0:00:02 > 0:00:04From the Highlands of Scotland
0:00:04 > 0:00:05to the coast of Cornwall...
0:00:06 > 0:00:10..the great British countryside is spectacular.
0:00:11 > 0:00:14But we work and play in it at our peril.
0:00:16 > 0:00:19And when things go wrong,
0:00:19 > 0:00:22the emergency services race to the rescue...
0:00:22 > 0:00:26This chap is having a heart attack and we need to get him in quickly.
0:00:27 > 0:00:30There are no police courses for this.
0:00:30 > 0:00:32..going hundreds of miles, against the clock,
0:00:32 > 0:00:36battling the elements and braving the weather.
0:00:40 > 0:00:45From fields and forests to cliffs and country roads,
0:00:45 > 0:00:48we will be right at the heart of the action...
0:00:49 > 0:00:51..with police fighting crime...
0:00:51 > 0:00:53I could seize your dogs and your van,
0:00:53 > 0:00:55but I want to summons you all to court.
0:00:55 > 0:00:57..paramedics saving lives...
0:00:59 > 0:01:01..and wardens safeguarding our lakes.
0:01:01 > 0:01:03Come out of the way!
0:01:03 > 0:01:08We're there, as the emergency services pull together
0:01:08 > 0:01:11to pick up, patch up and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:35 > 0:01:36Coming up...
0:01:36 > 0:01:39The Cornwall Air Ambulance rescue a horse rider
0:01:39 > 0:01:41with no memory of a shocking fall.
0:01:41 > 0:01:45Blimey, what happened, then? Does anybody know?
0:01:45 > 0:01:48Drama in the dark in Dumfries and Galloway.
0:01:48 > 0:01:51There is a call-out to a suspected heart attack.
0:01:59 > 0:02:01And an audacious night-time crime in County Durham
0:02:01 > 0:02:04leads to the search for some valuable sheep.
0:02:04 > 0:02:09Currently, it's around £9,500-worth of sheep that have gone missing.
0:02:19 > 0:02:23County Durham. Over 850 square miles of rolling landscape.
0:02:26 > 0:02:30It's famed for its castles, cathedral and coalmines.
0:02:30 > 0:02:32But less so for its farming.
0:02:34 > 0:02:38Yet, over 60% of this county is agricultural land.
0:02:41 > 0:02:44That's a lot of farms, farm equipment and livestock.
0:02:46 > 0:02:50All increasing targets for a growing problem - rural crime.
0:02:51 > 0:02:54We suspect that they belong to another local farmer,
0:02:54 > 0:02:56and that they may well have been stolen.
0:02:56 > 0:02:58It has cost me a fortune.
0:02:58 > 0:03:01- I worked hard for this. - I'm seizing your battery.
0:03:01 > 0:03:04Officer Kevin Hall of the Durham Constabulary
0:03:04 > 0:03:07knows this only too well.
0:03:10 > 0:03:13Luckily, he has always wanted to be a copper.
0:03:13 > 0:03:16You're arresting people that have done wrong
0:03:16 > 0:03:20and maybe change their mind and their life path
0:03:20 > 0:03:26away from crime into being a decent member of the public.
0:03:28 > 0:03:34Today, a call has come in. A farmer has reported a massive sheep theft.
0:03:34 > 0:03:38We're off to a farm which has had 136 Suffolk cross sheep
0:03:38 > 0:03:42stolen overnight from, I believe, out in the fields.
0:03:42 > 0:03:44So, we're just going to go out there now and meet the farmer
0:03:44 > 0:03:47and find out exactly what's happened.
0:03:48 > 0:03:51From the police station in Consett,
0:03:51 > 0:03:54Kevin is making his way 11 miles east to the farm.
0:03:57 > 0:03:59The price of lamb is rising.
0:03:59 > 0:04:05Altogether, the national flock of the UK is worth about £1 billion.
0:04:07 > 0:04:11And they are being stolen on a scale that's new to Kevin.
0:04:12 > 0:04:17Definitely for this area, it's very unusual for that many sheep
0:04:17 > 0:04:23to go off. 136 sheep to go in one night is a lot of sheep.
0:04:25 > 0:04:29Last year, rustlers got away with around 90,000 livestock
0:04:29 > 0:04:31animals across the UK.
0:04:33 > 0:04:35That's not just one man and his dog.
0:04:37 > 0:04:40It's going to be quite a professional team that have
0:04:40 > 0:04:44come up. I would guess the majority of the stock that has gone
0:04:44 > 0:04:48could have been this year's lambs, so you're looking at, potentially,
0:04:48 > 0:04:52a substantial amount of money and loss to the farmer himself.
0:04:53 > 0:04:55Kevin is on his way to meet Mark,
0:04:55 > 0:04:59a farmer who has been rearing lambs for over 20 years.
0:05:03 > 0:05:05Hoping to build a fuller picture of the crime,
0:05:05 > 0:05:08Kevin is joined by community support officer Vicky.
0:05:15 > 0:05:20- So, of the 136, 27 of them were orange dotted and tagged?- Yes.
0:05:20 > 0:05:22And the rest didn't have any mark on them.
0:05:22 > 0:05:25Because they were about a week, ten days away from being...
0:05:25 > 0:05:29- So, they're all this year's lambs? - Yes, they're all this year's lambs.
0:05:30 > 0:05:32The theft is a blow for Mark,
0:05:32 > 0:05:37who's spent the last four months rearing the 136 Suffolk cross lambs.
0:05:38 > 0:05:41Anyone who knows what lambing's like, it's hard work.
0:05:41 > 0:05:43We put a lot of time and effort into them.
