Episode 6 Countryside 999

From the Highlands of Scotland, to the coast of Cornwall,

the Great British countryside is spectacular.

But we work and play in it at our peril.

And when things go wrong,

the emergency services race to the rescue.

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

There's no police courses for this.

Going hundreds of miles against the clock.

Battling the elements...

and braving the weather.

From fields and forests, to cliffs and country roads,

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

With police fighting crime...

Could seize your dogs. Could seize your van.

But I want to summons you all to court.

..paramedics saving lives...

..and wardens safeguarding our lakes.

Come out of the way!

We're there as the emergency services pull together

to pick up, patch up and protect the public.

This is Countryside 999.

Coming up...

the heat is on for paramedics at Britain's biggest country show.

Huw, what you doing? James!

Can we have that clear? I want to get out.

Cornwall's Air Ambulance race to reach a tourist who's taken a tumble.

My ankle touched my back, and it went crack.

Then I screamed and then my children cried.

And summer holiday shenanigans keep County Durham cops on their toes.

Looks like they're making off.

So, can you just come and sit back over here?

The great British countryside.

We work and play in it, and when it comes to celebrating it,

nothing quite beats a good old-fashioned country fair.

And Britain's biggest is the Royal Welsh Show.

Every summer a quarter of a million people flock to

Builth Wells in heart of Wales.

With anything from tug-of-war to pole climbing on offer,

throw in 60,000 people and 8,000 animals,

sooner or later someone's going to need a doctor.

Luckily the show has pulled together a 50-strong team of medics

who specialise in big events.

In charge is Doctor Roger Cook.

I've been coming about 15 years.

It's a unique experience.

An enormous range of activities going on.

We will expect every medical issue that one would see in general

practice or A & E practice normally.

On top of that then we've got the trauma, so slips, trips,

falls, and specific trauma related to some of the displays.

Roger's in charge of the show's pop-up medical centre

set up to take the pressure off local hospitals.

So far the four day event has been packed out,

but it's about to get even busier.

Day three is our busy day...

usually, traditionally. It's Welsh Cob Day,

so there are lots and lots of people out there

and we expect lots and lots of people in here as well.

There's a couple of finals competitions,

so sheep shearing, I don't know if any of you have been up to watch that,

but that is fairly frenetic activity.

And how they avoid injury is an amazement rather than anything else.

On top of some perilous pursuits, temperatures are topping 27 degrees,

which is racking up the pressure on the team.

We see an enormous change in the numbers of patients that we see.

244 one day. 288 yesterday.

So...that is record numbers.

And we've seen between 50 and 100% increase in our workload, medically,

compared with the other years where the temperature is cooler.

While Roger manages the medical centre,

paramedics like Cameron McVitie tend to casualties in the field.

Fresh from paramedic training, this is rookie Cameron's first country show.

It's a show that's on a very large scale

in quite a rural area,

so this is a little bit different in terms of what I'm used to

doing out on the road when I've been doing my practice placements.

In Leicester City Centre for example,

we're only minutes away from the hospital.

Here, we're quite a journey from hospital,

so it's a little bit of a different emphasis on our skills.

Cameron will try to deal with most issues on scene,

and a call has just come in.

There's been a knife incident in a nearby sheep shed.

So, we've just had a report from security that a...

The gentleman's wife has just called in and he's cut his hand

open on a penknife, so we'll have a quick assessment.

See if he needs any further treatment.

If we can discharge on scene, then great.

If not, we can transport him back to the medical centre.

But it's not quite what Cameron expected.

He has a knife and it got me.

He had a knife and it got you!

-He didn't try.

-He didn't try. It wasn't on purpose.

Seven-year-old Huw was playing with his friend's penknife

when it slipped and cut his knee.

-And it just got you here, did it?

-Yes.

-OK.

I'll tell you what.

Let's have a quick look and then we'll give it a good clean

and see if you need a plaster. Yeah?

Let's have a quick look.

Is it sore? Sorry, mate.

We'll need to take him back down to the medical centre

cos they've got sterile strips back there.

I've not got any on me at the moment.

But it's nothing more sinister than that. He's happy as Larry.

He's quite a happy little chap, aren't you?

You're a bit of a cool dude, aren't you? Yeah?

A plaster back at the medical centre should fix it.

-No problem at all.

-Thank you.

