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1
00:00:02,810 --> 00:00:04,410
Hello, A&E resus.
2
00:00:04,410 --> 00:00:08,370
After dark, and while most of
us sleep,
3
00:00:08,370 --> 00:00:11,490
A&E departments across the UK work
through the night.
4
00:00:11,490 --> 00:00:13,090
Jack, do you know where you are?
5
00:00:14,250 --> 00:00:15,290
Well, we hope not.
6
00:00:15,290 --> 00:00:17,730
With unprecedented access to the
night shift
7
00:00:17,730 --> 00:00:20,490
of one of Britain's major
trauma centres...
8
00:00:20,490 --> 00:00:22,890
SHE MOANS
It hurts!
9
00:00:22,890 --> 00:00:25,610
..this series reveals a
working environment
10
00:00:25,610 --> 00:00:28,290
that's not for the faint-hearted.
11
00:00:28,290 --> 00:00:29,970
What are you doing? You idiot!
12
00:00:29,970 --> 00:00:33,650
The night shift can be a war zone
that you have to survive.
13
00:00:33,650 --> 00:00:36,730
Ow! Get off!
14
00:00:36,730 --> 00:00:40,970
Occasionally, our department looks
like a police station.
15
00:00:40,970 --> 00:00:44,290
They deserve a medal - what these
people have to put up with.
16
00:00:44,290 --> 00:00:47,850
And, at night, road traffic
collisions are more serious.
17
00:00:47,850 --> 00:00:50,210
I think you got hit by a motorbike,
do you remember that?
18
00:00:50,210 --> 00:00:51,330
No.
19
00:00:51,330 --> 00:00:52,530
And both drug...
20
00:00:52,530 --> 00:00:53,810
Can you open your eyes for me?
21
00:00:53,810 --> 00:00:56,610
..and alcohol-related
admissions increase.
22
00:00:56,610 --> 00:00:57,850
You rascal, you.
23
00:00:59,330 --> 00:01:02,850
We follow the incredible staff of
Hull Royal Infirmary.
24
00:01:02,850 --> 00:01:04,410
He's dancing in there.
25
00:01:04,410 --> 00:01:06,690
Morning, sir. Welcome to Hull.
26
00:01:06,690 --> 00:01:08,850
It's a job like no other.
27
00:01:08,850 --> 00:01:10,330
Things affect you more on a night.
28
00:01:10,330 --> 00:01:11,490
The job gets to you...
29
00:01:13,410 --> 00:01:14,770
..but it's because you care.
30
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Hello.
31
00:01:33,890 --> 00:01:35,370
I'll just go and put me coat away.
32
00:01:35,370 --> 00:01:36,930
It's the start of the night shift
33
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and the emergency department is
already full.
34
00:01:41,010 --> 00:01:42,970
So, let's start with room eight.
35
00:01:42,970 --> 00:01:44,170
The OPD.
36
00:01:44,170 --> 00:01:46,490
She's using a six recent,
chest infection,
37
00:01:46,490 --> 00:01:48,090
she's really working quite hard.
38
00:01:48,090 --> 00:01:50,610
Right, room ten has just been
picked up.
39
00:01:50,610 --> 00:01:53,210
Just to let you know, he's going
to ICU.
40
00:01:54,450 --> 00:01:55,490
OK, thank you.
41
00:01:55,490 --> 00:01:57,170
HE YAWNS
42
00:01:57,170 --> 00:02:01,410
I've been working all day,
ten hours, then end up here.
43
00:02:01,410 --> 00:02:04,290
We have 36 people waiting
to be seen.
44
00:02:04,290 --> 00:02:06,970
Please would you consider seeing
your own GP tomorrow,
45
00:02:06,970 --> 00:02:08,610
if you think it can wait?
46
00:02:10,130 --> 00:02:14,130
It's just, to be seen,
you've got to wait.
47
00:02:14,130 --> 00:02:16,330
Can't do anything else.
48
00:02:18,930 --> 00:02:21,850
But not everyone is happy to wait.
49
00:02:21,850 --> 00:02:24,170
You haven't got a caring bone in
your body.
50
00:02:24,170 --> 00:02:26,610
You're being rude and nasty to your
BLEEP patients.
51
00:02:26,610 --> 00:02:27,850
Just calm down. Calm down.
52
00:02:27,850 --> 00:02:29,010
No, she's being rude.
53
00:02:29,010 --> 00:02:30,330
Let's see what's going on.
54
00:02:30,330 --> 00:02:31,770
Come out here.
55
00:02:31,770 --> 00:02:34,290
It's your hospital,
you don't care about me.
56
00:02:34,290 --> 00:02:36,090
Come on, this way.
57
00:02:36,090 --> 00:02:37,450
What's going on?
58
00:02:37,450 --> 00:02:41,050
I was in a room, I didn't like it,
59
00:02:41,050 --> 00:02:43,290
so I walked away.
60
00:02:43,290 --> 00:02:45,130
Five minutes, I calmed down,
61
00:02:45,130 --> 00:02:49,010
I've come back down, asked her
where, which room I was in,
62
00:02:49,010 --> 00:02:50,490
and she's just BLEEP me off.
63
00:02:50,490 --> 00:02:51,770
Are you still booked in there?
64
00:02:51,770 --> 00:02:52,850
Yeah. What's your name?
65
00:02:52,850 --> 00:02:53,890
Jamie McAllister.
66
00:02:53,890 --> 00:02:55,610
Right, do you want to just
stay here?
67
00:02:55,610 --> 00:02:57,770
Just stay with these chaps here...
68
00:02:57,770 --> 00:03:00,410
Oh, no, no, no. BLEEP off.
69
00:03:02,130 --> 00:03:03,570
I'd rather die.
70
00:03:09,170 --> 00:03:11,170
Are you OK, Debbie?
71
00:03:11,170 --> 00:03:13,330
You know, it's unbelievable.
72
00:03:13,330 --> 00:03:16,610
I've had 15 incidents in one
night where security
73
00:03:16,610 --> 00:03:20,650
have had to come and help us and
deal with that.
74
00:03:20,650 --> 00:03:23,810
And it's not, you don't want to come
to work for that.
75
00:03:25,330 --> 00:03:29,570
It's not only walk-in emergencies
the team are treating.
76
00:03:29,570 --> 00:03:32,730
Ambulances rush in a stream
of critically injured patients
77
00:03:32,730 --> 00:03:34,130
late into the night.
78
00:03:35,850 --> 00:03:37,170
PHONE RINGS
79
00:03:40,370 --> 00:03:42,410
Hello, A&E resus.
80
00:03:42,410 --> 00:03:44,650
OK, what do you mean by head injury?
81
00:03:44,650 --> 00:03:48,050
Yep, does he maintain his blood
pressure at that?
82
00:03:48,050 --> 00:03:51,370
An 18-year-old male is on his way
in with paramedics
83
00:03:51,370 --> 00:03:54,010
after a serious moped accident.
84
00:03:54,010 --> 00:03:55,970
Let's keep the trauma board ready.
85
00:03:55,970 --> 00:03:59,410
I'll see what the patients like
and I'll hand over to you. Cool.
86
00:03:59,410 --> 00:04:02,650
Dr Jeremy Osman is in charge of
prepping the trauma team.
87
00:04:02,650 --> 00:04:05,850
A lot of things need to be done in a
short space of time,
88
00:04:05,850 --> 00:04:08,290
so somebody needs to do an
initial assessment.
89
00:04:08,290 --> 00:04:11,770
You can allocate tasks to people who
can perform those tasks
90
00:04:11,770 --> 00:04:13,290
as quickly as possible.
91
00:04:14,290 --> 00:04:16,690
Kid on a motorbike, fell off there,
92
00:04:16,690 --> 00:04:17,890
sort of imminent.
93
00:04:19,210 --> 00:04:21,490
About two minutes away, guys.
94
00:04:21,490 --> 00:04:23,770
The first few minutes when
the patient arrives
95
00:04:23,770 --> 00:04:26,010
is of crucial importance.
96
00:04:26,010 --> 00:04:30,010
The time that we can do the
assessment of the patient,
97
00:04:30,010 --> 00:04:31,970
the quicker, the better, you know,
98
00:04:31,970 --> 00:04:34,170
very important in
decreasing mortality.
99
00:04:37,050 --> 00:04:40,890
Right, guys, this is Jack,
rider on a motorcycle.
100
00:04:40,890 --> 00:04:43,770
We don't know what speed
and he did have a helmet on,
101
00:04:43,770 --> 00:04:46,170
but that was removed before we got
to him.
102
00:04:46,170 --> 00:04:50,210
Right, bilaterally, his arms are
open on the elbows, both sides.
103
00:04:50,210 --> 00:04:53,170
So, he has had clamycin and five
of morphine.
104
00:04:53,170 --> 00:04:54,290
He is quite nauseous.
105
00:04:54,290 --> 00:04:57,090
He's got some bruising coming out
on his chest at this moment in time,
106
00:04:57,090 --> 00:04:58,530
but everything else is stable.
107
00:04:58,530 --> 00:05:00,770
Jack, try and keep these legs
straight for us
108
00:05:00,770 --> 00:05:03,330
cos we're just going to
lift you onto the bed, mate.
109
00:05:03,330 --> 00:05:04,650
Ready, steady, go.
110
00:05:04,650 --> 00:05:06,450
Well done, well done.
111
00:05:06,450 --> 00:05:09,690
Jack, do you know where you are?
112
00:05:09,690 --> 00:05:11,890
You're in hospital.
113
00:05:11,890 --> 00:05:13,130
He looks awfully white.
114
00:05:13,130 --> 00:05:15,610
He does. He's very cold as well.
115
00:05:18,210 --> 00:05:20,930
Pupil size three,
bilaterally reactive.
