Severe Head Trauma and Spinal Risk in Young Patient | 24 Hours In A&E UK Season 3 Episode 6

[00:00:04]trauma is hamstring surgery.

[00:00:10]>> We got to park. We're just going to get on due there skiing. Get you all sorted.

[00:00:14]John >> John.

[00:00:18]John, do you remember where you are?

[00:00:24]>> Kings College Hospital, [laughter] London.

[00:00:27]>> Thank God. Thank God. A major trauma center >> the curb jack knifed onto the verge.

[00:00:33]>> Have we got a good pulse? Have we got an output?

[00:00:35]>> And one of the busiest A&E departments in the world.

[00:00:38]>> He will probably scream, [music] but he won't remember.

[00:00:41]>> Stop.

[00:00:43]>> A place where love >> Come on, sir. Up you go.

[00:00:47]>> Yeah.

[00:00:48]>> Life.

[00:00:51]>> There you go.

[00:00:51]>> I love you.

[00:00:52]>> I love you, too.

[00:00:54]>> And loss.

[00:00:55]>> It's all right. unfold every single day.

[00:00:59][screaming] >> Don't cry.

[00:01:01]>> And we'll make sure mommy stays. We listen.

[00:01:05]>> Who's not busy? Squeeze that.

[00:01:07]>> We can't give up. I know. Come on.

[00:01:10]>> We got to be strong for mom if it is the last bit. Hey, >> all the patients [music] you're about to see were treated in one department.

[00:01:20]>> Well done.

[00:01:21]>> In just one 24-hour period. I never cease [music] to be amazed at the robustness of human beings.

[00:01:29]>> I love you >> and the strength of their relationships.

[00:01:35]Love, it's a reflex. It's what you do.

[00:01:39]For many of the families, despite the devastation that they may be facing, they give unconditional love.

[00:02:02]Yeah, just keep your eye on the guy that's sitting on the chairs near the phone.

[00:02:08]Um, Charlotte was having a room when I come down. He's definitely as drunk as a sec and he was irritating people. So, I've told him they're quiet there, but he's on the phone. The perception of security is people that couldn't make it in the police force. I wanted to be police officer. I'd be out there. But it's not like that. Hospital is different. 100% different.

[00:02:35]>> Kings has 20 full-time security staff.

[00:02:39]>> I need to SEE A DOCTOR NOW. WHAT'S wrong with >> every month in A&E? They deal with over 50 incidents ranging from verbal abuse to [music] assault.

[00:02:50]>> Some people you can help, some you can't. And the ones you can't in the end they go either on their own or we scoop them out. One way or another peace has got to be made ahead.

[00:03:03]>> He's drinking alcohol out of a bottle now.

[00:03:06]>> Oski Manny, come on. You have to go cuz you're not allowed to drink alcohol on the premises, my friend.

[00:03:13]>> No.

[00:03:14]>> Yeah. Yeah. Yeah. No, no, no. It's time to go.

[00:03:16]>> You can willingly walk out by yourself.

[00:03:19]Otherwise, I'd have to get my colleagues down there and they will sort of kind of carry you out. And you don't want that, dear. Cuz I don't want that.

[00:03:26]>> Come on.

[00:03:28]>> Come on. Come on. That's it. That's it.

[00:03:29]You You >> That's it.

[00:03:31]>> There you go.

[00:03:31]>> No problem.

[00:03:33]>> Easy. Easy.

[00:03:34]>> Easy tiger. Easy tiger. Tiger.

[00:03:38]>> Easy tiger.

[00:03:39]>> You did it all by yourself. Well done.

[00:03:42]>> Easy tiger. Easy targeting.

[00:03:44]>> Come on then.

[00:03:45]>> Oh, don't push me too [ __ ] [ __ ] >> Don't push.

[00:03:47]>> I'm not pushing myself.

[00:03:48]>> Yeah, you are.

[00:03:49]>> When they're drunk, then they could walk in front of a bus. You don't know. So then you're responsible now for this person.

[00:03:55]>> Don't push. I'm not pushing. I'm helping you.

[00:03:58]>> It's caring, isn't it? Mothering. Cuz it isn't grabbing people up and chugging them out. God, >> he can take it from me.

[00:04:06]>> Because if he gets knocked over, where's he going to end up? Back inside. And that's where you don't want him.

[00:04:14]You're always making new friends, isn't it?

[00:04:17]I'm [music] always drunk now, aren't you?

[00:04:24][music] >> Yeah, control. That gent's left now.

[00:04:31]He's uh gone on the bus to Cuden. Jolly good.

[00:04:37]I won't go into an ear. I think I'm dying. And that's what it is. An accident. What is an accident? And an [music] emergency.

[00:04:56]>> Hello, King Reese.

[00:05:00]Slightly sluggish.

[00:05:03]>> Okay. Did you know if she had a loss of consciousness or anything like that?

