:00:00. > :00:00.challenging environments in the world.
:00:00. > :00:09.In Scotland, the mountains, lochs and coastline, encourage tourists
:00:10. > :00:12.and locals to get out into the wilds.
:00:13. > :00:25.The emergency services north of the border have to deal with
:00:26. > :00:34.From severe weather and treacherous terrain...
:00:35. > :00:38.Is the pain getting worse, do you think? Yes.
:00:39. > :00:45...to covering huge distances on rural roads with time against them.
:00:46. > :00:52.battling against some of the most difficult situations.
:00:53. > :00:56.We'll be right at the heart of the action.
:00:57. > :00:59.Side by side with Air Rescue saving lives.
:01:00. > :01:02.On the road with paramedics caring for the hurt and injured
:01:03. > :01:05.and following the police fighting crime,
:01:06. > :01:09.as the emergency services work together to pick up, patch up
:01:10. > :01:12.and protect the public in rural communities.
:01:13. > :01:40.race to rescue an injured lumberjack.
:01:41. > :01:46.Police investigate a farmhouse ripped apart by metal thieves.
:01:47. > :01:49.You see where they've cut the copper pipes from the cupboard there.
:01:50. > :01:53.And in A, a sheep farmer has had a nasty quad-bike accident.
:01:54. > :02:11.Despite the UK's ever-growing population
:02:12. > :02:18.agriculture, forest and woodland still cover 86% of the nation.
:02:19. > :02:22.Many of our rural hubs are spread over vast distances,
:02:23. > :02:27.adding to the challenge faced by the emergency services
:02:28. > :02:30.On Scotland's south-west coast, HMS Gannet in Prestwick
:02:31. > :02:39.is home to the Royal Navy Search and Rescue Unit.
:02:40. > :02:52.So there's Bute, there's the mainland.
:02:53. > :02:55.Basically, he's got a tree on his leg,
:02:56. > :03:01.Observer Phil Gamble is on today's team.
:03:02. > :03:08.Rescue protocol gives the crew just 15 minutes to scramble
:03:09. > :03:28.to remote woodland on the Cowal Peninsula in the West Highlands.
:03:29. > :03:31.The injured forestry worker is with his colleague,
:03:32. > :03:33.at least a mile away from the nearest road,
:03:34. > :03:36.so a helicopter rescue is the only option.
:03:37. > :03:39.There's an ambulance on the way but we'll be there,
:03:40. > :03:45.Accessibility is going to be directly rough, so we're going to go
:03:46. > :03:53.and take a look and see if we can get in.
:03:54. > :03:57.Phil's been given a mobile number for the casualty's colleague.
:03:58. > :04:00.Now he can get vital information on their location
:04:01. > :04:05.Hello, hi, this is Philip Gamble on the Search and Rescue helicopter
:04:06. > :04:09.coming to you, can you hear me OK?
:04:10. > :04:23.DIALLING TONE Nah, he's hung up.
:04:24. > :04:26.They've lost the mobile phone signal,
:04:27. > :04:30.so they still have no idea how deep in the forest the casualty is.
:04:31. > :04:40.Or how difficult it will be to reach him.
:04:41. > :04:43.Within 30 minutes, they've reached the forest.
:04:44. > :04:52.The team spot a man moving on the edge of the tree line.
:04:53. > :04:57.But as they draw closer, it's clear landing is not an option.
:04:58. > :05:01.Tree stumps and boggy ground make it too risky to land the 10-tonne,
:05:02. > :05:06.Even if we have to go to a 15-foot hover,
:05:07. > :05:12.then that's probably the best way to do it.
:05:13. > :05:16.would delay rescuing the injured lumberjack.
:05:17. > :05:20.They don't know where he is in the forest, so there may be no option
:05:21. > :05:35.but to hover and winch someone down to search for him on foot.
:05:36. > :05:42.the staff of Dumfries Royal Infirmary look after 148,000 people,
:05:43. > :05:49.many of whom work in rural industries.
:05:50. > :05:54.and Dr Niall Campbell is working the night shift in A
:05:55. > :05:57.He's been a consultant here for over two years,
:05:58. > :06:01.so has seen his fair share of countryside incidents.
:06:02. > :06:05.The trauma that we see is somewhat different to a city centre.
:06:06. > :06:07.We see road traffic accidents, mountain biking accidents,
:06:08. > :06:20.and today a young sheep farmer's suffered a bad one in a field.
:06:21. > :06:26.32-year-old David needs a quad bike to get around his farm.
:06:27. > :06:28.Whilst checking on his sheep at dusk,
:06:29. > :06:33.an object flew out of nowhere, giving him a nasty injury.
