Episode 5 Countryside 999


Episode 5

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From the Highlands of Scotland to the coast of Cornwall,

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the great British countryside is spectacular.

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But we work and play in it at our peril.

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And when things go wrong

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the emergency services race to the rescue.

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This chap is having a heart attack and we need to get him

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in quickly.

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There's no police courses for this.

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Going hundreds of miles against the clock,

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battling the elements and braving the weather.

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HE GROANS IN PAIN

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From fields and forests,

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to cliffs and country roads,

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

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With police fighting crime...

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Could seize the dogs, could seize the van

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but I'm going to summons you all to court.

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Paramedics saving lives...

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And wardens safeguarding our lakes.

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Come out of the way!

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We're there as the emergency services pull together to

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pick up, patch up, and protect the public.

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This is Countryside 999.

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Coming up...

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In Cornwall, the air ambulance race to rescue a man

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with a life-threatening condition.

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Does that hurt when you... Does that hurt when you do that?

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OK. We won't do that any more, then.

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In County Durham, a suspected sheep rustling case

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calls on all PC Harry's skills as a rural copper.

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This is just on-the-job training -

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there's no police courses for this.

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And in Dumfries and Galloway, paramedics are called to a casualty

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where every second counts.

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We have to transfer this patient as quick as possible

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and it's blue lights, sirens, into hospital.

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Cornwall, its spectacular coastline stretches over 400 miles

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and for once the sun is shining on an August bank holiday.

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The glorious weather in August brings as many as 700,000 visitors

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to the area and as they flock to the beaches,

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the tiny Cornish country roads can get clogged up quickly.

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For the emergency services this can mean long delays

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ferrying casualties to hospital by road.

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And that's where the Cornwall Air Ambulance come into their own.

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Paramedic Mark Fuszard has clocked up over 1,600 hours in the air.

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I've been on the full-time aircrew now since 2006

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and what I like about the job is the diversity, the number of

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patients we see, the type of jobs we see

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and just flying around Cornwall.

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It's a fantastic job to be in.

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Places in Cornwall,

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it's quite a distance by road and can take up to an hour or maybe

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more than an hour, especially on a bank holiday weekend,

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like it is this weekend, with the volume of traffic,

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to get a patient to hospital.

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So the aircraft is as vital piece of equipment in Cornwall.

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At their base in Newquay, Mark's colleague,

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paramedic Stu Croft, takes an emergency call.

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Thank you, cheers, bye.

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OK, we're off to Helford for a 57-year-old chap who has collapsed

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with a headache, so we're thinking a bleed on the brain.

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So time-critical for a scan.

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1A with you outbound to the Helford.

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The casualty's headache was sudden and severe.

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The land crew already on scene fear the worst.

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They've assessed him and they think he may have a bleed in his brain.

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The seriously ill man is in Helford, a remote coastal village over

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30 miles along rural roads from their base.

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A patient with a brain bleed can deteriorate rapidly.

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But first, they'll have to find a safe spot to land.

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Up front, paramedic Mark helps navigate.

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But pilot, Sam Tompkins, thinks he's spotted a better landing site.

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The crew are about to discover it's Helford Regatta Day...

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And the locals appear to have gone native.

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The Rapid Response crew deliver the casualty and more details.

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Stay there, sir. OK, just hang on two seconds, buddy.

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67-year-old Julian was enjoying the regatta

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when he suddenly developed crippling head pain.

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-He feels that it's worse when moves his neck.

-OK.

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-He's been sick about four times now.

-OK. Any history of any of this?

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When he was 19 years old he was involved in a road traffic

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accident and underwent neurosurgery to actually have a clot removed

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which was, he says, at the top of his head.

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Always wondered if it would come back and haunt him.

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-Right.

-Possibly not but...

-Yeah, but he's worried about that.

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A previous blood clot could be a worry.

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Hi, Julian, my name's Mark, one of the paramedics on the helicopter.

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How are you feeling at the moment? Is this headache going at all or is it

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getting worse or getting any better? Is it changing?

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-I think the morphine has probably helped.

-OK.

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You've had 15 milligrams of morphine which is great for your pain

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but obviously I don't want you to be walking too far with that on board.

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Basically, we're going to pop you on to this stretcher here

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-and then we're going to lift you onto the helicopter, OK?

