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999 On the Front Line S12E09 (29th June 2025)
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00:01Ambulance service. It's the patient breathing.
00:04My baby. She's hardly feeding at all.
00:08And I'm starting to get a bit concerned now.
00:11Mum had a fall.
00:13She's hurt herself on the left-hand side rib area.
00:18It's about my wife. She got her bed tight.
00:21She can't get her bed.
00:24Starts in the morning, eh? I know.
00:26We're on board with the paramedics of West Midlands Ambulance Service.
00:32This job changes every day.
00:37Can we get fire or police? Somebody with bolt cutters.
00:41Hey boy, you don't mind I'm pressing here yet.
00:43Saving lives and making a difference every day.
00:47You say the patient's been stabbed?
00:49In a medical emergency, six million people rely on them.
00:53You can go to people giving birth,
00:56then in their most traumatic time of their life.
00:59You could be having a bleed on your brain.
01:01OK, mate, move in.
01:02Filming simultaneously with seven paramedic crews.
01:05He's got loads of things going on.
01:07Take steady breath for me.
01:08Capturing life...
01:10Oh!
01:11..on the front line.
01:13There's no price you can put on saving somebody's life.
01:16See the sun out this morning?
01:17I know, it's actually quite a nice morning this morning.
01:18It's 6.30am and the paramedics of West Midlands Ambulance Service
01:31are gearing up for their 12-hour shift.
01:35I had a good sing-song in the car on the way here.
01:38Another good sing-song in the car.
01:40Did you get a little much last night?
01:41Not a lot.
01:42I think I literally had food and then fell asleep.
01:44So I think I'm good to go.
01:46Perfect, shall we go before?
01:47Get the keys.
01:48Heating on.
01:51As they hit the road, these crews aren't just collecting miles.
02:04Do you collect anything?
02:06My mum and dad told me that the two fairies stopped coming
02:10after a certain age, so they just have my teeth.
02:13That you collect your teeth?
02:15I mean...
02:16I feel like I was attached to the drawer.
02:18Put them in the bin like everyone else in the world does.
02:20Nah.
02:21There's two laundry baskets.
02:23Yeah.
02:24And I collect on a daily basis.
02:25Do you?
02:26Yeah, pop it in the washing machine.
02:27And the next day, there's another collection.
02:30So you're an obsessive collector of washing basically?
02:33Yeah.
02:34That's all I cut these days.
02:35What kind of books?
02:36Um...
02:37I'd like...
02:38Naughty books.
02:40Ooh!
02:41Fifty Shades?
02:43Wow.
02:44Fifty Shades is pretty tame actually.
02:58So have you met anyone royal?
03:00Because I grew up in Windsor, I've met the Queen quite a few times.
03:05The Queen came...
03:06As in you've met her to shake her hand or...?
03:09Yeah, so one of the times she came to my school and I handed her a bouquet of flowers.
03:13And also, fun fact, I was able to be christened in the Queen Mother's Chapel.
03:18Really?
03:19In Windsor Great Park.
03:21I've seen the Queen.
03:22I mean, like, she opened the bank in Birmingham and my dad took me.
03:27But I didn't... I was miles away.
03:29I just saw a little hat.
03:31You're very posh.
03:33And I'm not!
03:34I'm not posh.
03:37I'm just well-spoken and well-spoken equals posh.
03:40Where were you born, Sam?
03:42I was actually born in Slough.
03:44OK, where did you live?
03:45Windsor.
03:46LAUGHTER
03:47OK, fair enough.
03:49Are you calling her about yourself?
03:58No, it's about my wife.
04:00Is it possible to speak to her?
04:02Er, not at all. She can't...
04:04She can't get a breath.
04:06She's got a bad pain on the roadside of her chest.
04:10Did the breathing problem come on suddenly?
04:12It's been there for the last two days.
04:14And we're now going to a 69-year-old lady.
04:22Yeah.
04:23Er, COPD, difficulty in breathing.
04:27OK.
04:28She was in hospital last week.
04:31And she lives on a caravan park.
04:35Well, I would be down here.
04:38Good morning. Good morning.
04:40Thanks, everyone.
04:42Carol, my name's Chris, and we've got Sam here as well.
04:44Hello.
04:45Right, what's happened?
04:46I can't breathe.
04:47OK, when did it start, Carol?
04:48Two days.
04:49Two days ago.
04:50Two days ago.
04:51And where is the pain?
04:53Under here.
04:54So under your...
