0:00:02 > 0:00:04Britain's next generation of emergency service recruits,
0:00:04 > 0:00:06chosen from a pool of thousands.
0:00:06 > 0:00:09Rookies like police special Andy,
0:00:09 > 0:00:12faced with a serious car crash on his first night shift.
0:00:12 > 0:00:15You get a better understanding how precious life is
0:00:15 > 0:00:17and how quickly it can be taken away.
0:00:17 > 0:00:19And 53-year-old Julie,
0:00:19 > 0:00:21who wants to become a full-time paramedic
0:00:21 > 0:00:23now her kids have left home.
0:00:23 > 0:00:24It's nice to have that job satisfaction,
0:00:24 > 0:00:27and to be able to give something back to the community.
0:00:27 > 0:00:31Experienced climber Phil wants to join a mountain rescue team
0:00:31 > 0:00:33to help people whose lives are on the line.
0:00:33 > 0:00:36It's not for a sense of self gratification,
0:00:36 > 0:00:37it's for other people.
0:00:37 > 0:00:40They've survived months of intensive training.
0:00:40 > 0:00:42- Come on, let's move!- Get back!
0:00:42 > 0:00:44OK, mate, we're going to lift you into the boat.
0:00:44 > 0:00:46They've been tested to their limits...
0:00:46 > 0:00:48- Spray, spray!- It's burning.
0:00:49 > 0:00:51Stop panicking. Don't worry.
0:00:51 > 0:00:53..all to realise their dream careers.
0:00:53 > 0:00:56I desperately want the job, and I'm incredibly nervous.
0:00:56 > 0:01:00Join them for their first time on the front line.
0:01:04 > 0:01:07In today's programme, police special Andy ends up in agony
0:01:07 > 0:01:10when he bravely volunteers for a training demonstration.
0:01:10 > 0:01:12Spray, spray!
0:01:12 > 0:01:14- Just pain?- I can't open my eyes.
0:01:14 > 0:01:16Paramedic recruit Julie calls on all her training
0:01:16 > 0:01:20to save the life of a patient who can barely breathe.
0:01:20 > 0:01:22We're coming at you at all angles. Sorry about this, Betty.
0:01:22 > 0:01:26While mountain rescue volunteer Phil discovers what can go wrong
0:01:26 > 0:01:30when trying to save lives 480ft up a mountain.
0:01:30 > 0:01:32- 'All stop.' - Just stuck on the rocks, Pete.
0:01:33 > 0:01:35- All stop!- 'All stop.'
0:01:37 > 0:01:38ALL: Get back!
0:01:51 > 0:01:54Cheshire Police Training Centre near Chester.
0:01:54 > 0:01:57A group of 30 Specials, volunteer police officers,
0:01:57 > 0:02:00are nearing the end of their intensive
0:02:00 > 0:02:0120-day training programme.
0:02:01 > 0:02:03- ALL:- Get back! Get back! Get back!
0:02:03 > 0:02:04They've been arm-locked...
0:02:04 > 0:02:06- Get down, get down, get down! - ..handcuffed,
0:02:06 > 0:02:08thrown to the ground,
0:02:08 > 0:02:10and pushed around,
0:02:10 > 0:02:13as they learn the self-defence skills they'll need
0:02:13 > 0:02:15when they start active duty.
0:02:15 > 0:02:19You're all a little bit too eager to go to the floor onto your knees,
0:02:19 > 0:02:22when you'd want to stay standing until you've got control,
0:02:22 > 0:02:23and then take them down.
0:02:23 > 0:02:27One of these rookies, 35-year-old dairy farmer Andy Robinson,
0:02:27 > 0:02:31is always happy to throw himself in at the deep end for demonstrations.
0:02:31 > 0:02:33Top cuff goes on, so from there, step round.
0:02:33 > 0:02:35Arm out to the side, palm up.
0:02:35 > 0:02:37Cross your legs. Look away from the sound of my voice.
0:02:37 > 0:02:39So once you've got control of them,
0:02:39 > 0:02:42now it's safe to go onto your knee.
0:02:42 > 0:02:45Andy's farm is near Macclesfield in Staffordshire.
0:02:45 > 0:02:49It has 200 cows producing 3,000 litres a day.
0:02:49 > 0:02:52You can become consumed when you're a farmer.
0:02:52 > 0:02:53It's your whole world,
0:02:53 > 0:02:57and you don't go out anywhere or anything like that.
0:02:57 > 0:02:58That's a bit too much for me.
0:02:58 > 0:03:01I need to do something that interacts with people,
0:03:01 > 0:03:04because ultimately, interacting with cows is all right,
0:03:04 > 0:03:06but it's a one-way conversation.
0:03:06 > 0:03:07COW MOOS
0:03:07 > 0:03:10For some, joining the Specials is the first step
0:03:10 > 0:03:12to becoming a fully-fledged police officer.
0:03:12 > 0:03:15But for Andy, it's about helping his local community.
0:03:15 > 0:03:17I think the Specials
0:03:17 > 0:03:19are just that, really - special -
0:03:19 > 0:03:21because they're actually
0:03:21 > 0:03:22volunteering and giving up their own time.
0:03:22 > 0:03:25You know, and it's precious time with their family
0:03:25 > 0:03:27to help other people, and I think that's a really good thing.
