0:00:02 > 0:00:04From the Highlands of Scotland,
0:00:04 > 0:00:06to the coast of Cornwall,
0:00:06 > 0:00:09the Great British countryside is spectacular.
0:00:11 > 0:00:15But we work and play in it at our peril.
0:00:16 > 0:00:18And when things go wrong,
0:00:18 > 0:00:21the emergency services race to the rescue.
0:00:21 > 0:00:25He's come off and he's got his leg trapped underneath it.
0:00:28 > 0:00:31Aw, man. This is a nightmare.
0:00:31 > 0:00:35Going hundreds of miles against the clock,
0:00:35 > 0:00:39battling the elements and braving the waves.
0:00:42 > 0:00:47From the Welsh Valleys, to winding country roads,
0:00:47 > 0:00:50we'll be right at the heart of the action...
0:00:50 > 0:00:53with police fighting crime...
0:00:53 > 0:00:56I am tinkering on seizing the vehicle.
0:00:56 > 0:00:59..paramedics saving lives...
0:01:02 > 0:01:04..and lifeguards patrolling the seas.
0:01:04 > 0:01:08We're there as the emergency services pull together to pick up,
0:01:08 > 0:01:12patch up and protect the public.
0:01:12 > 0:01:15This is Countryside 999.
0:01:34 > 0:01:36Coming up...
0:01:36 > 0:01:40A crash on the Welsh roads leaves a motorcyclist seriously injured.
0:01:40 > 0:01:42It appears he's gone into the back of the trailer.
0:01:42 > 0:01:46Fell through the air and landed pretty much like this but face down.
0:01:48 > 0:01:51The air ambulance race to a six-month-old baby
0:01:51 > 0:01:52who's stopped breathing.
0:02:02 > 0:02:05And a Cornish fisherman hooks a surprise catch.
0:02:05 > 0:02:09She's going to do the cutting. I'm going to do the pushing through.
0:02:23 > 0:02:25The Brecon Beacons -
0:02:25 > 0:02:28520 square miles of gorgeous Welsh countryside.
0:02:30 > 0:02:34These breathtaking views are home to 32,000 people
0:02:34 > 0:02:37and welcome more than four million visitors every year.
0:02:40 > 0:02:42Protecting them is the Dyfed Powys Police...
0:02:46 > 0:02:49..whose patch covers more than half of Wales.
0:02:55 > 0:02:57PC Gareth Evans is blue-lighting
0:02:57 > 0:02:59to a serious road traffic collision, or RTC.
0:03:03 > 0:03:08He's a local lad, so knows these roads like the back of his hand.
0:03:08 > 0:03:12Just received a call over the air that we've got a two-vehicle
0:03:12 > 0:03:14road traffic collision on the A40
0:03:14 > 0:03:17between Sennybridge and Trecastle.
0:03:17 > 0:03:20It's a motorcycle and a car involved.
0:03:20 > 0:03:23The motorcyclist is conscious and breathing,
0:03:23 > 0:03:25but that's all they can tell us at the moment.
0:03:25 > 0:03:28More than 23,000 people were seriously injured
0:03:28 > 0:03:31in road accidents in the UK last year.
0:03:31 > 0:03:34Almost a quarter of them were motorcyclists.
0:03:36 > 0:03:38And with 13 years' service under his belt,
0:03:38 > 0:03:41Gareth has dealt with many collisions.
0:03:42 > 0:03:46RTCs are quite common in our area.
0:03:46 > 0:03:51It's to do with the roads that we have.
0:03:51 > 0:03:56We tend to get a lot of motorcyclists using the roads,
0:03:56 > 0:04:00obviously, because of the scenery and, generally, the countryside.
0:04:02 > 0:04:05Gareth is 14 miles away from the accident.
0:04:05 > 0:04:09He and the rapid response ambulance need to get there fast.
0:04:13 > 0:04:16But travelling on rural roads brings extra challenges.
0:04:18 > 0:04:21Farming traffic, slow-moving traffic in general,
0:04:21 > 0:04:24is a problem when attending to shouts and calls
0:04:24 > 0:04:28on roads predominantly quite twisty and bendy,
0:04:28 > 0:04:33so it's awkward to pick a safe spot to carry out an overtake.
0:04:35 > 0:04:38You have to pick your moments very well and carefully.
0:04:44 > 0:04:45The accident has blocked the road
0:04:45 > 0:04:48and heavy traffic is already building up.
0:04:57 > 0:05:01A motorcyclist is lying where he landed. He's in a critical state.
0:05:01 > 0:05:04Excellent. I love people passing like that. How is the gent?
0:05:04 > 0:05:08- It appears that he's gone into the back of the trailer.- Right, OK.
0:05:08 > 0:05:10And literally fell through the air
0:05:10 > 0:05:13and landed pretty much like this, but face down.
0:05:15 > 0:05:19We didn't see what happened. When I got to him, he was semi-conscious.
0:05:21 > 0:05:24German holiday-maker Jurgen crashed into the back of a trailer
0:05:24 > 0:05:27after it braked to avoid a cyclist.
0:05:28 > 0:05:32Gareth makes the road safe while paramedics check Jurgen's injuries.
0:05:35 > 0:05:37Semi-conscious...
0:05:39 > 0:05:43We can... Here...
0:05:43 > 0:05:47Yeah, if we give it five minutes while the paramedic is
0:05:47 > 0:05:50dealing with him, then once she's happy and ready to move him...
0:05:50 > 0:05:52We'll leave traffic on a stop at the moment.
0:05:54 > 0:05:57Luckily, passing soldiers from a local training camp
0:05:57 > 0:06:00are on hand to help with the growing tailback.
0:06:00 > 0:06:03Lovely job, excellent. Thanks for your help. Cheers.
0:06:08 > 0:06:12124 at scene. Paramedic first responders at scene.
0:06:12 > 0:06:15Gentleman is conscious, breathing.
0:06:17 > 0:06:19Hi. Did you witness any of it or what?
0:06:20 > 0:06:24Jurgen's in a bad way, so they've called for an air ambulance.
0:06:26 > 0:06:30So, literally, it's happening by the side of you - skidding, bang...
0:06:30 > 0:06:31Right.
