- 2 days ago
Critical Condition - Season 6 Episode 2
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00:01Cold red.
00:04We've got a cold red, we've got to stab one.
00:07Please stop laughing.
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.
00:31Guys, be careful, there's a knife there,
00:33so let's not push onto that when you move 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.
00:57Sir, you just stay with us.
01:00Cold.
01:04Breathe in and hold your breath.
01:08Breathe normally.
01:16Hello, QE.
01:1938-year-old male.
01:22Falling off a quad bike.
01:23Yeah.
01:25ETA is 35 minutes.
01:29Thanks, mate.
01:32So 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, and the suspect had seen that he could have a significant head
01:53injury.
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 he thinks he's actually come off that somehow.
02:51And has tried to walk up?
02:52It seems to be, like, tried to get out of it, okay?
02:56Injuries appear to be isolated to his head, with a very large laceration right across his frontal part of his
03:03forehead.
03:03Okay.
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 subcontentival hemorrhages as well in there, okay?
03:21We'll hook him up to our monitors and our vent, please, and then do a primary survey.
03:28Cheers.
03:29Thank 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.
03:51So 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.
04:01No bruising, no tinnitus.
04:06Hot sounds one and two, no extra forms.
04:09Hot sounds normal.
04:12Low limbs, no long bone deformity.
04:15We've got no long bone deformities in the upper limbs either.
04:21The scan is ready.
04:22The scan is ready.
04:27The scan is ready.
04:29The scan is ready.
04:30He's done as fast as possible, so he can look for any fractures to the skull, an extent of
04:34bleeding on the brain if he's got any.
04:38Perfect.
04:40All right, let's go, guys.
04:47the main risk at the moment is bleeding on the brain because it can eventually lead to brain
04:54damage 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 ready it's been each slide
05:43let's just stop there for a second go back to the I always broken multiple places oh my god
05:52this doesn't look good man I'm very concerned about the injuries he's broken his skull in
06:02multiple places he looks like he's got significant amount of bleeding on his brain this can be life
06:09threatening and it's not life-threatening definitely life-changing the longer you
06:19leave an organ with pressure on especially the brain with the bleeding it can swell up and cause
06:27permanent damage so we're going to have a chat with your surgery and make a treatment plan but
06:39only time will tell whether he will get any worse or we'll improve
07:07okay can I repeat back to you yes so we've got a code red we've got a
07:13stab wound we need the general search we need the trauma team as well ETA is 12 minutes thanks bye
07:28cold red when 12 minutes away I don't know self-implicate stab to the arm blood pressure is low that's
07:37as much as we know so far
07:46I don't know if anyone 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 do not move from
08:05that
08:10the last blood pressure was 95 over 62 that's after two minutes of red cells and two
08:15units of plasma the knife is still in situ and she's spontaneous breathing at the moment yeah
08:21where exactly is the knife boss there and there she's got two so yeah one's been removed one's still in
08:26situ
08:37guys be careful there's a knife there so let's not push on to that when you go over across
08:56we have a patient who has inflicted two knife injuries to herself let's make sure we don't lose any line
09:06this case has been alerted to us as a code red because we've got somebody who's bleeding who's
09:12blood pressure is low so it can be very serious life-threatening
09:25so this is Jackie she's 55 and she's got self-inflicted knife wounds times two to her upper middle abdomen
09:35she 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 any of the other stuff it's
09:45unimportant extensive medical history with lots of anti-psychotics and she's normally on 28 milligrams
09:50of dazepam daily on a reducing regimen when you assessed she had got air entry on both sides with you
09:57getting less and more s
10:01are you connected oh we are connected and airways she is breathing she's away
10:16be careful with the knife mind your forearm yes
10:23Abdomen soft and there is a wound on the subcoast area one night.
10:28Can you see any other stabs 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.
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, listening team, we are just waiting on arterial blood pressure
11:01and then we'll take her because we don't know the 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.
11:10Let's just get her round.
11:13And should we cover her, please, in preparation to go through?
11:19Can we start wheeling her?
11:20We got AT2 systolic.
11:21We know that she responds to fluid.
11:23Happy?
11:29You might just hold in this, please.
11:31Just while you're looking.
