Teen Bike Accident - 24 Hours in A&E - Medical Documentary

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the world might feel a bit more chaotic and a  bit more divided it's easy to forget sometimes   that there are constants your home still your  home your family still your family and all   the structures of our society is still there  to look after you if you need it here we go   George's resource adult male code red TR about  10 minutes activate the helipad there's been   an explosion on a building site part rad  200 Open Your Eyes Open Your Eyes imagine   having to work here hello Annie can I help St  George's London it's all going to kick off now   one of Britain's busiest A&E departments are we  ready to roll carry on CPR goodness me it's all   happening isn't it we need to fix that or you  won't survive he said uh a place where life   would you say I was fit doctor honestly I think  think I'm quite fit love you are my everything I   love you and it's okay and lost oh M I'm so  sorry unfold every single day for every bad   thing that you see there is something equally  wonderful out there filmed across one 24-hour   period these are the stories of a nation and its  Health Service I thought I was going to die you   did definitely not going to die you've got too  many good doctors and nurses here when people   experience really significant illness or injuries  we see people pull together we see relationships   get stronger and we see people reflect on  what really is the most important things   in their life whatever happens it's going  to be okay I love you love you [Music] too [Music] 0:01:59.840,1193:02:47.295 [Music] know what happened to him but he couldn't [Music] walk see the guy these the two  guys in front um oh he's in golf gear   so he's having been hit in the eye with  a golf ball so those two guys over there   yeah so they're engulfing out H he's  holding it his cheap Dr it he either   a bull's hit or he's been hitting the  he been hitting a nut by a club and he he what do he I just heard that  oh it's like a comedy in heing it St George's recess a 14-year-old girl is  being rushed to St George's after falling   head first from her bike yeah female did you  say yeah okay cheers thanks B pediatric CH   ETA 10 minutes at 14y old that's falling over  the front of her handle bars on her bike and   no helmet no loss of consciousness but she's got  pain on C4 and C5 and old sensation to my right side on shift is consultant lucianne  it's a 14-year-old who's been in a   push bike come off and complain of C4  C5 pain so Joe's going to stay in see that push bike injuries can be very  serious it can be a range you can   knock your knee just bruise yourself  or someone Falls over the handlebars   can be severe head injury neck and spine  injury chest injury cardiac contusions   so a whole Myriad of things can occur  you need to prepare for the worst case scenario the girl's mom is  traveling with her in the ambulance at least we have taken our bike with  that boyfriend Charlie I was just walking back   after a dog walk just as I got back with the dog  Charlie pulled up on his push bike in tears just   saying it's Alicia it's Alicia and I just froze  thinking it's Alicia what just come off her bike   she's not moving when I got up to the scene of  the accident just saw her laying in the middle   of the road and it just sheer Panic horrified  shocked she said I can't feel my legs everything   hurts everything hurts mom hello I'm Joe I'm one  of the doctors um we just needed to go through   a few bits and pieces top to toe assessment  okay and then we'll make a plan of what we're   doing okay okay there we go so we'll just we'll  stay on the scoop and then we'll take hand over   and then we'll go from there so this is Alicia  14-year-old female this evening she went over   the handled bars of her bike no hel helmet worn  she land her face down she's complaining of pain   around C4 C5 aial palpation and also altered  sensation on her right hand side down her leg   thank you very much thank you and we'll assess  her neck and that then we'll go from there I'm   very sorry my darling my name is Joe I'm one of  the doctors we're going to have a little feel of   your neck and then we're going to see if we  can get you to move your neck having spinal   injuries can be hugely significant because  they will affect quality of life the spine is   a very important part of the body if there's  disruption anywhere it can cause problems in   terms of function like movement sensation to  the parts of your body that are affected so   we're going to roll you over to your left hand  side but what you need to do is stay completely   still and then once we've rolled you onto your  side doctor's going to have a look at your back   and then he's going to have a feel down your  back you don't nod or shake your you say yes   or no Ready Steady roll well done well done no  no there was the painful yeah thic yeah still   s here S no here S no here here here okay and  we're going to go back down Ready Steady [Music] roll I tried to be Cal and and  collectives not to let her say I was panicking I was just devastated for [Music] her I was going to play who's the best  looking person in here if you had to after him after the going in the gwn maybe 27-year-old