0:00:01 > 0:00:04From the highlands of Scotland
0:00:04 > 0:00:06to the coast of Cornwall,
0:00:06 > 0:00:11the Great British countryside is spectacular.
0:00:11 > 0:00:14But we work and play in it
0:00:14 > 0:00:15at 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 him.
0:00:28 > 0:00:29Oh, man.
0:00:29 > 0:00:31Oh, this is a nightmare.
0:00:31 > 0:00:34..going hundreds of miles against the clock...
0:00:35 > 0:00:39..battling the elements and braving the waves.
0:00:42 > 0:00:44From the Welsh valleys
0:00:44 > 0:00:47to 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 > 0:00:57I am tinkering on seizing the vehicle.
0:00:57 > 0:00:58..paramedics saving lives...
0:01:00 > 0:01:04- THE BABY CRIES - ..and lifeguards patrolling the seas.
0:01:04 > 0:01:08We're there as the emergency services pull together
0:01:08 > 0:01:09to pick up,
0:01:09 > 0:01:10patch up
0:01:10 > 0:01:12and protect the public.
0:01:12 > 0:01:15This is Countryside 999.
0:01:34 > 0:01:36Coming up,
0:01:36 > 0:01:37in Scotland,
0:01:37 > 0:01:41the crew of HMS Gannet race to a badly hurt mountain biker...
0:01:41 > 0:01:45He's come off and he's got his leg trapped underneath him
0:01:45 > 0:01:48and he's got quite a nasty open fracture to the tib and fib.
0:01:48 > 0:01:50..in Penzance,
0:01:50 > 0:01:52a fisherman gets that sinking feeling...
0:01:52 > 0:01:57So I managed to catch myself as the biggest fish of the day.
0:01:57 > 0:02:01..and in Wales, one policeman gets a real buzz out of his job.
0:02:01 > 0:02:03You come up here, I don't know about you...
0:02:03 > 0:02:04I feel all warm, like.
0:02:04 > 0:02:06It's weird, I can't describe it.
0:02:06 > 0:02:08Oh, I love it. It's gorgeous, man.
0:02:15 > 0:02:18One of the great attractions of the British countryside
0:02:18 > 0:02:20is the stunning landscape.
0:02:22 > 0:02:25Nowhere more so than in Scotland,
0:02:25 > 0:02:29where huge mountain ranges contrast with remote islands.
0:02:33 > 0:02:36For the inhabitants of these far flung islands,
0:02:36 > 0:02:40getting help when disaster strikes isn't always straightforward.
0:02:42 > 0:02:45Ready for action 24 hours a day, all year round,
0:02:45 > 0:02:49are the Royal Navy Search and Rescue teams from HMS Gannet.
0:02:53 > 0:02:55They do the dramatic stuff...
0:03:00 > 0:03:03..and they also provide a vital hospital transfer service
0:03:03 > 0:03:05to these isolated communities.
0:03:14 > 0:03:17Today, the Gannet guys are on a training mission
0:03:17 > 0:03:19when a call comes in from the Isle of Arran.
0:03:34 > 0:03:37A pulmonary embolism is a blood clot on the lung
0:03:37 > 0:03:40and can be life-threatening.
0:03:40 > 0:03:42And this patient is on Arran,
0:03:42 > 0:03:4615 miles off the west coast of Scotland.
0:03:46 > 0:03:48There's a small hospital on the island
0:03:48 > 0:03:51but to get to the nearest major hospital by road and ferry
0:03:51 > 0:03:54you're looking at a two hour trip, minimum.
0:03:57 > 0:03:59Gannet's Sea King helicopter, with its five-strong crew,
0:03:59 > 0:04:02including paramedic and winchman Taff Ashman,
0:04:02 > 0:04:04can do it in a fraction of the time.
0:04:24 > 0:04:25- RADIO:- Will do.
0:04:27 > 0:04:31- BEEPING - Happy there, sir?- Yeah, happy there.
0:04:31 > 0:04:32Three,
0:04:32 > 0:04:35two, one...
0:04:35 > 0:04:36Down.
0:04:36 > 0:04:39Taff and his colleague Alan 'Speedy' Speed
0:04:39 > 0:04:42get the lowdown on the patient, Bart.
0:04:42 > 0:04:43With a condition like this,
0:04:43 > 0:04:47it's all about getting the right specialist treatment, fast.
0:04:52 > 0:04:53OK.
0:05:17 > 0:05:19INDISTINCT
0:05:30 > 0:05:32Just 60 minutes after the call out,
0:05:32 > 0:05:35Bart is in the air and on his way.
0:05:55 > 0:05:57A quarter of an hour after leaving Arran,
0:05:57 > 0:05:58Bart is handed over
0:05:58 > 0:06:01to the paramedics at Crosshouse Hospital, Kilmarnock.
0:06:01 > 0:06:04- Pain on the right hand side. - Put that on your finger, Sir.
0:06:05 > 0:06:08And it's back to base for the Gannet boys.
0:06:15 > 0:06:17Well, that's what they think!
0:06:17 > 0:06:19No sooner have they landed back at base
0:06:19 > 0:06:21than another call comes in.
0:06:22 > 0:06:25Roger, that's all copied. We're just re-fuelling now.
0:06:25 > 0:06:27And give us the details. We're in the building, over.
0:06:30 > 0:06:34The call out is to Dumbarton, about 30 miles north of base,
0:06:34 > 0:06:38to help rescue a badly injured mountain biker.
0:06:38 > 0:06:40But he's in a really awkward spot.
0:06:54 > 0:06:55350 miles south,
0:06:55 > 0:06:58Cornwall's rugged moors and coastline
0:06:58 > 0:07:01make it a holiday haven for summer sports.
0:07:01 > 0:07:03From fishing to cliff-climbing...
0:07:06 > 0:07:07..boarding to biking,
0:07:07 > 0:07:10there's plenty of scope for good clean fun.
0:07:11 > 0:07:14But Cornwall is also party central,
0:07:14 > 0:07:17never more so than on a bank holiday weekend.
