0:00:02 > 0:00:04From the Highlands of Scotland
0:00:04 > 0:00:07to the coast of Cornwall,
0:00:07 > 0:00:10the great British countryside is spectacular.
0:00:12 > 0:00:15But we work and play in it at our peril.
0:00:17 > 0:00:19And when things go wrong,
0:00:19 > 0:00:22the emergency services race to the rescue.
0:00:22 > 0:00:24This chap is having a heart attack.
0:00:24 > 0:00:26We need to get him in quickly.
0:00:27 > 0:00:30We've got a cow on the road.
0:00:30 > 0:00:32Countryside policing at its finest, yeah.
0:00:32 > 0:00:35Going hundreds of miles against the clock...
0:00:36 > 0:00:39..battling the elements and breaking the waves....
0:00:42 > 0:00:45..from the Welsh valleys
0:00:45 > 0:00:47to winding country roads...
0:00:48 > 0:00:50..we'll be right at the heart of the action...
0:00:51 > 0:00:53..with police fighting crime...
0:00:53 > 0:00:56I'm not arguing it, I'm reporting you for.
0:00:57 > 0:00:59..paramedics saving lives...
0:00:59 > 0:01:01BABY WAILS
0:01:01 > 0:01:03..and lifeguards patrolling the seas.
0:01:04 > 0:01:08We're there as the emergency services pull together
0:01:08 > 0:01:11to pick up, patch up and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:35 > 0:01:36Coming up...
0:01:36 > 0:01:40In Wales, the police go head-to-head with white van man.
0:01:42 > 0:01:44No, the phone was in your hand.
0:01:44 > 0:01:48OK? As you were coming over there, I can see you in this mirror.
0:01:49 > 0:01:51The Cornwall Air Ambulance
0:01:51 > 0:01:54scrambles to a serious accident on a country lane.
0:01:54 > 0:01:57Right, we have got somebody who has come off their push bike
0:01:57 > 0:02:00at quite a high speed, approximately 40 mph.
0:02:01 > 0:02:06And, in Penzance, a man with a brain tumour needs urgent medical care.
0:02:06 > 0:02:11We're not sure whether this is part of the cancer or possibly
0:02:11 > 0:02:13a little bleed within the cancer itself.
0:02:20 > 0:02:24Getting away from the hustle and bustle of urban life
0:02:24 > 0:02:27is one of the great attractions of the countryside.
0:02:28 > 0:02:31The peace and quiet is part of what draws people here.
0:02:32 > 0:02:35But don't be fooled by the beautiful views.
0:02:38 > 0:02:41The winding country lanes aren't just picturesque,
0:02:41 > 0:02:43they're vital access routes.
0:02:44 > 0:02:48And it's part of the job of our country coppers to keep them safe.
0:02:51 > 0:02:55The Dyfed Powys Police face a bigger challenge than most -
0:02:55 > 0:02:58they look after a vast patch in the very heart of Wales.
0:03:00 > 0:03:02An area of 4,000 square miles
0:03:02 > 0:03:06that includes the Brecon Beacons National Park.
0:03:11 > 0:03:13PC Gareth Evans
0:03:13 > 0:03:18and Special Constable Andy Davis are part of Brecon's Road Policing Unit.
0:03:20 > 0:03:22This is Brecon-born Gareth's home turf.
0:03:24 > 0:03:26He has been a bobby for 13 years.
0:03:28 > 0:03:32They patrol the main roads in an unmarked car
0:03:32 > 0:03:36on the lookout for anything dodgy or dangerous.
0:03:39 > 0:03:43Today, we will be patrolling the main A40
0:03:43 > 0:03:48between Brecon and sort of Tricastle, down to the border.
0:03:48 > 0:03:52Basically, we're looking for sort of stuff that perhaps
0:03:52 > 0:03:55stands out as unusual to us,
0:03:55 > 0:03:58doesn't look perhaps local.
0:03:58 > 0:04:03Predominantly, we know that vans, etc.,
0:04:03 > 0:04:07are used for certain types of offenses.
0:04:07 > 0:04:10Sending out the message that we are there carrying out the patrols
0:04:10 > 0:04:12to try and prevent the crimes happening.
0:04:18 > 0:04:21It's not long before Gareth spots something he's not happy about.
0:04:21 > 0:04:26Could I have a Code 2 vehicle check, please? Location - Sennybridge.
0:04:27 > 0:04:29He reckons the driver is using his mobile.
0:04:31 > 0:04:35The gentleman in front, he had a mobile phone up to his right ear,
0:04:35 > 0:04:38leaning over the steering wheel, talking into the device.
0:04:38 > 0:04:39He obviously hasn't seen us,
0:04:39 > 0:04:44so we'll go after him now and deal with it accordingly.
0:04:44 > 0:04:48- He's actually...- He's sitting on it. - Yeah, he has actually sat on it.
0:04:48 > 0:04:50I can actually see him in the wing mirror.
0:04:55 > 0:04:58Obviously, he's veering there into sort of the centre of the white line
0:04:58 > 0:05:00as well, so...
0:05:00 > 0:05:04I am aware there is a lay-by just up here on the left, so...
0:05:04 > 0:05:06SIREN
0:05:08 > 0:05:10They pull him over.
0:05:21 > 0:05:23As you've driven through the last village,
0:05:23 > 0:05:27off Sennybridge, I was parked on the side of the road, OK?
0:05:27 > 0:05:30I've been aware of you travelling through the village, I've looked,
0:05:30 > 0:05:33and you were on your mobile phone, OK?
0:05:33 > 0:05:36It was in your right hand to your right ear, and as you passed by,
0:05:36 > 0:05:37I watched you, OK?
0:05:39 > 0:05:41No, the phone was in your hand, OK?
0:05:41 > 0:05:44As you've come down there, I can see you in this mirror.
