0:00:02 > 0:00:04This programme contains some strong language.
0:00:04 > 0:00:06Ambulance Service. Is the patient breathing?
0:00:09 > 0:00:11Every year in Britain,
0:00:11 > 0:00:1512 million people dial 999 for an emergency ambulance,
0:00:15 > 0:00:17more than 3,000 a day in the West Midlands.
0:00:17 > 0:00:20Right. Stop screaming and listen to me, listen,
0:00:20 > 0:00:22don't be afraid to push too hard.
0:00:22 > 0:00:24One and two and three.
0:00:24 > 0:00:26- One and two...- CPR in progress.
0:00:26 > 0:00:28SIREN WAILS
0:00:28 > 0:00:29Everyone clear?
0:00:29 > 0:00:33Each call tells the story of a person in desperate need.
0:00:33 > 0:00:36Can you upgrade it to a red, please? He's been badly beaten.
0:00:36 > 0:00:38Do you know what it was you were stabbed with, Don?
0:00:38 > 0:00:41And with call numbers doubling in the last decade...
0:00:41 > 0:00:44Keep going! His hair! The head's here, the head's here, nearly. Yeah.
0:00:44 > 0:00:46- I can't!- You can.
0:00:46 > 0:00:50..for our public services, a situation that is now critical.
0:00:50 > 0:00:52They've got to find somewhere for him,
0:00:52 > 0:00:54they can't just say there's no beds.
0:00:54 > 0:00:56Is this literally what you've got? What you're standing up in?
0:00:56 > 0:00:58You've got nothing else?
0:00:59 > 0:01:01- OK.- The failure of the system.
0:01:01 > 0:01:03- AMBULANCE SIREN - Oh, God.
0:01:03 > 0:01:05- Oh...- Oh, my God.
0:01:06 > 0:01:08What was he doing?
0:01:08 > 0:01:10All right, guys. Just, just one minute.
0:01:10 > 0:01:13Cameras follow cases as they unfold, minute by minute.
0:01:13 > 0:01:15Two ambulances, please, if possible.
0:01:15 > 0:01:17OK, yeah. As long as you're all right,
0:01:17 > 0:01:19I'll get everybody to you as quick as I can.
0:01:19 > 0:01:20In the control room...
0:01:20 > 0:01:21Confirmed life extinct.
0:01:21 > 0:01:24- LOW TONE - Oh, man.
0:01:24 > 0:01:26..and on the ground...
0:01:26 > 0:01:27Sorry for your loss.
0:01:27 > 0:01:31..as the West Midlands Ambulance Service race to save lives.
0:01:31 > 0:01:33They are coming to you, blue lights and sirens,
0:01:33 > 0:01:35as fast as they possibly can.
0:01:35 > 0:01:37SIREN WAILS
0:01:37 > 0:01:38Is he breathing?
0:01:38 > 0:01:40Can you see the helicopter?
0:01:40 > 0:01:41You're no trouble, honestly.
0:01:41 > 0:01:44Everybody needs help sometimes, don't they?
0:01:44 > 0:01:46This is the story behind the sirens.
0:01:46 > 0:01:49- Nee-naw...- Nee-naw, nee-naw...
0:01:49 > 0:01:52Get out the way, I'm driving.
0:01:52 > 0:01:53SIREN STARTS
0:02:06 > 0:02:08Ambulance Service. Is the patient breathing?
0:02:11 > 0:02:14Can you get any response from him at all?
0:02:14 > 0:02:17All right. Can you say the word "now" for me
0:02:17 > 0:02:19every time he takes a breath?
0:02:19 > 0:02:20And the next one.
0:02:24 > 0:02:26INDISTINCT VOICE
0:02:26 > 0:02:28Has he taken another one?
0:02:30 > 0:02:32Listen to me, then.
0:02:32 > 0:02:34Pull him onto the floor for me. It's really important.
0:02:34 > 0:02:35He's a big man...
0:02:35 > 0:02:38Listen, put the phone to one side and go and help him.
0:02:38 > 0:02:41It's an hour and a half into the Saturday night shift.
0:02:41 > 0:02:45The CPR call in progress is a category one,
0:02:45 > 0:02:46the most life-threatening.
0:02:46 > 0:02:48Put the heel of your hand in the centre of his chest
0:02:48 > 0:02:50and the other hand on top of it.
0:02:50 > 0:02:52Press down on his chest at least two inches
0:02:52 > 0:02:53while you keep your arms straight.
0:02:53 > 0:02:56And don't be afraid to push too hard.
0:02:56 > 0:02:59It's one of 193 999 calls
0:02:59 > 0:03:02the West Midlands Ambulance Service is currently dealing with.
0:03:02 > 0:03:04Do it at the rate of one and two and three.
0:03:04 > 0:03:06And one and two and three.
0:03:06 > 0:03:10Five miles away, crewmates Katie and Sarah have just become free.
0:03:10 > 0:03:12FAINT BEEPING
0:03:12 > 0:03:14- Rowley Regis. - Unconscious, not breathing.
0:03:16 > 0:03:17CPR in progress.
0:03:23 > 0:03:25And just a bit quicker for me.
0:03:25 > 0:03:26One and two and three.
0:03:28 > 0:03:31That's it. Can you count out loud so I can hear you doing it?
0:03:32 > 0:03:35You're doing really well. We're coming as quickly as we can.
0:03:35 > 0:03:37I haven't done an OS for ages.
0:03:37 > 0:03:39I can't even remember the last one I did.
0:03:39 > 0:03:41This is the first one I've done since I've been back on the road.
0:03:41 > 0:03:46- CALLER:- We need, please, somebody to come, because nothing's happening!
0:03:46 > 0:03:49- We are coming as quickly as we can. - There's nothing happening.
0:03:49 > 0:03:50Keep going, though.
0:03:50 > 0:03:53One, two, three.
0:03:53 > 0:03:56- You've got your steth in your pocket, haven't you?- Yeah.
0:03:56 > 0:03:58If you take your steth, I'll grab...
0:03:59 > 0:04:04- ..the suction...- I'll grab... - ..and take in the ALS bag.- Yeah.
0:04:04 > 0:04:05- IN VOICEOVER:- I get nervous.
0:04:05 > 0:04:09I try and keep it under wraps, but deep down, you know,
0:04:09 > 0:04:11this person's life is in your hands
0:04:11 > 0:04:14and it's your responsibility not to get it wrong.
0:04:15 > 0:04:19Katie and Sarah are nine minutes from the patient's house.
0:04:19 > 0:04:21With the patient's heart stopped,
0:04:21 > 0:04:24two crews are needed for the best chance of survival,
0:04:24 > 0:04:26so a second ambulance is on its way.
0:04:29 > 0:04:30Is he breathing?
0:04:31 > 0:04:33Have a look if he's breathing. Look at his chest.
0:04:35 > 0:04:38Nothing at all? Keep going with the chest compressions.
0:04:40 > 0:04:42That's it. Keep going. We're coming as quickly as we can.
0:04:44 > 0:04:46Do NOT try and walk out.
0:04:47 > 0:04:49Jesus Christ.
0:04:49 > 0:04:51I think he actually thought we were going to let him go.
0:04:51 > 0:04:54- CALLER:- Come on, Terry. Come on. - Keep going.
0:04:54 > 0:04:56Keep going. Don't stop until I tell you to.
0:04:56 > 0:04:59The other crew arrives first.
0:04:59 > 0:05:02- CALLER:- ..three. One, two, three.
0:05:02 > 0:05:05I won't leave you until I can hear them in the room, OK?
0:05:05 > 0:05:09The patient's wife has been doing CPR for eight and a half minutes.
0:05:16 > 0:05:18What's his name?
0:05:19 > 0:05:22Has he ever had any cardiac events or anything?
0:05:26 > 0:05:28That's it, Terry.
0:05:28 > 0:05:30What's your name, sweetheart?
0:05:30 > 0:05:32Are you Terry's wife, Joan?
0:05:32 > 0:05:34- Can you charge that, mate?- Yeah.
0:05:37 > 0:05:39- Charged.- OK. Everyone clear.
0:05:39 > 0:05:40Shocking.
0:05:43 > 0:05:45So first shock. Has anyone got a time?
0:05:51 > 0:05:55- IN VOICEOVER:- Programmes on TV and reality are quite different things.
0:05:55 > 0:05:59People will get their hopes up because of what they've seen on TV,
0:05:59 > 0:06:01where their loved one has CPR performed
0:06:01 > 0:06:03and they're back to life and it's all happy.
0:06:06 > 0:06:09But the chances of that happening are quite slim.
0:06:11 > 0:06:14I've been to 15 cardiac arrests,
0:06:14 > 0:06:19only two survived long enough to be discharged home.
0:06:20 > 0:06:24- Sarah, if you get the flush out, I'll just swap over.- Yeah.
0:06:27 > 0:06:29- OK. Ready?- Yeah.
0:06:32 > 0:06:35OK. Charging again.
0:06:35 > 0:06:36Everyone clear?
0:06:36 > 0:06:38Yeah? Back on chest.
0:06:39 > 0:06:40Check pulse.
0:06:43 > 0:06:44Back on chest.
0:06:44 > 0:06:48- IN VOICEOVER:- All your adrenaline is going because this is it.
