WEBVTT
Kind: captions
Language: en

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- Red telephone boxes like this one
are an icon of Britain,

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or, well, they were.

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Nowadays, the boxes that are left
are falling into disrepair and ruin

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because there's not much demand
for payphones these days.

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If a little village wants to save theirs,

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then the phone company will
sell it to them for £1,

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enough to make the
contract legal and binding,

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but they won't keep the phone connected.

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So what do you do with
a disused phone box?

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Well, one of the options
being installed right here

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might help to save lives.

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Community Heartbeat Trust
is currently the leading organisation

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for the provision of community
defibrillators in the UK.

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Today we've probably positioned 6,500
community defibrillators or thereabouts.

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It costs somewhere between
around £1600 and £2200,

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depending on the equipment.

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- It turns out the logistics
aren't quite as simple as

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"buy a defibrillator
and stick it in a box".

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A defibrillator is a medical device,

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if it's poorly maintained or it breaks,
then it could be worse than useless.

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It could actually do harm.

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- There is no use just putting it in
and then forgetting about it.

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These need to be looked after

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and it's got to be as good
in several years' time

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as it is on day one.

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And it's got to be sustainable,

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it's not just about
raising funds initially,

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it's also about ongoing costs
and ongoing fundraising

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to make sure that this
is actually looked after

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for the entire life that it's going
to be in the community.

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Well, the first thing we need
to find out from the process is:

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is the kiosk actually available?

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They can't decommission it
unless there's

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a mobile phone signal
for emergencies.

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When a community contacts us,

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we'll let the local ambulance service know
that a defibrillator is going in,

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and then it's available in an emergency.

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When somebody phones 999, the
ambulance service will be able to say

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"There is a defibrillator,

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"it's located at the phone box,
on the corner of X and Y roads."

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And if the cabinet is locked,
they'll give an access code.

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Once the defibrillator is used,

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we just take out the old pads,
put on new ones,

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run a self check to make sure the
defibrillator is working properly,

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and then it's ready for action again.

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- And there's another question:
who pays for the power?

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The box is connected to the national grid

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so the light and the phone could work
back when it was an actual phone box,

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but it doesn't have an electricity meter.
It's never needed one.

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- The electricity is there to provide
electricity for the cabinet

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because there's a heater in the cabinet.

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It's not for the defibrillator,
the defibrillators all work off batteries.

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And the heater in the cabinets

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keeps the defibrillator above
freezing in cold weather.

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That's really quite important

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because batteries do
degrade in cold weather.

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The electrodes are water gel
so they will freeze.

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British Telecom, who's the
major phone company in the UK,

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are the people who actually
originally own these.

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It actually costs BT money
to take out the electricity.

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So they would rather
leave the electricity in,

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what they do with us is: they
donate that to us as charity

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and then we provide the
electricity to the community.

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So the estimated cost for a kiosk
to run it for a year is about £5-10.

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- All of this might sound good in theory.
But the question is:

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could a bystander with no medical training
actually use one of these to save a life?

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To answer that, I've come
to the headquarters

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of the East of England
Ambulance Service

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who are going to let me try their
training defibrillator.

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It doesn't actually produce a shock,
we just need to use it on a dummy,

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but it is as realistic a simulation
as it's possible to get.

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So here's the story.

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Someone has collapsed,
someone else is doing CPR,

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and I've been sent by the
emergency operator to get this.

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- So the very first thing
you do is turn it on

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and listen to the voice prompts.

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It will tell you to follow it calmly,
which is a really important thing to do.

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- So we assume there's
someone here doing CPR,

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and now I have to take this...

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On/Off. [defibrillator beeps]

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- "Call Emergency Medical Services now."
- Okay, we've done that.

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- "Adult mode."
- Yes.

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- "Follow the voice prompt calmly."
- Okay.

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- "Remove all clothing from
chest and stomach."

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- It's really important that
all of the clothing is removed,

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we want a bare chest.

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There are concerns over
maintaining dignity...

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life comes before dignity.

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- Take out the pads from the
bottom of the device, okay.

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- The next thing it'll ask you is
to apply the pads to the chest.

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So the first pad, you're going to put
on the patient's right shoulder,

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the second pad you're going to put
just below their left armpit.

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- Just... there.

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- "Peel off the pad labelled 2."
- Okay.

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- "And stick to the bare
skin of the patient,

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"exactly as shown in the picture."

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- Exactly as shown in the
picture, just below there. Okay.

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[defibrillator beeps]

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- "Do not touch the patient."

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"Analysing heart rhythm."

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- At this point, it will tell
you not to touch the patient,

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and that's really important,

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it's going to be analysing
that heart rhythm.

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One of the ones it's
going to be looking for

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is where the heart is
just wobbling around,

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where there's no regularity to it
and it is not able to pump blood.

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What it needs to do then,

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is stop that heart with an electric shock.

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Once it's stopped it, the
natural pacemaker of the heart

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can kick back in and put the
heart back into a normal rhythm

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where it can pump blood.

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- "Shock advised."

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- Okay.

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[defibrillator beeping]

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[defibrillator beeping]
- "Stand clear."

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"Press the flashing orange button now."

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[beep stops]

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"Shock delivered."

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"Begin CPR now."

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- If they are in a rhythm
that the AED can shock

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it will increase their chance
of survival about 10% per minute.

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[rhythmic clicking]

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- "Reanalyzing heart rhythm...

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"...in one minute."
- Oh.

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- So I've arrived at a call
where there is a defib,

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it has been used and it's
been used successfully.

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And the patient has
started breathing again

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prior to my arrival.

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- "Analysing heart rhythm."

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- It is the human equivalent of
turning someone off then on again.

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- "Shock advised."

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- If you haven't had any form of training,
you can still use a defibrillator,

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you shouldn't be prevented from doing it,

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but you should be trained

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in order to get the most
efficient usage of that equipment.

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- So I assume this would continue until
emergency services actually arrive?

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- So yes, once we arrive,
we'll take over what you're doing.

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We'll attach our defibrillator and
take over management of the patient.

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- I realised when it said "start CPR",
that I don't actually know about that,

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I only know what I've
picked up from media?

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So I'm hoping I was vaguely
in the right position there.

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- Yep, absolutely.

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- I need to go do proper
first aid training.

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Thank you!

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- Ideally, it could have done 

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with just being up a bit on
the shoulder rather than there,

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but, you know,
that would have worked.

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- That would work.
- The main thing is,

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that would have done the job.
- Right.

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- You were in the centre
of the chest there,

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doing the chest compressions,
right speed. It was fine.

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You would have saved their life,

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if it was saveable,
you would have done it.

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Which is all that matters.

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- Thank you very much!