0:00:02 > 0:00:06From the Highlands of Scotland, to the coast of Cornwall,
0:00:06 > 0:00:10the Great British countryside is spectacular.
0:00:10 > 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 > 0:00:25This chap is having a heart attack and we need to get him in quickly.
0:00:27 > 0:00:29There's no police courses for this.
0:00:29 > 0:00:33Going hundreds of miles against the clock.
0:00:33 > 0:00:35Battling the elements...
0:00:35 > 0:00:36and braving the weather.
0:00:40 > 0:00:45From fields and forests, to cliffs and country roads,
0:00:45 > 0:00:47we'll be right at the heart of the action.
0:00:49 > 0:00:51With police fighting crime...
0:00:51 > 0:00:53Could seize your dogs. Could seize 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 > 0:01:04Come out of the way!
0:01:04 > 0:01:07We're there as the emergency services pull together
0:01:07 > 0:01:12to pick up, patch up and protect the public.
0:01:12 > 0:01:15This is Countryside 999.
0:01:33 > 0:01:35Coming up...
0:01:35 > 0:01:38the heat is on for paramedics at Britain's biggest country show.
0:01:38 > 0:01:40Huw, what you doing? James!
0:01:40 > 0:01:42Can we have that clear? I want to get out.
0:01:42 > 0:01:46Cornwall's Air Ambulance race to reach a tourist who's taken a tumble.
0:01:46 > 0:01:50My ankle touched my back, and it went crack.
0:01:50 > 0:01:53Then I screamed and then my children cried.
0:01:53 > 0:01:58And summer holiday shenanigans keep County Durham cops on their toes.
0:01:58 > 0:02:01Looks like they're making off.
0:02:01 > 0:02:04So, can you just come and sit back over here?
0:02:09 > 0:02:11The great British countryside.
0:02:11 > 0:02:15We work and play in it, and when it comes to celebrating it,
0:02:15 > 0:02:18nothing quite beats a good old-fashioned country fair.
0:02:21 > 0:02:25And Britain's biggest is the Royal Welsh Show.
0:02:25 > 0:02:28Every summer a quarter of a million people flock to
0:02:28 > 0:02:32Builth Wells in heart of Wales.
0:02:32 > 0:02:35With anything from tug-of-war to pole climbing on offer,
0:02:35 > 0:02:39throw in 60,000 people and 8,000 animals,
0:02:39 > 0:02:42sooner or later someone's going to need a doctor.
0:02:45 > 0:02:48Luckily the show has pulled together a 50-strong team of medics
0:02:48 > 0:02:50who specialise in big events.
0:02:52 > 0:02:55In charge is Doctor Roger Cook.
0:02:55 > 0:02:57I've been coming about 15 years.
0:02:57 > 0:02:59It's a unique experience.
0:02:59 > 0:03:02An enormous range of activities going on.
0:03:02 > 0:03:06We will expect every medical issue that one would see in general
0:03:06 > 0:03:09practice or A & E practice normally.
0:03:09 > 0:03:14On top of that then we've got the trauma, so slips, trips,
0:03:14 > 0:03:18falls, and specific trauma related to some of the displays.
0:03:19 > 0:03:22Roger's in charge of the show's pop-up medical centre
0:03:22 > 0:03:25set up to take the pressure off local hospitals.
0:03:28 > 0:03:31So far the four day event has been packed out,
0:03:31 > 0:03:34but it's about to get even busier.
0:03:34 > 0:03:36Day three is our busy day...
0:03:36 > 0:03:39usually, traditionally. It's Welsh Cob Day,
0:03:39 > 0:03:41so there are lots and lots of people out there
0:03:41 > 0:03:45and we expect lots and lots of people in here as well.
0:03:45 > 0:03:48There's a couple of finals competitions,
0:03:48 > 0:03:52so sheep shearing, I don't know if any of you have been up to watch that,
0:03:52 > 0:03:54but that is fairly frenetic activity.
0:03:54 > 0:03:58And how they avoid injury is an amazement rather than anything else.
0:04:00 > 0:04:05On top of some perilous pursuits, temperatures are topping 27 degrees,
0:04:05 > 0:04:08which is racking up the pressure on the team.
0:04:08 > 0:04:13We see an enormous change in the numbers of patients that we see.
0:04:13 > 0:04:17244 one day. 288 yesterday.
0:04:17 > 0:04:21So...that is record numbers.
0:04:21 > 0:04:26And we've seen between 50 and 100% increase in our workload, medically,
0:04:26 > 0:04:30compared with the other years where the temperature is cooler.
0:04:31 > 0:04:33While Roger manages the medical centre,
0:04:33 > 0:04:37paramedics like Cameron McVitie tend to casualties in the field.
0:04:39 > 0:04:44Fresh from paramedic training, this is rookie Cameron's first country show.
0:04:44 > 0:04:47It's a show that's on a very large scale
0:04:47 > 0:04:50in quite a rural area,
0:04:50 > 0:04:53so this is a little bit different in terms of what I'm used to
0:04:53 > 0:04:56doing out on the road when I've been doing my practice placements.
0:04:56 > 0:04:58In Leicester City Centre for example,
0:04:58 > 0:05:00we're only minutes away from the hospital.
0:05:00 > 0:05:01Here, we're quite a journey from hospital,
0:05:01 > 0:05:05so it's a little bit of a different emphasis on our skills.
0:05:11 > 0:05:14Cameron will try to deal with most issues on scene,
0:05:14 > 0:05:16and a call has just come in.
0:05:16 > 0:05:18There's been a knife incident in a nearby sheep shed.
0:05:22 > 0:05:25So, we've just had a report from security that a...
0:05:25 > 0:05:27The gentleman's wife has just called in and he's cut his hand
0:05:27 > 0:05:30open on a penknife, so we'll have a quick assessment.
0:05:30 > 0:05:31See if he needs any further treatment.
0:05:31 > 0:05:33If we can discharge on scene, then great.
0:05:33 > 0:05:36If not, we can transport him back to the medical centre.
0:05:37 > 0:05:40But it's not quite what Cameron expected.
0:05:40 > 0:05:42He has a knife and it got me.
0:05:42 > 0:05:44He had a knife and it got you!
0:05:44 > 0:05:47- He didn't try. - He didn't try. It wasn't on purpose.
0:05:48 > 0:05:50Seven-year-old Huw was playing with his friend's penknife
0:05:50 > 0:05:52when it slipped and cut his knee.
0:05:52 > 0:05:56- And it just got you here, did it?- Yes.- OK.
0:05:57 > 0:05:59I'll tell you what.
0:05:59 > 0:06:01Let's have a quick look and then we'll give it a good clean
0:06:01 > 0:06:04and see if you need a plaster. Yeah?
