999: On the Front Line

Paramedics treat a motorcyclist who's collided with a car, and a girl who's had a seizure

A woman collapses on a narrowboat, showing signs of a stroke. She's confused and keeps repeating herself, which is out of character. An ambulance is called to a woman who has collapsed, but while she is being treated, she falls to the floor again. A daughter is concerned for her mother, who has terrible pain in her face, and a woman who hasn't eaten for two days is weak with a very swollen stomach and needs to go to hospital.

Paramedics treat a man who's having a heart attack but thinks he's just pulled a muscle. He has no history of cardiac issues, but an examination confirms that his heart is blocked. A day out hiking ends badly for a man when he falls and injures his ankle, and the paramedics' tea and toast making skills are needed for a diabetic patient.

Paramedics treat a woman who has to dial 999 because of pains in her chest and shortness of breath. When a patient is found unresponsive at home and with no reaction to pain, a second crew is called as she needs to be urgently transported to hospital. A patient with low blood pressure is found on the kitchen floor. She needs to go to hospital but it's her mother's funeral tomorrow and she's refusing to go.

A man's tongue swells to twice its normal size, and a postal worker who walks 15 miles a day is on the floor unable to move with painful spasms in his back. An intoxicated patient verbally abuses one of the paramedics, an ECG tracing reveals that a patient is having a heart attack, and a man receiving chemotherapy is running a high temperature and may have developed sepsis.

Paramedics are called out to a young woman who's had a panic attack while driving to work and pulls over in the middle of rush-hour traffic. An elderly woman who feared her son's van was being broken into rushes outside and slips on the driveway. A man in a community centre who speaks very little English is having chest pains. He's on medication for a previous heart attack but has not renewed his prescription.

On the night shift, paramedics are called to a man complaining of a fast heart rate and chest pains. In the back of the ambulance, he claims to have taken amphetamines for several days. When a man is found slumped over a table outside a shop, the owners ring 999. The patient is intoxicated, and the all-female crew must be wary of his tight grip as they treat him in the back of the ambulance.

Paramedics are called to a man under arrest. He's outside in the street and has hit his head, and the police want to make sure he's well enough to be taken to the station. A mum calls 999 when her six-year-old son has a seizure, and a nurse finds her patient in bed with a fever and having difficulty breathing. The paramedics suspect that he may have fractured a rib.

The paramedics plan to take a woman is in the advanced stages of labour to hospital, but when her waters suddenly break, they have to think again. A diabetic man has a painful urine infection, and a 14-month-old is choking and won't feed. A woman collapses at home and needs help getting up, but her daughter is more worried about her increasing confusion.

The paramedics find a man experiencing a life-threatening diabetic hypoglycaemia. It takes the efforts of the fire service to reach the patient, and the only way is up a ladder and through an upstairs window. A woman with dangerously low oxygen levels is struggling to breathe, and sleepwalking may be the reason why an elderly woman has fallen and injured her side.

In Worcester, paramedics are called to reports of a man unconscious in the town centre. A friend says he's been taking drugs, so they quickly get him into the ambulance. A 27-stone man has lost the vision in one eye and has very high blood pressure. Getting him out of the house and into an ambulance requires specialist help and equipment.

When a car collides with two children walking home from school, two ambulances, a doctor and a critical care paramedic are sent to the scene. Paramedics also treat a man who's having back-to-back epileptic seizures, and a four-month-old baby with a barking cough is finding it increasingly difficult to breathe.

Paramedics are called to a rare and unusual stomach condition that's left a patient in agony. On the night shift, a young man is intoxicated and passed out in the street. An elderly man has fallen at home and can't get back up, and a confused and disorientated woman has one of the highest blood pressure readings the paramedics have ever seen.

Paramedics are called out to a woman who got tangled up in her dogs' leads, leaving her lapsing in and out of consciousness on her 45th wedding anniversary. Meanwhile, a man is in severe pain with an umbilical hernia and a woman has a suspected seizure at work. The paramedics also attend a baby that's just been born, with the mother having to deliver her baby on the bathroom floor.

