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Paramedics on Scene - Season 7 Episode 2 -Episode 2 engsub fullepisode Secret Engagement
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00:029998 activated.
00:06Wessor, Wessor. Siege incident.
00:09What a pet immobilize.
00:12There is an unconscious male lying on the road.
00:16Pump the chest hard and fast.
00:18One, two, three, four.
00:21Responding to emergencies across the nation.
00:27I think that's what is happening, I can't see.
00:30It's all right.
00:31Might need a hand when we get there, if anyone's there.
00:34Saving lives every single day.
00:37She's not conscious.
00:41You see the best of life and the worst of life.
00:46Don't, don't, don't, don't, don't, don't, don't.
00:48You can't do that.
00:51Okay. Don't worry.
00:54You're there to help some.
00:55You're there with them right until the end.
00:58And how does that feel?
00:59Oh, a thumbs up.
01:00Hello.
01:00How are you feeling?
01:02Miserable.
01:03Miserable.
01:03Every day is different.
01:05Every hour is different.
01:06Just don't bottle in the fire.
01:08Chances can't be taken.
01:09It's an extraordinary job.
01:10You guys saved my life.
01:13Any extraordinary people do it.
01:21Scotland's ambulance service is busier than ever.
01:25Answering hundreds of thousands of calls every single year.
01:31This time, we're with crews in Danone, Inverness and Linwood.
01:50Ambulance service.
01:51How can I help?
01:52Hi there.
01:53Can we get your assistance, please?
01:55He's got a suicidal male on the bridge.
01:57He's on the wrong side of the railings.
01:59We're just engaging at present.
02:01So police engaging at present.
02:04Have he done anything to injure himself?
02:07I don't know.
02:07He's hanging off the side of the bridge at the moment.
02:09Okay.
02:11RVP, silent approach, please.
02:13Okay.
02:17All right, Tio.
02:20999, well activated.
02:22In response to this alarming call, SOAT paramedics Stevie and Pete are dispatched to the scene.
02:30It could be a mental health episode for the gentlemen.
02:34We'll just have to wait and see what we'll get there.
02:36They're part of the Special Operations Response Team, which is assigned to some of the Scottish Ambulance Service's most complex
02:44incidents.
02:45That could range from anything from a fire incident, a serious road traffic accident, and we also have swift water
02:53rescue technicians trained to rescue people from water.
02:57These are the type of jobs that we get called to on a daily basis.
03:01We've been tasked with us, so we've got two resources attended, but four Special Operations paramedics.
03:10This is one of the 15,000 mental health calls that the Scottish Ambulance Service receives every year.
03:17These type of jobs, we seem to be getting them all the time now.
03:21Some of the patients, I feel, personally, have maybe been failed and been passed the quality post until they can
03:29get the right help that they require.
03:31So, hopefully, we can make a bit of a difference today.
03:38Oh, I may need my son, he's on.
03:41Twenty minutes after they were deployed, Stevie and Pete approach the incident.
03:47I've been asked by Police Scotland for a silent approach, just so we don't upset anybody that's maybe in a
03:56situation, especially a mental health situation, that they feel threatened.
04:04Kill the siree on his rope.
04:07So, she'll be just down here on the left.
04:10So, though he's along here somewhere.
04:13Yeah.
04:15When the team arrive on scene, we've got to do a bit of quick thinking, get a grip of the
04:20situation.
04:22As Ambulance Commander, I'll look for my counterparts and the other Ambulance Services.
