Episode 5 Countryside 999

From the Highlands of Scotland,

to the coast of Cornwall,

the Great British countryside is spectacular.

But we work and play in it at our peril.

And when things go wrong,

the emergency services race to the rescue.

He's come off and he's got his leg trapped underneath it.

Aw, man. This is a nightmare.

Going hundreds of miles against the clock,

battling the elements and braving the waves.

From the Welsh Valleys, to winding country roads,

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

with police fighting crime...

I am tinkering on seizing the vehicle.

..paramedics saving lives...

..and lifeguards patrolling the seas.

We're there as the emergency services pull together to pick up,

patch up and protect the public.

This is Countryside 999.

Coming up...

A crash on the Welsh roads leaves a motorcyclist seriously injured.

It appears he's gone into the back of the trailer.

Fell through the air and landed pretty much like this but face down.

The air ambulance race to a six-month-old baby

who's stopped breathing.

And a Cornish fisherman hooks a surprise catch.

She's going to do the cutting. I'm going to do the pushing through.

The Brecon Beacons -

520 square miles of gorgeous Welsh countryside.

These breathtaking views are home to 32,000 people

and welcome more than four million visitors every year.

Protecting them is the Dyfed Powys Police...

..whose patch covers more than half of Wales.

PC Gareth Evans is blue-lighting

to a serious road traffic collision, or RTC.

He's a local lad, so knows these roads like the back of his hand.

Just received a call over the air that we've got a two-vehicle

road traffic collision on the A40

between Sennybridge and Trecastle.

It's a motorcycle and a car involved.

The motorcyclist is conscious and breathing,

but that's all they can tell us at the moment.

More than 23,000 people were seriously injured

in road accidents in the UK last year.

Almost a quarter of them were motorcyclists.

And with 13 years' service under his belt,

Gareth has dealt with many collisions.

RTCs are quite common in our area.

It's to do with the roads that we have.

We tend to get a lot of motorcyclists using the roads,

obviously, because of the scenery and, generally, the countryside.

Gareth is 14 miles away from the accident.

He and the rapid response ambulance need to get there fast.

But travelling on rural roads brings extra challenges.

Farming traffic, slow-moving traffic in general,

is a problem when attending to shouts and calls

on roads predominantly quite twisty and bendy,

so it's awkward to pick a safe spot to carry out an overtake.

You have to pick your moments very well and carefully.

The accident has blocked the road

and heavy traffic is already building up.

A motorcyclist is lying where he landed. He's in a critical state.

Excellent. I love people passing like that. How is the gent?

-It appears that he's gone into the back of the trailer.

-Right, OK.

And literally fell through the air

and landed pretty much like this, but face down.

We didn't see what happened. When I got to him, he was semi-conscious.

German holiday-maker Jurgen crashed into the back of a trailer

after it braked to avoid a cyclist.

Gareth makes the road safe while paramedics check Jurgen's injuries.

Semi-conscious...

We can... Here...

Yeah, if we give it five minutes while the paramedic is

dealing with him, then once she's happy and ready to move him...

We'll leave traffic on a stop at the moment.

Luckily, passing soldiers from a local training camp

are on hand to help with the growing tailback.

Lovely job, excellent. Thanks for your help. Cheers.

124 at scene. Paramedic first responders at scene.

Gentleman is conscious, breathing.

Hi. Did you witness any of it or what?

Jurgen's in a bad way, so they've called for an air ambulance.

So, literally, it's happening by the side of you - skidding, bang...

Right.

'From first accounts, it would appear that the van

'and trailer were travelling along, caught up with the pedal cyclist.

The van and trailer has looked to overtake the pedal cyclist.

Unfortunately, vehicles coming the other direction prevented him

from doing that, so he's slowed down and pulled back in.

Unfortunately, the German registered bike hasn't been able

to stop in time and has gone into the back end of the trailer.

Witnesses said they've seen him being thrown up in the air

and then landing in the position he's in at the moment.

A fall like this could cause devastating injuries.

The helimed has arrived and will land as close as it can.

Remarkably, the cyclist involved in the accident is unhurt.