Paramedics help a man with a history of heart attacks experiencing severe chest pain. Treatment at the scene does little to improve his condition, so he is rushed to hospital. Paramedics also treat an elderly man who's collapsed underneath his bed, a baby struggling to breathe, and a 102-year-old woman who may have developed deep vein thrombosis but is reluctant to go to hospital.

A man has been making repeated calls claiming to be having a heart attack. He lives near the hospital and in the past has used an ambulance as a taxi to get him home. Paramedics also treat a woman who is in agony with a slipped disc, a man with a chronic lung disease who can hardly breathe, and a patient who is unresponsive.

Paramedics treat a woman who's fallen over and torn the skin from her leg. And an idyllic afternoon tea turns sour when a wasp sting gives a man an anaphylactic reaction.

Paramedics are concerned that a man who was in a car crash outside a school may be bleeding internally. Another man has severe blood loss, and a baby's struggling to breathe.

In this episode paramedics treat a woman who has fallen and may have broken her hip. It's only been a few weeks since her last fall, when she dislocated it. Paramedics also help a man with a family history of heart attacks who's experiencing sudden chest pain, a seven-year-old boy who can't stop being sick, and a woman who's passed out in her bathroom and has a deep gash to the top of her head. And, after one too many beers, a man face plants the pavement.

In this episode, paramedics treat a postal worker who has slipped on sewage. He's lying on the ground unable to move and may have broken his hip. The paramedics are sent to a possible cardiac arrest and find the patient in a bin. It's one of the most bizarre callouts that they've ever attended. Paramedics also treat a woman who is in 'ten out of ten' pain with kidney stones, an elderly man with a water infection and a three-month-old baby who's having trouble breathing.

In this episode, a gardener slips off a wall and badly damages his leg. It's going to be difficult for the paramedics to get him out of this tight space without causing further injury. A crew responding to an elderly woman with a head injury are diverted to a man who's collapsed in a car park. Paramedics also treat a woman who lives with migraines and has been in bed with persistent sickness for 24 hours, a woman living with dementia who's found unresponsive by her husband, and a patient with advanced cancer who's losing blood and needs to go to hospital.

The series that follows a typical 12-hour shift with the paramedics of West Midlands Ambulance Service. Filmed during the autumn months as hospital waiting times rocketed and the pressures on the service increased, this series lays bare what life's really like on the front line at three ambulance hubs: Stoke, Stafford and Willenhall in the Black Country. On their way to a job, paramedics come across a road traffic accident that's only just happened. Two cars have collided, and a woman's sitting in the middle of the road in tears and breathing fast. Paramedics also treat a patient whose burst varicose vein leaves their kitchen like a crime scene, a baby who's struggling to breathe and has an irregular heartbeat, and a frequent caller who makes inappropriate sexual comments to an all-female crew. And a track-side suicide is a new and tragic experience even for the most experienced paramedics. 

The documentary following the paramedics of West Midlands Ambulance Service returns. On the way back to base, one team is flagged down by police officers dealing with a man who has overdosed on drugs. They are also called out to a woman with gynaecological problems, who is losing a lot of blood and needs to go to hospital, and a man who has a condition where his throat swells up and closes without warning.

Paramedics are called out to a young woman who has had a seizure on a bus. She has epilepsy but the frequency of her seizures has increased dramatically in recent days. The crews also help a man with a lung condition who uses his own source of oxygen, but the canister is in another room and he's too weak to reach it; a young woman with terminal cancer who has collapsed and can't get up; a husband who is worried that if his wife goes into hospital, she won't come out again, but her dementia has reached the stage where a visit to hospital is unavoidable; and a man with low blood oxygen levels who needs the paramedics' help just to breathe.