04:55Under your left breast there.
04:57Oh, really?
04:58Oh, really?
04:59Oh, really?
05:00Oh, really?
05:01Oh, really?
05:02Oh, really?
05:03Oh, really?
05:04Oh, really?
05:05Oh, really?
05:06Oh, really?
05:07Oh, really?
05:08Oh, really?
05:09She's there.
05:10OK.
05:11Sixty-nine-year-old Carol has a chronic lung condition.
05:15When her chest pain became unbearable, husband Richard called for help.
05:20She's been worried over the last two weeks.
05:23OK.
05:24What for?
05:25What's that for?
05:26Well, she suffers with COPD.
05:27OK.
05:28This condition makes it increasingly difficult for Carol to breathe.
05:33They put her on a nebulizer and give her medication and she's fine.
05:37They send her out and in a couple of days she tends to go back again.
05:41All right.
05:42The position that we find people in gives us a lot of clues as to how serious it is.
05:48So when I saw Carol bent double, knowing her history, I thought this lady is potentially
05:54not very well.
05:55And the pain, are you able to describe it for me?
05:58Oh, it won't go.
06:01Oh.
06:02Is it a sharp pain?
06:03Is it worse when you take a breath in?
06:06Yeah.
06:07It is.
06:08She can't sit down.
06:09She's worse when she sits down.
06:10Have you taken anything for the pain, Carol?
06:12I have a seat.
06:13Did that have any effect whatsoever?
06:15None.
06:16None.
06:17None at all.
06:18All right.
06:19I'm going to have a listen to your chest, Carol.
06:21All right.
06:22Chris listens for any obstruction in Carol's lungs.
06:29It's coming down the front as well.
06:31All right.
06:32Oh, God.
06:34Okay.
06:35Very quiet at the bottom on this side.
06:38Very quiet.
06:39Well, I think probably what we need to do, Carol, is have a...
06:42I haven't got to go away.
06:44Well, because your lung is quite quiet...
06:47What does that mean?
06:48Well, it means you're not moving much air in that part of your lung.
06:53And I think it would be worth having an x-ray to find out why.
06:57It was quite understandable that Carol didn't want to go back to hospital,
07:01especially considering she'd been in quite a few times.
07:03However, in the state that she was, she needed doctors to be able to figure out
07:06what was causing her breathing to be so laboured.
07:09Do you think, Carol, we could get you onto the ambulance?
07:14Yeah.
07:15Because I think we'll find it a bit easier to have a look at you if we can do that.
07:20Sorry.
07:21No, you're absolutely fine.
07:23You're in agony, aren't you?
07:24Oh, yeah.
07:25I can see you are.
07:26Oh, God.
07:27Okay.
07:28It's a birthday tomorrow as well.
07:29Oh, dear.
07:30Is it a big birthday?
07:31It's not going to be that big this year at the moment.
07:33Well, a bit of a...
07:34We'll delay it.
07:35We'll delay it.
07:36We'll delay it.
07:37After we learnt that it was Carol's birthday the next day, I felt terrible.
07:40I felt really bad that we were taking her in and that she'd spend her day in hospital.
07:44However, I wanted to make sure that Carol was okay and well.
07:47It's just a...
07:48Yeah.
07:49Hi.
07:50Well, I'm going to give you something a little bit stronger.
07:52Okay.
07:53Have you ever had morphine?
07:54No.
07:55No?
07:56Okay.
07:57Never.
07:58Oh, I think you'll find that'll work.
07:59Oh.
08:00If you could give me a score of the pain.
08:02Oh.
08:03No pain.
08:04100.
08:05Right.
08:06Oh, bless you.
08:07You've got a chair behind you now.
08:09Fantastic.
08:10I know you don't want to sit down.
08:12I know.
08:13Oh, I can't.
08:14Right, Carol.
08:15Just go back as much as you can.
08:16Oh, I can't.
08:17I can't.
08:18I can't remember the last time I paid for anything in cash.
08:30That's disgusting, you young'uns.
08:33I'm one year younger than you.
08:35And it shows.
08:36Back in my century.
08:39Your century?
08:40Yeah.
08:41Nineties.
08:42It was like you were born and then it was 2000, you know?
08:44It doesn't really count.
08:45Not really, because weeks passed before it turned to 2000.
08:49I feel like sometimes you can definitely act more than 12 months older than me.
08:54Whenever you bend down to grab something, I always feel like I need to give you a hand getting up.
