All language subtitles for Ambulance S12E02_Subtitles02.ENG

This program me contains some strong
language, scenes which some viewers

may find upsetting and deals with
Suicide and Self-Harm.

Ambulance Service,
is the patient breathing?

Across the UK more than
14 million 999 calls

are made for an ambulance a year,

with the North West Ambulance Service

receiving a new cry for help
every 20 seconds.

As the pressure builds...

There's absolutely no reason to talk
to me like that.

I'm trying to help you here.

...the control room has to decide
who will receive an ambulance...

17-year-old male, cardiac arrest.

...and who must wait.

We do have delays at the moment
of up to 8 hours and 45 minutes.

On the ground, ambulance crews race
to save lives...

...and offer the best help they can.

Oh, it's been nice of you to come.

You're ever so nice to talk to.

Tell you what, Norman.
You're made of strong stuff.

Black pudding!

I love a bit of black pudding.

From the picket line...

Everyone's gone on strike
because no-one can afford to live.

...to the front line.

Are you going to be violent
towards our crew?

...this is the story of some
of the darkest days

in the history of our NHS.

He was quite happy to die
on the streets of Manchester.

It's going to probably get
a little bit worse...

...before it gets better.

3276. Unexploded bomb.

To my hometown!

Beats Darwen.

Nothing beats Darwen.

Ambulance Service, is the
patient breathing?

So just confirming, is she
unconscious, having a fit,

or choking right now?

She's unconscious.

Can you roll her onto her side?

OK, I'm here to help you, OK?

And has she had nonstop neck pain
since the injury?

North West Ambulance Service

are currently answering
a 999 call every 16 seconds.

I know it's really difficult.

just make sure somebody is doing
chest compressions at all times.

OK. We're coming on
our fastest response, OK?

We're coming as quick as we can.

112, I'm just making sure you got
the diversion through

to the Cat 1 in Flixton.

Today, 14 dispatchers
will be responsible

for allocating 128 ambulances
across Greater Manchester.

Romeo 303, thanks,
this has come into us,

a 79-year-old female, not
conscious, not breathing.

There's still over 300 jobs.

So when you think of it that way

and how many crews you
have on, it's still a lot.

Mel? Are you all right doing
Oakington? Yeah.

Sorry, is he ours?

Yeah, there was no other vehicles
on that one. Ah.

I feel like today is the first
clay of spring.

I think the people of Manchester
will be sensible.

What do you think?
Recipe for falls.

Everybody's going to be up
trees and on roofs.

Ambulance Service,
is the patient breathing?

RADIO BEEPS
303.

We've got a Cat 2 coming in.

50-year-old male,
conscious and breathing,

fallen from a tree, back injury.
Potential for major fall.

Yeah, no problem.
Thanks very much.

Senior paramedic Aiden is dispatched
in a rapid response vehicle.

He has specialist training

to treat patients in the most urgent
need of care.

303. Hi, Aiden. It's Scott on
complex incident hub.

I know you're about to land
on scene with us,

but I'm just letting you know
we're allocating Martin as the AP,

so just give us a quick sitrep
when you get a chance, mate.

Yeah, roger, mate, will do.
Thank you.

Aiden is seven minutes away.

Also travelling to the scene is an
ambulance and an advanced paramedic -

the only one on duty today

who can provide the level of pain
relief necessary.

Hello. Where is he, in the back?
Yeah. Yeah?

Did he lose consciousness at all?
No. No.

Hello, sir.
MAN GROANS

My name's Aiden.
What's your name? Derek.

Derek? OK. Whereabouts is the most
pain at the minute?

It's in me back. In your back?
Lower back. All right.

I've had spinal surgery before.
Right, no problem.

Have you got any rods in or
anything?

I've had titanium
and I've got a cage.

OK, how bad's the pain at the
minute? Quite bad? Yeah.

OK.

Can you wiggle this hand for me?

Fantastic. Squeeze me...

DEREK SCREAMS
That's sore there?

Yeah, yeah, yeah. OK.
DEREK GROANS

Right, you stay nice and still.

What we're gonna have to do
is pop a little needle into you,

give you some morphine.
Is that OK? Yeah.

DEREK GROANS

We've got a fall off a balcony,
two-year-old.

I'll divert him, then.

There's every chance that that child

needs some sort of enhanced care
at some point.

Things might change quickly.
So...

354. Hi, Martin.

Appreciate you setting off to that
job for a guy out of a tree.

We're going to be sending you now

to a two-year-old that's fallen
from a balcony.

Dispatchers decide to divert
advance paramedic Martin

to a higher priority call...

DEREK MOANING

...leaving Aiden as the most
senior clinician on scene.

Sorry, buddy. Nice and still there.

WHIMPERS: Aw, me back.

Can't get access with this position.
Oh!

If he can't fit a cannula,

he won't be able to provide
the best pain relief for Derek.

Have we got some gas and air
there? Perfect.

RADIO BEEPS
just an update from scene.

He's fell approximately 15 to 20
foot out of a tree

and he's screaming out in agony.

OK, no worries. We didn't get
a chance to update you,

but we had to divert Martin
to another job.

Is that OK?

Sorry. We're just cutting his
clothes off now before we roll him,

he's got an open fractured bone
as well.

That's an open fracture as well
as the lower back pain.

ls HEMS free at all?
Leave it with me.

I'll, er, I'll come back to you.

He sounds in a lot of pain.

HEMS, the Helicopter Emergency
Medical Service

respond by road and air,

with a crew of highly-trained
paramedics and doctors.

No problem, bud. Oh, my hand!

So, when he's fell off, it looks
like it's landed on this left.

As you can see, the bone's
protruding from the skin.

