Sorry. >> Oh, dear me. >> Somebody's going to be looking after you. >> Thank you. >> We are back with the West Midlands Ambulance Service. >> We got a job. >> As the paramedics take us to the heart of the action once more. >> He's currently having seizure in the back of the ambulance. >> We're going to be all right. We're going to be all right. >> Old friends are back on shift in Dudley. We see everything from life to death and everything in between. >> We do. >> And for the very first time, >> we're in and we're online. >> We're taking you to Stoke. >> This is where it's all going to kick off today. >> Where new crews face fresh challenges. >> Are you kidding me? >> Oh, it's going to be horrible. >> And experience heartpounding action. >> Grab the kit. Grab the kit. >> Bodymounted cameras record every moment. >> What's that? showing you what goes on behind closed doors. >> Still struggling quite a bit, aren't you? >> Well done. You >> don't shoot me. I'll try not to. >> This is a paramedic's eye view of life on the road as they battle over 4,000 calls each day. >> You need to keep very still. >> Am I alive? >> I think you're alive. >> Okay. >> You'll be on the front line with them as we take you inside the ambulance. That's what I love about this job, though. You never know where you're going to go, dear. [Music] [Music] >> Am I okay? Your side. >> Oh god. >> No. >> No. >> No. >> No. >> No. >> Still no. >> Still no. Still no. Still no. >> Go now. It's like a quick go now. >> He's a learner driver. Go now. [Music] >> Oh, look. You're flashing. 35 miles an hour in a 30 zone. >> Woo. >> Oh, I love this bridge. >> Get your belly fluttering. >> Get your Oh, I like that word. Flutter. >> Flutter. >> Flutter. >> Fluttering. >> Are you ready? Here's the bridge. >> Oh, it makes me feel sick. [Music] >> In Stoke on Trent, it's another busy day for ambulance crew mates Anne Armstrong and Steve Een. You know, my arm is so itchy. It's nice though. Love it. >> An is a clinical team mentor helping to train paramedic students. >> Have you got any ink? >> Yeah. Yeah. Massive one on me leg with all me kids and wife name on. >> Under her wing is technician Steve, who started working for West Midland's Ambulance Service 9 years ago. >> I didn't get my first tattoo till I was in my 30s. >> Oh god, no. was 18 m. >> They're on route to their next job. CAPD grieving problem. [Music] >> Oh. >> Ah, there we go. Got to wave it. >> The patient's daughter, Sam, is waiting for them outside. >> Hi. >> What's her name? >> Susan. Hi Susan. My name's an I'm one of the paramedics. Okay. >> How are you feeling today? >> Not good. >> Oh dear. >> Okay. What's happened? >> Well, I just took the dogs out just >> for a walk. >> Yes. >> And I just I don't know. I just >> Hello, sweetheart. >> Do you feel dizzy? >> Yeah. >> Okay. >> I do struggle with my breathing. >> May I just have a feel of your wrist? >> Okay. Have you got COPD? Is that right? >> Yes. >> COPD is a lung condition which causes breathlessness and chest pain. Susan felt these symptoms come on when she was out walking her dogs. >> Have you got any pain at the moment? >> It's hurting. Yeah. >> And how long have you had that for? >> Half an hour. >> So it's it come on. But before you walked the dogs, you were fine. >> Yeah. I didn't feel too good, you know. I just >> All right. Had to lie down in the field. I've had to lie down in the feet. I wasn't really >> I felt faint. >> Okay. What I'm going to do now then is I'm just going to do an assessment on you. Okay. And we'll give you a full and see if we can find out what's going on. Okay. >> All right. Come sit down. >> Yeah. >> Or just my auntie sister out of hospital. I think >> look look it's absolutely fine. Don't you worry about it. Okay. Don't worry. It's fine. It's all right. Don't worry. I'm going to have a quick listen to your chest. Okay. >> So, if you just take me some breaths in and out. >> No, I'm all right. >> That's it. All right. Just try and slow that breathing down a little bit for me. >> Okay. So, take some nice slow deep breaths in and out through your mouth. Okay. Let's have a look. Yeah. >> How old are you? >> Uh 70. Said 69. >> Are you 70? >> Oh, 70. H you >> Oh, you're the same age as my mom. >> Get used to you. >> My mom isn't impressed when I tell everybody she's 70. >> While doing a routine check on Susan's heart, Anne spots a very unusual reading on her ECG monitor. What I do believe at the moment, right, I think what's going on, you've got a possible blockage within one of your coronary arteries, okay, in your heart. But don't panic, okay? Because I'm go