[00:05:08]>> Bye.

[00:05:13]pediatric trauma call in 8 minutes.

[00:05:15]That's pediatric trauma call in 8 minutes.

[00:05:21]>> What is it? Lovely.

[00:05:24]>> Oh, nasty. Um, hello. Can you please put out a pediatric >> fall 3 m onto diving board?

[00:05:30]>> So, has she fallen off this higher board onto that board?

[00:05:34]>> Nasty.

[00:05:35]>> The trauma call is for an 8-year-old girl. She has a head injury after falling from the steps of a high diving board.

[00:05:42]>> Can we have everyone sign in that hasn't signed in so far, please? Thank you.

[00:05:46]>> She's being brought to Kings by her mom.

[00:05:52]>> 8-year-old fallen 3 m GCS stable that left people sluggish.

[00:06:02]>> I mean, it's about our ceiling, isn't it? Just about She's fallen the height of our ceiling.

[00:06:16]Yes.

[00:06:17]>> Yeah, if you're happy to. Thank you.

[00:06:20]>> Leading the trauma team is pediatric intensive care consultant Tusha.

[00:06:27]>> This is going up 5 m. She got to about 3 m. We seem to fall back down to 1 and 12 m down.

[00:06:37]>> It's a slip.

[00:06:37]>> It's a slip. GP on scene tried to see the nose and lay on the floor.

[00:06:52]>> Why don't you go around to the top end?

[00:07:01]Hey, baby.

[00:07:02]>> [screaming] >> All right. Look at mommy. Look at mommy.

[00:07:05]There's a good girl.

[00:07:06]>> Yeah.

[00:07:07]>> Head injury children always makes me worried.

[00:07:12]>> You want to sleep?

[00:07:14]>> Do you feel any pain here?

[00:07:17]>> Okay, Abby, don't worry. Here. Any pain?

[00:07:22]>> Okay. Here.

[00:07:26]>> Here.

[00:07:27]>> Seeing her getting drowsy was not good.

[00:07:31]Her brain could be under pressure from a blood clot.

[00:07:37]>> What does that mean if it's sluggish?

[00:07:39]>> Um, normally you expect it to react very quickly to light. So, if it's not, I just want to make sure that there's no reason [music] inside her brain why it's sluggish. So, we're going to do is we're going to take her to the cat scan to do a picture of her brain. [music] If there is a reason inside her brain, then we need to deal with that reason.

[00:07:56]>> And that reason could be a bleed. What would be the procedure if that were the case?

[00:08:02]>> I think we should deal with that if we need to.

[00:08:05]>> Thank you.

[00:08:08]>> I noticed the sheer look of panic and that bottled up emotion that every mother has when they're scared.

[00:08:18]>> You're such a brave girl. Yes, you are.

[00:08:22]>> I'm so sorry, sweetheart.

[00:08:24]>> Abby. Abby, calm down. Breathe. Okay. I know it seems frightening, but I'm here and you are doing brilliantly. [music] Wanting kind of please tell me this is going to all be all right and I can't baby.

[00:08:41]>> All right. Look at mommy. Look at mommy.

[00:08:43]There's a good girl >> because I will not give false hope.

[00:08:54]>> You're amazing. Yes.

[00:08:58][music] >> Hello.

[00:09:04]>> You need to get up from the floor. Can you do that for us?

[00:09:08]>> No. Can you get up from the floor?

[00:09:11]>> Sit on the wheelchair.

[00:09:13]>> No.

[00:09:16][music] [snorts] You still smell alcohol.

[00:09:40]>> That makes the thing worse.

[00:09:47]>> Did you have a drink today?

[00:09:50]>> Yes. Okay. So, why you here then?

[00:09:58][music] >> We're doing this thing at C where they talk about you have the right to die. They can't fall through.

[00:10:09]>> What are you trying to say?

[00:10:11]>> No, no, no. This is Ian Brady. Ian Brady.

[00:10:13]>> Yeah.

[00:10:16]>> It's been a hunger strike since ' 89.

[00:10:18]>> Yeah. They force feed him, don't they?

[00:10:20]>> Yeah. Yeah. Against his human rights.

[00:10:24]>> No, because they say he's mentally impaired. So, he can't make a rational decision.

[00:10:28]>> So, that's why if you're not mentally impaired, they can't force feed you. If you're deemed not to be of a mental state to make a rational decision, they can force feed you.

[00:10:38]>> Okay.

[00:10:39]>> Okay. [snorts] >> What? You didn't listen to one word.

[00:10:44]>> I did. But >> you didn't, did you? You didn't, did you? No, you didn't.

[00:10:47]>> I did. I did.

[00:10:49]>> You never do.

[00:10:53][music] >> Is that how comes we've been together so long? You just don't listen.

[00:10:57]>> It works for me.

[00:10:59]>> It works for you. Yeah, >> it works for me.