Johnny is in A&E with his  girlfriend after slicing open his hand at work   I didn't even open my eyes I never thought  I would get someone as good as Johnny he   is a very goodl looking person and I think I  am punching in that aspect and people say no   you're not but I'm I know I am when I met him  I thought surely you're a model surely you do   something like that I didn't expect him to  be a plaster when you see a plaster you're   covered in dust you don't smell great because  it's all in your hair it's all in your beard   but anything else it's got to be clean I would  be devastated if I left someone's house and it   was a mess there blood all over the house cuz  as soon as I did it like I fell just looked   at me hand and it was just gushing like all  over and I was just like I didn't know where   I didn't know what to touch I think imin  likes my job I think she likes the fact   that it's like hands on and quite a manly job  stop fiddling with it J just leave it there Jonathan here we go come through Jonathan  have a seat on the bed for me cheers my   name is Rachel I'm one of the practitioners  lovely to meet you nice to meet you talk me   through exactly what happened so like  fell off the stool had me troll plom   troll in my hand um dropped it fell on  it you've basically done that on it just   slice through me H take off this wonderful  dressing yeah it's still bleeding isn't it sorry yeah it is still bleeding a lot yeah   just don't bleed on my floor I  may just grab a second pair of hands can I borrow you for  30 seconds 29 28 come this way I just put on some gloves I just need you to   apply some pressure in a horror  film or something I know right I never would imagine I'd be with someone from  up North cuz I live near Portsmouth so either   ends of the country expecting that we should  put a pressure dressing on yeah we met through   mutual friends on Instagram and my friend came  in one day and he was like oh I've met I've met   the man of your dreams so I had a little stalk  and he got a follow from me and I just remember   like every time that she came up on Instagram  I saw she does cheerleading she does modeling   like underwater modeling I was like God I I wish  I knew her I wish I could talk to her and things   that but at the time obviously I was living in  Newcastle she lived down south arm elevated and   just squeeze I did screenshot a couple of his  photos and sent them to my friend and I was like   I'm going to marry this guy and i' never met him  in my [Music] life sorry about this no you're all   right we'd been chatting for a while when Imaging  was closer for the weekend like in Glasgow I then   thought right enough enough I go I'll go and take  her out do you want to see as well I've seen most   of it there we go I was nervous obviously driving  up there but when we first started talking and   things that we just it was never like a moment  where it was in an awkward silence nothing it felt   like I known her forever as soon as he told me  everything about his life and him and his family   I realized then I was like I feel like we've had  like the same life so far and I was like it's a   bit weird back in the SL back in the sling thank  you so much problem thank you really appreciate   it you've gone through ATT tendon yeah certainly  so what does that mean so it means that the tendon   is going to need to be repaired um it's going to  need a really really decent wash out depends on   what on what the hand team say when they see you  it may well be that they need to take you to to   theater tonight to do that or it may well be that  they take you to the in the morning to do that so   let's get you around to see the hand team thank  you very much cheers are we still blood on my [Music] floor [Music] right we're going to take you around for those  x-rays 14-year-old Alicia needs an urgent x-ray   to check for injuries to her neck and spine she's  in recess with her mom her mom's partner and her   boyfriend after being thrown over the handlebars  of her bike she got for xray oh bless I should be   a while she don't know pretty quick yeah hello  my name is j hi doing your xrays okay okay oh   radiation measur in SE vers is it oh how do you  know I do triple science oh wow Alicia was always   um always clever clever anything she never found  anything difficult I'm always getting corrected   about how I SP or our spell things she's wise day  years just very sensible are you in a right now   y we're just going to have to cut it no please  don't in that case that's fine yeah that's fine   to sa nice bra it's fine yeah yeah she's a lot  more sensible than me so we're we always come   and say goodbye we don't just disappearing I had  no schooling my childhood wasn't structured or   stable at all I was around 11 or 12 years old when  when we left dad he was quite violent we sort of   had to run away from him basically and he chased  us around the country so we had to keep moving   that's it now Flex this up towards your head  keep going it's very important you to do this   well when I became a parent I didn't want my kids  to experience anything that I had I wanted them to   have a proper father figure I think there always  important for children to have a relationship with   both parents we've got to do your neck from