0:00:22 > 0:00:26- He's Dr Chris.- He's Dr Xand.
0:00:26 > 0:00:28Yes, he's still got his beard.
0:00:28 > 0:00:30We're still identical twins!
0:00:30 > 0:00:33Your body's amazing and we're going to show you why.
0:00:35 > 0:00:38We're head-to-head in Operation Takeover.
0:00:38 > 0:00:40I can't see a thing!
0:00:40 > 0:00:41- BOTH:- Man overboard!
0:00:41 > 0:00:43Ouch And About hits the wards.
0:00:43 > 0:00:45That might be the squishiest nose I've ever seen.
0:00:45 > 0:00:46First Aid is back.
0:00:46 > 0:00:48So we do need to get Xand to hospital.
0:00:48 > 0:00:51Meet our brilliant new Ouch-patients.
0:00:51 > 0:00:52So we're back from the hospital.
0:00:52 > 0:00:54And our lab experiments...
0:00:54 > 0:00:55- BANG! - Argh!
0:00:55 > 0:00:57..will blow...
0:00:57 > 0:00:59..your...mind.
0:00:59 > 0:01:00That is an amazing view.
0:01:00 > 0:01:02Are you ready to join us?
0:01:03 > 0:01:05You're crazy!
0:01:05 > 0:01:07Woohoo!
0:01:08 > 0:01:10I can't see a thing.
0:01:10 > 0:01:12Coming up today on...
0:01:13 > 0:01:14..on...
0:01:15 > 0:01:17..Operation Ouch!
0:01:19 > 0:01:21It's time for a dip.
0:01:21 > 0:01:24It's freezing!
0:01:24 > 0:01:26Meet new Ouch-patients Bolu and Millie.
0:01:26 > 0:01:27Hello.
0:01:27 > 0:01:29And we get into another fine mess.
0:01:29 > 0:01:31This is very, very hard.
0:01:31 > 0:01:34But first, in the Accident & Emergency Department,
0:01:34 > 0:01:37the team never know what's going to happen next.
0:01:37 > 0:01:42Xand. Xand! Be careful, you could cause an injury.
0:01:42 > 0:01:44Exactly, just like our first patient.
0:01:47 > 0:01:49Over in Accident & Emergency,
0:01:49 > 0:01:52ten-year-old Isobel is with her mum and dad.
0:01:52 > 0:01:53What's happened?
0:01:53 > 0:01:55I've hurt my wrist/arm.
0:01:55 > 0:01:57Well, how did you do that?
0:01:57 > 0:02:00The sun was shining and Isobel was playing in her garden,
0:02:00 > 0:02:02on the trampoline.
0:02:02 > 0:02:03And who's that over there?
0:02:03 > 0:02:05Ah, that's Sven the Guinea pig.
0:02:07 > 0:02:09..and Benji the bunny.
0:02:09 > 0:02:11Whoa, dude! Cool moves.
0:02:11 > 0:02:14Isobel was having a whale of a time.
0:02:14 > 0:02:16She has a whale, too?
0:02:16 > 0:02:18- Yippee!- No, Xand,
0:02:18 > 0:02:20she was having loads of fun until she lost her footing
0:02:20 > 0:02:22and landed on her arm.
0:02:22 > 0:02:23- BOTH:- Ouch!
0:02:25 > 0:02:27Meet Mr Assad Qureshi.
0:02:27 > 0:02:29And your qualifications?
0:02:29 > 0:02:35BSc, MBBS, MRCS, MSc and soon to be PhD.
0:02:35 > 0:02:39What a smarty pants! You're in safe hands, Isobel.
0:02:39 > 0:02:41Do they feel OK, or do they feel tingly?
0:02:41 > 0:02:43- Them ones feel tingly. - So these two?- Yeah.
0:02:43 > 0:02:46- And these ones feel normal?- Yeah.
0:02:46 > 0:02:49Isobel is struggling to move her third and little fingers,
0:02:49 > 0:02:52plus there's a wound on her arm.
0:02:52 > 0:02:55Time to get into X-ray and see what's going on.
0:02:57 > 0:02:59That's perfect.
0:02:59 > 0:03:00Whoa!
0:03:00 > 0:03:03That's quite a break. Let's see a close-up.
0:03:03 > 0:03:04It's a double break.
0:03:04 > 0:03:07This fracture is significantly displaced,
0:03:07 > 0:03:10which is why we need to proceed with an operation to fix it.
0:03:10 > 0:03:14One of the broken bones also pushed through Isobel's skin,
0:03:14 > 0:03:16which leaves her open to infection.
0:03:16 > 0:03:20We need to give you some antibiotics and we need to do an operation.
0:03:20 > 0:03:23So we're just going to pop this on, OK?
0:03:23 > 0:03:25Isobel's op is booked for first thing in the morning,
0:03:25 > 0:03:28so she needs a temporary cast to make her more comfortable.
0:03:28 > 0:03:31And she'll stay overnight in hospital.
0:03:31 > 0:03:34Night-night, Operation Ouch.
0:03:34 > 0:03:35Night-night!
0:03:35 > 0:03:38Find out how Isobel's operation goes later on.
0:03:41 > 0:03:45Now, did you know your brain never turns off or rests?