[00:11:01]>> Loser.

[00:11:04]>> A bit too much of a >> just suddenly overcome >> the sauce. Yeah, he saw you, I think.

[00:11:09]>> Was it?

[00:11:09]>> And he got all all unnecessary.

[00:11:12]>> Right.

[00:11:13]>> Come on, sir. Let's go. Up you go.

[00:11:14]>> No. No. Don't have any of that. You're not No. Don't touch against me.

[00:11:18]>> Okay.

[00:11:19]>> Okay.

[00:11:19]>> Okay.

[00:11:20]>> Well, we can do this.

[00:11:21]>> Three.

[00:11:22]>> Slowly.

[00:11:23]>> Slowly.

[00:11:23]>> Slowly. Slowly.

[00:11:24]>> Good.

[00:11:24]>> Ready.

[00:11:25]>> Go.

[00:11:26]>> We have a lot of alies lately.

[00:11:28]>> One.

[00:11:29]>> And what you think to yourself? Why are they like that? I don't know if it's [music] cuz of their life the way it is in London now. I don't know. Or in the country itself or the world. It's It's not good.

[00:11:43]>> Come on. You're a big man. Come on. Big grown man. Off you again.

[00:11:47]>> Good man.

[00:11:48]>> Well done.

[00:11:48]>> Brilliant. [music] >> Excellent.

[00:11:50]>> Well done.

[00:11:51]>> Well done.

[00:12:04]>> Daddy's up in Edinburgh, isn't he?

[00:12:06]>> They all They're always up in Edinburgh, aren't they?

[00:12:08]>> They're always somewhere else.

[00:12:10]>> Just trying to get back down to see you, honey. Following her fall from the steps of a high diving board, Abby is being taken for a CT scan to find out if there is a bleed on her brain.

[00:12:21]>> Okay. Ready? One, two, three. M.

[00:12:26]>> There we go.

[00:12:27]>> Okay. You all right, >> Abby? Hey, we just need to tape you uh tape you down so that your head doesn't move.

[00:12:34]>> Going to put a little bit of tape over your head. You can still move it, but I don't want you to move. Just to remind you not to move. All right.

[00:12:41]>> You used to go swimming. And in the center you can see all the kids diving and she said, "I want to do that."

[00:12:49]She would just jump off, do these straight jumps, pike jumps.

[00:12:54]>> She's just had no fear. Um, and that is quite a childlike thing anyway, isn't it? To not have fear of things. So, she would just like go for it.

[00:13:07]It was frightening because when you've got so many doctors around her, you got one one one at her eyeballs, two are trying to get needles in her arms and it was just frightening.

[00:13:22]>> I'm just waiting on the CT scan. Um, and of course that's your initial thought is that it's the bleed.

[00:13:33]>> I'd missed the last train. I had no passport. I couldn't fly. I just remember just sitting on the on the floor just trying to figure out what some way that I could possibly get down to London right away.

[00:13:49]It's It's worse than agony.

[00:13:53]I just wanted to be there.

[00:14:01]>> [music] >> You okay?

[00:14:03]>> I'm working.

[00:14:04]>> You got you working here, eh?

[00:14:05]>> Yeah.

[00:14:05]>> Yeah.

[00:14:11]>> It's only a staff area only. This is only a staff area only. Sorry.

[00:14:17]Thanks.

[00:14:23]I think my brain's not functioning.

[00:14:26]>> That's nothing new though, is it?

[00:14:28]>> I'm being serious. So am I.

[00:14:31]>> So stupid.

[00:14:32]>> No, I mean it's my thoughts are getting all scrambled.

[00:14:38][laughter] >> You are so Why do I bring you anywhere with me?

[00:14:46][music] Should have stayed at home. You could have hoovered, made the bed, washed up, cleaned the sides.

[00:14:53]>> None of you got done today.

[00:14:55]>> No, it's a hard one.

[00:14:56]>> Phone Billy and tell him to clean up.

[00:14:57]>> Yeah. Okay, >> please.

[00:14:59]>> I will do it.

[00:15:00]>> Thanks. I don't want to go home to a mess.

[00:15:03]>> Is there a chap in the corner sitting in the corner with a hood? [music] With a hood on. Is he boxing?

[00:15:14]>> Let me get his name. Yeah.

[00:15:18]Hi. Have you booked yourself in?

[00:15:20]>> Well, people here are just are booked in to see a doctor.

[00:15:25]>> I'm asking you.

[00:15:27]>> Okay.

[00:15:27]>> Ask.

[00:15:28]>> I ask you >> if if you've been booked in. Yes.

[00:15:33]>> They said all these are booked in but you're not the staff not recognize that you're booked in.

[00:15:38]>> Okay. The staff have asked.

[00:15:39]>> Okay.

[00:15:40]>> Yeah.

[00:15:41]>> I don't have nothing to say.

[00:15:42]>> Okay.

