0:00:02 > 0:00:06From the Highlands of Scotland to the coast of Cornwall,
0:00:06 > 0:00:10the great British countryside is spectacular.
0:00:11 > 0:00:14But we work and play in it at our peril.
0:00:17 > 0:00:19And when things go wrong,
0:00:19 > 0:00:21the emergency services race to the rescue...
0:00:21 > 0:00:26He's come off and he's got his leg trapped underneath it.
0:00:28 > 0:00:32Oh, man. Oh, this is a nightmare.
0:00:32 > 0:00:35..going hundreds of miles against the clock,
0:00:35 > 0:00:38battling the elements
0:00:38 > 0:00:39and braving the waves.
0:00:41 > 0:00:46From the Welsh valleys to winding country roads,
0:00:46 > 0:00:53we'll be right at the heart of the action with police fighting crime...
0:00:53 > 0:00:57I am tinkering on seizing the vehicle.
0:00:57 > 0:01:00..paramedics saving lives...
0:01:00 > 0:01:04and lifeguards patrolling the seas.
0:01:04 > 0:01:08We're there as the emergency services pull together
0:01:08 > 0:01:12to pick up, patch up and protect the public.
0:01:12 > 0:01:16This is Countryside 999.
0:01:34 > 0:01:36Coming up, in Cornwall
0:01:36 > 0:01:39the lifeguards are up against it during the busy festival season.
0:01:39 > 0:01:42I'm going to recommend that you go to the A&E
0:01:42 > 0:01:44because you might have to have that glued.
0:01:44 > 0:01:48The air ambulances scramble to a case where time is critical.
0:01:48 > 0:01:51An 83-year-old female having a heart attack.
0:01:51 > 0:01:54And in the Scottish Borders,
0:01:54 > 0:01:57paramedics are in demand at the races.
0:01:57 > 0:02:00Tyrone, lie still.
0:02:09 > 0:02:11In the summer months,
0:02:11 > 0:02:15the British countryside is a magnet for tourists and sightseers.
0:02:18 > 0:02:21And summertime means festival season...
0:02:23 > 0:02:26..another reason for day trippers to head
0:02:26 > 0:02:29out to the country in their droves.
0:02:29 > 0:02:34Just because it's rural doesn't mean it's all haystacks and horses.
0:02:40 > 0:02:43In Cornwall, surf's up for the adrenaline-fuelled
0:02:43 > 0:02:45Boardmasters Festival.
0:02:49 > 0:02:52Newquay's world-renowned waves make it the perfect location
0:02:52 > 0:02:56for this five-day surfing, skateboarding and biking bonanza.
0:02:59 > 0:03:04This seaside resort sees over a million holiday makers each year.
0:03:10 > 0:03:14And the festival brings in 10,000 extra visitors every day.
0:03:18 > 0:03:21Safeguarding the surfers as well as the bucket-and-spade brigade
0:03:21 > 0:03:24is a team of RNLI lifeguards.
0:03:25 > 0:03:31To cope with the extra numbers, the team has doubled to 12.
0:03:31 > 0:03:35One of them is local lad Nick Pendrick, AKA Pinners.
0:03:35 > 0:03:38This lifeguarding looks like a lot of fun,
0:03:38 > 0:03:41cruising the waves on a jet ski and patrolling the beach
0:03:41 > 0:03:44in a four-wheel-drive truck.
0:03:44 > 0:03:48But it's a serious job when there are lives at risk.
0:03:48 > 0:03:49SPEAKER SCRAMBLES
0:03:49 > 0:03:52If you're swimming, body boarding or bathing,
0:03:52 > 0:03:57you need to be in the centre of the two red and yellow flags. Thank you.
0:03:57 > 0:03:59WHISTLE BLOWS
0:03:59 > 0:04:02Pinners is a student paramedic and came up through life-saving clubs
0:04:02 > 0:04:05before qualifying as a lifeguard.
0:04:05 > 0:04:07He's spent a lot of time watching the waves
0:04:07 > 0:04:11and knows how quickly people can get into difficulty.
0:04:11 > 0:04:14So far, so good today. No rescues is always a good day.
0:04:19 > 0:04:21Newquay is tucked away on the Cornish peninsula,
0:04:21 > 0:04:26one country road in, one country road out.
0:04:26 > 0:04:28And it's on Newquay's Fistral Beach
0:04:28 > 0:04:31where the event's surf action takes place.
0:04:35 > 0:04:37But where there's boards, there's bruises.
0:04:42 > 0:04:46Surfer Andy is making his way to the lifeguard station.
0:04:46 > 0:04:50He's had a close encounter with a surfboard.
0:04:50 > 0:04:53Take a seat. Cool.
0:04:53 > 0:04:55Let's have a look what you've done.
0:04:55 > 0:04:57- Does that sting there?- No.- No.
0:04:57 > 0:04:59Because there's definitely a lump there.
0:04:59 > 0:05:01Can't tell whether that's a cut or not.
0:05:01 > 0:05:04Right, I'll get some tissue, clean up the majority of the blood,
0:05:04 > 0:05:08- give it a wipe and then we'll see what we need to do from there, OK? - All right.
0:05:08 > 0:05:11But it wasn't his board he came up against. It was his friend Dave's.
0:05:13 > 0:05:17Andy just got a wave, fell off,
0:05:17 > 0:05:19and my board was next to him
0:05:19 > 0:05:22and he fell straight on the nose and split his eyebrow open,
0:05:22 > 0:05:25which isn't great, obviously.
0:05:25 > 0:05:27Just getting him bandaged up now.
0:05:27 > 0:05:31- I'm just going to give that a wipe, OK?- Yeah, mate, don't be shy.
0:05:31 > 0:05:33Just clean it up, sort it out.
0:05:33 > 0:05:37- There's a cut there and cut there. So we've got two cuts.- Yeah.
0:05:37 > 0:05:39Surfing is a dangerous sport, mate.
0:05:39 > 0:05:42I'm going to recommend that you go to the A&E
0:05:42 > 0:05:44because you might have to have that glued.
0:05:44 > 0:05:46How are we going to stop it bleeding?
0:05:46 > 0:05:50We're going to put a bandage on and we're going to block this eye up.
0:05:50 > 0:05:54- Have you guys got transport to the local A&E?- Yeah, yeah.
0:05:54 > 0:05:56It's a lucky escape.
0:05:56 > 0:05:58Just a few centimetres to the right
0:05:58 > 0:06:00and the board could've had his eye out.
0:06:00 > 0:06:03- Nice little story for you to go home with, though, isn't it?- Yeah.
0:06:03 > 0:06:06He's going to have some scars, some war wounds, but, yeah.