0:03:45 > 0:03:47Even when you're asleep, it's active,
0:03:47 > 0:03:49especially when you're dreaming.
0:03:54 > 0:03:55And now to our lab.
0:03:55 > 0:03:58It's time for some big body experiments.
0:03:58 > 0:04:00Some of them gory.
0:04:00 > 0:04:02This is not for the squeamish.
0:04:02 > 0:04:03Some extreme.
0:04:03 > 0:04:05Do you like my new look?
0:04:05 > 0:04:07So are you ready?
0:04:07 > 0:04:08ARGH!
0:04:08 > 0:04:10Just don't try anything you see here at home.
0:04:10 > 0:04:13Today, we're looking at your sensory neurons.
0:04:15 > 0:04:17Chris...
0:04:17 > 0:04:18Yes, Xand?
0:04:18 > 0:04:20I've got someone for you to meet.
0:04:20 > 0:04:23I don't want to meet anyone, Xand, I'm preparing for an experiment.
0:04:23 > 0:04:26Yes, but you are REALLY going to want to meet this person.
0:04:26 > 0:04:27Why?
0:04:27 > 0:04:28Because he's a lot like you.
0:04:28 > 0:04:31A lot like me? Well, in that case...
0:04:31 > 0:04:32ARGH!
0:04:32 > 0:04:35Xand, this is not in any way like me.
0:04:35 > 0:04:38I mean, I don't have that enormous tongue,
0:04:38 > 0:04:40or these huge hands or those ridiculous feet.
0:04:40 > 0:04:45Chris, meet your homunculus or, as I like to call him,
0:04:45 > 0:04:46homuncu-Chris!
0:04:48 > 0:04:49That is quite a good name.
0:04:49 > 0:04:51This is a homunculus.
0:04:51 > 0:04:53It's my body but it highlights the places
0:04:53 > 0:04:56where I have the most sensory neurons,
0:04:56 > 0:04:59by making those areas humungous.
0:04:59 > 0:05:01All over your body, you have sensory neurons
0:05:01 > 0:05:05which enable you to feel things. They give you your sense of touch.
0:05:05 > 0:05:09But there are more of them in some parts of your body than in others.
0:05:09 > 0:05:10And this homunculus...
0:05:10 > 0:05:12Homuncu-Chris!
0:05:12 > 0:05:16Yes. ..shows that you have more sensory neurons in your hands, feet,
0:05:16 > 0:05:19lips and tongue, than you do in the rest of your body.
0:05:19 > 0:05:23And because there are more sensory neurons in these places,
0:05:23 > 0:05:25it makes them much more sensitive.
0:05:25 > 0:05:27Think about how it feels to have a piece of fluff in your mouth,
0:05:27 > 0:05:29it's intolerable.
0:05:30 > 0:05:33But if you have a piece of fluff in your belly button,
0:05:33 > 0:05:35you probably don't even notice!
0:05:39 > 0:05:42To prove which parts of the body have the most sensory neurons,
0:05:42 > 0:05:45here's an experiment you can try at home.
0:05:45 > 0:05:47You just need another human and a blindfold.
0:05:47 > 0:05:50Right, Chris, put this on and lie face-down on the bench.
0:05:50 > 0:05:54Now I need Chris to be blindfolded while I prod him with my fingers.
0:05:54 > 0:05:56- Prod me?!- I said lie down!
0:05:56 > 0:05:58I'm going to prod him, and then I'm going to ask him
0:05:58 > 0:06:02how many fingers I'm using and I'm going to start with his hand.
0:06:02 > 0:06:04- OK, Chris, are you ready?- Yes.
0:06:04 > 0:06:08Chris, tell me how many fingers I'm touching your hand with.
0:06:08 > 0:06:09Two.
0:06:10 > 0:06:11Four.
0:06:13 > 0:06:17- One.- Well done, but I expected Chris to get all that right,
0:06:17 > 0:06:20because his hands are loaded with sensory neurons
0:06:20 > 0:06:22and the bit of his brain that gets information from his hands
0:06:22 > 0:06:24is very large.
0:06:24 > 0:06:27So your hands are very accurate at detecting what they're touching.
0:06:27 > 0:06:30But now we're going to move to his back.
0:06:31 > 0:06:32One.
0:06:34 > 0:06:35Maybe two.
0:06:38 > 0:06:41- One.- That was much less successful, Chris.
0:06:41 > 0:06:45That's because you have far fewer sensory neurons there.
0:06:45 > 0:06:47Which makes sense if you think about it -
0:06:47 > 0:06:50you don't need your back to be as sensitive as your hands.
0:06:50 > 0:06:53That's very true, and your sensory neurons
0:06:53 > 0:06:56aren't just for testing how many fingers are prodding your back.
0:06:56 > 0:06:59Your millions of sensory neurons get loads of information
0:06:59 > 0:07:01about the world around you,
0:07:01 > 0:07:04telling you if things are sharp, soft, hot or cold.
0:07:04 > 0:07:07But, how do they do it? Well, we're going to show you by heading to...
0:07:07 > 0:07:09..the beach!