0:06:48 > 0:06:49It's now or never.
0:06:49 > 0:06:52You have got to do absolutely everything you can
0:06:52 > 0:06:55because as time goes on, the chance of survival decreases.
0:06:56 > 0:06:59OK. Adrenaline just going in now.
0:07:05 > 0:07:07We've not got nothing, have we?
0:07:07 > 0:07:11It's 26 minutes since Terry first went into cardiac arrest.
0:07:20 > 0:07:21OK, everyone clear.
0:07:21 > 0:07:22Yeah, press it. Yeah.
0:07:33 > 0:07:35- I've got a pulse.- Got a pulse?- Yeah.
0:07:38 > 0:07:41- He's making a good effort now. - OK. Cool.
0:07:41 > 0:07:43Right, let's get ready.
0:07:47 > 0:07:49Yeah. Someone will go in...
0:07:49 > 0:07:52There's two ambulances going, so one can go in the one at the back,
0:07:52 > 0:07:54OK, cos we obviously need quite...
0:07:54 > 0:07:56Yeah, that's absolutely fine.
0:07:56 > 0:07:59We need quite a lot of space. At the moment, he has got a pulse,
0:07:59 > 0:08:01but things can change, all right, sweetheart?
0:08:01 > 0:08:03I don't want to get your hopes up, all right?
0:08:03 > 0:08:05We'll get him straight to the hospital now, all right?
0:08:05 > 0:08:07That's it, Terry. That's the ambulance.
0:08:07 > 0:08:10We're going to get you to the hospital now, sweetheart.
0:08:10 > 0:08:11You're doing really well.
0:08:11 > 0:08:13Right then. On three. One, two, three...
0:08:16 > 0:08:19OK, we're going to have two go up.
0:08:19 > 0:08:20Can you support that arm?
0:08:25 > 0:08:26That's it, we're through.
0:08:35 > 0:08:37Right. OK.
0:08:39 > 0:08:40Right, let's reassess.
0:08:40 > 0:08:42SHE EXHALES
0:08:44 > 0:08:46Let's have your arm, Terry. That's it.
0:08:48 > 0:08:50He's gagging now as well.
0:08:50 > 0:08:51Is he?
0:08:52 > 0:08:54He's definitely got a pulse.
0:08:55 > 0:08:57Just going to put a mask on your face.
0:08:58 > 0:09:00We've got a blink there as well.
0:09:00 > 0:09:02Well done, Terry. Well done.
0:09:02 > 0:09:03Doing really well, Terry.
0:09:07 > 0:09:09I'm going to take this ambulance, they're going to take Terry.
0:09:09 > 0:09:12You can both come. That's not a problem. All right?
0:09:12 > 0:09:14I'm just going to shut your doors now, all right, chuck?
0:09:22 > 0:09:26All right, then, my lovely. If you two have a seat there.
0:09:26 > 0:09:27OK?
0:09:30 > 0:09:31At this point...
0:09:31 > 0:09:33It's difficult to know.
0:09:33 > 0:09:35He is making a really, really good effort at the moment.
0:09:35 > 0:09:37A really good effort.
0:09:38 > 0:09:40Yeah. And I can see that.
0:09:40 > 0:09:42He is fighting.
0:09:42 > 0:09:43All right?
0:09:44 > 0:09:46Aw, bless him.
0:09:46 > 0:09:48Well, we'll do our best for him and we'll get him there
0:09:48 > 0:09:50as quickly as we can, all right, my love?
0:10:41 > 0:10:42All right, ladies.
0:10:46 > 0:10:48I'll take you inside. Don't worry.
0:10:48 > 0:10:51They'll have taken him straight through to the resus area.
0:10:51 > 0:10:54It may just be for the first sort of five or ten minutes,
0:10:54 > 0:10:55they may just need you to wait.
0:11:00 > 0:11:01Go ahead, over.
0:11:01 > 0:11:03In the control room,
0:11:03 > 0:11:06team three are four hours into their Saturday night shift.
0:11:06 > 0:11:10All right, mate. I'll speak to you in a bit, OK? Give us an update.
0:11:10 > 0:11:11Give us an update.
0:11:11 > 0:11:13Controllers Glennis and Richard are responsible
0:11:13 > 0:11:16for sending all ambulances across Birmingham tonight.
0:11:16 > 0:11:19The patient's 41 weeks' pregnant and she's urging to push.
0:11:19 > 0:11:21So I'll try and get you a second vehicle,
0:11:21 > 0:11:23and I'll get you another update shortly, over.
0:11:23 > 0:11:27News of Katie and Sarah's ROSC - getting a patient's pulse back -
0:11:27 > 0:11:28is filtering through.
0:11:28 > 0:11:344449 went out to the cardiac arrest to the 75-year-old patient.
0:11:34 > 0:11:37The crew got there, got an output, and it's a ROSC.
0:11:37 > 0:11:41- Oh, nice one. - Which means...he's alive.
0:11:41 > 0:11:44A ROSC is awesome for ourselves and for the staff,
0:11:44 > 0:11:46but it's just maintaining that then
0:11:46 > 0:11:49and seeing how we get on with the patient's ambition.
0:11:49 > 0:11:50The next few hours will be crucial.
0:11:52 > 0:11:55My very first cardiac arrest, we got a ROSC
0:11:55 > 0:11:58and she was discharged from hospital two weeks later.
0:11:58 > 0:12:00- Really?- Yeah.- I've never known any of mine...- Yeah.
0:12:01 > 0:12:03In fact...
0:12:04 > 0:12:07..he's probably the best ROSC I've ever had.
0:12:07 > 0:12:08- Really?- Mm.
0:12:08 > 0:12:10- Normally...- It was good.
0:12:10 > 0:12:14..I get a ROSC and they go, and doctors call it in resus.
0:12:16 > 0:12:18I whispered to you, "We need to turn the telly off."
0:12:18 > 0:12:21I think we just happened to glance at the telly at the same point
0:12:21 > 0:12:23and all I saw was an ambulance
0:12:23 > 0:12:27and I just thought, "Oh, my God. Casualty's on. How inappropriate."
0:12:27 > 0:12:28SHE LAUGHS
0:12:28 > 0:12:30COMPUTER CHIMES
0:12:30 > 0:12:36New job. A 32-year-old female with left-hand-side lower-back pain.
0:12:39 > 0:12:41Just getting a few jobs in now. It's getting busy now.
0:12:41 > 0:12:45There are 51 ambulances on shift in Birmingham at the moment,
0:12:45 > 0:12:47but all of them are tied up with patients.
0:12:47 > 0:12:50So we've got three... four outstanding.
0:12:50 > 0:12:53We've got RTCs we can't cover.
0:12:53 > 0:12:57Um, I've got a middle-back injury from an RTC.
0:12:57 > 0:12:58That's another job.
0:12:59 > 0:13:04Every person that rings for an ambulance, it's their emergency,
0:13:04 > 0:13:08but I have to take on everybody's tragedy.
0:13:08 > 0:13:10It's all right in an ideal world -
0:13:10 > 0:13:12when you've got lots of ambulances, it's fine.
0:13:12 > 0:13:16But when you haven't, you're having to prioritise.
0:13:17 > 0:13:20Right, we've got a 33-year-old kicked in the knee.
0:13:20 > 0:13:23He needs to just wait.
0:13:24 > 0:13:28Wait for the ambulance because that won't be coming any time soon.
0:13:28 > 0:13:30That's awesome, thank you. I'll book you clear.
0:13:30 > 0:13:32If you can just stand by for the moment,
0:13:32 > 0:13:34cos we are stacking a few nines, over.
0:13:34 > 0:13:37As pubs begin to close, the 999 calls pour in.
0:13:37 > 0:13:39Ambulance Service. Is the patient breathing?
0:13:43 > 0:13:44OK, what's he done?
0:13:51 > 0:13:52LOW TONE
0:13:54 > 0:13:56What's the reason for the call?
0:14:02 > 0:14:03LOW TONE
0:14:09 > 0:14:12Oh, right. OK. What's the address of the emergency?
0:14:17 > 0:14:20You called to say you've injured your knee and can't walk.
0:14:20 > 0:14:22Can I ask whereabouts you are, please?
0:14:24 > 0:14:26You're in an alleyway?
0:14:29 > 0:14:32In an alleyway in a cul-de-sac?
0:14:32 > 0:14:35- Yeah.- OK, let me just have a little look on the map,
0:14:35 > 0:14:37where my ambulance crew are.
0:14:37 > 0:14:39So I can try and locate you.
0:14:39 > 0:14:41Are you able to shuffle on your bottom
0:14:41 > 0:14:44so you're visible from the street for me at all?
0:14:44 > 0:14:45I know you can't stand up.
0:14:47 > 0:14:50I'm going to tell the crew to put the lights and sirens on, all right,
0:14:50 > 0:14:52and see if he can hear them.
0:14:52 > 0:14:54Can you put your lights and sirens on, just quickly,
0:14:54 > 0:14:57to see if the patient can hear them?
0:14:57 > 0:15:01Ungie and Maria are near to where the patient says he is.
0:15:01 > 0:15:03- SIREN WAILS - Yeah, they're on.
