Push up. Well done. Hi five. Sit nice and calm in the back of the ambulance, okay? We're back with the West Midlands Ambulance Service. Fair 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 wear? That's like the kitchen sink. And new friends return. Brace yourself. As we head back to Stoke. And 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 adrenaline-fueled challenges. Ah! And then stop, stop. Body-mounted cameras capture every moment. Prickly toes. Showing you what goes on behind closed doors. I'm just a stupid old woman. You're not a stupid old woman. Did you get it in? Straight in. That's all that's going to do us 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 wasting your time. No, no, no, no, no. Don't be daft. You've 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 them. Okay. Okay, Samuel. Does your mom call you Samuel? Only on Sundays. Only on Sundays. Yeah, okay. Oh! So we not make those noises when we're together? Are you absolutely quite scaring me? He has to be. You do enjoy it if you're a man. If I was a man What made you grow the beard then? Left the razor before, that's it. I've been shaved every day for however many years. I'm going to stop now unless I shave it. Yeah. And now you won't get rid of it after that. No, I'm too attached to it now. Trying to struggle through the summer. I reckon once we get to winter it's going to be a nice little face warmer. Yeah, but by the time it gets to winter you'll be able to wrap it around your neck. In Stoke-on-Trent, Sam Alexic and Carla Gilbert are on their way to an emergency call out. So what have we got, sorry? Is it fall with query stroke? Fall, 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. It's an apple a day, isn't it? Let's just punch him. 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 a day keeps the doctor away. Hello. Ambulance. The patient is 61-year-old Chris. His wife, Janice, called 999 when she found him collapsed on the floor. St Anne's Park Society. All bless you. What's been going on then, Chris? I've got spinal cord in two places. Crushed. Right. So, what's happened today then? How have you ended up on the floor? Made a drink there. Yeah. I couldn't get gravity. I can feel pins and needles. Where? In your neck. Right. Down both arms. I tried to grab the chair. Next thing, I couldn't feel my body thing. You can't feel anything at all here? A bit, yeah, cuz I've had a stroke and it 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. Confirm that. I'll go ahead. Yeah, just wondering if you got another crew available to help with extrication. This patient has problems with his spine and he's lost full sensation to his lower limbs. So, we want to move him with care. I'm just wondering if you got any other hands. He says that he's afraid that if he keeps having falls, he's going to be paralyzed up from the neck down. Yeah. I just fell abrupt. Why? I have to ring you up for that. But, the thing is This is what we're exactly what we're here for. Chris has 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. 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. Just feeling your body. Is it hurting you, mate? Where's that hurting you, mate? It's on your neck. Yeah. Your neck? Yeah. Okay, just keep that nice and still there. It's not pinching you, is it? No. Try that. You ready? Yeah. The two crews work together to move Chris safely to the ambulance. Well, I'll come come around here. Okay, buddy. All right. Like that. All right, Chris? Yeah, that's good. Are you comfortable enough there? Yeah, fine. Thank you very much for that, guys. Thank you. Bye-bye. Chris, a former factory machine operator, has recently had heart surgery. His upcoming spinal operation is clearly playing on his mind. The doctor the surgeon has told us there's a strong possibility that I can die on the table. Is that why else you'd be having surgery? You don't know if you do, you don't know if you don't. And if you don't, then That's all right. you do have a bad one. Mhm. Then you'll be paralyzed from the neck down. Do you think it will 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're all right there, 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? You're all right, doc? I'm all right. It's going to be fun, isn't it, darling? Yeah, I don't know. Okay. How are you feeling there? Not surprised. Has there been Have they said like how long it could be before the surgery or Not looking forward to it. Run over the dog, haven't No, cuz it's quite It's a scary, isn't it? It's a big It's a big thing. It's right in case the next one. Can't do nothing for me then. Yeah. I had me heart attack. Had stents. Had me corrupted artery. So, you've had your your stents since your stroke? Yeah. This has all been within 12 months? Yeah. That's a lot. Probably do me more harm, eh? That's a lot for anybody, never mind within such a short space as well. She can talk, can you? It'll make life a bit easier. Yeah. Chris was awaiting 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. Where are we now anyway? So any more bumpy driving. Kieran, 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 couple of 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. 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, I I imagine making that decision. Mhm. 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? Mhm. I don't think I could decide. And also with his wife, 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 crewmates Ash Bowles and Craig Baker have been on shift since 11:00 this morning. We've got a new job. Okay. We're going to a category three, 12-year-old male. Um, he's been a victim of robbery, head injury, facial injury, back injury, vomited. The police are in attendance. 12 12 old, victim of robbery. The pair arrive and get a quick update from the police. We've got a 12-year-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. Hurt his back a little bit. He's got a little bit of swelling in his eye. He's been sick since he's come out. So, we thought we'd best give him a quick run. Yeah. 12-year-old Keon is at home with his mom and a second police officer. The crew's body-mounted cameras capture Keon's recollection of what happened. Can I ask you a favor, matey? 