Yeah. But don't panic. I'm going to take great care of you, okay? And what we're going to what we're going to do is I'm just going to pop a needle in your hand. I'm going to give you some medicine, some morphine to help you with the pain. Okay? When I saw Susan's ECG, I was quite surprised because obviously we didn't get the job as a chest pain. We had it as a breathing problem. So once I saw the ECG and I could actually see that she was having a heart attack. We've gone from a patient who possibly could have stayed at home with treatment to a patient who was time critical. >> She's just there. She's all right. And she's just sorting your dog out. Okay. Okay. So, I'll just give you a bit to start off with. All right. >> With some pain relief to help ease her discomfort. >> All right. >> Okay. And then sit yourself down on there. >> The crew can move Susan onto the ambulance quickly. >> Ready? Say lift. >> All right. All right. Yeah, I've got you. Set yourself on there. Okay. And then swing your legs up. Okay. Hi. Is that Cissy here? Yeah, it's I'm one of the paramedics. I've got a STEMI. >> A STEMI is the most serious form of heart attack there is. It means that one of the major arteries to Susan's heart is completely blocked. >> Straight to coronary care, Steve. >> Yeah. >> Susan's heart could stop at any moment. She will need immediate surgery. Meanwhile, an needs to open up her artery as best she can. >> How's that pain? Have you still got it? >> Yeah. >> Okay. So, have you had this before? All it is, it basically just dilates your arteries. Okay. If there's a blockage within the artery, this is a it's what we call a dilator. Okay. So, it'll just dilate everything. So, what I need you to do is put your tongue to the roof of your mouth and I'll spray it just underneath. That's it. All done. I bet you've got all sorts running through your mind, haven't you? Don't worry. Okay. Don't worry. We just do we put all the sirens on just so we can get to the hospital quicker cuz the sooner you're at the hospital, the sooner you can get treated and then we can get you right. Okay. It's very intense being in the back with um a patient who is having a heart attack. The likelihood you can go into cardiac arrest is quite high. You need to remain calm because if you're not calm, the patient's not going to be calm. So, you need to give the reassurance. You know, everything is going to be okay. >> On Blues and Twos, it takes just 10 minutes to get to hospital. >> Oh, little bit of a bum. >> An and Steve take Susan straight to the cardiology department for the vital treatment she needs. [Music] I actually like doing jobs like that. >> It's a proper job if you know me. >> So, we managed to keep her calm. She seems calm. She got a little bit teary at times, didn't she? >> But I think, you know, just with a with some reassurance. 40 minutes we got her in from the moment we arrived on scene >> to the arrival at hospital, which >> I think is pretty damn good. It's >> great. Pretty darn good. >> Yeah, it's quick. >> It's going to be around and back again. It is, isn't it? [Music] [Applause] [Music] I think we just splattered a bug. >> Yeah. >> Did you hear it? >> I did. [Music] >> Last thing you need on a Sunday morning, doesn't it? Ambulance blasting through. >> Yeah. >> Everyone waking up. >> Exactly. [Music] in Dudley. Laura Hickman and Kerry Richards are on their break. >> I've too quick. >> Are you that hungry? Oh, >> I was hungry. >> Carrie has been with West Midland's ambulance service for 8 and 1/2 years. Laura for 5 years. [Music] [Applause] [Music] Right. >> We're happy. >> I'm happy. >> Carrie is married with a young son. Laura is recently back on the dating scene. >> So, I sent some flowers to a girl. >> A you softer. >> I know. I don't like this date. This dating stuff wears me out. Why can't we just walk into a relationship? It's so much easier. It don't get any easier. Dan still doesn't know what I don't like. >> Is that the secret then? Not knowing what the other one likes. >> He's just played dumb. Said, "You've never told me that before." Says, "Yes, I have." You're just deaf. >> Select. >> Selective hearing. >> Selective hearing all the way. >> Matters of the heart will have to wait as they get more information through. >> We are going to 94 year old Harold with cardiac chest pain. It's from 111. So he's triggered the magic past. He's he's used the words chest and pain, hasn't he? >> He has. [Music] >> We are nearly there. >> Yeah. >> Hello. >> Yeah. How are you? >> Harold, known to his friends and family as Pat, is being looked after by his carer and his son