04:30is stevie and pete are parked around the corner from the bridge so we've got a gentleman dressed
04:41in black just on the bridge over here he's maybe about 25 feet into the water but the actual water
04:49i've been here several times before there's a terrible undercurrent i think it's down there
04:54it's not looking too promising between ourselves the police and gosh fire and rescue hopefully
05:01we can get a good outcome here for the gentleman while police negotiators try to talk the patient
05:08down safely sorts must position themselves downstream to support fire and rescue in case
05:14the patient jumps so you've no getting the action we've got guys in water rescue can't i no we don't
05:19have water rescue kit no right okay right okay how long between your guys coming do you reckon
05:26other way minutes 10 minutes hi so they've no get mdn water rescue kit do you want us to get
05:30you and richard get in right and then you're in a ready state okay and get a wee look
05:35service to see where they are okay another fire and rescue crew with more advanced water rescue
05:44equipment is still en route from glasgow in the meantime andy's fire crew have set up on the opposite
05:52bank with throw bags while pete quickly changes this is a standard issue water rescue kit for short
06:00personnel and once i've got this on i can then safely deploy the water and if need be help to
06:07rescue a
06:07patient from the water pete will position himself on the riverbank as sort team leader it's stevie's
06:16job to help coordinate with the other emergency services andy from fire and rescue and nicola from the police
06:29so the bigger risk is height of checks the river flow conditions the river normally runs at 2.6 meters
06:34it's currently only running at 0.5 running at 0.5 it's almost at one of its record lows currently
06:41there's probably more of a risk of wealthy height it's not particularly deep in there there are a couple
06:45of little deep pools i was going to say because i'm not sure if it's this thing there is there
06:49is a deep
06:49pool it's now been 15 minutes since the sort team arrived on scene you're mentally thinking all the
07:03time what's going to happen if the patient's in the water how are they going to react when they get
07:07in
07:07the water are they going to be injured especially a deal like that as well it's quite sunny standing
07:14there in that kit on that type of day is it's very draining on you i'm constantly watching the patient
07:23and i see him starting to get a bit irate gets me a bit more vocal and he starts to
07:30smoke his vape
07:31more than what he was doing and i thought two things going to happen here he's either going to slip
07:40or he's going to actually jump and that's exactly what i thought and then bang
07:49nickle he's running he jumps and for me that was the moment and that's when the training kicked in
08:11i mean looks sky in it that's the half it looks very fun it's ambulance technicians lewis and
08:19stephen's first time on shift together oh what have you been qualified to do uh two years
08:27stephen works as relief moving between various stations to help cover absences
08:32a relief technician essentially um is contracted to fill in the gaps so to speak
08:42trying not to scare the baby
08:43yeah
08:44i feel like your time spent in the back of an ambulance i like to think that the care that
08:53i
08:53provide and the sensitivity that i give and the empathy that i show is
08:57is is is going to be remembered and my name and my face might not be but
09:01the way that i treated that person is going to be remembered
09:08i've got a 70 year old male who's in a and e
09:12alexandra going over to the queen elizabeth for a thrombectomy transfer
09:22john has been seen at the royal alexandria hospital after displaying the symptoms of a stroke
09:28a life-threatening condition most often caused by a clot in the brain
09:33just bring your hands in as well buddy all right
09:37transfers can definitely be routine however it's important to remember that what the hospital
09:42requested is that this is a an immediate life-threatening situation so maybe a little bit of a bumpy jump
09:47across all right
09:48it's all right
09:49it's all right
09:50none of the work the one it was
09:51the crew will now take john to glasgow for a mechanical thrombectomy
09:58a specialist procedure which should reduce his risk of permanent damage
10:03mechanical thrombectomy is where they use a mechanical device within a catheter and go in and
10:09physically remove the clot or bust the clot instead of using drugs or chemicals
10:16hey janice we'll get you in so just right at the very front left hand side and there's a
10:19wee seat belt either side for you as well okay john was at home with his partner janice when his
10:25stroke
10:25symptoms began just sorting his pigeons and his dogs oh pigeons and dogs there you go
10:32are you some pigeons yeah any good something something yeah that's your head for all john how's that
10:50good steven yeah all good yeah
10:56the crew face a 15-minute journey to the queen elizabeth university hospital
11:03okay okay what's that just come okay we'll get you there soon all right john's stroke symptoms
11:24appear to be worsening if he's going to avoid permanent damage it's vital he receives specialist
11:30care as soon as possible it's going to be really uncomfortable and it's going to be really bumpy okay
11:37okay but we'll get you there as fast as we can
