[Music] Push up. Well done. High five. Sit nice and calm. You in the back of the ambulance. Okay. We're back with the West Midlands Ambulance Service. Clear left. Go, go, go. As the paramedics take us to the heart of the action once more. What's happened there, mate? Listen to me. I know you can hear me. Can't leave you like this, can we? Old friends are back on shift in Dudley. What have you brought to work? That's like the kitchen sink. And new friends return. Brace yourself as we head back to Stoke. 999 mode activated. Here the crews face life and death decisions. Need to spit that out cuz it's going to make you really poorly, isn't it? And deal with adrenalinefueled challenges. Stop. Stop. Bodymounted cameras capture every moment. They tickly toes. showing you what goes on behind closed doors. Just a stupid old woman. You're not a stupid old woman. Did you get it in? Straight in. Was good. This is a paramedic's eye view of life on the road as they battle around 4,000 calls each day. I feel like I'm placed digitally. No, no, no, no. That would be tough. Have you been in an ambulance before? Not today. Not today. You'll be on the front line with them as we take you inside the ambulance. Here we go. Let's go and save the day. [Music] I know who's got the best pair of breasts on station today. Who's that? Me. Beautiful. This push-up bra does immense things for me. You know I'm going to have to uh evidence-based practice that, don't you? [Music] Can you reach the floor? Little bit. Can you reach? You can't reach the floor. I can. Do you want to get you like one of them little steps? Yeah. I need an IKEA step. I was going to say, are they maples? Yeah, looks like it. I mean, it's the wrong time of year for a maple. I was going to say it's a little small for a maple. it and don't say it's my size. I know what you were thinking. How do you do hear the woman in a saying about your hair? No. She's well impressed. Well, she told her you permed it. What did she say to that? She was like, "Oh, right. Why? Why does he do that?" I said, "He loves going to the hairdressers and getting it permed. [Music] It's an early summer's evening and Sam Alexic and Miles Lavity are halfway through a 12-hour shift. 999 road activated. I'm going left on it. Yeah. I would Oh, no. Cuz we're not coming out. I would say go right. That's where the majority of people are. They're one of 45 ambulance crews working in Stoke today. Bye, mate. Did you go the wrong way? No, I think you're all right. Yay. [Music] They're responding to a 111 call to an elderly man suffering breathlessness. Might have a bit of a chest infection. We never really get much info, do we? From triple one. We're not We're not far away at all, are we? [Music] Uh I think it's this road. They'll be on your right hand side. Let's go driveway. [Music] Hello. Hi. Hi. Yeah. All right. Are we here? Out of breath. All right. Okay. 72-year-old David's wife called for help when her husband suddenly collapsed. What's happened? Just got out of breath. Out of breath? Yeah. Were you coming downstairs? Yeah. I'm trying to get up. Okay. What do you suffer with at the moment? Breathlessness. Breathlessness. Let's sit you up a little bit cuz I think that will make your breathing a bit better. I can do if you David has COPD, chronic obstructive pulmonary disease, which causes breathlessness but doesn't explain his sudden collapse. Can you set yourself up? What's stopping you? Cuz you're lying back down, aren't you, at the moment? 40.3. Okay. So, you felt breathless all day and is it just got worse? Just downstairs. Right. That's okay. Your heart's going a bit too fast. You've got a bit of a temperature. So, it looks like you've got a bit of an infection coming. All right, mate. All right. I think best thing to do, get him on and then treat him on there. Cuz I can't treat him here, can we? Yeah. Right. We'll take all this off. We're going to get you into the ambulance. It's all right. Do you think with our help you were able to stand up cuz we've got a chair? Yeah. Okay. Apart from feeling breathless, do you feel unwell in any other way? No. Okay. Right. Let's Let's see if we can get under your arms. I want you to pull yourself forward for me. Pull yourself forward. Keep going. Bring your head forward. And I want you to push up for me. Couple of steps, mate. There's a chair here. What? [Music] Okay. Lean forward. [Music] Pop. Lean forward. Here, bud. I'm trying to lean forward. Right. Watch his step. Keep keep standing up. I think he had a T behind him. All right. Dear me. David was particularly weak when we got there. He was deteriorating quite rapidly in front of us. Became quite apparent to me in saying that potentially he was septic. He had a very high temperature, rapid pulse rate, low blood pressure. He was extremely breathless, was pale and clammy, and he just seemed to be getting worse. Um, so our priority was to get him to hospital, right? Just I need you to stand up for me. Keep your hands where they are. All right. You need to bring your head forward. Have a drink. No, no, no, no. We're going to sort that out for you. Just bring your head forward, mate. I'm just going to roll you. It's quite a s trick in it. Watch his arms. Watch his arms. [Music] We're going to get you onto this bed. Okay. Mhm. I'm going to help you. All right. On three. Ready? Mhm. One, two, three. Push up. Well done. Well done. Can you have a drink? Yeah. Just give us a moment. Right. Right, mate. I'm just going to reattach it to my monitor. What a drink. Just give us a moment. Have you felt sick at all today? No. No. Is this breathlessness come on over today or is it come on all of a sudden? Just all of a sudden. All of a sudden. [Music] Okay. Just there's some water here. Just take little sips. Okay. [Music] I'm just going to have a look at your arm just to see if I can pop a little needle in. All [Music] right. Bring your arm this way. All right, mate. Bit of medicine to help with your breathing. Okay. Sharp scratch. One, two, three. Okay. Get some fluids then. Yeah. Yeah. For now. Does your breathing feel a bit better now? Just a bit. Yeah. Good. With David's breathing improving, the crew want to get his fluids up and his temperature down as quickly as possible. Let's pop this on your arm, mate. It's just a little bit of paracetamol that I'm going to pop through your vein. All right. Right. Relax that arm for me. As they set off, Sam calls ahead to alert the hospital. Hello. I've got u a patient that's ticking our red flag sepsis. Um he is a 72year-old male. David um has had an acute onset of breathlessness this afternoon. Um we've popped him on a neb um sal um 6 L. Um just complaining that he's very dry in his mouth. Sepsis is life-threatening. Crews receive critical training in identifying the symptoms and getting them treated. Can you choose? Yes, of course you can. Patients should have antibiotics within an hour of diagnosis. Okay. I'll do fine then. Good. Thank you. Do you feel a bit better now? Do you feel less breathless? a bit. Good. You feeling well still? Not as bad as it was before. Good. That's what we meant to do cuz it looks like you've got an infection that's got quite bad at the moment and we have to give you some medication just to help you along the way. All right. So, we'll get you to the hospital. They'll be able to give you some antibiotics. Right. What I'm going to do, I'm just going to pop this over you for a moment cuz I don't want you to scare all the ladies. All right, let's go for that. Just pop this over here. In A and E, David will be tested for sepsis immediately. If he does have it, the life-threatening spread of infection will need urgent treatment. [Music] I just shut the doors. [Music] He was really septic when I first got there, wasn't he? Yeah. Well, to be fair, I didn't think he was going to be um I didn't think it'd be that call cuz it came through 111, didn't it? Yeah. So, you know, when I saw him trying to get up and then him I was like, "Oh, no. He's really not well." I suppose that's why it's like a silent killer, isn't it? Seis, but he looked a lot better by the time. And I think those jobs make you feel like, you know, you're actually making a difference. Yeah, you're actually making a difference. That's what that's why we're in this job really. [Music] I never am going past an ambulance. I know it's never right. Did you see who it was? No, I don't pay attention. I think we're quite happy. I always do a wave like that. That's I almost do a wave. Who's that? Austin. Austin. Yeah, I thought so. Austin Powers. Lost giving in the metal ones. [Music] It's all the emergency services. We all Yeah, we all wave each other. Yeah, it's nice. It is nice. One big family. We all work together. Yep. Got each other's back. Yeah. In Dudley, paramedic Steph Jay and student paramedic Stacy Hail have just finished one job and are on their way to another. Oh, now I've got a cup of tea. I'm a lot happier. I got my hot chocolate. I'm happy as well. Steph has worked for the West Midlands Ambulance Service for 4 years. In her spare time, she volunteers as a girl guide leader. I love it. Like cream and marshmallows. That is simple things in life that make us happy, isn't it? Food and hot drinks. Stacy was inspired to join the service by her parents. Her mom's a midwife and her dad is a paramedic. Oh, change of job. Back the other way. Rest [Music] from seven. This a 22y old female. She's coming around following a bit of Yeah, thank you. You're my boss. Seizures can be extremely serious and require urgent medical attention. Right. See what Charlotte's been doing. Where we going? Okay. Thank you. Hello. 22year-old Charlotte is with her sister Megan and mom Michelle. She's been in hospital in two days, right? Just four seizures. Okay. One after another. Yeah. Have you ever had a fit before? She hasn't. On Wednesday they started having them. They let me out today and I came home and I started to vomit and I had another three. Yeah. So they took me back again, come home and I've vomited three times again and just four sees just in a How are you feeling in yourself, Charlotte? I'm exhausted. I'm not I'm just weak. Yeah. Okay. Can I take your And what do these seizures look? Is it okay? Violent shaking all over. Yeah. My Okay. Okay. So, you came home today and then back again today and then home again. Yeah. Right. Okay. Well, unfortunately, sweetheart, I think we're going to have to go back again cuz this isn't right, is it? We can't leave you here. Said that everything was okay on my blood test and everything. Yeah. Which is all very well and good. The problem with seizures though is if if you breath hold during them, which is really quite common, it can can give you kind of problems with damage to your brain. And I need to work out and find out why these episodes are happening. Are you particularly stressed or anxious at the moment? Going back to uni in two weeks. Okay. Are you particularly worked up about that? No, I'm No. Excited. Looking forward to getting out of here. Oh, wow. Okay. It's good, isn't it? Exciting. Now, with any of these fits that you've had, have you had a kind of warning that they're coming? No, not really. No kind of strange taste, odd smells, sense of deja vu, nothing like that? No. No. Okay. Are you fit and healthy apart from this? I had any thorax. Had a TIA two weeks ago. Oh gosh. So, got quite a lot going on, haven't you? Have they said what's caused the TIA? No, they're just so much stress cuz they couldn't find it. Cuz they couldn't put it down to anything else. A TIA or mini stroke is a temporary blockage of blood to the brain. It's thought stress can increase the risk, but even so, Charlotte is very young to have had one. And the normal thorax, what was happening when that was