the  side to do that I'm going to gently pull your   shoulders down I must have been around 31 when  I first met Alicia's dad he was um motorbike   mechanic Road fast motorbikes quite quite handsome  just that bad boy image that I think sometimes can   attract somebody would' been together four years  that found I was pregnant he wanted to be there in   Alicia's life and rightly so Alicia was his only  daughter and and she was his princess he did adore   her really adored her he had her name Ted all the  way up his leg egg so we're just going to do side   view of your next and you'll be out of here okay  Alicia was always happy to spend time with Dad   they would get up to all sorts of Adventures  as well feeding ducks and going out shopping   or car rides he was a good dad so it was good  that they they got to spend the time they did together there she comes oh that's quick [Music] 0:15:58.600,1193:02:47.295 [Music] [Music] hio and Georges what kind of air we compromised hello you just  had a pre-alert from l so patient is 15 minutes   away a 56-year-old man is being urgently  transferred from a nearby hospital after   suffering an infection causing severe breathing  difficulties I to call you 50 minutes his fiance   is traveling with him in the ambulance I've gone  to work work and Jeff came to pick me up and he   wasn't well just knew something was wrong he was  tired he had a temperature his jaw was swollen he   doesn't get sick so that was a worry after he  saw the doctor doctor realized it was serious   they had to transfer into St George's that was  scary need to get a e to Stone can maybe the ENT   I've already believed ent ent Dr Katrina is on  duty when I'm called to recess it's normally an   extremely serious situation so if someone arrives  without being incubated and they have Airway   compromise they need intervention immediately the  worrying factor of swelling is that it can cause   compression of your Airway and ultimately it can  block off the airway so that people can't breathe work just in The Relic room okay so this is Jeffrey 56 years old he's got 4  Day history of swelling in the left side of his   neck just below his jaw so he's got lwigs onina  increasing swelling in the last 6 hours Ludwig's   angina is an infection in the floor of the mouth  that's rapidly Progressive and causes swelling of   the upper Airway the tongue and the structures in  the upper neck question is where is that infection   coming from have they done any any Imaging  haven't imaged it just look Ludwig's angina is   extremely time critical this is not a condition  that you've got time to think okay thank you very he's everything to me  he's my life in a month's   time we were going to get married so I  was praying that he would come through [Music] it Jeffrey what's your partner's name Gail is it Gail yeah do you want to come  through Jeffrey is in recess with his   partner Gail after a severe infection  left him with pain and swelling in his neck hello hi how you doing are you um relative  Beyonce okay nice to meet you so my name is   Katrina one of the ENT registar so what we need  to do is we need to have a really good look at   you so I'm going to have a good feel of your neck  have a good look in your mouth and then what we do   together is we need to have a good look at your  what we call your Airway this top top part and   the way we do that is we put a fine little camera  through your nose and we've got a screen there so   we can all watch together and have you been on  well have you had fever temperatures you've been   feeling G you mean since since this happening  since the swelling yes yes have no pain in the   teeth you've got no broken teeth or teeth are  infected you would have to really look on that   because that te I I haven't had any pain in it  at all okay mhm you only have one tooth yeah   just the one tooth on that side yeah I I I is  it possible just to pop your on the other side   yes and then you know what just what we're doing  we are sitting up here a little bit more if it's   possible no no I'm helping you don't worry don't  worry I'm okay good first priority is establish   whether the patient has a safe Airway and have  a look at the top part of the airway in order to   see what other structures are swollen beyond what  I can physically see thank you so just open up as   much as you can okay okay so is there any space  for them to breathe around the swelling is there   any pus collecting is there any obvious source  of infection how is that tooth all right it's   not sore if I so what we're going to do is now  put a little bit of spray in your nose if there   is an airway compromise and you make a decision  is this Airway stable is it safe do we need to   intervene and how quickly do we intervene yeah  start recording okay so this is a bit that feels   a bit funny well done my love do really well  fantastic amazing beautiful so that's a really   good view no massive Distortion good view of the  cords they're not just say e count to 10 perfect   that's okay just breathe away nicely now so my  G feeling is what's happened is that one tooth   that you still got there has probably started  to get infected around the root and it started   to swell um and then what happens sometimes that  swelling and infection can develop