0:15:06 > 0:15:07Yeah.
0:15:07 > 0:15:09Farnhurst Road, yeah?
0:15:09 > 0:15:10Where, sorry?
0:15:10 > 0:15:14- Farnhurst Road.- Farnhurst, I've got you now.
0:15:14 > 0:15:18They're not in right place. They need to go down Farnhurst Road.
0:15:18 > 0:15:22Apparently you need to go down Farnhurst Road.
0:15:22 > 0:15:24Is he on Farnhurst Road then?
0:15:24 > 0:15:26I don't know where he is.
0:15:26 > 0:15:28I don't think he knows where he is.
0:15:28 > 0:15:30Can you see the ambulance yet?
0:15:30 > 0:15:31No.
0:15:35 > 0:15:37They're being as quick as they can.
0:15:37 > 0:15:39I bet it is cold on the floor.
0:15:39 > 0:15:41We'll get you in the nice, warm ambulance in a bit.
0:15:41 > 0:15:44We just need to get the crew to you.
0:15:47 > 0:15:50It does look like a bit of a rabbit warren there.
0:15:50 > 0:15:52Is it lots of little alleyways?
0:15:52 > 0:15:53Hello?
0:15:55 > 0:15:56Maurice!
0:15:56 > 0:15:58- Maurice!- Maurice!
0:15:59 > 0:16:02Is there anyone down there with you?
0:16:02 > 0:16:03Maurice!
0:16:07 > 0:16:09I know that, sweetheart. I know that.
0:16:09 > 0:16:12And I know you're uncomfortable. We're being as quick as we can.
0:16:12 > 0:16:14Can you hear any voices?
0:16:14 > 0:16:15No.
0:16:16 > 0:16:21Whilst on the phone to Maurice, 48 new 999 calls come in,
0:16:21 > 0:16:23including several fights.
0:16:24 > 0:16:28If all crews can be aware of High Street in Dudley
0:16:28 > 0:16:30and surrounding streets.
0:16:30 > 0:16:32I believe there is a fight in progress.
0:16:32 > 0:16:35There's several fights ongoing the moment.
0:16:35 > 0:16:37I don't know what's happening,
0:16:37 > 0:16:40but I know it's quite tense in the city centre at the moment.
0:16:57 > 0:16:58There might be.
0:17:01 > 0:17:02Crikey.
0:17:06 > 0:17:09OK. I take it you're en route?
0:17:12 > 0:17:13Crikey, that's going to be...
0:17:17 > 0:17:19I'm in an alleyway.
0:17:19 > 0:17:20I...
0:17:20 > 0:17:21I know you're in the alleyway.
0:17:21 > 0:17:24But you know when you walked into the cul-de-sac...
0:17:24 > 0:17:26Have you seen this RTC, Julia?
0:17:26 > 0:17:29This is a big fight going on.
0:17:29 > 0:17:30Right, warn the crew.
0:17:30 > 0:17:32There's a fight in progress.
0:17:32 > 0:17:37No, there's a fight in progress and somebody's been hit by a car.
0:17:37 > 0:17:40Tell them not to approach until we've got police there.
0:17:40 > 0:17:43There's a fight in progress and a person's been hit by a car.
0:17:43 > 0:17:47Police are en route. Just stand by, safe distance.
0:17:47 > 0:17:48Yeah, thank you.
0:17:49 > 0:17:52Mark and Jacob are three miles from the fight.
0:17:53 > 0:17:56Paramedic manager James is also en route,
0:17:56 > 0:17:59to coordinate the scene with the other emergency services.
0:17:59 > 0:18:01His is a BMW X5.
0:18:01 > 0:18:04There's no way I'm going to be able to beat him in this thing.
0:18:08 > 0:18:10I'm going to be expecting a lot of people around, though.
0:18:10 > 0:18:12Yeah, it could be a bit carnage.
0:18:13 > 0:18:15They arrive in seven minutes.
0:18:16 > 0:18:19There's a few cop shop vehicles about.
0:18:25 > 0:18:27- OK.- We'll have a look. - All right, fella.
0:18:29 > 0:18:30All right, let's have a look at this arm.
0:18:33 > 0:18:35It's just gone through the top.
0:18:42 > 0:18:44I couldn't tell you, to be honest, mate.
0:18:44 > 0:18:46There is a further casualty.
0:18:46 > 0:18:47- Is there?- Query, baseball bat.
0:18:47 > 0:18:49Yeah, yeah. I'll go and check him.
0:18:51 > 0:18:54While Jacob stays with the man with suspected stab wounds,
0:18:54 > 0:18:58Mark and James prioritise the more seriously injured man,
0:18:58 > 0:19:01who they think's been attacked with a baseball bat.
0:19:01 > 0:19:02Hello.
0:19:02 > 0:19:06We're just going to get you sorted out now, all right?
0:19:06 > 0:19:08Can I just have a quick listen to your breathing, OK?
0:19:10 > 0:19:11You weren't knocked out, where you?
0:19:12 > 0:19:14OK.
0:19:17 > 0:19:18You feel sick?
0:19:18 > 0:19:20HE RETCHES
0:19:20 > 0:19:23Try and keep your neck still, if you can.
0:19:23 > 0:19:25- Upgraded to a Red. - Breathe nice, slow, deep breaths.
0:19:25 > 0:19:27A second ambulance has been requested.
0:19:29 > 0:19:30But worried about the man's neck
0:19:30 > 0:19:33and how long it will take to arrive on a busy Saturday night,
0:19:33 > 0:19:35James contacts Control.
0:19:35 > 0:19:37This gentleman needs to be immobilised -
0:19:37 > 0:19:38he's been battered with a baseball bat.
0:19:38 > 0:19:40He's conscious and breathing but looks pasty.
0:19:40 > 0:19:43So I'd prefer them not to be diverted.
0:19:43 > 0:19:47Yeah, roger. I'll get it sorted. Stand by.
0:19:47 > 0:19:51Case 14. Can you upgrade it to a Red, please?
0:19:51 > 0:19:53He's been badly beaten.
0:19:53 > 0:19:5514. Ta, mate.
0:19:55 > 0:19:58The fight victim is the highest priority patient currently
0:19:58 > 0:20:02in Birmingham. He takes Glennis's last ambulance.
0:20:02 > 0:20:05Seven other patients in the city will now be left waiting
0:20:05 > 0:20:07until a new crew becomes free.
0:20:07 > 0:20:11It's going to be a horrible night tonight. Really horrible.
0:20:11 > 0:20:13We know it's going to be horrible now.
0:20:14 > 0:20:16So I'm going to have to come under this shoulder as well.
0:20:16 > 0:20:20I'm going to support your neck. Keep nice and still.
0:20:20 > 0:20:23We are going to lower you to the floor, onto this board. All right?
0:20:23 > 0:20:25On "lower", then. Ready? Set. Lower.
0:20:27 > 0:20:30Well done, mate. Keep nice and still.
0:20:30 > 0:20:33- HE GROANS - All right. Relax back.
0:20:33 > 0:20:35Good lad. Well done.
0:20:35 > 0:20:36All right, all right.
0:20:37 > 0:20:39Perfect.
0:20:40 > 0:20:43- IN VOICEOVER:- If someone's severely beaten,
0:20:43 > 0:20:47especially around the head and neck, it's going to cause serious damage
0:20:47 > 0:20:50to the point where they might not walk again.
0:20:50 > 0:20:52Keep nice and still for me, mate, OK?
0:20:52 > 0:20:56In reality, it's going to affect, not just the person that's injured,
0:20:56 > 0:20:59but the family. And then the repercussions from that
0:20:59 > 0:21:01sort of escalate out. It's like a ripple effect.
0:21:03 > 0:21:04- OK.- Shall we slide him?
0:21:04 > 0:21:05Yeah.
0:21:07 > 0:21:09- PATIENT GROANS - All right, mate.
0:21:09 > 0:21:10Doing really well.
0:21:11 > 0:21:14I am surprised what people will do to each other.
0:21:14 > 0:21:16It's almost like it's out of a film.
0:21:16 > 0:21:18One, two, three.
0:21:18 > 0:21:20But in the film, people will take a knife wound,
0:21:20 > 0:21:22but get up and still carry on fighting.
0:21:22 > 0:21:25When, in reality, that doesn't happen.
0:21:25 > 0:21:26Well done, mate.
0:21:26 > 0:21:28Go.
0:21:28 > 0:21:30- ON RADIO:- Approximately 20-year-old male,
0:21:30 > 0:21:33been assaulted with a baseball bat,
0:21:33 > 0:21:35with numerous external injuries.
0:21:35 > 0:21:37He's immobilised. Pain relief en route.
0:21:37 > 0:21:40Off scene now for Heartlands.
0:21:40 > 0:21:42ETA - 08 minutes.
0:21:48 > 0:21:49Well done, mate.
0:21:49 > 0:21:52- Are you happy for us to go, James, yeah?- Yeah.
0:21:55 > 0:21:56Blues and twos, mate, all the way in.
0:21:59 > 0:22:01How's your pain at the moment, mate?
0:22:03 > 0:22:05Right, I'm going to use paracetamol, OK?
0:22:05 > 0:22:08Intravenously. I'm going to look after you, bud.