0:03:29 > 0:03:32And training volunteers to serve the community safely
0:03:32 > 0:03:35is what this course is all about.
0:03:35 > 0:03:36Today's lesson revolves around
0:03:36 > 0:03:39a type of pepper spray called "Captor".
0:03:39 > 0:03:42If that circumstance dictates that it's your only option,
0:03:42 > 0:03:45and you have to use it, then use it.
0:03:45 > 0:03:47Captor is sprayed into the eyes,
0:03:47 > 0:03:49causing pain and temporary blindness,
0:03:49 > 0:03:52and is used by the police for self-defence.
0:03:52 > 0:03:55Trainer Darren Mundy demonstrates the correct technique with water.
0:03:57 > 0:03:59Spray, spray!
0:03:59 > 0:04:01A firing range of between three and ten feet
0:04:01 > 0:04:03reduces the chances of the spray
0:04:03 > 0:04:06rebounding back into the officers' faces.
0:04:06 > 0:04:07Go!
0:04:07 > 0:04:10ALL: Spray, spray!
0:04:10 > 0:04:12It's not just about an accurate shot -
0:04:12 > 0:04:14the sprayer has to remember to step to the side
0:04:14 > 0:04:17to avoid the attacker stumbling into them.
0:04:17 > 0:04:19Go!
0:04:19 > 0:04:21ALL: Spray, spray!
0:04:21 > 0:04:24Andy turns out to be one of the most accurate in the whole group.
0:04:24 > 0:04:25Spray, spray!
0:04:26 > 0:04:28It's quite fun, actually. HE LAUGHS
0:04:28 > 0:04:31Captor's active ingredient is extremely hot chilli peppers,
0:04:31 > 0:04:33and when it hits the eyes,
0:04:33 > 0:04:37it makes them feel like they've been exposed to scalding heat.
0:04:37 > 0:04:39Not surprisingly, it has to be handled carefully.
0:04:39 > 0:04:42You need to make sure that the canister is pointing downwards, OK?
0:04:42 > 0:04:44Because if you go like that and you sit down on it
0:04:44 > 0:04:46with your seat belt in the car or something
0:04:46 > 0:04:49and it goes off, you're going to get squirted in the face.
0:04:49 > 0:04:52Basics covered, the training now steps up a level.
0:04:52 > 0:04:56Specials have identical powers to their full-time colleagues,
0:04:56 > 0:04:58and that includes using kit like Captor.
0:04:58 > 0:05:02They need to understand it should only be used when justified.
0:05:02 > 0:05:05To do that, they must experience it themselves,
0:05:05 > 0:05:07and two volunteers are called for.
0:05:07 > 0:05:10True to form, Andy steps up.
0:05:10 > 0:05:11I want to know what it's like,
0:05:11 > 0:05:14so I want to know what it's like here
0:05:14 > 0:05:18as opposed to wrestling with somebody on a Friday or Saturday night.
0:05:18 > 0:05:21It's impressive dedication to duty by Andy and his colleague -
0:05:21 > 0:05:23one they're about to regret.
0:05:25 > 0:05:26Spray, spray!
0:05:26 > 0:05:28Arggh.
0:05:28 > 0:05:30Kneel down.
0:05:30 > 0:05:32OK. We know it hurts. OK, yeah?
0:05:32 > 0:05:34Just breathe in. Try and regulate your breathing.
0:05:34 > 0:05:37Nice and slow. Lift your head up for me.
0:05:37 > 0:05:39So how are you feeling now?
0:05:39 > 0:05:42- Burning.- Burning pain?- Yeah.
0:05:43 > 0:05:44I can't open my eyes.
0:05:44 > 0:05:46The effects will wear off,
0:05:46 > 0:05:49- but I need you to work with me now, OK?- OK.
0:05:50 > 0:05:53Andy needs to open his eyes so air can get to them.
0:05:53 > 0:05:56Only then will they water, reducing the pain.
0:05:56 > 0:05:58One, two, go!
0:05:58 > 0:06:00One, two, three, four, five.
0:06:00 > 0:06:02- Good stuff.- Good work, mate.
0:06:02 > 0:06:05You can see how he's gripping my arm. It means he's still hurt.
0:06:05 > 0:06:08All in all, it takes Andy half an hour to recover.
0:06:08 > 0:06:10It hits you like a tonne of bricks.
0:06:10 > 0:06:14If I was angry or wanting to hurt somebody,
0:06:14 > 0:06:17that would just go straight out of my mind.
0:06:17 > 0:06:19Andy's tutor was impressed he volunteered.
0:06:19 > 0:06:21- Are you all right?- Yeah, yeah.
0:06:21 > 0:06:23- It's just so painful, that is. - Good stuff.
0:06:23 > 0:06:25That's the worst thing I've ever experienced.
0:06:25 > 0:06:27I'm proud of you.
0:06:27 > 0:06:30He passed his training course with flying colours.
0:06:35 > 0:06:38Two months later, and Andy arrives at Macclesfield Police Station
0:06:38 > 0:06:41for his first night shift.
0:06:41 > 0:06:44Before going out, he needs to put on a stab-proof vest -
0:06:44 > 0:06:48a clear reminder that his training course is well and truly over.
0:06:48 > 0:06:51Now he's doing it for real.
