- 9 hours ago
Ambulance - Season 16 - Episode 02: The Last Holiday
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Short filmTranscript
00:00New incident, category one.
00:04Put you on an RTC, two cars head on.
00:08This lady has been on the floor since it's 5am.
00:11It's a two-year-old who's been stabbed, Dougher.
00:15Every day across Yorkshire, more than 3,000 people call 999.
00:20He's just not breathing.
00:22He's pregnant.
00:23Right, he's on the track.
00:24He's trying to borrow petrol over the office.
00:26The ambulance service must decide who gets help...
00:30We're going to look after you, mate.
00:33We've got you.
00:34Can I get you covered up? Lovely, jubbly.
00:36..and who must wait.
00:3834 jobs waiting for an ambulance now in Leeds alone.
00:42..as the pressure on the NHS refuses to relent...
00:45We're creating the waiting room for a waiting room.
00:48..the paramedics on the ground navigate England's largest county.
00:52Welcome to our office.
00:55All right, well done.
00:56..from the busiest cities...
00:57Chaos tonight.
00:59We'll need to get out of Leeds now.
01:01..to the remotest villages...
01:03We're in the middle of nowhere.
01:05..where each call is a crisis...
01:08I've got a five-year-old found wandering in the street,
01:10naked, malnourished.
01:12God, it breaks your heart. It's awful.
01:14..and every decision critical.
01:16Hello!
01:17Where are we going?
01:18You're all right.
01:19Please, let the kids out of there.
01:20Where are they going to land in the middle of Bratford?
01:23We go beyond the flashing blue lights...
01:27..to reveal the human stories behind every siren.
01:31Is he really going to do it?
01:32Absolutely.
01:33Thank you for coming.
01:35You don't have to thank us.
01:36You do.
01:37You've got manners, you do.
01:39Are we all ready to set sail?
01:41Get her going!
01:42Get her going!
02:05What part of the body is injured?
02:12Help is coming as quick as it can.
02:14Is he awake now?
02:19Now, I'm going to tell you how to stop the bleeding.
02:22So I need to get a clean, dry cloth or towel.
02:25So place it right on the wound and press down firmly.
02:30It's three hours into the bank holiday weekend
02:32for Yorkshire Ambulance Service.
02:35So far, the team have received 489 emergency calls.
02:41Ambulance is patient breathing.
02:43There is a new call being answered every 20 seconds.
02:47I am organising help.
02:49What's the address of your medicine, please?
02:51Do you know how long the ambulance is going to be?
02:53In that area, we've seen delays of about up to the next half an hour.
02:57It's ridiculous.
02:58I saw somebody who's bleeding out in my garden
02:59and you're not doing nothing about it.
03:01That help is coming as quick as it can.
03:05It's a 58-year-old male
03:06who has incorrectly used a chainsaw.
03:10Major bleeding.
03:14So with that pressure on,
03:15is it still spurting or pouring out?
03:17Still bleeding.
03:18Just bear with me one minute.
03:20I'm just checking something with a colleague.
03:21I'm still here.
03:22You're saying it's still serious bleeding?
03:24Yeah, so make sure they've still got it on
03:25because they need to cut off that blood supply.
03:29If required, hems have blood on today.
03:33So if he keeps bleeding,
03:34keep firm, steady pressure on the wound.
03:37There is two men putting firm, steady pressure on it.
03:41You're probably not pressing hard enough.
03:42We are pressing hard enough.
03:44Do you want to come and do it?
03:46The ambulance should be arriving very shortly.
03:49Yes, I can hear the siren.
03:51Across the region,
03:53there are currently 55 patients waiting for an ambulance.
03:571340, thank you.
03:59A patient's been on the floor,
04:00but we don't know how long for.
04:03Working in control is dispatcher Tracy.
04:061340, thank you very much for that.
04:08She is supported by Laura...
04:101671, just to update on this detail.
04:13..and Kyle.
04:151692, pass your update when you're ready, over.
04:18The workload this morning has been really busy from 6am,
04:21so we are just struggling a bit.
04:24Tracy oversees ambulance resources across coastal Yorkshire,
04:28including Scarborough,
04:29a seaside town with just five ambulances on shift
04:33for a population of 108,000.
04:37With demand rising elsewhere,
04:39all her crews have been sent out of the area,
04:42leaving Scarborough without cover.
04:481692.
04:49Just to say you're clear to head back.
04:51Thank you for that.
04:52Control out.
04:551692, paramedic Curtis and ambulance practitioner James
04:59are the furthest from base at York Hospital.
05:02Might take us a while.
05:03Here we are, a bit of a track.
05:06They face a 40-mile journey back to Scarborough,
05:10battling bank holiday traffic.
05:13I don't think I'd be able to be a controller.
05:15The head has to be in multiple places, doesn't it?
05:18We have one patient at a time,
05:20whereas they've got multiple resources
05:22all on a screen in front of them
05:23that they've got to try and juggle.
05:25Get Cat 1.
05:26Oh, Cat 1.
05:28Voice accept.
05:30999.
05:32Curtis and James are immediately dispatched
05:34to the Category 1 emergency,
05:36the most time-critical.
06:02The patient lives within a 171-square-mile triangle
06:07in rural North Yorkshire,
06:09where there are no ambulance stations.