So we're just going to
dress this

to reduce the chance of
infection. OK?

DEREK GROANS
Do you wanna come here?

Is that all right?
We'll borrow the wife.

He's got pain in his head. Yeah.
You will have, cock.

Keep going on that gas and air,
buddy.

You're doing really well, all right?
You OK there?

RADIO: 303. We are sending
you one of the HEMS crew.

They're running from Blackpool
by car.

We've only got one aircraft
out today.

And the other incident
that I've diverted Martin to,

I'm conscious I might need
the doc for,

so at the minute I'm going to run
them down to you

with some pain relief. just give us
a shout if that's a change.

Their ETA is gonna be about 25 to 30
minutes.

Yeah, no worries, mate, I'll carry
on extricating at the minute.

I'll let you know if anything
changes.

MAN: Sorry, Derek.
DEREK GROANS

You're doing really well, mate.

Because of the position he's in,
it's very difficult to assess.

It looks like his lower back. I
think he's more stressing

about his back. so once we've
mobilised him,

OK, sweet, we'll manage the pain

and give him a proper check over,
OK? Yeah, OK.

I just don't want to leave him
outside and be too cold, you know?

So I'm thinking scoop and then just
roll him on to it,

manage on gas and air.

Derek? Mm... We've got a board,
OK, behind you.

We're going to roll you on to it.
All right, buddy?

Once you're on the board, we can
get you on to the ambulance,

give you some stronger pain relief.
DEREK MOANS SOFTLY

All right? So just trust us, OK?

Take some nice deep breaths on this,
then we can roll you.

Maintain your spine, cos we're more
concerned about protecting your spine.

Yeah, right. So I'm happy here.

Are you OK there? Yeah.

Are you all... Roll the side of your
head, OK, mate?

On three. One, two, three.

OK. Good man.
DEREK GROANS

Excellent. Fantastic, well clone.

Keep going with that gas and air.

MUFFLED MOANING

That's fine.

Well clone. Well clone, buddy.

Fantastic. Me back. Me back.

We'll get him on
where it's nice and warm.

Have you got all your gear, lads?

I'm just gonna try and put
a little cannula in your foot.

Nice and still, OK?

DEREK WINCES

OK, right, we've got access.

So what we'll do,

we'll be giving the morphine now,
the TXA en route,

I'm just a little bit curious
about this left wrist

in case it needs for you to...
Yeah, yeah, yeah.

Is that all right?
Plljustjump out.

He's on 5mg of morphine.
Oh, right.

45 minutes after arriving on scene,

Aiden is finally able to provide
morphine to ease Derek's pain.

303.60 ahead.

I'm just wondering ETA of HEMS,

just cos we're ready to depart
to Salford.

They are showing
four minutes on my screen.

Do you need them in terms of pain
relief still? Negative.

I've managed to get access
in his foot, to be fair,

and it's managing quite well.

I'll get them stood down just
so that they're not any closer.

Thank you. Right. So pre-alert to
Salford, mate, when you're ready.

RADIO: Yeah, fire away.

Not any more you've not! Aw.

Derek, I have give you some
pain relief.

Is it still quite uncomfortable?
Yeah.

OK, buddy, I'll give you
a little bit more. All right?

just try and relax.

Working as a solo senior
paramedic in Manchester

brings all types of incidents.

We have a triage system in place

to try and get out to the most
unwell people

when they actually need us the most.

Did you feel a little bit
woozy at all?

But I'd like to think at the moment
of the most critical of people

who call us, that we're able
to provide a service

and we're able to save lives.

And that's what...
It's ultimately why we're here.

ls the... Sorry, lad. Listen to me.
Don't apologise, buddy.

that's what we're here for, OK?
Accidents happen.

All right? I know.

The main thing is you're talking
to me, all right? Yeah.

So it could have been a lot worse,
but we'll look after you.

I absolutely want to improve
outcome.

You know, more people surviving
out-of-hospital cardiac arrest,

more people surviving trauma
what, ten years ago,

they probably wouldn't have
survived.

I'm really passionate.
I love my job.

Right. We're just approaching
Salford now, all right, buddy?

Life is precious.

You live today,

tomorrow's never guaranteed.

Right, Derek, are we ready?

just a couple of bumps going out,
OK? You all right?

DEREK GROANS
All right, buddy. We're here.

Ambulance Service,
is the patient breathing?

It's wet, it's cold.

It's Wednesday, and I think
it'll be busy.

So the amount of blood
that you've lost,

is it enough to soak through
a towel?

OK, so we're going to have to start
CPR on him, OK?

So are you within easy
reach of him now?

You went to the dentist and you
what, sorry?

You're bleeding?

So just to make you aware,
we are busy at the moment,

but we'll be with you as soon
as possible,

or as soon as we do have
an ambulance available.

Couple of jobs waiting,
so it will be straight out.

The dispatchers are back on duty.

Hi, 682, thank you.
This job's CPR in progress.

Can you give us a sitrep as soon
as you land on scene, please?

We've got a doctor running.

322's going on a Cat 2 on east.

Alpha 212, thank you.

This is for a 59-year-old male
currently vomiting blood.

112.

So, details for the job are
a 17-year old-female patient

has been stabbed in the eye
with a needle.

There is a car running
on this as well.

Can we please have a hot 2
to the RTC in Strangeways?

Four Cat 2's are just dropping in.

RADIO: 469. I've got a job for you
now, if you're good to go?

Oh, yes. Always ready.

It is a 27-year-old

who's currently showing as not
conscious, but breathing,

with a hand injury.

Outside a bus stop.

It does state the patient's details
have been obtained

from a wristband and could be a
missing person from hospital.

Good my side.

