CALL TO AMBULANCE 2 TRANSCRIPT

Comms Centre call taker: What is the exact address of your emergency?

Caller: [Address and confirmation by call taker deleted for privacy]

Call taker: What is your phone number?

Caller: [Phone number and confirmation by call taker deleted for privacy]

Call taker: … And what’s the problem?  Tell me exactly what’s happened?

Caller: A 5 year old boy has swallowed something and he’s choking on it and I can’t get it out.

Call taker: Okay, are you with him now?

Caller: I beg your pardon?

Call taker: Are you with him now?

Caller: Yes.

Call taker: How old is he?

Caller: Five.

Call taker: Okay, and he’s conscious at the moment?

Caller: He is.

Call taker: And he is breathing?

Caller: He’s breathing but you can hear there’s something stuck there.

Call taker: Is he completely awake?

Caller: Yeah.

Call taker: And he is breathing normally?

Caller: Yeah.

Call taker: Is he?

Caller: He’s … no, he’s choking and trying to get it up but it’s …

Call taker: What did he choke on?

Caller: It’s a little piece of plastic off a plastic phone.

Call taker: Okay, just a second – alright.  I’m just (inaudible) ambulance to help you now.  (inaudible) tell you what to do next, okay?

Caller: Oh no …

Call taker: Don’t pat him on the back.

Caller: Uh oh – don’t pat him on the back.

Call taker: Don’t slap him on the back, okay. 

Caller: Oh.

Call taker: Listen carefully and I’m going to tell you how to help your child, okay?

Caller: Yeah, he’s turning blue, he’s turning blue.

Call taker: Get him … I want you to calm down so I can tell you how to help him.

Caller: Oh, he can’t breathe, he’s not breathing.

Call taker: Get him as close to the phone and don’t hang up.

Caller: Okay.

Call taker: Do it now and tell me when it’s done.

Caller: He’s right by the phone.

Call taker: Where is he now?  He’s right with you?

Caller: Yeah, he’s not breathing.

Call taker: I want you to look at him very carefully to see if he’s breathing.  Is he not breathing at all?

Caller: No, no.

Call taker: Okay, lay the child face up on the floor and straddle his legs with your legs.

Caller: Face up on the floor.

Call taker: And straddle his legs with your legs.

Caller: He’s panicking – oh my God – oh my God – no …

Call taker: I need you to calm down so I can tell you how to help him.

Caller: Oh no.

Call taker: I need you to calm down so I can tell you how to help him.

Caller: Hang on, you help him – I’m going to run and get …

Call taker: You need to calm down so I can tell you what to do.

Caller2: Are you there?

Call taker: You need to calm down and I will tell you how to help him.

Caller2: Yeah.

Call taker: Okay, listen to me.  Lay him face up on the floor and straddle his legs with your legs.  Okay, I want you to place the heel of your hand on the child’s stomach, just above his bellybutton.  Do you understand me so far?

Caller2: Yeah …

[screaming/crying]

Call taker: Then check his mouth.

[screaming/crying]

Caller2: I can’t hear sorry. Eh?

Call taker: Push forward into his stomach.

Caller2: I can’t see anything.

Call taker: Okay … is he breathing or crying now?

Caller2: No, he’s struggling.

Call taker: Okay, listen to me – you’ve got to do it again, okay.  You need to repeat the Heimlich manoeuvre another five times…

Caller2: Pushed his legs forward …

Call taker: Check his mouth and carefully remove any objects you find, alright?

Caller2: Yeah.

Call taker: Okay, so above the bellybutton and press firmly five times, okay?

Caller2: Yeah.

Call taker: Is he breathing or crying now?  … …  Is he breathing or crying now, sir?

Caller2: Ah, he’s breathing better now.

Call taker: He’s breathing better now.  Okay, have a look in his mouth and see if you can find any objects, okay.  You’re doing really well.

Caller2: Yeah.  …  Right.

Call taker: We’ve got an ambo who’s just up the road who’s coming straight down, and we’ve got a paramedic vehicle on the way from town, okay?

Caller2: Okay.

Call taker: Is he breathing or crying now?

Caller2: He seems to have calmed down a bit now.

Call taker: He seems to have calmed down, okay.  I don’t want you to slap him on the back or use the Heimlich manoeuvre now, OK?

Caller2: Okay.

Call taker: I want you to calm down and wait till the paramedic arrives.

Caller2: Okay.

Call taker: Alright – just talk to him and just check that he is completely awake.

Caller2: Yeah, he seems to have calmed down quite a bit.

Call taker: Yep.  Is he completely awake now?

Caller2: Yeah, yeah.

Call taker: Okay.

Caller2: He did pass out just before though.

Call taker: You’ve done great, okay.  Has whatever was in his throat, has that come out?

Caller2: No.

Call taker: No, okay.  Alright, I want you to watch him very closely to make sure he’s breathing alright, okay?

Caller2: Yeah.

Call taker: If anything changes, or he starts wheezing or making funny noises you tell me straight away?

Caller2: He says it’s gone now, so...

Call taker: Okay.

Caller2: Yeah.  So I think he’s swallowed it.

Call taker: Alright, I’ve already sent the paramedic to check him anyway, alright?  But just tell me when they arrive and I’ll stay with you until they arrive, okay?

Caller2: Okay, that’s good. 

Call taker: Alright.

Caller2: Right.  Yeah.  Oh he’s a lot calmer now.

Call taker: That’s great.  You’ve done very well, okay.

Caller2: Yeah.

Call taker: When you hear the paramedics arrive, don’t leave him alone, okay?

Caller2: Okay.

Call taker: You just tell me when they’re with him.

Caller2: Okay. 

Child: Okay.

Caller2: Yeah okay.  Yeah he’s okay – he’s got colour back in his face now, so … yeah.  You alright?  We’ll get the man to check you out first though, eh.

Call taker: Yeah, the ambulance will be there very shortly, okay?

Child: I’m okay.

Caller2: Yeah, but we need to get you checked out eh bud.  … …  Yeah, here comes the man now.  They’re here, so.

Call taker: You did really well then.

Caller2: Oh thank you.

Call taker: No worries.

Caller2: Yeah.

Paramedic: (inaudible)

Caller2: No, I think he’s swallowed it.

Call taker: Can I please speak to the ambulance officer on the scene?

Caller2: Yeah, sure.

Paramedic: Gidday, it’s Alistair here.

Call taker: Gidday Alistair.  I got them to do the Heimlich manoeuvre and the object never came out.  So I’d say it’s probably gone down into his (lungs).

Paramedic: I would say he’s swallowed it, yeah.  I mean, he’s quite, um, quite conscious now.

Call taker: We’ve alerted the chopper – do you want the chopper out there?

Paramedic: No, you can cancel the chopper – we may not even transport at this point.

Call taker: Alright, good as gold.  Thank you very much.

Paramedic: Alright.  I’ll give you a ring back and let you know what we’re going to do.

Call taker: Good as gold.

Paramedic: Alrighty?

Call taker: Bye bye.

Paramedic: Thanks, bye.

[End]