Dennis. >> As well as his symptoms today, Pat has dementia. >> What's been going on? >> Something was fine. He's got pains in his chest and it's run into his shoulder. >> Okay. >> He's he had a quadruple bypass 30 years ago. >> Oh, wow. Okay. Hello, young man. >> How are you feeling? Bit rough. >> Bit rough. How are you feeling rough? >> Generally myself. >> Generally unwell. What's this about your pain in your chest? >> It comes and goes away. >> All right. Pat was doing really well for 94 and he did look really well in himself. With the history of a quadruple bypass, I really just wanted to make sure that it wasn't his heart causing him the pain. So, that was the first thing I had to rule out. >> Does the pain get worse when he coughs? Right. That's a good sign. shows it's a bit more chest infection and breathing. >> That because the way he's talking, he was fine talking this morning. This is along just like that. >> Yeah, he's quite sweaty as well. >> Oh, yeah. I said that on the phone. He's as deaf as a ghost. >> All right. Right. Let's check you over, young man. How long have you been coughing for? >> About two days. I think you got a bit of a chest infection. Have you had any paracetamol? >> Yes, >> he has. He's had two paracetamol this morning. >> Perfect. He's got a hernia. >> No, not as far as I know. That is uh where he had his gallbladder and look at your tongue. >> It's got worse. It's got worse as he's got older. >> Yeah, >> your hands are cold. >> Right. I'm going to have a listen to your chest now. >> After just 6 minutes treating Pat, it seems the crew have made quite an impression. Lovely cheek. >> She was sitting lovely blue eyes. >> Thank you. >> That's the way you checked me. >> When we go out to elderly patients, one of the things that they most want is just to have a chat. It's part of the job and it's one of the greatest things we can do is listen to their old stories, especially when they're such charmers like Pat. >> All right, nurse. >> I'm fine, thank you. >> I'm all right, Dad. Best love his son. >> My husband says that. He tells me I'm his favorite wife. But then again, I am his only wife. So >> that's what you hope anyway. [Laughter] >> So everything's all right. He don't need to uh be whisked off to hospital. Might have a UTI. It's not an accident or an emergency. It's a chest infection. So we can get the doctors to come and give him a prescription. >> Laura calls 111 to update them and request a doctor to come out to CPAT. We'll wait for these ladies to go, Dad. And I'll get you a few muscles. >> You can have them now. >> If he wants to have them now, let >> fine. >> Right. Let's pop this off your finger. >> Disturbing your muscles. Eating. >> Oh, no. >> Not on the first date. >> He'd break his heart to know I was a lesbian, wouldn't he? [Laughter] With the paramedic's health checks complete and Pat's doctors informed of his possible infection, Laura and Carrie leave him to his lunch. >> Anyway, thank you very much. My pleasure. >> All the best, Pat. >> All the best. Take care. >> Keep out of trouble. >> Blessing. >> Oh dear. All right, Dennis. >> Thank you very much. If anything changes though, if it gets any worse, call us back on 999. All right, mate. [Music] [Music] >> People seem to think we're driving a vehicle that has like crazy acceleration on it and it's just a van. >> Come on. Yeah. Yeah. >> Come on. Come on. >> Come on, little truck. You can make it. You can do it. >> Come on. Only a little help. >> Oh my god. >> Well done. [Music] It's a roasting hot summer's day in Dudley with temperatures reaching 30°. Paramedics Stuart Ays and Craig Baker are looking forward to the end of their shift. >> Anything plan for Stuart? >> No. Going to fat club. Before they joined the ambulance service, Stuart worked as a barman and Craig was a builder. >> I'm very tidy on my garden. I've finished my uh my man shed off. It's got a working fireplace and everything in it. >> Really? >> Yeah. No way. I've got to put all the electrics in. The wiring's already uh rooted down there. But yeah, it's got a chimney, fireplace. I love it. >> Oh, hello. >> They've just been alerted to their next call out. So what are we going to Greg? >> So it's an urgent reaction to penicellin and see young Emily. >> Hi. >> Their patient is 34 year old Emily. She's home alone looking after her children aged between 3 and 6 years old. Oh, >> he's got a stick and he's not afraid to use it. Hello. >> Yesterday, Emily went to the GP and was put on antibiotics. >> You enjoying your summer holidays? >> Yeah. >> Yeah. >> Okay, mate. >> Mommy enjoying your summer