0:06:04 > 0:06:06Let's have a quick look.
0:06:10 > 0:06:13Is it sore? Sorry, mate.
0:06:13 > 0:06:15We'll need to take him back down to the medical centre
0:06:15 > 0:06:17cos they've got sterile strips back there.
0:06:17 > 0:06:18I've not got any on me at the moment.
0:06:18 > 0:06:21But it's nothing more sinister than that. He's happy as Larry.
0:06:21 > 0:06:23He's quite a happy little chap, aren't you?
0:06:23 > 0:06:25You're a bit of a cool dude, aren't you? Yeah?
0:06:25 > 0:06:29A plaster back at the medical centre should fix it.
0:06:29 > 0:06:32- No problem at all. - Thank you.- No problem.
0:06:33 > 0:06:36But the situation takes a sudden unexpected turn.
0:06:36 > 0:06:41- Huw, what you doing? James! - OK. It's all right.
0:06:42 > 0:06:46No problem. All right, mate.
0:06:50 > 0:06:52You all right, buddy. Hello. Stay still.
0:06:52 > 0:06:55Stay still. Just stay still. Lie down.
0:06:55 > 0:06:58- Good man. What's the location of this, mate?- Sheep sheds.
0:06:58 > 0:07:00NV sheep shed.
0:07:00 > 0:07:03Just had a little boy, seven years old, that's just collapsed.
0:07:03 > 0:07:06I was actually treating him for a little cut on his leg.
0:07:06 > 0:07:10He's now come back round. Just want a bit of transport, please, mate.
0:07:10 > 0:07:14Cameron calls for backup and tries to assess Huw's condition.
0:07:14 > 0:07:16Let's have a quick listen to his chest.
0:07:18 > 0:07:20Has he, really?
0:07:21 > 0:07:22Nice deep breaths, Huw.
0:07:22 > 0:07:26There can be a number of causes why someone would have an event like Huw had.
0:07:26 > 0:07:28Could it be due to an underlining medical condition
0:07:28 > 0:07:30such as his cardiac condition or was it
0:07:30 > 0:07:32because he was anxious about what was going on?
0:07:32 > 0:07:34There was a lot going on around him at the time.
0:07:34 > 0:07:36I'm just going to check your eyes.
0:07:39 > 0:07:43All I need now is a little bit of blood from your finger.
0:07:43 > 0:07:47Do you understand why I'm doing it? Just to look at your blood sugar.
0:07:47 > 0:07:49- You look at Mummy. - Grandad Jim does it at his house.
0:07:49 > 0:07:52Little scratch. Good man. All done.
0:07:52 > 0:07:56When we take a blood sugar reading to test glucose in someone's blood,
0:07:56 > 0:07:59essentially the body can't run without its fuel,
0:07:59 > 0:08:00and the body's fuel is glucose.
0:08:00 > 0:08:04If that's too low in the blood then that can have an adverse effect on the human body.
0:08:05 > 0:08:08His blood pressure's all right at the moment.
0:08:08 > 0:08:10He's got a good radial pulse into his wrist,
0:08:10 > 0:08:12which means that his blood pressure's at a nice level.
0:08:12 > 0:08:15So, I'm happy with him as he is at the moment.
0:08:15 > 0:08:17Don't want to move him too much at the moment until my crew comes
0:08:17 > 0:08:20so we've got some backup if we need it. OK?
0:08:20 > 0:08:24This latest turn of events means Cameron must get Huw to a doctor
0:08:24 > 0:08:26and find out the cause of his collapse
0:08:39 > 0:08:43Cornwall - Britain's favourite family-friendly holiday destination.
0:08:50 > 0:08:54But its rugged terrain doesn't always mean risk-free fun in the sun.
0:09:07 > 0:09:11In Cornwall it can be all extremes and all seasons, almost, in one day.
0:09:11 > 0:09:16We've got high peaks with moorlands, we've got long-running coastal paths.
0:09:16 > 0:09:20Beaches with access problems, which are difficult to get to.
0:09:20 > 0:09:23Miles from nowhere can mean miles from hospital.
0:09:25 > 0:09:27When holiday season hits,
0:09:27 > 0:09:31one rural emergency service on hand to help is Cornwall's Air Ambulance.
0:09:31 > 0:09:33People like to come to on holiday to Cornwall
0:09:33 > 0:09:36and make the most of its magnificent scenery.
0:09:36 > 0:09:38And one of the challenges is getting access to them
0:09:38 > 0:09:40when they fall ill or injured.
0:09:42 > 0:09:45It's a challenge lead paramedic Steve Garvey and the team at Newquay
0:09:45 > 0:09:50face all year round - flying up to four missions every day.
0:09:53 > 0:09:56And today a call has just come through.
0:09:56 > 0:09:5835-year-old female.
0:09:59 > 0:10:01She's walking on sort of a local monument
0:10:01 > 0:10:04and she's gone over and believes her to have an ankle fracture.
0:10:04 > 0:10:07They've walked a considerable distance from the road,
0:10:07 > 0:10:10across several stiles, so this seems like an access job.
0:10:17 > 0:10:18In hard-to-reach places,
0:10:18 > 0:10:21the helicopter isn't just the fastest way to bring help.
0:10:21 > 0:10:24Sometimes, it's the only way.
0:10:24 > 0:10:29On shift with Steve are pilot Craig Webster and paramedic Paul Symonds.
0:10:29 > 0:10:32From what we know, it's a 35-year-old female
0:10:32 > 0:10:35that is just in a location that's inaccessible by road.
0:10:35 > 0:10:36We think she's fractured her ankle
0:10:36 > 0:10:38which, obviously, makes her mobility poor.
0:10:38 > 0:10:41She's not able to walk herself off. The advantage of having the aircraft
0:10:41 > 0:10:43is bringing speed.
0:10:43 > 0:10:47The other advantage is, living in the locations that we do,
0:10:47 > 0:10:49some places are inaccessible by roads.
0:10:49 > 0:10:51To get a normal road ambulance to any site
0:10:51 > 0:10:54can be difficult and challenging sometimes.
0:10:54 > 0:10:57The team is heading 40 miles south-west
0:10:57 > 0:10:59to an ancient site near Penzance.
0:11:01 > 0:11:04While getting there should be easy, landing could be tricky,
0:11:04 > 0:11:07as local lad Steve knows only too well.
0:11:08 > 0:11:12I know this area and it's going to be impossibly difficult
0:11:12 > 0:11:16for us to land anywhere near this casualty because it's quite hilly.
0:11:16 > 0:11:18Will be interesting to see what we can do.
0:11:18 > 0:11:21But, with no roads close by,
0:11:21 > 0:11:23the Helimed is the only option for the injured tourist.
