Episode 11 Countryside 999


Episode 11

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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. We need to get him in quickly.

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SIRENS BLARE

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We've got a cow on the road.

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Countryside policing at its finest here.

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Going hundreds of miles against the clock...

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..battling the elements

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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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BABY CRIES

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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, the Cornwall Air Ambulance speeds to an 11-year-old

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motorbiker who's come a-cropper.

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What I don't want you to be is have to be the bravest man

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in the world and tell me it's not hurting when it really is.

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In the Welsh countryside,

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cops sniff out drugs on a rural road.

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Strong smell of cannabis in this car, so I'm going to search you all.

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Yeah, that's fine. Yeah.

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Who's got...

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Before you go any further, who's got it?

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And in South-West Scotland,

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paramedics race to a woman who's collapsed at her GP's.

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Is it Mrs Scott?

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Mrs Scott, have you got any pain there at the moment?

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Cornwall, an outdoor-lover's paradise.

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In summer, locals are joined by tourists and thrill-seekers

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hooked on adventure.

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And the population rises from 500,000

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to nearly five million.

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But where there's adventure, there's accidents.

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There's only one A&E unit in Cornwall.

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So, getting urgent medical care in this massive area can be tough.

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Up for the challenge are the Cornwall Air Ambulance Crew,

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based at Newquay Airport.

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They've been providing front-line emergency care for over 26 years.

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Crucial to the team are highly trained paramedics,

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on call every day of the year.

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On duty this morning is Paul Symonds,

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ready and able to fly on average four missions in one day.

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Working with him is paramedic Ben Mayhew.

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He knows that travelling as the crow flies is often the best way

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to reach scattered communities in this vast area.

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A call's come in.

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A kid's had a motorbike accident in a field near the village of Fraddam.

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It's 25 miles away.

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A long journey by road but just 12 minutes by air.

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A road ambulance crew is already on the scene.

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The crew will be there any minute.

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Time to sort out pain relief.

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Now Pilot John Taylor must negotiate electricity cables before landing.

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Descending to land.

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The team pull together to guide the Helimed away

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from the high voltage wires.

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A safe landing for the Helimed.

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But not for the young motocross rider.

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11-year-old Lee lost control of his bike.

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He flew off and landed on a nasty piece of rusty metal.

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-This is Lee.

-Hello, Lee. How are you doing, buddy, all right?

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-How are you?

-11 years old.

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Lee's mum and the ambulance crew are with him.

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He's got a deep, open wound above the knee.

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You're a brave chap, well done, good man. You all right?

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You are a super brave man, aren't you?

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Pain relief wise, literally...?

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Calpol. We haven't got any Oramorph on board.

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No, that's great, OK. All right.

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The gash is right down to the bone.

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Considering Lee's only had paracetamol and gas and air,

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he's being a real trouper.

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But Paul's worried Lee's leg pain is masking more serious injuries.

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Listen, Lee, you all right there, buddy?

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Yeah, that's it. Look, I'll come this side of you.

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This is going to be probably quite sore when we move you about.

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What I don't want you to be is have to be the bravest man

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in the world and tell me it's not hurting when it really is,

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all right, cos all I want you to do is be nice and happy,

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and nice and comfy, if you can possibly do that, all right?

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So be honest, if it's really sore, tell me,

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and I can really help you with that,

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and we'll try and get some painkillers for you,

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and make things a little bit better

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than they are at the moment. Is that all right?

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Later, Paul and Ben prepare Lee for uplift.

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He's actually broken the visor of his helmet.

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So, because of that mechanism, we're going to immobilise him.

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Also covering vast distances are the Dyfed-Powys Police.

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At over 4,000 square miles,

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theirs is the largest police territory in England and Wales.

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And it's breathtaking.

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With rolling mountain ranges, remote rural communities,

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and over 350 miles of rugged coastline.

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A massive area.

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But a small force to protect it,

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with just one police officer per four square miles.

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The Brecon Beacons National Park is a draw for tourists.

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Every year, the local population

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is joined by over four million visitors.

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Helping to keep them all safe is PC John Whiles.

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He's based in the town of Brecon and has been for 11 years.

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Brecon's a lovely place,

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with the Brecon Beacons, quite a nice place to work, really.

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I like the freedom, really.

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You come in, you grab a car, you go where you want.

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As long as you're putting the work in, you're left alone, basically.

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What I like about road policing, it's more a proactive role,

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so you're out there looking for work.

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Instead of reacting to calls, like the beat do,

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we go out there and hunt, look for travelling criminals

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and traffic offences, basically.

