Episode 5

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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 > 0:00:08Rookies like Police Special Laurence,

0:00:08 > 0:00:12about to go on the streets in uniform for the first time.

0:00:12 > 0:00:16I can't wait to learn a bit more off serving officers.

0:00:16 > 0:00:19And 21-year-old Kelly starting out as a paramedic

0:00:19 > 0:00:21after years of studying.

0:00:21 > 0:00:24I've got here. I've proved to myself that I can do it.

0:00:24 > 0:00:25I've proved to others that I can do it.

0:00:25 > 0:00:29Mountain Rescue Recruit Tom is a GP. He wanted to combine his

0:00:29 > 0:00:32medical skills with his love of the outdoors.

0:00:32 > 0:00:34It's nice to be able to make a difference

0:00:34 > 0:00:36and sometimes it can be a life saving

0:00:36 > 0:00:37intervention that you make.

0:00:37 > 0:00:40They've survived months of intensive training.

0:00:40 > 0:00:41- Come on, let's move! - Get back!

0:00:41 > 0:00:43We've got one casualty, no signs of life.

0:00:43 > 0:00:45They've been tested to their limits.

0:00:45 > 0:00:48- Spray, spray! - It's burning!

0:00:48 > 0:00:50Stop panicking, don't worry.

0:00:50 > 0:00:53All to realise their dream careers.

0:00:53 > 0:00:56I didn't think I could do it, but here I am.

0:00:56 > 0:00:59Join them for their First Time On The Front Line.

0:01:02 > 0:01:04In today's programme,

0:01:04 > 0:01:07Rookie Kelly's trauma training is put to the test

0:01:07 > 0:01:10as she attends a child whose life is on the line.

0:01:10 > 0:01:14He's got a large laceration to his cheek.

0:01:14 > 0:01:17Police Special Laurence responds to an allegation

0:01:17 > 0:01:21of a serious domestic assault on his very first shift.

0:01:21 > 0:01:23- HE KNOCKS - Police! What's gone on?

0:01:23 > 0:01:26And mountain rescue recruit Tom is called to a badly

0:01:26 > 0:01:29injured walker who needs airlifting to safety.

0:01:29 > 0:01:32We need to get this put together ASAP.

0:01:47 > 0:01:51A fresh intake of Cheshire Police Specials, volunteer officers,

0:01:51 > 0:01:56is being trained up before they go out on the streets for real.

0:01:56 > 0:01:58Put your hand on top of the cuff, that can help you lock

0:01:58 > 0:02:00it in nice and tight.

0:02:00 > 0:02:03Among them, 22-year-old landscape gardener Laurence Towers.

0:02:03 > 0:02:06Hands out in front of you...

0:02:06 > 0:02:09Laurence and his classmates are giving up 20 days of their time

0:02:09 > 0:02:13to be trained, and when they become Specials they'll need to devote

0:02:13 > 0:02:16at least four-and-a-half hours a week to the cause.

0:02:16 > 0:02:19- Down, down, down.- I do some volunteering for charity anyway

0:02:19 > 0:02:22and this is the best volunteering experience I think you can get.

0:02:22 > 0:02:24Just pride in it, really, more than anything, because

0:02:24 > 0:02:27I'm wearing this uniform and it stands for something

0:02:27 > 0:02:29and it's nice to be part of it.

0:02:31 > 0:02:34Specials serve alongside regular officers

0:02:34 > 0:02:37and have the same powers, so they need to be physically fit,

0:02:37 > 0:02:42able to defend themselves if attacked...

0:02:42 > 0:02:44Get back! Get back!

0:02:44 > 0:02:47..and knowledgeable in police procedures and the law.

0:02:47 > 0:02:50List the component parts in the national decision-making

0:02:50 > 0:02:52model, of which there are six.

0:02:52 > 0:02:54Laurence has enjoyed every minute of the training,

0:02:54 > 0:02:58and looks forward to putting it into practice.

0:02:58 > 0:03:01I can't wait to learn a bit more off serving officers

0:03:01 > 0:03:03and what they've learned and how

0:03:03 > 0:03:05they find these techniques work best.

0:03:05 > 0:03:08Grab hold of it, bring it around, push it round

0:03:08 > 0:03:11and then stepping back.

0:03:11 > 0:03:13BRASS BAND PLAYS

0:03:13 > 0:03:17When rookies successfully complete the course, they're invited to

0:03:17 > 0:03:21a ceremony to be sworn in as Specials by a Magistrate.

0:03:21 > 0:03:23Laurence Towers.

0:03:23 > 0:03:26He enjoys working outside as a landscape gardener

0:03:26 > 0:03:28and is looking forward to helping in his community.

0:03:28 > 0:03:33It's a big moment for Laurence and his mum Elizabeth.

0:03:33 > 0:03:36I'm absolutely over the moon. I'm so proud of him.

0:03:36 > 0:03:39I think he looks fantastic in his uniform.

0:03:39 > 0:03:41It really bowls me over to see him.