:06:34. > :06:38.He's since been given morphine to help ease the pain
:06:39. > :06:57.It took David's wife almost an hour to drive them 20 miles
:06:58. > :07:10.from their farm near Lockerbie in rush hour.
:07:11. > :07:17.Although David's pain is mainly in his head,
:07:18. > :07:22.he doesn't have a more serious injury in his neck.
:07:23. > :07:32.Let me know if there's anywhere that's particularly sore.
:07:33. > :07:40.concussion, a minor brain injury, is common.
:07:41. > :07:43.Niall must check for symptoms like nausea,
:07:44. > :07:48.Just watch my finger, and come all the way across.
:07:49. > :07:51.Tell me if you see double. You might...
:07:52. > :07:55.I can see two of your arm. And up we come.
:07:56. > :07:59.We need to have a look at those wounds and get them sorted out.
:08:00. > :08:02.Can I just feel inside the mouth as well?
:08:03. > :08:11.David's sent to have X-rays of the bones in his face
:08:12. > :08:14.Quad bike accidents are not uncommon,
:08:15. > :08:17.certainly I've seen a few since starting here.
:08:18. > :08:20.He has been wearing a protective helmet
:08:21. > :08:23.and it does seem to be isolated to the face,
:08:24. > :08:27.he's not got any neck or back pain, so I think we'll focus in on that.
:08:28. > :08:30.The X-rays have come back with no sign of fractures.
:08:31. > :08:35.The quad bike's visor protected David from more serious damage.
:08:36. > :08:42.He's now been cleaned up and his wounds sutured together.
:08:43. > :08:48.So I think you've been... stitched up. How are you feeling?
:08:49. > :08:58.Dizzy and funny, if you know what I mean? Yeah.
:08:59. > :09:04.I wouldn't be... I'm not surprised, that, you know...
:09:05. > :09:08.The most common... The most common simple symptoms after any
:09:09. > :09:13.kind of head injury are mild headache and dizziness.
:09:14. > :09:17.You're nice and alert, I'm not noticing anything too untoward,
:09:18. > :09:20.but the fact you're still feeling a bit rotten,
:09:21. > :09:24.still have some headache, I'd prefer that we watched you
:09:25. > :09:26.overnight to make sure that settles down.
:09:27. > :09:44.the eye's doing OK in the morning as well. Aye.
:09:45. > :09:47.Back in remote woodland in the west of Scotland,
:09:48. > :09:50.the Royal Navy Search and Rescue Team are trying to reach
:09:51. > :09:55.a lumberjack who's trapped under a tree.
:09:56. > :10:00.but don't know how far into the forest the casualty is.
:10:01. > :10:04.The terrain's too uneven and boggy to land the 10-tonne helicopter,
:10:05. > :10:18.Lower the winch. Just mind those logs.
:10:19. > :10:21.Coming down with ten feet to the ground.
:10:22. > :10:23.Five feet to the ground. On the ground.
:10:24. > :10:30.Disconnected. Raise the winch, raise the winch.
:10:31. > :10:32.Once you get into the 10, 15-foot hover,
:10:33. > :10:36.you can see that there's nowhere you can land on, just tree stumps, you've
:10:37. > :10:40.got fallen logs, it's undulating ground, it's not worth risking
:10:41. > :10:51.the aircraft when it takes two minutes extra just to winch down.
:10:52. > :10:58.Oh, right, I thought it was someone stuck under a tree.
:10:59. > :11:01.When we got there, there was two guys, there was a guy
:11:02. > :11:03.out in the open area and a guy in the tree line.
:11:04. > :11:06.I thought he was just indicating the casualty was inside the tree line.
:11:07. > :11:09.It turns out the casualty was actually that guy.
:11:10. > :11:12.Which was quite a shock and I told him to get down as soon as possible.
:11:13. > :11:17.Unbelievably, 24-year-old Brent has managed to get out
:11:18. > :11:31.and drag himself 30 feet to the edge of the forest.
:11:32. > :11:34.Considering a hefty 80-foot tree has crushed his leg,
:11:35. > :11:40.Winchman Lee's trained to ambulance technician level,
:11:41. > :11:44.so will do what he can to treat him, until they get to hospital.
:11:45. > :11:47.If you don't want to cut him here, I'm going to have to take him...
:11:48. > :11:51.The first thing he needs to do is cut open Brent's trousers,
:11:52. > :11:55.but thinking how much they cost, Brent's not keen.
:11:56. > :12:01...Get these boots off... Just leave them, mate, I'll get a splint on you.
:12:02. > :12:07.Kneecap's slightly off to the left, you can see.