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? Let me have your arm, fella. Have you got Is this from tonight, is it, this bruising? That was earlier today and that was today. Today? Let me have a look at the other arm. Oh, Chinese ribs. I'll do. So, you 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 my side of my face and my jaw. Were you knocked out at any point? No. Knocked out I know of. Okay. So, you remember everything that happened? 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. Have any pain in your neck where I'm pressing? No. Have any pain there? No. In the middle of my spine I have. I can't push down onto my head. All right. Any pain there? Yes. Yeah, a bit of a lump. Okay. Do you want to keep me calling him, don't we? Hey? He's got a duck egg. A duck egg? Oh, is that a deadly thing? Duck egg on the top of your head. Okay. Okay. Have you had any sort of paracetamol, Calpol, anything like that? Yeah. How many times have you been sick? Roughly 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 Kian 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, follow that. With everything that's happened, okay? It's going to be a trip to hospital. Well, because of where the injury is, obviously, there's a sensitive area just to the side of the head there, all right? And if you get punched there, well, it's sensitive, all 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 out of my And that's the thing. We can't rule everything out, so it is going to be a trip to hospital. Kian's 7-year-old brother, Rio, has come downstairs to see how he is. Oh, hello. Somebody's camouflage that's come in the room. I don't know. I haven't seen him. You know, you know, cuz we still want to sit and talk to you with the statement. We'll go to the hospital and we'll continue that at the hospital, all right? Cuz we won't know what's going to happen to you. So, you'll probably see us up there in a minute, but we'll just follow these guys. I think Mom's going to get changed and go with you. Oh, hi. 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 in there, pop your seat belt on for me, please. Kian? Yeah. Pop yourself in there, pop your seat belt on, mate, eh? Okay? There you go, mate. Complimentary armrest. 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. So, this means you get a day off school tomorrow, doesn't it? Yeah. Or a couple of days. Yeah. I only had football last year. I had football last year and then after Oh. Monday 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? I don't know. It's all changed. Is it all just what? Last year I had Last year I had football Yeah. and then after you changed to badminton and tennis. Now I've got badminton and What else is there now? Basketball. Is that it? So, do you know the people that attacked you or were they completely random? All right, okay. Go to the same school or? Yeah. Oh, is this like rivals? I went to a fight at my school against them on the field. So, uh And apparently I got stabbed according to them. But there was a person who got stabbed in his back as well. Last week. I think it's still bad as well. 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 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 As soon as anything happens Yeah. to get his phone out to phone his dad. And then they smashed his phone. As soon as he came out, she said, "Do you want to phone the police?" I 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, didn't he? He 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 Keon's injuries thoroughly. Aggressive mode activated. I've lowered it down a bit. You're all right with the step, yeah? All right, walk in. Or do you want a chair? Do you want to draw me a tap? No, come on then. He can then finish giving his statement to the police. You were telling me in the back on the way in there was a there was a fight at school. Mhm. Somebody has then took a blade or an article 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'd break everything up and everyone, you know, one person be out the side of headmaster's office, one person be in the classroom like locked away. Um But yeah, like shocking 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, it's keto diet. I can't have sugar. What diet? Keto. Oh. It's one of these fat burning diets. Whatever. Apart from the sandwich shop, is it? You and your tummy. I know what I'm like. think about? I've had food. I've only had one breakfast today. Leave me alone. Student paramedic Harley Moseley and paramedic Stuart Ayers have just started their shift. Right, we're going to a female Rich- Richardson's Hall, unconscious. Low BP, asthma, allergic to aspirin. 39-year-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, no. 30-year-old Stuart has just become a dad for the first time. Richardson Hall sounds quite posh, doesn't it? Posh. He's been a paramedic for 2 years. You have been to Russell's Hall, but that's sort of not the same, is it? Right, where is this interesting? Yeah. On arrival, they're met by Ian, who made the 999 call. Morning. We've got an 81-year-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? I'm My name's Ian. I run the swimming 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 Stuart. All right, if you just rest your arm down for me. What's happened this morning? I checked my blood pressure and it was normal. Okay. I woke up at home and I just felt myself going. Okay. How long have you been on those for? Yeah, so this night. They haven't upped the dosage or anything recently? They've not changed anything? Okay, when have they changed? A few months ago, I think. I have got an appointment tomorrow with the doctor in any case. Pat, can I pop this in your arm to do your blood pressure, sweetie? Have you eaten today? Yeah, you 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? Just the blood pressure. Well, is it a very bad thing that he takes you out? I could