0:03:41 > 0:03:42He's a really caring person,

0:03:42 > 0:03:45so I think this suits him down to the ground.

0:03:45 > 0:03:50Now Laurence has his warrant card, he's a fully-fledged Special.

0:03:50 > 0:03:52- That's the money. - SHE LAUGHS

0:03:52 > 0:03:55His police career is about to begin.

0:03:55 > 0:03:57I don't think it'll really hit home

0:03:57 > 0:03:59until I'm actually out patrolling, wearing my full uniform

0:03:59 > 0:04:02and everything, but I've got the identification

0:04:02 > 0:04:05and I've sworn myself in, in front of a magistrate, in front of Mum

0:04:05 > 0:04:09and Assistant Chief Constable. so I'm well on the way, really.

0:04:18 > 0:04:22Two months later and Laurence arrives for his first shift.

0:04:22 > 0:04:24It's an unusual feeling for a landscape gardener

0:04:24 > 0:04:27putting on a police uniform.

0:04:27 > 0:04:32The first time you catch a glimpse of yourself in a window is quite

0:04:32 > 0:04:37a big moment, apparently. You feel very proud of yourself.

0:04:37 > 0:04:39Wearing a uniform, how can you not love it?

0:04:39 > 0:04:43Laurence is considering applying to become a full-time policeman

0:04:43 > 0:04:44and leaving gardening behind.

0:04:44 > 0:04:48His first few shifts as a Special will help him decide.

0:04:48 > 0:04:51Give me a taste of the job and see what it's like,

0:04:51 > 0:04:55so why not sort of test it, try before you buy, sort of thing?

0:04:55 > 0:04:58When they first start, Specials are assessed during an 18 month

0:04:58 > 0:05:02probationary period by constable tutors.

0:05:02 > 0:05:05Laurence's mentor today is PC Warren Davidson.

0:05:05 > 0:05:06It'll be a strange day for him,

0:05:06 > 0:05:08because it'll be the first day he's in uniform.

0:05:08 > 0:05:10As soon as he steps out that gate,

0:05:10 > 0:05:13people don't realise it's his first day

0:05:13 > 0:05:16or whether he's done 20 years. They expect him to know stuff.

0:05:16 > 0:05:19It's a bit terrifying when you go out those doors,

0:05:19 > 0:05:22first day, but we've all got to have one, so we'll see how we go.

0:05:22 > 0:05:26When Laurence and Warren head out, they're soon asked to respond

0:05:26 > 0:05:29to a complaint from homeowners in a residential area.

0:05:29 > 0:05:32There's a report of a male, he's a little bit worse for wear,

0:05:32 > 0:05:35a little bit drunk, down on this street at the bottom here.

0:05:35 > 0:05:38It's a regular problem in this part of town.

0:05:38 > 0:05:41It's a place where they all stand around drinking.

0:05:41 > 0:05:44It's just a worry that they're all there.

0:05:44 > 0:05:49It doesn't take long to find the source of the complaint.

0:05:49 > 0:05:52So what are we all doing here today? Drinking.

0:05:52 > 0:05:54Whose are these ones?

0:05:54 > 0:05:56- Pardon?- Whose are these?

0:05:56 > 0:05:58- They've been here. - Yeah, right, OK.

0:05:58 > 0:06:02The police are empowered to remove alcohol consumed in designated

0:06:02 > 0:06:06public places. The men claim this beer isn't theirs,

0:06:06 > 0:06:09so it's surprising they're so unhappy about it being poured away.

0:06:12 > 0:06:14No, you just said it's not yours. It was just here.

0:06:14 > 0:06:18Laurence gets an early lesson in firm but fair policing.

0:06:18 > 0:06:20Move on your way. All right, guys.

0:06:20 > 0:06:22- No problem. - Thank you very much.

0:06:22 > 0:06:24As a landscape gardener, he isn't happy

0:06:24 > 0:06:27about the litter left behind by the local drinkers.

0:06:27 > 0:06:29I work hard to keep the place

0:06:29 > 0:06:33tidy, so when they're undoing my work it doesn't go down too well.

0:06:33 > 0:06:37Mess cleared, drinkers moved on, job done.

0:06:37 > 0:06:40But the shift is only just starting.

0:06:44 > 0:06:48100 miles away in the West Midlands, another raw emergency service

0:06:48 > 0:06:50recruit is finding her feet.

0:06:52 > 0:06:54Rookie paramedic Kelly Wilkes has already

0:06:54 > 0:06:56attended two road traffic collisions.

0:06:56 > 0:06:59Have you got any pain anywhere at the moment?

0:06:59 > 0:07:01Now, her second shift beckons.

0:07:09 > 0:07:11Kelly's career with the West Midlands Ambulance Service

0:07:11 > 0:07:15began in September 2013 with a training course

0:07:15 > 0:07:17to prepare her for active service.

0:07:17 > 0:07:21She was joined on the course by her best friend Abi Collins,

0:07:21 > 0:07:25they met while studying Paramedic Science at Uni.