and it just   progresses and then starts to sort of come down  into the floor of the mouth and it lifts that   tongue up and you can see that already creates  a lot of Edema lots of swelling what I need to   do is get you into the CT scanner we need to  get image of this and see if there is actually   any P there that needs draining is that all  right all right you're like a Ms or you're a hamster Jeffrey is everything to  me he very caring very loving has   got a good sense of humor sometimes  too much you know someone told turn   me into a [Laughter] bullfrog he always  making fun but I wouldn't change it for nothing where's the princess mon kiss whenever you're ready so  I can jeffre is from Jamaica he come from a   a poor background there were 13 of there it  kind of changed his outlook on life he had a   hard time but it wasn't like how my growing up  was they went without whereas I've I've never   gone without right we're going to go around  for the CT scanner okay I leared a lot from   my parents they were married for 58 years  they were happy and I I wanted to be like   them my intention was not just married for  a few years and you get fed up and get a   divorce no my intention was forever but been  married twice things weren't working it was disappointing hello sir my name is Ian when  I met Jeff he was going through a hard time   he just got divorced they had been together  a while and it affected him very badly cuz   he had loved his wife and and his and his  family very much to him is something that   he wanted to last forever so he had been  very hurt sir can we just bring your head   straight is that okay that's perfect well  done I think we met each other at the right   time you feel that you're too old your  past having relationships and then I met Jeffrey I went to my friends we used to have a  get togethers we're just oldies you know that   was the only place I went and there was  Jeff and we started playing Domino's he   came beside me and was looking at my hand and  showing me where to put it I just like the way   he came to help me breathe in and hold your  breath at the end we exchanged numbers and   so started from there really okay so we're all  finished we'll get you off now okay are you okay [Music] Jeffrey what happened uh I got EIT by a golf  ball oh okay did you blow your nose uh   no I didn't cuz if you blow your nose it  will become big big big no no I didn't I didn't James oh yes Bingo yeah so kind of feel the fingers I know  but just try to think about it doctors   are concerned that 27-year-old  Johnny might lose the use of his hand hello my name is ring  I'm from the plastic team oh so before I take the dressing down I  just need to check your you can you can   feel me touching yeah yeah little finger  not so much okay let's go and have a look   how long you've been doing this plaster  in 6 years never done it in 6 years is   this the first time you had the injury  first time ever yeah okay have a seat here so we're going to take the dressing down  going to put your hands just right through   there we're going to do the assessment first  um and after that we're going to give a local   anesthetic then we're going to give a good clean  and wash me Imaging I know we've known each other   for a long time like on social media but you don't  really noral person say it's because social media   is terrible you're looking at things and they're  not real so I can feel that just a bit but it's   like numb so our second date was in London for  the first 3 4 hours we just sat and chattered   okay lift your hands up a bit this person that  you've met only twice in your life and you just   talking for hours and hours and hours and hours  it's made us realize a lot of things I kind of   matched family setup is a lot of the same like  she has a younger brother an older sister I have   a younger brother older sister she doesn't have  a dad a dad died and it happened at the same   time as my dad left 12 years old I'm just going to  give a Lo anesthetic growing up without a father   that F guys is massive and I think we understand  things that we both experienced it felt like yeah   this is the person that I was meant to meet but  you've got to work at things if you want things to happen quite nasty C isn't it Terry come Terry  is my colleague oh yeah so definitely he cut   he's Palmer Arch you can see the pulation got  tendon there okay so I will just close for a   temporary basis because we don't know when the  theater space is and we can't leave your wound   open okay not from around these parts no from  Newcastle no it was just purely to be closer   Imaging better than being like 5 hours away  when I moved to London the plan was basically   just to to get a job and get working and see how  a relationship worked when you meet someone like   I met imag just made you feel like why not it's  just just felt right so we're going to put your   hand on the plaster living close I've been able  to see each other a lot more often than we would   have if I was living in Newcastle it was just  unbelievable and then we got plans to to move   away uh to Australia New Zealand move away start  a life here you go thank you very much but I see   imagin is my future and as long as I have imagine  I see the bigger picture and I see the rest