While a passing first aider is
on the phone to 999,

Aaron and Emily make the
seven-minute journey to the patient.

Yeah. It looks like
she's unconscious.

Hello?
Can we get you onto the ambulance

and then we'll have a chat there?
Is that OK? No?

You can't stay here.
It's freezing.

Are you...

Do you know her? No.
We just came on scene.

I was first aider, so we took over
and rang the Ambulance Service.

She's said that she's been
in Salford Hospital today.

Yeah. OK. Urn... And she'd been...

She's been sectioned in hospital?
I believe so.

Has she... She said the police are
looking for her, she keeps saying.

Ah.

You're freezing.
We're going to get freezing.

So do you mind if we just pop you
on? We'll have a look at the hand.

I'll do that whilst Aaron's
sorting...

Do you wanna take my hand?

Hi. We've just got to this job,

and it's made aware to us

that it looks like this girl
is on a section.

And whether she's managed to
abscond from the police or not,

I'm not 100% sure.
So don't know whether it's worth

getting in contact with the police.
RADIO: Yeah. Thank you.

Hi, it's the Ambulance Service.

We've got a patient in our care
at the moment,

which at some point
today has left Salford Royal.

The crew are querying, possibly
missing and possibly sectioned.

Don't know if you have any details.

Section 136 of the Mental Health Act

allows police to convey someone
experiencing a mental health disorder

to a place of safety
for up to 24 hours.

Sorry to ask.
just yes or no is fine.

Did you do that yourself?

Yeah? OK.

Ancl is it true what them gents
were saying about you?

You've just come out of hospital
today, is that right?

What were you in for?

Were you on a section?

Did you manage to get away
from the police, then?

No? Did they let you go?

Right. 0|<.

Have you got mental health problems?

What do you suffer with?

Have you harmed yourself
anywhere else?

Or was it just there,
where we were seeing?

Ancl can I ask you this - have you
taken any overdoses or anything like that?

Yesterday. Yesterday?

RADIO BEEPS
Alpha 169.

169, good evening.

Are you free to speak?

Police have nothing officially,

however, they have a call
from the lady today

advising she was struggling.

Ancl she'd left hospital and was
a couple of miles away.

Not sure whether she has actually
absconded.

Um...

Right. How about, if you are running
this lady into Salford Royal,

I'll have a chat with A&E

and see if I can get any
further information.

Maybe we can take her somewhere

where she'd come out of
rather than via A&E.

Yeah, roger, that would be great.

How are we getting on?

Not too bad. We're getting there.
OK.

Are you under any mental
health teams?

Pardon?

Not yet.

None at all?

169's sorted. Right, cool.

She isn't a missing. Right.

Something's happened
in the early hours,

where she's self-harmed, gone
in with the police,

she was sat in Salford Royal
waiting to go to Stratford.

While she's waiting,
she's gone, hasn't she?

Yeah. They're saying police would've
left.

She needs some help.
Does she need support? Yeah.

So, we need to create
a bit of a plan

of what's going to happen, don't we?

I don't wanna leave you back
on the street.

Wanna make sure you're OK.
All right?

What I'd like to do,
if it's OK with you,

is it OK if we pop you back
up to Salford?

just because I don't, you know,

you've self-harmed again
straight after

and you've taken an overdose.

I think your mental health is just
not in the best place at the minute,

and you're not under
any mental health teams

or any social workers for me to
give a call to.

So I'd like to pop you back up

and you can talk to somebody up
there. Is that OK?

No, the police aren't involved.
I've just spoken to our control.

The police aren't involved.

Well, obviously...

...the police might get called then

if you abscond from the hospital.

Right, well, let's... Do you know, what?
..cross that bridge when we come to it.

And let's just go to the hospital
first,

get assessed by the nurses
to get that properly dressed,

and then we can take it from there.

Is that OK? Yeah?

When we go out to people
and we go to patients,

we don't really know what
we're going to get most of the time.

It's not our job just to get people
and just bring them into hospital.

But at the same time, I can't
just leave someone on their own.

You have to do the best
you can for them.

While Aaron and Emily make the
nine-minute journey to hospital,

one mile away, Alpha 21 2,
Tom and Jodie,

are attending to a patient

who also needs urgent medical
attention at Salford Royal.

If you can come up and have a
sit on the bed for us, Tom.

Tom has been vomiting blood.

Are you a bit breathless after that
little walk? Yeah. Yeah.

Do you mind if I have
a little look at your tummy,

is that all right? Aye, go on, yeah.
I might lie you a little flatter.

So whereabouts is the pain?
If you just point with a finger.

There. Right in the middle?

Yeah. OK.
Let me just have a little feel,

Is that painful when I press?
Little bit. We'll give you some

paracetamol through the vein.
You're not allergic to anything, are you?

No. At least that way as well, Tom,

it's not going to irritate
your tummy,

rather than giving you tablets

and then your tummy
having to sort them out.

Have you always been a Salford lad,
Tom?

Er, yeah. No-one's perfect,
don't worry. Oi.

Don't push it, I'm a Salford girl,
we'll gang up on you.

THEY LAUGH
We'll sort him out, won't we, Tom?

I'll jump in the front.

Have you got, um, a cardboard bowl?
just in case...

Got the feeling
I'm going to throw again.

RETCHING

Get that horrible metallic taste,
don't you?

TOM SIGHS

Have a sip of that.

I won't go too far with this bowl,
all right?

It's not looking good, is it?

It means it's pumping out,
doesn't it?

Well, it means it's coming from
high up,

which if we want to be bleeding
from anywhere,

we want it to be coming from high
up, cos it's the easiest to fix.

just about to pull in now,
in a minute. Right.

Do you want a wheelchair?

