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00:01Cold red.
00:03We've got a cold red, we've got a stab wound.
00:11And I'll be a 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.
00:56Don't you just stay with us.
01:00Bye.
01:03Breathe 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?
01:35The 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.
01:51And 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.
02:40He's a 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.
02:50And he's tried to walk up?
02:52It seems to be, like, tried to get out of it.
02:56Injuries appear to be isolated to his head.
02:59With a very large laceration right across his frontal part of his forehead.
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.
03:21We'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, he could have injured his lungs, he 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, so please listen.
03:59No chest wall crepitus, no bruising, no tinnitus either.
04:06Hot sounds one and two, no extra forms.
04:09Hot sounds normal.
04:12Low linds, no long bone deformity.
04:15No long bone deformities in the upper linds either.
04:20The scan is ready.
04:22The scan is ready.
04:25It is really important that we take this patient for a CT scan as soon as possible,
04:30so we can look for any fractures to the skull, an extent of bleeding on the brain if he's got
04:35any.
04:38Perfect.
04:40Well, let's go, guys.
04:47The main risk at the moment is bleeding on the brain,
04:51because it can eventually lead to brain damage.
04:59The worst-case scenario I'm worried about in this kind of a head injury is death or disability.
05:09The scan is really, really important because we need to find out how extensive the injury is,
05:15which will tell us eventually whether the patient needs surgery.
05:21Ready, steady.
05:25Ready, steady.
05:27Slide.
05:31Please breathe in and hold your breath.
05:43Let's just stop there for a second, Alice.
05:45Go back to the air.
05:46Oh, it's broken in multiple places.
05:49Oh, my God.
05:52This doesn't look good, man.
05:57I'm very concerned about the injuries.
06:00He's broken his skull in multiple places.
06:03He looks like he's got a significant amount of bleeding on his brain.
06:08This can be life-threatening.
06:09And if not life-threatening, definitely life-changing.
06:18The longer you leave an organ with pressure on it, especially the brain, with the bleeding, it can swell up
06:25and cause permanent damage.
06:32So we're going to have a chat with neurosurgery and make a treatment plan.
06:38The only time will tell whether he will get any worse or he'll improve.
06:54Can we move in and we're going to have a phone number?
06:56yes hello hello okay okay can i repeat back to you
07:10yes so we've got a cold red we've got a stab wound we need the general search
07:15we need the trauma team as well pta is 12 minutes thanks
07:28cold red when 12 minutes away i don't know self-implicate stab to the afternoon
07:36blood pressure is low that's as much as we know so far
07:52anyone who's not doing anything directly with the patient i want to go
08:00uh and then who's doing the primary survey i need my primary survey to stand there and
08:04do not move from their feet it's easier for them
08:10the last blood pressure was 95 over 62 that's after two minutes of red cells and two minutes of plasma
08:16the knife is still in situ and she's spontaneously breathing at the moment yeah
08:19just tell me where exactly is the knife what's there and there she's got two so yeah one's been
08:25removed one's still in situ just be careful there's a knife there so let's not push onto that when you
08:40look at it's all that it's all that it's all right so just on the blue sheet guys we have
08:58a patient who
08:59has inflicted two knife injuries to herself let's make sure we don't lose any lines this case has been
09:07alerted to us as a code red because we've got somebody who's bleeding this blood pressure is low
09:14so it can be very serious um so it can be very serious life threatening ready set
09:24okay let's listen so this is jackie she's 55
09:29um she's got self-inflicted knife wounds times two to her upper middle abdomen
09:34she was refusing to go into hospital she didn't have capacity so we sedated her with 40 milligrams of
09:41ketamine and brought her in. We don't know anything about allergies or other stuff, it's
09:45unimportant. She's got extensive medical history with lots of anti-psychotics and she's normally
09:49on 28 milligrams of Dazepam daily on a reducing regimen. When you assessed her, she had got
09:56air entry on both sides with you, Bas. Bas, are you connected? We are connected and airway
10:04and she's breathing to the wind. Put this on her face so you can change this.
10:09Thank you, you're in a heart.
10:13Be careful with the knife, mind your forearms.
10:23Abdomen is soft and 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. Nothing on the chest.
10:32Can you see anything around the neck?
10:33No, nothing.
10:40She has two injuries to the abdomen. It doesn't look like there's a significant blood loss externally,
10:47but what's going on underneath, we don't know yet. So as soon as we can, we'll get her to the
10:52CT
10:53scanner and see where that knife goes.
10:56Okay, listening team, we are just waiting on arterial blood pressure and then we'll take her
11:02because we don't know the target. We don't know where the problem is.