of   me life with her Johnny will now stay in the  hospital overnight ahead of surgery on his hand [Music] to get ready tomorrow might as  well start sing to work [Music] now how you [Music] fading Alicia is in Reas after falling head  first over her push bike doctors are concerned   she may have injured her neck and Spine and  are awaiting the results of her x-ray hello   just sitting there I'm in St George's with  Alicia she came off a bike Charlie pulled up   with his bike and just looked at me didn't even  say anything did he he just said like his head   in oh they put in gas in a cow oh my God she  said you'll either be sick or you just laugh   while she started singing old jams songs hello  hooray there a price to pay for eat rles thank you hello hello how you going on good yeah  the x-rays look okay so we're going to what   we're going to do is we're going to take this  off all right and see how you get on okay cuz   otherwise you get really really stiff and  then that adds to the pain okay but we're   making slow little steps forward oh sorry sorry  and we've ripped out enough of your enough of   your hair you're lucky you haven't smashed  your head in cuz you weren't wearing a a helmet your head of hair on there so we'll see how  it goes all right we'll see what you're feeling   like if everything's feeling okay and you're  moving your neck a little bit more we might be   able to set you up and see how you go the other  thing we're going to do is an ECG so a tracing of   your heart just to make sure that that's all okay  cuz you had a big bang to it okay all right give   us a minute we'll just do quickly do the train  you stay um yeah my death what we got to do we   just put this down I ended the relationship with  um Alicia's dad so I didn't really realize what   was going on in his life but still Alicia and  dad had such a great Bond one day quite early   in the morning we just had breakfast my phone had  rung a family member just be all over your chest   all right they said are you home the police need  to come and speak to you police's dad had passed   away [Music] suddenly he had an accident he had a  few operations we'd been poorly and his body shut down h i just stood in the garden  I just said how am I going to do   this what how am I going to  tell her I was in bit shock I think how how do you tell a child that you  know your parents your dad's passed away   and so suddenly can you not look mom where the fu  darling silly I felt useless she's got a headache   I can give her a painkiller if she needs a hug  I can give her a hug but I can't take away the   pain of the loss of someone in your [Music]  life hardest thing I've ever had to do in my   life was to sit and tell a 10-year-old your dad's  passed away it devastates me because she doesn't   have a dad to walk her down there the aisle she  doesn't have have a dad to see her succeed in life that's they did have a lovely  relationship and it's just it's taken   away and and I can't make it better  no matter what I do I can't make it better don't cry tired yes I want to go home all things kicked  in now till they know you're safe and sound we [Music] go hello how's the neck feeling good yeah going to   sit you up ever slightly and  we'll go nice and slow okay ready is that all right that better yeah  you feeling okay yeah you feeling sick no   dizzy yeah yeah but we're making  slow little steps forward softly   softly slowly slowly yeah when Alisa's  dad passed away she was just subbing and sobbing it's a hot day the funeral she had  made a big um letter to him that she read   out of the side of the Grave which was  really grown up for a 10-year-old with   a lot of adults around her just that she loved  him and she'll always love him that was really   touching heartbreaking to watch feel a bit  laded Yeah 5 years down the line since she   lost her dad we still have bad days it's just  those waves of grief when they get her it's   it's quite sad I think she became a bit of a  recluse at school her grades did slip a bit   quite a lot and she's probably really tired  you're right yeah sometimes she won't speak   to me she says you have enough to deal with  but I always say to him I do need to listen   to you and you do need to tell me think some  sometimes she keeps it a little bit locked away I don't think she likes the thought  that I see her upset you tired she's   not small how are you doing good feel a  bit lie headed yeah we'll get you moved   out of here around to our pediatric  area okay yeah all right cool thank you I wanted to wrap her in the cotton wall  but anything I can do is to cuddle her and   reassure her and never want her to feel  bad that she Grieves just do it with me   don't do it on your own let's go baby the  things that have happened to Rel has made   her grow up very quickly probably taught us  some good life skills really along the way so   I'm hoping she use them tools and have  a good life make it a happy life I got [Music] hiccups 56y old Jeffrey has a severe infection  which has endangered his Airway doctors have   referred him to the specialist Max fax team  morning hi there morning morning my name's   Elizabeth I'm one of the facial doctors and I've  got my Mr Miss who's the consultant on call today   we've had a look at your uh scans okay