0:07:18 > 0:07:19And whatever the problem,
0:07:19 > 0:07:22it's the West Cornwall Hospital in Penzance
0:07:22 > 0:07:23that picks up the pieces.
0:07:26 > 0:07:28It's run by hospital doctors
0:07:28 > 0:07:30and specially trained GPs and nurses.
0:07:32 > 0:07:35This weekend nurse practitioner Belinda Brint
0:07:35 > 0:07:38has been shipped in from Exeter's emergency department
0:07:38 > 0:07:40to help look after the revellers.
0:07:40 > 0:07:41All right?
0:07:41 > 0:07:42Likely lads Kevin and Daniel
0:07:42 > 0:07:45have fully flung themselves into the bank holiday mayhem.
0:07:45 > 0:07:48Come and have a seat, all right?
0:07:48 > 0:07:50After a night on the tiles,
0:07:50 > 0:07:52chef Kevin has a deep cut on his face.
0:07:54 > 0:07:57I understand you've been punched in the face.
0:07:57 > 0:07:58By...
0:07:59 > 0:08:01It says Hells Angel.
0:08:01 > 0:08:04That's what it says, "by a Hells Angel."
0:08:04 > 0:08:06- No...- You want to tell me what happened?
0:08:06 > 0:08:08Yeah, I was in club last night.
0:08:08 > 0:08:12There was a bit of an altercation and I got punched. That's it.
0:08:12 > 0:08:13It's just...
0:08:13 > 0:08:15I think he had something in his hand
0:08:15 > 0:08:17cos it's far too... It's more of a cut.
0:08:17 > 0:08:19So I think he probably had a key in his hand or something.
0:08:19 > 0:08:21Were you knocked out at all?
0:08:21 > 0:08:22Not that I know of.
0:08:22 > 0:08:26I don't know. I can't really remember much.
0:08:26 > 0:08:27Had you been drinking a lot?
0:08:27 > 0:08:32Yeah. Yeah, I was out - it was a work mate's birthday.
0:08:32 > 0:08:33But your friends didn't say
0:08:33 > 0:08:36that you were out on the floor for a long time or...?
0:08:36 > 0:08:37No, no, no.
0:08:37 > 0:08:39- No other injury?- No, no.
0:08:39 > 0:08:42- You were knocked flat over. - Err...I don't know.
0:08:44 > 0:08:47It's a bad case of the morning after the night before.
0:08:47 > 0:08:50I am going to give it a good clean up and reassess it.
0:08:50 > 0:08:52But I think to close it properly,
0:08:52 > 0:08:56I need to assess to get the minimal scarring for it.
0:08:58 > 0:09:0128-year-old Kevin is keen to get treated quickly.
0:09:01 > 0:09:05I've got work in like an hour. I've got to look presentable.
0:09:05 > 0:09:07I'm a chef.
0:09:07 > 0:09:09and I'm in the public eye,
0:09:09 > 0:09:12so having something like that on my face isn't good.
0:09:13 > 0:09:15Cleaning the cut will be painful
0:09:15 > 0:09:18but luckily friend Daniel is on hand for moral support.
0:09:21 > 0:09:25You'll be all right, big strong lad like you, Kevin.
0:09:25 > 0:09:26But in cleaning the wound,
0:09:26 > 0:09:29Belinda finds a second cut.
0:09:29 > 0:09:30No, that's going to need suturing.
0:09:31 > 0:09:33- What, stitching?- Yeah.
0:09:35 > 0:09:38And a spot of local anaesthetic won't go amiss.
0:09:41 > 0:09:43It hurts now. It weren't hurting but now it hurts.
0:09:43 > 0:09:46- It's pissing with blood now, man! - Is it?
0:09:46 > 0:09:48Mate Daniel's gone a bit green about the gills
0:09:48 > 0:09:50at the sight of the blood.
0:09:50 > 0:09:54All right. Just head back, relax for me.
0:09:54 > 0:09:56Just a bit of local anaesthetic going in.
0:09:58 > 0:10:00Or maybe it's the needle that's worrying him.
0:10:04 > 0:10:06Wow, that's pretty instant, isn't it?
0:10:07 > 0:10:09All right, how's that feeling?
0:10:09 > 0:10:10Err...
0:10:10 > 0:10:12- Can't really feel it.- Numb? - Yeah, numb.- Good.
0:10:14 > 0:10:16All right, just relax for me.
0:10:16 > 0:10:20Closing the wound on Kevin's face will help it heal faster
0:10:20 > 0:10:22and keep scarring to a minimum.
0:10:22 > 0:10:24- Ready?- Yeah.
0:10:24 > 0:10:26He seems pretty stoical.
0:10:26 > 0:10:29The same can't be said for Daniel.
0:10:29 > 0:10:32If you feel you're going to pass out,
0:10:32 > 0:10:34just pop outside the curtain.
0:10:38 > 0:10:40Oh, that...that really hurt.
0:10:42 > 0:10:43- You all right?- (Yeah.)
0:10:45 > 0:10:47Just trying not to see it.
0:10:55 > 0:10:57Stitched up good and proper,
0:10:57 > 0:10:59Kevin's got just 15 minutes till the start of his shift.
0:11:01 > 0:11:03I've got to stand on a balcony,
0:11:03 > 0:11:07cooking in front of loads of people looking like this.
0:11:07 > 0:11:08It's not good!
0:11:08 > 0:11:11- You've done a grand job. Thank you very much.- All right?
0:11:11 > 0:11:13- All the best.- Thank you!
0:11:13 > 0:11:16I thought it was going to be a lot more painful than it was
0:11:16 > 0:11:18but it was OK.
0:11:18 > 0:11:20But what about Daniel?
0:11:20 > 0:11:22I was getting a bit hot and sticky there for a moment
0:11:22 > 0:11:26when she actually pulled the wound together.
0:11:26 > 0:11:29But other than that, it wasn't too bad, I suppose.
0:11:29 > 0:11:32- You're still looking a bit... - Yeah, rather you than me!
0:11:32 > 0:11:33But you know...