0:06:31 > 0:06:33'From first accounts, it would appear that the van
0:06:33 > 0:06:37'and trailer were travelling along, caught up with the pedal cyclist.
0:06:37 > 0:06:40The van and trailer has looked to overtake the pedal cyclist.
0:06:40 > 0:06:43Unfortunately, vehicles coming the other direction prevented him
0:06:43 > 0:06:46from doing that, so he's slowed down and pulled back in.
0:06:46 > 0:06:50Unfortunately, the German registered bike hasn't been able
0:06:50 > 0:06:54to stop in time and has gone into the back end of the trailer.
0:06:54 > 0:06:57Witnesses said they've seen him being thrown up in the air
0:06:57 > 0:07:01and then landing in the position he's in at the moment.
0:07:02 > 0:07:06A fall like this could cause devastating injuries.
0:07:06 > 0:07:09The helimed has arrived and will land as close as it can.
0:07:11 > 0:07:15Remarkably, the cyclist involved in the accident is unhurt.
0:07:15 > 0:07:18- You're the pedal cyclist? - I am, yeah.- You're OK?- I'm OK, yeah.
0:07:18 > 0:07:19Excellent.
0:07:19 > 0:07:23So, short and sweet, you're aware of a car coming up behind you...
0:07:23 > 0:07:26Vaguely aware of a vehicle behind me.
0:07:26 > 0:07:28"I then heard...
0:07:28 > 0:07:31- "a bang"? - Large bang, yeah.
0:07:32 > 0:07:34Did you look back or...?
0:07:34 > 0:07:42I looked back, noticed there was a black object on the side of the road.
0:07:44 > 0:07:48I then realised it was a body and braked hard, pulled over.
0:07:50 > 0:07:52The cyclist had a lucky escape,
0:07:52 > 0:07:55but poor Jurgen's holiday tour has come to an abrupt end.
0:07:57 > 0:08:00Later, Jurgen's critical state leaves the medics
0:08:00 > 0:08:02facing a serious decision.
0:08:03 > 0:08:06- Jurgen, any pain?- Yes. - Pain in the chest?
0:08:22 > 0:08:26Like the Brecon Beacons, Cornwall is a holiday hot spot,
0:08:26 > 0:08:30with millions of visitors joining locals in the sun, sand and surf.
0:08:33 > 0:08:37Boasting a dramatic coastline that spans nearly 300 miles,
0:08:37 > 0:08:41the county is home to over 100 stunning beaches.
0:08:45 > 0:08:49But busy beaches mean more accidents and emergencies.
0:08:54 > 0:08:55And when that happens,
0:08:55 > 0:08:58the Cornwall Air Ambulance often swing into action.
0:09:01 > 0:09:03Their crew have been in the front line of emergency care
0:09:03 > 0:09:05for over 26 years.
0:09:08 > 0:09:11On shift today is paramedic Amy Sainsbury,
0:09:11 > 0:09:14who's been on the team for a bit more than a year.
0:09:16 > 0:09:20She's just taken an emergency call from the RNLI Lifeguards.
0:09:20 > 0:09:24It's a six-month-old on a beach with the lifeguards,
0:09:24 > 0:09:26reported it as a cardiac arrest.
0:09:27 > 0:09:31A six-month-old baby is having a suspected heart attack
0:09:31 > 0:09:35on Polzeath beach, 19 miles away from the air ambulance base
0:09:35 > 0:09:40at Newquay - almost an hour by road, less than ten minutes by air.
0:09:41 > 0:09:45But, with such a young life, every second counts.
0:09:48 > 0:09:52On board is pilot Mark Woodward and paramedic Mark Fossard,
0:09:52 > 0:09:55who's just had an update from the ground.
0:09:56 > 0:09:57What we're going to...
0:09:57 > 0:10:00It's been given as a six-month-old cardiac arrest
0:10:00 > 0:10:03on a beach in north Cornwall, New Polzeath.
0:10:03 > 0:10:07The update's come through that it's not actually a cardiac arrest, but
0:10:07 > 0:10:11the little one is quite floppy and is having breathing difficulties.
0:10:14 > 0:10:19When we get calls to children, there is an added stress value and it
0:10:19 > 0:10:23does distress the crew a little more than a normal call would do,
0:10:23 > 0:10:26to think that there is a child in trouble.
0:10:32 > 0:10:34At the moment, they're with the lifeguards
0:10:34 > 0:10:36who are administering first aid,
0:10:36 > 0:10:40but we're going to be coming across and landing on the beach.
0:10:40 > 0:10:45Amy's going to be getting out and hopefully get this little one
0:10:45 > 0:10:47on board fairly quickly and get them to hospital.
0:10:55 > 0:10:58The baby's condition could be life-threatening.
0:10:58 > 0:11:02As well as the helimed, a rapid response vehicle, or RRV,
0:11:02 > 0:11:04is racing to the beach.
0:11:04 > 0:11:07We have a minute and a half, Kelly.
0:11:07 > 0:11:09If it's been given mouth-to-mouth,
0:11:09 > 0:11:12we should be getting as close as we can, to be fair.
0:11:12 > 0:11:14Whether the RRV is three minutes away or not,
0:11:14 > 0:11:17- we don't know if it's a paramedic on.- OK.
0:11:17 > 0:11:19I'd be happy to just to drop it on the beach.
0:11:19 > 0:11:21OK, mate.
0:11:21 > 0:11:25New Polzeath is the end bit that sticks out.
0:11:25 > 0:11:26It's not Polzeath beach...
0:11:26 > 0:11:28I'm assuming it's up that end of the beach.
0:11:34 > 0:11:36The holiday hordes are making it hard for the crew
0:11:36 > 0:11:38to find somewhere to land.
0:11:38 > 0:11:42In that case, we could, if it's clear, land in the pitch and putt.
0:11:42 > 0:11:45It's looking like they've cleared it, because there's nobody in it.
0:11:45 > 0:11:47There's nobody on the grass, is there?
0:11:47 > 0:11:49- Is that a lifeguard in there now? - Yes.
0:11:49 > 0:11:52- They've cleared that for us, mate. Happy with that?- Yep.