0:06:51 > 0:06:53This is the breast plate.
0:06:53 > 0:06:55Protects you from a multitude of attacks
0:06:55 > 0:06:57that may potentially happen.
0:06:57 > 0:07:00When they first start, Specials are assessed
0:07:00 > 0:07:03during an 18-month probationary period by constable tutors.
0:07:03 > 0:07:07Andy's mentor tonight is PC Karen Roome.
0:07:07 > 0:07:09Just shout, "0574".
0:07:09 > 0:07:12Just shout your collar number, and then Charlie knows.
0:07:12 > 0:07:16Soon after they start their patrol, a call comes in.
0:07:16 > 0:07:18'Charlie 5150 is reporting two...'
0:07:18 > 0:07:21There's been a serious car crash in a nearby village.
0:07:21 > 0:07:23They race to the scene.
0:07:23 > 0:07:26The casualty's trapped in the vehicle.
0:07:26 > 0:07:28Andy and Karen need to close the road quickly
0:07:28 > 0:07:30to prevent other cars hitting him
0:07:30 > 0:07:33or the firefighters trying to free him.
0:07:34 > 0:07:38- How does this fix on here, Karen? - It hooks over the top.
0:07:38 > 0:07:41So we've got traffic coming from that way and that way,
0:07:41 > 0:07:43so they both need to be able to see that.
0:07:43 > 0:07:44Right, OK.
0:07:44 > 0:07:46With the road safely sealed off,
0:07:46 > 0:07:48they go down to the crash scene
0:07:48 > 0:07:50to see what else they can do to help.
0:07:52 > 0:07:55The firefighters are struggling to remove the badly injured driver
0:07:55 > 0:07:57from the vehicle.
0:07:57 > 0:07:59The road's likely to be closed for hours.
0:08:01 > 0:08:03Thinking on his feet,
0:08:03 > 0:08:06Andy heads back with lights to illuminate the road closure signs.
0:08:06 > 0:08:09That looks fairly serious to me.
0:08:09 > 0:08:12It takes a lot to shock dairy farmer Andy.
0:08:13 > 0:08:16Farms are life-and-death places.
0:08:16 > 0:08:19You see a life being born, and, you know, animals die,
0:08:19 > 0:08:23and animals have to be destroyed, so you see life and death.
0:08:23 > 0:08:26You don't get sentimental about it,
0:08:26 > 0:08:29but I think you get a better understanding
0:08:29 > 0:08:36how precious life is, and how quickly it can be taken away.
0:08:38 > 0:08:42Mentor Karen hopes this first call-out won't have put Andy off.
0:08:42 > 0:08:47It's one of those things that you either love it or you hate it,
0:08:47 > 0:08:51and I hope that I can encourage him to love it.
0:08:51 > 0:08:53We'll see how it goes.
0:08:56 > 0:08:5970 miles away in the West Midlands,
0:08:59 > 0:09:03another emergency service rookie is about to be put through their paces.
0:09:09 > 0:09:13West Midlands Ambulance Service recruitment day.
0:09:13 > 0:09:17Over 100 applicants - less than 50 jobs up for grabs.
0:09:17 > 0:09:19Competition is fierce.
0:09:19 > 0:09:21Nobody's here to trip you up -
0:09:21 > 0:09:24we're testing you on knowledge that you know that you've already got.
0:09:24 > 0:09:27The oldest applicant here is 53-year-old Julie Plante.
0:09:27 > 0:09:30My background is obviously quite extensive.
0:09:30 > 0:09:33You know, I'm not 18 years of age.
0:09:33 > 0:09:35I taught first aid in schools for years,
0:09:35 > 0:09:38trying to get as many children as possible
0:09:38 > 0:09:39through their first aid certificates.
0:09:39 > 0:09:42So you put that to 120 and then charge.
0:09:42 > 0:09:44So do you want to do it?
0:09:44 > 0:09:46- And you've got 120, 150, 200.- Yeah.
0:09:46 > 0:09:49As well as teaching first aid, Julie worked as a lorry driver
0:09:49 > 0:09:51and brought up two kids.
0:09:51 > 0:09:54When they left home, she wanted a new challenge,
0:09:54 > 0:09:57so she completed a degree in paramedic science at university.
0:09:57 > 0:09:59My children finished their education
0:09:59 > 0:10:03so I decided it was time for me to get an education.
0:10:03 > 0:10:05And now she's graduated,
0:10:05 > 0:10:08Julie's desperate to become a fully-fledged paramedic.
0:10:08 > 0:10:11It's the excitement, the adrenaline rush,
0:10:11 > 0:10:14it's rewarding. It's nice to have that job satisfaction
0:10:14 > 0:10:17and to be able to give something back to the community.
0:10:17 > 0:10:19Julie and the other candidates
0:10:19 > 0:10:21are assessed in resuscitation techniques...
0:10:23 > 0:10:25..medical knowledge
0:10:25 > 0:10:28and driving skills.
0:10:28 > 0:10:29Can the young lady come in, please?
0:10:29 > 0:10:32- Young lady, must be you, then. In you come.- See you later.
0:10:32 > 0:10:37Julie's last test is a practical involving a hypodermic syringe
0:10:37 > 0:10:39and it doesn't go well.