0:11:23 > 0:11:25We don't know the severity of the ankle fracture.
0:11:25 > 0:11:28Apparently she's tried to walk on it and can't move.
0:11:30 > 0:11:33Luckily, her injuries aren't life-threatening
0:11:33 > 0:11:36and the weather could be worse.
0:11:36 > 0:11:38St Ives looking lovely.
0:11:38 > 0:11:41- It's beautiful down here, Steve. - That makes it worth popping out.
0:11:41 > 0:11:44Never get sick and tired of this.
0:11:44 > 0:11:45It's just gorgeous, isn't it?
0:11:48 > 0:11:49Very privileged.
0:11:49 > 0:11:52Very privileged to be in a position like this.
0:11:54 > 0:11:56The team spot the ancient site.
0:12:11 > 0:12:14A road paramedic has managed to reach the scene.
0:12:14 > 0:12:18Now pilot Craig has to work out how close he can land.
0:12:50 > 0:12:53The ground's too steep. Craig aborts the landing.
0:12:53 > 0:12:57That slope can cause a particular problem for the helicopter.
0:12:57 > 0:13:00The disc on top, when we land on...
0:13:00 > 0:13:03Or the rotor beam, doesn't like to be at particular angles
0:13:03 > 0:13:06and there are set limits that the pilots can't land with,
0:13:06 > 0:13:09so we have to ensure that those limits aren't exceeded.
0:13:15 > 0:13:18With some careful flying, the Helimed's down.
0:13:22 > 0:13:24The rapid response car had got there first
0:13:24 > 0:13:26and was able to provide some initial treatment for the patient,
0:13:26 > 0:13:30but they'd only literally got there a minute or so before our arrival.
0:13:30 > 0:13:33So we've been walking down here, Paul, wearing sensible shoes.
0:13:33 > 0:13:36We've slipped, we've gone over on our ankle.
0:13:37 > 0:13:40Steph have been taking a tour round the ruins with her family.
0:13:40 > 0:13:45I slipped down here and my ankle
0:13:45 > 0:13:50touched my back and it went crack,
0:13:50 > 0:13:54basically, and, then, I screamed and, then, my children cried.
0:13:54 > 0:13:57In this circumstance, the lady said she felt her ankle crack.
0:13:57 > 0:14:00She heard a good crack, as well. That's a pretty good indication
0:14:00 > 0:14:03that I don't think I'd like to try and stand up on that leg again.
0:14:03 > 0:14:07Steph's son Jordan helps his mum with some much-needed pain relief.
0:14:08 > 0:14:11- Have you had morphine before? - I have, yes.
0:14:11 > 0:14:13- She had kidney stones, didn't you? - No problem with it?- Yes.
0:14:13 > 0:14:17On 7th October last year. I'll never forget it.
0:14:17 > 0:14:20My youngest son's birthday.
0:14:20 > 0:14:24He'll never let me forget it either.
0:14:24 > 0:14:27- Where have you set out from?- Well, we were going to Lands' End and I said,
0:14:27 > 0:14:31"Oh, let's go up the bank." And then we were going to go...
0:14:31 > 0:14:34Once we get you up in the air, you'll be able to see it all.
0:14:34 > 0:14:35Aerial view. Very nice.
0:14:35 > 0:14:39We'll give you a helicopter tour of Cornwall,
0:14:39 > 0:14:43before we get you into the hospital to get your ankle fixed.
0:14:43 > 0:14:45Steve's distraction technique
0:14:45 > 0:14:48hasn't quite taken Steph's mind off the pain.
0:14:48 > 0:14:51Steph, just try and take some nice, slow, deep breaths on that gas for me
0:14:51 > 0:14:55- at the minute, because we're going to get the splints. Calm.- I am.
0:14:55 > 0:14:58Nice, long, slow ones. Nice, long, slow breaths.
0:14:58 > 0:15:01Our thought processes were, because she was obviously in a lot of
0:15:01 > 0:15:04pain and distress, so it is to give her some TLC,
0:15:04 > 0:15:08get some analgesia going, so that we can splint and support the limb
0:15:08 > 0:15:12which would ultimately make her feel a lot better.
0:15:12 > 0:15:17Despite the gas and morphine, the pain's really kicking in.
0:15:17 > 0:15:18It went crack.
0:15:21 > 0:15:23Nice, slow, deep breaths, Steph.
0:15:23 > 0:15:25That's it. You're doing really well.
0:15:25 > 0:15:30Really well. Steph, slow that breathing down, my angel.
0:15:30 > 0:15:33It works a lot better... That's it. Nice, deep breaths.
0:15:33 > 0:15:35Any slight movement will be agony,
0:15:35 > 0:15:38but the team need to finish splinting Steph's leg
0:15:38 > 0:15:40and get her to the helicopter.
0:15:53 > 0:15:56Back in the sheep shed at the Royal Welsh Show,
0:15:56 > 0:15:58an ambulance has arrived for seven-year-old Huw,
0:15:58 > 0:16:02who collapsed while being treated for a minor cut to his knee.
0:16:02 > 0:16:05Huw, what you doing? James!
0:16:05 > 0:16:08- How are you feeling, buddy? - OK.- You feel OK.
0:16:08 > 0:16:10Little tap on your chest.
0:16:10 > 0:16:12Cameron's trying to get
0:16:12 > 0:16:14to the bottom of Huw's mysterious fainting fit.
0:16:14 > 0:16:17I wonder when was the last time you had something to eat?
0:16:19 > 0:16:22This morning? What did you have for your breakfast?
0:16:24 > 0:16:25Are you ready to stand up?
0:16:25 > 0:16:28One, two, three. Wonderful.
0:16:28 > 0:16:29Just wait there for a minute.
0:16:29 > 0:16:31Make sure you don't get any more dizzy.
0:16:31 > 0:16:33Are you wobbly?
0:16:33 > 0:16:35So, still got a radio.
0:16:35 > 0:16:37INDISTINCT RADIO MESSAGE
0:16:37 > 0:16:38Still got a radio, yeah.
0:16:40 > 0:16:42- You all right, Huw?- Yeah?
0:16:42 > 0:16:44OK, how do you feel now you've stood up?
0:16:44 > 0:16:46Do you feel back to your normal self
0:16:46 > 0:16:48or do you still feel a bit funny?
0:16:48 > 0:16:50A bit funny, yeah.
0:16:50 > 0:16:52While woozy Huw's taken to the ambulance,
0:16:52 > 0:16:55Cameron reassures his very worried pal, Dan.
0:16:55 > 0:16:57So what's happening now is
0:16:57 > 0:17:00he's going to go back in the ambulance with my colleagues.
0:17:00 > 0:17:03The doctor at the other end is going to give him a quick check over.