0:11:52 > 0:11:54The lifeguards are really good on this beach
0:11:54 > 0:11:57and they've cleared that area for us so we can land and we can shut down.
0:11:58 > 0:12:01Normally, on a beach, due to the fact the tide comes in and out,
0:12:01 > 0:12:03we would have to stay rotors-running on the beach,
0:12:03 > 0:12:05which creates a few problems.
0:12:06 > 0:12:09OK, as the ground rises up...
0:12:09 > 0:12:12The lifeguards have cleared a landing site
0:12:12 > 0:12:15as close to the baby as they can safely get them.
0:12:15 > 0:12:17Yeah, you're good right, clear of the wires.
0:12:17 > 0:12:20Now we're over the fence and clear of the fence.
0:12:22 > 0:12:23Still good right.
0:12:28 > 0:12:32- What do you want to take with you, Ames?- I'll take the big bag, please.
0:12:32 > 0:12:36Amy's bag includes special kit for treating babies and children.
0:12:39 > 0:12:41Hi.
0:12:42 > 0:12:44But it's a further 150 yards
0:12:44 > 0:12:47before she'll know what state the baby's in.
0:12:55 > 0:12:57Dyfed Powys in Wales.
0:12:57 > 0:13:00Remote and stunning.
0:13:00 > 0:13:04Its police force say they are the most rural in England and Wales.
0:13:04 > 0:13:06SIREN WAILS
0:13:06 > 0:13:11Earlier, in the Brecon Beacons, police officer Gareth Evans
0:13:11 > 0:13:15raced to a serious crash involving a motorcyclist on the busy A40.
0:13:21 > 0:13:22Jurgen is in a bad way
0:13:22 > 0:13:26after being thrown over the handlebars of his bike.
0:13:26 > 0:13:30Traffic is at a standstill.
0:13:30 > 0:13:33Jurgen is being treated by a highly skilled medical team
0:13:33 > 0:13:36who need space and time to assess his injuries.
0:13:41 > 0:13:45Paramedics attended, who is dealing with the gentleman now.
0:13:45 > 0:13:48So, we'll keep the traffic on stop, keep them safe
0:13:48 > 0:13:50so they can do their bit and then, once they're happy,
0:13:50 > 0:13:53we'll start the traffic flowing, but not until that time.
0:13:53 > 0:13:56The Wales Air Ambulance crew have just arrived at the scene.
0:13:58 > 0:14:00He was groaning.
0:14:00 > 0:14:02Wasn't responding.
0:14:02 > 0:14:04- No verbal?- No movement, no verbal. - Right.
0:14:04 > 0:14:06- Couldn't understand us.- Yeah.
0:14:06 > 0:14:11- Had some groaning.- Yeah?- And then his pupils started reacting.- OK.
0:14:11 > 0:14:15The medical team try to work out just how badly Jurgen's hurt.
0:14:15 > 0:14:18As the only officer at the scene,
0:14:18 > 0:14:22Gareth's got his work cut out for him.
0:14:22 > 0:14:23First thing to ascertain
0:14:23 > 0:14:27is to find out exactly how many are injured.
0:14:27 > 0:14:30'Next task is to find out what happened at the collision
0:14:30 > 0:14:34'and why the collision occurred. I spoke to van driver at scene
0:14:34 > 0:14:38'and went through the sort of protocols, as in the breath test.'
0:14:38 > 0:14:43The driver was clearly upset and traumatised by incident,
0:14:43 > 0:14:46even though initial assessments
0:14:46 > 0:14:52would appear that he wasn't to blame for the collision.
0:14:52 > 0:14:55He was clearly upset by what had happened
0:14:55 > 0:14:58and the state that the motorcyclist was in.
0:14:58 > 0:15:02I think what we'll probably try and do is put him on the scoop
0:15:02 > 0:15:06and then we'll put him on to our vacuum mattress and put him on that.
0:15:07 > 0:15:10Jurgen is drifting in and out of consciousness
0:15:10 > 0:15:14and the team are struggling to get a response from him.
0:15:14 > 0:15:17But no-one knows if he speaks English.
0:15:17 > 0:15:20It's very, very difficult cos when you're asking him,
0:15:20 > 0:15:22- he doesn't understand. - Doesn't understand.
0:15:22 > 0:15:24Jurgen? Jurgen?
0:15:24 > 0:15:25- Any pain?- Yes.
0:15:25 > 0:15:28Pain in the chest?
0:15:29 > 0:15:31They need to get him off this road
0:15:31 > 0:15:35and straight to the nearest hospital, 23 miles away.
0:15:35 > 0:15:38A journey that could take three-quarters of an hour
0:15:38 > 0:15:39on these country roads.
0:15:57 > 0:15:59He's lost consciousness.
0:16:09 > 0:16:12- Can you feel me touching you, Jurgen?- Yeah.- Yeah?
0:16:12 > 0:16:14Feel me touching you there? Yeah?
0:16:14 > 0:16:17Let me just have a look at your eyes a minute.
0:16:17 > 0:16:18Open your eyes.
0:16:19 > 0:16:22The state of Jurgen's helmet and bike are a sign
0:16:22 > 0:16:25of how badly he's likely to be hurt.
0:16:25 > 0:16:28The paramedics need him in the air as soon as possible.
0:16:28 > 0:16:30One, two, three, and...
0:16:39 > 0:16:41Later...
0:16:41 > 0:16:43Jurgen's confusion causes concern...
0:16:43 > 0:16:45Tell me where the pain is.
0:16:47 > 0:16:48- Don't know.- You don't know?
0:16:48 > 0:16:52Obviously, he is demonstrating signs of concussion.
0:16:52 > 0:16:54..a local man's hobby gets him HOOKED...
0:16:54 > 0:16:56How big is that in there?
0:16:56 > 0:16:58That's about... Up to about here.
0:16:58 > 0:17:01- But its barb is about here, I think.- Right.
0:17:01 > 0:17:05..but, first, a pirate in Penzance needs patching up.
0:17:05 > 0:17:07Did you actually go out like this intentionally?
0:17:07 > 0:17:09- Yeah. Yeah, definitely. - You did? Right.
0:17:09 > 0:17:10- Dress-up, innit?- OK.
0:17:28 > 0:17:32It's August and Cornwall's summer season is in full swing.