-You're the pedal cyclist?

-I am, yeah.

-You're OK?

-I'm OK, yeah.

Excellent.

So, short and sweet, you're aware of a car coming up behind you...

Vaguely aware of a vehicle behind me.

"I then heard...

-"a bang"?

-Large bang, yeah.

Did you look back or...?

I looked back, noticed there was a black object on the side of the road.

I then realised it was a body and braked hard, pulled over.

The cyclist had a lucky escape,

but poor Jurgen's holiday tour has come to an abrupt end.

Later, Jurgen's critical state leaves the medics

facing a serious decision.

-Jurgen, any pain?

-Yes.

-Pain in the chest?

Like the Brecon Beacons, Cornwall is a holiday hot spot,

with millions of visitors joining locals in the sun, sand and surf.

Boasting a dramatic coastline that spans nearly 300 miles,

the county is home to over 100 stunning beaches.

But busy beaches mean more accidents and emergencies.

And when that happens,

the Cornwall Air Ambulance often swing into action.

Their crew have been in the front line of emergency care

for over 26 years.

On shift today is paramedic Amy Sainsbury,

who's been on the team for a bit more than a year.

She's just taken an emergency call from the RNLI Lifeguards.

It's a six-month-old on a beach with the lifeguards,

reported it as a cardiac arrest.

A six-month-old baby is having a suspected heart attack

on Polzeath beach, 19 miles away from the air ambulance base

at Newquay - almost an hour by road, less than ten minutes by air.

But, with such a young life, every second counts.

On board is pilot Mark Woodward and paramedic Mark Fossard,

who's just had an update from the ground.

What we're going to...

It's been given as a six-month-old cardiac arrest

on a beach in north Cornwall, New Polzeath.

The update's come through that it's not actually a cardiac arrest, but

the little one is quite floppy and is having breathing difficulties.

When we get calls to children, there is an added stress value and it

does distress the crew a little more than a normal call would do,

to think that there is a child in trouble.

At the moment, they're with the lifeguards

who are administering first aid,

but we're going to be coming across and landing on the beach.

Amy's going to be getting out and hopefully get this little one

on board fairly quickly and get them to hospital.

The baby's condition could be life-threatening.

As well as the helimed, a rapid response vehicle, or RRV,

is racing to the beach.

We have a minute and a half, Kelly.

If it's been given mouth-to-mouth,

we should be getting as close as we can, to be fair.

Whether the RRV is three minutes away or not,

-we don't know if it's a paramedic on.

-OK.

I'd be happy to just to drop it on the beach.

OK, mate.

New Polzeath is the end bit that sticks out.

It's not Polzeath beach...

I'm assuming it's up that end of the beach.

The holiday hordes are making it hard for the crew

to find somewhere to land.

In that case, we could, if it's clear, land in the pitch and putt.

It's looking like they've cleared it, because there's nobody in it.

There's nobody on the grass, is there?

-Is that a lifeguard in there now?

-Yes.

-They've cleared that for us, mate. Happy with that?

-Yep.

The lifeguards are really good on this beach

and they've cleared that area for us so we can land and we can shut down.

Normally, on a beach, due to the fact the tide comes in and out,

we would have to stay rotors-running on the beach,

which creates a few problems.

OK, as the ground rises up...

The lifeguards have cleared a landing site

as close to the baby as they can safely get them.

Yeah, you're good right, clear of the wires.

Now we're over the fence and clear of the fence.

Still good right.

-What do you want to take with you, Ames?

-I'll take the big bag, please.

Amy's bag includes special kit for treating babies and children.

Hi.

But it's a further 150 yards

before she'll know what state the baby's in.

Dyfed Powys in Wales.

Remote and stunning.

Its police force say they are the most rural in England and Wales.

SIREN WAILS

Earlier, in the Brecon Beacons, police officer Gareth Evans

raced to a serious crash involving a motorcyclist on the busy A40.

Jurgen is in a bad way

after being thrown over the handlebars of his bike.

Traffic is at a standstill.

Jurgen is being treated by a highly skilled medical team

who need space and time to assess his injuries.

