Frontline Doctors Faced With Life And Death Decision | Casualty 24/7 | Real Responders

[@RealResponders]

Check out another Casualty 24/7 episode here: kzbin.info/www/bejne/baHMhmyYi5yfobM

[@mjleger4555]

When I was in charge, it was my top priority to see that no patient dies alone. If death was imminent, I'd send someone to go sit with them, hold their hand or smooth the hair off their brow -- touch is extremely important, along with hearing, in EOL cases. Especially when family has left for the night. To tell that patient, "I am here with you and I won't leave you, I'll stay right here with you" is so important, even if they do not respond, they more than likely can hear you, (since hearing is one of the last senses to fade) and it is soothing to them. NO ONE WANTS TO DIE ALONE and it is very important that they don't.

[@dianapengitore8002]

You are a very special person.

[@mjleger4555]

@@dianapengitore8002 What a nice thing to say, Diana, thank you!

[@arielasgedom3242]

God bless you for doing such beautiful things.

[@Littlegingerrocker]

Sadly my brother died alone …. Because he died when everyone was asleep… no one was there when it happened it wasn’t until my cousin who lived with us woke up through the night and went to go for a cigarette out the back , which was attached to my brothers medical room he was in and my cousin seen him lying eyes open mouth open :(. Breaks my heart. He couldnt even shout for us :(

[@mjleger4555]

@@Littlegingerrocker I'm so sorry to hear that -- if a person's dying is imminent, they should be attended to the very end by some member of the medical staff. Family is important to be there, but to ensure that the patient is transitioning from life to death peacefully and without pain or anxiety, is the responsibility of the medical staff. It is sad that you had to go through that, I wish you peace and comfort as you heal from your brother's death.

[@MrOnnoV]

How incredibly kind and thoughtful for the nurse to stay for the EOL whilst gently rubbing her hand so perhaps at some level she knew she was not alone.🙏

[@sinneadfert]

Having worked long term care for over two decades(had to leave over a decade ago), I have sat with many. I truly believe they KNOW we are there for them. Studies, for what they are worth, showing hearing is the last thing to go when someone passes, so we also used to talk to them.

[@bluesmachine1006]

It’s difficult not to get attached to patients. I was in ACU after a heart attack last month and a patient on my ward died. The nurse looking after them was heart broken, crying. I love the NHS and everyone in it.

[@adrianh332]

​@@sinneadfert Yes, the last thing I remember when being put under anaesthesia for minor surgery was someone saying "he's going" I couldn't see, I couldn't move but I could hear. Imagine being in a coma and hearing everything everyone is saying about you including likely how long it would be before you expired. Call me Mr fussy but that scenario is absolutely terrifying.

[@mjleger4555]

@@bluesmachine1006 It isn't only nurses who cry when a patient they have been caring for dies, I have seen physicians, colleagues, get tears in their eyes when a patient dies, I have done so myself. The finality of someone dying can be a very humbling thing, and one cannot help but be touched by it. You know, in your own mind, that the person is GONE, never to be seen again, and to REALIZE that, is a very sobering emotion that does NOT leave you quickly! When you save a patient, it's a win, but when a patient dies, that's a loss. To HEAR about someone dying is tough, but to be with that person in their final minutes of life, can really grab your heartstrings! (And you never get used to it!)

[@roxanneherrman2107]

Thank God for the brave nurse that made that lady's passing, so she wasn't alone!!! I have a big fear of dying alone.

[@christinebutler7630]

No one is ever alone. You will be met by those who have gone before.

[@chilloutii3638]

@christinebutler7630 Wishful thinking

[@georgiatruden5343]

Dr wiping his nose and touching his hair???? Same gloves

[@BradleyAndrews-vh5nt]

So do I dear

[@mjleger4555]

No one wants to die alone, it's an innate feeling that the EOL patient has, almost like taking a big step, you feel better with someone's hand on you, so you won't fall. The patient NEEDS that hand touching them and a voice assuring them that they are not alone.

[@debrabolton9372]

I have the highest respect for emergency doctors, nurses, and the entire staff who do so much.

