All language subtitles for yorkshire.air.999.s01e01.1080p.web.h264-cbfm[EZTVx.to]_[English] (SUBRIP)

NARRATOR: Yorkshire sprawls
across three million acres...

..the biggest county in Britain.

MAN 1: Go ahead.MAN 2:
One-eight, 18 minutes ETA.

All of it covered by the crews
of its two dedicated air ambulances.

WOMAN 1: This job
has two sides to it.

You fly around in a helicopter
and you have the time of your life.

(TELEPHONE RINGS)

(SIREN WAILING)

And then there's the flip side to
it, where it's awfully stressful.

MAN 3: Let's go up, and then
visor's down, and pilot's briefed.
MAN 4: Roger, lifting.

We get sent to some
pretty horrific things.

WOMAN 2: She's probably gonna
need blood, to be fair.

(WOMAN 3 SCREAMS)OK. There we go.
MAN 5: That's it, we're done.

From the remote Dales...
(MAN 6 SPEAKING INDISTINCTLY)

..to the rocky coast...Pull!

..six million people
depend on them.

Aargh!

No job is ever the same.
No people are ever the same.

WOMAN 4: Lift.

We see a lot of carnage on the
scene, we see a lot of destruction,

and people's lives
turned upside down.

Sorry, sorry, sorry.

From hardy locals hurt at work...
(GROANS)

..to tourists trapped in the
beautiful but hostile landscape...

(COUGHING AND WHEEZING)

It does make you appreciate
that life's for living.

..this is life on the cutting-edge
of emergency medicine.

Couldn't imagine anything's
gonna top being a part of this team.

Covering an area of four and a half
thousand square miles,

the Yorkshire Air Ambulance
flies out of two bases,

RAF Topcliffe
in the north of the county

and Nostell in the south...

..making sure every corner
of Yorkshire has access

to rapid critical care.

Becky?Yeah?
The vent's all checked, I'll go

and put it on the aircraft, OK?

Yep. That sounds good. Thank you.

I remember when I first started,
my very first day,

they took us out
for the helicopter just taking off.

Me and the guys who started with me
just couldn't stop smiling.

We were trying to, but, you know,
we were trying to hide

the amazement,
but it was really exciting.

And I think that that doesn't die.

It's not, you know, you've not
got that first day any more,

erm, but we do love it.

You know, the siren goes off,
it still has that impact
of when everyone

sort of springs into action,
and they're ready for the job.

Erm, for some people,
it's a bit of a reminder that

they need the toilet. (LAUGHS)

(TELEPHONE RINGS)

Hello, it's Max on Air Desk.

Brill, thanks a lot, Oliver,
I'll have a look now. Cheers.

It is a 60-year-old that's fallen
ten metres down a crag.

It's a big, big drop.Get Mountain
Rescue and try and get some details.

Are you secure in the back?Yeah.
I'm secure on the left.Roger.

OK, same departure
as we did already today.

MAN: Now we can go ahead.

One-eight, 18 minutes ETA.

Roger. Thank you.

Mountain Rescue have been requested,
patient's with head injury

and back injuries. Over.

BECKY: So 30 feet's obviously
a very long way

to fall, especially off a crag.

What they fall on,
that can make a massive difference.

Obviously, crags have got
lots of rocks at the bottom,
which makes it a big concern.

The team are heading
to Twistleton Scar,

a dramatic rock formation
a thousand feet up

on the flank of Whernside,

one of Yorkshire's
iconic three peaks.

Looks like it's into
a valley, so it's depending
on how far they've fallen.

I suppose if they've fallen, erm...
They'll be at the bottom.

Yeah, which will be easier for us.
Yeah. (CHUCKLES)

I can't see anything or anyone.

No, I can't either.Over here, look,
on the cliff edge, maybe.
See that orange,

er -Oh, at the bottom there?

Oh, yeah.Ah, yeah,
he's in view, yeah.

That's too, er, it's too slopey
down there...Too slopey.
..so we'll land on the top.

We'll go for that sort of
grassy area on the top there.Yeah.

Crikey.

Happy?Yeah.OK.

Nine-nine landing.

Little path here for us.

(MAN SPEAKING)Hello!

The local mountain rescue team
have reached the patient,

and will show them the way.

(MAN SPEAKING)Male? OK.

(MAN SPEAKING)Yep.