0:22:13 > 0:22:15So do you remember what happened, then?
0:22:17 > 0:22:18Yeah.
0:22:22 > 0:22:23Right, OK.
0:22:24 > 0:22:25Yeah.
0:22:30 > 0:22:32OK. Do you remember what the incident was all about?
0:22:32 > 0:22:33Why it all started?
0:22:39 > 0:22:43- IN VOICEOVER:- I'd expect fights to be over important things.
0:22:43 > 0:22:45Being chivalrous, protecting your family.
0:22:45 > 0:22:46Your loved ones.
0:22:46 > 0:22:50But it ends up being over really silly, petty things,
0:22:50 > 0:22:53when really we should just be nice to each other and get along.
0:22:53 > 0:22:55It would make my job ten times easier.
0:22:56 > 0:22:59Right, we're just pulling in to the hospital now. All right?
0:22:59 > 0:23:01There's going to be doctors asking you questions
0:23:01 > 0:23:03and prodding and poking you. All right?
0:23:03 > 0:23:07Completely normal. You've seen it on Casualty a million times.
0:23:08 > 0:23:09Aren't you?
0:23:10 > 0:23:13Well, you're doing all right, mate. You're doing all right.
0:23:22 > 0:23:24What we'll do is we'll just get you to sit outside for a second
0:23:24 > 0:23:26while we get you handed over to the doctors.
0:23:26 > 0:23:28We'll get you in all right.
0:23:29 > 0:23:32Just two miles away, Ungie and Maria have been searching
0:23:32 > 0:23:35for their patient, Maurice, for nearly half an hour.
0:23:38 > 0:23:41We've had a look down those ones, and we couldn't see him down there.
0:23:41 > 0:23:44- OVER RADIO: - Have you got your sirens on now?
0:23:44 > 0:23:46Put your sirens on.
0:23:46 > 0:23:48SIREN WAILS
0:23:48 > 0:23:50All right, say that to me again?
0:23:50 > 0:23:53Cos I'm sure that's different to what you told me first.
0:23:53 > 0:23:56You'd come to the bottom of Farnhurst Road, and what did you do?
0:23:56 > 0:23:59- First left.- Left?
0:23:59 > 0:24:02- Left. First right. - Left and then right?
0:24:02 > 0:24:05Right, OK. I think we're going to have to start again.
0:24:05 > 0:24:10Can you go again to the bottom of Asholme Close and turn right?
0:24:12 > 0:24:14- They're on the way. - And there's a cul-de-sac,
0:24:14 > 0:24:16and I've got a young man who is going to flag them down.
0:24:16 > 0:24:18In York Drive, there's a cul-de-sac.
0:24:21 > 0:24:24The ambulance crew should be coming round the corner,
0:24:24 > 0:24:28so hopefully we'll be there with you in a minute.
0:24:28 > 0:24:29Oh, there you go.
0:24:29 > 0:24:33Straight down there, yeah? Cheers.
0:24:33 > 0:24:36- I'm not going to get... - There he is.- Yeah, there he is, OK.
0:24:46 > 0:24:47Thank you for that, guys.
0:24:49 > 0:24:52- Hello. Is it Maurice?- That's right.
0:24:52 > 0:24:53How you doing, buddy? My name's Ungie.
0:24:53 > 0:24:55Sorry we took so long to get to you.
0:24:55 > 0:24:57We were trying to find where you were.
0:24:57 > 0:24:59- Thanks for that. Cheers. - What have you done, buddy?
0:25:03 > 0:25:04Oh, dear.
0:25:04 > 0:25:06Let's have a quick feel of your wrists there.
0:25:06 > 0:25:09So what happened, you just tripped over and went down?
0:25:09 > 0:25:11- Yeah.- OK. Have you hurt your neck at all?
0:25:11 > 0:25:14- No.- Nothing where I'm pressing here at all?
0:25:14 > 0:25:15- That's all right.- OK.
0:25:15 > 0:25:17Did you land full-force just on that one knee there?
0:25:17 > 0:25:18Just fell down and that was it.
0:25:18 > 0:25:22- You weren't knocked out? You didn't lose consciousness or anything?- No.
0:25:22 > 0:25:24OK. We'll get the stretcher out of the ambulance
0:25:24 > 0:25:25and we'll get you on that,
0:25:25 > 0:25:28get you into the warmth and we'll have a good look at you in there,
0:25:28 > 0:25:29so you're off the floor.
0:25:29 > 0:25:32- Who do you live with? - I lost me parents.
0:25:32 > 0:25:35OK. Are you living on your own at the minute?
0:25:35 > 0:25:37Mum and Dad...
0:25:37 > 0:25:39OK. Has it been a long time since they've gone?
0:25:39 > 0:25:41- Too long.- OK.
0:25:41 > 0:25:43Let's get a proper splint on it.
0:25:45 > 0:25:47We'll just pop a little splint on this leg
0:25:47 > 0:25:49to support it and keep it still. All right?
0:25:49 > 0:25:51And then we'll get you up onto the stretcher.
0:25:51 > 0:25:53- Sound like a plan?- Yeah.
0:25:53 > 0:25:57- Bless you. How old are you?- 62.- 62.
0:25:57 > 0:26:01I'll be 63 in April, with a bit of luck. Touch wood.
0:26:01 > 0:26:04- We'll support you. - Just be wary of this leg.
0:26:04 > 0:26:06Try not to catch it on the stretcher as you bring it up.
0:26:06 > 0:26:09- OK.- On three, Maurice.- Ready?
0:26:10 > 0:26:13On three, Maurice. Push up on this good leg and we'll pull you up.
0:26:13 > 0:26:15- I won't...- You will.
0:26:15 > 0:26:17- On three.- One, two, three. Push up on your good leg.
0:26:17 > 0:26:19HE SCREAMS
0:26:19 > 0:26:21- I've got your leg. - Hold that one up as well, buddy.
0:26:21 > 0:26:23- Hang on.- We've got it.
0:26:24 > 0:26:26Let's cover you up. Keep you warm.
0:26:28 > 0:26:29At least you're off the floor now.
0:26:32 > 0:26:34- In we go, buddy.- Ready?
0:26:38 > 0:26:39Little bump.
0:26:41 > 0:26:43Let's just shut the doors, too.
0:26:43 > 0:26:46All right, we'll get the heaters on to keep you warm.
0:26:47 > 0:26:50Other than the pain in your knee, any pain anywhere else at all?
0:26:50 > 0:26:53- No.- OK. Can you wiggle your toes on this foot?
0:26:55 > 0:26:57So obviously, we don't know what you've done to that knee,
0:26:57 > 0:26:59cos we can't see into it.
0:26:59 > 0:27:01It doesn't look too badly deformed or anything like that.
0:27:01 > 0:27:04We'll pop you down to the hospital and get them to have a look at it,
0:27:04 > 0:27:07see what's going on. You got any other family that are around?
0:27:07 > 0:27:09Any brothers, sisters, partner?
0:27:09 > 0:27:11- Children?- No.
0:27:11 > 0:27:14- Nothing at all?- Do you live alone?
0:27:14 > 0:27:16I live alone but with a cat.
0:27:22 > 0:27:24What's your cat called?
0:27:24 > 0:27:26- Libby.- Debbie?
0:27:26 > 0:27:27- Libby.- Libby.
0:27:33 > 0:27:35How are you coping at home?
0:27:36 > 0:27:38All right.
0:27:38 > 0:27:40Do you need any more support or help?
0:27:40 > 0:27:42I've got a support worker in.
0:27:42 > 0:27:45Yeah. Just pulling into the hospital now, Maurice.
0:27:50 > 0:27:52- You're tired, aren't you?- Yeah.
0:27:52 > 0:27:55- What time do you finish? - Seven in the morning.
0:27:55 > 0:27:56Blimey.
0:27:56 > 0:27:58I know.
0:27:58 > 0:28:00Long day, ain't it?
0:28:00 > 0:28:03Another six hours, 15 minutes to go.
0:28:03 > 0:28:05Then you have a day off?
0:28:05 > 0:28:06Er, no, I'm back in tonight.
0:28:08 > 0:28:09Do it all again.
0:28:10 > 0:28:13- Bonkers.- Somebody's got to do it.
0:28:17 > 0:28:20- Ready, steady, go.- Go.
0:28:20 > 0:28:22A couple of bumps.
0:28:23 > 0:28:25There we go.
0:28:31 > 0:28:32- ON PHONE:- Ambulance Service.
0:28:37 > 0:28:39OK, I need to know, are they breathing?
0:28:43 > 0:28:44OK, are they still fighting?
0:28:44 > 0:28:46Hang on one second. I'll just have a look.
0:28:48 > 0:28:49Yeah.
0:28:51 > 0:28:53OK. So he was punched and knocked out?
0:28:56 > 0:28:57What do you mean, he's gone?
0:29:02 > 0:29:05Hang on, hang on. Is the patient breathing?
0:29:08 > 0:29:10Right, OK. How did it happen?
0:29:14 > 0:29:16Yeah, roger, will do. Thank you.
0:29:16 > 0:29:17Standing by.
0:29:19 > 0:29:21We've got 13 outstanding jobs.
0:29:21 > 0:29:23It's three o'clock in the morning.
