Episode 11

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0:00:02 > 0:00:04Britain's next generation of Emergency Service recruits,

0:00:04 > 0:00:07chosen from a pool of thousands.

0:00:07 > 0:00:10Rookies like Ben who's always longed to be a paramedic.

0:00:10 > 0:00:13His hopes are now a reality.

0:00:13 > 0:00:15Not many 20-year-old people can say that they

0:00:15 > 0:00:17drive around in an ambulance

0:00:17 > 0:00:19and attend critically ill patients.

0:00:19 > 0:00:23And volunteer police special Sarah, slowing finding her feet

0:00:23 > 0:00:26on active duty with regular officers.

0:00:26 > 0:00:28It's exciting, basically - you go into a job

0:00:28 > 0:00:30and you've no idea what to expect.

0:00:30 > 0:00:33It's quite a buzz, your heart's going.

0:00:33 > 0:00:36Brendan's reason for swapping his white collar job

0:00:36 > 0:00:40for a career in firefighting couldn't be more clear-cut.

0:00:40 > 0:00:42To make a positive impact

0:00:42 > 0:00:45on someone's life and to save them from

0:00:45 > 0:00:47a life-threatening situation.

0:00:47 > 0:00:50They've survived months of intensive training.

0:00:50 > 0:00:53- Come on, let's move! - Get back!- I've made contact.

0:00:53 > 0:00:55They've been tested to their limits.

0:00:55 > 0:00:57- Spray, spray!- It's burning.

0:00:57 > 0:00:59Stop panicking - don't worry.

0:00:59 > 0:01:02All to realise their dream careers.

0:01:02 > 0:01:04It's doing now what I've always wanted to do,

0:01:04 > 0:01:06which is a really good feeling.

0:01:06 > 0:01:11Join them for their first time on the front line.

0:01:11 > 0:01:13In today's programme: On patrol...

0:01:13 > 0:01:15Someone's in trouble, basically.

0:01:15 > 0:01:17..and under attack.

0:01:17 > 0:01:19Get off me!

0:01:19 > 0:01:21Police special Sarah puts her own safety on the line

0:01:21 > 0:01:24when a colleague's pinned to the ground.

0:01:24 > 0:01:26No time to waste.

0:01:27 > 0:01:31Ben rushes to a patient whose heart hits 160 beats a minute.

0:01:31 > 0:01:35- You've got cold hands. - You know what they say - cold hands, warm heart.

0:01:35 > 0:01:36And crashed...

0:01:36 > 0:01:38- Brendan, just talk to the casualty. - Yeah.

0:01:38 > 0:01:43..and trapped. The driver whose life depends on fire recruit Brendan.

0:01:43 > 0:01:44Cut it.

0:01:48 > 0:01:54In Cheshire, Sarah Johnson's new career as a police special is well under way.

0:01:56 > 0:02:01On her first shift, she tracked down an expensive stolen bicycle

0:02:01 > 0:02:06and joined a high-speed response to a 999 call about a domestic row.

0:02:06 > 0:02:08I'm glad I'm not driving.

0:02:08 > 0:02:11But bigger challenges are still to come.

0:02:16 > 0:02:19Sarah's 46 and a mum of three.

0:02:19 > 0:02:22She became a police special out of a sense of public duty.

0:02:22 > 0:02:24Going out and helping people,

0:02:24 > 0:02:28doing things that are just proactive for the community, it's really good.

0:02:28 > 0:02:30Specials give their time for free,

0:02:30 > 0:02:34four hours a week helping keep their neighbourhoods safe.

0:02:34 > 0:02:36Time well spent, according to Sarah.

0:02:36 > 0:02:39You really can feel that you've achieved something.

0:02:39 > 0:02:41You can be proud of yourself for that.

0:02:41 > 0:02:42That's how I feel.

0:02:44 > 0:02:50To qualify, Sarah had to complete an intensive 20-day training course.

0:02:50 > 0:02:51- Go!- Get back!

0:02:53 > 0:02:57Specials have the same powers as regular officers and they run

0:02:57 > 0:03:01the same risks, so personal safety instruction is a priority.

0:03:01 > 0:03:05Some of them have never been involved in any conflict situations

0:03:05 > 0:03:09before, so obviously we need to make sure they have

0:03:09 > 0:03:12the necessary skills for when they go out there.

0:03:12 > 0:03:16Last year, nearly 20,000 police officers

0:03:16 > 0:03:18were assaulted on duty.

0:03:18 > 0:03:21Somebody's coming in to try and kick you in the face,

0:03:21 > 0:03:23try to get on top of you.

0:03:23 > 0:03:26Get back, get back, get back.

0:03:26 > 0:03:29Make sure you get into that position and get up.

