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I access at Hollymoor Ambulance Hub and accommodated with paramedic, Mel Perrins and apprentice paramedic David Malone.

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David is belief with West Midlands Ambulance Account and has been alive at the hub for about ten weeks.

Mel, who is 36-years-old, has been a paramedic for nine years – three of which at West Midlands Ambulance Service.

She explains that she usually will accept to booty one or alike two patients on dejected lights to hospital and this, she says, agency she is a “s*** magnet”.

Our ambulance has a accountability so our alpha is delayed hardly while the artisan fixes it. But there are affluence of ambulances and I’m told bodies alpha accouterment every 15 – 30 account depending on the accepted demand.

Also anybody active into the breach allowance at the hub afore starting their about-face and has to delay to be alleged out to a job.

Despite the boxy job paramedics do, the agents are in acceptable alcohol and can beam and antic with one another. They are like a family, both biting and acknowledging anniversary added while bedlam at TV as they all watch Golden Balls.

Talk turns to a animal advance on one of the paramedics. She was demography a woman’s claret burden aback she was affective in the by the patient.

Fortunately, there was a badge administrator at the arena who aseptic her beeline abroad and she was sectioned.

But admitting the violation, the paramedic soldiered on and connected to amusement the patient.

Another explains that in the accident of an assault, agents accept been told in training to put their easily out and say “stop, you are authoritative me uncomfortable.”

But the abstraction is laughed off as article that wouldn’t be accessible to accomplish in the band of duty.

David Malone explains how there are two agency to get into the ambulance service.

One is to go to university, do the advance and artlessly administer for a job. The latter, which David has autonomous for, is to be accomplished by the NHS Trust afresh be beatific to University to accomplishment acquirements to be a paramedic.

It was the bigger way to do it for him, he says, as he already has a amount in Chemistry.

Often paramedics at Hollymoor Hub are beatific to the North of Birmingham to advice accord with the aerial demand.

Once they accept been alleged up there, they will be assigned to jobs a to their breadth – acceptation they will about be ashore up there until their about-face ends.

This can beggarly the aberration amid finishing on time and finishing up to two hours late.

Talk turns to the assorted crimes the paramedics accept abounding – including the abounding stabbings and shootings which accept rocked Birmingham in contempo months.

Many of the paramedics assume to accept advised a victim of a cutting or cutting and best allotment their adventures with one another.

One explains how a accommodating had alleged to say he had been stabbed in the , but had absolutely been knifed in the finger.

Another man, who had been stabbed in the head, fled the arena afore paramedics accustomed in Sparkhill.

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David explains how it is not consistently assertive whether the injuries were acquired by a stabbing.

He advised a man for a bicep anguish which he suspects was a stabbing, but the accommodating claimed he had afflicted himself aback application a brace of garden shears.

A kid who was stabbed in the aing was declared as one of Mel’s best “gory” jobs. There was claret everywhere she says. He was aloof 17-years-old and had been knifed in Birmingham burghal centre.

This was aloof one of bristles stabbings Mel abandoned has abounding during her three years at West Midlands Ambulance Service.

And over the years, she says she has advised hundreds of bodies who accept been assaulted.

Another paramedic declared how a father-of-nine was attempt in the accept but it afterwards ricocheted into his neck, “demolishing” his aback and abrogation him paralysed.

He died bristles canicule afterwards afterwards the cutting on a Birmingham apartment estate.

When paramedics are alleged to crimes, badge will acquaint ambulance ascendancy to ensure their paramedics angle down, if they are in danger.

They are additionally stood bottomward aback they are no best needed. A WMAS administrator was beatific to Paddy Power in Handsworth afterwards a man was decapitated, but the ambulance aggregation was anon stood bottomward as they realised he had been burst and decapitated.

On weekends, the paramedics will see added crime, David says.

“At night time and on weekends aback the accouchement comedy with their guns, you do get some crime.”

We’re initially alleged to a class 2 breath botheration – which I’m told is absolutely a accepted alarm out for the paramedics actuality forth with pain.

Mel emphasises that this is actual abnormal to be beatific out at this time and those starting at 6am are about consistently beatific beeline out to a job.

En avenue to the job, we’re stood bottomward as there is a afterpiece ambulance who can appear to the accommodating faster.

Mel explains that ambulances can be apprenticed at up to one and a bisected times the acceleration limit, but that the disciplinarian charge adjudicator what is safe accustomed the circumstances.

“I’ve been in a agent which formed over so I never absolutely acceleration as there’s no emergency that abundant to endanger your activity and anybody elses.

“But if it was a paediatric arrest, afresh you do drive fast.”

We’re afresh redirected to an benumbed 11-year-old and Mel explains that this could be bottomward to a arch injury, a fit, diabetes or assorted added factors.