0:10:39 > 0:10:42I had a needle stick injury, the first time ever.
0:10:42 > 0:10:44I mean, it's a clean needle, so that's fine,
0:10:44 > 0:10:47but, of course, it was off-putting because I bled everywhere.
0:10:48 > 0:10:50The assessments draw to a close.
0:10:50 > 0:10:52The recruitment officers have selected
0:10:52 > 0:10:5747 successful candidates out of the 107 applicants.
0:10:57 > 0:11:00I desperately want the job and I'm incredibly nervous.
0:11:00 > 0:11:03Julie's next to find out if she's made it.
0:11:03 > 0:11:04Julie.
0:11:04 > 0:11:06But with the competition so fierce,
0:11:06 > 0:11:09she's worried her mistake with the syringe has blown her chances.
0:11:09 > 0:11:11- Have a seat, please.- Thank you.
0:11:11 > 0:11:13I had a needle stick injury.
0:11:13 > 0:11:16Fully aware. I was made aware of that. Don't worry.
0:11:18 > 0:11:21Checked your paperwork, OK? We've had the feedback from it.
0:11:21 > 0:11:24It's good news. Congratulations.
0:11:24 > 0:11:26Have you got any questions for us before you go?
0:11:26 > 0:11:30Erm, no. I may have 20 questions by the time I walk to the car
0:11:30 > 0:11:33but at this moment, I'm just really happy.
0:11:34 > 0:11:35Mission accomplished.
0:11:36 > 0:11:40And two months later, Julie's starting a 12-hour shift
0:11:40 > 0:11:42at her allocated ambulance hub -
0:11:42 > 0:11:44Dudley in the Black Country.
0:11:44 > 0:11:48First item on the agenda - signing morphine out of the drugs cupboard.
0:11:48 > 0:11:53Julie's being mentored today by experienced paramedic Stacy Harris.
0:11:53 > 0:11:56Always make sure you're happy with the amount of morphine
0:11:56 > 0:11:59you've signed out, cos that is your registration.
0:11:59 > 0:12:03West Midlands is the third busiest ambulance service in the country,
0:12:03 > 0:12:05responding to over a million incidents a year,
0:12:05 > 0:12:10and Julie and Stacy are already responding to a 999 call.
0:12:10 > 0:12:12SIREN BLARES
0:12:12 > 0:12:14- Right here?- Yep, right here.
0:12:14 > 0:12:16We're going to a female, 16-plus.
0:12:16 > 0:12:18We haven't got the age of the female yet
0:12:18 > 0:12:20and all we've got is that it is a breathing problem,
0:12:20 > 0:12:22difficulty in breathing.
0:12:22 > 0:12:25We've got no further update at present.
0:12:25 > 0:12:27This sounds like a poorly patient, to be fair.
0:12:32 > 0:12:34When Julie and Stacy reach the patient,
0:12:34 > 0:12:36she's clearly in great distress.
0:12:36 > 0:12:38- Do you want to go and sit down? - Yeah.
0:12:39 > 0:12:4385-year-old Betty is desperately struggling to breathe.
0:12:43 > 0:12:45We'll shut the door and we'll do everything here.
0:12:45 > 0:12:47I can see you are a little bit short of breath, aren't you?
0:12:47 > 0:12:50How long have you been short of breath like this for, darling?
0:12:50 > 0:12:52- Like this maybe two days. - Two days.- Yeah.
0:12:52 > 0:12:54Have you had a recent chest infection?
0:12:54 > 0:12:56I've been in the hospital, yeah.
0:12:56 > 0:12:58Are you asthmatic?
0:12:58 > 0:13:00- COPD?- Yeah.
0:13:00 > 0:13:03COPD is chronic obstructive pulmonary disease
0:13:03 > 0:13:04affecting the lungs.
0:13:04 > 0:13:08It's responsible for 25,000 deaths a year in the UK.
0:13:08 > 0:13:11- Have you got pain in your chest, darling?- Yeah.
0:13:12 > 0:13:15It may be Julie and Stacy's first shift together,
0:13:15 > 0:13:18but their teamwork has to be seamless.
0:13:18 > 0:13:20Stacy takes the lead clinical role...
0:13:20 > 0:13:22Is that hurting when you're breathing, darling?
0:13:22 > 0:13:24..while Julie checks Betty's blood pressure.
0:13:24 > 0:13:26She may be having a heart attack.
0:13:26 > 0:13:28I need this to go on your wrist, OK?
0:13:28 > 0:13:31Betty's given drugs to open her airways as Julie makes notes
0:13:31 > 0:13:34so she can fully brief the doctors in A&E.
0:13:34 > 0:13:38- Salbutamol.- Salbutamol. 5mg.
0:13:38 > 0:13:41- And ipratropium. - That's painful, isn't it, Betty?
0:13:41 > 0:13:44We're coming at you from all angles. Sorry about this, Betty.
0:13:44 > 0:13:47Betty's given oxygen to prevent her falling unconscious.
0:13:47 > 0:13:50The next challenge is reducing her pain.
0:13:50 > 0:13:53Have you ever had morphine before, Betty?
0:13:53 > 0:13:54It doesn't suit me.
0:13:54 > 0:13:57- It doesn't suit you, morphine doesn't?- No.
0:13:57 > 0:13:59The only thing we can give you is paracetamol.