We'll go in on the bed if it's OK?
On the bed?

Can I give you that to hold.
Oh, I'll carry that.

Load you up like Buckaroo. I'll
stick that under there. All right.

Aaron and Emily are a mile away
from hospital with their patient.

Ancl when you took this overdose
last night,

did you want to end your own life?

Is that the first time you've ever
felt like that,

or have you felt like that before?

You have felt like that before?

Right.

Were you thinking about doing
it when you left the hospital?

Do you have any intentions
of doing anything like that now?

So is it twice that you've been in

with your mental health before,
to Salford?

Well, look, hopefully this time
we'll get sorted. All right?

I'll tell them everything
that's went on, OK?

Ancl I'll put that safeguarding
in for you, too. All right?

Right. You ready?

We'll grab your stuff, OK?

Nice steps.
I'll come with you.

Ambulance Service,
is the patient breathing?

She's just took an overdose? OK.
Is she awake?

Have you lost any blood from cutting
yourself?

Ancl if you just put your hand
on her chest, back or abdomen,

does she feel a normal temperature
to touch?

At the moment, we are extremely busy

and we aim to be with you
as soon as possible,

or as soon as we have
an ambulance available.

We have delays of up to 30 minutes.

There are currently 97 crews

attending patients across
Greater Manchester.

All the crews are out now on jobs.

I've got one available.

Have you seen this guy dangling
off a bridge?

Suicidal.

I've put an SP on it, Cat.
Thank you.

SHE EXHALES DEEPLY

RADIO BEEPS
RADIO: 212.

Yeah, that other crew, I think
they're 169,

their patient has absconded
from the hospital,

but we're just outside with her now

and she's saying she's going to head
to a bridge and kill herself.

Would you mind getting GMP down,
thanks.

Yes, no problem. Thanks.

I'm hoping we can talk her
back inside and we can....

We might be able to stand them
down. Roger. Thank you.

AARON: What's happened? She
doesn't want to go to the hospital.

She doesn't like it, but I'm saying
that I don't want to get the police

involved but I'm going to have to
if she carries on,

because she's not in a place of
safety and she's threatening suicide.

Darling, we've taken you
all the way.

Let's get out the road.
The best thing...

I know nobody likes a hospital and I
know you don't want to be here,

but we're going to have to grin
and bear it, aren't we?

Can we please just walk
onto the pavement at least,

to have this conversation? Cos we're
in the middle of a road

and I do not want you getting run
over. Link onto me.

Hi, Police, it's Ambulance.

Can we request your assistance,
please?

I'm going to use 336 for Moss Side.

302, thank you.

just regarding this incident,

it is a 25-year-old female,
conscious and breathing.

Come through as two people fighting,

male choking the female.

Scene unsafe.

About six people watching,
all smashing bottles around them.

Police are en route.

We have an ambulance with
a two-minute ETA and an AP running.

I don't think we've actually stopped
since we got in for the last two hours.

It's just been constant.

Been reasonable and you've been nice
to me the whole way through.

So, I feel as though I need to tell
you what I have to do.

So, police, they're going to put
you on a section

and they're going to bring you back.

But if you go in, you're going
of your own accord.

You've been lovely with me,

so I might as well just level
with you. All right?

You go in of your own accord,

you're more in charge of
when you can,

when you can't go,
and what treatment you get.

You've been through the system
before.

From chatting to you.

Come on. You know, you know yourself
we're gonna have to go back in.

RADIO BEEPS
Alpha 169.

She is starting
to walk away from us.

She's started to walk towards
Eccles Old Road.

RAND". Yeah. GM? en route
and a grade one.

Can you stop two seconds? Cos my wee
legs can't go as quick as yours. Look...

Can we not go back to the hospital?
Come on. Yeah.

The police are coming.

We're going to have to go back in.

So it's...it's one way or the other.

See, look, it...

It is what it is.
We are going to have to go back.

I'm so sorry, darling.
just round here.

Do you think...

Do you not need somebody to be
looking after you at the minute?

We all right?

What's been going on?

What's happened, though?
Why have you gone up to hospital?

Adele, don't walk away.
Don't be rude.

We're just trying to help you,
all of us.

We can't just leave you, can we?

I've come on blue lights
to come and see you.

So I can't just say,
"Right, I'm going."

It doesn't work like that.

Come on, come and sit in the
ambulance, we can finish talking.

So we're not getting rained on.

We're coming in your ambulance,
is that all right?

Come on, lovey.
Let's get you up here,

we need to get that hand seen to,
don't we?

Come on.

POLICEMAN: Come and have a sit down.

RECORDING: Mind your head. That's it.

There we go. Come on, doll.
Mind your head.

Here you are.

Put that at the side.

Sit yourself on that seat for us,
lovely, all right?

Let's get you back over there.

I've been qualified as a paramedic
for a year and a half,

and I still feel relatively
new and fresh.

I think in life, we all need
someone to talk to.

Since moving here, I'd call home,

I'll speak to my mum pretty much
every clay,

because I need that support.

Communication and especially
listening

is just so vital in what we do.

As an Ambulance Service,
we're in a very privileged position

that when people are at their worst,

we're the ones there...

Come on.
Do you want a wee hand down?

...to go in and speak to them
when they most need it.

Room for me?
Room for a little one.

Saw her in there and I've met her
before. You met her on the job?

Yeah, I think I've met her once
or twice.

But it was just when I saw
her wandering off,

I thought, "Oh, no, that can't be
any good." So...

It's just a really difficult one, isn't it?
Because obviously we've got a duty of care.

But she's got capacity to make her
own choices. Exactly.

just turns into that revolving door

where they want to support them
in the community,

but the support isn't good
enough in the community.