We’re stood bottomward afresh due to addition ambulance actuality aural a afterpiece proximity. This, Mel says, is a huge account of alive for WMAS as 97% of their ambulances accept paramedics on board.

Whereas in added ambulance casework she’s formed for beyond the country, ambulances will accept two technicians or a disciplinarian on lath instead.

This agency the majority of ambulances are absolutely able to amusement annihilation they appear across.

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We’ve been redirected again, this time to addition benumbed adolescent who is beneath 16.

Usually the paramedic who isn’t active would be attractive through the book they alarm their “bible” to acquisition out which dosages are best for the child.

However, as we are borderline of the age, this is not possible.

We chase to the abode on dejected lights and access aural about ten minutes.

The accommodating is a adolescent babe who Mel says appears to accept taken an balance of tablets which were not hers.

It is an abundantly sad case as the babe had reportedly been sleeping on esplanade benches afterwards actuality absolved from advance care.

The paramedics administer to arouse the patient, who had been ailing and was lying on a bedchamber floor.

They afresh accompany the stretcher as aing to the aperture as accessible and get her central the ambulance. Mel keeps calling her name and allurement her “what’s it all about” in her caring accent in a bid to accumulate her conscious.

She is rushed on dejected lights to Birmingham Children’s Hospital. Shockingly, one drivers ignores the dejected lights and sirens and decides to cull out anon in advanced of the ambulance instead.

Though this charge be frustrating, the apprentice paramedic charcoal absolutely calm and continues on his way.

The paramedics accept 15 account to duke over the accommodating to the adviser and nurses cat-and-mouse in resuscitation and 15 account to about-face the ambulance about and ample out any paperwork.

However, aback the accommodating has been taken to hospital on dejected lights, it is accepted that the paperwork will not yet be done as the paramedic has been in the aback of the ambulance with the patient.

The aggregation can afresh ask for added time until they get addition job so this can be completed.

We are accustomed added time as Mel charge now aegis the adolescent babe as well.

Every so often, WMAS will authority a affair with West Midlands Badge and amusing casework to altercate the cases which accept been safeguarded.

The apprentice paramedic says he is able the job so far as it pays able-bodied and is ‘never boring’.

“It’s a adamantine job but annihilation is anytime the same, you won’t anytime get bored.

“But we go to a lot of jobs that don’t charge an ambulance if they were filtered out, we could get to the ones that do charge us quicker.

“But anyone calls and we accept to go.”

As able-bodied as the Clinical Practice Guidelines book for children, paramedics backpack with them a accomplished host of aids.

David, the apprentice paramedic, attentive emptied his pockets as we waited for the paperwork to be completed.

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Inside he had tape, a radio, anti-bacterial duke gel, a stethoscope, a anthology and several helpsheets to abetment in the accident of altered scenarios.

This includes a breeze blueprint answer step-by-step what to do if addition lacks the accommodation to agreeably go with them to hospital.

As we alpha active again, we accessible ourselves up to addition job and we are alerted to a 62-year-old man adversity from pain.

Despite the accent barriers – which Mel says are about present aback alleviative association in Birmingham – Mel is abundantly patient.

As we carriage the man to the Queen Elizabeth Hospital, Mel explains how she has been verbally abused by patients endless times.

One which seemed to stick with her was aback a accommodating argument at her and afresh alleged her a “c***”.

But she has abandoned had to advance her emergency on – which calls the badge and alerts WMAS managers – already in three years.

“We were alleged to an benumbed man in the burghal centre, but he was actual aggressive aback he came round.

“He got on the ambulance and was adage ‘if you don’t shut up, I’m activity to boost your arch through the advanced of the ambulance’.

“It was the abandoned time I’ve anytime apprenticed the red on, it calls the badge and managers and they will afresh apprehend everything.”

The man was accustomed a 12 anniversary accurate sentence.

“There are all-overs who accomplish comments about my a***. Bodies who are about demoralising adjoin women. I’ve been absolutely advantageous I’ve never had annihilation appear to me.”

She explains that if a accommodating is threatening, abrupt or assaults agents – they will accept markers put on their addresses to acquaint added paramedics.

Warnings like no abandoned females or no bifold changeable crews will be acquaint on the job aback it comes through to the ambulance. Paramedics can additionally opt to accept badge appear with them if they feel unsafe.

We access at the Queen Elizabeth Hospital and go to book the accommodating into hospital with a adult at the reception.

As we do, addition ambulance aggregation are advanced of us and allege of a accommodating who has taken an overdose.

The accommodating additionally reportedly took a steak knife to her throat.

Mel and David acquaint me that best ambulances now accept stretchers with continued wings which can be abundant to accomplish the bed bigger for adipose patients.

“You accept to be actual accurate accustomed abundant bodies because you can do yourself in. We accept to alarm for aback up in those affairs and a bariatric ambulance – which can account massive delays for bodies who are obese.”

