Episode 1 Countryside 999


Episode 1

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From the Highlands of Scotland

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to the coast of Cornwall,

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the great British countryside is spectacular.

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But we work and play in it at our peril.

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And when things go wrong,

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the emergency services race to the rescue.

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This chap is having a heart attack and we need to get him in quickly.

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SIREN WAILS

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We've got a cow on the road.

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Countryside policing at its finest, yeah!

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Going hundreds of miles against the clock.

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Battling the elements and braving the waves.

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HE GROANS

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From fields and forests to cliffs and country roads,

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we'll be right at the heart of the action,

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with police fighting crime...

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I'm not arguing it. I'm reporting you for it.

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..paramedics saving lives...

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..and lifeguards patrolling the seas.

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We're there as the emergency services pull together

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to pick up, patch up and protect the public.

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This is Countryside 999.

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Coming up, in Dumfries and Galloway,

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an ambulance team desperately search for an elderly man

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who's had a serious fall.

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Oh, this is a nightmare.

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In Cornwall, it's double trouble

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for the air ambulance crew called to two emergencies on the same beach.

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We've let her go with the ambulance crew that's there. Now we can go

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and attend this other lady which is just a bit further down the beach.

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But first, they've got to clear the skies.

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Attention, hang-glider.

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And not far away in Penzance,

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there's a touch of tenderness in the hospital's Urgent Care Centre.

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Let me know when it hurts.

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-So, apart from you...

-Ow!

-I'm so sorry.

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Yeah, that hurt.

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BIRDSONG

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Dumfries and Galloway in south-west Scotland.

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Mile after mile of rolling countryside

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as far as the eye can see.

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But it's not all forest and farmland.

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There's also 200 miles of rugged coastline.

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In the summertime,

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it lures holidaymakers looking to stray off the beaten track.

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But for the emergency services,

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reaching the remote bays and beaches can be a tough ask.

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When disaster strikes, they rely on their GPS

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and local knowledge to get them where they need to be.

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And if both of those let them down,

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well, that's when the trouble really begins.

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SIREN WAILS

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Ambulance team Charlie Walker and Carol Ann McColm are on their way

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to an accident involving a holidaymaker in his 80s.

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He may have broken his hip after a fall on the beach.

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He can't move and the tide's coming in - not a good situation.

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So Carol Ann is hoping the coastguards can get in first,

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but they're already out on another job.

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It looks like they're on their own.

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The crew have been told the casualty

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is on a beach called Seawood,

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supposedly close to the village of Borgue.

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Not according to the sat-nav, it's not.

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Neither of them has heard of the beach before,

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so they're relying on their gadget to get them there.

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Unfortunately, beaches don't come with a postcode.

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I think according to our sat-nav, we're...

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..not going the right way.

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It's a maze of roads round about here.

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You're never sure if you're on the exact right one.

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And we all know that feeling.

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But unhelpful sat-navs aren't the only problem facing country drivers.

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Oh, man.

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It could only happen on a country road.

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Is Seawood Beach down here?

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-Seaward Beach?

-Sea-WOOD.

-Seawood?

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-I don't know, mate.

-Thank you.

-Cheers.

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-Thank you.

-Cheers.

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'It was not a location that we'd heard before'

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so therefore we weren't sure where we were going, so as a result

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we were relying on the sat-nav which we have in the vehicle.

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Time is really ticking away,

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and the patient is still without medical care.

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See if there's anybody...

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..on the beach.

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-Will I just take a quick run down there?

-Aye.

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Excuse me, sir!

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You haven't heard any reports of someone falling at the beach,

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-have you?

-No.

-Nothing at all?

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It's now been almost an hour since the 999 call,

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and the tide is coming in.

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There's nobody here. It's not here.

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You haven't heard a report of somebody injured on the beach,

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-have you?

-On the beach?

-Yeah.

-No, I haven't heard anything.

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-We've been from Carrick right along, and we can't locate them at all.

-No?

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Seawood Beach? I know we've got Seaward, but we've got nothing.

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-No, I've not heard anything.

-Thanks.

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It was starting to get...

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You're getting frustrated

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because you know the person requires your help, requires treatment,

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and they're lying on a shoreline and we're not getting there,

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and within yourself, you start to worry about,

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"How quickly am I going to manage to get there to aid this person?"