0:07:25 > 0:07:27We've gone through our whole training together,

0:07:27 > 0:07:30the two years and now it's just fantastic that we've got to

0:07:30 > 0:07:33do the induction and we're going to be colleagues in West Midlands.

0:07:33 > 0:07:36The same service. It's really good, isn't it?

0:07:36 > 0:07:39Kelly and Abi had been assigned to different ambulance stations,

0:07:39 > 0:07:42so it was nice to spend some time together before their careers

0:07:42 > 0:07:43began in earnest.

0:07:43 > 0:07:45So, we've got the ST elevation, but no DQA,

0:07:45 > 0:07:48so what do we say about time frame?

0:07:48 > 0:07:51- Less than a day.- Between one and four hours, normally.

0:07:51 > 0:07:52On the six week course,

0:07:52 > 0:07:55Kelly, Abi and the other new recruits were trained

0:07:55 > 0:07:58- in clinical technique... - Pop it on loosely, to start with.

0:07:58 > 0:08:00..personal safety...

0:08:00 > 0:08:04When I try now to resist with my arms, I've got no wriggle room.

0:08:04 > 0:08:06..driving skills...

0:08:06 > 0:08:08You're quite late on your vision there, as you could have

0:08:08 > 0:08:11- looked right over that hedge. - ..and medical equipment...

0:08:11 > 0:08:13We're looking at working on these vehicles

0:08:13 > 0:08:15that you see just behind me.

0:08:15 > 0:08:18..all in preparation for their first shifts as real paramedics.

0:08:18 > 0:08:21I'll be taking everything I've learned and going out

0:08:21 > 0:08:23and doing it all for myself.

0:08:23 > 0:08:26I didn't think I could do it, but then here I am.

0:08:31 > 0:08:34A week later and Kelly's paramedic career

0:08:34 > 0:08:35is under way.

0:08:35 > 0:08:39She's just started her second shift, alongside experienced

0:08:39 > 0:08:41colleague Ben Crowne.

0:08:41 > 0:08:45They're responding to a 999 about an elderly man who's had a bad fall.

0:08:52 > 0:08:55A blood oxygen level of 87% is dangerously low,

0:08:55 > 0:08:58and that's not the only concern.

0:08:58 > 0:09:01The patient's got a very high heart rate,

0:09:01 > 0:09:04that's why we've speeded up a little bit.

0:09:04 > 0:09:07The most challenging patients for rookie paramedics

0:09:07 > 0:09:10are the very young and the very old.

0:09:10 > 0:09:12This casualty's 82.

0:09:12 > 0:09:13- Hello.- Hello.

0:09:13 > 0:09:17My name is Kelly, I'm a paramedic from the ambulance service.

0:09:17 > 0:09:19The patient, Roy, has mobility issues

0:09:19 > 0:09:23and was due to go to hospital to be fitted with an orthopaedic shoe.

0:09:23 > 0:09:26But when the transport arrived, he fell over.

0:09:26 > 0:09:29Kelly tries to find out exactly what happened

0:09:29 > 0:09:31before she begins treatment.

0:09:31 > 0:09:35I was getting changed, ready for going to the hospital.

0:09:35 > 0:09:40I was sitting on my favourite chair and I thought I saw the ambulance.

0:09:40 > 0:09:43I got up, but I did it too quickly.

0:09:43 > 0:09:47Kelly monitors Roy's heart and checks his blood pressure.

0:09:47 > 0:09:51And he's diabetic, so she's going to measure his blood sugars too,

0:09:51 > 0:09:54to make sure he isn't hypoglycaemic.

0:09:54 > 0:09:55Ow!

0:09:55 > 0:09:59That didn't hurt. I don't believe that ow!

0:09:59 > 0:10:02Roy's blood sugars are fine, and his heart tracing and

0:10:02 > 0:10:04blood pressure indicate his condition has stabilised

0:10:04 > 0:10:07in the short time the paramedics have been here.

0:10:07 > 0:10:09And definitely, definitely, definitely

0:10:09 > 0:10:12- no new pain in your legs?- No.

0:10:12 > 0:10:14Ben and Kelly want to get Roy up to see

0:10:14 > 0:10:16if his observations remain stable.

0:10:16 > 0:10:19But he's frail and needs to be lifted carefully.

0:10:19 > 0:10:22All I want you to do is just sit yourself up,

0:10:22 > 0:10:24keep your feet on the ground, OK?

0:10:24 > 0:10:28Up you come, bend in the middle for me, Roy.

0:10:28 > 0:10:30I'm very heavy.

0:10:30 > 0:10:31So far, so good.

0:10:31 > 0:10:35Roy's legs are supporting his weight. A positive sign.

0:10:35 > 0:10:39- Hold on to me if you need to. - I'll hold on to something.

0:10:39 > 0:10:42Grab my love handles! SHE LAUGHS

0:10:42 > 0:10:44Do you come here often?

0:10:44 > 0:10:47SHE LAUGHS Ah, Roy, you charmer.