0:05:44 > 0:05:46And you've actually
0:05:46 > 0:05:48clipped the white line as well as you came through that bend,
0:05:48 > 0:05:52showing that you weren't concentrating, you were more...
0:05:54 > 0:05:56Right. OK.
0:05:56 > 0:05:58This isn't the place I'm going to argue about it.
0:05:58 > 0:06:01If you want argue about it, you can attend court, OK?
0:06:03 > 0:06:05No.
0:06:09 > 0:06:12I said, I'm not arguing it, I'm reporting you for it.
0:06:14 > 0:06:17Later, Gareth decides he's had enough.
0:06:17 > 0:06:19It's part of the investigation.
0:06:34 > 0:06:37The jagged cliff tops, glorious beaches and wild moorlands
0:06:37 > 0:06:41make Cornwall a major holiday destination.
0:06:44 > 0:06:47Over 4.5 million people come to this beautiful,
0:06:47 > 0:06:50remote part of the UK every year.
0:06:53 > 0:06:58The crew of the Cornwall Air Ambulance have to be ever alert.
0:06:58 > 0:07:02Paramedic Mark Fuszard has been working here for over seven years.
0:07:15 > 0:07:18He and his colleagues are called out on three or four
0:07:18 > 0:07:22emergency missions every day, 365 days of the year.
0:07:27 > 0:07:29From its base by Newquay airport,
0:07:29 > 0:07:33the Air Ambulance can reach any part of the county within 20 minutes.
0:07:36 > 0:07:40OK. Thanks, Bob, we're on our way. Cheers, bye.
0:07:42 > 0:07:44Right, we've got someone who's come off their push bike
0:07:44 > 0:07:48at quite a high speed, approximately 40 mph.
0:07:48 > 0:07:52A 35-year-old lady who's got a pelvic fracture.
0:07:52 > 0:07:56There's a Rapid Response vehicle on scene, and wants our assistance.
0:08:05 > 0:08:08This purpose-built and highly equipped aircraft
0:08:08 > 0:08:11flies at 140 mph
0:08:11 > 0:08:14and is being dispatched to the accident
0:08:14 > 0:08:16near the village of St Austell.
0:08:18 > 0:08:20PREFLIGHT CHECK
0:08:24 > 0:08:27- Cabin doors, I'm good in the front. - Yeah, good in the back.
0:08:40 > 0:08:42Paramedic Mark will help navigate.
0:08:44 > 0:08:47They need to find the exact location of the incident.
0:08:50 > 0:08:52The Rapid Response vehicle has called us in
0:08:52 > 0:08:56due to the fact that she has got a fracture to her pelvis
0:08:56 > 0:08:59and she will need to be taken to a major trauma centre,
0:08:59 > 0:09:01which our major trauma centre is in Plymouth.
0:09:01 > 0:09:05So it's looking like we'll probably be taking this lady to Plymouth.
0:09:08 > 0:09:11The woman has fallen off her bike on a country lane,
0:09:11 > 0:09:1440 miles by road from the hospital in Plymouth.
0:09:15 > 0:09:18Today, in busy bank-holiday traffic,
0:09:18 > 0:09:21that could mean a journey of two and half hours.
0:09:21 > 0:09:25The Air Ambulance can get her there in 15 minutes.
0:09:25 > 0:09:28But first, they have to find the scene of the accident.
0:09:28 > 0:09:31They've got rough coordinates, but they can only pinpoint it
0:09:31 > 0:09:35by spotting the Rapid Response vehicle that is on the ground.
0:09:35 > 0:09:38We are looking for an RRV on the scene, guys.
0:09:38 > 0:09:40If you see anything, give us a shout.
0:09:41 > 0:09:45OK, we have got police going down this road for some reason.
0:09:47 > 0:09:51- Have you got it?- Yeah, below us now. - Oh, yeah, down there, look.
0:09:52 > 0:09:53Got it.
0:09:55 > 0:09:57But now they need somewhere to land.
0:09:58 > 0:10:02I'm just going to have a little closer look at the site.
0:10:02 > 0:10:06Finding a safe spot amongst the pylons and livestock is tricky.
0:10:07 > 0:10:11The field nearest to the accident has horses in it.
0:10:11 > 0:10:14There is also a wire running right across it, yeah.
0:10:14 > 0:10:15Going down this side of it.
0:10:15 > 0:10:18- The horse is going ballistic.- Yeah.
0:10:18 > 0:10:21- These horses are going to go mad, aren't they?- Yeah, they are.
0:10:27 > 0:10:32I tell you where we can land, guys. There's a great piece of land here.
0:10:32 > 0:10:35- OK, we'll go into the car park there.- Roger, Dodge.
0:10:41 > 0:10:44We're clear of the lamppost this side. Looking good.
0:10:45 > 0:10:48Good left. Good left. Brilliant.
0:10:48 > 0:10:49- OK.- OK, yeah.
0:10:49 > 0:10:52They've found a safe spot to land,
0:10:52 > 0:10:56but it is a good quarter-of-a-mile sprint to the site of the accident.
0:11:07 > 0:11:10The police have blocked off the road.
0:11:14 > 0:11:17The patient husband and children are waiting anxiously.
0:11:29 > 0:11:33Mark must assess holidaymaker Emma's injuries quickly
0:11:33 > 0:11:35and get her to Plymouth fast.
0:11:45 > 0:11:48Back in Wales, the stunning mountains and hills are crisscrossed
0:11:48 > 0:11:53by a maze of country roads patrolled by the Brecon Roads Policing Unit.
0:11:55 > 0:11:59Earlier, PC Gareth Evans pulled over a van driver
0:11:59 > 0:12:02who he thinks he saw using his mobile whilst driving.
0:12:09 > 0:12:11It was in your right hand, to your right year.
0:12:11 > 0:12:14And as you passed by, I watched you, OK?
0:12:14 > 0:12:16Then...
0:12:16 > 0:12:17No. The phone was in your hand.
0:12:17 > 0:12:20OK? As you come down there, I can see you in this mirror.