-Yep.

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Julian, nice and steady, in your own time.

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OK, and then I want you just relax

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and pop your bottom right in the middle there, sit yourself down.

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Fantastic, well done.

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You'll be lying flat just for a second.

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Crikey, you're quite tall, aren't you?

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-Does that hurt when you do that?

-Yeah.

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Unfortunately, we're going to have to have you flat for a second.

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Julian's symptoms are all pointing towards the worst case scenario,

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a subarachnoid haemorrhage.

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Unfortunately, with this condition

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up to 50% of patients can die from this problem.

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We need to wiggle you down the stretcher a little bit.

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A blood vessel that has ruptured in his head

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causing pressure on the brain.

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Can you put your chin on your chest for me?

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As much as you can. Does that hurt when you...?

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Does that hurt when you do that?

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OK, we won't get you to do that any more then.

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He had a sudden onset of this headache, it happened very quickly.

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Started off in the top of his head, moved round to the back of his head.

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He was also developing some neck stiffness which was also an issue.

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Everything that he presented with on scene was leading to the

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fact that this could be the case and he was having

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a subarachnoid haemorrhage.

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OK, on lift. Ready, set, lift.

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If you could just guide it on, Stu, that'd be good.

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Julian needs specialist care fast.

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Julian, my colleague is going to look after you in the back

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of the aircraft.

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We're going to need to take your blood pressure and do a few more

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little pieces before we take off.

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I'm thinking perhaps we'll take this chap to Derriford.

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Julian, we'll take you to Derriford.

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We're not sure what's going on the moment

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but we're going to kind of play on worst-case scenario

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so we'll take you there where they've got a good neuro unit.

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-And you'll be closer to home anyway. You happy with that?

-Yeah.

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He's stable at the moment. We're going to bring him

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in to you guys with a query subarachnoid haemorrhage.

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Our ETA to you is going to be...

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18.15.

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The helicopter in these circumstances with this

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sort of patient is absolutely vital.

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We need to get this patient to the correct, definitive care.

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In this case, Derriford Hospital

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was the hospital of choice for us and the patient

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and he got there within 22 minutes of us leaving the scene.

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A journey that would have taken two hours on a good day,

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probably nearer three from that location on a bank holiday weekend.

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The Cornwall Air Ambulance crew have to be ready for anything

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but on this job they really have seen everything.

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It was quite strange to see a man dressed in a leopard outfit

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jumping over the gate and coming toward the aircraft.

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This is obviously an issue for us, not only do we not see a leopard

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everyday, we don't like to see people getting too close to the aircraft.

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It's their safety that is paramount, as well as our own.

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Little bit amusing, the fact that he was dressed as a leopard.

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But, yeah, welcome to Cornwall!

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HE CHUCKLES

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Dumfries and Galloway, south-west Scotland -

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over 2,000 square miles of beautiful rolling countryside.

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It's a region of green fields, forests and

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picturesque dairy farms and home to 150,000 people.

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For the Dumfries and Galloway Ambulance Service,

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covering this vast rural area means long journeys,

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often at speed, on dangerous country roads.

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Paramedic Paul Votier and technician Keith McWhan face these hazardous

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routes every time they're on shift.

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But the job's got its plus sides.

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You have the privilege of helping someone that you don't know

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and that person could be walking around today

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because of your intervention and, yes, it's a nice thing to know.

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Today, on a busy summer Sunday,

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emergency calls are coming in thick and fast.

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From Dumfries, it's 13 miles by rural road to Lockerbie

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and on the weekend, traffic can be a real problem.

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Despite the hazards en route, Paul and Keith make the 13

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miles in just 20 minutes.

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The sat nav directs them to a local park.

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Oh, right. It's down there. Just spin around here.

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But on a sunny Sunday, everyone's come to play

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in the local football league and the streets are chock-a.

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They spot the casualty.

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Turns out it's an injured footballer.

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I tell you what, I'll get off and take the Entonox with me.

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They've laid him out on a stretcher for us.

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But there's so many parked cars here that I can't get anywhere near him.

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Keith's just doing a quick assessment to see how bad it is

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before we decide how we're going to move him off the grass.

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I'm just going to block the road.

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Carried to the ambulance by his team-mates,

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the patient's called Ryan.

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Entonox, a mixture of gas and air, helps ease the pain.