0:13:59 > 0:14:00It's a tough start for Julie,
0:14:00 > 0:14:03an elderly patient with multiple complications.
0:14:04 > 0:14:08Oh, you're in a lot of discomfort there, Betty, aren't you?
0:14:08 > 0:14:11Betty needs to be rushed to hospital immediately.
0:14:11 > 0:14:14- Do you want the lights turned off?- Yes, please.
0:14:17 > 0:14:19The painkillers are starting to work.
0:14:19 > 0:14:21Is that more comfortable?
0:14:22 > 0:14:26And the oxygen levels in Betty's blood have improved too.
0:14:26 > 0:14:28Stats are quite good, aren't they?
0:14:28 > 0:14:32- Her stats were 100 percent, yeah. - They're really good.
0:14:32 > 0:14:35But her chest pain is a real concern.
0:14:35 > 0:14:38But when I touch it, it's worse?
0:14:38 > 0:14:43Julie takes on driving duties while Stacy monitors Betty in the back.
0:14:43 > 0:14:46Do you still feel short of breath?
0:14:46 > 0:14:47OK, sweetheart.
0:14:51 > 0:14:53Betty's delivered to A&E within minutes.
0:14:53 > 0:14:55Thanks to Julie and Stacey,
0:14:55 > 0:14:58she's received life-saving care to stabilise her condition.
0:14:58 > 0:15:01Now the hospital will take over.
0:15:01 > 0:15:04What I find satisfying about the job is the fact that
0:15:04 > 0:15:09you can go to a patient that's obviously in a lot of pain
0:15:09 > 0:15:17and a lot of distress and by administrating morphine,
0:15:17 > 0:15:20paracetamol, whatever is necessary,
0:15:20 > 0:15:22you can minimise their discomfort
0:15:22 > 0:15:26and it is very satisfying to be able to have some control over that.
0:15:29 > 0:15:31It isn't only rookie paramedics
0:15:31 > 0:15:34who have to deal with life and death situations -
0:15:34 > 0:15:36so do mountain rescue recruits.
0:15:47 > 0:15:49The Cockermouth Mountain Rescue Team
0:15:49 > 0:15:52responds to over 60 call outs a year.
0:15:52 > 0:15:56Its volunteers often have to operate in tough conditions,
0:15:56 > 0:16:00so training camps for new recruits are rigorous and demanding.
0:16:02 > 0:16:04They face helicopter drills...
0:16:07 > 0:16:09..late-night orienteering challenges...
0:16:11 > 0:16:13..and first aid role-plays.
0:16:13 > 0:16:14A chest injury.
0:16:15 > 0:16:18- Pneumothorax, possibly.- Right, OK.
0:16:18 > 0:16:19One recent addition to the team
0:16:19 > 0:16:23is 42-year-old Phil Gerrard, who is a project manager.
0:16:24 > 0:16:29Phil and his wife, Rachel, have two young children, Megan and Luke.
0:16:29 > 0:16:33Crab gear and a half a stretcher if you're in Group 3 and 4, please.
0:16:33 > 0:16:35Phil's motivation for joining mountain rescue
0:16:35 > 0:16:38stems from his love of the great outdoors.
0:16:38 > 0:16:41'I've spent the last 20-odd years running around the mountains'
0:16:41 > 0:16:43and playing in the sea.
0:16:43 > 0:16:45I always put a pound in the RNLI box
0:16:45 > 0:16:47or mountain rescue box, for that matter,
0:16:47 > 0:16:49and seen it as a bit of an insurance policy.
0:16:49 > 0:16:50So now it's my turn to give a bit back.
0:16:50 > 0:16:53Today's training scenario is based at Pillar Mountain
0:16:53 > 0:16:55in the west of the Lake District.
0:16:55 > 0:16:58It revolves around the rescue of a badly injured casualty
0:16:58 > 0:17:00high up in the mountain.
0:17:00 > 0:17:04THEY SPEAK ON WALKIE-TALKIE
0:17:04 > 0:17:08Phil will be in charge of the rope team at the bottom of the descent.
0:17:08 > 0:17:10His role will be crucial in ensuring the casualty
0:17:10 > 0:17:13reaches the ground safely.
0:17:13 > 0:17:15To make the training scenario realistic,
0:17:15 > 0:17:20a volunteer is on the stretcher and a second volunteer, Pete,
0:17:20 > 0:17:22will be attached on the way down.
0:17:22 > 0:17:25Two lives in Phil's hands.
0:17:25 > 0:17:28- RADIO:- 'Tension off on guiding line. Tension off on guiding line.'
0:17:28 > 0:17:30RADIO: 'Copy that. Guiding line. Out.'
0:17:31 > 0:17:34The aim is you stay relatively close to the rocks.
0:17:34 > 0:17:37If you start feeling like you're drifting out into space, say so.
0:17:37 > 0:17:40We'll give you a bit of slack on the guiding line and bring you in a bit.
0:17:40 > 0:17:44In terms of rope rescue, this is as dangerous as it gets.
0:17:44 > 0:17:47RADIO: 'In on guiding line.'
0:17:47 > 0:17:49Communication between the team at the top
0:17:49 > 0:17:52and Phil on the ground has be spot on.
0:17:52 > 0:17:54Guiding line party ready.