-No problem.

But the situation takes a sudden unexpected turn.

-Huw, what you doing? James!

-OK. It's all right.

No problem. All right, mate.

You all right, buddy. Hello. Stay still.

Stay still. Just stay still. Lie down.

-Good man. What's the location of this, mate?

-Sheep sheds.

NV sheep shed.

Just had a little boy, seven years old, that's just collapsed.

I was actually treating him for a little cut on his leg.

He's now come back round. Just want a bit of transport, please, mate.

Cameron calls for backup and tries to assess Huw's condition.

Let's have a quick listen to his chest.

Has he, really?

Nice deep breaths, Huw.

There can be a number of causes why someone would have an event like Huw had.

Could it be due to an underlining medical condition

such as his cardiac condition or was it

because he was anxious about what was going on?

There was a lot going on around him at the time.

I'm just going to check your eyes.

All I need now is a little bit of blood from your finger.

Do you understand why I'm doing it? Just to look at your blood sugar.

-You look at Mummy.

-Grandad Jim does it at his house.

Little scratch. Good man. All done.

When we take a blood sugar reading to test glucose in someone's blood,

essentially the body can't run without its fuel,

and the body's fuel is glucose.

If that's too low in the blood then that can have an adverse effect on the human body.

His blood pressure's all right at the moment.

He's got a good radial pulse into his wrist,

which means that his blood pressure's at a nice level.

So, I'm happy with him as he is at the moment.

Don't want to move him too much at the moment until my crew comes

so we've got some backup if we need it. OK?

This latest turn of events means Cameron must get Huw to a doctor

and find out the cause of his collapse

Cornwall - Britain's favourite family-friendly holiday destination.

But its rugged terrain doesn't always mean risk-free fun in the sun.

In Cornwall it can be all extremes and all seasons, almost, in one day.

We've got high peaks with moorlands, we've got long-running coastal paths.

Beaches with access problems, which are difficult to get to.

Miles from nowhere can mean miles from hospital.

When holiday season hits,

one rural emergency service on hand to help is Cornwall's Air Ambulance.

People like to come to on holiday to Cornwall

and make the most of its magnificent scenery.

And one of the challenges is getting access to them

when they fall ill or injured.

It's a challenge lead paramedic Steve Garvey and the team at Newquay

face all year round - flying up to four missions every day.

And today a call has just come through.

35-year-old female.

She's walking on sort of a local monument

and she's gone over and believes her to have an ankle fracture.

They've walked a considerable distance from the road,

across several stiles, so this seems like an access job.

In hard-to-reach places,

the helicopter isn't just the fastest way to bring help.

Sometimes, it's the only way.

On shift with Steve are pilot Craig Webster and paramedic Paul Symonds.

From what we know, it's a 35-year-old female

that is just in a location that's inaccessible by road.

We think she's fractured her ankle

which, obviously, makes her mobility poor.

She's not able to walk herself off. The advantage of having the aircraft

is bringing speed.

The other advantage is, living in the locations that we do,

some places are inaccessible by roads.

To get a normal road ambulance to any site

can be difficult and challenging sometimes.

The team is heading 40 miles south-west

to an ancient site near Penzance.

While getting there should be easy, landing could be tricky,

as local lad Steve knows only too well.

I know this area and it's going to be impossibly difficult

for us to land anywhere near this casualty because it's quite hilly.

Will be interesting to see what we can do.

But, with no roads close by,

the Helimed is the only option for the injured tourist.

We don't know the severity of the ankle fracture.

Apparently she's tried to walk on it and can't move.

Luckily, her injuries aren't life-threatening

and the weather could be worse.

St Ives looking lovely.

-It's beautiful down here, Steve.

-That makes it worth popping out.

Never get sick and tired of this.

It's just gorgeous, isn't it?

Very privileged.

Very privileged to be in a position like this.

The team spot the ancient site.

A road paramedic has managed to reach the scene.

Now pilot Craig has to work out how close he can land.

The ground's too steep. Craig aborts the landing.

That slope can cause a particular problem for the helicopter.

The disc on top, when we land on...

Or the rotor beam, doesn't like to be at particular angles

and there are set limits that the pilots can't land with,

so we have to ensure that those limits aren't exceeded.

With some careful flying, the Helimed's down.