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-OK. That's a lad, well done.

-Got that end?

-Grand, thank you.

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Just put the leg back down. How is that doing? Grand, good lad.

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The vacuum splint will support his injured leg until it can be X-rayed.

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You feel that getting tight?

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It moulds into the shape of your leg.

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Go.

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Level, level, level. That's us.

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Just scoot over, son.

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That's you, well done. And another inch or two. That's you. Grand.

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Well done, lads, thank you very much indeed.

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It's back to the game for the lads...

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Whilst Keith and Paul, hot foot it back to hospital Dumfries.

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Are you allergic to anything?

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Penicillin.

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26-year-old Ryan was just ten minutes into the second half

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when he came a cropper.

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Ryan's working his way through the gas and air.

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Despite the happy gas, Ryan's got a few things on his mind.

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He's also just had his big break with a local amateur team.

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Ryan's safely delivered into hospital

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but it might be Kavos on crutches for this injured midfielder.

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The rugged landscape of County Durham,

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some of Britain's most remote countryside.

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Patrolling much of the rolling moorland is PC Harry Marsh.

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Based in Barnard Castle,

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his patch covers 300 square miles.

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His rural beat is scattered with hill farms,

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although it's anything but quiet.

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There's actually been just this year a 12% increase in farm crime

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and it has an enormous amount of community impact.

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The annual cost of crime to the UK rural economy is over

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£44 million.

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Quite often farms and rural locations are specifically

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targeted because they're easy to be able to take high value items from.

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If you speak to any farmer around here,

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I can guarantee you that he will have suffered some crime or other

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and that is the case for all of the farmers that live in this area.

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But it's not just stolen farm tools and machinery,

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there's a centuries-old crime more associated with the Wild West

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that's fleecing Britain's farmers.

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A lot of people think sheep rustling is something that only happened

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in the past.

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The reality of it is that there is a huge amount of theft of sheep

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and other livestock that still go on.

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In the last year alone, as many as 90,000 animals were

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stolen from Britain's farms and it's a lucrative business.

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So you're looking at approximately each sheep being worth

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about £75 to £150 each.

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This is a good example of a location where sheep theft could

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easily happen.

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Just in the field here, which is just off the main road, there is

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a main access gate into the field

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and if you had someone who knew what they were doing, it would be an

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easy matter for them to just get into the field

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and round up as many of these sheep as they could,

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put them in a trailer. And in that short period of time,

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you're looking at thousands of pounds' worth,

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potentially, of sheep that could be taken.

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Today, Harry's investigating a possible theft of sheep

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on 6,000 acres of common grazing land.

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Used by a number of farmers, the livestock can often get mixed up.

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Farmer Stan has discovered seven extra mystery sheep

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whilst gathering in his own flock.

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-Hello there. Nice to meet you, I'm Harry Marsh.

-Hi.

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-It was just about the sheep that you reported to us.

-That's right, yeah.

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-So if it's OK, can we go and have a look at them?

-We will, yes.

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OK, thanks very much.

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Stan called in PC Harry as there's something

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a bit fishy about these animals.

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I'm just going to examine them now.

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We suspect that they belong to another local farmer

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and that they may well have possibly been stolen.

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I'm just going to have a check of their flock number,

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which is a tag that's on the side of their ear,

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just to confirm when they've come from.

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Being a copper in the countryside brings its own set of challenges.

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In October last year, we seized a lot of sheep.

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And from that, I have learned how to handle them

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and some basic skills on what they do.

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Hopefully, it'll work OK this time.

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When sheep get mixed up between farms,

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ear tags can easily be switched.

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Detecting the original owner is the tricky bit.

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If you want to go through.

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We'll get them in one corner, I'll get hold of one of them.

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That didn't work well.

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Harry will look for clues to indicate

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if these sheep are, in fact, stolen.

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You're all right, I got one.

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I had no idea 24 years ago that I would be doing anything like this.

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But it's extremely rewarding

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when you can get people's sheep back to them.

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The three ewes and four lambs have confusing markings

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identifying two possible owners.

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This particular sheep has got an ear tag in.

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Now, this is easily replaced and can be put in by any farmer

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and this is what makes it so easy for them to be stolen.

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However, on the other side we've got a much older method of identifying

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sheep and this is a section of the ear that's been taken out.