Police find a man lying unconscious in the street following a suspected drug overdose. When a man is found collapsed outside his house clutching his chest, the paramedics need to act quickly as he may be having a heart attack. A category one call - the highest priority - comes through for a woman collapsed on her bathroom floor and an elderly woman climbs on a chair to reach a daddy long-legs, with painful consequences.

A call comes in from a GP surgery for a child suffering a severe asthma attack and paramedics are called out to a young woman with multiple sclerosis who is in considerable pain. A man with advanced bowel cancer who is struggling to breathe is seen to by a district nurse so as to avoid a visit to A&E. Plus, a patient is having their 10th nose bleed in 11 days.

Calls to the ambulance service reach new heights in the early hours of Saturday morning as the clubs start to empty. A young woman is found intoxicated by the side of the road and an amateur boxer has vomited in his sleep and is difficult to rouse after losing a fight. Paramedics are called for a woman who has gone into premature labour at 32 weeks.

On a Friday night, the paramedics are called out to a man who has reportedly collapsed in the street and isn't breathing. Paramedics also treat a man lying unconscious in an alleyway surrounded by needles who's taken a drug overdose but refuses to go to hospital, and a four-year-old who has a high temperature and a nasty cough. On the same shift, a man is struggling to breathe with an abnormal heart rhythm and a woman has fallen and can't get up. The paramedics need to make sure she hasn't broken any bones.

On a Thursday day shift, a young man has come off his motorbike and slid along the road while not wearing any protective clothing. A young boy is complaining of chest pains; there's a family history of heart problems and his mum is worried about him. On the same shift, a man with only one leg has suspected deep vein thrombosis and needs to be treated in hospital. Paramedics arrive at an address to find a doctor in hospital scrubs holding a baby. It's a father and son and the baby has a worrying cough while a woman is complaining of severe abdominal pain.

A call comes in from the police saying a young man has collapsed outside a nightclub and isn't breathing. It's a category one emergency - the highest priority - meaning there's an immediate threat to life. A young woman is having a sickle cell crisis. This genetic condition makes her normally round blood cells form a sickle shape, sticking together and causing excruciating pain. A woman has the highest blood pressure that one of the paramedics has ever seen, and she needs to go to hospital urgently. A former soldier collapses and is trapped behind a door, and a woman has crippling chest pains. Her condition is a medical mystery that can only be solved with a trip to A&E.

Paramedics treat a woman with a possible bleed on the brain, a baby whose heart is beating extremely fast, a man showing signs of a stroke, and a woman who may have sepsis

Paramedics treat a woman whose defibrillator inside her chest has delivered an electric shock to her heart, and a man who's had bowel surgery who thinks he may have an infection

Paramedics treat a man who has been stabbed in the leg and the head, only to discover he had already overdosed on heroin prior to receiving his injuries. Paramedics also treat a man struggling to breathe after a triple heart bypass operation, a woman whose rare genetic condition causes her to have seizures, and a man with severe chest pains who has recently had treatment for a heart complaint.

Paramedics are called to reports of a man collapsed in the street and in cardiac arrest. When they arrive, he's surrounded by police officers who've been carrying out CPR. In other cases, a woman in severe abdominal pain has a panic attack as the paramedics try to get her breathing under control, while a man with a fast heart rate is vomiting blood.

Paramedics treat a man who is high on drugs and has been found by police sitting in a doorway with a badly broken arm. A first day at work ends badly for a member of security staff at a nightclub, as he moves awkwardly and dislocates his knee. A man who's on blood thinners falls off his mobility scooter and hits his head. With the risk of a bleed on the brain, he needs to go to hospital.

Paramedics treat a woman who is in excruciating pain after giving birth by caesarean section just over a week ago. Even morphine is having little effect. A mother rings for help after her toddler has been ill for several days and proves difficult to wake, while a woman with a bad cough and a very high temperature is struggling to breathe.

