0:00:03 > 0:00:05Today on Real Rescues,
0:00:05 > 0:00:08an urgent case for the Magpas emergency medical team.
0:00:08 > 0:00:11WOMAN SCREAMS IN PAIN
0:00:11 > 0:00:14A woman can't wait for hospital treatment.
0:00:14 > 0:00:17The doctor has to fix her dislocated knee now.
0:00:17 > 0:00:18If it's the kneecap that's out,
0:00:18 > 0:00:21because it feels quite bony on this side,
0:00:21 > 0:00:22that's where it tends to go,
0:00:22 > 0:00:24and we can pop it back in. That might help. OK?
0:00:26 > 0:00:30A 999 call from a dad whose wife is about to give birth.
0:00:33 > 0:00:36The baby arrives, but there's no crying.
0:00:41 > 0:00:46In my mind, at the back of my mind, I'm thinking that
0:00:46 > 0:00:50the longer she's blue and not breathing, the more trouble we're in.
0:00:50 > 0:00:53And after an encounter with a wheelie bin,
0:00:53 > 0:00:55Robert fears for the worst.
0:00:55 > 0:00:59I had visions of my whole head being split open.
0:01:18 > 0:01:21Hello and welcome to Real Rescues
0:01:21 > 0:01:23and the world of the emergency services.
0:01:23 > 0:01:26The people here take calls about all kinds of accidents -
0:01:26 > 0:01:30the ordinary, the extraordinary and sometimes the unimaginable.
0:01:30 > 0:01:33We're about to see a painful injury, so bad that the ambulance crew
0:01:33 > 0:01:36has to call in more senior help en route to hospital.
0:01:43 > 0:01:46An emergency medical team from the Magpas charity
0:01:46 > 0:01:50on duty in Cambridge is heading to a woman in agonising pain.
0:01:50 > 0:01:53Dr Simon Lewis and paramedic Dan Read
0:01:53 > 0:01:55are trained in pre-hospital trauma.
0:01:55 > 0:01:58They can perform clinical procedures at the roadside.
0:01:59 > 0:02:02So we've been asked to assist an ambulance crew.
0:02:02 > 0:02:04They've got a lady on board their ambulance already who has,
0:02:04 > 0:02:09they believe, dislocated her knee and the painkiller that they're
0:02:09 > 0:02:12able to give her isn't enough, so they've asked for our help
0:02:12 > 0:02:16to see if we can provide a bit more painkiller or help with her knee.
0:02:18 > 0:02:21The rendezvous is at a garage on an A road.
0:02:21 > 0:02:24Moments after they pull in, the ambulance arrives.
0:02:24 > 0:02:26The team is quickly brought up to date.
0:02:28 > 0:02:32She landed really badly on her knee, just twisted it.
0:02:32 > 0:02:34Inside the ambulance, their patient, a 38-year-old woman,
0:02:34 > 0:02:37has suffered a freak accident in her living room.
0:02:37 > 0:02:40The crew has given her all the pain relief
0:02:40 > 0:02:43they're allowed to administer, but it's having little effect.
0:02:43 > 0:02:45Just take this pain away!
0:02:45 > 0:02:49Do you mind if we have a little look? Yeah, as long as you don't move it.
0:02:49 > 0:02:50OK, I promise not.
0:02:50 > 0:02:55SHE MOANS
0:02:55 > 0:02:58Susan's clearly in a lot of pain after slipping on a laminate floor
0:02:58 > 0:03:01that her daughter had just washed.
0:03:01 > 0:03:03Her knee's swollen and the patella, or kneecap,
0:03:03 > 0:03:05seems to be out of place.
0:03:05 > 0:03:10I've come in and I've slipped and I've felt my knee go pop
0:03:10 > 0:03:15and then it felt like it folded underneath me as well as I went down.
0:03:15 > 0:03:17Every move is agony for Susan.
0:03:19 > 0:03:23I'm just going to have a little feel, but I'm not going to press too much.
0:03:23 > 0:03:25Let's see where things are.
0:03:25 > 0:03:28Although Susan is terrified that it will hurt even more,
0:03:28 > 0:03:31she manages to pinpoint the pain. OK down here?
0:03:31 > 0:03:34It's on the inside as well. OK. On the inside of my knee.
0:03:34 > 0:03:36So down here? Is that all OK?
0:03:39 > 0:03:42Any pain when I'm pressing? Yeah? SHE MOANS
0:03:42 > 0:03:45OK, sorry, sorry. Pain over here.
0:03:45 > 0:03:47SHE WAILS
0:03:47 > 0:03:50Simon's examining her as gently as he can,
0:03:50 > 0:03:52but Susan's barely coping with the extreme pain.
0:03:52 > 0:03:57It's a particularly painful injury to dislocate a kneecap,
0:03:57 > 0:04:00and if it's dislocated for a long period of time,
0:04:00 > 0:04:03it can become more painful because muscles start to spasm.
0:04:03 > 0:04:06The gas and air and even morphine she's already had
0:04:06 > 0:04:08have barely touched it.
0:04:10 > 0:04:12The Magpas emergency team is going to give her one of the most
0:04:12 > 0:04:15powerful painkillers available to them.
0:04:15 > 0:04:18When did you last have anything to eat or drink, Sue?
0:04:19 > 0:04:24Er, yesterday, about seven o'clock. Yesterday?! Really?
0:04:24 > 0:04:30Nothing at all today? She's on a diet. She's lost five stone.
0:04:30 > 0:04:32OK, well done. Gosh. Right.
0:04:32 > 0:04:34SHE SCREAMS Sorry.
0:04:34 > 0:04:38Nice deep breaths in. Hold the breath.
0:04:38 > 0:04:41Susan's injury was a very painful one.
0:04:41 > 0:04:45We had to fully assess her, and that often means feeling her foot to see
0:04:45 > 0:04:48if she had good pulse, sensation and circulation.
0:04:48 > 0:04:50Sometimes that's quite painful to do,
0:04:50 > 0:04:53even though she'd had high levels of morphine.
0:04:53 > 0:04:56Without an X-ray, it's impossible to tell if the kneecap is broken.
0:04:56 > 0:05:00It's definitely in a very strange place.
0:05:00 > 0:05:04It's bony. It could be the patella. I can't feel the patella.
0:05:07 > 0:05:10It is unusual to get pain all the way round here with it as well.