11:42i'm there to reassure john reassure his family try and keep them as calm as possible
11:47um for the transfer ahead as a bit of a bumpy ride all your numbers are doing good all right
11:54okay
11:54your blood pressures came right down as well there okay so just try and focus on nice deep breaths all
12:00right for steven john's case brings back some difficult memories in the moment i'm feeling
12:08a lot of emotion my dad who's also called john um had a stroke um after having a massive heart
12:16attack
12:17he eventually passed away just before christmas yeah that was the first patient that i had to deal
12:23with who'd had a stroke since my dad passing and uh of course his name had to be john as
12:29well
12:30as soon as we get you across there's going to be loads of doctors and nurses and loads of people
12:34around about you all right okay but you're going to be in the best of hands all right i remember
12:39exactly
12:39how how my family were going through that i remember the the unsure um yeah just
12:46the fear as well as to what what's coming next and my mum was beside my dad the full way
12:52and
12:53and wouldn't leave his side are you doing all right yeah good man
13:05you can just follow through the doors and i'll point to where the wee family room is okay
13:08we'll go in first and get him sorted and then they'll come in and speak to you all right okay
13:14that's just reversing into a spot john all right we'll get you in right another bump john all right
13:20sorry bud john's taken to recess a section of a and e reserved for the most serious emergencies
13:30obviously just a lot of emotion you can see how scared he's he's family in that way and
13:34um it's understandable it's it's a it's a big event to happen in someone's life it's life altering
13:40conditions that can happen for that you know the personal emotion involved and you just want to do
13:45everything that you can to help that family and just try and make it as if you can get them
13:49there
13:49quicker and they can be treated better and potentially they might not have the same sort of
13:54condition as my dad um then it's it's making a difference
14:08he's running a man suffering a mental health crisis has jumped into a fast-moving river
14:15sort paramedic pete is in the water tethered to a teammate i'm waiting towards the patient you know
14:22these situations the old saying that's fluid and dynamic it is there's always things that that
14:29that you just can't see under the water my foot might become snagged that current then takes that
14:35patient past me and i've missed that patient he started swimming and i just waited out to him and
14:43continue to tell him swim to me
14:48go on go on mandy go on got a hold of him and i just asked him straight away are
14:55you injured and
14:56he says no and i just says marvelous well done great come with me we'll get you in
15:04yeah i've managed to get the gentleman out of the water and gentleman is fully mobile we'll take him
15:11for assessment for every hundred that we go to there's maybe only a couple of them jump
15:18but i don't know if it's experience or what it is or just the body language of the patient
15:22he seemed to he seemed to have a sick sense of knowing that they're actually going to jump and
15:27and this time he did jump we'll get him in get him heated he's now being assessed by our divisional
15:36college so a great outcome for for everyone involved
15:43did you get your feet wet just not like pete
15:55overall a good rescue we don't get those very often we are actually getting the water kit and do that
16:02we have a lot of equipment from our self-contained breathing apparatus our marauding terrorist attack
16:09equipment our water rescue equipment there's absolutely nothing in that bag for mental health
16:18yes sort of team leader just to let you know that's the patient now traveling to hospital
16:27so that's the sort of team standing down if you could mark these two vehicles are available please
16:30the uh the sort of paramedics will have to get showered and that uh before they go home
16:37obviously due to being in the water
16:42every paramedic first get into this occupation to help people we don't really have the tools to help
16:48a lot of mental health patients and it's deeply frustrating for us as as paramedics
16:55he is now on his way to hospital hopefully uh he'll get some help as far as we're concerned as
17:02the
17:03the special operations team it's been a it's been a good job all around they say these jobs are very
17:08rare you've always got to be prepared and and this time we were prepared that day yeah it was a
17:16good
17:16outcome however you go away from that job and you think well if people don't get the help they need
17:21they need will we see them again but will we be recovering them from the water um rather than a
17:28rescue and and that's what you don't want
17:55all right okay so i'm organizing help for you now stay on the line
18:00999 calls for the ambulance service in scotland are handled by three control centers can you just
18:06confirm that number for me there are bases in glasgow edinburgh and here in the northeast
18:15ambulance service is a patient breathing amy's been a call handler for just over a year
18:21hello ambulance service is the patient breathing
18:27okay is is he under is the lorry on top of him
18:36i've just taken a call from a member of the public who has informed me that a man has been