0:06:06 > 0:06:08I don't know what his missus is going to say,
0:06:08 > 0:06:10but there you go, happy days.
0:06:10 > 0:06:12I'm just going to try and seal this bandage.
0:06:12 > 0:06:14Are you sure this isn't a little bit overkill?
0:06:14 > 0:06:17If I seal the bandage off then the blood doesn't come off.
0:06:17 > 0:06:19Don't worry, you can look on the bright side.
0:06:19 > 0:06:22I think it looks better anyway. Better look.
0:06:22 > 0:06:25Right, shall we give you a clean-up now?
0:06:25 > 0:06:27You can carry it off, mate.
0:06:33 > 0:06:35But as they head off,
0:06:35 > 0:06:38Nick's called to a serious incident down on the beach.
0:06:38 > 0:06:41A girl has had a spinal injury because she's been hit in the head
0:06:41 > 0:06:45by a board and we're going to go down and see what is going on.
0:06:52 > 0:06:57The lifeguards have got the surfer-friendly beaches covered,
0:06:57 > 0:06:59but Cornwall's a huge county.
0:07:03 > 0:07:06With over 400 miles of rugged coastline
0:07:06 > 0:07:08and many remote communities,
0:07:08 > 0:07:11it needs specialist emergency services...
0:07:16 > 0:07:19..like the Cornwall Air Ambulance.
0:07:19 > 0:07:21It's agile, speedy, and it saves lives.
0:07:23 > 0:07:26This hi-tech service manned by paramedics from
0:07:26 > 0:07:28the South Western Ambulance Service
0:07:28 > 0:07:30has been running for 26 years.
0:07:33 > 0:07:38Today, air paramedic Mick MacLachlan is taking a call.
0:07:38 > 0:07:40Goodbye.
0:07:43 > 0:07:45We're off to Liskeard.
0:07:45 > 0:07:49They've given us an 83-year-old female having a heart attack.
0:07:51 > 0:07:53There's no time to waste.
0:07:56 > 0:07:58From their base in Newquay,
0:07:58 > 0:08:01the helicopter will fly east to the town of Liskeard.
0:08:01 > 0:08:03It's 23 miles as the crow flies.
0:08:05 > 0:08:08But at an average speed of 140mph,
0:08:08 > 0:08:11this machine covers the ground in less than ten minutes,
0:08:11 > 0:08:14and every minute counts for heart-attack patients.
0:08:16 > 0:08:20Today, Mick is joined on board by air paramedic Mark Fuszard.
0:08:20 > 0:08:23Both are trained in advanced trauma life support.
0:08:26 > 0:08:27We're off to Liskeard, which is
0:08:27 > 0:08:31east of where we've just departed, east of the county.
0:08:31 > 0:08:32An 83-year-old female
0:08:32 > 0:08:35who's been diagnosed with having a heart attack.
0:08:39 > 0:08:42With a third of heart attacks in the UK proving fatal,
0:08:42 > 0:08:45Mark knows the situation is serious.
0:08:45 > 0:08:47Is it right in the centre, is it?
0:08:47 > 0:08:50- Not far away.- There's a rugby ground there, isn't there?
0:08:50 > 0:08:54- Castle Pleasure Park is where they're bringing her to.- Oh, OK.
0:08:54 > 0:08:57- Which doesn't ring any bells with me.- No, nor me, neither.
0:08:57 > 0:09:00There is a need to get her into hospital fairly quickly.
0:09:00 > 0:09:03We have paramedics on scene which have treated her,
0:09:03 > 0:09:05but now we need to be involved
0:09:05 > 0:09:07due to the rapid transport to...to hospital.
0:09:07 > 0:09:09There's two cars on the scene.
0:09:09 > 0:09:12- They did have an ambulance running to them.- OK.
0:09:12 > 0:09:16As an aircrew paramedic, we pretty much have the basic skills
0:09:16 > 0:09:19that they do as a road ambulance paramedic.
0:09:19 > 0:09:21But how this job differs is obviously in the way
0:09:21 > 0:09:23we take patients to hospital.
0:09:23 > 0:09:26We have to be able to navigate a little better
0:09:26 > 0:09:28than you would on a road ambulance.
0:09:28 > 0:09:31We haven't got the sat-nav capability that you would have
0:09:31 > 0:09:34on a road ambulance, so it's back to basics, back to maps.
0:09:34 > 0:09:37It's slightly different when we land at the job.
0:09:37 > 0:09:40We can't land right outside the patient's front door
0:09:40 > 0:09:43like you could with a road ambulance. So we land in a field,
0:09:43 > 0:09:46we land in a football field, and we land on beaches.
0:09:46 > 0:09:49I'm assuming it's that park bang on the nose.
0:09:49 > 0:09:51That would be right with the grid.
0:09:51 > 0:09:54Is that the grade for the scene?
0:09:54 > 0:09:57Two cars, they were just very close.
0:09:57 > 0:10:01There's the two cars down there, at three o'clock.
0:10:01 > 0:10:04Paramedics Mark and Mick work with pilot Mark Woodward
0:10:04 > 0:10:06to find the best landing spot.
0:10:06 > 0:10:10This chopper can land in a space as small as a tennis court,
0:10:10 > 0:10:13but this time the team are looking for a park.
0:10:13 > 0:10:14Three pairs of eyes speed up the job.
0:10:14 > 0:10:18We've got good access from the bottom right-hand corner
0:10:18 > 0:10:19as we're looking at it.
0:10:19 > 0:10:22Someone is walking up the little access route there.
0:10:22 > 0:10:25Just check it is that park. I'm quite happy with the park.
0:10:26 > 0:10:28I think that's looking good.
0:10:28 > 0:10:31And then we've just got a little transit from where the cars are,
0:10:31 > 0:10:33right to the corner of that field.
0:10:33 > 0:10:34Looking good access.
0:10:36 > 0:10:37It's a team effort.
0:10:37 > 0:10:40Mick checks in with the ground crew already on the scene.
0:10:40 > 0:10:43Hello, there. It's Mick on Helimed. We're just overhead scene now.
0:10:43 > 0:10:46We've identified the park and notice you're still on scene.
0:10:46 > 0:10:49Do you need assistance at the house or will we meet you
0:10:49 > 0:10:52- down at the park, over? - Yeah, we will need assistance.
0:10:52 > 0:10:54We will put down and we will come along to see,
0:10:54 > 0:10:58and come up with a cunning plan, over.
0:10:58 > 0:11:01- You happy for landing, are you? - Yeah.- Thanks.
0:11:01 > 0:11:04But at the last minute, pilot Mark spots a problem.
0:11:04 > 0:11:09OK, there is a couple of people right in the middle of the park.