0:29:23 > 0:29:26They're all bleeding, alcohol-related.
0:29:26 > 0:29:28Overdoses. Assaults.
0:29:28 > 0:29:31Drink related. Then they're having a fight and then they feel sick.
0:29:31 > 0:29:33Oh, we've just had a call from police
0:29:33 > 0:29:37to say this patient's been glassed and we are required.
0:29:37 > 0:29:39But I still haven't got anybody.
0:29:42 > 0:29:45- IN VOICEOVER:- I've been doing this job now 20 years.
0:29:45 > 0:29:48When I first started, if you had a stabbing it was like,
0:29:48 > 0:29:51"Oh, my God, I've got a stabbing!"
0:29:51 > 0:29:54But now it's matter-of-fact.
0:29:54 > 0:29:58It's like the weapons they use - glasses, hammers, knives...
0:29:58 > 0:30:01You name it, they'll use it. It worries me.
0:30:02 > 0:30:05I don't like going to pubs and things if I don't know people
0:30:05 > 0:30:08cos I'm thinking, "Oh, my God, I hope nothing happens."
0:30:08 > 0:30:11So that's the way the job affects me.
0:30:11 > 0:30:12Bear with us, my love, OK?
0:30:12 > 0:30:15We're exceptionally busy across the area with life-threatening cases,
0:30:15 > 0:30:18but we are getting to patients as fast as we can.
0:30:19 > 0:30:21On this Saturday night,
0:30:21 > 0:30:25the Ambulance Service has dealt with nearly 1,500 patients,
0:30:25 > 0:30:2720% up on a weeknight.
0:30:27 > 0:30:30I need a nice, extra large coffee.
0:30:30 > 0:30:32I might even have two.
0:30:32 > 0:30:35One of their first patients of the shift, Terry,
0:30:35 > 0:30:38who was in cardiac arrest, has survived through till morning.
0:30:45 > 0:30:47- Morning.- Morning, morning.
0:30:47 > 0:30:51It's the start of a new shift for Team Three.
0:30:51 > 0:30:534453, roger, thank you. Good morning.
0:30:53 > 0:30:56I'll get you booked on. I hope you have a good shift.
0:30:57 > 0:30:59# Sun is shining.
0:30:59 > 0:31:00# The weather is... #
0:31:00 > 0:31:03This a day makes me happy.
0:31:03 > 0:31:0694 ambulance crews are on duty today across Birmingham
0:31:06 > 0:31:07and the Black Country.
0:31:07 > 0:31:10- OVER RADIO:- Good morning. I'll get you booked on. Have a good shift.
0:31:10 > 0:31:12It's a lovely sunny day.
0:31:14 > 0:31:15Ooh, you've said it now.
0:31:15 > 0:31:18The sunny part, I hope it remains sunny. I've got my Ray-Bans on,
0:31:18 > 0:31:20so I'm all set for the day, over.
0:31:20 > 0:31:22- We good to go?- Yeah, absolutely.
0:31:22 > 0:31:24I can definitely take my coat off now.
0:31:28 > 0:31:29LOW TONE
0:31:29 > 0:31:31Ambulance Services. Is the patient breathing?
0:31:31 > 0:31:34Yes, my wife is nine months pregnant.
0:31:34 > 0:31:37Right, so is she an labour, do we think?
0:31:37 > 0:31:40I think so, but I don't understand why it's bleeding.
0:31:40 > 0:31:42Has she got a bleeding from her vagina right now?
0:31:42 > 0:31:44- I don't know. - No, we need to know now.
0:31:44 > 0:31:47Can you ask her right now if she losing blood?
0:31:47 > 0:31:49Er... Yes.
0:31:49 > 0:31:52If you touch her stomach, does that hurt her?
0:31:52 > 0:31:54If you touch it gently on the stomach?
0:31:54 > 0:31:58- Yes.- It does hurt there if you touch it?- Yes.
0:31:58 > 0:32:00Oh, here we go.
0:32:00 > 0:32:02Natalie and Nat are nearest to the maternity call.
0:32:02 > 0:32:08- ON RADIO:- It's a 25-year-old female, 40 weeks pregnant, that's bleeding.
0:32:08 > 0:32:11It does say that the patient's got an urge to push.
0:32:11 > 0:32:14If you could give us an early update, that would be great.
0:32:14 > 0:32:16Oh, gosh, we will do.
0:32:16 > 0:32:19Yeah, we'll let you know when we're there, over.
0:32:19 > 0:32:22- Roger. Thank you, standing by. - This could be happening for me.
0:32:22 > 0:32:25- With you.- It's a baby, a baby, a baby.
0:32:25 > 0:32:27I've not been to one on the road.
0:32:27 > 0:32:30In the four and a half years, I have never been to one.
0:32:30 > 0:32:32I'm just going to stand at the bottom.
0:32:32 > 0:32:34Ah, it'll be fine.
0:32:37 > 0:32:39- It's not good, though, with blood, bird.- Hm?
0:32:39 > 0:32:41It's not good if it's red, fresh blood.
0:32:41 > 0:32:44- 40 weeks.- Has she got the placenta previa, though?
0:32:44 > 0:32:46Or the placenta abruption?
0:32:46 > 0:32:49- We don't want that. Let's not have...- I know.
0:32:49 > 0:32:52I know, but what's she bleeding for at 40 weeks?
0:32:54 > 0:32:59- Suspected placenta abruption. - Oh, sh...sugar.- Advanced labour.
0:32:59 > 0:33:01Patient in bath now.
0:33:01 > 0:33:02This one?
0:33:03 > 0:33:05- ON PHONE:- Just go and get the door open for us
0:33:05 > 0:33:07and I'll stay on the line here with you.
0:33:10 > 0:33:11Hello.
0:33:11 > 0:33:13Is it your first baby?
0:33:13 > 0:33:14No? OK.
0:33:14 > 0:33:17Any problems with your pregnancy, my darling?
0:33:17 > 0:33:20No. Has your blood pressure been OK?
0:33:20 > 0:33:22Sometimes more, sometimes high.
0:33:22 > 0:33:23OK. And what baby is this?
0:33:23 > 0:33:25Baby number...?
0:33:25 > 0:33:27Three.
0:33:29 > 0:33:31Oh, I'm sorry.
0:33:32 > 0:33:34- This one. Do you know what this one is?- It's a boy.
0:33:34 > 0:33:36Little boy? Lovely!
0:33:36 > 0:33:38Lovely. OK, then.
0:33:38 > 0:33:41Right. So, if we get you some gas and air, darling.
0:33:41 > 0:33:43All right? To help you with the pain.
0:33:43 > 0:33:44Are you having another contraction now?
0:33:44 > 0:33:46- No.- No?
0:33:46 > 0:33:48- Only the pain. - You've just got constant pain?
0:33:48 > 0:33:50- Yes.- It's there all the time?
0:33:50 > 0:33:53OK. All right, my darling.
0:33:53 > 0:33:55Was your last baby stillborn?
0:33:56 > 0:33:57OK, my darling.
0:33:59 > 0:34:02- So, Nat, this lady is on her third pregnancy.- Uh-huh.
0:34:04 > 0:34:05Full term?
0:34:05 > 0:34:07Yeah.
0:34:08 > 0:34:11It's not so much a contraction any more, it's severe lower pain.
0:34:11 > 0:34:15- There was some blood in the toilet. - OK.- Red fresh blood.
0:34:15 > 0:34:17Are you consultant led?
0:34:17 > 0:34:18- Yeah.- She's consultant led.
0:34:18 > 0:34:20Because of previous.
0:34:20 > 0:34:25So previously they didn't find out what the cause was? No?
0:34:25 > 0:34:30- What was your due date, darling? - 13th.- A couple of days early.
0:34:30 > 0:34:31He wanted to come meet you.
0:34:32 > 0:34:34- Yeah.- Come and say hi.
0:34:36 > 0:34:39With signs of bleeding, and having lost a baby already,
0:34:39 > 0:34:42Natalie and Nat want to get mother Ionela to hospital
0:34:42 > 0:34:44as quickly as possible.
0:34:44 > 0:34:47Is this the bag that she's packed for the hospital?
0:34:47 > 0:34:49- Yes.- OK. Perfect.
0:34:49 > 0:34:51Lovely. OK, you are going to need to put a couple of those in
0:34:51 > 0:34:53for the little baby.
0:34:53 > 0:34:54SHE SOBS
0:34:54 > 0:34:57- Do you feel the urge to push? - Yes.- All right, darling.
0:34:57 > 0:35:01- OK, OK.- Calm, calm. - Deep breaths, my darling.
0:35:01 > 0:35:03OK, try your gas.
0:35:03 > 0:35:05Just a little...
0:35:07 > 0:35:09- Slow, slow.- Slow.
0:35:09 > 0:35:10- OK.- Look at me, look at me.
0:35:10 > 0:35:12Breathe through your mouth, darling.
0:35:12 > 0:35:14- Is it happening again?- Yes.
0:35:14 > 0:35:15All right, darling.
0:35:15 > 0:35:18SHE SOBS
0:35:18 > 0:35:21- Is it just the contractions now? - Yes.
0:35:21 > 0:35:23- Yeah? OK.- All right.