18:43hit by an arctic lorry in that situation it's all systems go okay okay can you please go over to
18:53him
18:54for me please anticipating a major incident amy's supervisor contacts the other emergency services
19:01i understand i understand i understand but i need you to go as close as you can i need as
19:06much information
19:06from you as possible okay and is he trapped
19:18okay the condition of the patient was truly horrific
19:22he had sustained a catastrophic injury and he was also trapped under the wheels of the lorry
19:30did you witness this happen yeah uh-huh no i can i completely understand
19:37the caller has relayed this information to me which was also quite awful for him
19:45that obviously helps me have a better understanding as to what resources i need to send
19:52after what had just happened to this patient with his injuries the likeliness of him breathing
20:00was next to none to be quite honest okay are the police on scene
20:08no
20:12yeah we we've we've informed the police anyway all right
20:16we've i think we've got an air ambulance on route as well okay
20:21are you okay though because that's obviously quite a traumatic thing for you to witness are you all right
20:27yeah just sit down and try and take a wee breath all right because you do sound a wee bit
20:31stress there which is completely understandable given the circumstances all right
20:36you just stay back until help arrives i'll stay on the line with you okay until a resource is there
20:41with you or the police okay
20:44in that situation we would not always stay on the line depending on how busy we are okay
20:53but i was more concerned for the caller and his state of mind and how he was feeling
21:00i'm still here okay even though the line's quiet
21:05take a deep breath you know you have just witnessed something horrendous and i don't potentially want
21:11another patient needing help after witnessing what he just had with and and that can happen
21:18yeah i know it's awful especially especially because it's happened so quickly as well but that's
21:24extremely traumatic for you to witness
21:2810 minutes into the call police officers arrive on scene hi it's ambulance here we have got several
21:36resources on route but confirmed is is he beyond any help
21:44yeah if you just pop me back on quickly thanks for that information
21:49right i'm gonna let you go now just given the fact that the police in there are with you okay
21:53now
21:53i think please look after yourself as well all right all right thanks for phoning us you take care
21:58all right thank you bye-bye are you all right yeah that's pretty brutal
22:07i think you should do should we take it all right yeah what's reflection six
22:15no i'm fine i just need a bit of fresh air to be honest
22:21if team members have been involved in a challenging call they can go on reflection
22:26a break period to help them process the incident i think this call took everyone completely
22:34unaware nobody woke up that morning thinking that something like that is going to happen
22:42oh you did really well i think it was quite a shocking situation for everyone even when the police
22:49appeared you know they sounded quite shocked and i suppose in that situation what can you do you know
22:57not a lot
23:04right
23:09ambulance service is a patient breathing
23:27the noon i would describe it as a very picturesque seaside town and argylland butte
23:37and then transferred to danoon five years ago
23:42we're a peninsula so we've got one road that connects us to the mainland
23:49compared to our colleagues across the water there are days where we don't do enough a lot
23:56because we're in a rural location sometimes the the call volumes that we have are quite limited
24:11so it's 11 pm and ben and technician colin are responding to an urgent request from the local hospital
24:19so it looks like there's 48 year old gentleman they're suspecting that he's got a pe a pulmonary embolism
24:26means he's got a clot in his lung
24:32the patient needs to be quickly transported across the firth of clyde for specialist treatment at inverclide
24:38royal hospital looks like we might just make the last ferry so we'll have to be prompt
24:44the day's final danoon to guruk ferry is scheduled to leave in 15 minutes
24:52and ben and colin want to avoid delays to this vital service
24:57all right ian we'll get you sorted both how's that pain doing at the moment
25:00mate they're gonna give me a number zero to ten about an eight does it make you feel short of
25:05breath
25:05yeah all right i'm gonna take a deep like this like this rice
25:14the patient 48 year old ian has been suffering from symptoms for four hours
25:20the hospital already gave you 20 milligrams of morphine so we're a bit maxed out as to what we
25:25can give you we can try to give you some paracetamol tablets and some ibuprofen tablets
25:29can't swallow it ian needs specialist care as soon as possible
25:36a pulmonary embolism is a potentially life-threatening blood clot preventing oxygen
25:42from entering the bloodstream and causing extreme strain to the heart i'm going to try to get the
25:47last ferry unfortunately there's a few speed bumps along the way and i appreciate it's going to be
25:51uncomfortable it doesn't this people's not a problem it's just breathing lying down is worse
25:55it's better when i serve okay would you like to back set up a little bit
25:58just let me know when you're happy so if you're setting your leg back up mate just i can pop