Paramedics attended, who is dealing with the gentleman now.

So, we'll keep the traffic on stop, keep them safe

so they can do their bit and then, once they're happy,

we'll start the traffic flowing, but not until that time.

The Wales Air Ambulance crew have just arrived at the scene.

He was groaning.

Wasn't responding.

-No verbal?

-No movement, no verbal.

-Right.

-Couldn't understand us.

-Yeah.

-Had some groaning.

-Yeah?

-And then his pupils started reacting.

-OK.

The medical team try to work out just how badly Jurgen's hurt.

As the only officer at the scene,

Gareth's got his work cut out for him.

First thing to ascertain

is to find out exactly how many are injured.

'Next task is to find out what happened at the collision

'and why the collision occurred. I spoke to van driver at scene

'and went through the sort of protocols, as in the breath test.'

The driver was clearly upset and traumatised by incident,

even though initial assessments

would appear that he wasn't to blame for the collision.

He was clearly upset by what had happened

and the state that the motorcyclist was in.

I think what we'll probably try and do is put him on the scoop

and then we'll put him on to our vacuum mattress and put him on that.

Jurgen is drifting in and out of consciousness

and the team are struggling to get a response from him.

But no-one knows if he speaks English.

It's very, very difficult cos when you're asking him,

-he doesn't understand.

-Doesn't understand.

Jurgen? Jurgen?

-Any pain?

-Yes.

Pain in the chest?

They need to get him off this road

and straight to the nearest hospital, 23 miles away.

A journey that could take three-quarters of an hour

on these country roads.

He's lost consciousness.

-Can you feel me touching you, Jurgen?

-Yeah.

-Yeah?

Feel me touching you there? Yeah?

Let me just have a look at your eyes a minute.

Open your eyes.

The state of Jurgen's helmet and bike are a sign

of how badly he's likely to be hurt.

The paramedics need him in the air as soon as possible.

One, two, three, and...

Later...

Jurgen's confusion causes concern...

Tell me where the pain is.

-Don't know.

-You don't know?

Obviously, he is demonstrating signs of concussion.

..a local man's hobby gets him HOOKED...

How big is that in there?

That's about... Up to about here.

-But its barb is about here, I think.

-Right.

..but, first, a pirate in Penzance needs patching up.

Did you actually go out like this intentionally?

-Yeah. Yeah, definitely.

-You did? Right.

-Dress-up, innit?

-OK.

It's August and Cornwall's summer season is in full swing.

Holiday-making hordes have almost doubled the population.

More people means more pressure

on staff at the Urgent Care Centre in Penzance.

The team here are specially trained in emergency medicine...

-So, I think you've been extraordinarily lucky.

-Yeah.

..treating everything from broken bones to cuts and scrapes.

-Let me know when it hurts.

-Oh!

-Oh, I'm so sorry.

-Yeah, that hurt.

Right now, it's party season in Penzance,

which can only mean one thing - pirates.

Right, then, William and Louise.

-So, you went out having a pirate party last night.

-Yeah.

-Yeah.

Today, emergency nurse practitioner Louise Silver is treating

young reveller William, who is nursing a few bumps

and scrapes after a beach party.

-Tell me a bit more about the pirate party.

-It was pretty good.

I drank a lot.

A lot more than what I probably should have, to be honest.

-Right, OK. Did you actually go out like this intentionally?

-Yeah.

-Yeah, definitely.

-You did. Right.

-It's dress-up, isn't it?

I can see the remnants of your moustache there.

OK, let's have a little look under here then.

William was partying at Praa Sands with sister Tien

when he took a tumble.

Right, what did you actually fall on? Can you remember?

-Can anybody remember?

-I'm assuming a rock.

-Right, was you at the party last night?

-Yeah.

-You were.

-So, you called an ambulance last night.

-Well, I didn't.

The bouncer did.

-And you being, like, yeah...

-He didn't want the ambulance at all.

-This blood is from your head, I presume, is it?

-Yeah.

So, what was the point of this party, then?

There's a raft race today, isn't it?

There is a raft race down there today.

-Oh, it's the raft race.