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This has turned into the kind of call-out ambulance crews dread.

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Oh, this is a nightmare.

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Cornwall, like Dumfries and Galloway,

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has a spectacular coastline.

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Sandy shores, awesome surf and stunning clifftop views.

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Smugglers' coves and secret beaches

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make perfect hideaways for holidaymakers.

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But it's got its fair share of hidden dangers.

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Sheer cliffs, strong undercurrents

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and fast incoming tides can easily catch out the unsuspecting tourist.

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The pretty nooks and crannies can become lethal traps.

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Cornwall's air ambulance plays a vital role

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in reaching those in trouble,

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responding to three or four emergencies every day.

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Yeah.

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On duty today, paramedic Mick McLaughlin has picked up a call.

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OK, mate. On our way.

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It's just, it's an access problem. A lady's fallen on the beach

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and it's just a long way to get down to the beach.

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There's a land ambulance on the way, but the steep cliff path

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to the beach makes a rescue almost impossible.

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Unless you've got one of these.

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Today Mick is in the back

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and up front is second paramedic Steve Garvey

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and pilot Craig Webster.

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They're heading right across the peninsula

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from their base in Newquay

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to Whitsand Bay near Plymouth.

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The air ambulance crews are specifically trained

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for this kind of stuff.

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Reaching the places that other crews can't reach

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is what this ambulance service is all about.

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There's an update on the casualty.

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-RADIO:

-Just a bit more information for you.

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Yeah, roger, that's all received.

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News that the casualty has got a head injury

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makes the call-out more urgent than they originally thought.

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But the steep cliffs mean the air ambulance crew

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definitely have the advantage.

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They spot the casualty on a rocky bit of the beach

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but the helicopter needs a nice, flat place to land.

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A decent-sized patch of firm sand nearby is just the job.

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While the road ambulance crew wait at the top of the cliffs,

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down on the beach,

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extra help has arrived in the shape of some local lifeguards.

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They and Steve make their way across the jagged rocks.

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It's pretty treacherous underfoot,

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as our unlucky lady has already found out.

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Hi. All right?

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And Steve is about to discover poor Janet's taken a nasty knock.

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It's not quite the family day out she'd expected.

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SIREN WAILS

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In south-west Scotland,

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ambulance technicians Charlie Walker and Carol Ann McColm

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are blue-lighting to another shoreline emergency.

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-But they're struggling to find their casualty.

-Excuse me, sir!

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You haven't heard any reports of someone falling at the beach,

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-have you?

-No.

-Nothing at all?

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He's a man in his 80s

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stranded on a beach somewhere that's not showing up on their sat-nav.

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He has a suspected fractured hip and there's a rising tide.

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It's getting desperate.

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They've combed the area around Borgue, moving east

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along the coast from Carrick Bay.

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Time and tide wait for no man.

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5010, we've scoured quite a large area at this location

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and we're struggling to find anyone. Over.

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'Roger. I'll try and call it back down,

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'see if we can get a further location. Over.'

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Finally, just as it all starts to seem hopeless,

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they discover the right beach.

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Hi, Dougie.

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Yeah, I can see him, just over there.

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-They sent us to Seawood.

-Aye.

-That's up...

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If you go to that bin, it'll be easier to get a route through there.

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OK, cheers.

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Thankfully, the coastguards managed to get here first.

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-Hello there.

-Hi.

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Hello, John. I'm Carol Ann. What happened?

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Right, OK.

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-Two false knees, right.

-And I...

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Which leg is it?

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-The right leg.

-It's your right leg?

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Aye, you can see it.

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During his hour-long wait,

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passers-by have already moved John up the beach twice

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and without pain relief.

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But with the water lapping at their heels, they need to move him again.

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'The gentleman was wet and he was in pain.'

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He also said he had pain at the top of his leg,

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so we had to treat it as if he possibly had a fracture of his hip.

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Even the slightest movement is excruciating.

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Gas and air helps dull the pain.

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We'll all get round him the now, use the canvas as a support,

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-we'll put him on that.

-Move him back a bit.

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Before we immobilise, just with the tide still coming in.

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John, did you hear that, sir?

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John, just take as much of that as you can.

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-So that it'll numb the pain. OK?

-Aye.

