Sorry. >> Oh dear me. >> Somebody's going to be looking after you. >> Thank you. >> We are back with the West Midlands Ambulance Service. >> We got a job. >> As the paramedics take us to the heart of the action once more. >> He's currently having seizure in the back of the ambulance. >> We're going to be all right. We're going to be all right. >> Old friends are back on shift in Dudley. We see everything from life to death and everything in between. >> We do. >> And for the very first time, >> we're in and we're online. >> We're taking you to Stoke. >> This is where it's all going to kick off today. >> Where new crews face fresh challenges. >> Oh, you kidding me? God, it's going to be horrible. >> And experience heartpounding action. >> Grab the kit. Grab the kit. >> Bodymounted cameras record every moment. >> What's that? showing you what goes on behind closed doors. >> Still struggling quite a bit, aren't you? >> Well done. You >> don't shoot me. I'll try not to. >> This is a paramedic's eye view of life on the road as they battle over 4,000 calls each day. >> You need to keep very still. >> Am I alive? >> I think you're alive. >> Okay. >> You'll be on the front line with them as we take you inside the ambulance. That's what I love about this job, though. You never know where you're going to go, dear. [Music] [Music] >> Are you cold or are you warm? >> Uh, sort of in the middle. >> I've got a lot of internal central heating. So, cuz you've got the um >> I haven't got it on >> the air con on. >> Yeah. >> I'm sat here with goosebumps. >> Don't think there was much point in going away this year with the weather how hot it's been, isn't it? >> Wasting your money, aren't you? A bit. >> Don't mind. It's just this uniforms. >> Get a bit foggy after 12 hours driving. [Music] >> Okay. What do you prefer, summer or winter? I like cozy winter nights in. >> See, I'm like that. I I really love cozy nights in. >> Yeah, same. >> Front of a telly duvet or duvet. >> Yeah. Glass of wine. >> Glass of Yeah. Well, whatever your tipple is. [Music] Over the bridge. Over the bridge. Ready. Ready. Ready. You're all good. Thank you. >> In Dudley, Laura Hickman and Carrie Richards are responding to a 999 call. >> Right. We are going to a 67y old gentleman with breathing problems come through from Caroline. He's got a history of asthma, emphyma, COPD, panic attacks, and he's got difficulty breathing. Laura is a fullyfledged paramedic. >> Look at the kuffle. >> While Carrie is still in training. >> My favorite is rush hour traffic and you're trying to dodge your way through slowly. Yeah. Give me a big line of traffic, two lanes, and I'm trying to weave my way through the middle and you're sat in the middle and then it just parts like the Red Sea. [Music] They've been called to the patient's home in an age assisted housing block. [Music] >> The patient's friend and neighbor Dave has been looking after him until help arrives. >> All right. >> Hello. >> Thank you. >> Hello, my darling. Is it John? >> All right. I'm Carrie. This is Laura. Hello, young man. Have a little fill of your wrist. What's going on this morning? Tell us a story. >> Just woke up, made a cup of tea, and brought a glass of water back and that was it. >> You're just struggling to breathe. Catch your breath. >> Yeah, at least I can talk at the moment. I couldn't do it. >> 67year-old John suffers from COPD, chronic obstructive pulmonary disease, a lung condition that gets worse over time. When he couldn't breathe, he pressed his panic button. >> I'm going to give you a nebulizer just like your puffers. All right. All right. [Music] There we go. >> John, do you mind if we pop a needle into my phone, sweetheart? >> Need use a very small needle. >> Are you a tricky customer? >> Yeah, I'm always >> I think I've got one, John. I'm going to have a go. All right. >> John needs an injection of steroids along with the nebulizer to try to open up his airways and get his breathing under control. >> We'll go through it. >> Right. Hydrocortisone is drove up. Ready? Sim for me, mate. The out. Look at that. She got it in one. A mate. And you said you were a tricky. We get out of chair. You've definitely won a trip to hospital this time. All right. >> No, no, I'll get some things in the bag in a minute. >> Laura and Carrie can only ease Jon's symptoms temporarily. He lives alone and can't be left at home as another attack could be even more severe. How we doing, mate? BP's come down a bit. His heart rate's come down. >> Pop this off you now, John. All right, mate. >> Do you have a community respiratory nurses come out to you or anything? >> I I used to. Right. >> You smoker at all? I >> I know you want to have your stuff to take with you. >> Yeah. >> But