-Yeah.

So, we've got to get you patched up

-so you can go back and do it all again.

-Do it again, yeah.

William's got a few cuts and bruises which will need checking out

but it may be too late for stitches.

It's a fair old gash.

It's a bit dirty so what we'll need to do is give it a proper

clean-up in a minute.

We can't close it now because it's been quite a while since you did it.

-Right.

-So, it's actually old wound

so what we'll have to do is give it a good clean out.

-We'll probably just leave it open.

-Right.

-I don't think it'll scar.

It'll be fine.

If it's all a bit of a blur for William so Louise wants to

check for signs of concussion.

-Can you feel me touch you?

-Yeah.

-Yeah, feel me touch.

-Yeah.

-OK, I want you to just watch my pen.

That's fine. OK.

Shrug your shoulders. Stick your mouth...tongue out.

-Say, "Ah."

-Ah.

-Move your tongue from side to side. Cool, you passed.

Right.

All shipshape in the head department,

time to tackle the cut above his eye.

The problem with wounds like this is, you know,

because it's probably over six hours old now,

it's classed as an old wound, so we can't suture it

and close it in the traditional ways. So, all we can do is really

give it a good old clean-up and put a nice dressing on it for you.

I'm sure it'll be fine. OK?

With a day at the raft race ahead,

Louise is hoping William's one pirate who'll stay ashore.

So, you're not entering the raft race.

Well, no, not now, I don't think, no.

If you get my dressing wet, you'll be in trouble.

He might have lost his sea legs, but Louise is still keen for him

to take it easy.

Obviously, I'll let you go with some head injury advice.

And your sister is with you.

But, obviously, I can't be responsible

for what you're going to do to yourself this afternoon.

My advice would be to lay off the alcohol today

and have a restful day and drink lots of water and take painkillers.

Keep your dressing clean and dry.

What you do at the raft race is up to you.

I will not be going in the water, that's for sure.

Notice he said he would keep it clean and dry

but he mentioned nothing about not taking any alcohol.

William's cleaned up and packed off to his next adventure.

Shame they couldn't fix those shorts as well.

So, we've patched him up

and he's going back out to carry on with the raft race today,

but he's got his sister with him.

She is very sensible and I think he's quite a sensible lad, really.

He's just young and enjoying himself.

And, hopefully, we won't see him again.

Earlier, in Cornwall,

the air ambulance crew raced to Polzeath beach after

a call about a six-month-old baby who briefly stopped breathing.

The helimed has touched down

and the rapid response vehicle has also arrived.

Air ambulance is here now.

Half an hour ago, baby Isla stopped breathing.

My mum passed to me and she started...

Mum Rhona not acted quickly and give her mouth-to-mouth on the beach.

Rolled her eyes and then her colour totally went and then...

BABY CRIES

..she stopped breathing.

Yeah. So, I blew in her nose twice...

..she was really limp, and that seemed to sort of bring it back.

Now, she's just a bit daze-y.

-How old is she?

-Six months.

Could I just listen to her chest while you've got her upright?

For once, it's a relief to hear Isla crying...

..but until they know what caused her to stop breathing,

they can't take any chances.

Yeah.

Yeah.

Yeah.

Yeah.

So, that Isla can be checked or as soon as possible,

they'll be airlifted to the nearest hospital, 23 miles away.

Mum Rhona is still in her beach clothes

but it's the last thing on her mind.

She'll travel in the helicopter with her baby on her knee.

BABY CRIES

But Isla doesn't seem too keen.

If you go to a child in distress or a child that is poorly,

we nearly always have at least two patients, if not three patients.

We've got Mum to look after.

We're lucky with this aircraft, we have an extra seat

and we can take Mum or Dad to hospital with a little one

and we will do that at every available opportunity.

The last thing we want to do is split the little one up

from their mum or their dad.

So, we have two patients to look after en route to hospital.

-OK.

-Brilliant.

We normally find this that once we start flying, the little

vibrations and the noise tends to send them to sleep.

-She is certainly a little quieter now, which is good.

-Hello.

Good girl.

All right.