Erm, was he, was he climbing?
(BECKY SPEAKING)

(MAN SPEAKING)Yeah.Ah.

Hi. Are you the troublemaker?

This is John.John, hi, I'm Becky.
This is David. Hi.

They were climbing
a route just here.

Fell from approximately
where the white blotching is

and then tumbled to here.
We've left him as we found him,

once we saw you on the way.

I've sort of felt the back here is
OK, but I can't get to the bottom,

that's where he says
the pain is.OK.

Hurts at the bottom
of your back, anywhere else?

I had a totally numbed leg,
I've, in effect,

dead-legged it on the way down.

OK, So you think you've bashed it?
Yeah.Yeah.

So when you get to a scene like
that, you've seen the mechanism,
you've seen how far they've fallen.

It can be a relief
to see that they're awake
and they're talking to you.

But that doesn't mean
that they're not highly injured.

We're from a climbing club
and he went up,

he said to me, "Take in,"
because he just wanted

to have a suss around to find
a decent hand hold and route,

and as he lay back on his gear,
he just came out.

So obviously, totally unexpected.
He just tumbled,

and that was it, basically.
So he just bounced

over all the rocks
to crack, crack, crack.

The length of John's fall
and the loss of feeling in his leg

could be the first signs
of a serious spinal injury.

DAVID: Nasty scratch,
one, two, three.

If it hurts a lot,
we'll give you gas and air.

Yeah.For moving.
Have you heard of that before?
Yeah. Yeah.Yeah? Lovely.

Patients that have fallen
from a height can have
a magnitude of injuries,

it depends on how they've fallen.

Head injuries, chest injuries,
open fractures, limb injuries,

but quite traditionally,
the spinal injuries.

If you land on your feet, the spine
will take the impact of that.

If you land on your back, the spine
will take the impact of that. They
do need some further assessment.

I imagine, you know, straighten legs
and almost just...

This gentleman was almost
in a semi-foetal position,
laying on a rock,

so trying to get a board behind him
to keep the spine straight

was very, very difficult.

What about this gent
that's trying to move himself?

Cos at least he can stop
if he's in a lot of pain.
If we all lift him.

Get into position.Can you try
and shuffle your legs around?

I just feel like we would move you
more than you would move yourself.

If it becomes too much,
just let us know.All right.

Sometimes, in those scenarios,
you have to make a dynamic
risk assessment.

It seemed much better and less
likely to cause further injury

if he moved himself rather than
us picking and moving him,

especially with the significant pain
that he was in.

That's it. Can you
just put your left hand
just under there? And that's it.

Right. Get your feet flat.
That's it.

All right? Do you want a hand
from me? You can grab
onto my arm, if you like.

Do you want to just
grab this side here?

They're moving John on to Mountain
Rescue's vacuum stretcher.

It will mould to his body
and immobilise his back and hips.

Do you want some gas and air
that helps relax your muscles
as well? Want to try and do it?

Yeah.That's it, keep going.
Keep breathing on it. Lovely. Yeah.

Been in the same position
for a while.

Is it hurting
your lower back when you try
and put your legs down?

No, it's the top of my thighs.

The top of your thighs? OK.

Is there any chance you can just
keep them as they are, like that?

Yeah? Then that looks fine.

Even with Mountain Rescue's
help, transporting John

up the steep, rocky scree
to the helicopter will be difficult.

(PILOT SPEAKING)The Mountain Rescue
team are saying that it's easier

for them to go down
than it would be to come up.

Is there any, erm, opportunity
at all to look at relocation or not?

(PILOT SPEAKING)

Pilot Phil is moving the helicopter

down the hill
and closer to the team.

DAVID: One, two, three.

It's going to take a roping system
and a lot of muscle to get John

to the safety of the helicopter.

The team must decide whether John
can travel to the hospital by road

or if they should fly him.

There's a DCA
that's 15 minutes away.

We could relocate to the bottom of
the road and load them onto there.

If you think there's
somewhere to relocate.

There's no clinical need for
the only helicopter in the whole
of Yorkshire...Yeah.

..to be with this patient for hours.
Yeah.That's my only concern.

15 minutes.Right.

These hills are inaccessible
to the land ambulance,

so John will be flown to meet it.

We've transferred from...
We've got the football pitch
in the middle of the village.