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John normally works alone, policing the roads in an unmarked car.

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First up, he's on the hunt for dangerous drivers.

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It's morning rush hour on the A470

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so he's got his eyes on a very tight S-bend.

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The white lines are there for a reason.

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You've got a little S-bend, little chicane.

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You got a bend on the corner there,

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and you've got a car park opposite.

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That's the reason for the double white lines

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but some people tend to ignore them.

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If they clip the white lines, or straddle them, I don't stop them.

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I only actually stop them when they go four wheels

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into the opposite lane.

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You're not allowed to cross double white lines at all.

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The saying is, "More paint, more danger."

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Nice one - I'll remember that.

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Today, the motorists are behaving.

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Yes, very good, very good.

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So John moves on.

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Sometimes, I'll check vehicles...

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at random.

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Just drive along and see what comes around!

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Ah, they're in a hurry.

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Then, a red car flashes past and catches his eye.

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Good spotting.

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Right, he's tucking something

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in his back, he is, the one at the back.

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Right, boys, how's it going? Strong smell of cannabis in this car,

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and you've just shoved something down your back.

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When I stopped the car, you were like this,

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seat belt off, and it's stinking of cannabis.

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So, I'm going to search you all.

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-Yeah.

-Who's got...

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-Before we go any further, who's got it?

-No-one, I ain't got no cannabis, mate.

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-There's a cannabis smell in here, boys.

-No, we haven't got no cannabis.

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-Can I put my teeth in?

-Yeah, course you can. All out, please.

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Can you come out here where I can see you? Come round here.

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It reeks of dope. But PC John needs hard evidence.

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A smell of cannabis. Can you tip your pockets out for me?

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I can smell it in the car, see. Quite a strong smell of cannabis, like.

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Yeah, it was half a joint I had and I was smoking it here.

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And I just threw it, the roach ended up about here.

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No, no.

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Two seconds.

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Two seconds. Keep here.

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Right, do me a favour,

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keep your hands up here where I can see them, right?

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Right, turn your pockets out for me,

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please, buddy. Keep your hands where I can see them.

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The woman's come clean. But John wants to find the drugs.

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You'll do these silly things like smoke drugs?

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Then John finds a grinder, a gadget used to grind marijuana leaves.

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Have you been in trouble with cannabis before? You have?

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-When?

-Over 13, 14 years ago.

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Give me a sec, then.

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He's smelt the dope, and he's found a grinder.

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But without more evidence, PC John is powerless. For now.

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Honest to God, I just throwed it out there.

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Later, John's instincts tell him

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there's more to this case than a dodgy smell.

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Earlier in Cornwall,

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the Air Ambulance raced to a field in Fraddam.

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11-year-old Lee came off his motorbike and gashed his leg.

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And he could have more serious injuries.

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Hello, Lee, how you doing, buddy, all right?

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Lee's wound is right down to the bone,

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so Paul asks Lee to grade his pain.

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So how do you feel at the moment, buddy?

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-Erm... About two-ish pain.

-OK.

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Do you want anything more for the pain?

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Can we make you any more comfortable, do you think?

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No, not really.

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-You're going to brave it out at the moment?

-Do you want some more gas?

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We had some giggles with the gas just now, so that was working well.

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Lee's mum, Yvonne, was with him in minutes.

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He's been very brave, he... He don't seem too bad.

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The gash in his leg's a bit bad but apart from that, he seems OK.

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The only visible injury is a leg wound.

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But the pain from that could be masking more serious injuries.

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So, you can wiggle your fingers, can you?

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Do you mind me lifting your top up there?

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You've had a wash today, that's the main thing.

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-No.

-No?!

-Tell us that now!

-Take a deep breath in.

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Does that hurt at all?

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No?

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He's come off his bike at around 20mph,

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gone forward and left the bike.

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He's actually broken the visor of his helmet.

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Because of that mechanism,

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we're going to treat it quite conservatively, and immobilise him.

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A broken helmet could mean a neck and spine injury.

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Paul and Ben can't take any chances.

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You haven't got any necklace on, or anything like that?

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-No, I don't wear it.

-No?

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Lee, what I need to do is get in and around your neck, all right?

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But it's probably easier if I cut right across your top

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and get the whole thing off, is that all right? Good man. All right, then.

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So, you pop your arm out, nice and straight.

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-You getting cold?

-You feeling cold?

-Yeah.

-I'll get you another blanket.

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Right, Lee, this collar unfortunately is not designed for

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comfort. The whole idea is to keep you nice and straight and in line.

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What I'm going to do is pass this collar up behind your head,

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OK? And this pings round.