0:03:31 > 0:03:34This training was outside Sarah's comfort zone, but she soon

0:03:34 > 0:03:38mastered the techniques she'd need to defend herself on duty.

0:03:40 > 0:03:42Get back!

0:03:42 > 0:03:43You'd want to be practising doing it

0:03:43 > 0:03:46if you're going to have to do it on the street.

0:03:46 > 0:03:49You need to know what you're doing.

0:03:49 > 0:03:50Down, down, down.

0:03:50 > 0:03:52Cross your legs.

0:03:58 > 0:04:00Five weeks on and with her training now done,

0:04:00 > 0:04:03Sarah prepares to go out on shift.

0:04:03 > 0:04:07She's been chosen for duty at a gay pride event in Chester.

0:04:07 > 0:04:09Although such events are not noted for trouble,

0:04:09 > 0:04:13they can attract large crowds, with access to alcohol.

0:04:13 > 0:04:15A combustible mix.

0:04:15 > 0:04:18It's an exciting day, but it's kind of, I don't know,

0:04:18 > 0:04:20because I've never done this sort of thing before.

0:04:20 > 0:04:22With the event just an hour away,

0:04:22 > 0:04:24Sarah joins her colleagues for a briefing.

0:04:24 > 0:04:27Our intention today is quite straightforward - to provide

0:04:27 > 0:04:28a visible policing presence

0:04:28 > 0:04:31during this event to ensure the safety of those attending,

0:04:31 > 0:04:33and perhaps more importantly,

0:04:33 > 0:04:35deal with any alcohol-related disorder.

0:04:35 > 0:04:38Specials are supervised by constable tutors

0:04:38 > 0:04:40throughout their 18-month probation period.

0:04:40 > 0:04:43Sarah's mentor is also a special,

0:04:43 > 0:04:47although Heather Frendt does have five years' experience.

0:04:47 > 0:04:50We are expecting 2,000 people.

0:04:50 > 0:04:51It's been well-publicised,

0:04:51 > 0:04:54so we might get groups of teenagers coming in as well,

0:04:54 > 0:04:57so we will need to be aware of them, cos they can be a bit of a handful.

0:04:57 > 0:05:00This is new territory for the police in Chester.

0:05:00 > 0:05:03It's the city's first-ever gay pride event.

0:05:07 > 0:05:09These events are usually good-natured,

0:05:09 > 0:05:12and at first this one is exactly that.

0:05:12 > 0:05:14A few cuddles and a few photographs now.

0:05:14 > 0:05:16I think that's part of it, though.

0:05:16 > 0:05:18You know people are going to have a few drinks,

0:05:18 > 0:05:20people do want to have their photograph taken.

0:05:20 > 0:05:22It's fine, it's fine, you know, we can cope with that.

0:05:22 > 0:05:27But soon, the telltale signs of underage drinking start to appear.

0:05:27 > 0:05:31Fella - show me what you've just put in your pocket, please.

0:05:31 > 0:05:33- How old are you?- 16.

0:05:35 > 0:05:39Cheers. You need to wake up a bit earlier to catch me out.

0:05:41 > 0:05:46Nearby, another underage drinker has collapsed and needs help fast.

0:05:48 > 0:05:51She's in and out of consciousness.

0:05:51 > 0:05:54Because street drinking restrictions have been relaxed today,

0:05:54 > 0:05:55youngsters unconnected with the event

0:05:55 > 0:05:58are flooding into the city centre.

0:05:58 > 0:06:01The St John's Ambulance are basically looking after her.

0:06:01 > 0:06:02She's in and out of consciousness.

0:06:02 > 0:06:05She's probably just been drinking all afternoon.

0:06:05 > 0:06:08The mood of the event is starting to change.

0:06:11 > 0:06:13We've just got to keep an eye on them, really,

0:06:13 > 0:06:15and just make sure it goes off smoothly.

0:06:15 > 0:06:19It looks like the rookie special could be in for a long day.

0:06:24 > 0:06:26Ambulance service recruit Ben Pallante

0:06:26 > 0:06:28is a month into his new job.

0:06:30 > 0:06:33So far he's tended to a cyclist hit by a car

0:06:33 > 0:06:37and a man who almost severed his hand with a chain saw.

0:06:38 > 0:06:41Now, despite his own limited experience,

0:06:41 > 0:06:44he's been asked to supervise a trainee for the first time.

0:06:49 > 0:06:51Ben's always wanted to be a paramedic.

0:06:51 > 0:06:55As a youngster, he volunteered for St John Ambulance, then studied

0:06:55 > 0:06:58for a degree in Paramedic Science at university.

0:06:58 > 0:07:01His graduation was a proud moment,

0:07:01 > 0:07:05and he made some lasting friendships along the way.