0:05:10 > 0:05:14If Simon can pop her dislocated kneecap back into position,
0:05:14 > 0:05:18the pain should ease, but Susan is going to take some persuading.
0:05:18 > 0:05:20Just tell me you're not going to touch it, are you?
0:05:20 > 0:05:23We'd like to try and solve the pain for you.
0:05:23 > 0:05:24If it's the kneecap that's out,
0:05:24 > 0:05:26because it feels quite bony on this side,
0:05:26 > 0:05:29that's where it tends to go, and we can pop it back in.
0:05:29 > 0:05:30That might help, OK?
0:05:30 > 0:05:32So what we'd like to do is probably
0:05:32 > 0:05:36give you something that just makes you sleepy and forget it. OK?
0:05:36 > 0:05:39Does that sound good? Hmm!
0:05:39 > 0:05:41That sounds good to Susan.
0:05:41 > 0:05:42Fantastic.
0:05:42 > 0:05:44Every touch is torture,
0:05:44 > 0:05:48but the ketamine is not only powerful but very fast acting.
0:05:48 > 0:05:51And once the pain is removed, correcting Susan's knee
0:05:51 > 0:05:54will be a relatively straightforward procedure.
0:05:54 > 0:05:57You won't remember a thing.
0:05:57 > 0:05:59Good stuff.
0:06:00 > 0:06:02The dosage is critical.
0:06:02 > 0:06:04Monitoring your weight, what's your weight at the moment?
0:06:04 > 0:06:10My exact weight, last time I knew, was 15.3.
0:06:12 > 0:06:15The ketamine is given intravenously and once it gets to work,
0:06:15 > 0:06:17they'll have Susan's pain under control.
0:06:19 > 0:06:21Take this pain away!
0:06:23 > 0:06:25Later, the drugs take effect.
0:06:25 > 0:06:28Magpas' Dr Simon Lewis prepares to perform the delicate task
0:06:28 > 0:06:31of putting Susan's knee back in position.
0:06:32 > 0:06:35Just feeling round here now that she's pain-free,
0:06:35 > 0:06:37to see if there's a kneecap around.
0:06:38 > 0:06:41And if it is, I've got to flip it and get it back in again.
0:06:50 > 0:06:53It's late afternoon in the ambulance control centre at Bedford.
0:06:53 > 0:06:56Call handler Felicity is on the phone to a father
0:06:56 > 0:07:00whose wife is in labour. They live in a remote village.
0:07:16 > 0:07:20All the drama is happening in the Turner family's downstairs loo.
0:07:20 > 0:07:24Simon has dashed back from a family party after an urgent text message
0:07:24 > 0:07:25from his wife Liz.
0:07:25 > 0:07:30I could hear her screaming and could see her over the toilet,
0:07:30 > 0:07:35totally and utterly beside herself, screaming, panicked.
0:07:35 > 0:07:39I asked Liz if I should ring 999. Obviously, Liz said yes.
0:08:00 > 0:08:03He was panicked, but he was really attentive
0:08:03 > 0:08:04and really good at listening and,
0:08:04 > 0:08:07I assume, following the instructions that were given.
0:08:07 > 0:08:10We get a lot of calls in this situation where the person is
0:08:10 > 0:08:14hysterical or just not listening to you, just shouting back.
0:08:14 > 0:08:17And so he was one of the callers that you want.
0:08:18 > 0:08:21By now, Liz is lying on the cloakroom floor.
0:08:21 > 0:08:25It's her second baby, and everything is happening too fast.
0:08:38 > 0:08:43There was a little bit of a comedy moment where Liz screamed,
0:08:43 > 0:08:47"You're trying to push it back in! You're trying to push it back in!"
0:09:43 > 0:09:46Felicity has been on the call for just six minutes
0:09:46 > 0:09:48when the baby girl is delivered.
0:09:48 > 0:09:50But her work is far from over.
0:10:02 > 0:10:04Later, all attention is on the baby.
0:10:04 > 0:10:06An ambulance is just minutes away,
0:10:06 > 0:10:10but it's up to Simon to get the baby breathing.
0:10:10 > 0:10:12Seconds feel like hours, really,
0:10:12 > 0:10:18so in my mind, at the back of my mind, I'm thinking that
0:10:18 > 0:10:22the longer she's blue and not breathing, the more trouble we're in.
0:10:25 > 0:10:27I'm going to have a chat with one of the call handlers.
0:10:27 > 0:10:31Abbey looks like she might be free, so let's have a chat with Abbey.
0:10:31 > 0:10:35Hello, can I have a chat? Are you on a call? No. Jolly good.
0:10:35 > 0:10:39I wanted to talk to you about things that kids eat that they shouldn't. Yeah.
0:10:39 > 0:10:42It can be all kinds of weird things. You hear about kids
0:10:42 > 0:10:44shoving peas up their nose and having to be rescued from that,
0:10:44 > 0:10:46but some of it can be chemically quite serious.
0:10:46 > 0:10:48We get some dodgy things.
0:10:48 > 0:10:51We had an incident of a child who ate one of the tablets that
0:10:51 > 0:10:55goes in the toilet cisterns, obviously thinking,
0:10:55 > 0:10:58hoping it might have been quite a nice big blue sweetie.
0:10:58 > 0:11:00Well, they're quite brightly coloured
0:11:00 > 0:11:03and sometimes they are called toilet cakes as well, aren't they? Yeah.
0:11:03 > 0:11:05So it's kind of misleading for a child.
0:11:05 > 0:11:07What do you do in a circumstance like that?
0:11:07 > 0:11:09We had a call from a quite frantic mother,
0:11:09 > 0:11:14who found the baby with cake in mouth and phoned us up.
0:11:14 > 0:11:17It's quite important, we need to know what make it is
0:11:17 > 0:11:21for the chemicals that are in so that we can find out how toxic it is.
0:11:21 > 0:11:24Different cakes have different chemicals, different flavours.
0:11:24 > 0:11:27They all make up... I don't think it's flavours, is it?
0:11:27 > 0:11:31Smells, flavours. You could say flavours.
0:11:31 > 0:11:35The call taker who took this did get quite caught up in the moment,
0:11:35 > 0:11:37trying to get the information
0:11:37 > 0:11:40and asked what flavour it was that this child had eaten.