[00:15:43]>> Then I'm going to ask you to leave then.

[00:15:45]>> Why? because you're not answering my question.

[00:15:54]>> Are you [music] booked in? Yes or no?

[00:15:56]>> I got nothing to say.

[00:15:57]>> So, you're not booked in?

[00:15:58]>> I got nothing to say.

[00:16:01]>> I got nothing to say.

[00:16:02]>> Oh, I'm going to check with the staff now again. Why? Why is that? It's just asking to see if you're booked in.

[00:16:07]That's all.

[00:16:08]>> It's not a big deal.

[00:16:10]>> Anyone else? No problem saying, "Yep, I'm booked in. This is my name.

[00:16:17]Sir, >> you'll ask that question 100 times a day, especially at night.

[00:16:23]>> Sorry. Hey, hey, hey, hey, excuse me.

[00:16:25]Sorry.

[00:16:25]>> You're in uniform. You got security across your chest. You're going to be a certain type. I mean, I get all the time. You're being really intimidating towards me. Why? I'm not. I'm just just talking to you.

[00:16:38]>> If you don't tell me who you are, you can't just walk in it. This is a children's area. Yes, we try to get the questions out then but he's not answering this one here.

[00:16:45]>> Is he with anybody?

[00:16:47]>> He is.

[00:16:48]>> So why don't you just say if you Why don't you just say wrong? Don't tell me please don't talk to me like that is all wrong.

[00:16:56]>> Yeah. Yeah.

[00:16:59]>> Please please don't please don't >> do it. Don't do it.

[00:17:03]>> Don't the language. Okay. Don't do it.

[00:17:06]Don't do it.

[00:17:07]>> Don't do it. Know for swearing.

[00:17:09]Some people could be upset because they got family members really ill. You got to be a little bit sensitive about it.

[00:17:15]And those type of people you want you want to try and give a chance that you know we finally figured out why that way was there. But I mean that took what [music] 10 minutes when it should have really took 10 seconds.

[00:17:25]>> Don't.

[00:17:28]>> Okay. But you got to understand he's got to do checks. The reason why we do checks. Okay. There's the reason why we do checks. It's a hospital. Okay.

[00:17:35]>> You're here with your child. We we ain't got no problem with that. All you have to do is tell us. It's just not a big deal.

[00:17:47]>> Some Sometimes I go home and I think about what I've seen that night or I speak to my my wife about it. I do I do feel fear for the younger ones cuz I know how horrible, you know, [music] the the world we live in can be.

[00:18:02]My mom says I'm overprotective. But my daughter, she gets a little bump on, you know, on her head or something. I feel like I want to wrap them up in cotton wool.

[00:18:12][music] >> Um, there's this young girl, 8-year-old, just had a CT head. Um, but she needs a C-spine X-ray, which is in recess.

[00:18:30]The CT scan has shown no bleeding on Aby's brain, but there's still the possibility that her spine has been damaged.

[00:18:40]>> Get up.

[00:18:40]>> I can't do that because you got to take >> I know. Yes, you can. Yes, you can. Yes, you can.

[00:19:00]Well, you feel helpless >> to actually face that your child could be paralyzed.

[00:19:08]It's uh it's it's just the worst [music] the worst feeling ever.

[00:19:16]Wilmer and Biff saw a notice. It was about heart rate.

[00:19:23]>> All right.

[00:19:26]Get the table, my darling.

[00:19:35]Maybe not yet. All right.

[00:19:42]On a little journey again. We're going to try and get those X-rays and those pictures of your bones and then hopefully we'll be able to take all this tape and that horrible color off.

[00:19:52]>> Can I go home? I think, sweetheart, because you had a nasty bang on your head and you're a bit sleepy.

[00:19:59]>> Oh, don't cry.

[00:20:00]>> Let's see. Let's get the >> We'll see. Okay. And we'll make >> And we'll make sure mommy stays with you.

[00:20:07]>> As someone who was so bubbly and and crazy. It was sad to see her little broken body and her broken spirit, but I still had to say to her, you know, you're you're going to be fine. You're doing really well. Um just uh just to get through it. Just to get through it. Yeah. [snorts] >> All right. Going to do a few pictures of your neck today. Okay.

[00:20:34]>> All right. Hold nice and still there.

[00:20:37]Oh, you're doing really well. Okay.

[00:20:38]You've just got to stay nice and still for us. All right.

[00:20:42]>> Take this collar off. It's double strand.

[00:20:45]>> Can I bring a mom in Abby?

[00:20:52]Just need to get the pictures. Should we get mom in? Can we get mommy in?

[00:21:00]>> You're doing so well.

[00:21:02]>> I'm here really still for us.

[00:21:05]>> That's fantastic. Good girl.

[00:21:08]>> Oh, is that nice? Stay still.

[00:21:10]>> So, you must stay still, darling.