08:58I feel like being born in the nineties is just a cool thing to say.
09:01So, like, the music was better and the TV was better.
09:06You're not a proper nineties kid though, are you, though?
09:09Well, I think being born in the nineties is enough.
09:18Ambulance service, is the patient breathing?
09:20She is, yeah.
09:21I'm a GP on a home visit, but I've just come out to a patient.
09:24She's 83, she's on the floor.
09:26Right, okay.
09:27She's in pain.
09:28Yeah.
09:29She wasn't feeling well.
09:30Yeah.
09:31She's had the out of hours doctor with similar symptoms.
09:33If it hasn't got better, it's actually got worse.
09:42Right, we are on our way to a 83 year old female.
09:46Oh, Betty, who's had full, she's got pain in her leg since she's fallen.
09:52She's had a fall, leg pain, headache and earache.
09:56I wonder what's actually gone on.
09:59It was quite hard to sort of decipher what exactly was going on.
10:02She's had a fall, she's got this leg pain.
10:04But then you've also got these sort of seemingly unconnected signs and symptoms,
10:07sort of the headache, earache.
10:08It didn't really make much sense.
10:10With quite a lot of things it could be.
10:13Is that parking the drive?
10:14Yeah.
10:15Yeah, go on then.
10:21Good afternoon, you okay?
10:22Yeah.
10:23Hello, Betty.
10:24My name's Ryan.
10:25I've got Thomas with me as well.
10:26So what's happened today?
10:28It ain't been right and it broke nearly a fortnight.
10:31Okay.
10:32In what way?
10:33Kept born dizzy.
10:35So how come we've ended up on the floor today then?
10:38What's happened specifically with this?
10:40I'm waiting for the doctor to come.
10:41Yeah.
10:42And I got my trolley to take me to the door.
10:44Yeah.
10:45But my trolley went the opposite way.
10:46I never went.
10:47Right.
10:4883-year-old Betty fell over and is now in pain.
10:52Her son Dave is with her.
10:55Get your blood pressure and then we'll get you off this floor, Ray.
10:59She was really pale.
11:01She was on the floor.
11:02She clearly seemed in discomfort and she was really struggling to get up.
11:05You felt quite sorry for her, really.
11:07If I just feel any pain here at all?
11:10In your hips?
11:12That's not hurting when I'm pressing, is it?
11:14No.
11:15No.
11:16Okay.
11:17Are you normally okay with your feet?
11:18You can stand and wait there and move around.
11:21Relatively okay?
11:22She just stood up to get the band.
11:24That's what I say.
11:25She uses his trolley or the furniture to get around.
11:28Okay.
11:29Look after herself.
11:30Look to herself while she's...
11:32Ray ain't cleaned up today.
11:34It's just going to lift you up.
11:36Tom and Ryan use an inflatable cushion to safely lift Betty off the floor.
11:43Perfect.
11:44Well done, Betty.
11:45Well done.
11:46Beautiful.
11:47Well done.
11:48Eh?
11:49Do you think you can shuffle backwards?
11:50All right.
11:51Feeling a bit better now you're off the floor?
11:53Yeah.
11:54Sure.
11:55Have you ever had anything like that before where you've fallen over and can't get up?
11:57No.
11:58What do you do?
11:59When I go outside with the trolley I'm always careful.
12:02Yeah.
12:04Betty had this fall which isn't normal for herself but also there was quite a lot going on with her blesser.
12:09The fact that she had this cough and she was short of breath.
12:13Whenever we've got someone who's struggling with their breathing that's always a concern to us.
12:16But the pain is new for how long?
12:18Is it just today?
12:19A few days.
12:20A few days.
12:21A few days.
12:32Richard have you got a cushion?
12:34On the outskirts of Stratford-upon-Avon paramedic Chris and student paramedic Sam are with Carol who has severe chest pain.
12:43There we go.
12:44Let's just pad you out a little bit.
12:48Oh, that's better.
12:51There we are.
12:52OK, we'll do it like that.
12:55Chris and Sam need to get Carol onto the ambulance where her pain can be better managed.
13:02Ready?
13:03One, two, three, lift.
13:04Right, couple of bumps.
13:05And we'll meet you there, shall we, Richard? Yeah?
13:06Husband Richard will make his own way to the hospital.
13:19I know, I know, I know, I know.
13:22Oh, God.
13:23Have you been like this all night?
13:25Yes.
13:26Oh, Carol.
13:27And yesterday.
13:28Oh, bless you.