A car swerves to avoid a cow in the middle of the road and ends up being hit from behind by another car. Paramedics are called to a man sitting on the pavement and refusing to move. He is being aggressive and the police are on scene. There are concerns that he may have had a stroke. A man who has been bed bound for many years has a high temperature and heart rate, and the paramedics are concerned he may have sepsis.

Paramedics treat a man who has injured himself while wheeling a push bike home and is in agony. The paramedics are concerned he has broken his hip. A daughter discovers her mum has died suddenly at home and calls for help. As the death is unexpected not only does the daughter have to confront her grief but she's also faced with a raft of necessary bureaucracy.

Paramedics are called to a man with chest pains, who is in so much discomfort that he can hardly speak, while a woman with liver disease has fallen over and ripped her ear. Just going to the toilet leaves another patient in agony, as he has only one kidney, and the paramedics are concerned he's got an infection, while a woman with a history of heart problems is struggling to breathe.

Paramedics on the night shift find a woman collapsed on the floor and on the verge of a diabetic coma. With no access to her veins and time running out, the team resort to drastic measures. A young woman is in agony with severe stomach cramps. Every time she gets up, her blood pressure drops and she passes out. It's a medical mystery that needs further investigation in hospital.

Paramedics treat a man who's been stabbed in the chest, a young man who may have life-threatening sepsis and a diabetic woman with high blood sugar readings.

A woman falls getting off a bus and badly cuts her leg, and a pharmacist calls 999, worried that a child's rash could be a sign of meningitis. A holiday ends abruptly when a cut to a man's arm won't stop bleeding. A woman with cerebral palsy can't walk and needs medical help, and a man has a heart rate so low he could go into cardiac arrest at any moment.

Two paramedic crews rush to a man who is said to not be breathing, but there's a surprise in store when they arrive. Too much alcohol leaves a young woman collapsed unconscious in the street. A man is woken in the night with severe chest pains. A two-year-old has a seizure, and a 23-month-old has a large lump on their head as a result of a fall.

An anxious mother calls for help when her nine-week-old baby can't go to the toilet

Paramedics are called to a man who's bleeding from his ears, a woman who's recently had bowel surgery and is losing blood, and an eight-month-old with a fever.

Paramedics treat a patient whose blood sugar levels are the highest they've ever seen, a toddler with croup, and an intoxicated man who has badly cut his head.

Paramedics are called to a woman who has been involved in a road traffic collision having only recently recovered from a back injury caused by a previous car accident. The paramedics also treat a patient showing signs of sepsis who has a heart rate of 200. The heart cannot sustain such a workload and eventually will stop if not treated urgently.

A woman hits her head collapsing in a bus shelter, and a paramedic with a phobia of mannequins is watched over by two life-size dolls while treating a man with chest pains. An 11-month-old ends up with a deep cut to his forehead, and a 90-year-old man with stabbing pains in his chest asks the paramedics to just let him go if it's serious.

Paramedics treat a man with diabetes, whose blood sugar levels are very high. A woman ventures outside her home for the first time in months and ends up collapsed at the end of her drive. A toddler has a temperature of 40 and a heart rate of 216. A man is in severe pain after surgery to repair a hernia and a 92-year-old man falls and can't get up.

Paramedics get a category one call to a child who's struggling to breathe and a drunk man outside a police station refuses to move, putting himself at risk for hypothermia.

A family flee their home as fire breaks out. All the emergency services are sent to the scene. While queuing in a fish and chip shop, a woman collapses with a possible stroke. The mottled appearance of a two-year-old's skin, coupled with an increased temperature, prompts a mother to ring for an ambulance.

A man is stabbed at the entrance to a block of flats, but manages to call for help before collapsing, and a man has 13 seizures in one day and needs urgent medical care.

Paramedics treat a midwife who's in agony, a man whose jaw is trembling and filling with fluid, and a woman with a wound that won't stop bleeding

A motorcyclist collides with a deer, but luckily, an orthopaedic surgeon stops to help. A woman driving to work is forced to call 999 after experiencing heart palpitations.