0:07:05 > 0:07:06Warwick!

0:07:07 > 0:07:10At 20, Ben knows he has much to learn in a job

0:07:10 > 0:07:13where lives are often on the line.

0:07:13 > 0:07:16It's a massive responsibility for someone of my age.

0:07:16 > 0:07:19That's one of the exciting things I'm actually looking forward to,

0:07:19 > 0:07:21saying that's what I do for a job.

0:07:28 > 0:07:30Four weeks after starting,

0:07:30 > 0:07:34Ben's about to experience another career first.

0:07:34 > 0:07:36He's impressed his superiors so much, they've asked him

0:07:36 > 0:07:39to supervise new trainee, Jat Malhi.

0:07:39 > 0:07:42The apprentice is on his way to becoming a master.

0:07:42 > 0:07:44It's quite scary, really. Six months back,

0:07:44 > 0:07:47I was in that position where I was looking up to people

0:07:47 > 0:07:50and asking for their advice and their help and their support,

0:07:50 > 0:07:53so obviously now, sort of role reversal, really.

0:07:53 > 0:07:55Still training at the moment,

0:07:55 > 0:07:57learning all the skills and hopefully with my colleagues today

0:07:57 > 0:08:00and crew mates I'll be picking up a few more skills.

0:08:00 > 0:08:05Ben and Jat head out in response to their first emergency call of the day.

0:08:07 > 0:08:10A 32-year-old man is suffering from chest and stomach pains,

0:08:10 > 0:08:13and displaying an even more worrying symptom.

0:08:19 > 0:08:22On arrival, they find the patient, David, in agony.

0:08:25 > 0:08:26Right, OK.

0:08:26 > 0:08:30Chest pains could indicate a heart attack - in which case,

0:08:30 > 0:08:37rapid treatment is essential. Ben connects David to a heart rate monitor to check further.

0:08:37 > 0:08:40Right, I need you to keep nice and still for a second because

0:08:40 > 0:08:43I'm going to do a quick trace of your heart, so relax - that's it.

0:08:43 > 0:08:47It's good news - the tracing indicates David isn't having a heart attack.

0:08:47 > 0:08:51He's still in severe pain, though. Ben's next task is to reduce it.

0:08:51 > 0:08:53What we'll do is we'll give you a spray, OK?

0:08:53 > 0:08:56The spray is designed to widen the vessels

0:08:56 > 0:08:59and increase the blood supply in David's chest.

0:08:59 > 0:09:04Now lift your tongue - that's it. Close your mouth, dissolve it.

0:09:04 > 0:09:05See if that works.

0:09:05 > 0:09:07If Ben's chosen the right treatment,

0:09:07 > 0:09:11David's chest pains should ease almost immediately.

0:09:11 > 0:09:12Has the pain got worse?

0:09:14 > 0:09:16It's got a little bit better with that spray, yeah?

0:09:16 > 0:09:20Despite this encouraging sign, David still can't stop vomiting.

0:09:22 > 0:09:25What have you been doing over the last couple of days?

0:09:26 > 0:09:29You haven't got any ulcers or anything?

0:09:29 > 0:09:31- Any stomach ulcers? - I don't think so.

0:09:31 > 0:09:34Ben's diagnosis is inconclusive.

0:09:34 > 0:09:35We'll get you down quickly.

0:09:37 > 0:09:43David's illness needs identifying and treating as soon as possible.

0:09:43 > 0:09:47I'm just going to pop a cannula into his arm so we can give him some paracetamol.

0:09:47 > 0:09:49Right, let's pop this in your arm then, mate.

0:09:49 > 0:09:51By giving the pain relief intravenously,

0:09:51 > 0:09:55Ben hopes to reduce David's discomfort quickly.

0:09:55 > 0:09:57How much blood did you bring up?

0:09:57 > 0:10:00Not much, only like little spots.

0:10:00 > 0:10:02Only a small amount, yeah? OK.

0:10:02 > 0:10:05But even small amounts of blood in vomit may indicate

0:10:05 > 0:10:08bleeding in the stomach or bowel.

0:10:08 > 0:10:12If David does have internal bleeding his condition could worsen fast.

0:10:12 > 0:10:15What's that pain like now? Can you describe it now?

0:10:17 > 0:10:19They've reached A&E.

0:10:19 > 0:10:21Following his training to the letter,

0:10:21 > 0:10:24Ben hands over to the triage nurse.

0:10:24 > 0:10:28He says he's been coughing up or vomiting up clots of blood.

0:10:28 > 0:10:32David will now undergo tests to find the cause of his illness.