Is there nowhere at the bottom here?

Difficult to get to this road.

If we just have a look,
see if there's somewhere...

I'll come for a wander.
Come for a wander.

Can you see the dead old tractor?
Very flat there,
but it's quite boggy.

To the right, the stone wall,
going away from it?

That triangle area there.
Yeah.Yeah.

That site might be all right,
might it?Yeah.

There's only two helicopters
at best to cover Yorkshire,

and on this particular day,
there was only one.

Er, and that resource
had a doctor and blood,

and was to cover
the whole of Yorkshire.

If there's a chance
to relocate the helicopter
and send them by land,

sometimes that journey can be
much more comfortable and smoother.

DAVID: Roger. I think the threat's
gone now, so clear left.

PILOT: I can see he's got
his flare lit down there.

Mountain rescuer guiding pilot Phil
onto the only flat surface

available in this hilly terrain.

Roger. DCA's just coming
down the road.OK.

All the best, John.
Take care, buddy. Yeah.

SAM: How many teabags
do I put in the teapot?
Three. If you want nice, strong tea.

Is that a set rule, three?
No, no, it's just

slice-to-teabag ratio,
isn't it?Mm-hm.

Cream before jam
or jam before cream?

It's always cream before jam.
Unless you're weird.

Perfect colour tea,
now this is all very civilised.

Can remember sat in the window
of year six primary school,
looking out the window

and seeing a yellow helicopter
fly over, and said,

"I want to do that when I'm older."
And here I am.

It's an honour, really,
to be able to fly around in the sky,

looking down at Yorkshire,
and think if anybody needs

that critical care intervention,
then we're it.

It's a real privilege.
(TELEPHONE RINGS)

A call comes in from Harrogate
in North Yorkshire.

PILOT: I'll just go up and left.

MATTY: Visor's down
and pilot's briefed.

Air Desk, 99 lifting.

Our ETA is nine minutes,
that's nine minutes.

WOMAN: Roger. You've got
an ambulance on route,

ETA seven minutes. Over.

99 acknowledged.

SAM: I think
this chap's trapped his hand
in a lawnmower, I believe.OK.

It said on the job that his fingers
are hanging off.Ooh-ooh.

Yeah, so we'll have to see.Yep.

It's something we do on the way,
something we call mental modelling,

where we go through
in our heads what we're
likely to find on the scene,

what interventions
we might have to make,

drugs we might need to use,
skills we might need to do.

Hanging off
and dangling by a bit of skin

is what we understood it to be.

When you hear that someone's
injured the fingers, it's quite
a devastating injury, really.

So to be able to get there
and make a difference

and try and save his fingers
for him, erm, is really important.

So that's what's going
through our head.

I'm just thinking, Matty,
if this chap's fingers
have some band marks

and he hasn't gone across the top,
we'll probably do a ring block.
All right, sound.

So around about down here somewhere.
Air Desk, 99 overhead.

Finding a suitable landing spot
near the casualty isn't easy.

(ALL LAUGH)

The aircraft is landing a quarter
of a mile from the injured man.

Air Desk, 99 finals.

Camera on.

Air Desk, 99 landed.

(WOMAN SPEAKING OVER RADIO)

Might wanna jump over this side,
Matty, seems a bit more solid.

Just up that hill
a little bit, I think.

There's already
an ambulance crew at the scene.

The Yorkshire Air Ambulance
carries a wider range

of critical care medication
than a land ambulance.

And so it's still needed.

Hi.AMBULANCE CREW: Hiya.
What's happened with him?

PATIENT: Aargh!

What's your name, sir?Chris.
Chris, I'm Sam. This is Matty.

Hey-up, lad.OK.Ah!

47-year-old Chris Gill

has sliced his fingers
with a lawn mower blade.

We'll inject a little bit of local
anaesthetic into your fingers,
just to numb them,

so you don't feel anything.
I can't feel 'em anyway.
OK, no worries.

(GROANING AND YELLING IN PAIN)

Two-twenty-five.

(BLEEP) Argh!

Good lad, good lad, go on.
Put that in, go on.

Let me just get these -
They're hanging off.
All right, mate.

Aargh!All right, buddy,
you're doing really well.

You're doing really well, mate.Oh!

There there was no blood supply
to the extent of his finger,

so it's really important you get
that dealt with quickly.