0:07:09 > 0:07:13WURLITZER PLAYS: I Do Like To Be Beside The Seaside
0:07:13 > 0:07:14To show you how your sensory neurons
0:07:14 > 0:07:17detect the difference between hot and cold,
0:07:17 > 0:07:19Xand and I are going for a swim.
0:07:19 > 0:07:23Now because the sea is cold, I've decided to pre-acclimatise,
0:07:23 > 0:07:25and I'm already pretty cold myself.
0:07:25 > 0:07:29Xand on the other hand, has taken a different strategy. Xand?
0:07:29 > 0:07:31My strategy is to get as warm as possible
0:07:31 > 0:07:32before I get in the freezing ocean.
0:07:32 > 0:07:36Come on, you've had enough time in there, let's get going.
0:07:36 > 0:07:37Five more minutes, Christ -
0:07:37 > 0:07:39there's still a little warmth left in the hottie.
0:07:39 > 0:07:42You've had quite enough time. You've been in there an hour-and-a-half.
0:07:42 > 0:07:44Give me that. Come on.
0:07:44 > 0:07:45It's freezing out here!
0:07:48 > 0:07:49OK. Are you ready, Xand?
0:07:49 > 0:07:51I'm boiling, I can't wait to get in.
0:07:51 > 0:07:53All right, last one in is a rotten egg.
0:07:53 > 0:07:55Three, two, one!
0:07:56 > 0:07:57Ow!
0:07:58 > 0:08:01- Ow!- Ooh!- Ow!- Argh!
0:08:03 > 0:08:06Well, this is embarrassing.
0:08:06 > 0:08:08Ah, lovely.
0:08:08 > 0:08:09Argh!
0:08:09 > 0:08:13Oh, oh, oh! It's freezing!
0:08:13 > 0:08:15It's absolutely tropical.
0:08:15 > 0:08:19Why is your bit of ocean warmer than my bit of ocean?
0:08:19 > 0:08:21Have you peed there?
0:08:21 > 0:08:23No! Don't be absurd!
0:08:23 > 0:08:26Sensory neurons work by detecting the difference in temperature
0:08:26 > 0:08:29between the water and your skin.
0:08:29 > 0:08:32There's hardly any difference between my cold skin
0:08:32 > 0:08:35and the cold water, so I feel fine.
0:08:35 > 0:08:38But for Xand, there's a big difference between his warm skin
0:08:38 > 0:08:42and the cold water, so he feels extremely chilly.
0:08:42 > 0:08:45Once his skin temperature drops, he'll start to feel OK too.
0:08:45 > 0:08:49I must say now, it's absolutely lovely.
0:08:49 > 0:08:51So we've shown you a homunculus,
0:08:51 > 0:08:54which reveals you have more sensory neurons in your mouth,
0:08:54 > 0:08:56hands and feet than anywhere else.
0:08:56 > 0:08:59And we've shown you that your sensory neurons are vital
0:08:59 > 0:09:03in detecting hot and cold things by comparing their temperatures
0:09:03 > 0:09:05with that of your skin.
0:09:05 > 0:09:06Well, Xand, that was a great success.
0:09:06 > 0:09:08Would you like an ice cream?
0:09:08 > 0:09:11Ooh, I'd love an ice cream. Just give me a second, and I can get on
0:09:11 > 0:09:14my hat, my hoodie, my dressing gown, my blankie...
0:09:14 > 0:09:16Good luck finding your blankie. Bye!
0:09:16 > 0:09:18Chris!
0:09:22 > 0:09:25Meet Caden, Maisie, Bolu and Millie.
0:09:25 > 0:09:28We'll be following them across the series,
0:09:28 > 0:09:31as they let us know what it's like to be a regular hospital outpatient.
0:09:31 > 0:09:36They invite us into their lives, at home, and as they undergo treatment.
0:09:36 > 0:09:37Meet 12-year-old Bolu.
0:09:37 > 0:09:39Hello!
0:09:39 > 0:09:41I have sickle-cell anaemia.
0:09:42 > 0:09:45Everyone has red blood cells but with sickle-cell patients,
0:09:45 > 0:09:49we have red blood cells and sickle blood cells.
0:09:49 > 0:09:52Normally, red blood cells are shaped like round discs.
0:09:52 > 0:09:54They can squish up and slide down a blood vessel,
0:09:54 > 0:09:56carrying oxygen with them.
0:09:56 > 0:09:57But with sickle-cell anaemia,
0:09:57 > 0:10:00some cells are shaped like crescent moons or sickles.
0:10:00 > 0:10:02They're not very good at carrying oxygen,
0:10:02 > 0:10:04so Bolu gets tired and short of breath.
0:10:04 > 0:10:08Plus they often get stuck, causing problems like pain and clotting.
0:10:10 > 0:10:14When I'm doing activities like my friends do, I can get tired easily.
0:10:14 > 0:10:18But cooking is one thing that doesn't tire Bolu out.
0:10:18 > 0:10:19Urgh!
0:10:19 > 0:10:23If you have a condition and you can't really do something as well
0:10:23 > 0:10:25as the other kids, you know that if you can cook,
0:10:25 > 0:10:29you just feel that you're the best at something for once.
0:10:29 > 0:10:30Thumbs up!
0:10:33 > 0:10:36Can you guess what Bolu's favourite colour is?
0:10:36 > 0:10:38My room is literally pink.