0:11:40 > 0:11:44But it's important to know the chemical composition to know how to deal with it.
0:11:44 > 0:11:46Yes, because the hospital needs to know so they know
0:11:46 > 0:11:48what treatment to give the child when they get to hospital.
0:11:48 > 0:11:51What's the best thing you can give a child if there is something
0:11:51 > 0:11:53chemically gone in to sort of sustain
0:11:53 > 0:11:54whilst the diagnosis is going on?
0:11:54 > 0:11:58For small amounts, we advise to give milk
0:11:58 > 0:12:00to neutralise what's gone in.
0:12:00 > 0:12:02Other big amounts, or if we're unsure,
0:12:02 > 0:12:03needs to go to hospital just to be safe.
0:12:03 > 0:12:07Take, obviously, the stuff with you so that they know what's in it.
0:12:07 > 0:12:10What's the weirdest you ever heard of a child trying to swallow?
0:12:10 > 0:12:13We had a child put an umbrella in his mouth, and not the pointy end.
0:12:13 > 0:12:16He put the handle... What, curved handle? Yeah.
0:12:16 > 0:12:20Right into his throat, and of course, you say, "Don't remove it,"
0:12:20 > 0:12:21because you don't want to damage anything,
0:12:21 > 0:12:24and this child had then gone and pulled it straight out,
0:12:24 > 0:12:28screaming his head off, bleeding, so obviously we had to take him in.
0:12:28 > 0:12:30Fortunately, no damage was done.
0:12:30 > 0:12:34I don't think his mum will leave any umbrellas lying around any time soon.
0:12:34 > 0:12:37How do you get a curved umbrella...
0:12:37 > 0:12:41I'm not even going to think about it! Weird what children will go for.
0:12:41 > 0:12:43It is quite strange.
0:12:43 > 0:12:46Just be careful and don't leave too much stuff around. Right. Thank you very much.
0:12:55 > 0:12:58Rush hour on the M1 near Milton Keynes.
0:12:58 > 0:13:02PC Steve Leathersich and Russ Irwin are responding to
0:13:02 > 0:13:05reports of a crash, but the details are confusing.
0:13:07 > 0:13:10One report is that a car had driven into
0:13:10 > 0:13:13the central reservation of the motorway.
0:13:13 > 0:13:16We've had another report suggesting that there's two lorries
0:13:16 > 0:13:19and a car and a van that have had a crash,
0:13:19 > 0:13:22so we're just going to go along and see what we've got.
0:13:27 > 0:13:30Heavy traffic is building for several miles already.
0:13:34 > 0:13:37Do we know what's involved? Not at the moment, no!
0:13:37 > 0:13:40As far as I know, that's a witness that's just stopped to assist.
0:13:40 > 0:13:44He took the injured party out of this one into the ambulance.
0:13:44 > 0:13:47And I assume the lorry's involved, from what we've been told.
0:13:47 > 0:13:50A family has had a dramatic escape.
0:13:50 > 0:13:52Their car has veered across two lanes of the M1.
0:13:52 > 0:13:56They were struck by a left-hand-drive lorry from Italy.
0:13:56 > 0:13:59They urgently need to get the traffic moving,
0:13:59 > 0:14:02but the car has hit the central reservation with such force,
0:14:02 > 0:14:04its front wheel has sheared off.
0:14:06 > 0:14:08The chassis grinds into the tarmac.
0:14:10 > 0:14:12The police can get the traffic moving again.
0:14:12 > 0:14:16The next task is getting statements from everyone involved.
0:14:16 > 0:14:18First, the lorry driver.
0:14:18 > 0:14:21The driver... HE SPEAKS IN ITALIAN
0:14:21 > 0:14:25It quickly becomes clear they are going to need an interpreter.
0:14:25 > 0:14:27PC Leathersich calls the police translation service.
0:14:27 > 0:14:31Italian, yeah. It's Leathersich.
0:14:31 > 0:14:34Just so you know, we're at the side of the motorway at the moment,
0:14:34 > 0:14:38so I may be asking you to repeat a bit, because it's quite noisy here.
0:14:38 > 0:14:40It's nothing personal.
0:14:40 > 0:14:43But the driver gets so involved on the phone, that he suddenly
0:14:43 > 0:14:47puts himself in danger, wandering into the busy carriageway.
0:14:47 > 0:14:51Oi! Oi! No! No! Stay. Stay here.
0:14:54 > 0:14:57The police have had enough close shaves for one day on the M1.
0:14:58 > 0:15:00Just saving that bloke's life.
0:15:00 > 0:15:03The driver has told the interpreter he only knew about the accident
0:15:03 > 0:15:07when he heard something hit the right side of his lorry.
0:15:07 > 0:15:11Right. I think I got the gist of that.
0:15:11 > 0:15:15Can you just confirm with him that he was always in the left-hand lane?
0:15:21 > 0:15:25In a nearby ambulance, the family from a damaged car are being checked over.
0:15:25 > 0:15:28It's clear the outcome could have been very different.
0:15:31 > 0:15:34Well, thankfully, everyone's only suffered minor injury.
0:15:35 > 0:15:38A bit of muscular, as you've seen, the car, the state of that,
0:15:38 > 0:15:41that spun around, bounced from the middle lane
0:15:41 > 0:15:44out into the central reservation and come to a stop there.
0:15:44 > 0:15:48So it would have been a bit of a scary experience for them,
0:15:48 > 0:15:50but thankfully they were all wearing their belts
0:15:50 > 0:15:52and we had the right result.
0:15:52 > 0:15:56Meanwhile, police colleagues are taking statements from other witnesses
0:15:56 > 0:15:58who appear to have seen something different.
0:15:58 > 0:16:00You've got witnesses confirming that the lorry was
0:16:00 > 0:16:02moving from lane one to lane two?
0:16:05 > 0:16:06Thank you.
0:16:06 > 0:16:08He gets straight back on to the interpreter.
0:16:09 > 0:16:11So can you put that to him,
0:16:11 > 0:16:14that he has been witnessed moving into the middle lane,
0:16:14 > 0:16:17and if he wishes to change the account that he's given me?
0:16:17 > 0:16:21HE SPEAKS IN ITALIAN
0:16:21 > 0:16:23After a few minutes of heated conversation,
0:16:23 > 0:16:26the driver wants to give some more details of what happened.