[@SnowPink90]

When the doctor and the nurse stayed with that heart attack patient and they tried their best at saving her, but there was nothing more that they could do for her, I felt a deep respect for both of them for staying with the woman and the nurse to be holding her hand, making sure that the woman wasn’t alone when she passed away was the sweetest thing I’ve ever seen. I know when paramedics came and took over the CPR that my son and I were doing on my husband out on our front lawn three years ago when it was all said and done I could see the pain on all their faces that they couldn’t bring my husband back. They saw how much we wanted my husband to be alive and they saw how close we were when we were saying our goodbyes to my husband and they felt the pain as much as we did. Thank you to all the doctors, nurses, paramedics and air ambulances for all they do in making their patient their priority. And a special thanks to the clerical staff and volunteers because hospitals would not be run properly without these important personnel🌟🌟🌟🌟.

[@donnamitchell7707]

This made my day. It's fantastic that Dr Julian is back,and my favorites like Dr George, and Sister Benita are on shift in this episode. Have a great day ❤️🙂⚘️🏥.

[@joannestark3023]

Yep I love everyone on this show. You know, the first time I heard the word Sister, I thought she was a nun. Even after googling how this fits in with the nurse role, I still don’t fully understand where the Sister part comes from outside of a religious context.

[@fern1416]

It's not religous. She is in charge of the department 🤷‍♂️

[@donnamitchell7707]

@@joannestark3023 It's the name they use in the UK 🇬🇧 for the supervisor of the nursing staff. Have a great day Joanne 🙂⚘️.

[@donnamitchell7707]

@@fern1416 We know, but thank you. I hope you have a great day Fern.

[@PhancyPants12]

14:28 Absolutely love that leadership insight. Even the most junior member of the team, need to be able to deal with the outcome of calling TOD. This choice is shown to reduce workplace burnout in high stress jobs such as these. Too many nurses and doctors burnout or become cold because they feel like they aren’t heard or valued and in a lot of cases that it the truth. Allowing everyone the chance to voice a concern or treatment option lowers the “What if” mindset that can easily overtake someone. 33:31 Stroke??

[@nancygehrts828]

Why can’t USA Doctors be that kind. Wow the care and compassion is amazing

[@chilloutii3638]

Because Americans aren’t nice people in general cops killing civilians for fun

[@alipeacock3685]

Are USA doctors not kind then ? That’s so sad , makes me wonder why they want to be doctors if they have no compassion .

[@sylvias7111]

money, and lots of Asian doctors they are like dead snakes , forced by parents to study medicines..sad kinda not a calling

[@janetscott5252]

My US doctors couldn't be more kind, it's unkind to put all doctors in derogatory status.

[@ellybean5868]

If you were being filmed, I suppose you would be acting your best....

[@echo9970]

As someone who has been in the hospital one or two times and also works in the medical field on the frontline 999, one of my pet hate is when someone that ie NHS staff and says to someone well it's not that bad i had worse or seen worse. Well maybe so but at that moment in time, one it's not you being treated and it is not your injuries, and two at that time it is bad for that person who has that broken leg or hip or has that cut, and this just may be their 1st time ever in A&E so please just think b4 you open your mouth will you. I need emergency surgery to save my life i was in ICU but I did not say to anyone of my patients. oh, that's nothing i was in ICU for one week and needed a blood transfusion blah blah blah it's not about you it's about the person you're treating.

[@katesanderson3208]

That’s one impressive black eye!

[@wmgirl041668]

His wife is rather rude to him in front of others. Makes me wonder how she talks to him when it's just the 2 of them? I would never have called my husband stupid no matter what.

[@Cesar-pq2ck]

Nothing but love and respect to these healthcare workers. I know I couldn’t do this kind of work. I’d be crying the entire time. I’m not emotionally fit to deal with so many people hurting or dying.

[@kewsiyehboah9514]

Absolutely Fascinating Watch.. Worth Their Weight in Gold..

[@debradowning383]

Such a fantastic series of emergency room cases to watch. I just love watching these❤❤

[@kathrynvincent5226]

When he cleaned out the wound with a toothbrush I had to turn away…yick

[@theresarasche3173]

Me too and I’m a nurse 😂

[@brmam1385]

@@theresarasche3173 Me 3!