have told you something, but it was 60 odd years ago, so maybe not. Shut up, 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 fine. You've got a water infection, okay. That might explain why. It could be, yeah. Might have just put everything else out of sync a little bit. Pat, how are you feeling at the moment? All right now, sir. Do you feel back to your normal self or you slightly Okay. Everything else is looking fine, sweetie. So, your heart rate and your oxygen is it's all looking really good. I'm sorry we 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 member before Slimming World, then? Well, years ago, as you can tell. I do to be fair, I struggle with With eating. I have to hide my food from him when we're in the truck cuz he'd be eating mine as well. I was a member for about 6 months. I lost 2 and 1/2 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 I'm determined this time, so. Is that supportive love? Of course it is. Yeah. I do support him by hiding all my food. So he can't eat it. After a short rest, Pat's blood pressure has stabilized. The crew are happy that Jeff can take her home. Okay. That's all right, sweetie. That's fine. Pleasure meeting you. Armed with some last-minute advice. Jeff. Yeah. Pat likes flowers. Yeah. Okay. And the flowers will make her feel a lot better. That's my recommendation. Flowers and chocolate. I love chocolate. Oh, do you? I like gin. Listen, any other problems, Yeah. you can always ring us back. And as 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. All right, Sarah. Thank you. She was quite nice earlier, though, wasn't she? Pat. Pat, yeah. Pat was really nice, wasn't she? Mhm. I like old people. You like old people? old people. They've always got stories, haven't they, to tell, and they're just I don't know. They're just pleasant. Well, most of them. Yeah, they mostly are. It's early afternoon. In Dudley, paramedic Rob Bates and technician Kerry Richards have been on shift since lunchtime. They've just got information through about their next patient. She's Spain. She's 27. I'm going to give Mr. A a moment. 27 is young to be having chest pains. Control sends the pair more information. Rapid facial throat tongue swelling. Chest pain. This very much sounds like an allergic reaction, doesn't it? Just after lunchtime, so it could be food related. Something about her dinner. Literally around the corner now. 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 all right? How you doing? You okay? How you doing? What's our lady's name? Uh it is Rajvinder Kaur. Rajvinder. Rajvinder is at her father's house. He's looking after her along with her brother and his wife. Hello Rajvinder. What's happening? I don't know. I just feel light and my arm is shaking and my heart is beating. Yeah. I just feel a bit pain. Where is the pain? Pain near around here. When did it start? I've been feeling it since 1:00. Just relax. All right. Put 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. Do you ever had anything like this before? Oh, no. I'm really trying to self my relax, but I can't. Yeah, nice deep breaths in in in through the nose out through the mouth. That's it, relax. She's a bit shaky. When we arrived to Rajvinder, 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. Have you felt quite anxious today? You just started to feel a bit anxious and a bit Yeah. 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. I feel like I should sit back. that big teddy. Not as big as this teddy, though. Is it ouch? Just a nice deep breath. Your heart rate's starting to come down lovely. That's it, look. That's it. Look, you know, is the heart pain is still from 2 weeks. Sometimes it feels so hard, sometimes it's okay. Yeah. So, you've been having chest pains for 2 weeks? Yeah. Yeah. Any heart problems in the family? Yeah, my mother got died with heart attack. Heart attack. How old was she when she died? She is young. Whilst monitoring Rajvinder's heart, the crew noticed something unusual. You see how previous are there? There is. Mhm. 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 do sometimes you get that feeling? says from uh last 2 months. And have you been seen at the hospital for it? No. Keep nice and still for me. You see it more now, can't you? And looking at your heart, it it basically it's what we call sometimes a See, ectopic beats. Sometimes you get an 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 to to let them have a look at you. My mom had the same thing with her. Yeah, as you were saying about your mom, how old was your mom, if you don't mind me asking? 37 37 Okay. She was young, man. Young Yeah, and my mom had it. My mom's 30. And and your mom's brother as well. Okay. Do you know did you know the exact diagnosis that they gave? No. It's been some time, hasn't it? You were little, weren't you? And where where was she at the time? Was she living in India? With such a strong family history of heart problems, the crew want to take Rajvinder in. Who's coming with us? Brother. Come on then, bud. All right. All right. That's it. And swing your legs up. Have yourself a seat there, bud, and relax. All right. Let's get you up to see to them and let them have a look at you. All right. If you're feeling well, just give me a shout. I'll let you relax up a bit cuz you'll get bombarded with questions at the hospital, no doubt. Why do they take so long here when you when you go there? What, in A&E? 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. We've been there. I've I've had the the same. We don't get no special treatment. So, I've been in same urgent care centers for for hours and hours on end. No, no. So, you have to wait as well? Yeah, yeah. Course we do. Yeah. Okay. Okay. Knowing that her condition may be hereditary is making Rajvinder think about her family. So, you know I've got two kids. I don't want any risk. No, no. No. How old are they? They're 4 and 8. 4 and 8. They cause you much trouble? Yeah. The money is the trouble. Yeah. Yeah. I know how you feel. Feeling a bit more chilled out now? How are you doing that? Go to sleep, aren't we? How are we? Sorry. It's a bit scary. Feeling more chilled out? Do you want to get to sleep? 