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One, two, and lift.

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JOHN GROANS

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That's you.

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This is the third time John has been moved out of reach of the tide.

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Even on the rigid stretcher and with pain relief,

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it's really tough going,

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and not just for John - for his wife Edith too.

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It's just laughing gas, OK?

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But John needs to hang in there a bit longer.

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They still have to splint his leg and get him into the ambulance.

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Coming up,

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the race is on to rescue a second holidaymaker off the Cornish beach.

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We're getting slightly time pressured now.

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We've got an incoming tide which isn't too far away.

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The ordeal's not over yet for poor John on the Solway coast.

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JOHN GROANS

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But first, there's a burning issue to deal with in Penzance.

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As I opened the bonnet,

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it exploded in my face and covered me in red-hot engine oil.

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In Cornwall, the sun is shining and the surf's up.

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The world-famous waves pull in thousands of riders...

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..all looking for the best breaks and the best beaches.

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With the thrills come the spills.

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Many surfers end up in one of the UK's most far-flung hospitals

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in the harbour town of Penzance

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at the West Cornwall Hospital Urgent Care Centre.

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OK.

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It's a special unit open 24 hours a day, 365 days a year.

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-Can you feel that?

-No.

-There's obviously nerve damage there.

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Ow.

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Its GPs and nurses are all upskilled

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to deal with the wide range of cases that come in.

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More than just minor injuries,

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not quite full-on A&E.

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Daniel is a surfer. He's had an accident,

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not on the waves but on the way home in his van.

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Friend Benji has turned up to help keep a smile on his pal's face.

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Senior staff nurse Marie McLaren does the serious stuff.

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We'll have a look at this head wound now.

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You've got a red patch around there,

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and you've got some slight skidmarks just over it.

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'Just been for a surf at Godrevy, and then we're driving up the A30

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'and the engine warning light came on, so I thought'

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I'd open the bonnet and have a look myself,

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and as I opened the bonnet, it exploded in my face

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and covered me in red-hot engine oil.

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It was like a volcanic eruption in my engine!

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I just... I opened the bonnet and as I put my hand on the coolant tank,

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the cap just went bang, blew off,

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and then everything that was in the engine came out,

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literally over, up the windscreen, over the roof of the van,

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complete engine compartment and all over the roads.

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He's a muppet, basically, isn't he?

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Fortunately, when it exploded in my face,

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I had a pair of sunglasses on, so they took the brunt of it.

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I didn't get any in the eyes,

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otherwise I'd have been in a lot more pain now.

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So yeah, I'd probably have been somewhere else, I should imagine,

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having my eyes treated.

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Doesn't bear thinking about, really. Quite lucky.

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Probably sink in when I get home just how lucky I am, I should imagine.

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Yeah.

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Daniel is also lucky he had a quick-thinking pal with him,

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who tipped water over his head, instantly cooling the burning oil.

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A power shower back at the hospital has got most of the rest of it off.

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OK, what I'll do, I'll get the doctor just to come in,

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sort of check everything, and then we can pop a dressing on there.

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-Get him to have a look.

-Going to end up with a big head bandage.

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THEY LAUGH

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Dr Patrick Farrell has a good poke about to make sure

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they haven't missed anything.

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Absolutely nothing to see, which is good news,

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-so I think you've been extraordinarily lucky.

-Yeah.

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Mostly inactivity is the right treatment,

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-and it will all get better on its own.

-Yeah. Excellent, excellent.

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-Thank you very much.

-We'll let you escape.

-Thank you.

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Your chums throwing a bucket of water over you

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-undoubtedly made a huge difference to the outcome.

-Yeah.

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Saved you a lot of misery.

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We had a large five-litre drinking bottle of water

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and he just grabbed it and tipped it straight over my head,

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and, well, he saved me, really, there.

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-Good old Mr Wilson.

-Yeah, good Mr Wilson. Cheers, Phil.

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Daniel is good to go.

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He's looking good. You're looking good.

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But Marie's not finished with him just yet.

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His clothes were trashed in the accident,

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so he's leaving in hospital haute couture.

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Walking out in this, I feel like I'm escaping from the ward, running.

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We should definitely go for a pint in town now,

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with you dressed up like that.

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THEY LAUGH

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I'm not sure that's quite the attitude, lads.

