first signs of it was um i felt i had
41:07you know some
41:08indigestion or i pulled a muscle um doing some weights which i've been doing you know sort of 30
41:13minutes previously so um i didn't initially think this is a heart attack but the pain got so acute
41:20and so painful when the ambulance crew arrived she went into cardiac arrest i think that timing was
41:29just incredible i think if it was any longer than that then the outcome could have been very different
41:37but yeah obviously you're here now and seem normal ish yeah it's it's amazing to think that uh
41:44it's less than 72 hours from me having the first uh start of the heart attack to uh to being
41:51here
41:52being released going home and um i'm not just saying this i could i feel completely normal i'm fine
41:59like nothing has happened obviously when you do go through an experience like this it does make you
42:03realize uh the nhs is amazing and um i owe him a massive debt of gratitude
42:29that's what i've been doing since surgery i've just been trying to recover they have reattached the bone
42:39and they've put i think it's two plates and a couple of screws in to be honest here i've never
42:46had an accident like that before and the first thing that i thought of was i couldn't move my fingers
42:52it was just worry that i was going to lick lose my hand or use of my hand even if
42:58i didn't lose it
42:59maybe hopefully that won't be the case now the doctors are being brilliant and i'm looking to come
43:08out to the side and i can move my fingers and work as well if i can't go to work
43:13can't provide and
43:14for three kids so it's massive really that's why i'm extremely grateful that the surgeons have done a
43:22good job and hopefully i can get back to work as soon as possible
43:35there's a pedestrian hit by a car in bristol race and a pool's light to the windscreen of the car
43:40it's very worrying because could it be that they have suffered a major head injury
43:44he's grabbed onto a firework then it's exploded in his hand
43:47this middle finger it is literally like a skeleton finger now that is a really difficult thing to
43:53survive he's fallen down some stairs and then they've realized he's in cardiac arrest
43:59each minute that your heart is not pumping your body is dying ready for cpr if we need
44:08that's new 999 critical condition next tuesday at nine brand new original drama tomorrow at nine
44:14main it based on the original transcript surrounding an infamous disappearance under suspicion kate
44:19mccann and on thursday at nine social climbing is proving a dangerous ambition but no worries ma's
44:26on top of it the new series of the hard acres continues next murder scene the incident room
Comments