0:05:43 > 0:05:45It's unsettling, really, to know
0:05:45 > 0:05:48that someone's been into one of our fields and stolen the sheep
0:05:48 > 0:05:52and we're worried that, where do we put the sheep to make them safe?
0:05:52 > 0:05:56Financially, it'll add up to £10,000 plus,
0:05:56 > 0:06:00so I was very surprised and upset about it.
0:06:03 > 0:06:06Mark leads Kevin to the scene of the crime.
0:06:06 > 0:06:09We're going to follow him. He's just jumping on his quad
0:06:09 > 0:06:13and we'll follow him to the field where the sheep were stored.
0:06:15 > 0:06:18Kevin will look for evidence that might lead him to the gang
0:06:18 > 0:06:20and Mark's missing sheep.
0:06:20 > 0:06:25Obviously, he's pretty annoyed about the whole matter.
0:06:25 > 0:06:29He understands, obviously, being a farmer, that it's very difficult
0:06:29 > 0:06:34to chase any stolen sheep and to identify them as stolen.
0:06:34 > 0:06:38It's not an easy... They need to know what they're doing.
0:06:38 > 0:06:39It's not an easy thing to do.
0:06:39 > 0:06:42I think we'll just have a look around, if you don't mind,
0:06:42 > 0:06:44and just have a snoop round.
0:06:47 > 0:06:50Looking at the layout of the road and the field and the gates,
0:06:50 > 0:06:53I think it's more than likely that they've
0:06:53 > 0:06:55came into this gate area here.
0:06:55 > 0:07:00Unfortunately, recent rain may have washed away any clues.
0:07:00 > 0:07:04I mean, again, ideally if they've had a wagon into here...
0:07:04 > 0:07:08It's frustrating for Kevin, as he has a pretty clear picture of what
0:07:08 > 0:07:09went on.
0:07:10 > 0:07:13Mmm... But if they've had a...
0:07:13 > 0:07:16if they've had a couple of lads with dogs out
0:07:16 > 0:07:19and just been bringing them in 20 at a time...
0:07:19 > 0:07:23We'll have to make further inquiries further afield, to try
0:07:23 > 0:07:26and chase these sheep and where they might have gone.
0:07:27 > 0:07:30It's obviously a professional job.
0:07:30 > 0:07:35But even if the lambs are still in the area, picking them out
0:07:35 > 0:07:38from County Durham's thousands of other sheep isn't going to be easy.
0:07:39 > 0:07:42As you can appreciate, it's a very difficult task, where ear tags
0:07:42 > 0:07:45can be changed and there's that many varieties and shapes
0:07:45 > 0:07:49and sizes of lambs. It's very difficult.
0:08:04 > 0:08:08Dumfries and Galloway, a county welcoming visitors,
0:08:08 > 0:08:11as they cross the border into Scotland.
0:08:13 > 0:08:18Its rolling green countryside is criss-crossed with winding lanes
0:08:18 > 0:08:21and scattered with shaggy cows.
0:08:21 > 0:08:25And with only 60 people per square mile, there are few there
0:08:25 > 0:08:27to spoil the view.
0:08:29 > 0:08:31But it does make getting to an emergency tricky,
0:08:31 > 0:08:33especially at night.
0:08:36 > 0:08:40The ambulance service in Dumfries and Galloway answered
0:08:40 > 0:08:43almost 17,000 accident and emergency calls last year.
0:08:45 > 0:08:49Paramedic John West and his partner Michael Harmjanz
0:08:49 > 0:08:53work the night shift four days every month.
0:08:53 > 0:08:56I can't believe we've not had a cup of tea yet.
0:08:58 > 0:09:00You can answer me back, Mike!
0:09:00 > 0:09:02THEY LAUGH
0:09:02 > 0:09:06That's a lot of nights spent together.
0:09:06 > 0:09:08Sometimes, I see my shift partner Michael
0:09:08 > 0:09:11more than what I see my wife,
0:09:11 > 0:09:13which I don't know is a good thing or a bad thing.
0:09:13 > 0:09:16It's pretty interesting, because it's amazing who's
0:09:16 > 0:09:20going about at night and what kind of jobs you get.
0:09:20 > 0:09:22Sometimes, people wouldn't believe
0:09:22 > 0:09:25what goes on in the hours of darkness.
0:09:32 > 0:09:33It's 8pm.
0:09:33 > 0:09:38The night shift's just started and an emergency call has come in.
0:09:42 > 0:09:46The location is close to the ambulance base in Dumfries.
0:09:46 > 0:09:49It's in a street just a few miles away.
0:09:49 > 0:09:52The crew know the area well.
0:09:52 > 0:09:54Behind Tesco's.
0:09:54 > 0:09:57And John also knows the patient.
0:09:57 > 0:10:02This is an old music teacher of mine! 85 years old.
0:10:05 > 0:10:06In Dumfries and Galloway,
0:10:06 > 0:10:11the average response time to a 999 call is just over ten minutes.
0:10:14 > 0:10:17That's 22A. 4...
0:10:21 > 0:10:24I think it's this wee bungalow here, Michael.
0:10:25 > 0:10:30Today, John and Michael arrive in under two minutes.
0:10:38 > 0:10:44Moira is 82 years old and urgently needs help for her husband.
0:10:44 > 0:10:4885-year-old Frank suffers from vascular dementia.
0:10:48 > 0:10:52He's been in a highly confused state all night.
0:10:52 > 0:10:55- What's the problem tonight? - Just going berserk.
0:10:55 > 0:10:59Over the past three hours, I've had a stand-off with him.
0:10:59 > 0:11:02- Have you got a wee stool or something?- A stool?- Yeah.
0:11:02 > 0:11:05There you go, pal. Any pains?
