Jaw-dropping Joints

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0:00:22 > 0:00:24He's Dr Chris.

0:00:24 > 0:00:26He's Dr Xand.

0:00:26 > 0:00:27Yes, he's still got his beard.

0:00:27 > 0:00:30And we're still identical twins.

0:00:30 > 0:00:33Did you know your body is brilliant?

0:00:33 > 0:00:36And we're going to show you how in this brand-new series.

0:00:39 > 0:00:42We go head-to-head in more Operation Takeover challenges.

0:00:42 > 0:00:45- That's embarrassing. - This is very, very hard.

0:00:45 > 0:00:47- BOTH:- Man overboard!

0:00:47 > 0:00:48Ouch And About hits the wards.

0:00:48 > 0:00:51That might be the squishiest nose I've ever seen.

0:00:51 > 0:00:54You told us you wanted more first-aid tips, so we've got some.

0:00:54 > 0:00:57- So, we do need to get Xand to hospital.- Let's go.

0:00:57 > 0:01:00We meet more Ouch Patients.

0:01:00 > 0:01:01Hello.

0:01:01 > 0:01:03And we're back in the lab...

0:01:03 > 0:01:05..where our experiments...

0:01:05 > 0:01:06That is amazing.

0:01:06 > 0:01:09..will blow your mind!

0:01:09 > 0:01:11That's an amazing view.

0:01:11 > 0:01:13So, are you ready to join us?

0:01:13 > 0:01:14You're crazy.

0:01:18 > 0:01:19I can't see a thing.

0:01:23 > 0:01:25- Coming up today on... - ..Operation Ouch!...

0:01:28 > 0:01:30BOTH: Three, two, one.

0:01:30 > 0:01:31Drop!

0:01:32 > 0:01:34Meet new Ouch Patient Maisie...

0:01:34 > 0:01:36Hello.

0:01:36 > 0:01:37..and prepare for take-off.

0:01:41 > 0:01:42But first...

0:01:42 > 0:01:43OK, Chris. You start.

0:01:43 > 0:01:46- Are you sure?- Absolutely, Chris. This is yours for the taking.

0:01:46 > 0:01:49- Go ahead. You start, kick it off. - OK.

0:01:49 > 0:01:52- In the A&E department...- There's a new case just through the door,

0:01:52 > 0:01:54and it's not for the squeamish!

0:01:56 > 0:01:59Over in Sheffield accident and emergency department,

0:01:59 > 0:02:0215-year-old Abdul is waiting with his mum.

0:02:02 > 0:02:05Now, that's what you call a bandage. It's a whopper!

0:02:05 > 0:02:08I slipped and banged my head.

0:02:08 > 0:02:09How did he do that?

0:02:10 > 0:02:12It was lunchtime at Abdul's school.

0:02:12 > 0:02:14BELL

0:02:14 > 0:02:16Mmm, lunchtime! Was it fish and chips?

0:02:16 > 0:02:17No idea.

0:02:17 > 0:02:21Abdul was actually playing five-a-side football with his mates.

0:02:21 > 0:02:23Yes, but does he want salt and vinegar?

0:02:23 > 0:02:26- WHISTLE - Xand, concentrate.

0:02:26 > 0:02:28Everyone knows there's no food allowed in the sports hall.

0:02:28 > 0:02:30Hmm, good point.

0:02:30 > 0:02:32Now, Abdul is the star striker.

0:02:32 > 0:02:34He had the goal in his sights.

0:02:34 > 0:02:35He reached for the ball...

0:02:35 > 0:02:38Nothing can stop this lad from scoring!

0:02:38 > 0:02:41Well, nothing except sliding headfirst into a door!

0:02:41 > 0:02:43BOTH: Ouch!

0:02:43 > 0:02:44How are you feeling now, Abdul?

0:02:44 > 0:02:46My forehead has opened.

0:02:46 > 0:02:49Opened? That doesn't sound good.

0:02:50 > 0:02:53Get Dr Clare O'Connell in here, quick.

0:02:54 > 0:02:56First, Dr Clare takes a look at that bonce.

0:02:57 > 0:02:59Here comes a gross alert.

0:02:59 > 0:03:01BOTH: Whoa!

0:03:01 > 0:03:04You've got quite an impressive cut on your head.

0:03:04 > 0:03:07A big bump to the head always needs to be checked by a doctor,

0:03:07 > 0:03:09because it could cause concussion...

0:03:09 > 0:03:10Keep looking at my finger.

0:03:10 > 0:03:12..which is a minor brain injury.

0:03:12 > 0:03:14- Am I going to get stitches? - Probably.

0:03:14 > 0:03:15Tough luck, Abdul.

0:03:17 > 0:03:19Nurse Emma gets to work with anaesthetic gel

0:03:19 > 0:03:21to numb the whole area.

0:03:21 > 0:03:25I'm just going to use some water, just to clean it a little bit. OK?

0:03:25 > 0:03:26Get ready again...

0:03:29 > 0:03:30No, I mean it - if you're squeamish,

0:03:30 > 0:03:33you won't want to see what's coming next.

0:03:33 > 0:03:36- Is that skull?!- Yep.

0:03:36 > 0:03:39You've actually cracked the bone on the front of your head.

0:03:39 > 0:03:43What we're going to need to do is a special scanner, called a CT scan.

0:03:43 > 0:03:48The CT scan takes detailed 3D images of Abdul's head.

0:03:48 > 0:03:50Find out what the results are later on.