0:10:38 > 0:10:40Look, everything is pink.
0:10:40 > 0:10:43When you're sick and you don't feel well
0:10:43 > 0:10:47and you feel all gloomy and down and miserable,
0:10:47 > 0:10:49when you think about the colour pink,
0:10:49 > 0:10:53you just forget everything and you want to dance all day.
0:10:53 > 0:10:56Find out how I get on next time. Bye!
0:10:59 > 0:11:03Back in the emergency department, Isobel is having surgery on her arm.
0:11:03 > 0:11:06Do you think it would be OK if we went and saw her?
0:11:06 > 0:11:07Absolutely!
0:11:07 > 0:11:09Where's the 'ARM in that?
0:11:11 > 0:11:14Earlier, Isobel came in to the emergency department
0:11:14 > 0:11:16with a double break in her arm.
0:11:16 > 0:11:18Isobel was jumping on her trampoline,
0:11:18 > 0:11:22under the watchful eye of Sven the Guinea pig and Benji the bunny.
0:11:22 > 0:11:25Unfortunately, she slipped and landed on her arm.
0:11:25 > 0:11:27- BOTH:- Ouch!
0:11:27 > 0:11:30X-rays revealed that Isobel needs surgery.
0:11:30 > 0:11:33She's been give an anaesthetic so she'll be asleep for the operation
0:11:33 > 0:11:35and won't feel any pain.
0:11:37 > 0:11:39Surgeon Jim Brousil is a man with a plan.
0:11:41 > 0:11:45First on the list is giving Isobel's arm a good scrub.
0:11:45 > 0:11:47Here come a Gross Alert.
0:11:47 > 0:11:50Even the inside of her arm needs a good wash.
0:11:50 > 0:11:54Next step is to realign her broken bones and this is the clever bit.
0:11:54 > 0:11:58We're going to fix them by passing wires down the middle of the bones
0:11:58 > 0:12:01so that they line up and they'll heal properly.
0:12:01 > 0:12:03This is a flexible nail.
0:12:03 > 0:12:05It's a long piece of bendy wire.
0:12:05 > 0:12:07Gross Alert time!
0:12:07 > 0:12:12Dr James puts the flexible nail into the middle of Isobel's radius bone.
0:12:12 > 0:12:15He then pushes it down through the break
0:12:15 > 0:12:17to reconnect the two halves of the bone.
0:12:17 > 0:12:20Fix a bone yourself, in our Snot Apocalypse game.
0:12:20 > 0:12:23This is then repeated with Isobel's ulna bone,
0:12:23 > 0:12:25bringing both bones into line.
0:12:25 > 0:12:28Here are the flexible nails inside Isobel's arm.
0:12:28 > 0:12:31Now her bones are straight and in the perfect position to heal.
0:12:33 > 0:12:35These nails will stay in her arm for a few months,
0:12:35 > 0:12:38and she'll have a plaster cast for six weeks.
0:12:38 > 0:12:40How are you feeling, Isobel?
0:12:40 > 0:12:41I'm feeling a bit better.
0:12:41 > 0:12:43And what about that trampoline?
0:12:43 > 0:12:45I'm going to keep trampolining.
0:12:45 > 0:12:48Well, there's no 'ARM in it, if you're careful!
0:12:48 > 0:12:50Not that joke again!
0:12:51 > 0:12:53- ALL:- Bye!
0:12:54 > 0:12:56Still to come...
0:12:57 > 0:12:59Chris gets groggy on the green.
0:12:59 > 0:13:01Argh!
0:13:01 > 0:13:03And we go back to Accident & Emergency.
0:13:03 > 0:13:06My thumb's been bent back.
0:13:06 > 0:13:07But first...
0:13:07 > 0:13:10Amazing people do lots of important jobs
0:13:10 > 0:13:13inside and outside hospitals that help to keep you safe.
0:13:13 > 0:13:16But what will happen when we have a go?
0:13:16 > 0:13:17I feel a bit silly.
0:13:17 > 0:13:20This is Operation Takeover.
0:13:21 > 0:13:23Can you guess who today's heroes are?
0:13:23 > 0:13:25Well, I'll give you a clue -
0:13:25 > 0:13:28lots of them are volunteers and they rescue people
0:13:28 > 0:13:30who get stuck in this stuff.
0:13:30 > 0:13:33Ooh! Is it the chocolate pudding rescue team?
0:13:33 > 0:13:34What? SQUELCHING
0:13:34 > 0:13:36No, Xand, that's mud!
0:13:36 > 0:13:37Argh!
0:13:40 > 0:13:45- Did you guess it?- We're about to take over the job of today's hero,
0:13:45 > 0:13:47coastguard Richard.
0:13:47 > 0:13:51There are over 11,000 miles of coastline in the UK.
0:13:51 > 0:13:53The coastguard can give you medical care
0:13:53 > 0:13:56in places no other emergency service can reach.
0:13:56 > 0:13:59Richard is one of 3,500 volunteer coastguards
0:13:59 > 0:14:02and is a member of the Medway Mud Rescue Team.
0:14:06 > 0:14:09I think of the dangerous bit as out there in the water.
0:14:09 > 0:14:11- Yeah.- What's the issue with mud?
