0:00:02 > 0:00:04From the Highlands of Scotland,
0:00:04 > 0:00:06to the coast of Cornwall...
0:00:06 > 0:00:08the Great British countryside
0:00:08 > 0:00:10is spectacular.
0:00:11 > 0:00:14But we work and play in it at our peril.
0:00:17 > 0:00:19And when things go wrong,
0:00:19 > 0:00:22the emergency services race to the rescue...
0:00:22 > 0:00:25This chap is having a heart attack. We need to get him in quickly.
0:00:28 > 0:00:30There's no police courses for this.
0:00:30 > 0:00:32..going hundreds of miles against the clock...
0:00:34 > 0:00:37..battling the elements and braving the weather.
0:00:40 > 0:00:43From fields and forests,
0:00:43 > 0:00:46to cliffs and country roads,
0:00:46 > 0:00:49we'll be right at the heart of the action...
0:00:49 > 0:00:50with police fighting crime...
0:00:50 > 0:00:53I could seize your dogs, I could seize your van,
0:00:53 > 0:00:55but I'll summons you all to court.
0:00:55 > 0:00:57..paramedics saving lives...
0:00:57 > 0:00:59BABY CRIES
0:00:59 > 0:01:02- ..and wardens safeguarding our lakes.- Come out of the way.
0:01:02 > 0:01:07We're there as the emergency services pull together,
0:01:07 > 0:01:10to pick up, patch up
0:01:10 > 0:01:13and protect the public.
0:01:13 > 0:01:16This is Countryside 999.
0:01:33 > 0:01:35Coming up... Butted by a bull.
0:01:37 > 0:01:41A 74-year-old is injured on a farm track.
0:01:41 > 0:01:44I think it's time you hung that red matador's cape up!
0:01:45 > 0:01:48Yorkshire Air Ambulance flies to a Tour de France fan
0:01:48 > 0:01:50who fell into the path of a car.
0:01:54 > 0:01:56And pain at the Pony Club.
0:01:56 > 0:01:57GROANING Ready?
0:01:57 > 0:01:59- No?- No, no, no, no!
0:02:17 > 0:02:18In Yorkshire,
0:02:18 > 0:02:23helicopters from the Air Ambulance are prepared for a day's shift.
0:02:23 > 0:02:26The two aircraft cover a huge area, of some 6,000 square miles...
0:02:28 > 0:02:32..serving a population of over five million people.
0:02:39 > 0:02:43When casualties in remote countryside need help
0:02:43 > 0:02:46and when long-distance transfers risk a patient's health,
0:02:46 > 0:02:51the air ambulance saves time and saves lives.
0:02:53 > 0:02:56When the Tour de France came to Yorkshire
0:02:56 > 0:02:58on a sunny July weekend, it gave the helimedics
0:02:58 > 0:03:00their biggest-ever challenge.
0:03:05 > 0:03:07Two days of racing,
0:03:07 > 0:03:10road closures and an estimated four million spectators
0:03:10 > 0:03:12lining every mile of the route.
0:03:17 > 0:03:21ALL: # On Ilkley Moor bar t'at... #
0:03:28 > 0:03:30The first day's racing started in Leeds,
0:03:30 > 0:03:34before passing through the popular tourist town of Ilkley.
0:03:36 > 0:03:39But there's been a serious incident, resulting in an emergency call out
0:03:39 > 0:03:42for the air ambulance.
0:03:47 > 0:03:49Pilot Andy Hall's en route.
0:03:51 > 0:03:55With him, paramedics Dave Appleby and Andy Armitage.
0:04:02 > 0:04:04The incident at Ilkley,
0:04:04 > 0:04:07we just saw the crowds lining the streets. It was unbelievable.
0:04:07 > 0:04:10There were so many people. I've never seen anything like it.
0:04:10 > 0:04:14Due to the roads being blocked, the helicopter is really needed,
0:04:14 > 0:04:17'because we simply can't get people to hospital.'
0:04:41 > 0:04:44The second they hit the ground,
0:04:44 > 0:04:46Andy is briefed by the on-scene paramedics.
0:04:57 > 0:04:59- Hello, there.- Hello.- Hello, mate.
0:04:59 > 0:05:02I'm Andy, one of the paramedics off of that
0:05:02 > 0:05:04- yellow thing that's just flown in.- OK.- All right.
0:05:04 > 0:05:06- You've fallen off a chair?- Yes.
0:05:06 > 0:05:09- Your leg's in the road and the car has gone over it?- Yes, basically.
0:05:09 > 0:05:11Not your lucky day, is it?
0:05:13 > 0:05:1713-year-old Joe was watching the race with his mum and dad,
0:05:17 > 0:05:21when he slipped onto the road and under a support car.
0:05:21 > 0:05:24What we'll do is get a stretcher off the aircraft, put you on it,
0:05:24 > 0:05:26lift you over and take you down to the hospital.
0:05:26 > 0:05:28Am I going to be able to go with him?
0:05:28 > 0:05:31We'll have to... I'll have to discuss that with the pilot, OK?
0:05:31 > 0:05:34Can I just take your name and all that business?
0:05:34 > 0:05:36Yes. His name's Joe.
0:05:36 > 0:05:39Joe's badly-damaged leg has already been splinted
0:05:39 > 0:05:42and bandaged by event paramedics.
0:05:42 > 0:05:46He needs hospital treatment and there's a further complication.