11:34Looking at her at the moment, it looks like that she's breathing 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.
12:06Okay, check me, starting now.
12:19She's got an abdomen full of blood.
12:25There'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.
12:42So 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's the knife go?
13:16Do you know the mechanism?
13:17So she's got two stab injuries.
13:20Where's the other wing?
13:21That's more lateral to where the knife is going.
13:28I might 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.
13:55We'll just be directly to the liver.
13:57Yeah.
13:57I mean, if they want me to be about to come and have a look or they need a spare
14:00pair of hats, though.
14:01But I doubt someone needs to have it.
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 and just see if this can be done
14:15without upsetting any clot that has already formed.
14:20And apart from what we discussed, there's no other...
14:23Chilling, this is about to be good.
14:24Yeah, just to be good.
14:28The theatre are ready now.
14:29Do you have to wait for someone else?
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, 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 prime step, and the other one can go into this
15:17one for a prime step.
15:18Okay.
15:21So can we tilt him, Emma, 30 degrees, and then bear hug him?
15:40Hi, Sonali.
15:42Hi.
15:42It's Shugi.
15:43I'm probably in Area B.
15:44We've got a 38-year-old man who has had a head injury because he was on a quad bike.
15:50Neurosurgeons are on their way.
15:51They're going to review him.
15:52Depending on what they do, they might want to take him to take care of.
15:58We'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 and 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 to tell us how they're going to manage this.
16:31How about a set of blue gauzes?
16:32Please.
16:34Please.
16:45Our main focus at the moment is to try and protect the brain from any further damage.
16:51the more the brain tissue is pressed and compressed the less chances of it healing
16:56well and getting back to the normal function all right so you've got the
17:03neurosurgeon down we're gonna have a look at his head wound we open it brain
17:08tissue or no no brain tissue you just see a dirty over like a skull yeah
17:19it is too early to tell at this stage what the outcome is going to be
17:23he may or may not get his full neurological function back
17:32the neurosurgeons are now planning to take the patient to theaters tonight to decompress the
17:38brain that can be done by evacuating some of the blood out and also pulling the
17:45parts of the skull which is sticking into the brain tissue so just lifting them
17:49up a little bit so that helps in reduce the swelling on the brain so that's why
17:54the surgery needs to be done as an emergency turn on so you can have the
17:58best possible outcome
18:10we're happy that he's stable for transfer yes please on me ready set
18:16just taken hello kimi yeah no problem we'll see you soon this one's the
18:24cardiac do you want to call the cardiologist
18:32so we've been alerted that we have a acute heart attack coming in it's a
18:38middle-aged gentleman who's already had a cardiac arrest as well before he's
18:43arrived and he's been successfully resuscitated by the ambulance crew so
18:47this is a an emergency heart attack that we're going to be treating very very
19:02shortly
19:03a cardiac arrest is essentially a situation that occurs when the heart
19:08completely stops beating and as a result there's no blood going either to
19:14the brain or the vital organs this is obviously a situation which can be
19:19catastrophic if it's not dealt with quickly
19:28and we'll go again ready steady slider ready steady side
19:36and this is Jason it's 55 years of age at about 21 30 this evening he was
19:43exercising at home in his home gym lifting heavy weights which is quite normal for
19:47him developed central chest pain start to feel generally unwell with it went
19:52upstairs to his bedroom lay down and then it's approximately 21 35 he was
19:57witnessed to have a cardiac arrest ambulance crew arrived began CPR put him
20:03on the monitor and he was in VF he was shocked once within a minute or so he was
20:07back to GCS 15 and he's remained like that since heart rate of 80 last blood
20:13pressure was 128 over 69 in terms of previous medical history he's got high
20:19cholesterol and he does have a family history of cardiac health problems on his
20:24father's side his father died at the around the age of 50 from a heart attack but
20:28otherwise he's usually fitting well non-smoker thank you very much okay thank you thank you
20:32all right thank you Jason how are you doing
20:36have you got any more chest pain at the moment you could just uh tie me up here please
20:53so this is an angioplasty procedure that we're going to be performing on this gentleman for a acute heart
21:09attack
21:10ok sir just nice and still get this artery open for you very quickly just hold on to
21:16that grip there turn your palm upwards the procedure is carried out from the