0:03:55 > 0:03:59Did you know, babies are born without proper kneecaps?

0:03:59 > 0:04:01The hard bone on your knees grows as you get older.

0:04:01 > 0:04:03Cool!

0:04:06 > 0:04:08Talking of knees, now to our lab.

0:04:08 > 0:04:12It's time for some big body experiments...

0:04:12 > 0:04:13..some of them gory...

0:04:13 > 0:04:15This is not for the squeamish.

0:04:15 > 0:04:17..some extreme.

0:04:17 > 0:04:19It's freezing!

0:04:19 > 0:04:21So, are you ready?

0:04:21 > 0:04:24Just don't try anything you see here at home.

0:04:24 > 0:04:26Today, we're looking at your joints.

0:04:26 > 0:04:29So if you want to find out why we're doing this...

0:04:30 > 0:04:31Keep watching.

0:04:33 > 0:04:34What are you up to, Xand?

0:04:34 > 0:04:37I'm trying to crack my knuckles, but they won't make a sound.

0:04:37 > 0:04:40- Can you do it? - No, I've never been able to do it.

0:04:40 > 0:04:43You know, it would be really good if we had someone here

0:04:43 > 0:04:45- who could crack their knuckles. - Hang on...

0:04:48 > 0:04:50Sirak, come on out.

0:04:51 > 0:04:53- Hi, Sirak.- Hi.

0:04:53 > 0:04:55- What's with the sling? - I broke my elbow.

0:04:55 > 0:04:58- How did you do that? - I was running on a wall in Spain.

0:04:58 > 0:05:00- Were you in trouble for that? - No.- Don't run on walls in Spain.

0:05:00 > 0:05:04Anyway, why don't you show us how you crack your knuckles, OK?

0:05:04 > 0:05:05CRACKING

0:05:05 > 0:05:07That was a lovely crunchy noise.

0:05:07 > 0:05:10What's happening is that, inside each of the joints of your hand,

0:05:10 > 0:05:13Sirak, there is a special liquid called synovial fluid.

0:05:13 > 0:05:15and, I tell you what,

0:05:15 > 0:05:17do you both want to see what's happening inside your hands?

0:05:17 > 0:05:19BOTH: No way!

0:05:19 > 0:05:22Look, I'm not going to actually cut your hands open.

0:05:22 > 0:05:24I'm just going to show you using this syringe.

0:05:24 > 0:05:25BOTH: Phew!

0:05:25 > 0:05:29Now, the water in this syringe represents the synovial fluid

0:05:29 > 0:05:31in Sirak's joints. And when he cracks them,

0:05:31 > 0:05:35what he's actually doing is temporarily reducing the pressure.

0:05:35 > 0:05:36I can simulate that in the syringe.

0:05:36 > 0:05:39It's sealed at the end and no gas can get in,

0:05:39 > 0:05:43so if I pull it and reduce the pressure, bubbles form,

0:05:43 > 0:05:46and that's because there's gas dissolved in the fluid.

0:05:46 > 0:05:49When you reduce the pressure, it comes out of solution,

0:05:49 > 0:05:51a bit like when you open the lid on a fizzy drink.

0:05:51 > 0:05:55And if you pull the plunger back and then release it suddenly,

0:05:55 > 0:05:57you get a pop when the bubbles collapse.

0:05:57 > 0:05:59That's called cavitation

0:05:59 > 0:06:01and we think that that's what's causing the noise

0:06:01 > 0:06:03in Sirak's joints when he pops them.

0:06:03 > 0:06:06Well, Sirak, you have been a brilliant knuckle cracker today,

0:06:06 > 0:06:08so thank you very much.

0:06:08 > 0:06:09Go on, off you go, back to the cupboard.

0:06:09 > 0:06:11Fine. I have things to do anyway.

0:06:11 > 0:06:12All right, fine. Bye!

0:06:12 > 0:06:14Bye.

0:06:14 > 0:06:17So, synovial fluid might be great for making a popping sound

0:06:17 > 0:06:20and it probably doesn't do the joints of your hand any harm,

0:06:20 > 0:06:22but they can be extremely annoying,

0:06:22 > 0:06:25so don't do it if someone asks you to stop.

0:06:25 > 0:06:26Unless you want to annoy someone.

0:06:26 > 0:06:30But the real purpose of synovial fluid is to lubricate and protect

0:06:30 > 0:06:32all the moving joints in your body.

0:06:32 > 0:06:35And, in fact, it can handle a huge amount of force.

0:06:35 > 0:06:37So much force that we are unable

0:06:37 > 0:06:40to demonstrate it inside the laboratory.

0:06:40 > 0:06:42We are going to have to take it outside.

0:06:46 > 0:06:47Come on, Xand, chop chop.

0:06:47 > 0:06:50Now, when you do something as simple as running for a bus,

0:06:50 > 0:06:54your knees have to absorb a force equivalent to eight times your own

0:06:54 > 0:06:57body weight. Now, that might sound like a lot but, of course,

0:06:57 > 0:07:00the synovial fluid in the knee absorbs the force,

0:07:00 > 0:07:02spreads it evenly and protects the joint.

0:07:02 > 0:07:04Come on, Xand.

0:07:04 > 0:07:07I'm coming! I can't wait to see what you're going to show me.

0:07:07 > 0:07:09My absolute favourite thing about synovial fluid...

0:07:09 > 0:07:12Wait a minute, Chris, is that a crane?