0:05:50 > 0:05:51Diabetes.
0:05:52 > 0:05:57To control his diabetes, Joe needs regular injections of insulin,
0:05:57 > 0:05:59but the immediate concern is his pain.
0:06:02 > 0:06:05Pain score when you got here was ten out of ten. What is it now?
0:06:09 > 0:06:12How are you feeling with your leg now? Is it still...?
0:06:12 > 0:06:15What pain level is it now?
0:06:15 > 0:06:19Painful, though? Do you want a little bit more morphine?
0:06:19 > 0:06:22Do you want to give him that little bit and then...? Good lad.
0:06:24 > 0:06:27- Joe?- Yeah.- We've got a stretcher just at the left-hand side, right?
0:06:27 > 0:06:31If somebody supports your leg, do you think you'll be able to sit up
0:06:31 > 0:06:34a little bit and just shuffle onto that bed?
0:06:34 > 0:06:37- Yes?- Yes.- Are you cold? - No.- You're not cold.
0:06:37 > 0:06:39When we first got here, he was shivering.
0:06:39 > 0:06:41I'm not surprised, with everything that's happened.
0:06:41 > 0:06:43If you sit up a little bit,
0:06:43 > 0:06:46just use your hands just to shuffle yourself over. That's it.
0:06:46 > 0:06:48- Just a bit more. - That's it, well done.
0:06:48 > 0:06:52- We'll lift you up a little bit, all right?- We'll sit you up, all right?
0:06:52 > 0:06:54- All right? - You just relax yourself back.
0:06:58 > 0:07:01I'll just give Leeds a ring, and take him there. It's nasty.
0:07:01 > 0:07:04Andy wants to take Joe to the specialist trauma team
0:07:04 > 0:07:06at Leeds General Infirmary.
0:07:06 > 0:07:09But it's a busy day for the emergency services,
0:07:09 > 0:07:11so he checks they have capacity.
0:07:13 > 0:07:15I'm just wondering if we can bring a patient to you?
0:07:15 > 0:07:20He's 13 years old, with an open fractured left tib and fib.
0:07:20 > 0:07:23It sounds quite nasty. I think it's probably best
0:07:23 > 0:07:26if we bring him to you guys, to be honest with you.
0:07:34 > 0:07:37Given Joe's age and diabetes,
0:07:37 > 0:07:40it's a reassurance that mum Debbie can come along, too.
0:07:44 > 0:07:46We'll put your little headset on, so you can hear us.
0:07:46 > 0:07:49If I put my hand up and say, "Don't talk," just don't talk,
0:07:49 > 0:07:52because as you can imagine there's a lot of helicopters around.
0:07:52 > 0:07:54Andy, the pilot, needs to talk to people.
0:08:01 > 0:08:04Because of the Tour, not only are roads closed,
0:08:04 > 0:08:07but the skies are also dangerously congested.
0:08:07 > 0:08:08Look, there, mate.
0:08:11 > 0:08:14There are camera helicopters filming the race...
0:08:16 > 0:08:19..and another Yorkshire air ambulance is also heading
0:08:19 > 0:08:21to Leeds General Infirmary.
0:08:21 > 0:08:25He was 20 miles out, so he'll probably be about 15 miles out now.
0:08:25 > 0:08:29- Yes.- I think we're going to cross, as we get to Leeds, I think.- Yes.
0:08:29 > 0:08:32- Should be about 11 o'clock, shouldn't he?- Yes.- Ish.- Yes.
0:08:35 > 0:08:38Air desk, we are about two minutes from landing.
0:08:38 > 0:08:40Have we got any tee-up on the other aircraft?
0:08:43 > 0:08:44Right, OK.
0:08:44 > 0:08:48With the other chopper delayed, pilot Andy has a clear run
0:08:48 > 0:08:50on to the rooftop hospital helipad.
0:08:57 > 0:09:00We are on top of the LGI, Leeds General.
0:09:00 > 0:09:03We'll get you onto a stretcher and take you down into A & E.
0:09:03 > 0:09:05OK?
0:09:08 > 0:09:10Hold on, mate.
0:09:19 > 0:09:23As pilot Andy lifts the chopper, to let the second air ambulance land...
0:09:26 > 0:09:28..paramedic Andy briefs the trauma team.
0:09:28 > 0:09:32Been stood on a chair, watching Tour de France go through.
0:09:32 > 0:09:35He's fallen off the chair. His legs have ended on the road.
0:09:35 > 0:09:38One of the supporting vehicles has gone over his left leg.
0:09:38 > 0:09:39- Oh, poor lad. - He has an open fracture tib.
0:09:39 > 0:09:44The crews dealt with it. Obs, all right. They said, no C spine injury.
0:09:44 > 0:09:46I don't think there's any other injury.
0:09:46 > 0:09:51- Otherwise fit and well.- Apart from, he's got insulin-dependent diabetes.
0:09:51 > 0:09:52And that's his mum.
0:09:54 > 0:09:56We've done a lot of flying on the Tour de France day
0:09:56 > 0:09:59and it's an experience
0:09:59 > 0:10:03'I won't ever forget. I think the first incident I went on,'
0:10:03 > 0:10:05when we landed on the hospital,
0:10:05 > 0:10:08there was seven or eight helicopters in the distance,
0:10:08 > 0:10:10which is just unprecedented. It's just so much excitement
0:10:10 > 0:10:14and you almost feel that you are part of it when you land on the scene.
