@@JosephRawsthorne31 The cumulative effect of a lot of small donations like yours add up to a lot. That these are not publicly funded is a disgrace though.
My life was saved by air ambulance back in 2012 after I had a crash that irrevocably changed my life. It's just a simple fact that without it I'd be dead. The fact that they're charity run is mental, but I'm so very appreciative of their existence.
Honestly I feel like once you reach a certain age (around 65) you should be checked for your driving ability every couple of years. Not like a full driving test but at least a comprehension test.
As soon as the word "elderly" was first used I let out a massive sigh. It's not right that we do our driving test just once and we don't get checked ever again in our entire lives. That van driver's life was almost ruined, could easily have been lost.
I don't understand why the driving test is only done once. It shouldn't be a right to drive it should be based on actual skill and standard. Plus I think if you keep causing crashes you should be forced to do a driving test, why is this not the case? I know people that keep having crashes and yet keep driving with the same bad habits.
I understand where your coming from .. but your forgetting the guys who steal vehicles running red lights no licence no insurance, speeding though towns and there's no thought of killing or maiming someone
My grandmother decided to take a mock driving test every 3 years after she turned 45 and gave it up at 66 when she wasn't satisfied with her results anymore
every damn year. once dementia sets in, you can go from yourself to nothing but a walking bit of meat within a month.. that shit goes quick, even a year is a long time to leave people unchecked
He's probably not wanting to turn his head to the right because of where the seatbelt had been. As the seatbelt locked (as it's supposed to do) it's caused muscular injury. Worse case, a fractured clavicle but appears quite comfortable.
I'm personally shocked they didn't put a c-collar on him. After a crash like that he starts complaining of neck pain, that's the first thing I would have done.
@@blooddrunk4957 Newer research is questioning the use of c-collars. It sugests to let the patient choose the head position by themselves rather than forcing the neck into a stiff norm. UK has adabted this method.
@@blooddrunk4957 C-Collars increase intracranial pressure, that's why you don't use them with suspected Head/ Brain-Trauma. Plus a C-Collar is no full immobilization, if you wanted to immobilize the patient, you always have to have someone holding their head and neck, even with a C-Collar. Most paramedics don't use them anymore
In Australia you have to have regular driving tests over the age of 70, driver’s licenses must state any medical conditions even the wearing of glasses.
My daughter had an old guy come round a corner on her side luckily she was able move over but he trashed her wing mirror. They turned round and went in pursuit where they found him pulled over. My daughter talked to him and he said she hit him. She showed him the footage and he was shocked. He paid for the damages. They were very very lucky. I think over 65 you should be checked more
Having been attended by paramedics and just your everyday but irreplaceable nurses and Doctors my appreciation and my heartfelt thanks for the NHS knows no limits. My injuries are no where near as severe as this man here but honestly whatever happens in our lifetime. The NHS needs to survive.
I was involved in a roll over crash where the car I was in rolled 3 times and slammed down on its roof with the dog in the car, this rly reminds me of it because I remember crawling put of the car with people running down to the car with shocked looks on their faces like they were expecting the worst luckily I had jo serious injuries my dog had a broken leg and my dad had a broken arm everyone be safe out there anything can happen in a split second.
Do you know the FACTS of the situation before judging based on age? Many older drivers better than younger ones & are more experienced. Most drivers are a danger to the public at some time or other.
@@GreencampRhodie And next week on loosely factual statements that are based on no actual evidence. What could you mean by many? Assuming the proportion people driving over 65 out number those that aren't. It's a smaller group. Also most drivers? There's over 30 million in the UK, if 25million were a danger to the road no one would drive.
@@clear.5999 Because he just drove straight into oncoming traffic and could have caused deaths. I mean you see the video right? Or do you need an Written Description of the visuals?
make it mandatory for elderly drivers to retake their test, statistically speaking the elderly are far more responsible for accidents than those who's insurance premiums are stratospheric.
That's totally contradictory and total nonsense. Insurance premiums are based on the risk of having a costly accident. That's why young, inexperienced drivers who have only recently passed their test pay thousands in premiums. They have a high risk of making a claim. Most drivers over retirement age are at a low risk of causing an accident and making a claim. My wife, aged 68, has just renewed her comprehensive cover for £204 (gone down £95 from last year).
In the US, 16-17 year olds are most likely to be involved in auto accidents than any other group and they cause cause more injuries and deaths than other drivers (including to themselves). Drivers get safer as they age, with 60-69 being the safest drivers. Accident rates start to go up after 70, usually due to medical conditions. Highest driver fatality rates are the 80 years and older group.
Amazing that British medical helicopters are charity run. In the more populated parts of Australia the state ambulance services have their own fleet of helicopters. For those patients beyond the range of a helicopter, the Flying Doctor (RFDS) will fly patients to the city. Nearly every cattle station away from the small towns has an airstrip for the RFDS to land at.
Yeah, but they're covering far greater distances as standard in Australia... you couldn't do the same thing with ground ambulances there, and the majority of cases here are dealt with by road ambulance. The air ambulance only comes out for the most serious cases, or in more remote areas such as the Yorkshire Dales and North York Moors where it would take road ambulances too long to reach the patient.
I once stood in line behind an old fellow who was taking the DMV eye-exam to renew his Driver's License. He peered at the eye-chart and said, "Is that a W?" The clerk smiled and said, "Noooo, try again." "An R?" Nooo, not quite. Very close, though. "Oh, is it S?" YES! This went on a long time until he "passed." I waited about 10 minutes until after he left the parking lot before I felt safe enough to drive away.
Nice job with that response. Only one thing: I would ve never let the driver of the van walk away without a stiff neck brace. Yes he might only have some medium pain in his C spine but you never know what hides behind that after a crash. Even a partial fractured dens, axis or atlas is without stabilization is potentially lethal. Always double and triple insure with C spines traumas !
So shocked how there aren't charities set up? This is not an NHS service it's a registered charity that has to campaign to get money to fund it so it exists
honestly kind of shocked at the lack of c-spine immobilisation and assistance. Like he kept turning his head so if not a collar then someone should have been standing behind him holding the c-spine and reminding him not to turn his head (as i know collars are controversial). There wasnt much if at all any caution put into the procedure of SPINAL extrication and i hope to god hes not done anything to his spine. Just because he CAN move it or he CAN stand, doesnt mean he should. All that aside, they did a wonderful job and kept the man calm during this stressful occasion. Just wanted to get that off my head tbh
@@Ghostvix Amy is right. We use "Canadian C-Spine Rules" to ensure the patient does not need to be immobilised. As this patient has neck pain, and has been involved in an RTC which involved a "Rollover", you CANNOT clear the C-Spine clinically. This is because Rollover is considered a High risk factor. They also wouldn't x-ray him in hospital - it would be a CT C-Spine. Furthermore if you do a CT C-Spine in A&E, you MUST immobilise the patient - because you are doing it to query a fracture. If you can clear the C-Spine clinically using Canadian C-Spine rules, there is no indication for CT. Otherwise if there is imaging required, you must immobilise. So they must either discharge him from scene because they are confident his C-Spine is cleared - or transfer him to hospital with immobilisation. X-rays used to be done, and a handful of older Consultants might still request them, but they miss far too many fractures (look up the sensitivity and specificity vs CT) - Therefore all UK A&Es should (are) using CT only. All the above is only relevant to the U.K, my place of work. The CT Radiographers should - and do - refuse to scan patients who are not immobilised as they could otherwise be paralysed during the CT scan. (Obviously if you are certain they won't be paralysed, then you are certain there are no fractures, and so you shouldn't scan in the first place). I would absolutely have immobilised when they brought the patient into ED and given the above feedback to the paramedics.