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-Have you seen these on the telly? Do you watch Casualty?

-Yeah.

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-My cousin does.

-Pop your arms across your chest, that's it.

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Put that one up as well, keep you nice and warm.

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Like I say, this isn't going to be comfortable, but it just helps us,

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-all right?

-Keep your head nice and still.

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You keep looking straight up in the air, all right?

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Lee's badly hurt,

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and in a remote field 20 miles from the nearest A&E.

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He needs urgent hospital care.

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But, first, he'll have to get to the Helimed.

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-OK?

-OK?

-Yeah.

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-If I let you do those together.

-OK.

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Lee, can you just take a nice deep breath in for me?

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The team make the transfer over bumpy ground as smooth as possible.

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This tough lad is coping on paracetamol, and gas and air.

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Ready, set and lift.

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Lovely job.

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All right? So, tell me, how's your leg feeling?

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Less painful, I guess.

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Less painful, that's a good thing, isn't it?

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-That's really uncomfortable.

-Yeah.

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With Mum by his side, Lee takes off.

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His journey to hospital will take

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a fraction of the time it would have by road ambulance.

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He's got a five-inch laceration just above the knee,

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full thickness down to the bone.

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Cos he's 11 and cos of the state of his injury, then,

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as you can see, the lane we're going out of,

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it wouldn't have been very comfortable getting him out of here

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very quickly and very easily to the appropriate hospital, really.

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I think the people of Cornwall have a great affinity with

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the Cornwall Air Ambulance.

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I think a lot of people have had experiences of it,

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whether it be first-hand, or through family members,

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and I think they get it. I think they see the benefit

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the Air Ambulance brings to the county.

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Coming up, Lee has to be a brave soldier in hospital.

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Right, squeeze my hand.

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HE GROANS IN PAIN

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Relax.

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PC John sniffs out some serious crime.

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When you say disqualified, do we know why?

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'Yes, it's giving us dangerous driving and no insurance.'

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But first, it's a blue light case

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for rural paramedics in Dumfriesshire.

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-Do you remember what happened?

-No...

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Sort of?

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Across Scotland, the Ambulance Service looks after

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a population of over five million.

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150,000 of them in the rural region of Dumfries and Galloway.

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But all these people are scattered over a vast area.

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So, with over 16,000 emergency incidents to attend

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every year, the paramedics have many miles to cover.

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From countryside collisions...

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..to an accident at the seaside.

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I'm Caroline. What happened?

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They go the distance to pick up the sick...

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So, this one, did the pain stay just in your chest or did it go...?

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..and patch up the wounded.

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He's got a problem with a dislocation to his right knee.

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Today it's the turn of

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veteran paramedics Paul Votier and Malky McNeish.

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The Lockerbie pair have clocked up 31 years between them on the job.

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A 999 call has just come in.

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A patient's collapsed in a doctor's surgery.

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Hello there. Mrs Scott?

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Hello, Mrs Scott.

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Agnes came in with chest pains,

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but suddenly lost consciousness in the consultation room.

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Agnes is on oxygen while she comes round.

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Paul checks she's fully conscious.

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-Is it Mrs Scott?

-Yes.

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-Mrs Scott, have you got any pain at the moment?

-No.

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-No? OK. Do you know where you are at the moment?

-Yeah.

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-Can you tell me?

-Lockerbie Surgery.

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-And do you remember what happened?

-No...

-Sort of?

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Agnes has an existing heart problem.

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So when she woke at three in the morning with a burning pain

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in her chest, she knew she needed a doctor.

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Before she collapsed, Agnes had been given something for the pain.

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Do you remember the doctor giving you the GTN spray under the tongue?

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Yes.

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-Do you remember much after that?

-Yes, aye, kind of.

-Kind of.

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Just going to take you through to Dumfries, OK?

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Get the doctors to check you out there.

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-You wasn't expecting this this morning, no?

-No, no.

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Paul is confident Agnes won't need to be stretchered to the ambulance.

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We're just going to sit you up, nice and easy.

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Bring your arms across your chest, I'll help you sit up.

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Just rest there for a moment, just rest against me, how are you feeling?

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Just a wee bit sicky.

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Sicky, OK. No pain, no?

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If you dig your heels in for us, we'll give you a hand to stand up.

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And I'll put the chair in behind you and get you sat down.

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Ready? One, two, three.

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Have a wee seat there, that's it.

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-How do you feel there?

-OK.

-OK.

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Thanks very much.

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-Have you spoken to Dumfries?

-Yes.

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Fantastic.