0:17:03 > 0:17:07- He'll be back.- OK.- Is that all right?- Yes.- OK?
0:17:07 > 0:17:09- Yes.- Cheer up. You've done nothing wrong.
0:17:09 > 0:17:12I felt quite sorry for his friend. One minute he's playing around with
0:17:12 > 0:17:15his friend and for one reason or another accidentally cut him but to
0:17:15 > 0:17:18see him going from having treatment for a small, tiny would on his knee
0:17:18 > 0:17:21to seeing his friend pass out in front of him
0:17:21 > 0:17:22is quite daunting for a little boy.
0:17:22 > 0:17:24- We'll be back soon, OK?- OK.
0:17:24 > 0:17:27Let's get this lad some treatment that he needs back at
0:17:27 > 0:17:30the medical centre then get him back shearing his sheep as he enjoys doing.
0:17:33 > 0:17:35At the on-site medical centre,
0:17:35 > 0:17:38Cameron hands Huw over to Roger.
0:17:38 > 0:17:40Do you remember what happened?
0:17:40 > 0:17:43- Yes.- Don't worry about it.
0:17:43 > 0:17:44You'll be fine.
0:17:45 > 0:17:48You just cut your knee with a knife, did you?
0:17:48 > 0:17:50OK. How does it feel now?
0:17:52 > 0:17:53Hurts a little bit.
0:17:53 > 0:17:56Are you going to take your shirt off and then we can just have a listen to
0:17:56 > 0:17:59the ticker and see what's going on?
0:17:59 > 0:18:03Roger suspects there's a simple explanation for Huw's fainting fit.
0:18:15 > 0:18:19So I want you to drink lots and lots of water or squash,
0:18:19 > 0:18:21that sort of thing, during the day.
0:18:21 > 0:18:23You can rest here for a few minutes.
0:18:23 > 0:18:27We'll clean that up and get you a plaster on it. OK?
0:18:27 > 0:18:29And I think you'll be fine.
0:18:29 > 0:18:32So it looks like another heat-related casualty.
0:18:32 > 0:18:34A little rest and he should be fine.
0:18:35 > 0:18:38- OK?- Don't worry, you're all right.
0:18:39 > 0:18:43And things are hotting up elsewhere at the show as the crowds descend
0:18:43 > 0:18:45for an afternoon of big events.
0:18:50 > 0:18:53TANNOY: 'Ladies and gentleman, your champions for 2014 -
0:18:53 > 0:18:55'Ceredigion YFC!'
0:19:05 > 0:19:08Cameron is back on patrol by the show's main ring
0:19:08 > 0:19:10when he spots an ambulance at the entrance.
0:19:12 > 0:19:15He hot-foots it to the spectator stands.
0:19:17 > 0:19:2059-year-old male, his heart rate's just dropping below 50.
0:19:20 > 0:19:22A man has collapsed in the crowd.
0:19:24 > 0:19:26As quick as we can, out.
0:19:26 > 0:19:28When we got to the patient, he was very...
0:19:28 > 0:19:30He was presenting with cardiac symptoms.
0:19:30 > 0:19:32He was very grey, sweating and clammy,
0:19:32 > 0:19:36which are all tick boxes to say this patient is having a cardiac event.
0:19:36 > 0:19:40He needs to get the man quickly out through the packed crowds.
0:19:40 > 0:19:41Can we have that clear?
0:19:41 > 0:19:42I want to get out.
0:19:42 > 0:19:4659-year-old Mark is now conscious but feeling very unwell.
0:19:46 > 0:19:49At this stage, Cameron can't rule out a heart attack.
0:19:52 > 0:19:55- Have you ever had a heart attack of anything like that at all?- No.
0:19:55 > 0:19:58No, OK. And do you have any medical history at all, mate?
0:20:02 > 0:20:03Yeah.
0:20:06 > 0:20:07OK.
0:20:08 > 0:20:11So you're quite fit and healthy, you?
0:20:11 > 0:20:13You're a little bit sweaty, aren't you, mate?
0:20:13 > 0:20:14Get the air con back on, please.
0:20:14 > 0:20:17For a chap that keeps himself very fit, he's very healthy,
0:20:17 > 0:20:20attends the gym regularly, I could tell straightaway
0:20:20 > 0:20:23'from looking at him that he wasn't the right colour.'
0:20:23 > 0:20:25I'm getting is sweaty as you are.
0:20:25 > 0:20:26It's warm in here, isn't it?
0:20:29 > 0:20:30It is, isn't it?
0:20:31 > 0:20:35If there are heart problems it could show up on an ECG.
0:20:35 > 0:20:37Electrodes are put on Mark's chest
0:20:37 > 0:20:40to record the electrical signals coming from his heart.
0:20:48 > 0:20:50Cameron checks the ECG for any irregularities.
0:21:06 > 0:21:10But the reading suggests this is more serious than indigestion.
0:21:12 > 0:21:15He has got ischaemia. So it's well worth...
0:21:15 > 0:21:19And the symptoms as well, so let's not rule anything out at this stage.
0:21:21 > 0:21:23Ischaemia, so, basically,
0:21:23 > 0:21:27those lines on the ECG basically give me like a 3-D image of
0:21:27 > 0:21:28what's going on with your heart.
0:21:28 > 0:21:32The way your symptoms at the moment, I can't rule out at this stage
0:21:32 > 0:21:34that something might be going on with your heart.
0:21:34 > 0:21:36OK?
0:21:36 > 0:21:39Ischaemia means Mark could be experiencing restricted
0:21:39 > 0:21:41blood flow to his heart.
0:21:41 > 0:21:44We're just going to travel with this guy back to the medical centre.
0:21:44 > 0:21:46He is presenting with some cardiac symptoms at the moment.
0:21:46 > 0:21:47He's sweaty and clammy.
0:21:47 > 0:21:50He's got some ischaemia as well so let's get him checked out,
0:21:50 > 0:21:52let's get him some adequate care back there.
0:21:54 > 0:21:56It's a short trip to the medical centre.
0:21:56 > 0:22:00But if it's serious, the nearest hospital is 45 minutes away.
0:22:02 > 0:22:04The main thing for you at the moment,
0:22:04 > 0:22:07just stay chilled, stay calm and stay relaxed.
0:22:07 > 0:22:10In Mark's instance, it was important to reassure him that everything
0:22:10 > 0:22:13was going to be OK and we were doing everything we could for him.
0:22:13 > 0:22:16In a patient that's having what we think is a cardiac episode,
0:22:16 > 0:22:19if they start to become anxious or panic then that obviously can
0:22:19 > 0:22:21raise the heart rate and make the heart work harder than
0:22:21 > 0:22:23we want it to at the time.