06:13Curtis and James are 35 minutes away,
06:16five times the life-saving target response time
06:19of seven minutes.
06:231692.
06:24I know we've allocated from a distance on this one.
06:26Unfortunately, you are the closest crew.
06:30Do you want me to ring Heli-Maid?
06:32I'd make them aware.
06:33Yeah, if you don't mind.
06:41I need you to encourage her to cough, okay?
06:44Yeah, I'm trying to.
06:45But...
06:48I'm engaged.
06:50Give a sharp bump between a shoulder blade
06:53with the heel of your hand.
06:55Pop it out.
06:56Keep going.
06:57Keep popping it out.
06:58Come on.
07:01I'm here.
07:02You are far from hospitals,
07:04far from ambulances.
07:06You've got Heli-Maid,
07:07but if they're busy like they are now...
07:09You're in trouble.
07:10You're in big trouble.
07:12The ETA for this has gone up to 44 minutes now.
07:17Oh, my God, is that another Cat 1?
07:19Come on.
07:21Just to confirm, is he grieving?
07:23Yeah, he's grieving, but he's unconscious.
07:26He's on the floor bleeding.
07:27In Hull, 45 miles away from the choking incident,
07:31a new Category 1 call is in progress.
07:34Tell me, Daphne, what's happened?
07:36I think he's given him a ticket,
07:38and the dude got out of his car,
07:39and he had me spunked him.
07:42Why is there so many people?
07:44Like, I get it's a nice day,
07:46but why are you off here?
07:47Go to the beach.
07:50New incident, Category 1.
07:53Traffic warden has been assaulted,
07:55bleeding on the floor.
07:56Voice accept.
08:011707 paramedic Gretel
08:03and ambulance support worker Alicia
08:05are the nearest crew to the patient.
08:07They are a mile away.
08:111707.
08:12We've got a patient that's been assaulted.
08:1450-year-old male traffic warden.
08:17Is the attacker still nearby?
08:20No, he's dreading the car.
08:22Is there any serious bleeding?
08:24Yes, he's bleeding from his mouth.
08:26Just pouring out.
08:28That's not just a punch in the face,
08:29though, that's serious.
08:30He's going to be really poorly.
08:34I'm glad they were here.
08:35We're going to just type it down the street now.
08:44Information from the police is that they're on scene as well.
08:46Over.
08:48We're on scene.
08:49I'll give you an update in a minute.
08:51Roger, I see, thank you.
08:53Oh, shit, this is serious.
08:55Yeah, do you want to get suction?
08:56Yeah.
08:58Just an update from team.
08:59Can you please get quick care?
09:00Seems like a pretty significant trauma.
09:03Roger, yeah, that's an affirmative.
09:051707.
09:05I'll get quick care of a...
09:07Do you know this guy?
09:09No.
09:10Did anyone see this happen?
09:11Yeah, it was squaring up to him.
09:13What was he hit with?
09:14This.
09:16Centre of the face or somewhere else?
09:18And one hit?
09:19Yeah.
09:20Yeah.
09:24Specialist paramedic Siobhan
09:26has just cleared from her second patient of the day
09:29and is immediately dispatched to support the crew on scene.
09:32Sorry, I'm keeping yourself busy, Siobhan.
09:34Patient is an unconscious trauma following an assault.
09:38Fair minute ETA.
09:40Yeah, Roger, that's all understood.
09:44We'll reassess GCS on the ambulance.
09:48Oh, something.
09:49Hey, Av.
09:51This is Alicia.
09:53My name's Greta.
09:54We're just with the ambulance service.
09:55You know what your name is?
09:59Pupils?
10:00Right ones.
10:02All right.
10:03Left one don't look like it's moving as much.
10:05So this is a decreased GCS with a TBI.
10:08Do you want to pass us a mask?
10:09It's going to give you some oxygen.
10:11We'll get you down to hospital.
10:14As the patient begins to regain consciousness,
10:17the crew suspect he has suffered a traumatic brain injury.
10:22Are you all right?
10:23Yeah.
10:24So, loss of consciousness.
10:25He's been GCS four, two, three.
10:28So we're just looking at extricating and out?
10:31Yeah.
10:32Yeah?
10:33Sorry, sweet.
10:33We're cutting you top.
10:35Is this working to you?
10:36Yeah.
10:38I'm going to sit you up and get you on our stretcher, okay?
10:40Oh.
10:42Okay.
10:43Nice and steady.
10:44Good lad.
10:45Very big stand.
10:48Good job.
10:52Good job.
10:54Good job.
10:55Can't go on.
10:56Not a good idea right now.
10:58Do you remember it?
11:00Good.
11:01All right, darling.
11:02Let's get going.