0:10:32 > 0:10:35We did a full set of observations on everything

0:10:35 > 0:10:36that we could have done,

0:10:36 > 0:10:39so he'll be seen by the doctors and nurses in A&E

0:10:39 > 0:10:41and they'll decide the best care for him.

0:10:41 > 0:10:43Ben and Jat head off.

0:10:43 > 0:10:46Their shift still has seven hours to go.

0:10:50 > 0:10:53West Midlands Fire Service recently advertised for recruits

0:10:53 > 0:10:56for the first time in three years.

0:10:56 > 0:11:02More than 5,000 applied. Just 50 were successful.

0:11:02 > 0:11:05One of them - former marketing manager Brendan Houston.

0:11:07 > 0:11:09Brendan's first shifts have been quiet.

0:11:10 > 0:11:14The only highlight - breaking down a door after smoke was reported

0:11:14 > 0:11:16coming from a ground floor flat.

0:11:16 > 0:11:18Hello, Fire Service!

0:11:18 > 0:11:19But that's about to change.

0:11:26 > 0:11:31Brendan's working life took a new turn in autumn 2013 when

0:11:31 > 0:11:34he attended eight weeks of training to prepare him for active duty.

0:11:36 > 0:11:38Come on, where's the effort?

0:11:38 > 0:11:40Before that he worked in marketing,

0:11:40 > 0:11:43but decided to give up a comfortable life and salary

0:11:43 > 0:11:46for a job well-known for its risks.

0:11:46 > 0:11:48To be able to make that positive impact

0:11:48 > 0:11:49on someone's life,

0:11:49 > 0:11:53whether it be that you do save them from a life-threatening situation

0:11:53 > 0:11:55or an accident that they're in.

0:11:57 > 0:11:59The course stretched the trainees to the limit

0:11:59 > 0:12:03so the instructors could see who had the right stuff.

0:12:03 > 0:12:04You will report to this man

0:12:04 > 0:12:06so he can make sure that you are safe.

0:12:07 > 0:12:13Applicants have no hiding place. They either passed or failed.

0:12:13 > 0:12:17Let's get that casualty out! Come on! Dig in!

0:12:17 > 0:12:22Learning how to extract casualties from car crashes was a priority.

0:12:22 > 0:12:28Britain's firefighters attend over 32,000 road traffic collisions every year.

0:12:28 > 0:12:31We're going to take it that there's a passenger in here

0:12:31 > 0:12:33and that's why we're removing the roof.

0:12:33 > 0:12:38Firefighters often have to use hydraulic machinery to reach crash victims.

0:12:38 > 0:12:41But the kit is powerful and must be handled with care.

0:12:46 > 0:12:48Brendan had to get to grips with heavy cutters

0:12:48 > 0:12:53and powerful saws that can pierce metal in seconds.

0:12:53 > 0:12:57If it starts shaking it's because the blade's jammed.

0:12:57 > 0:13:00But on this part of the course Brendan was found wanting.

0:13:00 > 0:13:03He chose the wrong part of the car to make his cut,

0:13:03 > 0:13:06and his blade became stuck.

0:13:06 > 0:13:09What we're going to do now is you're going to stand back and just rest for a minute.

0:13:09 > 0:13:11If this was a real car crash,

0:13:11 > 0:13:15a mistake like that could waste time and cost lives.

0:13:15 > 0:13:18We're going to lift it up and take it forwards.

0:13:18 > 0:13:20Right, we need to get it up, there's people in this car.

0:13:20 > 0:13:23A sobering experience for the new recruit,

0:13:23 > 0:13:26but hopefully a vital lesson learnt.

0:13:26 > 0:13:28I can't deny that was hard work.

0:13:28 > 0:13:30You have to put yourself

0:13:30 > 0:13:32in a situation in real life and think,

0:13:32 > 0:13:34"Well, if that was a real person..."

0:13:34 > 0:13:36It's super tough.

0:13:44 > 0:13:47Four weeks after Brendan completed his training,

0:13:47 > 0:13:51the new recruit is on active duty and about to start a ten-hour shift.

0:13:52 > 0:13:55First task, responding to a 999 call.

0:14:00 > 0:14:02There's been a serious car crash -

0:14:02 > 0:14:06Brendan's newly acquired skills are about to be tested for real.

0:14:06 > 0:14:08- Brendan.- Yeah.

0:14:12 > 0:14:13OK, yeah.

0:14:13 > 0:14:16Two vehicles have collided - one ending up on its side.

0:14:16 > 0:14:19Its driver, Mohammed, is trapped.

0:14:22 > 0:14:24Brendan rushes to get the hose.

0:14:24 > 0:14:28The car and its driver could go up in flames at any moment.

0:14:32 > 0:14:34Paramedics are on scene.