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Agnes now faces a 13-mile journey on country roads to hospital.

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Paul will keep a close eye on her all the way.

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I know I've asked this question before, Agnes.

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-You had chest pain before the doctor gave you the spray?

-Yeah.

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What's the last thing you remember?

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I started to go all woozy, next thing they had me on the floor.

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-Then you came round on the floor. Pain free?

-Yes.

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No pain. Everything's good, Agnes, all right?

0:21:560:21:59

Paul and Malky take Agnes to Dumfries and Galloway Royal Infirmary

0:21:590:22:03

where she'll be checked out by the specialists.

0:22:030:22:05

Later in the programme,

0:22:140:22:16

Paul and Malky blue light to a man

0:22:160:22:19

who's taken a turn after eating ice cream.

0:22:190:22:21

Keep nice and still for me, OK?

0:22:220:22:24

Back in the Brecon Beacons, PC John Whiles is on road patrol,

0:22:340:22:39

which often means covering hundreds of miles on his own.

0:22:390:22:43

Earlier, he nabbed a car reeking of cannabis.

0:22:470:22:51

Before we go any further, who's got it?

0:22:510:22:53

No-one, haven't got any cannabis, mate.

0:22:530:22:55

There's a cannabis smell in here.

0:22:550:22:56

When I stopped the car,

0:22:560:22:58

as soon as I opened the door, I could smell a strong smell

0:22:580:23:01

of cannabis coming from inside the car.

0:23:010:23:03

The lady's admitted having a joint.

0:23:030:23:05

However, because I can't find the joint,

0:23:050:23:07

I've got no evidence really.

0:23:070:23:10

So the fact she said she had the joint, it's historical, really.

0:23:100:23:13

I can't really find the joint, so I can't do anything about it.

0:23:130:23:16

He's searched the car and the three people on board and found no drugs.

0:23:160:23:22

But John's instincts tell him

0:23:220:23:23

there's more to this than meets the eye.

0:23:230:23:25

He radios for a vehicle check.

0:23:250:23:28

Can I have a code one vehicle check, please?

0:23:280:23:30

'Red Fiat Punto, with one driver insured on.'

0:23:310:23:34

The driver is uninsured, which means a 300 quid fine and six points.

0:23:390:23:45

-My insurance is on her name, see?

-Right.

0:23:450:23:48

And his day goes from bad to worse.

0:23:590:24:01

His friend lets slip he doesn't even have a full driving licence.

0:24:010:24:05

Right, one thing at a time, right?

0:24:190:24:21

A provisional licence holder must be accompanied by

0:24:220:24:24

a full licence holder. But no-one in this car is legal.

0:24:240:24:28

So, it looks like it's the end of the road.

0:24:280:24:31

RADIO BEEPS

0:24:490:24:51

From one zero, can I arrange recovery, please, section 165?

0:24:510:24:55

The recovery truck's on its way.

0:24:580:25:01

But just when he though it couldn't get any worse, it does.

0:25:010:25:05

'Not having any insurance is one thing. We've got 24 previous

0:25:050:25:08

'and also disqualified driving

0:25:080:25:11

'for taking a motor vehicle without consent, 2008.'

0:25:110:25:14

Yeah, that's received. When you say disqualified, do we know why?

0:25:140:25:17

'Yes. It's giving us dangerous driving and no insurance.'

0:25:170:25:22

RADIO BEEPS

0:25:220:25:24

Yeah, that's received.

0:25:240:25:26

So, you've not got a provisional. You've been disqualified,

0:25:260:25:29

-you had a licence.

-Yeah, I have got a provisional.

0:25:290:25:31

The driver's already been disqualified.

0:25:310:25:34

It's time to feel the force of the law.

0:25:340:25:37

John reveals the hefty list of penalties he'll face.

0:25:380:25:41

You're talking £300 fixed penalty for the no insurance,

0:25:420:25:46

plus driving without a licence.

0:25:460:25:49

How much for that?

0:25:490:25:50

Might as well cut my arm and leg off!

0:25:500:25:52

It's turned into a catalogue of offences.

0:25:540:25:57

Basically, what's happened, he's driving on a provisional licence,

0:25:570:26:02

they've got no insurance on the vehicle,

0:26:020:26:04

so the vehicle's now been seized under section 165 of the Road Traffic Act.

0:26:040:26:07

And all occupants have been searched for cannabis and no cannabis found.

0:26:070:26:11

There was a grinder found, small bit of dust in it.

0:26:110:26:13

I'm not going to arrest somebody for a bit of dust. So that's it, really.

0:26:130:26:17

So wait for recovery to come now. Job done.