11:05So there is nothing else we can do in any further assessment. We 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? We've got AT2 systolic. We know that she responds to fluid.
11:23Happy?
11:28You might just hold in this, please. Just while you...
11:35Looking at her at the moment, it looks like that she is breathing fine, so it's probably
11:40not in the lungs. It probably is below the diaphragm.
11:46But lots of things can be injured below the diaphragm.
11:52Ready, ready, slide.
11:57We're talking about the bowels, the liver, pancreas, spleen.
12:01They all live in and around this region.
12:06Okay, check me, starting now.
12:19Yeah, she's got an abdomen full of blood.
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, you're free to go in the room.
12:35Thank you. Thank 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. It'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?
13:16Where does the knife go?
13:16Do you know the mechanism? So she's got two stabbing things.
13:20Where's the other wing?
13:21That's more lateral to where the knife is.
13:30I'd be dubious if there's any bowel injury.
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, so the heart's okay, big vessels are okay.
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. We'll just be directly to the liver.
13:56Yeah. I mean, if they want me to be about to come and have a look, or they need a
13:59spare pair of hats, though.
14:00But I doubt that I'll do that.
14:04At the moment, we just don't know how serious these injuries are going to be, so we're going to just
14:10try and remove the knife in theatre, and just see if this can be done without upsetting any clot that
14:16has already formed.
14:37The liver is quite a forgiving organ. However, this is absolutely life-threatening.
14:43If you injure one of the vessels that are contained within the liver, then you have got potential for an
14:49injury 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, and that's when her life will really be at
15:06risk.
15:14One of you can go into that one for a primary step, and the other one can go into this
15:17one for a primary step.
15:21So can we tilt him, Emma, 30 degrees, and then bear hug him?
15:27credit venues.
15:38Questioners.
15:40Hi, I'm Sonali.
15:42Hi, I'm six, I'm probably in Area B, but we've got a 38 year-old man who has had a
15:46head injury
15:47because he was on a quad bike.
15:50Neurosurgeons are on their way, they're going to review him.
15:52Depending on what they do, they might want to take one take care.
15:59We've had a look at the scan.
16:01Apart from the injuries to the head, we can't see anything obvious at the moment.
16:07Unfortunately, he's got quite a lot of skull fractures.
16:13And a bleed on his brain.
16:17This can potentially be life-changing, so we have to act quickly.
16:24We're going to have to speak to the neurosurgeons
16:26to 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 to try and protect the brain from 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.
17:05I don't know.
17:06Have you opened it?
17:08Brain tissue or no?
17:09No, brain tissue.
17:10You just see a directly over life.
17:11It's a skull, 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 and also pulling the parts of the skull,
17:46which is sticking into the brain tissue, so just lifting them up a little bit.
17:49So that helps in reducing swelling on the brain.
17:54So that's why the surgeon 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.
18:13On lift, ready, set, lift.
18:16Just taken.
18:19Hello, QB.
18:21Yeah, no problem. I'll see you soon.
18:23This one's the cardiac event.
18:25Do you want to call a 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 before he's arrived,
18:44and 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.
19:22It leads to go straight across.
19:28And we'll go again. Ready, steady, slide.
19:31Ready, steady, slide.
19:37This is Jason. He'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.
19:48Developed central chest pain, started to feel generally unwell with it.
19:52Went upstairs to his bedroom, lay down, and then at approximately 21.35 he was witness to have a cardiac
19:58arrest.
19:59Ambulance crew arrived, began CPR, put him on the monitor, and he was in VF.
20:04He was shocked once, within a minute or so, he was back to GCS 15,
20:09and he's remained like that since.
20:11Heart rate of 80, last 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 fit and well, non-smoker.
20:31Thank you very much.
20:32Okay.
20:32Thank you, thank you.
20:33All right, thank you.
20:33Jason, how are you doing?
20:36Have you got any more chest pain at the moment?
20:39I feel it on my heart, but it's poor.
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.
21:10Okay, sir, just nice and still.
21:12We'll get this artery open for you very quickly.
21:15Just 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.
21:36Yep.
21:42Just going to get access to the artery here.
21:46Just passing this wire up into your arm.
21:50Okay.
21:51Big breath in now, sir.
21:53Jason, just take a big breath in now.
21:56Big breath in and hold.
21:57Jason.
22:00Tip of the wire, please.
22:04And again, big breath in and hold.
22:07Breathe normally now.
22:15Okay, let's just have a look at the right artery.
22:18We'll probably find it's blocked.
22:23See the bottom?
22:27Okay, that artery's blocked.
22:28Nice.