116
00:05:20,930 --> 00:05:24,810
Having been thrown a considerable
distance from the moped,
117
00:05:24,810 --> 00:05:28,330
doctors are concerned Jack may have
sustained a brain injury
118
00:05:28,330 --> 00:05:30,650
and internal bleeding.
119
00:05:30,650 --> 00:05:35,730
So, some abrasions over his upper
abdomen and chest.
120
00:05:35,730 --> 00:05:38,370
How is your pain at the moment?
121
00:05:38,370 --> 00:05:39,930
Sorry?
122
00:05:39,930 --> 00:05:41,050
You feel sick?
123
00:05:41,050 --> 00:05:43,210
Yeah.
124
00:05:43,210 --> 00:05:44,570
Andy?
125
00:05:44,570 --> 00:05:47,010
Put a cannula in his foot.
126
00:05:48,090 --> 00:05:52,290
Sats 100, pulse rate of 96.
127
00:05:52,290 --> 00:05:55,930
We're going to give your arm a real
good wash, all right?
128
00:05:55,930 --> 00:05:58,850
The exposed bone and shoulder
must be secured by the orthopaedic
129
00:05:58,850 --> 00:06:02,370
surgeon to avoid infection before
lead consultant,
130
00:06:02,370 --> 00:06:06,090
Dr Osman, can assess any
internal damage.
131
00:06:06,090 --> 00:06:09,370
As quick as you can for that and
then we'll do a scan.
132
00:06:09,370 --> 00:06:11,410
How are you doing there? All right?
133
00:06:15,610 --> 00:06:18,330
HE MOANS IN PAIN
134
00:06:18,330 --> 00:06:21,170
That's it, well done.
135
00:06:21,170 --> 00:06:22,610
All right, darling.
136
00:06:23,890 --> 00:06:25,650
Brilliant, well done.
137
00:06:25,650 --> 00:06:27,090
Well done, that's it. What a star.
138
00:06:27,090 --> 00:06:28,290
That's it, you've done it.
139
00:06:28,290 --> 00:06:29,410
Hey.
140
00:06:29,410 --> 00:06:30,730
Yeah, well done.
141
00:06:30,730 --> 00:06:33,650
When he's secured, you're fine to
go. Yep? Yep.
142
00:06:33,650 --> 00:06:37,610
An emergency CT scan is organised to
help doctors determine
143
00:06:37,610 --> 00:06:41,850
the severity of his brain,
chest and spinal injuries.
144
00:06:41,850 --> 00:06:47,930
Jack, we just need to get you from
this table onto the bed.
145
00:06:47,930 --> 00:06:49,690
No, no, no, no.
146
00:06:49,690 --> 00:06:51,090
What do you want to wait for?
147
00:06:52,890 --> 00:06:54,410
OK, we'll go on three.
148
00:06:54,410 --> 00:06:55,930
One, two, three.
149
00:06:58,330 --> 00:06:59,810
No!
150
00:06:59,810 --> 00:07:01,210
No, that hurts.
151
00:07:01,210 --> 00:07:02,810
I know, I'm sorry, Jack.
152
00:07:02,810 --> 00:07:07,050
CT is the only way that we can
identify internal bleeding.
153
00:07:07,050 --> 00:07:11,930
It's very easy to bleed to death
into your chest,
154
00:07:11,930 --> 00:07:14,850
into your abdomen, into your pelvis.
155
00:07:14,850 --> 00:07:17,890
It does directly relate to how
likely there are to survive,
156
00:07:17,890 --> 00:07:19,410
if they are severely injured.
157
00:07:22,570 --> 00:07:24,130
Well, we hope not cos you're here.
158
00:07:24,130 --> 00:07:26,890
But it is a serious injury...
159
00:07:28,130 --> 00:07:30,370
..and we'll do everything we can to
make you OK.
160
00:07:40,770 --> 00:07:41,930
They don't need to be on.
161
00:07:43,410 --> 00:07:47,130
I'm not going to hurt anybody.
162
00:07:47,130 --> 00:07:50,450
Deep breaths, doctors are going to
help you.
163
00:07:53,090 --> 00:07:54,810
She's been out drinking, yep.
164
00:07:54,810 --> 00:07:56,850
Been involved in some sort
of altercation?
165
00:07:56,850 --> 00:07:59,810
Altercation, yep. Erm...
166
00:07:59,810 --> 00:08:01,850
PHONE RINGS
167
00:08:01,850 --> 00:08:03,290
Hello, A&E majors.
168
00:08:06,330 --> 00:08:08,730
Don't let...! Tell him!
169
00:08:08,730 --> 00:08:10,610
Don't BLEEP touch me!
170
00:08:10,610 --> 00:08:12,250
Don't touch me!
171
00:08:19,890 --> 00:08:21,290
Hello?
172
00:08:21,290 --> 00:08:22,730
In hospital.
173
00:08:26,890 --> 00:08:29,650
I'm not coming to Hull right now,
you know?
174
00:08:29,650 --> 00:08:31,090
I'm not coming.
175
00:08:31,090 --> 00:08:32,490
My mum.
176
00:08:32,490 --> 00:08:35,930
She's like, "You best be all right."
I was like "Mum, I'm fine."
177
00:08:35,930 --> 00:08:38,290
21-year-old student Kevin
178
00:08:38,290 --> 00:08:42,650
is awaiting X-ray results after
injuring his leg.
179
00:08:42,650 --> 00:08:46,250
I was getting chased by a dog around
the house.
180
00:08:46,250 --> 00:08:48,130
A Chihuahua.
181
00:08:50,450 --> 00:08:55,930
This dog is like, imagine, like,
a rottweiler
182
00:08:55,930 --> 00:08:59,730
and I went to leap over a sofa, but
the end of the sofa's,
183
00:08:59,730 --> 00:09:01,930
like, came apart and I just went
with it.
184
00:09:01,930 --> 00:09:03,810
I don't know what I've done to it,
to be honest.
185
00:09:03,810 --> 00:09:06,770
Kevin, yeah? Right, I'm going to
push you in this way.
186
00:09:06,770 --> 00:09:07,850
You can leave that there.
187
00:09:07,850 --> 00:09:10,370
Sweetheart, how tall, are you?
6'3. Wow.
188
00:09:11,890 --> 00:09:14,690
OK, so I'm going to show you
your X-ray.
189
00:09:14,690 --> 00:09:17,170
So this is looking directly at
your ankle,
190
00:09:17,170 --> 00:09:19,850
so this side is where
you're painful.
191
00:09:19,850 --> 00:09:21,170
I don't know if you can see it.
192
00:09:21,170 --> 00:09:22,690
Hairline fracture.
193
00:09:22,690 --> 00:09:25,970
But it's not a hairline fracture,
it's, you've broken it.
194
00:09:25,970 --> 00:09:27,610
Yeah.
195
00:09:27,610 --> 00:09:30,410
So...don't blame the Chihuahua.
196
00:09:30,410 --> 00:09:31,770
No. I knew it, I felt it.
197
00:09:31,770 --> 00:09:33,050
Did you? Yeah.
198
00:09:33,050 --> 00:09:36,370
Absolutely, and I even said,
like, "There's a dent in my foot."
199
00:09:36,370 --> 00:09:37,850
A dent? Yeah.
200
00:09:37,850 --> 00:09:40,450
So, what were going to do is
we're going to put a cast on.
201
00:09:40,450 --> 00:09:41,930
Not what you wanted to hear, is it?
202
00:09:41,930 --> 00:09:44,090
Oh, my gosh, man.
203
00:09:44,090 --> 00:09:46,290
Right, I'll go and see if the
potting shed's empty
204
00:09:46,290 --> 00:09:48,450
and we'll crack on. Pardon the pun.
205
00:09:50,410 --> 00:09:51,930
You can cry on my shoulder, Kevin.
206
00:09:51,930 --> 00:09:54,170
So, I'll take you down, show you
where you need to be.
207
00:09:54,170 --> 00:09:55,890
Does this thing not, like,
go forward.
208
00:09:55,890 --> 00:09:56,930
Is what?
209
00:09:56,930 --> 00:09:58,050
Why does it not go forward?
210
00:09:58,050 --> 00:09:59,490
You tend to walk backwards with it.
211
00:09:59,490 --> 00:10:01,690
I don't understand the technology
behind this.
212
00:10:01,690 --> 00:10:03,650
I don't think there's much
technology in it.
213
00:10:03,650 --> 00:10:04,890
I honestly don't get it.
214
00:10:12,410 --> 00:10:15,610
Just pop your right arm back onto
your chest, darling.
215
00:10:15,610 --> 00:10:17,610
Just pick it up off the inside.
216
00:10:17,610 --> 00:10:21,530
18-year-old Jack is having an
emergency CT scan to check for
217
00:10:21,530 --> 00:10:25,850
life-threatening injuries after he
crashed a moped.
218
00:10:25,850 --> 00:10:28,410
Please breathe in and hold
your breath.
219
00:10:38,250 --> 00:10:39,530
Start breathing again.
220
00:10:41,050 --> 00:10:45,290
Dr Osman and the radiography
team are looking for organ damage
221
00:10:45,290 --> 00:10:46,410
and internal bleeding.
222
00:10:47,570 --> 00:10:49,810
The left side arterial chest injury.
223
00:10:49,810 --> 00:10:52,610
It's sort of from about here down.
224
00:10:52,610 --> 00:10:55,890
The results show that Jack has a
lacerated spleen and liver,
225
00:10:55,890 --> 00:10:58,130
with extensive internal bleeding.
226
00:11:08,730 --> 00:11:11,010
We're going to get you some more
painkillers soon,
227
00:11:11,010 --> 00:11:13,650
Jack, and then we'll tell you what
you've done to yourself. OK?
228
00:11:13,650 --> 00:11:14,890
Can I have a drink?