0:17:54 > 0:17:57Copy that, guiding line party ready.
0:17:57 > 0:18:01The tension on the main rope and safety line must be exactly right
0:18:01 > 0:18:03to avoid Pete and the casualty colliding with the rocks
0:18:03 > 0:18:05on the way down.
0:18:05 > 0:18:07Slow, slow on main and safety.
0:18:07 > 0:18:09Steady out on main and safety.
0:18:09 > 0:18:10Steady out on main and safety.
0:18:10 > 0:18:14Pete and the casualty start their 500-foot descent,
0:18:14 > 0:18:17- but soon they run into serious trouble.- All stop. All stop.
0:18:17 > 0:18:18Just stuck on the rocks, Pete.
0:18:18 > 0:18:20Going to need a bit of brute force, I'm afraid.
0:18:24 > 0:18:26That's it, keep going.
0:18:26 > 0:18:31The stretcher is wedged into the rock 480 feet up.
0:18:35 > 0:18:38Slowly out on main and safety. Slowly out on main and safety.
0:18:38 > 0:18:41The ground team needs to increase the rope tension to help Pete
0:18:41 > 0:18:45get the stretcher out, but if they overdo it, their two colleagues
0:18:45 > 0:18:49could swing out into mid-air and then crash back into the cliff face.
0:18:49 > 0:18:52Try and get some more tension in the guiding line.
0:18:53 > 0:18:55I can see what you're doing -
0:18:55 > 0:18:58we're getting some tension from that redirect, so that's good.
0:18:59 > 0:19:00RADIO: 'Steady, steady.'
0:19:00 > 0:19:03Phil's guide rope team got it just right.
0:19:03 > 0:19:06The stretcher's no longer snagged.
0:19:06 > 0:19:10Now it needs to be gently lowered inch by inch.
0:19:10 > 0:19:12Again, the rope tension has to be precise -
0:19:12 > 0:19:16too slack and Pete and the casualty could plummet to the ground.
0:19:17 > 0:19:21Phil can't wait for the day he'll be doing this for real.
0:19:21 > 0:19:26Saving people's lives is not about me. It's about them.
0:19:26 > 0:19:28- 'More tension on guiding line.' - 'Copy that.'
0:19:28 > 0:19:30If I can make somebody have
0:19:30 > 0:19:33a slightly better day on the mountains...
0:19:33 > 0:19:34Speed's good.
0:19:34 > 0:19:37..and get them safely from a place they are not very happy to be
0:19:37 > 0:19:39to somewhere they're much happier to be...
0:19:41 > 0:19:43Slow, slow on main and safety.
0:19:43 > 0:19:46..it's not for a sense of self gratification
0:19:46 > 0:19:47or recognition.
0:19:47 > 0:19:51Down, down on main and safety. Down, down on main and safety.
0:19:51 > 0:19:52It's for other people.
0:19:52 > 0:19:54Mission accomplished.
0:19:54 > 0:19:57Phil led his team like a veteran.
0:19:57 > 0:19:58We've got the package.
0:19:58 > 0:20:01I think it's just fantastic being up in the high mountains,
0:20:01 > 0:20:03and for mountain rescue stuff,
0:20:03 > 0:20:05every day is a school day.
0:20:06 > 0:20:09Back in Macclesfield, volunteer police special Andy
0:20:09 > 0:20:11and his mentor, Karen,
0:20:11 > 0:20:14are responding to a report about a suspected drunk driver.
0:20:14 > 0:20:16He's been stopped in a residential area
0:20:16 > 0:20:19after being spotted driving recklessly.
0:20:19 > 0:20:22My colleague's going to just take a breath test from you, OK?
0:20:22 > 0:20:24If the driver is over the limit,
0:20:24 > 0:20:27Andy will be making his first arrest.
0:20:27 > 0:20:29- Have you had any alcohol in the last 20 minutes?- No.
0:20:29 > 0:20:32Have you had any products that may contain alcohol
0:20:32 > 0:20:34- like mouthwash in the last 20 minutes?- No.
0:20:34 > 0:20:36OK.
0:20:36 > 0:20:41On average, 1,500 people are killed or seriously injured in the UK
0:20:41 > 0:20:43every year due to drink-driving.
0:20:43 > 0:20:47Modern breathalysers are highly sophisticated.
0:20:47 > 0:20:49Karen gives Andy tips on how to use one.
0:20:50 > 0:20:53Switch it around because it's not a collision offence. Yeah.
0:20:54 > 0:20:57When it comes to guiding the driver,
0:20:57 > 0:21:01the instructions are rather more straightforward.
0:21:01 > 0:21:03It's a bit like blowing up a balloon, sir,
0:21:03 > 0:21:05so take a long deep breath in
0:21:05 > 0:21:08and blow into the tube until my colleague tells you to stop.
0:21:10 > 0:21:12Keep going, keep going, keep going.
0:21:12 > 0:21:15On average, 89% of drivers who take a breath test
0:21:15 > 0:21:16are given the all-clear.
0:21:16 > 0:21:19But this driver isn't one of them.
0:21:19 > 0:21:22That's 56. That's gone to "fail".
0:21:22 > 0:21:25So if you listen to what my colleague is going to say...