0:10:14 > 0:10:16But then you've got a job to do, yourself,
0:10:16 > 0:10:18so you've got to come back down to earth
0:10:18 > 0:10:22and crack on with the patient and help that young lad
0:10:22 > 0:10:25and make sure that his leg's OK and get him to hospital.
0:10:39 > 0:10:42Riding a race bike isn't the only way of seeing Britain's
0:10:42 > 0:10:44countryside from a saddle.
0:10:44 > 0:10:48In the unspoilt, open hills of Dumfries and Galloway
0:10:48 > 0:10:50horse riding is as popular as ever.
0:10:53 > 0:10:56From the annual tradition of common riding,
0:10:56 > 0:11:00marking the boundaries of border towns, to Pony Club meets,
0:11:00 > 0:11:02events are held throughout the summer.
0:11:10 > 0:11:14Today a crew from Dumfries Ambulance Station is responding
0:11:14 > 0:11:17to an emergency call from a local horse show.
0:11:29 > 0:11:31Paramedic Paul Malner drives,
0:11:31 > 0:11:34as trainee Ali Armstrong is updated on the incident.
0:11:53 > 0:11:58From Dumfries, it should be a quick four-mile trip to the horse show,
0:11:58 > 0:12:01just outside the village of Terregles.
0:12:04 > 0:12:07But with only a postcode to go on,
0:12:07 > 0:12:11finding the exact location is not proving easy.
0:12:20 > 0:12:21The sat nav isn't getting them there.
0:12:21 > 0:12:25Ali radios their base for help.
0:12:27 > 0:12:33Yeah, we've arrived at the address given, quoted on the terrafix,
0:12:33 > 0:12:36and there doesn't seem to be any horse event there.
0:12:36 > 0:12:39Have you got any further information, over?
0:12:39 > 0:12:42ELECTRONIC BEEPING
0:12:42 > 0:12:44Oh!
0:12:51 > 0:12:54Now, the radio's dropping out, as well.
0:13:12 > 0:13:13Excuse me, do you know
0:13:13 > 0:13:16if there is a horse and trials event anywhere near here?
0:13:19 > 0:13:21Thank you very much. See you later. Thanks.
0:13:23 > 0:13:26It always helps when you get a bit of local knowledge.
0:13:26 > 0:13:30If you want to find a horse show, ask a man on a horse.
0:13:32 > 0:13:33There we go.
0:13:38 > 0:13:42So, that's us eventually found the patient.
0:13:42 > 0:13:47As you can see, it's not an exact postcode location, it's just a field.
0:13:54 > 0:13:55Hi, are you OK?
0:14:01 > 0:14:05Right then, Susan. What exactly happened? Can you remember?
0:14:05 > 0:14:08- The wind blew the marquee over. - Was she holding on to it?
0:14:09 > 0:14:11And it took it with me.
0:14:11 > 0:14:13And her shoulder...
0:14:13 > 0:14:14Right. I see.
0:14:19 > 0:14:21Susan is the organiser of the Pony Club Show.
0:14:23 > 0:14:26But she's not been injured by a pony.
0:14:27 > 0:14:29Instead, she was holding on to a marquee,
0:14:29 > 0:14:33when a gust of wind took it, and her, into the air.
0:14:40 > 0:14:44Can we give you a hand, just to roll you around?
0:14:54 > 0:14:57The paramedics fear Susan's dislocated her shoulder.
0:14:57 > 0:15:00It's an easy and notoriously painful joint to dislocate.
0:15:02 > 0:15:05She's been given entonox - nitrous oxide and oxygen -
0:15:05 > 0:15:08pain relief also used in childbirth.
0:15:11 > 0:15:13How are you feeling, Susan?
0:15:13 > 0:15:16We definitely think the gas there should been helping.
0:15:19 > 0:15:21- Has she been sick at all, no?- No.- No.
0:15:22 > 0:15:26Right, Susan. I'll try and roll you over towards our side here, OK?
0:15:36 > 0:15:39Have you any other pain, apart from your shoulder, Susan? No.
0:15:39 > 0:15:40All the pain's in the shoulder.
0:15:42 > 0:15:47Susan's immobilised by pain and needs to get to hospital,
0:15:47 > 0:15:49but Ali and Paul are struggling to get her off the ground.
0:15:49 > 0:15:52And it's now starting to rain.
0:15:54 > 0:15:56Susan, can you go the other way?
0:15:59 > 0:16:01- No, no, no.- It's all right.
0:16:01 > 0:16:03No, no, no! No, no, no, no, no, no.
0:16:15 > 0:16:19When not covering one of the world's greatest sporting events,
0:16:19 > 0:16:22the Yorkshire Air Ambulance is on emergency call in the countryside
0:16:22 > 0:16:24every day of the year.
0:16:27 > 0:16:30It's an area with a rural economy worth almost £1 billion.
0:16:35 > 0:16:40Farming is big business, but it comes at a cost.
0:16:42 > 0:16:45The work can be tough, dangerous
0:16:45 > 0:16:47and solitary.
0:16:50 > 0:16:53On average, one person is killed in the UK every week
0:16:53 > 0:16:57as a direct result of agricultural work.
0:16:59 > 0:17:02But when accidents happen deep in the countryside,
0:17:02 > 0:17:05getting treatment quickly is a life-saver.
0:17:28 > 0:17:33A woman's been attacked by a bull. It's a serious accident.