26:02the
26:02seatbelt on good to go colin
26:10so the doctor has booked us an emergency transfer pal okay so you might hear sirens every now and again
26:15if we've got traffic okay just because it's quite late and that we need to try to get that last
26:21ferry and the pain when you're taking deep breaths is it everywhere in your chest or is it in one
26:27specific spot okay blood clots have substantial amount of risk the ones in the lungs can be quite
26:36frightening for for patients because ultimately affects our breathing inside your lungs
26:44it's going to be nice and clear but if it's got a big clot in it we can have excruciating
26:50amount of
26:50pain sometimes do you mind if i have a little listen to your chest is that okay take breaths at
26:55your own
26:55pace okay just breathe as normally as you can so just because it's got chest pain remember i can
27:01cheer out there's no wheezing no crackles or more importantly any reduced air entry one deep breath in
27:09i know it's going to be sore with just minutes to spare
27:27the ambulance is first aboard the final ferry of the night
27:32so i can hear good air entry and which is good it means oxygen and air is getting into all
27:39fields of
27:39your lungs is there anything that you do that like putting pressure in it that eases it or taking
27:45the position that helps just very small small breaths and having my arm raised
27:52you just stay in whatever position is most comfortable for you ian okay
27:58sounds like that's the ferry just leaving me
28:01the journey to guruk will take 20 minutes
28:06your auction levels are still fantastic so we're just going to keep a close eye on that
28:10from the other side of the the ferry to the hospital it's only about a 10 minute drive if that
28:18i often find the distraction techniques work wonders where's your family from lexia
28:24um well all my family's from acapulco that's where i was born
28:29you ever hear of it if i got a penny every time i heard that
28:38just making conversation and getting him distracted and talking about something else
28:42is kind of like pain levels did kind of noticeably start settling a little bit
28:48so i can ask you the same thing that everyone always asks me why come to the noon
28:53i'll always tell him the weather yeah well the weather i mean there's lots of weather it's not
28:58what you are but no i just love the uh sea holes because i lived in cheshire uh there's no
29:04water
29:05it's just all flat potato fields so i just i've always it's always hidden deep down in my heart
29:10yeah i can perfectly relate to that yeah
29:17it shouldn't be too long away palm
29:22sounds like that is scotland here ian we've got your bed up in the ward
29:26i'm going to get you straight up there
29:29ian will now undergo scans to try to investigate the suspected clot
29:34let's get you sorted pal
29:41but with the ferry finished for the night ben and colin face a lengthy detour back to danoon
29:48unfortunately we've got an exciting what two and a half hour drive back
29:53yeah not far away from that
30:20okay so we don't actually have too much information on this job
30:27so we'll just wait and see really
30:30sort team leader pam and paramedic ross are responding to reports of a road traffic collision
30:36near the village of kilmacomb
30:40all i was told was that there was one car one car rtc i don't know if the place was
30:46there i don't know if
30:47the fire races ever is there and the crew is eight minutes out so basically we don't know yet
30:53so you just need to wait for the object pam joined sort eight years ago
30:58i was always thinking what's the next thing so i love being a technician i love being a paramedic
31:03and i've got experience on road and i was like right what else can i do well i want to
31:07know how
31:08um to run a scene i want to know how to be a commander so i just applied for sort
31:13as the next step of my
31:15career it's a very time of day where we start getting loads of calls i know always
31:20the beginning of the evening russia clashes with the end of pam and ross's shift
31:29i'm trying to get away for six i know oh i know i literally forgot about that
31:34sorry
31:36being a paramedic is definitely not a nine-to-five job
31:40i've always worked 12-hour shifts and 12 hours can creep into 13 hours 14 hours potentially up to 17
31:4918
31:50hours you definitely cannot count going home in time
31:57so
31:58it's not a hot car
31:58do not hit another bird i know i would 100% of you in tears if i'd hit a bird
32:05like that
32:08it's not a hot car
32:10we get information from control that there's a two-car rtc at high speed with multiple patients
32:21so the big red flags with that information is there's potential for fatality
32:28so we're about 10 minutes away oh dear now we have to pass through all this traffic
32:47police car's just up here
33:11the crash has happened at a crossroads
33:15the car was carrying a family of four all of whom are out of the vehicle and being treated by
33:21a
33:21local paramedic crew pam's immediate priority is the driver of the van who's also made it outside
33:30one marks i think from the steering wheel and the airbag explosions basically took the skin off and
33:34there's a lot of fun there i've got ross i'm gonna get ross to check you out in the front
33:38okay
33:38just watching just cars coming
33:43what's your name hi thomas hi thomas talk yourself in here probably just get away the traffic