0:11:39 > 0:11:40Later,
0:11:40 > 0:11:42more trouble at the hospital -
0:11:42 > 0:11:45a climber who's taken a terrible tumble.
0:11:45 > 0:11:47One of the guy's tried to catch her but he couldn't hold her
0:11:47 > 0:11:49and she just...
0:11:49 > 0:11:50Yeah, fell quite a long way,
0:11:50 > 0:11:52and I just saw her disappear into this crevice.
0:11:52 > 0:11:54I was just like, "Oh, God!"
0:12:00 > 0:12:03Back in Scotland, the team from HMS Gannet
0:12:03 > 0:12:06have been called to a nasty accident in difficult terrain.
0:12:06 > 0:12:08OK, we've got a mountain biker
0:12:08 > 0:12:12in a difficult position down in the bottom of a valley,
0:12:12 > 0:12:14just by Dumbarton, Taff.
0:12:14 > 0:12:15Right, OK.
0:12:15 > 0:12:18He's a 55-year-old male, he's a bit hypothermic,
0:12:18 > 0:12:21there's a lot of people with him, ambulance crew and the lot,
0:12:21 > 0:12:24- so it's just going to be difficult access in the woods.- Right, OK.
0:12:24 > 0:12:26Take a look.
0:12:27 > 0:12:29It's now 7:30pm
0:12:29 > 0:12:31and they're losing light by the minute.
0:12:34 > 0:12:36Taff's having dinner on the run.
0:12:55 > 0:12:59Once the sun goes, temperatures will drop dramatically
0:12:59 > 0:13:02and the patient could become dangerously cold.
0:13:02 > 0:13:04The team need to get to him fast.
0:13:04 > 0:13:06Phil briefs the pilot.
0:13:12 > 0:13:16The Glasgow Air Ambulance and two specialist Critical Care doctors
0:13:16 > 0:13:18are on the scene
0:13:18 > 0:13:21but they're struggling to move the casualty.
0:13:21 > 0:13:23HMS Gannet is the right team for the job.
0:13:23 > 0:13:26They have a winch and they know how to use it.
0:13:36 > 0:13:39They're now close to the scene of the accident.
0:13:55 > 0:13:56Clear Door.
0:13:58 > 0:14:01But the grid references they've been given don't add up.
0:14:13 > 0:14:16Then the crew of the Helimed air ambulance radio in.
0:14:25 > 0:14:27The SORT team are paramedics
0:14:27 > 0:14:29who've had additional special training.
0:14:29 > 0:14:32They're already with the biker but they can't move him alone.
0:14:39 > 0:14:41Rescue 177 heads north
0:14:41 > 0:14:45and soon sharp-eyed Speedy spots the bright yellow air ambulance.
0:14:49 > 0:14:52The mountain biker's lying badly injured
0:14:52 > 0:14:54on a seriously steep slope.
0:14:54 > 0:14:57The yellow air ambulance has landed at the top
0:14:57 > 0:15:01and the casualty is being treated by paramedics under the orange tent.
0:15:02 > 0:15:04They can't carry the casualty up the hill.
0:15:04 > 0:15:07But winching is no easy option either.
0:15:17 > 0:15:18Later,
0:15:18 > 0:15:21Taff discovers just how badly hurt the biker is...
0:15:28 > 0:15:31..in Penzance, a climber's fall is nearly fatal...
0:15:31 > 0:15:33I don't know what happened
0:15:33 > 0:15:35but I guess my hand just slipped
0:15:35 > 0:15:39and then before I knew where I was, I was heading through the air.
0:15:39 > 0:15:43..but first, in Wales, a copper's kindness could backfire.
0:15:55 > 0:15:58Wales has its fair share of remote areas.
0:15:58 > 0:16:01The towns and villages are spread far and wide
0:16:01 > 0:16:04and in between are the beautiful green hills and valleys
0:16:04 > 0:16:06which it's famous for.
0:16:09 > 0:16:13Geraint Skyrme has been with the Dyfed Powys police for 12 years
0:16:13 > 0:16:16and still gets a kick out of doing his rural rounds.
0:16:16 > 0:16:19Alright. alright.
0:16:19 > 0:16:21Some people go to work, dig trenches, build houses,
0:16:21 > 0:16:23plumb houses,
0:16:23 > 0:16:25I come to work and do this.
0:16:26 > 0:16:30These places are really vulnerable.
0:16:30 > 0:16:31Look how remote this is.
0:16:31 > 0:16:34When we're carrying out rural patrols like this,
0:16:34 > 0:16:35it's good to check little places
0:16:35 > 0:16:38and just make sure everything's all in order.
0:16:38 > 0:16:40Stunning, absolutely stunning.
0:16:40 > 0:16:42Oh, I feel...You come up here...
0:16:42 > 0:16:45I don't know about you, I feel all warm, like.
0:16:45 > 0:16:46It's weird, I can't describe it.
0:16:46 > 0:16:49Oh, I love it. It's gorgeous, man.
0:16:55 > 0:16:57Today, Geraint is on the trail
0:16:57 > 0:17:01of seat belt offenders who aren't buckled up.
0:17:01 > 0:17:03But who knows what else he'll find.
0:17:03 > 0:17:06What's this one here? Yeah, he's got it on, hasn't he?
0:17:06 > 0:17:08And a bobble hat for some bizarre reason.
0:17:08 > 0:17:12Is she texting, I wonder, there? I don't know, she was looking down.
0:17:12 > 0:17:13But then...
0:17:15 > 0:17:19A car with a huge smashed screen right across the front of it.
0:17:19 > 0:17:21So we'll have a little chat with him, I think.
0:17:21 > 0:17:23It's not a seat belt offender
0:17:23 > 0:17:26but it's still potentially as dangerous.
0:17:26 > 0:17:28You all right? Yeah, good thanks. What's your name?
0:17:28 > 0:17:29- Dan.- Dan. Where are you from, Dan?
0:17:29 > 0:17:32- Aber...- Aber...?- ..gaveny. - Gaveny, OK.