holidays. Do >> you want to tell us what's going on? >> Um, I started on penicellin morning. >> Okay. >> And last night I just I could stop coughing all night and wheezing. Yeah. >> Today I just feel >> even worse. >> Okay. So, is your face normally as red as that? >> No, cuz you're quite red across the top of your brow. >> Yeah, if I take this off, I'll start shivering, though. >> No, that's fine. You're quite warm to touch. >> What's that? >> Your heart rate feels quite fast off your pulse, to be fair. >> Difficulty breathing together with a rash on her face could mean Emily's having an allergic reaction to the antibiotic she's been taking. >> Hello, young man. You don't ma'am. >> I am a mom. You are right. >> And tonsilitus. >> Tonsilitis. So you've already got an airway compromise anyway. >> You make four. >> Okay. Bobby your tongue. Say a >> a >> the crew need to work out quickly if Emily's breathing difficulties are down to the fact that she has swollen tonsils or if she's having an allergic reaction to penicellin which is far more dangerous. >> And how many tablets have you taken so far? >> Um 12. >> 12 of them. >> Two tablets four times a day. >> Mom, why have you got that on? What are you doing? Which >> I'm just getting the details up so I can know everything about your mom >> tells me everything I need to know. >> Me? >> No. No. Your mom? >> My mom? >> Yes, your mom. >> Have a look at mommy's heart. >> Have a look. >> If we're going to just in the first instance, if we're going to pop you up the hospital, what's happening with Kitties? >> I don't know. I've got no family nearby. >> Oh dear. any friends that could just >> What I can do is ask the dad to >> come and have him, but he's got to come from West Brom. >> Okay. Get in here as soon as possible because if we do have to take it to hospital, obviously we can't take the kiddies. >> Emily was quite sort of busy, had her hands full. She got young children running around. They're quite lively as well. An allergic reaction to penicellin can be really serious. While we were assessing, we were trying to establish whether it was absolutely necessary to take her to hospital or whether whether we could safely discharge her at sea at home because she got so much on a plate with the children. >> Just going to pop this in your ear, Emily. >> You know, your normal temperature is like between 365 37. Your temperature is 392, right? So, by putting your bed gown on, you're actually insulating yourself and your body's way of cooling down is by shivering. >> Having a temperature as high as that can make you feel absolutely lousy. [Music] >> Do you still feel wheezing there, Emily? >> Yeah. Not as much as I have been. >> Just lean back for me. That's it. Perfect. Nice. Good breath in. clear. >> Okay, your chest is nice and clear. There's no wee or congestion on your chest at all. >> If Emily was having a serious allergic reaction, her breathing would be getting worse, not better. >> I'm going to suggest the way you're feeling is more down to the high temperature rather than the antibiotics. Once we've done our assessment, realized that actually it wasn't so much an allergic reaction. It was more down to the fact that she was running quite a high temperature. We don't want to take people to if we can help it. If you can treat somebody in their home environment, that's far better. >> I think what you need to do is take regular paracetamol. So up to four doses >> in in a 24-hour period and keep doing that until your temperatures come down. >> Every four to six hours. >> Yeah. >> Look at this. >> They're lively, aren't they? >> Um >> they're always like this. God, >> you could do with opening the window a little bit and getting a bit of cool air in. >> Yeah. >> Obviously, if you start to feel worse, don't hesitate. Just call us straight back. >> All right. >> As they can't stay to babysit, there's not a lot else the crew can do. >> Right, sweetheart. Take care of yourself. All right. >> Any problems, just call us straight back. Okay, Emily. Take care. >> Bye, ladies and gents. >> Bye. You assess a job twice, don't you? You assess the job in the truck on the first information you get. Yeah. >> And then you reassess it when you walk in and you actually see the patient. >> Those children were lively, weren't they? >> They're just >> And I said to her, "Are they always like this?" And she said, "Yeah, go off." 29° an old whale. [Music] >> What is the difference between a hippo and a Zippo? >> Go on. >> One's quite heavy. The other's a little lighter. >> Do quite like it though. Do quite like it. >> Not as good as the