Original subtitles

NARRATOR: Yorkshire sprawls across three million acres...

..the biggest county in Britain.

OPERATOR: All right, go ahead. (RADIO BEEPS)

PILOT: One-eight, 18 minutes ETA.

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

GEMMA: This job has two sides to it.

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

(TELEPHONE RINGING)

(ALARM BLARING)

And then there's the flip side to it,

where it's awfully stressful.

(INDISTINCT) Visors down and pilots briefed.

PILOT: Roger, lifting.

We get sent to some pretty horrific things.

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

(WOMAN SCREAMING) OK.MAN 1: Oh, boy. There we go.That's it. We're done.

From the remote Dales... PILOT: No, no. I know where to.

..to the rocky coast...MAN 2: Pull.

..six million people depend on them...

(GROANS) Ah!

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

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 IN PAIN)

..to tourists trapped in a beautiful

but hostile landscape. (WHEEZING AND COUGHING)

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.

FIONA: We've got three fondant fancies left.

(LAUGHS)

Why did you bring those in?

I'm gonna go through the entire lot. There's another box.

Biscuits and cakes is my weakness.

(MAN 1 SPEAKING)

Oh, less so.All right. No, I'd choose it. No, they'd be -

Out of all of the choices, I'd choose an apple pie last.

Oh, no.Fondant fancy first, angel slice a close second.

(MAN SPEAKING)Yeah. MAN 2: Mm.Hm.Oh, balls.

(SCREAMS)Oh, look.I'll leave the nice chocolate one for you.

(TELEPHONE RINGING)

Good morning, Topcliffe.

Hello, guys, Joe. It's Stamford Bridge,

a guy has come off a motorbike on a bend.

The roads that motorcyclists want to travel on,

they're interesting for them to ride,

so they're twisty, they're turny, they're fast,

and that comes with problems.

Just go along the taxiway and keep away from the gliders.

There's one just launching now.

Er, I'm gonna do a clear airfield departure

down the taxiway to the right.

There's lots of movements around, and we'll just have to keep an eye out.

The team are heading for a winding road

on the edge of the East Riding of Yorkshire.

(RADIO BEEPS)

A male, approximately 60 years old, a biker has come off on a bend.

He did have a pillion, but she's uninjured,

and the concern is that biker was then struggling to stay awake.

Apparently, he has banged his head. Over.

We tend to expect carnage with motorcyclists, unfortunately,

because they're not protected when they come off the bike,

and they're travelling quite fast a lot of the time.

We were told that this motorcyclist was unconscious,

which immediately rings alarm bells for us.

It can suggest that they've got a head injury, perhaps.

We're kind of ramped up for some proper work.

I'll come to the top right corner.

Nothing here to worry about that I can see.

OK, put it down.

Police are already at the scene

and will stay to support the paramedics.

Hello.FIONA: Hello.WOMAN: Hello.

What's your name, sir?

Andy?MAN: Tony.Tony.Tony.

My name's Fiona. I'm with Gemma.

How are you doing there? Do you know what's happened?No.

No.No, you don't remember.No. Do you know what happened?

Yeah, Tony was behind. We've been out today on bikes.

As we just took this bend, I looked back...Yeah.

..and Tony's come straight off the bike.

Sixty-five-year-old Tony Wardell was riding to a biker's cafe

with friends when he came off on a bend.

Can I jump in where you are while you're talking?

Can you get up? Have your legs gone dead?Yes.

Do you have any medical problems, Tony?No, no.He's fine.No?

Do you know what day it is today? (SPEAKING INDISTINCTLY)

Do you know what day it is, Tony? (TONY SPEAKING)Sunday.

Tony's friends were riding ahead of him

when the accident happened.

GEMMA: Did he have his helmet on? He did have his helmet on.

You took it off?I've released it. Yeah.He's pulled it off. He's pulled it off himself?Yeah.

And what about his boot? His boot ended up over here. So his boot got thrown off?

His boot got thrown off as well. Right. OK. OK.(WOMAN SPEAKING)

Are you hurting anywhere, Tony? TONY: Er, no.

No? OK.

When we first arrived, he didn't seem to want us there.

He seemed even confused why we were there.

(TONY SPEAKING)

My wrist.Your wrists? OK. It's not broken.

Tony, we're gonna have to cut your clothes.

No, you won't.You won't?

What can we do about that, then?

Nothing wrong with me. Honestly, look, I can bend my legs.

I can stand up. I can do anything.OK.

Nothing wrong with me at all. OK.Nothing.All right.