0:14:34 > 0:14:37They fear Mohammed has serious spinal injuries.

0:14:37 > 0:14:40He needs to be extracted quickly but safely.

0:14:40 > 0:14:42We'll put some blocks under here now to stop any movement.

0:14:42 > 0:14:44Yeah, that's the first priority.

0:14:44 > 0:14:46The car needs to be stabilised.

0:14:46 > 0:14:50It's in danger of rolling over, crushing the firefighters.

0:14:50 > 0:14:51One person inside.

0:14:51 > 0:14:55Watch commander Dave Alexander gives Brendan a crucial task.

0:14:55 > 0:14:58Any movement of that car towards us,

0:14:58 > 0:15:02shout up at the guys in there and tell them to stop,

0:15:02 > 0:15:04- as loud as you can if it's moving. - Yeah. OK.

0:15:04 > 0:15:09The lives of the crew, paramedics and driver are in Brendan's hands.

0:15:09 > 0:15:11There'll be a bit of a noise now, mate.

0:15:11 > 0:15:12Just a few bangs.

0:15:12 > 0:15:16Once the crew secure the car, they can cut Mohammed free.

0:15:16 > 0:15:18Stabilisation's fine.

0:15:18 > 0:15:21Crew commander James Brereton is Brendan's mentor.

0:15:21 > 0:15:23He thinks it's time for the new recruit

0:15:23 > 0:15:26to put his training into practice.

0:15:26 > 0:15:27As soon as it's ready, all right,

0:15:27 > 0:15:29we'll get you started making some cuts.

0:15:29 > 0:15:33Brendan needs to make four clean cuts to remove the roof.

0:15:33 > 0:15:36This time, there's no margin for error.

0:15:40 > 0:15:41Cut it!

0:15:43 > 0:15:46It's very fast when it's like this, it's not like training.

0:15:46 > 0:15:49A seriously injured casualty is depending on Brendan,

0:15:49 > 0:15:52and the risk of a fuel tank explosion remains.

0:15:52 > 0:15:54Every second counts.

0:15:54 > 0:15:56Cut it! Cut it!

0:15:59 > 0:16:02Firefighters are encouraged to reassure casualties

0:16:02 > 0:16:03while cutting them out.

0:16:03 > 0:16:06- Brendan, just talk to the casualty, let him know, yeah?- Yeah.

0:16:06 > 0:16:09There'll be a bit of a noise now, mate.

0:16:09 > 0:16:10Cut it!

0:16:10 > 0:16:14Brendan's nearly finished, but he's struggling to make the final cut.

0:16:18 > 0:16:19Yeah.

0:16:19 > 0:16:22He acts on the advice instantly.

0:16:22 > 0:16:24It's starting to cut in now.

0:16:26 > 0:16:28Right - one, two, three.

0:16:34 > 0:16:37Now Mohammed can be extracted from the wreckage,

0:16:37 > 0:16:38and taken to hospital.

0:16:42 > 0:16:44One, two, three - lift.

0:16:44 > 0:16:47Brendan may have struggled with cutting gear at the academy,

0:16:47 > 0:16:50but when it really mattered, he delivered.

0:16:50 > 0:16:51It's my first RTC.

0:16:51 > 0:16:54There's only so much training can prepare you for it

0:16:54 > 0:16:55until you get into a real situation

0:16:55 > 0:16:58and there's somebody actually hurt in the car

0:16:58 > 0:17:01and you've got to make decisions and be quick enough and confident

0:17:01 > 0:17:03that you're doing the right things to get them

0:17:03 > 0:17:05freed as quick as possible.

0:17:05 > 0:17:07He did really well. It's hard, the first time,

0:17:07 > 0:17:10but he listened to what we wanted to be done

0:17:10 > 0:17:12and sort of leapt on to the backs of everybody else that was here

0:17:12 > 0:17:14and just sort of took a bit of advice.

0:17:14 > 0:17:17I don't know whether I've made it as a firefighter,

0:17:17 > 0:17:20but that definitely helped. I feel a little bit more confident.

0:17:20 > 0:17:22There was a little bit running around in the beginning

0:17:22 > 0:17:24thinking, "Oh, my God, where's that on the truck?" and,

0:17:24 > 0:17:26"Where's this on the truck?" but I got there in the end.

0:17:32 > 0:17:36Back at the gay pride event, police special Sarah and her mentor Heather

0:17:36 > 0:17:39are monitoring an increasingly raucous crowd.

0:17:41 > 0:17:45Pockets of trouble are starting to stretch the police.

0:17:47 > 0:17:51Suddenly, a call comes in about a drunken youth

0:17:51 > 0:17:53throwing furniture in a fast food restaurant.