0:10:47 > 0:10:49She may be new to the job,

0:10:49 > 0:10:52but Kelly has already developed a lovely manner with her patients.

0:10:52 > 0:10:55How are you feeling now you're off the floor, Roy?

0:10:55 > 0:10:56Oh, much better, thank you.

0:10:56 > 0:11:00- That's good. - I didn't feel too bad down there.

0:11:00 > 0:11:03If the wife kicks me out, I know where to sleep now!

0:11:03 > 0:11:07Getting back up hasn't caused any problems, Roy's heart rate

0:11:07 > 0:11:09and blood pressure are still fine.

0:11:09 > 0:11:12Couldn't cut my finger nails while you're there, could you?

0:11:12 > 0:11:15- What do you think I am?! - I just thought I'd ask!

0:11:15 > 0:11:18As a young man in the armed services,

0:11:18 > 0:11:22Roy was fit and strong, but now it's a different story.

0:11:22 > 0:11:25Kelly and Ben think he should avoid the stress of a trip to A&E.

0:11:25 > 0:11:28Everything we've done is fine and being honest with you,

0:11:28 > 0:11:31the hospital aren't going to do much more than what we've done,

0:11:31 > 0:11:35so obviously your options are you either stay here

0:11:35 > 0:11:38- or we take you up to the hospital? - I'll stay here.

0:11:38 > 0:11:40You'll stay here.

0:11:40 > 0:11:42Roy's GP will be informed about his fall.

0:11:42 > 0:11:45He'll keep a close eye on him for the next few days.

0:11:45 > 0:11:49- Take care of yourself. Bye-bye. - Bye.

0:11:49 > 0:11:52People think it is about the emergency side,

0:11:52 > 0:11:54the trauma, the blood and the gore,

0:11:54 > 0:11:57but it's actually not, a lot of it is

0:11:57 > 0:12:02giving patients support, advice, treating them at home, if we can.

0:12:02 > 0:12:07A chat and company, especially in elderly people, goes a long way.

0:12:07 > 0:12:10A lot of the time, that's all they want.

0:12:15 > 0:12:19200 miles away in the Lake District, two more emergency service rookies

0:12:19 > 0:12:22are just starting out.

0:12:22 > 0:12:25Mountain Rescue Recruits Phil Gerrard and Tom Gallagher.

0:12:30 > 0:12:34The Cockermouth Mountain Rescue team gets over 60 callouts a year.

0:12:34 > 0:12:39But the volunteers' time commitment doesn't end there.

0:12:39 > 0:12:43They also regularly get together to practise their skills.

0:12:43 > 0:12:4726 days a year devoted to helicopter evacuation drills,

0:12:47 > 0:12:504x4 training...

0:12:50 > 0:12:53This is one of the few times you could get a bit of kick-back

0:12:53 > 0:12:55- off the wheel. - ..treating critical patients...

0:12:55 > 0:12:59One casualty, deeply hypothermic, no signs of life.

0:12:59 > 0:13:00..and rope rescue.

0:13:00 > 0:13:05Control from guiding line. We've got an attachment on the package.

0:13:05 > 0:13:08The training sessions are also used to assess potential new

0:13:08 > 0:13:12recruits, like project manager Phil and local doctor Tom.

0:13:12 > 0:13:16- What was his pain score did you say? - Seven, respiratory was 20.

0:13:16 > 0:13:18Tom applied to join Mountain Rescue, because he wanted to

0:13:18 > 0:13:22put his medical skills to use in the toughest of environments.

0:13:22 > 0:13:24It's nice to be able to make a difference,

0:13:24 > 0:13:26especially in hostile conditions

0:13:26 > 0:13:29when it's raining, when it's cold, when it's snowing, when it's icy.

0:13:29 > 0:13:32You know, somebody is in a lot of distress, it can be a life-saving

0:13:32 > 0:13:35intervention that you make.

0:13:35 > 0:13:37Fellow rookie Phil comes from a

0:13:37 > 0:13:39military and mountaineering background. He wants to

0:13:39 > 0:13:42use his climbing skills to help others,

0:13:42 > 0:13:44and again experience the camaraderie

0:13:44 > 0:13:46he enjoyed in the forces.

0:13:46 > 0:13:48The hardest part of mountain rescue

0:13:48 > 0:13:52is the teams are massively closely knit

0:13:52 > 0:13:54and you're coming into a family.

0:13:54 > 0:13:57A very stable family that have been together for years and years

0:13:57 > 0:14:00- and years.- A lot of what they do is second nature

0:14:00 > 0:14:02and we're just trying to catch up with them

0:14:02 > 0:14:05and be of use to them on the hill.

0:14:05 > 0:14:07And a year ago,

0:14:07 > 0:14:10shortly after Tom and Phil first applied to join the team,

0:14:10 > 0:14:13they got the chance to prove their worth.

0:14:19 > 0:14:23Tom and Phil had just arrived at the base for a first aid course

0:14:23 > 0:14:24when the alert happened.