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 Rajvinder'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 investigated before she um If something drastically goes wrong like it unfortunately did with her mom and her uncle. I wouldn't want that on anyone. She's quite young. She is young. Definitely hereditary something. It's like there's five or nine estate agents popping up, isn't there? Right move, E move. They yeah. They move, I'll move. For God's sake, move. Move. Haven't you moved yet? Scone or scone? See, this is a tricky one. No, no. If you're posh, So, I say scone. So, you cannot. Or as I'd say, you call. You call say garage, bath, and then scone. Scone? You call. You call, do you? I'm in Newcastle on Tyne. That's fair enough. Depends what part of Newcastle, though. Born and bred towns don't count. Okay. Now, I live in Maerdy, so I'm proper posh now. So, you got to check your postcode. Yeah. That is posh, isn't it? You got to check your postcode. In Stoke-on-Trent, Dino Gould and Tony Sutton have just been sent the details of an unusual call out. Chest pain, pain in left hand. On a scooter in the road. I'm just expecting to see a mobility scooter in the middle of the road somewhere. Oh, yeah. She is in the scooter in the middle of the road. God, I'm getting loose, I am. Oh, no. I'm going to pull up in front of the patient. What's the matter? Afternoon, all. Hello. Would you be Heather by any chance? Yeah, but don't call me Heather. What what do you like to be called then, dear? I know you before. Rocky. How are you doing, sweetheart? You all right? What what's happened today then? Tell us your story. I've got pains in me chest, and I've got prickly pins and needles in me right arm. How long have you had this pain in your chest for? I should put one to be 10 42 late. 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. As 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. Now, drive it to to to you literally hit the front the doors. I don't want to hit the door, you daft bugger. I will speak me mind. Good. I like people like you that do. Oh, just to let you know, Rocky does tend to speak her mind. Yeah. I just told him that, you daft bugger. I know you did. I heard you. So, let's have a slow walk into the ambulance. We'll get you on there and then 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. You're touching me the bottom of me back. I'm sorry, I'll go a bit higher. Yeah, that's it. That's better, isn't You can get in later, Rocky. What, with me scooter? Oh, she will, don't worry. It won't be the first time, will it, Rocky? I'm very good at hitting people. Yeah, you pop yourself on there. Yeah, you're actually I have no doubt and having only just met you, Rocky. I'm going to have to ask you Why do we call you Rocky? Because I used to be a biker. Biker? A biker, mercy. Can I just ask you to slide your arm out of your jacket for me, Rocky? I need to do your blood pressure. I want me arm. I'm sorry. I'm in a lot of pain because I haven't took me morphine again. Will this blouse roll up to the top of your arm? over that. I feel enough. It's nice and thin, isn't it? Let's try it over the top. top what you're talking about. It's lovely. It's really your color, that is. Reddish 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. I started having pains, so I started shouting help. Okay, and where were the pains? Here. 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 want to put it on my chest, don't you? Are you all right with me doing that? Yeah, I like you doing it, thanks. Excellent. Just don't look at me knockers. Behave yourself. You're charming. You'll get a shock of your life. Yeah, you're right with these knockers. Rocky, you do brighten my day. I said you've 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, hey. Nice and still then. From what I can remember last time, Rocky, this machine told me that you had a good heart. It did then. Nothing's changed. No. That sounds That sounds nice. What do you reckon that bike is? Yeah. Got to be, hasn't it? It's got a nice little flop to it, hasn't the bikes, don't you, Rocky? Oh, yeah. I love the motorbike. Yeah. I used to ride a bike once. Yeah. I used to fix me own motorbike. Yeah, as well. Oh, yeah? Yeah, I used to strip mine down once a week, give it a good clean, put it back together, 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 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 ticker is blood tests. Yeah, okay. Well, yeah, I'll see them. You got the Aussie? Yeah. Good decision. Some passersby 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? Motorbike accident. That is. Yeah. 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 got a way to make that all the way home to the center? Me and me center are right in me head. You hold tight. We'll be there before you know it. Oh, I am holding tight. Why did they hammer across the road? Why did they what, sorry? Hammer across the road. Oh, go on. I don't know. I got to go to the second hand shop. Ticker you got to you know? Yeah, it's brilliant that was. I used to want it. Oh, yes. That was rubbish. Are you all right having a bit of a walk? Yeah. You sure? Me and Dido will be out the side of you, honey. So, we won't let you go anywhere. Honey. Sweet heart, sugar pops. Hey, Rocky. I remember you singing opera for me last time. You going to give Tony a little whirl? Oh, sing my lover ya. 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 good mate, you are, do you know? I'm a what? Ace mate. I'm an ace mate. You're not too bad yourself, Rocky. What a character Rocky was. Oh, she's ace, though. She's absolutely brilliant. Didn't you see? I'd 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 it. 