Well, let's do a once-over of you as you are.

Let's have a look at you.

Physical injuries are easy to deal with,

but hidden injuries are more of a concern

because we don't know what we're looking for.

We've got to do a bit of detective work,

and that's a lot harder.

Can I have a look at your chest? Sure.Are you breathing OK?

I'm fine.OK.You don't feel like you're struggling at all... No...and you got no pain there?

No, nothing at all. Do you have any heart problems?

No, nothing.OK.

Tony was following us,

we've gone, took this bend here... OK...and as we've took the bend,

I looked back to make sure he's behind us and he's safe,

and then I've just seen that he were off the bike.

His boot was over there,

the bike was obviously on the ground,

and I've just tried to keep him as calm as I can.

Well, tell me if it hurts anywhere. Nothing at all. I don't have any pain whatsoever.

Take a nice... Nice big breath for me.

(INHALES AND EXHALES DEEPLY)Lovely.

You got any pain in your tummy? No, nothing at all.Okey-doke.

He's got a good radial. I felt that.

He's just complaining of pain in his left wrist.

Erm...Let's have a look.

A bit of a graze there. Have you got any movement in that wrist?

Yeah, fine.It feels all right? Can you flex it completely?

Any pain?A little bit. Only a little bit? OK.

We've got good movement there, and that side's all right as well.

So, Tony, what do you think's happened to you today?

That's immaterial. I'm all right.No, listen to me.

Do you know where you are at the moment?

I know I'm in the road, yes. OK. So why do you think you're in the road?

(INDISTINCT CHATTER)

What do you think's happened to you to get you to lay in the road? I fell off the bike.

Right.You fell off your bike? OK. So, do you remember it happening?

No, I don't.No, so... So, our concern,

cos you can't remember it happening,

we have to... We're worried that you might have hurt your head.

No...OK...not fallen on my head. Yeah.I can drive my bike back home. I'm fine.

But we can't let you do that, Tony,

because you can't tell me why you've fallen off your bike.

All right. Carry on.OK.

And you've got to end up being quite firm with them.

I'm acting in his best interests, and I've got to do it for him.

I've done this job for 20-odd years now.

I know when something doesn't add up.

Had you spoken to him today when you started riding?

Or have you just joined up? We've been together all day.

Did he seem his normal self? Perfect.

He weren't complaining of feeling unwell,

anything like that?Nothing at all. How well do you know him?

I've known him a fair bit. Is he acting normally now?

(TONY SPEAKING INDISTINCTLY) Yeah, he's normally talkative.

Would he kind of be dismissive of help?

Is he kind of... Is he quite, kind of, like, a proud man...Yeah.

..who wouldn't want a fuss? Yeah, he's a proud man

and he likes to...OK. ..you know, do things himself.OK.

Tony, listen...No...they felt... No. No, I can walk.

MAN: Try and keep your neck as low as you can.Listen to me now. Just go ahead.Listen.

Right? And I'm telling you straight, you listen to these,

do what these say, right? I mean, for the neck injury thing... Fine.

If you really want to sit up and you think you can...I can.

We'd prefer to put you on a scoop. If you don't want to do that...

I can walk...we can sit you up. I can walk.

(WOMAN SPEAKING)

Well... It's fine. It's fine.

Just hang on a second, cos what we're gonna do,

rather than getting you to walk to the ambulance,

cos we wanna do a few more checks,

we're gonna put a stretcher beside you and we'll get you up

and sit you on that stretcher. How does that sound? Fine. Carry on.OK.Good stuff.

It's a really difficult way of treating a patient who is adamant

that there's nothing wrong when I know full well

there is something wrong.

Nice and steady, though, eh?

Sit yourself forward.

How's that?I'm fine. You're OK?Yeah, I'm OK.

Can we slip your jacket off? Can I... Can I...

I need to -We're gonna sit you on this stretcher.

That sound all right? Let me try and get over.

My legs are getting cramp. All right.(GROANS)

You want us to just lift you off the floor and lift you onto that stretcher?

(BREATHING HEAVILY)

I'm not happy. Right, let's get that scoop,

just behind him, and we'll roll him onto it.MAN: OK.

Shall we get your jacket off, Tony?

Bend your arm, love. MAN: He's confused.

Good lad.GEMMA: Right, then, can you just roll back?

Roll back for me?

Good stuff. Keep going, keep going, keep going. That's it.

Super. Great job.Are you normally short of breath, Tony?

It's merely shock.

And since we've moved you, no pain in your neck?