can we pop you on the chair to say if you're walking about to get all your bits? We'll you to wherever you need to go. >> Is that all right? >> No, for another just 5 minutes. Is that all right? >> You can have a couple, but we can't wait all day. We need to get you at the hospital, don't we? >> Well, problem is your breathing's going to get worse again now cuz we haven't got you on the oxygen or anything. [Music] John, you're going to wear yourself out, mate. I need you to come and get on the chair for me. He can't breathe again now. Everything we've just done, he's just reversed for my walking. Oh, John. Some patients get really nervous when they need to go to hospital, and unfortunately, I think John fell in that category. The more he delayed us on being on scene, the worse he was getting with his breathing. With every second that passed by with John, it was just reversing the short-term effects of what we'd done to him and how we treated him. >> Well, I told you to sit on the chair, didn't I? >> Yes. I'm sorry. >> Can I try and get you on our chair now? I think I'm going to tell the hospital I'm coming with you as well. You're getting the pretty blue lights and sirens today, my darling. That's it. >> You'll have to sit back for me, John, mate. >> I got to do anymore, mate. >> All right. Sorry. Try try and tolerate as much as you can. All right, just focus on your breathing. >> You're too tight. >> No, no, John. John, stop. John, stop. John, it's not even tight. It's actually too loose. >> Because you haven't sat back on the chair, I've got to put it tighter. >> Just don't panic for me. All right. Focus on your breathing. [Music] >> John, you're John. Stop it. John, >> please. Please. >> Right. John. John. If you don't keep still, you're going to hurt us as well as yourself. You need I know it's scary. We need to strap you in for your safety and ours. All right. >> Get me an oxygen for God's sake. >> Can you get that oxygen? >> You need to relax for me, mate. >> All right. So, all that walking about, John, you've just done has completely reversed everything we've done to make you feel better. You need to keep very still. All right. You are meant to have your arms in, but if it's going to make you panic more, you've got to keep really still for me. All right. The plan was to have you on the ambulance by now. When you're moving a panicking patient, it can be quite difficult, especially cuz our chair is quite narrow. So, if they're fighting out the chair, they can, so to speak, upset the apple cart and risk an injury to person themselves. But in John's flat, the um corridors to get out of his are also quite narrow, so it made it a bit more difficult to navigate around. Right. Bumpy over here, mate. Give us a push, guys. Where's the truck? There. It's up the ramp. [Music] Okay. [Music] Hello, Sam. Well, I've got an alert for you, please. I've got 67y old gentleman. Um, exacerbation of COPD. Thank you very much. Thanks. Bye. Right, let's go. [Music] [Music] On the ambulance, Laura gives Jon more oxygen. It will deliver a high volume of gas to his lungs quickly, which patients with lung disease struggle to do for themselves. >> How long have you had COPD for, John? >> I'd say 2012. >> Has it got worse from then? >> Oh, yeah. >> Yeah. >> Yeah. [Music] Did you ever try to quit smoking or >> I did I managed to start in >> You start back up again. >> Yeah, but I've been off for six years. Um like everything else, you exceed everything you enjoy. >> Yeah, >> that's it, isn't it? It's a a risk always involved, isn't there? >> There is. Yeah. >> By the time they reach hospital, John's breathing has eased and he's calmer. What we're going to do, John, is when we go in, I'm going to pop you off the oxygen just to see if your oxygen level maintains. All right, >> that's okay. >> 89. >> I've got your bag, John. All right. >> John will be kept under observation until his oxygen levels have returned to normal. Doctors will also try and find a cause for the recent deterioration in his condition. [Music] Oh, I did feel sorry for John. He shouldn't have moved when we told him not to move. >> I said to him, "Sit on the chair. Let us move you." >> Yeah. I think everything we did for John just got completely reversed in that point. And we shall part like the Red Sea. A [Music] do you know what I did the other night? >> I I might cry. I don't want to know. >> You do. >> Adam will absolutely kill me. Okay. So, we've been getting into bed of a night. For some unknown bizarre reason, I've been having the urge to make him jump. Like wait till he's drifting off to sleep and then scream to make him jump. >> That's horrible. >> I know. So the other night I did I waited for him to start drifting off to