0:07:12 > 0:07:15- Yes.- Is that a weight attached to it?- Yes.- You don't mean...

0:07:15 > 0:07:18- Yes.- You're not going to... - Yes.- Wow!

0:07:18 > 0:07:23Your synovial fluid is amazing at dispersing huge amounts of force.

0:07:23 > 0:07:27It's like a cushion that softens the impact on joints, like your knees.

0:07:27 > 0:07:30And that's lucky, because when a gymnast lands...

0:07:30 > 0:07:32I THOUGHT I saw a gymnast back there.

0:07:32 > 0:07:35Yes, this is youth Olympic champion Tyesha Matias,

0:07:35 > 0:07:39who said she'd show us a few moves to help with our experiment.

0:07:39 > 0:07:40So, when Tyesha lands,

0:07:40 > 0:07:44up to 12 times her own body weight goes through her knees.

0:07:44 > 0:07:47And we're going to show you what that kind of force looks like

0:07:47 > 0:07:50by dropping a weight onto this car.

0:07:50 > 0:07:52Now, the weight and the distance of the car

0:07:52 > 0:07:55have been specially calculated to exactly represent

0:07:55 > 0:07:57the force that goes through Tyesha's knees.

0:07:59 > 0:08:03But unlike Tyesha, this car has no synovial fluid.

0:08:03 > 0:08:05- Are you ready, Xand? - I was born ready!

0:08:05 > 0:08:07This is all in the name of science.

0:08:07 > 0:08:11Scientific synovial fluid experiment, go!

0:08:11 > 0:08:14BOTH: Three, two, one, drop!

0:08:19 > 0:08:20Look at this!

0:08:20 > 0:08:24It's completely caved in the metal roof of the car.

0:08:24 > 0:08:27And that is the kind of force that your knees are protected from

0:08:27 > 0:08:29by the synovial fluid.

0:08:29 > 0:08:30But I tell you what -

0:08:30 > 0:08:34I'd be very interested to know the kind of forces involved

0:08:34 > 0:08:37if the gymnast was built, you know, more like me.

0:08:37 > 0:08:39Well, that's easy to do, Xand.

0:08:39 > 0:08:41We just need to raise the weight higher to see the greater force

0:08:41 > 0:08:44that would go through the knees of someone heavier.

0:08:44 > 0:08:46- You ready?- Ready.

0:08:46 > 0:08:48BOTH: Three, two,

0:08:48 > 0:08:49one -

0:08:49 > 0:08:50drop!

0:08:56 > 0:08:57XAND GIGGLES

0:09:01 > 0:09:03Xand, if you look at this broken glass,

0:09:03 > 0:09:05that is what the cartilage in your knees would look like

0:09:05 > 0:09:08if you didn't have synovial fluid and you did gymnastics.

0:09:09 > 0:09:12So, we've shown you that knuckle cracking makes a popping noise

0:09:12 > 0:09:15because bubbles from your synovial fluid burst

0:09:15 > 0:09:17as you flex your fingers.

0:09:17 > 0:09:19And we've shown you that the synovial fluid

0:09:19 > 0:09:22has a much more important job than fun popping sounds.

0:09:22 > 0:09:25It helps your joints withstand the huge amounts of force

0:09:25 > 0:09:27you put on them every day.

0:09:27 > 0:09:30Well, I must say, Chris, that was absolutely excellent,

0:09:30 > 0:09:33and that car is completely ruined.

0:09:33 > 0:09:35Now, how about I give us a lift back to the lab?

0:09:35 > 0:09:37UNLOCKING BEEP

0:09:37 > 0:09:39CAR ALARM

0:09:39 > 0:09:41Chris? Chris?!

0:09:45 > 0:09:48Meet Kaden, Maisie, Olu and Millie.

0:09:48 > 0:09:51We'll be following them across the series as they let us know

0:09:51 > 0:09:54what it's like to be a regular hospital outpatient.

0:09:54 > 0:09:59They invite us into their lives at home and as they undergo treatment.

0:09:59 > 0:10:01Meet 11-year-old Maisie.

0:10:01 > 0:10:02Hello.

0:10:02 > 0:10:06Maisie lives with her mum, dad, brother and dog Poppy.

0:10:06 > 0:10:08She has coeliac disease.

0:10:08 > 0:10:11It means that you can't have gluten,

0:10:11 > 0:10:15which is wheat, barley, rye, malt and oats.

0:10:15 > 0:10:18And, as a result, Maisie is unable to eat everyday foods

0:10:18 > 0:10:21such as bread, pasta and pizza.

0:10:21 > 0:10:25If I eat gluten, I end up getting the runs, I get sharp stomach pains,

0:10:25 > 0:10:30I feel sick and I just basically want to lie in bed and go to sleep.

0:10:30 > 0:10:32Maisie is so sensitive to gluten

0:10:32 > 0:10:34that everything food-related has to be separated

0:10:34 > 0:10:37to avoid her coming into contact with it.

0:10:37 > 0:10:40So, I have my own ketchup and butter to make sure

0:10:40 > 0:10:43that no cross-contamination goes on there.

0:10:44 > 0:10:47We've started doing a lot more home cooking and baking

0:10:47 > 0:10:48since I've been coeliac.

0:10:48 > 0:10:50So we make gluten-free chicken nuggets.

0:10:50 > 0:10:53We grated frozen gluten-free loaf

0:10:53 > 0:10:56and then we put it onto the chicken.

0:10:56 > 0:10:58It's lots of fun.