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Take you home, take you home.

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In Cornwall, the air ambulance team have been called out

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to a holidaymaker who's slipped and fallen on rocks.

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-Clear of rocks your side, Steve?

-All clear.

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Air ambulance paramedic Steve Garvey hooks up with RNLI lifeguards

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who've hotfooted it from further along the bay.

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Along the rugged Cornish coast,

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land, sea and air rescue services must all pull together

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to help people in need.

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Hi. All right?

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They've reached the casualty, who's still lying where she fell.

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-Janet, is it?

-Janet, yeah.

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Have you got any neck or back pain or anything?

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Not knocked out at all?

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Are you on your own here, Janet?

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Tell me if I'm hurting you too much, you know, if it hurts or anything.

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Janet's family are concerned.

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We've come for a day out with the children, and unfortunately

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my mother-in-law's come, we made it down the path there

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and she stumbled down the rocks,

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gone headfirst and split the head open at the top there.

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So lots of blood from the head wound,

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difficult for us to get her back up,

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so we figured it best to call for some professional help.

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Is the worst of your pain centred around the top of your head here?

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Do you feel nauseous at all?

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OK, you remember everything that's happened?

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OK. Have you got any pins and needles anywhere or any such thing?

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-Have you been moving yourself at all, other than...

-No.

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Because there are so many blood vessels close to the surface

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under the scalp, head wounds do bleed a lot.

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But in this case, it's not as bad as it looks.

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-Right, let's give you a hand to get up.

-I'm all right.

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-Is that a lot better?

-Yes.

-OK.

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Steve updates his colleagues in the waiting helicopter

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so they can let the road ambulance crew know what's happening.

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-Right, you all right?

-Yeah.

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We'll just let you get your bearings

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because you've had a tumble, sat down.

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How do you feel?

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Headachey, but otherwise all right.

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OK.

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It's a good sign that Janet's still got her appetite.

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I'll just guide her in now, mate. I'll guide her in.

0:24:340:24:37

The family's got a bit of a hike back up to the top,

0:24:390:24:43

while Janet gets a lift.

0:24:430:24:45

-You're comfortable there, Janet?

-Yes, thank you.

-Lovely.

0:24:450:24:48

But she's barely settled and the ride's over.

0:24:480:24:51

And for the walk down to the ambulance,

0:24:510:24:53

she's found a couple of nice young men to escort her.

0:24:530:24:57

RADIO CRACKLES

0:24:570:24:59

But for the helicopter boys,

0:24:590:25:01

it's about to get a whole load more complicated.

0:25:010:25:04

Another urgent call has come in for a second incident not far away.

0:25:040:25:08

We've let her go with the ambulance crew that's there. Now we can go

0:25:080:25:11

and attend this other lady which is just a bit further down the beach.

0:25:110:25:14

All we know at this stage, it's a possible fractured hip.

0:25:140:25:17

The air ambulance guys need to get airborne again quickly,

0:25:170:25:21

but there's a problem.

0:25:210:25:23

Paragilders have taken to the skies.

0:25:230:25:25

It's not safe to take off.

0:25:260:25:28

From a rescue off a Cornish beach

0:25:360:25:39

to another on the Solway coast in south-west Scotland.

0:25:390:25:43

John's afternoon stroll with his wife and their dog

0:25:460:25:48

has turned into something of a nightmare.

0:25:480:25:51

One, two, and lift.

0:25:510:25:54

JOHN GROANS

0:25:540:25:56

His suspected hip fracture is excruciating

0:25:560:25:59

and more than an hour after he fell, John's condition is deteriorating.

0:25:590:26:04

He's on Entonox to ease the pain.

0:26:060:26:08

It's tough for John, but vital they immobilise his leg.

0:26:080:26:12

JOHN WINCES

0:26:150:26:17

Sorry, my darling. John, we're just making these trousers short Bermudas.

0:26:170:26:20

Don't send us a bill for your trousers.

0:26:200:26:23

We're going to lift this leg and put a splint in to support it.

0:26:250:26:29

You try and keep sucking and grab Dougie's arm.

0:26:290:26:31

-That's it.

-That's it done.

0:26:330:26:35

Securing his leg is essential.