0:35:23 > 0:35:25I can feel, like, down, the baby.
0:35:25 > 0:35:27- It's coming down.- OK.
0:35:28 > 0:35:30SHE SCREAMS
0:35:30 > 0:35:32All right, my darling.
0:35:32 > 0:35:36SHE CONTINUES SCREAMING
0:35:36 > 0:35:37Do you feel you need to push?
0:35:37 > 0:35:38Yeah, OK.
0:35:40 > 0:35:43All right, darling. Use the gas, my darling.
0:35:43 > 0:35:44Big breaths.
0:35:52 > 0:35:53No, we can't.
0:35:53 > 0:35:57Ionela's contractions are speeding up, and despite her history,
0:35:57 > 0:36:01there is no choice - the baby will need to be delivered at home.
0:36:01 > 0:36:03- Nothing we can do about it. - Yeah, I know.
0:36:04 > 0:36:09They'll need a second crew to help in case of complications.
0:36:09 > 0:36:1052, thanks.
0:36:10 > 0:36:14Yeah, we are going to have another crew after all
0:36:14 > 0:36:17cos I don't think we're going to get the chance to...
0:36:17 > 0:36:20move with this patient, so I think we are going to need another crew,
0:36:20 > 0:36:21please. Over.
0:36:21 > 0:36:26RADIO CHATTER
0:36:26 > 0:36:29Lovely, thank you.
0:36:29 > 0:36:31So when you contract,
0:36:31 > 0:36:34your body will tell you when it's time to push.
0:36:34 > 0:36:38When you need to push, tell us that you need to push
0:36:38 > 0:36:41- and you need to push, OK?- OK.
0:36:47 > 0:36:49- IN VOICEOVER:- I think it's one of the hardest things,
0:36:49 > 0:36:52when a patient tells you they've lost a child.
0:36:55 > 0:36:57Delivering a baby at home doesn't come without risks
0:36:57 > 0:37:02and, as a paramedic, we know our capabilities are somewhat limited.
0:37:02 > 0:37:04We haven't got a doctor on scene,
0:37:04 > 0:37:07we haven't got a theatre for an emergency Caesarean.
0:37:07 > 0:37:09So it's a massive responsibility.
0:37:09 > 0:37:10Massive.
0:37:10 > 0:37:11Well done.
0:37:14 > 0:37:17They've asked for Amber backup, then,
0:37:17 > 0:37:19and the crew are showing about nine minutes away.
0:37:20 > 0:37:23With a second ambulance urgently needed at the maternity call,
0:37:23 > 0:37:27there are now just three emergency ambulances available
0:37:27 > 0:37:32to cover the 2.2 million people of Birmingham and the Black Country.
0:37:33 > 0:37:36Three new 999 calls are coming in every minute.
0:37:36 > 0:37:39Ambulance Service. Is the patient breathing?
0:37:42 > 0:37:44Right, OK, what's the problem?
0:37:45 > 0:37:47Don't swear at me.
0:37:48 > 0:37:50LOW TONE
0:37:50 > 0:37:51Is the patient breathing?
0:37:51 > 0:37:52Not breathing.
0:37:55 > 0:37:56LOW TONE
0:38:01 > 0:38:02Give him a light shake on his shoulder,
0:38:02 > 0:38:05call his name and tell me exactly what he's doing.
0:38:05 > 0:38:06LOW TONE
0:38:11 > 0:38:12Is he conscious?
0:38:19 > 0:38:21Right, get him out the pond.
0:38:21 > 0:38:23Have you just got him out the pond, just this second?
0:38:26 > 0:38:28And he's definitely not breathing?
0:38:28 > 0:38:30You can't see any signs of him breathing?
0:38:32 > 0:38:34What's the address?
0:38:34 > 0:38:36It looks like Thailand's out the window for me.
0:38:36 > 0:38:39- Why?- Because these flights are just ridiculous.
0:38:39 > 0:38:43Darren and Mel are two miles from the pond and have just become free.
0:38:43 > 0:38:47I'm not going to pay, like, 550 quid for ten days,
0:38:47 > 0:38:49and the flights are going to be, like, what?
0:38:49 > 0:38:52- Two days long. - Yeah, 20 hours or something.
0:38:52 > 0:38:55We've got a job. Pavilion, Heath Road.
0:38:55 > 0:38:56Drowning?
0:38:59 > 0:39:01- RADIO:- 49, thank you. Cardiac arrest, please.
0:39:01 > 0:39:02Patient had been fishing.
0:39:02 > 0:39:04They've fallen into the pond.
0:39:04 > 0:39:06Now I believe pulled out and not breathing.
0:39:06 > 0:39:07Second crew responding.
0:39:07 > 0:39:09ETA eight minutes away.
0:39:11 > 0:39:13Okey dokey. Thanks a lot.
0:39:15 > 0:39:17What I need you to do is gently tilt his head back
0:39:17 > 0:39:21and lift his chin upwards and pinch his nostrils together.
0:39:21 > 0:39:24I need someone to put their lips around his mouth and blow steadily
0:39:24 > 0:39:27- into the mouth to make the chest rise.- OK.
0:39:27 > 0:39:29Have you got the ambulance on its way?
0:39:29 > 0:39:31We've got some help on its way to you.
0:39:36 > 0:39:38We're going to get this guy back.
0:39:41 > 0:39:43We've got a crew that have just said they're nearly there.
0:39:43 > 0:39:45Is someone looking for them?
0:39:45 > 0:39:47Yes. They're nearly there.
0:39:47 > 0:39:50I'll get somebody up to the car park and look for them now,
0:39:50 > 0:39:51OK, love?
0:40:01 > 0:40:04Right, we'll stay on the line with you until they get there.
0:40:04 > 0:40:06OK, then.
0:40:06 > 0:40:07Have you seen them yet?
0:40:09 > 0:40:12Huh? I can't see anyone waving.
0:40:14 > 0:40:16- The police went that way.- Yeah.
0:40:16 > 0:40:19It looks as though he's getting a bit of breath now.
0:40:19 > 0:40:22Is he taking regular breaths, though?
0:40:22 > 0:40:26- It's the ambulance men. - The ambulance are there.
0:40:26 > 0:40:29- Is he conscious?- Conscious, yeah. - He is conscious?
0:40:29 > 0:40:32Hello, sweetheart. We're going to roll you over.
0:40:32 > 0:40:34Has he had an epileptic fit and then gone in?
0:40:34 > 0:40:36- We don't know. - That's all we've heard.
0:40:37 > 0:40:40With no obvious explanation for the accident,
0:40:40 > 0:40:44Darren and Mel are keen to get the man into a warm ambulance
0:40:44 > 0:40:46as quickly as possible.
0:40:46 > 0:40:48- HE GROANS LOUDLY - Let's get him over.
0:40:48 > 0:40:52All right, sweetheart. All right?
0:40:52 > 0:40:55Yeah.
0:40:55 > 0:40:58That's his mobility? So he's...straight in?
0:40:58 > 0:41:01I would imagine his scooter into there and gone into there.
0:41:01 > 0:41:03- Driven his scooter in? - Yeah, his scooter's still in there.
0:41:03 > 0:41:06- He's bitten his tongue. - He's had some sort of fit.
0:41:06 > 0:41:08Paramedic officer Chris has been dispatched
0:41:08 > 0:41:12to manage the scene so the crews can focus on the patient.
0:41:12 > 0:41:15Patient query driven scooter into a lake.
0:41:15 > 0:41:17Query seizure at time.
0:41:17 > 0:41:19I don't know whether he's actually still mid-seizure
0:41:19 > 0:41:21or whether it's just shock.
0:41:22 > 0:41:24We're getting him in the warm first - he's freezing.
0:41:24 > 0:41:26One, two, three.
0:41:27 > 0:41:30All right, lovely. What we're going to do, if you just dry him,
0:41:30 > 0:41:33let's whip these off and get the dry ones on him.
0:41:35 > 0:41:38So he's just trundling, trundling, and all of the sudden...
0:41:38 > 0:41:41- Yuugh!- Just goes in. - Who dragged him out?
0:41:41 > 0:41:42Some members of the public.
0:41:42 > 0:41:44Some members of the public dragged him out.
0:41:44 > 0:41:46- Pulled him out.- As he was or...?
0:41:46 > 0:41:48As you've seen him. I don't think he was breathing,
0:41:48 > 0:41:51or he wasn't responsive at first when they got him out.
0:41:51 > 0:41:52So unresponsive to start with?
0:41:52 > 0:41:56- And then he's gone to this level, and that's it.- Yeah.
0:41:56 > 0:41:58I'm just trying to work it out. He's not...
0:41:58 > 0:42:00Basically, he could have had a fit before he's gone in.
0:42:00 > 0:42:05He could have had a fit as he was going in. I don't know.
0:42:05 > 0:42:08Any ID that you found?
0:42:08 > 0:42:09Does anybody here know him?
0:42:11 > 0:42:13OK.
0:42:13 > 0:42:15All right.
0:42:18 > 0:42:22Cheers, mate. We're going to have the second crew travel on this one.
0:42:22 > 0:42:24Not happy with patient's presentation.