caused? I just thought I had stitch. I had it for about 3 weeks. Yeah. Um, I went to my GP and he did my assets and everything and it was 65% on air. So, he was quite worried. Then they did an ultrasound and found a hole in my lung on my right side. Mhm. The Charlotte had so many problems. It's quite difficult to pinpoint exactly what was going on with her. It's quite unusual for somebody so young to have that many different symptoms. We knew that something wasn't right. It wasn't normal for her to have all these episodes. I was quite concerned for SH that it actually might be um the onset of epilepsy for her. Are we diagnosed epileptic yet or they just thinking it might be? That's the only thing they're saying that they can put it down to is epilepsy. Although epilepsy most commonly starts in childhood, it can develop at any age. It's not right, is it? What's going on isn't right at all. Sometimes you haven't been right for quite a few months really. If you do you feel yourself or just rubbish? Rubbish. Before going to hospital, Steph wants to check Charlotte's earlier episode has fully subsided. Grab my hands. Squeeze them. Get angry. Really try and hurt me. Go on, squeeze them. Is that as much? Okay, that's fine. She's going to feel that. Yeah. Same on both sides. It's more on this side. More on this side. How about that one? That's the same. There's more on this side. More on this side. Okay. Can you hear that? Yeah. Which side is it? This side. I can't hear anything. This side. Okay. Have you normally got any hearing problems? No. Good. Sorry. Oh, fantastic. Okay. There's more coming out about you all the time, isn't there? How does your hearing sound? It sound like you're underwater. Yeah, it's not doesn't sound right. Any pain in your ear? Yeah, in both of them when I have especially when I have my headache. So, your headache, you've had to give it a number out of 10. So, zero is nothing. 10's the worst pain ever. It's 10. It's a 10. You had anything with paracetamol in since 4:00? No. Now, it depends on how the sickness is. Do you think you'll be able to keep them down or do you want me to pop them straight into a vein? I think we might have to do it. Pop it straight into a vein. You want to get in there or do you want to I'll do it in there. Do it in the truck. You're pushing your leg, [Music] sweet. Okay. Just one little movement then on to the bed. All right. And that's all we need you to do. [Music] Oh, it's not. It's just the packaging that makes them look big. You're not a fan of needles. No. Look away then. This This is a little baby one. It's fine. Yeah. Tiny little baby one. Did you get it in straight in? I told you was good. Okay. This is just the paracetam. All right. See you in a bit. So, how long you been at uni for? 3 years. 3 years. Enjoying it. Nice to be away from home and get bit of a break. Do something you enjoy. Yeah. [Music] The hospital is nearby and they're there within 8 minutes. [Music] Right, let's go and get you sorted. Well, hopefully sorted. So, I can't promise anything. Right. This will be Charlotte's third visit in 24 hours. [Music] So much going on for 22 year old. My house are putting it down to stress, but seems strange and that she's been at home on some summer leave. He's looking forward to going back to uni, so she's not particularly anxious or worked up about it. Hopefully they can figure it out. Yeah. [Music] Can we get the air con on? I'm having I'm sorry. Bloody hell. Right, hang on. They are. Oh, is that better, madam? Yes. Hand me. Hand you down. I'm proper hot. I know. I can't resist you. Not like that, darling. Oh, the white van stopped. But is that just cuz the lights have changed? Probably. We now got helpful windmill plugging us through. Just in case you weren't sure you could go at that. I know. Yeah, I was going to go anyway, mate. But thanks for helping. [Music] I'm freezing. Are you in? I'm cold, but I have a cold because of you. Welcome to working with me. Oh, I'm going to bring a hot water bottle [Music] tomorrow. On shift together in Stoke are husband and wife Kev and Anne Armstrong. Are you trying to say that I'm bossy? won't dream of it. I'm not bossy. I'm just the girl that knows what she wants. The couple met 15 years ago, working for the West Midlands Ambulance Service as regular crew mates. We were like best friends really to start off with and then worked well together as well. We did still do dynamic occasionally. All [Music] right, got a job. Homeless patient attacked. Where? 674. Can you go to C the cinema, please? There's a homeless mail there. He's been assaulty with a metal bar. Just ask the police now. Do we think the asalants the attack has gone? The attack earlier like during the night. Um I don't if he just turned up there or or what? Yeah, that we'll have a look. You have reached your destination. Right. See anybody? Do we think? Hello. You rang for an ambulance, mate. What's your name, mate? Paul. Paul. My name's Kev. Nice to meet you. What's the matter, Paul? What's happened? Well, basically, I was asleep last night. Yeah. And got woke up at 2:00 in the morning to some guy who I don't even know a little my leg there. Right. Okay. And I thought it might die down. Okay. Thought it's just got worse and worse. More. Yeah. I've literally just had to struggle getting up to Yeah. What might be best? Cuz we're we're in a public place at the moment. Do you want to have a look up have a look on you in the back of the ambulance? Um, were you waiting for something? I was just waiting for some. Are we? Yeah. Have you ordered it and paid for it? No, they didn't. Paul has been sleeping rough and is keen to wait for his sandwich. So this happened last night, didn't it? Yeah, I was asleep and everybody. Yeah, behind the p I remember is some nice memory with a big square tube. How have you been since then? I've been fine. I've just been in pain. Have you? How have you managed to get here? Hobble with a stick. Have you? Okay. I went to McDonald's last night and I sent for just a cup of ice. Yeah. You got some mac. I put some ice in there and put that on straight. Sandwich. There you go. There's your sandwich. Can you stand on it at all? I can put so much weight on it. Yeah. You think you're going to You think you're going to manage out to the ambulance? Oh, yeah. I'll walk from down here. Yeah. Yeah. You sure? Yeah. Get your chair if you want. No. In the privacy of the ambulance, Kev and Anne can properly examine Paul's injuries. Right, just pop them down. Let's have a quick look at your leg. Bit of a bruise there, ain't it? It was It was black, was it? When I checked it as soon as you done it, right? Okay. Where's Where's the worst pain in your worst pain without touching it? Yeah. Sort of. Right there in the middle. Yeah. Okay. Just twist around and just stand straight on to me. Tender, isn't it? That there. There was where the worst pain was there. Yeah. Where when you were there? Okay. Any pain on the front? Yeah. Yeah. Okay. A lot of bruise on there. I don't know whether or not you've done any damage to it. Right. Pop your trousers back up for me. It's a little bit of swelling. Have a sit on that bed for me. Paul is 33 and originally from Dudley. He moved the 40 miles up to Stoke for a job on a dairy farm. So you came over work on a farm. Is that right? Yeah. And what's happened? How come you got no fixed to bone at the moment? Well, basically the job was that bad that we was it was costing us 16p a liter to make the milk, right? And the dairy was only charging 30 cent. Okay. So it was one of them. So the firm went bump. Did it? Well, no. Or they just couldn't afford employee people. They just couldn't afford to keep outside help on. So what when was that then? When did you stop doing that? Um 9 10 months ago. 10 month ago. Have you been sleeping rough since? Yeah. Are you happy to go to the hospital, Paul? Yeah, if you need me. Yeah, I think you need it looking at. Although you've been walking on it, you've been wait by even hardly. It is swollen. I don't know whether or not you've actually done any damage to the bone itself. The crew want to take Paul in for X-rays, but he's worried about his belongings. Can you just ask him Costa? Yeah. whether they'll be okay watching and dragging stuff. I don't know if they will. Do you want something? Is there anything that you want to get? Yeah. Something be missing. [Music] Yeah. Stuff is he got your stuff here, Paul. All right. Do you want this? No. Do you prefer sleeping rough at the moment or would you rather be in somewhere? I'd rather be in somewhere. Yeah. Or cuz some people actively choose, don't they? Cuz you know there's if if it come to either going into one of these hosts Yeah. or sleeping rough. I choose sleeping rough. Would you? Yeah. Cuz that way I could stay away from all the drugs while going on. You find that a big problem when you go in a lot of these homes and hostels? Yeah. Is it? There's more there's more drugies in there than there is on the streets. Yeah. But if I if I could get in somewhere which was stable Yeah. And I had me own room where I could go and get away from stuff. And then that's what you'd want. Yeah. Yeah. For Paul, homelessness has become a vicious circle. You tried to do any laboring around here since you've stopped working at the farm. You not been able to find anything? I've been trying to get bit, but I can't seem to find anything or if I do find someone, the road take me on cuz of the situation. I'll start with you being homeless. At the hospital, Kevin and Anne deliver Paul with his possessions to A and D. You got your bag here. All your stuff, right? Think you're going to manage down the ramp? Yeah. Do you want help with anything? Do you want me to hold your cup or anything? No, no, you're all right. Seems such a nice guy. Nearly nice guy. He was a nice guy. It's just uncertain how he ended up where where he was. He did say he's been in hostels and that, but he finds that there's that much drug taking and that much alcohol in the host that he doesn't like it there. That's very sad. A shame. Hopefully, he'll get some help while he's here. I explained to the to the nurse and staff the situation he's in. Um to see shame [Music] just ahead. Keep left. Dad used to have Aussie Osborne. Turn right. Mine's the um traditional American accent. and 500 yards at the roundabout. Take their second exit. Is that your American accent? Oh my god, it's so whiny. At the next junction to do, go straight ahead, please. Oh, that was Please. Please. I see. I wouldn't be as polite. All right. At the next junction. Straight on. Like now. Like. Yeah. Where you going? I don't know. I've gone the wrong way. I said straight on. Your mate used to have Jeremy Clarkson. You know, he'd be like really saky about it going in 9 miles turn right. If you can make it that [Laughter] [Music] far. It's Monday afternoon and in Stoke Sam Alexic is back on shift. This time with his older sister Hannah. Hello. What are you doing? I'm sorting myself out. They've been called to an address a few minutes drive away to attend a very elderly patient. It's independent living, is it? It's not a care place. She's doing well if she's 104. Independent living. Let go. Let go. Let go. [Music] She might be the oldest lady I've ever met. 104. On route, they receive more information. UTI, chest infection, hallucinating, worsening symptoms. So maybe she's already on antibiotics and maybe she's like hitting the markers for sepsis. Although it doesn't say sepsis, it normally says it's just hallucination. It's probably not safe to be at home, is she? If she's hallucinating, I think I'd be hallucinating at 104. [Music] One of the patients carers has been looking out for the crew. Thank you. So, who's this lovely lady? We're going to Nancy. Nancy. Yeah. Nancy has been living here for 12 years. She has two regular carers, Carla and Tina. Hello, Nancy. Hello. My name's Hannah. And this is Sam as well. Hello, Nancy. My name's Sam. Nice to meet you. How are you feeling? Are you feeling okay? Pardon? 