Because if you don't reattach
those blood vessels,

then essentially,
that tissue starts to die.

And that's the difference
between being able

to reattach his fingers in theatre

or, you know,
just take them off completely

because the the tissue
is not viable any more.

Oh!What I'm gonna do is just inject

a little bit of a local anaesthetic
into your finger, OK, each side?

Just nice, deep breaths for me.
It'll sting a little bit.Oh!

Sam is going to perform
a ring block.

He'll inject
the anaesthetic Lidocaine

directly into each
of the damaged fingers.

Chris, keep that in your mouth
and just breathe nice,

slow deep breaths.
Nice and relaxed.

Good lad, well done, you're doing
good, mate, all right? Well done.

You've got four nerves
that go through your finger,

two at the bottom, two at the top.
Our aim with a ring block
is essentially

to inject that local anaesthetic
really near the nerve,

er, to just kill
any signals going back.

Chris, I just need to clean
around the top of it, all right?

But I'm not gonna touch where it is
itself.I can't feel 'em anyway.
All right, mate.

I can feel that.
Yeah, that's just me with a cloth.

So your fingers are...(GROANS)
..quite dirty.Just keep your hand
nice and still, mate.

Good man.(GROANING)

What I need you to do, Chris,
is make sure you don't
reach out or lift your hand.

OK? This is a needle
in your fingers, all right?Right.

I'll do this one first.

Sharp scratch,
might sting a little, all right?

You're being a good lad,
well done, mate.This will
sting a little bit now, OK?

(YELPS)Chris, nice and still.

That's the first finger, Chris.

There you go, that's one
out of three.One out of three,
two out of three in't bad?

It's not three, two,
one gameshow is it?

Richard, can you just draw up

the other Lidocaine
into there, please?

I'm like this all time, me.
You don't need to give me any drugs.

Chris, second finger, all right?

Just holding your arm so you can
keep your hand still.(PANTING)

Breathe on that as much as you want,
as well, all right?Good man.

To go from someone
that's in significant pain

in the fingers to no pain at all,

some people get quite tired
because they've been using,

you know, so much energy
trying to deal with that pain.

And some people can just get
really, really happy

and almost change in personality,
as he did. (CHUCKLES)

When did you last have
anything to eat or drink?

Had my honey nut Crunchy Nut flakes
this morning at about half-11.

D'you like Crunchy Nut? Is that...
Not really, I were just hungry.

Not quite your go-to
cereal, then, eh?

Chris, how's that pain doing
at the minute in your fingers?
Going down.

It's got better, has it?
Fingers it is, yeah.Lovelies.

That all right, Chris?
Try not to move.

I'm not gonna lose them, am I?

I need to keep
me fingers, I'm a plasterer
and damp proofer by trade.

Mm. Just gonna lift this hand up
a touch, sweet, all right?

Right, Chris,
this is some antibiotics that
I'm gonna give you, OK?

Just cos it's quite dirty,
so there's probably quite
a high chance of infection,

so this will just stop it
in its tracks, hopefully,

or help prevent it anyway.

We'll clear off, OK?
Thanks very much for your time.
You're welcome.

Thank you for your patience.
No problem. Glad we could get
your pain sorted.Bye!

I think Chris had
been cutting the lawn.

I don't know if
something got stuck in the blades,
but he put his fingers underneath.

It's gone through
three of his fingers.

When the crew got here,
they were dangling down

and were hanging on
just by a bit of skin,

so they were able to put them back,
and then we've come along

just to see what we can do for him.

We were able to numb his fingers,
which will last for about two hours
until they can get him to Leeds.

Hopefully, Chris will be doing well.

(SIREN WAILING)

STEWART: I do like it
when it goes well.

It can be the best job in the world.

I get to fly around Yorkshire,
which, as a proud Lancastrian,

hurts me to say,
but it's a beautiful place to be.

It can also be the worst.

We get sent to some
pretty horrific things.

(TELEPHONE RINGS)

999 CALL DISPATCHER:
Are you with 'em now?
CALLER: I'm with her now, yeah.

On the Air Desk, dispatcher Sam
is listening in to a 999 call.

A caller's friend
has fallen from her horse.

Is there any serious bleeding?
No, no bleeding,

but I think there's broken bones.

Is she responding normally?

She's dazed, confused,
and can't move.