A man with a deep cut to the head refuses to go to hospital for fear that he won't come out again, and a patient runs away from paramedics called out to a suspected drug overdose.

Paramedics are called out to a van and a car that have collided at a roundabout, involving a man who must always wear a crash helmet to protect himself from frequent seizures. A woman at a social club fears chest pains could be a sign of a heart attack. And a trip to the shops ends badly after a nasty fall.

A fiercely independent elderly man falls over and badly cuts his head. He lives alone with help from carers, but his son is concerned this will happen again.

Paramedics treat a woman who's fallen headfirst through a glass door, leaving a deep wound across her head, and a man complaining of crushing headaches who has a family history of brain haemorrhages. They also attend a car that's embedded in a garden wall after a two-vehicle smash and are called out to a drunk man who's been found collapsed in the street and is clutching his chest. The paramedics turn detectives to try to figure out why a woman keeps passing out.

Paramedics treat a woman whose baby could be in distress and a patient who's collapsed.

Paramedics are called to a toddler who's having a constant seizure, a road traffic collision, a possible stroke and an elderly woman with chest pains

A 21-year-old woman who hasn't passed urine in over 20 hours is complaining of severe pain in her kidneys, and the construction of a summer house goes badly wrong.

The paramedics help the victim of a carjacking - who's been dragged along the road - as well as 13 stowaway migrants in a lorry and a man who's collapsed in the road.

A man involved in a car crash needs to be carefully removed from his vehicle to protect his spine. It's also a day when everyday errands go badly wrong. A slip on fallen crab apples in the street leaves a woman in agony with a suspected broken hip. An afternoon spent pottering in the garden ends with a fall headfirst into a brick wall. A bicycle leaves a young man with a swollen kneecap that paramedics suspect is broken, while picking up a prescription from the chemist ends with a collapse and a trip to hospital.

Paramedics help a 15-year-old girl who's trapped in the back of a crashed car. And a chemical attack leaves a woman struggling to breathe.

Paramedics treat a woman who's passed out at work, a man who needs morphine to combat the agony of kidney stones and a man with a painful hernia who's vomiting black blood.

A night out with friends ends badly when a car crashes into two vehicles as police, firefighters and the paramedics attend the scene. In Birmingham, a young woman is found lying collapsed and unconscious in the street, a family night in playing board games ends with a man lying unconscious on the kitchen floor and a young woman whose gall bladder operation has been postponed due to the Covid-19 pandemic cannot cope with the pain any longer.

A baby has a dangerously high temperature and the paramedics suspect sepsis, and a woman who is pregnant and has tested positive for Covid-19 has had a migraine for seven days.

Paramedics treat a woman who thinks she may be having a heart attack, a bingo caller who feels unwell and a mum-of-nine who's collapsed on her kitchen floor

Paramedics treat a woman with a broken leg, a man who's passed out in the street, a woman who's had a seizure on a bus and a man who's collapsed in his bathroom

Paramedics treat a 13-year-old girl who has diabetes and has collapsed at home, a baby who's struggling to breathe and a man with suspected ketoacidosis

A night out with friends ends badly when a car crashes into two vehicles, with police, firefighters and paramedics called to the scene. In Birmingham, a young woman is found lying collapsed and unconscious in the street and needs medical help. Paramedics also attend to the needs of an apparently homeless person having difficulty walking in the city centre. Plus, a family night playing board games ends with a man lying unconscious on the kitchen floor.

Paramedics treat a range of cases, including a man with severe chest pains, a 103-year-old who has had a fall and a woman who may have a bleed on the brain

A man involved in a car crash needs to be carefully removed from his vehicle to protect his spine, but a fuel leak means the fire service cannot risk cutting the roof off.

A man has a blackout driving a van and crashes into a telegraph pole. This is the second time it has happened in as many weeks and paramedics are keen to find out why.