13:29Oh, God.
13:30One of the things we need to do is get that pain under control.
13:35Once we've got that pain under control, we can figure out the source of the pain and go from there.
13:40Now, Carol, if you've not had morphine before, it can make you feel a little bit, a little bit spacey.
13:47Yeah?
13:51I bet you've had a couple of glasses of wine.
13:53Morphine is the strongest painkiller Chris and Sam can give.
13:58So, pain-wise, Carol, we were at 100.
14:01Where do you reckon we are now?
14:04In the 80s.
14:06In the 80s.
14:08Good, you're good.
14:09Well, we can give you a little bit more pain relief.
14:12Happy to go, Sam?
14:13A little trundle.
14:14Yep.
14:16Chris will keep a close eye on Carol on the 16-mile drive to hospital.
14:20Give me a pain score.
14:24How are we doing?
14:25We went from 100 to 80.
14:28Still about eight.
14:30Yeah.
14:31Okey-cokey.
14:33Right, I'm going to give you a little bit more, OK?
14:36As the morphine takes effect, Carol starts to lose consciousness.
14:41Carol, look over here.
14:44Carol, let me have a little look in your eyes.
14:48Open your eyes for me, Carol.
14:49Carol, open up for me.
14:52Carol?
14:54Hello.
14:55Are you OK?
14:58Do you know where you are?
15:00Yeah.
15:01Where are you?
15:02Perfect.
15:03Nice.
15:05Morphine affects different people differently.
15:09It can slow your breathing down, it can drop your blood pressure,
15:12it can make you quite sleepy.
15:13So we monitor all these things.
15:16And whilst I don't mind Carol having a little dose, we do like to make sure that she's what we call easily rousable.
15:24Hey, Carol?
15:26Carol?
15:27We're here.
15:28We're here.
15:29Yes.
15:30Chris and Sam arrive at Warwick Hospital.
15:33How's Carol feeling?
15:35Well.
15:36Has the morphine taken effect?
15:38Yes.
15:40I believe it has.
15:42I think we got on top of the pain, didn't we?
15:45OK, Carol, let's get you in.
15:49A couple of bumps, my lovely.
15:52Here, Carol will have her chest x-rayed while doctors try to find out why she's been in such pain today.
15:58Well, she was in a lot of pain, wasn't she?
16:09Well, I wasn't expecting her to literally be bent double when we walked in.
16:12No, no, she was really uncomfortable.
16:15The morphine definitely seemed to calm her down a little bit.
16:18I was a bit worried at one point.
16:20I thought, ooh, because I didn't give her that much.
16:22Am I OK to stick a few dots on your arms and legs? Is that all right?
16:31In Nuneaton, paramedic Ryan and technician Tom are with Betty, who's had a fall.
16:38I know the doctor's done it, but can I have a little listen to your chest as well?
16:43Please, just have what you're doing.
16:46While Tom carries out an ECG, he also checks Betty's medical history.
16:53It said in the notes you've got a bit of headache and a bit of ear pain today.
16:57Is that right?
16:58Yeah.
17:00Is it your left one?
17:01This one, yeah.
17:03This one's deaf, but this one's all right.
17:06OK.
17:07And is it deaf as in just the past couple of days, or is that more a long-term thing?
17:11Long-term.
17:13But the pain is new for how long? Is it just today?
17:16It's a few days.
17:17A few days.
17:18If I get you to just sit nice and still, no moving or talking, for about 20 seconds if that's OK.
17:27Lovely, that's all good.
17:29Well, your heart's still beating, so that's a pretty good sign, eh?
17:31Yeah, it is.
17:32And have you noticed you've been getting dizzy when you've been up and walking around or anything?
17:38I am this morning.
17:39Just this morning?
17:40Yeah.
17:41OK.
17:42When Betty said that she was getting dizzy when she was standing today and that's not normal for her,
17:47it can sort of aid us and point us in the right direction of what might possibly be going on.
17:52It might be due to her blood pressure, maybe she's got a bit of an infection.
17:56And do you live here by yourself?
17:57Yes.
17:58I've lived on my own 27 years.
18:01That's when how long have we been dead?
18:03Oh, sorry to hear that.
18:05And we used to race pigeons.
18:07Did you?
18:10You've got a lot of trophies up there, eh?
18:13Is that all from your pigeon racing?
18:15Yeah.
18:16Wow.
18:18It's quite a niche thing, isn't it, racing pigeons?
18:20Yeah.