So we just go round
in that circle of,

they phone 999, we go out to them,

they don't want to go to the hospital,
we got the police, they end up on a 136,

they go to the hospital, get
referred to the home treatment team,

and then out we go and then
it starts all over again.

It's just that vicious cycle.

I hopefully don't meet you again
tonight. Christ.

LAUGHTER
I want an easy night, you know?

Let's go.

Four hours into the shift,

already 16 patients
in Greater Manchester

have required the presence of

more than one ambulance crew
at their emergency.

What's the address
of the emergency, please?

Tell me exactly what's happened.

Right, OK. So she wasn't
aware of being pregnant

or anything like that?

Sol have arranged that
emergency ambulance.

We are coming to you
on blue lights and sirens.

Both a senior paramedic
and an ambulance are dispatched.

I can give you an ETA...

Two minutes away.

Fine, I'll leave you
in the care of the crew.

Alpha 417 are already on scene
alongside senior paramedic Ryan.

432, go ahead?

'Need the second vehicle.
Can I have it on a tier one, please?

'Baby has been
delivered in McDonald's.'

Cat 1, McDonald's.

It's a birth that's taken
place in McDonald's.

Alpha 417.

SP are on the scene
and now yourselves, please.

No worries, mate. We'll be
there in about four minutes.

Do you reckon
we're going to get mum or baby?

We'll... I don't know, actually!

Because they're asking for a second
crew, so they're going to split

mum and baby up.

They've said what, sorry?
The mother's bleeding.

The mother's bleeding?

212.

The SP's asked for an update
due to bleeding from mother.

212, arrived on scene.

You've got baby? I'm going to put
baby on your vehicle... Yeah, yeah.

Yep. We've got mum on the other,

and I'll give you an update
when you've got a bit warm.

So, baby was born at 23:02.

Mum was the manager.
She didn't know she was pregnant.

Whilst we discussed an extrication,
she had an urge to push.

Yeah? Cord snapped. OK. On arrival.
That baby's still a bit wet.

Shall we get the other towel out
and get this door closed,

get that heat in?
Are you OK for a second

while I just go and make sure...?
Yeah, yeah. All right?

All right, baba.
I'll come back in a second.

Make sure the other crew are OK.

I'll give her a bit of a hug.

That's it, sweetheart.
Come to me. Oh, well clone!

How does she feel? Can we get
a temperature on her? We can try.

Hello, sweetheart! Hello!

I reckon it looks good on me,
this, you know. You reckon?

Yeah! I think it suits me!
It does.

All right, you're not going
to like this, chicken. I'm sorry.

Low. Right, let's get her
warmed up a bit more, then.

Proper wrap her up.

Right. Ready?

Is that just from the cord,
that blood? Yeah. OK.

Ready? Yep.
BABY CRI ES

That's it, sweetheart.

Sh, sh, sh, sh, sh.

Right, let's get going.
Let's get going.

All right.
Have you spoke to Tameside yet?

So, mum's going now. Right.
What I'm going to do, I'm going to

put through a second pre-alert
to Tameside for the baby. For baby.

Are you going to ride with us?
OK? Yeah, I'll ride with you.

Tom and Jodie will travel
the three miles to Tameside hospital

while mum Olivia receives
medical care in another ambulance

following behind them.

Charlie Kappa 432.

452.

We've got a baby, appears to be
delivered at term. Temp is low.

ETA to Tameside maternity
is five minutes.

How's mum? Is she OK?

Mum's OK.
She's a little bit shocked.

Oh!

Hello!

This is not what
we was expecting tonight!

Oh, you've opened your eyes already?

Aw, hello!

212, can you divert to A&E?
That's divert to A&E, please.

There must be...
They must be busy up there.

Oh, she's got me finger!

You gave your mummy
a right surprise, you did!

BABY CRIES
Oh, I know, I'm sorry.

That's a story to tell
when you get older, innit?!

What we like for a hat?

just putting a hat on, Jodie.

Aw, that's much better, that.

That's better!

Said to mum, if it had been a boy,
you'd have to call it Ronald!

Well, that's what
we said on the way!

Please fasten seat belts.

We're here.

Ready?

Hiya. How are you? You OK?

I don't know if you know much
about this baby,

but born in a McDonald's back room.
Mum didn't know she was pregnant.

Oh! That's a little energy boost,
isn't it, for the night?

That was a really... That job
made me melt. I know. I saw!

Alpha 212. I'm intrigued, please!

Well, well,
we've clone a McDelivery!

A young woman didn't even know
she was pregnant, apparently.

SP's walked in,
hand out, caught a baby!

Oh, amazing! Boy or girl?

Little baby girl.

Thank you very much, guys.
I'm glad it was a cracking job.

Thanks, mate. Talk to you later.

That's the only thing I wouldn't
like about working in the control

room, is that you don't get to see
that side of it. Yeah, the outcome.

For all he knows that could have
been the job from hell

when it was actually...
Nice and calm.

Really, really sweet,
nice job. Yeah. Yeah.

Cat one.

Thank you. All we've got
at the moment is the person's

not breathing, not conscious.

432, thank you. This is coming
through as a 51-year-old male...

Charlie Papa 432...

Brian again.

Tom andjodie are four minutes away
from the category one emergency.

I think it's an arrest.

INDISTINCT

...was from him,
which was a pain with liver.

And now it's gone in as
not conscious, not breathing.

It's a Catch-22, that, innit?

Seen the warning, yeah?

just... We're
still waiting for a name.

However, a warning's just gone on.

History of violence and weapons.

Crews perform a risk assessment
and police to attend.

If it is a cardiac arrest,
we're going to have to go.

I'll update you if we have any
issues when we get in. Ta, mate.