0:22:23 > 0:22:25I know it all happened very fast. Sorry for that.
0:22:29 > 0:22:30Yes.
0:22:30 > 0:22:32Do you feel safe now?
0:22:32 > 0:22:34That's the main thing. My job is...
0:22:34 > 0:22:37I'm satisfied I've done the main part of my job.
0:22:37 > 0:22:39It is.
0:22:39 > 0:22:42So, at times, it can be a little bit daunting for patients because it
0:22:42 > 0:22:45might seem that a lot of us are coming from all angles attacking
0:22:45 > 0:22:48them, if you will, with different gizmos, bits of equipment.
0:22:48 > 0:22:51If there's enough of us there, let's get it all done quickly,
0:22:51 > 0:22:53let's get it done, you know, so we can build the bigger picture.
0:22:57 > 0:23:01Mark's partner Maggie has followed on behind.
0:23:01 > 0:23:04Don't worry about anything now, all right? He is in safe hands, OK?
0:23:12 > 0:23:15Maggie was with him when he suddenly took ill.
0:23:15 > 0:23:17He did lose consciousness twice.
0:23:17 > 0:23:20- Did he, really?- Yes.- And what happened?- He slumped forward.
0:23:20 > 0:23:22He had two big judders down his arm and just slumped
0:23:22 > 0:23:26- and the man next to us helped me sit him up a bit.- Yeah.
0:23:26 > 0:23:29Then he woke up like he'd just woken up in the morning
0:23:29 > 0:23:32- and was like, "What's just happened?"- Yeah.
0:23:32 > 0:23:35Mark just became unwell when he was in the stand.
0:23:35 > 0:23:40He just told me he felt giddy and he just passed out
0:23:40 > 0:23:43so I asked the stewards for help and they were really helpful.
0:23:43 > 0:23:46They came to our assistance straightaway
0:23:46 > 0:23:48and just called the paramedics
0:23:48 > 0:23:50and they took over from there.
0:23:50 > 0:23:53They've been very reassuring throughout.
0:23:53 > 0:23:55I'll pop your watch off and give it to she that must be obeyed.
0:23:55 > 0:23:58There you are. You can be watch monitor.
0:23:58 > 0:24:02Dr Roger Cook and the team's first concern is Mark's heart.
0:24:04 > 0:24:05Sharp scratch.
0:24:05 > 0:24:06BLEEP
0:24:09 > 0:24:12But they're not yet ruling out that heat could be to blame.
0:24:12 > 0:24:15Whether it was something cardiac, whether it was something as simple
0:24:15 > 0:24:18as the heat has got to him, heat exhaustion.
0:24:18 > 0:24:20His dehydration, his blood pressure was very low,
0:24:20 > 0:24:22so he's had some fluids to bring that back up as well,
0:24:22 > 0:24:26which could also explain why he had a low heart rate. Who knows?
0:24:26 > 0:24:29So, you know, let's see what Dr Cook wants to do after his assessment
0:24:29 > 0:24:31and then we'll go from there, I think.
0:24:34 > 0:24:38It's time for Cameron to leave Mark in Roger's capable hands.
0:24:38 > 0:24:41Looking at you, you didn't look good.
0:24:41 > 0:24:44We have this little saying, you looked like a wet fish.
0:24:44 > 0:24:45All right?
0:24:45 > 0:24:48So, I'm going to get my vehicle back that I've left, all right?
0:24:48 > 0:24:51And then if I see you, I see you again but if I don't...all the best.
0:24:51 > 0:24:54- Thanks very much.- No problem at all. - Thank you very much.- See you later.
0:24:54 > 0:24:56I'll try not to be a regular flyer.
0:24:56 > 0:24:57CAMERON LAUGHS Bye-bye now.
0:24:57 > 0:24:58- Cheers, mate.- Bye.
0:25:02 > 0:25:05Dr Cook gave him a good, thorough examination.
0:25:05 > 0:25:08His diagnosis was then that the patient had some pathology
0:25:08 > 0:25:11with his aorta, which is one of the main vessels leaving the heart
0:25:11 > 0:25:14supplying the body with the blood supply.
0:25:14 > 0:25:18With worries it could be a heart problem, Mark is blue-lit to
0:25:18 > 0:25:22Nevill Hall Hospital in Abergavenny for further tests.
0:25:22 > 0:25:23SIREN SOUNDS
0:25:24 > 0:25:28But with one show day still to go, there are more thrills and spills
0:25:28 > 0:25:32to come, when one daredevil takes a show-stopping dive.
0:25:39 > 0:25:41Nice, deep breaths.
0:25:41 > 0:25:44Back in Cornwall, the Air Ambulance team are trying to control
0:25:44 > 0:25:49Steph's pain, after a fall left her with a suspected fractured ankle.
0:25:49 > 0:25:52We've got splints, we've got everything else.
0:25:52 > 0:25:54- ..and we're sorted.- Uh-huh.
0:25:54 > 0:25:58She's been given morphine and the pain-relieving gas Entonox.
0:25:58 > 0:26:02They're now splinting her leg but any tiny movement is torture.
0:26:04 > 0:26:07Have you got a drawing up needle at all, please?
0:26:07 > 0:26:08Nice and comfortable, Steph, all right?
0:26:08 > 0:26:12We're just going to lie you flat. It's a horrible, old, hard board.
0:26:17 > 0:26:19We'll be guided by you.
0:26:19 > 0:26:23- When you want some more pain relief you just tell us.- OK.
0:26:23 > 0:26:26They now face a tricky walk to the helicopter.
0:26:31 > 0:26:33Quite a hike up to the incident.
0:26:33 > 0:26:35And I certainly wouldn't have liked to have hiked
0:26:35 > 0:26:39back down to the car park carrying a patient.
0:26:40 > 0:26:44Steph faces a seven-minute flight to The Royal Cornwall Hospital in
0:26:44 > 0:26:49Truro, leaving dad and kids to take the 25-mile trip by road.
0:26:49 > 0:26:50We're all ready to go.
0:26:50 > 0:26:52I'm going to go and get the other kids
0:26:52 > 0:26:55and we'll drive over to the hospital and see what happens, I think.
0:26:57 > 0:27:00My life's in these guys' hands at the moment.
0:27:00 > 0:27:01And I trust them.
0:27:02 > 0:27:03But the wind has picked up.
0:27:03 > 0:27:05Not good news for a nervy passenger.
0:27:32 > 0:27:34We've got to make each other a deal, all right?
0:27:34 > 0:27:36Don't start crying cos I'll start crying
0:27:36 > 0:27:39and then we'll end up in a blubbery mess, all right, angel?
0:27:39 > 0:27:42- And you don't want to see me cry.- No.