33:49your injuries are just that yeah do you mind if i check you over anyway all right
33:58meanwhile pam gets an update on the family traveling in the car
34:04what was it shoulder pain and what was the other injury
34:06an arm but he's out he's over there i'm assuming he's i didn't actually see who it was but it's
34:11his wife or whatever two kids
34:15at this point the male is speaking to the police and the female and two children are at the back
34:21of
34:23the ambulance i'm just going to see if they're all right hi he's all right are we getting on
34:31okay i'm gonna have a little bit of seat built back there and down here okay
34:36better take a big deep breath for me any pains when you're doing that
34:40any problems with your breathing no we'll have a wee seat again okay and did you bang your head at
34:45all
34:45you know i thought i did but i think it was just the airbag okay because i thought i was
34:50believing
34:50from my face but then when i felt that like it was just you just went there but i can't
34:55be so hard
34:55but all right okay and if you move all your arms all your limbs is there anything
35:01so just that just that okay right doesn't matter what the injuries are
35:10and rtc is it is a traumatic event to be involved in so we often get reports that patients are
35:17in shock
35:21uh-huh you didn't lose consciousness no no we just just decided
35:26a bit of a fright yeah i've not got a thing sure
35:29at least everyone's okay yeah thank you very much thanks for your help thank you
35:36it's a shame i think they're okay i think they're shaking i think everyone's quite shaken up
35:44often people appear shocked and sometimes adrenaline takes them so far and they don't feel anything
35:51and then when it settles down that's when the kind of pain keeps in but all in all i incredibly
35:57lucky
36:04staying calm and being reassuring is an extremely important part of the job we do expect emotions
36:11to run quite high no there's no way knocked out there's no getting any neck pain back pains anything
36:17it's just this arm pain so he's stable enough but he wishes a wee check-up now so what we
36:23try and do is
36:24bring it down a bit be calm and hopefully the patients will take on that energy and calm as well
36:32sometimes what they need is reassurance it's okay it's going to be okay
36:40with the way the vehicles are all the airbags have deployed the fronts have been taken away we're
36:44through walls we're in fields they're getting checked out they'll all be going to the local hospital
36:52with all the patients assessed and thomas now in an ambulance pam and ross can stand down from the scene
37:04just take the old front end at the engine off with three or four foot back and i am pretty
37:09sure that
37:09i've been deceased just wiped out totally different scene there i think the other car was lucky as well
37:17and did you see the damage to the back part and it took out a ball right they've both been
37:23really lucky
37:46okay now what's the address of the emergency and jabba postcode for that address
37:53call handler amy is in the midst of another busy shift
37:59ambulance services the patient breathing i used to work in a hospital i was solely night shift for
38:07several years in the hospital obviously a face-to-face with patients being on the phone is a completely
38:15different kettle of fish you aren't there you can't see people's body language
38:20trying to calm somebody down over the phone is far more harder than being face to face with someone
38:25um and that can be quite challenging you're calling for yourself you've had a fall have you
38:32and where are you in adjacent to that
38:36sorry i'm really struggling to hear you
38:40i get this call from um a lady she's fallen and she can see that she's got a broken wrist
38:46there's an
38:47obvious deformity so how have you how have you managed to get to where you are she's in pain she
38:55doesn't know where she is she was within what i think was a housing estate where there was road
39:00blockages road works um and i can't send an ambulance to someone if i don't know the correct location
39:09right just bear with me okay i understand that you've injured yourself okay but it's important
39:13to know that i can get help to you i need i really do need to know a precise location
39:20i know i know
39:23normally when someone calls for an ambulance their location is automatically sent to the control center
39:29system but amy's struggling to get a fix on this patient is there someone close to you try and get
39:39them to come over to you i said can you see anyone around you i said if need be shout
39:45for help to get
39:47somebody's attention just pop him on the phone to me okay as soon as he's there with you thankfully
39:55i think this guy was walking his dog hi there it's the ambulance service sorry i'm struggling to locate
40:03as to where this lady is are you able to give me a precise location okay have you got a
40:09postcode
40:11now that amy has the right location she has to gather more information for the paramedics
40:18can you ask her what caused the fall please
40:24i know i know i understand it's just questions i do need to ask okay
40:29but the passerby is reluctant to stay on the scene what's her name please
40:37well can you please ask her you're with her okay so therefore you can ask her these questions okay
40:42it's information i need to know to get her help
40:46he wasn't really offering her any reassurance and i think that just added