Oh, they've just
landed at the scene.

212, are you happy to go straight in

or do you want to wait for the SP?
We haven't got a choice, have we?

It's arrest.
We'll go straight in now, mate.

I'll, er, keep the air wave
as clear as I can

and wait for your first sitrep.
Thank you.

Jodie, will you grab drugs and ALS?

Drugs are in the middle there.

I'll see you inside, OK? OK.

just be careful, please.

Yeah. Hey, mate, where are we going?

212, not a cardiac arrest.
Not an arrest.

Yeah. Received, thank you.

Do they still need support?
Do you still need the SP going?

Yeah. They do?just keep them
going for the moment, just to...

They are a minute away.

It's the Ambulance Service.
What happened tonight?

WOMAN: He's been drinking again.

Right. And he's getting chest pain.

What is this pain that you're
getting at the moment?

He said he's doing it as a suicide.
MAN: It's time to go.

It's not time to go, mate. It's
never too late to get a bit of help.

Yeah. Right, 36-2 for 10. OK.

Senior paramedic Ryan arrives
three minutes after Tom andjodie.

RYAN: Last time I saw you,
you were doing really well. Yeah?

You'd been off the alcohol,
and then we've had this little biff,

haven't we? Yeah?

So what I think we need to do is
pop you back up to the hospital...

No! I'm not going nowhere.

I will end it tonight.

So when we go up there...

I'm going to do it.

INDISTINCT

This is what we've been doing.
I swear to God, let go.

No, cos you're going to hurt
yourself, mate. Right, get off!

Get off, get off!
Stop!

Let go... Get off!

Get off! Finish it tonight!

Like I fucking promised! Stop...

Where's that sharp?

Shouting backup priority now.

MAN ROARS AN G RI LY

Can I have GMP on scene
rapid, please?

Yeah, he's combative,
he's aggressive with the crew,

and he's threatening to self-harm.

There is weapons
in the property as well, so...

Roger, all received.

Hiya, police, it's ambulance. Can I
request your assistance, please?

Where's that sharp?
Calm yourself down.

MAN ROARS

Police on a priority. Two patrols.

Being in here,
that's probably the hardest bit,

because you've only get half a
story. All right.

You've got what's
come in from the job

and you've got what people
have chose to tell the crew.

SIREN WAILS

Police on scene.

Are you coppers? Let's go and have
a cig outside. Come on, now.

Go on, try your best!

Never!

Get off! Get off!
Stretcher out now.

Never! You all right, mate? Never!

You're making it worse for yourself!
Fucking NEVER!

You need medical help! No!

I don't! You do! just walk...

SOUNDS OF STRUGGLE
Sorry, mate.

No, I'm not...

I'm not going outside.
MAN ROARS

Come on! No!

No! That's it.
Have a sit on the bed.

No! That's it.

We'll put a dressing on that.

Why can't I just die?

I felt useless.

It was a small room.
What can you do?

I know, but even still,
as a crew mate,

and I care about you, obviously...
Mm.

I felt like... I just felt useless
in that situation.

Like, I couldn't do anything
to help you. No, don't worry.

Don't worry about it.

Are you both OK? Yeah, we're
absolutely fine, thanks, mate.

He basically... He was just trying
to reach for things that he could

harm himself with,
but you don't know

if those things that he's using
to harm himself with are going to

end up catching us on the way past,
so we did have to restrain him.

But thankfully, Greater Manchester's
finest weren't too far behind.

ls Jodie all right?
Yeah, she's all right, yeah.

She's a tough old Salford girl,
this one.

Well, thank you. I do appreciate it.
Yeah, no worries, mate.

We're just pulling back up at the
station now. We'll have a brew.

Try not to send us a job just as my
brew hits the table, though! Thanks.

DISPATCHER LAUGHS You're
marked up for rest, don't worry!

Try and have a nice brew. Thanks,
mate. We'll talk to you after.

Are you the patient?

This man's absolutely
off his rocker.

He's found someone that's
breathing noisy, not awake,

and he's absolutely...

He would not be able to give CPR
without instructions.

What's happening?

It sounds like they're
fighting, Lorna.

Can you describe the patient?

There's an assault in the city.
Leg injury, can see bone.

Romeo, 303. Showing for me.

303, thank you. We've got a Cat 2
come in in the city centre.

A 35-year-old male...

RADIO GLITCH
..has been assaulted.

Has a leg injury and can see bone.

Patient may be homeless.

Yeah, we're being advised the
attacker is no longer on scene.

No worries, all received. Thank you.

Hi, guys.
What's happened with his leg?

Have you been assaulted at all?

0|<. Right.

OK. Can I put a dressing
on this leg? Is that all right?

So is it like an ulcer?

Sorry if it stings a little bit.

Is it good, that burger?

It looks like you're enjoying that.

So I'll dress this. OK?

Now, it does look very sore,
and it looks infected,

so I'm going to have to... When my
colleagues arrive on the ambulance,

we'll pop you up to
Manchester Royal.

Listen to me.

Listen to me.

I know, but we don't want to leave
you on the street with this injury.

How long have you been
on the streets for now?

Have you?

You want to die?

What makes you feel like that?

All right. Don't be giving
up, all right, buddy?

I know. But the problem
is, mate, we can't because we care.

Ancl we want you to get some help
for this leg, because if this gets

infected, you could get sepsis.

UK?

You just finish your burger
and then we'll get you sorted.

All right?

Morning. You OK?

Uniform 311 arrive to take the
patient to hospital.

Come on. Let's get you sorted.

Honestly, mate, look at that.
You can't stay out like this.

Listen to me.

Listen, I know you're trying
to be helpful, but it's much easier

for us to just pop you down the road
to Manchester Royal.