The rapid response car had got there first

and was able to provide some initial treatment for the patient,

but they'd only literally got there a minute or so before our arrival.

So we've been walking down here, Paul, wearing sensible shoes.

We've slipped, we've gone over on our ankle.

Steph have been taking a tour round the ruins with her family.

I slipped down here and my ankle

touched my back and it went crack,

basically, and, then, I screamed and, then, my children cried.

In this circumstance, the lady said she felt her ankle crack.

She heard a good crack, as well. That's a pretty good indication

that I don't think I'd like to try and stand up on that leg again.

Steph's son Jordan helps his mum with some much-needed pain relief.

-Have you had morphine before?

-I have, yes.

-She had kidney stones, didn't you?

-No problem with it?

-Yes.

On 7th October last year. I'll never forget it.

My youngest son's birthday.

He'll never let me forget it either.

-Where have you set out from?

-Well, we were going to Lands' End and I said,

"Oh, let's go up the bank." And then we were going to go...

Once we get you up in the air, you'll be able to see it all.

Aerial view. Very nice.

We'll give you a helicopter tour of Cornwall,

before we get you into the hospital to get your ankle fixed.

Steve's distraction technique

hasn't quite taken Steph's mind off the pain.

Steph, just try and take some nice, slow, deep breaths on that gas for me

-at the minute, because we're going to get the splints. Calm.

-I am.

Nice, long, slow ones. Nice, long, slow breaths.

Our thought processes were, because she was obviously in a lot of

pain and distress, so it is to give her some TLC,

get some analgesia going, so that we can splint and support the limb

which would ultimately make her feel a lot better.

Despite the gas and morphine, the pain's really kicking in.

It went crack.

Nice, slow, deep breaths, Steph.

That's it. You're doing really well.

Really well. Steph, slow that breathing down, my angel.

It works a lot better... That's it. Nice, deep breaths.

Any slight movement will be agony,

but the team need to finish splinting Steph's leg

and get her to the helicopter.

Back in the sheep shed at the Royal Welsh Show,

an ambulance has arrived for seven-year-old Huw,

who collapsed while being treated for a minor cut to his knee.

Huw, what you doing? James!

-How are you feeling, buddy?

-OK.

-You feel OK.

Little tap on your chest.

Cameron's trying to get

to the bottom of Huw's mysterious fainting fit.

I wonder when was the last time you had something to eat?

This morning? What did you have for your breakfast?

Are you ready to stand up?

One, two, three. Wonderful.

Just wait there for a minute.

Make sure you don't get any more dizzy.

Are you wobbly?

So, still got a radio.

INDISTINCT RADIO MESSAGE

Still got a radio, yeah.

-You all right, Huw?

-Yeah?

OK, how do you feel now you've stood up?

Do you feel back to your normal self

or do you still feel a bit funny?

A bit funny, yeah.

While woozy Huw's taken to the ambulance,

Cameron reassures his very worried pal, Dan.

So what's happening now is

he's going to go back in the ambulance with my colleagues.

The doctor at the other end is going to give him a quick check over.

-He'll be back.

-OK.

-Is that all right?

-Yes.

-OK?

-Yes.

-Cheer up. You've done nothing wrong.

I felt quite sorry for his friend. One minute he's playing around with

his friend and for one reason or another accidentally cut him but to

see him going from having treatment for a small, tiny would on his knee

to seeing his friend pass out in front of him

is quite daunting for a little boy.

-We'll be back soon, OK?

-OK.

Let's get this lad some treatment that he needs back at

the medical centre then get him back shearing his sheep as he enjoys doing.

At the on-site medical centre,

Cameron hands Huw over to Roger.

Do you remember what happened?

-Yes.

-Don't worry about it.

You'll be fine.

You just cut your knee with a knife, did you?

OK. How does it feel now?

Hurts a little bit.

Are you going to take your shirt off and then we can just have a listen to

the ticker and see what's going on?

Roger suspects there's a simple explanation for Huw's fainting fit.

So I want you to drink lots and lots of water or squash,

that sort of thing, during the day.

You can rest here for a few minutes.

We'll clean that up and get you a plaster on it. OK?

And I think you'll be fine.

So it looks like another heat-related casualty.

A little rest and he should be fine.

-OK?

-Don't worry, you're all right.

And things are hotting up elsewhere at the show as the crowds descend

for an afternoon of big events.