104. You're 104. You're never 104. I've got 14 grandchildren. 14? Never. You're never 104. You'll be five. Oh, when's that? Be July. July. No. Never had an injection. Never had an injection. And how long did she live to? So you nearly beat her. Me husband. Your husband. Oh, and you're mine. Nancy, I'm just going to do your blood pressure. Is that okay? Just pull your arm out for me, sweetheart. I was me. Oh, were you? Oh, they do. Oh, well, they do some good work, don't they? Although Nancy seems in good health and good spirits, the crew want to know what's causing the carers to be concerned today. So, since yesterday, uh, hallucinating, quite confused. She's been wondering as well, hasn't she? Um, we we're not diagnosed with a urine infection at the moment cuz we haven't had any dips done. Last time there was confusion, we had that done, which was probably about two weeks ago, but that came back clear. On Friday, she started a new new medication from results from a blood test. Um reduced kidney function. Uh that's what the blood test came back as. But I think the doctor just thinks on the safe side this time to take her in. So Nancy was a really incredible woman. Um quite privileged to meet her. Um for a 104 year old uh it's pretty amazing that she was in a care assisted flat and she seemed really happy where she was. Uh when we arrived she was didn't actually seem that poorly but the confusion was the concern for the carers and also the doctor and with the confusion she could be at danger to herself. So uh the best place for was to take us to the hospital. N you want me to do your cup of tea? Yeah. Yeah. How do you like your teeth? Very nice. Very nice. They're all very nice here. Oh, good. Nancy, I had a card from the queen. You had a card from the queen? And you got another one. Oh my life. While NY's tea is brewing, Hannah wants to check her over. Lovely. Nancy, can I do a blood test in your thumb? Yeah. Pass me your finger, sweet pea. A that squirt you up, didn't it? It did squirt up a bit. You got lots left. Nancy, can I take one of your hearing aids out? Two. Two. Can I take one? Yes. You're amazing. You are. You have my goodies, dear. Your best, dear. Oh, that one. 374. That's fine. Want to put it back before I lose it. You're a very good too. Nancy, this lady's made you a nice cup of tea. You have a brew, Nance. Have a brew. Nice brew. Have your cup of tea. They got You're going for a checkup, Nancy? No. It's a nice home. Good. You all right, Flowey? I'm okay. I am. I'm having a nice rest sitting here. Oh, yeah. Yeah. Nancy, should we go see if there's any nice doctors at the hospital for you? Oh, yes. Very nice. A nice one. Punch the money. Punch your money. Once Nancy has finished her cup of tea, the crew take her out to the ambulance. Nancy, we're going to go backwards now. Okay. Okay. You ready? One, two, three. Big stand up for me, Nancy. That's it. Fantastic. Right. You hold on to me. Oh, I've got you. I've got you. That's it. Are we dancing? Are you comfy? Yeah. Good. Feeling them in. All right, Nancy, do you know what's happening? Yeah. We're going to the hospital for some checks. The doctor's going to have a look at you. We see if it's a nice doctor. Yeah. [Music] [Applause] Nice. Really? Nearly. It's fast, isn't it? Shall I tell him off for driving too fast? Yeah. Yeah, I would. What's the secret to living 204, Nancy? Any secrets? No, just teach people as they treat you. Yeah. Did I say that you be nice to them? Is that what you've done? You get paid back along the road. A you're a good egg. Hello. Oh, it's him again. Was his driving all right or not? Yeah, it's all right. Would you give me 10 out of 10? 10 odd friends. He's my brother. I'm mine and your brother. So, we made two friends. Are we friends? A You're my favorite today. Oh, this bed. This bed isn't my favorite, I tell you. [Music] She was one of my favorite patients ever, ever, ever. She was lovely, wasn't she? Nancy is my oldest patient I've ever been. And my oldest patient ever. 104. What year was Nancy born then? I don't know. 104 years ago. I don't know. She's gone through a world wars. Like there was no computers or technology or anything when she was born. She might not have even had electricity. That's amazing. But yeah, she's so [Music] nice. David, who has COPD and was having difficulty breathing, stayed in hospital for 2 days. He was diagnosed with pneumonia and put on a course of antibiotics. He's had no further incidents [Music] since. 22-year-old Charlotte had 13 seizures in 24 hours. She stayed under investigation in hospital for 2 weeks and was given a confirmed diagnosis of epilepsy. She's now back at university triing different medications to try and control her ongoing [Music] seizures. Paul, who was homeless and had been assaulted while sleeping rough, would have been x-rayed in hospital and identified on file as NFA, no fixed abode. In cases like Paul's, the hospital offers a referral to social services. It's up to the patient whether they follow it up. Exactly what happened to Paul is unknown, but so far he's not been picked up by the crew. Again, Nancy was diagnosed with a urinary infection, which is likely to be what caused her confusion. It cleared up after a course of antibiotics, and she was soon back at home, where she's looking forward to her next card from the Queen. [Music] Thank you for traveling with West Midlands Ambulance Service. Your hostess with mostess has been Ash and your flight attendant has been Lee. [Music] Push up. Well done. High five. Sit nice and calm. You in the back of the ambulance. Okay. We're back with the West Midlands Ambulance Service. Clear left. Go, go, go. As the paramedics take us to the heart of the action once more. What's happening, mate? Listen to me. I know you can hear me. Can't leave you like this, can we? Old friends are back on shift in Dudley. What have you brought to work? That's like the kitchen sink. And new friends return. Brace yourself as we head back to Stoke. 999 mode activated. Here the crews face life and death decisions. You need to spit that out cuz it's going to make you really poorly, isn't it? And deal with adrenalinefueled challenges. Stop. Stop. Body mounted cameras capture every moment. They tickly toes. Showing you what goes on behind closed doors. Just a stupid old woman. You're not a stupid old woman. Get it in. Straight in. I told my jaw was good. This is a paramedic's eye view of life on the road as they battle around 4,000 calls each day. I feel like I'm placed digitally. No, no, no, no, no. That would be dafted. Have you been in an ambulance before? Not today. Not today. You'll be on the front line with them as we take you inside the ambulance. Here we go. It's going to save the day. [Music] [Music] Okay. Samuel. Does your mom call you Samuel? Only on Sundays. Only on Sundays. Yeah. Okay. Do we not make those noises when we're together? Are you actually quite scaring me? [Laughter] Keep your hands too. You do enjoy it if you were a man. If I was a man. [Music] What made you get the beard then? Left the raft and thought that's it. I've been shaved every day for however many years. I'm going to stop and this happened. No, you won't get rid of it. I bet. No, I'm too attached to it now. It's going to struggle through the summer. I reckon once we get to winter, it's gonna be a nice little sort of face warmer. Come on. By the time it gets to winter, you'll be able to wrap around going [Music] in Stoke on Trent. Sam Alexic and Carla Gilbert are on their way to an emergency call out. So, what have we got? Sorry. It's a full but weary stroke. full. Um, but he's lost power in arms and legs. So, we'll see what he's like cuz he's quite young, isn't he? Carla used to work as a prison officer before deciding to train as an ambulance technician. That's an apple really, isn't he? That's disappointing. An apple a day keeps the doctor away. Sam always wanted to be a paramedic. In his spare time, he likes to perform in musical theater. An apple away. The doctor away. [Music] Hello. Ambulance. The patient is 61year-old Chris. His wife Janice called 999 when she found him collapsed on the floor. Oh, what's been going on then, Chris? I've got spinal cord in two places. Crushing. Right. What's happened today then? How have you ended up on the floor? Made a drink there. Yeah. You didn't get fab. I can feel pins and needles where in your neck. Right. down both arms. I try to grab the chair. Next thing I couldn't feel a body thing. You can't feel me at all here. A bit. Yeah, cuz I've had a stroke and it's affected that side. Can you wiggle your toes at all? No. Can you squeeze my hands? Okay. And you remember everything? You weren't knocked out or anything? No. It happens that quick and I can't do nothing. Okay. Chris is waiting for an operation to release the pressure on his spine. Sam needs to get him off the floor, but given his condition, he and Carla can't do it alone. I'll go ahead. Yeah, just wondering if we got um another crew available uh for help with extrication. This patient has um problems with his spine and he's lost full sensation to his lower limbs. Um, so we want to move him uh with care and I'm just wondering if he's got any other hands. He says that he's afraid that if he keeps having falls, he's going to be paralyzed then from the neck down. Yeah, I just feel a prat. Why have to break you out for the But the thing is this is what we're exactly what we're here for. Chris had suffered a stroke in the past. So it was possible that he was having another at the time. He was also living with a degenerative spinal condition which could cause him to collapse quite suddenly due to the pain. But each time he collapsed, he could be doing more damage to his spine. We wanted to move him uh very gently, not so not to worsen his condition. [Music] The second crew arrived to help move Chris. He'll need to be immobilized first as any damage to the spinal cord in the neck could be life-changing, if not fatal. I just want you to keep your eyes straight forward. All right. We're just going to move your arm up a little bit. I just feel idiot for you. Where's that hurt you mate? Is that your neck? Yeah. Your neck? Yeah. Okay. Just keep that nice and still then. It's not pinching you, is it? No. No. Try that. You ready? Yeah. Come on. The two crews work together to move Chris safely to the ambulance. I'll come around. Okay, buddy. [Music] Oh, yeah. Are you comfortable enough there? Yeah. Thank you very much for that, guys. Bye-bye. [Music] Chris, a former factory machine operator, has recently had heart surgery. His upcoming spinal operation is clearly playing on his mind. You're under the surgeon. He's told us there's a strong possibility that I could die on the table. Is that why I should be having surgery? Yeah, you dab and if you do, you dab if you don't. And if you don't, um, you do have a bad one, then you'll be paralyzed from the neck down. Do you think it'll obviously help your quality of life? Chris's wife of 41 years, Janice, is going with them. She herself has a degenerative eye disease and was recently registered as blind. You all right then, my darling? Yeah, I'm fine. I'll take it nice and steady. Okay. If there's any problems, you just shout through. All right. Stand well clear. Vehicle subversive. [Music] You all right, Doc? Getting fed up with it all. Yeah, I know. Okay. How are you feeling there? Fed up. Not surprised. So, have they said like how long it could be before this surgery or a bit not looking