0:11:05 > 0:11:09You've not any pain.
0:11:09 > 0:11:11Right.
0:11:11 > 0:11:17After Alzheimer's, vascular dementia is the most common form of dementia.
0:11:19 > 0:11:25When we arrived, he was frustrated, dishevelled.
0:11:28 > 0:11:31He was not very well, because he had a temperature, which,
0:11:31 > 0:11:35on top of his illness, was making matters worse.
0:11:36 > 0:11:39Frank has previously suffered from a stroke,
0:11:39 > 0:11:41and his health has deteriorated.
0:11:41 > 0:11:44- His walking's dreadful. - Dreadful tonight.
0:11:46 > 0:11:49Recently, John and another colleague took Frank to A & E,
0:11:49 > 0:11:51after a nasty fall.
0:11:51 > 0:11:53So, what happened last time Joyce and I were out?
0:11:53 > 0:11:56About three weeks ago? During the day? Was that a fall?
0:11:58 > 0:12:00John's concerned about serious swelling
0:12:00 > 0:12:03he didn't see on his last visit.
0:12:03 > 0:12:04Yeah, see, his hand's swollen.
0:12:04 > 0:12:09- Is that new, or...?- It's not usually swollen.- Not usually swollen, is it?
0:12:09 > 0:12:17- How long have you been married now? - 57 years. This is always swollen.
0:12:17 > 0:12:1857 years, Frank?
0:12:21 > 0:12:25- Yeah, she said she is.- 96/73.
0:12:25 > 0:12:27At 96 over 73,
0:12:27 > 0:12:31Frank's blood-pressure reading is low for his condition.
0:12:31 > 0:12:35I think maybe Frank's maybe got a wee urine infection.
0:12:35 > 0:12:40In dementia sufferers, urinary tract infections can cause severe
0:12:40 > 0:12:44confusion. It would explain Frank's increased agitation.
0:12:45 > 0:12:50Can you mind me frae school? What was it you used to teach?
0:12:52 > 0:12:54He recognised me from school,
0:12:54 > 0:13:00which was 1979 when I left, so that's, like, 30-odd years ago.
0:13:00 > 0:13:03Everybody knows someone that's got
0:13:03 > 0:13:06either Parkinson's or Alzheimer's or dementia,
0:13:06 > 0:13:09and there's more and more people out in the community,
0:13:09 > 0:13:11because people are living longer.
0:13:13 > 0:13:17There are over 800,000 people living with dementia in the UK.
0:13:17 > 0:13:22It's estimated two-thirds are cared for by a loved one at home.
0:13:24 > 0:13:28So, you don't recognise this lady as your wife of 57 years?
0:13:34 > 0:13:38'Best course of action for her to do at that time was to phone 999.'
0:13:38 > 0:13:41Nobody should be afraid to phone treble nine.
0:13:41 > 0:13:44- Do you want slippers? - No, he won't need them.
0:13:44 > 0:13:46With a possible urinary tract infection,
0:13:46 > 0:13:48John has only one option.
0:13:49 > 0:13:53Listen, we're taking you to the hospital.
0:13:53 > 0:13:58It's a relief for Moira, because tonight she just couldn't cope.
0:13:58 > 0:14:01She must be that desperate to do that,
0:14:01 > 0:14:06to see someone that she loves going down as fast as that.
0:14:06 > 0:14:08It's a cry for help.
0:14:08 > 0:14:13And, of course, Michael and I go and we pick the pieces up.
0:14:15 > 0:14:17Michael and John are taking Frank
0:14:17 > 0:14:21to Dumfries and Galloway Royal Infirmary for observations.
0:14:23 > 0:14:25We'll put you on the bed, Frank.
0:14:29 > 0:14:33So, we need both feet back a wee bit, Frank.
0:14:33 > 0:14:36And we need to stand you up.
0:14:46 > 0:14:49You were an English teacher come music teacher.
0:14:52 > 0:14:55You weren't very good at the music.
0:14:57 > 0:15:01The best place for Frank that night was in hospital.
0:15:20 > 0:15:26In County Durham, thieves have stolen 136 lambs from Mark's farm.
0:15:26 > 0:15:29They're worth around £10,000.
0:15:29 > 0:15:33They need to know what they're doing. It's not an easy thing to do.
0:15:33 > 0:15:36PC Kevin Hall has been doggedly on their tail.
0:15:36 > 0:15:42So, you seen it on the day of the theft and, then, when after that?
0:15:42 > 0:15:44He's been checking farms,
0:15:44 > 0:15:48abattoirs and livestock markets throughout the North East
0:15:48 > 0:15:52and following up all possible leads from his base in Consett.
0:15:52 > 0:15:54I'll do some further inquiries and see
0:15:54 > 0:15:58if I can trace that type of vehicle in our force area.
0:15:58 > 0:16:00But, yeah, if you do get anything else, give us
0:16:00 > 0:16:03a call back. That would be much appreciated.
0:16:05 > 0:16:1020 days after the theft, Kevin's received an anonymous tip-off,
0:16:10 > 0:16:13made via the national Crimestoppers phone line.
0:16:13 > 0:16:16He's been told the sheep are on a nearby farm,
0:16:16 > 0:16:18and he's raised a warrant to search it.
0:16:18 > 0:16:21Hello there, it's Kevin Hall at Consett police station.
0:16:21 > 0:16:24He's calling Mark to give him an update.
0:16:24 > 0:16:28..so we've got a warrant from the magistrates to go and execute
0:16:28 > 0:16:33to see if we can locate your...hopefully your sheep.
0:16:33 > 0:16:36That's why we obviously have got the photograph of the lambs
0:16:36 > 0:16:41and the tag, so we can try and make some sort of identity there and then.