TANNOY: 'Ladies and gentleman, your champions for 2014 -

'Ceredigion YFC!'

Cameron is back on patrol by the show's main ring

when he spots an ambulance at the entrance.

He hot-foots it to the spectator stands.

59-year-old male, his heart rate's just dropping below 50.

A man has collapsed in the crowd.

As quick as we can, out.

When we got to the patient, he was very...

He was presenting with cardiac symptoms.

He was very grey, sweating and clammy,

which are all tick boxes to say this patient is having a cardiac event.

He needs to get the man quickly out through the packed crowds.

Can we have that clear?

I want to get out.

59-year-old Mark is now conscious but feeling very unwell.

At this stage, Cameron can't rule out a heart attack.

-Have you ever had a heart attack of anything like that at all?

-No.

No, OK. And do you have any medical history at all, mate?

Yeah.

OK.

So you're quite fit and healthy, you?

You're a little bit sweaty, aren't you, mate?

Get the air con back on, please.

For a chap that keeps himself very fit, he's very healthy,

attends the gym regularly, I could tell straightaway

'from looking at him that he wasn't the right colour.'

I'm getting is sweaty as you are.

It's warm in here, isn't it?

It is, isn't it?

If there are heart problems it could show up on an ECG.

Electrodes are put on Mark's chest

to record the electrical signals coming from his heart.

Cameron checks the ECG for any irregularities.

But the reading suggests this is more serious than indigestion.

He has got ischaemia. So it's well worth...

And the symptoms as well, so let's not rule anything out at this stage.

Ischaemia, so, basically,

those lines on the ECG basically give me like a 3-D image of

what's going on with your heart.

The way your symptoms at the moment, I can't rule out at this stage

that something might be going on with your heart.

OK?

Ischaemia means Mark could be experiencing restricted

blood flow to his heart.

We're just going to travel with this guy back to the medical centre.

He is presenting with some cardiac symptoms at the moment.

He's sweaty and clammy.

He's got some ischaemia as well so let's get him checked out,

let's get him some adequate care back there.

It's a short trip to the medical centre.

But if it's serious, the nearest hospital is 45 minutes away.

The main thing for you at the moment,

just stay chilled, stay calm and stay relaxed.

In Mark's instance, it was important to reassure him that everything

was going to be OK and we were doing everything we could for him.

In a patient that's having what we think is a cardiac episode,

if they start to become anxious or panic then that obviously can

raise the heart rate and make the heart work harder than

we want it to at the time.

I know it all happened very fast. Sorry for that.

Yes.

Do you feel safe now?

That's the main thing. My job is...

I'm satisfied I've done the main part of my job.

It is.

So, at times, it can be a little bit daunting for patients because it

might seem that a lot of us are coming from all angles attacking

them, if you will, with different gizmos, bits of equipment.

If there's enough of us there, let's get it all done quickly,

let's get it done, you know, so we can build the bigger picture.

Mark's partner Maggie has followed on behind.

Don't worry about anything now, all right? He is in safe hands, OK?

Maggie was with him when he suddenly took ill.

He did lose consciousness twice.

-Did he, really?

-Yes.

-And what happened?

-He slumped forward.

He had two big judders down his arm and just slumped

-and the man next to us helped me sit him up a bit.

-Yeah.

Then he woke up like he'd just woken up in the morning

-and was like, "What's just happened?"

-Yeah.

Mark just became unwell when he was in the stand.

He just told me he felt giddy and he just passed out

so I asked the stewards for help and they were really helpful.

They came to our assistance straightaway

and just called the paramedics

and they took over from there.

They've been very reassuring throughout.

I'll pop your watch off and give it to she that must be obeyed.

There you are. You can be watch monitor.

Dr Roger Cook and the team's first concern is Mark's heart.

Sharp scratch.

BLEEP

But they're not yet ruling out that heat could be to blame.

Whether it was something cardiac, whether it was something as simple

as the heat has got to him, heat exhaustion.

His dehydration, his blood pressure was very low,

so he's had some fluids to bring that back up as well,

which could also explain why he had a low heart rate. Who knows?

So, you know, let's see what Dr Cook wants to do after his assessment

and then we'll go from there, I think.

It's time for Cameron to leave Mark in Roger's capable hands.

Looking at you, you didn't look good.

