foreign I don't think there's anything
that's certain in the world at the moment there's a lot that can change there's a lot
that can happen and I think that is in the back of your mind every time I'm going
into work adult trauma ETA five minutes five-year-old hit by a car drag for
three meters d-glove the right side of their scalp code red they're now saying
partial amputation a traumatic cardiac arrest make that up proper day today in it St George's London
one of Britain's busiest a e de
partments under more pressure than ever it does
sometimes feel like a battlefield and it feels like a losing battle at times
as well you need to calm yourself down I have 10 traumas and absolutely no space 25
year old jumped from a third floor balcony this is the point where we can make a
difference thank you everybody [Music] single day [Music] a life is not just a singular thing
things that happen to you have a huge effect on the people around you as well you scared
me so much all the pa
tience you're about to see were treated in just one 24-hour period I
see Behavior every day that reaffirms my belief in the inherent goodness of people it's all a bit
of a shock isn't there and I think I'm incredibly fortunate to work in that environment it's a
lot to take in is the love of my life [Music] you don't expect these things to happen you
expect it to be just another Wednesday night probably 15 minutes into the game I was a couple of feet away
from sac and he had the ball and the
re were two players coming towards him
from the other team and he did what he always does which is he turns away from them but he
drops straight down and he was screaming in agony what sounded like shin pads sort of
clashing was his bone snapping [Music] St George's recess [Music] medical trauma critical skin [Music] a 30 year
old man is being rushed to some George's after sustaining a serious injury playing football if
you're running and jumping and changing direction the forces involved i
n your limbs are actually
quite large and if that Force goes through that joint in the wrong way that structure
will fail what is it virtual male fracture dislocation of left ankle with critical skin I
will commit and get some ketamine out oh [Music] stretched over the fracture to
the point where it's become White pay off and that suggests that the blood
supply to that piece of skin is no longer adequate in the worst case is that the tissue
is not getting blood supply will die over a perio
d of hours [Music] team-mate
Adam is in the ambulance with him he was on the floor screaming in pain he had his
leg raised but his foot was the other way around instantly it's like a shiver just goes down
your spine when the ambulance crew came he asked me the question said Is it bad and
it's the worst thing I've ever seen [Music] stop doing that calm yourself down oh [ __ ] everybody responds to pain differently
and a lot of the time patients can be very scared they don't understand what's
going on and
so you have to very quickly establish a relationship with that patient and get them to
understand what it is you're trying to achieve I'm swearing look at me put your hands
down by yourself right we need to help you you need to calm yourself down let
us sort you out carry on peace [Music] if you want to get that joint in place as fast
as you can you have to get that patient in a position where they can tolerate it
otherwise you're not going to get the result that you want I c
ould spend 20 minutes
counting you down or cut through it all and give you some drugs I chose Plan B somebody
specifically take control of that ankle left things are just going to start
feeling a little bit funny [Music] nice deep breaths nice big breaths for us buddy
you're doing so well the way you kind of got to think about your fractures is that the broken
bone is just a complication of the the injuries to all the soft tissues around it let me just
take that yeah does that limb have an
adequate blood no Supply if not that opens the patient
up to a whole range of really quite horrible complications and at the absolute worst
case that patient will need an amputation foreign [Music] [Music] like 15 minutes okay doctors have to urgently realign Zach's
ankle after he dislocated it playing football [Music] if you've got somebody with a
fractured certification of their ankle and you're concerned that they've got critical
skin then you need to get that ankle back and Joint as fa
st as you possibly can to make
sure it's still got an adequate blood no Supply because if it hasn't then you might
need to think about them going to theater I'm just trying to get a good position just trying
to straighten it for a little bit it's all right okay and then just reduce that Sylvie okay [Music] deep breaths nice deep breath well done buddy
you just focus on your breathing for me I just needed to go back actually reasonably people
yeah that just pops straight back in that was lov
ely all finished all finished do you want to
look at your ankle now it's about to no it's bad button and then we'll get your
room for some x-rays okay buddy Zach's parents are on their way to a e I'd always wished for a son for the simple
reason I had sisters I was the only brother I was over the moon because my firstborn
was a son my second born was a son the third one was a daughter and the last one
is Zach and you're completely saved me okay he was born a very healthy bubbly baby
he lov
ed his milk he could give him as much milk as you wanted and he
would drink and burp drink burp as he was growing up he was always