21:22wrist artery and we can carry out our whole procedure including unblocking the
21:29artery all through this very tiny hole
21:33give me that wire please
21:35yep
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
21:52Jason just take a big breath in now
21:55big breath in and hold
21:57Jason
22:00tip of the wire please
22:04and again big breath in and hold
22:07breathe normally now
22:16let's just have a look at the right car in
22:19probably find it's blocked
22:23see the bottom
22:27okay that artery's blocked
22:32this is a very large artery not a surprise that he had a cardiac arrest supplying a big portion of
22:39his heart muscle
22:42and we know that the longer we leave the artery blocked the more damage there will be to the heart
22:48muscle and the patient will have a higher risk of dying higher risk of having a stroke and higher risk
22:54of having a further heart attack so really time critical
23:00we're having to work very quickly here is the balloon prepped and ready
23:05yeah so we're going to go ahead and balloon this artery
23:11there are risks with the procedure there are complications that can arise such as low heart rate
23:18and if their heart rate drops much below 30 beats per minute there's a risk that the patient could go
23:24into cardiac arrest
23:25so you have to give them drugs to try and increase their heart rate
23:30okay be ready with the atropine
23:34so this is going up with a balloon now
23:37it's a 2.5 balloon 10 atmospheres
23:41and 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 sir you just stay with us
24:20heart rate is dropping
24:25heart rate is 40 beats a minute now
24:28heart rate is 40 beats a minute now
24:29it's 30 now
24:35you need some drugs just to help up
24:37yep
24:39yep
24:39go ahead quickly give the atropine please
24:44that's just us sir you just hang on in there
24:49atropine there you go
24:52okay with the atropine, given thank you
25:02heart rate's coming back okay that's fine okay so blood pressure's recovered there this is the
25:15heart rate okay ready for sinny okay good well we've managed to open that up
25:24wonderful there's probably a slight tear in the artery we're going to just cover that with a stent
25:30so can I take a three five stents please spent to me thank you a stent is essentially a metal
25:47scaffold and it stays within the artery so we leave it in place so that the blood supply which
25:54will be reduced in this gentleman will be opened up and completely restored so here we've got the
26:11balloon which has been inflated within the stent good here on and then we'll take this balloon out
26:21and just remain in place beautiful you can see the flow's been restored now pretty much back to
26:32normal all of this everything wasn't being supplied with blood before but you can see it's opened up
26:40very nicely it's looking wonderful okay good we're done here okay Jason that's gone really well how are you feeling
26:52now
26:59good good good good you had a blocked artery there is one of the main arteries supplying your heart muscle
27:05what we've managed to open that up successfully today so you're going to be in a hospital a few
27:10a few days whilst you've recovered from this okay really well done
27:40Matt suffered a significant trauma with the impact of his head on the tree his skull was splintered into
27:51many little parts and flattened from the normal rounded skull that we all have
27:59parts of the broken bits impacted into the brain causing 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 in keeping
28:16our spoken
28:18language fluent and logical
28:24this is before the operation and this is after the operation the operation that we did for Matt was to
28:33open up his scalp so that we could lift out the pieces of the fracture give it a good wash
28:41clean
28:42the surface of the brain repair 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 without 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 and reduce intracranial
29:12pressure
29:13the hope is that it allows for brain function to be returned in the course of time
29:32it's going to roll you so i'm going to look at the back i'm going to check the back as
29:35well yeah
29:55what actually led her to being brought here was she suffers with her mental health quite badly and she's
30:02quite 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
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 i'm actually one of three for family members it's absolutely
30:45heartbreaking to watch someone deal with mental health and if you feel someone isn't coping
30:51to intervene as soon as possible i would say my my only regret is not intervening sooner because i
31:00would 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
31:32i love you
31:42All right, what's your ETI, please?
31:45All right, I'll see you shortly.
31:46Thanks, bye.
31:54Boys, you've got a 45-year-old male, RTC, van versus car,
31:59isolated right forearm fracture,
32:00distal radial bone is protruding up.
32:03ETI is 30 minutes and the alert is out.
32:06Thank you very much.
32:07Thank you very much.
32:11Alex, do you want to take it?