OK. And what part
of the body's injured?

Her arm, potentially her back.
Maybe her leg.

Her pelvis. Her pelvis.

MAN: Going to Northallerton?
Yeah.All right, mate.Thank you.

(SIREN WAILING)

That little buzz you get
when the siren goes off,

I don't think I will ever lose.

You know, I get to get in
a state-of-the art helicopter

every day, and fly to help people.

No, I don't think I'll ever
get used to that.

PILOT: Air Desk, 99 lifting.

The horse, head to floor's,
probably about ten, twelve feet.

The big thing is a horse
is at least half a tonne.

It's gonna cause a lot of damage
to the soft tissues,

to stomachs, to abdomens,
to pelvis, to spines.

So there's loads of injuries
that we have to consider
when we're on our way to the job.

(PILOT SPEAKING)

PARAMEDIC: Right,
not too far away, is it?No.

BECKY: So when we're coming
into a job involving horses,

one of the main concerns
is that there may still be
horses that are free.

Obviously, this horse has been
spooked. So one of the things
we don't want to do

is cause any more damage
to any other people,

any property, or again,
to our patient, make anything worse.

Is that the road there?
(BECKY SPEAKING)

Ah, who's that down there?
There's someone in the field,

directly at nine o'clock,
next to this...Seen. Eyes on.

With the horses safely off
the field, Colin goes in to land.

Don't know how deep this grass is.

Tail's nice and clear, Col.
Okey-dokey.

OK, we all clear to jump?
Yeah, mate, absolutely.

Hello! Sorry, it's noisy.
Is it Claire?

My name is Becky,
and this is Stewart.

Hello.All right.
So, Claire, what's happened?

She was worried about,
there was horses and she reared up.

I just remember
seeing her come down on me.

This lady has been
reared up on a horse,

come off the back,
so she's fallen from a height,

but also, the horse has then
fallen on top of her.

The larger injuries
come from the weight
of the horse landing on them.

Does she know
how long she was out of it for?

About five minutes.
All right, Claire. This gent's

your husband, is he?Yeah, Rob.

Lovely. Can I just undo your top,
Claire, is that all right?

We're being careful, luvvie, we're
just gonna snip up, all right?

Ah!So where's your main pain?
Just here.OK.

Across your pelvis?Just here, yeah.
On the right.

Lower right side.Where my hand is.

Claire, I'm gonna listen
to your chest first of all.OK.
Just take some breath in for me.

Lovely. And then I'm just gonna
untuck your top, sorry.Argh.OK.

Sorry, love.Argh!OK.(YELPS)
I am sorry. I am sorry.

Any tenderness here as I'm pressing?
No. Ah! Ah!

It's my back when you move.
When you say moving,
it's hurting in your back?

Where my fingers are.From here?
Yeah, and it's going into your back?

When a horse lands on top of you,
you can have broken ribs,

internal bleeding
if it's landed on the stomach.

If you've broken your pelvis,
there's lots of blood vessels

that run through there that also can
be damaged, and limb injuries.

Claire, this pain, which is
the worst? Is it your hip,

is it your shoulder
or your chest?

It's inside my pelvis.OK.

It's the top of my arm.OK.

And I'm... I can't
take deep breaths,

so it hurts in my chest.OK.

What I think we'll do is
we'll probably get you some
morphine, OK, get this pain sorted,

cos when we move you,
it's going to be painful, OK?Right.

What the plan is,
we're gonna immobilise you,
get you on our stretcher,

and we're probably gonna
fly you up to James Cook.

We can stop people getting worse.
We can stop them deteriorating.

We can, er, we can try and normalise
things, but the injuries

have happened
and they need to be fixed.

That's normally done by surgery,
by getting them to an A&E.

We talk about the golden hour,
getting them there as fast
as we can so that

they can receive the treatment
as fast as possible

to limit the damage
they've suffered.

Right, I think all that's out.
Have we got some morphine?

This is the morphine
going in now, love. Er...

All right, so you'll let me know
if that pain is getting any better.

Eight or nine.
About an eight or nine. Okey-dokey.

Are you all right just setting
that up? You know where
it goes, yeah?

Have you had ketamine
before at all?No.

What we're doing
is morphine is a little bit
of a longer-lasting pain relief,

and then ketamine, what it does
is it's much shorter-acting.