:12:08. > :12:12.Pain score, what is that? That's a seven or eight, that.
:12:13. > :12:20.He's badly injured, so the transfer to the helicopter could be painful.
:12:21. > :12:22.Sure you don't want any pain relief? No, I'm fine just now.
:12:23. > :12:29.We offered him analgesia but he said he was fine.
:12:30. > :12:32.But yeah, he was a pretty tough guy, big lumberjack,
:12:33. > :12:38.Brent's been a lumberjack all his working life.
:12:39. > :12:41.Astonishingly, he's showing no signs of pain in what Lee believes
:12:42. > :12:44.to be a broken tibia, in his lower leg.
:12:45. > :12:46.So the tree sprang out when you was cutting it...
:12:47. > :12:49.Sprang against me and trapped me against...
:12:50. > :12:51.Cutting this one with a chainsaw, it sprung this way.
:12:52. > :12:56.Bent him at the ankle, whacked him at the knee and knocked him flat.
:12:57. > :12:59.Brent needs hospital treatment. But there's a problem.
:13:00. > :13:02.They need to get him clear of the trees so they can winch him
:13:03. > :13:18.Basically, there's loads of little tiny balls in here, and then
:13:19. > :13:27.you suck the air out, creates a vacuum obviously, then immobilizes.
:13:28. > :13:40.Thankfully, Brent's workmates are on hand
:13:41. > :13:41.to help perform a lumberjack lift.
:13:42. > :13:47.Get that arm over your shoulder, and you cross arms at the bottom.
:13:48. > :13:51.But being moved closer to the helicopter without pain relief
:13:52. > :14:08.I'm going to slip, going to slip, going to slip. You'll be all right.
:14:09. > :14:13.to crimes committed in isolated countryside,
:14:14. > :14:20.the emergency services have many extra challenges in our rural areas.
:14:21. > :14:24.The Landward Police Unit in Dumfries covers countryside communities
:14:25. > :14:31.in an area larger than Merseyside.
:14:32. > :14:36.Two of the team's nine officers - PCs Ross Dickson and Stewart Rae -
:14:37. > :14:42.to an incident at the heart of rural crime.
:14:43. > :14:47.We're currently going to a potential house break-in.
:14:48. > :14:56.The house is vacant just now and there's a theft of copper piping.
:14:57. > :14:59.A woman keeping an eye on an empty farmhouse that's up for sale,
:15:00. > :15:03.called police after discovering it had been burgled overnight.
:15:04. > :15:13.nobody's going to really notice or see anyone coming up here.
:15:14. > :15:19.To get hold of the copper piping, the thieves have literally
:15:20. > :15:30.You can see they've been here for quite some time.
:15:31. > :15:38.Pulled up floorboards, radiators as well.
:15:39. > :15:41.They've even taken the toilet off and everything.
:15:42. > :15:43.They've been in here as well and they've taken...
:15:44. > :15:46.See where they've cut the copper pipes from the cupboard there.
:15:47. > :16:00.copper has doubled in value over the last few years
:16:01. > :16:04.Just getting our scenes of crime officer out to
:16:05. > :16:07.come and take photographs of everything that's here.
:16:08. > :16:10.Footprints - there's a database where we can send off these prints
:16:11. > :16:12.and they can come back with the exact make of shoe.
:16:13. > :16:22.what Ross and Stewart really need are witnesses.
:16:23. > :16:32.So that suggests that it's obviously happened overnight.
:16:33. > :16:38.This is obviously a used farmyard, I would suggest that a farmer
:16:39. > :16:41.would have been here mid-evening last night,
:16:42. > :16:46.so we can try and narrow the timescales down a wee bit more.
:16:47. > :16:49.Ross is in luck when a local farmer turns up.
:16:50. > :16:53.When was the last time you were here, last night? Yesterday afternoon.
:16:54. > :16:56.Yesterday afternoon. One, half one-ish?
:16:57. > :16:59.Half one. Right, OK. Had anyone coming up lately?
:17:00. > :17:02.Well, there was people up here yesterday, but this house...
:17:03. > :17:07.For sale. Aye. And they were having a look round.
:17:08. > :17:18.Not sure who exactly. There was two cars.
:17:19. > :17:24.Stewart wants to check if yesterday's viewing by two men and
:17:25. > :17:29.a woman was genuine, but it's Sunday and the estate agents aren't open.
:17:30. > :17:32.It could be completely innocent, but either way,
:17:33. > :17:36.identifying the threesome could help their investigation.
:17:37. > :17:39.The amount of piping... The amount of copper they've taken will be worth
:17:40. > :17:42.possibly ?1,000 worth of copper, but the actual value
:17:43. > :17:48.for redoing the house with the piping is much more than that.