18:21It's not something I've ever thought of before.
18:22I normally just race pigeons with my car to this, like, who can get there faster?
18:27The good news is, I don't think you've broken anything from your fool,
18:30but looking at the bigger picture with everything that's gone on these past couple of weeks,
18:34I think it might be best if we pop you to hospital.
18:37Is that OK?
18:38Yeah.
18:39So the doctors and nurses can have a proper assessment.
18:42I felt that it was important for Betty to be assessed in hospital,
18:46just because I wouldn't feel comfortable leaving her at home
18:49with the potential of having a fall again.
18:52A couple of bumps, Betty, OK?
18:57And then all I need from you is to swing,
18:58so your bottom's right at the crease of that bed.
19:04Lovely.
19:05Give you a hand with your legs.
19:06Sweet.
19:07OK.
19:08Proper strapped in.
19:09It's a bit like a racing harness, I say.
19:10Yeah.
19:12Ryan sets off on the short two-mile drive to the nearest hospital.
19:18At the peak of your pigeon career, how many pigeons do you think you had?
19:21About 100, I think.
19:22100?
19:23100?
19:24Wow.
19:25I was expecting like 20 or 30.
19:26I wasn't expecting 100.
19:32We made it in one piece.
19:34Pretty good going, I think.
19:37Betty arrives at George Elliott Hospital in Nuneaton.
19:41Let's get you inside then, Betty, all right?
19:44Here, doctors will try to find out what's made her feel so unwell
19:48and why she had a fall today.
19:50.
19:53.
19:57.
20:07I like penguins.
20:08Mine's a penguin.
20:09I like penguins.
20:10I feel like I've got that clumsiness.
20:11I just like how, like, how they keep each of them warm by like,
20:16how they keep each of the warm by like snuggling up together and we don't know
20:20by looking at them if they're male or female and neither do they oh I don't
20:25think they'd care though no no I think if they've got that bonds then I think
20:30they'll be quite happy I think they'll be they'll be thrilled with who they
20:33found you know like fall in love and then find out that they've got the wrong
20:38part love is love sorry
20:46are you calling for yourself for my daughter well for my baby and the reason for you call it a day
20:55she's had a bit of a cough cold since last week it's not been getting any better she's
21:03hardly feeding at all she's just projectile vomited it all up and I'm starting to get a bit concerned
21:09now so we've been diverted we're now going to a five-month-old and says that they've had a cough
21:19and a cold since last Saturday and was seen at the GP so I guess we'll go and have a look see
21:25when you get a call to a five-month-old baby you're automatically thinking what could be wrong with
21:32them and it makes it really difficult because they can't tell you they could potentially decline really
21:37fast and we have to get there quickly hi how are we doing is this little Freya what's your name
21:51Sabe I'm Jenny right so how can we help you symptoms started on Saturday last week she had a bit of a
21:59cough but she's been progressively getting a bit worse and worse they've given her some antibiotics
22:05but she's only had one successful dose of she's just projectile vomited all of her feet and she's
22:13just been no she does sound chesty doesn't she when five-month-old Freya was unable to keep down
22:21any food or medication mum Jenny rang for help yeah just a bit of a backstory with with Freya is that she
22:30had open fetal surgery when she was 25 weeks old to repair her spina bifida she was then born at 30
22:38weeks spina bifida is a serious condition where the bones of the spine don't form properly to correct
22:47this Freya was operated on while still in the womb she was born with chronic lung disease she then
22:55got rushed over to Birmingham to have her surgery for her hydrocephalus oh my goodness she's got a lot
23:02going on Freya has already been through so much and has got such a medical history from such a young
23:09age with her previous conditions it can make her really vulnerable and we need to be wary of this
23:25we're on board with seven paramedic crews on their 12-hour shift as they respond to emergencies
23:32across the West Midlands in rugby paramedics Ellie and Sean with baby Freya who's been unable to keep
23:48anything down so what was your biggest concern when you called for us it was the fact she's been
23:55really lethargic all of today and the fact that she's not feeding nowhere near as much and and then
24:01every other feed is that she's throwing up and it's just getting a little bit concerning now signing for
24:08you yeah we'll do our blood sugars then if that's okay and we'll just it's like the heel prick test it
24:14gives us an indicator of how much she's actually been taken in before she vomits my goodness not
24:20even a flinch 3.2 although Freya's blood sugars are normal her persistent vomiting means she's not
24:29getting enough nourishment do we want to try see if she takes any feed now and and then see see how how
24:39she gets on with that we can have her if you like while you're making your feed up if that would be
24:44okay please can I hold your baby that's what she's saying can I have some baby cuddles hi I'll literally