[@GOGOSLIFE]

I did too, and I've witnessed some pretty horrific sights myself! I saw my husbands de-gloved finger amputated with what looked like tin-snips, one little piece at a time. I've had massive surgical infections when I've had to be reopened, and left open to heal(with 2x/day packing changes into the wound), 3 times now. I've watched my own c-section. My daughter had toddlers elbow and I had to hold her to have it moved back into position. That was the hardest one. After the first one, I just couldn't be there to hear her cry when the realigned it. That one still makes me want to cry!

[@meghanmcnamara23]

I live in the US and I’ve had to wait in the ER for 8 hrs cause they said I wasn’t an emergency. I had a large tumor in my abdomen, that I already knew about, and I was in extreme pain, I could barely walk and talk. They said it was probably pushing on my intestines and causing a blockage which led to pain. They didn’t even find out the actual cause was they just said it’s probably this. Wasn’t given pain relief, just a scan and sent home.

[@jonchase7752]

You were in pain. Otherwise you were fine. you’d be a level 3 or 4 or 5 acuity, aka not a serious problem list, aka you’re gonna be at the back of the line for the truly serious things to take priority. This is not mean it is a logic based system used across the world: “worst goes first”

[@richcarnaggio1525]

Unelectable

[@jeanmyers1787]

Dreadful !

[@mc7550]

Is it inoperable?

[@roxanneherrman2107]

Dr. Humphrey is the bomb!

[@LapaLex-u1x]

I heard he exploded!!!!!

[@chrislee1096]

Thought he retired to Australia

[@haroldowen6001]

All the nurses were lovely! God bless everyone 🙏

[@sassy2086]

Did l just see the jr. doctor wipe his nose across his gloved wrist?!?

[@GailMundell-ux3rl]

Yup. And the Dr is chewing gum with great gusto!!

[@poulaivens5651]

Pre pandemic

[@kimsordyl]

It is not really a sterile operating field anyway….

[@1PROUDGLAMMA67G]

The patient with the hurt leg has the most beautiful eyes ever🥰😘

[@lucilledaub5991]

I love any hospital videos. Very interesting videos.

[@RealResponders]

Thanks for watching! Have you seen this episode of Casualty 24/7? kzbin.info/www/bejne/baHMhmyYi5yfobM

[@jonchase7752]

Big man is putting in WORK with those one armed compressions

[@belindawilson1350]

Well Exactly that... two could cause fractures.

[@tinawoodell1957]

The elderly man is cute as a button ❤

[@lisajeter9511]

I can’t believe they didn’t do a scam for the 81yr old Elderly man. Just because he seems normal doesn’t mean he couldn’t have a small bleed on the inside. Fingers crossed he’s okay!

[@cynthiafisher3392]

I was coming here to say the same thing!

[@mdyercheck]

Socialized medicine

[@deborahrob5859]

Me to, I think they should have checked the eye socket as well, see if he broke anything around the eye.

[@KatZwe]

Here they really don't do them that often. If there is no reason to believe you injured your brain (you are awake and well, not sick, no phase of unconsiousness), they just tell you the signs, you should look out for and ask you to not be alone for the first day. If you happen to develop symptoms, they still can do the imaging.

[@fbeatz2793]

No necessary means for a scan if there was no state of unconsciousness or any sickness therefor stating there is no injury to the head, your stats and observations would specify if you had any form of bleed going on which the male in question had no signs of that doctor was 100% correct in what she said

[@monikagonzales2658]

Omg! Bless these people! How difficult!

[@gretahelphrey7842]

Keep strong and keep on!

[@johnhoward9293]

Absolute chad giving 1 arm compressions, good effort big man

[@travelingdude33914]

13:50 is why you need an end of life plan and a DNR in legal form unless you want to end up on life support and risk surviving with NO quality of life after

[@corvettesbme]

Love this show!

[@hollymiranda0826]

Me too!!