0:17:34 > 0:17:38Holiday-making hordes have almost doubled the population.
0:17:42 > 0:17:44More people means more pressure
0:17:44 > 0:17:47on staff at the Urgent Care Centre in Penzance.
0:17:50 > 0:17:53The team here are specially trained in emergency medicine...
0:17:53 > 0:17:56- So, I think you've been extraordinarily lucky.- Yeah.
0:17:56 > 0:18:00..treating everything from broken bones to cuts and scrapes.
0:18:00 > 0:18:04- Let me know when it hurts.- Oh! - Oh, I'm so sorry.- Yeah, that hurt.
0:18:09 > 0:18:12Right now, it's party season in Penzance,
0:18:12 > 0:18:15which can only mean one thing - pirates.
0:18:16 > 0:18:18Right, then, William and Louise.
0:18:18 > 0:18:23- So, you went out having a pirate party last night.- Yeah.- Yeah.
0:18:23 > 0:18:26Today, emergency nurse practitioner Louise Silver is treating
0:18:26 > 0:18:29young reveller William, who is nursing a few bumps
0:18:29 > 0:18:32and scrapes after a beach party.
0:18:32 > 0:18:36- Tell me a bit more about the pirate party.- It was pretty good.
0:18:36 > 0:18:37I drank a lot.
0:18:37 > 0:18:40A lot more than what I probably should have, to be honest.
0:18:40 > 0:18:44- Right, OK. Did you actually go out like this intentionally?- Yeah.
0:18:44 > 0:18:48- Yeah, definitely.- You did. Right. - It's dress-up, isn't it?
0:18:48 > 0:18:51I can see the remnants of your moustache there.
0:18:51 > 0:18:55OK, let's have a little look under here then.
0:18:55 > 0:18:58William was partying at Praa Sands with sister Tien
0:18:58 > 0:19:00when he took a tumble.
0:19:00 > 0:19:04Right, what did you actually fall on? Can you remember?
0:19:04 > 0:19:06- Can anybody remember? - I'm assuming a rock.
0:19:06 > 0:19:09- Right, was you at the party last night?- Yeah.- You were.
0:19:09 > 0:19:11- So, you called an ambulance last night.- Well, I didn't.
0:19:11 > 0:19:13The bouncer did.
0:19:14 > 0:19:20- And you being, like, yeah... - He didn't want the ambulance at all.
0:19:20 > 0:19:22- This blood is from your head, I presume, is it?- Yeah.
0:19:22 > 0:19:25So, what was the point of this party, then?
0:19:25 > 0:19:27There's a raft race today, isn't it?
0:19:27 > 0:19:29There is a raft race down there today.
0:19:29 > 0:19:31- Oh, it's the raft race.- Yeah.
0:19:31 > 0:19:32So, we've got to get you patched up
0:19:32 > 0:19:35- so you can go back and do it all again.- Do it again, yeah.
0:19:37 > 0:19:42William's got a few cuts and bruises which will need checking out
0:19:42 > 0:19:44but it may be too late for stitches.
0:19:47 > 0:19:49It's a fair old gash.
0:19:49 > 0:19:53It's a bit dirty so what we'll need to do is give it a proper
0:19:53 > 0:19:54clean-up in a minute.
0:19:54 > 0:19:58We can't close it now because it's been quite a while since you did it.
0:19:58 > 0:20:00- Right.- So, it's actually old wound
0:20:00 > 0:20:04so what we'll have to do is give it a good clean out.
0:20:04 > 0:20:07- We'll probably just leave it open. - Right.- I don't think it'll scar.
0:20:07 > 0:20:08It'll be fine.
0:20:10 > 0:20:13If it's all a bit of a blur for William so Louise wants to
0:20:13 > 0:20:15check for signs of concussion.
0:20:16 > 0:20:18- Can you feel me touch you?- Yeah.
0:20:18 > 0:20:22- Yeah, feel me touch.- Yeah. - OK, I want you to just watch my pen.
0:20:28 > 0:20:30That's fine. OK.
0:20:30 > 0:20:34Shrug your shoulders. Stick your mouth...tongue out.
0:20:34 > 0:20:38- Say, "Ah."- Ah.- Move your tongue from side to side. Cool, you passed.
0:20:38 > 0:20:40Right.
0:20:40 > 0:20:42All shipshape in the head department,
0:20:42 > 0:20:45time to tackle the cut above his eye.
0:20:45 > 0:20:47The problem with wounds like this is, you know,
0:20:47 > 0:20:50because it's probably over six hours old now,
0:20:50 > 0:20:53it's classed as an old wound, so we can't suture it
0:20:53 > 0:20:57and close it in the traditional ways. So, all we can do is really
0:20:57 > 0:21:00give it a good old clean-up and put a nice dressing on it for you.
0:21:00 > 0:21:03I'm sure it'll be fine. OK?
0:21:03 > 0:21:05With a day at the raft race ahead,
0:21:05 > 0:21:09Louise is hoping William's one pirate who'll stay ashore.
0:21:09 > 0:21:12So, you're not entering the raft race.
0:21:12 > 0:21:14Well, no, not now, I don't think, no.
0:21:14 > 0:21:18If you get my dressing wet, you'll be in trouble.
0:21:18 > 0:21:21He might have lost his sea legs, but Louise is still keen for him
0:21:21 > 0:21:23to take it easy.
0:21:23 > 0:21:27Obviously, I'll let you go with some head injury advice.
0:21:27 > 0:21:29And your sister is with you.
0:21:29 > 0:21:31But, obviously, I can't be responsible
0:21:31 > 0:21:34for what you're going to do to yourself this afternoon.
0:21:34 > 0:21:37My advice would be to lay off the alcohol today
0:21:37 > 0:21:42and have a restful day and drink lots of water and take painkillers.
0:21:42 > 0:21:44Keep your dressing clean and dry.
0:21:44 > 0:21:47What you do at the raft race is up to you.
0:21:47 > 0:21:50I will not be going in the water, that's for sure.
0:21:50 > 0:21:53Notice he said he would keep it clean and dry
0:21:53 > 0:21:56but he mentioned nothing about not taking any alcohol.
0:21:58 > 0:22:01William's cleaned up and packed off to his next adventure.