0:10:58 > 0:11:01Luckily for Maisie, there are also special gluten-free versions

0:11:01 > 0:11:04of some of her favourite takeaway foods.

0:11:04 > 0:11:06So, we're watching a film

0:11:06 > 0:11:09and I've got a gluten-free pizza

0:11:09 > 0:11:13and Jess has a normal pizza, because she's normal.

0:11:13 > 0:11:15So we're enjoying our sleepover.

0:11:15 > 0:11:17Find out how I get on next time.

0:11:17 > 0:11:18Bye!

0:11:22 > 0:11:23Back in the emergency department,

0:11:23 > 0:11:26Abdul is waiting for news of his CT scan.

0:11:26 > 0:11:28Come on, Chris. Let's see how he's getting on.

0:11:31 > 0:11:35Earlier, Abdul arrived in the emergency department with...

0:11:37 > 0:11:40..a deep cut and skull fracture.

0:11:40 > 0:11:43Super-striker Abdul was playing footie with his mates

0:11:43 > 0:11:45but rather than hitting the back of the net...

0:11:45 > 0:11:48..he hit a door, headfirst.

0:11:48 > 0:11:49- BOTH:- Ouch!

0:11:49 > 0:11:53Abdul has had a 3D CT scan of his skull and brain.

0:11:53 > 0:11:55The results are in.

0:11:55 > 0:11:58You've broken your skull at the front, here.

0:11:59 > 0:12:01Because of that, it's likely that you'll probably have to

0:12:01 > 0:12:03stay in hospital tonight.

0:12:03 > 0:12:05With any head injury,

0:12:05 > 0:12:07it's always possible that something will develop.

0:12:07 > 0:12:10And because he's got the fracture, the neurosurgeons need to

0:12:10 > 0:12:13observe him closely to make sure he doesn't deteriorate.

0:12:14 > 0:12:19Time to hand over to doctor Hasan Siddiqui, AKA the Superstitcher.

0:12:19 > 0:12:23Once the anaesthetic kicks in, Dr Hasan has this all sewn up.

0:12:23 > 0:12:25Ready for some blood?

0:12:25 > 0:12:28He starts with some dissolvable stitches in the deep tissue.

0:12:28 > 0:12:32He then sews up the middle layer, before finishing with finer thread

0:12:32 > 0:12:35on the surface, which will need to be removed in a week.

0:12:35 > 0:12:37It's a lot of stitches. What's the score?

0:12:39 > 0:12:41Wow! And he's as cool as a cucumber.

0:12:41 > 0:12:44It was a long procedure and he's relaxed and staying still.

0:12:44 > 0:12:47- Quite impressive. - It's not hurting as it was before.

0:12:47 > 0:12:49I think I can handle it.

0:12:49 > 0:12:51Abdul heads up to the ward for an overnight stay.

0:12:54 > 0:12:55It's a new day.

0:12:55 > 0:12:56How are you feeling, Abdul?

0:12:56 > 0:12:58Yeah, I'm feeling better than yesterday.

0:12:58 > 0:13:01Yesterday I had a little bit of a headache and that,

0:13:01 > 0:13:02but it got better and better.

0:13:02 > 0:13:04Does this mean he can go home, Doc?

0:13:04 > 0:13:07Abdul is OK to be discharged home.

0:13:07 > 0:13:09But he will need to take a rest from activities

0:13:09 > 0:13:12for a period of about three months.

0:13:12 > 0:13:16Three months?! That's ages, but it will give Abdul's skull fracture

0:13:16 > 0:13:18time to heal under the wound.

0:13:18 > 0:13:21Maybe rest up on the headers, Abdul.

0:13:21 > 0:13:23BOTH: Bye!

0:13:23 > 0:13:24Still to come...

0:13:25 > 0:13:27Why are you dressed as a witch?

0:13:27 > 0:13:28Bwah-ha-ha-ha!

0:13:30 > 0:13:32..and meet Ouch Patient Kaden.

0:13:32 > 0:13:33Hello.

0:13:35 > 0:13:40Amazing people do lots of important jobs inside and outside hospitals

0:13:40 > 0:13:41that help to keep you safe.

0:13:41 > 0:13:44But what will happen when we have a go?

0:13:44 > 0:13:45I feel a bit silly.

0:13:45 > 0:13:48This is Operation Takeover.

0:13:49 > 0:13:50Can you guess who today's hero is?

0:13:50 > 0:13:52Well, I'll give you a clue.

0:13:52 > 0:13:55They may use one of these to bring you food and drink.

0:13:55 > 0:13:57Wait, did somebody say food and drink?

0:13:57 > 0:13:59Ooh, I'll have some juice and a cheese sandwich, please.

0:13:59 > 0:14:01Certainly, sir. What kind of cheese would you...?

0:14:01 > 0:14:05- Wait a minute, Xand, this isn't a real flight!- Isn't it?!

0:14:05 > 0:14:06If you do require any assistance,

0:14:06 > 0:14:08please don't hesitate to contact a member of the cabin crew.

0:14:08 > 0:14:10Did you guess it?

0:14:10 > 0:14:13We're about to take over the job of today's high-flying hero,

0:14:13 > 0:14:16British Airways cabin-crew trainer, Chris.

0:14:17 > 0:14:20The pilots might be flying the planes, but it's the cabin crew

0:14:20 > 0:14:24who are there to keep you safe in an emergency.