0:16:41 > 0:16:45With the new information, Kevin's optimistic,
0:16:45 > 0:16:48but the odds are stacked against the police.
0:16:48 > 0:16:51I only know of one other case where actually some lambs
0:16:51 > 0:16:53have been recovered,
0:16:53 > 0:16:56and it's a lengthy process, because we do have to go through
0:16:56 > 0:17:00that DNA profiling of the ram that sired the sheep.
0:17:00 > 0:17:02Fingers crossed for tomorrow.
0:17:02 > 0:17:05I think it should be a good job in the morning.
0:17:10 > 0:17:13The next day, Sergeant Vicky Coxon briefs Kevin
0:17:13 > 0:17:16and the team before the warrant search.
0:17:16 > 0:17:18They're joined by
0:17:18 > 0:17:21an animal health inspector from Durham County Council.
0:17:21 > 0:17:23Morning, everybody.
0:17:23 > 0:17:27We're here today because we've been given
0:17:27 > 0:17:29a magistrate's warrant to execute.
0:17:29 > 0:17:33This is following some intelligence that we've received.
0:17:33 > 0:17:36The team need to know what evidence they're on the lookout for.
0:17:36 > 0:17:39We're not just looking for these sheep,
0:17:39 > 0:17:41we're looking for anything that might be connected with those
0:17:41 > 0:17:46sheep, so we are going to be looking for the likes of ear tags, any guns
0:17:46 > 0:17:50and stuff that may be used to put new ear tags into these sheep.
0:17:50 > 0:17:51With the team briefed...
0:17:51 > 0:17:53Any questions?
0:17:53 > 0:17:55..they hit the road.
0:18:00 > 0:18:05So, we're just on the access lane to the farm and turning in.
0:18:05 > 0:18:10Looks like quite a nice, decent setup.
0:18:10 > 0:18:14So, initially, myself and the sergeant are going to go in
0:18:14 > 0:18:18and knock on the door and try and speak with the occupants
0:18:18 > 0:18:21before we all sort of just roll up there.
0:18:29 > 0:18:31The farm looks empty.
0:18:31 > 0:18:34Cannot see any there.
0:18:35 > 0:18:39There's a vehicle moving on the land just through there.
0:18:41 > 0:18:44- It's just down there. - Maybe going round the back.- Yeah.
0:18:44 > 0:18:47I'll have a look around, then.
0:18:47 > 0:18:50Then the farmer arrives.
0:18:50 > 0:18:53We've got a search warrant, a magistrate's warrant,
0:18:53 > 0:18:57- to search the property for some stolen sheep.- Stolen sheep?- Yes.
0:18:57 > 0:19:01- You'll get a copy of the warrant. - Do you want all the sheep in, like?
0:19:01 > 0:19:03When we've turned up, it's actually been
0:19:03 > 0:19:07a tenant farmer who operated the farm.
0:19:09 > 0:19:11The tenant farmer is co-operative.
0:19:11 > 0:19:14The team go through his paperwork and outbuildings.
0:19:14 > 0:19:19See, there's some other tags with a different number on.
0:19:19 > 0:19:21They find sheep tags,
0:19:21 > 0:19:24but they don't belong to the sheep they're looking for.
0:19:24 > 0:19:29In relation to the sheep that we're looking for, he knows the job.
0:19:29 > 0:19:31When I said to him how many we're looking for,
0:19:31 > 0:19:34he says, "They're the ones stolen from Durham, aren't they?"
0:19:34 > 0:19:37He's willing to take us to go and have a look at the lambs he's got.
0:19:37 > 0:19:41He's saying none of them are tagged. He doesn't have paperwork for them,
0:19:41 > 0:19:44because they're ones that he's bred himself.
0:19:44 > 0:19:47Do you want to come with me? You obviously have
0:19:47 > 0:19:50- more knowledge of the sheep than I do!- Yeah.- Yes?
0:19:52 > 0:19:54The farmer has heard about the theft
0:19:54 > 0:19:57and is doing all he can to help.
0:19:58 > 0:20:01While the farm search continues, he takes Kevin
0:20:01 > 0:20:05and Sergeant Coxon to some nearby fields to inspect his sheep.
0:20:06 > 0:20:11He's stating that, you know, that he hasn't got any stolen items
0:20:11 > 0:20:13or stolen sheep on his farms.
0:20:17 > 0:20:21I'll reverse back. Just pull that gate this way a bit, will you?
0:20:25 > 0:20:29There's no sign of the missing 136 lambs.
0:20:31 > 0:20:35All we can do is obviously act on the intelligence we've got.
0:20:35 > 0:20:37- It is a big thing, there's a lot gone missing.- Yeah.
0:20:37 > 0:20:40And it's a lot of money.
0:20:40 > 0:20:46Search complete, it transpires the anonymous tip-off was false.
0:20:46 > 0:20:49In 12 months' time, if somebody was to take them,
0:20:49 > 0:20:51they'd be worth 150 quid apiece.
0:20:51 > 0:20:54- Do you know what I mean? It's a lot of money.- Yeah.
0:20:54 > 0:20:57The outcome was that it was a negative result. We didn't find
0:20:57 > 0:21:01the sheep or any related material regarding the theft of them.
0:21:17 > 0:21:21Get a good summer and Cornwall's temperatures can rise
0:21:21 > 0:21:26to 30 degrees. Tourists flock to its beaches.
0:21:28 > 0:21:32At the same time, tranquil and remote in the heart
0:21:32 > 0:21:37of the county is Bodmin Moor, one of Britain's wildest uplands.
0:21:43 > 0:21:46But when things go wrong here,
0:21:46 > 0:21:50getting help to those in need takes one of these.