24:53be just one minute hi fabulous oh I know I'm bothering you aren't I she's been not really having much of her
25:08feeds for a good I'd say three days now okay it's just been progressively getting less and less that
25:14she's having bless her she's had a lot go on in a little life hasn't she she has yeah yeah we
25:22genuinely thought that we was going to lose her at one point then just before she had her surgery done
25:26yeah Freya was a really vulnerable baby in the first couple of months of her life she has had
25:36quite a few major surgeries and she has got quite a lot of medical conditions this I can imagine can
25:42be quite a lot to deal with as dad Thomas arrives home it becomes clear that Freya is struggling with
25:56her feet she can feel it in her tummy and it's not right for her can't she oh projectile now we need
26:15to take Freya to the hospital because they needed to find out what the cause of her vomiting and feeling
26:20very lethargic was obviously just because we haven't taken to that field she's just not gonna be taking the
26:25medication that she needs she does need to go and get checked out okay I know sweet mind if I have a
26:38little go see if I can help bring it up normally if you kind of lie a flat against you tends to work a
26:45bit better rather than when Freya began choking on her vomit we were hoping that she might be able to
26:54clear her airway herself but we noticed at one point that she was really struggling so I just took Freya
27:00off mum's hands for a minute and patted her on her back trying to keep her straight and this really
27:04helped her bring up the blockage that she had so when we're ready we can get her into her car seat
27:11right if you go up the ramp way with Sean Sean checks Freya's blood oxygen levels
27:23that's a slightly slightly lower nails I would just get the tube in yeah and just waft it near her face
27:33we'll just give her a little tiny bit of oxygen just pick up a bit I'd rather be safe sorry there we go now
27:44I've done the lights I'm just gonna pop this head bit back after 13 miles Sean and Ellie arrive at
27:58University Hospital Coventry let's just go steady down the ramp here Freya will be seen by the
28:10pediatric team to try and find out why she's unable to feed today Freya had the most beautiful eyes I'd ever
28:27seen in my life she was a very pretty baby wasn't she just so many medical complications she's had
28:35such a hard start to life hasn't she had an operation while she was in the womb that's insane how they
28:40can do that is like blows my mind
28:56the kids had a good parents evening oh yeah that's good yeah Max is you know he likes to chat
29:03oh there's nothing wrong with that isn't that I know I got a report once from school and it was
29:07like they've literally made me around every table in the classroom trying to stop me talking but still
29:11found to talk to yeah which obviously you won't believe would you I mean I'm so quiet yeah I'm still
29:18just as chatty especially on this job I think you've got to be chatty if I feel awkward as well and if
29:23someone else is really quiet then I tend to fill the silence with chat yeah and then you end up just
29:29talking and talking and I'm like oh no yeah 12 hours is a long shift if you're working with people and
29:33they don't want to talk
29:34the call about you or someone else about my son what's the reason for the call he suffers from
29:47MS at the moment he's very lethargic his blood pressure is low does he have any problems with his
29:54breathing yes he's very throaty and chesty at the moment
29:58right you've got a 49 year old difficulty in breathing low BP low SATs suffers with MS sounds
30:13like it possibly could be septic then yeah look low oxygen levels in a patient could be a sign of
30:20sepsis this is quite concerning as can be life-threatening hello you all right I'm Sarah and this is Jess
30:32hello what do we call you Andy so what's been happening on Andy not a lot have you not been feeling very well
30:46okay who's this young lady your daughter when 49 year old Andy was struggling to breathe his daughter Sophie
31:00and dad John rushed over to help 15 years ago Andy was diagnosed with the neurological condition multiple
31:08sclerosis he can't straighten his arms no no worries do you feel them well they're just fussing them out
31:22you are they just wanted a bit of attention didn't you have a habit of when an ambulance turns off he
31:27suddenly is absolutely oh of course yeah lots of people are like that it's not a problem we'll do all
31:33you check before Sarah and Jess arrived Andy's blood pressure was very low and he wasn't getting
31:40enough oxygen into his body can I listen to your chest is that all right yeah yeah I just need to
31:46lift each other okay so it might be a bit cold you've got a few little crackles right at the bottom of
31:54your lungs okay so you're a little bit hot have you had a cough at all yeah just is he bring anything
32:03up having MS Andy is more prone to chest infections this also puts him at a higher risk of developing
32:12sepsis a life-threatening response to an infection so oxygen saw between 93 and 95 so it's not too bad