0:17:32 > 0:17:34- This is your car, is it?- Yeah.- OK.
0:17:34 > 0:17:36The reason I stopped you is your windscreen.
0:17:36 > 0:17:38Oh, yeah. Yeah.
0:17:38 > 0:17:41That's right in driver view here, isn't it?
0:17:41 > 0:17:43- It was like that when I bought it like.- Oh, was it?- Yeah.
0:17:43 > 0:17:47- And how long have you had it? - About a month.- A month, OK.
0:17:47 > 0:17:49I get paid at the end of this month.
0:17:49 > 0:17:51OK, mate.
0:17:51 > 0:17:52My concern is at the moment
0:17:52 > 0:17:54that guy hasn't got a proper view of the road, has he?
0:17:54 > 0:17:57He's got a cracked windscreen right in front of the driver's view.
0:17:57 > 0:17:59He knows about it, he's had the car for a month.
0:17:59 > 0:18:03And like he said, he's a bit hard up, he is.
0:18:03 > 0:18:06Dan's planning to get it fixed as soon as possible
0:18:06 > 0:18:07but money's tight.
0:18:07 > 0:18:10Luckily, Geraint can see the bigger picture.
0:18:32 > 0:18:34If I see the car now within the next week or two
0:18:34 > 0:18:36and it's not been done,
0:18:36 > 0:18:39I'll take it as a personal insult on my good will.
0:18:39 > 0:18:41- All right, get it sorted.- I will.
0:18:41 > 0:18:43And put that money towards a new screen. OK?
0:18:43 > 0:18:47- OK, then, all the best. Bye-bye. - Bye-bye.
0:18:47 > 0:18:48Have a nice one.
0:18:49 > 0:18:52I don't see what we're going to achieve
0:18:52 > 0:18:54in that particular set of circumstances,
0:18:54 > 0:18:56by giving him a £100 fixed penalty
0:18:56 > 0:18:58when that £100 surely is going to be far better off
0:18:58 > 0:19:02being deployed to a new windscreen, you know?
0:19:02 > 0:19:03He's not going to escape.
0:19:03 > 0:19:05He's going to use this route every single day
0:19:05 > 0:19:07and if he doesn't use this one, he'll use the back one,
0:19:07 > 0:19:10and I'll just go and have a look down there for the vehicle.
0:19:10 > 0:19:12So I put the ball back in his court, at the end of the day.
0:19:12 > 0:19:16Later, Geraint comes across a more taxing problem.
0:19:16 > 0:19:20I haven't got a tax disc in it but I've paid the tax.
0:19:20 > 0:19:22Right, that expired back last year.
0:19:33 > 0:19:35In summer, the beaches near Penzance in Cornwall
0:19:35 > 0:19:38are packed with families enjoying the fun
0:19:38 > 0:19:40and surfers catching a wave or two.
0:19:41 > 0:19:43But just around the corner,
0:19:43 > 0:19:46the coves and cliffs are a vertical playground for climbers.
0:19:51 > 0:19:54And the bank holiday has been cut short for one visitor
0:19:54 > 0:19:56who was climbing at Sennen Cove when she slipped and fell.
0:19:58 > 0:20:00Luckily, the accident happened
0:20:00 > 0:20:03less than ten miles from the Urgent Care Centre.
0:20:03 > 0:20:05She's fallen about 12 feet.
0:20:05 > 0:20:08She's just been booked in but she's not feeling very well.
0:20:08 > 0:20:10Edith's had a bad fall.
0:20:10 > 0:20:14She's walking but she could still have a serious spinal injury.
0:20:14 > 0:20:16So how did you have a fall, what happened?
0:20:16 > 0:20:19I was scrambling down and the rock was wet
0:20:19 > 0:20:21and I got over the worst bit.
0:20:21 > 0:20:25And I don't know what happened but I guess my hand just slipped
0:20:25 > 0:20:28and then before I knew where I was,
0:20:28 > 0:20:30I was hurling through the air.
0:20:30 > 0:20:32Can you just look at me a second?
0:20:32 > 0:20:34- Yeah.- I'm just going to shine a torch in your eyes.
0:20:34 > 0:20:36If you can just look towards me.
0:20:36 > 0:20:39Emergency nurse practitioner Katie Corrigan
0:20:39 > 0:20:42needs to work out just how badly Edith's hurt.
0:20:42 > 0:20:44So what have you injured then?
0:20:44 > 0:20:47Both my elbows and...
0:20:47 > 0:20:51my right cheek of my bottom...
0:20:51 > 0:20:53is really sore.
0:20:53 > 0:20:55But more than that, it's my neck.
0:20:55 > 0:20:56Right.
0:20:56 > 0:21:00- Did you lose consciousness at all? - No, I didn't.- You didn't.
0:21:01 > 0:21:04And I think she's fallen quite a bit of a way,
0:21:04 > 0:21:08so she's kind of injured her neck and her back.
0:21:08 > 0:21:11She didn't lose consciousness at all
0:21:11 > 0:21:13but you never know with head injuries.
0:21:13 > 0:21:15So we'll just need to keep an eye on her.
0:21:16 > 0:21:19Edith's friend Gill was part of the same climbing group
0:21:19 > 0:21:21and saw the fall.
0:21:21 > 0:21:24Yeah, it didn't look good at the time. I was worried about her.
0:21:24 > 0:21:28I was at the bottom and I just saw her out corner of my eye.
0:21:28 > 0:21:30I saw this kind of pink blur and I looked round
0:21:30 > 0:21:31and I just saw her fall.
0:21:31 > 0:21:35One of the guys tried to catch her but he just couldn't hold her
0:21:35 > 0:21:37and she just...fell quite long way.
0:21:37 > 0:21:39And I just saw her disappear into this crevice
0:21:39 > 0:21:40and I was just like, "Oh, God."
0:21:41 > 0:21:43I was really, really worried about her.
0:21:44 > 0:21:48Katie's worried the pain in Edith's neck could mean it's broken
0:21:48 > 0:21:51so she's referred her to Dr Patrick Farrell
0:21:51 > 0:21:55who is trained to deal with more serious injuries.