going to the mosque with me every Saturday I would take him make sure
that he knows who we are why we are but in his teenage days he
was really an Angry Young Man you're doing great mate some of the people that I
would see him with didn't make me feel that easy I remember the time when I was at work
and my wife would ring me and say oh the teacher's wrong exact
ly is that a punch up as
parents we got worried [Music] well done buddy if your company is bad and you're clubbing and
all that you'll always be in trouble I didn't want him to fall in trouble at such an early
age that's why I had to give him the lesson about controlling his anger start going to
the mosque again socialize and that's when he started kicking the football [Music]
means everything to him they can't live without football I'm fine with any amount of
blood and Decor but bones rea
lly make me crazy x-rays will help doctors decide
if Zach needs surgery to give him the best chance of walking normally again she's going to come in under us though yeah I
don't think gobsmacked if he's not done something [Music] [Music] I've been here twice what the nhf [Music] to the NHS who doesn't say h
the NHS my Australian is a mate hey what happened to you eight-year-old Jaden has been brought to
a e with a swollen eye by his mum Caroline what is this it's a spinning top look if
you
hold it up and you push and it spins he does love investigating listen [Music] I was to stay with my friends they have a
little shed thing for prams and bikes and he was standing there when he wanted to stop just
do that okay he came in and he started rubbing his eye and then I looked his eye looks swollen
within half an hour it just sort of doubled its size [Music] it's harder than you you know
I was 38 when I was pregnant with Jayden it was a shotgun I'm not gonna lie it
took about a six
tests just to be sure I was living in South London with my two
older boys one's 27 the other one's 25 now I was doing it by myself so they sort of helped me through my pregnancy as well as when
he was born mom what are your tonsils sit back here take him out why were we created
with tonsils though he's very very intelligent boy I was talking he was walking everything really
really early just unique in his own way can I tell you something brain tumor and Amnesia and
Pharmacy and eczema are a
ll words from the Greeks he's convinced that he's been
here before he's convinced he was born a Victorian time so that
might have something to do with it engine but I suppose that's part of the package
of him open your eyes [Music] get responded Saint George's any priority call 52 year old man is being rushed to some
George's with a suspected broken back and pelvis after falling backwards from a
tailgate of a lorry eight minutes [Music] you don't have to fall particularly far and it
can be
a seemingly innocuous incident that can lead you to potentially quite African injury his
wife Jenny was at home when she received the call and let the house work and decided I'm
going to get my eyebrows done before I go and work the day it was a hearse phone
Iran and I'm always ignore it because we saw somebody try to sell your new roof
double glazing another new front door when I got the call my heart just sunk I
felt like I was going to be physically sick on night three ready one two thr
ee all right so this film in here is Ian today
he was offloading his truck where his mist is putting and he's fell onto his back and onto the
pelvic region we did find a query fractured rib on the lower right hand side severe pain in his
pelvis on his left hand side and back okay Chris so everyone in place okay ready steady race sorry if you if you mobilize that patient
properly or you move them incorrectly you can then convert that to a
serious sort of spinal cord injury and that isn't som
ething we can fix any
pain when I'm pressing okay I'm sorry oh it does that and it should sort of the way down
it's going to shine a little light in your eye there's that many pictures
go through your head [Music] stops it's me I'm a carer and his life's over now [Music] Zach is back in recess waiting for the
results of the x-rays on his ankle which he dislocated playing football two of his
footballing teammates have come to visit him his parents have also arrived [Music] it was just litera
lly our turned and as I twisted
my left leg just I don't know what happened I thought you were actually faking it first I
actually thought why is he like is he actually just joking I had Clear View as soon as I saw your
foot can I just have a look at this guy's x-ray was it like that basically yeah yeah
yeah it was like it was like that yeah probably it wasn't easy to look at
trust me it wasn't easy to look at that makes you think twice about playing football
really actually does man it's
the throbbing a lot like we'll do we'll get we can give you some more
painkillers we'll give you some more morphine should this bone the fibula so tibia is this
big one here right it looks like there might be a bit of damage to the end of that you'll
probably need an operation on it but that'll be up to the orthopedic surgeon so I've had
a chat with them they're going to come and see you all right this is the gentleman that
I need to speak to oh here we go hello sir that's good my mom is fr
om
Pakistan and my dad is from Kenya I don't want to look at my
leg just give me a new leg The 1975 I was in England my father
he said look your mama is sick can you please go and get her from Pakistan oh man as I was leaving the house my late