No, nothing at all. Nothing at all. Lovely.

We need the hoist.We do not.

You'll be all right.On your call. Ready, steady, lift.

Super.

Air Desk, 99.Go ahead, Gem.

(GEMMA SPEAKING)

..package this gentleman up onto a scoop.

Erm, he seems confused more than anything.

(GEMMA SPEAKING) ..to his head,

but we're wondering if his confusion is due to a head injury,

so we're treating it as that...

(GEMMA SPEAKING)

Cheers, Gem. All noted.

There we go. Coming in.

FIONA: I think you need a trip to the hospital, Tony.TONY: Why?

Because you...Because... Yeah, we don't know why you fell off the bike.

Erm, you've still not got a good recollection,

and you've got this wrist injury. At least you need this X-raying.

GEMMA: If someone comes off the motorbike,

we want to immobilise them, keep them still

to make sure that there's no other injuries that we've missed.

Especially when he's confused, we're really quite,

erm, keen to make sure he stays still,

but Tony does not want to stay still, he wants to sit up.

Erm, and we've kind of got to do the best for him that we can

whilst not making any injuries anywhere.

So it's kind of a bit of a juggling act.

I'm off now.OK. Thank you. You take care.Yeah, fine.

Hope it's not broke, and you're on your bike soon.Right. All right. Lovely. See you later.

He's heading for scans and X-rays at York Hospital

to identify any hidden injuries.

Cheers, guys. Thank you. MAN: See you.Thank you. Bye.

For the air ambulance team, it's time to fly back to base.

Colin thought he'd found some evidence of Roman pottery.

(COLIN SPEAKING)MAN: Yeah.

A lad from the team did that. They found, like, a love brooch.

I've got a metal detector. I think that nurse from York,

she went out with her husband, it was their first time metal detecting,

she found, like, a little book charm thing worth thousands.

She'd literally been in the field for about 20 minutes like this, and her husband's an avid guy,

and she's like, "Beep, beep,"

on her day off, yeah. And it... Yeah, I took a picture...

(INDISTINCT CHATTER)

COLIN: How much?I'll have a small one, please, Colin.

My body's a temple.I told you.

Stu, do you want a Coke float?

When it's quiet, sometimes we'd like a little treat.

Why not make Coke floats? It's fun.

I think you should tilt it to stop the froth.

Tilt the glass?

(GROANING)Oh, I've ruined it.

(COLIN SPEAKING)

I went to buy the ice-cream on the way to work.

It was soft scoop when it started.

At the end, we needed the knife to get it out of the tub.

(GROANS)

I'm just burning my fingers.

Have you not got any, like, scoops?

(LAUGHTER)

Should we just wait for it? You'll have to wait, yeah. STU: Could microwave it.

(WOMAN 1 SPEAKING)

(WOMAN 2 SPEAKS) (CASUALTY SPEAKS) (WOMAN 2 SPEAKS)

Sammy is listening in.

A young boy has been knocked down by a van.

Do you want to just go and assist? There's a crew.

MAN: They're still in the road?Yeah.

The boy is conscious and talking,

but as a precaution, Sammy is sending paramedic Sam

in the rapid response car.

SAM: For days when the aircraft is having some servicing doing,

although it may be for ten, fifteen minutes,

we are still available, and that is on the rapid response vehicle.

This job was quite close to base.

(RADIO BEEPS)(SAM SPEAKING)

Medic 98, pass your message.

(SAM SPEAKING)

Sam needs the helicopter's greater range of drugs,

so doctor David and paramedic Max

are flying eight miles to the injured boy.

PILOT: 98 lifting.

The team are heading to Royston, a village near Barnsley

in South Yorkshire.

(MAN SPEAKING)Yeah.

(MAN SPEAKING)OK.

He'd probably flown and landed like that, busted both wrists,

they'll need splinting... SAMMY: 98, copy. ..they're really painful.

Hopefully Sam has done a primary survey.MAN: OK.

(MAN SPEAKING)

It's on the edge of the housing estate.

98's on finals.

(MAN 1 SPEAKING)(MAN 2 SPEAKING)

(MAN 1 SPEAKING)

MAN 3: Air Desk, Medic 3, we're just approaching the scene, over.

Hey, Sam.

Basically, this kid's got bilateral wrist fractures.

He's been hit by that white van down there...Yeah.

..and he's been thrown about ten metres through the air...OK. ..initially unconscious.

WOMAN: Hello. Hi, I'm David.Hello.

Now, then, is it Mum?Yeah.Hi, Mum.