0:21:55 > 0:21:58Can we just gently move you forward?
0:21:58 > 0:22:01- Oh, that...that...- That hurts, does it?- That really does hurt.
0:22:01 > 0:22:03- OK, right. We won't move that, then. - Sorry.
0:22:05 > 0:22:08Dr Farrell's concerned about Edith's neck.
0:22:08 > 0:22:11There's only one way to find out for sure if it's broken.
0:22:11 > 0:22:13- OK. We'll get you down to x-ray I think.- Right.
0:22:13 > 0:22:16We were supposed to be driving back to London tonight.
0:22:16 > 0:22:18Well, let's see what we find first of all.
0:22:18 > 0:22:21- You're more important than getting back to London.- OK?- OK.
0:22:23 > 0:22:24Knock knock.
0:22:24 > 0:22:27Hello, my darling. OK, we just want to pop a collar on you,
0:22:27 > 0:22:28- if that's OK?- OK, yeah.
0:22:28 > 0:22:30If she has broken her neck,
0:22:30 > 0:22:33it's vital it's kept still to prevent any more damage.
0:22:34 > 0:22:37- They're not most comfortable things, I'm afraid.- No, they're not.
0:22:46 > 0:22:48Falling 12 feet onto hard rocks
0:22:48 > 0:22:50is a recipe for disaster.
0:22:53 > 0:22:56The x-ray will show if Edith's got away with it or not.
0:23:04 > 0:23:06Your neck looks like you've bounced,
0:23:06 > 0:23:08which is good news.
0:23:08 > 0:23:10- Right, OK.- So I suspect
0:23:10 > 0:23:12we'll be putting you in a soft collar for a few days.
0:23:12 > 0:23:15It'll just hurt and you'll need to get some physiotherapy
0:23:15 > 0:23:16when you get back to London.
0:23:16 > 0:23:19I can't see why we can't take the collar off.
0:23:19 > 0:23:21- I bet that's a relief, isn't it? - It is.
0:23:21 > 0:23:23It all looks absolutely fine.
0:23:23 > 0:23:26I think she's been an extraordinarily lucky lady and has bounced.
0:23:28 > 0:23:29Yeah, all looks OK.
0:23:29 > 0:23:33She's going to be pretty sore and pretty bruised and battered.
0:23:33 > 0:23:34It'll be stiffer tomorrow.
0:23:34 > 0:23:37I was just so relieved when I heard her talking!
0:23:37 > 0:23:39Cos yeah, it really didn't look good.
0:23:39 > 0:23:41So...but...
0:23:41 > 0:23:44She's been here a few times before so we know she's...
0:23:44 > 0:23:47- THEY LAUGH - ..we know she's pretty tough so...
0:23:49 > 0:23:53Shaken but not stirred, Edith's on her way home.
0:23:53 > 0:23:54Thanks.
0:24:06 > 0:24:09Earlier, the Gannet crew were called to a badly injured mountain biker
0:24:09 > 0:24:11on the hills outside Dumbarton.
0:24:16 > 0:24:19The air ambulance and a paramedic team are on the scene
0:24:19 > 0:24:22but they can't get the casualty off the hillside.
0:24:22 > 0:24:25And now the Gannet crew are faced with the same problems.
0:24:30 > 0:24:31Taff thinks fast.
0:24:48 > 0:24:51It's a plan but it will test the crew to their limits.
0:24:51 > 0:24:55The casualty is on a steep slope, there are trees nearby...
0:24:55 > 0:24:56...clear.
0:24:56 > 0:24:57Lowering the winch.
0:24:58 > 0:25:01..and the light is fading fast.
0:25:01 > 0:25:04...one yard. Easy! And steady there.
0:25:04 > 0:25:06- Good position.- OK...
0:25:06 > 0:25:09INDISTINCT
0:25:09 > 0:25:12Get the footing, crack in with the winch.
0:25:12 > 0:25:15Taff and Speedy race up the steep hill to the casualty.
0:25:31 > 0:25:34Taff and Speedy close in on the casualty.
0:25:34 > 0:25:38With Gannet now on the scene, the air ambulance can head off.
0:25:53 > 0:25:55The Helimed heads for its Glasgow base,
0:25:55 > 0:25:59but the two doctors it delivered remain with the mountain biker.
0:26:01 > 0:26:03Garry is in a serious condition.
0:26:03 > 0:26:06The doctors can see his right leg is badly broken
0:26:06 > 0:26:08and he's barely conscious.
0:26:10 > 0:26:13'Garry was...had been coming down the grass slope on his bike.
0:26:13 > 0:26:18'He's came off the bike and slid away from the bike'
0:26:18 > 0:26:23but then suffered a very nasty open fracture to his right lower leg,
0:26:23 > 0:26:25and effectively broken the tib and fib
0:26:25 > 0:26:28and put those through the skin of the leg.
0:26:29 > 0:26:34'They'd treated the casualty and splinted the leg
0:26:34 > 0:26:38'and they'd got him completely immobilised on a vacuum mattress.'
0:26:38 > 0:26:39He was in a lot of pain
0:26:39 > 0:26:43so they'd given him a very powerful pain relief, analgesia.
0:26:49 > 0:26:53Ketamine is a heavy-duty painkiller, best known as a horse tranquiliser.
0:26:53 > 0:26:57The doctors have given it to Garry, on top of morphine,
0:26:57 > 0:26:59because he's in so much pain.
0:27:17 > 0:27:19The ketamine complicates things.
0:27:19 > 0:27:21Although Taff's a paramedic,
0:27:21 > 0:27:25ketamine's not a drug he's qualified to administer, and that means
0:27:25 > 0:27:29they need to take the two critical care doctors with them as well.
0:27:29 > 0:27:31Five people to winch into the chopper.
0:27:32 > 0:27:34But the light is fading fast,
0:27:34 > 0:27:37and they need to get Garry off the hill before night falls.
0:27:39 > 0:27:43Later, the mountain rescue team come in on the action.