As an Australian paramedic I'm amazed at some of the criticism of the spinal immobilisation. Many comments reflect poor or zero clinical judgement, a lack of understanding of studies done into treating spinal cord injuries or just antiquated treatment. A professional first responder doesn't think "I'll put a collar on just in case, or because our protocols say I must". They treat potential spinal cord injuries after carefully and succinctly carrying out a proper clinical assessment. I once saw a video of an American EMT putting a collar on a patient without so much as a neurological assessment and can be heard saying "I'll put this on to be on the safe side". Why some parts of the world are so elementary with EMS is beyond me. You wouldn't have a volunteer doctor, dentist or occupational therapist or one with only six months training treating you, so why in EMS?
Of course, it should not be an automatism to put the collar on. But that patient has had a severe car crash and has pain in his neck (as I understood him). That's quite a warning, isn't it?
@@cymbala6208 Recognising the mechanisms of injury along with the pain are only part of diagnostic pattern for a spinal cord injury, which is what you're protecting rather than just "neck pain". A full neurological and risk assessment to treat for a suspected SCI, neurological or spinal shock is critical. Just applying a C-collar and justifying it to the receiving hospital staff by saying neck pain and MOI without having done a more detailed assessment paints a picture of a minimally trained EMS crew. And given the studies on SCIs worldwide, I'm surprised not more EMS agencies are using the soft collar. We went away from hard collars almost a decade ago after research findings.
in all my experience of life the worst drivers ive ever seen were 60+ years old. every year after sixty increased how recklessly they drive. or the possibility of them having a medical emergency on the road. when i see elderly people driving on the highway i become genuinely scared. oh and not to mention their drinking/smoking and driving. only people ive ever seen drive intoxicated were people over 50yos and all of them got off without a slap on the wrist every time they crashed. two people i know have had a dui over 7 times while driving eith a child in the front seat, has crashed 5 times in the past 3 years. both of them still have their license, and still have access to the children.
My Grandma is 85 and still on the road. Don’t get me wrong I love her BUT it’s been years since I have been in a vehicle she is driving. For good reason, the way she drives gives me nightmares
If you feel your grandmas driving is endangering others i think your family needs to discuss about not letting her drive anymore, or maybe someone else can drive her around..
@4:46 I love how the old boys Corsa is very obviously already two different shades of silver if you compare the front door to the back door must’ve been in a smash before and had bodywork done… Not saying old people can’t drive but…
why is he just left sitting crisscrossed when he is complaining of neck pain and considering the vehicle rolled, the mechanism of injury, the speed of the collision, he should immediately be put on a backboard and in a c collar to protect his c spine. you may not detect c spine injury on scene but he needs cts and mris and may be in shock or adrenaline. c collar and backboard anytime a spinal is possible for precaution. irresponsible for them not to do so
@Hit and Run i didnt do a residency but i sure have been trained as an emt a paramedic, specialist in heavy vehicle extrication and stabilization, specialist training in advanced extrication and vehicle accidents. Our sops still always say immobilize. trauma center never disagrees or tells us we shouldnt have immobilized them
@@brkapp Then you would know that c collar is being phased out as there is no evidence it actually helps. In fact it puts pressure on the base of skull. Also should know that a backboard is only being used for vehicle extrications and they should not be in a backboard for more than 15 minutes as it does not support the correct supine position as it is literally a flat hard board.
@@brkapp self support is shown to be far better to use when possible, the body has sophisticated nerves and systems in place to protect itself far better than neck braces in these situations
@@brkapp Is your SOP supported by medical research? Here in Australia, we perform a thorough assessment for possible SCIs using the NEXUS method. Saying to "always immobilise" seems to lack clinical judgement. As you'd be aware, no two jobs are the same. It's like saying "we'll give GTN to every patient with chest pain unless contraindicated".
Although I have to admit that there are also problems in the health system here in Germany, I find the situation in Yorkshire irresponsible. Only one ambulance available for a serious accident between two vehicles? The NHS should be better funded. I think a few years ago I saw a red bus with advertising for a political party on it. Better funding has been promised if the UK goes through with Brexit. Now that Brexit is here, but what about NHS funding?
You do know how big Yorkshire is right? Rural areas can be 45 mins from major town centres through a lot of winding roads. It's a lovely county, don't get me wrong, but it's difficult to assign ambulances to the middle of nowhere as it's a waste of resources.
@@warailawildrunner5300 Yorkshire has a higher population density than the districts of Upper Palatinate or Lower Bavaria. Lots of rural areas there, too, and still you have by far better EMS coverage. I work at a rural EMS station myself. If we have a response time of more than 10 minutes it's concidered as long and, as long as it's provided by the local fire department, a First Responder Unit will be dispatched and sent ahead to cover the time until we finally arrive on scene. It's not a waste of resources if you cover your area with people living there. You always have to keep in mind, that an incident might not only have one or two patients, but you also need to be able to handle an incident with multiple patients.
@@warailawildrunner5300 No, I do not know the size of the political administrative district. It's unimportant in my opinion. For the supply of fire brigade and rescue service vehicles, it is irrelevant how far away the city or municipality is. If there are areas in between, then there must be a rescue station in between. In my opinion, the only criterion is: how long does it take for an ambulance to arrive at the most unfavorable location. The question is whether politicians are willing to provide the necessary financial resources or whether politicians decide "We don't want to pay for it, we'd rather have a few people die avoidably every year because no ambulance arrives within a reasonable time".
there is masses of funding but it all gets soaked up by middle management bollocks, coming out of lockdown there were multiple reports of heart attack patients waiting hours as hours for ambulances, but we do spend for example 60+ million pounds a year translating things into around 30 diff languages, aswell as spending a few million on training midwives to use gender neutral language
The wreck didn’t actually look bad enough for air rescue. I was in a roll over crash rolled 3 times and didn’t need air rescue thankfully. I live in the us that would’ve cost me 100s of thousands
The use of collars is becoming alot less common nowadays, there is increasing evidence that forcing the head forward with a rigid collar does not only not help but can do more harm than good.
@@VictoryAviation a number of ways, thr most common being full immobilization (person is laid flat on their back in an airmattress device which is moulded around them as air is is suctioned out, which then hardens around the person or, strapped down onto a trauma board or scoop while the head is secured with 2x usually orange foam blocks that stop the patient turning their head, the first method is better as the spine isn't straight which the device allows for, whereas trauma boards don't provide full support, can increase pressure on a potential fracture as well as cause pressure sores which can worsen things). A modern approach as well is patient directed extrication and movement, in this case they allowed the man to keep sitting upright because he has no confusion, followed commands and wasn't exhibiting signs of neurological abnormalities, thr Paramedics most likely discounted any spinal cord injuries believing it to be a soft tissue injury. This requires a trip to an ED to confirm with a Doctor and diagnostics.
Collars are mostly a relic of old school medicine when it was believed they were actually helpful. There are a handful of niche situations where they can be beneficial, however in a far larger group of injuries they're known to worsen the injury or do nothing other than cause discomfort, elevate ICP (increase the pressure on the brain, a fair amount of patients in car accidents will have atleast some level of brain injury, even if it's minor like a mild concussion. The increased pressure is therefore a really bad idea). It's been replaced by a number of modern techniques used in conjunction with specialized equipment
@@ChaosTheBattleLLamma I’ve used trauma boards with head straps and Skedco extraction devices, but I’ve never heard about the vacuum thing. That sounds pretty neat. I used to be an emergency first responder for our interstate system in a big city. If we could have the accident party self extricate we would, but only if it was necessary. I had some that absolutely had to be mobilized before they were assisted out due to shattered femurs and other things. Or there were those that had to be extricated post mortem. It certainly changes your perspective on a lot of things.
here in Germany patients' health insurance is only charged in case of a transport to the hospital; It's always a package price, no matter if and how much medical equipment was needed, no matter how long it took or how far the ride to the hospital was. It costs the very same thing if you have a minor medical issues and get nothing more but a medical transport to a hospital a mile away, or if you require Fire, EMS, take 2 or 3 hours, lots of equipment and then the transport to a distant hospital
Transfers from er to er we’re about $100 a mile, got shipped three times at 1200, 800 and 800 again. Insurance did reimburse us but it was still money out of pocket.