father said this is a letter he promised me that he will not read
the contents till your airborne the first few words startled me this was just an
excuse to take you to Pakistan we've already seen a girl for you he knew I was better for Playboy
and
we didn't want to get married yeah yeah yeah [Music] now during those days we weren't
allowed to see the pictures of the wife [Music] on the day of the actual marriage she
was covered from head to toe and she had a will in front of her face which
nobody could say especially me [Music] it's only after the priest said I pronounce you
husband and wife and that's when I saw her face God said oh my God I don't deserve this beautiful
girl [Music] we have been married 43 years [Music] and I would
do anything for her or my kids
it's numb I can't really feel that much to be honest with you though all parents
need in life is the happiness of the kids and I pray to almighty God that one day SEC will
get married you just don't give a whole deal you can't feel it here feel my finger not really if you've got a significant fracture
to a name with impaired blood supply if that's not managed in a timely
fashion the worst case is that the tissue is not getting blood supply
will die over a per
iod of hours [Music] foreign [Applause] [Music] killer and then I'm gonna wheel you
into the CT scan delivery driver Ian Fell from his Lori's tailgate
doctors are concerned he may have sustained serious spinal and pelvic
injuries and have ordered CT scans [Music] ah it's gone We're not gonna move anymore
yeah you're on our table now [Music] just going to do your neck first
just to make sure that's all okay and then we'll do the body scan okay we meant what early twenties string fails
that
was the name of the nightclub with this arm can you bring it above your head
for me yeah that was a place that everybody went I think it was only night club that was in
our turn I know it's a petrol station [Music] it was a really good dancer and that's what I was watching I was watching him
dancing and I seized him a power like who's that she's all that's in elementary just tutorials
I said all right and you come along and then go chatting we go dancing Whiter Shade of Pale
we were just to
gether ever since okay keep very very still now free kids later I was in
a Distillery and Ian was working for bookies he kept saying to me there must be some better in
life than this and I said well I don't know him and then the next thing is he's come back he said
you know what we shouldn't have joined down me what do you mean you've joined Army he said
I've signed up for why she isn't waiting to get called up there's some tests and that he says
if a person I'm gone and you're coming with
me I thought he was nuts ready
to study of life [Music] thank you [Music] where can a man get a drink around here Jaden's eye has swollen up
after he was playing in the shed [Music] [Laughter] I put lemon flavored squash
all the way up to there [Music] yeah oh man life with Jason is lots of fun
but hard work he doesn't like the attention coming off him what hello it's literally
from morning till he goes to bed okay let me take it come on you've got nine times out
of someone he goes to slee
p I Crush out no way he ends up with Amy with something else it wasn't he went to school really we
started picking up the behavior problems he gets he's outbursts of like anger of his own age he finds hard how nine times out of ten turns into an argument
so at home he can manage his behaving better than when he's at school Jayden yep me where's your
mum I am just take you down to her keyboard it feels like someone's punching it oh really I
want to lay on the bed yeah you can go up in the bed
if you like so nice to meet you my name
is Emma I'm one of the children's doctors and who's going to tell me the story why you've come
to hospital today I got a piece of rust in my eye how did that happen uh top something rusty does
look a bit weepy we'll have a good look at that eye in a sec I'm just going to ask mum a couple
of questions as well if that's all right any medical problems that we should know about he
has ADHD and I suppose she's on medication for when it first got diagnosed
it used to
be really really hard work I could ask him to do something and he just will not
do it and then pretend he doesn't hear me it's going to shine this light in your
eyes don't worry I've tested it and why people should be responsive are you gonna be
a doctor when you grow up no definitely not I used to go into my room sometimes get a
little bit upset look at my finger here [Music] fun way to deal with it myself there's quite a
lot of swelling there and the eye itself does look quit
e red so we're going to put some colorful
drops in his eyes and they what they do is they just give a dye and then we have a look with our
magic green lights and we see if we can see any scratches there I'm going to pop you down a tiny
bit I don't need to fall off I won't fall off do you know what I feel like
there we go my bed your bed sometimes it feels like it's ruining his life he
would not like me I've got no friends like a real old I think he may struggle with interacting
when he's o
lder even when he's like in his 20s I think you never stop worrying about
your children no matter what age they are [Music] it would have made me feel so sad if you were
like okay I'm gonna get on the bus to go and sit and then even when I told my media ligament you
by yourself I wasn't playing footy and everyone went to the pub after the footy game and set