0:26:380:26:40

Even though John hasn't got outward signs of bleeding,

0:26:400:26:43

a sharp broken bone moving inside his hip or leg could wreak havoc.

0:26:430:26:47

Hey, John, what we're going to do is, we've got you on this board,

0:26:490:26:52

-we're going to lift you up to the ambulance, OK?

-Right.

0:26:520:26:55

Getting him off the beach has been a real team effort,

0:27:020:27:04

but John's ordeal isn't over yet.

0:27:040:27:06

He's still got to be transferred onto the ambulance stretcher.

0:27:060:27:10

John, I'm afraid we've got to put another wee stretcher in below you.

0:27:100:27:14

-Aye.

-To get you across, OK?

0:27:140:27:16

One, two.

0:27:170:27:19

Great stuff.

0:27:210:27:22

JOHN GROANS

0:27:220:27:23

-You're doing well.

-There you are.

0:27:230:27:25

-Right.

-I'll take your belt...

0:27:250:27:27

-Right.

-..and just ease you.

0:27:270:27:29

-Aye.

-One, two.

0:27:290:27:31

JOHN CRIES OUT

0:27:380:27:40

Just do one, two, and lift.

0:27:400:27:43

That's us.

0:27:500:27:51

JOHN GROANS

0:27:530:27:55

Just pull it down. That's us clear.

0:27:560:28:00

At last he's in. But he's suffering from cold and shock.

0:28:030:28:08

I think we must have saw every piece of coastline before we got to you.

0:28:080:28:12

It's a 30-mile journey to hospital in Dumfries.

0:28:140:28:18

A vacuum mattress keeps him secure.

0:28:180:28:20

Suction pulls the air out of it

0:28:220:28:24

and you can form it around the patient's legs,

0:28:240:28:27

which applies a kind of splint,

0:28:270:28:29

plus it cushions it because of the distance it will have to travel

0:28:290:28:32

and makes it a lot better for the patient travelling.

0:28:320:28:35

Carol Ann is keeping a close eye on John's vital signs.

0:28:390:28:43

You're still a bit cold. Your pulse is coming up normally now.

0:28:440:28:48

Your oxygen saturations are still a bit low.

0:28:480:28:51

You don't need me to tell you the way your leg, you know,

0:28:510:28:54

-right leg has shortened.

-Yeah.

0:28:540:28:56

So it's fairly indicative that,

0:28:560:28:58

-you know, probably your right hip has gone.

-Yes, I think that's it.

0:28:580:29:04

You knew that probably before I told you.

0:29:040:29:07

What we'll do, we'll get you in as quickly as we can and smoothly,

0:29:070:29:10

-depending on the traffic on the road.

-That's all right.

0:29:100:29:12

And then they'll take you in and then we'll hand you over to casualty

0:29:120:29:16

and they'll X-ray it and then they'll decide the plan from there.

0:29:160:29:19

-Yeah.

-OK?

-OK.

0:29:190:29:20

Finally, after his long, wet wait

0:29:240:29:26

and Carol Ann and Charlie's frustrating search to find him,

0:29:260:29:30

John's where he needs to be.

0:29:300:29:31

It's been a long journey to get here

0:29:350:29:37

but at least now he's got a bit of colour back in his cheeks.

0:29:370:29:40

-You brought half the beach with you, I think.

-Aye.

0:29:440:29:47

-The water was coming in.

-Was it?

-Three more men had to get him moved.

0:29:470:29:52

Over 400 miles away, on the southern tip of England,

0:30:090:30:13

life in Penzance revolves around the sea and the coastal waters.

0:30:130:30:17

But working on a boat isn't always plain sailing,

0:30:190:30:22

and staff at the town's Urgent Care Centre are old hands

0:30:220:30:26

when it comes to dealing with all sorts of injuries.

0:30:260:30:29

Local ferryman Les has come in with a mystery complaint -

0:30:300:30:34

a spot of indigestion and a painful knee.

0:30:340:30:37

Senior staff nurse Verity Harding checks him out.

0:30:370:30:40

Are you able to bend the knee at all,

0:30:420:30:44

so you're in this kind of position?

0:30:440:30:46

I think I will be able to, but it might take a while.

0:30:460:30:48

I'm here till nine, don't worry.

0:30:480:30:50

-Can you tolerate that?

-Yeah.