forward to it all the time, you know? No, cuz it's quite It is scary, isn't it? It's a big It's a big thing. It's frightening. Case the next one. It can't do nothing for me then. Yeah. I've had the heart attacks, had stances, had me corateed arts done. So, you've had your stances since your stroke? Yeah, this has all been within 12 months. Yeah, that's a lot more. That's a lot for anybody. Never mind within such a short space as well. Thank you. Have to make life a bit easier. Yeah, Chris was awaiting um a serious operation on his spine. The operation in itself is very risky. Because of his cardiac history and a history of stroke, that means that he's even more likely to experience complications. So, the decision was down to him and his wife as to whether it was worth the risk. [Music] We're here now anyway, so more bumpy driving. Kido, are you all right? Just step off for me first. I will. Right, we're going to move you. We'll be as smooth as we can, but there will be a coupler just to warn you. Okay. The doctors are waiting to assess whether any further damage has been done to Chris's spine in today's fall. [Music] So, what did you think of the last job? It was quite interesting, wasn't it? Yeah, it was quite interesting. Scary surgery though. He's like such high risk for surgery. God, you know, imagine making that decision. Do you live the way you are at the moment and just kind of risk ending up paralyzed from the neck down? Yeah. Or do you have the surgery and potentially lose your life? I don't think I could decide. And also with his wife, so it must be difficult for her as well. Well, I just hope they they get themselves sorted. Yeah, it's a Sunday night. What we got, bro? In Dudley, ambulance crew mates Ash Bolas and Craig Baker have been on shift since 11:00 this morning. got a new job. Okay. Uh we're going to a category 3 12-y old male. Um he's been a victim of robbery, head injury, facial injury, back injury, vomited. The police are in attendance. 12 years old, victim of robbery. The pair arrive and get a quick update from the police. We've got a 12y old. He's uh he's been at the fair, had a bit of altercation with two older kids that go to the different school. Yeah. They punched him to the ground. He's hurt his back a little bit, but he's got a little bit of swelling in his eye, but he's been six since he's come home. So, I thought best give you a quick Yeah. 12year-old Kean is at home with his mom and a second police officer. The crew's body mounted cameras capture Kean's recollection of what happened. Can I ask you a favor, mate? Can you just put your feet over? Am I okay to just do a few obs on you? Check your blood pressure and stuff like that. Is that all right? You have your arm, fella. Have you got Is this from tonight? Is it this bruising? That was ago and that was today. Today. Have a look at the other arm. Oh, Chinese ribs. I'll do you've had a bit of a fight down at the park. Where have you been hit? That's the main thing. So, we can have a look. All my head. All your head. And um my side of my face, my jaw. Was you knocked out at any point? No, not that I know. Okay. Okay. So, you remember everything that happened? No drilling was going through me. And my mate said I looked like I was about to pass out, but I'm not sure if I did. Okay. Keep your nice and still. Got no pain in your neck where I'm pressing. No. Got nothing there? No. In the middle of my spine, I have pushed down onto the curve. All right. Any pain there? Yeah. A bit of a lump. Okay. Duck egg we call them, don't do we? Hey, you got a duck egg. A duck egg. Oh, is that a dudly thing? Duck egg on the top of your cup. Okay. Okay. Have you had any sort of cal paracetimal, cowpole, anything like that? Yeah. How many times have you been sick? About nine times. Nine times. A common side effect of a head injury is that you can vomit. However, it is more common within children. There are some occasions where vomiting can actually be a sign of brain damage. Because Ken had been involved in quite a nasty fight, sustaining some nasty injuries, we were quite concerned that he'd vomited nine times and was displaying signs of a head injury. Okay. For with everything that's happened, okay, it is going to be a trip to hospital. Well, because of where that injury is, obviously there's a sensitive area just to the side of the head there, right? And if you get punched there, it's sensitive, right? That can cause problems with your balance, with nausea and everything like that. But you've also got Oh, no. It was really hard to see at one point. I couldn't see. And that's the thing about half an hour. Yeah, we can't rule everything out. So, it is going to be a trip to hospital. Kean's 7-year-old brother, Rio, has come downstairs to see how he is. Oh, hello. Somebody's camouflage has come in the room. You know, you know, cuz we started to torture him with a statement. We've got the hospital and we'll continue that at the hospital. All right. Cuz we won't hold up what's going to happen to you. So, you'll probably see us up there in a minute. So, we'll just follow these guys up. I think mom's going to get changed and go with you. The only way to know for sure how serious Kian's injuries are is to get a scan at hospital. What's your name, Mom? Crystal. Crystal, if you pop yourself on there and pop your seat belt on for me, please. [Music] Keon. Yes. Pop yourself on there. Pop your seat belt on, mate. Okay, there you go, mate. Complimentary home rest. Thank you. Make the most of it. The the tea trolley will be down. Yeah. Uh in emergency, exit is there and there. Okay. He's in the wrong job. He is. He's in the wrong job. Oh dear. [Music] So, this means you get a day off school tomorrow, doesn't it? or a couple of days. Is it football or tomorrow? I'm not sure. You won't you won't be doing that. Badminton. What happened to the days of football rugby and that was it? Change. Is it all jet? I had last year I had rugby and football. Yeah. And then after we changed it to badinton and tennis. No, I've got bad mint and what else is basketball? Oh, is there So, do you know the people that attacked you or were they completely now? Okay. Go to the same school or Oh, is this like rivals? There was a fight at my school on the field and apparently I got stabbed accord but there was a person who got stabbed in his face got slashed. I think it's all bad. Oh my lord. And how old are these people? I'm not sure. All I know is one was 14. It's a scary world now, isn't it? The good thing is is that you've rung the Did you ring the police yourself? That's the That's the thing that you need to do. I can't stress it enough. As soon as anything soon as anything happens tried to get his phone out his dad and smashed his phone as soon as he came home said the police said yeah yeah you know you made a lot of people proud of you tonight because it's a big thing ringing the police daddy told you that it's massive what happens if it continues it's not on it's not right so it needs to be addressed at hospital pediatricians will check Kian's injury is thoroughly arrive mode activated. I've lowered it down a bit. You all right with a step? Yeah. You right walking or do you want a chair? Do you want to drama it up? No. Come on then. He can then finish giving his statement to the police. [Music] He was telling me in the back on the way in there was a there was a fight at school. M somebody's then took a blade or an article and and like started slashing somebody's face. Okay. And that was like 12 13 year old like so it's basically escalated from a little bit of a set to a bit of a scuffle. Like when we were at school the dinner ladies or the riot squad as we called them um they break everything up and everyone you know one person be outside the headm's office, one person being in the classroom like locked away. Um but yeah, like it's shocking [Music] really. This job isn't good for for eating. Well, it's chocolate and it's junk food. I'm on this new diet though. This ketone diet. I can't have sugar. What diet? Keto fat burning diet. Whatever. Apart from the sandwich shop. Is there you in your tummy? I know. All you think about have food. I've only had one breakfast today. Leave me alone. Breakfast. [Music] Student paramedic Harley Mosley and paramedic Stuart Ays have just started their shift. Right, we're going to go to a female Rich Richardson's Hall unconscious VP asthma allergic to aspirin. 39year-old Harley was in the army for 12 years before she began her paramedic training. I've never been to a hall before. I've never been to something something hall now. 30-year-old Stuart has just become a dad for the first time. Richardson Hall sounds quite posh, doesn't it? He's been a paramedic for 2 years. Yeah, we've been to Russell's Hall, but that's sort of not the same, is it? Right. Where is this addressing? Yeah. On arrival, they're met by Ian, who made the 999 call. Morning. Come on. We got an 81y old. Let's go in. Let's go. Let's go in. Let's go in. Let's do all this inside. Who are you anyway? My name's Ian. I run the swimming world group here. Okay. Morning. Hello. Hello, my darling. What's your name? Pat. All right, Pat. Can I just check your pulse? I'm Harley. This is St. All right. If you just rest your arm down for What's happened this morning? I take my book as normal. Okay. I came out and I just felt myself going. Okay. How long have you been on those for? Years. Yeah. So that's not they haven't up the dosage or anything recently. They've not changed. Changed it. Okay. When have they changed? A few months ago. I've got an appointment tomorrow for the doctor in any case. Pat, can I put this on your arm? Steve, blood pressure, sweet. Have you eaten today? Yes. You have Pat goes to Slimming World every week and is usually accompanied by her husband, Jeff. Hello. Oh, this happened a few times then. What? What does the doctor think it's for? The pressure drops. Just the blood pressure. First time we went to get the flight out, haven't we? 60 years ago. Is it a very rare thing that he takes you out? I was going to say I could have told you something, but it was 60 odd years ago. So maybe not. Sharp scratch, darling. It was quite hard to know what was going on with Pat um cuz she was presenting quite well and all her observations and everything were quite normal. Due to Pat's fainting episode earlier on in the day, we had to carry on with our test just to make sure that there were no other health complications. I've been on antibiotics this week. 6.4. So that's what you've got a water infection. Okay, that might explain why. It could be that. It could be. Yeah, I might have just put everything else out of sink a little bit. Pat, how are you feeling at the moment? All right now. Do you feel back to your normal self or you slightly? No, I'm back. Okay. Everything else is looking fine, sweetie. So, your heart rate and your oxygen, it's it's all looking really good. I'm sorry. We've called you for uh No, no, no. Listen, no, it's fine. If she's had a funny turn, then we need to definitely check her over. So, have you been a a member before, Slim World? Well, years ago, as you can tell, I did, to be fair, I struggle with with eating. I have to hide my food from him when we in the truck cuz he'd be eating mine as well. I was a member for about 6 months. I lost two and a half stone the last time. It just falls off me when I when I do, but it's just it's just keeping to it. It's the willpower, I think. But, uh, I'm determined this time. So, [Music] After a short rest, Pat's blood pressure has stabilized. The crew are happy that Jeff can take her home. There we go. That's all right, sweetie. That's fine. Pleasure meeting you. Armed with some lastm minute advice, Jeff. Yeah. Pat likes flowers. Yeah. Okay. And