So what we'll do
is we'll give you a little bit
of that just for movement.

And quite often...
Are you listening, Claire?Yes.

Quite often, you don't remember
what's happened, all right?

Erm, are you happy for us to give
you some ketamine to move you?

OK.Ketamine.

Thank you very much. All right.

In my eyes, ketamine's a great drug,
it works hand in hand with morphine.

Ketamine works very, very quickly,

and it's normally at full effect
within a minute or two,

and that can take the pain away.

It's a dissociative, so it
kind of takes them away

from the situation a little bit.

And it is a great drug for
stabilising people in a lot of pain.

SAM: Oh-two.

Hiya, mate, listen, mate,
patient is GCS 15,

she has got pain to chest,
pelvis and shoulders.

We are looking
at packaging and flying

this lady to James Cook. Over.

Roger. No problem.
Thanks for the update.

Er, let me know
if you need anything.

CLAIRE: I'm seeing stars.Are you?
Sometimes that drug can do that.

I just popped a little bit
of ketamine in already.

What it might do
is just make you feel really woozy.

(CLAIRE SPEAKING)

How long do you think
you've been here?

We're gonna have a go at
straightening and moving her across.

She might make some noises,
but I think she probably
won't remember much after, OK?

If she is in pain,
we'll give a little bit more.

We're just gonna move these legs.

We're gonna straighten them
and make them more in
an alignment for you, love.

All right?That OK, Claire?

Yeah, if she's, if she's...
If she says stop, we'll just stop,
OK?Yeah, yeah, yeah.

Right, ready, steady.Here we go.

Ah!Well done.I think we're OK
there. I think we're OK.

There we go, Claire, well done.
(SCREAMS)

Well done.All right. There we go.
Well done, Claire, that's it.

Ah!There we go.
Well done.All right.

So it's gonna be on roll, guys.
Ready, steady and roll.

(SCREAMS)Well done,
Claire, just relax, there we go.

Well done, lass.Oh! Oh!

Ready, steady and roll.(SCREAMS)

Just let the bottom in first, guys.
Ah!

The team suspects
Claire has a broken pelvis.

They're applying
a tight pelvic binder.

Rob's here. He's behind me.

You can lose your entire blood
volume into your pelvic cavity.

And what a binder does is
it keeps it all together.

And keeps it in the right place,
so if there is any bleeding,

the idea is that a pelvic binder
being pulled tight will hopefully

compress that bleeding
and stop it getting any worse.

Yeah, ready.OK.
Ready, steady, lift.

Lovely.How are you doing, Claire?

We're just gonna get you in the back
of the aircraft and load you in, OK?

OK. Ready just to go up?Yeah.

Ready, steady, lift.Just watch
your head, OK?OK? How's that?

PILOT: Roger. Thanks.

(PARAMEDIC SPEAKING)

99 in transit to James Cook.

Stewart will monitor her
all the way to hospital.

Are you OK, Claire?
Two minutes to run.

CLAIRE: My arm's hurting a bit.
OK. OK.But it's OK.

99, finals for James Cook.

99 landed.

SAMMY: Some of these zips are
getting a bit tired. There we go.

Zipology is also a skill.
(CHUCKLES)

Leaving the zips
in the same position,

so you can always find them,
including in the dark.

Sorted.(TELEPHONE RINGS)

Air Desk, Andy speaking.

An asthma attack.

On the Air Desk, dispatcher Andy
has spotted an emergency

unfolding in the Yorkshire Dales.

It's a 13-year-old
having an asthma attack.

Crew are 62 minutes away.

Col, do you want me
to give you a grid
when you get up in to the air?

Bye, mate, cheers, bye.

Doors, harness and stretcher.
Doors are secure right.
Everything's secure at the rear.

The 13-year-old patient is 34 miles
away and struggling to breathe.

Patients that suffer a mild asthma
attack will recognise the symptoms

and be able to deal with it.

Sometimes, though,
that asthma attack can just

catch you completely unawares.

You may not have had one
for years and years and years,

and it can be quite fatal
within minutes, really.

It looks like in the middle of
nowhere there, just off a river.

Looking at that location,
I don't think you'll get

a DCA very close to it.

Did you say it's on a hill, Harry?
It is on quite a steep hill.

Last time I went to a job,
we had to land on the top
of the hill and walk down.

RICHARD: ETA's about four minutes.