0:30:540:30:56

Let me know when it hurts.

0:30:560:30:58

So apart from your...

0:30:580:30:59

-Ow!

-I'm so sorry.

-Yeah, that hurt.

0:30:590:31:03

See if you can keep it down.

0:31:030:31:04

Apart from your indigestion, any other medical problems at all?

0:31:040:31:07

-No.

-You're not on any inhalers?

0:31:070:31:11

-That's sore.

-I'm really sorry about this, sir.

0:31:110:31:13

The reason I need to feel around here

0:31:130:31:15

is to help me find out what's going on, OK?

0:31:150:31:17

-It's really sore.

-Do you want me to carry on with the examination

0:31:170:31:21

-or do you want me to stop?

-Well...

-Because I would like to examine it

0:31:210:31:24

so I can try and find out what's wrong,

0:31:240:31:26

but if you're taking my hands off it,

0:31:260:31:28

it makes me think that you don't want me to have a look.

0:31:280:31:30

-Only, it's really, really painful.

-I can understand completely.

-OK.

0:31:300:31:33

I'm not going to make your symptoms worse by examining you.

0:31:330:31:36

What I'm going to do is understand what's happening to your leg

0:31:360:31:39

-so we can sort out what's going on.

-Yeah, carry on.

-OK...

0:31:390:31:42

HE EXHALES

0:31:420:31:43

What I'd like to do, because it does feel a bit warm,

0:31:450:31:48

it's very, very sore to touch, I'd like to take some bloods from you,

0:31:480:31:51

see if I can find out a bit more about what's going on.

0:31:510:31:54

-You haven't had any recent injuries around here?

-No.

-No?

0:31:540:31:57

-That's what's weird about it.

-And you haven't had

0:31:570:32:00

any previous operations? But you're really, really, really tender.

0:32:000:32:03

Even if we get to the bottom and find out what's happening with this,

0:32:030:32:06

judging by the amount of pain you've got,

0:32:060:32:08

I really think you're going to struggle to get back to work today.

0:32:080:32:10

Les skippers the ferry from the mainland to the little island

0:32:120:32:16

of St Michael's Mount, a few miles along the coast from Penzance.

0:32:160:32:20

Walkable when the tide's out,

0:32:210:32:23

at high tide it's boat or nowt.

0:32:230:32:25

Les won't want to be losing business.

0:32:280:32:30

It's high summer and peak tourist season.

0:32:300:32:33

I was working and then I had to stop

0:32:350:32:36

and I just wondered what was happening.

0:32:360:32:40

It's not good for that sort of job, holding a boat in and stuff, so...

0:32:400:32:45

I'll have to hand it over to the apprentice.

0:32:460:32:50

With 24 years' experience under her nursing belt,

0:32:520:32:56

Verity is working on a well-informed hunch.

0:32:560:32:59

I think he's most likely got gout,

0:32:590:33:01

and...

0:33:010:33:03

..which is a kind of metabolic disorder where they get crystals

0:33:040:33:08

forming in the joint and it's really, really unbelievably painful

0:33:080:33:11

and it can come on exactly as he said

0:33:110:33:14

although sometimes they tell you they've had a minor bump

0:33:140:33:17

a couple of days before. But I can't miss him having septic arthritis,

0:33:170:33:22

which, if he does, he needs to go to theatre today to have it washed out.

0:33:220:33:27

Septic arthritis is nasty.

0:33:300:33:32

Bacteria get into a joint, causing serious inflammation.

0:33:320:33:35

Left untreated, it can be life-threatening.

0:33:370:33:39

A blood test should hopefully rule out septic arthritis.

0:33:410:33:44

While she's got Les here,

0:33:470:33:48

Verity wants to be thorough in her diagnosis.

0:33:480:33:52

It's prudent to get an X-ray

0:33:520:33:53

because it will just show us that his knee is normal

0:33:530:33:56

because I don't want to see anything abnormal. I'm looking to make sure

0:33:560:33:59

he hasn't got anything sinister that could show up in an X-ray.

0:33:590:34:03

Going to push this up a little bit behind you.

0:34:060:34:08

Les won't have to wait long to know what's what.

0:34:110:34:14

Instead of sending bloods away for testing,

0:34:150:34:17

upskilled nurses in this rural unit can do their own.