Paramedics treat a woman who's had a panic attack, a two-year-old with a high temperature, a woman who's collapsed and a man who's recovering from knee surgery.

Paramedics treat a woman who may have broken her hip, a man threatening to take an overdose and a man with a suspected blood clot on his lung.

Paramedics treat a woman who has taken drugs and is hallucinating at a hotel, a woman who has chest pains and a child who's feverish and can't speak

Paramedics treat a man who is in cardiac arrest. They fight to keep him alive, while next door his wife hopes for a miracle on their wedding anniversary.

Paramedics treat a man who's taken an overdose of tablets and is refusing to go to hospital, a six-year-old who's had a seizure and a confused 94-year-old woman

Paramedics attend a suspected domestic assault, and treat a woman with a dislocated shoulder and a confused man who has collapsed in the street with his dog

Paramedics race against the clock as a man shows signs of a stroke, and treat a man who's stranded in the street and a factory worker with severe back pain

In Birmingham, paramedics treat a man having a heart attack. In Coventry, a woman mysteriously collapses. And in Worcester, a baby is struggling to breathe.

West Midlands paramedics treat a man who has taken a heroin overdose, a 73-year-old man with slurred speech, and a toddler with breathing difficulties.

Paramedics treat a man who's been found unconscious outside Birmingham Crown Court, a patient with severe headaches and a biker with a shattered leg

Paramedics treat a woman in a hotel who's about to give birth, a two-year-old boy who's struggling to breathe and an elderly man who's had a blow to the head.

Paramedics treat a woman with brittle bone disease, a young man on the verge of a diabetic coma and a man who they have to detain under the Mental Capacity Act.

Paramedics treat a 60-year-old patient with severe chest pains, a suspected drunk driver who's crashed his car, and an elderly man who's collapsed at home.

Paramedics treat a woman with a suspected ectopic pregnancy, a man who has collapsed in his bedroom and a four-year-old boy with a rash and breathing problems.

Paramedics treat a teenager with suspected meningitis, a man with diabetes and dangerously high blood sugar levels and a man with a suspected swollen artery.

A recovering alcoholic rings for help with her withdrawal symptoms, and a 10-year-old girl suffering from chest pains is discovered to be taking anti-psychotic medication.

A paramedic heads to a serious traffic collision where a truck has overturned, while others deal with one of the most challenging emergencies - a cardiac arrest in the street.

West Midlands paramedics Paul Johnson and Alex Flashwood rush through traffic, searching for a father and his two-month-old baby, who has stopped breathing.

The crews are stretched to their limits as they deal with a 19-year-old man who has had a motorbike crash, and an elderly woman showing signs of a stroke, but refusing treatment.

A paramedic fights to save the life of a man having a heart attack. An elderly lady has a suspected stroke. And a man has hit his head during an epileptic episode.

Paramedics treat a 10-year-old who's in agony after taking a tumble on a trampoline. A baby stops breathing. And a family of six are involved in a car crash.

On a dramatic and busy Friday night a paramedic is assaulted, an ambulance is under siege, and a young mother fights for breath while she tries to look after her new-born.

The paramedics head to a man collapsed by the side of the road. A 15-year-old girl is unconscious at school after fitting and a two-year-old boy is in the grip of a seizure.

West Midlands Ambulance Service respond to a baby who has stopped breathing. A traffic collision leaves a quad biker in agony, and an elderly woman is suspected of having a stroke.

West Midland Ambulance Service responds to two suspected strokes, two head injuries, and a driver who blacked out at the wheel and crashed his van.

On the night shift in Birmingham, paramedics are called to a man who's had a seizure. But they're warned that the patient has a history of being abusive towards ambulance crews.

West Midlands paramedics treat a man who's having an epileptic seizure in a supermarket. And a man seeks help for his wife, only for both of them to be taken to hospital.

In Kidderminster, paramedic Rob and technician Mike rush to a 21-month-old baby who has fallen unconscious. On the same shift in Coventry, two men collapse in a pub, leaving paramedics Neil Vann and Quoc Vo with a medical mystery to solve.