229
00:11:14,890 --> 00:11:18,170
No, you can't have a drink cos you
might need an operation, my friend.
230
00:11:18,170 --> 00:11:23,130
There's a great big organ in your
body called your liver
231
00:11:23,130 --> 00:11:27,090
and you've got a tear in it from
where you banged yourself,
232
00:11:27,090 --> 00:11:28,970
and that's bleeding into your tummy.
233
00:11:31,650 --> 00:11:34,610
So, we need the surgeons to decide
whether he needs an operation,
234
00:11:34,610 --> 00:11:38,130
whether he needs something else to
try and stop the bleeding.
235
00:11:44,730 --> 00:11:47,770
So, I'm going to make some more
rice crispy buns.
236
00:11:47,770 --> 00:11:49,050
This was my cake.
237
00:11:49,050 --> 00:11:50,170
Oh, nice.
238
00:11:50,170 --> 00:11:51,850
Mary Berry eat your heart out.
239
00:11:51,850 --> 00:11:54,290
I know, get yourself on Bake Off.
240
00:11:54,290 --> 00:11:56,250
Karen, are you free to help me
do a pot?
241
00:11:56,250 --> 00:11:57,450
Yeah, yeah.
242
00:11:58,970 --> 00:12:00,770
Do you mean my whole leg?
243
00:12:00,770 --> 00:12:02,650
Up to your knee.
244
00:12:02,650 --> 00:12:05,130
HE LAUGHS
245
00:12:05,130 --> 00:12:06,850
You're joking, right?
246
00:12:06,850 --> 00:12:08,130
Be like from there.
247
00:12:08,130 --> 00:12:11,610
Medical student Kevin
has broken his ankle bone.
248
00:12:11,610 --> 00:12:13,330
Tell her the story.
249
00:12:13,330 --> 00:12:15,490
I fell off the end of, like, a sofa.
250
00:12:15,490 --> 00:12:16,570
The what?
251
00:12:16,570 --> 00:12:18,730
End of a sofa. Right.
252
00:12:18,730 --> 00:12:20,490
Cos running away from a dog.
253
00:12:20,490 --> 00:12:22,490
You were running away from your dog?
254
00:12:22,490 --> 00:12:23,730
Is it a big dog?
255
00:12:25,530 --> 00:12:26,930
It was a Chihuahua, Karen.
256
00:12:26,930 --> 00:12:28,450
Ah, right.
257
00:12:28,450 --> 00:12:29,850
But it's a vicious one.
258
00:12:29,850 --> 00:12:31,330
Oh, I can tell.
259
00:12:31,330 --> 00:12:34,410
I can tell!
260
00:12:34,410 --> 00:12:36,250
Right, shuffle your bottom back.
261
00:12:36,250 --> 00:12:39,930
Well, this cast that's going on now
is going to be non weight-bearing.
262
00:12:39,930 --> 00:12:41,330
Really?
263
00:12:41,330 --> 00:12:43,930
Yeah, so, until you've been
seen in fracture clinic,
264
00:12:43,930 --> 00:12:46,370
you need to not put any weight
through this cast at all.
265
00:12:46,370 --> 00:12:49,290
It's completely non weight-bearing.
266
00:12:49,290 --> 00:12:50,890
You're looking at me really needy.
267
00:12:50,890 --> 00:12:52,450
I'm going to shed a tear, mate.
268
00:12:52,450 --> 00:12:53,930
We'll let you have a moment.
269
00:12:53,930 --> 00:12:55,930
Do you need to have a moment?
270
00:12:55,930 --> 00:12:57,730
Sorry, love.
271
00:12:57,730 --> 00:12:59,610
Turn you over.
272
00:12:59,610 --> 00:13:00,850
Ah!
273
00:13:02,810 --> 00:13:05,890
Oh, oh, oh, oh, oh!
274
00:13:05,890 --> 00:13:08,530
Argh!
275
00:13:08,530 --> 00:13:10,170
Right, just lower it down for me.
276
00:13:15,490 --> 00:13:17,650
I'll sit you up again now.
277
00:13:17,650 --> 00:13:18,930
That's better, isn't it?
278
00:13:18,930 --> 00:13:19,970
Yeah, yeah.
279
00:13:19,970 --> 00:13:21,170
These are all right.
280
00:13:21,170 --> 00:13:23,650
Right, let me just see this
technique. See how safe you are.
281
00:13:23,650 --> 00:13:26,570
So, you're back and forward
with them. Thank you very much.
282
00:13:26,570 --> 00:13:29,770
See you later.
283
00:13:29,770 --> 00:13:32,170
I can tell you now that if ever
you're going to get someone
284
00:13:32,170 --> 00:13:34,650
that's going to faint on you,
or they are a bit queasy,
285
00:13:34,650 --> 00:13:38,210
or they feel a bit faint, it's
always the 6'3" burly fellas.
286
00:13:41,250 --> 00:13:44,930
I don't think I've ever seen it
so packed.
287
00:13:44,930 --> 00:13:47,290
Was out in town, drank too much,
I reckon.
288
00:13:49,570 --> 00:13:53,410
After being escorted out by security
for swearing at staff,
289
00:13:53,410 --> 00:13:57,970
41-year-old Jimmy has been allowed
back in to have his hand assessed.
290
00:13:57,970 --> 00:14:00,410
It looks like it's stopped bleeding.
291
00:14:00,410 --> 00:14:03,290
Andrew Rennie is the doctor
in charge.
292
00:14:03,290 --> 00:14:05,050
Why, why's it stopped bleeding?
293
00:14:05,050 --> 00:14:07,370
I think you've injured
one of the vessels.
294
00:14:07,370 --> 00:14:08,930
Vessels? Can I get a coffee?
295
00:14:08,930 --> 00:14:11,370
Yeah, how do you take it?
296
00:14:11,370 --> 00:14:13,010
Make sure it's white.
297
00:14:13,010 --> 00:14:16,290
He's convinced it's bleeding
through, I'm not. OK.
298
00:14:16,290 --> 00:14:18,490
I'll go and make him a drink,
keep him happy.
299
00:14:18,490 --> 00:14:20,930
He's quite a character, but nice.
OK.
300
00:14:20,930 --> 00:14:22,210
All right?
301
00:14:22,210 --> 00:14:26,130
At two o'clock last night,
loads of kids come round and started
302
00:14:26,130 --> 00:14:30,050
terrorising me, kicking my tent
and things like that.
303
00:14:30,050 --> 00:14:35,530
I'm sick of being homeless.
I get hit, I get hit every day...
304
00:14:35,530 --> 00:14:37,770
..by somebody.
305
00:14:37,770 --> 00:14:39,290
But, just pure bullies.
306
00:14:40,850 --> 00:14:43,410
And it's shit.
307
00:14:43,410 --> 00:14:47,290
He was initially a little bit
argumentative and a bit upset,
308
00:14:47,290 --> 00:14:50,330
so this seems to have calmed
him down
309
00:14:50,330 --> 00:14:54,730
and, well, it doesn't do any harm
really, just to make him a drink,
310
00:14:54,730 --> 00:14:58,770
keep him calm, while the specialist
then sees him, so win-win.
311
00:15:02,970 --> 00:15:04,490
Right...
312
00:15:04,490 --> 00:15:05,810
Are you James?
313
00:15:05,810 --> 00:15:08,610
I'm Christie, I'm one of the plastic
surgery doctors.
314
00:15:08,610 --> 00:15:10,210
How you doing?
315
00:15:10,210 --> 00:15:11,730
There's your sugar.
316
00:15:11,730 --> 00:15:13,450
So what happened here then?
317
00:15:13,450 --> 00:15:16,330
Broke all me fingers, I've got all
me bones sticking through.
318
00:15:16,330 --> 00:15:17,530
Yep.
319
00:15:17,530 --> 00:15:20,650
Loads of kids and one of them pulled
a blade out, slashed me,
320
00:15:20,650 --> 00:15:23,210
and the other one I had me
hands, like,
321
00:15:23,210 --> 00:15:28,050
cos I was on the floor, he stamped,
stamped on me hand.
322
00:15:28,050 --> 00:15:30,010
Ouch.
323
00:15:30,010 --> 00:15:31,370
OK.
324
00:15:31,370 --> 00:15:32,530
Can you make a fist?
325
00:15:32,530 --> 00:15:33,570
No.
326
00:15:33,570 --> 00:15:34,730
Can you try for me?
327
00:15:34,730 --> 00:15:35,850
No.
328
00:15:35,850 --> 00:15:37,050
It hurts too much.
329
00:15:37,050 --> 00:15:38,250
Just push against my finger.
330
00:15:38,250 --> 00:15:39,890
I can't.
331
00:15:39,890 --> 00:15:45,970
It, it's like, I can't explain
it. Them two fingers are locked.
332
00:15:45,970 --> 00:15:47,410
OK.
333
00:15:47,410 --> 00:15:50,370
What you do have is tendons that
run down your finger
334
00:15:50,370 --> 00:15:53,730
and these are what are responsible
for lifting your fingers up, OK?
335
00:15:53,730 --> 00:15:56,050
Where this cut is and the fact that
you are struggling to
336
00:15:56,050 --> 00:15:59,210
lift your finger up means that you
might have cut a tendon, OK?
337
00:16:02,410 --> 00:16:05,330
So, Jimmy, I think these fingers
have probably been locked
338
00:16:05,330 --> 00:16:08,770
for a little while, I don't think
this is new, OK?
339
00:16:08,770 --> 00:16:11,770
It's something that can be fixed,
but you do need to come back
340
00:16:11,770 --> 00:16:14,730
to see us tomorrow and we can try
and fix it for you tomorrow.
341
00:16:14,730 --> 00:16:17,890
My primary concern is this
wound here, OK?