40:51slightly more stresses to the call and just to confirm that it is her wrist that she's injured is
40:56that correct okay no problem
41:02so help's been arranged okay now we will respond as quickly as we can okay but there may be a
41:09delay in
41:09the area of anything between 38 minutes up to an hour before we arrive with you okay
41:16take care now bye bye
41:20sometimes i quite often just want to jump out of the control room and be in that situation
41:26because then you've got a far better understanding as to what's actually going on
41:32it's difficult when someone like that obviously she's fallen in the street and she didn't know
41:36where she was you know like the guy that i spoke to there you know he wasn't really willing to
41:41you
41:42know these are questions i need to ask to be able to get her help and so the crew know
41:46what they're going
41:46to obviously it's stressful you know they don't know the person you've got to take a few deep breaths
42:07i think it just needs a good spray on this side now on the first of clyde paramedic ben is
42:14keeping
42:15busy on another quiet shift worked in coventry within the west midlands we had a big station that
42:22had maybe 20 between 20 and 30 ambulances coming in and out all the time i learned a lot because
42:31i
42:31was exposed to so much when i did my recruitment interview i was asked if i'd consider locations
42:40they mentioned the noon i didn't even know where i was on the map so i thought i'd give it
42:44a go
42:45i transferred here i said to myself i'll try it for six months maybe a year see how it gets
42:50on
42:50i loved it that much i actually um bought a little house in the neighboring village
42:56i suppose when i first started and i was a trainee i would quite often
43:03not in a mean way but wanting stuff to happen but then when you come to the realization that
43:09wanting something to happen it could potentially be the worst moment of someone's life that
43:16i'd much prefer days like this where it's a lot more civilized
43:20it's a bit better yeah you're right it is
43:39well this is not as cold as it was last night it did get chilly about it didn't it
43:45it's 3 30 a.m and ben and colin are on their way to see violet
43:51a local woman who is suffering from a severe nosebleed
43:57could potentially be quite nasty i remember when i went to my very first really really bad
44:04nosebleed or what we call epistaxis and i thought sure i don't require a 999 ambulance for a nosebleed
44:12sometimes i find it quite eerie when it's absolutely dead at this time in the morning
44:15nothing on it at all is it not at all i remember the gentleman tried to get into the bathtub
44:22and it
44:23looked like an absolute murder scene and he needed to go to the hospital under emergency conditions to
44:27have blood transfusions all right let's go have a wee look and ever since then i was like wow i
44:37will
44:37never underestimate uh a nosebleed again there we go there we go hello dear hi there hi violet is
44:45it my name is ben this is colin so have you had nosebleeds before violet this is the first one
44:52ever yeah
44:53oh wow oh wow oh dear do you have any heart problems no any asthma no epilepsy diabetes no can
45:06you feel it running down the back of your neck at all no no my nose won't stop bleeding
45:13violet's nosebleed began a couple of hours ago unable to get it under control she rang her care
45:19alarm and was advised to dial 111 what were you doing when this started
45:26oh my nose yeah but were you were you in is that a picture of your husband in the mantelpiece
45:34on his navy days no that's coast guard coast guard okay of course god here
45:39six years ago oh sorry for that sorry for your loss
45:43what have you got it's a wee bit running well hopefully we're getting there now it's still a wee
45:48trickle it's right up here well i think to be looking up i've seen a lot worse trust me
45:57violet's nose is still bleeding from a cut inside her nostril but luckily ben has a novel solution
46:04i wonder if we could use you know the um i am injection little tiny circle plastery things
46:13i wonder if we could just run at that maybe i remember that we've got tiny plasters for when
46:18we're giving injections especially to to children it was just by chance that i thought i wonder if it's
46:26big enough or small enough to um cover the site where she she cut it and it was bleeding to
46:32get it
46:36sorry dear but the most fashionable i'm afraid it kind of looks like a nose ring
46:41a nose piercing that's all i need
46:46that seems to be containing it okay
46:52that looks okay so that seems to have done the trick right there is a chance that i'll bleed
46:58through it and we'll leave you with another few spare ones though right okay thanks very much
47:04you're very welcome lovely meeting you bye-bye the the work-life balance uh on most days is a little
47:11bit more manageable compared to when i was down in coventry and so i'm enjoying the
47:18slightly um calm or pace of life probably should be it not at all sweet we're just happy that you're
47:24all right fine thanks ever so much no worries enjoy the rest of your night get a good rest thank
47:29you bye
47:34please return to base
47:39there we are are you ready to go home hopefully
48:01you're ready to go home
48:05you're ready to go home
48:05absolutely not
48:05turn that all right
48:08roger mill