11:06over the last 10 years violent crime on the streets of East Yorkshire has quadrupled
11:12the end was five five temp was low the patient will be met by doctors at whole royal infirmary
11:20to assess the full severity of his head injury this is the difference between the whole and
11:28rural areas you can get there really quick play whereas in these rural areas our hands are tied
11:34with absolutely nobody closer to get to them it's been 32 minutes since Curtis and James were
11:41dispatched to the category one choking in rural North Yorkshire it's a long time to drive a blue
11:49light yeah it's difficult roads they are still the only resource available it was just a complete
12:01accumulation of sandwich is now the plan now she's not choking now she's just no okay no no
12:06right how are you she should be 91 in August 1692 thank you the individual has stopped choking
12:19it's always a relief when you can see the marker on the map you're like oh we're close now
12:25oh yeah looks like that's probably sorry about the wait where are we going hello lovely what's your
12:38name hello James this is Curtis what's your name sorry Lucinda I mean I know that obviously a blue
12:46light is not quite what we were here with no it's um when she was choking I mean she was
12:50choking like that and I get it and it can it can be it can be distressful as well it
12:56can I so I get
12:57it I totally get it they would rather play it on the safe side and have us here we'll do
13:02a full set
13:02of observations try and figure out what's going on hello how are you feeling okay yes is anywhere hurting
13:11no good do you mind if I do a few little checks with you is that all right I'm gonna
13:16pop this on
13:16your finger doesn't hurt or anything she has taken I'm gonna talk about you in front of you mommy so
13:22she's she's had quite a bad decline in her cognitive abilities in the last two to three weeks I was
13:28just
13:28feeding her some porridge but because of her cognition she's difficulty eating and swallowing she's not
13:33really able to kind of cough yes can you stick your tongue out at me and last night she just
13:38couldn't
13:39sort of stay with it okay so how long ago was she not falling to sleep regularly I would say
13:45two to
13:46three weeks ago okay I'm seeing a doctor on Tuesday it's a doctor from her surgery is that because of
13:50her general decline so in regards to observations there's nothing red flagging blood pressure's good
13:56heart rate's good temperature's good I think the question we've got today is where do we go from here
14:01oh yeah I would discuss it with the out of hours and just get their opinion what later the problem
14:07is she would have taken out like 10 or 12 medicines swallowing them she's not had any of them can
14:12we do
14:12the most you're here yeah yeah yeah I mean look at it here opening a mini pharmacy just thinking
14:22it's been a gradual decline over several weeks there's the potential for EOL or end-of-life
14:29gasping to her about it mommy we're gonna get you on the old saraceti and we're gonna take your
14:36medicine so try and stay awake stay bright eyes open I've been having the same conversation with
14:42James all morning try to keep your eyes open and stay away I'll get into the queue with a GP
14:47because I'll help you in oh wait oh you're flying she can't it comes and go like sometimes she's
14:54no not at all sorry not at all lift your feet up for me oh sorry that yeah I know
15:03they're my
15:04ambulance lights don't worry okay so the stand-up's pretty good well done now what we do is we stare
15:09out the window because it's a nice little distraction honestly try and go about it as you normally would
15:13I'm just here in case you need any extra help so right you've got some professional backup today
15:18yeah I'm the security to make sure you're not trouble open your mouth yeah hiya we've been called
15:29today for a choking episode came through us take a sip of water all are up within range but over
15:38the
15:38last three weeks has had a decline which daughter is getting investigated by the GP show me your mouth
15:46has it gone down well done 10 to go we're wondering if there's a possibility that she's approaching end
15:56of life basically and for the daughter just to discuss this on Tuesday with a GP hold the tablet
16:05there nice and gentle well done we just wanted to make sure you agreed mommy stay with it open your
16:15mouth well done hold it there and then you have a nice drink of water no no red flags no
16:22sepsis markers
16:24brilliant thank you take care bye
16:28open your mouth for me take it take a mouthful yeah drink drink this darling drink this
16:40okay okay so will you stand up and then just sit down in the chair perfect nice and tight nice
16:47and
16:47safe I mean this is a quite a difficult situation to manage isn't it you're coping very well Lucinda to
16:54do
16:54this on your own you might start needing maybe extra help should we go to hallway quickly let's have a
17:00chat
17:00yeah so I spoke to out that was GP he has said there's no need six hospital going off what's
17:08happened
17:08today and the decline she potentially could be approaching end-of-life care we are saying it's a
17:16definite no no no it's just last night I really thought I was losing her she was almost like
17:22yeah yeah but the fact that she can revive shows kind of good moments and bad yeah yeah yeah but
17:29that
17:30is something we do see a lot in end-of-life patients did you stay in her home yeah by
17:36all
17:36means she can stay in her home what changes then so end-of-life it's basically things are put into
17:41place
17:42there's just more options at home district nurses the plan can be never to go into hospital and no
17:48matter what she gets she can stay at home are you happy with kind of what we've done today
17:53absolutely excellent hello trouble we've just been having a chit chat in the kitchen oh yeah how
18:01you feeling now mommy yes you back this is your lovely mother here oh my word 1963 I mean you
18:11still
18:11are beautiful but in this photo I don't know why I'm holding my dress up right there no judgments
18:19here if you do start to feel unwell make sure you tell your daughter and she can phone us back
18:26yeah
18:27okay and you're going to see the GP on Tuesday yeah so everything will get sorted for you then
18:34all right you take care you take care no worries oh she puts on like that before it's fine I'm
18:43doing
18:43finally up big the amount of work she's putting in there is is amazing yeah yeah
18:54lovely lady being cared at home 24-7 by her daughter Lucinda essentially Christina is going on to a end
19:02-of-life
19:03pathway it's a really difficult time isn't it with end-of-life care how is the daughter coping she's