0:42:24 > 0:42:27Can't rule out whether he's had a stroke or anything beforehand,
0:42:27 > 0:42:28judging the way he's gone at the moment.
0:42:28 > 0:42:31So, yeah, they're going to travel. One person's going to go in,
0:42:31 > 0:42:33one person's going to take the vehicle afterwards, all right?
0:42:33 > 0:42:36Yeah, that's all received. Thanks very much. Over.
0:42:39 > 0:42:43One of the crew has travelled on 49.
0:42:43 > 0:42:45They're driving the second truck up,
0:42:45 > 0:42:48but the first person has travelled to treat him on the back of that,
0:42:48 > 0:42:51on the drowning. They've been on scene for 17 minutes and we've gone.
0:42:51 > 0:42:52So we've took him straight in.
0:42:52 > 0:42:54The crew are not messing around, really.
0:42:54 > 0:42:56Rather than sort of treat and delay anything,
0:42:56 > 0:42:59we're getting him straight to hospital.
0:42:59 > 0:43:01PATIENT GROANS LOUDLY
0:43:03 > 0:43:05OK, mate. All right.
0:43:07 > 0:43:09At the moment, we've got no details,
0:43:09 > 0:43:11we've got not medical history, no name, no age.
0:43:11 > 0:43:14All we know is what passers-by have told us.
0:43:14 > 0:43:17He was on his own, so we don't know anything else at the moment.
0:43:17 > 0:43:18It's hard in circumstances like that
0:43:18 > 0:43:22because obviously we've got no indication, nothing to call him,
0:43:22 > 0:43:24and I don't like not knowing patient's names.
0:43:24 > 0:43:27Cos I think you should always try and call them...
0:43:28 > 0:43:32..by their name, even if they are unconscious or reduced GCS,
0:43:32 > 0:43:34to make them more of a person.
0:43:34 > 0:43:36I don't think it's right to not know somebody's name.
0:43:36 > 0:43:39I think it's quite difficult. We've literally...
0:43:39 > 0:43:41Man unknown is all we've got.
0:43:43 > 0:43:46He could have a wife at home who has no idea.
0:43:47 > 0:43:49So I just hope he was found in time.
0:43:51 > 0:43:52Poor chappie.
0:43:56 > 0:43:59- IONELA SCREAMS - Push.- OK, keep pushing.
0:43:59 > 0:44:01- Nice.- Off the gas. - Take it off the gas.
0:44:01 > 0:44:03Off the gas. Push. OK?
0:44:03 > 0:44:07It's been 16 minutes since Natalie and Nat decided it wouldn't be safe
0:44:07 > 0:44:09to transfer Ionela to hospital...
0:44:09 > 0:44:11Pushing, that's it.
0:44:11 > 0:44:14..and they'd have had to deliver the baby themselves.
0:44:14 > 0:44:17- SHE SCREAMS - OK, push.- OK, keep pushing.
0:44:17 > 0:44:20Nice and quiet. Perfect. Good girl, that's it.
0:44:23 > 0:44:25That's OK.
0:44:35 > 0:44:38They're worried mother and baby are getting into difficulty.
0:44:49 > 0:44:5052, sorry.
0:44:50 > 0:44:54Yeah, we need that other crew ASAP, please. Over.
0:44:54 > 0:44:57- RADIO:- 10-4, 52. Thank you, they are on the way.
0:44:57 > 0:44:59They're less than a minute now.
0:44:59 > 0:45:01OK. That's it. In through your mouth.
0:45:04 > 0:45:05Nice, slow breaths.
0:45:05 > 0:45:07You're doing really well.
0:45:07 > 0:45:08Another one.
0:45:12 > 0:45:14- Hello.- Hello.
0:45:14 > 0:45:17We got here about 40 minutes ago, I think.
0:45:17 > 0:45:20We've tried to move once - it weren't happening.
0:45:20 > 0:45:23Obviously, we've got no way of monitoring baby, have we?
0:45:23 > 0:45:26And that's the thing, you see.
0:45:26 > 0:45:28Pushing. Got to push.
0:45:29 > 0:45:31Breath. Air down, air down.
0:45:31 > 0:45:34Hold your breath. Good girl. You've got to push. Keep pushing.
0:45:34 > 0:45:37I know it's going to hurt, sweetie. I know.
0:45:37 > 0:45:39SHE GROANS
0:45:39 > 0:45:44- IN VOICEOVER:- They have to push the baby over a dip in the birth canal.
0:45:44 > 0:45:48And it's getting them through that dip that's the hardest work.
0:45:48 > 0:45:51So if a mum tires and she can't do it,
0:45:51 > 0:45:54then you start to worry about baby becoming distressed.
0:45:58 > 0:46:01Hold on to me, hold on to me. That's it. Good girl. That's it.
0:46:03 > 0:46:04Listen, listen to me.
0:46:04 > 0:46:09Listen to me. To get this baby out, you need to push it out, yeah?
0:46:09 > 0:46:12- Yeah.- Every time you get these contractions
0:46:12 > 0:46:16and you feel that urge to push, you've got to really, really push.
0:46:17 > 0:46:20- IN VOICEOVER:- I know how horribly wrong they can go.
0:46:20 > 0:46:25My first two births were fine, absolutely fine.
0:46:25 > 0:46:26Jessica's wasn't good.
0:46:28 > 0:46:29I had a ruptured uterus.
0:46:30 > 0:46:33Subsequently, Jessica's severely disabled
0:46:33 > 0:46:35and has been starved of oxygen.
0:46:35 > 0:46:38She's 15. She's tube fed, she can't walk, she can't talk.
0:46:40 > 0:46:44So I know what starvation of oxygen can do.
0:46:44 > 0:46:46I know we've only got that ten-minute window.
0:46:48 > 0:46:50OK? Ready.
0:46:50 > 0:46:52Give it everything you've got, yeah? Each time.
0:46:54 > 0:46:57Yeah, if we can... Yeah, absolutely.
0:46:59 > 0:47:02Hold my hand, darling. Hold Natalie's hand.
0:47:02 > 0:47:04Well done. Go ahead, darling.
0:47:07 > 0:47:09That's it. Well done. Well done.
0:47:15 > 0:47:18We just need one good push over that birth canal.
0:47:20 > 0:47:23- Keep pushing in your bottom. Right in your bottom.- I can't!
0:47:23 > 0:47:24You can. You can.
0:47:24 > 0:47:25- I can't...- You can, you can.
0:47:25 > 0:47:28It means we're nearly there when you feel like that.
0:47:28 > 0:47:29OK? I know, darling.
0:47:29 > 0:47:32- It does. It does.- Ow...
0:47:32 > 0:47:35We either need to really go for it here or move.
0:47:35 > 0:47:39So, it's up... You know, we can't...
0:47:39 > 0:47:41We don't know what's happening with baby.
0:47:41 > 0:47:44When we get that contraction and when you want to push,
0:47:44 > 0:47:45you've got to really push, all right?
0:47:45 > 0:47:46So we're going to come off this.
0:47:46 > 0:47:49We can. How else is he going to come out?
0:47:49 > 0:47:52- I can't.- You can!- No.
0:47:52 > 0:47:54We want to meet him. We want to meet him.
0:47:54 > 0:47:56Right, up we get. Up high.
0:47:56 > 0:47:57Got to push, got to push.
0:47:57 > 0:47:59- I can't.- You can!
0:48:02 > 0:48:04Eight miles away, Darren and Mel
0:48:04 > 0:48:09have finished handing over the drowning victim to A&E staff.
0:48:09 > 0:48:12- What would you think? Epileptic? - Seizure.- Seizure. Bleed on his...
0:48:12 > 0:48:15- Wow, I was thinking... Yeah, his tongue's been bitten.- Yeah.
0:48:15 > 0:48:17As we've handed him over to the doctor,
0:48:17 > 0:48:20he spoke for the first time, and he goes, "Let me die."
0:48:20 > 0:48:22- And I was just like, "Ooh..."- What?
0:48:22 > 0:48:24"I don't want to live any more."
0:48:24 > 0:48:26Has he got any family?
0:48:26 > 0:48:28No. I asked him, "Do you have any family?"
0:48:28 > 0:48:30And he was like, "No, got no family."
0:48:30 > 0:48:32I said, "Have you done this on purpose today
0:48:32 > 0:48:34"and gone and drove into the pond?"
0:48:34 > 0:48:37And he goes, "Yes. Let me die. I don't want to live any more.
0:48:37 > 0:48:39"I hate life. I want to die."
0:48:39 > 0:48:41- 88 years old.- That's so sad.
0:48:41 > 0:48:44So he's just...
0:48:44 > 0:48:46drove himself into the pond on his mobility scooter.
0:48:47 > 0:48:4988, yeah.
0:48:49 > 0:48:52- No kids, no family. That's what he said.- What a shame.
0:48:52 > 0:48:54Mm. It is.
0:48:56 > 0:48:59- RADIO BEEPS - Go ahead.
0:48:59 > 0:49:0049, thanks.
0:49:00 > 0:49:02Have you got an ETC?
0:49:02 > 0:49:04Yeah, I was talking to Mel about that job.
0:49:04 > 0:49:06We're ready to go. You can clear us.
0:49:17 > 0:49:19- Joan?- Yeah?