You've seen my friend Sam, is that right?Hm.Yeah.

Let's have a look. We'll get you sorted, all right? Ollie is a keen goalkeeper,

and was on his way home from playing football

with his friends when the accident happened.

Is it both wrists that are hurt? Yeah, bilaterally. All right, sweetheart.

You feel sick at all? No.No. That's good. A little bit tired.A bit tired.

Yeah, you'll get tired when you've bumped your head.

Ollie had probably lost consciousness for a period of time,

and he had quite a lot of injuries,

especially to his hands, that was causing him a lot of pain.

Have you got any splints? MAN: They're just there.Yeah.

This will just help, and it should stop waggling around, OK?

I'm gonna slide this underneath, all right?Yeah.

I'll grab your arm, Ollie, OK? So just very slowly...(GROANS)

(GROANING)Good lad. (GROANS)That's it. Now there.

(DAVID SPEAKING)

WOMAN: Keep going. It'll help, that medicine.

Can you put your fingers around that? Just hold onto that so it don't fall off.OLLIE: OK.

Yeah?Yeah.That's it. WOMAN: Well done.

All this is, is it's just gonna stop things moving, yeah?

MAN: Do you want to lift his arm up a bit more?DAVID: Yeah.(GROANS) There, sweetheart, that's all right.

I'm just gonna put that loosely over your hand, OK?

Now, leave this little finger over. Now, then...(GROANS)

..who's town playing this weekend? I don't know.You don't know? Neither do I.

WOMAN: They're out of the play-offs. Yeah.I know. I've stopped watching.

But I'm still a Barnsley fan. Yeah.Yeah?

(WOMAN SPEAKING)Yeah.Yeah. I know.

I used to play for them.Did you?

Yeah.I was not very good at football.

I'm with Sheffield United Development.Are you?

Oh!Good lad. (WOMAN SPEAKING)Right.

Sometimes gas and air works absolutely fine,

and sometimes we know that they're gonna need

some more significant pain relief.

We'll see if we get a little drip in,

and if not, we'll do a squirt thing up your nose.OK.Yeah?

I'd rather do it in my nose. You know what?

We're gonna have to do this now anyway. It'll be better.

We can do it with the nose as well if we can't get in.

I've got... These ones are actually for the really little people, so it might work the trick.

It'll be a bit tricky, but then...

we can still use the nose stuff to get things working.

Sometimes if people have been outside in the cold for a period of time

and they've received some form of trauma,

the veins almost sort of disappear and make it really, really hard

to get a little cannula in.

OK.Nice and relaxed. Nice and steady.(OLLIE GROANS)

Don't look.(WHIMPERS) Just don't look, sweetie.

Take some nice deep breaths on this.

You're doing ever so well. (GROANS)Well done.

With Ollie, we tried a few times, and it just wasn't happening.

DAVID: How long have you been a goalkeeper for, then, Ollie?

WOMAN: Long time?Yeah.Yeah?

You were pretty good then if you've played for that team.

Have you done it yet? Nearly. That means you're tough if you're in that,

cos you're getting hit all the time, aren't you?Yeah.Yeah.

Because we weren't able to get a cannula in,

we had to explore a couple of different options.

DAVID: So what were you doing today before all this, then?

OLLIE: Organising a match.Oh, yeah? How come that's your job, then?

You help out with that as well? (OLLIE SPEAKING)

WOMAN: Yeah, that's good, that.

We'll give you that up the nose, the magic stuff, and then we'll get you going.

Drugs that we have available to us in that circumstance

are drugs that we can give intranasally,

and that means just essentially a medication

that we can spray into each nostril

to try to get it into the bloodstream that way.

Now, then, I'm gonna squirt something up your nose.

It's a vapour, so it's like a nasal spray, if you've got hay fever.

(GROANS)It's like... I get hay fever. I sneeze like mad.

Oh, yeah?So, erm,

right, it'll just feel a bit tickly up your nose,

so even if you sneeze, it's OK. Snivel up your nose. One, two, three, snivel. Snivel.(SNIFFLES)

Big snort. That's it. Good lad.

Now, this will actually work pretty soon.

You might feel a bit relaxed... OK...so don't worry.

(RADIO BEEPS) Air Desk from Medic Three.

So, we're gonna convey this child to Sheffield Children's, over.

I'm gonna strap you in... (GROANS)..so you're nice and warm.

Just before I do, I know everyone's done this, there's no pain here, is there?No.

No pain around your back there?No.

And no pain in these big bones here in your leg?No.