342
00:16:17,890 --> 00:16:19,850
So, we need to have a proper
look in that
343
00:16:19,850 --> 00:16:22,010
and see exactly what the damage is.
344
00:16:22,010 --> 00:16:24,250
So, what we will do...
345
00:16:24,250 --> 00:16:25,730
Jimmy, are you listening to me?
346
00:16:25,730 --> 00:16:27,170
Yeah?
347
00:16:27,170 --> 00:16:29,770
What we'll do is we'll put
a dressing on this, OK?
348
00:16:29,770 --> 00:16:32,770
Make it nice and clean, and send you
home on some antibiotics
349
00:16:32,770 --> 00:16:35,130
cos this is, this is high risk of
getting infectious.
350
00:16:35,130 --> 00:16:36,450
I haven't got a home.
351
00:16:36,450 --> 00:16:38,090
Where do you normally go back to?
352
00:16:38,090 --> 00:16:40,450
A tent. OK.
353
00:16:40,450 --> 00:16:41,770
Can you go back to there tonight
354
00:16:41,770 --> 00:16:43,650
and come back to see us
tomorrow morning?
355
00:16:43,650 --> 00:16:46,050
No, cos me tent's trashed.
356
00:16:46,050 --> 00:16:48,610
Them kids jumped on the tent
357
00:16:48,610 --> 00:16:51,010
and I don't know if I've got
anywhere to sleep tonight.
358
00:16:51,010 --> 00:16:52,290
All right, fine.
359
00:16:52,290 --> 00:16:55,290
Well, I'll have a chat with the A&E
doctors and see what they say, OK?
360
00:16:55,290 --> 00:16:56,730
The thing is, if you go...
361
00:16:56,730 --> 00:16:58,410
Sleep in a doorway somewhere.
362
00:16:58,410 --> 00:17:00,890
Listen to me, if you go,
you have to come back tomorrow.
363
00:17:00,890 --> 00:17:04,570
Cos if this is damaged and we don't
fix it,
364
00:17:04,570 --> 00:17:07,490
then you will not be able to use
that finger properly again,
365
00:17:07,490 --> 00:17:09,730
all right? So it is important that
you go.
366
00:17:12,970 --> 00:17:15,690
What, what do you think about
getting this guy home?
367
00:17:15,690 --> 00:17:17,170
I mean, I say home.
368
00:17:18,370 --> 00:17:19,570
Oh.
369
00:17:19,570 --> 00:17:21,890
I just don't think he'll come back.
370
00:17:21,890 --> 00:17:23,730
I can't pre-emptively admit him,
371
00:17:23,730 --> 00:17:26,290
thinking that something's going to
go wrong though,
372
00:17:26,290 --> 00:17:28,530
that's the only issue...
No. Can I? OK.
373
00:17:28,530 --> 00:17:30,170
No. So, it means home
with antibiotics.
374
00:17:30,170 --> 00:17:31,570
It means home with antibiotics.
375
00:17:31,570 --> 00:17:34,010
Well, it's stopped bleeding,
so that's the only reason why...
376
00:17:34,010 --> 00:17:36,650
Yeah, well, it's got a great big
clot sitting in there, hasn't it?
377
00:17:36,650 --> 00:17:38,850
Yeah, and it had a pressure
bandage on it earlier.
378
00:17:38,850 --> 00:17:41,290
So if we put that back on and he
elevates it, and he should.
379
00:17:41,290 --> 00:17:42,930
Yeah, yeah.
380
00:17:42,930 --> 00:17:45,090
I'm glad you agree with me then.
381
00:17:45,090 --> 00:17:46,490
Yeah, it's tough.
382
00:17:46,490 --> 00:17:48,690
Yeah, I don't think we have an
option -
383
00:17:48,690 --> 00:17:50,250
other than to send him away.
384
00:17:50,250 --> 00:17:52,010
It's not a hotel, it's a hospital.
385
00:17:52,010 --> 00:17:53,570
And, unfortunately,
386
00:17:53,570 --> 00:17:55,770
if you admit everybody that doesn't
need to be there,
387
00:17:55,770 --> 00:17:59,490
that patient that turns up that is
very sick and does need a bed
388
00:17:59,490 --> 00:18:02,210
immediately won't have those things.
389
00:18:09,930 --> 00:18:11,930
PHONE RINGS
390
00:18:11,930 --> 00:18:15,890
No, no, no. Definitely not.
391
00:18:15,890 --> 00:18:18,290
All right then, thank you.
Bye-bye, bye.
392
00:18:22,170 --> 00:18:24,690
Jack, got your family here for you.
393
00:18:24,690 --> 00:18:28,250
After crashing and being
thrown from a moped, 18-year-old
394
00:18:28,250 --> 00:18:30,410
Jack was rushed into A&E.
395
00:18:30,410 --> 00:18:34,810
His CT scan has revealed a lacerated
liver and internal bleeding.
396
00:18:50,170 --> 00:18:52,730
He's got some blood going into a
drip cos, obviously,
397
00:18:52,730 --> 00:18:54,930
he's bleeding and he's a bit zonked
with the
398
00:18:54,930 --> 00:18:56,610
painkillers we've given him,
but he's OK.
399
00:18:56,610 --> 00:18:58,490
Love ya, love you, darling.
400
00:18:58,490 --> 00:19:00,770
I've got two children who are,
who are both grown up.
401
00:19:00,770 --> 00:19:03,490
Thankfully, neither of them
have been in,
402
00:19:03,490 --> 00:19:05,690
had any life-threatening injuries or
illness.
403
00:19:05,690 --> 00:19:09,090
I can't begin to imagine what the
parents
404
00:19:09,090 --> 00:19:11,810
of unwell children go through.
405
00:19:11,810 --> 00:19:15,610
Dr Osman has consulted with
a specialist about how best to
406
00:19:15,610 --> 00:19:17,770
proceed with treatment.
407
00:19:17,770 --> 00:19:20,290
The surgeons have seen him
and they don't think that the
408
00:19:20,290 --> 00:19:22,930
best thing at the moment is doing
an operation immediately.
409
00:19:22,930 --> 00:19:27,170
But, as I say, we are going to keep
a close eye on him and see.
410
00:19:27,170 --> 00:19:29,930
You are going to go into the
intensive care unit now
411
00:19:29,930 --> 00:19:33,250
and be looked at quite closely and,
if the situation changes,
412
00:19:33,250 --> 00:19:36,130
then he may well need an operation
to stop the bleeding
413
00:19:36,130 --> 00:19:37,610
and...take it from there.
414
00:19:39,370 --> 00:19:42,010
You've got a tube in your bladder,
Jack, so you don't need a wee.
415
00:19:42,010 --> 00:19:44,370
Oh, you're joking? No.
I need a wee, mate.
416
00:19:44,370 --> 00:19:46,130
You don't need a wee cos you've got
a tube
417
00:19:46,130 --> 00:19:47,770
in your bladder that's draining it.
418
00:19:47,770 --> 00:19:49,810
Trust me, I need a wee.
Trust me, I'm a doctor.
419
00:19:55,010 --> 00:19:57,570
What's going on?
It hasn't stopped bleeding.
420
00:19:57,570 --> 00:19:59,850
Well, there's...
Don't worry about the floor.
421
00:19:59,850 --> 00:20:03,370
41-year-old Jimmy has damaged
the tendons in his fingers after
422
00:20:03,370 --> 00:20:06,450
being attacked whilst
sleeping rough.
423
00:20:06,450 --> 00:20:08,050
Jimmy, just leave the floor.
424
00:20:08,050 --> 00:20:10,770
Let me look at your finger?
I can't, I can't.
425
00:20:10,770 --> 00:20:13,330
Plastic specialist, Doctor
Brennen, needs to stop
426
00:20:13,330 --> 00:20:17,570
the bleeding from a deep
cut on Jimmy's finger.
427
00:20:17,570 --> 00:20:19,450
He's starting to bleed again
and what I think
428
00:20:19,450 --> 00:20:21,090
he's doing is dislodging that clot.
429
00:20:21,090 --> 00:20:22,490
Yes, absolutely.
430
00:20:22,490 --> 00:20:24,370
Um, do we have any
chloramphenicol ointment?
431
00:20:24,370 --> 00:20:27,050
And we can put some chloramphenicol
over, then we can do some gauze
432
00:20:27,050 --> 00:20:28,650
and an Adaptec compression dressing.
433
00:20:28,650 --> 00:20:31,770
Ah. Why don't we do that?
That's sometimes why I ask you guys
434
00:20:31,770 --> 00:20:34,210
because you come up with all
these clever things.
435
00:20:34,210 --> 00:20:38,050
Well, when you spend, you know,
16 hours a day in the hospital,
436
00:20:38,050 --> 00:20:41,690
you pick up all these little tips.
437
00:20:41,690 --> 00:20:45,690
All right,
shall we get this finger fixed?
438
00:20:45,690 --> 00:20:47,850
I've lost three pints, easy.
439
00:20:47,850 --> 00:20:50,490
I would be very surprised
if you've lost three pints.
440
00:20:50,490 --> 00:20:54,850
I don't know, dizzy, I'm tired...
441
00:20:54,850 --> 00:20:59,970
..felt really weak and can't do
ought. OK.
442
00:20:59,970 --> 00:21:01,290
And it's cos of that.
443
00:21:01,290 --> 00:21:03,130
Do you think that might have
something to do
444
00:21:03,130 --> 00:21:04,890
with being beaten up,
as well, though?
445
00:21:04,890 --> 00:21:07,330
That won't stop it.
I've done that, I've done that...
446
00:21:07,330 --> 00:21:08,570
I promise you, I'll stop it.
447
00:21:08,570 --> 00:21:12,250
..50 times. I promise you I can stop
it. Right, we'll see.