0:21:59 > 0:22:02Mark Fuszard has been with the Cornwall Air Ambulance
0:22:02 > 0:22:04for the last eight years.
0:22:04 > 0:22:06Deep breath. And relax.
0:22:06 > 0:22:09'You don't know what you'll deal with from minute
0:22:09 > 0:22:11'to minute, let alone from day to day.
0:22:11 > 0:22:16'You can turn up for work, not knowing what will happen that day.'
0:22:16 > 0:22:20It's work that requires a love of the unpredictable.
0:22:20 > 0:22:23You've no idea what you're going to go to until the phone rings,
0:22:23 > 0:22:27and that can be quite stressful, but it's a stress that I kind of like.
0:22:30 > 0:22:34It's mid-morning, and the team is scrambling.
0:22:34 > 0:22:36All we've got at the moment is that it's a lady that's
0:22:36 > 0:22:41fallen off a horse in St Breward, which is on the Bodmin Moor,
0:22:41 > 0:22:44so potentially, she could be in a fairly remote location.
0:22:46 > 0:22:51Today Mark's flying with pilot Doug Pye and paramedic Stu Croft.
0:22:53 > 0:22:57From their air ambulance base in Newquay, they take a 16-mile
0:22:57 > 0:23:01flight to the western edge of Bodmin Moor, near St Breward.
0:23:08 > 0:23:13Devil's Jump is one of the moor's few natural landmarks.
0:23:13 > 0:23:17It's a narrow gorge famous amongst climbers for its steep cliffs.
0:23:17 > 0:23:20But today, it's a rider in need of help.
0:23:23 > 0:23:27In the past five years, the Cornwall Air Ambulance has dealt with
0:23:27 > 0:23:30almost 140 horse-related incidents.
0:23:32 > 0:23:34Horse riders can catch you out.
0:23:34 > 0:23:38You can really never tell, especially if you land on your head.
0:23:38 > 0:23:40Then it's potentially life-threatening injuries.
0:23:52 > 0:23:56Paramedic Stu Croft knows it could be tricky getting to the casualty.
0:24:13 > 0:24:16They've been airborne for just eight and half minutes,
0:24:16 > 0:24:19but they're aware every second counts.
0:24:50 > 0:24:54Nine minutes from take-off and they spot the casualty.
0:25:13 > 0:25:16A lot of horses around, a lot of people riding their horses,
0:25:16 > 0:25:17so we don't want to spook those
0:25:17 > 0:25:19and make the problem even worse than it actually is.
0:25:28 > 0:25:30It was quite a steep hill.
0:25:30 > 0:25:33We had to land at the top, where it was nice and flat.
0:25:46 > 0:25:51The casualty's been taking part in a charity horse riding event.
0:25:51 > 0:25:54A steward leads Mark 200 metres down the hill.
0:26:00 > 0:26:02Right. So, she's a bit confused? OK.
0:26:04 > 0:26:06Mark's carrying a full kitbag.
0:26:06 > 0:26:10With this kind of incident, he can't take any chances.
0:26:11 > 0:26:13Hello! Dina?
0:26:13 > 0:26:15Hi, Dina, my name's Mark.
0:26:15 > 0:26:18Have we got any pain anywhere at the moment?
0:26:21 > 0:26:23Dina was attempting
0:26:23 > 0:26:25to jump a gate, when her horse refused.
0:26:27 > 0:26:30She fell, landing on her shoulder and face.
0:26:30 > 0:26:32Fellow rider Bridget has been looking after her.
0:26:32 > 0:26:35And Dina can you remember what happened at all?
0:26:35 > 0:26:36Not at all. Yeah.
0:26:36 > 0:26:38- Short-term memory is very poor.- OK.
0:26:38 > 0:26:42What happened - no recollection at all.
0:26:42 > 0:26:45She couldn't recollect any of the events...of what had happened.
0:26:45 > 0:26:48She couldn't remember actually falling to the floor.
0:26:48 > 0:26:49She's obviously got a head injury
0:26:49 > 0:26:52that we need to be quite concerned about.
0:26:52 > 0:26:54Is that your helmet behind us there?
0:26:54 > 0:26:55Were you wearing a helmet?
0:26:55 > 0:27:00Dina's helmet would have absorbed a great deal of the shock to her head,
0:27:00 > 0:27:04but she may have still suffered serious spinal and neck injuries.
0:27:04 > 0:27:07Dina, I'm just going to take your watch off and take your pulse.
0:27:07 > 0:27:08Is that all right?
0:27:08 > 0:27:10It was 68
0:27:10 > 0:27:13- a minute last time I took it, which was about five minutes ago.- OK.
0:27:13 > 0:27:15- Brilliant.- Breaths were about 16 a minute.- Fantastic.
0:27:15 > 0:27:20- Are you a health-care worker? - I'm a stroke therapist.- Oh, OK.
0:27:20 > 0:27:22And Dina's obviously landed on her face
0:27:22 > 0:27:24cos we've got some blood around her nose. OK.
0:27:26 > 0:27:28Land-based paramedics arrive.
0:27:28 > 0:27:30Hi, mate, all right? You were quick.
0:27:30 > 0:27:33- Come across in that one.- We had a four-wheel drive.- Fantastic.
0:27:35 > 0:27:38Mike Bennett and his colleague managed to hitch a lift.
0:27:38 > 0:27:41Thankfully, we had a couple of willing volunteers.
0:27:41 > 0:27:43This gent with a four-wheel drive there
0:27:43 > 0:27:46and the chap with the quad that was able to bring us across.
0:27:46 > 0:27:49The chaps descend out of the skies,
0:27:49 > 0:27:52but two of them sometimes need a bit of a hand.