You feel all right? Good.

Ollie will go to hospital by road.

Dr David and paramedic Max are leaving the helicopter behind.

They'll travel with Ollie

and continue his treatment on the journey.

Now, then, you know, do you mind if I just do something to your foot?

Then we can give you something strong and it'll last longer,

cos that stuff in your nose will wear off quick. Is it a needle?

It's a little bit of something... Don't worry, you did amazing before.

The strength that we have of ketamine for intranasal administration,

especially in children, is quite difficult.

We also have something called fentanyl, which the doctors carry on the unit,

so we were able to get David to scene with his fentanyl which was much kinder for Ollie.

(OLLIE SPEAKING)I know.

But it's just... When you've had a bang like this... Yeah...sometimes people get sick,

so we need to give them meds through the drip.I don't get sick.

I know, but you banged your head, so it can happen.

(SIREN WAILING)

(OLLIE SPEAKING) I'm just gonna do it on your foot.

It'll be a little nip, but don't worry.

You've got veins that sit all the way through your body,

and in your foot is sometimes a place

that you're able to get a cannula in a little bit easier.

Will it hurt? A little scratch, sweetheart.

Take a deep breath. That's the bad bit done, Ollie.

MAX: Once it's through the skin, it feels uncomfortable for them.

So...Ollie. (OLLIE SPEAKS INDISTINCTLY)

And, yeah, I think despite what's happened

he's been very good.

Ollie is almost as worried about the fuss

and the van driver as his own pain.

You had the whole street out, didn't you?Every kid came out.

I know.I checked.

(WOMAN SPEAKING)

But...Yeah...I feel bad for him.

It's all right, sweetheart. It happens.

Yeah, and he'll just be worried about you, so don't worry.

Ollie is minutes from the trauma centre

where a full paediatric trauma team are ready to take over his care.

(SIREN WAILING)

MAN: Yeah, yeah, it's looking good, actually.

In a rare moment of downtime, paramedic Daz is grabbing lunch.

That'll do... All right.

(SPEAKING INDISTINCTLY)

MAN: What's this, Daz? I've got a spoon.(LAUGHS)

Cos I can eat quicker with a spoon.(LAUGHS)

(TELEPHONE RINGING)

Daz's lunch will have to wait.

Hello, I'm on the Air Desk.

I will send HEMS. All right, bye.

PILOT: 99 lifting.

99, that's us levelled off. We've got a 14-minute ETA.

One-four minute ETA.

They're flying nearly 40 miles

to the heart of the Yorkshire Dales National Park

where a hill farmer is lying injured in a field.

(RADIO BEEPS)(MAN SPEAKING)

Yes, you've got a 71-year-old that's rolled his quad

and it's run over him.

(MAN SPEAKS)

When we're going to incidents where we've heard that a patient has been run over by a quad bike,

we completely expect multi-system trauma.

So head, chest, abdominal, and any or all of the limbs.

With six miles to go, the team get a bit of a fright.

(MAN SPEAKING)

(WOMAN LAUGHS)

(WOMAN SPEAKING) (SPEAKING)MAN: Yeah.Yeah.

(PILOT SPEAKING)

(WOMAN SPEAKING)

(PILOT SPEAKING)(LAUGHTER)

(PILOT SPEAKING)SAMMY: I think it was a big one.

I think watch out, paragliders today as well.

Yeah.

When you're flying, we are always eyes out.

Birds, they belong in the sky, so when we come across a bird,

we do have to make evasive manoeuvres,

and sometimes it can just catch you out

if you're not the one that's seen it,

and it can make your tummy go... (EXCLAIMS)

..but our pilots are amazing.

All right, two minutes. Landing checks, please.

I'll just do a pass down on the left-hand side, see if we can identify where he is,

whether he's actually out in the open somewhere.

(WOMAN SPEAKING) Visual, visuals...Yeah.

..you head back up the road, you'll see a tractor.

(SAMMY SPEAKING) Yeah, just going in...

Oh, yeah, visual. You got it? Yeah, I got it, visual.

Oh, yeah.Yep. OK.

99, I'm overhead, visual received.

I'm gonna put it here cos there's a little bit of raised ground.

The farmer is lying on a hillside

where the quad-bike accident happened.

Yeah, I'm happy with that. (INDISTINCT)Roger. 99 landed.

Hello.MAN: Hi, mate. Hiya, mate, my name's Darren.

What do we call you?Jeff.Jeff?

I see you've been coming down the hill or up the hill?