I'm always shocked to hear some of the EMS bills Americans face. In my part of Australia, residents of our state do not get billed. Doesn't matter if it's a 10 minute ambulance ride or a one hour helicopter trip after being winched off a cliff.
Hopefully the police checked the old fool’s phone. I bet if they did they would have found he had just received a text or call. Then prosecuted him for dangerous driving.
Well he was able to move and didn‘t have complaints besides the neck pain so a full-body mobilization was not necessary. Also he did a good job of holding his head still and not moving his neck so a cervical collar might have incommodated him more than it would have helped. About the IV they could have done it, but I think they later put one on him.
There's more and more evidence showing that cervical collars are ineffective and can even cause more harm than good. As for the IV, if the paramedics don't think he'll need drug or fluid interventions, they're not going to unnecessarily stick him.
@@dagodi9160 with that impact, even if we didn't have the dashcam footage, I'd still definetly go for immobilization especially as he complains about neck pain. Full body check (which I didn't see there either) and immobilization, at least with a vacbed, but usually also with a cervical collar. Although airbags were deployed, the impact speed is still rated as high speed trauma ... can't run a full trauma room showing up with a patient after such an incident without immobilization or IV
@@spacewalrus999 depending on the incident, yes, but a high speed trauma like a head on crash, including a small overlap crash like this one, would definetly get the full scale on-scene treatment here. Wouldn't be the first patient which seems altight first and then gets unstable due to sth they might have missed, especially as I don't see a complete body check there. They'd definetly get an IV here . Otherweise you'd start looking for one as soon as he gets unstable. Having an IV right away I'm prepared and can administer drugs as soon as they're needed. I wouldn't dare to get such a patient to a full scale trauma room without immobilization or IV
With only 0.7% of these patients actually sustaining a spinal fracture, research is turning away from collars. Self immobilisation is much more preferable now. I would have laid him down flat for the trip though, but no collar or board.
im not a medical professional but why no cervical collar if he complaining about neck pain,the paramedics are just letting him move his head around after a somewhat serious accident?
@CymruEmergencyResponder are you saying they are counterproductive to diagnose a neck injury? I'm in America and it seems that some procedures are different than in the uk and Europe but like I said I'm not a first responder
By the time you're 60 and up if you can apply for disability rights and get free travel etc etc. You should have another test... period. I feel for both parties, and my Grandad was well past 70 and can drive like a pro. Few others I know over 60 which are great drivers too. But not everyone is as capable of driving well. Even if it's compliance, health checks or even just a refresher - nothing too hardcore or expensive but to scratch up on the finer details and update their knowledge. Hope they get fined regardless - age as much as I care for elderly, should be more careful or have had a health check.
Why they had to rename Helicopter Heroes, which alliterated very nicely, to 'Helicopter ER' when we don't call that department the 'ER' in the UK is beyond me... (We call it 'A&E' - Accident & Emergency)
did you roll once ? a specific question for the patient to test his memory and miss know it all on his left feels she needs to answer lol , shut up and stay out of it
Lots of people in the comments jumping to the conclusion that old people shouldn't drive or should take regular tests without any facts about the reason for the accident. How old is old? Just older than you? Funny how none of those commenters are bright enough to realise WHY insurance is more expensive for younger people - because they cause more accidents maybe? The insurance companies use FACTS not opinion. The person in this video had a lapse of concentration at the least - no one in the comments ever done that? Yeah - if you say so - as I know I have. I know when I was younger I thought I was invincible, no doubt drove worse than I thought but also thought I was the best driver on the road & never made any mistakes. Who knows how good or bad I am - I passed my test like everyone else. I've been in the one accident with another car - consequently when I was in my mid 20's - over the last 35 years or so but was not at fault (Sorry, it was a woman, but let's not use that old cliche or use real facts eh?) Now I take a lot more care - mostly down to experience & because there's a lot more car's on the road as well as more reasons people pay less attention to the task that I need to be more aware of. For instance lets not go too deep into phone use - reading a new text or social media message is seemingly of more importance to a lot of people than making sure they are operating a huge chunk of metal hurtling along a road alongside fellow human beings. Insurance premiums don't start to rise until you're well into your twilight years but even then it is at a comparable rate to a much younger driver & still a fraction of the 17-24 year old bracket. Weird that, I wonder why?. So... Maybe do a few minutes research - on your smart phone - before judging our older generations then take a look at yourself to see what the facts tell you. If you don't fall into the lowest risk age group then maybe you ALSO need to stop driving or take more tests! My biggest wish regarding driving would be that before being given a Car Licence, you have to pass a Motorbike test & drive on that alone for a couple of years before you can start using a car etc. Riding a Moped/Motorcycle REALLY makes you aware of your surroundings & makes you value your life over anything else. Being enclosed in a box makes people far too relaxed & complacent. For information purposes, I'm currently in the lowest risk bracket, so I'll get off my soapbox & go preach to more uninformed "youths" 🤣
The problem is younger people crash because they think they can drive good when they can't, and old people crash just because(medical reasons mostly). Both are equally bad but I would say the second one is even more dangerous to other traffic because the first one generally ends up just hurting themselves.
@@r.yuksel9774 Your first point is correct as I stated (about myself too). But you second point is actually wrong, young people actually cause more injuries to other people than themselves, more than old drivers. Again, check facts before assumptions.👍
@@yips_way What is the source for that claim? I didn't say what I said was the truth, that's just what I thought and the video is a good example for it.
Each of those high tech helmets cost 20k each so along with buying a state of the art helicopter and maintenance the whole nation must be donated so much money each every month and I am talking more than £30+ 👍🤔
Just as well No1 was speeding. It could’ve been way more worse..And, that huge lorry was further back and wasn’t involved or there could’ve been deaths..
No, all the medical care you get is already paid for through taxes which fund the NHS. The helicopter itself however is only funded via charity (which is an absolute crime in my opinion, it _should_ be part of the NHS), but that too is not charged to the patient.
@@DavidStruveDesigns They call that damn chopper for a paper cut and there's nothing you can do about it. They often fly you states away to really be sure the entire situation is made to be as ridiculous as possible.
Where I live in Australia our ambulance service has their own fleet of helicopters. Patients don't get charged for ambulance services whether by road or air.
I'm quite shocked. 😯 Is this really the quality standard of medical assitance after an accident in the UK? Even if the patient didn't complain about neck pain, after such an accident pretty much the first thing you would do is to put on a neck brace and to immobilize the patient. Are the paramedics so badly trained in the UK? Or are these ones just negligent? 🤔
@@kt5661 if he has a genuine medical reason for his lapse then he shouldn’t have been driving in the first place. It’s always white older men with money that get away with careless crashes like this. My partner skidded and crashed her car into a lamppost in May, only the one car involved and no injuries, just damage to her own car. She got charged with driving without due care, 5 points and a £500 fine. She’s was 19 at the time. It’s a crime to be young these days. 😡😡
Amazing job by all, but surely first thing on scene would have been a neck brace on the van driver, or is that not normal procedure. Interested to know???
literally backboard and c collar should have been first thing. even if he isnt showing symptoms of c spine injury you cant rule that outnon scene need ct and mri scans and should definitely be in a collar and even better also on a backboard immediately. thats how we do it in the us
@@brkapp bud he was literally in a roller over RTC, was complaining of neck pain, and cannot rotate his head 45 degrees left and right. According to JRCALC guidelines which is what we follow in the UK ambulance service- he needs to be immobilised.
You forget that whole countries are becoming bankrupt, consequently health systems are rapidly failing. So yes goal posts are moving in regards to whom is considered acceptable to receive care. Too many old people not supporting the system and not paying taxes not enough young people to pay taxes. Its how capitalism works
Why the hell is the man in high vis not getting a stiff neck collar instantaneously?????? What the hell is going on in this country? Even the paramedics are bad.