0:16:27 > 0:16:32Right. OK. We just wanted to clarify that, because that's what we suspected.
0:16:32 > 0:16:33The police work is not over yet.
0:16:33 > 0:16:37The carriageway needs to be closed again so the Highways Agency
0:16:37 > 0:16:40can check if there is any damage to the central reservation.
0:16:40 > 0:16:43We've just asked if we can do a rolling roadblock
0:16:43 > 0:16:47to allow them time to assess the damage in a safer environment.
0:16:49 > 0:16:52There's my sergeant down the road causing utter chaos,
0:16:52 > 0:16:55bringing the road to a halt. He loves the power.
0:16:55 > 0:16:58In fairness, it's the only time anyone ever listens to him,
0:16:58 > 0:17:01when he's in a police car and got the blue lights on.
0:17:01 > 0:17:04The family heads off for a ride with the recovery truck.
0:17:04 > 0:17:06The police have all the information they need.
0:17:06 > 0:17:09The Italian driver can continue on his way.
0:17:09 > 0:17:11No problem? No, no.
0:17:11 > 0:17:13You go on your way. Ciao! Ciao.
0:17:13 > 0:17:15The central reservation has not been damaged,
0:17:15 > 0:17:17so now the road is clear,
0:17:17 > 0:17:20PCs Leathersich and Irwin are on their way.
0:17:20 > 0:17:23Best you get in the car before there's another accident.
0:17:26 > 0:17:28Are we done? We're all done now.
0:17:28 > 0:17:29Tea and medals.
0:17:35 > 0:17:38Later, the police draw their conclusions.
0:17:38 > 0:17:41It's just trying to raise awareness to the foreign lorry drivers
0:17:41 > 0:17:44so that they think twice, have a look, double look again
0:17:44 > 0:17:47and make sure that everything's clear before they pull out.
0:17:51 > 0:17:53Still to come on Real Rescues...
0:17:53 > 0:17:57There's some mention about somebody being deaf as well.
0:17:57 > 0:18:00A group of friends needs help after struggling on the emergency phone.
0:18:04 > 0:18:08So the police take the matter in hand, going beyond the call of duty.
0:18:11 > 0:18:13And not even a full head of hair can protect Robert
0:18:13 > 0:18:15from an encounter with a wheelie bin.
0:18:15 > 0:18:19I expect it's a job to see it with all that hair up there!
0:18:19 > 0:18:21Yeah, you've got a bit more than me.
0:18:25 > 0:18:27Back to Susan, who suffered a very painful injury
0:18:27 > 0:18:29just after slipping on a laminate floor.
0:18:29 > 0:18:31She's in so much pain, the ambulance crew have
0:18:31 > 0:18:35called in an emergency doctor to treat her in the vehicle.
0:18:35 > 0:18:37We're about to see Dr Simon Lewis put Susan's kneecap
0:18:37 > 0:18:41back in place, something usually carried out in a hospital.
0:18:43 > 0:18:45In the back of the ambulance, Susan is in agony.
0:18:45 > 0:18:48She's dislocated her knee and it's very swollen.
0:18:48 > 0:18:51You're doing ever so well. 15 so far? 15mg of morphine.
0:18:51 > 0:18:55Even morphine couldn't take the edge off the pain.
0:18:56 > 0:19:00Now the Magpas emergency medics are on board, they can give more
0:19:00 > 0:19:03advanced treatment usually only carried out in hospital.
0:19:03 > 0:19:06SHE GROANS
0:19:06 > 0:19:12Oooh... Somebody take this pain away!
0:19:12 > 0:19:15You're doing ever so well, Sue.
0:19:23 > 0:19:26You can see the bruising here on the inside.
0:19:26 > 0:19:32And this lump here, which is actually bony, it's hard to feel,
0:19:32 > 0:19:34which is likely to be the kneecap
0:19:34 > 0:19:36that's come out of the side.
0:19:36 > 0:19:40Simon will manipulate the kneecap through the skin using his hand.
0:19:43 > 0:19:45It will only take a few moments,
0:19:45 > 0:19:48but it's impossible when the patient is conscious.
0:19:48 > 0:19:51The advanced Magpas team are going to use the drug ketamine.
0:19:51 > 0:19:53In this situation,
0:19:53 > 0:19:55ketamine is a very useful drug.
0:19:55 > 0:19:57It's a very strong painkiller
0:19:57 > 0:19:59and also it has amnesic properties,
0:19:59 > 0:20:02along with the sedative properties,
0:20:02 > 0:20:04so we briefly put Susan to sleep.
0:20:08 > 0:20:09Ready?
0:20:16 > 0:20:17What's your daughter's name, Sue?
0:20:17 > 0:20:20Simon's trying to take Susan's mind off what's happening...
0:20:20 > 0:20:21What's your daughter's name?
0:20:21 > 0:20:25..at the same time as judging when the anaesthetic takes effect.
0:20:25 > 0:20:2711. 11?
0:20:27 > 0:20:30Bless! You've got her cleaning the floors at 11?
0:20:30 > 0:20:32That's better trained than most.
0:20:33 > 0:20:35The drug is beginning to do its job.
0:20:35 > 0:20:39You're going to start feeling a bit funny. Don't worry, just go with it.
0:20:39 > 0:20:42It gives you some fantastic dreams, this stuff.
0:20:43 > 0:20:45OK? How you doing there?
0:20:48 > 0:20:49You feeling OK?
0:20:49 > 0:20:50Susan's out.
0:20:50 > 0:20:53So she will still cry out a little bit
0:20:53 > 0:20:55but she won't remember a thing.
0:20:55 > 0:20:57If you're able to hold her ankle there for me...
0:20:57 > 0:21:01Getting the kneecap back into place is a delicate two-handed job.
0:21:07 > 0:21:10OK, so we've given her some drugs that will make her really sleepy
0:21:10 > 0:21:14and pain-free, and then just feeling round here, now that she's pain-free,
0:21:14 > 0:21:16to see if there's a kneecap around.
0:21:18 > 0:21:23And if it isn't, if it's here, and if it is, then, hopefully...
0:21:26 > 0:21:28..we can flip it and get it back in again.
0:21:30 > 0:21:34Sometimes with the swelling around, that's easier said than done.
0:21:35 > 0:21:38Is Susan was awake, this would be unbearable.
