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The Bafta-award-winning series returns following a new cast of characters drawn from the staff of North West Ambulance Service, in Greater Manchester.

Call handler Laura gives lifesaving advice to a panicked relative through the necessary procedures to resuscitate her relative. She reveals that the call is uncomfortably close to home and strikes at the heart of Laura’s personal reasons for wanting to be part of the service.

The episode joins the team on a busy weekend shift when police make a call to the ambulance control room that a patient is trapped beneath a tram. The helicopter emergency crew, Matt and Andy, are immediately dispatched. When they arrive at the scene it is clear all the emergency services must work together in difficult conditions to extract the patient.

Thirty miles away another 999 call is in progress and instantly prioritised as a Category One emergency. The nearest available crew Jade and Jonny are dispatched.

Six hours into the shift and crewmates, Paul and Adam are sent to their next job of the night, a 56-year-old male who has collapsed in the bathroom. They have to work fast to work out what has happened to patient Paul.

With only three ambulances available in the Wigan and Bolton area, Jade and Jonny are sent to 88-year-old patient Jean who has fallen and banged her head.

With no signs that the pace of the night is slowing, Paul and Adam check on a 79-year-old who has taken a tumble on the dance floor while celebrating at the annual butchers’ ball in Bolton. She has been kept waiting for an ambulance for over two hours.

It’s the start of the morning shift, with temperatures plummeting to -2 degrees. The team on duty is ready to deal with any fallout from the freezing conditions. Paul and Adam are dispatched to another elderly faller who is at home in supported living. Patient Mac is certain he wants to keep
living independently and adamant that he doesn’t want to go to hospital.

Back in control, call handler Laura takes a call for a patient who has been found hanging and she guides the caller through CPR. As the shift continues, Jade and Jonny head out to treat 87-year-old patient Loretta who has been found on the floor by her daughter.