0:26:170:26:20

I am at the moment on a back road, which takes us towards the valleys.

0:26:230:26:26

I've just phoned recovery now

0:26:280:26:29

because it's quite a rural location and quite difficult to find.

0:26:290:26:33

The recovery truck can't find them.

0:26:340:26:36

No wonder - they're deep in the countryside on an unnamed road.

0:26:360:26:40

But John's local knowledge saves the day.

0:26:400:26:43

Hello, it's PC Whiles.

0:26:430:26:45

Just so you know, if you go towards Talybont...

0:26:450:26:47

The driver's been reported for summons cos he's driving

0:26:490:26:52

without insurance and other than according to the licence,

0:26:520:26:55

so that's quite serious. He'll have to attend court.

0:26:550:26:58

To get the car back, they'll need to pay over 100 quid within 14 days.

0:27:110:27:16

Not to mention providing valid insurance and a valid licence.

0:27:160:27:20

So, if you sign both those.

0:27:220:27:24

And here comes the pick-up.

0:27:260:27:27

Stranded in the back of beyond,

0:27:290:27:32

John gives them a lift to the nearest village.

0:27:320:27:34

But they'll have to make their own way from there,

0:27:350:27:38

and not behind the wheel.

0:27:380:27:40

Later in the programme,

0:27:430:27:45

PC John catches a red light jumper red-handed.

0:27:450:27:48

You actually came flying through there at quite a fair speed, really.

0:27:480:27:51

Well, I don't speed all the time.

0:27:510:27:53

I'm late for this flipping golf thing now.

0:27:530:27:55

From crimes on country roads to a nasty fall on farmland...

0:28:020:28:06

..the Cornwall Air Ambulance has had an urgent call out

0:28:080:28:10

to a field near the village of Fraddam.

0:28:100:28:12

11-year-old Lee flew off his motorbike and landed on rusty metal.

0:28:150:28:19

This is going to be probably quite sore when we move you about

0:28:190:28:23

and what I don't want you to be is have to be the bravest man

0:28:230:28:26

in the world and tell me it's not hurting when it really is.

0:28:260:28:28

The only injury you could see was a nasty, open wound on his leg.

0:28:280:28:31

It was right through to the bone.

0:28:310:28:34

But the team had to treat him for potential neck and spine injuries

0:28:340:28:37

and get him to hospital quickly.

0:28:370:28:39

He may be feeling pain in his leg and not telling us

0:28:410:28:43

about some pain that he may have had in his neck.

0:28:430:28:46

Because of the speed that he was travelling

0:28:460:28:48

and his helmet was damaged,

0:28:480:28:50

we immobilised his spine just in case.

0:28:500:28:53

Now in Truro, Lee and mum Yvonne

0:28:550:28:57

have been safely delivered to hospital.

0:28:570:29:00

And it's good news.

0:29:000:29:02

Lee doesn't have a spinal injury.

0:29:020:29:04

I was just riding back to the house,

0:29:050:29:07

I hit this massive metal thing and flipped over and cut my leg.

0:29:070:29:13

He was going out with his dad and his two brothers

0:29:140:29:19

on the motorbikes into the top field and fell off on his way home.

0:29:190:29:24

Bit of a shock.

0:29:240:29:25

Consultant Dr Mark Jadav comes to check on Lee's injury.

0:29:270:29:31

How are you feeling, Lee?

0:29:310:29:32

OK.

0:29:320:29:34

Lee, what I'd like to do is have a proper look at this, OK?

0:29:340:29:37

And what I'm going to do is give you some gas, all right?

0:29:370:29:40

They've told me he's got to get it cleaned out and checked

0:29:400:29:44

to make sure there's no further damage underneath.

0:29:440:29:47

It hurts.

0:29:480:29:49

The doctors need to examine the wound thoroughly and stitch it up.

0:29:500:29:54

Lee AND his mum will need guts to get through this.

0:29:540:29:58

-Are you likely to faint?

-What, at the wound,

0:29:590:30:02

-of just...?

-Anything.

0:30:020:30:03

-I've seen it.

-Seen it all before.

-I've seen all that

0:30:030:30:05

-today, at the minute.

-That's fine, that's absolutely fine.

0:30:050:30:08

Lee needs a local anaesthetic injected near his wound.

0:30:100:30:14

All right?

0:30:140:30:15

Just going to pop a little bit of local anaesthetic in there, OK?

0:30:160:30:19

It feels a bit stingy, like a bee sting, all right?

0:30:190:30:22

You're doing really well.