flowers will make her feel a lot better. That's my recommendation. Flowers and chocolate. I like vodka. Oh dear. I like gin. Listen, any other problems, you can always ring us back and obviously you say you've got your GP tomorrow. I wish you all the best. Okay. All right, Pat, take care. I've told Jeff to get you some flowers. Thank you. She was quite nice earlier, wasn't she? Pat. Pat. Yeah, Pat was really nice, wasn't she? M I like old people. You like old people? I like old people. They've always got a story, aren't they? To tell and they're just I don't know. They're just pleasant. Well, most of them. Yeah. No, most of them are. [Music] [Music] It's early afternoon in Dudley. Paramedic Rob Bates and technician Carrie Richards have been on shift since lunchtime. They've just got information through about their next patient. She's been She's 27. [Music] [Applause] [Music] Thank you, Mr. AA. Man, 27 is young to be having chest pains. Control sends the pair more information. Rapid facial throat, tongue, swelling, chest pain. This very much sound like an allergic reaction, isn't it? Just after lunchtime, so it could be food related. [Music] I'm literally around the corner now. [Music] The crew will need to figure out quickly whether or not their patient has had an allergic reaction as this can be very serious. Hello. How are we? You're all right. How you doing? Okay. How you doing? What's our lady's name? Rajinda. Raj Vinda. Raj Vinda is at her father's house. He's looking after her along with her brother and his wife. Hello Raj Vinda. What's happening? I don't know. I just and my arm is shaking now and my heart is beating pain. Where is the pain? Pain there around here. When did it start? A human feeling is the one. Just relax. All right. Pop your hand flat on your onto your That's it. Yeah. Pop it flat and it won't It won't do it as much. You ever had anything like this before? Oh, no. I really trying to sell my relaxable. Yeah. Nice deep breath in in through the nose. Out through the relax. She's a bit sucker. When we arrived to Raj Vinda, it was clear that she wasn't having an allergic reaction. Uh we could tell this by there was no facial swelling. There was no swelling to her airway and no rash. It was clear her heart rate was increased. Uh she was also showing irregular heart rhythm which wanted to get seen at the hospital for further checks. If you felt quite anxious today, you just started to feel a bit anxious and a bit panicky. All your obs are good apart from your heart's going a little bit quicker than normal. All right. So, but that's just cuz you're a little bit anxious. So, just relax back into the chair and and chill out. Relax. Relax. Sit back into that big teddy. Not as big as this teddy. Ouch. Is a nice deep breath. Your heart rate's starting to come down. Lovely. That's it. Look. That's it. You know it's the heart pain is still from two weeks. Sometime feel so hard sometime is okay. Yeah. See you've been having chest pains for two weeks. Yeah. Yeah. Any heart problems in the family? Yeah. My mother got died with a heart attack. Heart time. How old was she when she died? She is young. Whilst monitoring Raj Vinda's heart, the crew noticed something unusual. There's an odd PVC there. There is. M just noticing them more and more now she's now she's relaxed a bit more. Do you feel your heart do you feel that it goes quick and skips a beat or sometimes you get that feeling? Yeah. This is from um last two months. And have you been seen at the hospital for it? No. Keep nice and still for me. You see it more on there, can't you? Yeah. Looking at your heart basically it's what we call sometimes uh ectopic beats. Sometimes you get an odd beat coming or it skips, you know, and like with family history and that you've you've been having this for 2 months. I think we'll pop you up the hospital to let them have a look at you. Mama had the same thing. Yeah. She was saying a better mom. How old was a mom if you don't mind me asking? 37. 37. Okay. She was young man. Young mom had and your mom's brother as well. Okay. Do you know did do you know the exact diagnosis that they give? No idea. It's been some time hasn't it little weren't you know and where where was she at the time? Was she living in India then? No. With such a strong family history of heart problems. The crew want to take Rajinda in. Who's coming with us? Brother. Come on then. That's it. And bring your legs. Have yourself a seat there. We have a look. All right, let's get you up to city then and let some uh have a look at you. All right, you're feeling well, just give me a shout. I'll let you relax up a bit cuz he'll get bombarded with questions up the hospital. No doubt. Why does it take so long? Yeah. When when you all day? What in the Yeah, they just have to they have to prioritize, don't they? There's a lot of things we don't Well, people don't see, you know, that that happen. Yeah. Yeah. I've been there. I've had this the same. We don't get no special treatments. I've been inside urgent care centers for for hours and hours and ends. No. No. But you have to wait as well. Yeah. Yeah. Of course we do. Yeah. Okie dokie. Knowing that her condition may be hereditary is making Raj Vinda think about her family. Two kids. I don't want any risk. No. No. No. How old are they? They are four and eight. Four and eight. It cause you much trouble? Yeah. The trouble. Yeah. I know how you feel. Feeling a bit more chilled out now. Are you doing that? Asleep now, aren't we? How are we? Sorry, it's a bit scary. You feeling more chilled out? You want to go to sleep? I feel so tired. Sorry. There's me waking you up. Come on then. Oh, hello. Thank you. No problem at all. No problem. As the crew think they found an abnormality with Raj Vinda's heart, they'll hand over their observations and information about her family medical history so that doctors can try and work out what's causing her chest pain. She needs that investigating before she um something drastically goes wrong like it unfortunately did with her mom and her uncle. Can't wish that on anyone. And she's quite young. She's too young. Definitely hereditary son there. There's no just why not estate agents popping up a right move. E move. Well, they Yeah, they move. I'll move. For God's sakes, move. Move. Haven't you moved yet? Scone or scone. See, this is a tricky one. No, if you're posh. So, I say scone. So you cannot or as I'd say you call your core say garage bath and then scum scum you call you po. I'm Newcastle life off. Fair enough. Depends what part of Newcastle though. Born and bred town. Okay. And now I live in Maidley so I can proper posh now. So you've got a chess postcode. Yeah, that is [Music] poss trent. Dino Gould and Tony Sutton have just been sent the details of an unusual call out. Chest pain, pain in the left hand on a scooter in a road. I'm just expecting to see a mobility scooter in the middle of the road somewhere. Oh, we are. She is in the scooter in the middle of the road. Oh god, I'm getting loose. I am Oh, no. I'm going to pull out in front of the uh patient. What's happening? [Music] Afternoon all. Hello. Would you be heavy by any chance? Yeah, but don't call me heavy. What? What do you like to call your name? Met you before, Rocky. How are you doing, sweetheart? You're all right. What What's happening today then? Tell us your story. I've got pains in my chest and I got pinch of needles in me down. How long have you had this pain in your chest for? I got mine about 10 15 minutes ago. Rocky was driving home on her mobility scooter after visiting her son and granddaughter when she began to suffer chest pains and had to pull over. If we drove up closer to the van and got the ramp down, do you think you can walk up the ramp? I suppose so. Cuz I don't think your I don't think your go-kart will fit in my van. I'll get the doors down. Rocky is 52. She's had mobility issues since she had a motorcycle accident at the age of 17. Right. Drive till you literally hit the front the doors. I don't want to hit the door. You delic. Good. A lot of patients like you that do. Oh, just to let you know, Rocky does tend to speak a mind. Yeah, I just told you that you did. I know you did. I heard you. So, let's have a slow walk into the ambulance. We'll get you on there and we'll have a good look at you. After her crash, doctors said Rocky would never walk again. But she now manages to walk with a stick and uses a mobility scooter outside. However, she still needs daily doses of morphine for the pain. Here we go. So, it's ah, you're touching me the back. I'm sorry. I'll go back with you. Yeah, that's it. That's better to this point. You can hit him later, Rocky. What my mistake? Oh, she will. Don't worry. It won't be the first time, will it, Rocky? No. I'm very good at hitting people. You pop yourself. You know what? I have no doubt. And I've only just met you, Rocky. That's I'm going to have to ask you, why did we call you Rocky? Because I used to be a barer. A bar. Can I just ask you to slide your arm out of your jacket for me, Rocky? I need to do your blood pressure. [Music] Watch me arm. I'm sorry. I'm in a lot of pain because I haven't had me moving again. Will this blouse roll up to the top of your arm? Get over that. It's thin enough. It's nice and thin, isn't it? Let's try it over the top. It's a nice top. What you talking about? It's lovely. It's really your color. That is red is my color, mate. I know. Right, Rocky? Let's have a chat then about what's happened today. So you're on your way home and I started having pain so I started shouting help. Okay. And where were the pains? Yeah. Across your chest. Yeah. On the left side. Yeah. Okay. And did those pains go anywhere else? Down this arm. Down your arm. Okay. You won't put it on me chest, don't you? Are you all right with me doing that? Oh, yeah. I'll let you do it. Excellent. Just don't have a look at me knockers. You charm me. You get a shock of your life. Yeah, too right with these knockers. Brocky, you do brighten my day. You've made me smile. You do. I like making people smile. I do. Nice and still. We'll have a look at your ECG. That looks all right to me. We'll have a look. E, nice and still then. From what I can remember last time, Rocky, this machine told me that you had a good heart. Nothing's changed. That sounds nice. What do you reckon that bike is? Yeah. It's got to be, hasn't it? It's got a nice little flop to his motorbikes, don't you, Rocky? Oh, yeah. I love my motorbike. Yeah. I used to ride a bike all the time. I used to fix me old motorbikes as well. Oh, yeah. Yeah. I used to strip mine down once a week, give it a good clean, put it back to Gabby, and then give it a good washing afterwards. Yeah, I've been called to Rocky on a few different occasions. She suffers with quite a few chronic issues such of long-term back pains, arthritis, but all credit to her. She's always in kind of good spirits and she she battles through it in her own way. All of her observations were coming back uh as being okay, but we just had to get to the root cause of this chest pain. The only way to 100% confirm it's not your ticket is blood tests. Yeah, I'll go up the Aussie then. We go the Aussie. Yeah, good decision. Some passers by who work at the local mobility shop have spotted Rocky's scooter and have offered to take it home for her. So, what caused the damage in your left arm then? Motor bike accident. Yeah. And I was in hospital for seven 12 months. Oh, you came off good style though. Yeah, I got three metal plates in me head. Oh, wow. You're not wearing a helmet then or your helmet shattered? Me helmet shatter in my head. You hold tight. We'll be there before you know it. Oh, I am holding tight. Why did the ham cross the road? Why did the what? Sorry. Cross. Oh, go on. I know. Go to the sack shop. Did you hear that? Do you know? Yeah, it was brilliant. That was it. Oh, yes. That was rubbish. [Music] Are you all right having a bit of a walk? Yeah. You sure? Me and D will be either side of you, honey. So, we won't let you go anymore, honey. Sweet. Sugar. Hey, Rocky. I remember you singing opera for me last time. You're going to give Tony a little whirl. She's good, isn't she? Doctors will need to run tests to try and find the reason for Rocky's chest pains. You're a mate. You are. Do you know? I'm a what? I'm ace mate. I'm an ace mate. You're not too bad yourself, Rocky. [Music] What a character Rocky was. Oh, she's ace. She's absolutely brilliant, isn't she? I say it's not the first time I've seen her and you could probably almost guarantee it's not going to be the last. I'm sure she'll be fine. Yeah. Bless [Music] her. Chris, who has a degenerative spinal condition, survived his potentially life-threatening surgery and is now recovering. How much the operation will increase his mobility and reduce his pain is still uncertain, but Chris is hopeful that his day-to-day quality of life will improve. 