0:21:39 > 0:21:42It's just coming over.
0:21:45 > 0:21:47I can feel it. There you go. Back in.
0:21:47 > 0:21:50He's done it, and not a murmur from the patient.
0:21:50 > 0:21:52Immediately, her knee looks better.
0:21:52 > 0:21:55Now they just need to put it in a splint to hold everything in place
0:21:55 > 0:21:58for the journey to hospital and bring Susan round.
0:21:58 > 0:22:01With ketamine, when she starts to wake up,
0:22:01 > 0:22:07it can...people can get a little bit upset occasionally.
0:22:07 > 0:22:11It's normally because there's a lot of noise or there's any light,
0:22:11 > 0:22:15lots of lights around, so if we keep it as quiet as possible,
0:22:15 > 0:22:18and in a minute we'll turn down the lights when everyone's happy,
0:22:18 > 0:22:21and we'll wake her up nice and gently.
0:22:25 > 0:22:27SUSAN SCREAMS
0:22:27 > 0:22:29Well done, well done.
0:22:29 > 0:22:31Ketamine's a very powerful drug,
0:22:31 > 0:22:35and they'll have to handle Susan's recovery very carefully.
0:22:38 > 0:22:41Susan's coming round. They need to work quickly.
0:22:43 > 0:22:44I'm happy. Yeah.
0:22:52 > 0:22:53Sometimes with this drug,
0:22:53 > 0:22:56you can get something called emergence phenomena,
0:22:56 > 0:22:58where actually, people, because of the drug,
0:22:58 > 0:23:02start misinterpreting things that come into their eyes and their ears,
0:23:02 > 0:23:04and they basically think they're hallucinating.
0:23:04 > 0:23:07And they can be very, very agitated, very difficult to control,
0:23:07 > 0:23:10so if you make it calm and quiet,
0:23:10 > 0:23:13then they have a better chance of waking up OK. Hi, Sue.
0:23:13 > 0:23:15Hello.
0:23:18 > 0:23:23Wake up for me. Hiya. She's nice and comfy.
0:23:28 > 0:23:31Susan will now be taken to Addenbrooke's Hospital,
0:23:31 > 0:23:34where her knee will be X-rayed to assess the full extent of the damage.
0:23:42 > 0:23:45At the control centre for the East of England Ambulance Trust,
0:23:45 > 0:23:49call handler Felicity is in the midst of an urgent call.
0:23:49 > 0:23:51At this family home, dad Simon
0:23:51 > 0:23:54has delivered his wife Liz's second child, a girl,
0:23:54 > 0:23:56but all is not well.
0:24:18 > 0:24:22I was thinking at that point that the longer she's not breathing,
0:24:22 > 0:24:24the more trouble we're in potentially,
0:24:24 > 0:24:28and we're going to end up being rushed to hospital
0:24:28 > 0:24:31when the paramedic ambulance crew eventually arrived.
0:24:31 > 0:24:34And you just don't know, because you haven't got that knowledge,
0:24:34 > 0:24:39you don't know how long they can survive without breathing or
0:24:39 > 0:24:45whether they're still being fed by the cord and it's no problem,
0:24:45 > 0:24:49so at that point, they need to get here really quickly
0:24:49 > 0:24:52and deal with the situation.
0:24:53 > 0:24:54An ambulance is en route,
0:24:54 > 0:24:57but call handler Felicity and backup clinical staff are going
0:24:57 > 0:25:01to tell Simon exactly how to get the baby breathing.
0:25:12 > 0:25:15LIZ WHIMPERS
0:25:19 > 0:25:22LIZ SOBS
0:25:22 > 0:25:24Felicity's trained ears can block out the mum's screams.
0:25:24 > 0:25:28She's listening out for the crucial sound from the baby.
0:25:28 > 0:25:31With pregnancy and labour, the women are always screaming
0:25:31 > 0:25:32and it doesn't tell you anything.
0:25:32 > 0:25:34But if you can hear the baby crying,
0:25:34 > 0:25:36that's what you're listening out for,
0:25:36 > 0:25:38so you become good at tuning out the noises that aren't relevant.
0:26:20 > 0:26:23BABY GURGLES
0:26:31 > 0:26:35There's a massive sense of relief when she did start to splutter
0:26:35 > 0:26:40and cough, and then her whole colour changed.
0:26:40 > 0:26:44She started to pink up and at that point,
0:26:44 > 0:26:47there's another sense of relief, so going through panic
0:26:47 > 0:26:50and relief at different levels all the way through, really.
0:27:03 > 0:27:09In my head, I'm thinking, at what point can I relax and be
0:27:09 > 0:27:14in the knowledge that everything is actually going to be OK?
0:27:27 > 0:27:30Later, Emma wins the most punctual baby award,
0:27:30 > 0:27:34as mum Liz relives her daughter's most dramatic birth.
0:27:34 > 0:27:39I was panicked and terrified, just really worried, I suppose,
0:27:39 > 0:27:42about having gone through it, getting into a state of shock,
0:27:42 > 0:27:45I think, that it was all happening and happening so quickly.
0:27:49 > 0:27:52One of the key questions that South Western ambulance call takers
0:27:52 > 0:27:55have to ask is, is the victim conscious?
0:27:55 > 0:27:58Not always easy to ascertain, as Phil can explain.
0:27:58 > 0:28:01Give us an example of a call where that's the case.
0:28:01 > 0:28:05I have the facility to listen to the calls when they're happening live,
0:28:05 > 0:28:10and a couple of the problems we encounter are when the call taker
0:28:10 > 0:28:15is trying to find out whether the patient is actually conscious or not.
0:28:15 > 0:28:20They can have difficulty, because everybody is very gentle
0:28:20 > 0:28:23with their relatives and one particular case I was listening to
0:28:23 > 0:28:29was an elderly couple, and the wife couldn't wake the husband and
0:28:29 > 0:28:32had been trying to do so for an hour, so had called in to say there was
0:28:32 > 0:28:37no response, so everybody thinks that this patient's unconscious.
0:28:37 > 0:28:40We weren't really getting very far,
0:28:40 > 0:28:44and I butted in and said to the lady on the phone,
0:28:44 > 0:28:46"I wouldn't normally say this,
0:28:46 > 0:28:51"but what I need you to do is clench your fist in that sort of shape
0:28:51 > 0:28:56"and rub your knuckles up and down your husband's sternum, breastbone."