0:27:51 > 0:27:53And Garry relives his trauma.
0:27:54 > 0:27:57I looked down.
0:27:57 > 0:28:01About two and a half inches of bone sticking out down the side of my leg,
0:28:01 > 0:28:04and thinking, "Yes, this is just not good at all."
0:28:13 > 0:28:17Back in Brecon, and Geraint's on seatbelt patrol again.
0:28:18 > 0:28:22But there are other offences that get right up his nose.
0:28:23 > 0:28:26I don't like speeding through built-up areas.
0:28:27 > 0:28:32And I don't particularly like people driving on their mobile phone either.
0:28:33 > 0:28:36They're the two, I think, probably my pet hates, I would say.
0:28:38 > 0:28:40Wait for it...
0:28:42 > 0:28:43Wait for it...
0:28:45 > 0:28:47- He's on his phone.- Gotcha!
0:28:48 > 0:28:51Blue van up ahead here. The gent's on his mobile phone.
0:28:51 > 0:28:55His thumb was texting someone, so I'll have a little chat with him now.
0:28:57 > 0:29:01But texting might not be the blue van man's only problem.
0:29:01 > 0:29:02RADIO:
0:29:05 > 0:29:07Yeah, that's received, thank you.
0:29:08 > 0:29:10It could be a double whammy -
0:29:10 > 0:29:14texting while driving, and no valid MOT.
0:29:14 > 0:29:15What's your name, sir?
0:29:15 > 0:29:17- Grant.- Grant?- Yeah.- OK.
0:29:17 > 0:29:19The reason I stopped you, Grant, I've just been sat up there
0:29:19 > 0:29:21and I could see you texting on your mobile phone.
0:29:21 > 0:29:23Your phone's up to the right hand
0:29:23 > 0:29:25and I can see you operating your phone with the right hand.
0:29:25 > 0:29:29- A message came through. - Obviously you can't use your phone while driving.- I know that.
0:29:29 > 0:29:32Also, just to let you know, the vehicle's MOT expired
0:29:32 > 0:29:35back on the 1st August, 2013.
0:29:35 > 0:29:37- I didn't know that.- All right?
0:29:37 > 0:29:41No valid MOT could mean the van is not roadworthy.
0:29:41 > 0:29:43Grant's not having a good day.
0:29:43 > 0:29:47In relation to the mobile phone, there's two ways I can deal with it -
0:29:47 > 0:29:50I can report the facts of the matter to the local magistrate's court.
0:29:50 > 0:29:53You'll get summoned for the offence of driving using a mobile phone.
0:29:53 > 0:29:56Or I can offer you a roadside fixed penalty today, which means
0:29:56 > 0:29:59it's a fine of £100 and three points will be placed on your licence.
0:29:59 > 0:30:01I don't get paid today. You have 28 days to do that,
0:30:01 > 0:30:03so don't panic, I'm not going to ask for the money now.
0:30:03 > 0:30:06The options, how you wish to proceed with it, are up to you.
0:30:06 > 0:30:09OK, I'll take the points. I don't want to go to court.
0:30:09 > 0:30:11You don't want to go to court over the matter?
0:30:11 > 0:30:14OK, I'll go and collect my ticket folder. In relation to the MOT,
0:30:14 > 0:30:17I'll give you some words of advice in relation to that, OK?
0:30:17 > 0:30:19You need to get it sorted ASAP.
0:30:19 > 0:30:22- I put two new...- Otherwise I'll have to send you another £100 fine,
0:30:22 > 0:30:26and you don't want to go £200 lighter from here today, do you? Right?
0:30:26 > 0:30:29Grant's got something else on his conscience.
0:30:29 > 0:30:33I haven't got a task disc in it, but I've paid the tax, but...
0:30:33 > 0:30:36Right, that expired back last year.
0:30:38 > 0:30:40If there is a problem with the tax disc,
0:30:40 > 0:30:42that could mean an extra £80 fine.
0:30:42 > 0:30:44It's a tense time for Grant.
0:30:48 > 0:30:50If you want to, mate, no problem at all.
0:30:52 > 0:30:57If you want to just go stand on the side for me, and save us getting...
0:30:57 > 0:30:59Grant's feeling the pain.
0:31:00 > 0:31:03There's a mountain bike race today over the Brecon Beacons,
0:31:03 > 0:31:06so we've just done 60 miles over the Brecon Beacons
0:31:06 > 0:31:08and I'm just on my way home, so...
0:31:08 > 0:31:10No wonder he didn't cycle home.
0:31:10 > 0:31:14Yeah, sorry about the MOT, mate, I totally didn't know about that.
0:31:14 > 0:31:15OK. What concerns me more is
0:31:15 > 0:31:18you're approaching a roundabout in a built-up town on a mobile phone.
0:31:18 > 0:31:22That concerns me a lot more than your vehicle test certificate, OK?
0:31:22 > 0:31:26For texting while driving, it'll be a £100 fine
0:31:26 > 0:31:28and three points on his licence.
0:31:28 > 0:31:30All the best, mate. Bye-bye.
0:31:30 > 0:31:31HORN TOOTS
0:31:31 > 0:31:34Grant will have to get himself organised
0:31:34 > 0:31:36or he really will be "on his bike"!
0:31:44 > 0:31:47The coast of Cornwall is a fisherman's paradise.
0:31:47 > 0:31:51The Gulf Stream makes the waters warm and brings in anything
0:31:51 > 0:31:52from sharks to mackerel,
0:31:52 > 0:31:55so you never know quite what you might catch.
0:31:56 > 0:32:00At the West Cornwall Hospital in Penzance, the staff are used
0:32:00 > 0:32:04to seeing fishermen who've hooked more than they bargained for.
0:32:04 > 0:32:06Eddie Mabgwe is a staff nurse here.
0:32:06 > 0:32:07- Can you feel that?- No.
0:32:09 > 0:32:12He's been working in Penzance for seven years.
0:32:12 > 0:32:14Nice and gentle. Excellent.