0:30:220:30:24

-BOY GROANS

-It's all right - squeeze, squeeze, squeeze!

0:30:240:30:27

-Relax.

-That's it.

-Nice big, slow, deep breaths.

0:30:270:30:30

Keep holding my hand. Squeeze.

0:30:300:30:32

-It's all right.

-It's OK, just breathe.

0:30:320:30:34

Just breathe.

0:30:340:30:36

-Breathe. Big breaths.

-It's all right, it's all right.

0:30:360:30:38

When the local anaesthetic kicks in, the doctors can stitch him up.

0:30:380:30:42

Keep hold of me.

0:30:420:30:43

It's all right, you're doing all right, just relax.

0:30:430:30:46

Big breaths.

0:30:460:30:48

That's it, well done. Big, deep breaths.

0:30:480:30:51

-Breathe, breathe.

-OK.

0:30:510:30:53

Just relax.

0:30:530:30:54

The gas and air and anaesthetic take effect,

0:30:540:30:57

allowing the medical team to repair the damage.

0:30:570:31:00

Can't be squeamish in this job, can you?

0:31:030:31:05

No! CHUCKLING

0:31:050:31:07

I think he may be off the motorcycle for a few weeks,

0:31:140:31:17

but he's had that all stitched up now.

0:31:170:31:19

There's no tear to the muscle at all, so that's really good for him.

0:31:190:31:24

It means he'll certainly be back up and on his feet much sooner.

0:31:240:31:26

The worry with that injury for him today was that

0:31:260:31:29

he had other injuries besides the cut on his leg.

0:31:290:31:33

So when he got here, we did a trauma assessment,

0:31:330:31:36

and the great news was that there was

0:31:360:31:38

absolutely nothing else going on with him.

0:31:380:31:40

It was simply a skin wound, torn through the

0:31:400:31:42

skin and the fatty tissue below it.

0:31:420:31:45

So thankfully, he'll be on his way very soon.

0:31:450:31:47

Lee gets the all-clear,

0:31:520:31:54

and it's not long before he's back on his feet.

0:31:540:31:56

But will Mum let him back on his bike?

0:31:560:31:59

I'd say...

0:31:590:32:01

at least 25 years?

0:32:010:32:04

No! About four weeks!

0:32:040:32:06

-About...

-Or a month.

-Well, we'll wait and just see how the leg heals.

0:32:060:32:09

It's been a team effort to help the junior daredevil,

0:32:120:32:15

but it's all second nature to the countryside emergency services.

0:32:150:32:19

Back in Dumfries and Galloway, it's all about teamwork

0:32:400:32:43

for Lockerbie paramedics Paul and Malky.

0:32:430:32:45

They've helped Agnes, who'd collapsed in her doctor's surgery.

0:32:480:32:52

One, two, three...

0:32:530:32:55

We've got your seat there, that's it.

0:32:570:32:59

Now they're on another call,

0:33:010:33:02

this time further away from their base in Lockerbie.

0:33:020:33:05

They're off to Eaglesfield, a village ten miles to the south.

0:33:050:33:09

SIREN SOUNDS

0:33:100:33:12

An older man is complaining of severe chest pain -

0:33:120:33:15

one of the most common reasons for ambulance call-outs in this area.

0:33:150:33:18

Unusually, the man's symptoms were triggered by eating ice cream.

0:33:230:33:27

SIREN SOUNDS

0:33:270:33:30

This is a chest pain - 69-year-old male with a chest pain.

0:33:300:33:33

The patient's wife called 999 when he became ill.

0:33:330:33:37

You talk to me - what's going on?

0:33:380:33:41

What's happened to you?

0:33:410:33:43

-How do you feel at the moment?

-I'm all right.

0:33:450:33:47

Any pain there at all at the moment?

0:33:470:33:49

Yep...

0:33:550:33:56

Was he?

0:33:560:33:58

-What's your first name, sorry?

-Alan.

0:34:050:34:08

-Is it OK if I call you Alan?

-Aye.

0:34:080:34:10

Alan, can you take this top off?

0:34:100:34:12

-Or just lift it up for me?

-Aye.

0:34:120:34:14

Paul needs to find out what has triggered Alan's episode.

0:34:150:34:18

If it's an underlying heart problem, it should show up on an EGC,

0:34:200:34:23

which measures electrical activity in the heart.

0:34:230:34:26

So was you just sitting down eating this ice cream, Alan,

0:34:260:34:28

or was you walking about when the pain came? Just sitting?

0:34:280:34:32

Didn't wolf it down, did he(?) Did he take his time or wolf it?

0:34:360:34:39

No!