0:49:19 > 0:49:21I've got another update on that.
0:49:21 > 0:49:23- On what?- The drowning.- Oh, yeah?
0:49:24 > 0:49:27- He died at hospital.- Did he really?
0:49:27 > 0:49:30- Yeah.- Really?- Yeah.
0:49:32 > 0:49:33Oh, man.
0:49:35 > 0:49:36Oh, man.
0:49:37 > 0:49:40- Really?- Yeah.
0:49:44 > 0:49:45How quick did we get there?
0:49:45 > 0:49:48We got there quick enough, didn't we? But... Oh, shit...
0:49:48 > 0:49:50What has he died of?
0:49:50 > 0:49:51Secondary drowning.
0:49:51 > 0:49:54Oh, really? So he's got to have been under for a while, then.
0:49:55 > 0:49:58- Yeah, he's died.- Really?
0:49:58 > 0:50:00- We just found out he died in hospital.- Oh, man.
0:50:00 > 0:50:03Oh, I thought you'd found out it was a suicide attempt.
0:50:08 > 0:50:10I didn't see that coming at all.
0:50:10 > 0:50:12- Secondary drowning?- Yeah.
0:50:13 > 0:50:14Oh, man.
0:50:20 > 0:50:22People do die and we know they die,
0:50:22 > 0:50:25but you're not normal if it doesn't affect you.
0:50:26 > 0:50:30I've dealt with thousands and thousands and thousands of jobs,
0:50:30 > 0:50:34but there are probably four or five that I still think about,
0:50:34 > 0:50:37and he will remember that job, probably, now,
0:50:37 > 0:50:39like I remember my jobs.
0:50:39 > 0:50:41But you do have to think,
0:50:41 > 0:50:45"You have done your best to get to somebody."
0:50:48 > 0:50:49SHE SCREAMS
0:50:49 > 0:50:53- Please push.- You've got to push. You've got to push.
0:50:53 > 0:50:55- Push.- She needs to push.- Push.
0:50:55 > 0:50:57Push this baby out.
0:50:59 > 0:51:03We're getting to the stage now where we either need to have the baby
0:51:03 > 0:51:05or we need to go to... We don't know what baby is doing in there.
0:51:05 > 0:51:07We can't monitor baby.
0:51:07 > 0:51:10We can feel him kicking and moving and having a lovely wriggle.
0:51:11 > 0:51:13- You've got to... - SHE WHIMPERS
0:51:13 > 0:51:15I know.
0:51:16 > 0:51:18Good, good.
0:51:18 > 0:51:20Just like that. Good girl.
0:51:20 > 0:51:21Up we go, up we go.
0:51:21 > 0:51:23Push, push, push, push.
0:51:25 > 0:51:29- Push hard. Push. Come on. You can do this. Come on.- I can't.- But you can.
0:51:29 > 0:51:32You can. You are nearly there. You can. Come on. Push.
0:51:32 > 0:51:36- HE SPEAKS IN HIS LANGUAGE - Push. Push.
0:51:36 > 0:51:37Keep going, keep going.
0:51:39 > 0:51:41Keep going. His hair! The head's here.
0:51:41 > 0:51:42The head's here, nearly, yeah.
0:51:42 > 0:51:45- Keep going, keep going.- Push, push.
0:51:45 > 0:51:47- Push.- He's there. The head's there.
0:51:47 > 0:51:49- Good girl.- OK, my darling.
0:51:49 > 0:51:50Well done.
0:51:50 > 0:51:52Stop when she tells you to.
0:51:54 > 0:51:56Let's meet this little boy.
0:51:58 > 0:52:01Good girl. Good. There we go.
0:52:01 > 0:52:03- All right, Nat? - Yeah, we're all good.
0:52:03 > 0:52:06Awesome. Push, push, push.
0:52:06 > 0:52:08Keep pushing, keep pushing.
0:52:11 > 0:52:13- He's just there. - Ooh, hello, little baby.
0:52:17 > 0:52:18Oh, gosh. Here he is.
0:52:18 > 0:52:21You see, Dad? He's coming.
0:52:21 > 0:52:22- His hair.- Awesome, awesome.
0:52:22 > 0:52:26There he is! Hello!
0:52:26 > 0:52:27Catch your breath and push.
0:52:30 > 0:52:32OK. I've got his head.
0:52:32 > 0:52:33One more push.
0:52:35 > 0:52:36Yeah, it's turning, it's turning.
0:52:36 > 0:52:38- I've got him.- Yay!
0:52:40 > 0:52:41Keep going, keep going.
0:52:41 > 0:52:45keep pushing, my darling. Hello, hello!
0:52:45 > 0:52:48- Hello!- You did it! Well done.
0:52:55 > 0:52:58- Good girl, good girl. - BABY CRIES
0:52:58 > 0:53:00Good girl.
0:53:00 > 0:53:04- Hello!- Hello, young man. - Hello, beautiful.
0:53:10 > 0:53:13OK, darling. Here he is. There he is!
0:53:31 > 0:53:33Well done. Well done.
0:53:33 > 0:53:35Oh, Nat...
0:54:00 > 0:54:04We've got a beautiful little baby boy. Time - 11.02.
0:54:04 > 0:54:07As far as babies go, this one's pretty cute. Over.
0:54:07 > 0:54:0852, that is wonderful.
0:54:08 > 0:54:10Congratulations to all there.
0:54:10 > 0:54:12Glad everything is all right.
0:54:12 > 0:54:14Thank you ever so much for that update. Over.
0:54:14 > 0:54:16Thanks, sweetheart.
0:54:16 > 0:54:19- So we got an update on the baby case.- OK.
0:54:19 > 0:54:22Baby boy, born at 11.02.
0:54:22 > 0:54:25Aw. Oh, that's good news.
0:54:25 > 0:54:29Good news. Bless her.
0:54:29 > 0:54:30I do, I like the jobs like this.
0:54:33 > 0:54:35# Don't play that song for me
0:54:37 > 0:54:40# Cos it brings back memories... #
0:54:41 > 0:54:42What a privilege.
0:54:42 > 0:54:45- I mean, I was the first person that held that baby.- Yeah.
0:54:45 > 0:54:48And that is an amazing feeling.
0:54:48 > 0:54:53To pass a baby to their mum is just lovely.
0:54:53 > 0:54:59It's like, "Here, this beautiful, beautiful baby boy."
0:55:00 > 0:55:02Who's that?
0:55:02 > 0:55:03- Who was it?- I don't know.
0:55:03 > 0:55:06# Cos I remember just what he said
0:55:06 > 0:55:10# He said, "Darlin'..." #
0:55:10 > 0:55:11- ON RADIO:- Go ahead.
0:55:11 > 0:55:16I've just got a bit of an update for you regarding case 885.
0:55:16 > 0:55:19Patient now deceased. Confirmed by ED.
0:55:19 > 0:55:21So that guy has died?!
0:55:21 > 0:55:23- I can't believe that.- Of what?
0:55:23 > 0:55:25I think it's secondary drowning.
0:55:25 > 0:55:27The chest was clear.
0:55:27 > 0:55:29The doctors assessed it, I assessed it.
0:55:29 > 0:55:31I'm really shocked.
0:55:31 > 0:55:33There was nothing more we could have done, was there?
0:55:33 > 0:55:36All you can do is listen and see if there's any bubbling.
0:55:36 > 0:55:38But even if you did think he had fluid on his lungs,
0:55:38 > 0:55:41- what could you do? There's nothing you can give him.- That poor bloke.
0:55:41 > 0:55:44# I remember on our first date
0:55:46 > 0:55:48# He kissed me and he walked away... #
0:55:50 > 0:55:52It's a privilege, my job.
0:55:52 > 0:55:56Sometimes between life and death stands a paramedic.
0:55:57 > 0:56:01I'll never forget, a lady said to me once, "This can't be happening.
0:56:01 > 0:56:04"Ten minutes ago, he was drinking a hot chocolate."
0:56:04 > 0:56:06And that is the reality.
0:56:06 > 0:56:08People's lives can change within ten minutes,
0:56:08 > 0:56:12and we're there through the whole time.
0:56:15 > 0:56:19Then you get back to the station, you put your keys in the cupboard,
0:56:19 > 0:56:22you put your drugs away and you pick your child up from Brownies
0:56:22 > 0:56:25on the way home. Because life goes on.
0:56:27 > 0:56:30# Oh, don't let him play it
0:56:30 > 0:56:32# Oh, no
0:56:32 > 0:56:37- # It fills my heart with pain - It hurts
0:56:37 > 0:56:40# Please stop it right away
0:56:40 > 0:56:44# Cos I remember just what he said
0:56:44 > 0:56:47- # He said, "Darlin', I - Darlin', I
0:56:47 > 0:56:51# "I know that I lied... #
0:56:52 > 0:56:53Next on Ambulance...
0:56:53 > 0:56:56- Is the patient breathing? - Yeah, he's breathing.
0:56:56 > 0:56:59He's been stabbed. There's about five different stab wounds.
0:56:59 > 0:57:01He's got stab wounds twice to his head here.
0:57:01 > 0:57:03What I want you to do, mate, is keep talking to us. OK?
0:57:03 > 0:57:04We're trying to help you.