[@diane5593]

Last time I went to the hospital, I'm in N.D. usa. I was admitted but had to stay in e.r. and hallway because there was no beds. Two months ago 😮

[@GOGOSLIFE]

It's like that sometimes in Canada too! Hubby and I were at the hospital because we thought he may have had a mild heart attack. He was in a bed in the ER hallway for the whole visit, two months ago also. No attack, just angina(he has 2 stents already), and he's fine now.

[@Cherilen83]

There were beds most likely but no workers, got kicked to the curb for not getting vaxed. Or....ya had a bunch of drug chasers taking your place

[@johncspine2787]

Might be more efficient to have walk in clinics that don’t deal with trauma, that way the walk ins wouldn’t have to wait for hours and hours, and take the pressure off of trauma centers. That way the trauma centers could still see walk ins to fill out their workload without being overwhelmed.

[@katied4658]

Dang at 16:38, he needs to buy some good non-slip shoes and stick to that type of shoes. It is at higher risk to break again after the first break. Damn 37:38 is why they don't discharge without assessing the patient. The reason for coming in was actually a symptom/side effect and not the direct cause.

[@monikagonzales2658]

God bless nurses!

[@mamabear5488]

Love the hospital ones❤ wish it was like that here in US! We're a mess 🙏 ☮️

[@chilloutii3638]

Unfortunately USA is one of the least compassionate countries in the world, cops killing civilians for every hour of everyday

[@monikagonzales2658]

Wow! Just wow! TY

[@slasherlady]

4 hours wait is nothing when coming to an ER. I've waited 15 hours, and it's not uncommon here to wait about 6-8 hours or more, depending on how serious the condition is of course.

[@AVToth]

I'm a retired RN in Texas. Please educate me on Sister, nurse, Junior Doctor, Registrar doctor.

[@lindaarnold5683]

As far as I can tell: sister is what we call nurse,

[@lindaarnold5683]

Junior Dr is a Resident Physician, Consultant and Registrar still confuse me. Think I will check Goggle.😊

[@travelingdude33914]

A sister is the head nurse. The others I can't help with

[@AVToth]

@@travelingdude33914 Thank you. That's more than I had. I'm always amazed, I think I've always wanted one, at the little watches that pin near their shoulder. We, in the US, always used a wrist watch witha second hand. Now they have the automatic machines for blood pressure, respiration, heart rate. Personally, I don't think in a none critical situation, they are very good. In the good old days; 1. To get heart rate and respiration it required touch, gentle touch. People underestimate the benefit to human emotion and well being from a simple touch. Many older people go months without ever feeling the touch of another. There are more benefits the old way & it's your lucky day, I'm stopping at one.

[@gerimcgladrigan2822]

Sister is equivalent to RN

[@fern1416]

Oh god all that touching 😱

[@TraditionalCatholic2633]

Yes, we will all pass away, but if we do all the right things, we will have eternal life with our Lord Jesus Christ, and God the Father!! ❤

[@kristinarobinson5277]

It really seems like the one nurse is going too fast for cpr

[@lisajeter9511]

An hour of down time is not good! Not for a good prognosis!

[@KelsieSalcido]

Where is that ladies family???? How can they turn off life suooort without contacting family?

[@MrJking065]

In the U.S.A. Doctors cannot turn off life support without the family approval. Or from a order of the court if the person does not have family. This is B.S. that Doctors are allowed to make this decision and not the family. At least give enough time for the family to get there to say their good byes.

[@ShariHoldal]

The wife called him stupid and the daughter agreed. That's not love

[@lisajeter9511]

It all depends on how it was said!

[@ellybean5868]

🙄

[@tessan1970]

I love it ❤

[@bonniekalis7407]

I see that a doc wipes his nose with the glove on his hand and another has his hand in his hair. It is upsetting

[@bettybrabant851]

Didn't he just contaminate his gloves by rubbing them through his hair?

[@DivingIsMyLIfe1]

Do they have Lucas devices?!

[@bodhi1462]

Can't you wait for her family to show up?