[00:21:13]>> Good girl. Keep nice and still. Okay, >> Abby. Listen to me. Make my hand go up and down with your breathing in. Nice and still.

[00:21:24]>> Abby, listen. Listen, listen [music] to me. Right, it's going to be two minutes.

[00:21:28]Okay, see if you can be a statue.

[00:21:31]>> Okay.

[00:21:32]>> Can you make my hand go up and down?

[00:21:35]That's it. Up and down. Good girl.

[00:21:38]>> Imagine you're on a nice warm beach.

[00:21:41]Hey, the sun on your face.

[00:21:46]See, can you hear the waves crashing on the beach?

[00:21:50]Nice and lovely and warm.

[00:21:54][laughter] That's a good girl.

[00:21:59]Yeah.

[00:22:01]Well done.

[00:22:03]That's a good girl.

[00:22:15]>> [music] >> me.

[00:22:28]>> Is that you?

[00:22:29]>> It's me.

[00:22:34]>> Lanni.

[00:22:36]>> Okay.

[00:22:37]>> 46year-old Michelle has come in with back pain.

[00:22:42]She's here with Hubert, her partner of 30 years. Nice to meet you.

[00:22:46]>> Um, >> so tell me, did you had an epidural yesterday?

[00:22:51]>> Yeah.

[00:22:51]>> What was that for?

[00:22:52]>> Um, I've got nerve damage and um a slip disc.

[00:22:58]>> Oh, so you had a spinal injection?

[00:23:00]>> Yeah.

[00:23:00]>> So, since the time it was given, it felt shaky.

[00:23:04]>> Really shaky. And then >> from exactly from >> as they pulled it out then I just thought I was in shock because it really hurt.

[00:23:12]>> Gemma was [music] breach Ashley. Oh Ashley was the worst one and Billy [music] was born in 6 minutes and I had him in accident emergency at King's College [music] and Ryan was 20 minutes and then Amir I think was about 30 minutes start to finish. Got spontaneous labor.

[00:23:32]>> It's right down the bottom. and they gave it right there.

[00:23:38]>> When I had a mirror through the pregnancy, the the weight of the baby was completely on my spine. So, it caused some nerve damage, slip disc. So, what they decided to do was give me um a spinal injection of steroids to try and calm the nerves down. And I had a really bad reaction to it.

[00:23:57]>> Okay. because this was done by the anesthetist department. I would actually like to I I would like to speak to them and I'll let you know what they say. Let me just speak.

[00:24:06]>> Okay. Thanks.

[00:24:13]>> You meant to put that in there.

[00:24:14]>> Yeah. It says domestic waste only.

[00:24:16]>> Jump in then.

[00:24:19][laughter] >> So funny.

[00:24:22]Wonder if I can ask him about my knee while I'm here.

[00:24:24]>> Oh, you better get a grip.

[00:24:25]>> I'm being serious. So am I.

[00:24:29][music] >> James, >> what says surgeon smith?

[00:24:56]Specialtity pain.

[00:25:00]>> It will listen. You don't understand.

[00:25:03]>> Specializes in pain. Dr. Death type dude.

[00:25:06]>> Oh, mate. You don't understand how much that hurt to get a needle like that up into your spine. And he tells me, "Hey, just a little prick. Just a stinging sensation you." But I want it to cast.

[00:25:26]My face just feels like it's bright red.

[00:25:29]>> Is it red?

[00:25:31]>> I'm not going to answer that.

[00:25:32]>> Is my face red?

[00:25:34]>> Yeah, it is.

[00:25:37][music] >> We were lucky enough to meet each other at a very young age.

[00:25:46]Sometimes relationships are long as ours with as many kids involved as ours. You sort of lose sight of each other. And we always manage, you know, to pull it back in and enjoy each other's company. We still argue a little bit better.

[00:26:04]>> Should we go home?

[00:26:08]>> You would you go home if it was you?

[00:26:10]>> I wouldn't come here.

[00:26:11]>> Why are you such a frontter? You But you bang your toe and it's an emergency call to the hospital. You're the biggest hypochondric I know. Oh, my knee. Oh, [music] >> you're not even listening to me, are you?

[00:26:27]>> Can you say something?

[00:26:28]>> Yeah, I thought so.

[00:26:30]>> We will not argue in front of the kids.

[00:26:31]We won't do it.

[00:26:35]>> That's why I hit you so often, you know, cuz you just don't listen.

[00:26:38]>> Call that spice and abuse.

[00:26:41]>> I'll go in one room and he'll go in another room and we'll text each other abusive textes until [clears throat] we make each other laugh.

[00:26:49]>> I won't be a minute. I'll be back.

[00:27:02]So this one little thing I've got wrong with me and you know the aches and pains and yeah it it impacts on my life but then I just think wow like how lucky am I? How lucky am I that I've got six amazing kids.

[00:27:20]I need them as much as they need me. You know, they're sort of like they're my breath. You know, they're more light. They really are.