0:12:24 > 0:12:25No.
0:12:29 > 0:12:33I said, I'm not arguing it, I'm reporting you for it.
0:12:33 > 0:12:37Could I trouble you for a Code 6 vehicle check, please?
0:12:37 > 0:12:38Same officer location.
0:12:42 > 0:12:46Nathan says he's innocent, but Gareth wants to dig a little deeper.
0:12:49 > 0:12:51'It's got no insurance and no MOT on the vehicle.'
0:12:51 > 0:12:55Yep, that's all received. And if I could have that e-mailed to me, please, as well.
0:12:55 > 0:12:58It looks like he's got no insurance,
0:12:58 > 0:13:01no MOT and no tax disc, either.
0:13:03 > 0:13:05Thank you. 2-4, standing by.
0:13:11 > 0:13:15Right, Nathan, the tax disc that's being displayed in this vehicle
0:13:15 > 0:13:16doesn't match this vehicle, OK?
0:13:16 > 0:13:19I'm arresting you on suspicion of fraudulent use of a vehicle
0:13:19 > 0:13:22excise license. I have to caution you, you don't have to say anything
0:13:22 > 0:13:25but it may harm your defence if you do not mention when questioned
0:13:25 > 0:13:27something you later rely on in court. Anything you do say
0:13:27 > 0:13:29may be given in evidence.
0:13:29 > 0:13:32The reason for the arrest is to carry out a swift
0:13:32 > 0:13:35and prompt investigation of the offense, OK?
0:13:35 > 0:13:38I need to ask you questions in relation to this being
0:13:38 > 0:13:40displayed in your vehicle.
0:13:40 > 0:13:43That's for me to know, right, at the moment.
0:13:43 > 0:13:45It's part of the investigation.
0:13:50 > 0:13:52Right.
0:13:52 > 0:13:53I'll get that. Here we go.
0:13:53 > 0:13:56OK. Right, step out of the vehicle for me.
0:13:56 > 0:13:57Step out of the vehicle.
0:13:57 > 0:14:00I said, I'm not going to discuss it here on the side of the road,
0:14:00 > 0:14:02all right? Stick your hands out in front.
0:14:05 > 0:14:07Right. Come with me for a second.
0:14:17 > 0:14:20Gareth isn't going to let Nathan continue his journey
0:14:20 > 0:14:22without further investigation.
0:14:22 > 0:14:25It's very easy to jump into a vehicle and just drive it,
0:14:25 > 0:14:28thinking you're insured or thinking it's taxed or MOTed.
0:14:28 > 0:14:30But then if you get stopped by the police,
0:14:30 > 0:14:33checks are carried out, and then, obviously, ignorance,
0:14:33 > 0:14:35unfortunately, isn't a defence in law.
0:14:38 > 0:14:41So, it's off to the nick for Nathan.
0:14:50 > 0:14:52He'll be kept for a couple of hours
0:14:52 > 0:14:56while Gareth looks into the possibly dodgy tax disc.
0:15:08 > 0:15:10Later...
0:15:10 > 0:15:12In Cornwall, the Air Ambulance help a woman
0:15:12 > 0:15:14with a possibly fractured pelvis.
0:15:14 > 0:15:17As I came around here, I saw a car whizzing up.
0:15:17 > 0:15:19When I got to the bottom and she didn't turn up,
0:15:19 > 0:15:21and I just thought, "Oh, no!"
0:15:21 > 0:15:25Gareth is the bearer of bad tidings for a driver in Brecon.
0:15:25 > 0:15:28Um, it's bad news, unfortunately.
0:15:28 > 0:15:33But, first, a holidaymaker undergoes an urgent brain scan.
0:15:33 > 0:15:35If you get a sudden bleed in the brain,
0:15:35 > 0:15:39blood usually shows up as a brightness on the X-ray picture.
0:15:51 > 0:15:55Right at the tip of Britain, on the Land's End Peninsula,
0:15:55 > 0:15:58is the remote Cornish town of Penzance.
0:16:05 > 0:16:08Its beautiful beaches and scenic harbours
0:16:08 > 0:16:10draw in the tourists every summer.
0:16:16 > 0:16:19They come to enjoy what the fishermen and farmers
0:16:19 > 0:16:21have all year round.
0:16:23 > 0:16:26On the edge of town, is the West Cornwall Hospital.
0:16:30 > 0:16:32It's an urgent care centre,
0:16:32 > 0:16:36providing hospital casualty cover for locals and holidaymakers alike.
0:16:36 > 0:16:39Otherwise, the nearest emergency care
0:16:39 > 0:16:43is at the Royal Cornwall Hospital, near Truro, 30 miles away.
0:16:52 > 0:16:53OK.
0:16:53 > 0:16:57Dr Neil Davidson is an urgent care GP.
0:16:57 > 0:16:59Big stethoscope, really, for a...
0:16:59 > 0:17:02He's trained in acute trauma medicine.
0:17:04 > 0:17:05Thank you.
0:17:05 > 0:17:07Do you want that?
0:17:08 > 0:17:11This baby's parents are worried she might have meningitis.
0:17:11 > 0:17:14Dr Davidson puts their mind at ease.
0:17:14 > 0:17:15At the moment, that is
0:17:15 > 0:17:19not something that is featuring in my differential diagnosis at all.
0:17:22 > 0:17:25And nine-year-old Dylan has hurt his hand.
0:17:26 > 0:17:30- So, is it very sore?- Quite.- OK.
0:17:30 > 0:17:32He trapped it in a car door.
0:17:34 > 0:17:38I'm sure that must be worth some more pocket money, don't you think?
0:17:38 > 0:17:41I'm quite happy that we've done no permanent damage.
0:17:45 > 0:17:47Without specialists on hand,
0:17:47 > 0:17:50doctors here have to tackle anything that's put in front of them.
0:17:53 > 0:17:55This young fellow has had a earful.