19:10managing well and just wants obviously a mum to be cared for and comfortable and at home we've done
19:17all we can to try and facilitate that today thanks very much for that it sounds like you guys were
19:22there
19:22you head back now yeah we'll do that thank you control out
19:3230 years ago when I started everybody knew their local ambulance was going to be sat on their local
19:37station and they would have taken a patient into the local hospital and everything worked
19:451705 thank you see you clear off that last detail our responsibility is dispatchers is to get that right
19:53resource to that person in the right time like one big jigsaw but you can't always get all the pieces
20:00into the right place it's almost like a postcode lottery and that risk is scary
20:16ambulance service is the patient breathing seven hours into the bank holiday weekend and control have
20:24answered more than 1,000 emergency calls a third have come from patients on the east coast
20:30tell me exactly what's happened I'm in the bus station I think I've got each other can I feel like
20:36I'm going to pass out I don't know what to do
20:37have you taken your jacket off no I just don't want my jacket on right take your jacket off that'll
20:42help you cool down a little bit
20:45we're at a motocross track and he's come up in five feet he's done his feet in love
21:13it's all getting a bit busy on the coast now it's falling from a horse scabber job's been sat for
21:19an hour
21:19and 20 minutes on the cat two at the moment yeah I don't actually have a crew no available to
21:26send on any
21:27job that comes in right now keep the roads definitely busy going into scarborough everyone's coming in no
21:35one has to leave Curtis and James have just arrived back in Scarborough this details coming through for a
21:4624-year-old female they are three miles from the category two patient who should have had help
21:58within 18 minutes but she has been kept waiting nearly 90 minutes it's laughing isn't it
22:08left clear clear down in me don't get stuck on the sand Curtis that'd be immensely embarrassing
22:26hi Lucy I'm Curtis and that's James what do you remember from the incident I just remember going to the
22:33first fence and ending up on the floor right do you remember hitting the ground yeah so you don't
22:39think you lost consciousness at all no no I'm just gonna have a little feel of your back okay yeah
22:43so
22:43just going up the side of my neck and side of your neck imagine you're in quite a lot of
22:48pain at the
22:48moment are you yeah I'll give you something for that don't worry how many of these falls have you had
22:53well I've never had a bad one like this we've got the video can I see the video quickly just
22:59of the fall
22:59that's all that's all it's a horse went to take off got stuck in the poles he went a bit
23:05of a help
23:06didn't he it's also right okay because are you just come off you know you're gonna give some
23:12placebo if you could just get cement to knock start on some of that and then I'll prepare them off
23:18all right Lucy have you had them to knock before no nice deep breaths can you feel like working at
23:26all
23:28Curtis is just getting you that morphine that'll last for longer
23:34right I won't sugarcoat it even with the end to knock sound with the morphine there's no way to make
23:40that totally pain free unfortunately feeling brave let's do it on three one two three sorry that's it
23:52all back I've got you well done on three one two three and down yeah might be a bit bumpy
24:07as we move on
24:07the sand okay I'll try and be smooth as we can that's all the worst movement done what's your
24:25opinion on the collarbone didn't really look like the other one no sure that's what I was gonna say
24:30yeah it looks dropped which means to me there's a good chance you've snatched your collarbone
24:34what no two have x-rayed it you'll get to see the brand new shiny A&E it's like three
24:40days old
24:40right you make sure James behaves himself back here okay what's your name I'm Gloria Gloria yeah hello
24:48man she's all right yeah okay yeah we are good to go so did you see it then I did
25:01see it though
25:02bless him though he really tried to get out of the way didn't he yeah he did all right thanks
25:06a lot thank
25:10you I don't know size of horses so he's about probably 17 homes if you like and how big is
25:16that in
25:16feet like if we had to put a feet on how far you fell I don't know what you think
25:22it is not in
25:22feet well I google it for you if you want yeah yeah I'm not very good at stuff like that
25:29because I
25:30have absolutely no idea because if I say oh yeah 17 hands to A&E yeah they might think what
25:34is he on
25:34about make sure I'm doing it right yeah no that's right yeah five foot eight hello adult trauma please
25:4624 year old female yeah fell five foot eight off a horse injuries are left collarbone five minutes
25:55thank you all right thank you all right how long have you lived in Scarborough uh pretty much all my
26:03life yeah I'll get like yeah I do believe you have a right to be given quick and effective care
26:16on the coast we can't do that adequately I think the public would be terrified if they realized
26:23just how few of us they were I was born and raised here so the people that we are talking
26:31about they're
26:32my friends and my family they're my community having the new A&E department at Scarborough is
26:40fantastic but if people are waiting long periods of time for ambulances then a brand new A&E isn't
26:48going to be worth anything to them hello there we've got the pre-alert hi thank you I'm one of
26:55the senior
26:55doctor here initially nine out of ten pain um to left collarbone yeah and shoulder she will definitely
27:04need some imaging canning yeah we need to take some bloods as well all right all right you take care
27:13it was on the sand and it was a big house 17 hands means nothing to me that five foot
27:21eight
27:24I googled it thank you very much we'll see you later it's in the back of our vehicle
27:32we've been on beach I hope we can find a sweeping brush
27:43it sounds like a good idea to me
27:48this would be a perfect dolphin day dolphin day last week there's a pod of 90 dolphins off the coast
27:55of
27:55the start yeah yeah well I just want to know how they count them it's actually just the same three
28:01dolphins okay you know count it 90 there darling
28:07bank holiday in scarborough yeah you can't beat the seaside in the summer no you can't
28:18tourism puts a lot into scarborough the population can double on a bank holiday and our resources
28:28is don't double to account for that but me and james do work together well when we're up against it