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Farmers do this to identify which flock that they've come from

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and this is a much older method of doing it.

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The confusion here is the plastic tags don't seem

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to match the original identification mark cut out of the ear.

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It could suggest someone is retagging sheep in order to

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claim them as their own.

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This particular sheep and the other sheep that are in here

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are going to need to be further investigated

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and looked at to see if they have been stolen or not.

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But at the moment, it certainly looks like it.

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Farmer Stan has been a victim of sheep theft himself

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so he's always on the lookout for sheep with suspect identification.

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For quite a lot of years we always were a number of sheep short

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when we gathered them in at the end of the year.

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In fact, last year I was 19 short.

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And it's just something that's been

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going on for quite a few years, really.

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They were just lambs that were lost last year

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and they added up to well over £1,000.

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Just what I lost last year alone.

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These sheep together could fetch as much as £600.

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99% of farmers, I would say, are very genuine and honest people

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but there's just the odd bad apple in the barrel.

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And it's just very annoying.

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Now the sheep are evidence in a possible crime,

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they'll be retagged and photographed.

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Harry calls in Crime Scene Investigator Mr Stephen Tindale.

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-If you could just photograph the sheep while I hold them.

-Yeah.

-Yeah?

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More used to catching thieves than sheep...

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This isn't in the police handbook.

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This is just on-the-job training, dealing with Swaledale sheep.

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There's no police courses for this.

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Exhibit B proves uncooperative.

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Hang on.

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This one's a bit lively.

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Hang on.

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A lot of farmers can visually recognise them just from their faces.

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And hence the reason why we'll take a photograph

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square on the face as well as taking another

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photograph of both ears and a side on shot of the sheep as well.

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I'd not say I can recognise them all

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but people's sheep do tend to vary a little bit and you have a good

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idea which ones are yours before look at them closely, yes.

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-Was that OK?

-Yeah.

-Right.

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Harry now needs to find

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a way of proving who's the real owner of all seven sheep.

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He thinks it's the farmer who put the cuts in the ears.

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The important stage of the investigation now is to get them

0:24:130:24:17

to have a look at the sheep. We'll get a quick statement

0:24:170:24:20

for evidential reasons, if we need to go to court at a later stage.

0:24:200:24:24

And he must also track down the source of the suspect ear tags

0:24:260:24:29

if he's to get closer to solving this case.

0:24:290:24:31

The spectacular scenery of Dumfries and Galloway,

0:24:440:24:48

always popular with tourists.

0:24:480:24:50

In summer months the population swells by 60%,

0:24:520:24:57

putting extra pressure on the region's ambulance service.

0:24:570:25:00

Paramedic Paul Votier and technician Keith McWhan

0:25:050:25:08

are in the middle of their busy summer Sunday shift.

0:25:080:25:12

They're racing to a 999 call from on a rural caravan site.

0:25:120:25:16

Strokes are the third largest cause of death in the UK.

0:25:280:25:32

They can be caused by a bleed,

0:25:320:25:33

like Julian's brain haemorrhage,

0:25:330:25:36

or by a blockage in a blood vessel.

0:25:360:25:38

Either way, and oxygen supply to the brain is cut off.

0:25:380:25:42

Once that is affected, then the brain gets starved and then

0:25:420:25:47

if it's not repaired or treated quickly,

0:25:470:25:50

that part of the brain will start dying and it will be irreparable.

0:25:500:25:53

SIREN WAILS

0:25:530:25:55

They're blue lighting from Lockerbie to Hoddom Castle Caravan Park

0:25:550:25:59

eight miles away.

0:25:590:26:00

But even then it won't be easy to find the casualty.

0:26:020:26:06

Our problem is going to be finding this caravan but hopefully

0:26:060:26:09

there's going to be someone there to meet us or guide us there.

0:26:090:26:11

If there is no-one there to meet us and show us where to go,

0:26:110:26:14

we could be circling the campsite looking for the patient.

0:26:140:26:19

That's happened several times in the past.

0:26:190:26:21

Thankfully, there's someone on the gate, saving vital minutes.

0:26:210:26:25

The casualty is lying collapsed inside a caravan.

0:26:520:26:56

What's the lady's name?

0:26:560:26:58

-Caroline.

-Hi, Caroline.