0:17:55 > 0:17:57One.
0:17:58 > 0:18:01- Thank you. - Here she comes. OK?
0:18:01 > 0:18:02Oh, my God.
0:18:04 > 0:18:06They're headphone plugs, one in each ear.
0:18:06 > 0:18:09I'm afraid I'm not washing them, you can have them back like that.
0:18:09 > 0:18:11That was an unusual one, a first for me.
0:18:16 > 0:18:19But it can turn serious.
0:18:19 > 0:18:23Phil has had to interrupt his annual family holiday in the Scilly Isles.
0:18:27 > 0:18:31Yesterday, he lost control of the right side of his body
0:18:31 > 0:18:34while paddling with his two young children, George and Charlotte.
0:18:36 > 0:18:40Today, he and his wife, Sarah, have flown to Penzance
0:18:40 > 0:18:41for an emergency brain scan.
0:18:41 > 0:18:45They've had to leave the kids on the island with their grandparents.
0:18:47 > 0:18:52This is a gentleman who is on holiday in the Isles of Scilly.
0:18:52 > 0:18:55He has had a brain tumour
0:18:55 > 0:18:57diagnosed three years ago
0:18:57 > 0:19:01and it's known to have recently been increasing in size.
0:19:01 > 0:19:04Unfortunately, whilst on holiday over the last two days,
0:19:04 > 0:19:07he's developed some weakness of the right side of his body
0:19:07 > 0:19:11and we are not sure whether this is part of the cancer
0:19:11 > 0:19:14or possibly a little bleed within the cancer itself.
0:19:14 > 0:19:16Let's hope we can get this sorted out
0:19:16 > 0:19:19and you can enjoy the rest of your holiday.
0:19:19 > 0:19:22- Just interrupt the family holiday. - Yes, OK.- No, it's fine.
0:19:23 > 0:19:27The doctor has asked us to do a quick scan of your head.
0:19:27 > 0:19:29So, what we're going to do is get you to have a lay down,
0:19:29 > 0:19:32- your head on the pillow, feet at the bottom end.- Yeah.
0:19:32 > 0:19:35Once the CT scan is done, we'll be able to get that reported and,
0:19:35 > 0:19:38hopefully, turn him around as quickly as possible in order for him
0:19:38 > 0:19:41to catch a flight back to the Isle of Scilly,
0:19:41 > 0:19:45I think, in about another hour's time. So...
0:19:46 > 0:19:49A tough ask, but we will try and manage it.
0:19:50 > 0:19:53- You're on holiday, are you?- Yes. - Whereabouts are you on holiday?
0:19:53 > 0:19:55- On the Scilly Isles. - Oh, fantastic. How long for?
0:19:55 > 0:19:57- Two weeks.- Two weeks.
0:19:57 > 0:20:00- Is this week one or two? - This is midway through.
0:20:00 > 0:20:02Midway through, right.
0:20:10 > 0:20:14The scan is going to last no more than ten seconds. Really still.
0:20:14 > 0:20:16Philip, the table's going to move now.
0:20:19 > 0:20:2330 miles away, at the main emergency hospital in Truro,
0:20:23 > 0:20:27a radiologist will look at the scan on a shared computer network,
0:20:27 > 0:20:30then phone Dr Davidson with the results.
0:20:32 > 0:20:35All finished, we'll come and get you off the table now.
0:20:39 > 0:20:40There you go, well done.
0:20:40 > 0:20:43- Have you got everything you came in with?- Yes.
0:20:43 > 0:20:45- Any questions before you head off? - No, that's fine.
0:20:45 > 0:20:47Thank you very much. Thank you.
0:20:47 > 0:20:50The doctor will be looking at those images when you get there.
0:20:50 > 0:20:53All Phil and Sarah can do now is wait.
0:20:53 > 0:20:55With only one flight back to the Scillies,
0:20:55 > 0:20:59Dr Davidson is pushing to get the results quickly.
0:21:00 > 0:21:02I phoned...
0:21:02 > 0:21:04before you even had the scan, I phoned them up,
0:21:04 > 0:21:06so they are on the case.
0:21:06 > 0:21:09So, hopefully, we'll get that report as quickly as possible. OK.
0:21:09 > 0:21:11Thank you.
0:21:13 > 0:21:16If the scan shows that Phil has a bleed on his brain,
0:21:16 > 0:21:19he'll be taken immediately to a specialist unit in Plymouth.
0:21:21 > 0:21:24But if the results show nothing untoward,
0:21:24 > 0:21:26he and Sarah might just make their plane
0:21:26 > 0:21:30back to the Scilly Isles, which leaves in less than an hour.
0:21:33 > 0:21:35If you get a sudden bleed in the brain,
0:21:35 > 0:21:40blood usually shows up as a brightness on the X-ray picture.
0:21:49 > 0:21:5252 miles away, the Cornwall Air Ambulance service has been
0:21:52 > 0:21:55called to an emergency in Par, St Austell.
0:21:55 > 0:21:58They've had to land their helicopter a quarter of a mile
0:21:58 > 0:22:00away from the scene of the accident.
0:22:08 > 0:22:11A woman has fallen off her bike at high speed.
0:22:14 > 0:22:16The woman's husband and children are anxiously waiting
0:22:16 > 0:22:20while the rapid response team attend to her.
0:22:23 > 0:22:26Now it's up to paramedic Mark to assess the situation
0:22:26 > 0:22:29and take her to the nearest trauma unit by helicopter.
0:22:30 > 0:22:33The woman, Emma, may have fractured her pelvis.
0:22:57 > 0:23:00Mark is also concerned about possible injuries to her neck
0:23:00 > 0:23:04and spine, any of which could lead to internal bleeding
0:23:04 > 0:23:06and put Emma's body into shock.
0:23:07 > 0:23:09A lot of this is down to precaution.
0:23:09 > 0:23:13Because you've got pain in your hip,
0:23:13 > 0:23:16we're just treating you for the worst-case scenario.