32:21so Andy everything's looking okay at the moment I mean if you feel like you're feeling well and
32:29you're struggling we can always pop you up the hospital that's not a problem what what would you
32:33like to do keeps you out of hospital yeah I completely agree with that yeah at the minute
32:43we've got no red flags that we we need to rush you off for got a little bit of a temperature but
32:48probably if we get your jumper off keep up with some paracetamol and get some antibiotics is someone
32:55with him all night no okay Andy didn't require hospital treatment at this time and he had four
33:06carers a day plus his family so he was really well looked after what time a care is here in the morning
33:12oh pretty early about seven deliberately because that is that is best with the MS in the morning
33:20okay yeah when did you get diagnosed 15 years ago yeah yeah so you must have been young one
33:31I could really relate to Andy's daughter my dad had Parkinson's and a similar disability where it
33:45sort of took his independence really and as a family we supported him and I'm really proud of
33:51as a family that we we got to do that so Andy in the morning have some paracetamol from your carers
33:58okay confident that Andy's symptoms can be treated at home Sarah and Jess are happy to leave him in
34:05the care of his family okay then Andy we're off okay bye nice to meet you oh yeah thank you
34:17well I'm glad we could leave him at home I know it's a really lovely family didn't they really lovely
34:25it's been through a lot hasn't he with MS yeah exactly and it's nice that we can try and treat him in the
34:31community where it'd be much more comfortable yeah when a 999 call is answered the first question is the
34:48most important the answer lets the call assessor know if this is a life-threatening emergency
34:57requiring an immediate paramedic response I do get butterflies because you don't know what's gonna
35:04like sort of come through to the call and sometimes it can be a panic and you've got someone shouting no
35:10patients not breathing send help quick quick quick quick and it's just sort of just like trying to
35:16remain calm for that caller ambulance service is the patient breathing I think so I can't get to him
35:26is the patient conscious and awake he's out cold and there's blood everywhere there's blood all over
35:32the floor not the radiator and on the wall blood all over the floor not the wall I can't get over to him
35:38he's got all the furniture pulled over to him it's all over the middle of the floor I don't know how long
35:47he's been on the floor for first thing that comes to my mind really is like what's happened like is the
35:53patient breathing because if there's blood everywhere and that's quite a lot of blood to lose so that was
35:59my like my main mother is he breathing and like what happened is that is that is that is that him
36:06talking to talk yeah what's up his face is covered in blood his face is crawling in blood yeah and
36:18there's like big lumps of blood I don't know where it's gone from okay I want you to just keep a check
36:26of his breathing until help arrives okay and you say the bleeding from his head okay so can you see
36:39the wound at any by any chance no it's all like dried up blood we'll stay on the line with you to help
36:46just get there okay George we to keep a check of his breathing for me we stayed on the line with him
36:52because he had noisy breathing it was in and out of consciousness noisy breathing could be quite
36:58serious in some situations it could mean that he's going to stop breathing and CPR remaining to be
37:04given are you able to see where the good where the wound could be I don't know all I know his whole head
37:12it's discovered in blood okay and there's blood all over the floor but it looks like jelly bits of
37:19blood like clutch in one day yeah okay so the crew are just around the corner now if you can meet and
37:27direct them shut any dogs away let me know when the crew are with you and I'll leave you with them
37:33you take care all right thank you I quite like winter yeah oh yeah I did actually my avocado woody
37:58I've got a pink fluffy one I literally either wear my school uniform and then I just basically get
38:05into PJs so yeah what I actually meant to say was my uniform oh no no school unit I mean you do quite
38:16a lot of fancy dress though I do yeah rule out that yeah I have been a school girl before have you
38:21Halloween school girl yeah Halloween one I do like doing fancy dress don't I so you know
38:27you've got your own secrets
38:30the call for you today no it's for my mum if you could tell me the main reason for the call
38:43mum had a fall she's hurt herself on the left hand side rib area is she okay to talk on the phone
38:51hello have you been diagnosed with a bleeding or blood clotting problem yes I've had a bleed on the left
39:00right we've got 86 year old female labored breathing has had a stroke before and vomited the patient
39:13had had a previous stroke so that was a concern for us whether she was having another one or not
39:18I think pull up by this red one that's probably gonna be your best bet in Nuneaton paramedics Jess and