0:27:52 > 0:27:54The team get to work.
0:27:54 > 0:27:57We needed to put a collar on her and we needed to immobilise her.
0:27:57 > 0:28:00Because she's landed on her head, we've got to treat her as
0:28:00 > 0:28:03if she's got a C spine injury.
0:28:03 > 0:28:07Damage to the upper cervical part of the spine, from falls
0:28:07 > 0:28:11like Dina's, can cause paralysis to the legs and upper body.
0:28:11 > 0:28:15What we're going to do is, we might have to cut some of your clothes off
0:28:15 > 0:28:16to have a good look at you,
0:28:16 > 0:28:20just to make sure that we're not missing anything at all. Yes.
0:28:20 > 0:28:23And we're going to have to cut your jodhpurs off, as well.
0:28:23 > 0:28:26We need to look at her body and make sure that there isn't any injuries
0:28:26 > 0:28:30that potentially could be life-threatening that we could miss
0:28:30 > 0:28:32if we were to leave her fully-clothed.
0:28:32 > 0:28:35Mark first checks for any loss of feeling.
0:28:35 > 0:28:38When I touch your leg here, can you feel that?
0:28:38 > 0:28:41Does it feel the same as when I touch your leg there?
0:28:41 > 0:28:43The sensations are the same. What about your hands?
0:28:43 > 0:28:45Any... Can you feel that?
0:28:45 > 0:28:47And can you feel this?
0:28:49 > 0:28:51So far, the signs are good.
0:28:57 > 0:29:01There is potential that you might have damaged your right shoulder,
0:29:01 > 0:29:03you might have a fracture there, OK?
0:29:03 > 0:29:07But Dina then asks a very worrying question.
0:29:14 > 0:29:17Dina's memory loss is a big concern.
0:29:17 > 0:29:20She needs to be observed in hospital as soon as possible.
0:29:20 > 0:29:21We're going to go on the R of roll.
0:29:21 > 0:29:23Ready, set, roll.
0:29:23 > 0:29:26All right. OK. Crikey.
0:29:26 > 0:29:30But until they check her spine for damage, Dina's going nowhere.
0:29:32 > 0:29:33Ow, ow.
0:29:49 > 0:29:52On the dark roads of Dumfries and Galloway, John West
0:29:52 > 0:29:55and Michael Harmjanz are still on night shift.
0:29:55 > 0:29:58Listen, we're taking you to the hospital.
0:29:58 > 0:30:02Just over three hours since taking John's old schoolteacher
0:30:02 > 0:30:08to hospital, another call's come in. It's as urgent as they come.
0:30:08 > 0:30:14Control came on four hours into the shift for a red call,
0:30:14 > 0:30:17which is the highest priority.
0:30:21 > 0:30:23It's an adrenaline rush.
0:30:27 > 0:30:30They know an elderly lady is suffering severe chest pains,
0:30:30 > 0:30:33but the exact location hasn't come through.
0:30:35 > 0:30:39From their Dumfries base, she's 19 miles south-east,
0:30:39 > 0:30:42somewhere near the town of Annan.
0:30:42 > 0:30:44They'll be updated en route.
0:30:44 > 0:30:47For now, Michael just needs to put his foot down.
0:30:47 > 0:30:50We are meant to get to all red calls within eight minutes,
0:30:50 > 0:30:54but the fact that it was 18, 19 miles away,
0:30:54 > 0:30:56we were not going to make it.
0:30:56 > 0:31:00They have to consider the options on the way.
0:31:05 > 0:31:07In the middle of the night, an elderly lady
0:31:07 > 0:31:10with central chest pains, you're thinking,
0:31:10 > 0:31:12"Could be serious, pretty serious."
0:31:12 > 0:31:15The symptoms indicate a heart attack,
0:31:15 > 0:31:18but there's another common cause of night-time pain.
0:31:25 > 0:31:30Heart attack or severe gall bladder trouble, it's an emergency.
0:31:30 > 0:31:36We received it at 4.31, it's now 4.48 and we've travelled 19 miles.
0:31:38 > 0:31:40By now, they should be very close.
0:31:40 > 0:31:43ELECTRONIC VOICE: 'Cancelling main function.'
0:31:46 > 0:31:48The location has finally come through -
0:31:48 > 0:31:51it's a caravan park on the edge of town.
0:31:54 > 0:31:57No, the lights, Michael, and then turn left and up North Street.
0:31:57 > 0:31:59That is Battery Street, isn't it?
0:32:01 > 0:32:0320 minutes from call-out, they arrive on scene.
0:32:11 > 0:32:13Down here. Oh.
0:32:18 > 0:32:19- Morning.- Morning.
0:32:19 > 0:32:22They're directed to the patient.
0:32:25 > 0:32:28Turned out she wasn't in the caravan, she was in the ladies' loo.
0:32:29 > 0:32:32- In here? - In the toilet block.- Oh, right.
0:32:34 > 0:32:37To be in the ladies' loo at that time in the morning, er,
0:32:37 > 0:32:39some people think is maybe a strange place,
0:32:39 > 0:32:41but I've been to stranger places.
0:32:43 > 0:32:48Sandra has been in severe pain for most of the day and night.
0:32:48 > 0:32:49She was pretty uptight.
0:32:49 > 0:32:53She was sitting in the corner of the toilet in an awful lot of pain.
0:32:53 > 0:32:55So how long have you had the pain?
0:32:58 > 0:33:00This afternoon? Have you taken anything for it?
0:33:00 > 0:33:02No.
0:33:02 > 0:33:04Women don't complain about pain.
0:33:04 > 0:33:06They'll put up with it, put up with it, put up with it.