0:23:16 > 0:23:20Guys, what we're going to need to do is C-spine control
0:23:20 > 0:23:22and collar.
0:23:22 > 0:23:25I know it seems a bit of overkill, but because you've got
0:23:25 > 0:23:28a lot of pain in your hip, we're going to look after your neck.
0:23:28 > 0:23:32You've come down here at a fair lick, apparently, so we're going to look
0:23:32 > 0:23:35after your neck and your pelvis, along with everything else.
0:23:39 > 0:23:42All Emma's two young sons, Jake and Austin,
0:23:42 > 0:23:45and husband Steve can do is stand by.
0:23:47 > 0:23:49As I came round here, I saw a car whizzing up
0:23:49 > 0:23:51and I got to the bottom and she didn't turn up.
0:23:51 > 0:23:52I just thought, "Oh, no,
0:23:52 > 0:23:56"she's either hit the car or gone on the gravel".
0:23:56 > 0:24:00She came down the hill, she had one of the children's fleeces
0:24:00 > 0:24:02and unfortunately it got tangled in the front wheel.
0:24:02 > 0:24:04We were coming down the hill at great speed
0:24:04 > 0:24:06and coming up the hill, they got a bit hot
0:24:06 > 0:24:08and the situation was she just took it off them
0:24:08 > 0:24:11because they were sweating and coming down the hill,
0:24:11 > 0:24:12it got tangled up.
0:24:12 > 0:24:15She went straight over the handlebars onto the concrete.
0:24:18 > 0:24:20It's a worrying time for them all.
0:24:25 > 0:24:29It's not like she's going to be... You know, really hurt.
0:24:29 > 0:24:32She'll be fine. After a while.
0:24:38 > 0:24:41Liam, how much morphine have you given this lady?
0:24:45 > 0:24:48Emma's pain has been managed by morphine,
0:24:48 > 0:24:52but now the paramedics must manoeuvre her onto a stretcher
0:24:52 > 0:24:54used for patients with spinal injuries.
0:24:58 > 0:25:01Emma, can you straighten your leg?
0:25:01 > 0:25:03What about this leg?
0:25:03 > 0:25:04Does that hurt when you do that?
0:25:09 > 0:25:10It's a delicate operation -
0:25:10 > 0:25:14if her body is jilted, it could lead to further complications.
0:25:16 > 0:25:19Is that significantly more painful now we've moved you?
0:25:20 > 0:25:25It's just going across there. And into my...groin.
0:25:27 > 0:25:31Once she's safely onto the stretcher, Mark updates her family.
0:25:32 > 0:25:34Right, husband! Basically, we'll take
0:25:34 > 0:25:36your good lady to hospital in a minute.
0:25:36 > 0:25:37Everything at the moment is looking fine,
0:25:37 > 0:25:40but we are just a bit concerned about her pelvis.
0:25:40 > 0:25:43- Course.- She's taken quite a tumble. - Yes, it's hard, quite fast.
0:25:43 > 0:25:46Her pelvis is slightly out of alignment,
0:25:46 > 0:25:49- but that could be because it's swollen, as well.- Right.
0:25:49 > 0:25:51- Until we get it x-rayed, we won't know.- Of course.
0:25:51 > 0:25:53We need to take her into hospital to get her x-rayed.
0:25:53 > 0:25:56- Everything else is looking OK. - All right, no problems.
0:25:59 > 0:26:02Now, the ambulance will take Emma to the helicopter,
0:26:02 > 0:26:06then she'll be flown to the trauma centre in Plymouth.
0:26:11 > 0:26:14Emma's two sons will follow on with their dad.
0:26:18 > 0:26:20- All right. You all right, mate? - Yeah.
0:26:23 > 0:26:26Emma, don't worry, we'll be there in a minute, OK?
0:26:26 > 0:26:29Later, as Emma is parted from her family,
0:26:29 > 0:26:32she has to face her fear of flying - alone.
0:26:41 > 0:26:44Earlier, PC Gareth Evans stopped a driver who was
0:26:44 > 0:26:45talking on his mobile.
0:26:48 > 0:26:50I'm not going to discuss it with you at the side of the road,
0:26:50 > 0:26:52we'll discuss back at the station, all right?
0:26:59 > 0:27:04With Nathan put to rights, Gareth and Andy are back on the road.
0:27:08 > 0:27:13Brecon born and bred, Gareth's not just policing the community,
0:27:13 > 0:27:14he's part of the community.
0:27:16 > 0:27:20And he's just entered the local country show baking competition.
0:27:21 > 0:27:24What type of cakes did you make last night?
0:27:24 > 0:27:28Er, Victoria sponge
0:27:28 > 0:27:30and two quiches.
0:27:30 > 0:27:31Oh.
0:27:32 > 0:27:37Just a local show
0:27:37 > 0:27:41with a section in the cookery that men are only allowed to enter.
0:27:41 > 0:27:43So it's for a sponge and a quiche...
0:27:44 > 0:27:47I enjoy cooking my spare time, so, er...
0:27:47 > 0:27:50I've entered in each class.
0:27:51 > 0:27:54Whether I win any prizes remains to be seen!
0:27:54 > 0:27:55MACHINE BEEPS
0:28:01 > 0:28:02But enough of the cakes -
0:28:02 > 0:28:06it's not long before they spot another potential prize.
0:28:07 > 0:28:12A vehicle's just gone past us and it's activated our ANPR
0:28:12 > 0:28:15in relation to the database for the insurance.
0:28:17 > 0:28:20The automatic number plate registration network they're using
0:28:20 > 0:28:23alerts them to vehicles without valid insurance.
0:28:23 > 0:28:25It looks like they've hooked one.
0:28:28 > 0:28:29Go ahead, over.
0:28:31 > 0:28:33- ON RADIO:- 'How you doing, mate.'
0:28:33 > 0:28:35Yep - be with you. Give you a shout back.