So this patient was literally in a roller over RTC, was complaining of neck pain, and cannot rotate his head 45 degrees left and right, why was he not immobilised?! I am not saying a c-spine collar should be used, but at least manual immobilisation, head blocks and scoop stretcher?
Neck braces are shown to be a very poor choice when they can immobilise themselves in a better position, forced position doesn't stop the person body trying to reflex to a more comfortable position, this then means that restraining only applies pressure, not immobilise naturally
@@sickeningnoandrealfierceto which is why I mentioned natural immobilisation at the end of my comment, because he already is doing that. Maybe read my comment better
Yes the accident could have been worse...but just words.. The whole program is an example of beefing it up for the camera and audience... It's not entirely accurate.. It was not a direct head-on.. It clearly was a front end swipe.. thankfully...the initial impact was passed down the side of the van.. which eventually rolled..again loosing energy... One can see this by the short stop distance. The other car just came to a halt on 3 wheels...and almost no brakes...so slewed to a stop.. The truck driver would have seen all this and backed off to braking point...then stop..that too is evident... Thankfully nobody really hurt bad...but shocked nevertheless. Cars today are pretty well built...and that in itself helped each individual.. It would have been far worse for a direct frontal impact or even into that lorry...or even a motorcycle... Vehicles can be rebuilt... people a lot harder...or not..
The van driver is complaining of neck pain and isn't moving his head, so why wasn't anyone holding C-spine immobilization? Police should all be trained in first aid, CPR and childbirth. They're usually the first ones to arrive at the scene and should be able to render immediate aid to the injured.
@@HeavyHanded 100 % agree and we are slowly moving away from the use of collars like we did years ago, however, there are some circumstances (mechanisms) where collars would be indicated. This video they should have used a collar.
@@paramedicinparadise9795 This is the UK. They’re able to clear the c spine in the field. These are docs and specialized nurses, people with years and years of education. They are able to use their own clinical judgement to make this decision. They don’t just slap a c collar on everyone like we do in America. Its one of the things we’re going to eventually move towards in America, believe it or not, but first we need to raise our bar for education. (Also there is no evidence that c collars actually help with anything in a conscious patient, and there is evidence that they can harm them. It’s a hard pill to swallow, but the “unstable c spine injury” that everyone has a story about, is largely not a real thing. Considering the force it takes the damage the c spine, the chances that a simple movement would be enough to further destabilize it are almost nil.)
@@HyperkalemiaSineWave you're clearly doing the rounds huh. Let me be bluntly clear regarding your claim regarding collars do nothing to help conscious patients - C-spine collars have saved MANY people I alone (let alone the many other pre-hospital & hospital emergency staff) have attended to who have had fractured necks following a RTA that was not picked up until AFTER being nice & warm in ED & a CT scan - ie it was not picked up during TWO primary & secondary surveys pre-hospital & in ED. You are spouting disinformation (not a word i use lightly) - provide evidence of your claims please.
Which is the right thing to do. Clinical studies have shown that collars do not work and actually increase risk of injury. Clinical practice in the UK is very progressive and is influenced by clinical study. Are you from the US?
And yet the air ambulance is only operating by charity donations. If only people realise how much it costs to cover the missions.
Air ambulances and police helicopters typically cost in the region of £80 a minute to operate as a rough approximation.
@@thefiestaguy8831 mad to think I donate like £4 a month and it barely covers anything 🤯
@@JosephRawsthorne31 Your £4 pays for 3 seconds of flight time. At least you donate.
@@JosephRawsthorne31 The cumulative effect of a lot of small donations like yours add up to a lot. That these are not publicly funded is a disgrace though.
@@paulbarnett227 in the usa, exception of state police medevacs, they are all private and insurance might not pay fully
My life was saved by air ambulance back in 2012 after I had a crash that irrevocably changed my life. It's just a simple fact that without it I'd be dead. The fact that they're charity run is mental, but I'm so very appreciative of their existence.
Wow
Honestly I feel like once you reach a certain age (around 65) you should be checked for your driving ability every couple of years. Not like a full driving test but at least a comprehension test.
inn norway they check you once every year if you are above a ceertain age.
I think everybody should get retested every 5 years, regardless of age.
Does that include young idiots checking their phone
@@amfwelsh Not only young idiots that use their phones while driving...
State of Arizona retests you when you turn 65
As soon as the word "elderly" was first used I let out a massive sigh. It's not right that we do our driving test just once and we don't get checked ever again in our entire lives. That van driver's life was almost ruined, could easily have been lost.
Facts
I don't understand why the driving test is only done once. It shouldn't be a right to drive it should be based on actual skill and standard. Plus I think if you keep causing crashes you should be forced to do a driving test, why is this not the case? I know people that keep having crashes and yet keep driving with the same bad habits.
@@danielderias4773😮
I understand where your coming from .. but your forgetting the guys who steal vehicles running red lights no licence no insurance, speeding though towns and there's no thought of killing or maiming someone
My grandmother decided to take a mock driving test every 3 years after she turned 45 and gave it up at 66 when she wasn't satisfied with her results anymore
People over the age of 70 should be medically checked every 3 years
Most are checked every year
every damn year.
once dementia sets in, you can go from yourself to nothing but a walking bit of meat within a month..
that shit goes quick, even a year is a long time to leave people unchecked
I personally think everyone should have to retake their test or have a refresher every x amount of years
@@jamiew.2718 The DVSA can't cover driving tests for new and former disqualified drivers, without adding all the older drivers as well.
Looking at the Camera footage - clearly the old boy lost concentration.. such a risk with unchecked elderly drivers..
He's probably not wanting to turn his head to the right because of where the seatbelt had been. As the seatbelt locked (as it's supposed to do) it's caused muscular injury. Worse case, a fractured clavicle but appears quite comfortable.
I'm personally shocked they didn't put a c-collar on him. After a crash like that he starts complaining of neck pain, that's the first thing I would have done.
@@blooddrunk4957 Newer research is questioning the use of c-collars. It sugests to let the patient choose the head position by themselves rather than forcing the neck into a stiff norm. UK has adabted this method.
@@blooddrunk4957 yeah, c-collars are outdated like Ailaya said. its good they didnt put it on him.
@@blooddrunk4957 C-Collars increase intracranial pressure, that's why you don't use them with suspected Head/ Brain-Trauma. Plus a C-Collar is no full immobilization, if you wanted to immobilize the patient, you always have to have someone holding their head and neck, even with a C-Collar. Most paramedics don't use them anymore
I’ve had aorta tears, sheering from seat belts. Still wear your seat belt… they save lives. Miraculously, my patient lived w aorta tear.
In Australia you have to have regular driving tests over the age of 70, driver’s licenses must state any medical conditions even the wearing of glasses.
Poor Terry. He tried to swerve, but the other driver was at fault.
My daughter had an old guy come round a corner on her side luckily she was able move over but he trashed her wing mirror. They turned round and went in pursuit where they found him pulled over. My daughter talked to him and he said she hit him. She showed him the footage and he was shocked. He paid for the damages. They were very very lucky. I think over 65 you should be checked more
Having been attended by paramedics and just your everyday but irreplaceable nurses and Doctors my appreciation and my heartfelt thanks for the NHS knows no limits. My injuries are no where near as severe as this man here but honestly whatever happens in our lifetime. The NHS needs to survive.
I think the angle of the impact is what saved them, the Cosra brushed off the van rather than colliding head on. So it didn't come to a sudden stop.
God bless these helicopter paramedics they do a wonderful job.I always contribute towards them.
I was involved in a roll over crash where the car I was in rolled 3 times and slammed down on its roof with the dog in the car, this rly reminds me of it because I remember crawling put of the car with people running down to the car with shocked looks on their faces like they were expecting the worst luckily I had jo serious injuries my dog had a broken leg and my dad had a broken arm everyone be safe out there anything can happen in a split second.
en.wikipedia.org/wiki/Punctuation
@@pingpongpunglmfao 💀
I work for Siemens here in the US and drive the same Ford van. Hope he makes a quick recovery.