We have this little saying, you looked like a wet fish.

All right?

So, I'm going to get my vehicle back that I've left, all right?

And then if I see you, I see you again but if I don't...all the best.

-Thanks very much.

-No problem at all.

-Thank you very much.

-See you later.

I'll try not to be a regular flyer.

CAMERON LAUGHS Bye-bye now.

-Cheers, mate.

-Bye.

Dr Cook gave him a good, thorough examination.

His diagnosis was then that the patient had some pathology

with his aorta, which is one of the main vessels leaving the heart

supplying the body with the blood supply.

With worries it could be a heart problem, Mark is blue-lit to

Nevill Hall Hospital in Abergavenny for further tests.

SIREN SOUNDS

But with one show day still to go, there are more thrills and spills

to come, when one daredevil takes a show-stopping dive.

Nice, deep breaths.

Back in Cornwall, the Air Ambulance team are trying to control

Steph's pain, after a fall left her with a suspected fractured ankle.

We've got splints, we've got everything else.

-..and we're sorted.

-Uh-huh.

She's been given morphine and the pain-relieving gas Entonox.

They're now splinting her leg but any tiny movement is torture.

Have you got a drawing up needle at all, please?

Nice and comfortable, Steph, all right?

We're just going to lie you flat. It's a horrible, old, hard board.

We'll be guided by you.

-When you want some more pain relief you just tell us.

-OK.

They now face a tricky walk to the helicopter.

Quite a hike up to the incident.

And I certainly wouldn't have liked to have hiked

back down to the car park carrying a patient.

Steph faces a seven-minute flight to The Royal Cornwall Hospital in

Truro, leaving dad and kids to take the 25-mile trip by road.

We're all ready to go.

I'm going to go and get the other kids

and we'll drive over to the hospital and see what happens, I think.

My life's in these guys' hands at the moment.

And I trust them.

But the wind has picked up.

Not good news for a nervy passenger.

We've got to make each other a deal, all right?

Don't start crying cos I'll start crying

and then we'll end up in a blubbery mess, all right, angel?

-And you don't want to see me cry.

-No.

With gusts of up to 25 knots,

turbulence might be out of paramedic Paul's hands, but pain relief isn't.

-Yeah.

-Yeah?

Yeah.

Yeah.

Ankles are particularly painful in themselves.

There's a lot of movement, subject to a lot of vibration,

and that's something the poor young lady experienced on the flight in.

We had quite a bit of turbulence, quite gusty, little bit windy.

Unfortunately, the flight in wasn't particularly comfortable

so again we made attempts to manage the pain and reassure the young lady.

-That's it. Well done.

-OK.

Three minutes left.

Three minutes, there you go. See, that's not bad, is it?

-Are you OK?

-Yeah.

OK, less than a minute or so, we'll be actually in Truro

and we've got landing again, all right?

This little bit here should just be like landing on a big cushion.

All right?

-And we are done. That wasn't so bad, was?

-No.

-You didn't notice it.

You're honoured with that one, Steph.

You wouldn't believe he'd only had three lessons, would you?

-It tires me out concentrating.

-There you go, see?

Oh, it's just...

I can hear clicking and cracks all in my foot in the ankle area

and the pain just shoots up my leg.

So I've not tried moving it since.

-That sounds like a good plan.

-Yeah.

I've never broken anything, never twisted anything.

Just three children and a kidney stone,

they're the only reasons to go to hospital.

The young lady had been lucky enough to get through I think 35 years

of life without breaking a bone

and this was a particularly traumatic incident. I can certainly empathise.

You know, ankles, I've done one myself

and it is particularly painful.

I've never even been in an aeroplane.

-It's my first flight ever.

-How did it feel now you're here?

-Erm...

Would you do it again?

Not lying down in pain, no.

So, not the comfiest seven minutes for Steph,

but it would have been much worse by road.

The roads in Cornwall aren't particularly smooth.

They're not the best road surface in the world

so it would have been as uncomfortable in an ambulance

but just for a longer duration, unfortunately.

That actually turned out to be that lady's first ever flight in any

form of aircraft so it was all about reducing her anxiety levels

and stress and just making her feel nice and comfortable.

My colleague was able to give her a couple of teddy bears to give

to her children, further souvenirs of her time in Cornwall.

County Durham.

A rural landscape of market towns, river valleys

and high, sweeping moors.