448
00:21:12,250 --> 00:21:14,730
This is why I'm here.
449
00:21:14,730 --> 00:21:16,570
Great.
450
00:21:17,690 --> 00:21:19,130
What is it?
451
00:21:19,130 --> 00:21:21,010
So this is just a bandage to help...
452
00:21:21,010 --> 00:21:24,210
Soak it up? Yeah, essentially.
453
00:21:24,210 --> 00:21:25,730
Tight as fuck.
454
00:21:25,730 --> 00:21:28,090
It's supposed to be tight to
stop the bleeding.
455
00:21:28,090 --> 00:21:31,090
Hey, stop, stop, stop. It's fine.
456
00:21:31,090 --> 00:21:33,010
HE MOANS IN PAIN
457
00:21:34,530 --> 00:21:36,370
Fuck, fuck, fuck.
458
00:21:36,370 --> 00:21:38,210
Fuck, fuck, fuck, fuck, fuck.
459
00:21:38,210 --> 00:21:40,570
Argh, stop, stop, stop a minute.
460
00:21:40,570 --> 00:21:44,650
Jimmy, keep still, keep still, keep
still.
461
00:21:44,650 --> 00:21:47,090
Jimmy will need to return to
hospital
462
00:21:47,090 --> 00:21:49,450
during the day to fix his tendons.
463
00:21:49,450 --> 00:21:52,050
We'll give you a big
sympathy bandage.
464
00:21:52,050 --> 00:21:53,850
HE LAUGHS
465
00:21:53,850 --> 00:21:57,130
So what time do you need to come
back tomorrow?
466
00:21:57,130 --> 00:22:00,410
I don't know. Between 9-11.
All right.
467
00:22:00,410 --> 00:22:01,570
OK? Yeah.
468
00:22:01,570 --> 00:22:04,170
What time do you need to come back
tomorrow? Between 9-11.
469
00:22:04,170 --> 00:22:06,210
Very good. We'll see you tomorrow,
OK?
470
00:22:06,210 --> 00:22:08,650
What's your name? Christie.
Christie, thank you, darling.
471
00:22:08,650 --> 00:22:10,130
You're welcome. Nice to meet you.
472
00:22:10,130 --> 00:22:14,370
Discharging Jimmy tonight means he
will probably have to sleep rough,
473
00:22:14,370 --> 00:22:17,730
but hospital beds are always
in great demand.
474
00:22:17,730 --> 00:22:20,050
Sometimes the toughest decisions
seem to be the most
475
00:22:20,050 --> 00:22:21,930
simple ones, you know?
476
00:22:21,930 --> 00:22:24,930
Do we send someone home or do
we do we bring them in?
477
00:22:24,930 --> 00:22:27,650
Sometimes why I ask you guys, see,
it's not
478
00:22:27,650 --> 00:22:30,050
so much I think this patient needs
admitting,
479
00:22:30,050 --> 00:22:34,730
it's more I think this
patient needs probably a bit more...
480
00:22:34,730 --> 00:22:37,130
..whatever you want to call it.
481
00:22:37,130 --> 00:22:38,730
A bit of TLC.
482
00:22:38,730 --> 00:22:41,130
I like to think we try.
483
00:22:41,130 --> 00:22:44,170
Jimmy, do you need another
drink before you go?
484
00:22:44,170 --> 00:22:46,770
Yeah, please.
And then you can... Coffee.
485
00:22:46,770 --> 00:22:48,450
Three sugars? Yeah, please.
486
00:22:48,450 --> 00:22:50,930
Nice one, you are a star.
487
00:22:50,930 --> 00:22:54,290
Sometimes, with medicine, it's not
always about being medicine.
488
00:22:54,290 --> 00:22:57,410
It's also about looking after
the person as a whole
489
00:22:57,410 --> 00:22:59,730
and sometimes that involves
making drinks,
490
00:22:59,730 --> 00:23:02,530
looking after
and hearing about their problems.
491
00:23:02,530 --> 00:23:05,050
So, I'll go and give this to Jimmy.
492
00:23:05,050 --> 00:23:06,730
Take care of yourself. Thank you.
493
00:23:06,730 --> 00:23:09,450
Any swelling, anything getting
worse, then come back in and let us
494
00:23:09,450 --> 00:23:10,970
know sooner. Yeah.
495
00:23:10,970 --> 00:23:13,890
All right, you look after yourself.
Thank you.
496
00:23:13,890 --> 00:23:17,410
As Jimmy leaves hospital,
the security team give him
497
00:23:17,410 --> 00:23:19,770
back the alcohol confiscated
earlier in the night.
498
00:23:19,770 --> 00:23:21,290
What are we doing with these?
499
00:23:21,290 --> 00:23:23,770
I'm just taking them
back to the person who has them.
500
00:23:23,770 --> 00:23:29,250
Cos it's his property, so we can't
indefinitely keep them off him.
501
00:23:29,250 --> 00:23:32,010
I'll be in the doorway,
got me sleeping bag.
502
00:23:32,010 --> 00:23:34,650
I'll be in a doorway,
I'll be happy enough.
503
00:23:36,770 --> 00:23:38,770
It is 1:51.
504
00:23:40,890 --> 00:23:46,090
Right then, Jimmy, keep yourself
safe, mate, all right?
505
00:23:46,090 --> 00:23:48,570
I'm unsure where he's off
to now.
506
00:23:50,290 --> 00:23:52,690
It's awkward cos you do want to
let them stay, but,
507
00:23:52,690 --> 00:23:55,850
at the same time, if you let one
stay, you have to let them all stay.
508
00:23:55,850 --> 00:23:58,810
See you later. See you later, Jimmy.
See you in a bit.
509
00:24:08,530 --> 00:24:11,290
You seem to be losing quite
a bit of blood.
510
00:24:13,570 --> 00:24:16,890
Hull Royal ED Resus. GCS.
511
00:24:18,130 --> 00:24:20,970
Is it an open fracture or a closed?
512
00:24:20,970 --> 00:24:23,490
And how long are you going to be?
513
00:24:23,490 --> 00:24:25,450
OK, thank you so much. Bye-bye.
514
00:24:27,850 --> 00:24:30,010
Five, ten minutes.
515
00:24:37,010 --> 00:24:41,610
Paramedics are rushing a 76-year-old
lady into resus after a nasty
516
00:24:41,610 --> 00:24:42,650
fall in her home.
517
00:24:44,170 --> 00:24:47,090
She's accompanied by two of her
daughters.
518
00:24:48,370 --> 00:24:50,890
So, there's just a few things
going on, Margaret,
519
00:24:50,890 --> 00:24:53,050
so you'll feel lots of hands.
520
00:24:53,050 --> 00:24:55,330
This is Margaret, she's fallen from
standing.
521
00:24:55,330 --> 00:24:58,370
She's literally just arrived, so
just going to have a quick handover
522
00:24:58,370 --> 00:24:59,610
and get her on the monitor.
523
00:24:59,610 --> 00:25:02,050
Was it in the living room or...?
Yeah, in the living room,
524
00:25:02,050 --> 00:25:04,210
so she's just fallen backwards.
525
00:25:04,210 --> 00:25:07,370
Said she felt a bit dizzy, fell
back, it caused the whole event.
526
00:25:07,370 --> 00:25:08,890
No loss of consciousness.
527
00:25:08,890 --> 00:25:12,130
Fracture,
dislocation of her right leg.
528
00:25:12,130 --> 00:25:14,650
Do you feel cold? A little bit.
529
00:25:14,650 --> 00:25:17,170
A little bit.
Let's get this blanket on.
530
00:25:17,170 --> 00:25:18,450
She said that her...
531
00:25:18,450 --> 00:25:21,410
..the pain was a five to six before
the anaesthetic
532
00:25:21,410 --> 00:25:25,850
and a five to six after because she
wanted to come home.
533
00:25:25,850 --> 00:25:29,570
Dr Jehad Abed
is in charge of her treatment.
534
00:25:29,570 --> 00:25:31,170
Hello. Hello.
535
00:25:31,170 --> 00:25:33,890
What's your name, ma'am?
Margaret Lodges.
536
00:25:33,890 --> 00:25:35,810
Margaret, I'm
one of the doctors here.
537
00:25:35,810 --> 00:25:38,410
OK, so tell me what happened then,
why you ended up in hospital.
538
00:25:38,410 --> 00:25:40,130
I'm sure you know
you are in hospital.
539
00:25:40,130 --> 00:25:43,090
I just, yeah, I just fell backwards.
540
00:25:43,090 --> 00:25:45,690
How did you, someone pushed
you or anything?
541
00:25:45,690 --> 00:25:48,410
No, I've got a Zimmer frame.
You've got a Zimmer frame?
542
00:25:48,410 --> 00:25:50,570
Yes. And you fell backward? Yes.
543
00:25:50,570 --> 00:25:54,610
Did you trip or you felt dizzy or
you tripped, what happened?
544
00:25:55,530 --> 00:25:59,210
Bit of pain, that's all. OK.
545
00:25:59,210 --> 00:26:02,170
She didn't want to come to hospital
as she always says, "Oh, no, it's
546
00:26:02,170 --> 00:26:04,370
"all right." But when me sister
went, she was,
547
00:26:04,370 --> 00:26:07,010
my two sisters went,
she was screaming in pain,
548
00:26:07,010 --> 00:26:10,650
like a child, so obviously the pain
was really bad.
549
00:26:10,650 --> 00:26:12,650
So...but whether she's confused
550
00:26:12,650 --> 00:26:15,130
because of what's happening now or
not, I don't know.
551
00:26:15,130 --> 00:26:17,730
I just need to see what's
happening here.
552
00:26:17,730 --> 00:26:21,010
I don't know, I haven't seen the
wound.