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 Keon was taken to A&E as there were concerns his continued vomiting was a sign he'd suffered a brain injury after being assaulted at a fun fair. He was diagnosed with concussion and needed to be carefully observed. Fortunately, after 24 hours his sickness stopped, and Keon has since made a full recovery. Pat, who was feeling faint at her slimming club, went to see her doctor who gave her the all clear. With a clean bill of health, she's now doing much better. Rajvinder, 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. Ugh, tired now. Ready for home. Push up. Well done. Hi love. Sit nice and comfy 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't 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 adrenaline-fueled challenges. Ah! Stop, stop, stop. Body-mounted cameras capture every moment. Ready tickly toes. Showing you what goes on behind closed doors. It's the stupid old woman. You're not a stupid old woman. Did you get it in? Straight in. That's how I always get. 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've wasted your time. No, no, no, no, no. That'll be tough. You've been 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. I know who's got the best pair of breasts on station today. Who is that? Me. Beautiful. This push-up bra doesn't meant things for me. You know I'm going to have to evidence-based practice that, don't you? Can you reach the floor? A little bit. Can you reach You can't reach the floor. I can't. 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 maypoles? Yeah, looks like it. I mean, it's the wrong time of year for a maypole. going to say it's a little small for a maypole. At least it's and don't say it's my size. I know what you were thinking. How do you hear the woman in A&E? Saying about your hair? No. She's well impressed. Well, she mostly is. Yeah, I told her I permed it. What did she say to that? She was like, "Oh, right. Why Why does he do that?" That's it. He loves going to the hairdressers and getting it permed. It's an early summer's evening and Sam Alexic and Miles Laverty are halfway through a 12-hour shift. 999 mode activated. I'm going to left on it. Yeah. I would say Oh, no, cuz we're not going to go out there. I would say go right. That's where the majority of people They're one of 45 ambulance crews working in Stoke today. By rights you go the wrong way. No, I think you're right. Yay. They're responding to a 111 call to an elderly man suffering breathlessness. I have a bit of a chest infection. You never really get much info, do you, from 111? We're not We're not far away at all, are we? Uh I think it's this road. I'll be on your right-hand side. Uh I've forgot the driveway. Hello. Hi. Hi yeah. You 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. But you're coming downstairs? Yeah. I was 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. Can I leave you up? David has COPD, chronic obstructive pulmonary disease, which causes breathlessness but doesn't explain his sudden collapse. Can you sit yourself up? What's stopping you? Cuz you're lying back down, aren't you, at the moment? 40.3. Higher. Okay. So you felt breathless all day? And it's just got worse. Just downstairs. Right, okay. Your heart's going a bit too fast. You've got a bit of a temperature, so you looks like you've got a bit of an infection coming. All right, mate? All right. I think best thing to do is get him on and then treat him on there cuz I can't treat him here, can we? Yeah, yeah. Right, we'll take all this off. We're going to get you into the ambulance, all right? Do you think with our help you'll be able to stand up cuz we've got a chair? Yeah. Okay. Apart from brea- 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 your chair here. What? Okay. Lean forward. For [ __ ] sake. Lean forward. I can't see here, bud. I'm trying to lean forward. Right, watch your step. Keep keep Keep standing up. I think he's got a chair behind him. All right, okay. Dear me. David was particularly weak when we got there. He was deteriorating quite rapidly in front of us. It became quite apparent to me and Sarah 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. Can I have a drink? No, no, no. No, we're going to sort that out for you. Just bring your head forward. Just give it a minute, mate. Just going to roll you. It's quite a satisfactory, isn't it? Watch his arms. Watch his arms. 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 I have a drink? Yeah, just give us a moment. All right. All right, mate. I'm just going to reattach you to my monitor. Can I have another drink? Just give us a moment. Have you felt sick at all today? No. Has this breathlessness come on either today or has it come on all of a sudden? It just come on all of a sudden. All of a sudden, okay. Just There's some water here. Just take little sips, okay? We're just going to have a look at your arm just to see if we can pop a little needle in, all right? Yeah. 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 in there. Yeah, yeah, for now. No for that. 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. Here's just a little bit of paracetamol I'm going to pop through your vein, all right? All right. Right, relax that arm for me. As they set off, Sam calls ahead to alert the hospital. Hello. I've got uh a patient that's uh ticking our red flag sepsis. Um he is a 72-year-old male. David um has had an acute onset of breathlessness this afternoon. Um we've popped him on a neb um salbutamol. 