48:11it's the start of a new shift for technician Lewis and this time he's working with paramedic
48:18Rebecca the patient has been examined by a local GP who has requested a non-emergency
48:34ambulance transfer to hospital so I'm recently finished my newly qualified year as a paramedic
48:46and I think we worked together a few times during then and then after I qualified I think
48:52you were the first person I worked with after I finished my newly qualified year yeah I think I
49:00was yeah that was such a small wee dog cute though let's get some backpack on he's tiny enough to
49:09be
49:09in with does it need to carry all its own stuff as well no the dog didn't have a backpack
49:14on
49:15look you said the dog had a backpack on no the dog's got a backpack it's on his back
49:31Rebecca is great all round she knows her stuff she's clinically really good she can talk to
49:39patients as well and she's able to impart a lot of knowledge and she's got the time to
49:44sit and share that with you as well can you see why I was confused I can't see why you're
49:51confused
49:56sorry I'm not carrying your treats or whatever
50:15oh I'm loose sorry not Rebecca sorry what's your name George George so what's what's been going on
50:24Kathleen or Kathy is cared for at home she has cancer that's now affecting her brain her husband
50:32George and their niece Michelle are worried about some new swelling on her arm I arrived on Saturday
50:40and I noticed it was swollen okay so then we just kept an eye on it and then yesterday morning
50:49it was a
50:50lot more swollen and it was tracking up so we rang district nurse she come out and had to look
50:57and
50:58then got the doctor the GP is concerned that Kathy's symptoms might point to DVT or deep vein thrombosis a
51:07serious condition that's often caused by long periods of inactivity so the crew have been asked to take
51:12her to hospital for an ultrasound how's Kathy normally does she normally talk to you she's
51:20she does talk she just doesn't like to okay she'll nod she'll nod yeah okay and how do you do
51:31she normally get about does she stay in bed all the time no she's bed bound um and how long
51:37has she been diagnosed with the cancer for
51:41okay okay that's fine we'll do some quick checks and then we'll bring her bed in and get her up
51:47to us all right
51:48Kathy I'm sorry I'm sorry I'm just going to have to disturb you here
52:01unfortunately it'll just be Kathy she gets the special treatment that's just going to get tight on your arm Kathy
52:14we're back in shortly okay we're just going to go out we'll get her bed we'll bring it in and
52:20we'll get you across all right Kathy
52:25who's that in the painting
52:29my daughter
52:30your daughter
52:33she's lovely
52:54when I hear about a tragedy that's happened in the family
52:59the patients and their family are letting you in
53:02and you just try and listen and provide any support that you can
53:07they're obviously very proud of their daughter that has sadly passed
53:13thank you I think we're going to borrow your bed and with us
53:15all right we'll swap blankets over because we don't want to take
53:18don't I take everything with us
53:20I don't want this one to get lost
53:23we'll be all right
53:24we'll be all right
53:27she'll be fine
53:29ah she'll be all right
53:36how long have you been married
53:3854 years
53:3954?
53:4055 in September
53:41how can you be 55 years married when you're only a day over 50?
53:46ah hey
53:48when we're going into someone's house
53:51we're coming into their space
53:52and obviously that's where they live
53:55it's where they've got all their pictures and their memories and their family
54:07you see it like they've been living together for so long
54:13they're just like another half of each other
54:16and it's so lovely to see that
54:19would you like my hand?
54:20there we go
54:21yeah driving is good
54:22good this one's a big step
54:24there you go
54:25they're not just patients
54:26it's not just another job to go to
54:28and it's lovely to hear about their lives
54:30and whatever they're willing to share with us
54:33because I always feel like it's a privilege to hear that
54:36can't let me pop
54:41yeah yeah
54:42come on through
55:45I hadn't been feeling good for a month. I knew there was something playing on me. I got through the
55:53birds and I got a pain in my leg. And then within no time, I'd lost a bone marrow and
56:03I finished
56:03up on the ground over there. It was a shocker for my birthday. I thought it was taking forever
56:14to get out of the hospital. And you are getting emotional because you think you're off. With
56:22Janice being in ambulance with me, it's the thought of leaving her, your family and everything
56:31goes through your head. You know, your brain might have taken a stroke but it's still going.
56:39I got into the hospital. I think I was in about three days, four days. And I got out. Pretty
56:48much everything's coming back. I feel a wee bit confident now that I'm going to be all right.
56:56I had to get back to look after all this. When I grew up, there's lots of racing pigeons
57:03down there and you used to go down for a walk on a Saturday and watch them coming back for
57:08the racing. And I thought, I would love this. I had to get back to look after them. It's
57:16simple. It's great to be alive.
57:19It's great to be alive.
57:32It's great to be alive.
57:52It's great to be alive.
57:55Endgame唱
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