0:11:09 > 0:11:12I gather the son has come up to meet us at the park,
0:11:12 > 0:11:14so hopefully one of them is him.
0:11:14 > 0:11:17My approach is going to take me
0:11:17 > 0:11:19pretty much over the top of those people.
0:11:21 > 0:11:25Mark must avoid landing too close to the people who've come to meet them.
0:11:25 > 0:11:27Can we see a good way out there?
0:11:27 > 0:11:29There is a good path there, Mick.
0:11:29 > 0:11:32Top right and top left.
0:11:32 > 0:11:34OK, clear.
0:11:35 > 0:11:38If one of you could jump out as soon as we land.
0:11:38 > 0:11:40Roger that. I'll do that.
0:11:40 > 0:11:43Good to your right. Well clear, no wires to affect.
0:11:43 > 0:11:48Dog walkers. Which side of the park do you want?
0:11:48 > 0:11:49That side, where they are.
0:11:49 > 0:11:52This chap here is waiting for us.
0:11:54 > 0:11:57Still good to your right.
0:11:57 > 0:12:01OK, I'm going outside the right door. Good to go there, Mark?
0:12:01 > 0:12:02OK, we're off.
0:12:03 > 0:12:04What's that? 9:02 we landed.
0:12:04 > 0:12:08The patient's son, David, meets them as they land.
0:12:08 > 0:12:10He's doing all he can to get his mum the help she needs.
0:12:10 > 0:12:12Just show us which way to go.
0:12:17 > 0:12:20Later, Nick finds the patient, Elizabeth,
0:12:20 > 0:12:23is so ill she can barely respond.
0:12:23 > 0:12:25- Elizabeth. Can you hear me, ma'am? - Mm?
0:12:25 > 0:12:28- Do you have any pain at the moment, my love?- Mm?
0:12:28 > 0:12:29Do you have any pain at the moment?
0:12:37 > 0:12:39Back on Cornwall's north coast...
0:12:40 > 0:12:44..lifeguards patrol the surf of Fistral Beach in Newquay.
0:12:44 > 0:12:47They need to be vigilant to ensure the safety of the families
0:12:47 > 0:12:50and fun-seekers who visit every summer.
0:12:50 > 0:12:53In 2012, they dealt with almost 100 incidents.
0:12:56 > 0:12:57Today, one of Europe's biggest
0:12:57 > 0:13:01surf, skateboard and BMX festivals is under way.
0:13:01 > 0:13:03The impressive displays and competitions
0:13:03 > 0:13:05mean visitor numbers soar.
0:13:09 > 0:13:12Both the beach and water are super busy,
0:13:12 > 0:13:14keeping the lifeguards on their toes.
0:13:16 > 0:13:18Let's have a look at what you've done.
0:13:18 > 0:13:21Earlier, Pinners patched up surfer Andy's head
0:13:21 > 0:13:24after he had been hit by his friend's surfboard.
0:13:24 > 0:13:26But, after sending the patient to A&E,
0:13:26 > 0:13:29Pinners was called to an emergency on the beach.
0:13:29 > 0:13:31RADIO CHATTER
0:13:31 > 0:13:33It sounds nasty.
0:13:33 > 0:13:36A lifeguard patrolling in the truck down at the water's edge
0:13:36 > 0:13:38has radioed for a spinal rescue board.
0:13:42 > 0:13:46A girl's had a spinal injury cos she has been hit in the head
0:13:46 > 0:13:49by a board and we're going to go down and see what's going on.
0:13:52 > 0:13:55With any spinal injury, it's vital the patient is immobilised
0:13:55 > 0:13:59as soon as possible and taken to the nearest hospital.
0:14:01 > 0:14:04- What's your name?- Georgie. - Hi, Georgie. Right, I'm Nick.
0:14:04 > 0:14:06I'm one of your lifeguards and this is Simon.
0:14:06 > 0:14:08Simon is a paramedic at the event.
0:14:08 > 0:14:11The lifeguard who reached Georgie first
0:14:11 > 0:14:13has fitted her with a neck brace.
0:14:14 > 0:14:17An out-of-control surfboard has hit her on the head.
0:14:20 > 0:14:22Event medic Simon Denman has been drafted in
0:14:22 > 0:14:24as specialist backup during the busy festival.
0:14:30 > 0:14:31- Just stiff?- Yeah.- OK.
0:14:53 > 0:14:56No tenderness in the centre of her neck is a good sign,
0:14:56 > 0:14:59indicating it's not a spinal injury.
0:15:14 > 0:15:15That's OK.
0:15:24 > 0:15:25OK.
0:15:49 > 0:15:51- Thank you.- All right?
0:15:51 > 0:15:54On our arrival at the scene, they were treating,
0:15:54 > 0:15:56rightly so, for worst-case scenario.
0:15:56 > 0:15:58She was able to mobilise her neck fully,
0:15:58 > 0:16:00which meant that she could basically put her chin to her chest
0:16:00 > 0:16:05and rotate her head 45 degrees each way with no eliciting of extra pain.
0:16:05 > 0:16:08And the pain that she did have was to the side of her neck,
0:16:08 > 0:16:10which led us to believe it was just a muscular injury.
0:16:11 > 0:16:13RADIO CHATTER
0:16:14 > 0:16:17Today's choppy seas have left the sand uneven.
0:16:19 > 0:16:21Taking it slowly means Georgie
0:16:21 > 0:16:23gets a smoother ride to the lifeguard station.
0:16:25 > 0:16:28Now Simon can examine her more thoroughly.
0:16:31 > 0:16:34Right, your blood pressure's absolutely fine.
0:16:34 > 0:16:36Your heart is pounding away quite a bit.
0:16:36 > 0:16:38It's probably more due to the...
0:16:38 > 0:16:40Probably the pain is going to bring it up a little bit
0:16:40 > 0:16:43and the fact that you're nervous as well. All right? But...
0:16:43 > 0:16:46So you got no blurred vision, not knocked out or anything like that.
0:16:46 > 0:16:48Your neck's going to ache a little bit.
0:16:48 > 0:16:50Where you've been hit, OK, you've got no marks,
0:16:50 > 0:16:52no visible lumps or bumps there.
0:16:52 > 0:16:54I think it is just an isolated blunt injury
0:16:54 > 0:16:56that hasn't damaged the neck, anything like that.
0:16:56 > 0:16:59Your heart rate, although a little high, it's not dramatically high.
0:16:59 > 0:17:03- I don't think you're going to collapse on us.- OK!- All right?
0:17:03 > 0:17:05'Injuries like this girl's,'
0:17:05 > 0:17:08the energy involved in this isn't as much as someone being hit by a car.