0:32:14 > 0:32:16Take a seat there, sir.
0:32:18 > 0:32:23And he's landed the catch of the day - fisherman Phil.
0:32:23 > 0:32:25I managed to catch myself
0:32:25 > 0:32:27as the biggest fish of the day.
0:32:29 > 0:32:32I was out fishing on a friend's boat
0:32:32 > 0:32:35and I managed to get one of the hooks in my head.
0:32:35 > 0:32:37He's cut off the line,
0:32:37 > 0:32:41but I've got a hook, the barb has gone through, I think.
0:32:41 > 0:32:43The barb is the part of the fish hook
0:32:43 > 0:32:45which stops it coming out of the fish's mouth.
0:32:45 > 0:32:47Or out of your scalp.
0:32:49 > 0:32:52Just a bit like Last Of The Mohicans, I think.
0:32:52 > 0:32:56It's actually the surface of the skin, just underneath the skin there
0:32:56 > 0:32:57that it's gone through there.
0:32:58 > 0:33:01It's quite tender round there, is it?
0:33:01 > 0:33:02Yeah.
0:33:04 > 0:33:07It's a feather in his cap, but not one he really wants.
0:33:10 > 0:33:12I'll get the bleepers!
0:33:14 > 0:33:17That's what we call the pincher. It actually snaps the barb.
0:33:17 > 0:33:19It goes through those big jaws there.
0:33:19 > 0:33:21And you just press it and it just snaps it off.
0:33:21 > 0:33:24I've got some local anaesthetic here.
0:33:24 > 0:33:26- So this might sting a little bit. - Yeah.
0:33:27 > 0:33:29So, sharp scratch.
0:33:31 > 0:33:33- You all right, sir?- Yeah.
0:33:35 > 0:33:37OK, just let that work for a minute.
0:33:39 > 0:33:41Did you manage to catch any fish today?
0:33:41 > 0:33:44Yeah, we caught about seven or eight mackerel
0:33:44 > 0:33:46- and quite a sizeable pollock. - Oh, right.
0:33:46 > 0:33:47I should go out again, yeah.
0:33:47 > 0:33:49I might wear a cap next time.
0:33:49 > 0:33:51That would be a good idea!
0:33:51 > 0:33:56- A helmet!- A helmet, I need a proper helmet. A visor.
0:33:56 > 0:33:59I must admit it's the first one I've seen, a fish hook on the head.
0:33:59 > 0:34:03- Usually they come in, it's on the fingers or on the hands.- Yeah.
0:34:03 > 0:34:06- So I'm going to use this special tool.- I understand.
0:34:06 > 0:34:09What happens, once I push the barb through,
0:34:09 > 0:34:11I'll just snip the head, with those big jaws there.
0:34:11 > 0:34:13- Cut if off.- I understand.
0:34:13 > 0:34:15Then I'll pull it back through.
0:34:15 > 0:34:17- I understand.- All right?- Yeah.
0:34:17 > 0:34:18You OK?
0:34:18 > 0:34:21Yeah, I'm fine. Can't feel a thing.
0:34:21 > 0:34:23Good. There you go. That's the barb.
0:34:23 > 0:34:25We've got it.
0:34:25 > 0:34:29Barb exposed, time for the wire cutters.
0:34:29 > 0:34:31I'm just going to snip it off now.
0:34:32 > 0:34:34PINCERS CLICK
0:34:36 > 0:34:39There's our little friend.
0:34:39 > 0:34:41But the job's still not done.
0:34:42 > 0:34:45I'm just going to pull this back through again.
0:34:45 > 0:34:46Then that's out.
0:34:48 > 0:34:50That's it, sir.
0:34:50 > 0:34:53- Quite a big hook, isn't it? - Yeah, quite a big hook.
0:34:53 > 0:34:55So the bit that was in there...
0:34:56 > 0:34:59- Yeah, that's the... - That's the barb there.
0:34:59 > 0:35:02- You cut it back.- That's right.
0:35:02 > 0:35:03Thanks for that.
0:35:03 > 0:35:07OK, I'll just clean that area for you, make sure it's all OK there.
0:35:09 > 0:35:11You can sling your hook now, Philip.
0:35:11 > 0:35:13Lovely, thank you. Lovely to meet you.
0:35:13 > 0:35:15- And you.- Carry on fishing.
0:35:15 > 0:35:17Hopefully we won't meet again.
0:35:17 > 0:35:19THEY LAUGH
0:35:19 > 0:35:21- Thanks for that. - All right, sir, nice to meet you.
0:35:31 > 0:35:34Back in Scotland, the Gannet team have been called to help
0:35:34 > 0:35:38an injured mountain biker, Garry, who's badly hurt his leg.
0:35:40 > 0:35:44He came off his bike at high speed on a steep slope outside Dumbarton.
0:35:49 > 0:35:52I remember flying through the air and getting this...
0:35:52 > 0:35:54I can smile about it now, but it wasn't nice at the time,
0:35:54 > 0:35:57was the end of my foot flapping about
0:35:57 > 0:36:00and I thought, "Oh, dear, this is just not good at all."
0:36:01 > 0:36:03The doctors have stabilised Garry
0:36:03 > 0:36:07and sedated him with a heavy-duty painkiller called ketamine.
0:36:07 > 0:36:11I don't remember much about 20 seconds after that going in.
0:36:11 > 0:36:13There's quite a gap at that point.
0:36:14 > 0:36:17Taff and the Gannet team need to get him and the doctors off the hill
0:36:17 > 0:36:19before day turns to night.
0:36:19 > 0:36:22The plan is to winch him, but it's going to be tricky.
0:36:29 > 0:36:31Taff thinks there might be another option.
0:36:39 > 0:36:42Enter the Arrochar Mountain Rescue volunteers.
0:36:43 > 0:36:45These guys are brilliant
0:36:45 > 0:36:48and used to working exactly in conditions like this.
0:37:06 > 0:37:08With expert help from the mountain rescue team,
0:37:08 > 0:37:12they may be able to stretcher Garry up the treacherous slope.