Ancl you definitely need
some antibiotics.

Ancl we can bring your stuff
and get you a cup of tea.

I promise you,
it's not about funding.

We don't care about funding.

The government earn enough money.
We'll be here to look after you.

All right?

No, you're just
as important as anyone else.

So listen to me. Listen.

We're going to get you up
there and a cup of tea. Yeah?

If somebody normally refuses,
we would normally ring their GP.

Ancl the problem is,
the out-of-hours GP,

I can't really tell him you're sat
outside Spar, because he won't...

...he won't attend. Apart from
hospital, we're going to be

very limited in terms of treatment.

So it would be much easier
for you and us if we take you

and look after you and get some
antibiotics on these legs.

Ancl I promise you,
I'll shut up going on.

OK.

You're not wasting our time.
I promise you.

I wouldn't be sat here trying
to convince you to come to hospital

if I thought you was
wasting my time.

Oh!

I've tried.

He's got...he's got capacity.

Yeah, I know. He's slurring
his words, but I'll be honest

with you, I'm happy he's told me
everything I need to know in terms

of capacity. In terms of safety
netting him,

I'm thinking a GP... There's no
point. ..he won't touch him in terms

of public. Yeah.
Ancl in terms of safeguarding,

there's no address, no phone number.
No.

So as long as he's... As long
as he's aware of the risk,

which I think he is... Yeah.
..In terms of, you know,

staying out here... Fully aware.
He just doesn't want it.

Especially if sepsis kicks in,
he could just die in his sleep,

couldn't he?

So... Um... No worries.

We'll get his stuff off.

No worries. Be safe.
Take care, mate.

OVER RADIO: That is an absolute
terrible story.

So, more or less after he's lost his
daughter, he lost everything else

as well and ended up homeless.

I do think we are missing a lot
of services within the city centre

for our homeless. We've no
walk-in centre anymore.

There's nothing... Like, say
at 3 o'clock at in the morning,

where do we...where do we refer
these people to?

But they obviously still need the
help without the hospital admission.

He just doesn't want to go.

He said he doesn't want
to be a burden on the NHS.

It is quite sad knowing that, you
know, he actually knew how unwell

he was in terms of how infected
his leg was, and he was quite happy

to get off the ambulance.

He was quite happy to walk away,
and ultimately he was quite happy

to die on the streets of Manchester.

And, you know, it's heartbreaking.

That is sad, I know.

Life is precious.

Ancl that's why we're here - to go
out and help patients who need

us the most.

That's ultimately why we do the job,

because we want to help
people in crisis.

Ancl in some circumstances,
they don't want to go to hospital.

Ancl people are allowed to make

an unwise decision,
whether we agree or not.

It's heartbreaking.

I've shed a few tears myself
after incidents in the car.

Ancl people think you're invincible.
You wear this green uniform.

But we're human
and we've got feelings.

You're driving home thinking,

"Have I actually clone
everything I can?"

Day three, isn't it?

I'm flagging,
and I've got a long way to go.

It will be straight out
this morning.

So it is a Cat 2.

We received a call last night,
around quarter to midnight, er,

for a female with chest pain.

It was then referred to out-of-hours
GP. She refused to attend A&E.

Ancl because she's not answered
the phone, they have passed it back

to ourselves as a concern
for welfare.

Romeo 305,
you're showing for a Cat 1.

303. 303, thank you.

We've got a Cat 1.
It's coming through as

a male found on the floor
of their apartment.

Unknown if conscious,
unknown if breathing.

Ambulance backing
you up with a five minute ETA.

SIREN WAILS

Hello. My name's Emma.
I'm calling from

the North West Ambulance Service.

Please can you call us
back on 999. Thank you.

432 for a Cat 2, please.

112, I have rang
the patient's mobile.

However, there is no answer.

I've left a voicemail to give
us a call back, so if there is any

issues just give us a shout.

Cancel. Patient's just asleep.

OFF-SCREEN: On the porch?

On his porch.

303.

303, you can stand
down from this incident, thank you.

Police have updated.
Patient is awake.

He was just asleep on his porch.

He's now sat up smoking
a cigarette and is absolutely fine

ancl doesn't want an ambulance.
So stand down, thank you.

No worries.
Well, at least he's safe.

Anyway, I'll speak to you in a bit.

"Conscious and breathing..."

Why have you gone Cat 1?
This morning? I'm well over it.

Every job, there's been an issue.
Access, can't find the patient.

It's just delaying everything.

Since the hospitals have already
started building up with crews

on vehicles and on corridors,
waiting.

Yeah, we've got four in red
and three in orange at the minute.

So crews won't clear as quick,
so jobs will stack.

So it'll just mean...
Knock-on effect.

Ambulance Service.
ls the patient breathing?

OK. ls the patient awake?

Stay where you are for me. Have you
lost any blood at all?

So, just to make you aware,
at the moment,

we are seeing some delays.

It's just clue to the current
severe pressures we're under.

So we have ruled out everything
life-threatening.

But it is... You are still on
an emergency response, OK?

Has the caller cleared?

All right. Thank you.

PHONE BEEPS

Ambulance Service.
ls the patient breathing?

Let me just confirm,
because you've made us aware

that you've already rung. OK?

Has her condition changed?

OK. Now, does she have any
of these problems?

Unable to raise both arms
and keep them there.

Has she ever been diagnosed
as having a stroke?

BEEPING
Alpha 169, thank you.

just details for this Cat 2
that you've been allocated to.

It is a 92-year-old female
who is conscious and breathing.

Apparently, she's still stuck
in her chair.

Possible suspected stroke.

Oh!

Oh, no. Bless her.