12-year-old Kan was taken to A and E as there were concerns his continued vomiting was a sign he'd suffered a brain injury after being assaulted at a funfair. He was diagnosed with concussion and needed to be carefully observed. Fortunately, after 24 hours, his sickness stopped, and Kan has since made a full recovery. Pat, who was feeling faint at her swimming club, went to see her doctor, who gave her the all clear. With a clean bill of health, she's now doing much better. [Music] Raj Vinda who was suffering with severe chest pain and whose mother sadly passed away after a heart attack had a further ECG and blood and urine samples taken. After careful monitoring, doctors gave her the all clear and believe her chest pains were caused by a panic attack. 52-year-old Rocky, who was taken to hospital after suffering severe chest pain, had another ECG completed. The results came back normal and doctors were happy for her to return home. Rocky has thankfully had no further chest problems. Tired now, ready for home. Push up. Well done. High five. Sit nice and calm. You in the back of the ambulance. Okay, we're back with the West Midlands Ambulance Service. Clear left. Go, go, go. as the paramedics take us to the heart of the action once more. What's happened there, mate? Listen to me. I know you can hear me. Can't leave you like this, can we? Old friends are back on shift in Dudley. What have you brought to work? That's like the kitchen sink. And new friends return. Brace yourself as we head back to Stoke. 999 mode activated. Here the crews face life and death decisions. You need to spit that out cuz it's going to make you really poorly, isn't it? And deal with adrenalinefueled challenges. Stop. Stop. Bodymounted cameras capture every moment. They tickly toes. Showing you what goes on behind closed doors. Just a stupid old woman. You're not a stupid old woman. Did you get in? Straight in. Was good. This is a paramedic's eye view of life on the road as they battle around 4,000 calls each day. I feel like I'm wasted digital. No, no, no, no, no. Don't be dafted. Have you been in an ambulance before? Not today. Not today. You'll be on the front line with them as we take you inside the ambulance. Here we go. Let's go and save the [Music] day. I just don't get chance out now. And then if I do, I'm just too shattered. I just want to go in my pajamas and just stay watching me to tell. I'm not going to tell you what that is. Don't say anything that's going to insult me. Otherwise, we have a very long show, are we? [Music] Yeah. It's nice to have someone different to talk to than the other half at home. Yeah. Even if I am female and give you the female point of view. Yeah. And nag worse than the other half does. But yeah, it's always nice to have someone you can talk to. Are you going to have to stop wearing my clothes? Do you know why I wear your clothes? Cuz you keep pinching mine. They're comfy. It's when you put the stilettos on. There's something really [Music] in Dudley. Paramedics V. Hodkins and Olly Raven have just been alerted to their next emergency call out. Sharon, 48-year-old female, says she's had a recent uh fit. It says she's incomprehensible. Says patient is incomprehensible. V used to be a veterinary nurse before joining the ambulance service 18 years ago. She helped train Ollie up as a paramedic last year. It's been almost a year since I've qualified. You look so much younger then as well. Along with working for the ambulance service, Ollie volunteers as a medic with the army reserves. Scary at times as well. I have every confidence that you're all right at what you do. Someone's got [Music] to patient 48-year-old Sharon. A neighbor and a concerned passer by have been looking after her since she collapsed in the street. Hello. Hello. Hello, Sharon. Hello. It's the ambulance service. What's happened, Sharon? You've had a fit. Are you known to have seizures? And how do you feel at the moment? Tired. Sharon was first seen struggling by Cla, a council worker who spotted her staggering around in the road. I parked up, went back to her and I asked her if it was okay and I was just holding her head. Okay. And I managed to tell me that she was epileptic. Okay. And then you sort of helped her back here. I did. I said, "Come on then, let's get you back." You have seen a bit while she's been there. Okay. And what happened during that? It was jerking all over the place. Okay. How long did that last for? Not long. Okay. Aha! Finger, Ollie, finger. She is integr. The medication V's found is used to treat certain kinds of epileptic seizures. Pull on me. Yeah. That's it. How you feeling, Sharon? Your head hurts. Head hurts. Just try and keep relaxed. All right. We just do these checks on you. Okay. He's had a tonic clonic seizure not lasting too long. Oh, so it happened in here, not the seizure. Oh, I see. A tonicclonic seizure is your classic presentation of a seizure um where the body goes rigid um and you have full body shake and it can affect all parts of the brain. If these seizures continue for sort of more than 5 minutes, it can be life-threatening. Sharon's um seizure was very short-lived, but a tonicclonic seizure will make patients um fatigued, confused um and obviously has some bearing on their mental status as well. When was the last time you had a seizure? Do you know? Two days. Two days. She pop these stickers on you. And do you normally have an ambulance when you have a seizure? To sleep. You go to sleep. When was the last time you were seen at hospital, Sharon, with your seizures? About 3 weeks. I mean, what what are we going to do with you today? Cuz at the moment, we can't leave you here like this, can we? Sharon was diagnosed with epilepsy aged 14. Although she's coped with it for years, the crew don't want to leave her at home as she's had another episode so recently. Do you think we'll have to pop you up to Russ? I think so. I mean, we can't leave here like this, can we? I mean, you need to at the moment, don't you? Do you understand that we can't leave you here like this? You're too groggy at the minute. Sharon's neighbor, Alan, has sent for her daughter, Demi, who's 24 and lives nearby. Oh, he's a daughter. Hello. Are you all right? So, we were just saying mom at the moment isn't well enough just to leave cuz she's really groggy, but she's refusing to come to hospital with us. Go on. Just go for me. Go to the hospital me. We can't leave you like this, can we? Are we going to pop you to hospital then, Sharon? Come on. Sharon, we've got the stretcher by the door. Why? Why not? Sharon, don't argue with me. Won't we go? Sharon, we've got our stretcher here. So, we've only got to get your bum onto here. We can't leave you here, darling. Yeah. Come on then. Yeah. No. [Music] No. Come on. Stop this now. No. This is just not just me. Leave me. Leave me. Jared, the last thing we want is to have another seizure. So, we don't want you getting worked up. Now, if you want to stay at home, we need to see you make a full recovery. Walk up around your flat and be normal. If you do that for us, Yeah. you can stay here. Let's see you act independently. Sharon, we can't leave you like this. Sharon, listen to me now. Do you understand why we want to take you to hospital? If you decide to stay here, what you need to understand is that we can't tell you that there's not something going on inside your brain. You know, that ultimately could possibly result in you dying. But you need to understand. You need to understand for us to leave you at home. We need you to understand the risks. You tell us what the risks are that we've just told you and then we know that you've understood. seizure. Mhm. And you are you happy to take that risk? Yeah. Okay. She's refusing and she does understand the risk. So, we're going to have to leave. Are you going to be staying with her then? Yes. Go to the doctors or get the doctor to come out. Well, if she's fully mobile, she needs to go to the doctor. So, when she's well, she needs to go to the doctor and and you know, just in case they want to review her medication. Yeah. Nater, which is better which is better than having seizures, isn't it? And meeting us ugly loss all the time. V and Ollie are staying until Sharon is better able to manage. And after a cup of tea, although still groggy, she seems to be improving. Were you a proper punk back in the And who does your hair? Cuz I have mine undercut, but yeah. What do you think, Ollie? You think I should? I think you should have my name on your name on the side. Yeah, look quite cool, wouldn't it? Yeah, I could have V and Ollie. Ollie, that would be good. I think my husband might have problem with that to be honest. Yeah, he might do. That's if he notices. Yeah, that's true. That's very true. Yeah. Yeah. Sharon, can we get a signature from you in this big white box to say that you've refused to come to hospital with us? So, you're going to have to get her to go on to the GP? Yeah, I have to get one a day in a week. Yeah. Got no choice. Got to go. Right. Then should we leave you in peace? We'll leave you in peace. Lovely to meet you all. Nice to see you. Lovely to meet you. Take care of yourself, Sharon. Okay. Thank you. Go and see the doctor. All right. Steady as you go. Having spelt out the risks, Ollie and Lee have no alternative but to leave Sharon at home with her daughter, Demi. Okay. on the off then there was no um no persuading her no persuading her obviously suffering with these problems for a long time isn't she and hard for us guys to leave someone like that like that to walk away and that I think you know she certainly could have come around more by the time we left she definitely you know she may need tinkering with her medication but left again daughter so hopefully full recovery Yeah, I hate quiet, so I end up just chatting rubbish just so it's not quiet. Oh, I always talk crap. I do. I'm always on about Star Wars or zombies or witchcraft, end of the world, death and destruction. Love it. Upbeat then. But I love it. I find it's exciting. Can't wait for the zombie apocalypse. Got all me plans in place. say, "Are you prepared for it?" Oh god. Yeah. I've got notepads and stuff written down. Oh, wonderful. [Music] In Birmingham. Carrie Richards and Laura Hickman have been asked to provide an emergency transfer of a patient. So, we're going to Good Hope Hospital and we're transferring them to H Heartland Hospital to a 19year-old with an absess on their throat. Needs to be seen by ENT immediately. patient has IV running. That's why we needed. Carrie has worked for the ambulance service for 8 years and hopes to