0:28:35 > 0:28:37Just got a vehicle on stop.
0:28:42 > 0:28:44Gareth speaks to the driver,
0:28:44 > 0:28:47who's sure the car is ensured.
0:28:47 > 0:28:50So the insurance is registered in your name to that address,
0:28:50 > 0:28:51in Kidderminster, yes?
0:28:53 > 0:28:56We're off on holiday for a week, so...
0:28:56 > 0:28:58Left this morning, come down here to Tenby.
0:28:58 > 0:29:01Flagged up I've got no insurance, so...
0:29:01 > 0:29:04They're saying I've got no insurance, but I think I have.
0:29:04 > 0:29:07I wouldn't drive it if there was no insurance, never have done.
0:29:07 > 0:29:10I'll just go and give them a ring, see if I can get hold of them now
0:29:10 > 0:29:13and get to the bottom of it straight away, OK? Cheers.
0:29:13 > 0:29:16Gareth double-checks with the Motor Insurance Bureau.
0:29:21 > 0:29:23PHONE RINGS
0:29:23 > 0:29:28Hi. I've got a vehicle on stop as a result of ANPR activation.
0:29:28 > 0:29:31- No insurance details held? - 'Make and model?'
0:29:31 > 0:29:35It's a Jaguar X-Type blue in colour saloon.
0:29:35 > 0:29:37'OK. And what is he using the vehicle for today?'
0:29:37 > 0:29:42- He's actually on his way on holiday. - 'I'll check and call you back, OK?'
0:29:42 > 0:29:44That's great, thanks very much.
0:29:47 > 0:29:50'The insurance company has advised that the policy
0:29:50 > 0:29:53- 'was cancelled on the 13th of the fifth.'- Right.
0:29:53 > 0:29:54'That was for non-payment.'
0:29:54 > 0:29:57- Non-payment. - 'So he's not insured, I'm afraid.'
0:29:59 > 0:30:02Looks like the man in the Jag is in trouble.
0:30:02 > 0:30:05Due to non-payment, the car is no longer insured.
0:30:08 > 0:30:10Hello. Um...
0:30:10 > 0:30:12It's bad news, unfortunately.
0:30:12 > 0:30:16As of 13th May this year,
0:30:16 > 0:30:18you haven't had insurance.
0:30:18 > 0:30:20Now obviously, we've got a situation now.
0:30:20 > 0:30:22I can't let you drive any further on the road...
0:30:24 > 0:30:27The police have the power to seize the vehicle as the car
0:30:27 > 0:30:29can't go back on the road uninsured -
0:30:29 > 0:30:32which would mean an abrupt end to their holiday.
0:30:32 > 0:30:34But Gareth has another idea.
0:30:35 > 0:30:37Obviously they're on their way on holiday,
0:30:37 > 0:30:39there's other people in the car,
0:30:39 > 0:30:42so I'll give them now sort of 20 minutes to contact an insurance
0:30:42 > 0:30:45company, see if they can get insurance at the side of the road.
0:30:45 > 0:30:48While they're doing that, I'll carry on writing up the ticket,
0:30:48 > 0:30:51because obviously he has driven on a road with no insurance.
0:30:51 > 0:30:53I'll deal with him for that and then fingers crossed,
0:30:53 > 0:30:54they'll be on their way.
0:30:54 > 0:30:57He's going to be prosecuted - there's a £300 fixed penalty, it's six
0:30:57 > 0:31:02points, so if I can try and help the family a little bit, then I will.
0:31:02 > 0:31:04Obviously I can't stay here too long, wait all day,
0:31:04 > 0:31:07but we'll give him 20 minutes, half an hour to try and sort it out.
0:31:09 > 0:31:12The clock's ticking - Gareth needs some news.
0:31:14 > 0:31:17I've just rung one company and they were extortionate.
0:31:17 > 0:31:20- Just on the phone to another company now, so...- Oh, right - OK.
0:31:20 > 0:31:23- Is that OK? - Obviously, I can't wait here all day,
0:31:23 > 0:31:27so I'll give you another chance and see how we get on.
0:31:33 > 0:31:34Crikey, Moses!
0:31:38 > 0:31:42In the past, some drivers took a risk with insurance
0:31:42 > 0:31:46because the fines were lower than the actual insurance premiums.
0:31:46 > 0:31:48But now, the penalties have been hiked up
0:31:48 > 0:31:50and the vehicle can be seized,
0:31:50 > 0:31:52so getting caught is more serious.
0:31:53 > 0:31:56If this driver doesn't sort out some insurance soon,
0:31:56 > 0:31:58he'll have his car impounded
0:31:58 > 0:32:01and the family holiday will be a nonstarter.
0:32:06 > 0:32:09At last, the driver appears to have some good news.
0:32:13 > 0:32:14Hello?
0:32:15 > 0:32:18I just want to confirm that he's insured from now to
0:32:18 > 0:32:21drive his Jaguar, is that correct?
0:32:21 > 0:32:22There we are, great stuff.
0:32:22 > 0:32:26They said they cancelled my policy, but I haven't heard anything from them.
0:32:26 > 0:32:28I've had no e-mail, no letters confirming it.
0:32:28 > 0:32:31Obviously I wouldn't drive the car if I was uninsured.
0:32:31 > 0:32:32So I just rang them up now
0:32:32 > 0:32:35and sorted it out and I'm back insured again.
0:32:37 > 0:32:39If you give me a signature there, it may have cost you,
0:32:39 > 0:32:42but at least you're still on your way to Tenby.
0:32:42 > 0:32:45You're on that way instead of me taking the car that way, so there we are.
0:32:45 > 0:32:48- OK.- OK, Cheers, all. Take care. Bye now.
0:32:51 > 0:32:56It's a result for the driver, who can now continue his holiday.
0:32:56 > 0:32:58And the results are in for Gareth, too.