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.
22:56So, really time critical.
23:00We're having to work very quickly here.
23:03Is the balloon prepped and ready?
23:05Uh, yeah.
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.
23:29Okay, be ready with the atropine.
23:34So 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.
23:52Okay, give half dose atropine now.
23:58Heart rate is 40 beats a minute now.
24:01It's 30 now.
24:03Go ahead, give the atropine.
24:05Okay.
24:06Okay, sir.
24:06You just stay with us.
24:08Okay, sir.
24:20Heart rate is dropping.
24:26Heart rate is 40 beats a minute now.
24:28It's 30 now.
24:29It's 30 now.
24:35We need some drugs just to help that.
24:38Yep, it's 30 now.
24:39Yep.
24:40Okay, go 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.
24:52Okay, we're just...
24:53Atropine, even.
25:02Heart rate is coming back.
25:07Okay, that's fine.
25:09Okay, so blood pressure has recovered there.
25:15This is the heart rate.
25:17Yep.
25:18Okay, ready for Sinny?
25:19Yep.
25:22Okay, good.
25:23Well, we've managed to open that up.
25:24It's wonderful.
25:26There's probably a slight tear in the artery,
25:29and we're going to just cover that with a stent.
25:32So, 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 in place so
25:52that the blood supply, which will be reduced in this gentleman, will be opened up and completely restored.
26:00The 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.
26:17There.
26:19And then we'll take this balloon out.
26:22The stent will just remain in place.
26:27Beautiful.
26:28You can see the flow's been restored now.
26:31Pretty much back to normal.
26:34All of this territory wasn't being supplied with blood before, but you can see it's opened up very nicely.
26:40It's looking wonderful.
26:43Okay, good.
26:44We're done here.
26:48Okay, Jason, that's gone really well.
26:51How are you feeling now?
26:55Has the chest face settled down now?
26:59Good.
26:59Good.
27:00Look, you had a blocked artery there.
27:02It's one of the main arteries supplying your heart muscle.
27:06We've managed to open that up successfully today.
27:09So you're going to be in the hospital a few days whilst you've recovered from this.
27:12Okay.
27:13Really well done.
27:13Good and well done.
27:31Good meeting.
27:34Good meeting.
27:36Nice fun.
27:40Matt suffered a significant trauma with the impact of his head on a tree.
27:48His skull was splintered into many little parts
27:53and flattened from the normal rounded skull that we all have.
27:59Parts of the broken bits impacted into the brain,
28:04causing bruising and bleeding within the right frontal lobe.
28:09Of course, that is the area of the brain that is used by the large majority of us
28:15in keeping our spoken language fluent and logical.
28:24This is before the operation and this is after the operation.
28:29The operation that we did for Matt was to open up his scalp
28:36so that we could lift out the pieces of the fracture,
28:40give it a good wash, clean the surface of the brain,
28:44repair it from any bleeding and to put the pieces together with these little plates.
28:51Essentially, like a jigsaw, return the skull to its original shape
28:57without any flattening and pressing inwards into the brain.
29:03The purpose of that is to afford more space within the skull for the brain to swell
29:09and reduce intracranial pressure.
29:13the hope is that it allows for brain function to be returned in the course of time.
29:32I'm going to roll you.
29:33I'm going to look at the back as well.
29:34I'm going to check her back as well, yeah.
29:55What actually led her to being brought here was she suffers with her mental health quite badly
30:01and she'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
30:14but due to the severe withdrawal symptoms,
30:17took quite a big toll on her body
30:21which led her to do what she did.
30:26and I think to do something like that she must have been suffering quite badly.
30:35I'm Amy and I'm Jackie's daughter.
30:39I'm actually one of three.
30:42For family members it's absolutely heartbreaking to watch someone deal with mental health
30:47and if you feel someone isn't coping to intervene as soon as possible I would say.
30:55My only regret is not intervening sooner
30:59because I would have never thought in a million years it would come to this.
31:05We're all just heartbroken and just praying that she pulls through.
31:16I know.
31:33I love you.
31:36Thank you, thank you. I love you.
31:43Alright, what's your ETA please?
31:45Alright, see you shortly. Thanks, bye.
31:54Guys, you've got a 45-year-old male, RTC, van versus car,
31:59isolated right forearm fractured distal radial bone is protruding up.
32:03ETA is 30 minutes and the alert is out.
32:06Thank you, thank you very much, thank you very much.
32:11Alex, do you want to take it?
32:14Yeah, yeah.
32:16Road traffic accidents are the most significant trauma
32:20that regularly comes into resists.