0:14:11 > 0:14:14If you're going to walk on this mud, for example, it's wet and sludgy.
0:14:14 > 0:14:15It's like a type of quick sand,
0:14:15 > 0:14:18where the more you walk and move around, you're going to go down.
0:14:18 > 0:14:21- You also may have to do some first aid on the spot?- Yes, you will.
0:14:21 > 0:14:23Obviously, if somebody's been out there for a long while,
0:14:23 > 0:14:24they could have hypothermia.
0:14:24 > 0:14:27If it's a sunny day like today, they might be dehydrated.
0:14:27 > 0:14:29Richard runs us through the equipment used,
0:14:29 > 0:14:32like the special shoes called mud pans.
0:14:32 > 0:14:34As we walk out, they spread out to ease us through the mud
0:14:34 > 0:14:37- and stop us sinking. - So it's like a snow shoe for mud?
0:14:37 > 0:14:39Exactly. Also we use these two stretchers.
0:14:39 > 0:14:41We will drag this behind us to assist the person
0:14:41 > 0:14:43that we're going to rescue out of the mud.
0:14:43 > 0:14:46If someone's stuck in the mud, do you just pull them out?
0:14:46 > 0:14:47No. We've got three ways of releasing them -
0:14:47 > 0:14:50either physically digging them out with one of those trenching tools
0:14:50 > 0:14:52or with this lance.
0:14:52 > 0:14:54The lance fires out water or air to loosen the mud
0:14:54 > 0:14:56and free the person who's stuck.
0:14:56 > 0:14:59- Are you ready?- Yep.- Three, two, one!
0:14:59 > 0:15:01Argh!
0:15:02 > 0:15:05We've seen just how important the work of the coastguard is
0:15:05 > 0:15:09in rescuing people from danger around Britain's coasts.
0:15:09 > 0:15:11But when it comes to us having a go at the job,
0:15:11 > 0:15:15will it all be plain sailing or will we be a couple of stick in the muds?
0:15:15 > 0:15:17Get it? Like we're stuck... in the mud?
0:15:17 > 0:15:19That's the... OK.
0:15:19 > 0:15:22It's time for us to take over as coastguards.
0:15:25 > 0:15:28So your challenge today is you're actually going to go on the mud,
0:15:28 > 0:15:30get dirty and do a proper mud rescue.
0:15:30 > 0:15:32You're going to go with one of our other team members, Scott,
0:15:32 > 0:15:35and we're going to go and rescue another team member, Sophie.
0:15:35 > 0:15:36What are you going to judge us on?
0:15:36 > 0:15:39The first one is how well you go across the mud.
0:15:39 > 0:15:41Hopefully not falling over into the mud.
0:15:41 > 0:15:43How you get them out, using the equipment
0:15:43 > 0:15:46and reassuring them as you come back, making sure they're OK.
0:15:46 > 0:15:50I think the hardest bit is going to be not getting at all muddy
0:15:50 > 0:15:52and, fortunately, I have a secret weapon.
0:15:54 > 0:15:55Baby wipes!
0:15:55 > 0:15:58No time for your beauty regime now, Xand!
0:15:58 > 0:16:00This is an emergency situation.
0:16:00 > 0:16:02We're coming, Sophie!
0:16:02 > 0:16:04Off you go, then, Chris.
0:16:04 > 0:16:06Don't get stuck in the mud!
0:16:06 > 0:16:08- Oh!- His walking technique's fine.
0:16:08 > 0:16:10The thing is to keep moving but keep at a steady pace.
0:16:10 > 0:16:12It's not a race.
0:16:12 > 0:16:13Are you OK?
0:16:13 > 0:16:15I'm OK.
0:16:15 > 0:16:16Got out there nice and quickly.
0:16:16 > 0:16:20- How are you feeling?- Let's see how well they dig Sophie out.
0:16:23 > 0:16:26It's really thick and sticky.
0:16:26 > 0:16:27Phew!
0:16:27 > 0:16:29Come on, Chris! Get your hands dirty.
0:16:30 > 0:16:33Let's see how Chris does using the lance.
0:16:35 > 0:16:37You got one leg out.
0:16:37 > 0:16:38They're doing really well.
0:16:38 > 0:16:40I'll give you a hand there.
0:16:40 > 0:16:43Once on the stretcher, Sophie can be winched to safety.
0:16:43 > 0:16:46But, Chris, don't forget to keep her calm.
0:16:46 > 0:16:49Oh, this is exhausting.
0:16:49 > 0:16:51Er, Chris?
0:16:51 > 0:16:52I should really be talking to Sophie.
0:16:52 > 0:16:55- Sophie, how are you doing? - I'm feeling OK, thanks.
0:16:55 > 0:16:56Better late than never.
0:16:56 > 0:17:00Now she's safely on the shore, it's my turn.
0:17:00 > 0:17:02Here we go.
0:17:02 > 0:17:05Come on then, Xandy, let's see what you're made of.
0:17:05 > 0:17:07This is very, very hard.
0:17:07 > 0:17:08Told you.
0:17:09 > 0:17:12How are you doing? Are you OK?
0:17:12 > 0:17:14Are you injured at all?
0:17:14 > 0:17:17Good reassurance, Xand, she knows you're coming to help.