:17:49. > :17:51.With limited evidence and no solid leads,
:17:52. > :17:54.catching these thieves is going to be very difficult.
:17:55. > :17:58.We had scenes of crime out to check for fingerprints,
:17:59. > :18:01.but unfortunately, there's no fingerprints anywhere.
:18:02. > :18:03.It's in the middle of nowhere, rural area,
:18:04. > :18:08.They're wearing gloves, they're not leaving anything behind for us
:18:09. > :18:10.to go on, it gets very, very difficult.
:18:11. > :18:22.However, we still investigate it as thoroughly as we can.
:18:23. > :18:25.Protecting rural populations is a challenge
:18:26. > :18:30.Huge distances and scattered communities
:18:31. > :18:35.mean staff are stretched across a wide range of incidents.
:18:36. > :18:41.In Dumfries, A medics deal with 100 patients a day.
:18:42. > :18:45.21-year-old Andrew has travelled 12 miles from Lockerbie
:18:46. > :18:51.with a nasty shoulder injury, caused in a rather unusual way.
:18:52. > :18:56.who's lived in Dumfries for six months, is taking the case.
:18:57. > :19:00.Hello, Andrew, I've just come to have a quick look at your shoulder.
:19:01. > :19:04.I've heard from my colleagues that you've dislocated it,
:19:05. > :19:07.and it's something you've done before. Yeah.
:19:08. > :19:17.OK. Could you tell me what's actually happened today?
:19:18. > :19:19.So you were just reaching for something? Aye.
:19:20. > :19:24.that Andrew's dislocated his shoulder.
:19:25. > :19:35.Are you able to move your arm at all? No.
:19:36. > :19:40.Yeah, well, I'm not going to examine you, I think what we'll do
:19:41. > :19:44.first of all is to get you X-rayed and that'll tell us
:19:45. > :19:47.whereabouts the shoulder is lying relative to the joint, OK?
:19:48. > :19:52.We'll get that organised then we'll come back and see you.
:19:53. > :20:06.and you can see that the... The head of the humerus here isn't
:20:07. > :20:10.actually sitting in the joint, it should actually be sat on...
:20:11. > :20:13.On this cup here, but it's actually jumped forward and jumped out.
:20:14. > :20:17.Our concern now is to get him analgised,
:20:18. > :20:21.make sure that he doesn't have any pain, try and make sure that
:20:22. > :20:24.he's relaxed and then we'll try and pop this bone back into its socket.
:20:25. > :20:28.Having a dislocated joint can be agony,
:20:29. > :20:30.so getting Andrew as relaxed as possible is key,
:20:31. > :20:40.So, I'm going to give you some painkillers to start with, OK?
:20:41. > :20:45.You're going to probably start feeling a bit woozy.
:20:46. > :20:48.Just going to give you a little bit more of this.
:20:49. > :20:52.It's an extremely painful procedure so Ged isn't taking any chances.
:20:53. > :20:56.Andrew's given gas and air, the sedative Midazolam
:20:57. > :20:58.and the powerful painkiller Morphine.
:20:59. > :21:05.and make Andrew feel as relaxed as possible.
:21:06. > :21:13.How are you feeling? Better. Better than before.
:21:14. > :21:18.What I'm going to do is to lie you back, yeah,
:21:19. > :21:26.Ged carefully manipulates Andrew's arm,
:21:27. > :21:34.rotating it until he can feel the joint click back into place
:21:35. > :21:37.How you doing? I feel better now, like.
:21:38. > :21:44.I felt it clink in, so I'm quite, you know, I'm pretty optimistic that
:21:45. > :21:48.it'll be in the right place, but we need to get it X-rayed again, OK?
:21:49. > :21:54.There's one final X-ray to check everything's in place,
:21:55. > :21:57.then Andrew will need monitoring as the drugs wear off.
:21:58. > :22:02.Post reduction, we can actually see that the humerus is now back up,
:22:03. > :22:07.sitting in the appropriate joint on the scapula.
:22:08. > :22:14.Well, your shoulders look the same from here, which is good.
:22:15. > :22:20.We've had a look at the X-ray and it looks fine, it looks as though
:22:21. > :22:24.we've got the shoulder back into its joint, but what we'll
:22:25. > :22:30.have to do now, I think, is to get you to see the orthopaedic doctors.
:22:31. > :22:34.It'll be here, at the outpatients' clinic.
:22:35. > :22:43.Andrew's weak shoulder may need surgery.
:22:44. > :22:49.and ready to face the 12-mile bus journey back home.