OK.

Mark's wondering what could have caused Isla to stop breathing.

-Is Isla normally fit and well? Any medical problems?

-No, no, no.

Is this the first time this has happened or has this

-happened before?

-First time, yeah.

-My mum passed her to me.

-OK.

And then she threw her head back, right back

and then her eyes rolled right back and, at that point,

I thought she was starting to lose her colour and then

-she just seemed to stop breathing and her body went a bit floppy.

-OK.

-It didn't feel like she was breathing.

-OK.

So, at that point, that's when I blew into her nose.

I held her close to me

and lifted her up and then she started to come round a little bit.

-Yeah, her colour slowly came back then, yeah.

-OK.

It's been a terrifying experience for mum Rhona,

but her quick thinking on the beach could have saved her baby's life.

Five minutes.

Is your family coming to meet you at Treliske?

Brilliant.

The air ambulance will land outside A&E.

Mark preparers Rhona for what's ahead.

Just to give you a heads-up on what's going to happen -

when we land, we're actually going to take you into the emergency part

-and there'll be a team waiting for you when you get there.

-Yeah.

So, it might seem a little bit daunting but there is

a paediatric team waiting for little Isla when you get in,

-so there's going to be a lot of people there.

-Yeah.

And they'll be looking at her and making sure that she's OK.

-Just to give you a bit of a heads-up.

-And I can stay with her?

Absolutely. You'll be going from our stretcher onto another stretcher

-and little Isla's going to be with you at all times.

-OK.

A crash in the Brecon Beacons has left motorcyclist Jurgen

seriously injured.

Paramedics and the Wales air ambulance team have been

treating him by the side of the road.

PC Gareth Evans has been managing the scene of the crash.

So, literally, it's happening by the side of you - skidding, bang.

Jurgen needs urgent medical attention.

The nearest hospital is 23 miles away...

..and getting there by road will be slow.

-You call it.

-One, two, three.

By air ambulance, it'll take less than ten minutes.

Jurgen is conscious and starting to respond to the medics.

HE SPEAKS GERMAN

Right, let's reassess. Reassess him again now.

-Any pain here?

-No. Pain only on the left. On the left hand.

-OK.

-Anything there?

-No.

-No.

-Breathe away again.

-No pain?

-No pain.

-No pain. No pain?

-No pain?

-Only on my left arm.

-Right wrist as well? Both? Left and right?

The left. The right, perhaps.

So, we're going to take you to the hospital to get an X-ray.

-What time was the injury?

-I'm not certain. About three o'clock.

Tell me where the pain is.

RADIO CHATTERS AND BEEPS

-I don't know.

-You don't know.

Obviously, he's demonstrating signs of concussion.

Jurgen is finally on his way to A&E.

The road's been closed for over an hour.

Now Gareth can get on with clearing up the chaos.

-RADIO:

-'Just touching base. How are things going?'

Yeah, fine. Just dealing with the collision at the A40 Trecastle.

So, just tidying up bits and pieces

and we'll be on our way back to the station.

'Thank you very much.'

The police allow the backlog of traffic to clear, but before

the road can be fully opened Gareth needs to do some detective work.

Taking some details of the bike, to be sure

the details of the bike are correct.

And then we'll carry out some measurements of where the bike is,

width of the road.

There's a mark there that was created when the motorcycle has

obviously hit the brakes so we'll measure that as well.

This is what we call a fixed point.

So, it's a permanent object which, hopefully, isn't going to move and

then we'll measure from there to two points on the vehicle so if we need

to position it back there in the future we can.

'I think it perhaps looked a lot worse than it was because of the way

'that the motorcycle has hit the rear of the trailer.'

It hit quite a sort of sharp edge and the back of the trailer,

which, in turn, has cut the tyre, sliced the wheel.

It's quite a big, powerful bike

so, even though the evidence of the scene would suggest the speed

was fairly low, it's still done quite a bit of damage.

But the clothing that he was wearing possibly saved him

from a lot more serious injuries than what he ended up with.

I don't think anything can really

prepare you for dealing with the more serious RTCs,

even to the point of the fatal road traffic collisions that we have.