0:22:03 > 0:22:06Shame they couldn't fix those shorts as well.
0:22:07 > 0:22:08So, we've patched him up
0:22:08 > 0:22:11and he's going back out to carry on with the raft race today,
0:22:11 > 0:22:13but he's got his sister with him.
0:22:13 > 0:22:17She is very sensible and I think he's quite a sensible lad, really.
0:22:17 > 0:22:19He's just young and enjoying himself.
0:22:19 > 0:22:21And, hopefully, we won't see him again.
0:22:31 > 0:22:32Earlier, in Cornwall,
0:22:32 > 0:22:35the air ambulance crew raced to Polzeath beach after
0:22:35 > 0:22:39a call about a six-month-old baby who briefly stopped breathing.
0:22:44 > 0:22:46The helimed has touched down
0:22:46 > 0:22:49and the rapid response vehicle has also arrived.
0:22:49 > 0:22:50Air ambulance is here now.
0:22:53 > 0:22:56Half an hour ago, baby Isla stopped breathing.
0:22:58 > 0:23:00My mum passed to me and she started...
0:23:00 > 0:23:05Mum Rhona not acted quickly and give her mouth-to-mouth on the beach.
0:23:05 > 0:23:10Rolled her eyes and then her colour totally went and then...
0:23:10 > 0:23:12BABY CRIES
0:23:12 > 0:23:14..she stopped breathing.
0:23:14 > 0:23:17Yeah. So, I blew in her nose twice...
0:23:18 > 0:23:22..she was really limp, and that seemed to sort of bring it back.
0:23:23 > 0:23:25Now, she's just a bit daze-y.
0:23:27 > 0:23:29- How old is she?- Six months.
0:23:29 > 0:23:33Could I just listen to her chest while you've got her upright?
0:23:33 > 0:23:35For once, it's a relief to hear Isla crying...
0:23:37 > 0:23:41..but until they know what caused her to stop breathing,
0:23:41 > 0:23:42they can't take any chances.
0:23:47 > 0:23:48Yeah.
0:23:49 > 0:23:50Yeah.
0:24:00 > 0:24:01Yeah.
0:24:03 > 0:24:04Yeah.
0:24:07 > 0:24:11So, that Isla can be checked or as soon as possible,
0:24:11 > 0:24:15they'll be airlifted to the nearest hospital, 23 miles away.
0:24:19 > 0:24:21Mum Rhona is still in her beach clothes
0:24:21 > 0:24:23but it's the last thing on her mind.
0:24:25 > 0:24:28She'll travel in the helicopter with her baby on her knee.
0:24:28 > 0:24:30BABY CRIES
0:24:30 > 0:24:32But Isla doesn't seem too keen.
0:24:41 > 0:24:45If you go to a child in distress or a child that is poorly,
0:24:45 > 0:24:49we nearly always have at least two patients, if not three patients.
0:24:49 > 0:24:51We've got Mum to look after.
0:24:51 > 0:24:53We're lucky with this aircraft, we have an extra seat
0:24:53 > 0:24:56and we can take Mum or Dad to hospital with a little one
0:24:56 > 0:24:58and we will do that at every available opportunity.
0:24:58 > 0:25:01The last thing we want to do is split the little one up
0:25:01 > 0:25:02from their mum or their dad.
0:25:02 > 0:25:05So, we have two patients to look after en route to hospital.
0:25:07 > 0:25:08- OK.- Brilliant.
0:25:08 > 0:25:13We normally find this that once we start flying, the little
0:25:13 > 0:25:16vibrations and the noise tends to send them to sleep.
0:25:16 > 0:25:19- She is certainly a little quieter now, which is good.- Hello.
0:25:21 > 0:25:22Good girl.
0:25:30 > 0:25:32All right.
0:25:32 > 0:25:33OK.
0:25:35 > 0:25:39Mark's wondering what could have caused Isla to stop breathing.
0:25:41 > 0:25:45- Is Isla normally fit and well? Any medical problems?- No, no, no.
0:25:45 > 0:25:47Is this the first time this has happened or has this
0:25:47 > 0:25:49- happened before?- First time, yeah.
0:25:54 > 0:25:56- My mum passed her to me.- OK.
0:25:56 > 0:25:59And then she threw her head back, right back
0:25:59 > 0:26:03and then her eyes rolled right back and, at that point,
0:26:03 > 0:26:07I thought she was starting to lose her colour and then
0:26:07 > 0:26:15- she just seemed to stop breathing and her body went a bit floppy.- OK.
0:26:16 > 0:26:19- It didn't feel like she was breathing.- OK.
0:26:19 > 0:26:22So, at that point, that's when I blew into her nose.
0:26:25 > 0:26:26I held her close to me
0:26:26 > 0:26:30and lifted her up and then she started to come round a little bit.
0:26:35 > 0:26:37- Yeah, her colour slowly came back then, yeah.- OK.
0:26:38 > 0:26:42It's been a terrifying experience for mum Rhona,
0:26:42 > 0:26:45but her quick thinking on the beach could have saved her baby's life.
0:26:57 > 0:26:58Five minutes.
0:27:07 > 0:27:09Is your family coming to meet you at Treliske?
0:27:11 > 0:27:12Brilliant.
0:27:18 > 0:27:22The air ambulance will land outside A&E.
0:27:22 > 0:27:24Mark preparers Rhona for what's ahead.
0:27:24 > 0:27:27Just to give you a heads-up on what's going to happen -
0:27:27 > 0:27:30when we land, we're actually going to take you into the emergency part
0:27:30 > 0:27:33- and there'll be a team waiting for you when you get there.- Yeah.
0:27:33 > 0:27:36So, it might seem a little bit daunting but there is
0:27:36 > 0:27:39a paediatric team waiting for little Isla when you get in,
0:27:39 > 0:27:41- so there's going to be a lot of people there.- Yeah.
0:27:41 > 0:27:44And they'll be looking at her and making sure that she's OK.
0:27:44 > 0:27:47- Just to give you a bit of a heads-up.- And I can stay with her?
0:27:47 > 0:27:50Absolutely. You'll be going from our stretcher onto another stretcher
0:27:50 > 0:27:53- and little Isla's going to be with you at all times.- OK.