[00:27:36]>> Uncle Stewart's here.

[00:27:39]>> Say hi.

[00:27:45]>> See, she's got the imprint of the steps.

[00:27:49]>> Okay, that's fine. She was so freaking lucky she didn't kill herself.

[00:27:54]>> I know. I know. Could have been.

[00:27:57]>> I'm surprised that, you know, didn't smash her skull if she fell [music] from that height on concrete steps.

[00:28:02]>> Or maybe she she fell halfway down.

[00:28:10]>> Aby's X-ray shows no injury to her spine, but she's fractured her eye socket.

[00:28:15]>> You all right, baby?

[00:28:18]Think you're going to be sick?

[00:28:21]>> All right, darling. All right, my baby.

[00:28:26]>> Watch your back.

[00:28:26]>> All right, baby. All right. It's all right. There you are, darling. This is to be expected. The vomiting. Okay.

[00:28:34]>> No, they can decide.

[00:28:38]>> All right. Just rest. [music] Can you just relax at the moment?

[00:28:42]>> She's got a fracture of the orbit which Maxfax needs to see. Okay.

[00:28:50]>> What can happen, [music] however, which is why you're staying in is that imagine if you fall over and hurt your knee, it swells up before it goes down. You can [music] get a bit of swelling. That's what we're looking for.

[00:29:02]>> And that's why we'll be poking and proddding her to wake her up. [music] >> She's been really good, really well behaved. She is a testament to you.

[00:29:18][music] >> Hi. She's um she's fractured her eye socket.

[00:29:26]>> Yeah. She nearly broke my heart though cuz at Paul's side she said to me, "I love you, mommy." [music] But she's honestly she's done so well.

[00:29:34]>> She's been a little trooper. The doctor said she's a testament [music] to us.

[00:29:42]>> I just wanted to comfort Abby. I wanted to comfort Nikki.

[00:29:48]>> Suddenly you just realize that your your family there's there's the little family that you've created. Um and it's um it's bigger than anything really.

[00:30:00]and and you you just you [music] just feel as though you want to make everything better, you know, just to look after them, protect them.

[00:30:12]>> No, I hear you're being very, very brave.

[00:30:18]You're a very good girl.

[00:30:21]>> You're a very brave girl. Oh, my little puppet.

[00:30:27]She's training.

[00:30:30]>> I hope you're okay.

[00:30:32]Well done for being a really good girl and a really strong girl.

[00:30:36]>> Yeah.

[00:30:57]Go buy bounty. Buy me chocolate. Buy me chocolate from there.

[00:31:02]>> You go see them. You go see them. You know bounty. The one where they get coconut in the middle. You will see it.

[00:31:08]You will see the number. You know how to operate it.

[00:31:13]>> I know what I've got. I've had it before. I got bronchitis.

[00:31:19]Well, you'll have to stay in because the X-rays don't open till 9:00 in the morning. So, you could stay. You >> know, they can hear it on a on a what's it on a stethoscope stethoscope? I can't talk properly. I've lost me teeth. I was going to say they still use it.

[00:31:33][laughter] You bought the wrong thing. That sneaker in it. That's the wrong thing. Bounty is the blue one.

[00:31:43]The bounty I can see is in front of you.

[00:31:44]You go buy sneaker.

[00:31:50]Oh, here we go.

[00:31:51]>> Oh, here we go.

[00:31:53]Oh, >> it's not me.

[00:31:54]>> Got me catfish.

[00:31:56]>> My manager love sneakers.

[00:31:59]>> My children love those either. When they were young, robot love sneaker. Michael like Mazba. Masba is >> mama.

[00:32:15]Hi, my name is Addie. [music] >> 74 year old Joyce has been brought in by her daughter Anne and her grandson Chris.

[00:32:22]>> Can I say something? Yeah. I'm not trying to tell you your job.

[00:32:25]>> I haven't smoked for 3 days because I can't smoke.

[00:32:28]>> Okay.

[00:32:29]>> And I think it's bronchitis. I don't know >> what you doctor now.

[00:32:33]>> I've not have many illnesses, but when I do get an illness, I know it's bad and I know what it feels like >> and therefore I can tell the doctor what it is.

[00:32:43]You just keep diagnosing everything now.

[00:32:46][laughter] >> Yeah, that's all right. I mean, you know your body and if it's happened to you before and if it looks like that, it may not be. Okay. But, you know, it's a good observation. If you know, you've had the experience before. You think it's similar to what you had, then that's fair, you know. [laughter] >> Okay. So, the plan now will be we'll do some blood tests. I will organize a chest X-ray for you. All right. Okay.

[00:33:11]I'll speak to you later. Right.

[00:33:13]>> All right. Thank you.

[00:33:18]>> And I want to go to the toilet. You take me down to the toilet.

[00:33:24]>> Where is it? Down here.