Deeply upsetting as they are, it does sound a bit callous,

but you've got to switch off and sort of do the best that you can

for the families that may be involved to sort of help

and support them and, ultimately, find out exactly what happened

and how, you know, collisions occur and how serious injuries

and, in certain circumstances, deaths occur.

From a major trauma to some more minor mishaps.

Back at the Urgent Care Centre in Penzance,

the team have landed an interesting catch.

Local fishing fanatic Graham has got himself into a spot of bother.

-Graham, my name's Debbie.

-Hi.

-Hiya. Let's have a look, then.

-Don't move it too much.

-I won't. What time did this happen at?

-About two and a half hours ago.

-Oh, golly.

-It took me that long to get back from...

-How big is that in there?

It's about up to about here but the barb is about here, I think.

-Have you taken any painkillers?

-No.

-Would you like some?

-No, no, no.

-No?

-I just came to have it cut out.

-OK, right, bear with me.

-Can they deaden it, can they?

-Yes, I'm sure we can.

Graham was out fishing off the coast of Penzance with a friend

when he snagged his own finger with a fish hook.

Did you catch any fish?

-Caught three or four, yes.

-Did you? What were you catching?

-Caught a cod and about three pollock, I think.

-Oh, right.

-Is that your job or just a hobby?

-Just a hobby.

-It's right in, isn't it?

-It went right in.

-My mate said he wanted to pull it out.

-Oh!

Underneath the floppy, rubber fish bait there's a nasty hook barb

and it's got right under Graham's skin.

Sit up there. Pop your feet up.

Meanwhile, fisherman's friend Ian

turns up with some kind words of sympathy.

That'll teach you. You can learn a lesson from that.

I'll have to listen to you more often.

Worse things happen at sea

and they all seem to happen to him, don't they? Always him.

I'm glad it's sore, though.

You're glad it's sore?

All the things you do to me when we go fishing.

Just trying to tie it onto the line, actually, which...

And it just slipped it and that's it.

My finger slipped as I went to cut the cord and next thing,

it's right in the finger.

Getting the hook out is going to be tricky.

Nurse Marie McLaren arrives to help.

-So, I'm going to pop some local anaesthetic in...

-Right.

..and deaden it for a couple of minutes

then we need to push it through, clip it and then pull it back.

You do what you like once it's dead.

Make sure it's dead, for God's sake.

SHE CHUCKLES

I'm going to give it a clean before...

It might be a bit dieselly.

..before we put the injection in.

-How long has it been in there for?

-Getting on about three hours now.

-Oh, really?

-It's getting to be a good friend of mine.

They're going to have to push the barb through before they can

pull it out. Ouch.

All right, so I'm just going to pop it in over this side.

A sharp jab.

-Ah.

-Sorry.

Marie's given Graham something called a digital ring block -

an anaesthetic that should number his entire finger.

-Did you see it bend when she put it in?

-What, the needle?

-Yeah.

-No!

It was great.

That hurt.

That'll be a good lure from now, now you've got

a bit of blood on the hook.

GRAHAM LAUGHS

For that.

I can get sharks with that now.

Yeah, too right.

I've got to get some more local anaesthetic.

I'm just going to anaesthetise the exit site

so that when we are pushing the fish hook through,

it'll be more comfortable.

The good thing about fish hooks, they don't tend to cause any

problems afterwards despite the fact, you know,

you've got to create another hole in the patient.

Angle grinder time! Oh, Christ!

That's a nut... That's a nut cutter!

Looks like this is a two-nurse job.

Graham's like starting to look nervous.

Dorinda's going to do the cutting. I'm going to do the pushing through.

Brace yourself, mate.

Some people respond to the ring block, the digital nerve block,

straightaway and they're absolutely fine.

Other people need a little bit more local

anaesthetic from the exit site.

It depends also on the size of the fish hook,

you know, what we are pulling through, because they can be...

That's actually quite small. Some of them are really quite huge

and I do believe the fire engines had to...

The firemen have had to come in and remove a couple.

Graham's fish hook may not be a job for the fire brigade,

but it's going to need a bit of nurse power.