0:17:08 > 0:17:10The surfboard wouldn't be moving very fast
0:17:10 > 0:17:12and, by the nature and design of a surfboard,
0:17:12 > 0:17:14it's light because it has to float.
0:17:14 > 0:17:16There's not a huge amount of weight
0:17:16 > 0:17:18and not a huge amount of speed behind it,
0:17:18 > 0:17:20so there is not as much concern. You still...
0:17:20 > 0:17:25always think of the worst-case scenario and work your way back.
0:17:25 > 0:17:29Relief all round. Georgie's ordeal is over.
0:17:33 > 0:17:36Later, the festival keeps drawing in the crowds
0:17:36 > 0:17:40and Simon's called to another damsel in distress.
0:17:40 > 0:17:43It looks dislocated from here, sort of thing. You know it does.
0:17:43 > 0:17:45- How is the pain?- Bad.
0:17:50 > 0:17:54Coming up...the air ambulance crew reach 83-year-old Elizabeth.
0:17:59 > 0:18:02Thrills and spills at a festival in Cornwall
0:18:02 > 0:18:05when a skateboarder bails mid-stunt.
0:18:05 > 0:18:08We'll have you off to have an X-ray.
0:18:08 > 0:18:12But first, in the Scottish Borders, there's a jockey down.
0:18:12 > 0:18:14- How's your neck? - What's on my legs? Agh!
0:18:19 > 0:18:22BIRDSONG
0:18:24 > 0:18:27Dumfries and Galloway in Southwest Scotland.
0:18:27 > 0:18:322,500 square miles of rich, rolling countryside.
0:18:33 > 0:18:37The population of just 150,000 swells in the summer
0:18:37 > 0:18:40as tourists flock to explore the landscape.
0:18:49 > 0:18:52One way to enjoy the views is from the saddle.
0:18:58 > 0:18:59Today, horses and riders
0:18:59 > 0:19:02have gathered in the small market town of Langholm
0:19:02 > 0:19:04for the annual Common Riding and races.
0:19:11 > 0:19:14The festivities attract thousands of people to the town
0:19:14 > 0:19:16for a traditional family day out.
0:19:28 > 0:19:32But over 150 horses and large crowds of onlookers
0:19:32 > 0:19:35make for an interesting mix.
0:19:36 > 0:19:40Paramedic John West has travelled 30 miles from Dumfries
0:19:40 > 0:19:41to be there just in case.
0:19:46 > 0:19:49CHEERING AND APPLAUSE
0:19:54 > 0:19:58The extra support is good news for local paramedic Greg Hanson.
0:19:59 > 0:20:00This is an annual event.
0:20:00 > 0:20:03It's particularly of interest to the ambulance service
0:20:03 > 0:20:05because the number of people in the town
0:20:05 > 0:20:08on this specific date multiplies severalfold.
0:20:08 > 0:20:11This creates a far higher demand on the services
0:20:11 > 0:20:12than we normally see.
0:20:12 > 0:20:15The best-case scenario is, today, that we have a quiet day,
0:20:15 > 0:20:18that people stay on their horses and enjoy their day.
0:20:18 > 0:20:21Worse-case scenario is that they don't stay on their horses!
0:20:23 > 0:20:25It's an event that began as a way of marking
0:20:25 > 0:20:28the boundaries of the town's common land.
0:20:28 > 0:20:31Nowadays, over 150 riders, big and small,
0:20:31 > 0:20:34gallop through the streets of Langholm.
0:20:35 > 0:20:37We're gan' frae the toon
0:20:37 > 0:20:39And first of a'
0:20:39 > 0:20:42I'll cry the Langholm Fair...
0:20:42 > 0:20:45A horseback proclamation is just one of the spectacles
0:20:45 > 0:20:48of this 250-year-old tradition.
0:20:48 > 0:20:52..the proclamation of the Langholm Fair upon the Castle Craigs.
0:20:52 > 0:20:56CHEERING AND APPLAUSE
0:21:03 > 0:21:07Hooves on tarmac can be a tricky combination
0:21:07 > 0:21:10and the noise and excitement could easily spook the horses.
0:21:10 > 0:21:13CHEERING AND APPLAUSE
0:21:13 > 0:21:16But they make it through the town safely.
0:21:16 > 0:21:18Next, they head to the local racecourse,
0:21:18 > 0:21:21where the horses can go at full gallop.
0:21:21 > 0:21:25Paramedic Greg knows the challenges of the festival all too well.
0:21:25 > 0:21:27You can see from the left-hand side,
0:21:27 > 0:21:29there's people that spill onto the road,
0:21:29 > 0:21:32they've got absolutely no intention of moving anyplace.
0:21:32 > 0:21:36This is Langholm's day and they treat the main road really as theirs.
0:21:39 > 0:21:40This is typical.
0:21:40 > 0:21:43Narrow roads, more traffic parked in them
0:21:43 > 0:21:46than perhaps we'd normally expect on an average Friday,
0:21:46 > 0:21:49just because of the increased number of people in the town.
0:21:51 > 0:21:54The worst-case scenario, really, is we've got to get the police
0:21:54 > 0:21:58and get cars moved or, indeed, find an alternative way around.
0:21:58 > 0:22:00And that can lead to delays.
0:22:03 > 0:22:06There are almost a million horses owned in the UK
0:22:06 > 0:22:08and riding accidents can be very serious.
0:22:12 > 0:22:15Especially when you're going as fast as this.
0:22:26 > 0:22:27Right, guys, can I get in here?
0:22:27 > 0:22:31Aye, sorry, he's a paramedic and I'm an A&E nurse.
0:22:31 > 0:22:33Paramedic John is called to a fallen jockey.
0:22:33 > 0:22:35Who is this young gentleman?
0:22:35 > 0:22:37- Tyrone.- This is Tyrone. - Tyrone. I'm John.
0:22:37 > 0:22:39Silly question, are you sore anywhere?
0:22:40 > 0:22:42How's your neck?
0:22:42 > 0:22:44What about your shoulders or nothing like that?
0:22:44 > 0:22:46Tyrone's been thrown to the ground
0:22:46 > 0:22:49as his horse slipped coming into the final straight.
0:22:49 > 0:22:53He's conscious but he's fallen from a height at speed,
0:22:53 > 0:22:56so his injuries could be serious.
0:22:56 > 0:22:59- Just leave them. Just leave them. - Tyrone, lie still.
0:23:08 > 0:23:11Earlier, air paramedics Mick McLachlan and Mark Fuszard
0:23:11 > 0:23:15flew to a call in Liskeard in the east of Cornwall.
0:23:15 > 0:23:1983-year-old Elizabeth has collapsed with a suspected heart attack.