0:17:40 > 0:17:43It's a job for the Yorkshire Air Ambulance.
0:17:46 > 0:17:47As the paramedics gear up,
0:17:47 > 0:17:51pilot Andy Lister prepares the chopper for takeoff.
0:17:54 > 0:17:56From the airbase near Wakefield,
0:17:56 > 0:17:59it's a 17-mile flight to the location -
0:17:59 > 0:18:01a farm south of Bradford.
0:18:04 > 0:18:07In the air are paramedics Paul Kilner and Al Day.
0:18:13 > 0:18:16With just a grid reference to go on,
0:18:16 > 0:18:18they have to seek out the location - a farm track.
0:18:21 > 0:18:25They spot a paramedics' car and land close by.
0:18:32 > 0:18:37Al joins his Air Ambulance colleague, Andy Armitage.
0:18:37 > 0:18:40Today, Andy's working as a first response, road-based paramedic.
0:18:40 > 0:18:43He called in the helicopter.
0:19:25 > 0:19:28BELLOWING
0:19:28 > 0:19:31The bull attacked 74-year-old farmer Shirley,
0:19:31 > 0:19:33as she was moving cattle along the track.
0:19:33 > 0:19:35A neighbouring farmer saw it happen.
0:19:37 > 0:19:40Basically, I came down to help the other farmer. The cows had got out.
0:19:40 > 0:19:46We tried to get them down the lane, but the bull was bit agitated
0:19:46 > 0:19:48and knocked her flying into the bush.
0:19:48 > 0:19:51Having knocked Shirley into the hedge,
0:19:51 > 0:19:54the bull butted her repeatedly, causing serious injuries.
0:19:56 > 0:20:00As her daughter Helen comforts her, Andy and Al diagnose her injuries.
0:20:02 > 0:20:04But the bull's still close by.
0:20:09 > 0:20:14Only an old gate and fence separate it from everybody on the track.
0:20:14 > 0:20:17- Just keep your eye that way, all right?- Yeah, yeah.
0:20:17 > 0:20:20Just trying to get a handle on this bull, Andy.
0:20:20 > 0:20:25Pilot Andy keeps a lookout, as paramedic Paul treats Shirley.
0:20:27 > 0:20:29We're just going to give her some pain relief,
0:20:29 > 0:20:31cos she's complaining of having some pain.
0:20:31 > 0:20:34They are organising that. At the moment, we have the farming lads
0:20:34 > 0:20:38sorting out these animals, cos we have a bull that's quite agitated.
0:20:38 > 0:20:42The concern is that's quite a big animal to have agitated.
0:20:42 > 0:20:45So, at this moment, we're protecting ourselves with this vehicle
0:20:45 > 0:20:47and the lads are trying to control this animal.
0:20:47 > 0:20:51This bull's trying to get out again. Gary's on his way back.
0:20:53 > 0:20:57Yeah, he is trying to... He's trying to lift that wood fence.
0:21:00 > 0:21:02Gary's coming down Wyke Lane now.
0:21:07 > 0:21:10The paramedics can't afford to be distracted.
0:21:10 > 0:21:13Shirley needs their full attention.
0:21:27 > 0:21:31Can you open your eyes? If you look at me, that is my hip there.
0:21:31 > 0:21:35- No, it isn't there. Down there, on the pelvic bone.- On the bone?
0:21:38 > 0:21:40It's here.
0:21:40 > 0:21:42- On that bone?- Yeah.- OK.
0:22:03 > 0:22:04'When you have a couple of tonnes'
0:22:04 > 0:22:10of animal come towards you, hits you and then tosses you in the air,
0:22:10 > 0:22:14you aren't going to come off lightly from that, it's almost inevitable.
0:22:14 > 0:22:18Especially if you are a little bit more senior.
0:22:18 > 0:22:20When things are a bit more brittle,
0:22:20 > 0:22:23'it's almost inevitable that there's going to be some breaks
0:22:23 > 0:22:25'and some serious injuries.'
0:22:29 > 0:22:34As the three paramedics attend Shirley, family, farm hands
0:22:34 > 0:22:37and friends concentrate on keeping the bull under control.
0:22:39 > 0:22:42If it's happened to one person, it could happen to a second.
0:22:42 > 0:22:45The second could be you, when you get there, so you've got to be
0:22:45 > 0:22:49thinking about the safety of yourself, of your crewmates
0:22:49 > 0:22:51and the patient.
0:22:51 > 0:22:54It could easily strike again and that's the last thing you want.
0:23:10 > 0:23:16At a Pony Club Show near Dumfries, event organiser Susan is grounded.
0:23:16 > 0:23:18Oh, no, no, no, no, no, no!
0:23:18 > 0:23:23Holding on to a marquee in the wind, she fell heavily.
0:23:23 > 0:23:26She went to hold on to it and it took her with it.
0:23:26 > 0:23:29- Obviously, your shoulder's... - She was trying a Mary Poppins.
0:23:29 > 0:23:30Right, I see!
0:23:32 > 0:23:36Susan's in extreme pain, with a suspected dislocated shoulder.
0:23:43 > 0:23:45Have you given her any pain relief?
0:23:45 > 0:23:47Trainee paramedic Ali Armstrong
0:23:47 > 0:23:50goes to the ambulance to fetch extra pain relief.