32:14Yeah, yeah.
32:17Road traffic accidents are the most significant trauma
32:20that regularly comes into retias.
32:23You can get quite significant injuries
32:26that aren't obvious when they arrive in A&E.
32:29They can be both life-threatening, limb-threatening.
32:35Anything can come through the door
32:36and you never really know how sick somebody is
32:39until they get here.
32:41Good morning.
32:43Good morning.
32:44Good morning.
32:44Good morning.
32:44Hey, guys.
32:54We have James, 45-year-old male,
32:58basically driving a transit-type van, turning in the road on an industrial estate,
33:04two-way traffic, and during the turn another car has collided him
33:09and it has sort of gone front on into the side of another vehicle and it's sustained
33:14roist radial open fracture, query ulna and radial mid shaft as well, there's some deformity
33:22just in the middle of the arm.
33:25How's the state of the cars?
33:27Not that bad actually, your van's fine, it's just indentation of the vehicle but no injuries
33:33on their side.
33:34Okay.
33:37So once he's all clipped out of all of these, we can start.
33:47Garryum, when you're ready.
33:49James, I'm Dr. Paras, one of the trauma-related stars, I'll just have a quick look at you,
33:54okay?
33:57There's no external wound on the neck, trachea central.
34:04No external wound on the chest, bilateral axilla clear, bilateral low limbs, good and he was
34:13standing as well and putting weight, that's good.
34:15Okay.
34:16So there's nothing particularly significant on primary survey but I know that we're going
34:21to have to have a look at this arm.
34:30I can see the bone protruding over here.
34:37Can you feel the pulse?
34:44Have we got any excessive bleeding from the wound or anything?
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.
35:06There's nothing that's kind of jumped out.
35:07Your observations are all okay but this is open and we kind of need to know what's going
35:11on.
35:13Please don't lose me, are you?
35:14I know your arm is your focus but we'll get you into the scanner, look at the muscles, look
35:19at the integrity of what's actually happening in the arm and then it will plan for them and
35:24how they're going to need to do an operation on them.
35:26All right.
35:30All right.
35:30All right.
35:30All right.
35:31Scouts are vetted.
35:32Lovely.
35:33Do you guys want to take the patient across?
35:48It's important to get a CT scan of the arm because we want to see if there's any sort
35:52of vessel injuries, the worst case scenario is that he's completely severed, the arteries
35:59and the nerves within his hand and within his arm, which would need potentially an amputation.
36:22I'm sorry.
36:26I'm sorry.
36:27I'm sorry.
36:27Okay.
36:28Can you spread your fingers?
36:32I'm sorry.
36:33Okay.
36:34Can you make a fist?
36:37No?
36:37No?
36:38Okay.
36:39No?
36:44No?
36:48No?
36:48No?
36:50No?
36:54Yes, that's the radius there.
36:56Yes, that's where your cuatro is.
36:59You want me just have to go.
37:00Yes.
37:00That's pretty nasty though.
37:03That's supposed to be one piece there.
37:06Yes.
37:07Yes.
37:07So this needs to be repositioned.
37:12And.
37:13Not, the кр validate is betterК
37:13There's no pain in the arm.
37:15Which is good, but because he got all these gas within his belly, this is blowing intoosto
37:22it's an infection risk.
37:23So you need to wash out,
37:25that needs to happen relatively soon,
37:27so that they'll just take him straight to theater and do it.
37:36So I just need to tell you,
37:38it's multiple factors in one bone.
37:41What we need to do is,
37:42because this is an open factor,
37:44means there's increased chances of infection, okay?
37:47So to prevent from that,
37:49we're planning to take you to operation theater today.
37:51So we'll have to look inside,
37:53we'll clean that up,
37:54and we'll remove anything that's dead,
37:57kind of dead tissues or anything.
37:59You'll be able to fix it, though?
38:01That depends.
38:02We'll put this bone back in its position,
38:04and then we'll see further.
38:06But we'll try our best, okay?
38:12Yeah, we're booked for the emergency here,
38:14and I can't say exactly at what time.
38:17Consultants are away,
38:18and emergency teams, they are away.
38:20Yeah, it's sad.
38:22Good afternoon.