sleep and then I shouted. He absolutely like freaks out. >> I feel sorry for Adam. >> I do. He has to put up with me on a daily basis. You've got me for these two shifts back to back and he puts up with me every day. But you know the worst thing he chooses to [Music] [Music] in Dudley. >> Are we good to roll? >> Ready. >> The Hodkins and Olly Raven have just finished one call when another comes in. >> It's raining. >> Yeah. >> Good job. >> Oh, baby. 67. >> We have got a 5month-old Muhammad. Uh looks like the call is from 111. Patient has high temperature 38.3. Could be an infection. Could just be a 5year-old with a temperature. Yeah. >> V has worked for the ambulance service for 18 years and is now a clinical team mentor. She helped train Ollie and signed him off as a paramedic three years ago. >> When I had good children. >> Hey, we had good old children. >> Is it for cars to get personal? So, find out. >> Yep. >> Yep. Okay. [Music] >> Hi there. You expecting us? I uh >> baby Muhammad's mom Chelsea called 111 worried about his high temperature. >> What's happened with Muhammad then? >> Um he did have his injections earlier. It was perfectly fine. He was doing really well and then a couple of hours ago he's got this really high temperature. >> Yeah. >> He's not having no bottles. >> Not drinking. >> He's not taking anything at all. >> He loves his food. >> Yeah. Have you been able to check his temperature? Have you? >> Yeah. It was a 38.3 the last time I checked it. And >> um it keeps going down and then back up and >> yeah, >> high temperatures are quite common in babies after they've had especially after they've had the vaccinations. We do get concerned if temperatures won't come down and um this can lead to more serious signs of infection. So um baby Muhammad hadn't fed um that day and it' be concerning for us if babies aren't feeding or drinking as this can lead to dehydration which is potentially quite serious in a young child. I like him. It just doesn't hurt you. It's just a little sticker. >> Is he your only child? >> Yeah. >> Yeah. >> 160ish. >> I know. >> Is it just you and him? >> His dad. Yeah, but his dad's at work. >> He's at work. >> He's cute. Look at those eyelashes. >> I know. Yeah. >> Those eyelashes. >> Wow. >> This is the first time he's stayed away for a bit now. >> Can I have a smile? Big smile. likes you. >> Who's where does he get his big eyes from then? >> His dad. >> 38. No. >> You're really hot. I can feel the heat on here. >> Might be worth just leaving that off him for a bit. >> Take it off for a minute. Yeah. Yeah. >> Muhammad's temperature has crept up since the crew have been there. >> If you want to spin him around, I'll listen at the back. >> He needs closer observation to make sure his condition isn't deteriorating. I know this belly rumbling. >> It's coming. Coming. Coming. Coming. Coming. Coming. Coming. >> Can't help yourself. >> It's gorgeous. >> Everything looks okay. The only part that might be slightly concerning would be the feed. >> You want to try him again while we're here? Is there no more away? >> Would you like me to hold him for you while you get that ready? >> Yeah. That's me saying please do hold. Is he good? >> Should we just try? Cuz now he's a bit more awake. What's that? What are you looking at? Oh. Oops. >> Oh dear. >> Oops. Didn't like that. Oh dear. Mommy's back. We were having such fun then. Let's just see. >> Some of this drinking it now. >> Look at that. Chelsea baby Muhammad's mom was quite concerned as he hadn't fed all day. Um thankfully he did manage to have a bottle whilst we were there. We were still concerned about his temperature as it had risen since the call. So if we couldn't get that heading in the right direction and coming down then we'd probably have to take him to hospital. >> I'm just wondering whether has he had neuropen. Do you have neuropen? No. >> Never given it before. >> We could give him a dose of that. See if we can get his temp down and >> works well in his Yeah. If his temp starts Yeah. starts to come down. He's he's quite well himself. Then >> you probably stay here. >> Or should I be the tuy tuy tuy one? Cuz otherwise you're just going to spit it out, aren't you? We need to Yeah. Good boy. >> Oh, he's doing all right. >> Again. Again. Good boy. >> Once the medication's had a chance to kick in, >> little man. >> V wants to see if it's done the trick. 