0:34:390:34:40

These first ones go on your wrists and your ankles,

0:34:460:34:48

these sticky pads, and then we'll put six across your chest, OK?

0:34:480:34:51

-And you're pain-free at the moment, Alan?

-Oh, fine, thanks.

0:34:550:34:58

What was you doing today, then, what work was you doing?

0:34:580:35:01

Just the ice cream?

0:35:070:35:09

We'll just do this, Alan, make sure things are OK and have a chat

0:35:110:35:15

and see what you want to do, OK?

0:35:150:35:16

Keep nice and still for me, Alan, OK?

0:35:200:35:23

That looks tickety-boo.

0:35:250:35:28

It's fine.

0:35:290:35:32

Blood pressure's fine, pulse is fine, ECG is fine.

0:35:320:35:36

All the results are normal, so Paul agrees Alan can stay at home

0:35:360:35:40

and avoid the 42-mile round trip to the nearest hospital.

0:35:400:35:44

But he'll have to check in with his GP,

0:35:440:35:46

and maybe stay off the sweet stuff.

0:35:460:35:48

That's all OK, Alan, that's all clear, OK?

0:35:480:35:52

You don't suffer with ulcers or gastric problems at all, do you?

0:35:520:35:57

Do you normally get upset tummies?

0:35:570:35:58

In Dumfries and Galloway, nearly a third of the population

0:36:050:36:08

are over 60.

0:36:080:36:10

Heart disease is one of the leading causes of death,

0:36:100:36:13

so reaching patients with chest pain quickly is critical.

0:36:130:36:16

It can take up to 40 minutes

0:36:190:36:21

for an ambulance to get a patient to hospital in this rural area.

0:36:210:36:25

Very different from Paul's old manor.

0:36:250:36:27

The travelling time in London, or any city, to a hospital

0:36:270:36:30

could be less than five minutes, less than ten minutes.

0:36:300:36:34

In the countryside, you're looking at sometimes

0:36:340:36:36

up to 30- or 40-minute journey times.

0:36:360:36:39

But for Paul it's a small price to pay for leaving the city behind.

0:36:390:36:42

Such a more happy person,

0:36:420:36:44

relaxed person than I used to be in London, so...

0:36:440:36:47

Rural Britain makes for a stunning workplace -

0:36:580:37:01

compensation for the challenges it gives the emergency services.

0:37:010:37:05

On his patch in the Brecon Beacons, PC John Whiles knows

0:37:070:37:11

the rural roads like the back of his hand.

0:37:110:37:14

And he's got a nose for sniffing out crime.

0:37:140:37:17

After a period of time working this area,

0:37:170:37:20

you do tend to know certain places to go, certain times of day,

0:37:200:37:24

certain times of the week, when you will get certain offences.

0:37:240:37:27

We've already seen him catch a motorist breaking the law.

0:37:270:37:30

Now John's on the prowl in Crickhowell for red-light jumpers.

0:37:380:37:42

And one offending hot spot is the town's roadworks.

0:37:420:37:45

I'm parked here at the moment, we've got traffic lights here.

0:37:470:37:51

People tending... what I call amber gamblers,

0:37:510:37:54

they tend to jump the red lights sometimes.

0:37:540:37:57

I'm looking for people jumping the red lights.

0:37:570:37:59

You've got a good view looking down into the cockpits of cars,

0:37:590:38:01

and you see people on mobile phones,

0:38:010:38:03

texting and speaking on the phones as they drive through.

0:38:030:38:08

There are people with no insurance as well.

0:38:130:38:15

That's quite a good offence

0:38:150:38:17

because at the end of the day, if they crash into somebody,

0:38:170:38:19

then it's the injured party who tend to be out of pocket,

0:38:190:38:23

at the end of the day.

0:38:230:38:24

And it's not long until a Honda hightails it through a red light.

0:38:310:38:35

This car in front, this black Honda in front, just jumped the red light.

0:38:470:38:51

Came through quite fast

0:38:510:38:52

and obviously, with the light changing, went through.

0:38:520:38:55

The reason I've stopped you is I was parked back there on the hill

0:39:090:39:12

and you jumped the red light, OK?

0:39:120:39:14

It was gone to red and you went through.

0:39:140:39:16

You've gone past the sign, you came flying through there

0:39:160:39:19

at quite a fair speed. I couldn't tell you what speed,

0:39:190:39:21

but you jumped the red light, OK?

0:39:210:39:23

-Unfortunately...

-Sorry about that.