0:28:06 > 0:28:09A crash in the Brecon Beacons has left motorcyclist Jurgen
0:28:09 > 0:28:11seriously injured.
0:28:13 > 0:28:16Paramedics and the Wales air ambulance team have been
0:28:16 > 0:28:18treating him by the side of the road.
0:28:20 > 0:28:23PC Gareth Evans has been managing the scene of the crash.
0:28:25 > 0:28:29So, literally, it's happening by the side of you - skidding, bang.
0:28:30 > 0:28:33Jurgen needs urgent medical attention.
0:28:34 > 0:28:37The nearest hospital is 23 miles away...
0:28:38 > 0:28:41..and getting there by road will be slow.
0:28:41 > 0:28:43- You call it. - One, two, three.
0:28:44 > 0:28:47By air ambulance, it'll take less than ten minutes.
0:28:49 > 0:28:53Jurgen is conscious and starting to respond to the medics.
0:28:55 > 0:28:56HE SPEAKS GERMAN
0:28:56 > 0:29:00Right, let's reassess. Reassess him again now.
0:29:00 > 0:29:05- Any pain here?- No. Pain only on the left. On the left hand.- OK.
0:29:05 > 0:29:09- Anything there?- No.- No. - Breathe away again.
0:29:09 > 0:29:12- No pain?- No pain.- No pain. No pain?
0:29:13 > 0:29:19- No pain?- Only on my left arm.- Right wrist as well? Both? Left and right?
0:29:19 > 0:29:21The left. The right, perhaps.
0:29:33 > 0:29:35So, we're going to take you to the hospital to get an X-ray.
0:29:35 > 0:29:39- What time was the injury?- I'm not certain. About three o'clock.
0:29:39 > 0:29:40Tell me where the pain is.
0:29:40 > 0:29:43RADIO CHATTERS AND BEEPS
0:29:43 > 0:29:44- I don't know.- You don't know.
0:29:44 > 0:29:47Obviously, he's demonstrating signs of concussion.
0:29:50 > 0:29:52Jurgen is finally on his way to A&E.
0:30:00 > 0:30:02The road's been closed for over an hour.
0:30:02 > 0:30:05Now Gareth can get on with clearing up the chaos.
0:30:11 > 0:30:15- RADIO:- 'Just touching base. How are things going?'
0:30:15 > 0:30:20Yeah, fine. Just dealing with the collision at the A40 Trecastle.
0:30:20 > 0:30:22So, just tidying up bits and pieces
0:30:22 > 0:30:26and we'll be on our way back to the station.
0:30:26 > 0:30:28'Thank you very much.'
0:30:28 > 0:30:31The police allow the backlog of traffic to clear, but before
0:30:31 > 0:30:35the road can be fully opened Gareth needs to do some detective work.
0:30:39 > 0:30:42Taking some details of the bike, to be sure
0:30:42 > 0:30:45the details of the bike are correct.
0:30:45 > 0:30:51And then we'll carry out some measurements of where the bike is,
0:30:51 > 0:30:52width of the road.
0:30:52 > 0:30:56There's a mark there that was created when the motorcycle has
0:30:56 > 0:30:59obviously hit the brakes so we'll measure that as well.
0:31:01 > 0:31:03This is what we call a fixed point.
0:31:03 > 0:31:07So, it's a permanent object which, hopefully, isn't going to move and
0:31:07 > 0:31:10then we'll measure from there to two points on the vehicle so if we need
0:31:10 > 0:31:13to position it back there in the future we can.
0:31:15 > 0:31:20'I think it perhaps looked a lot worse than it was because of the way
0:31:20 > 0:31:24'that the motorcycle has hit the rear of the trailer.'
0:31:24 > 0:31:27It hit quite a sort of sharp edge and the back of the trailer,
0:31:27 > 0:31:31which, in turn, has cut the tyre, sliced the wheel.
0:31:31 > 0:31:33It's quite a big, powerful bike
0:31:33 > 0:31:36so, even though the evidence of the scene would suggest the speed
0:31:36 > 0:31:40was fairly low, it's still done quite a bit of damage.
0:31:40 > 0:31:46But the clothing that he was wearing possibly saved him
0:31:46 > 0:31:49from a lot more serious injuries than what he ended up with.
0:31:51 > 0:31:53I don't think anything can really
0:31:53 > 0:31:58prepare you for dealing with the more serious RTCs,
0:31:58 > 0:32:03even to the point of the fatal road traffic collisions that we have.
0:32:03 > 0:32:09Deeply upsetting as they are, it does sound a bit callous,
0:32:09 > 0:32:13but you've got to switch off and sort of do the best that you can
0:32:13 > 0:32:18for the families that may be involved to sort of help
0:32:18 > 0:32:22and support them and, ultimately, find out exactly what happened
0:32:22 > 0:32:28and how, you know, collisions occur and how serious injuries
0:32:28 > 0:32:31and, in certain circumstances, deaths occur.
0:32:46 > 0:32:49From a major trauma to some more minor mishaps.
0:32:51 > 0:32:54Back at the Urgent Care Centre in Penzance,
0:32:54 > 0:32:57the team have landed an interesting catch.
0:32:59 > 0:33:04Local fishing fanatic Graham has got himself into a spot of bother.
0:33:04 > 0:33:09- Graham, my name's Debbie.- Hi. - Hiya. Let's have a look, then.
0:33:09 > 0:33:12- Don't move it too much.- I won't. What time did this happen at?
0:33:12 > 0:33:15- About two and a half hours ago.- Oh, golly.
0:33:15 > 0:33:18- It took me that long to get back from...- How big is that in there?
0:33:18 > 0:33:22It's about up to about here but the barb is about here, I think.
0:33:22 > 0:33:26- Have you taken any painkillers?- No. - Would you like some?- No, no, no.- No?
0:33:26 > 0:33:30- I just came to have it cut out. - OK, right, bear with me.
0:33:30 > 0:33:33- Can they deaden it, can they? - Yes, I'm sure we can.
0:33:33 > 0:33:37Graham was out fishing off the coast of Penzance with a friend
0:33:37 > 0:33:40when he snagged his own finger with a fish hook.