In the first episode of the new run, West Midlands paramedics and the air ambulance rush to save an elderly man who has life-changing injuries following a fall from a ladder. At the same in Birmingham, a newly qualified paramedic struggles to treat a man who has suffered three major epileptic fits and is in a delirious and combative state. In Coventry, paramedics Neil Vann and Laura Perkins help a young girl who has passed out and needs urgent medical attention.

Paramedics Jas Panesar and Amy Cullen rush to a woman who's had a severe allergic reaction at a restaurant. The team must act quickly to keep the patient breathing. At the same time, in Birmingham, paramedics Naomi Whatley and Mark McDonagh attend to a man who has fallen unconscious after a severe diabetic attack, as Sam Grimson and trainee paramedic Nick Smith treat an elderly woman with chest pains and a lively sense of humour. And paramedics in Warwick treat a man with a suspected heart attack, who collapsed while fishing by the canal.

Paramedics Ally Shipway and Rob Moore rush to a woman who's collapsed in the snow. The crew need to act fast to stop hypothermia from setting in. At the same time, another Birmingham crew race to treat a 61-year-old man who has fallen on the ice and is in acute pain. On the other side of the city, Mark and Adi attend to a woman whose waters may have broken at 27 weeks and could be hours away from giving birth. In Coventry, crewmates Neil and Laura treat an elderly man who has a life-threatening infection.

Paramedics rush to save a grandmother with severe osteoporosis who fell down the stairs carrying her four-month-old grandson. In Stratford, paramedics Mandy Morrice and Michelle Godwin treat a racegoer on a night out who collapsed in the street and suffered a serious head wound. In Warwick, a concerned member of the public calls emergency services to a suspected cardiac arrest but ends up becoming the patient himself. And Neil Vann and Laura Perkins give life-saving treatment to an elderly man found unconscious face down in the hallway.

The West Midlands is hit by its worst snowstorm in years. Crews battle through the roads to treat a woman semi-conscious in police custody with collapsed veins. In Birmingham, crewmates Heather Cassidy and Ellie Sewell rush to the airport to help a woman having a suspected miscarriage. On their way to hospital they get stuck in snow and their driving skills are put to the test.

Paramedics are called to save a 27-year-old diabetic woman who's trapped in a three-car pile-up on the M6. Meanwhile in Coventry, paramedics Neil Vann and Laura Perkins are called to an 82-year-old man with severe breathing problems, who is on the point of death and has left a note asking not to be resuscitated. And in Birmingham, a crew rushes to save a man with a history of heart attacks who is suffering chest pains at work.

Paramedics Jan Vann and Chelsie Kennedy rush to a road traffic collision. But the driver of the car has left the vehicle and doesn't want to be treated by the crew. The police suspect he may have been drinking, but the crew need to convince him to receive their help. In Coventry, paramedics Neil and Laura rush to a two-year-old boy who is having a severe allergic reaction. And crewmates Heather Cassidy and Ellie Sewell are called to help a man whose heart rate is dangerously high and is moments away from a cardiac arrest.

In Birmingham, paramedics Adi Ahmed and Mark McDonagh rush to a 10-year-old boy who has suffered a major epileptic fit. At the same time in Coventry, an elderly woman with heart and lung failure is struggling to breathe but refuses to go to hospital for treatment. And, in Warwick, a crew is called to an elderly man with extreme anxiety who has called 999 14 times.

It's night-time in the West Midlands, and paramedics Jan Panesar and Amy Cullen are called to a man suffering a severe diabetic attack. He's drifting in and out of consciousness and is combative. In Coventry, crewmates Mark Rattray and Orlaigh Barbour attend a 73-year-old woman who is in agony after falling on the ice. Jan Vann and Chelsie Kennedy are sent to a baby who has been fitting. On the other side of the city, Neil Vann and Laura Perkins have to deal with a well-known drunk nuisance caller.