0:23:19 > 0:23:21There is need to get her into hospital fairly quickly.
0:23:21 > 0:23:26We have paramedics on scene but now we need rapid transport to hospital.
0:23:27 > 0:23:30The Helimed has landed and Elizabeth's son, David,
0:23:30 > 0:23:33helps the crew reach his mum quickly.
0:23:33 > 0:23:36- Ground crew paramedics were first on the scene.- Hello there.
0:23:36 > 0:23:37Hello, Rob, you all right?
0:23:39 > 0:23:41Hello. Hello, my dear.
0:23:43 > 0:23:46Elizabeth lives on her own and has a panic button.
0:23:47 > 0:23:51When she pressed it, her son, David, raced to his mum's side.
0:23:52 > 0:23:56Sat at her computer, went all clammy and wet, then that was it.
0:23:56 > 0:24:00Sat in there, then pushed her lifeline.
0:24:00 > 0:24:02They called me and I've just rushed right round.
0:24:02 > 0:24:04So...
0:24:05 > 0:24:07She was fine this morning, running round Morrisons,
0:24:07 > 0:24:10brought her home, had lunch.
0:24:10 > 0:24:12And now, look. Here we are.
0:24:13 > 0:24:15Elizabeth is in her 80s.
0:24:15 > 0:24:17If she is suffering a heart attack,
0:24:17 > 0:24:21the sooner she gets to hospital, the better the chance of survival.
0:24:23 > 0:24:25Elizabeth. Can you hear me, ma'am?
0:24:25 > 0:24:27Hello. My name's Mick.
0:24:27 > 0:24:30- She's very, very deaf. - She's very deaf? OK.
0:24:30 > 0:24:31VERY deaf.
0:24:31 > 0:24:33LOUDLY: Elizabeth?
0:24:33 > 0:24:36My name's Mick. We're just going to pop you up to the hospital, OK?
0:24:36 > 0:24:39And the quickest way to do that is in a helicopter.
0:24:39 > 0:24:41My colleagues are just getting a stretcher in the house for you.
0:24:41 > 0:24:44We're going to lift you up onto the stretcher
0:24:44 > 0:24:46and just pop you up the road into the helicopter
0:24:46 > 0:24:48and whisk you away to Derriford, OK, my love?
0:24:48 > 0:24:49ELIZABETH MUMBLES
0:24:49 > 0:24:51Where is she going? A&E?
0:24:51 > 0:24:53She's barely conscious, which is a worrying sign.
0:24:55 > 0:24:58They need to get her to Derriford,
0:24:58 > 0:25:01one of the largest hospitals in the south-west.
0:25:01 > 0:25:03Around a 30-minute drive from Liskeard,
0:25:03 > 0:25:05it's less than ten minutes by air.
0:25:20 > 0:25:22The reason these patients are having a heart attack
0:25:22 > 0:25:25is there is a blockage in the coronary artery.
0:25:25 > 0:25:30That coronary is not getting blood to that part of the heart muscle
0:25:30 > 0:25:33and that heart muscle is starting to die off.
0:25:33 > 0:25:36We need to reperfuse that part of the heart
0:25:36 > 0:25:38by unblocking that coronary,
0:25:38 > 0:25:42thus making sure that the blood supply to the heart is resumed.
0:25:42 > 0:25:44Because, as that heart muscle is dying,
0:25:44 > 0:25:46the heart isn't functioning quite as well.
0:25:46 > 0:25:48The longer that goes on,
0:25:48 > 0:25:52the less chance that heart will have of functioning properly again.
0:25:52 > 0:25:55- Do you have any pain at the moment, my love?- Mm?
0:25:55 > 0:25:57Do you have any pain at the moment?
0:26:07 > 0:26:09Elizabeth has recently been unwell.
0:26:12 > 0:26:15She went up to the hospital a couple of weeks ago in an ambulance.
0:26:15 > 0:26:19- Her heart rate was 161, it peaked at.- OK.
0:26:19 > 0:26:21- And they said she had a bit of an irregular heartbeat.- Right.
0:26:21 > 0:26:24You said she's been to the doctor's this morning.
0:26:24 > 0:26:28And she's just had a urine test and that came back clear as well,
0:26:28 > 0:26:30so she was quite made up this morning.
0:26:30 > 0:26:32Plus she's lost eight pounds.
0:26:32 > 0:26:34She's lost about eight pounds, did you say?
0:26:34 > 0:26:37- Yeah, she has been on a diet. - Right, OK.- Yeah.
0:26:37 > 0:26:40Mick and the ground crew must work together to move Elizabeth.
0:26:40 > 0:26:44- Everyone got a bit?- Yeah.- You all right there, Rob? Ready, set, lift.
0:26:44 > 0:26:46She's seriously ill and needs specialist care.
0:26:49 > 0:26:53- Just lean back for me.- Just come around this way a little bit.
0:26:53 > 0:26:55- All right?- Yeah, yeah, I'll just...
0:26:55 > 0:26:57ELIZABETH MOANS
0:26:57 > 0:26:59Don't worry, we'll soon have you laid down.
0:26:59 > 0:27:00Ready, set, lift.
0:27:02 > 0:27:03There we go.
0:27:06 > 0:27:10- Elizabeth, how are you feeling at the moment, my love?- Hm?
0:27:10 > 0:27:13How's that discomfort in your chest? How is it at the moment?
0:27:13 > 0:27:15Well, basically,
0:27:15 > 0:27:17it appears that Elizabeth is having a heart attack, OK?
0:27:17 > 0:27:19Her heart rate's slowed right down
0:27:19 > 0:27:21because of the damage to her heart muscle.
0:27:21 > 0:27:24And, because of that, she's slightly compromised.
0:27:24 > 0:27:26Blood pressure's not quite as high as it should be.
0:27:26 > 0:27:27So she's conscious and alert
0:27:27 > 0:27:30and aware of what's going on, but very drowsy.
0:27:30 > 0:27:33The downside of that is it slightly limits...
0:27:33 > 0:27:35We have to be careful what pain relief we give her
0:27:35 > 0:27:37cos her blood pressure is so low.
0:27:37 > 0:27:40And one of the side-effects of morphine is it drops down.
0:27:40 > 0:27:42But the faster she gets to the hospital, you know,
0:27:42 > 0:27:44the better the result, so...
0:27:44 > 0:27:47- Out of the way, guys.- Quick, quick.
0:27:47 > 0:27:50Back at the park, the Helimed's attracting attention.
0:27:50 > 0:27:53If you land in public places, it's...
0:27:53 > 0:27:55it's always a complete nightmare cos, you know,
0:27:55 > 0:27:58the school holidays, weekends, stuff like that, you know,
0:27:58 > 0:27:59you get lots of people coming out.