0:33:40 > 0:33:41Did you catch any fish?
0:33:41 > 0:33:44- Caught three or four, yes. - Did you? What were you catching?
0:33:44 > 0:33:49- Caught a cod and about three pollock, I think.- Oh, right.
0:33:49 > 0:33:52- Is that your job or just a hobby?- Just a hobby.
0:33:52 > 0:33:54- It's right in, isn't it? - It went right in.
0:33:56 > 0:33:58- My mate said he wanted to pull it out.- Oh!
0:34:01 > 0:34:05Underneath the floppy, rubber fish bait there's a nasty hook barb
0:34:05 > 0:34:09and it's got right under Graham's skin.
0:34:09 > 0:34:11Sit up there. Pop your feet up.
0:34:14 > 0:34:17Meanwhile, fisherman's friend Ian
0:34:17 > 0:34:20turns up with some kind words of sympathy.
0:34:20 > 0:34:25That'll teach you. You can learn a lesson from that.
0:34:25 > 0:34:28I'll have to listen to you more often.
0:34:28 > 0:34:29Worse things happen at sea
0:34:29 > 0:34:32and they all seem to happen to him, don't they? Always him.
0:34:35 > 0:34:37I'm glad it's sore, though.
0:34:37 > 0:34:38You're glad it's sore?
0:34:38 > 0:34:40All the things you do to me when we go fishing.
0:34:43 > 0:34:45Just trying to tie it onto the line, actually, which...
0:34:45 > 0:34:49And it just slipped it and that's it.
0:34:49 > 0:34:54My finger slipped as I went to cut the cord and next thing,
0:34:54 > 0:34:56it's right in the finger.
0:34:56 > 0:34:59Getting the hook out is going to be tricky.
0:34:59 > 0:35:01Nurse Marie McLaren arrives to help.
0:35:01 > 0:35:05- So, I'm going to pop some local anaesthetic in...- Right.
0:35:05 > 0:35:11..and deaden it for a couple of minutes
0:35:11 > 0:35:14then we need to push it through, clip it and then pull it back.
0:35:14 > 0:35:16You do what you like once it's dead.
0:35:16 > 0:35:18Make sure it's dead, for God's sake.
0:35:18 > 0:35:20SHE CHUCKLES
0:35:20 > 0:35:22I'm going to give it a clean before...
0:35:22 > 0:35:23It might be a bit dieselly.
0:35:23 > 0:35:26..before we put the injection in.
0:35:26 > 0:35:30- How long has it been in there for? - Getting on about three hours now.
0:35:30 > 0:35:34- Oh, really?- It's getting to be a good friend of mine.
0:35:34 > 0:35:37They're going to have to push the barb through before they can
0:35:37 > 0:35:38pull it out. Ouch.
0:35:38 > 0:35:42All right, so I'm just going to pop it in over this side.
0:35:42 > 0:35:44A sharp jab.
0:35:44 > 0:35:45- Ah.- Sorry.
0:35:48 > 0:35:52Marie's given Graham something called a digital ring block -
0:35:52 > 0:35:55an anaesthetic that should number his entire finger.
0:35:55 > 0:35:59- Did you see it bend when she put it in?- What, the needle?- Yeah.- No!
0:35:59 > 0:36:00It was great.
0:36:02 > 0:36:04That hurt.
0:36:06 > 0:36:08That'll be a good lure from now, now you've got
0:36:08 > 0:36:09a bit of blood on the hook.
0:36:09 > 0:36:11GRAHAM LAUGHS
0:36:11 > 0:36:13For that.
0:36:13 > 0:36:15I can get sharks with that now.
0:36:15 > 0:36:16Yeah, too right.
0:36:18 > 0:36:21I've got to get some more local anaesthetic.
0:36:21 > 0:36:25I'm just going to anaesthetise the exit site
0:36:25 > 0:36:29so that when we are pushing the fish hook through,
0:36:29 > 0:36:31it'll be more comfortable.
0:36:33 > 0:36:35The good thing about fish hooks, they don't tend to cause any
0:36:35 > 0:36:38problems afterwards despite the fact, you know,
0:36:38 > 0:36:42you've got to create another hole in the patient.
0:36:42 > 0:36:44Angle grinder time! Oh, Christ!
0:36:45 > 0:36:48That's a nut... That's a nut cutter!
0:36:49 > 0:36:51Looks like this is a two-nurse job.
0:36:51 > 0:36:54Graham's like starting to look nervous.
0:36:54 > 0:36:59Dorinda's going to do the cutting. I'm going to do the pushing through.
0:37:00 > 0:37:02Brace yourself, mate.
0:37:02 > 0:37:06Some people respond to the ring block, the digital nerve block,
0:37:06 > 0:37:09straightaway and they're absolutely fine.
0:37:09 > 0:37:11Other people need a little bit more local
0:37:11 > 0:37:13anaesthetic from the exit site.
0:37:13 > 0:37:16It depends also on the size of the fish hook,
0:37:16 > 0:37:20you know, what we are pulling through, because they can be...
0:37:20 > 0:37:23That's actually quite small. Some of them are really quite huge
0:37:23 > 0:37:26and I do believe the fire engines had to...
0:37:26 > 0:37:29The firemen have had to come in and remove a couple.
0:37:31 > 0:37:34Graham's fish hook may not be a job for the fire brigade,
0:37:34 > 0:37:36but it's going to need a bit of nurse power.
0:37:36 > 0:37:40Right, it's going to require little bit of force. Yeah, that'll be good.
0:37:40 > 0:37:44Hang on. It's this fish. Would you mind if I cut this fish off?
0:37:44 > 0:37:46No, cut what you like off.
0:37:46 > 0:37:49I ain't even looking so you can do what you like with it.
0:37:51 > 0:37:54Marie pushes the barb up through the skin.
0:37:54 > 0:37:55Nearly there. Oh, well done.
0:37:55 > 0:37:58Oh, that's quite a barb, isn't it?
0:38:01 > 0:38:05- Well done. Well done.- Is it out?
0:38:05 > 0:38:12- Yeah.- God! That was good. - That was quite thick.- Yeah.
0:38:12 > 0:38:15You can have that as a memento. That's Joey. It's called Joey.