0:14:24 > 0:14:26We'd just gotten out of the vehicles

0:14:26 > 0:14:28when the call came through from the police.

0:14:28 > 0:14:30We looked at each other and thought it's a callout,

0:14:30 > 0:14:33these guys are going to shoot off, but he said, no, no,

0:14:33 > 0:14:36jump in the vehicles. Brilliant, blue lights, all very exciting.

0:14:36 > 0:14:39It was an unexpected chance for the rookies to impress.

0:14:39 > 0:14:41They were desperate not to blow it.

0:14:41 > 0:14:43The casualty was a 51-year-old holiday-maker

0:14:43 > 0:14:47who'd slipped on a rock tearing a cartilage in her knee.

0:14:47 > 0:14:50It was excruciating. When I tried to

0:14:50 > 0:14:54get up with support, I just put my toe on the ground

0:14:54 > 0:14:56and I actually immediately crumbled.

0:14:56 > 0:15:01Sue called 999 and within minutes an emergency helicopter arrived.

0:15:01 > 0:15:05But the rocky terrain meant it couldn't land to pick her up.

0:15:05 > 0:15:09The weather was deteriorating fast, and it would soon be getting dark.

0:15:09 > 0:15:12Sue's fate was in the hands of the mountain rescue team.

0:15:12 > 0:15:14I grabbed the rope, which was reasonably heavy,

0:15:14 > 0:15:16and we start pounding our way up hill.

0:15:16 > 0:15:18I didn't want to lose face,

0:15:18 > 0:15:20so I made sure I picked one of the heavy bags

0:15:20 > 0:15:24- and started my trudge up the mountain.- And you're breathing hard

0:15:24 > 0:15:27and you get there and you hear pounding in your ears.

0:15:27 > 0:15:30The team erected a makeshift shelter to protect Sue from the biting

0:15:30 > 0:15:32wind and rain.

0:15:32 > 0:15:35Then they prepped a stretcher to get her off the mountain quickly

0:15:35 > 0:15:37and safely.

0:15:37 > 0:15:42You see a casualty that was having a bad day, now surrounded by

0:15:42 > 0:15:45six or so guys, all doing their job.

0:15:45 > 0:15:47It's like a well-oiled machine when it goes really well.

0:15:47 > 0:15:49Tom and Phil had to join that well-oiled machine

0:15:49 > 0:15:53and get Sue off the mountain fast. She was becoming hypothermic.

0:15:53 > 0:15:57By that stage, I was shivering, really cold and I think I was

0:15:57 > 0:16:01really in shock, but they were really marvellously reassuring.

0:16:01 > 0:16:05Sue was securely strapped up and covered in blankets,

0:16:05 > 0:16:08it was time to carry her to safety.

0:16:08 > 0:16:11But the wet, rocky terrain was treacherous so the guide rope

0:16:11 > 0:16:15Phil had brought was used to support the stretcher team.

0:16:15 > 0:16:17They explained, oh, Susan,

0:16:17 > 0:16:20we're just going over this stream now, it's a bit slippy,

0:16:20 > 0:16:22but you're all right, don't worry.

0:16:22 > 0:16:25We're going to have to tilt the stretcher a bit more

0:16:25 > 0:16:28because this is a particularly steep bit, but you're OK.

0:16:28 > 0:16:31Throughout the callout, the rookies were closely observed by senior

0:16:31 > 0:16:34colleagues, to check they were made of the right stuff.

0:16:34 > 0:16:37We were trying to prove ourselves that we were useful,

0:16:37 > 0:16:40- so you're eager to try do your best. - Basically they're testing out your

0:16:40 > 0:16:43personal skills to make sure you're safe on a mountain,

0:16:43 > 0:16:45you're not going to kill yourself or anybody else.

0:16:45 > 0:16:49Tom and Phil took their turns carrying the stretcher,

0:16:49 > 0:16:52slotting into the team like seasoned veterans.

0:16:52 > 0:16:55When they reached base camp, Sue was delivered to the helicopter

0:16:55 > 0:16:58which whisked her off to A&E.

0:16:58 > 0:17:00It's just like a fairy tale really, to be rescued like that,

0:17:00 > 0:17:04it really was just absolutely amazing.

0:17:04 > 0:17:07Phil and Tom had proved their value to the team.

0:17:07 > 0:17:11They were well on their way to becoming official mountain rescuers.

0:17:11 > 0:17:14If they think we're good enough to go on this one,

0:17:14 > 0:17:16maybe they'll think we're good enough to come on another one.

0:17:16 > 0:17:18Maybe we'll get put on the callout list.

0:17:18 > 0:17:21I hope to build on that and I hope

0:17:21 > 0:17:23to be part of this team for quite some time to come.

0:17:27 > 0:17:29Back in Crewe, Special PC Laurence

0:17:29 > 0:17:33and his mentor Warren are three hours into their shift.

0:17:33 > 0:17:36They're responding to an urgent 999 call.

0:17:36 > 0:17:38It's a domestic incident.

0:17:38 > 0:17:41Shout up on BA. Ask them if they've got the CAVA on the address.