0:34:170:34:21

Nurse Fiona Wright will have Les's results in around 15 minutes.

0:34:210:34:25

The X-rays will show what's going on inside the knee joint.

0:34:270:34:30

They can't pick up gout but could flag up Verity's worst fears.

0:34:300:34:35

His bones look nice and healthy.

0:34:390:34:41

I'm not seeing knots of arthritis.

0:34:410:34:43

I'm not seeing a huge swelling in the joint.

0:34:440:34:47

The results are basically that everything is normal,

0:34:470:34:50

so that means he doesn't have septic arthritis,

0:34:500:34:53

so I'm working through with the presumption that he has gout,

0:34:530:34:56

so I will give him some stronger painkillers.

0:34:560:34:59

He couldn't have stronger painkillers earlier

0:34:590:35:01

cos he had a pint on the way up here,

0:35:010:35:03

which is fair enough - his knee hurt him and he wasn't sure what to do!

0:35:030:35:07

Well, as they say, a little bit of what you fancy does you good,

0:35:070:35:11

or in Les's case, maybe not.

0:35:110:35:12

In all honesty, it looks like gout. It's really tender to touch,

0:35:130:35:16

it's a bit red, it's not shiny yet but it will probably get shiny later.

0:35:160:35:20

You need to rest this.

0:35:200:35:21

Any idea when that might be better...ish?

0:35:210:35:25

-Couple of days?

-No, it's going to be more than a couple of days.

0:35:250:35:28

You're going to be laid up for most of the week.

0:35:280:35:31

Right, I shall go and sort out crutches, printed information

0:35:310:35:35

-and pain relief for you. Any questions?

-No.

0:35:350:35:38

It's a surprise result for Les. But he's not alone.

0:35:390:35:43

There's over half a million gout sufferers in the UK.

0:35:430:35:46

I've heard people say they've had gout before,

0:35:480:35:50

but didn't realise it's painful like that. That's, yes, pretty tough.

0:35:500:35:56

Need to get it better quick, so...

0:35:560:35:59

Yeah.

0:35:590:36:00

What that's likely to mean is a change in diet,

0:36:030:36:05

cutting out the foods that make the condition worse.

0:36:050:36:08

But if he sticks to the rules, he should be able

0:36:080:36:11

to keep his symptoms at bay and get back to the boat.

0:36:110:36:14

Earlier, the Cornwall air ambulance

0:36:220:36:24

picked up injured holidaymaker Janet.

0:36:240:36:26

-You comfortable there, Janet?

-Yes, thank you.

-Lovely.

0:36:260:36:29

But now there's another emergency further along the bay.

0:36:300:36:34

While Janet gets treated in the ambulance, the helicopter is needed

0:36:340:36:37

urgently for a second airlift,

0:36:370:36:39

a girl with a possible hip fracture.

0:36:390:36:41

But there's a problem.

0:36:430:36:45

So I think they're heading in that direction.

0:36:480:36:50

If they give us enough room, we could get out.

0:36:500:36:53

This part of Cornwall's coastline is popular with paragliders

0:36:540:36:58

and today's weather is perfect.

0:36:580:37:00

The air ambulance gang are ready to leave but can't take off.

0:37:010:37:06

We're not sure where they're going to go next.

0:37:060:37:09

Of course, if the wind drops or if they have a problem,

0:37:090:37:12

it's unpredictable as to where they might go,

0:37:120:37:16

so obviously a helicopter and a paraglider isn't a good mix.

0:37:160:37:20

And that's putting it mildly.

0:37:210:37:24

The coastguards head off to try and warn them away.

0:37:240:37:27

I have a feeling that once the air ambulance takes off,

0:37:270:37:30

they will get the message fairly sharply

0:37:300:37:32

and they will be on their jolly way.

0:37:320:37:34

In the meantime, we'll do what we can to keep them away.

0:37:340:37:37

-AMPLIFIED:

-Attention, hang-glider!

0:37:370:37:39

Turns out you can't beat a loudhailer.

0:37:410:37:44

The air ambulance crew are back in business.

0:37:440:37:47

Today is a real scorcher

0:37:520:37:54

and Whitsand Bay's three miles of beaches and rocky inlets are mobbed.