382. So, yeah, we're coming down. We're coming down. So, that's brill. Yeah, >> that'll do us. >> So, we're happy. >> Thank you. >> Which one shall we have then, little man? >> Good boy. >> 154 and 96. Perfect. Brilliant. So, his heart rate's coming down as well. Brill. >> Who's this? >> Who's this? >> What would you call that? A mouse or an elephant? >> I think it's an elephant. It hasn't really got a trunk, has it? No, but it looks like a mouse, doesn't it? And an elephant as well, though. >> It's a bit you, >> you know. If only your ears stuck out. >> I'd look like an elephant, >> right? Then you're happy. >> Obviously, any concerns, you can always call back. >> Bye-bye, little man. Bye-bye. Night night. God bless. >> Happy that Muhammad's temperature is a reaction to his vaccine and not a more serious infection, the ambulance crew leave him and Chelsea to try and get some rest. >> Right. All the best, sweet. >> Thank you. Nice to meet you. Take care. >> He was okay, really, wasn't he? >> Yeah. >> Cute little baby. >> He was gorgeous. And he hadn't been feeding and then he fed >> almost made a fool of his mom, didn't he, by feeding, which is which is good to see. >> But hey ho, we've uh we've been and sorted it, haven't we? [Music] [Music] It's a rainy day in Dudley. Stuart Punter and Anna Ray are waiting for their next call. It better not be raining like this when I go home at midnight. 11. I need some petrol as well. What's going to be open at when you finish? >> It's not long before a job comes through. >> So, we're going to It's come through as shortness of breath, but it sounds like it's a bit more than that. So, she's got stage three COPD and an esophageal disease, Baris disease. Struggling to breathe, losing color in her face, and keeps going gray. Um, I think she's got pain as well. >> Cornwall native Stuart served in the RAF for 5 years before joining the ambulance service. Polishborn Anna moved to the UK 12 years ago and is in training to become a fullyfledged paramedic like Stuart. Oh, someone at the door left. Yeah. You >> all right? Where are we going? >> Hello. >> Hello. >> How we doing? >> The patient, Angela, has her husband Steve and daughter Sam looking after her. >> Angela, what's going on, chick? What's happening? >> The pain is absolutely horrendous. >> What pain? >> Um, can you explain? >> Mom's got Barrett esophagus disease. >> She's also stage three CD. She had to go bladder remove, >> right? >> But she's had problems ever since. Um, she's probably brought up about half a liter of oil in the last. >> Okay. >> In Barrett's esophagus syndrome, acid reflux causes cells in the food pipe to grow abnormally. It can be incredibly painful and in some cases the abnormal cells can become cancerous. >> So what normally happens when when this occurs then? Usually they have to give me either >> I'll come through. >> Yeah. Come >> paracetamol or morphine to ease the pain cuz nothing will touch it. >> Well, should we manage your pain here then and see if we can avoid hospital? >> Yes, please. At the moment I just wish it had stop. >> So out of 10 then zero is no pain. 10 is being having your leg chopped off with a dirty hacksaw. >> Try 11. >> Try 11. As bad as that. >> 11 to 12. Yeah. I haven't seen mom in this much pain in a long time. M >> constantly burping, constantly like but the doctors have said obviously there's nothing I can do. Um >> they're precancerically. >> Okay. >> Is there anything I can do? >> Okay. Sorry. >> Have you had gas and air before? >> Yes. >> Okay. I think we'll start with that. Um, and then while you're doing that, we'll pop a needle in, we'll give you some of our anti-sickness, and then we'll we'll try and sort some of this 12 out of 10 pain. >> Thank you. >> Okay. >> Angela had her um gallbladder removed, which um had led to having um a lot of bile in her stomach. H this can cause a chronic acid reflux and can cause a lot of pain and vomiting. The doctors had um Angela on a regime of medications already, but it was clear that this wasn't working for her today. Angela, who's 61 and a former glass blower, is a great grandmother. She's been managing her condition with the support of her family for the last 4 years. >> How bad is your pain now? What's the number? >> Truthfully, cuz I know you you don't tend to tell the truth on these matters. >> It's around you. Yeah, >> you can swallow me back. >> She's still in pain and the crew decide to give her morphine. >> Morphine is a very powerful pain relief drug that we can give and we don't give it out lightly. It was clear that Angela was suffering with her acid reflux to the point where she needed the morphine today. >> What's your pain out of 10 now? >> Two one. With Angela feeling much better, a trip to the hospital has been avoided, much to her family's relief. >> Thank you for coming in. >> No problem. >> Right. This is not on the green screen. >> No, don't be silly. >> No, I can't take it. >> No, >> can't take it. >> You can't take it. >> Not allowed to. >> Next time we come, just have a a bag of sweets for us