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 I just have a drink? Yes, of course you can. Patients should have antibiotics within an hour of diagnosis. Okay. I'll do fine now. Good. Thank you. Do you feel a bit better now? Do you feel less breathless? I think Good. Do you feel any worse there? Worse than it was before. Good. That's what we're 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. All right, well I'm going to say I'm just going to pop this over you for a moment cuz I don't want you to scare all these ladies or us. Just pop this over here. In A&E, David will be tested for sepsis immediately. If he does have it, the life-threatening spread of infection will need urgent treatment. I'll just shut the doors. He was really septic when we 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 he'd be that bad. Poor lay. Cuz it came through 111, didn't it? Yeah. So you know saw him try 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? Sepsis. But he looked a lot better. But yeah, but at the time he and I think those jobs make you feel like you make a you actually make a difference. Yeah, you actually make a difference. Well that's what that's why we're in this job, really. Exactly. Never had it. An ambulance going past an ambulance is never No, it's never right. Did you see who it was? Left hand doesn't pay attention. They were quite happy. I always do a wave like that. I always do a wave. Who's that? Austin? Austin. Yeah, Austin. Austin Powers. Austin giving it the metal horns. It's the emergency services. We always Yeah, we all wave at each other. Yeah, it's nice. It is One big family. We all work together. Yeah, got each other's back. Yeah. In Dudley, paramedic Steph Jay and student paramedic Stacey Hale have just finished one job and are on their way to another. Well, now I've got a cup of tea, I'm a lot happier. I've 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 marmalade. So, that is like my favorite. simple things in life that make us happy, isn't it? Chocolate and hot drinks. Stacey was inspired to join the service by her parents. Her mom's a midwife and her dad is a paramedic. Oh, change of job, but the other way. Rest room. 13 minutes. 12:07. This is 22-year-old female. She's been having a lot of epileptic seizures. Yeah, I'll see you. Thank you. You're welcome. Seizures can be extremely serious and require urgent medical attention. Hello. Well, actually since we got Charlotte, it's been doing well. Where we going? Okay, good girl. Hello. 22-year-old Charlotte is with her sister Megan and mom Michelle. She's been in the hospital in and out today. Right. She's just had four seizures. Okay. One after another. Yeah. Have you ever had a fit before? She hasn't, no. On Wednesday she started having them. They let me out today and I came home and I started to vomit in my head. And then I had three seizures. Yeah. So, that's what we've been then. From home. And I vomited three times again. And I was forcing you to just rest in the room. How are you feeling in yourself, Charlotte? I'm exhausted. I'm not I'm just weak. Yeah. Okay. I was just waiting to take your arm. And what did they say it was? Look, is it Okay, violent shaking all over. No, okay. Yeah. My hands are cold. Okay, so you came home today and then back again today and then home again. Yeah. Right, okay. 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. They said everything was okay on my blood test and everything. Yeah, which is all very well and good. 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 they need to work out find out why these episodes are happening. Are you particularly stressed or anxious at the moment? I'm going back to uni in two weeks. Okay. Are you particularly worked up about that? No? Excited? Looking forward to getting out of here. It's my first day. Oh, wow. Okay. That's 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. Okay. Are you fit and healthy apart from this? I had a pneumothorax. I had a TIA two weeks ago. Oh, gosh. So you've got quite a lot going on, haven't you? Have they said what's caused the TIA? No. No. said it's stress cuz they couldn't find anything. Cuz they couldn't put it down to anything else. Yeah. 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 pneumothorax, 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 assessment and everything and it was 65% on air. Mhm. So, he was quite worried and they did an ultrasound and found a hole in my lung on my right side. Mhm. So, Charlotte had so many problems, it's quite difficult to pinpoint exactly what was going on with her. Uh 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 Charlotte that it actually might be um the onset of epilepsy for her. Are we diagnosed epileptic yet or are they just thinking it might be? It'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. So, all right, is it? It's going on, isn't all right at all. And my fans you haven't been right for quite a few months really, have you? Do you feel yourself or just rubbish? Rubbish. Before going to hospital, staff 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. All right, so you can 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. It's more on this side. More on this side. Okay, can you hear that? Yeah. Which side is it? This side. I can't This side. Okay, if you normally got any hearing problems. No? Good. Sorry, I didn't tell you before. All right, fantastic. Okay. There's more coming out about you all the time, isn't there? How did your hearing sound? Does it sound like you're underwater? Yeah, this side. 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 is 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? You might have to do it in a vein. Pop it straight into a vein. Can I get in there or do you want to watch me do it? I'll do it in there. Do it in the truck. I'm going to push your legs straight. Okay. Just one little movement then onto the bed, all right? And that's all we need you to do. Oh, it's not. It's just the packaging that makes them look big. You know I found a needles. No. I'll look the other way then. Yeah, I'll look over here. It This This is a little baby one. It's fine. Yeah, it's only a little baby one. Did you get it in? Straight in. It's all good. Okay, this is just the paracetamol, all right? See you in a bit. So how long have you been at uni for? Three years. Three years. Enjoying it? Must to from home and get a bit of a break. Yeah. The hospital is nearby and they're there within 8 minutes. Well, let's just go and get you sorted. Well, hopefully sorted. I don't promise anything. This will be Charlotte's third visit in 24 hours. So much going on for 22 year old. I was supposed to be 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. Can we get the air con on? I'm having a I'm sorry. Bloody hell. Right, hang on. Here are Is that better, madam? Yes, calm