28:38i met james as a teenager when we both worked at a hotel making beds we'd time each other to
28:46see who
28:47could make beds quickest and race each other around he was a community first responder at the time
28:55and he got me into doing it we actually did my first ever shift together it was a really stressful
29:03experience so to be able to lean on someone else was really good i then trained and became a paramedic
29:1110 years later james came and joined me on the ambulance it was almost just like a big reunion
29:29the bank holiday weekend pressure is continuing to impact yorkshire ambulance service
29:35is it obviously bent out of shape does she have a history of stroke or brain tumor
29:41and in the last hour call handlers have answered 180 emergency calls
29:47i just pulled around the corner he's laid in the middle of the road it looked like he was having
29:50a seizure he was shaking i'm organizing help he's coming out from the greenhouse and fell
29:57covered in blood and don't wait so coming from how old is he 87 so i've all been nice and
30:04helped
30:04it could be any time within the next two hours and 15 minutes we are just covered in the area
30:11as call volumes increase scarborough residents are now waiting up to four times longer than the target
30:18response time i've not got anyone available on the coast at the moment yeah the average waiting time
30:25for a cat two at the moment is an hour and 14 category ones i think are about 26 minutes
30:32for the average
30:33it's a big difference isn't it for the really poorly patients it's a really big difference
30:40nobody's immune to emergencies happening and my family know how it feels to wait a long time for an
30:48ambulance my granddad collapsed in the very small bathroom at home and my grandma had to ring 999
30:59she waited a considerable amount of time this is a frail older lady trying to get her husband off 60
31:08years life or death treatment the ambulance should have been there for him and if anybody could have
31:15changed that the outcome could have been different my grandma was never the same again from feeling
31:25like she'd let her husband pass away in her arms without anybody there to help her and that lives with
31:32me
31:45there is currently just one ambulance available in scarborough
31:49to care for both residents and the influx of bank holiday tourists
31:55thanks very much 1705 paramedic tracy and ambulance practitioner lauren have just cleared at the local hospital
32:07i still remember you asking me we went into the toilets
32:14and then you went how do you feel about me and my crew mate i felt like you were asking
32:18me to like
32:19marry you or something well i thought it's like on a temporary basis you know for life forever
32:32good afternoon you are true to nhs 111 i'm calling about my mom i'm just a bit worried she's getting
32:39mixed up with everything it's just like slurring her words and she can't remember anything
32:47new incident category two female age 81 difficulty speaking
32:53999 tracy and lauren are dispatched to the patient having a suspected stroke
33:0090 miles away in whitby
33:05patients are confused with slurred speech sorry about the run time on this one we are just struggling
33:10with my bosses yeah that's all received we'll update you if you need anything else on there
33:151705 roger thank you very much for that
33:19the sooner a stroke is treated the better out but if we're the only results we're the only resolves
33:28got another stroke coming through
33:33curtis and james have just cleared from their break at scarborough ambulance station 18 miles what's in
33:41bridlington the category two detail in bridlington
33:48patient 69 year old male does say patient is fast positive he came very vacant and is now unable to
33:55talk and unaware of what is happening around him yeah roger no worries if we need anything unseen we
34:01won't let you know thank you one seaside town somewhere there are just three ambulances serving a
34:09population of 51 000 across the seaside towns of whitby and bridlington today with all local resources tied up with
34:19patients
34:20curtis and james and tracy and lauren are dispatched to the two different stroke patients each crew will
34:27be almost 20 miles from scarborough leaving the town without ambulance cover if either patient requires
34:34specialist care their nearest hospitals are 30 miles away in middlesbrough and hull
34:43we go where we're needed whitby crews could be stuck in scarborough yeah
34:49that might be might be coming now
34:52it's the same with like bridlington isn't it
34:58it's got quite a vast population got one ambulance covering it bad that isn't it a big town one fruit
35:07between scarborough and bridge you're looking at half an hour aren't you
35:11yeah i've got my foot flat on cloth
35:14not very good up hill are they
35:16all right no i need a bit of encouragement come on old girl you can do it as curtis and
35:23james make
35:24their way down the coast to bridlington tracy and lauren are arriving on scene in whippy
35:39i don't know my name's tracy this is lauren i don't know where i'm just about i'm all right
35:44are we all right to just check you're over is that okay yeah what's your name
35:48barbara my son phoned me when i was at work and he said she was like all slowly speech
35:52is your son here no he lives in leeds he lives in league all right all every day barbara am
35:58i
35:58okay to do a fast test on you what's up so that's to basically see if you're having stroke-like
36:04symptoms i'm just going to ask you to hold me towards you it's going to be on top of your
36:09leg
36:10right and push me away that's perfect push your leg out towards my hand that's it when people came
36:18she was disorientated to who was in the house when she'd got up when she'd come downstairs for
36:24breakfast i'm going to ask you to do a big smile for me show your teeth can i ask you
36:29to have a
36:29look does that seem normal for you on this side do you have any history with strokes barbara yeah me
36:41have you ever had one no no from our point of view your daughter's saying that there's a bit of
36:47a
36:47droop on the left hand side it could be what's called a mini stroke or a tia that's resolving
36:56we would recommend that we bring the stroke nurse to see if she would accept you at james cook or
37:01we
37:02take you to scarborough my face is always been like this hi i'm a paramedic with yorkshire ambulance
37:10service can i refer a patient to you please
37:18how old is he great grandson you don't even look old enough to be a great grandma six oh wow
37:25bet
37:26you're busy at christmas yeah all right thanks very much okay bye
37:30so i've spoken to the stroke nurse at james cook what she suggested is we bob you up to the
37:37a&e department