:22:50. > :23:06.On the west coast of Scotland, the Navy are on a rescue mission.
:23:07. > :23:09.Lumberjack Brent has been seriously injured
:23:10. > :23:11.at least a mile from the nearest track.
:23:12. > :23:14.Helicopter rescue is his best option.
:23:15. > :23:25.Are you sure you don't want any pain relief? No, I'm fine just now.
:23:26. > :23:37.Lee's stabilised Brent's leg with a vacuum splint, ready to move him.
:23:38. > :23:42.Now he arranges for the winch kit to be lowered.
:23:43. > :23:54.The downdraught from the helicopter's 9m rotor blades
:23:55. > :23:58.will make the transfer across very rough terrain even more difficult.
:23:59. > :24:06.Get that arm over your shoulder and you get the other side,
:24:07. > :24:13.One, two, three. Good. You happy? Aye.
:24:14. > :24:18.Despite now describing his pain level
:24:19. > :24:23.tough guy Brent has refused pain relief.
:24:24. > :24:26.But he may soon regret that choice. Are you happy, you two?
:24:27. > :24:29.I'm going to slip, going to slip. You're all right.
:24:30. > :24:35.I can feel you slipping. Do like the old...underneath together.
:24:36. > :24:47.The environment's horrendous. When you're on the ground,
:24:48. > :24:50.it's undulating, you've got tree stumps everywhere, there's
:24:51. > :24:53.a small stream which we had to extract him across,
:24:54. > :25:06.Observer Phil must guide the helicopter in
:25:07. > :25:16.Right only, 25 yards and continue down 20 feet slowly.
:25:17. > :25:18.Every member of the crew uses focused effort
:25:19. > :25:20.to pull off this dangerous manoeuvre.
:25:21. > :25:23.They must steer clear of the tree tops,
:25:24. > :25:27.flying just 130 feet above the ground.
:25:28. > :25:32.Seven yards, five yards, forward right, now back two. Four yards.
:25:33. > :25:38.Easy, easy, steady there, good position. Forward and left,
:25:39. > :25:47.Just got one tree on the nose at about 20 yards.
:25:48. > :25:50.It was a horrendous position to winch, not only getting the winch in,
:25:51. > :25:53.but extracting the casualty, we'd gone through the tree line,
:25:54. > :26:01.the aircraft to be away on an angle and then we can slowly take him out
:26:02. > :26:08.to a safer area, before bringing him back up to the aircraft.
:26:09. > :26:11.Brent is put in a cradle attached to a weighted line, or highline,
:26:12. > :26:14.so he's as stable as possible, whilst the aircraft
:26:15. > :26:22.is in a tilted position to keep them clear of the trees.
:26:23. > :26:26.Highline's not failed. 40 foot to the aircraft.
:26:27. > :26:34.Easy and steady there. Continue left only ten yards slowly.
:26:35. > :26:37.OK, raise the winch, just level with the door, OK,
:26:38. > :26:45.Right, lower the winch, lower the winch, stop the winch.
:26:46. > :26:51.OK? BRENT MOUTHS
:26:52. > :26:57.Now Brent's safe, the crew head for Glasgow.
:26:58. > :27:03.A-firm, are happy with Glasgow Southern General, over.
:27:04. > :27:09.Lee hooks Brent up to monitor his heart rate.
:27:10. > :27:11.A bit of weather on the moor and Southern General,
:27:12. > :27:13.we're going to come straight along the Clyde anyway.
:27:14. > :27:17.It's taken the Royal Navy Search and Rescue Team just 25 minutes,
:27:18. > :27:21.rather than two hours by road, to safely deliver Brent
:27:22. > :27:28.to the waiting medical team at Glasgow's Southern General.
:27:29. > :27:31.Brilliant example of how we train hard, fight easy and
:27:32. > :27:36.we brought all the skills together there and so it was excellent.
:27:37. > :27:53.and X-rayed to find out the extent of his injuries.
:27:54. > :27:59.It's been all go for the emergency services in Scotland's rural areas.
:28:00. > :28:09.His wound is now healed and he's back out on his quad bike again.
:28:10. > :28:15.visiting scrap dealers for any leads.
:28:16. > :28:19.And lumberjack Brent spent five days in hospital.
:28:20. > :28:23.The break had gone down through his knee into his tibia.
:28:24. > :28:26.He now has bolts holding the weakened bones together.
:28:27. > :29:04.And you thought it was quiet in the countryside!
:29:05. > :29:09.Hello, I'm Ellie Crisell with your 90 second update. There are more
:29:10. > :29:12.spending cuts on the way. The Chancellor says twenty-five billion
:29:13. > :29:13.pounds worth of savings need to be made