Up the hill?It came back and...

And it's gone back over on the back two wheels. And then has it rolled over you?

MAN: Came right back on top of him. Right back on top of you?

Jeff Pickles is a 74-year-old hill farmer.

He misjudged the steep slope

and his quad bike rolled over on him.

Jeff's family came to help when they heard him shouting.

Where's most of the pain at the minute?

All down the bottom of my spine. And your legs?

You've no pain in your tummy? A bit here and a bit there.

Just a bit there? I'm just gonna have a quick feel. No pain there?Mm.

And you've no pain up in your chest here.Mm. No.

Are you normally fit and well?Yes.

Just the unique mechanism, that he's been going uphill,

tumbled backwards and then it's impacted on him,

not only is that a fall backwards,

it's a crush or an impact as well on his whole body.

Are you happy if I start cutting your clothes, sir? Yeah, you can.

Don't take any regular medication for anything?

Just, eh... (MUMBLES)

heartburn tablets. Heartburn tablets.

Do you take them every day or as and when you need them?

(JEFF SPEAKING) You're supposed to, but you...

(DARREN SPEAKING)

Eh, I can't really remember. Not remember. OK.

Have you got pants on, sir?Yes.

Good.(ONLOOKER SPEAKS)

(LAUGHTER)

Will this knee lift up? That's it. That's good. There's power and strength there.

That's fine.We'll just go down... Just don't know - what's that from?

What?There's a puddle of blood on your shirt, buddy.

WOMAN: Is it your blood, or is it...?

That'll be from a sheep. That's fine, then. I can...

(INDISTINCT DISCUSSION)

MAN: Are you lambing at the minute? Is that why you were coming up? Yeah, the whole time.

I'm gonna pop a couple of bits and pieces on you to record your oxygen saturation.

We're concerned that you might've damaged your hips. He's got a good radial pulse.

I want to get a blood pressure when I can get one.

And sats are 95 percent on air at the minute.

You've got a pelvic binder just there,

if you don't mind pushing it me over.

We're just gonna put a little binder on this,

on your hips here, because when we move you, we don't want to disrupt anything, that's all.

His chest was bothering him, his abdo and his pelvis,

so tummy pain, pelvic,

that makes us think of an internal bleed.

So, multi trauma,

plus the fact of his age as well. That adds an additional factor.

OK, Jeff, that's on now.OK.

Shall I try and give you something for the pain at the minute?

You can, if...I'll have to put a little needle in your arm.

So I'll have... I'm allergic to pain.

(LAUGHS) You're allowed to be.

Nice and still for me.

Blood pressure, 177 over 95. Is that good or bad?

Yeah, for a chap your age. It's good.Chap my age?

It's very good.Right.(INDISTINCT) I know you are. That's what I mean.

I've worked in Yorkshire long enough to know

that our Yorkshire farmers are totally stoic.

So I have learnt that, actually,

don't take them at their face value, look at their numbers,

inspect, examine and treat what I find,

not just what they're telling me.

Have you ever had any strong painkillers?Yeah.

Like morphine or anything like that?

No?No. It can make you feel sick.

We can give you something for that as well.

And then you've not taken any paracetamol recently, have you?

No.No. So we can give you some of that as well.

I want you to remember what the pain is now when you move,

and hopefully, this will take it away. If you feel sick, let me know.

It can make you feel a bit queasy and a bit woozy,

but that's what it's designed to do, to take the pain away.

Morphine works quickly,

and will allow the team to move Jeff onto a stretcher.

And here.

Gonna get those out of the way. Yeah. There we go.

And then we're gonna roll you slightly over onto your left side.

So, just go with it on your head. Your head's fine.

OK. So, on "move". So, ready, set, move.

(GROANS)Good man, Jeff. We're gonna roll backwards halfway,

and then we're gonna move Jeff onto the scoop.

OK, so on "move halfway". So, ready, set, move halfway.

And then, Sammy, come out...

Mm-hm...and if you've got the legs, again, ready, set, move, around with the hips and on.

We might have to straighten up and come up a bit.And come up... (GROANS)And rest there. OK.

(GROANS)OK.

I think our patient was so stoic,

we didn't realise how much pain he was in until we came to move him,

and then we were able to give him additional pain management

and even think about stronger drugs if need be.

Jeff's been lying on an exposed hillside for over an hour.

The team's thermal bag will quickly restore

his body temperature.

Ready, steady, lift.

Nice and still for us, Jeff.

So, we're gonna go...

head end first in.

So we'll go past and then back up, if that's all right.