magic tractor, is it? >> The magic tractor >> turned into a field. [Music] in Dudley. Ben Fletcher and Lotty Stubs are in the middle of their shift. >> Oh god, I'm going to sneeze. Or maybe not. Maybe it's a shiver. >> What was that? Was that a sneeze? >> It was going to be a sneeze, but I had a shiver. He just cancelled it out. Strange. >> That was weird. >> Ben and Lotty have been working together for nearly a year. >> Are we going to do something for our anniversary of friendship? >> Oh, we can do. >> Yeah, I think we should. >> What do you reckon? >> I think we should go back to Alton Towers. >> You reckon? >> Yeah. Balloons and everything. [Music] The pair get information through from control about their next patient. >> What we got? >> We got an unknown male adult. >> Mhm. >> And he's outside and he's developed a pain in his leg. >> Oh dear. He's outside. >> Sudden pain and swelling. to the entire leg. >> 999 mode activated. >> On the journey, they find out more about their patient. >> Recently been into hospital for a blood clot in their leg. So, they also have an abscess on their knee. >> Oh, an assignment. >> They've been called to a roadside location where the patient stopped to call for an ambulance. All right, mate. >> What's your name? >> Steven. I'm Ben, mate. That's Ly. >> What's going on, Steven? Co my leg. I just walked in the shop and really pain. >> All the back of your leg. >> Yeah. >> Right. change has come up in the last couple of days. >> Mhm. >> Okay, man. You think we'll be able to ever walk and jump on the back of a truck? Bit more private there. Any >> 27year-old Steven was walking to his local chemist to pick up his prescription when the pain in his leg became unbearable. >> Is it your first clot or you quite prone to him? >> I had one in the upper leg. >> You got one on your leg as well? >> Yeah. >> All right. Bring your bum back there for me. I'll finish up. >> Do you want to swing your legs up? >> So, I missed your history. You did you say you were prone to having DVTs? >> Yeah. >> DVT. Deep vein thrombosis is a blood clot that often develops in the leg. >> How long has it been swollen for? >> It had been this. only swoll up the last couple of hours >> walking around. >> Yeah, I've walked I come out the ice about tonight. >> I sat down for a bit in the just the ambulance checks on you. Okay. Okay. >> Do you have any other medical history? >> I don't know. >> No. >> Been some antibiotics last week. >> What's that for? >> From what? >> You had an abscess or something? Uh just through the swelling in my leg. >> Okay. Are you finished them now though? >> Yeah. Last week you did good. >> Mhm. >> All right. >> Well, then this discomfort that is. >> Steven was in quite a lot of discomfort and his leg was quite swollen and warm to touch. He was still recovering from the previous blood clot which he'd got four weeks ago. The danger with blood clots is part of it can break away and that's called an embism and that can travel back up and go into the heart or the lung or the brain and that's what causes a stroke, heart attack or a pee which is in your lungs. >> How bad's the pain in this leg at the moment? >> About seven out of 10. >> Seven. >> Just throbbing problem as well. >> Quite a bit of swelling around your ankle as well. >> How many DVTs have you had? >> Had one in this leg and then just this leg. >> Have they ever dislodged and gone up? No, they normally caught him in time. All right, then just squeeze past you. DVT is typically seen in people over 40. Steven is only 27. The condition can happen in younger people and often reoccurs after the first onset. >> That's awkward feel as well. Is that right? >> It's quite warm to touch. It's got pitting around quite a Yeah. Okay. >> Have you told your doctor about your leg swelling and what's he said? Has he arranged anything for it? >> I've got another checkup for couple of weeks. I think >> couple of weeks. Did he arrange any sort of district nurses to see you? Any cleone? Nothing like that? >> Uh cl injections every day. >> Steven is already on anti-coagulant medication which will work to break up any potential new clots. Lotty needs to decide if he needs to be taken in or if he can go home to rest. >> The main thing is this pain at the moment. You've got active treatment for your DVT. You've just had a recent course of antibiotics for that absess, but it's not going away. It's probably going to be another set of antibiotics. All your numbers are fine. So, I couldn't see any reason to drag you up the A&E to be honest. I think it'd be a waste of time essentially cuz you've got everything