[00:33:27]>> Toilet.

[00:33:27]>> Toilet. Yep. Have you given us a sample?

[00:33:29]No.

[00:33:29]>> And get you a tiny pot. Yeah.

[00:33:32]>> This can be fun.

[00:33:34]>> Oh, I'm not helping with that.

[00:33:35]>> Didn't ask you to.

[00:33:37]>> Yeah. Let me get it out and set it up.

[00:33:40]Could be in there forever.

[00:33:44]She's coming home gutted.

[00:33:47]>> You have no manners.

[00:33:49]>> No, she's coming. No, no, no. They discharged her. Yeah.

[00:33:52]>> Michelle has no infection as a result of the epidural.

[00:33:56]>> She's going home and being asked [music] to come back if symptoms get worse.

[00:34:01]>> So, did you hear that? You have to stay home and care me.

[00:34:04]>> Did she say that?

[00:34:04]>> That is what she said.

[00:34:05]>> Oh, I didn't hear that.

[00:34:06]>> She did.

[00:34:07]>> That's a pity. I would have done it if I heard it.

[00:34:12]>> [music] >> The good thing is though, they're going really quick, aren't they? Getting things done.

[00:34:19]>> You know, it's cuz of her age.

[00:34:21]>> Yeah. [music] >> It's your fault.

[00:34:24]>> It has to be >> tending me the wrong way.

[00:34:26]>> It has to be. I >> keep telling you, [music] dumb ass.

[00:34:29]>> Thank you, Michelle.

[00:34:34]>> He's He's fine. He can The ambulance driver said he can walk.

[00:34:39]Stay in there.

[00:34:41]>> The security team has been called to help a drunk and disruptive patient with suspected mental health issues.

[00:34:47]>> They need to keep him in the treatment bay until a psychiatric liaison nurse arrives.

[00:34:51]>> Stop grabbing hold of me. Okay.

[00:34:54]>> Hello. Security control here. How are you?

[00:34:58]>> What has Marley said to do with this patient?

[00:35:02]>> Say again.

[00:35:04]>> What has said to do with this patient?

[00:35:07]Well, just going to see how it goes.

[00:35:12]>> It's always a difficult situation to deal with.

[00:35:18]>> It's not the same as if somebody was being aggressive and they had no mental health issues, you could just chuck them out if if you know if they're not that ill.

[00:35:25]But if somebody's got mental health issues, they need help. And she, you know, it's your job as part of the A&E team to help them.

[00:35:38]I hear voice in my head.

[00:35:43]>> I hear voices in my head.

[00:35:47]>> Yeah, the PLN is going to come out and see that patient.

[00:35:52]>> Yeah, they're probably not cuz he's so scared.

[00:35:56]what that person's doing that you know that that person is not aware of what they're doing.

[00:36:05]>> You just know they're in a different place.

[00:36:08]>> Oh, yeah.

[00:36:08]>> Hello.

[00:36:09]>> I've got to hide him like this.

[00:36:12]>> Good morning, sir. How are you?

[00:36:14]>> Someone wants to talk to you now. Come on.

[00:36:16]>> There's there there's some things I've seen that's that stuck with me for years.

[00:36:25]I mean, you're meant to be security.

[00:36:26]You're big and you're tough and you know, you got to deal with this every day. But, you know, we're only human as well. You know, we got families.

[00:36:48]>> Hello.

[00:36:49]>> Hello.

[00:36:50]>> Your X-ray shows that you've got a chest of infection.

[00:36:53]>> Mhm.

[00:36:54]>> So, you will need antibiotics. Um, and hopefully everything should clear out.

[00:36:59]>> All right.

[00:36:59]>> Good. Good.

[00:37:00]>> I can go home. That's all I want to do.

[00:37:03][laughter] >> Thank you.

[00:37:08][clears throat] >> Got me result of me exercise. Oh yeah, >> it's a chest infection, but so that's not too bad. So I've just got to wait for your blood results now.

[00:37:28]>> At least that's good news, isn't it?

[00:37:30]>> Yeah. Yeah.

[00:37:34]>> I bet you're both wishing you stayed at home now.

[00:37:37]>> No, you must be I wouldn't have been able to sleep anyway. Now I know that it's a chest infection and they can treat it.

[00:37:45]>> You need to stop thinking about everyone else and think about yourself a bit more often.

[00:37:52]>> [sighs] >> People should start thinking about you more often.

[00:37:56]>> Yeah.

[00:38:00]>> You just need to motivate yourself a little bit more.

[00:38:03]>> That's what it means. But no, because you're not motivating your bones, mom.

[00:38:08]Your bones are seizing up cuz you sit in that chair watching that bloody Dickinson man antiques road show and all that crap.

[00:38:16]>> Dickinson's real deal.

[00:38:18]>> Yeah, the real deal.

[00:38:20]I like floggit. [laughter] >> Same thing.