0:14:24 > 0:14:26The way most of us meet cabin crew is because you guys

0:14:26 > 0:14:28serve us food and drink,

0:14:28 > 0:14:30but that's not the main reason you're on the plane, is it?

0:14:30 > 0:14:34No. In the very rare instances that may happen,

0:14:34 > 0:14:37we need to ensure that we are capable and able to deal with

0:14:37 > 0:14:39any situation, whether it is a medical situation

0:14:39 > 0:14:42or something that might be wrong with the aircraft.

0:14:42 > 0:14:44- Can you show us the safety demonstration?- Absolutely.

0:14:44 > 0:14:47The safety briefing is the most important information

0:14:47 > 0:14:50given to passengers before take-off.

0:14:50 > 0:14:51And Chris runs us through it.

0:14:51 > 0:14:54Your safety card is in your seat pocket.

0:14:54 > 0:14:56Please take it out and study it.

0:14:56 > 0:14:59- PA:- Passengers should keep their seat belt fastened at all times.

0:14:59 > 0:15:01It is fastened,

0:15:01 > 0:15:04adjusted and released as shown.

0:15:04 > 0:15:06If the cabin air supply fails,

0:15:06 > 0:15:09oxygen masks will fall from the panel above you.

0:15:09 > 0:15:13Pull a mask over your nose and mouth, and breathe normally.

0:15:13 > 0:15:16Life jackets are located under your seat.

0:15:16 > 0:15:20Inflate it by pulling on this toggle or blowing into this tube.

0:15:20 > 0:15:23Finally, all passengers should note the location

0:15:23 > 0:15:25of their nearest emergency exit.

0:15:26 > 0:15:28All cabin crew have intensive training

0:15:28 > 0:15:31and are able to deal with medical emergencies.

0:15:31 > 0:15:33Every year, we refresh our knowledge.

0:15:33 > 0:15:36We are, throughout the year, expected to have that knowledge

0:15:36 > 0:15:38at a set level, because we need to act on it at any time.

0:15:38 > 0:15:43And they do. Cabin crew assist with around 44,000 in-flight

0:15:43 > 0:15:46medical emergencies worldwide every year.

0:15:46 > 0:15:49We've seen just how important the work of cabin crew

0:15:49 > 0:15:50is in keeping you safe in the air.

0:15:50 > 0:15:52But in our time as cabin crew,

0:15:52 > 0:15:57will we be high-flyers or will we never get off the ground?

0:15:57 > 0:16:00It's time for us to go head-to-head as cabin crew.

0:16:04 > 0:16:08I want to see how well you deliver that safety demonstration.

0:16:08 > 0:16:11I want to see how well you deal with medical scenarios.

0:16:11 > 0:16:14And thirdly, I want to see how well you cope under pressure.

0:16:14 > 0:16:17- Are you ready? - We're ready.- We're ready.

0:16:17 > 0:16:19- Where did you get that? - You've got to do the...

0:16:19 > 0:16:22Tie a nice tight knot and then you just pull the cord.

0:16:26 > 0:16:27Xand's up first.

0:16:27 > 0:16:30No pressure. The flight looks full today.

0:16:30 > 0:16:33There is the safety card in your seat pocket.

0:16:33 > 0:16:37It describes the brace position, your seat belt.

0:16:37 > 0:16:39And if you have any questions about it,

0:16:39 > 0:16:41you can ask a member of the crew.

0:16:41 > 0:16:42Off to a flying start, Xand.

0:16:42 > 0:16:44Now it's my turn.

0:16:44 > 0:16:48In the unlikely event of cabin depressurisation,

0:16:48 > 0:16:50oxygen masks will fall from the ceiling.

0:16:50 > 0:16:55Life jackets are located in and around your seat.

0:16:55 > 0:16:57I think we're breezing through it, Chris.

0:16:57 > 0:17:00The exits weren't pointed out, so no-one knows where those exits are.

0:17:00 > 0:17:02..everyone, fasten your seat belts...

0:17:02 > 0:17:04Oh, dear.

0:17:04 > 0:17:05With the safety briefing over...

0:17:05 > 0:17:07Can I get you anything to drink?

0:17:07 > 0:17:09..the next test should be more up our street.

0:17:09 > 0:17:12Oh, excuse me, I've really hurt my shoulder.

0:17:12 > 0:17:13Do you mind letting this lady out?

0:17:13 > 0:17:17Ooh, moving the passenger, Chris. Is that a good idea?

0:17:17 > 0:17:19Ideally, I'd sit you down.

0:17:19 > 0:17:21There'd normally be a little crew seat.

0:17:21 > 0:17:23Can I have some water, please, with ice and lemon?

0:17:23 > 0:17:27I'm looking after this patient. I can't deal with that man's request,

0:17:27 > 0:17:29so I am going to ignore it for the time being.

0:17:29 > 0:17:31I hope you're not cracking, Chris.

0:17:31 > 0:17:34OK. I wasn't expecting to have to use a sling.

0:17:34 > 0:17:36I can see that!

0:17:36 > 0:17:39When was the last time you put a sling on someone, Chris?

0:17:39 > 0:17:41It's not really holding my arm up.

0:17:41 > 0:17:43It might have been a while ago, Xand.

0:17:43 > 0:17:45How are you going to deal with the situation, then?

0:17:45 > 0:17:48Why don't you sit there, try and support your arm

0:17:48 > 0:17:51with your other arm, and I'm going to get the medical kit.

0:17:51 > 0:17:53It's really hurting, can you hurry up?