553
00:26:21,010 --> 00:26:25,090
If they say, if it's an open
fracture means the bone
554
00:26:25,090 --> 00:26:29,330
itself is broke and gone through
the skin and just gone out.
555
00:26:29,330 --> 00:26:31,530
This is what
we call the open fracture.
556
00:26:31,530 --> 00:26:35,050
So that was something you would
probably see without an X-ray,
557
00:26:35,050 --> 00:26:38,930
would be, you'd be,
oops, she's bleeding there.
558
00:26:38,930 --> 00:26:42,930
OK. I think it's more on the ankle
rather than trying not to
559
00:26:42,930 --> 00:26:45,730
move the leg because it will be
quite painful
560
00:26:45,730 --> 00:26:47,290
if you start doing this.
561
00:26:49,490 --> 00:26:50,850
Right.
562
00:26:50,850 --> 00:26:55,610
So what we're seeing here is
quite big, deep
563
00:26:55,610 --> 00:27:00,210
laceration on the medial
side of the right ankle.
564
00:27:00,210 --> 00:27:02,490
The pain threshold is
different from,
565
00:27:02,490 --> 00:27:05,170
compared from the older
generation to the newer generation.
566
00:27:05,170 --> 00:27:08,850
The older generation, they try
just...to hide their pain,
567
00:27:08,850 --> 00:27:11,170
to hide their symptoms.
568
00:27:14,050 --> 00:27:16,370
Quite a faint pulse.
569
00:27:16,370 --> 00:27:17,890
Cold.
570
00:27:20,050 --> 00:27:22,610
Any pain here? Does it hurt? No.
571
00:27:24,450 --> 00:27:28,490
There it does. I am really sorry.
So nothing at the back.
572
00:27:28,490 --> 00:27:32,730
We need a few X-rays
and, if it's broke, you will be
573
00:27:32,730 --> 00:27:36,210
admitted in hospital and you will be
going to the orthopaedic department.
574
00:27:36,210 --> 00:27:38,250
You're going to need some surgery -
if it is broke.
575
00:27:38,250 --> 00:27:39,890
I'll have to stop in?
576
00:27:39,890 --> 00:27:41,330
Very likely.
577
00:27:41,330 --> 00:27:45,170
When elderly people have falls
and they break their bones,
578
00:27:45,170 --> 00:27:48,450
if left untreated, it can end
up in amputation.
579
00:27:48,450 --> 00:27:51,290
Most of the time, they will require
surgical intervention.
580
00:27:51,290 --> 00:27:54,690
They can get side effects related
to the operation.
581
00:27:54,690 --> 00:27:56,730
They can get infection from
hospital,
582
00:27:56,730 --> 00:27:59,170
they can get sepsis and some of them
583
00:27:59,170 --> 00:28:01,730
actually die in hospital after
just a simple fracture.
584
00:28:01,730 --> 00:28:04,290
And who's at home with you?
585
00:28:04,290 --> 00:28:06,930
Meself. Are you normally
independent? Yeah.
586
00:28:06,930 --> 00:28:09,490
We'll look after you,
we'll get you sorted, OK?
587
00:28:09,490 --> 00:28:11,770
Have you got any medical problems?
588
00:28:11,770 --> 00:28:13,250
Loads.
589
00:28:14,290 --> 00:28:17,930
She don't want to come into
hospital, she wants to stay at home,
590
00:28:17,930 --> 00:28:21,810
so that's why she's saying it's
not as bad as what it really is.
591
00:28:21,810 --> 00:28:25,890
And because she's terminal,
she's terminal with cancer, you see,
592
00:28:25,890 --> 00:28:29,170
so...and she, her wishes are to
stay at home and she's,
593
00:28:29,170 --> 00:28:33,050
she's said "Oh, if I go in hospital,
I might not come out."
594
00:28:33,050 --> 00:28:36,650
So, we think that's all on her mind
and that as well.
595
00:28:36,650 --> 00:28:40,730
She started off with a breast
cancer, then it went into her lung
596
00:28:40,730 --> 00:28:42,490
and then her spine...
597
00:28:44,210 --> 00:28:47,490
..and then.. She's deteriorated
these last couple of weeks. Yeah.
598
00:28:53,850 --> 00:28:57,890
So, before it gets too late,
cos it's like early doors now
599
00:28:57,890 --> 00:29:00,690
and Holly gets to three o'clock
in the morning and wants a pizza and
600
00:29:00,690 --> 00:29:02,890
nowhere's open, I don't know if I
can eat pizza
601
00:29:02,890 --> 00:29:04,130
and work at the same time.
602
00:29:04,130 --> 00:29:05,490
Why?
603
00:29:05,490 --> 00:29:07,050
THEY TALK OVER EACH OTHER
604
00:29:07,050 --> 00:29:09,410
You can't eat on the shop
floor anyway.
605
00:29:09,410 --> 00:29:10,730
Pizza is the easiest.
606
00:29:10,730 --> 00:29:14,770
Staff nurse Lucy Brodie has worked
at Hull Royal Infirmary
607
00:29:14,770 --> 00:29:16,210
for just over a year.
608
00:29:16,210 --> 00:29:20,210
Hello, it's me again.
What's your date of birth?
609
00:29:20,210 --> 00:29:23,050
21st. Happy Birthday for tomorrow.
610
00:29:23,050 --> 00:29:24,810
Yeah. Is that why you was out
tonight?
611
00:29:24,810 --> 00:29:27,210
No, I were just out for a drink.
612
00:29:27,210 --> 00:29:29,730
Her patient, 63-year-old Barry,
613
00:29:29,730 --> 00:29:32,930
was injured
while witnessing a pub fight.
614
00:29:32,930 --> 00:29:36,010
They said I were unconscious,
but I don't remember it.
615
00:29:36,010 --> 00:29:38,530
Well, you won't do.
616
00:29:38,530 --> 00:29:39,810
Oh, yeah.
617
00:29:39,810 --> 00:29:43,210
It would be a medical mystery
618
00:29:43,210 --> 00:29:45,930
if you decided to remember
being unconscious.
619
00:29:45,930 --> 00:29:48,810
When you get a really good character
that comes into A&E, it does make
620
00:29:48,810 --> 00:29:52,730
your night shift because, obviously,
you can get along with that
621
00:29:52,730 --> 00:29:55,010
person, you can have a bit of
banter,
622
00:29:55,010 --> 00:29:57,170
you can, you can have a good chat.
623
00:29:57,170 --> 00:29:58,610
It's me birthday tomorrow.
624
00:29:58,610 --> 00:30:00,490
You won't be still here tomorrow,
625
00:30:00,490 --> 00:30:03,290
but, if you are, I'll bring you
a birthday cake in.
626
00:30:03,290 --> 00:30:06,850
It makes your night shift, they
make you laugh, they make you smile.
627
00:30:06,850 --> 00:30:08,810
Let's see if we can see your brain.
628
00:30:08,810 --> 00:30:10,650
You'll be good if you can see that.
629
00:30:10,650 --> 00:30:14,010
These people are the reason that we
come to work on,
630
00:30:14,010 --> 00:30:16,050
especially on a night shift.
631
00:30:16,050 --> 00:30:18,650
You might need some
stitches in that.
632
00:30:18,650 --> 00:30:20,370
Think so? Yeah.
633
00:30:20,370 --> 00:30:22,690
Nobody wants to work a night shift,
634
00:30:22,690 --> 00:30:25,650
everybody would rather be at home,
in bed asleep...
635
00:30:25,650 --> 00:30:27,690
..personally, I would.
636
00:30:30,010 --> 00:30:33,370
You've got multiple little cuts.
637
00:30:33,370 --> 00:30:35,170
I'll get you down to see the doc.
638
00:30:35,170 --> 00:30:37,850
There's certain criteria.
I think you're very nice.
639
00:30:37,850 --> 00:30:42,090
You definitely need a scan then,
don't ya?
640
00:30:42,090 --> 00:30:44,450
There's three in front of you
because
641
00:30:44,450 --> 00:30:46,290
it has to be done in a priority
order.
642
00:30:47,890 --> 00:30:49,810
Can we have security, please?
643
00:30:52,650 --> 00:30:54,530
Security have been alerted to
a man
644
00:30:54,530 --> 00:30:56,370
with a razor
blades in the waiting area.
645
00:30:56,370 --> 00:30:58,770
He's not been abusive or anything
like that, has he?
646
00:30:58,770 --> 00:30:59,970
Where have you cut your hand?
647
00:30:59,970 --> 00:31:01,610
Let me see where you've cut your
hands.
648
00:31:01,610 --> 00:31:03,810
Cut, I don't want to do it
over here.
649
00:31:03,810 --> 00:31:05,770
No, no, no, I get that.
650
00:31:05,770 --> 00:31:07,810
I cut it there.
651
00:31:08,850 --> 00:31:12,410
A patient has self-harmed
while waiting to see a doctor.
652
00:31:12,410 --> 00:31:17,090
Thing is, it's based on...impulse.
653
00:31:17,090 --> 00:31:22,010
So, I can be fine and then the next
minute I want to die.
654
00:31:22,010 --> 00:31:23,810
Want to come through?
655
00:31:24,890 --> 00:31:27,050
Right, have a seat on there for me.
656
00:31:27,050 --> 00:31:28,890
So, what's brought you in tonight?
657
00:31:28,890 --> 00:31:31,090
Honestly, like, I just feel
like breaking down,
658
00:31:31,090 --> 00:31:32,690
I've lost too much.
659
00:31:32,690 --> 00:31:37,130
I've lost everything and
I don't care about myself any more.
660
00:31:37,130 --> 00:31:39,850
Senior nurse Laura Young needs
to assess
661
00:31:39,850 --> 00:31:43,050
the patient before she can refer
them to the mental health team.