0:28:56 > 0:28:58She did that, and I said, "You have to be firm,"
0:28:58 > 0:29:01and he woke up saying, "What are you doing? Get off me."
0:29:01 > 0:29:06So, in fact, he was conscious. So are we always too gentle?
0:29:06 > 0:29:09We have to establish, because time is critical in terms
0:29:09 > 0:29:13of resuscitation, if that person is genuinely unconscious.
0:29:13 > 0:29:14In that sort of situation,
0:29:14 > 0:29:17we need to be very quick and very sure what we're dealing with.
0:29:17 > 0:29:20So just be a little bit more firm, because as you say,
0:29:20 > 0:29:23we do tend to be a bit more gentle with our own friends and relatives.
0:29:23 > 0:29:25But it worked wonders.
0:29:25 > 0:29:27And if you try and do resus on a bed, that's difficult,
0:29:27 > 0:29:29because the body is bouncing up and down.
0:29:29 > 0:29:31Much better to have that person on the floor, but people
0:29:31 > 0:29:34are frightened of hurting them when they pull them off the bed.
0:29:34 > 0:29:39On a similar occasion, we've had people where they don't want
0:29:39 > 0:29:43to tip their relatives out of a chair in case they injure them,
0:29:43 > 0:29:48while it can't get worse than it is, so we would say, tip them out,
0:29:48 > 0:29:50we can deal with the injuries later,
0:29:50 > 0:29:51but we need to get them on a flat surface.
0:29:51 > 0:29:54All right. So be firm if you're trying to help somebody,
0:29:54 > 0:29:56because they need to establish
0:29:56 > 0:29:59whether those people are conscious or capable of consciousness or not.
0:30:06 > 0:30:10It's Saturday morning at Milton Keynes police station.
0:30:10 > 0:30:14PC Neil Stephenson is starting a day shift with PC Claire Green.
0:30:15 > 0:30:19As soon as they head out of the gates details come through of an accident.
0:30:19 > 0:30:24It's in a residential area in a town just a few miles south.
0:30:24 > 0:30:27It's just come in as an injury accident at the moment
0:30:27 > 0:30:29at a junction in Bletchley.
0:30:31 > 0:30:34It doesn't say any more than that at the moment.
0:30:34 > 0:30:37It should be a nice surprise when we get there(!)
0:30:37 > 0:30:40They've got a few miles to cover and some difficult drivers to avoid.
0:30:47 > 0:30:50They arrive in Bletchley and have no problem finding the accident.
0:30:50 > 0:30:55A two-car crunch at a crossroads. An ambulance is already on the scene.
0:30:55 > 0:30:58One of the drivers is being treated inside.
0:30:58 > 0:31:01As PC Green gets all the details from the other driver it's Neil's job
0:31:01 > 0:31:05to clear the road as soon as possible.
0:31:05 > 0:31:06Not a happy car.
0:31:06 > 0:31:08ENGINE SPLUTTERS
0:31:10 > 0:31:13But this car is going to take some coaxing just to get it to the
0:31:13 > 0:31:14side of the road.
0:31:21 > 0:31:24I think it's a write-off anyway. Never mind.
0:31:27 > 0:31:29The second car is not so badly damaged
0:31:29 > 0:31:31and Neil quickly gets it out of the way.
0:31:31 > 0:31:33This is a quick job for the traffic cops.
0:31:33 > 0:31:36Claire has got all the statements she needs.
0:31:36 > 0:31:40PC Stephenson clears up, then the two can get on the road again.
0:31:40 > 0:31:43They're needed back on the M1.
0:31:43 > 0:31:45The details from Control are very sketchy.
0:31:46 > 0:31:49There's a report of somebody at an
0:31:49 > 0:31:52SOS box on the M1 just near Milton Keynes.
0:31:52 > 0:31:58Apparently they have called up asking for help, but there is some
0:31:58 > 0:32:01mention about somebody being deaf as well, so I don't know.
0:32:01 > 0:32:02A bit of confusion.
0:32:04 > 0:32:07They head up the northbound carriageway of the M1.
0:32:07 > 0:32:10Control has reported that the caller was having difficulty making
0:32:10 > 0:32:12themselves understood over the phone.
0:32:14 > 0:32:16The traffic is flowing freely,
0:32:16 > 0:32:19suggesting there is no accident blocking a carriageway.
0:32:19 > 0:32:23As they pass Newport Pagnell Neil spots the stricken motorists
0:32:23 > 0:32:24waving from the hard shoulder.
0:32:24 > 0:32:27Yes, we can see you. Yes.
0:32:27 > 0:32:29Hello.
0:32:29 > 0:32:31Even from a distance the police can see that there is no
0:32:31 > 0:32:33damage to the car's bodywork.
0:32:33 > 0:32:37As they get closer they can tell exactly what's happened.
0:32:38 > 0:32:40It's a blow-out. That's all it is.
0:32:40 > 0:32:42OK.
0:32:44 > 0:32:47Gemma is deaf but can explain to Neil how a passing motorist
0:32:47 > 0:32:52told them they'd had a blow-out. Do you have recovery?
0:32:52 > 0:32:54Her three friends are also deaf
0:32:54 > 0:32:57and getting help over the phone was difficult.
0:33:18 > 0:33:20It's not part of their job but Neil
0:33:20 > 0:33:22and Claire decide to change the punctured tyre
0:33:22 > 0:33:25themselves rather than wait for the breakdown services.
0:33:28 > 0:33:30OK.
0:33:32 > 0:33:34Come on, get those little fingers working!
0:33:37 > 0:33:39The traffic is fast and close.
0:33:39 > 0:33:42This is the quickest way for the police to remove a potential
0:33:42 > 0:33:46distraction hazard and keep the group safe.
0:33:46 > 0:33:48Can you start writing out the bill?
0:33:48 > 0:33:50Sorry? Can you start writing out the bill?
0:33:50 > 0:33:52LAUGHTER
0:33:54 > 0:33:57That should be OK to get you off the motorway.
0:33:57 > 0:33:59Go to a garage for a new tyre.
0:33:59 > 0:34:02This tyre will get them as far as a garage where
0:34:02 > 0:34:03they can buy a replacement.
0:34:03 > 0:34:06Go to Northampton to buy a new tyre.