A drunk driver crashes her car, an elderly war veteran falls at home, and a four-year-old is drifting in and out of consciousness with dangerously low sugar levels

Paramedic Chelsie Kennedy and technician Simon Lees rush to save a baby that was born not breathing; the team fight to resuscitate him while rushing him to the nearest baby care unit. At the same time, in Birmingham, paramedics Jo Hardwick and Peter Bowles treat a five-year-old boy who is having an asthma attack; while across the city, student paramedic Dave Watts must attend his first cardiac arrest after an elderly woman is found in her bed without a pulse.

This time, a 17-year-old boy has a suspected bleed on the brain after a rugby tackle has left him with slurred speech. Paramedics Neil Vann and Laura Perkins are first on scene and call the air ambulance for backup. At the same time, another Coventry crew attend an eight-month-old baby who is choking, after they have finished treating a 67-year-old man trapped in his car following an accident. While in Birmingham, paramedic Sam Grimson and student paramedic Dave Watts treat a man who's fallen from a ladder and may have punctured his lung.

When a cyclist is crushed by a 20-tonne lorry, paramedic David Hastie and student paramedic Esme Jenkins rush to Leamington Spa. At the same time, in Coventry, paramedic Chelsie Kennedy and technician Simon Lees treat a man who has fallen from a barge. Paramedics also race to save a two-month-old baby reported to be in cardiac arrest - but two ambulances and four police cars are struggling to find him.

The paramedics fight to save a man whose heart has stopped for more than 50 minutes. A 15-year-old boy is found unconscious in a Coventry park after drinking two litres of whisky. And in Birmingham, a 93-year-old grandmother is stranded on the floor.

A 71-year-old man is left with a severely broken ankle when he is knocked off his bike by a dog. Paramedic Sam Grimson and student paramedic Ayaz Ali are sent to a park in Birmingham to help. Then they're off on a 999 for a man who's been trapped for over 20 hours with a broken leg. And paramedic Laura Flintason and technician Jatinder Mahli attend a patient who may be having a stroke.

Paramedics are called to a custody suite in Birmingham to deal with a prisoner who is aggressive and abusive but may have overdosed on heroin. Paramedic Rob Moore and student paramedic Ally Shipway tread a fine line between looking after him and themselves. At the same time, across the city, paramedics Jo Hardwick and Peter Bowles are called to a man who is found unconscious at the roadside, but when they wake him his mood dramatically changes and they need to decide on the best care for him. A man is cut out of his car after crashing into another vehicle, and paramedics struggle to find a patient who hung up halfway through their 999 call.

A patient becomes increasingly aggressive as paramedic Sam Grimson and student paramedic Ayaz Ali try to help him. As he starts to shout, kick and spit at them, they call for police back up to protect him and themselves. At the same time in Birmingham, a pregnant mother is worried about her unborn baby as she has not felt it move since a car crash, and paramedics Rob Moore and student paramedic Ally Shipway look after a 73-year-old man with dementia. His condition is highlighted when they drop him off at hospital and he is worried he won't remember how to get home.

In Warwickshire, a 19-year-old man falls from a horse and the 500kg animal then falls on him. The paramedics need to move him with extreme care to the nearest major trauma unit. At the same time in Birmingham, paramedics have to reason with a man determined to do a poo in the back of the ambulance. And an intoxicated man has overdosed on paracetamol, but would rather have another drink then go to hospital.

Paramedic Sam Grimson and student paramedic Ayaz Ali spend more than a third of their 12-hour shift treating an intoxicated man in Birmingham. In Coventry, an 89-year-old woman refuses to go to hospital despite her continuous vomiting. And a 93-year-old war veteran desperately needs medical attention for sepsis that could kill him.

The paramedics must lift a man with a seriously damaged neck. One false move could mean he will never walk again. And a man has chest pains after being involved in a hit and run.