37:38and they can do all the diagnostic tests there so we can't make you do anything that you don't want
37:54to do you're in control of this it's entirely what you want okay but strokes can be reversed within a
38:03certain time period i don't think i'll just go i'm not saying it to scare you but i'll be with
38:14you hi
38:17would it be worth knowing it's not something serious like that i don't know what i know sweetheart
38:32i suppose i'll have to go
38:36just as she gets checked early then it probably is nothing no i'm sorry are you ready
38:46i'll go first you follow me i'm frightened to death andrea yeah we know you are they won't keep you
38:53there unless unless they want you lift your arm up for me darling thank you everybody has these belts
38:59on barbara i think i was going to prison wouldn't you
39:06andrea just have a look at your mom can you give me a big smile
39:11did you think that that's normal yeah it does look like it has resolved a little bit
39:17yeah would you prefer to go to scarborough it's closer yeah yeah oh hi i spoke to you earlier about
39:24barbara barbara would prefer to go to scarborough are you okay with that i think it looks like it's
39:30resolving thank you bye
39:36with her condition improving barbara will make the 36 minute journey to scarborough hospital
39:42for a scan to rule out a stroke
39:491692 go ahead over thanks kurtis we can't look at this patient there's a lot of people here though
39:56other let me see if i can get back in touch with the caller it's taken curtis and james 28
40:03minutes to
40:04get to the second suspected stroke patient in bridlington hello hello it's the ambulance control
40:11we're just struggling to find exactly where you are we're right on the front you've not seen anyone
40:17collapse on the floor have you no what's directly in front of you so what's directly in front of me
40:24is the
40:24face have you called for us all anyone no if you see them are you okay just to give them
40:32a wave yeah so you went
40:34for us
40:34just go down there you can go down onto the onto the thing ah look like oh yeah there ramp
40:42down
40:53what are you down there yeah
41:00hello sir what's your name right 1692 it's just to give you an update we have made patient contact
41:06out of it we're sat here watching his wife playing and then he started watching his wife
41:12and then he started laughing so i came and i held him like you actually have come up a little
41:16bit
41:19there you go that'd be more than enough now attach this what's your name we're just going to do a
41:24quick check here and then we'll go to the ambulance we'll do a full assessment on there
41:30yeah we're going to get you on there what have you been doing today we've just driven from work
41:35socks weird okay
41:41i won't pretend i know where that is but okay pp's okay um in terms of your observations
41:47everything's within normal range are you usually shaky no are you cold no no all right all right
41:54let's see how we are ready all right just get your bearings stood up yeah okay are you all right
42:01there
42:01how'd you feel still on your feet not too bad yeah let's walk you to the stretcher let's get you
42:07on
42:07the ambulance get somewhere private yeah i can come inside if you want yeah sit on it yeah
42:19couple of bumps
42:23maybe you've done this so you didn't spend too much money hey that's what it was he was losing
42:27on the arcades and he thought i've had enough of this spent nearly two quid in two peas
42:36just here yeah curtis is expert driving oh what can i say it's not my first rodeo
42:42are we all right too just to do an assessment if you were outside just because we'll both be in
42:46here
42:47right brian if you just lift your glasses up for me and then just look at me not the light
42:55that's fine just um squeeze my hands nice and tight that's it just hold your hands out close your
43:00eyes keep your hands there that's fine lift both your legs up push against my hand with this one
43:07that's fine and this one that's fine fast negative lovely we can't really put our finger on why it's
43:16happened there's a thing called vasovagal which is like a fainting episode it's something that the gp
43:21can assess as soon as you're home or on tuesday try and book in to at least get one in
43:27a couple of
43:27weeks time just to check up so generally try and keep myself fit for my age yeah like i said
43:3369
43:34i think you're doing very well you're expecting me to be dead by now no you take that however you
43:39want
43:39to take it brian do you have any children yeah they've all left home and skid out but sue's got
43:47married nine years ago and they're cute one died of cancer unfortunately and the other one just
43:55had a near fatal car accident so it's not been going great at the moment have you found you've
44:01been under a bit of stress then recently yeah definitely is this like a trip for a bit of r
44:06and r yeah
44:09i'll go find soon just stood outside yeah right we've had a chit chat with brian and we've checked
44:16everything we've checked is normal to save him walking back after an event we'll give you both the
44:22lifts down the road you're both doing very well and i think if you feel back to normal try and
44:35have
44:35you relax because he's told us about the stresses you've been going through so try and make this just
44:40a little blip i know it's another another thing i know i know are you going straight up to your
44:47room
44:48because we'll walk you up there hello again you just can't get rid of us can you brian no it
44:54sounds
44:56like there's some kind of entertainment on a bit of karaoke on right you hold on to that what's your
45:01go-to karaoke song then brian go on oh my god you take care and hopefully you're both very welcome
45:11brian
45:11enjoy the rest of your stay all right yeah not a bad idea to be fair get away to the
45:18seaside for a
45:19couple of days flying without wings oh perfect karaoke should we go and drag
45:32go to nhs 111 my name's richard are you calling about yourself my wife's on two of them and i
45:41can't get
45:42her up i mean i reckon best here i'm sorry that's all right she's got cancer since she's only got
45:52three months to live
45:55we're at a caravan in scarborough
46:01i'm sending 1705 out
46:05nine nine nine
46:09this is coming through at the caravan park 85 year old female
46:15terminal ca patient fallen on the floor and unable to get those other
46:19now we'll go and have a look and see what we can do far over
46:24tracy and lauren are six miles away from the terminally ill patient
46:30sounds like she's coming away on holiday actually
46:34so we'll go in and we'll see what she's like yeah see what her wishes are
46:41so
46:55where are we going
46:58Oh, hello. Hello. What's your name?