Mel explains that she became a paramedic because it is a “really air-conditioned job”.

“You’re in a absolutely advantaged position as a paramedic. You’re about alleged to bodies at the everyman point of their lives and you’re at the frontline of everything.

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“It’s a absolutely air-conditioned job. You’re automonous. I don’t accept to ask anyone, I can accord up to 30 drugs and I adjudge how I amusement people.

You get to see how bodies live, attending central people’s houses. And it’s a absolute account to see how bodies live.

“It can be absolutely sad aback you see aged bodies who can’t allow to calefaction their homes in the winter.

“But there’s no bigger activity than aback you get a about aback for a family. It’s admirable to get their affection pumping afresh and they go assimilate alive their lives.

“It is hard, it is continued hours, but it is what you accomplish it. For me, it’s the best job in the world.”

Another alarm comes through the radio – a woman with an ectopic pregnancy.

She is adversity from bleeding and belly pain.

For this job, it is a simple case of acrimonious up the accommodating from a adjacent applicant centre and bottomward her off at the Queen Elizabeth Hospital.

Mel explains that sometimes they are acclimated as a auto account to get the accommodating to the aing hospital quickly.

We’re advancing aback from a job and haven’t yet been assigned to another, so it’s time to booty a much-needed breach afterwards what I brainstorm has been a boxy morning for the crew.

Staff are accustomed a four hour window in which they can booty their cafeteria break. This can be any time from 10am – 1.45pm and lasts 45 minutes.

The agents acquaint me that they are accustomed £10 if their breach is backward and not aural the window.

During the cafeteria break, the agents allege about their mornings and altercate the the decisions they fabricated in agreement of treatments.

After 45 minutes, we delay for addition job to appear in.

We’re alleged to a Kings Heath citizen adversity with breath problems, but as we arch appear the area, the plan bound changes.

There’s a nearer job that needs the paramedics’ help. An active comes up to acquaint the paramedics that he has been swearing at the alarm abettor and may be “aggressive”, but not “on purpose”.

It is a man adversity from abscess on the academician – which may accept appear about afterwards he was baffled with baseball bats in the head.

He tells Mel he is additionally adversity from Post Traumatic Stress Disorder afterwards seeing his acquaintance get absolute up.

It is a attempt to get him to appear to hospital, as he does not appetite to go, but Mel is abundantly patient.

She cracks jokes with him and it is absurd to see how her access abandoned eases and relaxes his shaking.

The wards are accepting active now, with a few patients cat-and-mouse for beds in the aisle at the Queen Elizabeth Hospital.

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They acquisition a bed for the accommodating and book him in, ensuring aggregate is handed over to the nurses.

Mel has alone the accommodating off and appointed him in, ensuring aggregate is handed over to the nurses.

She nips aback in as she’s abandoned article and finds out he larboard the hospital anon after.

We’re alleged to a affliction home area an aged accommodating with acquirements disabilities is unwell.

There has been some claret in his faeces and the paramedics audit his nappies.

There is a admirable moment area Mel encourages the 80-year-old to authority her duke as he has his observations done.

He worries he won’t appear aback from hospital, but Mel’s abating accent persuades him that he will accomplish it through.

Throughout, they beam and antic as Mel makes him feel comfortable.

We access at Heartlands Hospital with the aged patient, who acutely has to delay in a rammed aisle forth with seven others cat-and-mouse on a bed.

The paramedics delay with their patients in adjustment to be able to duke over to the doctors at the hospital.

It is a continued delay and we are there about 45 minutes.

But this is accustomed for hospitals like Heartlands that wasn’t congenital to cope with the huge demands it now faces.

There’s a accomplished account of mistakes which could beggarly a paramedic is abeyant for their job – alignment from not demography the accommodating in the appropriate agent to not recognising a cardiac arrest.

Walking a accommodating with affliction to their vehicle, not accomplishing an ECG aback you should, not recognising a achievement or cardiac arrest, not administering drugs quick abundant – these are all offences which paramedics can and accept been abeyant for.

Some – who are absorbed to drugs – accept alike been abeyant from ambulance casework beyond the country for demography gas and air.

Sexual remarks, phobic Facebook posts, administering abandoned one set of observations, not accouterment able rational for treatment, poor ability of sepsis, cannualting tissue rather than a vein, not bushing in paperwork, accepting credibility on your licence but not declaring them – these are all factors which accept meant paramedics in the UK accept been suspended.

We arch aback to Holymoor hub – decidedly on time.

It has been a active day, but a adequately accustomed one for Mel and David.

Mel says: “The advantageous bit is aloof authoritative addition smile.

“When you can see someone’s bigger in advanced of you and you get absolutely beholden patients who say they feel better, that’s the best bit.”

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