0:21:26 > 0:21:29Because you provided a positive test,
0:21:29 > 0:21:32I am arresting you on suspicion of driving a vehicle on a road
0:21:32 > 0:21:35while the proportion of alcohol on your breath
0:21:35 > 0:21:37exceeds the prescribed limit.
0:21:37 > 0:21:41Each year, over 100,000 motorists are arrested in Britain
0:21:41 > 0:21:42for being over the limit.
0:21:42 > 0:21:44Now Andy's arrested this driver,
0:21:44 > 0:21:48he'll be taken to the station for another test to confirm the result.
0:21:48 > 0:21:49But there's a problem -
0:21:49 > 0:21:53what to do with the driver's dog, which is in the back seat.
0:21:53 > 0:21:55DOG BARKS
0:21:56 > 0:21:58Is there anybody at home? No.
0:21:58 > 0:22:01- What about a neighbour or anybody? - No, not really.
0:22:01 > 0:22:04It's a welfare issue. We can't leave a dog in a car like that.
0:22:06 > 0:22:08- Stay.- Hello!
0:22:08 > 0:22:10- Stay.- Hello!
0:22:10 > 0:22:13Andy's getting a lesson in common-sense policing.
0:22:13 > 0:22:17Karen's taking the dog, Freddie, back to the station with its owner.
0:22:17 > 0:22:21OK, Freddie, we're going to have to go for a little drive.
0:22:21 > 0:22:25He's essentially got no family members, or so he says,
0:22:25 > 0:22:27around here that can have the dog.
0:22:27 > 0:22:30He's got nobody who can look after it,
0:22:30 > 0:22:34so that's the only real course of action that we can take, basically.
0:22:34 > 0:22:36- So he can come with me? - He's in there with you.
0:22:36 > 0:22:38All right, lovely.
0:22:38 > 0:22:41I do love dogs, so I can't see it out in the streets.
0:22:41 > 0:22:45Back at the station, and Andy has to fill in paperwork
0:22:45 > 0:22:47about his first arrest.
0:22:47 > 0:22:50He's learnt a lot from Karen tonight.
0:22:50 > 0:22:51She's obviously got a lot of experience
0:22:51 > 0:22:53so I think I'm pretty lucky in getting Karen.
0:22:53 > 0:22:58He seemed to do OK and I think he'll do well.
0:22:58 > 0:23:02I couldn't think of anybody better to be a mentor.
0:23:02 > 0:23:03- RADIO:- 'Number seven.'
0:23:04 > 0:23:07Back in the West Midlands, and ten hours into their shift,
0:23:07 > 0:23:10rookie paramedic Julie and her mentor, Stacy,
0:23:10 > 0:23:13are responding to a 999 call.
0:23:13 > 0:23:15An elderly man has fallen at home.
0:23:15 > 0:23:17Hello, there, is it Alan?
0:23:17 > 0:23:19What have you been doing to him?
0:23:19 > 0:23:2285-year-old Alan can't move off the floor of his bedroom
0:23:22 > 0:23:24and his wife, Joyce, is unable to lift him.
0:23:24 > 0:23:28- How long have you been down here, Alan?- About ten o'clock.
0:23:28 > 0:23:29Ten o'clock?!
0:23:29 > 0:23:31Julie's taking the clinical lead.
0:23:31 > 0:23:33Doing everything by the book,
0:23:33 > 0:23:35she establishes her patient's medical history
0:23:35 > 0:23:37before starting treatment.
0:23:37 > 0:23:40- Did you have any giddiness or..? - No giddiness.
0:23:40 > 0:23:43- No, nothing like that.- My leg...
0:23:43 > 0:23:45HE MUTTERS
0:23:45 > 0:23:48- OK.- Alan has Parkinson's disease.
0:23:48 > 0:23:50He's fallen twice in the last two days,
0:23:50 > 0:23:52and if this case wasn't challenging enough,
0:23:52 > 0:23:55his daughter, Karen, who has Down's syndrome,
0:23:55 > 0:23:57is becoming increasingly distressed.
0:23:57 > 0:24:00- If I'm pressing here, is this where you hurt?- A little.
0:24:00 > 0:24:04OK, I'm just going to have a look to see if there's any bruising, Alan.
0:24:04 > 0:24:06He's got a bit of reddening here.
0:24:06 > 0:24:08How often is he having falls?
0:24:08 > 0:24:11He had one two weeks ago in the bathroom.
0:24:11 > 0:24:13It took me half an hour to get him up.
0:24:13 > 0:24:17Julie's training tells her Alan needs go to hospital.
0:24:17 > 0:24:19Karen is terrified.
0:24:19 > 0:24:20He's absolutely fine.
0:24:20 > 0:24:23He's talking to us, he's breathing and everything, darling.
0:24:23 > 0:24:27- It's, OK. - Don't take him, please.
0:24:27 > 0:24:30Karen, let's wait and see what we find, OK?
0:24:30 > 0:24:34Stacy ensures Julie stays focused on her patient's diagnosis.
0:24:34 > 0:24:37Shall I tell you what I'm concerned about him?
0:24:37 > 0:24:40He's having reoccurring falls. Why is he having reoccurring falls?
0:24:40 > 0:24:44He's getting short of breath as well. Has something changed?
0:24:44 > 0:24:46Has he potentially got a water infection?