47:02My name's Lauren. Hi, Eugene. My name's Tracy.
47:06Pleased to meet you as well. What's your name? Your husband.
47:08What's your name? What's happened, my darling? I don't know.
47:11So, did you lose consciousness? No, I just went down.
47:16I'm sorry to bother you. No, don't worry. Don't worry.
47:19My idea, I was going to take her home and then, you know, take her to our hospital.
47:24Yeah. Where do you live?
47:28Back near Barnsley. Oh, OK.
47:31What time did it happen, Jane? Do you know?
47:33That's Alan. Alan, what time did it happen?
47:36About an hour since. Is she normally unsteady on her feet like that?
47:39This last two days, she's gone back. She has? OK.
47:43She's got cancer of lungs, cancer of bones.
47:47She's gone to a brain.
47:50Are we all right to get some observations off you, just to see what your numbers are like?
47:54Yeah.
47:54And then we'll have a little chat about what we're going to do.
47:57Yeah.
47:57I'm so sorry. I'm going to have to step over you. Is that OK?
48:00Aye.
48:02Does she have a care plan or a respect form or anything?
48:05Last time we went to Sheffield, she says,
48:08I'm only here three months.
48:11When was that?
48:13I've got four nights in three weeks, isn't it?
48:16OK.
48:17This is our lad who took her on.
48:19She's gone to tell me not to take her, cos she could have a seizure.
48:23OK.
48:24I should have wrote her if she wanted to come.
48:28I've just been awkward because I don't want to just tie her to her.
48:33You've got a bit of a temperature.
48:35Have I? Yeah.
48:35Yeah.
48:36What is it?
48:3739.9.
48:38Just pop that on your finger for me, Jean.
48:41Have you felt unwell the last few days?
48:43No.
48:44Do you feel unwell now?
48:45No.
48:46OK.
48:46OK.
48:47No.
48:48It looks like you've got a bit of an infection.
48:50For these sort of numbers, we would normally take somebody to hospital.
48:54Yeah.
48:54OK.
48:55Yeah.
48:55To get them some antibiotics.
48:57Yeah.
48:57Are you happy to come to hospital with us?
48:59Yeah.
49:00It's a nice hospital.
49:01The A&E at Scarborough, it's a new one.
49:04That's all right.
49:06So, have you got any strength in your legs at all?
49:10It's probably going to be better to get you out on our carry chair.
49:15Yeah.
49:15Are you ready?
49:16Yeah.
49:17Yeah, one, two, three.
49:18All right.
49:19There we go.
49:21We'll get the chair in, and then once we stand you up from here,
49:25then we can go straight on the chair.
49:29Chair's here.
49:36I can help if you need me to.
49:41Let me get under you around here.
49:43That's it.
49:44Are you normally breathless?
49:46No.
49:46No.
49:49Just little steps.
49:51So, I've got your back there.
49:54There we go.
49:55We're down.
49:55We're going from there.
49:56Yeah.
49:57Keep your feet on that silver bar, OK?
49:59We won't drop it, I promise.
50:06Have you?
50:09Absolutely not.
50:10You look really ugly, weren't we?
50:12In the hospital.
50:13I've seen you see it here.
50:15Yeah, I see a tap.
50:16Just to give you a bit of oxygen.
50:18Did you do some of the cleaning, and...
50:22But all essential, though.
50:24Yeah.
50:29I understand that.
50:33Oh, I'll go get the stuff.
50:34I'll protect you.
50:35No, don't worry, cos it's heavy.
50:36Don't worry.
50:39You're awful when I'm coming away and doing this.
50:42Oh, don't be daft.
50:45She moves you, do you?
50:47It is beautiful here, though, isn't it?
50:50How are you coping?
50:53I'm not.
50:54You're not?
50:54No.
50:57Just keep breathing.
50:58I can tell you.
51:02She's had chemotherapy and all that.
51:05She seemed to pick up.
51:09I've tried to manage, but...
51:10Yeah.
51:11It is hard.
51:12She's scared of it too much now.
51:14Have you got any support in place for you?
51:16Yeah.
51:18OK.
51:19And is that a number for you to ring?
51:21If you need support?
51:22Yeah.
51:23OK.
51:24Are you going to come with us?