The team are heading
to a hillside high above Keld,

one of the smallest and most
remote villages in Yorkshire.

Sometimes the terrain can be
really, really difficult,

and that was evident on this job.

So, main hazard
is gonna be the terrain.

It's sort of halfway down
the hillside is the grid.

To look at that and think,
"Where can we land a helicopter

that's gonna be safe
for the patient, for the crew
and for everyone around?"

is a really, really difficult task.

All right. So one o'clock
between the two ruined buildings.

On the track, there's some people.

Oh, yeah, I've got visual.

Looks like MRT are on scene already.

Yeah, there's a vehicle just
randomly stopped on the grass

down here which might imply MRT.

Are we all clear
of that building still?Yeah,
I'm still clear at this point.

OK.But you've not got much grace.

The hilly terrain
is making landing difficult.

Come back this way.

Lifting, it's not working.

SAMMY: I've got a bit of slope just
behind me, Harry, you might

wanna come forward a bit.OK.

(RICHARD SPEAKING)OK.
That's looking pretty good there.

Erm, Richard, can you
just open your door, please,

just make sure we're not sort
of balanced across anything?

Likewise, Sammy, can you just do
the same on your side, please?

Yeah. Skid on the right is secure.
OK, cool. Right.

In that case, I'm happy.
You are clear to unstrap.

The local Mountain Rescue team
are with the casualty.

Oh, good.
SAM: How are you doing?

WOMAN: We're good. Thank you.
How are you?Hand up this way.

Ooh.Mind these rocks. There we go.

Stand a better chance getting over
without that.SAM: Yeah.

Hello. Hello. What's your name?

Phoebe.Hi, Phoebe. I'm Sam.

She's been out walking
about two hours ago.

Seems like onset with exercise,
started wheezing.

So don't talk, Phoebe,
it's OK, all right?

That's just gonna make you
more short of breath.

(PHOEBE COUGHING AND WHEEZING)

Where's mum? Hi, I'm Sam.
Has she been this bad before?No.

She didn't feel great at lunchtime,
and then tried to walk back to Keld.

Phoebe, what I'm gonna do is
I can hear that wheeze anyway,

OK, so I'm gonna give you
a nebuliser, just through
a mask with some oxygen on.

And that's gonna help clear that up
a little bit, OK?

Have you had Salbutamol before,
you'll have an inhaler,
won't you?I have.

Yeah. Have you taken
your inhaler today?

Erm, well, it was actually
left behind. (COUGHING)

I was able to start the treatment
and identify the issues

while Sammy was able to calm
the family and calm the patient

and just talk to them,
which is often

just as important as the treatment.

SAMMY: Try and slow
it down a little bit.

I know it's easy
for me to say, isn't it?

But this is gonna make you
feel so much better.

Look at that,
you see that little mist?

Have you had one of these before?

No? Well, that mist is what
you're gonna get right into

the bottom of your lungs.
So you should breathe as normal.

So asthma attacks,
the airways are reducing size.

They become swollen.

So whilst patients
are able to get air in,

they're not able
to get it out so well.

A nebuliser relaxes
the smooth muscle of the airway

and just helps open
everything up a little bit,

just to be able to help
get that air out

and just make her breathe
a little bit better.

Just take a really good deep breath.

Fabulous.

Can you see the mist you're making?

That's great. And that's
the medicine getting
right down to the bottom.

Your pulse is going
a bit fast, but that's expected

cos you're struggling
to breathe a little bit there
and you're worried,

and we've just landed
out of the sky.

All right? But everything's
looking good so far,
so we're just gonna leave

that medications some time to work,

sort that wheeze out a little bit,
and then we'll go from there.
Is that OK with you?(COUGHS)Yeah?

For Phoebe to be up in the mountain
with her family and no-one around,

it must be absolutely terrifying.

I didn't know what to do.
I was running up and down the hills,

trying to get some reception,
and I didn't have any.

I saw someone coming up the path,
and I kind of charged down the hill.

He must have thought I was mad.

He had this app,
like a satellite app

and could contact the
emergency services through that

and pinpoint exactly where we were.

We're giving her the second lot
of the Salbutamol, which is the same
as the nebuliser she's got at home.

And then then we're gonna
give her a different medication
through it which is like a steroid,

and that'll just last
a little bit longer and help
with anything that's going on.