0:37:12 > 0:37:15But landing ten tonnes of Sea King helicopter at the top
0:37:15 > 0:37:17isn't going to be easy,
0:37:17 > 0:37:20with trees on one side and a steep drop on the other.
0:37:48 > 0:37:52The ground's unsuitable to try and actually land the aircraft fully.
0:37:52 > 0:37:56So the aircraft was, in effect, in a very, very low hover.
0:37:56 > 0:38:00The wheels were in contact with the ground, but it's there for stability
0:38:00 > 0:38:03rather than actually taking the entire weight of the aircraft.
0:38:05 > 0:38:08Speedy battles through the massive downdraft from the rotors
0:38:08 > 0:38:10to collect the stretcher from Phil.
0:38:11 > 0:38:15The race is now on to get Garry into the waiting helicopter.
0:38:26 > 0:38:29Already, the effects of the ketamine are wearing off.
0:38:31 > 0:38:33I seem to remember coming round from it
0:38:33 > 0:38:37seeing vague lights in my eyes,
0:38:37 > 0:38:41them talking, then started to hear them talk around me again,
0:38:41 > 0:38:46putting me into the frame and putting the thing round my neck.
0:38:46 > 0:38:50But at least now, Garry won't have to go up on a winch.
0:38:50 > 0:38:52The call didn't just come out to us,
0:38:52 > 0:38:54it's also gone out to a local mountain rescue team,
0:38:54 > 0:38:58who have just turned up. So the safest way to extract this guy
0:38:58 > 0:39:00is for the aircraft to land at the top of the hill,
0:39:00 > 0:39:02then with the assistance of the mountain rescue team,
0:39:02 > 0:39:05who are used to working on this sort of ground,
0:39:05 > 0:39:09we can use our stretcher, their kit and effectively carry the guy up.
0:39:11 > 0:39:13Even with the MRT helping,
0:39:13 > 0:39:16it's no easy task to get Garry up to the helicopter.
0:39:18 > 0:39:21I remember it taking quite a number of people to get me up the hill.
0:39:21 > 0:39:23It wasn't just a straight, you know, two or four,
0:39:23 > 0:39:27because it was quite a steep, grassy hill
0:39:27 > 0:39:30and it is a tricky hill even to come down on a mountain bike,
0:39:30 > 0:39:31as I've clearly proven.
0:39:33 > 0:39:36The down draft from the aircraft was quite considerable at this point.
0:39:36 > 0:39:38You could the see people who were used to dealing
0:39:38 > 0:39:41with that sort of situation being able to walk through it,
0:39:41 > 0:39:44and some of the other guys getting blown around a little bit.
0:39:44 > 0:39:45So I think seeing the MRT come up
0:39:45 > 0:39:48and deciding they could carry the stretcher, I think,
0:39:48 > 0:39:50was justified at that point.
0:39:54 > 0:39:56Three and a half hours after falling,
0:39:56 > 0:40:00Garry's on board at last, along with the two critical care doctors.
0:40:02 > 0:40:06It's a short flight to the Royal Alexandra Hospital in Paisley.
0:40:07 > 0:40:09All right, you happy at the back?
0:40:09 > 0:40:10OK. Lifting.
0:40:22 > 0:40:25In the back, it's all eyes on Garry.
0:40:28 > 0:40:33I seem to remember thinking, "This is a lot of people just for me,
0:40:33 > 0:40:37"this is a crazy old fool that's been out here trying to mountain bike,
0:40:37 > 0:40:40"that's broke his leg and, you know, I'm feeling slightly embarrassed here
0:40:40 > 0:40:44"that this many people are involved trying to rescue me,
0:40:44 > 0:40:46"so, sorry, guys."
0:40:46 > 0:40:48Checking to the right's clear,
0:40:48 > 0:40:51- tail's clear, and continue down slowly.- Roger.
0:40:53 > 0:40:58Eight minutes later, Rescue 177 touches down at the hospital.
0:41:14 > 0:41:17It's been a terrible ordeal for Garry, but at last
0:41:17 > 0:41:19he's where he needs to be,
0:41:19 > 0:41:22and within hours he's on the operating table.
0:41:25 > 0:41:27They put a nail into the tibia,
0:41:27 > 0:41:30down the middle to hold the two pieces together. Um...
0:41:31 > 0:41:33They screwed that top and bottom.
0:41:33 > 0:41:36They spent a lot of time cleaning out the wound,
0:41:36 > 0:41:40and the second operation was just a follow-up to that,
0:41:40 > 0:41:44which was about four days later, to close the wound up
0:41:44 > 0:41:49and do some re-work, I believe, on the nail that had been put in,
0:41:49 > 0:41:51just to make sure it was secured properly.
0:41:55 > 0:41:58I have reconsidered my mountain biking career!
0:42:00 > 0:42:01I don't think I'll stop...
0:42:01 > 0:42:05Maybe I just need to back it off. I'm not 16 any more.
0:42:08 > 0:42:10As I saw it at the point when I did the accident,
0:42:10 > 0:42:14there was only one way to get me off this, and that was by a helicopter.
0:42:14 > 0:42:17It was never my intention to get that much attention,
0:42:17 > 0:42:19but unfortunately that's the way it turned out.
0:42:29 > 0:42:32It's been all go for the emergency services in rural Britain.
0:42:36 > 0:42:39Edith's neck still isn't back to normal
0:42:39 > 0:42:40but physiotherapy should help
0:42:40 > 0:42:44and she's not going to let her fall put her off climbing.
0:42:48 > 0:42:50After his fish hook fiasco,
0:42:50 > 0:42:52Phil's made a full recovery.
0:42:52 > 0:42:55He's hoping for a tastier catch next time.
0:42:59 > 0:43:01And Garry's broken bones haven't mended yet,
0:43:01 > 0:43:03but he is off his crutches.
0:43:03 > 0:43:06His consultant is pleased with his progress
0:43:06 > 0:43:08but it'll be a long road to full recovery.
0:43:10 > 0:43:13And you thought it was quiet in the countryside.