38:25Looks like the plan is for the patient
38:27to go to theater tonight,
38:28where they will be able to assess
38:29the full extent of the damage,
38:31and whether they will be able to preserve
38:32the function in his hand.
38:35To this stage, there's no absolute guarantee
38:37that he'll regain function in his hand,
38:39given the degree of injury.
39:03The day of the accident, from what I'm told,
39:07I was just on a quad bike and I hit a tree
39:10that was falling down at the time.
39:13And that's, well, that's all I got told that happened.
39:16I can't, I lost all memory of it, really.
39:18Yeah, and then I was in a coma for five days.
39:23It's the last thing I know.
39:29When I had the accident,
39:31apparently I just phoned my wife up
39:33and explained to her about a bad accident.
39:37She was there within a couple of minutes.
39:40And without her, yeah,
39:42I wouldn't have been very good, really.
39:44She, she'd come down and put pressure onto the mother,
39:49cuts within a couple of minutes,
39:51and probably stopped me from bleeding to death, really,
39:54until the, until the air ambulance comes.
39:59Me and the wife have a six and eight-year-old boy and a girl.
40:04They're pretty confused at the moment
40:06because they're not allowed in the hospital.
40:07Yeah.
40:08But they don't know I'm as bad as I am, probably.
40:10Yeah.
40:12Yeah, so, well, I'll get better when I...
40:17I don't want to get back to full recovery, really.
40:19But it's going to be a while.
40:21It's going to be a while,
40:22but there's got to be a light at the end of the tunnel, really.
40:25Yeah.
40:26And, yeah, you've got to show a positive attitude
40:29towards everything, really.
40:44Yeah, and that's right.
40:51Well, you definitely look a lot better than you did.
40:55I look,
40:55yeah, I look,
40:56actually, quite a normal colour now as well,
40:57which is-
40:58Yeah.
40:59Which is nice to know, isn't it?
41:01Yeah.
41:01I think...
41:03The first signs of it was I felt either, you know, some indigestion or I'd pulled a muscle doing some
41:11weight, which I'd been doing, you know, sort of 30 minutes previously.
41:14So 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.
41:27I think that timing was just incredible.
41:30I 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.
41:42Yeah, it's amazing to think that it's less than 72 hours from me having the first start of the heart
41:49attack to being here, being released, going home.
41:54And I'm not just saying this, I feel completely normal and fine, like nothing has happened.
42:01Obviously when you do go through an experience like this, it does make you realise the NHS is amazing.
42:07And I owe my massive debt of gratitude.
42:32Since surgery, I've just been trying to recover.
42:36However, they have reattached the bone and they've put, I think it's two plates and a couple of screws in.
42:44To be honest here, I've never had an accident like that before and the first thing that I thought of
42:49was I couldn't move my fingers.
42:52It was just muddy that I was going to lose my hand.
42:57Or use of my hand, even if I didn't lose it, maybe.
43:01Hopefully that won't be the case now.
43:05The doctors are being brilliant and I'm lucky to come out to the side and I can move my fingers.
43:10And work as well.
43:12If I can't go to work, I can't provide.
43:14And I've got three kids, so it's massive really.
43:19That's why I'm extremely grateful that the surgeons have done a good job.
43:22And hopefully I can get back to work as soon as possible.
43:36There's a pedestrian hit by a car and a Bristol race hit a bullseye 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 and it's exploded in his hand.
43:48This middle finger is literally like a skeleton finger now.
43:51That is a really difficult thing to survive.
43:55He's fallen down some stairs and then they realise he's in cardiac arrest.
43:59Each minute that your heart is not pumping, your body is dying.
44:03Ready for CPR if we need.
44:08That's new 999 Critical Condition next Tuesday at 9.
44:12Brand new original drama Tomorrow at 9 based on the original transcript surrounding an infamous disappearance
44:18under suspicion Kate McCann.
44:20And on Thursday at 9, social climbing is proving a dangerous ambition.
44:24But no worries, Ma's on top of it.
44:26The new series of The Hard Acres continues.
44:29Next murder scene, The Incident Room.
44:31I don't know what you're listening to when I was selecting.
44:32For the fact.
44:32I'm on Thursday.
44:33I'm on Thursday.
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