you've got  a you've got an aoste absis it's not just at the   cheek or under your jaw but it's gone elsewhere  it doesn't need an operation okay and I'll speak   to you in a minute about it but we just need  to uh have a look inside the mouth just have a   quick feel underneath your jaw that's mandibula is  definitely tense open as much as you're able for   me good so lots of Edema floor of the mouth lots  and lots of the flow of the M yeah right what that   naughty tooth what it looks like is uh you've got  this absis related to that back M okay to that's   last one that you've got and the whole floor of  your mouth has tinted up and tined up with what   appears to be a lot of inflammation and maybe  P okay it's all contained within a space that   we need to allow it to open and we need to make  incisions under your sure um this is of course is   an operation it's done under a general anesthetic  and the cause of the problem is likely to be this   tooth so we'll take it out but when you wake up  you'll have drains sticking out allowing things   to drain okay um we will need to keep an eye on  you the last thing we want is when if we were to   finish and take the tube out and things swell up  even more that it may cause a problem with your   breathing so we will keep the tube in place after  surgery and we keep you in itu okay would that be   done today yes so it'll be a few days with us okay  I'm selfemployed so I can't be sitting in yeah   but you you come first yeah I know I know what I'm  saying to I can't be you know we'll get you sorted   as soon as we possibly can but we need to be as  safe as possible for you cuz these things can be   very nasty and you're too precious to you know  mess around with is that we're getting married   next month oh W congratulations there you go you  need to be you need to be sorted by then mhm Jeff   and me we jelled straight away we spoke to each  other every single day just talking and getting to   know each other all right thanks thank you we went  to Richmond Park you know I walk in the park it   was beautiful with all the deers what time to keep  quiet what time to keep quiet no no no we were   holding hands and looking at the flowers you just  kind of get close you know yeah just had a little kiss thought oh my goodness what's going  on with me it's like you're behaving like   a like a young girl and you're not a young  girl it was strange but it was nice go can   work here M can work here from there it  got more serious on our engagement that   was amazing he sang to me and then presented me  with the ring will you marry me say goodbye too bye I don't think there's there's an age  limit to Falling in Love cuz we're we're   human beings we all want companionship  we all want someone to love are you doing   right leave huh jump [Laughter]  on you better hold up until I get [Music] upstairs kinging right [Music] the accident taught me to be more grateful  of the people in my life because they're   all there and cared for me at the time  my mom always showed me that she loved   me she's the best person in my life she helps  me through everything she's amazing and I love [Music] her I'm going to college to study  criminology law and public services   and then I'd like to do a degree in  criminology and then become a police   officer I think my dad will be proud of me  because he always wanted me to have a good future remember the doctor coming in she said your hand  is never going to be the same again I was a bit   like okay yeah this isn't going to be okay I knew  he was going to be off work for a long time and   that's what was concerning I knew something was  going to have to change cuz he wouldn't be able   to live in London and pay his rent without no  work [Music] we hand at the minute I've got   uh full movement um still numb on the little  finger and the ring finger but honestly like   compared to what the injury was was good but  obviously if I'm not working I'm not earning   money so I couldn't afford to live and stay  in London which resulted to was moving home [Music] I was waiting in the hospital doctors  came and said that they had [Music] finished he's just rigged up to all these  machines that was scary I just found my   perfect person and it could have been taken  away from me I thought that perhaps he may   not have been well enough for us to  get married but I said to him even if   I push you in a wheel in a wheelchair you're  coming we got married and we had a fantastic   day although I was married before I must  say I never enjoy another day like that   day the cake was big by G she makes very good  cake she look beautiful couldn't have chosen [Music] [Music] better [Music]
Info
Channel: Banijay Bluelight
Views: 86,563
Rating: undefined out of 5
Keywords: 24 hours in a&e, Hospital Crisis Response, Spinal Precautions, Trauma and Recovery, a&e, a&e documentary, british tv, channel 4, documentary, emergency department, emergency room documentary, healthcare, hospital documentary, human interest, medical documentary, medical emergencies, medical treatment, patient care, patient stories, real life medical drama, reality tv, trauma center
Id: 8XNXsEzl2Ds
Channel Id: undefined
Length: 46min 1sec (2761 seconds)
Published: Thu May 30 2024
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