me on my way it's like sorry mate bees are cool oh [Music] doctors have realigned Zach's ankle to
ensure he has adequate blood flow to
his foot he'll need emergency surgery to repair
the severely damaged bones in his ankle more members of his football team have arrived
to see him I don't want to look is it just your boots got just got stuck in the ground all I
remember is hearing this Almighty noise just a snap crackle and pop up so turkey can't play the
Sunday Amy needs you bro [Laughter] oh that's fine you're good yeah what are you doing here just um
one of our boys man back to his leg you've got to take care of him dogs
Hub what have you done
football did the skin break the bone come out it was just bent what are you worried about
yeah everything work walking Audi Cersei no if you had a wife you won't
be out playing football [Music] be hard trying to find the one
obviously there's loads of social media loads of apps and everything I just don't
think a lot of people want to put in the time but I feel I'm at a point now in my life where
I'm ready to settle down she had a wife exactly [Music] I think we're
a sort of
generation of if it breaks throw it away I've got a lot of English mates who've
got like grandparents are still around that have been married for like 70 years
or even like my parents married for 40 odd years and you think is this generation
going to hear stories of that or is it just going to be five years ten years you know and
that's it because it's broken it's thrown away my parents were arranged and it was told this
is who you're going to marry now that's got to be scary for
any man any woman it is quite
difficult when trying to remain in between sort of respect for the older generation and still be
relevant with the you know your people around you [Music] where do you come from from the north Glasgow okay Ian is waiting for the CT scan results on his neck
and spine while doctors carry out further tests she's gonna take some blood
tests from you all right twinkle Paisley in Scotland it was a hard Old
Town was it much what to be quite honest for you Maggie That
cher was in the government at the time there was two places here you could always work
it was Chrysler and the audience and shot beat him generations of people what their grandparents
parents and the kids Manisha and there's nothing I'm just sorry for causing all this trouble
man I don't apologize for anything [Music] I was 24 coming out for 25 at the
time hadn't left Paisley never been in Holiday never been on a plane and I thought
I don't want my crunch grown up the same way and one of th
e ways to get out here was join up
with the forces so I joined the army boys will be boys huh that's a problem I think I'm a teenager
just don't it's good to live young [Music] we were passing through to Germany I arrived
here in a fell in for December and he didn't get posted to the first Gulf War on the
17th and I never seen him for six months I was all alone thousands of miles away from
my family and I had three little boys with the broadest Scottish accent ever playing in
the streets i
t enables us to come out just so that they could listen to them Tom spent
my life in the Army mate oh really yeah hosting abroad that was the fall cleanse the
first Gulf War boys it's been 14 years in Germany gosh [Music] when you don't hear in the ruin an operational
tour you live in brief for the nurse you're watching TV and your thing that my husband's
here oh my God you get worse in the morning there were so many fatalities or so many injuries
but you had to wait till 10 o'clock at nigh
t and they release the names of who it was and then when
you see the cars coming down and they're going in Oakland people's doors and please don't come in my
door don't come in my door a bleak time that was if I've been left here abandoned with
three little kids how am I gonna do this orthopedic doctors now have the
full results of enct scans okay [Music] [Music] oh it's time in the Army not even a scratch and
all of a sudden it falls off the back of the Lord as in a wheelchair has he ever
gonna walk
again I don't know what was going to do foreign [Music] yes a lot and it smells like
your feet my feet do not smell Jaden and his mum waiting for the [Music]
cup now please want to break you Jason I think we've worked out that you know how
to do it so if you put it down now come on no if he has a bad day guys did I have my
behavior tablets did I suggest you did try to put it down to that that he hasn't had that we've autistic children you can't just say right
you've got to do th
is this and this because it'll never work you have to approach him in a different
way hey why didn't you make out your sleeping who did that he's gone up in the world right
so look up for me and just a tiny little drop the video was going all yellow it is so I'm gonna look in your eye but the trick is
that while we hold it up you have to look down you're gonna try and make me look at my brain
and my brain is not a good thing to see [Music] children with like ADHD and Asperger's they don't li
ke too much noise I mean even when I
put the Hoover on he's like ah the noise look up for me London's very hustle and
bustle and that doesn't help goodbye they find School hard because living in London
sometimes we're traveling like an hour and a half to get there and he's not getting home
till about six o'clock at night we were really really good this is amazing really good yeah