prepared. >> Yeah. In a quality street, isn't it? >> Yeah. Just a thing. Stop there. >> No joking. No joking. >> I wasn't. Oh no. >> Tada. >> How's your birthday? >> Thank you. >> Now, I'll tell you what, that's going to go down perfect. >> Yes. >> That's very kind of you. Thank you. >> Honestly, if you got any problems, anything at all, cuz cuz you've had, you know, the parac and the morphine especially, >> you know, if you notice anything out of uh out of the ordinary. >> With the pain now under control, the crew leave Angela with advice to call back should her discomfort return. >> All right. Okay. >> Nice to meet you, Andrew. Take care, mate. >> See you again. >> Thanks. >> See you. >> Bye. >> Hello. We're lovely family. >> They were nice. >> We seem to have a a pretty good effect with our our pain relief. >> She did. Yeah. We've done a good job. >> Yeah. >> I think her daughter was happy enough that we managed to do something for her. Oh yeah, she's staying free. She stayed at home. >> Happy days. >> Yeah. Another one out of hospital, which is good. >> Mhm. >> And we good, >> aren't we? Just the best. [Music] [Music] because of the hot weather, we have had more like asthma, haven't we? >> Yeah. >> Um I've noticed more of an increase in anxiety. >> Um since we've had this hot weather and I don't know if that's because people can't breathe because of lack of air, so then they've got anxious and then they've panicked more. I've noticed more anxiety cuz they can't breathe. Did you know as well actually listen to I actually read something somewhere the other day and it was saying that people have more anxiety in the summer because in the summer you've got less clothes on so you don't feel as snug because when people are anxious and things like that they often sit in their own houses don't they? You know and they have like a a blanket or they get all >> that warm. >> Yeah. So in the summer they feel more vulnerable. I read that in the paper the other day. I don't know how much truth you're exposed, aren't you? To some degree [Music] at the ambulance hub in Stoke on Trent. >> Oh no, it's gone. Greenway Hall Golf Course. >> Adam Olock and Janine Cryle are midway through a day shift. Adam's been a paramedic for 5 years. I'm >> going to play some golf, >> all be it crazy golf cuz I can't hit >> liver Puddley and Janine was a medic in the army before retraining as an ambulance technician. >> I just hit him instead. >> On the way to their next call out, information comes through about the patient. >> Oh, yeah. Male who's 74 with upper back pain. Features of cardiac pain. Patients at the driving range. One giving us a wave. Happy. >> Yeah. Morning. >> Hello. Good morning. My name's Janine. This is Adam. >> Hello. Alan. >> Alan. Nice to meet you, Alan. >> 74year-old Alan had been playing golf with his grandson, Sam. Daughter Joanne has been looking after him until the paramedics arrive. >> What's going on? >> We were just up on that by that flag. Just went down just over the chest pains, headache, and >> Okay. Can you describe them chest pains for me? goes across there, pains there. I've got stances in there. >> Okay. >> And then it goes from one shoulder to the other and the pains. >> It's got unstable angina. >> Could it have possibly been an angina? Sort of feel completely different? >> Completely. >> Okay. Does dad look his normal color to you or look quite sweaty? >> I don't diabetic as well. >> All right. Okay. Is there any other medical problems you suffer from? >> Let me just pop these little sticky dots on you. >> He's got kidney problems. >> Kidneys. What's wrong with them? >> I don't know. They just only 15% I've got left. >> Okay. They have chronic kidney disease. >> If you have to give me a score out of 10. >> So when it first come on, >> nine. >> It's a nine. What is it at the moment? Is it still a nine? >> Five. Six. >> A five or six. >> A few bits on there is there. >> You still got that pain at the moment? >> Yeah. across your chest and and your shoulders, your back. >> Alan had a long list of co-orbidities including angina um kidney disease and diabetes. Um what he was experiencing was central chest pain that was radiating into the left and right shoulders and he looked quite pale and he was sweaty and clammy. So with that it looked like he was potentially having another heart attack. With that the best course of action was to attend A&E and see a cardiologist. That's a silly question. Will we carry on? >> Um, absolutely not. And we're going to be put to hospital. >> Are we? >> We are, mate. Yeah, >> we're going to have to. You got quite a significant heart history. >> We recommend it. [Music] >> Come and step into the office. Alan. >> Yeah. Used to go in. You guys >> see