0:26:580:27:00

Do you know what's going on, Caroline?

0:27:000:27:02

In cramped conditions,

0:27:060:27:07

Paul immediately checks Caroline for the classic signs of a stroke.

0:27:070:27:11

Can you give me a big smile?

0:27:110:27:13

Well done, sweetheart.

0:27:130:27:15

One of the assessment tools we use is the pneumonic FAST which

0:27:150:27:19

stands for face, arms, speech and the T stands for time-critical.

0:27:190:27:24

We look at the face, if it's asymmetrical,

0:27:240:27:26

is a drooping one side? Arms, can they raise their arms?

0:27:260:27:30

Is there weakness one side in the arms?

0:27:300:27:32

And speech, is it slurred speech?

0:27:320:27:35

SLURRED SPEECH

0:27:350:27:36

Can I help you? Can I get you a cup of tea?

0:27:360:27:39

I'll have a cup of tea later, if that's OK.

0:27:390:27:42

Her speech wasn't that slurred but she was very confused and unaware.

0:27:420:27:47

Have you fed the horse?

0:27:470:27:50

The horse? Yeah, we'll feed the horse, don't worry.

0:27:500:27:53

You just rest easy, Caroline. OK?

0:27:530:27:55

Who are you? What's your name?

0:27:550:27:58

-My name is Paul.

-Paul.

0:27:580:28:00

-Mm-hm.

-You're an awful nice man.

-Am I? Thank you very much.

0:28:000:28:04

There's not many people that say that to me.

0:28:040:28:07

Caroline's partner Andy called the ambulance,

0:28:070:28:10

she's had strokes before.

0:28:100:28:12

Did the last stroke affect her mobility at all?

0:28:120:28:14

What side did it affect?

0:28:140:28:15

Left-hand side.

0:28:210:28:23

I've actually witnessed it before with Caroline before

0:28:230:28:25

so I knew the symptoms.

0:28:250:28:27

She just couldn't move her left side.

0:28:270:28:30

I noticed, just her expression in her face,

0:28:300:28:32

she was in the stages of having a stroke.

0:28:320:28:35

OK, you sit yourself up.

0:28:370:28:40

Bring this leg round.

0:28:400:28:42

-There.

-There you go.

-There, it's there.

-Well done.

0:28:420:28:46

One more step here.

0:28:460:28:47

Manoeuvring Caroline out of the tight space isn't easy.

0:28:490:28:52

-It's not very comfy this chair, is it, Caroline?

-Nah.

-Sorry.

0:28:520:28:55

And then, in her confused state, Caroline becomes anxious

0:28:580:29:01

and distressed.

0:29:010:29:02

-I want you to sit there...

-It's not my bed!

0:29:020:29:04

-I know, darling. It's a comfy bed.

-It's not my bed!

0:29:040:29:09

I know. It's OK.

0:29:090:29:11

Partner Andy helps to reassure her.

0:29:110:29:13

It's OK. We just taking you to your bed, it's all right.

0:29:130:29:18

I'm not very calm when it comes to things like that,

0:29:190:29:22

I really was really all going sort of thing, you know.

0:29:220:29:25

But I was just trying to help the paramedics as much as I can

0:29:250:29:28

and get her to hospital as quick as.

0:29:280:29:30

Is that your car?

0:29:300:29:31

The longer we're on scene, the longer time we take to travel,

0:29:350:29:39

the more damage is being done to the brain

0:29:390:29:42

so we have to transfer this patient as quick as possible

0:29:420:29:45

and it's blue lights, sirens, into hospital.

0:29:450:29:49

Hi, this is the Lockerbie ambulance.

0:29:490:29:51

Just to let you know we're bringing in a 47-year-old female.

0:29:510:29:55

Query CVA within the last hour.

0:29:550:29:58

We're going to be probably 20 minutes, Keith?

0:29:580:30:02

About 20 minutes.

0:30:020:30:04

Paul keeps checking Caroline

0:30:040:30:06

for signs her condition is deteriorating.

0:30:060:30:08

Nearly two million neurons can be lost in the brain every

0:30:260:30:29

minute a stroke is untreated, so speed is of the essence.

0:30:290:30:33

It was hard. They had to go very fast in country lanes.

0:30:330:30:37

A lot of traffic in that time. They did very well to get there.