[@Breeze-gd8wj]

How do they make the decisions ❤

[@nancygrissett6280]

Yep you sure did...😮

[@LyndaCoulson64]

I got two of those patience right out of them all admitted in this episode, the 40 year old who ame in with a cardiac arrest, when I saw the feet and ankles, I could tell she was about to die and there would be no help getting her back and the 77 year old I noticed she'd had a stroke on her left side. i should have became a medical personal in a hospital.When the fire alarm went off, I thought that's got to be faulty wiring or something like that. Don't know when this was filmed as I don't have a TV. Good episode though.

[@KarenGarland-v2u]

If you are medical personnel, I would have thought you would know the difference between patience and patients. 😅

[@lilmisskiss692003]

3hrs wait and no beds in the hallways? where is this at? 🙃

[@pamfink4052]

Somewhere in England

[@denisedaly2445]

@@pamfink4052 Barnsley in Yorkshire

[@user-crpsdiaries]

We're we live, it's a 12 hour wait in emergency.

[@aprilfisher4947]

Why not watch the video?

[@lilmisskiss692003]

@@aprilfisher4947 .... i did?

[@lisajeter9511]

Sadly the first thing they do is put a Body bag on the bed when a CPR comes into the ER! It makes their job much easier if the patient doesn’t make it.

[@wendystephan35]

Totally untrue!

[@SB-hy9iq]

Interesting how doctors can remove life support without consent of family or loved ones in UK.

[@netto6681]

Sometimes family members just aren’t realistic. Having said that, I was put on a DNR when in my 30s and relatively healthy because of misdiagnosed multi organ failure. Luckily I recovered, but it took a lot of work to get it taken off my record.

[@SB-hy9iq]

@@netto6681 I’m glad you are alright. Very true about family members. I think it’s best in my opinion that it’s a joint decision between family and medical staff but I know realistically it cannot always be that way.

[@kathrynbroome5966]

makes me so mad when peopel complain about the food the sandwich was freezing well no good warm and its free

[@judygriffin8923]

Sister-does that mean nun?

[@lrzoey884]

Head Nurse.

[@Fluteperson01]

I find it incredibly irresponsible to not CT scan the elderly fall patient, he could be on Blood thinners, or more, Elderly pts have a extreme increase in Subdural, and Epidural hematomas due to simple falls, the fact he isnt super symptomatic doesnt mean much, as symptoms can take several hours up to 12 hours to show, i find that just crazy.

[@idahomountainlover754]

Are you a Dr? What is your medical training???

[@josephinerubio3953]

Why do they call the nurses sister ??

[@kiarasimone123]

That guy is literally chewing gum while giving cpr. If I was the patient I’d be like seriously dude?

[@witatter1]

While i agree with you, if I’m getting cpr i wouldn’t care if they were sipping on a latte as long as they were able to save me. 😉

[@katiesnow8933]

Chewing gum can help with the stress. (I've always gotten rid of mine cuz I'm afraid I'll choke, but I get it)

[@lindaarnold5683]

Why not chew gum?

[@mafalda1480]

Pasient is not awake ❤

[@kiarasimone123]

I would just find it hilariously odd just outside of my body like “is he chewing gum?” 😂

[@lisajeter9511]

Maybe the Gin caused this other elderly woman to fall out of bed. Cut back on the Gin for a few days Grandma.

[@marybarger7583]

Why are the nurses in the UK called Sisters?

[@rahimmarwat7939]

57/77 cardiac arrest pt was almost died

[@carolross5233]

Not nice to see a doctor chewing gum in a situation like this…

[@Dorothy-333]

A human garage!

[@haroldowen6001]

The guy staffer chewing the gum ❌ and he is doing chest compressions too fast ❌

[@trishaeverton9592]

This is the second episode I’ve watched. I noticed that the , what, charge nurses are called sister. Are they nuns or is this a British hospital thing?

[@Andrea-mg9py]

No they are not nuns.

[@trishaeverton9592]

@@Andrea-mg9py so then the sister is like the coordinator ?

[@gracejones7902]

So if you're a cyclist you get preferential treatment?

[@mythgreatbritain5634]

Even though you cause most accidents.😉

[@ellykaye6633]

If the government is paying the bill, they unplug the machines, regardless of what the family says about it. You have no choice.