0:24:47 > 0:24:49I feel that should be 6.7.
0:24:49 > 0:24:52Alan's blood oxygen levels are worryingly low.
0:24:52 > 0:24:57Every second counts, but he's fragile and needs lifting carefully.
0:24:57 > 0:24:59BOTH: One, two, three.
0:25:00 > 0:25:02Sit yourself down there.
0:25:03 > 0:25:05How was that?
0:25:05 > 0:25:07You haven't got to worry at all, OK?
0:25:07 > 0:25:10Not to worry. They're used to doing it, darling.
0:25:11 > 0:25:14There we go. That's it.
0:25:14 > 0:25:17Karen doesn't want to be separated from her dad.
0:25:17 > 0:25:19She's coming to the hospital too.
0:25:22 > 0:25:25Julie can see a family struggling to cope.
0:25:25 > 0:25:27She wants to do something about it.
0:25:27 > 0:25:30- Things are getting a bit difficult now.- Yeah.
0:25:30 > 0:25:34Yeah, and so ideally you'd like a little bit of help, wouldn't you?
0:25:34 > 0:25:38- Are you in agreement, Alan? - Definitely.- OK.
0:25:38 > 0:25:41- He's had two falls in two days, hasn't he?- Yeah.
0:25:41 > 0:25:43You know, and we want him to be safe.
0:25:43 > 0:25:44How old is Karen?
0:25:44 > 0:25:46She'll be 49 in December.
0:25:46 > 0:25:49Really? Goodness me, that's surprised me.
0:25:51 > 0:25:53No, why would they take you away?
0:25:54 > 0:25:57There's absolutely no reason why they'd take you away.
0:25:57 > 0:25:59She's already planning for her 50th.
0:25:59 > 0:26:01Is she?
0:26:02 > 0:26:05We're trying to get some help for your mum and your dad
0:26:05 > 0:26:09because they are getting a little bit older.
0:26:09 > 0:26:12- Alan, are you comfortable? - Yes, thank you.- Yeah?- Yeah.
0:26:12 > 0:26:16..To make sure that you all are looked after and cared for.
0:26:16 > 0:26:18That's what we want.
0:26:29 > 0:26:34When they reach hospital, Julie hands over to the sister in charge.
0:26:34 > 0:26:35Alan's in safe hands.
0:26:35 > 0:26:37Look after yourself.
0:26:37 > 0:26:38Don't go falling again.
0:26:38 > 0:26:39- Thank you.- OK, then.
0:26:39 > 0:26:42Back in the ambulance, Julie's making what's called
0:26:42 > 0:26:46a safeguarding referral to arrange more social care for the family.
0:26:46 > 0:26:51She thinks there's more to being a paramedic than just immediate care.
0:26:51 > 0:26:52Within a short space of time,
0:26:52 > 0:26:56somebody will go and visit them and start
0:26:56 > 0:27:02to put a care plan in process before anything disastrous happens.
0:27:02 > 0:27:06Before she leaves, Julie checks Karen is more settled.
0:27:06 > 0:27:07- OK, Karen? - Yes, thanks.
0:27:07 > 0:27:10- Did you enjoy your drive? - Yes, thank you.
0:27:10 > 0:27:12- Thank you.- Take care.- Thanks a lot.
0:27:12 > 0:27:13- Bye.- Bye.
0:27:14 > 0:27:17Julie became a paramedic to make a difference.
0:27:17 > 0:27:20By getting this family help, she's done just that.
0:27:20 > 0:27:22I think they were a very brave family
0:27:22 > 0:27:25that were trying their best to cope
0:27:25 > 0:27:27in an almost impossible situation.
0:27:28 > 0:27:33They're certainly in a much better frame of mind than when we arrived
0:27:33 > 0:27:35and I think the outcome was good.
0:27:41 > 0:27:43The drunk driver Andy arrested
0:27:43 > 0:27:48was disqualified for 12 months and fined £250.
0:27:48 > 0:27:50Julie's first patient, Betty,
0:27:50 > 0:27:52spent a week in hospital receiving treatment.
0:27:52 > 0:27:55She's now home and feeling much better.
0:27:56 > 0:28:00The driver of the crashed car spent six weeks in intensive care
0:28:00 > 0:28:02before being discharged from hospital.
0:28:02 > 0:28:04He's on the road to recovery.
0:28:05 > 0:28:07And Alan is now much improved.
0:28:07 > 0:28:08Thanks to Julie,
0:28:08 > 0:28:12he, Joyce and Karen are receiving more help from care workers.
0:28:14 > 0:28:18Next time, rookie paramedic Ben is faced with the kind of job
0:28:18 > 0:28:20even experienced colleagues dread -
0:28:20 > 0:28:22a seriously ill child.
0:28:22 > 0:28:26I've got a nine-month-old baby boy. So far today he's had ten fits.
0:28:26 > 0:28:29Fire recruit Ian is sent into a burning building
0:28:29 > 0:28:31to search for casualties.
0:28:33 > 0:28:37And police special Amber investigates a serious assault,
0:28:37 > 0:28:41but the teenage victim is too scared to identify his attackers.
0:28:41 > 0:28:43- Be honest with me, what's happened? - I fell over.
0:28:43 > 0:28:46You didn't fall over, cos I've heard that someone's assaulted you.