0:17:17 > 0:17:19I'm completely out of breath.
0:17:19 > 0:17:22Oh, he is moaning a little bit, isn't he? Let's just see.
0:17:22 > 0:17:24You're completely stuck, aren't you?
0:17:24 > 0:17:27- Completely stuck. - All right, we'll get you out.
0:17:31 > 0:17:33HE PUFFS
0:17:33 > 0:17:34Tired already, Xand?
0:17:34 > 0:17:36That's not good.
0:17:36 > 0:17:38There we go. Wow!
0:17:38 > 0:17:39Oh, brilliant.
0:17:39 > 0:17:41Xand's doing really well, actually.
0:17:41 > 0:17:42You feeling good?
0:17:42 > 0:17:44He's making her feel safe.
0:17:44 > 0:17:47OK. Now my problem now is that I'm stuck.
0:17:47 > 0:17:50Oh, dear, Xand, have you got a sinking feeling?
0:17:52 > 0:17:54Argh!
0:17:59 > 0:18:02So we almost had two casualties then - Sophie and Xand.
0:18:02 > 0:18:03You all right, Doc?
0:18:03 > 0:18:06- Yeah, I'm all right.- Right. - I'm all right, just about.
0:18:06 > 0:18:07It's good you're keeping an eye on me as well.
0:18:07 > 0:18:11Xand, they're not supposed to be looking after you too.
0:18:11 > 0:18:13Are you going to make it back to shore?
0:18:13 > 0:18:16That is the hardest walking I have ever done.
0:18:16 > 0:18:18It's time for the verdict.
0:18:18 > 0:18:21Sophie, patient care, how did we do?
0:18:21 > 0:18:24I think it has to go to Xand.
0:18:24 > 0:18:27- Yes!- What? - Really, I'm very reassuring.
0:18:27 > 0:18:31Scott, in terms of patient extraction, how did we do?
0:18:31 > 0:18:33I think it was definitely Chris.
0:18:33 > 0:18:35Now, now, hang on.
0:18:35 > 0:18:37Chris didn't get stuck.
0:18:37 > 0:18:41So it's 1-1. Richard, how was our technique on the mud?
0:18:41 > 0:18:45Both keeping at a steady pace, until unfortunately, you got stuck.
0:18:45 > 0:18:48So my final vote has to go with Chris.
0:18:48 > 0:18:51- Oh!- Yes!
0:18:51 > 0:18:54Well, Xand, I may have won but I think what we've really learned
0:18:54 > 0:18:57today is just how important and challenging the work
0:18:57 > 0:19:01of Her Majesty's Coastguard Mud Rescue Team really is.
0:19:01 > 0:19:04And it's definitely a job that is best left to the professionals.
0:19:04 > 0:19:07Richard, have our hats back.
0:19:07 > 0:19:08Thanks, guys.
0:19:11 > 0:19:16Hi, my name's Millie and I have polyarticular arthritis.
0:19:16 > 0:19:17Nice to meet you.
0:19:17 > 0:19:20Millie's condition means she has inflammation of her joints
0:19:20 > 0:19:23and she experiences stiffness and pain.
0:19:23 > 0:19:26I have it in my ankle, my hand, my jaws,
0:19:26 > 0:19:29in my left hip and then I also have it in my knees.
0:19:29 > 0:19:32The tough thing about arthritis is say,
0:19:32 > 0:19:35when I'm trying to play It with all my friends
0:19:35 > 0:19:39and I just can't get them because my ankle's in pain.
0:19:39 > 0:19:43To help her manage her pain, Millie keeps a special diary.
0:19:43 > 0:19:46I write the date and I highlight how my pain's been.
0:19:46 > 0:19:49So 10 means, like, the worst pain in the world.
0:19:49 > 0:19:51I have had that before.
0:19:51 > 0:19:55There are some really brilliant days where I've had no pain,
0:19:55 > 0:19:58and these are one of my favourite days.
0:20:00 > 0:20:04Arthritis also makes my joints really stiff.
0:20:04 > 0:20:08Millie is given regular exercises to help with this.
0:20:08 > 0:20:14This is my therapy putty and I do this to strengthen my hand,
0:20:14 > 0:20:16so when I come to writing,
0:20:16 > 0:20:20I can handle the pain instead of having to stop.
0:20:20 > 0:20:24This is my chunky chalk and it also helps my hand.
0:20:24 > 0:20:30Some of these letters I find a bit harder to write than others
0:20:30 > 0:20:32and I practice them.
0:20:32 > 0:20:34Bye! See you next time.
0:20:34 > 0:20:36No, catch me next time.
0:20:36 > 0:20:37Can't catch me!
0:20:43 > 0:20:45One of our favourite hobbies is golf.
0:20:45 > 0:20:48And I must say, Chris, we're getting pretty good at it.
0:20:52 > 0:20:54But, like all outdoor sports arenas,
0:20:54 > 0:20:58the golf course can be a place of danger!
0:21:01 > 0:21:03You could forget to tie your shoe laces and trip over them...
0:21:06 > 0:21:08You could hurt your back carrying my clubs around.
0:21:10 > 0:21:13Or you could be hit on the head by a rogue golf ball.