Right, it's going to require little bit of force. Yeah, that'll be good.

Hang on. It's this fish. Would you mind if I cut this fish off?

No, cut what you like off.

I ain't even looking so you can do what you like with it.

Marie pushes the barb up through the skin.

Nearly there. Oh, well done.

Oh, that's quite a barb, isn't it?

-Well done. Well done.

-Is it out?

-Yeah.

-God! That was good.

-That was quite thick.

-Yeah.

You can have that as a memento. That's Joey. It's called Joey.

Finally, Graham's off the hook.

Bye-bye, Joey.

-Bye-bye, Joey.

-Very thick.

So, if you can keep this wound covered for at least 24 hours.

-Yeah.

-Then just carry on as normal.

-Right, my dear. OK.

-That's ideal.

-Thank you very much. Sorry to trouble you.

-No problem.

It's all in a day's work for Marie, who's got plenty of fishy tales.

Penzance is, you know, we have a lot of fishermen down here

so it's a hazard of the job but, in all fairness,

with so many around, we don't actually see that many fishermen.

But if it is going to be someone,

it's usually someone actually doing it as a hobby rather than

the fishermen and they only come in when, you know, it's really bad.

The worst bit is actually cutting that barb.

It takes quite a bit of force.

-Right, are we ready, boy?

-Ready when you are.

-Hit the road and go again, eh?

-Go again.

I'm not going to do any more fishing today, now.

I'm going to go tomorrow, I think, instead.

It's getting on a bit late now,

so by the time we get the boat sorted out and put back.

Call it a day. Have a pint of beer instead.

Earlier, the air ambulance crew in Cornwall were called

to a baby who had had a suspected heart attack.

It's a six-month-old on the beach with the lifeguards.

Reported it as a cardiac arrest.

On the way, the team got some news from the ground.

It's not actually a cardiac arrest, but the little one is quite floppy.

Once on the beach, Amy raced to treat baby Isla.

Rolled her eyes and then her colour totally went

and she...

BABY CRIES

..she stopped breathing.

The team airlifted mum and baby to the nearest A&E.

Baby Isla will be treated at the Royal Cornwall Hospital

in Truro, the county's only accident and emergency department.

The hospital has a specialist paediatric emergency team

waiting for Isla to arrive.

They'll get to the bottom of why she stopped breathing.

Rushed from the beach, mum Rhona is in her swimsuit.

But at least now,

baby Isla will be in the hands of the specialist team.

So, basically, we've just taken little Isla into the emergency

department. We have a paediatric team waiting for her.

So, they're going to check her out.

Mum's on the bed and they've put Isla on her lap.

She is still looking quite cheerful, still a really good colour.

They're going to be kind of checking her out,

taking her blood pressure, taking her blood sugar readings again.

Doing quite a few obs.

She may stay in overnight just to find out what happens,

but that will be down to the paediatric team.

We got her fairly quickly into hospital

and she's in the right department.

Things can change very, very quickly with little babies

and, of course, they can't talk to you,

so they can't tell us how they're actually feeling.

So, on the look of her colour, she was a really nice colour.

She was crying quite a lot, which is a good sign.

I think that was because she was agitated,

taken out of a strange environment.

And all the obs that we did take en route were absolutely within

the normal parameters so we're quite confident

that little Isla's going to be OK.

We don't like seeing children in trouble.

I'm sure everybody doesn't like to see children that are poorly,

but it's nice to know that there is an aircraft available.

We can get patients to hospital very quickly

and we can get paramedics to patients very quickly, too.

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

Motorcyclist Jurgen had concussion and severe bruising,

but the only broken bones were in his wrist.

After five days recovering in hospital in Wales,

he was transferred home to Germany, where he had surgery on his arm.

Baby Isla briefly stopped breathing again a week later.

After a stay in hospital,

she was diagnosed with breath-holding attacks,

common in young children and not thought to be serious.

And fisherman Graham is clearly hooked on his favourite hobby.

He was straight back out on his boat, catching fish, not fingers.

And you thought it was quiet in the countryside!