me down. Calm you down. I've got a hot I know. I can't resist you. Not like that, darling. Oh, the red van stopped. But is that just cuz the lights have changed? Probably. We've now got a helpful windmill planning us through. Just in case you weren't sure you could go at that point. yeah. I was going to go anyway, mate, but thanks for helping. I'm freezing. Are you really? I'm cold. I have a cold because of you. Well, good to working with me. Oh. I'm going to bring a hot water bottle tomorrow. On shift together in Stoke are husband and wife Kev and Anne Armstrong. Are you trying to say that I'm bossy? Wouldn't dream of it. I'm not bossy. I'm just a girl that knows what she wants. The couple met 15 years ago working for the West Midlands Ambulance Service as regular crewmates. We were like best friends really to start off with and then well together We did. Still do. Dynamic. Frequently. All right, no job. Homeless patient attacked. Where? 674 All right, can you go to custom agency in the mastry? There's a homeless male there who's been assaulted with a metal bar. Just on the place now. Do we think the assailants the attacker is gone? He was saying he was attacked earlier and like during the night and I don't know if he's just turned up there or or what. Yeah, Roger that. We'll be there. What? All right. See anybody do we think? Hello. You rang for the ambulance mate? What's your name mate? Paul. Paul. All right, my name's Kev. Nice to meet you. All right, what's the matter Paul? What's happened? Well, basically I was asleep last night. Yeah. And I got woken up at 2:00 in the morning to some guy I don't even know kicking his little home like that. Right, okay. And I thought he might die there. Okay. But it's just got worse and worse and worse. Hurt you more? Yeah. Okay. I've literally just had to struggle getting up Right. Well, it might be best cuz we're in we're in a public place at the moment. Do you want to have a look at have a look at your back of your arm? Are you waiting for something? I was just waiting for sandwiches. Are we? Yeah. You Have you ordered it and paid for it? No, I didn't commit to it. Paul has been sleeping rough and is keen to wait for his sandwich. So this happened last night, did it? Yeah, I was asleep by the way and everybody. Yeah. Yeah, I was in the park and all I can remember is two guys waking me up kicking me in the big square juice. How have you been since then? I've been quite I don't just mean pain. Have you? Have you managed to get here? I walked with a stick. Have you? Okay. I wanted to go to McDonald's last night and I sent for just a couple of ice. Yeah. And I got some McFlurries Yeah, yeah. tomorrow and then I put it on straight away. There you go. There's your sandwich. Can you stand on it at all? I couldn't so much weight on it. Yeah. It hurts. Do you think you're going to Do you think you're going to manage out to the ambulance? Yeah, I'll walk to the Down there? Yeah, yeah. You sure? Yeah. Get your chair if you want. No, I'm all No? In the privacy of the ambulance, Kev and Anne can properly examine Paul's injuries. Right. Just pop them down and have a quick look at your leg. Bit of a bruise there, isn't it? Mhm. It was It was black. Was it? But I checked it as soon as he done it. Ah, that's okay. Where's Where's the worst pain you've got? Where's the pain without touching it? Yeah. Sort of Right there in the middle. Yeah. Okay. Just twist around. And then stand straight on to me. Tender, isn't it? There? There was where the worst pain was, yeah. Yeah. Where When you There. Okay. Any pain on the front? Yeah, yeah, yeah. Okay. A lot of bruising 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 seat 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 to work on a farm, is that right? Yeah. And what's happened? How come you've got no fixed abode at the moment? Well, basically, the job was like bad, but we was It was costing us 16p a liter to make the milk. Right. And the dairy was only charging 13p. Okay. So, it wasn't worth So, the farm went bust, did it? Well, no. Or they just couldn't afford to employ people? couldn't afford to keep everybody happy. So, what When was that then? When did you stop doing that? Um 9 10 months ago. 10 months ago. You've been sleeping rough since? Yeah. Are you happy to go to the hospital, Paul? Yeah, if needs be. Yeah, I think you need it looking at. Although you've been walking on it, you've been weight bearing and even hobbling, 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'd be okay watching him bagging stuff. I don't know if they will. Do you want something? Is there anything that you want to get? Yeah, but so it don't get missing. Yeah. Much stuff is he? All right, I've got your stuff for your pool. All right, do you want this? No. Do you prefer sleeping rough at the moment? Or do you rather be in somewhere? I'd rather be in somewhere. Yeah. Well, but some people actively choose, don't they? Cuz, you know, there is If If you come to either going to one of these hostels Yeah. or sleeping rough, what do you sleep in? Would you? Yeah. Cuz that's where I can stay away from all the drugs and all that stuff that's going on. Do 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 druggies in there than than there is on the street? Yeah. Well, if I I think if I can get into somewhere which is stable Yeah. and I have my own room where I can go and get away from stuff and then Well, that's what he wants. Yeah. For Paul, homelessness has become a vicious circle. Have you tried to do any laboring around here since you've stopped working at the farm? You've not been able to find anything? Well, I've been trying to get get bits of work. Okay. I find it easy to find the work or if I do find somewhere in the roads take me on cuz of situation. What's that? With you being homeless? Yeah. At the hospital, Kev and Anne deliver Paul with his possessions to A&E. What you got in your bag here? All your stuff there. Right, think you're going to manage down the ramp? Yeah. Do you want us to help with anything? Do you