0:33:06 > 0:33:11So, for her to then contact her husband and say, "Phone 999,"
0:33:11 > 0:33:14it makes you think there's something going on.
0:33:14 > 0:33:18So, the last time you had the pain, Sandra, did it just go away itself?
0:33:20 > 0:33:21Put that in there and chew it.
0:33:21 > 0:33:24It's lemon-flavoured, so they tell me.
0:33:24 > 0:33:26John gives Sandra a 300mg aspirin.
0:33:27 > 0:33:29If it is a heart problem,
0:33:29 > 0:33:32it will reduce the possibility of any more blood clotting.
0:33:32 > 0:33:35Nice and still for ten seconds, if you can.
0:33:38 > 0:33:41Next, they check the electrical activity in Sandra's heart
0:33:41 > 0:33:43with the ECG monitor.
0:33:48 > 0:33:51- ECG looks OK.- Mm-hm.
0:33:51 > 0:33:52It's good news.
0:33:52 > 0:33:55It may not be a heart attack, after all.
0:33:55 > 0:33:59The fact that, when I touched her when I was doing her ECG,
0:33:59 > 0:34:04she was grimacing and the pain was more severe, it was a better sign,
0:34:04 > 0:34:07because it showed it was not her heart.
0:34:07 > 0:34:08Says it's normal.
0:34:08 > 0:34:10Then Sandra mentions gallstones.
0:34:15 > 0:34:16Again?
0:34:17 > 0:34:19You never mentioned them!
0:34:19 > 0:34:21It turns out John's initial hunch was right.
0:34:21 > 0:34:23I was just saying that on the way down.
0:34:23 > 0:34:25We just mentioned it, didn't we?
0:34:25 > 0:34:28- Yeah. This time in the...- This time in the morning, we're on the ball.
0:34:28 > 0:34:30See, the fact that it's sore when we touch,
0:34:30 > 0:34:34and the fact that it goes through from here through to your back,
0:34:34 > 0:34:37it sounds like gall bladder, gallstones.
0:34:38 > 0:34:42But severe cases of gallstones can lead to complications.
0:34:42 > 0:34:45They need to get Sandra to hospital.
0:34:45 > 0:34:47We'll get you into the ambulance, eh?
0:34:52 > 0:34:55Cos your feet aren't sore, we'll get you up on them.
0:35:08 > 0:35:12It's estimated that one in ten adults in the UK has gallstones,
0:35:12 > 0:35:17and women are up to three times more likely to be affected than men.
0:35:17 > 0:35:19Your blood pressure's a wee bit high,
0:35:19 > 0:35:22Sandra, cos you're not well.
0:35:23 > 0:35:25173/84.
0:35:25 > 0:35:28You'd get told off by the doctor for that, wouldn't you?
0:35:30 > 0:35:34Her pulse is sitting at 100, so obviously because her pulse is up,
0:35:34 > 0:35:37her blood pressure's up, her breathing's up a wee bit, too.
0:35:37 > 0:35:40It's just the body's natural way of coping with it.
0:35:44 > 0:35:47Most cases of gallstones causing severe pain, like Sandra's,
0:35:47 > 0:35:50are easily treated with surgery.
0:35:50 > 0:35:53In the hospital, she'll be assessed for just that.
0:35:55 > 0:35:57After a busy 12-hour shift,
0:35:57 > 0:36:00it's the end of the night for John and Michael.
0:36:00 > 0:36:03And another patient delivered into safe hands.
0:36:23 > 0:36:27400 miles south of Dumfries, on Cornwall's Bodmin Moor,
0:36:27 > 0:36:30Dina has had a serious fall from her horse.
0:36:33 > 0:36:36Did anybody see all this happen or was she on her own?
0:36:36 > 0:36:38She's in pain and confused.
0:36:38 > 0:36:41Blimey, what happened then? Does anybody know?
0:36:41 > 0:36:44Event organiser Mickey witnessed the fall.
0:36:44 > 0:36:47She came up to that fence there, galloping, and the horse stopped
0:36:47 > 0:36:52dead and she went over the top of him, come down on the rails there.
0:36:52 > 0:36:54Just one of these things, like, you know.
0:36:56 > 0:36:58Air paramedics Mark Fuzsard, Stu Croft
0:36:58 > 0:37:02and the land crew are checking for neck or spinal injuries.
0:37:02 > 0:37:03OK, has everybody got a bit?
0:37:03 > 0:37:06We're going g to go on the R of roll, ready, set, roll!
0:37:06 > 0:37:08All right, OK. Crikey.
0:37:10 > 0:37:14They're deciding if Dina needs flown to a specialist unit in Plymouth
0:37:14 > 0:37:17or A & E at the Royal Cornwall Hospital in Truro.
0:37:24 > 0:37:25It's hurting there.
0:37:25 > 0:37:27It's hurting me.
0:37:27 > 0:37:28Ow! I don't know.
0:37:28 > 0:37:31OK.
0:37:31 > 0:37:34We're going to go on the L of lower. Everybody happy?
0:37:34 > 0:37:36OK, ready, set, lower.
0:37:36 > 0:37:37Ow!
0:37:39 > 0:37:40Argh!
0:37:42 > 0:37:45The pain means Dina still has a sense of feeling,
0:37:45 > 0:37:47which is good news.
0:37:47 > 0:37:48When I checked earlier,
0:37:48 > 0:37:50your sensations in both legs were the same.
0:37:50 > 0:37:52- Were OK, were they? - So, at the time there wasn't any,
0:37:52 > 0:37:54but has that changed at all now?
0:37:54 > 0:37:57- I don't think so.- Can you feel that, Dina?- I can feel that, yeah.