0:17:55 > 0:17:57Just stay there for me a second. Which one is it?

0:17:57 > 0:17:58Over there.

0:17:58 > 0:17:59That one - grab him.

0:17:59 > 0:18:02Sarah stops the suspect before he escapes.

0:18:03 > 0:18:05Just come with me, sir.

0:18:05 > 0:18:08The manager confirms he's been abusive to staff

0:18:08 > 0:18:09and other customers.

0:18:09 > 0:18:11What do you want to happen,

0:18:11 > 0:18:13because obviously we've got all this happening outside?

0:18:13 > 0:18:14Do you just want him out?

0:18:16 > 0:18:19Ah, well, that's all right, then, after you've wrecked the joint.

0:18:19 > 0:18:22- You're going to leave this building and you're going to go straight home.- Yeah.

0:18:22 > 0:18:25If you don't go straight home, I'm going to lock you up.

0:18:25 > 0:18:27Do you understand what I'm saying to you?

0:18:27 > 0:18:29The teenager is removed,

0:18:29 > 0:18:34but as soon as Sarah and Heather get outside, their radios vibrate.

0:18:36 > 0:18:40A fellow officer needs urgent back-up.

0:18:40 > 0:18:43We've just heard the alarm on the radio - someone's in trouble, basically.

0:18:43 > 0:18:46Police radios are fitted with a distress button.

0:18:46 > 0:18:51If held down for just over a second, it alerts all nearby colleagues.

0:18:51 > 0:18:54- You don't have to say anything but it may harm your defence... - Where are we going?

0:18:54 > 0:18:57Fellow officers were struggling to handcuff a man,

0:18:57 > 0:18:59but now have him under control.

0:19:01 > 0:19:03In the confusion, Sarah loses Heather.

0:19:08 > 0:19:10Suddenly, the crowd surges.

0:19:14 > 0:19:18The man's again resisting arrest and Heather's clinging on to his legs.

0:19:24 > 0:19:26Luckily, they soon have him under control.

0:19:30 > 0:19:33But Sarah's struggling to master her radio.

0:19:36 > 0:19:38And she needs to be totally up to speed.

0:19:38 > 0:19:40More potential troublemakers

0:19:40 > 0:19:43unconnected to the event are arriving.

0:19:43 > 0:19:45You'd want to be facing that way.

0:19:45 > 0:19:49This is the problem we're getting when we get large groups of youths.

0:19:49 > 0:19:53A disorderly crowd is a test even for experienced officers.

0:19:53 > 0:19:57Heather knows the challenge it presents to a rookie.

0:19:57 > 0:20:00Any time you feel uncomfortable, you need to let me know, OK?

0:20:00 > 0:20:01Right.

0:20:01 > 0:20:03We all go through that fight or flight.

0:20:03 > 0:20:06- If it gets a bit too much for you, you need to let me know.- OK.

0:20:06 > 0:20:09- All right, because I'm relying on you to back me up.- OK.

0:20:09 > 0:20:12All right. Wherever I go, I want you to go with me.

0:20:12 > 0:20:13I will. I will, yeah.

0:20:13 > 0:20:17Today's shift is proving to be an ordeal for Sarah,

0:20:17 > 0:20:19and it's not over yet.

0:20:23 > 0:20:24In Birmingham,

0:20:24 > 0:20:28new paramedic Ben is four hours into his shift with trainee Jat.

0:20:29 > 0:20:33They're responding to a 999 call from a pensioner in distress.

0:20:39 > 0:20:42They arrive just after a rapid response paramedic.

0:20:42 > 0:20:43Hello. How are you, all right?

0:20:43 > 0:20:46This is Jennie. She's an 85-year-old female.

0:20:46 > 0:20:51The fast responder has run some tests and it isn't good news.

0:20:51 > 0:20:55The heart rate is anywhere between 134 and 180 now.

0:20:55 > 0:20:57- OK.- Slight bit of SVT.

0:20:57 > 0:21:00SVT is the name given to an abnormally quick heart rate.

0:21:00 > 0:21:03Jennie's is double what it should be.

0:21:03 > 0:21:07For an 85-year-old, it could be life-threatening.

0:21:07 > 0:21:11Obviously, we can't really sustain a heart rate of 140 for long.

0:21:11 > 0:21:15She needs to be taken to a specialist cardiovascular unit right away.

0:21:15 > 0:21:17What we'll do, because your heart rate

0:21:17 > 0:21:19is quite fast at the moment,

0:21:19 > 0:21:21we'll pop you up to hospital, all right?

0:21:21 > 0:21:25But Jennie is frail and needs to be moved with care.

0:21:25 > 0:21:27Her husband Harold is concerned.