this chariot on here? >> You have your hand there, >> please. Matey, >> is your daughter coming with us? Alan, >> she's getting drive. >> Okay. Just going to do your blood pressure. >> Good. >> 131. >> It's more acceptable than what it was. >> Lift your tongue up for me. >> There we go. GTN to try and completely alleviate your pain. >> Happy? >> Yes. >> Do you want anything else? >> No, thank you. >> Cool. Happy that Allan is stable enough not to need blues and twos, the crew can set off. >> I lost her life 3 years ago. >> Was she a golfer? >> She was. Yeah. She hadn't been ill at all. And she was taken out in France. It was the last day and she died with hospital. >> What was it that they said? >> A blood clot in her leg which moved. >> That's awful. How long have you been married? >> 51 years. >> Long time then. >> Still feeling a little bit short of breath as well. >> A bit. Yeah. >> Yeah. >> Your saturation levels a little bit lower. >> It's going to get you a little bit of oxygen. Okay. You don't want anything. Did you? Do you childhood sweethearts then? >> Oh, that's romantic. >> Caught in at 14 if you caught in at 14. >> Um, >> married at 20. >> That's an an oldie world saying caught in. But, um, a lot of spouses use that word. >> Really? >> Well, my mom and dad used to say it. >> You're a scout, are you? >> I am indeed. I >> can't tell you the accent. >> Can you not tell? >> No. >> I like you. >> Are we still a three? No, I'm okay. >> Two, three. What would you say? Gone. >> Oh, yeah. >> So, you're a zero. >> Zero. Yeah. >> Honestly. >> Honestly. Yeah. >> I've cured you. >> Yeah. [Music] >> It takes 20 minutes to reach Royal Stoke University Hospital. >> Oh, dear. [Music] >> We've landed. >> We've had a lovely chat on the way in. Oh, >> can you understand her then? >> Oh, no. The best one. >> Thank you. You say >> even though Alan's pain has gone, he'll need to be checked by a cardiologist to find out what caused it in the first place. [Music] >> I've got no clue what's going on with him. By the time we got him into hospital, like his gray pale color had gone and he he looked quite well. >> Yeah. >> I wonder if it is something about his angina. >> Oh, yeah. I'd be unstable, don't I? >> Yeah. [Music] >> I'm going to turn up at work one day with a wig. >> One of them really good ones that's glued on properly. >> Yeah. and say I'll have two weeks off and I'll come back and say I've had one of them hair transplants. >> Yeah. >> And I'll come in like Michael Jackson from the 70s. >> Say a big afro like this. My dad ain't bald. None of my uncles were bald. >> My granddads weren't bold. My mom's not bowled. >> Yeah. It's a bit >> milkman. >> The milkman was bald. And we had fresh milk. We had extra points were up in there. That's we ask mom. >> Yeah. Am I the milkman? Is that the reason why I like getting up early and going on electric motors? >> Exactly. >> Feeling the cold. >> Exactly. Yeah. >> It's another warm summer's day. And in Stoke, 22-year-old Adam Olock and his 40-year-old crew mate Nick Griffiths are discussing the previous evening's dinner arrangements. >> I didn't really know last night. I was looking through the cupboards and looking through the the fridge and I was like and I found some waffles in the freezer. Just had some waffles with some beans. >> Potato waffles. >> Yeah. >> Yeah. >> So, I've just got some beans. >> That's a nice meal that is. You do them in the toaster. >> No, I did them in the grill. >> I've done them sometimes in the toaster. >> Yeah. To be fair, I did burn one of them, but luckily I've done six, so it was all right. [Music] >> It's not long before their next job comes through. Cat two, it's an adult. His blood pressure is apparently 200 over 85. >> He's had a bypass. [Music] >> The crew's patient is Thomas. Margaret, his wife, has been waiting for them. >> Hello, ambulance. >> This is the second time in 24 hours she's called 999. Are you >> going through there? >> Where? Where? Where? >> He has a history of angina and had a heart bypass 10 years ago. >> Are you sweet? Your house is like the TARDIS. It's massive. This is Adam. I'm Nick. >> Another crew were called out yesterday when Thomas first started to feel unwell. >> Right then, sweet. So, what happened last night for the ambulance to come last night? I went to bed about half 10 and uh I got up again to switch the light off and I got a twisting pain here. >> Okay. >> Took my breath away. The blood pressure was way up of 180 something and then I couldn't get me breath like I can't now. >> What I'm going to do, I'm going to put some stickers on. Right. I'm going to give you a little shave. I'm sorry. We come with beauty treatments as well. >> John has a history of cardiac issues. Nick