qualify soon as a paramedic. Stop coming out. Silly woman. Laura has been a paramedic for 2 years. Before that, she studied forensic pathology. Oh, he's got his tuxedo on Carfield now. Sh. [Music] Arrival mode activated. The patient is 19year-old Joe. Mom Gail has been waiting with him in the hospital. There we go. Come and have a seat, Mom. Right. So, what's happened? Sweet. He suddenly just comes down to his severe tonsillitis. They think now he's got an access. How does your breathing feel at the minute? All right. He can't. That's quinzy, which is a horrible feeling. Too painful to talk. That's what I was like one. Open your open your mouth, mate. Is that as far as you can go? All right, pal. Yeah, I think you got a quinzy throat. I had tonsillitis end of September and then I'd wake up in the morning and have to ring me boss and go, "Oh god, oh care like and then they'd keep me in." You laughing at that's how I sounded. It's terrible. Joe had got um quinzy throat which is an absess on the tonsil. So that's where puss collects um either on both or one of the tonsils um and can form quite a large lump really at the back of your throat. I've had quizzy throat three times in total now. So I I really knew what Joe was going through and it is a horrible thing to have. It's like trying to swallow razor blades. It's horrible. I can't wish on anybody, can you? No. Holiday. You're on holiday in Birmingham. My Well, my parents live in Lfield way. Okay. Are you struggling to breathe at the minute or do you feel all right with your breathing? All right. Okay, mate. Do you want something to spit in? Yeah, just in case. I won't be watching you do that cuz I might heave. Here are buddy. Feel your boots. Quinzy is often treated by aspiration, a procedure where the pus is drained from the throat using a needle. So, when you had yours aspirated, wasn't very traumatic, was it? They're not massively bad, but my only satisfaction was I got to heave while the doctor was doing it. And as I coughed, she like the puss went in her face. So like that was my only literal literal satisfaction from what she did to me. Don't think. Are you Snapchatting? He can't be that ill. He's all right. Look, [Music] I'm ready, mate. All right. You want the blind open? Yeah, good job. I can uh speak Quinzy, isn't it? Hey, there are mate. All right. So, yeah, oxygen levels are really good, mate. So, that's a good sign. So, what's he um what's I won't ask you. She won't be able to answer me unless you What's he studying at uni? Politics and international relations. Politics. Oh, mate. I'm glad you can't talk back at me now. politics. Can you get us a decent pay rise then when you're prime minister remember this moment? We're teachers so we always get crap. Yeah, you guys have it worse than us teachers. Well, we had it so bad we left. We're teaching in the Middle East. Oh, really? Wow. [Music] What country do you teach in then, Boring? I have no idea where that is. Right. Well, we're an hour away from Dubai. We're attached to Saudi by a causeway. Oh my goodness. The thing is though, I mean, it is sort of 45° and 96% humidity. Yeah. So, sacrifices. Sacrifices. He's buzzing. So, you got a free holiday. I don't want to talk to you if you can't talk back. However, I bet your parents are loving this. Don't listen to a joke. went down. It's a 30inute journey between the hospitals. On the way, Laura notices that Joe seems to be feeling worse. How's that pain, mate? Not good. How far away are we? Ke. Mile. Uh, I might do a dribble of morphine for him. Fancy a bit of morphine. Yeah. Right. Morphine sulfate. It's on there. I read it without me glasses. I'm pretty sure it's morphine. I'm only joking. I know it is. I know it is. So, we'll only give you a little bit of it, mate. All right. Might make you feel a little bit spaced out, buddy. I don't think you really care at the minute, do you? Bless you. Cheers, Kez. Good to go again. Yeah. Go on then. So, how long are you up here for then? We're meant to be flying back on Monday. Oh, right. And Joe's supposed to be coming with us. So, we're hoping for some sort of miracle. Just hope for the best. The morphine should help Joe manage the pain until he's been admitted to the hospital's ENT unit. You're having a tour of all the hospitals, ain't you? M. Bless you. We both know what it's like to have bad throat infections, don't we? Yeah. Felt bad for the like he was sat there. He was fine. He was laughing. Well, smiling cuz he couldn't laugh very much with his throat. Bless him. And then like the next thing you know, he was just really struggling. Not with pain. Yeah. And you could just see him grimacing a bit and I was like, "It's not fair. I'll give him some morphine. He's [Music] horrible. What have we got? Working together in Stoke, our husband and wife team, Mick and Rachel Seal. Unknown male, probable injury, exposure to adverse conditions. The couple met at work, have been together for 3 years, and got married just 4 months ago. Actually, he only asked me cuz he was drunk. [Laughter] I asked you the next day as well. So, I told him to ask me when he was sober. I did. So, he did. And yeah, you said yes. I'm sorry. Okay. I really am sorry. It's 8:00 a.m. on a Sunday morning and the pair have been called to a job by the police. Oh, I've been arrested and needing faced by officer as he tried to attack them. Oh dear. Oh dear. [Music] The ambulance crew's cameras capture everything from the moment they arrive. How we doing? All right. Hi. What's actually happening? Please buy the bottle. You've been leading the face by a coffee. Are you injured? Yeah, at the moment I want to Oh my god. Has he been on drugs or drinks? and suspect he's taking something. You didn't tell me that this you get driving, right? I'm not aware and you believe he's underosed something. Oh my god. He's eventually stopped the vehicle, got out on foot and he's been detained by the officer being a bit of a Listen, I can't help you unless you listen to me. Can I have a look at your face or are you hiding? No. Listen, have you got any pain in your neck? Have you got pain there? I know, but your neck's important. Does it hurt there anywhere? Sore back. Yeah, it's a bit tender though. It's a bit tender there. A bit tender. Yeah. Well, we're going to have to board him then, aren't we? I mean, we found the patient to be quite agitated as though he'd either taken drugs previous to our arrival or he'd been drinking. This explained that he'd resisted arrest. Uh he was complaining of central neck pain which uh raised flags for us really. Our main priority then was to get him onto spinal board and immobilize him in case there was injury to his neck. Well, listen, we're not here to hurt you. We're here to help you, aren't we? All right. We're not your enemy. We're trying to help you. Do you want to come backwards onto the stretch? Come back. That's it. Sit down. With the man starting to cooperate, the crew get him onto the spinal board. That's it. Lovely. Now he's lying down. A police officer notices something. You got nothing in your mouth. Open your mouth up for me. Open your mouth, please. Sure you got nothing in your mouth. Open your mouth for me. Open your mouth. Open your mouth and stick your tongue out. No. Open your mouth wide. Something in his mouth. There is something in his mouth. Something in his mouth. Something white. a packet. There is something in his mouth. Spit it out. Let's not be stupid. Spit it out. Let's get him up cuz that's going to block his airway. Yeah. You need to spit that out cuz it's going to make you really poorly, isn't it? The man knows that the police have seen the package he was trying to hide inside his mouth. That's it. Sit down again. What are you doing? [Music] What do you think it is? Okay. Could be monkey. What does monkey do look like? Is that white? It's like an off white. That looked white. White. So that will send his heart rate. Silly. Yeah, it is infuriating that he'd rather swallow the powder rather than just spitting it out cuz at the end of the day, we all knew it was there anyway. He probably thought that it was worse if they'd got the evidence of the package. He went from uh being a guy that had just got injuries from a fight to escalating it to potential life-threatening overdose. Can you try and spit whatever's out? No. It will be. Have you swallowed it all? Yeah, absolutely. Right. We need to get you to hospital. Come on. We need to get you monitored and seen to. You're a different priority now. On the ambulance, they can monitor the immediate effects of the substance he's just taken. Right. Not sure. Be nice and still. It's a bit picked. Picked isn't it? Bit ting. Have you got any pain or anything at the moment? Yeah, it is at the minute. Bit quicker. Yeah. See what I've had then. Well, you must know what it is. I know what was on the seat. Someone's been before. I didn't What do you suspect it is? I don't know. You don't know. Do you think it's cocaine? You think it might be coke? Oh, yeah. We might. Yeah. Must be him off. Can I have a bit of blood out your finger? Sure. Just for a blood sugar test. Right. Unsure of exactly what he's taken, the crew want to get him in as fast as they can. Are you okay to go, Ra? Yeah. Yeah, I'm happy. They're just a few miles down the road from Royal Stoke Hospital. Would you mind telling me what your date of birth is? It's 84. 84. So that makes you 34. Is that right? So far, the man has remained in a stable condition. But he could still develop life-threatening symptoms. Keep your feet still. I don't know what he's just swallowed, but Well, that's probably why he sat on the floor with his head down. Yeah. And with his hood up. With his hood up. Yeah. Big bag of drugs in his mouth or whatever it was. Not anymore. In his belly. Anyway. Yeah. Anyway. [Music] [Applause] At the Dudley Ambulance Base, crew mates Kerry Richards and Rob Bates are nearing the end of their shift when a new job comes in. John White, a 30-year-old male has fallen out of wheelchair. So, what's he done? Fallen out of his wheelchair. Yeah. The call is not to a house, but to a roadside location on the outskirts of town. He's going to have come off the curb and just top it out as well. Let's have a look. Season done. I've done it with me now. The crew take 8 minutes to reach their patient who's lying in the road where he fell. Hello buddy. Hello. What's your name? Ben. Ben. I'm Rob. This is Kerry. recently come out of bloody hospital. Oh my good. Ben was going to the shop with his carer Sharon to buy some cigarettes when the accident happened. Just literally what you remember. Just talk me through it. Oh, I was talking to you when I showed. Yeah. I walked across here and obviously he's got to be down these. Yeah. Yeah. So he's coming across on there. I heard something turn around and he's like that. Had you misjudged how far you were to the curb? I don't. Okay. And if you got any pain anywhere at all. Did he knock himself out? You've got no pain whatsoever. No pain to your head. You want to have a little feel down your neck? Want to have a good press though? All right. So, just any pains at all? Do you have any mobility normally, Ben? Are you able to walk about normally? No, he's not an ambulance. He's he's got um basically you rely on your chair to get about. Sharon told us Ben um had cerebal pausy which is a condition that affects his um muscles and coordination. At that time we were concerned about fractures. Due to Ben's condition and him being stuck in the wheelchair, it made things a little bit more difficult than it usually would be. We decided to call for a second crew to help us get him onto the ambulance so we could check him over. It's just a bumble here that don't really want to go to hospital. We'll get you out