0:30:370:30:40

In just 20 minutes, they arrive.

0:30:420:30:45

Caroline is taken straight to the resuscitation room.

0:31:000:31:04

It's less than an hour since the 999 call but with

0:31:040:31:07

time passing, the medical team must diagnose and treat her fast.

0:31:070:31:11

In County Durham, PC Marsh is on his way back to the farm where

0:31:200:31:23

some mystery sheep are waiting to be claimed.

0:31:230:31:25

They were gathered in accidently by farmer Stan

0:31:270:31:30

who noticed they had conflicting identifications.

0:31:300:31:33

We've got this sheep with a particular ear tag in with the flock

0:31:340:31:39

number that doesn't tally with the section of ear that's been taken out

0:31:390:31:45

here that identifies it from a particular local farm.

0:31:450:31:49

Someone could be retagging sheep to pass them off as their own.

0:31:490:31:53

It would be a very good thing if we could catch the person responsible.

0:31:530:31:56

After checking records, Harry thinks he's traced the original owner

0:31:570:32:01

and he's meeting her at Stan's farm.

0:32:010:32:04

I'm going to take a statement from the owner and we're going to have

0:32:040:32:07

the sheep recovered back to her farm

0:32:070:32:09

now that we have them as police exhibits.

0:32:090:32:12

Farmer Marie is missing some ewes.

0:32:150:32:18

She'll be looking to spot her own distinctive mark

0:32:180:32:20

cut into each sheep's ear.

0:32:200:32:22

Looking at them now, do you think they look like they could be yours?

0:32:230:32:26

Right. OK.

0:32:310:32:33

-Did you put them in yourself?

-Yeah.

-Right.

0:32:440:32:46

Can we have a look at them, then?

0:32:460:32:48

And I'll get each individual one identified.

0:32:480:32:51

-That's definitely yours, is it?

-Yep.

0:32:580:33:00

-And that's not your flock number?

-No.

0:33:030:33:05

Right, this one.

0:33:050:33:06

The three older sheep, the ewes, all have Marie's individual ear marking.

0:33:060:33:11

Same as the other one.

0:33:130:33:15

But the four young lambs don't have any ear markings.

0:33:150:33:19

Harry needs to prove they're also part of Marie's flock.

0:33:190:33:22

So what we're going to do is let them go to their mothers

0:33:220:33:25

and then we know specifically that they are paired up with them.

0:33:250:33:28

With each one heading straight to their mum...

0:33:320:33:35

it's clear who these lambs belong to.

0:33:390:33:42

You spend hours looking for them.

0:33:490:33:51

The other day we were on the fell eight hours looking for sheep.

0:33:510:33:54

Recovering these sheep is worth hundreds of pounds to Marie.

0:33:570:34:01

And you just presume they're not there.

0:34:060:34:08

Marie takes the sheep back to her farm

0:34:110:34:14

but it isn't case closed for Harry.

0:34:140:34:16

Back at base in Barnard Castle,

0:34:190:34:21

he follows up the flock numbers on the tags in question.

0:34:210:34:25

We've managed to return the sheep to the owner and at the moment

0:34:250:34:28

enquiries are still ongoing.

0:34:280:34:29

We're looking at a number of suspects who may be involved in this.

0:34:290:34:34

It's a difficult case to solve

0:34:380:34:41

but the investigation is ongoing.

0:34:410:34:43

With limited resources, policing rural areas can be challenging.

0:34:470:34:51

A lot of the farms are extremely remote,

0:34:590:35:01

particularly in the Teesdale area,

0:35:010:35:03

and it's very, very hard for us to be able to police them,

0:35:030:35:07

very difficult to always keep an eye on the locations

0:35:070:35:10

where the sheep are taken from.

0:35:100:35:12

All we can do is do our best

0:35:120:35:14

and work together with the farmers who own the land and do

0:35:140:35:17

the best that we can to prevent these thefts from taking place.

0:35:170:35:20

In Dumfries and Galloway Royal Infirmary,

0:35:330:35:35

the medical team are assessing 47-year-old stroke victim Caroline

0:35:350:35:40

after she was rushed in.

0:35:400:35:41

What are youse doing to me? I can go.

0:35:410:35:44

Let's just have another little look at you, OK?