[00:38:24]>> And CSI and Casualty.

[00:38:26]>> Yeah, I like CSI. I watch CSI >> and I like Holy City better than Casualty.

[00:38:36]>> You got far to go.

[00:38:38]>> Far as Hill.

[00:38:39]>> No, far enough.

[00:38:42]>> But she bought the tablets in.

[00:38:44]>> It's okay to go now. Yeah, I've got my tablets. So, I can go now.

[00:38:48]>> I can go. straight here to you.

[00:38:51]>> Okay. Thank you.

[00:38:54]>> I want to sleep well tonight.

[00:38:58]>> Anyway, thank the pair of you. Don't be silly.

[00:39:05]>> Well done, darling.

[00:39:11]>> Okay. Well done.

[00:39:14]>> I love you, too much.

[00:39:21]I love you more than bacon.

[00:39:26]>> You're supposed to say something back.

[00:39:28]>> Sausage.

[00:39:29]>> Sausage.

[00:39:40]>> [music] >> That was quite a special time that night because you're just open [music] and vulnerable and fragile for me. Having that that connection that night as a mother to a daughter, I think uh I think will always that will always remain with me.

[00:40:18]It's starting to get late outside already, isn't it?

[00:40:21]>> It was really nice last night before we came to work. I was sitting my laptop in me. The window was wide open. The sun was just going down slowly. It was really lovely evening.

[00:40:32][music] book yourself on the desk.

[00:40:47]>> Hello. Oh no.

[00:40:49]>> And your desk?

[00:40:51]>> Yeah. There.

[00:40:52]>> I sw finger pretty bad.

[00:40:54]>> The accident.

[00:40:55]>> Uh yeah.

[00:40:55]>> Or intentionally accident. [laughter] >> Um >> which fingers?

[00:41:00]>> It's my thumb. Oh, this one by wall but it's sharp. Stand it off.

[00:41:04]>> Stand it off.

[00:41:07]Is it left thumb?

[00:41:09]>> Yep.

[00:41:19][music] >> Hello, Michael. I haven't seen you for a while. How's it going?

[00:41:27]>> Keeping busy. Hello.

[00:41:30]>> Morning.

[00:41:32]You know what?

[00:41:33]>> Sorry.

[00:41:33]>> Why are you standing here? I >> was waiting for you.

[00:41:35]>> Yes, exactly. You got it right.

[00:41:38]>> See you later. Never [music] mind.

[00:41:45]>> 100 years from now, there would be about 500 million dead people on Facebook.

[00:41:52]That's not even funny.

[00:41:57]The >> truth though, >> it's not funny.

[00:42:00]Well, we're 20 now.

[00:42:03]>> I'll probably say we got like maximum about 50 >> 60 years left.

[00:42:11]>> So, we've actually been through >> about a third of our life already.

[00:42:16]>> Have we?

[00:42:16]>> Yeah.

[00:42:17]>> If you think about it, look, we're 20.

[00:42:19]>> Yeah.

[00:42:20]>> Then we're going to be 40 in 20 years time, right?

[00:42:22]>> I'm dying like when I'm 150 something, then >> Oh, okay.

[00:42:26]>> You know what I mean?

[00:42:27]>> Yeah.

[00:42:28]>> I don't know about you. I know when I'm done 100%.

[00:42:40]>> I don't ever want to die. So, especially seeing it here, it brings it home.

[00:42:44]So, you do. You just go out and enjoy yourself and you come to work and you can enjoy yourself by helping people. That's me.

[00:42:55][music] I am getting better, ain't I? [music] >> [music] >> probably a week a week after the whole incident [music] that um both Scott and I would just burst out crying for no reason.

[00:43:31]But I think what it was it was just all that pent up emotional cuz after the accident there was a there was a period when we didn't have our little girl. We had some girl who was quite morbid. Um I think she had just had a shock, a really really bad shock.

[00:43:57][music] [music] >> [music] [music] >> Diving off quite a height since I had the accident has been quite hard.

[00:44:27][music] Children kept coming up to me and saying, "How's your eye? How's your eye?" It It was turning yellow and purple at the time. It turned lots of really weird colors. It turned green, purple, yellow, and gray. Black at first, really weird colors. And red. That was all the colors it changed into.

[00:44:57][music] I would like to go high but I thought just leave it for [music] a few weeks and um a few weeks and then start doing 5 m again.

[00:45:24][music] >> This is Nicholas had one punch to the face. This side is fractured. That side's dislocated.

[00:45:30]>> I think it's better we take the nail off.

[00:45:35]>> I feel like out of everyone [music] here, I'm the most dramatic looking.

[00:45:39]It's not going to happen.

[00:45:40]>> There are many patients who have a dislocation. The longer it's out, the more difficult it is to get back in.

[00:45:47]>> Stop. Stop. Stop.

[00:46:10]>> [music]