662
00:31:43,050 --> 00:31:45,370
You still feel quite suicidal?
663
00:31:45,370 --> 00:31:47,410
What a sight to see.
664
00:31:47,410 --> 00:31:51,290
Slashed my hands.
In front of everybody? No. OK.
665
00:31:51,290 --> 00:31:53,530
In the toilet. OK.
666
00:31:53,530 --> 00:31:55,730
Do you want to have...show me?
667
00:31:55,730 --> 00:32:01,130
I don't know, I know
there's one there and one there,
668
00:32:01,130 --> 00:32:02,570
but I'm not sure.
669
00:32:02,570 --> 00:32:04,730
Right, let's do your blood pressure.
670
00:32:04,730 --> 00:32:07,930
Have you self-harmed before?
I have, yeah... OK.
671
00:32:07,930 --> 00:32:09,330
..in the past. OK.
672
00:32:09,330 --> 00:32:11,530
And is it normally your hands,
or...?
673
00:32:11,530 --> 00:32:13,770
No, it's normally my upper arm.
674
00:32:13,770 --> 00:32:17,130
We have a fair few patients who
see us as their support network,
675
00:32:17,130 --> 00:32:20,010
so we will see them quite a bit,
676
00:32:20,010 --> 00:32:22,450
which I find quite upsetting,
677
00:32:22,450 --> 00:32:25,290
as a nurse, that there is nowhere
out there
678
00:32:25,290 --> 00:32:27,090
for them to be able to go to.
679
00:32:28,130 --> 00:32:31,730
But, honestly, I said to you, didn't
I?
680
00:32:31,730 --> 00:32:35,170
If I don't get the help tonight,
I will chop my fingers off,
681
00:32:35,170 --> 00:32:38,930
I will, cos I can get razors
anywhere and I will.
682
00:32:38,930 --> 00:32:41,610
I'm not arsed about blood or
nothing.
683
00:32:41,610 --> 00:32:44,770
I will literally cut my fingers off
until they help me.
684
00:32:56,410 --> 00:33:00,410
All he had was one used needle,
basic signs of heroin use.
685
00:33:00,410 --> 00:33:03,530
We'll get him around to majors,
let them know what's gone on.
686
00:33:03,530 --> 00:33:06,490
All she said is if it's a blood clot
then it might affect
687
00:33:06,490 --> 00:33:09,930
limbs and things,
yeah, microsystems.
688
00:33:09,930 --> 00:33:13,770
I really am fucking suffering this
time. I know you are, I know.
689
00:33:13,770 --> 00:33:15,090
Bad.
690
00:33:18,610 --> 00:33:21,170
We might give you some
medication, like antibiotics.
691
00:33:21,170 --> 00:33:23,770
OK? Right. Thank you.
692
00:33:23,770 --> 00:33:27,130
76-year-old Margaret needs
an X-ray to assess
693
00:33:27,130 --> 00:33:29,890
the severity of the damage to her
ankle after a fall.
694
00:33:29,890 --> 00:33:33,690
Margaret, can we just roll your leg,
that's it, is that...?
695
00:33:35,730 --> 00:33:38,170
Do you remember when I said
we weren't sure, there might be
696
00:33:38,170 --> 00:33:40,090
something? OK.
697
00:33:41,850 --> 00:33:46,450
We have got a fracture,
dislocated ankle joint.
698
00:33:46,450 --> 00:33:49,410
It's quite badly displaced,
it's out of the joint.
699
00:33:50,690 --> 00:33:53,450
Hmm, yeah,
it's quite bad-looking there.
700
00:33:54,810 --> 00:33:57,490
We're just thinking,
if she has to have an operation,
701
00:33:57,490 --> 00:33:58,730
will she get through it?
702
00:33:58,730 --> 00:34:01,770
You know, with all of her other,
other problems she's got.
703
00:34:01,770 --> 00:34:05,050
So, we're just concerned about that
because of, with
704
00:34:05,050 --> 00:34:07,010
lung cancer and everything that,
705
00:34:07,010 --> 00:34:09,730
if her body can take it, you know?
706
00:34:09,730 --> 00:34:11,250
Like, so, we're a bit concerned,
707
00:34:11,250 --> 00:34:13,490
if she has to have an operation,
what'll happen.
708
00:34:13,490 --> 00:34:15,930
So, that's on our mind
at the moment.
709
00:34:17,810 --> 00:34:20,410
You've got something called
a fracture dislocation
710
00:34:20,410 --> 00:34:22,010
of the right ankle joint.
711
00:34:22,010 --> 00:34:24,730
Right. Right out of the joint...
712
00:34:24,730 --> 00:34:28,330
Yeah. ..so it will need more
manipulation here.
713
00:34:28,330 --> 00:34:29,930
Right. It can be quite painful.
714
00:34:29,930 --> 00:34:33,970
We'll try to give you some
sort of sedation to get this sorted.
715
00:34:33,970 --> 00:34:36,490
That means you will be
staying tonight.
716
00:34:36,490 --> 00:34:38,850
We are an ageing population
717
00:34:38,850 --> 00:34:42,570
and, if you have like a snapshot
of the department, even at night,
718
00:34:42,570 --> 00:34:46,810
or any time of the day, most of what
we see nowadays is an elderly
719
00:34:46,810 --> 00:34:49,490
people or elderly patients.
720
00:34:49,490 --> 00:34:53,810
I have been reading something about
your breast cancer
721
00:34:53,810 --> 00:34:56,490
and it's spreading into your lungs,
is that right?
722
00:34:56,490 --> 00:34:59,410
And you've asked, you've asked
the oncology doctor for what
723
00:34:59,410 --> 00:35:01,250
we call the do not resuscitate form.
724
00:35:01,250 --> 00:35:03,690
Is that right? That's right, that's
right. Fine.
725
00:35:03,690 --> 00:35:06,930
We might need to rewrite another one
here, just to make the other
726
00:35:06,930 --> 00:35:08,970
health care professionals aware
727
00:35:08,970 --> 00:35:11,450
about your wishes of do not
resuscitate.
728
00:35:11,450 --> 00:35:13,730
Are you happy with that? Yes. OK.
729
00:35:21,210 --> 00:35:23,850
Have you got a favourite
type of patient? I'm not sure.
730
00:35:23,850 --> 00:35:25,650
Ones that come in
and go straight home.
731
00:35:25,650 --> 00:35:27,810
Go home, yeah, that's the one.
732
00:35:27,810 --> 00:35:29,730
Luc, how do you get to sleep
after a night shift?
733
00:35:29,730 --> 00:35:31,210
So I have a little routine,
734
00:35:31,210 --> 00:35:34,250
I walk in the door, go in, say hello
to the kids.
735
00:35:34,250 --> 00:35:38,490
I have me wee, wash me hands,
brush me teeth, wash me face, dump
736
00:35:38,490 --> 00:35:41,050
me uniform in the wash, get in me
jamas,
737
00:35:41,050 --> 00:35:43,090
get in bed, and I'm like that.
738
00:35:43,090 --> 00:35:45,410
Straight out? Straight out.
739
00:35:47,570 --> 00:35:51,090
Knock, knock. Hello.
740
00:35:53,210 --> 00:35:54,690
Hello, Barry.
741
00:35:54,690 --> 00:35:57,530
My name's Austin Smithies,
I'm one of the doctors.
742
00:35:57,530 --> 00:36:01,370
I was just having a nice sleep then.
Oh, I'm so sorry to disturb you.
743
00:36:01,370 --> 00:36:03,770
These hotels are rubbish.
744
00:36:03,770 --> 00:36:07,370
Ex-doorman Barry sustained a deep
wound to his head after being
745
00:36:07,370 --> 00:36:11,170
caught up in pub fight and has been
waiting for staples in his scalp.
746
00:36:11,170 --> 00:36:13,530
We'll get you patched up
and get you on your way.
747
00:36:13,530 --> 00:36:15,290
Can I be honest about this?
748
00:36:15,290 --> 00:36:17,530
It does hurt a bit -
when the staples go in.
749
00:36:17,530 --> 00:36:19,050
Yeah, don't worry about it.
750
00:36:19,050 --> 00:36:21,410
But it's for a very short
period of time.
751
00:36:21,410 --> 00:36:23,890
OK, ready? Grit, grit your teeth.
752
00:36:26,410 --> 00:36:28,210
Tell me if you need a break.
753
00:36:30,690 --> 00:36:31,970
How many more?
754
00:36:31,970 --> 00:36:35,250
Right, let me count,
right, one, two, three.
755
00:36:35,250 --> 00:36:36,450
Argh!
756
00:36:36,450 --> 00:36:40,370
You can spend a lot of time putting
local anaesthetic in, but,
757
00:36:40,370 --> 00:36:42,770
when you inject it in, it does
actually sting quite a bit.
758
00:36:42,770 --> 00:36:44,690
Right, there's eight staples there.
759
00:36:44,690 --> 00:36:47,810
You have to kind of,
weigh up, do you just crack on
760
00:36:47,810 --> 00:36:50,250
and get it done really quickly,
accepting that it's going to
761
00:36:50,250 --> 00:36:51,730
hurt for a short period of time?
762
00:36:51,730 --> 00:36:53,970
Or do you mess around for ages with
local anaesthetic?
763
00:36:53,970 --> 00:36:56,530
And that can be just as painful and
distressing.
764
00:36:56,530 --> 00:37:00,090
Have it taken out with your GP
practice in five-to-seven days.
765
00:37:00,090 --> 00:37:03,490
I think staples give a really good
result and they are quick and easy.
766
00:37:03,490 --> 00:37:07,930
Bit sore, but normally that
pain's quite sort-lived.
767
00:37:14,690 --> 00:37:17,250
Have you been under mental
health before? Yeah.
768
00:37:17,250 --> 00:37:19,250
OK, and what was that for, the same?