Stay vigilant out there bud. I hope everything is uneventful for you out on the road
Siemens energy? (turbines)
Well, at least you know it'll hold up in a head-on.
@@snaswedey no I work for Siemens BAU side
I really enjoyed watching something that's real . Thank you.
Ah yes a very violent crash. Thanks for the added sound effects, I would’ve had a really hard time telling the moment of impact otherwise
God bless the pair and the air ambulance
£10 insurance per year for the old man. Danger to road users.
Do you know the FACTS of the situation before judging based on age? Many older drivers better than younger ones & are more experienced. Most drivers are a danger to the public at some time or other.
whys the old man a danger to road users?
@@GreencampRhodie And next week on loosely factual statements that are based on no actual evidence.
What could you mean by many? Assuming the proportion people driving over 65 out number those that aren't. It's a smaller group.
Also most drivers? There's over 30 million in the UK, if 25million were a danger to the road no one would drive.
@@GreencampRhodie dumb fuck. You obviously have no idea lmao
@@clear.5999 Because he just drove straight into oncoming traffic and could have caused deaths. I mean you see the video right? Or do you need an Written Description of the visuals?
make it mandatory for elderly drivers to retake their test, statistically speaking the elderly are far more responsible for accidents than those who's insurance premiums are stratospheric.
That's totally contradictory and total nonsense. Insurance premiums are based on the risk of having a costly accident. That's why young, inexperienced drivers who have only recently passed their test pay thousands in premiums. They have a high risk of making a claim. Most drivers over retirement age are at a low risk of causing an accident and making a claim. My wife, aged 68, has just renewed her comprehensive cover for £204 (gone down £95 from last year).
In the US, 16-17 year olds are most likely to be involved in auto accidents than any other group and they cause cause more injuries and deaths than other drivers (including to themselves). Drivers get safer as they age, with 60-69 being the safest drivers. Accident rates start to go up after 70, usually due to medical conditions. Highest driver fatality rates are the 80 years and older group.
Amazing that British medical helicopters are charity run. In the more populated parts of Australia the state ambulance services have their own fleet of helicopters. For those patients beyond the range of a helicopter, the Flying Doctor (RFDS) will fly patients to the city. Nearly every cattle station away from the small towns has an airstrip for the RFDS to land at.
In Scotland the air Amblances are operated by the Scottish Ambulance Service which is part of the Scottish NHS
Yeah, but they're covering far greater distances as standard in Australia... you couldn't do the same thing with ground ambulances there, and the majority of cases here are dealt with by road ambulance. The air ambulance only comes out for the most serious cases, or in more remote areas such as the Yorkshire Dales and North York Moors where it would take road ambulances too long to reach the patient.
I once stood in line behind an old fellow who was taking the DMV eye-exam to renew his Driver's License. He peered at the eye-chart and said, "Is that a W?" The clerk smiled and said, "Noooo, try again." "An R?" Nooo, not quite. Very close, though. "Oh, is it S?" YES! This went on a long time until he "passed." I waited about 10 minutes until after he left the parking lot before I felt safe enough to drive away.
Nice job with that response. Only one thing: I would ve never let the driver of the van walk away without a stiff neck brace.
Yes he might only have some medium pain in his C spine but you never know what hides behind that after a crash.
Even a partial fractured dens, axis or atlas is without stabilization is potentially lethal.
Always double and triple insure with C spines traumas !
I don"t understand how they couldn't use a c-collar. In many countries in europe that is standard use on head and neck injuries.
crazy how in the US youd have to mortgage your house if u get air lifted.. most insurance wont cover it and 99% are privately owned
So shocked how there aren't charities set up? This is not an NHS service it's a registered charity that has to campaign to get money to fund it so it exists
In the UK (at least England) air ambulances are charity funded. And I'm so glad for that, since one saved my life.
My husband had to be taken by helicopter in Texas…$66,000.00
honestly kind of shocked at the lack of c-spine immobilisation and assistance. Like he kept turning his head so if not a collar then someone should have been standing behind him holding the c-spine and reminding him not to turn his head (as i know collars are controversial). There wasnt much if at all any caution put into the procedure of SPINAL extrication and i hope to god hes not done anything to his spine. Just because he CAN move it or he CAN stand, doesnt mean he should. All that aside, they did a wonderful job and kept the man calm during this stressful occasion. Just wanted to get that off my head tbh
They felt his spine and cleared him. He would have been X-rays anyway at the hospital.
@@Ghostvix Amy is right. We use "Canadian C-Spine Rules" to ensure the patient does not need to be immobilised. As this patient has neck pain, and has been involved in an RTC which involved a "Rollover", you CANNOT clear the C-Spine clinically. This is because Rollover is considered a High risk factor. They also wouldn't x-ray him in hospital - it would be a CT C-Spine. Furthermore if you do a CT C-Spine in A&E, you MUST immobilise the patient - because you are doing it to query a fracture. If you can clear the C-Spine clinically using Canadian C-Spine rules, there is no indication for CT. Otherwise if there is imaging required, you must immobilise. So they must either discharge him from scene because they are confident his C-Spine is cleared - or transfer him to hospital with immobilisation. X-rays used to be done, and a handful of older Consultants might still request them, but they miss far too many fractures (look up the sensitivity and specificity vs CT) - Therefore all UK A&Es should (are) using CT only. All the above is only relevant to the U.K, my place of work. The CT Radiographers should - and do - refuse to scan patients who are not immobilised as they could otherwise be paralysed during the CT scan. (Obviously if you are certain they won't be paralysed, then you are certain there are no fractures, and so you shouldn't scan in the first place). I would absolutely have immobilised when they brought the patient into ED and given the above feedback to the paramedics.
@@richardgower2605 he is self-guarding his c-spine.
@@CymruEmergencyResponderWhile moving his head?
As an Australian paramedic I'm amazed at some of the criticism of the spinal immobilisation. Many comments reflect poor or zero clinical judgement, a lack of understanding of studies done into treating spinal cord injuries or just antiquated treatment. A professional first responder doesn't think "I'll put a collar on just in case, or because our protocols say I must". They treat potential spinal cord injuries after carefully and succinctly carrying out a proper clinical assessment. I once saw a video of an American EMT putting a collar on a patient without so much as a neurological assessment and can be heard saying "I'll put this on to be on the safe side". Why some parts of the world are so elementary with EMS is beyond me. You wouldn't have a volunteer doctor, dentist or occupational therapist or one with only six months training treating you, so why in EMS?
Of course, it should not be an automatism to put the collar on. But that patient has had a severe car crash and has pain in his neck (as I understood him). That's quite a warning, isn't it?
@@cymbala6208 Recognising the mechanisms of injury along with the pain are only part of diagnostic pattern for a spinal cord injury, which is what you're protecting rather than just "neck pain". A full neurological and risk assessment to treat for a suspected SCI, neurological or spinal shock is critical. Just applying a C-collar and justifying it to the receiving hospital staff by saying neck pain and MOI without having done a more detailed assessment paints a picture of a minimally trained EMS crew. And given the studies on SCIs worldwide, I'm surprised not more EMS agencies are using the soft collar. We went away from hard collars almost a decade ago after research findings.
in all my experience of life the worst drivers ive ever seen were 60+ years old. every year after sixty increased how recklessly they drive. or the possibility of them having a medical emergency on the road. when i see elderly people driving on the highway i become genuinely scared. oh and not to mention their drinking/smoking and driving. only people ive ever seen drive intoxicated were people over 50yos and all of them got off without a slap on the wrist every time they crashed. two people i know have had a dui over 7 times while driving eith a child in the front seat, has crashed 5 times in the past 3 years. both of them still have their license, and still have access to the children.
My Grandma is 85 and still on the road. Don’t get me wrong I love her BUT it’s been years since I have been in a vehicle she is driving. For good reason, the way she drives gives me nightmares
If you feel your grandmas driving is endangering others i think your family needs to discuss about not letting her drive anymore, or maybe someone else can drive her around..