0:27:42 > 0:27:44With gusts of up to 25 knots,
0:27:44 > 0:27:48turbulence might be out of paramedic Paul's hands, but pain relief isn't.
0:27:52 > 0:27:53- Yeah.- Yeah?
0:27:59 > 0:28:00Yeah.
0:28:03 > 0:28:04Yeah.
0:28:06 > 0:28:09Ankles are particularly painful in themselves.
0:28:09 > 0:28:11There's a lot of movement, subject to a lot of vibration,
0:28:11 > 0:28:14and that's something the poor young lady experienced on the flight in.
0:28:14 > 0:28:17We had quite a bit of turbulence, quite gusty, little bit windy.
0:28:17 > 0:28:20Unfortunately, the flight in wasn't particularly comfortable
0:28:20 > 0:28:25so again we made attempts to manage the pain and reassure the young lady.
0:28:29 > 0:28:31- That's it. Well done.- OK.
0:28:31 > 0:28:32Three minutes left.
0:28:32 > 0:28:36Three minutes, there you go. See, that's not bad, is it?
0:28:36 > 0:28:37- Are you OK?- Yeah.
0:28:45 > 0:28:47OK, less than a minute or so, we'll be actually in Truro
0:28:47 > 0:28:49and we've got landing again, all right?
0:28:49 > 0:28:53This little bit here should just be like landing on a big cushion.
0:28:53 > 0:28:54All right?
0:28:57 > 0:29:00- And we are done. That wasn't so bad, was?- No.- You didn't notice it.
0:29:00 > 0:29:02You're honoured with that one, Steph.
0:29:02 > 0:29:05You wouldn't believe he'd only had three lessons, would you?
0:29:05 > 0:29:07- It tires me out concentrating. - There you go, see?
0:29:07 > 0:29:09Oh, it's just...
0:29:09 > 0:29:13I can hear clicking and cracks all in my foot in the ankle area
0:29:13 > 0:29:15and the pain just shoots up my leg.
0:29:15 > 0:29:17So I've not tried moving it since.
0:29:17 > 0:29:19- That sounds like a good plan.- Yeah.
0:29:19 > 0:29:22I've never broken anything, never twisted anything.
0:29:25 > 0:29:27Just three children and a kidney stone,
0:29:27 > 0:29:29they're the only reasons to go to hospital.
0:29:29 > 0:29:32The young lady had been lucky enough to get through I think 35 years
0:29:32 > 0:29:34of life without breaking a bone
0:29:34 > 0:29:39and this was a particularly traumatic incident. I can certainly empathise.
0:29:39 > 0:29:41You know, ankles, I've done one myself
0:29:41 > 0:29:43and it is particularly painful.
0:29:43 > 0:29:45I've never even been in an aeroplane.
0:29:45 > 0:29:49- It's my first flight ever.- How did it feel now you're here?- Erm...
0:29:49 > 0:29:51Would you do it again?
0:29:51 > 0:29:54Not lying down in pain, no.
0:29:56 > 0:29:59So, not the comfiest seven minutes for Steph,
0:29:59 > 0:30:01but it would have been much worse by road.
0:30:01 > 0:30:04The roads in Cornwall aren't particularly smooth.
0:30:04 > 0:30:06They're not the best road surface in the world
0:30:06 > 0:30:08so it would have been as uncomfortable in an ambulance
0:30:08 > 0:30:12but just for a longer duration, unfortunately.
0:30:12 > 0:30:15That actually turned out to be that lady's first ever flight in any
0:30:15 > 0:30:19form of aircraft so it was all about reducing her anxiety levels
0:30:19 > 0:30:22and stress and just making her feel nice and comfortable.
0:30:22 > 0:30:25My colleague was able to give her a couple of teddy bears to give
0:30:25 > 0:30:28to her children, further souvenirs of her time in Cornwall.
0:30:38 > 0:30:40County Durham.
0:30:40 > 0:30:43A rural landscape of market towns, river valleys
0:30:43 > 0:30:45and high, sweeping moors.
0:30:48 > 0:30:50Beautiful, but it's not always bliss.
0:30:52 > 0:30:56Countryside crime brings unique challenges for the county's cops.
0:30:58 > 0:31:01Perched on the edge of the Northern Pennines is
0:31:01 > 0:31:02the small town of Consett.
0:31:04 > 0:31:06Bobbies here police a mixed beat...
0:31:07 > 0:31:11..dealing with everything from agricultural theft
0:31:11 > 0:31:13to poaching.
0:31:13 > 0:31:15It's an offence to hunt with dogs.
0:31:15 > 0:31:18Are yous allowed in here to play football?
0:31:18 > 0:31:21Local lass Jackie Laws has been a police officer
0:31:21 > 0:31:22for the last 11 years.
0:31:22 > 0:31:24I've always wanted to be a police officer from
0:31:24 > 0:31:27when I was a young girl. I like helping people.
0:31:27 > 0:31:28I like looking after people.
0:31:28 > 0:31:31I think I'm one of these people if I did the same thing day in, day out,
0:31:31 > 0:31:33I'd get extremely bored.
0:31:35 > 0:31:37Today Jackie and PC Lynsay Meikle
0:31:37 > 0:31:40have been called to trouble on a nearby estate.
0:31:40 > 0:31:44RADIO: 'Chubby blonde male. Males and females.'
0:32:04 > 0:32:06The cops are hoping to catch the kids in the act.
0:32:07 > 0:32:10Just looking for any sign of any youths.
0:32:10 > 0:32:13- Or bits that have been pulled off. - There's a bit of damage on the...
0:32:13 > 0:32:17So I'm just double-checking to make sure that these are secure
0:32:17 > 0:32:20and there's nobody gained any entry into them.
0:32:21 > 0:32:24Lynsay, meanwhile, checks for lurking kids in a skip.
0:32:25 > 0:32:28There's a public footpath over there So there's a possibility they might
0:32:28 > 0:32:30have made off over here. So we'll
0:32:30 > 0:32:35just have a look across just to see if we can see anybody in the fields.
0:32:35 > 0:32:36But the kids have disappeared.
0:32:36 > 0:32:39We can't see any damage caused to anything there
0:32:39 > 0:32:40but we need to double check
0:32:40 > 0:32:43that there's no damage caused to these motor vehicles.
0:32:43 > 0:32:46So what we are going to do is we're going to
0:32:46 > 0:32:48go down to the informant's address.
0:32:48 > 0:32:52We believe that the youths have been irresponsibly climbing over a red
0:32:52 > 0:32:55Audi so we'll just check it over to make sure there's no damage on it.
0:32:55 > 0:33:00A quick check doesn't throw up any obvious signs of damage.
0:33:00 > 0:33:03But the car's owner has reported it's happened before.