-I've got a choice -

0:39:230:39:25

I can either report you for summons, where you can attend court,

0:39:250:39:28

or can offer you a fixed penalty, but the choice is yours.

0:39:280:39:31

Um, the fixed penalty...?

0:39:310:39:33

It's a £100 fine and three penalty points on your licence.

0:39:330:39:36

I know I shouldn't have done that. I'm already on nine points.

0:39:360:39:39

-Oh, right, that changes things.

-I mean, the amount of miles I do,

0:39:390:39:42

I mean, I've done 176,000 in this,

0:39:420:39:45

and I'm on the road, you know, like, all the time,

0:39:450:39:49

constantly, and how I don't get gunned...

0:39:490:39:52

But I don't speed ALL the time.

0:39:520:39:53

I'm late for this flipping golf thing now.

0:39:530:39:56

That's the only reason. Normally I don't honestly go like a maniac.

0:39:560:40:00

Unfortunately, because I've stopped you, you're going to be late again.

0:40:000:40:03

Right, got a bit of a problem now, right,

0:40:030:40:05

because you are on nine points,

0:40:050:40:07

I can't offer you a fixed penalty, right,

0:40:070:40:09

so I'm going to have to report you for summons.

0:40:090:40:11

-I'll be off the road?

-Possibly, yeah. You're up to 12 points.

0:40:110:40:15

-Cos that's my job now, that's up the chute.

-Yeah.

0:40:150:40:18

-OK.

-I genuinely don't race around like a loony, it's only that I'm...

0:40:180:40:23

Three more points puts this driver at risk of losing his licence.

0:40:240:40:28

And because his work relies on driving,

0:40:310:40:34

his job could be at risk as well.

0:40:340:40:36

Well, I thought, I know there's a delay between the lights

0:40:410:40:43

quite a lot, isn't there?

0:40:430:40:45

And I just went through and I shouldn't have, really.

0:40:450:40:48

'I'm just late for something.'

0:40:480:40:49

I haven't had a crash in the last 30 years,

0:40:500:40:52

or anything like that,

0:40:520:40:53

I'm not a lunatic driver, you know what I mean?

0:40:530:40:56

Right, when I stopped you over there,

0:40:560:40:58

I explained what you did, all right? And I cautioned you, yeah?

0:40:580:41:03

After the caution you said, "I'm late for a golf meeting," yeah?

0:41:030:41:05

-Yes.

-Sign right at the end there so I can't add any more in.

0:41:050:41:09

I'm formally reporting you for the question and consideration

0:41:090:41:12

of prosecuting for the offence of contravening in a red light, OK?

0:41:120:41:16

-Anything you want to say?

-It's all right.

0:41:160:41:19

All right.

0:41:190:41:21

I do hundreds of miles every week.

0:41:220:41:24

Hundreds of miles.

0:41:240:41:26

I don't just potter around from shops, you know?

0:41:270:41:31

It's just, er, I'm just not being careful enough, am I?

0:41:330:41:35

The gentleman I stopped for contravening the red light,

0:41:360:41:40

when he explained he had nine points on his licence,

0:41:400:41:42

I could no longer give him a fixed penalty.

0:41:420:41:44

The reason for that is, you're only allowed 12 points on your licence.

0:41:440:41:48

It's called the totting-up scheme.

0:41:480:41:50

He's totted up 12 points over a period of time

0:41:500:41:52

by committing various traffic offences,

0:41:520:41:54

and therefore potentially going to lose his licence, yeah.

0:41:540:41:59

I try to treat people fairly, and the same.

0:41:590:42:02

Cos everybody's got a story

0:42:020:42:04

and everyone's got a problem in their life, yeah?

0:42:040:42:07

I feel sorry for some people,

0:42:070:42:09

others you think...

0:42:090:42:11

..they're swinging the lead.

0:42:120:42:13

But he's already had three chances...

0:42:130:42:15

'before I stopped him today'

0:42:150:42:17

and he's committed a further offence, so when is he going to learn?

0:42:170:42:22

So that's my thought on that.

0:42:250:42:26

No rest for the emergency services in Britain's countryside.

0:42:380:42:42

Agnes stayed in Dumfries and Galloway Royal Infirmary overnight,

0:42:450:42:49

but happily all her tests came back clear.

0:42:490:42:53

The two drivers who got caught in the act

0:42:530:42:55

await their day in court.

0:42:550:42:56

Busted!

0:42:580:42:59

And Lee's stitches came out two weeks later.

0:43:000:43:03

He'll be back in the saddle as soon as his bike's mended -

0:43:030:43:05

and his mum lets him!

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And you thought it was quiet in the countryside...

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