0:32:58 > 0:33:01Second for sponge, second and third for quiche - whoo-hoo! Sorry!
0:33:01 > 0:33:03Well done! Congratulations!
0:33:05 > 0:33:09I entered cooking classes at the local show today with a sponge
0:33:09 > 0:33:12and some quiches and second for my sponge
0:33:12 > 0:33:15and second and third for my quiche, so I'm well happy.
0:33:27 > 0:33:31Tourists have been coming to Penzance for hundreds of years
0:33:31 > 0:33:35and the summer season is when it's at its busiest.
0:33:35 > 0:33:38As the population swells to four times its normal size,
0:33:38 > 0:33:42the Urgent Care Centre at West Cornwall Hospital
0:33:42 > 0:33:43has its work cut out.
0:33:45 > 0:33:47Phil's flown over from the Scilly Isles,
0:33:47 > 0:33:51interrupting his family holiday for an emergency brain scan.
0:33:51 > 0:33:54Diagnosed three years ago with a brain tumour,
0:33:54 > 0:33:58he's worried about a sudden loss of control on his right side.
0:33:59 > 0:34:02The scan's going to last no more than ten seconds, really still.
0:34:08 > 0:34:10Dr Neil Davidson is handling the case.
0:34:10 > 0:34:13He's trying to get the scan results from the radiologist
0:34:13 > 0:34:16at the hospital in Truro, 30 miles away.
0:34:18 > 0:34:20If you get a sudden bleed in the brain,
0:34:20 > 0:34:24then you're likely to get the soft tissues being pushed sideways.
0:34:24 > 0:34:30You get shift of the midline and blood usually shows up
0:34:30 > 0:34:35as a brightness on the X-ray picture and I can't see any of that,
0:34:35 > 0:34:40but we will ask the experts, the radiologists, to report it for us.
0:34:40 > 0:34:42Or, hopefully, they're looking at it as we speak.
0:34:45 > 0:34:47If there has been a bleed,
0:34:47 > 0:34:49then Phil will need to go to the Truro Hospital.
0:34:49 > 0:34:53But, if the scan is clear, he can go back to the Scilly Isles
0:34:53 > 0:34:54and his family holiday.
0:34:54 > 0:34:56The plane leaves in 50 minutes.
0:34:59 > 0:35:02I'm going to ring now and just check up where they're at.
0:35:06 > 0:35:10Sorry, it's that pushy Dr Davidson down in Penzance.
0:35:10 > 0:35:13I wondered if Dr Cook or Dr Hyslop
0:35:13 > 0:35:16could have a look at it for me urgently.
0:35:16 > 0:35:17Yep, OK.
0:35:17 > 0:35:19Thank you, bye.
0:35:22 > 0:35:24Right, so we're just waiting now.
0:35:28 > 0:35:32It's been an anxious wait, but the news is in.
0:35:32 > 0:35:34That was a really good result.
0:35:34 > 0:35:37We were able to get the investigation he needed,
0:35:37 > 0:35:41so he had his CT scan, which showed there wasn't a bleed in the brain.
0:35:41 > 0:35:45He's able to resume his holiday and, hopefully, he will catch his plane.
0:35:47 > 0:35:50Phil and his wife, Sarah, can't wait to get going.
0:35:52 > 0:35:53A taxi's on its way.
0:35:53 > 0:35:56They'll soon be airborne and heading back to the Scilly Isles.
0:35:58 > 0:36:00- Two or three minutes. - All right, brilliant.
0:36:01 > 0:36:04We've come every year for I don't know how many years!
0:36:04 > 0:36:08- Too many years. - And it's fabulous, yeah.
0:36:08 > 0:36:10We love it over there, so it's great.
0:36:12 > 0:36:14It's been a difficult day for the couple,
0:36:14 > 0:36:17but at least now they can get on with their holiday
0:36:17 > 0:36:18with the rest of their family.
0:36:21 > 0:36:24Just got to make sure the flight's now ready, which is great.
0:36:24 > 0:36:26We can get back to our children,
0:36:26 > 0:36:30so, yes, who we left on the island with grandparents.
0:36:43 > 0:36:45Back in St Austell,
0:36:45 > 0:36:48the Cornwall Air Ambulance are attending a woman, Emma,
0:36:48 > 0:36:51who fell off her bike at high speed.
0:36:51 > 0:36:53She has a suspected fractured pelvis,
0:36:53 > 0:36:55and is in immense pain.
0:36:57 > 0:37:00Emma is on holiday with her husband and two young sons.
0:37:03 > 0:37:05She's at risk of internal bleeding,
0:37:05 > 0:37:08which could lead to her body going into shock.
0:37:09 > 0:37:12The ambulance is going to take her to the helicopter
0:37:12 > 0:37:13a quarter of a mile away
0:37:13 > 0:37:16and the family will follow by bike to see her off.
0:37:19 > 0:37:21It's OK.
0:37:21 > 0:37:22- You all right, mate?- Yeah.
0:37:23 > 0:37:24She's stable.
0:37:24 > 0:37:27We just need to get her in nice and calmly
0:37:27 > 0:37:28and as smoothly as we can
0:37:28 > 0:37:31to do less disruption to her neck and to her pelvis.
0:37:40 > 0:37:44The flight from St Austell to the nearest trauma unit in Plymouth
0:37:44 > 0:37:46will take around 15 minutes,
0:37:46 > 0:37:49compared to at least two hours by road on a busy bank holiday.
0:37:51 > 0:37:53Emma's injuries mean it's essential
0:37:53 > 0:37:55she's transported as quickly as possible.
0:37:55 > 0:37:58Don't worry, Emma. We'll be there in a minute, OK?
0:37:58 > 0:38:00- Stay with the boys, Steve. - I will do.
0:38:00 > 0:38:02All right? You're in safe hands.
0:38:03 > 0:38:05- You all right, babes? - Stay with the boys.- Yeah.
0:38:05 > 0:38:08They're just going to X-ray you, make sure you're...