0:21:13 > 0:21:14Xand! Duck!
0:21:14 > 0:21:15Argh!
0:21:15 > 0:21:17Right, it's my turn to tee off.
0:21:17 > 0:21:21And just to be safe, I'm going to get well back.
0:21:21 > 0:21:23There's no need to go THAT far away.
0:21:26 > 0:21:27Argh!
0:21:28 > 0:21:31Chris? Chris?!
0:21:31 > 0:21:34Uh-oh. Dr Chris has collapsed and he's not responding.
0:21:34 > 0:21:37Injury Alert!
0:21:37 > 0:21:40So what should you do if someone is unresponsive and not breathing?
0:21:59 > 0:22:01The correct answer is C...
0:22:08 > 0:22:11But will this lot get it right with no training?
0:22:11 > 0:22:13- Are you ready? ALL:- Yeah!
0:22:13 > 0:22:15Off you go.
0:22:15 > 0:22:18Ajay and Haneeta are both pretending that they've had an accident
0:22:18 > 0:22:21and are unresponsive and not breathing.
0:22:21 > 0:22:24Quick, guys - they need your help.
0:22:24 > 0:22:26- You've got a phone?- No, no.
0:22:26 > 0:22:29You need to come to this location straight away.
0:22:29 > 0:22:31Calling an ambulance is a great start.
0:22:31 > 0:22:34I can't feel it. Start the compressions.
0:22:34 > 0:22:36- One, two...- They've got into doing chest impressions
0:22:36 > 0:22:39but, actually, they're just squishing his stomach -
0:22:39 > 0:22:41they're not doing them in the right place at all.
0:22:41 > 0:22:43Our teams didn't quite get this right.
0:22:43 > 0:22:46Some ideas were spot on, like Farooq's...
0:22:46 > 0:22:48I searched to see if she had a phone on her
0:22:48 > 0:22:50so we could call the ambulance.
0:22:50 > 0:22:53- Others just missed the mark.- Tell me about the chest compressions?
0:22:53 > 0:22:56I don't think I did it next to his chest,
0:22:56 > 0:22:57I was doing it near his stomach.
0:22:57 > 0:23:01Let's show you how it should be done with the help of Geoff,
0:23:01 > 0:23:02our first aid dummy.
0:23:02 > 0:23:05Right, can you see if he's responsive?
0:23:05 > 0:23:06Jeff?
0:23:06 > 0:23:08Remember, we're showing you what to do in an emergency
0:23:08 > 0:23:10but it's always best to get an adult.
0:23:10 > 0:23:13I'm shaking him gently but he's not saying anything.
0:23:13 > 0:23:15- What should I do next? - Can you check if he's breathing?
0:23:15 > 0:23:18Put your ear down next to his mouth.
0:23:18 > 0:23:22Tilt his head back. Can you feel any breaths at all on your ear?
0:23:22 > 0:23:25No, I can't feel any and I can't hear anything.
0:23:25 > 0:23:26We need to call 999.
0:23:26 > 0:23:28OK. I've got a phone here.
0:23:28 > 0:23:33So you call 999, give the patient's problem, give your location,
0:23:33 > 0:23:35and the Ambulance Service will tell you
0:23:35 > 0:23:37to start doing chest compressions.
0:23:37 > 0:23:40Put the heel of your hand in the middle of his chest
0:23:40 > 0:23:44and start pushing down at that speed, twice every second.
0:23:44 > 0:23:46To do chest compressions,
0:23:46 > 0:23:48you need a grown-up because it's hard work
0:23:48 > 0:23:52and requires the stronger power of an adult for it to be effective.
0:23:52 > 0:23:54So Chris is now doing chest compressions,
0:23:54 > 0:23:57I need to go and find an AED or defibrillator.
0:23:57 > 0:24:01An AED or automated external defibrillator can be spotted
0:24:01 > 0:24:05in schools and public places, like sports centres.
0:24:05 > 0:24:07Now, all AEDs have instructions on them.
0:24:07 > 0:24:11It's a machine which delivers an electric shock to the heart.
0:24:11 > 0:24:13- AED:- Pull green tab to remove pads.
0:24:13 > 0:24:15There are the pads.
0:24:15 > 0:24:17Peel pads from liner.
0:24:17 > 0:24:20Press pads firmly to patient's bare skin.
0:24:20 > 0:24:23OK, and now you need to move back cos I'm going to give a shock.
0:24:23 > 0:24:24Can you stand back?
0:24:27 > 0:24:29Geoff isn't responding because he's a dummy.
0:24:29 > 0:24:30But, at the touch of a button,
0:24:30 > 0:24:34the defibrillator tries to give the heart a kick-start.
0:24:34 > 0:24:37This machine will talk you through everything you need to do,
0:24:37 > 0:24:39so the most important thing is to stay calm
0:24:39 > 0:24:40and listen to the instructions.
0:24:40 > 0:24:42- Do you want to have a go? - ALL:- Yeah!
0:24:42 > 0:24:44Brilliant.
0:24:44 > 0:24:48So if you see someone who's unresponsive and not breathing,
0:24:48 > 0:24:49call 999 -
0:24:49 > 0:24:51remember you'll need to know your location.
0:24:51 > 0:24:55Then tell an adult how to do chest compressions.