want me to hold your copper or anything? No, it's all No, you're all right? Seems such a nice guy. Really nice fellow. a nice guy. He'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 hostels that he doesn't like it there. It's very sad. A shame. Hopefully he'll get some help while he's here. I'll explain to the to the nurse and stuff the situation he's in, so. Um we'll see. Shame. Just ahead, keep left. Dodgy stuff on the hospital Turn right. Mine's the um traditional American accent. In 500 yards, at the roundabout, take the second exit. Is that your American accent? Oh my god, he's so whiny. At the next junction, Stu, go straight ahead, please. Well, that wasn't please. Please? I said I was going to be polite. All right, at the next junction, straight on. Like now. Like yeah. Where are you going? I don't know, I've gone the wrong way. I said straight on. You know, it might be used to have Jeremy Clarkson. You know, he'd be like really sarky about it going, "In 9 miles turn right, if you can make it that 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? Sorting the Sam out. They've been called to an address a few minutes drive away to attend a very elderly patient. It's independent living in, so it's not a care place. She's doing well if she's 104 in independent living. Look cool. Look cool. Look cool. She might be the oldest lady I've ever met, 104. On route, they receive more information. UTI, chest infection, hallucinating, and worsening symptoms. And maybe she's already on antibiotics, and maybe she's like hitting the markers for sepsis, although it doesn't say sepsis. Normally says She's hallucinating, so she's probably not safe to be at home, is she? If she's hallucinating. I think I'd be hallucinating at 104. One of the patient's 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 My Sam. Nice to meet you. How are you feeling? Are you feeling okay? Pardon? 104 Yeah, 104. You're never 104. I'm 14, my children. 14, never. You're never 104. I'll be 105. Oh, when's that? In In July. July? My mom never had an infection. Never had an infection. And how long did she live to? 107 So, you nearly beat her. Me and my husband Your husband? He got killed. Oh, Nancy. And you mind. Nancy, I'm just going to do your blood pressure. Is that okay? Just pull your arm out for me, sweetheart. I was here to say they love me. Oh, will you? Oh, they do some 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, hallucinating, quite confused. She's been wandering as well, hasn't she? Um we we're not diagnosed with a a urine infection at the moment cuz we haven't had any dipsticks done. Last time there was confusion, we had that done, which was probably about 2 weeks ago. And that came back clear. On Friday, she started a new new medication from results of her blood test. Reduced kidney function. 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. Quite privileged to meet her. For a 104-year-old, 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 wasn't actually seeming that poorly, but the confusion was the concern for the carers and also the doctor. And with the confusion, she could be a danger to herself. So, the best place for her was to take her to the hospital. Nance, do you want me to do you a cup of tea? Yeah. Yeah? How do you like your tea? Very nice. Very nice. Oh, very nice. Here. Oh, good. Nance, say. Good. I had a card from the queen. You had a card from the queen? I had a card, yeah. And you got All my life. While Nancy's tea is brewing, Hannah wants to check her over. Nancy, can I do a blood test in your thumb? Yeah. Pass me your finger, sweet pea. It did squirt up a bit. You got lots left. Nancy, can I take one of your hearing aids out? Two. Can I take one? Yes. You're amazing, you are. You haven't got any hearing. Your best ear. Best. Oh, that one. 37.4, that's fine. Want to put it back before I lose it. You are very good, too. I I do care less. Nancy, this lady's made you a nice cup of tea. Lift that. You have a brew, Nance. Have a brew. Nance. Best brew. Have your cup of tea. They're go- you're going for a checkup, Nancy. Now, it's a nice old book. Good. You all right, lovey? I'm okay, I am. I'm having a nice rest sitting here. Are you? Yeah. Nancy, should we go see if there's any nice doctors at the hospital for you? Oh, yes. Very nice one. A nice one. What we paying somebody? Paying somebody. 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? 1 2 3 big stand up for me, Nancy. That's it. Fantastic. Right, you hold on to me. Oh, I'm going. I've got you. I've got you. That's it. Are we dancing? Are you comfortable? Yes. Good. See in the mirror 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'll see if it's a nice doctor. Yeah. Yeah. Nice fellow. Neil, he's he's fast, isn't he? Shall I tell him off for driving too fast? Yeah. Yeah, I would. What's the secret to living to 104, Nancy? Any secrets? No, just treat people as they treat you. Yeah. Be nice to you and be nice to them. Is that what you've done? The war. I remember you got paid back a little war. Aw, you're a good egg. Hello. Oh, it's him again. Was he driving all right or not? Yeah, he's all right. Oh, did you give me 10 out of 10? 10 out of 10. Who's that? He's my brother. All right. Are you my brother? So we need two friends. Are we friends? Aw. You're my favorite today. Oh, this bed. This bed isn't my favorite, I tell you. She was one of my favorite patients ever ever ever. She was lovely, wasn't she? Nancy's my oldest patient I've ever been to. And my oldest patient ever, 104. What year was Nancy born then? I don't know, 104 years ago. Poor. I don't know. Poor, she's gone through the 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 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 incident 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 trialing different medications to try and control her ongoing 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. Thank you for traveling with West Midlands Ambulance Service. Your hostess with the mostest has been Ash, and your flight attendant has been Lee.