32:23You can get quite significant injuries that aren't obvious
32:27when they arrive in A&E.
32:29They can be both life-threatening, limb-threatening.
32:34Anything can come through the door and you never really know
32:37how sick somebody is until they get here.
32:41Good morning, good morning.
32:43Good morning, good morning.
32:44Good morning, good morning.
32:44Hey, guys.
32:47How are you doing?
32:49How are you doing?
32:50I'm going to take action there, then.
32:52Take your toe, take your toe.
32:54OK, we have James, 45-year-old male,
32:58basically driving like a transit-type van,
33:01turning in the road on an industrial estate,
33:03two-way traffic,
33:05and during the turn another car has collided him and he's sort of gone front on into the side of
33:12another vehicle and he's sustained roist radial and open fracture query and all that and radial
33:20mid-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's buying it's
33:31just uh indentations away could put no injuries on that side okay so once he's all clipped out of all
33:38of these we can start
33:47garyam when you're ready james i'm dr paris one of the trauma i'll just have a quick look at it
33:53okay
33:56there's no external wound on the neck
34:00trachea central
34:04no 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
34:15okay so there's nothing particularly significant primary survey but i know that we're gonna have
34:21have a look at this arm
34:25his capillary is slightly sluggish and his fingers are cold i can see the bone protruding over here
34:37you feel the pulse
34:44have we got any excessive bleeding from the wound or anything i just want to go yes
34:50i'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
35:13here's something i know your arm is your focus but we'll get you into the scanner look at the
35:18muscles look at the integrity of what's actually happening in the arm
35:21and then it will plan for them and how they're going to need to do an operation on them all
35:27right
35:27all right everyone scouts vetted lovely do you guys want to take the patient across
35:47it's important to get a ct scan of the arm because we want to see if there's any sort of
35:52vessel injuries
35:55worst case scenario is that it's completely severed the arteries and the nerves within his hand and
36:01within his arm which would need potentially an amputation
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 so that's where your pressure is
37:01that's pretty nasty though that's supposed to be one piece there so this needs to be repositioned
37:12i don't think there's any damage to his arteries which is good
37:17but because he's got all this gas within his tissue this is an infection risk
37:23so you need to wash out that needs to happen relatively soon so they'll just take him straight
37:28to fear and do it
37:36so i just need to tell you it's uh multiple factors in one bone what we need to do is
37:41because 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 and
37:54we'll remove anything that's dead kind of dead tissues or anything we'll be able to fix it all that
38:01depends we'll put this bone back in its position okay and then we'll see further but we'll try our best
38:07okay thank you thank you thank you yeah we're booked for the emergency uh here and i can't say exactly
38:15at what time consultants away and emergency teams they are aware of it 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 it's the last thing
39:24i know
39:29when i had the accident apparently i just phoned my wife up and
39:34explained to her about a bad accident she was there within a couple of minutes
39:39and without her yeah i wouldn't have been very good really she'd come down and put pressure onto
39:48the mother cuts within a couple of minutes and probably stopped me from bleeding to death really
39:53until the until the air ambulance come
39:59me and the wife have a six and eight year old yeah boy and a girl they're pretty confused at
40:05the moment
40:06because they're not allowed in the hospital yeah but they don't know i'm as bad as i am probably
40:12so well i'll get better when i
40:17i want to get back to full recovery really but it's going to be a while it's going to be
40:22a while but
40:22there's got to be a light at the end of the tunnel really yeah and yeah you've got to
40:27show a positive attitude towards her if i 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 yeah the first signs of it was um i felt i had you
41:07know some indigestion
41:08or i pulled a muscle um doing some weight which i've been doing you know sort of 30 minutes previously
41:14so um i didn't initially think this is a heart attack but the pain got so acute and so painful
41:23when the ambulance crew arrived she went into cardiac arrest i think that timing was just incredible i
41:30think 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
41:58fine like nothing has happened obviously when you do go through an experience like this it does make
42:03you realize uh the nhs is amazing and um i owe him a massive debt of gratitude
42:09it does make me feel like it's amazing and it's amazing and it's amazing and it's amazing and it's amazing
42:32since 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 i've never had
42:46an
42:46accident like that before and the first thing that i thought of was i couldn't move my fingers
42:52it was just worried 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 out
43:08to the side and i can move my fingers and work as well if i can't go to work can
43:13provide and i've got
43:14three 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 full'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
44:14it's been a dream based on the original transcript surrounding an infamous disappearance under
44:18suspicion kate mccann and on thursday at nine social climbing is proving a dangerous ambition but no
44:25worries maz on top of it the new series of the hard acres continues next murder scene the incident room
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