0:17:53 > 0:17:55Hop to it, your patient's waiting.

0:17:56 > 0:17:58- Excuse me...- So, what I'm going to do...- Excuse me.

0:17:58 > 0:18:00I'm just helping this lady, I'm sorry.

0:18:00 > 0:18:02Good prioritisation skills there.

0:18:02 > 0:18:03The most important thing,

0:18:03 > 0:18:06I think if we keep it still, that will help the pain.

0:18:06 > 0:18:09- Feeling a bit more comfortable now? - Yes, that's a bit better, thank you.

0:18:09 > 0:18:12- PA:- Cabin crew, prepare for landing. The challenge is over.

0:18:12 > 0:18:14I'm so glad that's over.

0:18:14 > 0:18:16I could use a cup of tea.

0:18:16 > 0:18:17It's time for the verdict.

0:18:18 > 0:18:19How did we do, Chris?

0:18:19 > 0:18:21So, the first area was the safety demo.

0:18:21 > 0:18:24With that, you both didn't point out the exits.

0:18:24 > 0:18:26Really, really important.

0:18:26 > 0:18:28How did we not do that?

0:18:28 > 0:18:30Secondly, the medical incident.

0:18:30 > 0:18:32Surely we've got this in the bag?

0:18:32 > 0:18:34Our lady, she'd broken her arm.

0:18:34 > 0:18:39One of you dealt with the situation in the cabin, another took her away.

0:18:39 > 0:18:41Moving her will hurt her even more.

0:18:41 > 0:18:44After all, Chris, you are on a moving aircraft.

0:18:44 > 0:18:46Thirdly, staying calm under pressure.

0:18:46 > 0:18:50Dr Chris, I think you were a little bit flustered during the challenge.

0:18:50 > 0:18:53Dr Xand, I got the impression that you were in control

0:18:53 > 0:18:55and there was an air of calmness going on.

0:18:55 > 0:18:57So, Chris, what's the verdict?

0:18:57 > 0:18:58Well, it was very close.

0:19:00 > 0:19:02- Dr Xand.- Yes!

0:19:02 > 0:19:05You know, Xand, I think what we've really learned today

0:19:05 > 0:19:08is how important cabin crew are for keeping you safe in the air,

0:19:08 > 0:19:12and that it is most definitely a job best left to the professionals.

0:19:12 > 0:19:15- Let's hand our blazers back. - Chris, thanks very much.

0:19:15 > 0:19:18- Thank you. - Right, Chris, we've landed.

0:19:18 > 0:19:20Let's go and get our luggage. I wonder where we are?

0:19:25 > 0:19:27Meet ten-year-old Kaden.

0:19:27 > 0:19:29- Hello.- Hello!

0:19:29 > 0:19:31Kaden really likes dogs.

0:19:31 > 0:19:33I've got a dog there, a dog there.

0:19:33 > 0:19:34Told you.

0:19:34 > 0:19:36I've got a real dog, and his name's Bandit.

0:19:36 > 0:19:38- Hello, Bandit! DOG VOICE:- Hello!

0:19:39 > 0:19:42Kaden has cystic fibrosis.

0:19:42 > 0:19:47Cystic fibrosis is something that affects your lungs.

0:19:47 > 0:19:49Kaden's body produces thick, sticky mucus,

0:19:49 > 0:19:53which can make it hard to breathe and lead to infections.

0:19:53 > 0:19:57To help break up this mucus, Kaden has to do lots of physio exercises.

0:19:57 > 0:19:58If I weren't to do it,

0:19:58 > 0:20:02I'd either get really sick or there'd be a lot of mucus.

0:20:02 > 0:20:06If I did get really sick, I might be in the hospital for a long time.

0:20:06 > 0:20:07So, this is my bubble PEP.

0:20:07 > 0:20:08Pep stands for...

0:20:10 > 0:20:13When Kaden blows into this straw, it creates pressure in his lungs,

0:20:13 > 0:20:15which helps to move the mucus.

0:20:15 > 0:20:17It starts overflowing.

0:20:17 > 0:20:20It makes me a bit messy, and it's fun if it's messy.

0:20:20 > 0:20:22This is my acappella.

0:20:22 > 0:20:24I blow into it.

0:20:24 > 0:20:26It vibrates and it makes a funny noise.

0:20:26 > 0:20:28WHIRRING

0:20:29 > 0:20:32The acappella does a simpler job to the bubble PEP,

0:20:32 > 0:20:34and gets the mucus moving.

0:20:34 > 0:20:37As soon as I do six blows on this, I have to do a huff, huff, cough.

0:20:37 > 0:20:38That's like this.

0:20:38 > 0:20:41HUFF, HUFF

0:20:41 > 0:20:42COUGH

0:20:42 > 0:20:44Another piece of Kaden's kit is the I-neb.

0:20:44 > 0:20:47This delivers an antibiotic directly into his lungs

0:20:47 > 0:20:49to fight off any infection.

0:20:49 > 0:20:54It makes a big beep when it's finished, and that's how you know.

0:20:54 > 0:20:56And it also makes a smiley face.

0:20:56 > 0:20:59We'll get to see more of Kaden and his treatments next time.

0:20:59 > 0:21:00Goodbye.

0:21:04 > 0:21:08IN SCREECHY VOICE: I will have no-one else surpass me in my beauty!

0:21:08 > 0:21:11Bwah-ha-ha-ha-ha!

0:21:11 > 0:21:14Every year, Xand gets very excited about his role in our local play.