0:35:470:35:49

Caroline collapsed at a rural caravan park

0:35:510:35:54

making it no easy job for ambulance crew Paul and Keith

0:35:540:35:56

to quickly get her to treatment.

0:35:560:35:58

Do you know what's going on, Caroline?

0:35:580:36:00

A wee faint.

0:36:030:36:04

Clock starts ticking at the first

0:36:040:36:06

signs and symptoms a patient's having a stroke.

0:36:060:36:08

Give me a big smile.

0:36:080:36:09

Well done, sweetheart.

0:36:090:36:11

In a rural setting it is...

0:36:110:36:13

It goes very, very quickly.

0:36:130:36:15

We're going to be probably 20 minutes, Keith?

0:36:150:36:18

The quicker we get in, the better for the patient.

0:36:180:36:21

The less damage to the brain.

0:36:210:36:22

The medical team, led by Dr Peter Armstrong,

0:36:240:36:27

immediately start tests.

0:36:270:36:29

She's still very confused.

0:36:290:36:31

She's got a weakness that is still there on the left-hand side.

0:36:310:36:36

Her speech is still a little bit mumbly

0:36:360:36:40

so the words aren't coming out quite as well as they normally do.

0:36:400:36:43

I think she's certainly not any worse than she was

0:36:430:36:46

but we're just taking her round to CT scan now.

0:36:460:36:49

We'll take a look and see if there's any evidence of any bleeding in

0:36:490:36:52

and around her brain and take it from there.

0:36:520:36:56

If the CT scan shows signs of a haemorrhage,

0:36:560:37:00

it could mean long-term devastating brain damage.

0:37:000:37:03

OK, well done, Caroline. We'll just set that for your brain scan

0:37:070:37:10

so just be a wee moment. Doing really, really well there.

0:37:100:37:13

Caroline is still unaware of her condition

0:37:160:37:19

but the scan results are instantaneous.

0:37:190:37:21

Well done, Caroline. We're just checking those pictures just now.

0:37:210:37:25

You're doing really, really well.

0:37:250:37:27

Just looking in depth at every slices of the brain.

0:37:270:37:30

It takes only a few minutes to do but gives us so much more information.

0:37:300:37:34

Hi, Caroline. How are we doing?

0:37:340:37:37

-Champion.

-Yeah, you feeling better?

-Top of the shop.

0:37:370:37:40

Have you still got that sore head?

0:37:400:37:42

OK, we'll get you a little bit of painkiller then for that.

0:37:420:37:46

-See if we can make that a bit better.

-Aye.

-OK, well done.

0:37:460:37:49

After analysing the results,

0:37:490:37:51

Peter refers the scan to a specialist radiologist.

0:37:510:37:55

She's a young person and this is onset at 11 o'clock this morning

0:37:550:37:58

so probably a good candidate for consideration of thrombolysis.

0:37:580:38:02

We'll grab a wee seat inside.

0:38:030:38:05

Peter finds Caroline's partner Andy to talk through the results.

0:38:050:38:09

We're just back in this room on the right-hand side.

0:38:090:38:12

There's no signs of any bleeding or anything like that.

0:38:120:38:16

Now, there's a radiologist who's looking at it

0:38:160:38:18

and he's going to give me a sort of formal report very, very shortly

0:38:180:38:22

but, certainly, looking at it myself, I couldn't see any signs of...

0:38:220:38:27

Any collections of blood within the brain which means that she is

0:38:270:38:31

behaving more like a traditional type of stroke.

0:38:310:38:35

If we're satisfied that there's no bleeding in there

0:38:350:38:38

then she would be a candidate for this clot-busting drug which the

0:38:380:38:42

idea is that it tries to dissolve any blood clots around the brain

0:38:420:38:46

and try and get the blood flowing to those areas again.

0:38:460:38:49

This is good news for Caroline.

0:38:510:38:53

With no sign of a bleed, it's more likely a blood clot has caused

0:38:530:38:56

the stroke, meaning Caroline can have an effective new treatment.

0:38:560:39:01

There is a potential treatment given her young age,

0:39:020:39:05

given how quickly she's come to hospital

0:39:050:39:08

and that is a treatment called thrombolysis

0:39:080:39:10

where we'll administer a drug in through the veins

0:39:100:39:13

and the idea is that it will break down blood clots to try

0:39:130:39:16

and improve blood flow to the actual brain and try and

0:39:160:39:20

reduce the amount of damage.