0:38:15 > 0:38:17Finally, Graham's off the hook.
0:38:17 > 0:38:19Bye-bye, Joey.
0:38:19 > 0:38:22- Bye-bye, Joey.- Very thick.
0:38:22 > 0:38:26So, if you can keep this wound covered for at least 24 hours.
0:38:26 > 0:38:30- Yeah.- Then just carry on as normal.
0:38:30 > 0:38:35- Right, my dear. OK.- That's ideal.
0:38:35 > 0:38:38- Thank you very much. Sorry to trouble you.- No problem.
0:38:38 > 0:38:42It's all in a day's work for Marie, who's got plenty of fishy tales.
0:38:44 > 0:38:47Penzance is, you know, we have a lot of fishermen down here
0:38:47 > 0:38:52so it's a hazard of the job but, in all fairness,
0:38:52 > 0:38:56with so many around, we don't actually see that many fishermen.
0:38:56 > 0:38:58But if it is going to be someone,
0:38:58 > 0:39:02it's usually someone actually doing it as a hobby rather than
0:39:02 > 0:39:05the fishermen and they only come in when, you know, it's really bad.
0:39:05 > 0:39:08The worst bit is actually cutting that barb.
0:39:08 > 0:39:10It takes quite a bit of force.
0:39:10 > 0:39:14- Right, are we ready, boy? - Ready when you are.
0:39:14 > 0:39:16- Hit the road and go again, eh? - Go again.
0:39:19 > 0:39:21I'm not going to do any more fishing today, now.
0:39:21 > 0:39:24I'm going to go tomorrow, I think, instead.
0:39:24 > 0:39:25It's getting on a bit late now,
0:39:25 > 0:39:29so by the time we get the boat sorted out and put back.
0:39:29 > 0:39:32Call it a day. Have a pint of beer instead.
0:39:40 > 0:39:43Earlier, the air ambulance crew in Cornwall were called
0:39:43 > 0:39:46to a baby who had had a suspected heart attack.
0:39:46 > 0:39:51It's a six-month-old on the beach with the lifeguards.
0:39:51 > 0:39:53Reported it as a cardiac arrest.
0:39:54 > 0:39:57On the way, the team got some news from the ground.
0:39:57 > 0:40:01It's not actually a cardiac arrest, but the little one is quite floppy.
0:40:04 > 0:40:07Once on the beach, Amy raced to treat baby Isla.
0:40:07 > 0:40:11Rolled her eyes and then her colour totally went
0:40:11 > 0:40:12and she...
0:40:12 > 0:40:15BABY CRIES
0:40:15 > 0:40:17..she stopped breathing.
0:40:17 > 0:40:21The team airlifted mum and baby to the nearest A&E.
0:40:27 > 0:40:30Baby Isla will be treated at the Royal Cornwall Hospital
0:40:30 > 0:40:34in Truro, the county's only accident and emergency department.
0:40:42 > 0:40:45The hospital has a specialist paediatric emergency team
0:40:45 > 0:40:46waiting for Isla to arrive.
0:40:48 > 0:40:51They'll get to the bottom of why she stopped breathing.
0:40:57 > 0:41:00Rushed from the beach, mum Rhona is in her swimsuit.
0:41:02 > 0:41:03But at least now,
0:41:03 > 0:41:06baby Isla will be in the hands of the specialist team.
0:41:08 > 0:41:11So, basically, we've just taken little Isla into the emergency
0:41:11 > 0:41:13department. We have a paediatric team waiting for her.
0:41:13 > 0:41:15So, they're going to check her out.
0:41:15 > 0:41:17Mum's on the bed and they've put Isla on her lap.
0:41:17 > 0:41:20She is still looking quite cheerful, still a really good colour.
0:41:20 > 0:41:22They're going to be kind of checking her out,
0:41:22 > 0:41:25taking her blood pressure, taking her blood sugar readings again.
0:41:25 > 0:41:27Doing quite a few obs.
0:41:27 > 0:41:29She may stay in overnight just to find out what happens,
0:41:29 > 0:41:32but that will be down to the paediatric team.
0:41:32 > 0:41:34We got her fairly quickly into hospital
0:41:34 > 0:41:37and she's in the right department.
0:41:37 > 0:41:39Things can change very, very quickly with little babies
0:41:39 > 0:41:41and, of course, they can't talk to you,
0:41:41 > 0:41:44so they can't tell us how they're actually feeling.
0:41:44 > 0:41:48So, on the look of her colour, she was a really nice colour.
0:41:48 > 0:41:50She was crying quite a lot, which is a good sign.
0:41:50 > 0:41:52I think that was because she was agitated,
0:41:52 > 0:41:54taken out of a strange environment.
0:41:54 > 0:41:57And all the obs that we did take en route were absolutely within
0:41:57 > 0:41:59the normal parameters so we're quite confident
0:41:59 > 0:42:02that little Isla's going to be OK.
0:42:02 > 0:42:04We don't like seeing children in trouble.
0:42:04 > 0:42:07I'm sure everybody doesn't like to see children that are poorly,
0:42:07 > 0:42:10but it's nice to know that there is an aircraft available.
0:42:10 > 0:42:13We can get patients to hospital very quickly
0:42:13 > 0:42:17and we can get paramedics to patients very quickly, too.
0:42:29 > 0:42:32It's been all go for the emergency services in rural Britain.
0:42:35 > 0:42:39Motorcyclist Jurgen had concussion and severe bruising,
0:42:39 > 0:42:42but the only broken bones were in his wrist.
0:42:42 > 0:42:44After five days recovering in hospital in Wales,
0:42:44 > 0:42:48he was transferred home to Germany, where he had surgery on his arm.
0:42:51 > 0:42:55Baby Isla briefly stopped breathing again a week later.
0:42:55 > 0:42:56After a stay in hospital,
0:42:56 > 0:42:59she was diagnosed with breath-holding attacks,
0:42:59 > 0:43:02common in young children and not thought to be serious.
0:43:04 > 0:43:07And fisherman Graham is clearly hooked on his favourite hobby.
0:43:07 > 0:43:11He was straight back out on his boat, catching fish, not fingers.
0:43:13 > 0:43:16And you thought it was quiet in the countryside!