0:37:57 > 0:38:01And she's starting to recall details of the fall.
0:38:01 > 0:38:04Oh, I remember, remembering the horse getting
0:38:04 > 0:38:06stuck in the jump now.
0:38:06 > 0:38:09- It's coming back to you.- My memory's coming back.- Oh, good stuff.
0:38:11 > 0:38:15The team feel it's safe to fly Dina to A & E in Truro.
0:38:15 > 0:38:18She obviously came down and bashed her head quite hard
0:38:18 > 0:38:21and has pain in her shoulder, so difficult to assess initially,
0:38:21 > 0:38:24but she's coming round a bit, so we're going to move her
0:38:24 > 0:38:27to the helicopter, keep her warm and the pop on down to the hospital.
0:38:27 > 0:38:30She has got some injury to her right shoulder,
0:38:30 > 0:38:32which is going to need an X-ray.
0:38:32 > 0:38:33Fairly remote area,
0:38:33 > 0:38:36but then that's the nature of the hobby, really,
0:38:36 > 0:38:40horse riders tend to sort of go off-road a little bit.
0:38:40 > 0:38:42And what a beautiful area to do it in, really!
0:38:44 > 0:38:47As Dina is transferred on to the chopper,
0:38:47 > 0:38:49her husband James arrives.
0:38:49 > 0:38:51Hello, sir! Are you Dina's husband, are you?
0:38:51 > 0:38:53OK. At the moment, it's all precautionary stuff,
0:38:53 > 0:38:55so it probably looks a lot worse than it is.
0:38:55 > 0:38:57A little bit of concussion, we think.
0:38:57 > 0:39:00She's got a possible injury to her right shoulder.
0:39:00 > 0:39:04Other than that, she's pretty much got away with it fairly unscathed.
0:39:07 > 0:39:11But within minutes, James has to let her go.
0:39:22 > 0:39:25During the flight in, we monitored her blood pressure.
0:39:25 > 0:39:29We also monitored her respiratory rate and her heart rate.
0:39:29 > 0:39:31Things can change quite quickly,
0:39:31 > 0:39:33especially with head-injured patients,
0:39:33 > 0:39:36and we just wanted to monitor her, just to make sure that, you know,
0:39:36 > 0:39:38everything stayed the same.
0:39:42 > 0:39:45In just 20 minutes, Dina is at A & E in Truro.
0:39:51 > 0:39:55It's been an hour and a half since she fell off her horse.
0:39:59 > 0:40:02Hopefully, she'll be out again fairly soon, I'd like to think,
0:40:02 > 0:40:04but until she's had her neck X-rayed
0:40:04 > 0:40:09and she may even be scanned for the head injury,
0:40:09 > 0:40:12we don't know, so hopefully, fingers crossed,
0:40:12 > 0:40:15she'll be out riding a horse again fairly soon.
0:40:28 > 0:40:32Astonishingly, after just a few hours in hospital,
0:40:32 > 0:40:34Dina was allowed back home.
0:40:34 > 0:40:37Her injuries weren't as serious as first feared.
0:40:40 > 0:40:44Once they'd ruled out the fact that I hadn't seriously
0:40:44 > 0:40:47injured my back or my neck, they could then start
0:40:47 > 0:40:53to look at where the damage was and I'd got a couple of fractured ribs.
0:40:54 > 0:40:57Husband James took Dina home that same afternoon...
0:40:59 > 0:41:01Hi, Tally! How are you doing?
0:41:01 > 0:41:05..where she was reunited with her horse.
0:41:05 > 0:41:06So, this is Tally!
0:41:09 > 0:41:13The day of the accident was the first time Dina and Tally had
0:41:13 > 0:41:17been out riding since Dina's hip replacement two months earlier.
0:41:17 > 0:41:19We hadn't jumped anything.
0:41:19 > 0:41:21I'd missed a couple of jumps out.
0:41:21 > 0:41:24I didn't really want to fall off because of my hip,
0:41:24 > 0:41:27because my consultant had said, "It's OK to ride,
0:41:27 > 0:41:30"but it's really not great to be falling off horses."
0:41:36 > 0:41:40I remember hanging over her neck because she went to jump the jump,
0:41:40 > 0:41:43half-jumped the jump, and then pulled back.
0:41:43 > 0:41:45I don't remember hitting the ground
0:41:45 > 0:41:49and from then on, my memory is quite hazy.
0:41:52 > 0:41:57I wasn't very conscious. I came back in and out, I think, a little bit
0:41:57 > 0:41:58on the ground.
0:41:58 > 0:42:02I remembered being on something that I guessed must be a helicopter,
0:42:02 > 0:42:05because I saw bright lights.
0:42:08 > 0:42:11I've ridden horses all my life and, actually,
0:42:11 > 0:42:13I've had some really bad falls,
0:42:13 > 0:42:16but I've never had anything like this.
0:42:18 > 0:42:20Beautiful girl.
0:42:20 > 0:42:22Naughty girl, aren't you?
0:42:30 > 0:42:34It's been all go for the emergency services of rural Britain.
0:42:38 > 0:42:41Dementia sufferer Frank recovered from his infection
0:42:41 > 0:42:43and was back home a week later.
0:42:43 > 0:42:45He now receives respite care,
0:42:45 > 0:42:49making life a little easier for both himself and his wife Moira.
0:42:52 > 0:42:54A couple of weeks after her fall,
0:42:54 > 0:42:57Dina was out riding the moors with Tally.
0:42:57 > 0:43:00They've even managed some jumps.
0:43:02 > 0:43:04And PC Kevin Hall's investigation
0:43:04 > 0:43:07into the 136 missing lambs continues.