0:34:08 > 0:34:12The job is done and after some profuse thanks the friends
0:34:12 > 0:34:13can get on their way.
0:34:31 > 0:34:34Emergency care practitioner Andy Rudge is responding to
0:34:34 > 0:34:38a call from sheltered accommodation on the south coast.
0:34:39 > 0:34:42I'm off to see a 72-year-old gentleman who's had a bin
0:34:42 > 0:34:46fall on his head and has got a cut or a wound to his head.
0:34:46 > 0:34:49He arrives to find a responder from the fire service is
0:34:49 > 0:34:50already on scene.
0:34:52 > 0:34:54Andy's specialist training means he can stitch and
0:34:54 > 0:34:57dress difficult wounds at the patient's home.
0:35:00 > 0:35:03Upstairs he meets manager Elaine, who is with the injured man
0:35:03 > 0:35:06and can explain how the unusual accident happened.
0:35:06 > 0:35:08Robert was looking in a bin
0:35:08 > 0:35:11and the bin lid fell down on top of his head. Bang.
0:35:11 > 0:35:14Because it was up against a wall,
0:35:14 > 0:35:18and a stupid idiot, I didn't make sure the lid was well
0:35:18 > 0:35:21back before I tried to get this thing out of the bin.
0:35:21 > 0:35:25Unfortunately the metal catch came down on top of my head.
0:35:25 > 0:35:28The actual metal catch.
0:35:28 > 0:35:30If the plastic had hit me I would have been all right.
0:35:30 > 0:35:33You put the lid up and it's just come down and hit you on the head?
0:35:33 > 0:35:36Elaine's first thought was to stop the bleeding.
0:35:36 > 0:35:40We put him in the chair and got a compress and held on to
0:35:40 > 0:35:44it for half an hour until this young man turned up and took over.
0:35:44 > 0:35:49Sean, the fire co-responder, brings Andy up to speed on the injury.
0:35:49 > 0:35:53It wasn't bleeding when I arrived. I've taken it off to have a look and it seems to be fine.
0:35:53 > 0:35:56Other than that I've brought some medication for his heart.
0:35:56 > 0:35:59He's got a regular heartbeat. The heart's a bit quick. 104.
0:35:59 > 0:36:03He's on aspirin. Any allergies? Any allergies, Robert?
0:36:03 > 0:36:05Are you allergic to any medication? Yes, penicillin.
0:36:05 > 0:36:06OK.
0:36:06 > 0:36:08Before Robert's cut is attended to
0:36:08 > 0:36:12Andy needs to check nothing else more serious is going on.
0:36:12 > 0:36:14First step is taking his blood pressure.
0:36:14 > 0:36:16That's all fine.
0:36:18 > 0:36:20I'm just going to have a quick feel down your neck.
0:36:22 > 0:36:24No pain? No.
0:36:24 > 0:36:27I can't really see the cut on your head at the moment,
0:36:27 > 0:36:30so I'm going to give it a good old clean. Yes.
0:36:30 > 0:36:32And hopefully we should be able to sort you out here.
0:36:32 > 0:36:35I expect it's a job to see it with all that hair up there.
0:36:35 > 0:36:38Yes, you've got a bit more than me, but...
0:36:38 > 0:36:40Thank God I didn't have a haircut.
0:36:40 > 0:36:43No, you've got a nice pink tint at the moment.
0:36:43 > 0:36:46It's just some cold water, all right? Yes, right-oh.
0:36:46 > 0:36:50You know, it might be a little uncomfortable but we need to
0:36:50 > 0:36:52just make sure we see this cut.
0:36:52 > 0:36:54It came down with such a bang.
0:36:54 > 0:36:58Now the wound is cleaned Andy can get a good look at the cut.
0:36:58 > 0:37:01It's only a small cut. Just to let you know.
0:37:01 > 0:37:05I had visions of my whole head being split open.
0:37:05 > 0:37:07The amount of blood that comes out of your head... Yes.
0:37:07 > 0:37:10Your head does bleed a lot. When I saw all the blood...
0:37:10 > 0:37:12Heads bleed well.
0:37:14 > 0:37:17All I'm going to do is put on what we say is some medical glue.
0:37:17 > 0:37:20You won't need any stitches or staples or anything.
0:37:20 > 0:37:23Sometimes it stings a bit, all right? Yes. Right-oh. Carry on.
0:37:23 > 0:37:26But it wears off quite quickly. Like I say, it is only a small wound.
0:37:26 > 0:37:29As promised, the glue stings.
0:37:29 > 0:37:30ROBERT GASPS
0:37:30 > 0:37:32But not for long.
0:37:32 > 0:37:36Just like that. All done.
0:37:36 > 0:37:41Now Robert's head wound is repaired Andy conducts a few standard tests.
0:37:43 > 0:37:46I'm going to whisper something in your ear. Yes.
0:37:46 > 0:37:48I just want you to repeat it after me. Is that all right? Yes.
0:37:48 > 0:37:50Bit of a test.
0:37:50 > 0:37:52(Cornflakes.) Cornflakes.
0:37:52 > 0:37:54Chewing motion. Like chewing gum.
0:37:54 > 0:37:56Stick your tongue out.
0:37:56 > 0:38:00(Rice crispies.) Rice crispies. Top man.
0:38:00 > 0:38:03I'm going to touch your face. I want you to touch where I touch.
0:38:03 > 0:38:05Shrug your shoulders.
0:38:06 > 0:38:08That's all fine.
0:38:08 > 0:38:11And Andy has another piece of good news for Robert.
0:38:11 > 0:38:12Your blood pressure is good.
0:38:12 > 0:38:15You have got blood pressure of someone half your age.
0:38:15 > 0:38:16After a little bit of advice
0:38:16 > 0:38:19and a present of some bedtime reading
0:38:19 > 0:38:21Andy is ready for his next call.
0:38:21 > 0:38:24Take care, Robert. Thank you. No problem.
0:38:24 > 0:38:27'Hit on the head. He had a cut. It needed closing.'
0:38:27 > 0:38:31I was able to do that. Saved him a trip to hospital.
0:38:31 > 0:38:34So that was a good job and he was a nice chap.
0:38:34 > 0:38:36And he's got someone to look after him which is the main thing.
0:38:39 > 0:38:40I'm happy.