0:37:540:37:58

Lifeguards are already with the casualty

0:37:590:38:01

and have set a flare to help the helicopter find them.

0:38:010:38:04

But there were three.

0:38:110:38:12

There is a clear area.

0:38:150:38:16

OK.

0:38:220:38:23

The rising tide means pilot Craig has to keep his wits about him.

0:38:410:38:45

His choice of a landing spot is limited

0:38:450:38:47

as he steers clear of the rocks and the crowds.

0:38:470:38:50

Hi.

0:38:510:38:52

16-year-old Alex is on holiday with her family

0:39:490:39:51

and she's a little camera shy.

0:39:510:39:53

It's not the first time her dad Peter has seen her knee pop.

0:39:540:39:58

We'd gone around the point where there's a really beautiful pool,

0:39:580:40:01

and she was just running along the beach and she went off sideways.

0:40:010:40:05

The kneecap was dislocated.

0:40:050:40:07

She put it back in, but she's still in a lot of pain

0:40:070:40:11

and no way we're getting her up the cliff. That's the problem.

0:40:110:40:14

She's dislocated it before but never in such an awkward place.

0:40:160:40:20

The lifeguards have given Alex gas and air to relieve the pain.

0:40:200:40:24

Steve needs to splint her knee before they can move her.

0:40:240:40:27

But he gets a warning call from the chopper.

0:40:290:40:31

The tide is coming in fast.

0:40:310:40:33

We're getting slightly time pressured now.

0:40:330:40:35

We've got an incoming tide which isn't too far away,

0:40:350:40:37

so what we need to do is get Alex onto the aircraft as soon as we can.

0:40:370:40:41

If the water gets above the helicopter's skids,

0:40:420:40:45

it could get very difficult.

0:40:450:40:47

Craig must get the chopper off the sand before that happens,

0:40:470:40:50

and it's a matter of minutes away.

0:40:500:40:53

-'Go ahead.'

-Yeah, if you could let the coasties on the beach know

0:40:550:40:59

that we're going to move the casualty.

0:40:590:41:01

Ready, set, lift.

0:41:010:41:03

-Derriford Hospital, sir, all right?

-Yeah, got it.

0:41:050:41:07

-If you need directions, come up to the unit.

-Don't worry, we know.

0:41:070:41:11

Good job the lifeguards are here to help,

0:41:160:41:18

otherwise the tide might have won.

0:41:180:41:20

She's in, and they're off.

0:41:240:41:27

That water looked a bit close there.

0:41:280:41:30

Yeah, the water was getting right round the skids of the aircraft.

0:41:300:41:34

We didn't have a lot of time left.

0:41:340:41:36

Back on the clifftop, it's time for the second handover of the day.

0:41:360:41:41

It is a beach that's notorious for access problems,

0:41:410:41:45

so while the patients have relatively minor injuries,

0:41:450:41:49

the helicopters proved invaluable in getting them off the beach

0:41:490:41:52

and into the ambulance.

0:41:520:41:54

-How's that?

-Yeah.

-Brilliant, there we are.

-Right.

0:41:550:41:59

With Janet already up back, that makes two.

0:41:590:42:03

Steve seems keen to make it three.

0:42:030:42:06

-We'll see if we can find you another one, eh?

-Yeah!

0:42:060:42:09

The air ambulance guys have had their work cut out for them this afternoon.

0:42:090:42:13

Just two hours since the first call, double rescue complete.

0:42:130:42:17

All's worked out for the two patients. They've received

0:42:170:42:20

the appropriate treatment and we are now free to treat someone else.

0:42:200:42:23

It's been all go for Britain's rural emergency services.

0:42:330:42:37

It turned out John's hip was intact,

0:42:390:42:41

but he had a bad break to his thigh bone.

0:42:410:42:43

Now, with steel pins in his leg and plenty of physiotherapy,

0:42:450:42:48

he's on the road to recovery.

0:42:480:42:50

Janet didn't need hospital attention.

0:42:520:42:54

She had her wound closed by her lovely ambulance crew

0:42:540:42:57

and has recovered well.

0:42:570:42:58

Daniel's burns have healed, leaving hardly any scarring,

0:43:010:43:04

but he's not planning to hit the catwalk any time soon.

0:43:040:43:07

And who says nothing happens in the countryside?

0:43:100:43:14

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