0:27:59 > 0:28:01You know, there was one person in the park
0:28:01 > 0:28:02when we were approaching to land.
0:28:02 > 0:28:05now there's, I don't know, a couple of hundred.
0:28:07 > 0:28:10Right, we're just going to raise you up there, Elizabeth.
0:28:10 > 0:28:11You stay nice and still.
0:28:11 > 0:28:14Slide, ready? Slide. OK, and down.
0:28:14 > 0:28:19As the crew gets Elizabeth on board, pilot Mark deals with the crowds.
0:28:19 > 0:28:22Can I ask you to go right back? Right back, please.
0:28:22 > 0:28:23Right back.
0:28:28 > 0:28:31- She's had three lots of atropine. - OK.
0:28:36 > 0:28:38Mark makes sure Elizabeth is comfortable.
0:28:39 > 0:28:42Elizabeth? Elizabeth?
0:28:42 > 0:28:44Open your eyes. Can you hear me? Can you talk to me?
0:28:46 > 0:28:48- Have we made you comfortable?- Mm?
0:28:48 > 0:28:50Are you warm enough? You're warm enough.
0:28:50 > 0:28:52We are going to fly you to Derriford,
0:28:52 > 0:28:55we are only probably going to be a few minutes before we get there.
0:28:57 > 0:29:01The Helimed takes off but Elizabeth is in a critical state.
0:29:01 > 0:29:03The sooner she gets to hospital, the better.
0:29:11 > 0:29:14Back in Newquay and the beach is buzzing.
0:29:14 > 0:29:18It's the Boardmasters Festival, swelling the August crowds.
0:29:18 > 0:29:20And the casualties keep on coming.
0:29:22 > 0:29:26Earlier, festival medic Simon Denman treated an unlucky festival-goer
0:29:26 > 0:29:28with a suspected spinal injury.
0:29:29 > 0:29:33Away from the shore, there's also plenty of action.
0:29:42 > 0:29:44Simon's making his way to the security cabin.
0:29:44 > 0:29:46'Scuse, guys.
0:29:46 > 0:29:47'Scuse.
0:29:47 > 0:29:49But the crowds are slowing him down.
0:29:56 > 0:29:59He's been called to a girl with a dislocated shoulder
0:29:59 > 0:30:01who's in a lot of pain.
0:30:04 > 0:30:05Hello.
0:30:05 > 0:30:08- So, what's your name, first of all?- Bex.
0:30:08 > 0:30:09Bex, what's happened?
0:30:13 > 0:30:16Right, so you've dislocated it before. And what normally happens?
0:30:16 > 0:30:19- You normally have to go to hospital to get it put back in?- Yeah.
0:30:21 > 0:30:24So it's...? Yeah, posterior dislocation.
0:30:24 > 0:30:26So we'll have a little look but...
0:30:27 > 0:30:31..it looks dislocated from here, sort of thing. You know it does.
0:30:31 > 0:30:34- How's the pain?- Bad.- Bad? What do you normally have for it?
0:30:34 > 0:30:36Bex is putting on a brave face.
0:30:38 > 0:30:41She has a painful condition called hypermobility,
0:30:41 > 0:30:44which means her joints can pop out of their sockets.
0:30:44 > 0:30:47Simon gives her gas and air to take the edge off the pain.
0:30:48 > 0:30:51But she needs a stronger painkiller and hospital treatment.
0:30:51 > 0:30:56Yeah, she's fully conscious, GCS 15, it's an isolated injury.
0:30:56 > 0:30:59No, no blood loss, it's a closed injury.
0:30:59 > 0:31:03She's previously dislocated it before and it's a posterior dislocation.
0:31:03 > 0:31:05Yeah, no worries. Thank you. Bye-bye.
0:31:05 > 0:31:08What I'm going to do is put a little needle in her arm,
0:31:08 > 0:31:10and give her some morphine, just to take the edge off the pain.
0:31:10 > 0:31:12That'll also help with the spasming
0:31:12 > 0:31:14that's causing some of the pain as well.
0:31:14 > 0:31:15So hopefully get her a bit more comfortable
0:31:15 > 0:31:17for her transport to hospital.
0:31:17 > 0:31:21- Make sure we've got everything ready. - Oh, no. I'm terrible with needles.
0:31:21 > 0:31:23- You're terrible with needles? - Want me to hold your hand?- Yeah!
0:31:23 > 0:31:25SHE LAUGHS
0:31:25 > 0:31:30On top of the pain, Bex now needs to face up to the needle.
0:31:30 > 0:31:32Fortunately for her, help is at hand...
0:31:34 > 0:31:36..from a friendly security guard.
0:31:36 > 0:31:39The next thing we're going to give you is a little bit of morphine.
0:31:39 > 0:31:43So what we do is we mix the morphine with nine mil of saline.
0:31:43 > 0:31:47It means we can easily, you know, choose what dose we're giving you.
0:31:48 > 0:31:52- Her ambulance is here, mate. - OK, so the cavalry's arrived.
0:31:52 > 0:31:54- Starting to ease off at all? - A little bit.- A little bit.
0:31:54 > 0:31:57- Not a lot.- Good. Good.
0:32:01 > 0:32:03With the pain relief kicking in,
0:32:03 > 0:32:06Bex's journey to A&E should be more comfortable.
0:32:06 > 0:32:09She faces a 15-mile ambulance ride
0:32:09 > 0:32:12along country roads congested with holiday traffic.
0:32:12 > 0:32:15Just getting out of Newquay is a challenge.
0:32:25 > 0:32:27Back on the beach, surf's up
0:32:27 > 0:32:29and the surfing competitions are in full swing.
0:32:32 > 0:32:33Away from the waves,
0:32:33 > 0:32:37it's the cyclist and skateboarders who are thrilling the crowds.
0:32:38 > 0:32:42But all these sports bring their fair share of injuries.
0:32:47 > 0:32:5119-year-old skateboarder Jake has come off his board mid-stunt.
0:32:51 > 0:32:53It's another job for Simon.
0:32:53 > 0:32:56There's obviously quite a bit of swelling there.
0:32:56 > 0:32:58Can you move it, can you bend it up?
0:32:58 > 0:33:01- Yeah.- Push my hand down.
0:33:01 > 0:33:03- Push, push, push.- There it's starting to hurt.- All right.
0:33:03 > 0:33:05Any pain down the front at all?
0:33:05 > 0:33:08It's, like, sending pain towards there.
0:33:09 > 0:33:12When you went over on it today, was it just impact?
0:33:12 > 0:33:15The guy's board went straight into my ankle.