0:38:43 > 0:38:45You're going to start feeling a bit funny.
0:38:45 > 0:38:47Susan, the patient whose dislocated kneecap was put
0:38:47 > 0:38:52back in place by an emergency medical team in an ambulance,
0:38:52 > 0:38:53stayed in hospital overnight.
0:38:53 > 0:38:57She was sent home and six weeks later underwent surgery to
0:38:57 > 0:38:59stabilise her knee.
0:38:59 > 0:39:01After convalescing at home for several weeks
0:39:01 > 0:39:03she made a good recovery.
0:39:07 > 0:39:10Police completed their investigation into the M1 crash.
0:39:10 > 0:39:14They concluded the driver pulled out in front of the family car.
0:39:14 > 0:39:17It's not the first time they've encountered foreign lorries
0:39:17 > 0:39:20getting caught up in these kind of accidents.
0:39:20 > 0:39:22It is a very common occurrence,
0:39:22 > 0:39:24specifically on dual carriageways, motorways,
0:39:24 > 0:39:28because of the left-hand-drive factor of the lorries.
0:39:28 > 0:39:32With that being the case it creates a big blind spot
0:39:32 > 0:39:34'which will be into the middle
0:39:34 > 0:39:37'lane of the motorway or the outside lane of the dual carriageway.
0:39:37 > 0:39:42'And if a car is up alongside the lorry then the lorry driver just
0:39:42 > 0:39:44'cannot see because of this blind spot.
0:39:44 > 0:39:46'So it pulls out thinking the way is clear
0:39:46 > 0:39:49'and unfortunately ends up sideswiping the car.'
0:39:49 > 0:39:52The police decided not to prosecute as this time the family
0:39:52 > 0:39:54escaped shaken but unhurt.
0:39:54 > 0:39:57They are hoping left-hand-drivers will become more
0:39:57 > 0:39:58aware of the dangers.
0:39:58 > 0:40:00All right.
0:40:00 > 0:40:04There was a scheme that had been set up at ports around the country where
0:40:04 > 0:40:08they were issuing special mirrors to add on to the sides of the lorries,
0:40:08 > 0:40:12to the mirrors they've already got, which helps out with the blind spot,
0:40:12 > 0:40:17hopefully making it easier for the drivers to see the vehicles
0:40:17 > 0:40:18that are down in their blind spot.
0:40:18 > 0:40:20I believe that scheme is still going,
0:40:20 > 0:40:22but it's just trying to raise awareness to the foreign
0:40:22 > 0:40:27lorry drivers so that they think twice, have a look,
0:40:27 > 0:40:30'double look again and make sure everything's clear before they pull out.'
0:40:34 > 0:40:38The baby delivered by her dad in the family's downstairs loo is thriving.
0:40:38 > 0:40:40Emma is now two months old
0:40:40 > 0:40:43and none the worse for her speedy entry into the world.
0:40:45 > 0:40:49Emma arrived six minutes after dad Simon called 999
0:40:49 > 0:40:53and less than half an hour after Liz texted her husband for help.
0:40:55 > 0:40:57Dad Simon wasn't expecting to be quite
0:40:57 > 0:41:00so hands-on at the birth of his second child, but with
0:41:00 > 0:41:05the help of call handler Felicity he acquitted himself perfectly.
0:41:05 > 0:41:08'Simon is fairly laid-back, generally horizontal,
0:41:08 > 0:41:12'and able to follow instruction. Cool, calm.'
0:41:12 > 0:41:16So he responded to this in exactly the way
0:41:16 > 0:41:18I would have expected him to, I suppose.
0:41:18 > 0:41:20And I'm very grateful that he did.
0:41:21 > 0:41:25But Liz didn't fully relax until the paramedic arrived
0:41:25 > 0:41:27moments after baby Emma's arrival.
0:41:27 > 0:41:30'In my mind it was still panic mode.
0:41:30 > 0:41:32'Are we safe? Is everything OK here?
0:41:32 > 0:41:35'He definitely had that kind of aura about him'
0:41:35 > 0:41:39that this was a good situation.
0:41:39 > 0:41:42"You've got a baby. Well done."
0:41:42 > 0:41:46It's rare for call handlers to remember every detail of the emergencies
0:41:46 > 0:41:50they deal with, but this one has stayed in Felicity's memory.
0:41:50 > 0:41:52'You don't deliver that many babies.'
0:41:52 > 0:41:54They don't always arrive that quickly
0:41:54 > 0:41:57so although you might be on the phone during the labour,
0:41:57 > 0:41:58you don't actually deliver that many,
0:41:58 > 0:42:00because normally the crew get there in time.
0:42:00 > 0:42:02So you do normally remember those.
0:42:02 > 0:42:05Simon will certainly remember the delivery,
0:42:05 > 0:42:07especially that first sound from baby Emma.
0:42:07 > 0:42:11'It wasn't the biggest wail but it was enough to make us'
0:42:11 > 0:42:14realise that she was breathing and she was OK.
0:42:14 > 0:42:18We still needed the reassurance of a paramedic to tell us that everything
0:42:18 > 0:42:25was actually 100% OK and everything was working in good order.
0:42:25 > 0:42:27With more checks from the midwife,
0:42:27 > 0:42:31Liz and Simon's house was a hive of activity for a few hours.
0:42:31 > 0:42:34'I think it was about 8pm'
0:42:34 > 0:42:36that they had all left us
0:42:36 > 0:42:39and we're sat down with a newborn baby in the lounge sleeping
0:42:39 > 0:42:45and we're tucking into our evening meal and it's just surreal, very surreal.
0:42:49 > 0:42:52Regarding our birth in the downstairs toilet earlier in the programme,
0:42:52 > 0:42:55I've always been an advocate of DIY around the home.
0:42:55 > 0:42:58But I have to say there are certain things that you shouldn't try
0:42:58 > 0:43:01and take on yourself, and delivering a baby is one of them.
0:43:01 > 0:43:02Leave it to the professionals if you can.
0:43:02 > 0:43:05That's it for today's Real Rescues. See you next time.
0:43:22 > 0:43:25Subtitles by Red Bee Media Ltd
0:43:40 > 0:43:41It's not about beating the clock...
0:43:42 > 0:43:44..it's not about decorating rooms...
0:43:44 > 0:43:45It's going to blow their mind.