0:17:41 > 0:17:43- Any what on the address?- CAVA.

0:17:43 > 0:17:46It's like a history of domestic incidents,

0:17:46 > 0:17:50- family issues. - Echo alpha 497 to BA?

0:17:50 > 0:17:54Every year in Britain, two million people report domestic abuse.

0:17:54 > 0:17:57It accounts for 10% of emergency calls.

0:17:57 > 0:18:01Such cases are challenging even for experienced officers,

0:18:01 > 0:18:03this is Laurence's first day.

0:18:03 > 0:18:06HE KNOCKS Police.

0:18:06 > 0:18:09The homeowner refuses to let the cameras in.

0:18:09 > 0:18:10What's gone on?

0:18:10 > 0:18:12She tells Laurence and Warren

0:18:12 > 0:18:15her brother smashed a window to get into her home, then

0:18:15 > 0:18:19put his hands round her throat and strangled her until she passed out.

0:18:19 > 0:18:22Drop the attitude, son, drop the attitude.

0:18:22 > 0:18:25Laurence handcuffs and arrests him on the spot.

0:18:25 > 0:18:27Next stop, the police station.

0:18:27 > 0:18:31Stick him behind the rear passenger side of our car.

0:18:31 > 0:18:36Laurence has made his first arrest on his first shift.

0:18:36 > 0:18:39Normally, Specials have to wait months for this moment.

0:18:39 > 0:18:43He's been arrested for Section 39 Assault & Criminal Damage.

0:18:43 > 0:18:45He's smashed a window in the house

0:18:45 > 0:18:47and he assaulted his sister, strangled her.

0:18:47 > 0:18:51Last year, over 600,000 violent offences were reported in Britain.

0:18:51 > 0:18:53Half of those led to serious injury.

0:18:53 > 0:18:56We're going to take him now back to Crewe nick where we're going

0:18:56 > 0:18:59to transport him up to Middlewich Custody Facility.

0:18:59 > 0:19:02Laurence will get a chance to book him in and see custody procedures.

0:19:04 > 0:19:08Laurence's training is being put to full use, his next task,

0:19:08 > 0:19:12booking a suspect into custody for the first time.

0:19:12 > 0:19:14Over here, please...

0:19:17 > 0:19:19Morning, Sergeant.

0:19:19 > 0:19:21As arresting officer, it's down to him

0:19:21 > 0:19:24to report back to the custody sergeant.

0:19:24 > 0:19:27Responding to a call of domestic assault.

0:19:27 > 0:19:30There's an allegation he strangled his sister.

0:19:30 > 0:19:33The suspect's read his rights and then it's time for fingerprints

0:19:33 > 0:19:37and photographs in Cheshire Police's state of the art facility.

0:19:38 > 0:19:41It's like a nuclear bunker or something.

0:19:41 > 0:19:44It's unusual for the arresting officer to watch this stage,

0:19:44 > 0:19:46but Laurence is transfixed.

0:19:47 > 0:19:50It's just new, I've never seen it before.

0:19:51 > 0:19:56Processing complete, the suspect is treated to some police hospitality.

0:19:56 > 0:19:59- Do you want a cup of tea? - Tea with two sugars.

0:19:59 > 0:20:02- Tea with two sugars, all right. - And then banged up.

0:20:02 > 0:20:04Blanket there, it's fresh...

0:20:04 > 0:20:07Be back with your tea in a minute.

0:20:07 > 0:20:09For Laurence, all that remains is the paperwork

0:20:09 > 0:20:12and his first shift will be over.

0:20:12 > 0:20:16I've had an arrest, I was shaking and adrenaline pumping.

0:20:16 > 0:20:19No matter how nervous he was, I don't think he showed it too much.

0:20:19 > 0:20:23Quite a milestone, really, to get over.

0:20:23 > 0:20:26The lad who we'd arrested didn't realise it was his first day.

0:20:26 > 0:20:29Having spent days in a padded room, throwing each other on mats

0:20:29 > 0:20:32and putting handcuffs on each other, it definitely paid off.

0:20:32 > 0:20:34That was the first time he was arrested

0:20:34 > 0:20:37and it's the first time Laurence has arrested someone.

0:20:37 > 0:20:39Worked in quite well.

0:20:44 > 0:20:46Back in Birmingham, rookie paramedic

0:20:46 > 0:20:50Kelly's on a break. She's getting advice from experienced

0:20:50 > 0:20:53colleague Ben on what to keep in her locker.

0:20:53 > 0:20:56- Definitely a spare uniform. - Spare clothes, yeah, and a towel.

0:20:56 > 0:20:59Yeah, in case you need to have a wash at work.

0:20:59 > 0:21:02- Because it will happen eventually. - Have you had to before?

0:21:02 > 0:21:05- Yeah.- What was the job?- The patient vomited all over me.- Oh, lovely(!)

0:21:05 > 0:21:09Yeah, all over my hair and my face and my hands.