0:23:52 > 0:23:56The patient's in quite a bit of pain, so the paramedics have to try
0:23:56 > 0:23:58and canulate and give some morphine, to move the patient
0:23:58 > 0:24:01off the ground. She is in quite a bit of discomfort now.
0:24:01 > 0:24:04As a student with only four months' experience,
0:24:04 > 0:24:06Ali can't administer morphine.
0:24:07 > 0:24:10He watches on, as colleague Paul Malner takes over.
0:24:11 > 0:24:13Right, Susan, a wee pinprick coming up, OK?
0:24:25 > 0:24:29So, have you had a good time up till now, Susan?
0:24:29 > 0:24:33- It's been going well.- Party animals! - Are they? Big night last night,
0:24:33 > 0:24:35- was it?!- No.- No!
0:24:37 > 0:24:41So, you're trying to blame that on... It was the wind, wasn't it?!
0:24:42 > 0:24:45The paramedics know Susan's shoulder is damaged,
0:24:45 > 0:24:48but Ali checks for other injuries.
0:24:48 > 0:24:51Susan, I'll just check your pulse again,
0:24:51 > 0:24:53just to make sure we have got good circulation.
0:24:54 > 0:24:58I've got a good pulse there. Can I just get your thumb again, please?
0:25:00 > 0:25:05He's looking for circulation issues. A dislocated shoulder can restrict
0:25:05 > 0:25:07blood flow to the rest of the arm.
0:25:08 > 0:25:12That's fine. Just wiggle your fingers there for me again.
0:25:12 > 0:25:16- Getting pins and needles now?- No.- You OK? That's fine, Susan. No bother.
0:25:17 > 0:25:21After more pain relief, it's time for another attempt
0:25:21 > 0:25:25- at getting Susan up.- How are you feeling now, Susan? Are you OK?
0:25:25 > 0:25:29- I don't know.- Right, if I give you a hand with this shoulder
0:25:29 > 0:25:34- and Alistair there...- I'll just try and support it as much...
0:25:34 > 0:25:37- ..to stop it dropping, OK?- OK.- If you come back up, onto your knees.
0:25:37 > 0:25:40- Right, Susan.- Oh, oh, oh. No, no, no, no, no, no, no. no.
0:26:09 > 0:26:14- Put your arm up there, like that. - All right, Susan. You OK?
0:26:14 > 0:26:16- You scream if you need to, Susan, OK?- Argh!
0:26:16 > 0:26:20- Ready?- Argh! Argh! - It's all right, it's all right.- Argh!
0:26:20 > 0:26:22- Well done.- You're OK.- Argh!
0:26:22 > 0:26:26You're OK. You're OK. I've got your arm. It's OK.
0:26:26 > 0:26:27Argh!
0:26:28 > 0:26:33Now Susan's rolled onto her back, they need to get her upright.
0:26:34 > 0:26:38I'm just going to have to sit you up, OK? I'll give you a wee hand.
0:26:38 > 0:26:42Two seconds. I'll get this to support it before this rain starts.
0:26:42 > 0:26:46Do you want a wee bit more gas, before we go for the next manoeuvre?
0:26:46 > 0:26:49Can somebody get the gas? I'm supporting Susan's head.
0:26:49 > 0:26:51Just take a few more whiffs.
0:26:52 > 0:26:54We'll sit you up, Susan.
0:26:54 > 0:26:57- All right.- Well done.
0:26:57 > 0:27:02Is that OK there, yeah? Can I just see your hand again, please, Susan,
0:27:02 > 0:27:05just to check we've... Can you wiggle your fingers for me?
0:27:05 > 0:27:07- Up.- There we go.
0:27:10 > 0:27:15Still in pain, Susan's guided gently into the ambulance.
0:27:15 > 0:27:17There you go, Susan, take a seat on there.
0:27:29 > 0:27:33Paul looks after Susan, while Ali takes the wheel.
0:27:35 > 0:27:36Thanks, now. See you later.
0:27:40 > 0:27:42When you have only been on the road four months,
0:27:42 > 0:27:48it's a very steep learning curve. Before, I was a lorry driver,
0:27:48 > 0:27:50so it's definitely a big change for me,
0:27:50 > 0:27:53so I think what the ambulance service look for
0:27:53 > 0:27:56is life experience, rather than first-aid experience,
0:27:56 > 0:27:57although it does help.
0:27:57 > 0:28:04All jobs, I still... It's fair to say, you freeze for a moment,
0:28:04 > 0:28:07until you actually assess what is going on.
0:28:07 > 0:28:09It's not as natural as Paul, who has been in the job 30 years
0:28:09 > 0:28:14and seen most of it. A lot of jobs, it is the first injury or accident
0:28:14 > 0:28:19you've been for that job, so, yeah, a very steep learning curve. Very.
0:28:21 > 0:28:25In hospital in Dumfries, Susan's pain relief seems to be kicking in
0:28:25 > 0:28:28and she's able to do more by herself.
0:28:29 > 0:28:33How do you feel about sliding across to the bed yourself?
0:28:33 > 0:28:38- Can you manage to shuffle over?- Think so, yeah.- Give it a go, anyway.
0:28:38 > 0:28:41- It is starting to work now, is it? - I'd be better actually on my feet.
0:28:41 > 0:28:48- You will feel a bit woozy, with that morphine.- You OK?- Mm-hm.
0:28:48 > 0:28:50There you go.
0:28:50 > 0:28:52Right, then, Susan. Best of luck.
0:28:54 > 0:28:55That was quite unique.