needs to take an ECG reading to see exactly what's going on. >> How old are you, sweet? >> I was 84 yesterday. >> Oh, happy birthday for yesterday. Amazing. Can't see anything significant on here, but with this chest pain that you had last night and today, you have got prior cardiac history. >> Yeah, >> you need to go and be seen. >> Uh when we first arrived, we did suspect that Thomas was suffering from his normal sort of angina. Angina is where part of the heart um isn't provided with enough oxygen from the blood, potentially due to a blockage. If cells in the heart aren't provided with enough oxygen over a significant period of time, those cells will eventually die. And if all those cells die, then eventually his heart will stop and he will go he could go into cardiac arrest. So because of Thomas's history, his age, and his high blood pressure, and we were concerned that potentially his high risk of anything like strokes or heart attacks. Because of these risk factors, it was decided that me and Nikki were going to take him to hospital. >> I'll see you later then, Log. >> All right. >> We'll look after him. We'll do our best. >> I know you will. >> Margaret and their daughter will visit the hospital later. [Music] >> And you how tall you are. You have to bend down low. >> What height are you? >> I'm 6'4. Oh jeez. >> Then he's got a foot of air on top of that. I know. >> You know, you always know where he is. Above the shs, everything. See >> you up there, Thomas. All right. Okay. For Thomas, being brought onto the ambulance is an all too familiar scenario. >> I think this must be about my fourth journey. >> And what was the outcome then? >> Uh cardiologist looked at it and said they'd done the best with the uh bypass and it was up to the GP to sort the tablets out. >> Right. [Music] The last time he took me in like this, he ended up upstairs, you know, in that after the triage. And the chappie who was in charge there, he said, "We're sending you home." He said, "But he said out of 10 people who come in here, two will die." He said, "So don't feel as though you're a nuisance when you are like this." So that's why I ran last night and then I'd all ease down and then this morning it was when I got up it was 200 over 85. I thought well >> it's never right when it's like that. >> I always say it's best to be safe. >> Yeah. >> Anything with chest pain or your breathing and we need to make sure that everything's working. Okay. Well, your oxygen levels are bang on. So, I'm not concerned about any problems with your breathing regarding to getting oxygen in. It's probably all this it's cardiac related. Plus, Adam's driving doesn't help. >> That doesn't help when you come along here and pass the funeral furnishes, does it? Doesn't give you bloody inspiration. Good job. speaking there. >> Oh, that's something you have to do, I think. [Music] >> Right then, sweet. Let's get you in there. >> Few little bumps. >> In hospital, doctors will assess Jon's cardiac activity further and decide what treatment he needs to stabilize his symptoms. everything he was saying, all his symptoms. Yeah. Textbook angina. >> Yeah. >> Had a heart bypass in the past as well. >> Unless you can say that's muscular. >> Yeah. >> Or that's a cough or that's that's a chest infection. >> Then for me, chest pain's going. >> If you can't rule out >> Yeah. Yeah. And they got to go in. >> COPD sufferer John remained under observation in hospital for 4 days until his breathing was stable enough for him to be discharged. His oxygen levels have improved and he doesn't use his nebulizer as frequently. [Music] Baby Muhammad, whose temperature had soared following routine vaccinations, was well enough to be left at home with his mom. She continued to manage his temperature with Kalpole, and he was soon completely back to normal. [Music] Angela suffers with a number of ailments. After receiving a dose of morphine to help with the pain, she chose not to go to hospital. She feels better and manages her ailments with prescribed medication. [Music] Alan's sudden onset of chest pain while playing golf with his grandson was put down not to angina, but to dehydration from being out in the hot weather. He was put on a drip until later that evening when he was discharged home. However, there are concerns his arteries could be narrowing and he continues to be monitored. [Music] Thomas's blood pressure was worryingly high. He was discharged from hospital the same day after doctors determined that his chest pains were related to a heart bypass. He sees his GP regularly to try and keep his blood pressure under control. High five for a good chef, mate. Oh, go on then. Fist bump. Shake and bait, baby. Nice one, mate. Nice one. [Music]