0:21:09 > 0:21:11- Really? - Yeah, everywhere. It was horrible.

0:21:11 > 0:21:13- Oh, my gosh. - So had to have a shower at work.

0:21:13 > 0:21:17Their break is brought to an abrupt end by a red alert.

0:21:17 > 0:21:19Major trauma, child versus car.

0:21:19 > 0:21:214102.

0:21:21 > 0:21:23Six-year-old versus car, landed on another car,

0:21:23 > 0:21:26hit his head on the windscreen and shattered it.

0:21:26 > 0:21:29It's the sort of call paramedics hate.

0:21:29 > 0:21:32Child versus car.

0:21:32 > 0:21:34Road accidents are the biggest single

0:21:34 > 0:21:38killer of children in Britain. Over 2,000 boys and girls

0:21:38 > 0:21:40are killed or seriously injured each year.

0:21:40 > 0:21:44Kelly was dreading a case like this so early in her career.

0:21:44 > 0:21:47This is quite a serious job, major trauma potentially,

0:21:47 > 0:21:50so we'll assess the situation when we get there.

0:21:50 > 0:21:54- They're here.- Are they? Already? - Yeah.

0:21:54 > 0:21:56The police clear the way for the ambulance.

0:21:56 > 0:22:00Just a week ago in training, Kelly was doing trauma role plays,

0:22:00 > 0:22:03now it's for real.

0:22:03 > 0:22:07The six-year-old boy is called Hadis, he's badly injured.

0:22:07 > 0:22:10We kind of need people to clear out of the way.

0:22:10 > 0:22:14A local GP was nearby when Hadis was hit, he's trying to stabilise him.

0:22:14 > 0:22:17Can I have a quick handover from somebody?

0:22:17 > 0:22:19I'm a GP, he's hit this car.

0:22:19 > 0:22:21He hit the back window and fell on the floor.

0:22:21 > 0:22:23Yeah. Yeah. OK.

0:22:23 > 0:22:26He's got a broken jaw definitely. Bleeding into the airway.

0:22:26 > 0:22:28Airway stable at the moment.

0:22:28 > 0:22:32Kelly needs to put a cervical collar onto Hadis. If his neck's

0:22:32 > 0:22:35broken and he moves his head, he could be paralysed.

0:22:35 > 0:22:37Right, if I can... CHILD CRIES OUT

0:22:37 > 0:22:41- He's probably got a head injury too. - 182, reference our current details.

0:22:41 > 0:22:44Ben updates control.

0:22:44 > 0:22:47Believed to have been projected into the back of another vehicle.

0:22:47 > 0:22:50Confirmed large laceration to his head

0:22:50 > 0:22:53and confirmed broken jaw. Currently collar

0:22:53 > 0:22:55and boarding the child.

0:22:55 > 0:22:58We will be leaving as soon as possible. Over.

0:22:58 > 0:23:02But there's a problem. Hadis is wedged under a car.

0:23:02 > 0:23:04And that's not the only concern.

0:23:04 > 0:23:08- I think there's a leg as well. - There's a leg fracture as well, OK.

0:23:08 > 0:23:11I think he's not moving it and it's swollen.

0:23:11 > 0:23:15The police have found the driver of the car trapping Hadis,

0:23:15 > 0:23:16he's about to move it.

0:23:16 > 0:23:19Backwards please. Keep going, keep going.

0:23:19 > 0:23:21Keep going back. Right.

0:23:21 > 0:23:23CHILD CRIES OUT

0:23:25 > 0:23:27Right, bring this in closer.

0:23:27 > 0:23:30Hadis's leg is badly broken and the fracture has compacted.

0:23:30 > 0:23:33The buckled bone needs to be pulled apart to reduce his pain.

0:23:33 > 0:23:37You going to have to apply manual traction to that leg.

0:23:37 > 0:23:38OK. All right.

0:23:40 > 0:23:44- OK. We have to pull your leg, matey. - I've got it.

0:23:44 > 0:23:46Excellent, well done.

0:23:46 > 0:23:48Kelly's successfully applied traction

0:23:48 > 0:23:52and straightened his leg, now he can be moved onto the board.

0:23:52 > 0:23:55But they have to be careful not to cause any more damage

0:23:55 > 0:23:56to his fragile body.

0:23:59 > 0:24:04One, two, three. Up a little bit.

0:24:04 > 0:24:07Good man, well done, mate!

0:24:07 > 0:24:11- How's his airway looking? - Airway is looking fine.

0:24:11 > 0:24:15Suddenly a worrying development. Hadis has fallen unconscious.

0:24:15 > 0:24:18That could indicate a serious brain injury.

0:24:18 > 0:24:22- Ben tries to rouse him. - Harris. Harris.

0:24:22 > 0:24:25Harris, open your eyes for me. Harris.

0:24:25 > 0:24:26We need to get going.

0:24:27 > 0:24:30HE CRIES

0:24:30 > 0:24:33It's good news, Hadis has come round.

0:24:33 > 0:24:37The next challenge, moving him onto the ambulance.