I’m ashamed of this country not supporting this service via Govt means.
Yet we pay millions per day to dossers
@4:46 I love how the old boys Corsa is very obviously already two different shades of silver if you compare the front door to the back door must’ve been in a smash before and had bodywork done… Not saying old people can’t drive but…
He could’ve been hit by a young buck on his phone
@@Elizabeth-rq1vi could've been hit by an old person on the phone, it's myth that young people use phones whilst driving more
Best of luck to Terry. What an awful shock.
"Ehhyup, squadron scramble!"
Ahhh... Britain... ❤
The Sound of the Helicopter from outside is from an 5 Blade H145 not 4 Blade. Just saying :D
😴
Daaaaaaammmmmnnnnnnnnn bro that insurance payout tho...
why is he just left sitting crisscrossed when he is complaining of neck pain and considering the vehicle rolled, the mechanism of injury, the speed of the collision, he should immediately be put on a backboard and in a c collar to protect his c spine. you may not detect c spine injury on scene but he needs cts and mris and may be in shock or adrenaline. c collar and backboard anytime a spinal is possible for precaution. irresponsible for them not to do so
Yeaah, crazy. Adrenaline will make you do all kinds of activities but once it wears off you could be crippled.
@Hit and Run i didnt do a residency but i sure have been trained as an emt a paramedic, specialist in heavy vehicle extrication and stabilization, specialist training in advanced extrication and vehicle accidents. Our sops still always say immobilize. trauma center never disagrees or tells us we shouldnt have immobilized them
@@brkapp Then you would know that c collar is being phased out as there is no evidence it actually helps. In fact it puts pressure on the base of skull. Also should know that a backboard is only being used for vehicle extrications and they should not be in a backboard for more than 15 minutes as it does not support the correct supine position as it is literally a flat hard board.
@@brkapp self support is shown to be far better to use when possible, the body has sophisticated nerves and systems in place to protect itself far better than neck braces in these situations
@@brkapp Is your SOP supported by medical research? Here in Australia, we perform a thorough assessment for possible SCIs using the NEXUS method. Saying to "always immobilise" seems to lack clinical judgement. As you'd be aware, no two jobs are the same. It's like saying "we'll give GTN to every patient with chest pain unless contraindicated".
Although I have to admit that there are also problems in the health system here in Germany, I find the situation in Yorkshire irresponsible. Only one ambulance available for a serious accident between two vehicles?
The NHS should be better funded. I think a few years ago I saw a red bus with advertising for a political party on it. Better funding has been promised if the UK goes through with Brexit. Now that Brexit is here, but what about NHS funding?
You do know how big Yorkshire is right? Rural areas can be 45 mins from major town centres through a lot of winding roads. It's a lovely county, don't get me wrong, but it's difficult to assign ambulances to the middle of nowhere as it's a waste of resources.
@@warailawildrunner5300 Yorkshire has a higher population density than the districts of Upper Palatinate or Lower Bavaria. Lots of rural areas there, too, and still you have by far better EMS coverage.
I work at a rural EMS station myself. If we have a response time of more than 10 minutes it's concidered as long and, as long as it's provided by the local fire department, a First Responder Unit will be dispatched and sent ahead to cover the time until we finally arrive on scene. It's not a waste of resources if you cover your area with people living there. You always have to keep in mind, that an incident might not only have one or two patients, but you also need to be able to handle an incident with multiple patients.
@@warailawildrunner5300 No, I do not know the size of the political administrative district.
It's unimportant in my opinion.
For the supply of fire brigade and rescue service vehicles, it is irrelevant how far away the city or municipality is.
If there are areas in between, then there must be a rescue station in between. In my opinion, the only criterion is: how long does it take for an ambulance to arrive at the most unfavorable location.
The question is whether politicians are willing to provide the necessary financial resources or whether politicians decide "We don't want to pay for it, we'd rather have a few people die avoidably every year because no ambulance arrives within a reasonable time".
I’ll tell you what about that NHS funding- the guy who made the claim admitted it was 100% made up to get people to vote leave
there is masses of funding but it all gets soaked up by middle management bollocks, coming out of lockdown there were multiple reports of heart attack patients waiting hours as hours for ambulances, but we do spend for example 60+ million pounds a year translating things into around 30 diff languages, aswell as spending a few million on training midwives to use gender neutral language
The wreck didn’t actually look bad enough for air rescue. I was in a roll over crash rolled 3 times and didn’t need air rescue thankfully. I live in the us that would’ve cost me 100s of thousands
For sure, must've been a slow day
So the Patient complaining of neck pain why didn’t they put a collar on him?
The use of collars is becoming alot less common nowadays, there is increasing evidence that forcing the head forward with a rigid collar does not only not help but can do more harm than good.
How do they go about stabilizing the spine then?
@@VictoryAviation a number of ways, thr most common being full immobilization (person is laid flat on their back in an airmattress device which is moulded around them as air is is suctioned out, which then hardens around the person or, strapped down onto a trauma board or scoop while the head is secured with 2x usually orange foam blocks that stop the patient turning their head, the first method is better as the spine isn't straight which the device allows for, whereas trauma boards don't provide full support, can increase pressure on a potential fracture as well as cause pressure sores which can worsen things).
A modern approach as well is patient directed extrication and movement, in this case they allowed the man to keep sitting upright because he has no confusion, followed commands and wasn't exhibiting signs of neurological abnormalities, thr Paramedics most likely discounted any spinal cord injuries believing it to be a soft tissue injury. This requires a trip to an ED to confirm with a Doctor and diagnostics.
Collars are mostly a relic of old school medicine when it was believed they were actually helpful. There are a handful of niche situations where they can be beneficial, however in a far larger group of injuries they're known to worsen the injury or do nothing other than cause discomfort, elevate ICP (increase the pressure on the brain, a fair amount of patients in car accidents will have atleast some level of brain injury, even if it's minor like a mild concussion. The increased pressure is therefore a really bad idea). It's been replaced by a number of modern techniques used in conjunction with specialized equipment
@@ChaosTheBattleLLamma I’ve used trauma boards with head straps and Skedco extraction devices, but I’ve never heard about the vacuum thing. That sounds pretty neat. I used to be an emergency first responder for our interstate system in a big city. If we could have the accident party self extricate we would, but only if it was necessary. I had some that absolutely had to be mobilized before they were assisted out due to shattered femurs and other things. Or there were those that had to be extricated post mortem. It certainly changes your perspective on a lot of things.
in the USA, it's not free. I had a motorcycle crash, I was in the ambulance for 3 miles, something km. it was$300 per mile charged to me
here in Germany patients' health insurance is only charged in case of a transport to the hospital; It's always a package price, no matter if and how much medical equipment was needed, no matter how long it took or how far the ride to the hospital was. It costs the very same thing if you have a minor medical issues and get nothing more but a medical transport to a hospital a mile away, or if you require Fire, EMS, take 2 or 3 hours, lots of equipment and then the transport to a distant hospital
Transfers from er to er we’re about $100 a mile, got shipped three times at 1200, 800 and 800 again. Insurance did reimburse us but it was still money out of pocket.
It ain’t free in the uk either. Funded by the tax payer.
I'm always shocked to hear some of the EMS bills Americans face. In my part of Australia, residents of our state do not get billed. Doesn't matter if it's a 10 minute ambulance ride or a one hour helicopter trip after being winched off a cliff.
@@coover65 Everybody is billed in a tax payer funded system.
NHS & Air Ambulance 🚑 at their best, we definitely don't pay them enough for the job they do
Drivers of 65 should be tested every year in the vehicle and medically.
My stepfather is 81 and probably the best driver i know. He’s never had an accident and has been driving since 1960
@@cromwellg60 yeah my grandad is a great driver as well but a lot of old people shouldnt be allowed on the road
You’ll not be saying that when your 65 and I’ve witnessed a lot of bad driving from all ages
Reasons why in my country once you hit a certain age you have to be certified to drive and only for 1-2 years at a time.