0:33:15 > 0:33:18Right, so it was an impact into the side of your ankle.
0:33:18 > 0:33:21Chances are, because you can't weight-bear on it...
0:33:21 > 0:33:23it's going to be off to have an X-ray.
0:33:23 > 0:33:26- So we need to get you up to Minor Injury Unit.- Yeah.
0:33:26 > 0:33:28Because you can't weight-bear at all,
0:33:28 > 0:33:31the rules are such that it needs an X-ray.
0:33:32 > 0:33:34Despite the injuries,
0:33:34 > 0:33:38it seems Jake just can't get enough of his skateboard.
0:33:38 > 0:33:39I was just skating the ramp.
0:33:39 > 0:33:41I shouldn't have been skating on it, really,
0:33:41 > 0:33:43because I had a previous injury on my ankle
0:33:43 > 0:33:45where I've just hyper-extended it.
0:33:45 > 0:33:49I was just coming back down the ramp and another guy lost his balance,
0:33:49 > 0:33:52came flying towards me, we kind of crossed paths
0:33:52 > 0:33:55and I kind of just hit my ankle right into his skateboard,
0:33:55 > 0:33:57and that just agitated it again.
0:33:57 > 0:34:01Think I'm just going to grab a beer and head up to the hospital.
0:34:01 > 0:34:06Ah, beer. Now there's one sedative Simon doesn't carry in his kit bag.
0:34:07 > 0:34:10And that skateboard makes a handy crutch.
0:34:12 > 0:34:13Whether he should be skating again
0:34:13 > 0:34:17or whether he will be skating again are two separate things.
0:34:17 > 0:34:19I wouldn't have thought it's advisable to skate again soon
0:34:19 > 0:34:22but I expect he'll probably be back on it this afternoon.
0:34:36 > 0:34:40In south-west Scotland, Langholm's annual Common Riding Festival
0:34:40 > 0:34:42draws thousands of visitors every year.
0:34:49 > 0:34:53But as the racing gets under way, a jockey takes a nasty fall.
0:34:59 > 0:35:02- Right, guys, can I get in here?- He's a paramedic and I'm an A&E nurse.
0:35:02 > 0:35:06- Who is this young gentleman?- Tyrone. - This is Tyrone.- Tyrone? I'm John.
0:35:06 > 0:35:09Silly question - are you sore anywhere?
0:35:09 > 0:35:10How's your neck?
0:35:12 > 0:35:14With 27 years' experience,
0:35:14 > 0:35:17paramedic John West knows how serious this could be.
0:35:19 > 0:35:21'Fact that he's lying motionless,'
0:35:21 > 0:35:25you're thinking, is he lying there because he's just been winded
0:35:25 > 0:35:29or the fact that he is seriously injured?
0:35:29 > 0:35:31PEOPLE TALK OVER EACH OTHER
0:35:33 > 0:35:37'Because of the height of the horse, that we'd seen him on,
0:35:37 > 0:35:39'it's a fair height to come down and, of course,'
0:35:39 > 0:35:42because we hadn't witnessed it, we didn't know if he'd landed
0:35:42 > 0:35:45on his head or just landed on his back or landed on his bum.
0:35:45 > 0:35:48- Where are you sore? - He's a jockey.- Is it just your eye?
0:35:49 > 0:35:55It's intense. Not only is Tyrone hurt, but his horse is too.
0:35:55 > 0:35:58It's being attended to nearby and upsetting bystanders,
0:35:58 > 0:36:01but John's priority is Tyrone.
0:36:02 > 0:36:05We'll not bother about your eye the noo, right?
0:36:05 > 0:36:08Your eye is the least thing that I'm interested in at the moment.
0:36:08 > 0:36:12John's main concern is whether Tyrone has suffered a serious neck injury.
0:36:12 > 0:36:14He must make a swift assessment.
0:36:14 > 0:36:16Just leave them. Just leave them.
0:36:16 > 0:36:19- Forget your boots, Ty. - Tyrone, lie still.
0:36:19 > 0:36:20Put your legs down and listen to me.
0:36:20 > 0:36:22- You don't want to listen to anybody else.- Ty.
0:36:22 > 0:36:24I need to sit up and just...
0:36:24 > 0:36:26You just want to sit up?
0:36:26 > 0:36:29- Ty, let them tell you... - No, I'm fine.
0:36:29 > 0:36:33- Let them tell you what to do. - Your neck's fine?
0:36:33 > 0:36:35- OK?- All right.
0:36:36 > 0:36:40John's confident Tyrone is not seriously injured.
0:36:40 > 0:36:44- Not with an eye like that, you're not, darling.- Can I have a mirror?
0:36:44 > 0:36:46No, you don't need a mirror.
0:36:46 > 0:36:48- Take your time.- What day is it?
0:36:48 > 0:36:51'He had quite a substantial eye injury.
0:36:51 > 0:36:54'After two or three minutes, we ascertained that
0:36:54 > 0:36:57'that was the only injuries that the gentleman had received.'
0:36:57 > 0:36:59Although someone was holding his neck
0:36:59 > 0:37:02and someone was trying to hold his legs, when I actually
0:37:02 > 0:37:04looked to speak to the gentleman,
0:37:04 > 0:37:06it was quick to realise there was no actual injuries.
0:37:06 > 0:37:10- I would have won, you know. I would have won.- You would have won?
0:37:10 > 0:37:12He's back on his feet,
0:37:12 > 0:37:15but jockey Tyrone is not keen on a hospital visit.
0:37:15 > 0:37:17'You've got to go by what he's wanting,
0:37:17 > 0:37:20'give him the option, "Do you want to go to hospital?"
0:37:20 > 0:37:22'or, "We're advising that you go to hospital." '
0:37:22 > 0:37:25In this case, he assured me there was nothing wrong with him.
0:37:25 > 0:37:29We said to him that if he did become unwell,
0:37:29 > 0:37:33because we were next to the race track, we were there if required.
0:37:33 > 0:37:35LAUGHTER
0:37:35 > 0:37:37It's been a lucky escape.
0:37:38 > 0:37:42I was just going to take up the lead and, um...
0:37:42 > 0:37:44the horse just slipped.
0:37:44 > 0:37:47Unfortunately, I went down with a bang, and that's the result of it.
0:37:47 > 0:37:52'I was a bit sore, slight headache and I could feel a lump on my eye.
0:37:52 > 0:37:54'I wasn't confident enough of myself to move'
0:37:54 > 0:37:57until I got the all-clear from the ambulance people.
0:38:00 > 0:38:02With an accident-prone sport like this,
0:38:02 > 0:38:04it's vital to have medics on hand.
0:38:06 > 0:38:08You need an ambulance when there's racing,
0:38:08 > 0:38:11especially when horses are racing and galloping.