[@Clare147]

They don‘t here in Germany, in fact they let people often too long on life support for the money 🤷‍♀️ We have another health system, but it’s going down now rapidly,

[@gretahelphrey7842]

If you lived in the U.S.A., your (mostly for-profit) insurance company would call the shots. (treatment options, reimbursement rates, etc.). And, after all was said and done, your family would be required to pay the outstanding bills. No matter what the outcome. And you could be in debt/bankruptcy for years. I really appreciate this look into Britain’s NHS. As a retired R.N./N.P., I envy the wrap-around care these patients receive. Everyone (both patients and caregivers) are supported.

[@susanhavelka2951]

America's health care is disastrous.

[@lindaarnold5683]

I don’t think that is an accurate statement. If a patient is too far gone, nothing can be done. There are limits to what Dr can do. Death is death.😮😢

[@fern1416]

They actually explained the reasons and what they were doing if you watch

[@АрзумановаСерафима]

❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤

[@all4mom-xv1hp]

I read that chest compressions should be done to the beat of "Stayin' Alive"; in other words, a nice normal heartbeat. Why do so many giving CPR do it so much faster than that (like this doctor)?

[@Lionwhut]

the proper beat should be 2 compressions per second (at least thats how i learned it) but when you are in a high stress situation like that where someone's life is in your hands, it's understandable that they might not do it perfectly. what's really important is that it's deep enough and not too slow

[@all4mom-xv1hp]

@@Lionwhut, when they're doing it that fast, though, it doesn't look deep enough. I would hope medical professionals could remain calm in emergency situations!

[@scotterman7951]

How Did The Cardiac Arrest Patient Did After Getting To Hospital

[@b4322558]

they took her off life support

[@fern1416]

If you watch they explain it. Do people just write random comments? Why have you put a capital letter at each word? That is not how to type

[@Mummabear543]

@@fern1416Don’t forget your full stop.

[@b4322558]

i dont think they should have a right to take someone off life support as long they are still alive

[@DonnaAbrams-qh7zt]

If there’s no chance the person will ever recover enough to have a normal life, what’s the point of a machine keeping them alive? That’s not living.

[@rossfamily1184]

I believe that they check to see if there is any brain activity first. If they are then found to be brain dead then they have no chance of recovery or any sort of life other than laying there attached to the machine. It's no help to them or their family but that bed and machine may help someone else who needs it and can make a recovery if they are given the chance. Sadly there are not unlimited resourses within the NHS to leave brain dead people on life support and all of the care that surrounds that patient.

[@Greeneyesengage]

They absolutely should! Most people don’t want to remain in a vegetative state….they first make sure there is no brain activity…. I’ve been on life support… after a traumatic brain injury….. I was told I was close to dying but thankfully I’m here…. I have years of memories that I can’t acquire but they know how to check for brain activity….. they don’t just unplug on a heads or tails basis……. I had brain activity but I wasn’t breathing on my own… there’s a huge difference between a brain that can recover and one that can’t.

[@Greeneyesengage]

Might I also add that after I was on life support for weeks…. After my recovery I made sure to have a DNR god forbid I was on life support with no brain activity…. I wouldn’t want to be kept alive by machines

[@jackieschmidt5994]

Alive? Not alive when your heart cannot sustain itself…

[@Star-dk8vq]

Why the heck was that one doc chewing gum shame on him. He needs to be reprimanded for that.

[@rossfamily1184]

If he's doing his job and chewing the gum helps him cope with the stress and anxiety of what he is dealing with day in and day out then I think its the least of anyones worries.

[@idahomountainlover754]

Oh please, relax!

[@Cherilen83]

And another thing......so interesting to see socialized med in the works (or just for TV n not working hehe). Not to say people don't deserve an ambulance, but wow, across the pond people be bleeding or not breathing for an ambulance. Seems like ya have to call their 911 system to get immediate help.... And with the socialized med stuff, I frickin GET IT lol.

[@joannedrakshani6271]

The patient with the knee fracture is so cute 😍🥰🫣

[@Cherilen83]

I really wonder when.....some doctor will ask about vaccine status, once they're there for cardiac "anything"? When will it be ok and the docs won't get their paychecks cut?

[@marieschafle1700]

Can’t really tell what you are talking about