OK, raise him up. Keep the weight off as long as you can.

Keep feeding, keep feeding.

And all the way in.

MAN: (OVER RADIO) ..transit to Preston.Brilliant.

PILOT: Starting two.

Now we're cooking on gas.

I'm loving the head blocks. He's just wiggling his head around, isn't he?

He just sat up and scratched his nose.Yeah.

He keeps on telling me he's got these itches,

he just wants to scratch, so I think he's trying any way he can to scratch them.

(LAUGHS)

I wonder if it's the morphine that's giving him a scratchy nose.

It probably is, er, cos it can give you itches.Yeah.

Northerly at the surface. Look at the wind-socks.

We're coming out of the car park there.

(INDISTINCT)MAN: Roger.

Sammy and Daz are handing Jeff over

to the care of the emergency team at Preston,

who'll take him straight for scans.

Happy, Sammy?SAMMY: Happy. There you go, buddy.

PILOT: Just leaving. We've got ten minutes

till we get towards, er, Topcliffe.MAN: Yeah.

Helimed 99 is 2,500ft above Yorkshire

and flying back to base

when the air desk comes through on the radio.

Can you start heading towards Bolton Abbey for me, please? Over.

(WOMAN SPEAKS)

Dispatcher Matty is diverting the medical team.

Thirty miles away, a casualty needs urgent help.

It's Sierra, Echo,

zero, six, four, seven, two.

Pilot Colin turns the helicopter northwest.

Paramedics Leanne and Terri-ann

are being flown to a well-known beauty spot

on the edge of the Yorkshire Dales.

(WOMAN 1 SPEAKING)Er, no.

(WOMAN 2 SPEAKING) (WOMAN 1 SPEAKING)

(WOMAN 2 SPEAKING) (WOMAN 1 SPEAKING)(LAUGHTER)

There's a DCA allocated, we've got an ETA of nine minutes,

but there may be some access issues.

It's a 65-year-old female

who's fallen on the rocks with a hip injury.

If you just let me know the ETA,

and then if I get more information, I can let you know, over.

Is Bolton Abbey accessible by road?

What's the craic with it? Where is she?

MAN: She's apparently near the Strid.

The Strid is a notorious stretch of water

where the raging River Wharfe

is forced into a deep and dangerous ravine.

I reckon she's on the track going from the cafe up to the Strid

which is on the north side of the river.

Well, we can have a recce once we get over, can't we?

This is that wooded area, isn't it? I think.

Yeah.

I can see them in that corner there, down where the Strid is.

Steve has spotted their patient,

but now they must find a landing site.

I think best thing to go is in that field.

See the fence into the woods? Yeah.Oh, yes, the track.

We didn't expect you guys.(SIGHS)

Be careful.

I don't want to fall down there. (LAUGHS)

(WOMAN SPEAKING)

We can offer a bit of different pain relief, yeah.

The woman has fallen close to the edge of the ravine.

She's being treated by local paramedics.

After you.

Hi.Hi, Paul.Hi.

So, this is Marion.Hello. 86-year-old lady

who has fallen. She's got a line in,

paracetamol and, er, morphine.

You were closer than Mountain Rescue.

Yeah.We're only needing, maybe, a hand.

Yeah.Unless you can, er... Unless she starts screaming in pain that we can't manage.

Yeah. Awesome.

Hello. I'm Terri-ann. This is Leanne. All right.

Shall we get you off this floor?

Marion Sanderson is 86.

She was out for a walk with her family

when she slipped and fell on the rocks.

Was there any rotation or anything like that?

No, but we're not sure, cos she's not straightening her leg.

How is that pain before we move you? (MAN SPEAKS INDISTINCTLY)

The paramedics suspect Marion has broken her hip or her leg.

She's going to need pain relief when they move her onto the stretcher.

WOMAN: Have you had Entonox before, gas and air?

Do you want some gas and air while we move you?Yes.

That morphine can take quite a while to sometimes settle in,

so hopefully you'll start feeling the effects when you're on the ambulance.

Have some gas and air?Yeah.

Have you had it before, then?No.

No?But I'll have anything to take the pain away.

So, it's what they give to pregnant ladies.

Sorry?It's what they give to pregnant ladies, this gas and air.

(INDISTINCT CHATTER)

OK, she's going in the DCA.

Older patients' bones are a lot weaker than young, fit people are.

Walking on that uneven surface would have been really difficult.

So she's had a fall, and now she's broken the hip.

It's going to take away her independence.

It's a big, significant impact.