0:28:55 > 0:28:59I can imagine holding the tent and the gust of wind,
0:28:59 > 0:29:02it was just enough to jerk the shoulder out of place and she was
0:29:02 > 0:29:04in quite a bit of discomfort, so...
0:29:04 > 0:29:08She did have my sympathy! I think it was quite a big day for Susan,
0:29:08 > 0:29:09as well.
0:29:09 > 0:29:12Just getting the ambulance tidied up, basically,
0:29:12 > 0:29:15and...ready to head back to the station for breakfast, I think!
0:29:15 > 0:29:20That is what we were in the middle of cooking before we got the job!
0:29:39 > 0:29:42In the northeast of England,
0:29:42 > 0:29:45County Durham covers an area of over 850 square miles.
0:29:47 > 0:29:49More than half of it is agricultural land.
0:29:57 > 0:30:01But however peaceful it looks, police on patrol know
0:30:01 > 0:30:06crime in the countryside presents as big a challenge as in the city.
0:30:08 > 0:30:11PC Kevin Hall's been a copper for 14 years,
0:30:11 > 0:30:15looking after the back lanes and byways of his countryside beat.
0:30:18 > 0:30:22Rural crime is a significant problem, especially for those
0:30:22 > 0:30:23who are affected by it and who are
0:30:23 > 0:30:28victims of crime. It affects every farmer, in some aspects,
0:30:28 > 0:30:31cos they are vulnerable, due to their location.
0:30:32 > 0:30:34Countryside crime is on the up.
0:30:34 > 0:30:38Livestock and equipment theft costs the UK rural economy
0:30:38 > 0:30:41nearly £45 million a year.
0:30:43 > 0:30:46With criminals operating under the cover of darkness...
0:30:47 > 0:30:51..the Durham Constabulary work around the clock to catch them.
0:30:54 > 0:30:58It's 8pm and, at his base, in the town of Consett,
0:30:58 > 0:31:01PC Kevin briefs a team about to go out on special
0:31:01 > 0:31:05night-time manoeuvres - Operation Farmwatch.
0:31:05 > 0:31:08The crimes are all fairly sporadic around the whole of the area.
0:31:08 > 0:31:10There is nothing, really, as a hotspot.
0:31:12 > 0:31:15Farmwatch is an operation that we run throughout the year.
0:31:15 > 0:31:20It is a huge multi-agency operation, involving Durham Constabulary
0:31:20 > 0:31:22and all the surrounding forces.
0:31:22 > 0:31:25By the time it gets to a certain point in the night,
0:31:25 > 0:31:29any vehicles, you can stop anything. Okey doke. Any questions?
0:31:29 > 0:31:32'It is really a massive show of flying the flag to the criminals
0:31:32 > 0:31:36'that we are out there, keeping out eyes and ears peeled,'
0:31:36 > 0:31:38looking for rural crime.
0:31:41 > 0:31:45We usually have around 80-100 police officers and maybe about
0:31:45 > 0:31:47120 volunteers around the region.
0:31:47 > 0:31:50You never know what you're going to stop. You could stop any car
0:31:50 > 0:31:57and uncover a multitude of offences - burglary, theft, poaching offences,
0:31:57 > 0:32:03thefts of diesel. Vehicles being stopped and diesel has been recovered
0:32:03 > 0:32:05and males have been arrested.
0:32:05 > 0:32:10Anything can come up. When you're out in the early hours of the morning,
0:32:10 > 0:32:13you can come across all sorts of different characters
0:32:13 > 0:32:14and people around.
0:32:19 > 0:32:23PC Kevin spots a suspicious car down a remote country lane.
0:32:25 > 0:32:27It can be a short cut.
0:32:27 > 0:32:29He sets off in pursuit.
0:32:30 > 0:32:32RADIO COMMS
0:32:32 > 0:32:36Can I bother you for a code two vehicle check, please?
0:32:37 > 0:32:41Kevin's about to get out and talk to the driver, but then...
0:32:43 > 0:32:47It's just stopped and then it's noticed I was the police
0:32:47 > 0:32:49and it's continued.
0:32:49 > 0:32:52Control get back with the car's details.
0:32:52 > 0:32:55- 'Fiat Panda?'- Yes, yes.
0:32:55 > 0:32:59OK, that's great. Could you e-mail that to me and keep it on your screen
0:32:59 > 0:33:01until we get it stopped?
0:33:01 > 0:33:05I am just on a single track country lane, at the moment.
0:33:05 > 0:33:08I haven't attempted to stop it,
0:33:08 > 0:33:10but it's not making any attempt to stop itself.
0:33:14 > 0:33:17He calls for backup.
0:33:17 > 0:33:21I'm going to come out on the main road from Cornsay to Lanchester.
0:33:21 > 0:33:26- We're seconds away from there. - Like I say, it is a single track road
0:33:26 > 0:33:28that I'm on. He knows I'm behind him.
0:33:31 > 0:33:32The car pulls over...
0:33:32 > 0:33:362158, the vehicle's just stopped on the main road.
0:33:36 > 0:33:39..just as Kevin's backup arrives.
0:33:45 > 0:33:48Hello, there. Are you lost?
0:33:48 > 0:33:51- We are doing a treasure hunt. - Right, right. Did you notice
0:33:51 > 0:33:54it was police before, when you pulled over?