0:21:27 > 0:21:30There's nothing to worry about at the moment, all right?

0:21:30 > 0:21:31Yes.

0:21:37 > 0:21:38Let's have that.

0:21:38 > 0:21:42Jennie may seem fine, but a heart rate so fast will put

0:21:42 > 0:21:47a huge strain on her heart, with potentially fatal results.

0:21:47 > 0:21:49The patient has got quite a high heart rate,

0:21:49 > 0:21:51so we're trying to make sure that the patient's heart rate

0:21:51 > 0:21:55stays as it was or tries to come down rather than increase.

0:21:55 > 0:21:58Sometimes that can be the case when you're moving the patient around.

0:21:58 > 0:22:03Ben's training told him to hope for the best but prepare for the worst.

0:22:03 > 0:22:07I'm just going to pop a cannula into Jennie's arm and obviously

0:22:07 > 0:22:10because her heart rate is quite fast at the moment, you know, we may be

0:22:10 > 0:22:13able to give her something a little bit later on if anything happens.

0:22:13 > 0:22:15He may only be a month into the job...

0:22:15 > 0:22:17A sharp scratch, all right?

0:22:17 > 0:22:20..but he's already thinking ahead like a veteran.

0:22:20 > 0:22:24Just bring your arm around here and keep it nice and still. Right, then.

0:22:24 > 0:22:26It's off to hospital.

0:22:26 > 0:22:27Blue light.

0:22:30 > 0:22:35Jennie's heart rate is now 160 beats per minute. It's getting worse.

0:22:35 > 0:22:37What we are going to do, Jennie,

0:22:37 > 0:22:39because your heart rate is quite fast at the moment,

0:22:39 > 0:22:43we're going to let the hospital know that we're coming.

0:22:43 > 0:22:46Can I pop an alert in, please?

0:22:46 > 0:22:51I have an 85-year-old female with an SVT of about 160.

0:22:51 > 0:22:55Yeah. We're about eight minutes away coming from Aldridge.

0:22:55 > 0:22:58OK, so the doctors know that we're on our way, Jennie.

0:22:58 > 0:23:01Ben tries to take Jennie's mind off the situation.

0:23:01 > 0:23:04How long have you been married for, then?

0:23:05 > 0:23:0764 years! Blimey!

0:23:09 > 0:23:11OK, is that 50 years or is it 60?

0:23:11 > 0:23:14- 60.- Oh, OK.

0:23:14 > 0:23:18They've arrived at a hospital with a top cardio vascular unit.

0:23:19 > 0:23:22Jennie will be in good hands.

0:23:22 > 0:23:23Yeah, it was a good job.

0:23:23 > 0:23:26It's a sign of Ben's growing maturity as a paramedic

0:23:26 > 0:23:29that his employers entrust him with a trainee -

0:23:29 > 0:23:32one who clearly holds him in high regard.

0:23:32 > 0:23:34He's been very supportive and encouraging,

0:23:34 > 0:23:37to be honest with you, and I've learned a few things from him as well, which is good.

0:23:37 > 0:23:41Ben's first month as a paramedic couldn't have gone better.

0:23:41 > 0:23:43I'm still finding my feet.

0:23:43 > 0:23:46It's coming with time and every day something's different.

0:23:46 > 0:23:48There's never one job or one patient that's the same.

0:23:48 > 0:23:50I come to work and I don't know who I'm going to work with,

0:23:50 > 0:23:53where I'm going to go during the day, or what I'm going to do.

0:23:53 > 0:23:56It's a job I want to do now for the rest of my life.

0:24:01 > 0:24:04Back at the gay pride event, rookie special Sarah

0:24:04 > 0:24:07and her mentor Heather are under pressure.

0:24:07 > 0:24:10Social media has spread the word that street drinking rules

0:24:10 > 0:24:16have been relaxed and youths are streaming in from nearby towns.

0:24:16 > 0:24:20The police are trying to restrict access to the town square, but they're clearly outnumbered.

0:24:20 > 0:24:22You can't go any further, stay here.

0:24:22 > 0:24:24Sorry, lads.

0:24:24 > 0:24:27We can't go any further. How come?

0:24:27 > 0:24:28There's not enough of us, Joe.

0:24:28 > 0:24:31The police have just been told a large mob's on its way,

0:24:31 > 0:24:34and the youths are looking for trouble.

0:24:34 > 0:24:37- There's apparently a group coming up...- Go and get yourself home.

0:24:37 > 0:24:39..that they don't want coming up this way.

0:24:41 > 0:24:43It's quite scary, heartbeat going, you know.