really good he likes running around he likes his freedom you've got to be a bit careful in
London is there anyt
hing there no there isn't the bottom part of your eye is very swollen and
I think that's probably rubbing across the clear part of your eye and that's why it's scratching oh
mum I think we need to give Jaden some eye drops well we'll have to try very hard not
to do that won't we on these drops these are very good eye drops
okay I think as he's getting I'm learning to deal with it and that's I think
as long as I can deal with it then I can help him through the way well done Jayden you were
great should we popped this down he's such a lovable child he has to have snuggles at night
at least 20 minutes if I could have a snuggles Mommy I can't sleep but I won't change it
for the world because he's amazing come on one second [Music] Ian has three broken bones in
his back and a fractured rib and it's never nice being stopped
by a needle [Music] hold on [Music] I left the Army because what Jennifer
wanted a day and I couldn't see naughty but quite honest with you because she'd follo
wed me
in the army and she spent 12 years with me she wanted to run a published what she wanted a day
the pub called The Eagle yeah fantastic foreign [Music] London Liverpool Wales he's just on the road all
day and he's as happy as learning but the back is in the cab so I'll get these smokes I've got their
clothes they smokes nothing I'm not the creepy too a couple of months later against a phone call
Ian's been in an accident clean one of the bakkies Lorry swung he's put his air him up to
break
the fall it's broke his arm I sent him flying through there and broke his two legs he was old
for about 18 months and it couldn't work and then this job come up and that was him finally back at
her work no he's done it again [Music] ah [Music] taken to a ward where neurosurgeons will
assess if he's permanently damaged his spine [Music] when they turned me over like this
it was just hanging back like that it's been difficult but brothers are married and
my sister's married and there i
s an added pressure from there I felt and then with my mate sort of
you know more and more of them getting sort of hits just like I kind of want that as well you
know I want stuff to look forward to you know buy a place holidays uh just Kodak moments
really you know just looking to build that orthopedic surgeons have arrived to prepare
estate agent Zach for emergency surgery this is a question for for your operation
your operation is left ankle fracture open reduction and interfiction
with
place and screws oh my God the screws and everything what does
that mean like going forward behold by a plate and screw so it's
not too changes position of so from when I got my first football top which was a Liverpool top at the age of
seven it was just pure like love it was just a sense of like I can
achieve more you know if I try hard it makes you grow up a little bit as well it's a
way to just sort of stay away from other things if I've had a bad day you know someone's
annoyed me cust
omer or colleague whoever I can always just take my anger out
on the football and just come off the pitch feeling like you know
I've got rid of all that tension it's kind of like made me build a bond with you
know the guys from our mosque Community as well there is a risk of infection it will
give you antibiotics before the operation and I was just football's life isn't it for
when we play and we start with enjoying life the thought of being in a position
where I'm never going to be able t
o play football again just at
absolutely kills me inside [Music] if you've broken a bone then potentially
that will have a massive impact on you as an individual that might affect your ability to walk
that might affect your ability to work [Music] one of the great responsibilities of
this job is that you're often privy to the start of that Journey for that person
and hopefully we can put people on the road to having better days in the future
yeah we'll come yes that's all right only after
his operation will
doctors know how much Mobility Zach will retain in his fractured ankle [Music] oh thank you thank you foreign [Music] [Music] yeah I know a lot about the Great Fire
of London and the Great Plague do you know what he is the Great Plague was it 1665. [Music] there's love for football we're
still there he was still talking about football asking the surgeon when do
you think I'll be able to kick the ball and the guy was laughing said not
soon but maybe six months [Music] for
now it's just try start walking without
looking like I'm auditioning for The Walking Dead [Music] I am engaged now and I'm super excited about it I'm just sort of Basking in
the Ambiance of happiness thank you this evening again a bit worse says
think the worse in hope for the best in my heart just sunk [Music] I'm very very careful about do you know suppose
that's about the most positive thing before I was just straight in there thinking nothing's ever
got your heart I'm supposed to everyb
ody thinks [Music] oh I want for the future is for my kids
grandkids to be all right to be quite honest with you that's all I've ever wanted
as long as my family's all right I'm all right 20 minutes it seems to be knocked to the floor and
go unconscious I just need to check you guys okay [Music] pediatric part for 15 minutes coming off the
first seizure she went straight into another one you just think is this the day
I'm gonna lose my child [Music] [Music] foreign [Music]
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