0:21:14 > 0:21:18And this year, he's playing the part of the Wicked Queen in Snow White.

0:21:18 > 0:21:20Why are you dressed as a witch?

0:21:20 > 0:21:22Bwah-ha-ha-ha!

0:21:22 > 0:21:23Ahem.

0:21:23 > 0:21:26Anyway, every play can be full...of danger!

0:21:26 > 0:21:27Aargh!

0:21:30 > 0:21:32If you don't have your evil fake teeth properly fitted,

0:21:32 > 0:21:35- you could choke on them. - Evil teeth?

0:21:35 > 0:21:36But these are my REAL teeth.

0:21:37 > 0:21:40If your costume's too long, you could trip on it and bang your head.

0:21:40 > 0:21:46And no, my dress is tailor-made to my exact specifications.

0:21:46 > 0:21:49And you should always take regular breaks from practising your lines,

0:21:49 > 0:21:51because you wouldn't want to lose your voice before the big day.

0:21:51 > 0:21:55Bwah-ha-ha...ugh... COUGHS

0:21:55 > 0:21:57OK. I think it is time you took a break, Xand.

0:21:57 > 0:21:59What a shame. We're just about to get my favourite bit,

0:21:59 > 0:22:01with the poisoned apples.

0:22:01 > 0:22:03Ooh, apples, I love apples.

0:22:05 > 0:22:07Wait. Are these the poisoned apples?

0:22:07 > 0:22:10- Yes!- Oh, no! Help me, quickly!

0:22:10 > 0:22:12Injury alert!

0:22:12 > 0:22:13So what should you do if you think

0:22:13 > 0:22:16someone has swallowed something poisonous?

0:22:18 > 0:22:20..that makes everything OK.

0:22:26 > 0:22:28..and keep them calm.

0:22:35 > 0:22:36The answer is B.

0:22:36 > 0:22:40Find out what they've swallowed, when and how much,

0:22:40 > 0:22:42then call 999 and keep them calm.

0:22:43 > 0:22:47Let's see what this lot do without any advice at all.

0:22:47 > 0:22:49- Are you ready?- Yes!

0:22:49 > 0:22:50Off we go.

0:22:51 > 0:22:52Mirabel and Abid are both pretending

0:22:52 > 0:22:55that they've swallowed something poisonous.

0:22:55 > 0:22:57Quick guys, they need your help.

0:22:57 > 0:23:00- What's wrong?- She can't speak.

0:23:00 > 0:23:02Both teams get straight to work.

0:23:02 > 0:23:05- What happened?- Drink some water.

0:23:05 > 0:23:07Owww!

0:23:07 > 0:23:09He did not seem to react very well to the water.

0:23:09 > 0:23:13- She's choking! - She looks like she's very ill.

0:23:13 > 0:23:15- We'll call 999.- Yeah!

0:23:15 > 0:23:16999!

0:23:16 > 0:23:18So, they were correct to call 999 quite quickly,

0:23:18 > 0:23:21but they still haven't figured out what Mirabel has eaten.

0:23:21 > 0:23:24And there's lots of poisonous stuff on that table.

0:23:24 > 0:23:26Good point, Chris.

0:23:26 > 0:23:29This lot didn't do quite the right thing in this situation.

0:23:29 > 0:23:32I think we should have picked it up quicker

0:23:32 > 0:23:34that the water was making it worse.

0:23:34 > 0:23:36That's right, Korrianne.

0:23:36 > 0:23:38Now it's time to show you how it should be done.

0:23:38 > 0:23:40Oh, ugh!

0:23:40 > 0:23:42Remember, we're showing you what to do in an emergency,

0:23:42 > 0:23:45but it's always best to get an adult.

0:23:45 > 0:23:47Oh, my tummy.

0:23:47 > 0:23:48You all right, Chris?

0:23:48 > 0:23:52Oh, no, I feel really sick, my tummy hurts, I feel really ill.

0:23:52 > 0:23:54- OK. Have a seat.- OK.

0:23:54 > 0:23:56Have you eaten any of this?

0:23:56 > 0:23:59Yeah, I did, I ate one of these. I thought it was a sweet.

0:23:59 > 0:24:02This is a dishwasher tablet, Chris, this could be quite poisonous.

0:24:02 > 0:24:05- When did you eat it? - About 20 minutes ago.

0:24:05 > 0:24:08So I'm going to call the ambulance and get you some help, OK?

0:24:08 > 0:24:10- Thanks, Xand.- I need an ambulance,

0:24:10 > 0:24:14I've got a guy here who's eaten one dishwasher tablet.

0:24:14 > 0:24:15He ate it about 20 minutes ago.

0:24:15 > 0:24:19- Can I have some water?- No, they say you shouldn't have any water.

0:24:19 > 0:24:22- Should I make myself vomit?- No, they say don't make yourself vomit.

0:24:22 > 0:24:25Just sit and stay calm and the ambulance is on its way.

0:24:25 > 0:24:27Are you all ready to have another go at it?

0:24:27 > 0:24:29Yes!

0:24:31 > 0:24:34So if you see someone who's swallowed something poisonous,

0:24:34 > 0:24:35you must...

0:24:38 > 0:24:39What did you take?

0:24:43 > 0:24:45Don't panic.

0:24:45 > 0:24:46Remember, this is an exercise.

0:24:46 > 0:24:49You should never play with poisonous substances.

0:24:49 > 0:24:51That is fantastic, they've done it all correctly.