0:38:09 > 0:38:12Emma will be separated from her family now,
0:38:12 > 0:38:15- but she's not just worried about leaving her boys.- My name's Scott.
0:38:15 > 0:38:16I'll be in the back with you, OK?
0:38:16 > 0:38:18Obviously, if you've got any concerns...
0:38:20 > 0:38:24I'm just anxious, that's all. I've never wanted to go in a helicopter.
0:38:24 > 0:38:26I know that sounds horrible!
0:38:26 > 0:38:28CREWMAN: It's a very benign experience.
0:38:28 > 0:38:30- SON:- Helicopters are fun, Mum.
0:38:30 > 0:38:32STEVE: Yeah, enjoy the ride.
0:38:32 > 0:38:35- People pay hundreds for that. - I've always wanted to.
0:38:38 > 0:38:41Scott gives Emma a teddy bear to hang on to during the flight.
0:38:45 > 0:38:49Some people have this misconception that it's quite bumpy
0:38:49 > 0:38:52and you get thrown around because it's such a small helicopter.
0:38:52 > 0:38:55I think they watch too many movies, personally.
0:38:55 > 0:38:58The majority of the people actually are quite surprised
0:38:58 > 0:39:01how smooth a ride it is once they get to the other end.
0:39:02 > 0:39:06PILOT: Right, just got about a minute and a half to land.
0:39:12 > 0:39:16It's taken just 15 minutes and 28 seconds,
0:39:16 > 0:39:18far faster than it would have done by road.
0:39:21 > 0:39:22All right?
0:39:22 > 0:39:24Not too bad, was it?
0:39:32 > 0:39:36The air ambulance team have got Emma to the trauma unit safely,
0:39:36 > 0:39:38AND she gets to keep the teddy bear.
0:39:39 > 0:39:41Due to the geography of Cornwall,
0:39:41 > 0:39:43due to the layout of the road structure of Cornwall,
0:39:43 > 0:39:47it's absolutely essential that we have an aircraft available
0:39:47 > 0:39:53to take these patients to their hospital in their time of need.
0:39:53 > 0:39:57Without it, it would bring long delays and there's no doubt,
0:39:57 > 0:40:00during the 26 years of operating an air ambulance in Cornwall,
0:40:00 > 0:40:02it has saved many lives.
0:40:11 > 0:40:13And thanks to the emergency services,
0:40:13 > 0:40:15Phil and Sarah can enjoy the last few days
0:40:15 > 0:40:17of their holiday in the Scilly Isles.
0:40:19 > 0:40:23The medical teams in Penzance and Truro worked quickly,
0:40:23 > 0:40:26so they got back to their children the very same day.
0:40:32 > 0:40:34I'm hugely impressed.
0:40:34 > 0:40:35How patient they were with us -
0:40:35 > 0:40:38they didn't seem to be able to do enough for us, really, did they?
0:40:38 > 0:40:42They really appreciated the fact that we were on holiday,
0:40:42 > 0:40:44we did have children here.
0:40:44 > 0:40:46Although my parents were looking after them,
0:40:46 > 0:40:49they were still away from home as well and they weren't sure
0:40:49 > 0:40:52where Mummy and Daddy had disappeared to for the day,
0:40:52 > 0:40:56so I think everybody was just really as helpful as they could have been.
0:40:56 > 0:40:57They were amazing.
0:41:00 > 0:41:02To actually have somebody look at you,
0:41:02 > 0:41:04scan your brain and check it was still there
0:41:04 > 0:41:09- and sort of take it out of our hands, really.- Yeah.
0:41:09 > 0:41:10She's rotten to me.
0:41:10 > 0:41:13She says it's in the back of my mind all the time, and it is!
0:41:16 > 0:41:20Dr Davidson was able to reassure Phil and Sarah.
0:41:20 > 0:41:24You sort of don't know that doctor, that doctor didn't know us,
0:41:24 > 0:41:27- but I think he just really put our minds at ease, didn't he?- Yeah.
0:41:27 > 0:41:32Suddenly, there was a medical specialist looking after us
0:41:32 > 0:41:34and sorting things out.
0:41:34 > 0:41:38It was putting our confidence in the professionals.
0:41:38 > 0:41:41- And we really were confident in them, weren't we?- Yes.
0:41:43 > 0:41:46Although Phil's condition is stable,
0:41:46 > 0:41:47the future is uncertain.
0:41:50 > 0:41:54The bleed means there's nothing major happening straightaway,
0:41:54 > 0:41:57but, obviously, something has changed with the tumour,
0:41:57 > 0:42:01so there's a relief in some respects, but it's now,
0:42:01 > 0:42:03"Why have things changed?",
0:42:03 > 0:42:06and whether it's a long-term change
0:42:06 > 0:42:09or whether it's something that can be managed,
0:42:09 > 0:42:12so, yeah, it's still a little bit nervous,
0:42:12 > 0:42:15what may or may not be the long-term effect.
0:42:16 > 0:42:20LAUGHTER
0:42:28 > 0:42:32It's been all go for the emergency services in Britain's rural areas.
0:42:35 > 0:42:38Since he got home, Phil has been having chemotherapy.
0:42:38 > 0:42:41He hopes to be back in the Scilly Isles next summer.
0:42:43 > 0:42:45Emma didn't have a broken pelvis.
0:42:45 > 0:42:47Instead, her muscles had gone into trauma,
0:42:47 > 0:42:50but it will be a while before she's back on her bike.
0:42:52 > 0:42:54Nathan received three points and a fine
0:42:54 > 0:42:56for use of a mobile phone while driving,
0:42:56 > 0:43:00and a caution for fraudulent use of a tax disc,
0:43:00 > 0:43:03but he was not charged for either insurance or MOT problems...
0:43:05 > 0:43:08..and Gareth continues to bake prize-winning quiches.
0:43:12 > 0:43:15And you thought it was quiet in the countryside.