39:35Sarah are responding to reports of a woman who's fallen and is in pain hello what's your name I'm Sarah
39:43this is Jess hello what's been going on I lost my balance here you sort of fell onto the chair did
39:52you yeah I was clumsy I took took something then I banged on there yeah two days ago 86 year old Maria
40:03fell over now she's complaining of pain in her ribs pop your finger in there so is it the pain you've been
40:11struggling with yes what's your pain at the moment at a 10 I'll say 8 and 8 so it's quite bad then just sat
40:23there she gave a pain score of 8 out of 10 which is quite a high pain score and we needed to find
40:29out what had happened with the fall and what was causing her pain what medical history have you got
40:34I've had a stroke this side of my face there it sounds like on here you had a bleed in the head oh yeah
40:46it came out of my ear Maria's stroke is part of an extensive medical history you had some tummy pain I
40:54passed a stone in the hospital what a kidney stone no gallbladder does it hurt when you move around
41:04forget you do dance shall we what about when you breathe what about when you take a deep breath does
41:14that hurt a little bit that hurts yeah okay and it's just been since the fall has it yes right let's have a
41:22listen to your chest some nice nice deep breaths if you can there is a little bit bit bit sore
41:31Sarah listens for any signs that Maria may have damaged her ribs
41:35what does it mean just no talking a minute just breathe just breathe just breathe just breathe
41:43oh no talking I was trying to listen to her chest she just couldn't couldn't get her to be quiet
41:53bless her there's something there she was so chatty wasn't she I know and I really needed to be quiet
41:58just so I could hear hear what her lungs were doing just gonna pop some sticky dots on you
42:04Jess runs an ECG to check for any problems with Maria's heart
42:11everything's looking okay yeah I mean the thing is we don't know if you have fractured a rib or not
42:17without an x-ray we just want to see you walk you may have pulled a muscle or something or or just
42:24knocked it yeah badly bruised maybe yeah just enough she might be made of tough stuff but Jess and Sarah
42:32need to make sure Maria is safe to be left at home what's your dog called Mika Mika oh that's a nice
42:41name how old is she six isn't she beautiful she's beautiful yeah well how do you normally get open
42:51things oh yeah but you're quicker than me right where are we gonna go did to the toilet and back
42:59or something you have a look at you oh you've got a cat as well oh she friendly
43:06oh you got rabbits as well oh look at that massive rabbit yes Maria had several animals
43:23which was great for us because we met all of them that is probably one of the favorite bits about our
43:29job is meeting all the patient's animals I don't think it's broken but
43:36probably badly bruised because yeah yeah it's good it's gonna be sore isn't it yeah but the good
43:42thing is you've managed to walk okay and things but at the moment your chest is nice and clear and
43:47your oxygen is good so we don't really want to drag you off and unless we have to in this case
43:52Maria was able to be safely left at home Maria was very independent and so we didn't want to take
44:00that away from her I must be tough nut you are I'm still positive you are yeah yeah but at least
44:08you've you've got your family around you haven't you and oh god yes and your dog so you're and your
44:13giant rabbit this meeting has been very enjoyable thank you it's been a pleasure all right lovely to meet
44:22you take care no worries what a lovely lady oh yeah really nice job she was just so funny she's been
44:36for a lot lot in her life but she's so cheerful and yeah after animals and honor yeah really nice
44:42lovely dog rabbit cat guinea pigs
44:47Carol who was bent double in pain was found to have multiple blood clots in her lung
45:00she was placed on blood thinners and antibiotics and spent four days in hospital
45:05baby Freya who was projectile vomiting was diagnosed with bronchiolitis she was given oxygen and spent two
45:14nights in hospital and Betty who fell at home was found to have high blood pressure in the chest
45:22infection she was in hospital for three weeks next time a woman has been vomiting blood for days I've been
45:34trying to drink and it's just coming straight back there's quite a lot of conditions that can cause you
45:41to vomit blood and quite a lot of them can be life-threatening a young girl is struggling to breathe
45:47he's trying to slow your breathing down her breathing rate was elevated her heart rate was elevated so we
45:52knew from there that she was developing quite a severe infection and paramedics are called to a
45:57woman having a seizure open your eyes for me sweet open your eyes Elizabeth it was quite concerning that
46:03her lips were turning blue because that means that there's not enough oxygen being supplied to her brain
46:17the wielu weeks we will do getting back up with her brain cause for treatment so I'm not sure how to烦아요
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