your chair. We'll get you on our chair or our bed. We'll get you in the ambulance just to check you over. Then if it's all okay and you're still adamant, you ain't going. I don't want to go cuz I I don't like that place as it is. That's fair enough. But let us check you over first. Make sure nothing's wrong. You have a note yourself. Do you want a blanket on? Are you cold? Carrie and Rob try to keep Ben as relaxed and comfortable as possible while they wait for the backup crew to arrive. Said there's like 3 minutes away, didn't I? Yeah, it's the slowest bloody 3 minutes. I know. Well, they're here, darling. We can get you up now. Here we go. Um, Ben, literally come off the curb. Doesn't really remember falling as such. He doesn't want to go anywhere. So, then we got to get the wheelchair up and see see how he is in his obstac. With a second crew to help, Rob and Carrie can safely move Ben. Lift. Ready. Steady. Lift. Okay, cool. You okay there, Ben? Yeah, I'm good. [Music] Can have a look at you now. We can see you properly. That's it. Stupid. I'll let me steady. I feel like I'm wasted. Oh no, no, no, no, no. That'll be dafted. Steady go. [Music] Can see you now. How are we? You can see us as well. Cool. Let's have a little look then. The crew can now properly examine Ben for the first time. Now my shoulder feels a bit sore cuz I think where I landed where he was landing and lying. Where about do you feel anything different? Feel a bit sore on my right side, but Okay. And can you point out anywhere that it really hurts? Is it Is it more so around here or up the top? It's up the top there on the bony part. Yeah. Yeah. Does that hurt if I'm doing all this? No. No. You'd let me know, wouldn't you? Yeah, I would. Yeah. No problems with your legs. They don't feel like any pain in those at all. My shoulder just feels a bit stiff. It feels a bit stiff. That's lying on the road. That is You didn't think you're going to be lying in the road tonight, did you? The crew are reassured that Ben's present discomfort is down to stiffness and cold rather than injury. They're also aware that having just had a lengthy spell in hospital, he's very keen not to go back. If you're that admit, you don't want to come now. We can't force you. If you've changed mind in a bit, sure, buddy. Sure. No problem at all. If it's in the morning when you really can't move, it's black and blue and you can't cope, you can always ring us again. As Ben doesn't want to go to hospital, all that remains is to get him back in his chair and send him on his way. Ready, steady, go. Sorry, buddy. Okay. One, two, three. Okay. How's that, Ben? Oh. Oh, your ends fell off. So, he says, "I'll call it my I would have said a joke to that, but I'm not even in the bag." You mean naughty, Ben? I've got I've just got naughties into you. With the all clear from the ambulance crew, Sharon makes sure that Ben gets home [Music] safely. I like Ben. You got a good sense of humor. Fair play. He's just spent what was it? A month in hospital. Nobody wants that. At least he's getting the help he needs so he can be independent as possible. It's good to say. They were um planning on knocking that down. What they doing with it? The man came on the radio yesterday. I think we've got the tourism in Dudley. We call knock it down. It'll be a waste of tourism options. I don't know why he sounded like he was from Birmingham. No, that was a really Dudley accent. Was it? Yeah. Like you could have just spoke in your normal voice. I don't sound like that at all. You do. One one does not um vocalize. I'm from Dudley. My name is Vicki. I'm from Birmingham. I go up at the end of my sentences. Don't even sound like that. Don't even sound like that. I do not. I do not sound like [Music] that. In Dudley, regular crew mates Rebecca Pidock and V. Hodkins are on a midweek shift together. We have a cat 2 um 73 year old quiry sepsis. patient has a catheter inserted and having a stem fitted in the kidney. He's now got an infection and he can't tolerate antibiotics. A category 2 call means that while the situation may not be life-threatening, the patient needs help [Music] urgently. The patient's worried wife has been waiting for the crew. Hello. Whereabouts are we heading? Straight up the stairs. Okay. [Music] Hello. Right. I'm Beck. This is V. Hello, sir. So, are you Hello. What's been going on for you? [Music] Samuel Hospital with antibiotics from an infection. I just borrow your wrist a minute. But the first time I took one of the it caused nausea and sickness. So it said on the instructions if this happens can't you? Yeah. Which I did. I thought he was just going to prescribe a different antibiotic. Okay. Said no. I think you need to see that's colder than me. Sorry. I'm I'm thinking maybe you've got a temperature then if you're feeling the cold that bad. That'll go tight. Yeah, thanks. You seem to think I should get you. I think he might be right on this instance, to be honest. Just a quick lookie. Tom was discharged from hospital 11 days ago. What's your name, my darling? I'm Meline. Yeah. Mine. So, he was diagnosed with a kidney infection. Is that right? He's had some surgery or not? Two weeks ago, I had to get the ambulance out cuz he was in so much pain. He's got a 13 mil stone in his right kidney stone. Okay. So, they did an operation where they put a stent in. Mhm. And said he's got to be with that stent, I believe, for 6 weeks. Okay. Before they would remove the stone. Right. Yeah. He was let out of hospital and he's just gone down. This will pop in your ear then. Okay. Okay. Okay. 38.1. Lovely. Right. Is it observe? It is. Is it? Yeah. That's a little bit too high. Is it? What's your 37? Okay. Okay. So, how's your breathing feeling? It's not bad, but I don't too deeply. Seems a bit faster to us. Yeah. We're very worried about Tom. He just had recent surgery. He was presenting with a high temperature um showing signs of an infection. The observations that we did showed that he was potential for septic markers. So sepsis is the body's um unnatural reaction to an infection. Um we can't take any chances with anybody showing any septic markers. Um patients can go rapidly downhill and it is life-threatening. So it's triggering red flag. So it's A&E with us. I'm afraid we don't have the VIP treatment anywhere else. Right. So, are you okay with needles? Oh, no. Oh, no. Beck and V need to put in a canula in case Tom deteriorates and requires medication on the way to hospital. I want to pop a little needle in. We need to in your own. We will explain why. Okay. It's not cuz we're horrible. All right. Have you heard of sepsis? It's all around in the news. Yeah. So, what you've got because we know you've got an infection is you've got we call sepsis markers. And Beck's brilliant at it. So, you'll be fine. Well, at least I'm lying down. So, even when I I tend to pass out. Do you do you? Well, look, you concentrate with me here. Concentrate with you. You contract with me cuz I need to check. I've got your details right here. Okay. A Thomas. A Thomas or a Tom or a Tommy or a Go. Well done. You're doing great. Go on. You're doing fab. I'm not moving. Okay. You want to call me Tom? Call me Tom. What do you like? I prefer Tom. Tom. What should we call you Tom then? Okay. See? Oh, brave soldier. Brave soldier. Oh, well, thank you for coping. Such a coward. You're not a coward. Oh, yes, I am. Well, you're not. You know, you said you passed out every time. You didn't this time. No. No. So, you're getting better. Ready? Steady lift. With Tom canulated and secured in the chair. Good thing I'm not a big guy. It is, isn't it? It's great. You're perfect for us. Thank you. Up a ramp then, Tom. All right. Beck and V get him onto the ambulance. All right. Sit yourself right back as far as you can go. Your bum this way here. And then swing those legs up. Right. No, no. We need to cool you down cuz you're too hot. This is it. This This is the nice bit that you're getting. Yeah. You're not having any more. You're not pulling it up over you. I shouldn't have let you take that card. Oh, we're horrible people, aren't we? Horrible people. It's cruel to be kind. Honestly, you have to trust us. Under the bright lights of the ambulance, V spots another worrying symptom. Quite mottled, actually. Beck. Beck. Look. Okay. Just looking at your skin. It's a bit mottled is a is a medical term. Okay. So, what we need to do is get on top of this infection. Okay. Yeah. Mottling is a sign that Tom's infection could already be spreading. Right. So, we're going to give you some fluids. Okay. So, you because you know we talked about this sepsis because of our protocol. Yeah. So, you get a ride in on the blue lights and sirens. Okay. Yes, you do. You do VIP treatment. Oh my word. Do you feel sick when you travel at all? Um, when I travel backwards sometimes. Brilliant. What we'll do is we'll stop that before it starts. We'll get you to drive instead then, shall we? Okay. You do. Do you want this out smidge? We do it for special people and we like you can tell me which way to go. All right. Concerned that Tom's condition is potentially very serious. Okay. To go then, Beck. Yeah. Beck phones ahead to ensure a team is on standby for their arrival. Hello, Aie. Um, I have a 73y old male alert for you. Uh, we are queer recepts with a resp rate of 32. Mhm. Sats were 99% on air and we're thinking urine recepts. Yeah. Yeah, that's fine. Dr. Lovely. Thank you ever so much. Cheers. Right. So, the doctors all know that you're coming. All right. You in any pain at all at the moment? No. Good. But it was so important. Good. Is he always like this? Oh, brilliant. I bet you've had some fun over the years. [Music] Has he behaved himself, Beck? Slightly. We're on the move then. So, you've not fainted? No. with the needle and you've not been sick. Traveling backwards, Tom will be seen by doctors in A and E who will try to stabilize his infection. That's the thing with Septis, isn't it? They they jump on it straight away. Saving lives, isn't it? So, blood tests, probably IV antibiotics, and hopefully that will save uh Yeah, the doctor was already on it by the time that we left. Where do you fancy going now? Where do you fancy going? Home. We'll go here. [Music] Sharon, who'd had a seizure but refused to go to hospital, was left in the care of her daughter, Demi. After getting some rest, she felt much better. She has since suffered another seizure, but continues to manage her condition without going to hospital. Joe had quinzy, a complication of tonsillitis. Doctors performed the aspiration procedure to reduce the swelling, and he since made a full recovery. He's now waiting to have his tonsils removed to prevent it from happening again. The man who swallowed a packet of white powder while being treated by the paramedics was kept under observation in hospital. As he hadn't swallowed a large amount, he was monitored until the unknown drug was out of his system, and he was well enough to be released into police custody. Ben had fallen over in his wheelchair, but didn't want to go to hospital. Although he did have some shoulder discomfort, he didn't call 999 as advised by the paramedics, but visited his GP, who reassured him it was just muscular pain. Tom was diagnosed with sepsis and treated with antibiotics. Unfortunately, after being sent home, he became ill again and needed to be hospitalized a second time. But after several more courses of antibiotics, he's made a full recovery. [Music] I've got you back. Thank you. Someone's got The response was, "I've got yours, too. That's what I was looking for. Cheers, Ollie. Try that one again. Listen, can you hear my bed calling me? I can. Do you want to try that one again? I've got you back, Ollie. I've got yours, too, V. Thanks. [Music]