The plan is gonna be, we're gonna
try to walk her down to the aircraft
which is quite far.Yeah.

Erm, so if it's too much for her,
then we'll just maybe,

er, assist her along

and just maybe carry her down.
There's no other way
to get down there.

And then nice and steady.
Oh, you're up.

Yeah, it's fine. Fine.

You'll be a bit wobbly
cos of that Salbutamol.
SAMMY: It makes you juddery.

Don't worry.So, hold
on to me and get you up.
Other arm there if you need it.

PHOEBE: Thanks.
(LAUGHS)All right?

You can walk down to the aircraft
with her if you want. Yeah.

SAMMY: Are you all right just
to help her jump down?Of course.

So let me just jump
down here first of all, Phoebe,

before you go anywhere. Ready?

And down. Down?Yeah.Lovely.

Just off that wobbly rock. Good.

Nice and steady.

She's looking beautiful,

but she was feeling
really quite unwell

and her body had really worked hard.

Erm, she was at the point
of fainting, according to her mum.

So it's a good call. Erm...

The land ambulance is waiting
to take Phoebe to hospital.

The team will transport her to
the nearest gravel track to meet it.

It'll be a bit rattly.
Shouldn't be too noisy

cos you've got those on, OK,
it's perfectly safe, though.

So you can see just
beyond the village there,
you can see a vehicle in the, er...

You all right, Phoebs?
PARAMEDIC: All right?

We're just going down now to land
in one of the fields, OK?

You've got a good view
out of the window?

Only a very small area
of flat ground is suitable

for the helicopter to land on.

Mountain Rescue
are guiding pilot Harry in.

Not the severest of slope
left and right of us.OK.

That feels a bit better.

Yeah, bloke in front
says that looks solid,

we're well within limits
there for sloping ground.
Yeah.OK. So we'll shut down there.

SAMMY: We're like king of the castle
on this little mound.We are.

Right on the hill.
All right, Phoebe? Good.

How's that breathing feeling?
Feeling better and better?

PHOEBE'S MUM: I'm wondering
what's happening next.

So the next stage is,
we're gonna walk Phoebs,
she says she feels OK,

down to the ambulance, we'll pop her
on there, we'll do another check,

we'll then take you to
the nearest hospital.OK.

That Salbutamol
and steroid that we've given her

has just made her
feel so much better. Yeah.

I think Phoebe's stars
aligned that day.

I think had there have been one part
of that puzzle that didn't work out,

it could have been
a very different story.

Had we have landed further away,

Mountain Rescue
hadn't have been called,

or that person
hadn't have been walking past

who was able to send the location
to the emergency services,

that would have been much worse
because there was

no other way off that hill.

Air Desk, 99 lifting.

For the Yorkshire Air Ambulance
team, it's back to base.

Anyway, it's back
to lemon drizzle cake now.

Oh, yeah.Well, it's out of the air
fryer and it's ready to be eaten.

John, hi, I'm Becky, this is David.

John Lovett was transported
to hospital in Lancaster,

where he stayed for five nights.

They found
I'd fractured two vertebrae,

and a multiple fracture in a third.

They think what had happened,
each time I bounced,

it caused one of the injuries.

Don't talk, Phoebe, it's OK, it'll
make you even more short of breath.

After an asthma attack
in one of the most remote parts
of the Yorkshire Dales,

Phoebe was discharged
from hospital the same night.

(CHRIS YELLING IN PAIN)

Chris Gill underwent
four and a half hours of surgery

after severing his fingers
with a lawn mower.

They're still fairly swollen.

Yeah. Compared to that one.

In five to ten years' time, they
still might have to come off.

Chris faces a long recovery.

Have to go to me physio every week.

Yeah, it's gonna
take me a long time.

CLAIRE: I had seven broken ribs.

I had a laceration
and bleed on my right lung.

And then my pelvis
had separated at the front

and fractured at the back.

We think as she was struggling

to get back up,
she rolled a few times

and then stood on me
as she was getting up.

It's going to take time. Erm,

this surgeon suggested
that it could take anywhere

between eight and twelve months
to recover fully from it.

Even if I can't ride, erm, there are
always horses that need homes,

that I could, you know,
get another one to look after.

So it might be that I have to say
goodbye to the riding part of it,

but certainly not
looking after them.

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