0:33:54 > 0:33:56No, I looked in the mirror and I could see that there was
0:33:56 > 0:34:00somebody with a torch. We thought it was somebody else reading the map.
0:34:00 > 0:34:02- We thought they were cheating! - Right, OK!
0:34:02 > 0:34:05- Who is the registered keeper of the vehicle?- That's me.
0:34:05 > 0:34:08The driver's details check out.
0:34:08 > 0:34:11We've got a Farmwatch operation on tonight around the whole
0:34:11 > 0:34:13of the county,
0:34:13 > 0:34:17basically looking for any rural crime. Hence, when I followed you
0:34:17 > 0:34:21down there and you stopped, then continued, I thought you were
0:34:21 > 0:34:25going to make off. OK, right. Take care. Ta-da.
0:34:25 > 0:34:29It's Wycombe & District Motor Club. We do a lot of events and,
0:34:29 > 0:34:32once every few months, if the weather's nice,
0:34:32 > 0:34:35we try and hold a navigational event like this.
0:34:35 > 0:34:39- They are on a treasure hunt. - Treasure hunt?- Treasure hunt.
0:34:39 > 0:34:42I got out of the car and then there are three police cars
0:34:42 > 0:34:45and a police van all parked behind us. I have never seen anybody
0:34:45 > 0:34:50- turn up so quick!- He had seen the vehicle, but not as a police vehicle.
0:34:50 > 0:34:53He thought, "I'm going to get the better of them" and so he made off,
0:34:53 > 0:34:56if you like, away from his competition.
0:34:56 > 0:34:59But it was all in good humour. He appreciated what we were doing.
0:34:59 > 0:35:02We explained what we were doing. He totally understood where we were
0:35:02 > 0:35:04- coming from. - He said it was about Farmwatch,
0:35:04 > 0:35:06which I think is brilliant.
0:35:06 > 0:35:10We've suffered, where somebody has stolen one of our trailers
0:35:10 > 0:35:12once in the past, so it's quite close to my heart.
0:35:12 > 0:35:16Just another good example of, you never know what you're going
0:35:16 > 0:35:21to come across when you're policing the rural communities.
0:35:21 > 0:35:24Tonight's operation may not have captured any countryside criminals,
0:35:24 > 0:35:27but for Kevin, it's still been worthwhile.
0:35:27 > 0:35:31Tonight, for the Farmwatch, I think we can give members of the community
0:35:31 > 0:35:35some confidence that we are out there in the rural community,
0:35:35 > 0:35:38policing the area, preventing crime.
0:35:38 > 0:35:40On the whole, it's been a positive night.
0:35:43 > 0:35:50The plan is that I go home, get some sleep and back in tomorrow.
0:36:06 > 0:36:09On a farm track four miles south of Bradford,
0:36:09 > 0:36:1374-year-old Shirley has been attacked by a bull.
0:36:13 > 0:36:16She could have multiple injuries.
0:36:16 > 0:36:21Yeah, roger, this lady's been trampled by one of the bulls
0:36:21 > 0:36:24that's been agitated. She's complaining of abdominal pain,
0:36:24 > 0:36:27chest pains, so we are just giving her some pain relief.
0:36:27 > 0:36:32it looks like we probably will be transferring this lady to hospital.
0:36:32 > 0:36:34Shirley's daughter Helen is at her side,
0:36:34 > 0:36:39along with three paramedics from Yorkshire Air Ambulance.
0:36:39 > 0:36:42How did you land, Shirley? Do you remember landing?
0:36:42 > 0:36:46The bull that attacked Shirley has been removed to a field,
0:36:46 > 0:36:49but with only a flimsy gate between them...
0:36:52 > 0:36:54..paramedic Al Day has concerns.
0:36:54 > 0:36:57'The bull's still there. He's not a happy bunny.'
0:36:57 > 0:37:01For whatever reason, he has attacked one person already, we know that.
0:37:01 > 0:37:04So, who is to say he is not going to attack another one?
0:37:04 > 0:37:07Especially when the second person is wearing a bright orange suit.
0:37:09 > 0:37:12It's not the choice of colour you would be wearing
0:37:12 > 0:37:15if you were going to try and calm a bull down, I don't think.
0:37:17 > 0:37:20If the bull's trapped, so are the paramedics.
0:37:20 > 0:37:24A barbed-wire fence blocks their way to the waiting helicopter.
0:37:27 > 0:37:29- Gary!- Gary!
0:37:30 > 0:37:33Wire cutters! Can I have some wire cutters?
0:37:33 > 0:37:37- We need some cutters for the wire. - That's the universal sign
0:37:37 > 0:37:39for wire cutters.
0:37:39 > 0:37:42Just make us a little gap through there, will you?
0:37:42 > 0:37:43Thank you.
0:37:45 > 0:37:47There is a gap here, anyway.
0:37:47 > 0:37:51- Will that do for you?- Yeah, that's lovely. Thanks ever so much.
0:37:58 > 0:38:01- What's the plan? - We're going to scoop her up.
0:38:01 > 0:38:05Al fears Shirley may have spinal injuries.
0:38:06 > 0:38:10To prevent further damage, a scoop stretcher will slide beneath her
0:38:10 > 0:38:14and minimise movement. A brace will also protect her neck.
0:38:14 > 0:38:18Just keep your head still, Shirley. Let go. Just relax that head.
0:38:18 > 0:38:22Just relax it. You happy, Al?
0:38:24 > 0:38:27I an watching a load of cows running towards us, that's all.