769
00:37:19,250 --> 00:37:23,490
Um, it was suicidal thoughts.
770
00:37:23,490 --> 00:37:25,250
While waiting to see a doctor,
771
00:37:25,250 --> 00:37:28,930
this patient self-harmed
inside a hospital toilet.
772
00:37:28,930 --> 00:37:32,530
I just started going at it
and it didn't hurt at the time,
773
00:37:32,530 --> 00:37:35,610
but it hurts now.
774
00:37:37,410 --> 00:37:41,890
As an A&E nurse, we are
trained in how to fix somebody who's
775
00:37:41,890 --> 00:37:46,930
completely ruined themselves or have
been in some sort of accident.
776
00:37:46,930 --> 00:37:49,650
But knowing that they are not
mentally fixed
777
00:37:49,650 --> 00:37:52,450
and there's nothing that we can
actually do about that is
778
00:37:52,450 --> 00:37:55,090
a serious situation, in my eyes.
779
00:37:56,170 --> 00:37:59,530
Becoming alcohol dependant?
No, I wouldn't. No.
780
00:37:59,530 --> 00:38:02,810
I drink to try and...
781
00:38:02,810 --> 00:38:05,370
..get rid of how I'm feeling. Right.
782
00:38:05,370 --> 00:38:09,010
But when I wake up the next
morning, it doesn't help
783
00:38:09,010 --> 00:38:11,370
and it's even worse.
784
00:38:11,370 --> 00:38:13,970
Well, we'll sort your hand out,
but then we'll have to refer you
785
00:38:13,970 --> 00:38:15,650
to mental health and they'll have
to come
786
00:38:15,650 --> 00:38:17,690
and see you and assess you
properly. All right?
787
00:38:17,690 --> 00:38:19,890
And then we'll
see what they want to do from there.
788
00:38:19,890 --> 00:38:22,210
Is that all right? Yeah. Perfect.
789
00:38:22,210 --> 00:38:24,890
Take a seat back in the waiting
room.
790
00:38:24,890 --> 00:38:27,250
Mental health has completely
changed
791
00:38:27,250 --> 00:38:29,490
in the last ten years that I've been
nursing.
792
00:38:29,490 --> 00:38:33,810
We can see ten
cases a shift, really, and it's
793
00:38:33,810 --> 00:38:37,250
a massive increase cos I don't
think they have the support.
794
00:38:37,250 --> 00:38:39,730
And we're the only place open on a
night
795
00:38:39,730 --> 00:38:42,330
that can
give the support if we need to.
796
00:38:46,570 --> 00:38:49,250
You'll be tired as well,
though, mam.
797
00:38:49,250 --> 00:38:50,530
You want a drink?
798
00:38:50,530 --> 00:38:52,730
We'll have to ask them
if you can have something.
799
00:38:52,730 --> 00:38:54,530
Bet you could drink a cup of tea,
couldn't you?
800
00:38:54,530 --> 00:38:56,210
I just want to go home. Yeah.
801
00:38:56,210 --> 00:38:59,490
76-year-old Margaret is desperate to
return home
802
00:38:59,490 --> 00:39:01,650
after fracturing her ankle.
803
00:39:01,650 --> 00:39:04,650
She's also suffering
from terminal cancer.
804
00:39:04,650 --> 00:39:07,730
It's just when I move, you know?
Then I feel it.
805
00:39:09,050 --> 00:39:11,250
So I try and keep it still.
806
00:39:11,250 --> 00:39:13,210
Don't move your foot. Don't move.
807
00:39:13,210 --> 00:39:15,170
They told you not to move your foot.
808
00:39:24,090 --> 00:39:26,130
It wasn't like this, initially.
809
00:39:26,130 --> 00:39:27,570
It was more like stable.
810
00:39:27,570 --> 00:39:30,930
Because she keeps moving,
so I think the best thing,
811
00:39:30,930 --> 00:39:32,810
we just need to do it
back in as soon as.
812
00:39:35,530 --> 00:39:38,490
Can you feel me touching there? No.
813
00:39:39,690 --> 00:39:42,210
And there? No.
814
00:39:42,210 --> 00:39:45,170
At this point of time,
we need to get your ankle
815
00:39:45,170 --> 00:39:47,770
in a decent position -
what that will do is
816
00:39:47,770 --> 00:39:51,250
it will get the pressure off your
nerves and vessels. OK?
817
00:39:51,250 --> 00:39:54,850
We'll give you some medication,
actually, to put you to
818
00:39:54,850 --> 00:39:57,250
a state of a sleep,
sort of thing, OK?
819
00:39:57,250 --> 00:40:01,650
So you won't go completely to sleep,
but you will not remember anything.
820
00:40:01,650 --> 00:40:03,850
Does that sound good? It does. Good.
821
00:40:03,850 --> 00:40:08,330
Can you take a nice deep breath
for me, please, Margaret? Thank you.
822
00:40:08,330 --> 00:40:11,370
So we're going to give this white
stuff through your veins now.
823
00:40:11,370 --> 00:40:13,730
It might sting as it goes
up your arm.
824
00:40:13,730 --> 00:40:16,810
We'll see you when it's all done,
all right?
825
00:40:16,810 --> 00:40:22,730
Margaret? Margaret? OK, I think
Margaret has gone to sleep.
826
00:40:22,730 --> 00:40:24,250
Oops, she's started snoring.
827
00:40:24,250 --> 00:40:25,690
MARGARET SNORES
828
00:40:25,690 --> 00:40:27,850
OK, that was a big one.
829
00:40:35,450 --> 00:40:38,970
Under sedation, the most dangerous
thing is losing the airway.
830
00:40:38,970 --> 00:40:41,130
When the patient goes to the spasm,
831
00:40:41,130 --> 00:40:43,530
you'll be struggling to get oxygen
on.
832
00:40:44,530 --> 00:40:47,370
It can go quite serious
and quite disastrous, actually.
833
00:40:47,370 --> 00:40:50,730
You happy she's relaxed enough for
you as well?
834
00:40:50,730 --> 00:40:52,210
Yes, good.
835
00:40:52,210 --> 00:40:54,690
I don't think she'll remember
anything. No.
836
00:40:54,690 --> 00:40:58,050
I'm breathing for her, she's not
making a proper breathing effort.
837
00:40:58,050 --> 00:41:01,330
So, as you can see, it's quite,
what we call, obstructed airway.
838
00:41:01,330 --> 00:41:06,650
Sometimes you have to do
a bit of lift, jaw lift, like this.
839
00:41:06,650 --> 00:41:08,330
She's started breathing now though.
840
00:41:08,330 --> 00:41:10,930
Good, that's a nice deep breath
there.
841
00:41:13,490 --> 00:41:17,490
Dr Abed and the orthopaedic
team must now secure the ankle
842
00:41:17,490 --> 00:41:19,050
joint back into place.
843
00:41:21,570 --> 00:41:24,730
Margaret? Hello?
844
00:41:24,730 --> 00:41:26,250
Open your eyes, Margaret.
845
00:41:26,250 --> 00:41:28,170
Do you know where you are,
Margaret, now?
846
00:41:28,170 --> 00:41:29,450
Do you know where are you?
847
00:41:29,450 --> 00:41:33,210
OK, so do you remember what
we've done?
848
00:41:33,210 --> 00:41:34,450
What we've done?
849
00:41:36,570 --> 00:41:40,050
Right, we'll just get this covered,
then it's all...
850
00:41:40,050 --> 00:41:41,570
..yeah, it's dried now.
851
00:41:41,570 --> 00:41:44,290
Maybe, being an emergency physician,
852
00:41:44,290 --> 00:41:48,330
you are the first point of contact
with the sick patient
853
00:41:48,330 --> 00:41:51,530
and sometimes you can get
challenging
854
00:41:51,530 --> 00:41:54,370
cases that...they are quite sick
855
00:41:54,370 --> 00:41:56,850
and you try to do something,
856
00:41:56,850 --> 00:41:58,890
and it can be quite tricky.
857
00:41:59,890 --> 00:42:03,570
At the end of the night shift,
I feel that...I have achieved
858
00:42:03,570 --> 00:42:08,410
something by saving people's life,
treating the sick and ill people...
859
00:42:09,650 --> 00:42:13,130
..which actually makes me quite
proud of myself.
860
00:42:16,970 --> 00:42:18,770
Night-night.
861
00:42:25,130 --> 00:42:28,770
Right, guys, this is Jack,
a rider on a motorcycle.
862
00:42:36,090 --> 00:42:37,170
Sharp scratch.
863
00:42:38,130 --> 00:42:40,570
Try and relax. I'm in. I'm in!
864
00:42:47,770 --> 00:42:50,970
And it didn't hurt at the time,
but it hurts now.
865
00:43:01,370 --> 00:43:07,650
I have to be really poorly to get
an ambulance or anything.
866
00:43:22,930 --> 00:43:24,370
PHONE RINGS
867
00:43:24,370 --> 00:43:25,810
Resus.
868
00:43:25,810 --> 00:43:27,410
Next time...
869
00:43:27,410 --> 00:43:30,250
When a car rolls, absolute
worst-case scenario
870
00:43:30,250 --> 00:43:32,650
is patient has fatal injuries and
dies.
871
00:43:32,650 --> 00:43:33,930
Everything is screaming out,
872
00:43:33,930 --> 00:43:36,130
we need to get a neurosurgeon down
straight away.
873
00:43:36,130 --> 00:43:39,890
Fuck off! Argh!
874
00:43:39,890 --> 00:43:42,730
Hey, hey, hey, hey!
875
00:43:42,730 --> 00:43:44,690
I did think I was going to get spit
in my face,
876
00:43:44,690 --> 00:43:46,010
but, thankfully, I didn't.
68754
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