0:24:52 > 0:24:55Quick, Xand, use my phone to call 999.

0:24:55 > 0:24:56What on Earth for?

0:24:56 > 0:24:58Because I've eaten one of the poisoned apples.

0:24:58 > 0:25:00Those aren't poisoned apples.

0:25:00 > 0:25:03They are nice, normal apples that I'm using as props.

0:25:03 > 0:25:06Oh. Well, why didn't you just say so?

0:25:06 > 0:25:08Plays aren't dangerous.

0:25:08 > 0:25:10Now, I'm going over here to rehearse.

0:25:10 > 0:25:11Waaaah!

0:25:11 > 0:25:13CRASH!

0:25:18 > 0:25:21Our next patient ended up in the emergency department

0:25:21 > 0:25:22after watching rugby.

0:25:22 > 0:25:25It's been a bit of a TRYING day!

0:25:25 > 0:25:26Oh, Xand.

0:25:26 > 0:25:28This is eight-year-old Gracie,

0:25:28 > 0:25:31in the emergency department with her mum.

0:25:31 > 0:25:32Why are you here, Gracie?

0:25:32 > 0:25:35They fell and slammed my foot.

0:25:35 > 0:25:36Anything else?

0:25:36 > 0:25:38I was wearing my Chewbacca onesie.

0:25:38 > 0:25:40A Chewbacca onesie? We need to see this.

0:25:42 > 0:25:46Gracie was watching a rugby match at her local club with her mum and dad.

0:25:46 > 0:25:47Nice selfies.

0:25:47 > 0:25:51It was a chilly afternoon, so she was wrapped up warm

0:25:51 > 0:25:54- in her bunny slippers and... - ..her Chewbacca onesie!

0:25:54 > 0:25:56So cool, Gracie.

0:25:56 > 0:25:59It was an under-20s international, Wales versus Ireland,

0:25:59 > 0:26:02and you couldn't take your eyes off the action-packed drama.

0:26:02 > 0:26:06Well, apart from the fact that poor Gracie couldn't see a thing.

0:26:06 > 0:26:08So she climbed up onto the seat for a better view.

0:26:08 > 0:26:13But it flipped up, trapping Gracie, and her foot slammed into the floor.

0:26:13 > 0:26:14- BOTH:- Ouch!

0:26:15 > 0:26:17A Chewbacca onesie is amazing.

0:26:17 > 0:26:18Thank you.

0:26:18 > 0:26:22Is me borrowing it totally out of the question?

0:26:22 > 0:26:24Yes, of course it is.

0:26:24 > 0:26:26Gracie needs a Jedi knight in shining armour.

0:26:26 > 0:26:29But we'll settle for Dr Joe Howard.

0:26:29 > 0:26:31Dr Joe takes extra-special care

0:26:31 > 0:26:34because Gracie was born with a foot condition called talipes,

0:26:34 > 0:26:38which means the movement in her ankles and toes is limited.

0:26:38 > 0:26:41- It hurts there. - That's where it hurts, OK.

0:26:41 > 0:26:43I think it's probably worth us getting an X-ray of that foot.

0:26:43 > 0:26:45- I like X-rays.- You like X-rays!

0:26:45 > 0:26:47Who doesn't love an X-ray?

0:26:48 > 0:26:49Where's the X-rays?

0:26:49 > 0:26:51YODA VOICE: Behind you, it is.

0:26:51 > 0:26:55- What are you doing, Xand? - I'm being Yoda, obviously.

0:26:55 > 0:26:57Roll your socks and left shoe off for me?

0:26:57 > 0:27:00- YODA VOICE: Shoes and socks, remove you must.- Oh, dear.

0:27:00 > 0:27:02Get ready for your close-up, Gracie.

0:27:03 > 0:27:06The X-ray results, we know not.

0:27:06 > 0:27:10Enough with the Yoda impressions, Xand, bring the doc in.

0:27:10 > 0:27:11- No breaks.- Yay!

0:27:11 > 0:27:14We don't need to do anything, just the usual -

0:27:14 > 0:27:17painkillers if it's sore, take it easy. OK.

0:27:17 > 0:27:19Any message for that pesky seat, Gracie?

0:27:20 > 0:27:23You told it! Bye, Gracie.

0:27:23 > 0:27:24See you soon.

0:27:24 > 0:27:27Bye, Gracie. And may the Force be with you.

0:27:27 > 0:27:29Next time on Operation Ouch!...

0:27:30 > 0:27:33..there's a loud bang on the lab roof...

0:27:33 > 0:27:34Aargh!

0:27:34 > 0:27:36..Xand opens wide...

0:27:36 > 0:27:39..and Grace has a special canine companion.

0:27:39 > 0:27:40Oh, hello!

0:27:43 > 0:27:47So we'll see you next time for more Operation Ouch!

0:27:49 > 0:27:51Chris! Chris!

0:27:51 > 0:27:53I missed the ending! Chris!

0:27:54 > 0:27:56I'm not going to cut your hands open,

0:27:56 > 0:27:58I can demonstrate using this syringe.

0:27:58 > 0:28:00- Phew!- Oops, I forgot to do that.

0:28:00 > 0:28:03No, that's just... We'll just do it again.

0:28:03 > 0:28:05What are you doing? What?

0:28:05 > 0:28:07Are you going to go that way?

0:28:07 > 0:28:10Why don't you push a bit harder? You're doing it really badly.

0:28:11 > 0:28:12Operation Ouch!