Having started their day
in Salford,

Aaron and Emily are now eight
miles away to the west.

Hello! Hi. Muriel, I'm Aaron.
Do me a favour.

Give me a nice big smile.
Show me your teeth.

Lovely. And take my hands, OK?

Give my hands a good squeeze.
Try and break them, all right?

I can't. You can't. Why not?

it just won't let...
it just won't do it.

Yeah. Yeah, that's good.
That's good.

OK. Do you live here by yourself?

Yeah. Yeah.

Me and my husband never had
any children. Right.

So it's all, like, your nieces
and nephews and things? Yeah.

It's nice that they look
out for you. Yeah.

She's been in the chair all night.
Right.

So, unable to get up.
At 93, it's hard any time. Yeah.

Muriel, I've got a bit of
a favour to ask you.

Yeah? I just want to see
what you can do yourself.

All right? So just you do your
normal...

Your main concern is she just
can't get up out of the chair?

She can't move and get out of the
chair, so she can't get to the

toilet. The toilet's upstairs.
MURIEL: My knees are really sore.

Right. Well clone. Well clone.

Well done.

Is it...?

No, I can't! You can take
another seat down.

Take another seat. You can sit down
if you want to. I ca...

It's sitting down now.

Oh, that's the issue. Oh.

Because this is just a big
decrease in your mobility, isn't it?

So I think we're best to take
her in and get you sorted.

All right? I wouldn't bother...

I wouldn't even bother...
Oh, Muriel, I know you wouldn't.

I know you wouldn't, darling.
You want me to give you a hand up?

We'll turn round and we'll go...

We'll go on to it. If you grab
onto the backs of my elbows,

and then I'll come underneath, OK?

One, two, three,
big stand. Big stand.

You're doing really well. Then we'll
go for a tiny step round. OK?

If your knees weren't bothering you
there, we could have went for a bit

of a boogie. All right?
I've got a date with you.

You can hold me to that.
You can hold me to that one.

Right. Lovely to meet you.

We'll get you on the bed, OK?

How are you feeling now?
A bit breathless after that.

Ancl you've clone all the work.

I genuinely can't believe you're
nearly 93. I can't believe it.

I'm better still with make-up on.

MURIEL LAUGHS

How Long's your husband
been passed away?

13 years. Has he? He had cancer.

Oh, I'm sorry to hear that.

What did he used to do, then?
He was a train driver.

That's a br... That's a
brilliant job. He drove...

...the Flying Scotsman
till retirement. Flying Scotsman?

Yeah.

Aaron, I'm just going to check.

Oh, lovely. Be two minutes.

Busy? Heaving.

Brew time, cup of tea. Yeah,
you go and make the brews.

Let's have a cup of tea, shall we?

Oh, I'm sorry...|'m sorry
it's so busy at the hospital.

It's OK. I thought,
"|'m not phoning."

Trying to put it off?
I mean, that's what we're here for.

We're here to look after you.

There you are.

PHONE RINGS
Ambulance. ls the patient breathing?

An emergency ambulance is
being arranged.

We are seeing delays at the moment,
and it's up to 30 minutes.

While Alpha 169 remain eighth in the
queue at Bolton Royal Hospital,

there are 50 patients waiting across
Greater Manchester.

That's all arranged for him.

We are a little bit busy, but we
will be with him as soon as we can.

Tell me exactly what's happened.

Unfortunately, we don't have an ETA
at the moment.

Has their condition got worse?

OK. Yeah, I can see that you have
been waiting over an hour now,

so hopefully it shouldn't be
too much longer.

KNOCKING

Hello. Lovely. I'll see you in
there. Get out of the rain.

Sorry you've had to wait,
like, an hour. It's not great.

The company's been good,
hasn't it, Muriel?

She's been loving it, haven't you?

You know what?

This is the part
I'm really frightened about.

Oh, it's OK. just speak to them

how you've spoken to us
and they'll love you.

I'll tell them everything
that's been going on, Muriel.

OVER RADIO: Alpha 169, thank you.

I think I'm in love.

She is absolutely...
She was a clove, like.

She was so lovely.

She just could not get
out of the chair.

OVER RADIO: Oh, bless her.
How was it at hospital with her?

Was she OK to go in?

I think she sort of knew that she
did need to go in, to be fair.

just wild busy in there.

Ready for the next one?

Yeah. Fire away.

# God knows what is hiding

# In that world of
little consequence... #

I want to act the way I'd like
someone to act to my mother

or father, or my granny and grandad,
if they were in that position.

If a family member of mine
was to call for an ambulance,

they'd always remember the crew.

Ancl I always try to bear
that in mind.

We drove past my house before.

You could have invited us in
for a brew at the least.

Muriel would've loved that.

# People help the people... #

I love my job.

I still enjoy coming in to work
every clay.

Crewmates are a bit hit and miss,
but...

HE CHUCKLES

OVER RADIO: Alpha 212,
just got you clear through.

Ready?

Tom's telling me to tell
you that we're ready.

He's an eager beaver.

# ..all those good hearts away... #

RADIO BEEPS
303.

This is a Cat 2
for a 13-year-old female.

Fallen off a horse.
The horse stood on her.

Lower rib and upper abdominal pain.

No problem. Thank you very much.

Working for the NHS,

if somebody rings 999
in an emergency, you know,

we want to get out there.
We want to help people.

If I can save a life, there's no
better feeling in the world.

Ancl that's why I love the job.

# People help the people

# And if you're homesick

# Give me your hand and I'll hold it

# People help the people

# Nothing will drag you down

# Oh, and if I had a brain

# I'd be cold as a stone and rich
as the fool

# That turned all those
good hearts away. #

Right, 0|<.