Hopefully the police checked the old fool’s phone. I bet if they did they would have found he had just received a text or call. Then prosecuted him for dangerous driving.
Get a line in as soon as you even suspect something. 101 emergency medicine. Could decompensate quickly.
Why, with a neck injury, didn't they put a c collar on him immediately until he got to the hospital to have it checked out?
the driver of the van says he has neck pain but they don't do any immobilization on scene, not even a cervical collar? Don't see an IV either ...
Well he was able to move and didn‘t have complaints besides the neck pain so a full-body mobilization was not necessary. Also he did a good job of holding his head still and not moving his neck so a cervical collar might have incommodated him more than it would have helped. About the IV they could have done it, but I think they later put one on him.
There's more and more evidence showing that cervical collars are ineffective and can even cause more harm than good. As for the IV, if the paramedics don't think he'll need drug or fluid interventions, they're not going to unnecessarily stick him.
@@dagodi9160 with that impact, even if we didn't have the dashcam footage, I'd still definetly go for immobilization especially as he complains about neck pain. Full body check (which I didn't see there either) and immobilization, at least with a vacbed, but usually also with a cervical collar. Although airbags were deployed, the impact speed is still rated as high speed trauma ... can't run a full trauma room showing up with a patient after such an incident without immobilization or IV
@@spacewalrus999 depending on the incident, yes, but a high speed trauma like a head on crash, including a small overlap crash like this one, would definetly get the full scale on-scene treatment here. Wouldn't be the first patient which seems altight first and then gets unstable due to sth they might have missed, especially as I don't see a complete body check there. They'd definetly get an IV here . Otherweise you'd start looking for one as soon as he gets unstable. Having an IV right away I'm prepared and can administer drugs as soon as they're needed. I wouldn't dare to get such a patient to a full scale trauma room without immobilization or IV
With only 0.7% of these patients actually sustaining a spinal fracture, research is turning away from collars. Self immobilisation is much more preferable now. I would have laid him down flat for the trip though, but no collar or board.
Terry is looking for a payday 😂
Why are they calling a 60 year old elderly 😂
old people, no excuse for their dangerous or careless driving.
they should be re-tested every year and if they are on medication banned from driving.
im not a medical professional but why no cervical collar if he complaining about neck pain,the paramedics are just letting him move his head around after a somewhat serious accident?
Because collars are counterproductive.
@CymruEmergencyResponder are you saying they are counterproductive to diagnose a neck injury? I'm in America and it seems that some procedures are different than in the uk and Europe but like I said I'm not a first responder
@@johnhancock8552 No, collars have been shown through clinical studies to increase the risk of injury.
@@CymruEmergencyResponder thanks for the insight
By the time you're 60 and up if you can apply for disability rights and get free travel etc etc.
You should have another test... period.
I feel for both parties, and my Grandad was well past 70 and can drive like a pro.
Few others I know over 60 which are great drivers too.
But not everyone is as capable of driving well.
Even if it's compliance, health checks or even just a refresher - nothing too hardcore or expensive but to scratch up on the finer details and update their knowledge.
Hope they get fined regardless - age as much as I care for elderly, should be more careful or have had a health check.
Why they had to rename Helicopter Heroes, which alliterated very nicely, to 'Helicopter ER' when we don't call that department the 'ER' in the UK is beyond me... (We call it 'A&E' - Accident & Emergency)
did you roll once ? a specific question for the patient to test his memory and miss know it all on his left feels she needs to answer lol , shut up and stay out of it
Prime example why old people should resist a test when they get past 60. Could of went into a lorry rather than a van. Should be punished
Van driver? guy is probably a qualified electrician working for a company like Siemens
Lots of people in the comments jumping to the conclusion that old people shouldn't drive or should take regular tests without any facts about the reason for the accident. How old is old? Just older than you? Funny how none of those commenters are bright enough to realise WHY insurance is more expensive for younger people - because they cause more accidents maybe? The insurance companies use FACTS not opinion. The person in this video had a lapse of concentration at the least - no one in the comments ever done that? Yeah - if you say so - as I know I have.
I know when I was younger I thought I was invincible, no doubt drove worse than I thought but also thought I was the best driver on the road & never made any mistakes. Who knows how good or bad I am - I passed my test like everyone else. I've been in the one accident with another car - consequently when I was in my mid 20's - over the last 35 years or so but was not at fault (Sorry, it was a woman, but let's not use that old cliche or use real facts eh?)
Now I take a lot more care - mostly down to experience & because there's a lot more car's on the road as well as more reasons people pay less attention to the task that I need to be more aware of. For instance lets not go too deep into phone use - reading a new text or social media message is seemingly of more importance to a lot of people than making sure they are operating a huge chunk of metal hurtling along a road alongside fellow human beings.
Insurance premiums don't start to rise until you're well into your twilight years but even then it is at a comparable rate to a much younger driver & still a fraction of the 17-24 year old bracket.
Weird that, I wonder why?. So... Maybe do a few minutes research - on your smart phone - before judging our older generations then take a look at yourself to see what the facts tell you. If you don't fall into the lowest risk age group then maybe you ALSO need to stop driving or take more tests!
My biggest wish regarding driving would be that before being given a Car Licence, you have to pass a Motorbike test & drive on that alone for a couple of years before you can start using a car etc. Riding a Moped/Motorcycle REALLY makes you aware of your surroundings & makes you value your life over anything else. Being enclosed in a box makes people far too relaxed & complacent.
For information purposes, I'm currently in the lowest risk bracket, so I'll get off my soapbox & go preach to more uninformed "youths" 🤣
The problem is younger people crash because they think they can drive good when they can't, and old people crash just because(medical reasons mostly). Both are equally bad but I would say the second one is even more dangerous to other traffic because the first one generally ends up just hurting themselves.
@@r.yuksel9774 Your first point is correct as I stated (about myself too). But you second point is actually wrong, young people actually cause more injuries to other people than themselves, more than old drivers. Again, check facts before assumptions.👍
@@yips_way What is the source for that claim? I didn't say what I said was the truth, that's just what I thought and the video is a good example for it.
there certainly is some idiots on the road, hope they charge the driver who crossed to
he lane.
Guys sitting there with his legs crossed calculating that whiplash claim and making sure he ain’t seen moving that head
I’d be doing the same 😂
Gotta be worth 10k that one
I was in a less serious crash and had severe neck pain .
Yep. Those pound signs falling hard has cut his face.
What kind of van was he driving? Surprised to see him dressed in hi-vis
The responders may have given the hi-vis to him since they are treating him at the roadside. They do that here...
@@catbriggs8362 ah! Was not aware
What's this doing on TH-cam? It's from a TV station.
Yes a TV station called Really. Now take a look at the channel name.
Each of those high tech helmets cost 20k each so along with buying a state of the art helicopter and maintenance the whole nation must be donated so much money each every month and I am talking more than £30+ 👍🤔
Pretty sure they're just wearing standard helmets. Not more than a couple grand on the high end.
Jeez do the producers have any sense of facts, that was absolutely not a head on crash
Terry is on a claim up 😂 💵
Why no neck brace?
Um, that was NOT a head on. It was a side swipe.
Just as well No1 was speeding. It could’ve been way more worse..And, that huge lorry was further back and wasn’t involved or there could’ve been deaths..
how tf did the car manage to veer into the other lane that much??!!!
It only takes a moments inattention.
Great acting from Terry, for the Compo!
I hate TV scrips. They've show the video and said its a head on for drama purposes.
I wonder if you have to sell your house to pay for a helo ride there like us over here across the pond.🤔
No, all the medical care you get is already paid for through taxes which fund the NHS. The helicopter itself however is only funded via charity (which is an absolute crime in my opinion, it _should_ be part of the NHS), but that too is not charged to the patient.
@@DavidStruveDesigns They call that damn chopper for a paper cut and there's nothing you can do about it. They often fly you states away to really be sure the entire situation is made to be as ridiculous as possible.