0:24:43 > 0:24:46It's quite nerve-racking, you know, you've no idea of what's

0:24:46 > 0:24:49going to happen, whether it's going to be like a mass riot

0:24:49 > 0:24:50or a rush or what,

0:24:50 > 0:24:53or whether it's just going to be a few people having a fight.

0:24:53 > 0:24:55I'm just watching my colleagues.

0:24:56 > 0:24:59They all seem to be congregating down here.

0:25:00 > 0:25:03Orders have come through to form a police line.

0:25:03 > 0:25:08Sarah rehearsed this tactic in training, but now it's for real.

0:25:08 > 0:25:10All of you, this side. On you go.

0:25:10 > 0:25:11These are my mates.

0:25:15 > 0:25:18Trouble could erupt at any moment.

0:25:19 > 0:25:20Just fill that gap.

0:25:24 > 0:25:27Suddenly, a distress call comes over the radio.

0:25:35 > 0:25:37Heather grabs a man resisting arrest.

0:25:37 > 0:25:38She's pushed to the ground.

0:25:38 > 0:25:39Get off me!

0:25:42 > 0:25:45Sarah holds his legs to help bring him under control.

0:25:48 > 0:25:51He continues to struggle, but she doesn't let go.

0:25:59 > 0:26:02The man is contained and Heather is unharmed.

0:26:04 > 0:26:09Sarah put her safety on the line for a colleague.

0:26:09 > 0:26:12Individuals who just are kicking off at the moment,

0:26:12 > 0:26:15and if they're basically attacking the police,

0:26:15 > 0:26:20then everybody from the police just basically dives in and dives on them.

0:26:20 > 0:26:23Nobody wants to be assaulted. Simple as that.

0:26:23 > 0:26:27Following this violent incident, the tension eases.

0:26:27 > 0:26:31The crowd begins to disperse and there's no more trouble.

0:26:31 > 0:26:35The police have done their job, including rookie special Sarah.

0:26:35 > 0:26:37I'm very proud of her. She's done really well.

0:26:37 > 0:26:41Considering she's only been in the job five weeks, she's held her own today.

0:26:41 > 0:26:44It's been very tense at a lot of times

0:26:44 > 0:26:46and she's managed to stay there with us.

0:26:46 > 0:26:49That's all we can ask. The rest, she'll learn.

0:26:51 > 0:26:53Within just a few short hours,

0:26:53 > 0:26:56Sarah went from unsure observer to brave comrade.

0:26:57 > 0:27:01She came of age as a police officer.

0:27:01 > 0:27:07There is an element of pride involved. Your own personal pride in wearing the uniform

0:27:07 > 0:27:10and basically representing Cheshire Police.

0:27:10 > 0:27:12People see you as a police officer -

0:27:12 > 0:27:15they don't see you as a special constable.

0:27:15 > 0:27:17You are valued and you feel valued basically, you know.

0:27:17 > 0:27:19I felt that all the way through.

0:27:24 > 0:27:26David spent four days in hospital

0:27:26 > 0:27:30after being diagnosed with pancreatitis and water on the lung.

0:27:30 > 0:27:33He's now home and recovering well.

0:27:33 > 0:27:36Mohammed, the driver Brendan cut free,

0:27:36 > 0:27:39is now out of hospital after being treated for back injuries.

0:27:39 > 0:27:42He's on the road to recovery.

0:27:42 > 0:27:47Jennie received treatment in hospital for her racing heartbeat before being discharged.

0:27:49 > 0:27:51The man who resisted arrest at Chester Gay Pride

0:27:51 > 0:27:54was charged with threatening behaviour.

0:27:54 > 0:27:59He pleaded guilty and received 150 hours' community service.

0:27:59 > 0:28:03And the man Sarah helped arrest was given a formal police caution

0:28:03 > 0:28:05under section 5 of the Public Order Act.

0:28:09 > 0:28:10Next time:

0:28:10 > 0:28:11Roadside rescue.

0:28:11 > 0:28:16Leanne's called on to extract a female driver in trouble.

0:28:16 > 0:28:17Ready, brace, move.

0:28:17 > 0:28:19Busted by Beccy.

0:28:19 > 0:28:21The necessity for your arrest is just

0:28:21 > 0:28:23so we can prevent any loss or damage to any of the evidence.

0:28:23 > 0:28:26Is the drug suspect a dealer as well as a user?

0:28:26 > 0:28:30We've found a large bag of cannabis bush.

0:28:30 > 0:28:33And an agonising wait for an ambulance.

0:28:33 > 0:28:35- Ow!- OK, Neil.

0:28:35 > 0:28:39Julie needs expert help for a man with a suspected broken neck.

0:28:39 > 0:28:41The patient's in severe pain.

0:28:41 > 0:28:43Ready, steady, roll.

0:28:43 > 0:28:44Ow!