This is the Strid. This whole area is the Strid

where it comes down to a thin... A thin bit, and it's lethal.

Like, look at it. You're going underneath the rocks.

So, the stretch of water where Marion fell,

it's really deep and it's really fast.

And also, the limestone rocks are overhanging the river,

so as you go under, it can pull you under.

And there has been deaths on that river,

so she was lucky she wasn't closer to it.

Can we take this one from under your back?

Want to put that in your mouth? Right, and then suck. That's it.

Some nice, big, deep breaths in and out.

It'll make you feel really drunk.MAN: Oh, yeah.

Ooh, er.

So, we'll take a couple of deep breaths

and then we'll move you. It might make you feel a bit dizzy.

Take a deep breath.

Deep breath. Deep breath. (MARION INHALES)

Lovely.(MARION INHALES)Well done.

Is it doing the job, making you feel a bit dizzy?

No? Deeper breath, then.

(MARION INHALES) Well done.Deep breath. WOMAN: Relax.Here you go.

(MARION INHALES)Oh. Put your mouth around here for us, sweetie,

and take some deep breaths on this gas and air. MAN: Marion.(SPEAKS INDISTINCTLY)

Marion, do you want to use this gas and air?

Look, suck. Hold my hand.There you go.

Gently roll towards me.

(SPEAKING INDISTINCTLY)

Right. So, would you like some more, Marion?Yeah.

There you go.

So, that was the worst bit. You're on the board now, all right.

So, big sucks, it stops working quite quickly.

Can you just a little bit on this one...?

Just a tad. Just bring it. That's it. So it's on there. There.It's resting.

We've got a clear path there, haven't we?Yeah.

Yeah. Step onto there. Step on it.Erm...

Maybe just kind of follow that track along there.

Yeah.Or even up there, maybe,

just so we're not so close to the edge with all of us on there.

I wonder if it's easier to bring the stretcher to there.

Marion, I want you to think of very light things now.(SIGHS)

Like a feather, please. Like a feather.

Think of Aeros.

It's quite an uneven path, so if we can get probably six of us...

Are we all happy? MAN 1: Yeah, good. Ready, steady, lift.

Come on, you're all right, sweet. (MAN 2 SPEAKING INDISTINCTLY)

A little step back, then. You're a bit crooked on that.

(MAN 3 SPEAKING INDISTINCTLY)

We're nearly there.

Cheers, Steve.

Ready?

It might be a bit bumpy up here,

but we'll try and be as gentle as we can.

Yeah.

Right. Last bump.

There you go. We're in.

(LAUGHS) Sorry.

Can I give you my sweaty gloves, please?

Oh, yeah.Thank you.

TONY: Nothing wrong with me. WOMAN: Yeah.

I can ride my bike back home, I'm fine.

But we can't let you do that, Tony,

cos you can't tell me why you've fallen off your bike.

All right, carry on.OK.

Motorcyclist Tony Wardell

spent ten days in hospital after falling off his bike.

He'd broken his shoulder, both arms and several ribs,

but he's now fully healed and back on his bike.

Eighty-six-year-old Marion Sanderson

underwent surgery for a hip replacement

after falling close to the edge of the Strid, near Bolton Abbey.

She is recovering well, and for now is walking with a stick.

WOMAN: Blood pressure, 177 over 95.

Is that good or bad?

MAN: Not for a chap your age. It's... It's good.Chap my age?

It's...It's very good.Right. I know you are. That's what I mean.

Scans revealed farmer Jeff Pickles

had broken his back and cracked his ribs

when his quad bike overturned and crushed him.

He spent 12 weeks recovering from his injuries.

Oh, hi, I'm David.

Twelve-year-old Ollie was rushed to Sheffield Children's Hospital

after he was knocked down by a van near his home.

MAN: You feel sick at all?No.

No. That's good. A little bit tired.

Right before it happened, I saw summat out the corner of my eye,

so I put my hands up before my head cos I wasn't wearing a helmet.

I was actually quite lucky to get away with just two broken wrists.

I couldn't get in the shower by myself,

er, I couldn't eat by myself.

I couldn't even kick a ball by myself.

Ollie spent 12 weeks recovering from his injuries.

They told me that I couldn't be able to play football for 12 weeks.

We were lucky it were end of season,

so we got away with that.

It actually does feel good to be back in goal, saving the shots.

I think that was the best keepie-uppies I've ever done.

I could stay away from school for quite a bit, actually,

because I couldn't write,

so it was quite a pleasure, to be honest.

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