Where I live in Australia our ambulance service has their own fleet of helicopters. Patients don't get charged for ambulance services whether by road or air.
Hope the old bloke has had his licence revoked.
don't think there was any need for the chopper here
I'm quite shocked. 😯 Is this really the quality standard of medical assitance after an accident in the UK? Even if the patient didn't complain about neck pain, after such an accident pretty much the first thing you would do is to put on a neck brace and to immobilize the patient. Are the paramedics so badly trained in the UK? Or are these ones just negligent? 🤔
Why aren't they using a c-collar (cervical collar)? I thought that is standard in modern western medicine.
Someone’s looking for a payday 😂😂
In a way it was lucky he hit the van and not the truck behind as that would have been a whole different story.
Should jail that car driver
Agree he should be prosecuted. At very least he's driven without due care and attention. Unless of course he's got a medical reason for his lapse.
@@kt5661 if he has a genuine medical reason for his lapse then he shouldn’t have been driving in the first place. It’s always white older men with money that get away with careless crashes like this.
My partner skidded and crashed her car into a lamppost in May, only the one car involved and no injuries, just damage to her own car. She got charged with driving without due care, 5 points and a £500 fine. She’s was 19 at the time. It’s a crime to be young these days. 😡😡
The driver who caused the accident was an elderly, he either had a medical emergency or made a simple mistake
Yeah I would be banning in a whiplash claim also.
If you're short on ambulances the victim should get priority. Old guy fucked up, he waits.
The older guy could have bled out as he was on blood thinners which affects the bloods clotting ability
The cause is in the video. the geezer drifted.
Amazing job by all, but surely first thing on scene would have been a neck brace on the van driver, or is that not normal procedure. Interested to know???
😢
Why didnt they put a neck brace ASAP
literally backboard and c collar should have been first thing. even if he isnt showing symptoms of c spine injury you cant rule that outnon scene need ct and mri scans and should definitely be in a collar and even better also on a backboard immediately. thats how we do it in the us
yes exactly. with all due respect...isn't it common sense to bring out the backboard and collar? If only we could know their reasoning lol
@Hit and Run lets hear your credentials and training regarding trauma patients with mechanism of injury that is likely to have caused c spine injury.
@@brkapp bud he was literally in a roller over RTC, was complaining of neck pain, and cannot rotate his head 45 degrees left and right. According to JRCALC guidelines which is what we follow in the UK ambulance service- he needs to be immobilised.
@@sickeningnoandrealfierceto i dont know about you but id take the advice from the helimed team over almost anyone else, they're crazy qualified
58 is NOT elderly!!!
Relatively it is.
It was referring to the other guy. The 58 year old van driver is not elderly.
You forget that whole countries are becoming bankrupt, consequently health systems are rapidly failing. So yes goal posts are moving in regards to whom is considered acceptable to receive care. Too many old people not supporting the system and not paying taxes not enough young people to pay taxes. Its how capitalism works
The 58 year old was the van driver, the driver in the Corsa was the elderly guy
3:20 dafuq u mean it is scary to see someone crawling out that car? Sheesh im sorry dude, i really hope you got some help too x.x
Damn
Hey chan I am chan
Why the hell is the man in high vis not getting a stiff neck collar instantaneously?????? What the hell is going on in this country? Even the paramedics are bad.
@@luluhands233 omg. I have to leave the UK better sooner then later. Some much stuff is going wrong here.
@@bujac9740 So you know better than highly trained and experienced medical staff? Armchair expert, I think not.
@@bujac9740 Collars are counterproductive and actually increase risk of injury. We know what we are doing.
Everyone over 60 needs to pass a driving test every 3/ 5 years to keep on driving on the road. They are a danger to all on the road
I do track days with blokes in there 60s...guarantee they're better drivers than you
So this patient was literally in a roller over RTC, was complaining of neck pain, and cannot rotate his head 45 degrees left and right, why was he not immobilised?! I am not saying a c-spine collar should be used, but at least manual immobilisation, head blocks and scoop stretcher?
Neck braces are shown to be a very poor choice when they can immobilise themselves in a better position, forced position doesn't stop the person body trying to reflex to a more comfortable position, this then means that restraining only applies pressure, not immobilise naturally
@@pb6198 read my comment bud. I said i'm not saying c-spine collar should be used
@@sickeningnoandrealfierceto which is why I mentioned natural immobilisation at the end of my comment, because he already is doing that.
Maybe read my comment better
@@sickeningnoandrealfierceto The patient was performing MILS for himself.
older car drivers should be made do test every year check there driving skills seen so many in shop windows runing bikes over
RTC = RTA
Should lose your license at 75
Call me crazy but if hes complaining about neck pains, shouldnt the first thing you do be a c collar
No. Clinical study has shown them to be counterproductive. He is fully alert and able to guard his own c-spine.
When was this filmed? Wearing those useles masks is so 2021. But even then i never wore them.
How shocking, someone who struggles to spell useless doesn’t think masks work
Go back to school
Violent crash? Head-on crash? Where was that? None of those things happened in this video.
Yes the accident could have been worse...but just words..
The whole program is an example of beefing it up for the camera and audience...
It's not entirely accurate..
It was not a direct head-on..
It clearly was a front end swipe.. thankfully...the initial impact was passed down the side of the van.. which eventually rolled..again loosing energy...
One can see this by the short stop distance.
The other car just came to a halt on 3 wheels...and almost no brakes...so slewed to a stop..
The truck driver would have seen all this and backed off to braking point...then stop..that too is evident...
Thankfully nobody really hurt bad...but shocked nevertheless.
Cars today are pretty well built...and that in itself helped each individual..
It would have been far worse for a direct frontal impact or even into that lorry...or even a motorcycle...
Vehicles can be rebuilt... people a lot harder...or not..
The van driver is complaining of neck pain and isn't moving his head, so why wasn't anyone holding C-spine immobilization? Police should all be trained in first aid, CPR and childbirth. They're usually the first ones to arrive at the scene and should be able to render immediate aid to the injured.
Because he was holding it himself…
Why is the van driver not in a collar !? Mechanism alone indicates a c-spine control and he is complaining of neck pain !
As a Paramedic I'm sure you must be aware of the increasing evidence showing the lack of benefit/harm rigid collars can result in.
@@HeavyHanded 100 % agree and we are slowly moving away from the use of collars like we did years ago, however, there are some circumstances (mechanisms) where collars would be indicated. This video they should have used a collar.
@@paramedicinparadise9795 This is the UK. They’re able to clear the c spine in the field. These are docs and specialized nurses, people with years and years of education. They are able to use their own clinical judgement to make this decision. They don’t just slap a c collar on everyone like we do in America. Its one of the things we’re going to eventually move towards in America, believe it or not, but first we need to raise our bar for education.
(Also there is no evidence that c collars actually help with anything in a conscious patient, and there is evidence that they can harm them. It’s a hard pill to swallow, but the “unstable c spine injury” that everyone has a story about, is largely not a real thing. Considering the force it takes the damage the c spine, the chances that a simple movement would be enough to further destabilize it are almost nil.)
@@HyperkalemiaSineWave Thanks for your comment brother. Stay safe out there 👍
@@HyperkalemiaSineWave you're clearly doing the rounds huh. Let me be bluntly clear regarding your claim regarding collars do nothing to help conscious patients - C-spine collars have saved MANY people I alone (let alone the many other pre-hospital & hospital emergency staff) have attended to who have had fractured necks following a RTA that was not picked up until AFTER being nice & warm in ED & a CT scan - ie it was not picked up during TWO primary & secondary surveys pre-hospital & in ED. You are spouting disinformation (not a word i use lightly) - provide evidence of your claims please.
Neck pain after car crash and yet no cervial collar?
Which is the right thing to do. Clinical studies have shown that collars do not work and actually increase risk of injury. Clinical practice in the UK is very progressive and is influenced by clinical study. Are you from the US?
Theres f all wrong with you been in a lot worse accidents.
my man went for a whiplash claim