0:38:12 > 0:38:15They've got to be there, it's essential, you know,
0:38:15 > 0:38:17for safety reasons, you've got to have them.
0:38:18 > 0:38:22But he's not going to let today's experience put him off.
0:38:22 > 0:38:25I've fallen off hundreds of times, so...
0:38:25 > 0:38:28once the swelling's gone down, I'll be riding again.
0:38:28 > 0:38:32But today, tough guy Tyrone will have to watch from the rails.
0:38:40 > 0:38:43Earlier, the Cornwall Air Ambulance raced to an urgent call.
0:38:43 > 0:38:4783-year-old Elizabeth was having a heart attack.
0:38:47 > 0:38:49She called for help using her panic button.
0:38:49 > 0:38:52Her son, David, reached her first.
0:38:52 > 0:38:56Sat at her computer, went all clammy and wet
0:38:56 > 0:38:59and then that was it, sat in there, then pushed her lifeline.
0:38:59 > 0:39:02They called me and I just rushed right round.
0:39:05 > 0:39:09Elizabeth is very unwell, so she is being rushed to Derriford Hospital.
0:39:11 > 0:39:15In cases like this, a helicopter can make all the difference.
0:39:15 > 0:39:17What I might do is just get you
0:39:17 > 0:39:21to pop that onto the oxygen cylinder behind me, if you could. Yeah.
0:39:24 > 0:39:26Elizabeth? Elizabeth, if you can hear me,
0:39:26 > 0:39:29I'm just going to pop a little oxygen mask onto your mouth.
0:39:29 > 0:39:34For your information, we're going to be arriving at about 15:48.
0:39:34 > 0:39:37She's still a little drowsy and that's probably due to the fact
0:39:37 > 0:39:40that her heart rate's not quick enough to get the oxygen
0:39:40 > 0:39:42around her body to diffuse to her brain,
0:39:42 > 0:39:45so that may be the reason why she's a little bit...
0:39:45 > 0:39:48a little bit reduced on the level of consciousness.
0:39:48 > 0:39:50We need to get this lady into the department
0:39:50 > 0:39:54that can have a look at the heart, do another ECG
0:39:54 > 0:39:59and then try and find the reason why this heart is actually slow today.
0:39:59 > 0:40:02We're going to be five minutes before we land at Derriford,
0:40:02 > 0:40:06so this lady has got into the emergency department really quickly,
0:40:06 > 0:40:09and that would have taken 45 minutes by road.
0:40:09 > 0:40:11Quite twisty, quite a narrow kind of...
0:40:11 > 0:40:14Especially this time of year with the traffic congestion,
0:40:14 > 0:40:17that could be up to an hour, really.
0:40:17 > 0:40:19But this is why this is so vital.
0:40:19 > 0:40:21Elizabeth, can you hear me?
0:40:21 > 0:40:25Elizabeth, if you can hear me, can you open your eyes at all?
0:40:27 > 0:40:30She is looking round when I open her eyes, mate.
0:40:30 > 0:40:33Unfortunately, she's not looking like she's going to respond.
0:40:33 > 0:40:36Elizabeth, if you can hear me, we're about four minutes from hospital now,
0:40:36 > 0:40:38so we're going to get you into a department
0:40:38 > 0:40:40and get you seen to by the doctors,
0:40:40 > 0:40:42get you onto a slightly more comfortable bed.
0:40:45 > 0:40:49- Two minutes to landing. - Two minutes. Thanks, Mark.
0:40:49 > 0:40:51OK, we're just approaching Derriford now,
0:40:51 > 0:40:55- so about 45 seconds we'll start our descent to land.- OK.
0:40:56 > 0:40:57She's very pale.
0:41:00 > 0:41:02Mick called ahead to the hospital,
0:41:02 > 0:41:05so the resus team are ready and waiting.
0:41:06 > 0:41:09- Basically, we've got an 82-year-old lady.- Yeah.
0:41:09 > 0:41:12She has been a bit unwell lately and she just went to the GP this morning
0:41:12 > 0:41:15to get results of an array of blood tests, all of which
0:41:15 > 0:41:17- have come back normal.- Yeah.
0:41:17 > 0:41:18About 2:40pm this afternoon,
0:41:18 > 0:41:20she was sat at her computer,
0:41:20 > 0:41:22suddenly felt clammy, dizzy,
0:41:22 > 0:41:25short of breath, nauseated,
0:41:25 > 0:41:27lay down on the couch thinking she was going to pass out,
0:41:27 > 0:41:30- like there was a great heavy weight on her chest.- OK.
0:41:30 > 0:41:33While Mick briefs the hospital staff,
0:41:33 > 0:41:36Mark prepares to get Elizabeth off the helicopter.
0:41:38 > 0:41:40Yeah, we've brought this lady to Derriford.
0:41:40 > 0:41:43It's taken a few minutes although she's in the right place.
0:41:43 > 0:41:44We've got here really quickly
0:41:44 > 0:41:48and she's going to be where the doctors can actually examine her,
0:41:48 > 0:41:50do an ECG, find out exactly what's going on and hopefully treat her
0:41:50 > 0:41:54and then get this lady back home hopefully as soon as we can.
0:41:56 > 0:41:59The plan for the rest of the day is, we'll sort our kit out here.
0:41:59 > 0:42:02We haven't used to much of our kit, so we are still good to go
0:42:02 > 0:42:04if we do get another emergency call,
0:42:04 > 0:42:07so as soon as Mick's ready and he comes back to the aircraft,
0:42:07 > 0:42:11we're available for the next emergency call in the county.
0:42:11 > 0:42:15From receiving the call, it's taken the air ambulance crew
0:42:15 > 0:42:18just 55 minutes to get Elizabeth to hospital.
0:42:18 > 0:42:20Now it's over to the hospital staff.
0:42:30 > 0:42:33In Scotland, despite his ordeal,
0:42:33 > 0:42:36Tyrone the jockey was back in the saddle the very next day.
0:42:38 > 0:42:40At the Boardmasters Festival in Cornwall,
0:42:40 > 0:42:44the injuries kept on coming, but thanks to the lifeguards
0:42:44 > 0:42:48and paramedic Simon, no major injury spoilt the event.
0:42:49 > 0:42:53Elizabeth spent a week in hospital, receiving specialist care,
0:42:53 > 0:42:56but her heart was very badly damaged.
0:42:56 > 0:43:00Sadly, she passed away with David and her family around her.
0:43:02 > 0:43:06They sent us a photograph of Elizabeth in happier times.
0:43:09 > 0:43:11It's no easy job
0:43:11 > 0:43:14working in our emergency services across the country.