in place already. So my advice would be contact your doctor about that absis. >> Okay. >> As long as you've got your active treatment, you don't suddenly start getting any shortness of breath, any pains in your chest, stuff like that, that's what you need to call an ambulance for. All right. Um especially obviously with this that'll be the concern and then a trip to hospital. >> But for now, you're seeing very well in yourself essentially. >> Um did you say you only live at the bottom of the road? >> Yeah. >> Would you want to lift that back there? >> Yeah. Yeah, we'll do that for you. Save your walking cuz obviously it is very swollen. >> With Lotty and Ben providing an excellent taxi service, they're happy for Steven to go home. With strict instructions to go back to his GP, take care. Take it nice and steady. Um, obviously don't walk too much. >> Okay, mate. Thank you. All right. Nice to meet you. Cheers. [Music] He just walked too far, didn't he, and panicked a little bit? >> Yeah, I think he just needs to get some rest a few days and uh try not to exert himself. He's already been treated for a DVT. So, >> yeah, he just needs to carry on with his medication. Okay. Then if you're a drag queen, what name would you have? >> Oh, what name would you have? What would you call yourself? >> Sheila Blige. >> Sheila Blige. Oh, that's clever. Sheila Blige. That's good. I like that. Mine would be Miss Dyson. >> M. >> I'm not even gonna comment or talk about that any further. >> Yeah. >> Yes. Stand down. >> You never I You would have never worked here when it had the standown message, would you? >> It stand. >> I think it still does sometimes. >> The stand down man is like the the sexy 999 woman. >> Stand down. >> Oh, she's a woman now. >> It used to be a B going stand. But yeah, it is a sexy 991 one, isn't it? >> She knows she's sexy as well. >> Yeah, you press it and she knows the two. >> It's the pause, isn't it? >> 999 mode activated. >> Nice. It's the pause between the 99 mode and the >> It's like the TE's mode. >> Say it. >> 999 mode activated. Ambulance technician Nick Griffiths and paramedic Adam Olock are on route to a category 3 call out in Burton on Trent. A cat 3 call is usually uncomplicated but still needs an urgent response. Their patient lives 30 m from their base in Stoke and they're traveling there on blue lights. bloody sil I can switch off from and it's like I think that's just because of having kids switch off. >> Yeah. >> 22year-old Adam doesn't have any children. Nick has four. >> They youngest is like mom. >> The pair finally arrive at their patient's house. >> I'll go in forwards and then Yeah, it' be easy just back out just watch this tree on the top cuz it's a very low tree there before we start making any scraps. >> Hi you sweet. I'm sorry it's taken us so we've come we've come from stoke. >> They've come to see a 72year-old woman who's fallen and hit her head. Her husband Colin called for help. >> Hi you sweet. >> Hello. >> Oh lovely house you've got. What can we call you? This >> Janet. >> Janet. >> Janet just so happens to live next door to a paramedic, Gary. He's been looking after her till the ambulance arrives. >> She's got up off the toilet and the minute she got up, the next thing she remembers is being on the floor. She's hit a red on the side of the door frame. >> Okay. >> She's complaining of hip pain to the left hip. >> Okay. >> And she is on Warframe. Janet takes blood thinners as she has a known irregular heartbeat. She also has arthritis which affects her mobility and balance. >> What's the last thing you remember then? >> I went to get up and um as I got up I was I felt >> fab. Will do your obs. >> All right then, John. >> Yeah. Okay. Thank you very much. >> All right. Sorry to call you again. No, don't worry about it for the neighbor's f on me. >> Is your vision any different to normal? >> Blurred vision, tunnel vision. >> Oh, you have got quite a bruise, ain't you? Can we take a picture of your bruise with our tablet? >> Is that all right? >> We won't put it on Facebook. Don't worry. >> Janet had had quite a substantial blow to her head which created quite a significant bruise. It turned out she was on a blood thinner which was warining with a head injury. It can increase the risk of bleeding on the brain. Now not all patients on waring banging the red are going to get a bleeding on the brain but obviously it is something to consider. Can I take your glass off? >> Just going to have a little feel around your eye socket. See if we've got any breakages or any any bony tenderness around there. Is that all right? >> Yes. >> No