0:33:10 > 0:33:12We checked it over. There was no damage.
0:33:12 > 0:33:15She was basically telling us that it's an ongoing problem.
0:33:15 > 0:33:19So what we've told her to do is every time she sees them
0:33:19 > 0:33:21if she brings us up to let us know cos hopefully
0:33:21 > 0:33:24we can get somebody down to get them stopped, you know, get the names,
0:33:24 > 0:33:28then obviously they can be spoken to in front of the parents.
0:33:30 > 0:33:34Just as they're driving away, another call comes over the radio.
0:33:34 > 0:33:37Did you say they're back on the container roofs?
0:33:37 > 0:33:39'Back on the roof of the school.
0:33:39 > 0:33:43'Males and females, 13, one male all dark clothing,
0:33:43 > 0:33:46'one with a red T-shirt and another in white.'
0:33:46 > 0:33:50We'll go down one of these streets here and we'll sneak up on them
0:33:50 > 0:33:51and we'll see who's there.
0:33:52 > 0:33:56But there's only so much sneaking you can do in a marked police car.
0:33:56 > 0:33:59Looks like they're making off.
0:33:59 > 0:34:01Lynsay and Jackie give chase.
0:34:01 > 0:34:03We've managed to find a hole that was in the fence
0:34:03 > 0:34:05so we've managed to walk into the grounds.
0:34:07 > 0:34:11Listen, we've just had a complaint that there's been some youths
0:34:11 > 0:34:12that have been climbing up
0:34:12 > 0:34:18on the container roofs and you match that description.
0:34:18 > 0:34:23- You match that description.- No, no, no. Me and him, we just came.
0:34:23 > 0:34:26- Can we go?- I need to take your details, all right?
0:34:26 > 0:34:29Because yous are on the premises. You're on the school premises.
0:34:29 > 0:34:30You shouldn't be here.
0:34:30 > 0:34:34One of the youths sort of matched the description
0:34:34 > 0:34:37so obviously they were spoken to about it and they denied
0:34:37 > 0:34:40being there so we put the descriptions across to the youths
0:34:40 > 0:34:42as to who they thought it could have been
0:34:42 > 0:34:44and at the time what they did is they actually
0:34:44 > 0:34:48pointed down the street and said, "That's the youths down there."
0:34:48 > 0:34:51So we've travelled down the street and these youths were
0:34:51 > 0:34:54sitting on the corner of a house.
0:34:54 > 0:34:57We have spoken to one of the youths there.
0:34:57 > 0:35:01He has admitted to sitting on the car and some of the other
0:35:01 > 0:35:04youths have admitted to climbing up on the container roofs
0:35:04 > 0:35:07so what we've done is we're getting the telephone numbers
0:35:07 > 0:35:10and their mams are going to be coming down to collect them.
0:35:10 > 0:35:12Are you going to just wait here?
0:35:12 > 0:35:14Your mam's coming to collect you so I want you to wait here.
0:35:14 > 0:35:18I've spoken to her so can you just come and sit back over here?
0:35:21 > 0:35:23It's an anxious wait for Mum to arrive.
0:35:25 > 0:35:27Right, come on and we'll go over and see your mam.
0:35:27 > 0:35:29Time to face the music.
0:35:29 > 0:35:32We had a call that there were some youths that were climbing
0:35:32 > 0:35:34up on the container roofs.
0:35:34 > 0:35:39And then there was a call that they were on top of one of the cars.
0:35:39 > 0:35:41He has admitted he was sitting on the car
0:35:41 > 0:35:44but he was saying it was because he had a bad foot.
0:35:44 > 0:35:47That's not an excuse to sit on the car. You're not selling that.
0:35:47 > 0:35:50- No, I was leaning on it like this. - But you shouldn't be leaning on it
0:35:50 > 0:35:54and if she's seen you sitting on it, that's not leaning.
0:35:54 > 0:35:56That's not sitting on a car, is it?
0:35:56 > 0:35:59So I've obviously explained to him if there was any damage caused it'd
0:35:59 > 0:36:01be you having to pay for the bill, do you know what I mean?
0:36:01 > 0:36:03You're in big bother anyway.
0:36:03 > 0:36:05The police shouldn't have to be called for you.
0:36:05 > 0:36:07The one night I let you stay out a little bit longer
0:36:07 > 0:36:08and this is what happens.
0:36:10 > 0:36:12That's it, you're grounded.
0:36:12 > 0:36:14And I hope you've apologised to the lady.
0:36:14 > 0:36:16Mum lays down the law.
0:36:18 > 0:36:21Meanwhile, his pal is driven back home.
0:36:21 > 0:36:23I think the satisfaction that I'm going to have tonight is
0:36:23 > 0:36:26being able to call the victim and say to her, you know,
0:36:26 > 0:36:28"We have managed to find the youths who were responsible.
0:36:28 > 0:36:31"You know, they're very sorry about their actions and have
0:36:31 > 0:36:34"been extremely upset. The parents have told them off."
0:36:34 > 0:36:36Hopefully we have stopped them before they go any further
0:36:36 > 0:36:39with the antisocial behaviour.
0:36:39 > 0:36:42So I personally don't think we'll be seeing them for a while.
0:36:47 > 0:36:51Back in Builth Wells, it's the final day of the Royal Welsh Show.
0:36:52 > 0:36:54Four days of countryside celebrations
0:36:54 > 0:36:56are drawing to a thrilling close.
0:37:00 > 0:37:03The motorbike stunt team are highly skilled serving soldiers who
0:37:03 > 0:37:07like to spend their weekends jumping through burning rings of fire.
0:37:11 > 0:37:13But, even for this elite bunch,
0:37:13 > 0:37:15practice doesn't always make perfect.
0:37:17 > 0:37:21We just had a radio message to say there might be a gentleman coming
0:37:21 > 0:37:22in that's come off a motor cycle
0:37:22 > 0:37:24with a fracture dislocation to his shoulder.
0:37:24 > 0:37:27I don't know how old he is. I don't know any more information than that.
0:37:27 > 0:37:29But they're en route to us now.
0:37:29 > 0:37:32Someone who does have more information is Cameron.
0:37:32 > 0:37:35So it's a 25-year-old male called Rob.
0:37:35 > 0:37:36He's part of the White Helmets.
0:37:36 > 0:37:39He was stood on top of his motorbike doing some kind of performance.
0:37:39 > 0:37:42He's fallen off his bike to his right-hand side
0:37:42 > 0:37:43with a right outstretched arm.
0:37:43 > 0:37:47Onto his arm, did feel a popping or a crunch sensation when he fell.
0:37:47 > 0:37:51- Hello, my friend. Take a seat.- The pain's starting to kick in again.
0:37:51 > 0:37:52Yeah.