0:24:37 > 0:24:41Kelly needs to continue straightening his shattered leg

0:24:41 > 0:24:43as he's carried. No easy task.

0:24:43 > 0:24:47What we're going to do is lift him up away from the car, turn him

0:24:47 > 0:24:51around so his head is facing that way and lower him onto our wagon.

0:24:51 > 0:24:55OK, on lift, ready, steady, lift.

0:25:00 > 0:25:06Doing ever so well, matey. Well done, here we are.

0:25:06 > 0:25:08All right, pal.

0:25:08 > 0:25:10Before they set off, Kelly and Ben want to get some

0:25:10 > 0:25:15painkillers into Hadis, it's going to be a bumpy journey.

0:25:15 > 0:25:17HE CRIES

0:25:17 > 0:25:20Collared and placed on a scoop stretcher

0:25:20 > 0:25:23and my colleague is applying manual traction.

0:25:23 > 0:25:27The doctor who was on scene is an ex-anaesthetist and now GP and he

0:25:27 > 0:25:30is travelling with us to provide support, over.

0:25:30 > 0:25:32The nearest trauma centre is 20 minutes away

0:25:32 > 0:25:35and it's the middle of rush hour.

0:25:35 > 0:25:39But Hadis needs potentially life saving treatment fast.

0:25:39 > 0:25:42His parents have been notified and will meet him at the hospital.

0:25:47 > 0:25:50In the back of the ambulance, Kelly's put Hadis on a drip to

0:25:50 > 0:25:54maintain his fluids and they work hard to keep him awake.

0:25:54 > 0:25:57Harris, that's it, well done.

0:25:57 > 0:26:01Keep your eyes open for me, mate. That's it.

0:26:02 > 0:26:06Kelly's treatment has worked, Hadis's condition has stabilised.

0:26:09 > 0:26:10Look where we are.

0:26:10 > 0:26:13We're at the hospital now. Mummy is going to be waiting.

0:26:13 > 0:26:15All right, well done.

0:26:18 > 0:26:21The six-year-old doesn't want to let go of Kelly's hand.

0:26:24 > 0:26:27The specialist trauma team is ready and waiting.

0:26:27 > 0:26:29Hadis is in good hands.

0:26:32 > 0:26:36It was a tough challenge so early in her career, but Kelly rose to it.

0:26:36 > 0:26:41Second day out, dealing with a paediatric major trauma and

0:26:41 > 0:26:44dealing with it so well is something that you can be really proud of.

0:26:44 > 0:26:47You did really, really well.

0:26:47 > 0:26:49- I'd be happy to work with you again.- Woohoo!

0:26:49 > 0:26:53That's an invite right there SHE LAUGHS

0:26:53 > 0:26:56Kelly's shift is over, she preps the ambulance for the next

0:26:56 > 0:27:00crew on duty. It's a chance to reflect.

0:27:00 > 0:27:04We have potentially saved his life.

0:27:04 > 0:27:06It does feel, you do feel proud of yourself.

0:27:06 > 0:27:09You feel like you've accomplished something

0:27:09 > 0:27:12and you feel like all the problems

0:27:12 > 0:27:15I've encountered through being at Uni

0:27:15 > 0:27:19and USAs, it's all paid off on that one job.

0:27:19 > 0:27:23I mean, you've been able to make a difference to somebody's life.

0:27:24 > 0:27:26Time to go home.

0:27:32 > 0:27:36Roy is now feeling much better, he's had his orthopaedic shoe

0:27:36 > 0:27:39fitted and it's made a big difference to his mobility.

0:27:39 > 0:27:43Mountain rescue casualty Sue has recovered from her fall.

0:27:43 > 0:27:46She's already planning her next trip to the Lakes.

0:27:46 > 0:27:49The man Laurence arrested for assault pleaded guilty

0:27:49 > 0:27:53and was given a conditional discharge for 24 months.

0:27:53 > 0:27:57He also had to pay compensation and court costs.

0:27:57 > 0:28:00And six-year-old Hadis is now enjoying life at home after

0:28:00 > 0:28:03a long spell in hospital.

0:28:03 > 0:28:05Doctors are delighted with his progress

0:28:05 > 0:28:08and he's expected to make a full recovery.

0:28:10 > 0:28:12Next time...

0:28:12 > 0:28:16A domestic dispute. A complaint of theft.

0:28:16 > 0:28:19And an experience Police Special Sarah won't forget.

0:28:19 > 0:28:22I have to say that was actually worse than childbirth.

0:28:22 > 0:28:23It was agony.

0:28:23 > 0:28:25Feeling the heat.

0:28:25 > 0:28:28Rookie firefighter Helen faces the toughest of tests.

0:28:29 > 0:28:33Let's get that casualty out. Come on!

0:28:33 > 0:28:37And one small child, with one major allergic reaction.

0:28:37 > 0:28:38Sore throat?

0:28:38 > 0:28:41New paramedic Sam has to act fast.

0:28:41 > 0:28:42Here, buddy.