pain there. No pain in your cheeks at all. >> Right. Let's have a little feel of your hips. Is that all right? It right your pain. Is it like here? Is it painful when I press it >> round here? Ah, right. >> So, it's more your sort of back painful when I press there. >> Even though Janet didn't fall from a height, she's obviously come down with some force. Nick needs to know if she lost consciousness at any point. >> Could you remember hitting the door frame >> and could you remember was there any fuzziness? Do you remember sort of hitting the floor >> or did you sort of go out of it for a couple of seconds? >> I can't remember going out. I'm on that me head. >> Okay. >> It was a case of out. >> Yeah. >> The risk is obviously when you've been on thinners, the risk is bleeding. But obviously because you've got a head injury, the risk is I'm not saying you are bleeding, but that's the risk. The only way to know whether Janet has suffered any serious injury is to take her in for a scan. >> You need my hands. You know where I am. All right. Don't go again. Awesome. Anything changes? >> Fall forward onto me. I'm a big I'm a big I'm a big cushion. So you can just bounce off me. All right. Call the ramp forwards. So, see where that crease is? >> Yeah. >> That's where I want your bottom. >> Okay. >> All right. There we go. Right. >> Help you get legs up. >> It's not painful, is it? >> No, it's not. It's okay. >> Do you need anything else? >> No, I should be all right. Cheers. >> Thank you very much, Nikki. >> She's not going anywhere. She's just driving. >> I'm driving. Hold on tight. >> Janet's husband, Colin, will drive separately to the hospital. You got to tell the university to do all this now, don't you? Uh >> I haven't got degree. >> You have? >> I've got I'm just short of a degree. I've got um employment. I will need to top up at some point though cuz I don't want to get left behind. >> Yeah. I haven't been qualified that long. >> Have you? >> No. January I qualified this year. >> Enjoying it? >> Not too long. Love it. Yeah. I love it. >> Just like being back at home, back where back where I'm from. And >> where you from? from Stoke. >> Oh, you are from Stoke. >> So, yeah. So, back at home, back working in the city. I know. Love. >> Yeah. Nothing better. >> It's good if you like your job. >> Yeah. >> Life's too short not to enjoy yourself. >> Oh, years ago, I had to go doctor cuz I was falling asleep everywhere and I was telling everybody I had nepia. My son said to me, he said, "You realize what you're telling people, don't you? They don't want to go broadcasting that to everyone. >> It's not really a good thing to tell people that, you know. >> No, I wouldn't go shouting out on the rooftops. You might get some funny looks. >> My other two sons thought I said there is others tell me [Music] there. >> How was that? >> That was very good. Well done. Here, Janet will need an MRI scan to check that there's no internal bleeding. Doctors will also X-ray her hip to see if it's broken. [Music] I like jobs when it's nice and clearcut. >> It just makes everything a lot more straightforward. >> You've got none of this. Is it? Or could it be? >> Yeah. This is the reason you're going to hospital. This is the guideline. >> Yeah. Let's go. I >> mean, it's just the wrist there with the waring. >> Yeah. [Music] 70-year-old Susan was having a major heart attack when the ambulance got to her. At hospital, she was rushed into surgery to have a stent inserted into her blocked artery. She's now making a good recovery at home and is having regular checkups on her heart. Ambulance crew mates Laura and Carrie were called out to see 94year-old Pat who was complaining of chest pains. They found nothing seriously wrong and diagnosed him with a chest infection which was later treated with antibiotics. Emily, who was trying to look after her young children despite running a very high temperature, was not allergic to her antibiotics. Now her bout of tonsillitis has run its course. She's feeling much better. [Music] Steven called for an ambulance as he was having severe pains in his leg. As he was already on medication for his deep vein thrombosis, he didn't need a trip to hospital. Steven is still having a lot of problems with painful clots and continues to have daily injections to break them up. After falling at her home, 72-year-old Janet had badly bruised her head. At hospital, the MRI scan showed no sign of any bleed on her brain. She's now making a good recovery. [Music] >> I think I've had enough today, you know. >> Come on then. Let's go home. >> Let's go home. [Music]