0:37:53 > 0:37:56My name's Martin. I'm going to take a little bit of history again from
0:37:56 > 0:37:58these gentlemen that came to you.
0:37:58 > 0:38:02- Yeah.- What's happened? He's come off? Has he been given Entonox?
0:38:02 > 0:38:03This is Rob.
0:38:03 > 0:38:08Rob was taking part in his motorbike display in the cattle ring.
0:38:08 > 0:38:11Standing on the site of the motorbike when he's fallen off.
0:38:11 > 0:38:14- Landed arm stretched down. - Yeah.- Sorry.
0:38:14 > 0:38:19Pulled himself onto the corner of the ring, which is when we've got there.
0:38:19 > 0:38:21Can I have a little feel of it to start with
0:38:21 > 0:38:23- while you got your gas going?- Yeah.
0:38:25 > 0:38:29- Is it painful round here?- No, no, it's just on the end.- On the end.
0:38:29 > 0:38:33- Right in. Right there. That's there, yeah.- Yeah, OK.
0:38:33 > 0:38:35OK, we're going to do your blood pressure.
0:38:35 > 0:38:38We'll pop a needle in your arm to give you some proper pain relief
0:38:38 > 0:38:40then we'll get the doctor to come
0:38:40 > 0:38:41and have a look at you and we shall see...
0:38:41 > 0:38:44If it's out, we'll try and relocate it here
0:38:44 > 0:38:47and then just send you for an x-ray.
0:38:47 > 0:38:48- Rob, is it?- Hello.
0:38:56 > 0:38:59I was performing a trick called the swallow
0:38:59 > 0:39:05and I stand on the seat and, as I was going up to stand up
0:39:05 > 0:39:09and put my arms out, it revved on a little bit and I came off the
0:39:09 > 0:39:13back with my arms outstretched and landed slightly to my right.
0:39:13 > 0:39:16I heard a bit of a pop and then...
0:39:16 > 0:39:19no pain at first but then a lot of pain later on.
0:39:23 > 0:39:27No, I had my helmet on. Most of the brunt was onto the arm.
0:39:29 > 0:39:31- No.- There's no marks on the helmet.
0:39:33 > 0:39:36- Can I try and get it off without cutting it?- Of course.
0:39:38 > 0:39:42If I stand up it might be easier because I can help with this arm.
0:39:42 > 0:39:45Don't want you standing up having just had that, actually.
0:39:45 > 0:39:48Looks like Rob's more worried about his shirt than his shoulder.
0:39:48 > 0:39:52Nobody ever likes having anything to do with biking stuff cut off.
0:39:55 > 0:39:58So, if I touch you there and there does that feel the same?
0:39:58 > 0:40:00I can feel it, yeah. I've just got pins and needles, I think,
0:40:00 > 0:40:02cos I've been holding it in this position.
0:40:02 > 0:40:04- Does that feel the same as that? - Yeah.
0:40:08 > 0:40:10Just up here. Yeah.
0:40:22 > 0:40:25- Not your perfect day?- No, not really.- No. Not how you planned it.
0:40:25 > 0:40:29- Not really, no.- So we'll get some morphine drawn up for you.
0:40:29 > 0:40:33Give you some morphine. Get you comfy, get you to hospital.
0:40:33 > 0:40:35And then they can develop a cunning plan.
0:40:35 > 0:40:39The team can't deal with Rob's suspected dislocation here.
0:40:39 > 0:40:41He'll need further scans at the local hospital.
0:40:41 > 0:40:44So he gets a shot of morphine for the journey,
0:40:44 > 0:40:47and a visit from a concerned biking buddy.
0:40:47 > 0:40:49This is Corporal Budding.
0:40:49 > 0:40:52How are you doing? You all right?
0:40:52 > 0:40:56- I am now, after this. - Are they pumping you up, bud? Nice.
0:40:56 > 0:41:00- Was it a good one?- I didn't see it.
0:41:00 > 0:41:03All I saw was you on the floor not moving.
0:41:03 > 0:41:06He's facing at least a 45-minute journey by ambulance.
0:41:06 > 0:41:11All that's left now is to introduce Rob to his taxi service.
0:41:11 > 0:41:13This is Rob.
0:41:13 > 0:41:16Rob is a member of the White Helmets that was doing impressive
0:41:16 > 0:41:17manoeuvres on a motorbike.
0:41:17 > 0:41:20Well, a trolley, please.
0:41:20 > 0:41:23But Rob's not so keen on being a trolley dolly.
0:41:25 > 0:41:26He can't stay down.
0:41:27 > 0:41:30Right, mate, happy days. Take care.
0:41:30 > 0:41:33- Do you want a sling for it or something?- No, it's OK.
0:41:33 > 0:41:35- It's OK, mate.- Cheers, mate.
0:41:35 > 0:41:38Looks like the morphine's well and truly kicked in.
0:41:38 > 0:41:39See you on the Wirral sometime soon.
0:41:42 > 0:41:46So Rob swaps his two wheels for four and heads off
0:41:46 > 0:41:49to the County Hospital, leaving his team a man down.
0:41:49 > 0:41:52But they rally together for an epic finale
0:41:52 > 0:41:55at Britain's biggest country show
0:41:55 > 0:41:59and the end of a full-on four days for Cameron and the medical team.
0:42:01 > 0:42:03Work at the Royal Welsh Show was very intense.
0:42:03 > 0:42:07We saw over 1,000 patients in four days for a range of conditions
0:42:07 > 0:42:11ranging from people who had blisters on their feet that were quite bad
0:42:11 > 0:42:13to patients who were having a cardiac event so, you know,
0:42:13 > 0:42:15we had a great skill set available to us.
0:42:15 > 0:42:18Everyone did a great job of making sure these patients
0:42:18 > 0:42:21came in unwell and left a lot better than they came in.
0:42:30 > 0:42:34It's been all go for the emergency services in Britain's rural areas.
0:42:35 > 0:42:37After collapsing at the Royal Welsh Show,
0:42:37 > 0:42:41Mark was taken to Nevill Hall Hospital in Abergavenny
0:42:41 > 0:42:42for further tests.
0:42:42 > 0:42:46Luckily it wasn't his heart, just severe dehydration.
0:42:49 > 0:42:52Steph's nasty fall in Cornwall left her with a broken leg.
0:42:52 > 0:42:56She was off work for six weeks and has had a steel plate fitted.
0:42:58 > 0:43:01And Rob's swallow dive from his motorbike left him
0:43:01 > 0:43:03with a ruptured shoulder joint.
0:43:03 > 0:43:04He's now back on his bike
0:43:04 > 0:43:07and hopes to be performing with his team very soon.
0:43:09 > 0:43:11And you thought it was quiet in the countryside.