0:38:27 > 0:38:29I think we're all right.
0:38:29 > 0:38:32Any disturbance now could be disastrous.
0:38:32 > 0:38:34It's a critical time for Shirley.
0:38:34 > 0:38:38If we're going to move her, shall we just put the board next to her
0:38:38 > 0:38:42- and lift her onto it?- Yeah. No, no, keep your head relaxed, Shirley.
0:38:42 > 0:38:46- Just you relax. We'll do the work. - You want to grab her from that side?
0:38:46 > 0:38:49All right. Ready, steady and lift.
0:38:49 > 0:38:52- No, no, no. - It's not going to happen.
0:38:52 > 0:38:54- And again.- Ready, steady and lift.
0:38:56 > 0:38:58- That's it.- There you go, love.
0:39:00 > 0:39:02Nice and stable. Don't you move.
0:39:04 > 0:39:079.8, just to give you an update,
0:39:07 > 0:39:09we're just going to lift to the aircraft.
0:39:09 > 0:39:12hoping to lift in the next five, six minutes, over.
0:39:15 > 0:39:18Shirley needs to get to the helicopter and away to hospital,
0:39:18 > 0:39:21but, first, pilot Andy Lister turns cowhand.
0:39:23 > 0:39:25HE MOOS
0:39:25 > 0:39:27Did you like the way I did that?
0:39:29 > 0:39:32A bit like Dr Doolittle. A bit of animal magnetism.
0:39:32 > 0:39:34Go on, get away!
0:39:35 > 0:39:37I'm a natural!
0:39:37 > 0:39:39'There is a lot going on, really.
0:39:39 > 0:39:43'It is really important, when somebody has been involved in'
0:39:43 > 0:39:47a traumatic incident that you try and put them at ease.
0:39:47 > 0:39:50- How old are you, Shirley?- Eh? - How old are you, sweetheart?
0:39:50 > 0:39:52- Too old to be running after bulls!- Yeah.- 74.
0:39:52 > 0:39:55'If we can strike up a normal conversation,'
0:39:55 > 0:40:01with somebody, it allow us to subtly assess their level of consciousness.
0:40:01 > 0:40:05So, I think it is time you hung that red matador's cape up.
0:40:07 > 0:40:10'And if you are having a little bit of a laugh and a joke
0:40:10 > 0:40:13'with somebody and they are responding appropriately,'
0:40:13 > 0:40:15that is a good sign, if you have had some sort of
0:40:15 > 0:40:16serious traumatic injury.
0:40:16 > 0:40:18I know that, love.
0:40:18 > 0:40:20I've told them to kill it before.
0:40:20 > 0:40:23- Have you?- Send it to Spain.
0:40:26 > 0:40:30- This is going to go tight, Shirley. - Round your hips, like we said.
0:40:30 > 0:40:32That is quite normal.
0:40:32 > 0:40:35Just to keep that nice and steady, all right?
0:40:35 > 0:40:37Shirley's wrapped in a pelvic binder,
0:40:37 > 0:40:42to stabilise her injuries for the journey to Leeds General Infirmary.
0:40:42 > 0:40:45All right, Shirley?
0:40:45 > 0:40:49So, we're going to fly you down to the LGI, all right? You OK?
0:40:49 > 0:40:53What's happening?
0:40:53 > 0:40:57- On there?- Yeah.- Did that hurt before the incident or is it since then?
0:41:00 > 0:41:04- When it stood on you?- Where he booted me.- Where he booted you.
0:41:06 > 0:41:08Did it get you again?
0:41:11 > 0:41:14You're just a bit thirsty and stuff? Yeah, you will be.
0:41:22 > 0:41:25Shirley's had a terrifying ordeal,
0:41:25 > 0:41:29but she's only a five-minute flight away from hospital.
0:41:36 > 0:41:39The safety fire crew help take her down to A & E.
0:41:44 > 0:41:47This is Shirley. She's a farmer. They'd been trying to deal with
0:41:47 > 0:41:51some bulls and cows in a field and this particular bull charged her,
0:41:51 > 0:41:55tossed her into a hedge and then butted her a couple of times.
0:41:57 > 0:42:01Shirley's now in the care of the hospital doctors.
0:42:01 > 0:42:03With suspected multiple injuries,
0:42:03 > 0:42:05including a possible fractured spine,
0:42:05 > 0:42:08she could be facing a long recovery.
0:42:09 > 0:42:14Farmers and people out in more rural areas,
0:42:14 > 0:42:17they know that they live in a remote place and when they need help,
0:42:17 > 0:42:21they need help. They normally only seek medical attention
0:42:21 > 0:42:25when they are in real dire straits and I suppose that's when we come in.
0:42:39 > 0:42:43It's been all go for Britain's rural emergency services.
0:42:43 > 0:42:49Shirley fractured three bones and, after ten days in hospital,
0:42:49 > 0:42:51had to wear a back brace for several months.
0:42:51 > 0:42:53She's now eased back into work on the family farm.
0:42:53 > 0:42:58Susan's shoulder was not dislocated, but it was fractured.
0:42:58 > 0:43:00She was off work for nine weeks.
0:43:00 > 0:43:03And Joe broke multiple bones in his foot,
0:43:03 > 0:43:07which also required a skin graft.
0:43:07 > 0:43:10He was on crutches for nearly five months.
0:43:10 > 0:43:13And you thought it was quiet in the countryside!