51:25No, I'm not coming.
51:27OK.
51:29I'll see you there, love.
51:31And be here with yourself.
51:33She will with us, don't worry.
51:35No, thank you.
51:36See you later, Alan.
51:39Are you comfy?
51:41Yeah.
51:41Do you want that blind open?
51:44For a bit of sun?
51:46Is that all right?
51:48Yeah.
51:49Right, we're going to set off, OK?
51:51Are you ready, Trace?
51:52Yeah, ready to go, yeah.
51:55So, I'm just going to sit here, Jean.
52:01So, it could be just an infection at the moment,
52:03but it can lead onto something called sepsis.
52:05It's something that we don't take lightly.
52:08The sooner you have blood tests, the better.
52:15How long have you been married to Alan?
52:17What?
52:1862 years.
52:20Do you own that caravan?
52:27You live in Scarborough, aren't you?
52:28I do, yeah.
52:29Scarborough, born and bred.
52:31Lucky out here.
52:32Yeah.
52:36Hello.
52:36Hello.
52:37Welcome.
52:38Where do you want us to do?
52:41Is this Jean?
52:42Jean, yeah.
52:43The husband's following up in the car.
52:45He might be here, actually.
52:47Do you want to come with me?
52:48We'll show up.
52:49No, you come with me.
52:51Yeah, yeah.
52:52You come with me.
52:52Hello, Alan.
52:54We've just started on some treatment tests.
52:55Suspected infection.
52:56Are you from Barnsley?
52:58Yeah.
52:58You know, we've been straight started.
53:01That's the village I live in.
53:02Got moved.
53:03I see.
53:04Can you just step outside here for a minute?
53:06We're just doing some more tests,
53:07and then we can make our way in the minute.
53:09All right, sir.
53:10OK, no.
53:10Any questions?
53:11No, no.
53:12No.
53:13She's in safe hands, are you?
53:15She is.
53:16No worries.
53:16It's all right.
53:17Thank you for coming.
53:19Oh, you're very welcome.
53:19You don't have to thank us, honestly.
53:21You do.
53:23You've got manners, you know.
53:24Yeah.
53:26I'm 87, she's 85.
53:28Well, you both don't look it.
53:30We were really well up to you in this cancer.
53:33The real past Thursday to Wednesday,
53:35and she had to go to have her hair done.
53:37Oh, back home?
53:38Oh, did you take her back home to have her hair done?
53:40180 bloody miles.
53:41Oh, well.
53:42Then did you come straight back?
53:43Yeah.
53:44Well, a lady's got to have her hair done though,
53:46won't she?
53:47Absolutely.
53:51Oh, I think you can go in now.
53:54Hello.
53:55Found him for you.
53:56You're very welcome.
53:57Just go to that side, sweetheart.
53:59There's a chair for you to sit on.
54:02OK?
54:03Hello.
54:05Now then, I'll be back in a moment, Jean, for that blood.
54:08OK.
54:09I'm just going to show the doctor this.
54:26He's going to find it hard.
54:28Being with someone that long, they would live and breathe each other, wouldn't they?
54:31They would.
54:31Seeing her deteriorate, it's going to be hard for him.
54:35Hopefully, whatever time she's got left, she can enjoy it.
54:38She can enjoy it, yeah.
54:39She can have that time with Alan in the caravan.
54:47You guys go home knowing that you've made a massive difference to the patients this weekend.
54:52You've been amazing.
54:54See you.
54:54Thank you for that.
54:55I couldn't do it without you.
54:57Are you ready for the time of your life?
55:01It's time to stand up and fight.
55:03I think the benefits of this job far outweigh the hardships.
55:07I'm your brother.
55:09Fancy some of his chips?
55:11May as well.
55:11And I'm very fortunate to have a friend next to me in the amulet service.
55:16I'm hungry, hungry.
55:17Now that we've said it.
55:19You ever get rid of me?
55:21Never.
55:23I'm not sure if when we were working at the hotel,
55:26we expected to be saving lives together years later.
55:33I think we're both very proud of how far we have come.
55:37Oh, my God.
55:38Scraps.
55:38I can't take you anywhere.
55:46Anyway, we've made it.
55:48We actually have.
55:49We've done it.
55:51You cannot magically get a crew to drop down from the skies.
55:55But every single member of this dysfunctional family pulled together.
56:00Right, guys, have a good shift.
56:02See you again tomorrow?
56:04Yeah, see you tomorrow.
56:05Everyone is free.
56:07I think the ambulance service is the jewel in the NHS crown.
56:11People can always ring and we will always help them.
56:15It might just not be as quick as we would like.
56:18Every woman, every man, join the caravan of love.
56:24Stand up.
56:26Stand up.
56:27Stand up.
56:28Everybody take a stand.
56:31Join the caravan of love.
56:34Stand up.
56:36Stand up.
56:37Stand up.
56:38Stand up.
56:39Stand up.
56:43Stand up.
56:44Stand up.
56:49Stand up.
56:51Stand up.
56:53Stand up.
56:55Stand up.
56:56Stand up.
56:57Stand up.
56:58Stand up.
56:59Stand up.
57:00Stand up.
57:01Stand up.
57:02Stand up.
57:03Stand up.
57:05Stand up.
57:06Stand up.
57:08Stand up.
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