0:39:200:39:22

For most patients, thrombolysis needs to be given within

0:39:220:39:25

four and a half hours of the first stroke symptoms.

0:39:250:39:28

Thanks to Caroline's quick transfer to hospital,

0:39:280:39:30

she's within that critical timeframe.

0:39:300:39:32

-Hi.

-Hiya.

0:39:340:39:35

-Do you recognise this person?

-Hello.

0:39:350:39:37

We're going to take you upstairs to one of the other wards, OK,

0:39:390:39:42

and see if we need any other treatment, OK.

0:39:420:39:45

You're going to be fine.

0:39:450:39:46

Now, I gave you some of that painkiller. How's your headache?

0:39:460:39:49

Well, there we go.

0:39:520:39:54

It looks like you might have had a little stroke this morning.

0:39:560:40:00

-Is that a good thing or a bad thing?

-It's not a great thing, to be honest.

0:40:000:40:04

It's not a great thing but I think you're going to be fine.

0:40:040:40:07

Because of the speedy response of the ambulance crew

0:40:070:40:11

Caroline has been given every chance to receive the right treatment.

0:40:110:40:14

Treatment that could lead to a full recovery.

0:40:140:40:17

We have a narrow time window where we can potentially deliver

0:40:190:40:22

life-changing treatment. For the paramedics, obviously,

0:40:220:40:25

the key thing is to get to the casualties safely,

0:40:250:40:27

in a timely manner, to make an assessment of them

0:40:270:40:30

and then convey them as safely as possible to hospital.

0:40:300:40:34

And you've got to remember that we're in a rural environment

0:40:340:40:36

so the journey times are going to be longer than if you're in the city.

0:40:360:40:39

It's not unusual for maybe paramedics to have to travel

0:40:390:40:43

an hour or perhaps longer with the patient to get them

0:40:430:40:46

to hospital so, really, the pressure is on them

0:40:460:40:48

to make an assessment and make a decision as soon as possible.

0:40:480:40:52

And I must say, I take my hat off to them

0:40:520:40:54

because this, they're doing it in often very difficult circumstances,

0:40:540:40:57

circumstances that maybe we in hospital don't appreciate.

0:40:570:41:01

And just ten days after receiving the life-changing

0:41:080:41:11

clot-busting treatment, Caroline's already recovering at home.

0:41:110:41:15

I can't really remember being in the ambulance or

0:41:170:41:20

anything like that but I know if it wasn't for them

0:41:200:41:23

at the time and their quick thinking,

0:41:230:41:26

and getting this diagnosed as quick and my partner getting it

0:41:260:41:30

diagnosed as quick, then I probably would be very ill at the moment.

0:41:300:41:34

The speed that the ambulance came for me was tremendous

0:41:360:41:41

and considering we were right out in the country at the time,

0:41:410:41:45

and Paul, who was absolutely wonderful,

0:41:450:41:49

held my hand all the way to the hospital

0:41:490:41:54

and got me there in this time limit

0:41:540:41:56

that I should have been in the time limit to get the special drug.

0:41:560:42:00

Eventually got a cup of tea!

0:42:070:42:09

And I don't know where that came from

0:42:090:42:11

because it's definitely not me because I don't make that that often

0:42:110:42:15

but I think it's a mum thing, you know,

0:42:150:42:17

like if anything goes wrong you have a cup of tea and that

0:42:170:42:21

fixes the world and that is great to have a cup of tea, eventually.

0:42:210:42:27

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

0:42:350:42:39

Julian was suffering from a brain haemorrhage.

0:42:400:42:42

But after 11 days of treatment at Derriford Hospital,

0:42:420:42:45

he's now back home and making a full recovery.

0:42:450:42:48

With a twisted ligament and chipped shinbone,

0:42:500:42:52

Ryan was on crutches for five days.

0:42:520:42:55

But he did make it to Kavos with his mates.

0:42:550:42:58

After further investigation into the sheep theft,

0:42:580:43:01

no charges have yet been pressed.

0:43:010:43:03

The case is still ongoing.

0:43:030:43:05

And Caroline has a weekend already planned back at the caravan.

0:43:050:43:09

And who said it was quiet in the countryside?

0:43:100:43:13

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