0:24:55 > 0:24:56And, finally, if available,
0:24:56 > 0:25:00find a defibrillator and follow its voice prompts.
0:25:00 > 0:25:01Good work, guys.
0:25:03 > 0:25:05Chris! Are you breathing?
0:25:05 > 0:25:08Oh, yes, I am. I just winded myself.
0:25:08 > 0:25:10You winded yourself? Is that it?
0:25:10 > 0:25:13Yes, but it was quite a shock at the time.
0:25:13 > 0:25:15I thought it was some kind of emergency.
0:25:15 > 0:25:17Well, it's always better to check.
0:25:17 > 0:25:20I wonder if we should play something else.
0:25:20 > 0:25:22I've got this basketball with me.
0:25:22 > 0:25:25OK. All right. Ready? One, two, three.
0:25:25 > 0:25:27Oof!
0:25:27 > 0:25:28- WEAKLY:- Winded again!
0:25:31 > 0:25:32In the emergency department,
0:25:32 > 0:25:35there's another patient that needs a helping hand.
0:25:35 > 0:25:38Well, come on, let's see what's wrong with them.
0:25:41 > 0:25:42Over in the emergency department,
0:25:42 > 0:25:45nine-year-old Emmanuel is waiting with his dad.
0:25:45 > 0:25:47What's with the sling, Emmanuel?
0:25:47 > 0:25:50My thumb's been bent back and it's swollen.
0:25:50 > 0:25:52How did it happen?
0:25:52 > 0:25:54It was lunch time at Emmanuel's school,
0:25:54 > 0:25:57and he was out playing football with loads of his mates.
0:25:57 > 0:25:59Oh, look, there he is. What position does he play?
0:25:59 > 0:26:02Well, he's in the goal, Chris, so I'd say he's the goalie!
0:26:02 > 0:26:05Got ya. Wow. He's got his eye on the ball.
0:26:05 > 0:26:09- Look at him go.- But then one of the strikers came out of nowhere,
0:26:09 > 0:26:11got through on goal and struck the ball.
0:26:11 > 0:26:13Emmanuel stretched to make the save...
0:26:13 > 0:26:15Go, Emmanuel, you can do it!
0:26:15 > 0:26:17Whoa!
0:26:18 > 0:26:21He did it all right, but the ball bounced off his thumb
0:26:21 > 0:26:24- and bent it right back. BOTH:- Ouch!
0:26:24 > 0:26:25How's it feeling now?
0:26:25 > 0:26:26Really painful.
0:26:26 > 0:26:28Uh-oh. Doctor!
0:26:30 > 0:26:33Here he is, Dr Abdul Aziz.
0:26:33 > 0:26:34How back do you think it went?
0:26:34 > 0:26:36- Really back.- Really back?!
0:26:36 > 0:26:38First, the doc checks Emmanuel's hand.
0:26:38 > 0:26:41Because it's really swollen, we're going to do an X-ray.
0:26:41 > 0:26:44We just want to make sure you've not done anything to the bone here.
0:26:44 > 0:26:48Radiographer Andrew Strong takes two X-rays from different angles
0:26:48 > 0:26:50of Emmanuel's thumb.
0:26:50 > 0:26:51That's brill.
0:26:51 > 0:26:52What's the news, then, Doc?
0:26:52 > 0:26:54Everything looks OK to me.
0:26:54 > 0:26:55Well, that's great news.
0:26:55 > 0:26:59So you've just stretched the tissues inside,
0:26:59 > 0:27:01and that's what's causing the pain. What we'll do,
0:27:01 > 0:27:05we'll put a bandage on the thumb to help with the pain relief.
0:27:05 > 0:27:09Nurse Becky Saunders bandages up Emmanuel's thumb.
0:27:09 > 0:27:11When will it be back to normal, Doc?
0:27:11 > 0:27:13Anything between two to four weeks.
0:27:13 > 0:27:15So no goalie action for a while, then.
0:27:15 > 0:27:18- Still want to be a goalkeeper? - Yeah.- OK.
0:27:18 > 0:27:19Good on you, Emmanuel.
0:27:19 > 0:27:21- ALL:- Bye!
0:27:22 > 0:27:25Next time on Operation Ouch...
0:27:25 > 0:27:27We get a lungful of air.
0:27:27 > 0:27:30It's one of my favourite experiments, ever, I think.
0:27:30 > 0:27:32Xand's let loose in the kitchen.
0:27:32 > 0:27:34Be helpful if you kept it in the bowl!
0:27:34 > 0:27:37And Chris stumbles on to a crime scene.
0:27:37 > 0:27:38What on earth has happened here?!
0:27:40 > 0:27:43So we'll see you next time for more Operation Ouch.
0:27:47 > 0:27:50Oh, no, have we missed the end?
0:27:52 > 0:27:53Thought so.
0:27:53 > 0:27:56So, um... So, so, um...
0:27:56 > 0:27:57Why can't...? So...
0:27:59 > 0:28:00If someone's... Shut up!
0:28:02 > 0:28:04Shut up! Shut up!
0:28:04 > 0:28:06You shut up too! The...
0:28:06 > 0:28:10- Sorry. Will you just get on with it, just ask the question?- Shush!