Beautiful, but it's not always bliss.

Countryside crime brings unique challenges for the county's cops.

Perched on the edge of the Northern Pennines is

the small town of Consett.

Bobbies here police a mixed beat...

..dealing with everything from agricultural theft

to poaching.

It's an offence to hunt with dogs.

Are yous allowed in here to play football?

Local lass Jackie Laws has been a police officer

for the last 11 years.

I've always wanted to be a police officer from

when I was a young girl. I like helping people.

I like looking after people.

I think I'm one of these people if I did the same thing day in, day out,

I'd get extremely bored.

Today Jackie and PC Lynsay Meikle

have been called to trouble on a nearby estate.

RADIO: 'Chubby blonde male. Males and females.'

The cops are hoping to catch the kids in the act.

Just looking for any sign of any youths.

-Or bits that have been pulled off.

-There's a bit of damage on the...

So I'm just double-checking to make sure that these are secure

and there's nobody gained any entry into them.

Lynsay, meanwhile, checks for lurking kids in a skip.

There's a public footpath over there So there's a possibility they might

have made off over here. So we'll

just have a look across just to see if we can see anybody in the fields.

But the kids have disappeared.

We can't see any damage caused to anything there

but we need to double check

that there's no damage caused to these motor vehicles.

So what we are going to do is we're going to

go down to the informant's address.

We believe that the youths have been irresponsibly climbing over a red

Audi so we'll just check it over to make sure there's no damage on it.

A quick check doesn't throw up any obvious signs of damage.

But the car's owner has reported it's happened before.

We checked it over. There was no damage.

She was basically telling us that it's an ongoing problem.

So what we've told her to do is every time she sees them

if she brings us up to let us know cos hopefully

we can get somebody down to get them stopped, you know, get the names,

then obviously they can be spoken to in front of the parents.

Just as they're driving away, another call comes over the radio.

Did you say they're back on the container roofs?

'Back on the roof of the school.

'Males and females, 13, one male all dark clothing,

'one with a red T-shirt and another in white.'

We'll go down one of these streets here and we'll sneak up on them

and we'll see who's there.

But there's only so much sneaking you can do in a marked police car.

Looks like they're making off.

Lynsay and Jackie give chase.

We've managed to find a hole that was in the fence

so we've managed to walk into the grounds.

Listen, we've just had a complaint that there's been some youths

that have been climbing up

on the container roofs and you match that description.

-You match that description.

-No, no, no. Me and him, we just came.

-Can we go?

-I need to take your details, all right?

Because yous are on the premises. You're on the school premises.

You shouldn't be here.

One of the youths sort of matched the description

so obviously they were spoken to about it and they denied

being there so we put the descriptions across to the youths

as to who they thought it could have been

and at the time what they did is they actually

pointed down the street and said, "That's the youths down there."

So we've travelled down the street and these youths were

sitting on the corner of a house.

We have spoken to one of the youths there.

He has admitted to sitting on the car and some of the other

youths have admitted to climbing up on the container roofs

so what we've done is we're getting the telephone numbers

and their mams are going to be coming down to collect them.

Are you going to just wait here?

Your mam's coming to collect you so I want you to wait here.

I've spoken to her so can you just come and sit back over here?

It's an anxious wait for Mum to arrive.

Right, come on and we'll go over and see your mam.

Time to face the music.

We had a call that there were some youths that were climbing

up on the container roofs.

And then there was a call that they were on top of one of the cars.

He has admitted he was sitting on the car

but he was saying it was because he had a bad foot.

That's not an excuse to sit on the car. You're not selling that.

-No, I was leaning on it like this.

-But you shouldn't be leaning on it

and if she's seen you sitting on it, that's not leaning.

That's not sitting on a car, is it?

So I've obviously explained to him if there was any damage caused it'd

be you having to pay for the bill, do you know what I mean?

You're in big bother anyway.

The police shouldn't have to be called for you.

The one night I let you stay out a little bit longer

and this is what happens.

That's it, you're grounded.

And I hope you've apologised to the lady.

Mum lays down the law.

Meanwhile, his pal is driven back home.

I think the satisfaction that I'm going to have tonight is

being able to call the victim and say to her, you know,

"We have managed to find the youths who were responsible.

"You know, they're very sorry about their actions and have

"been extremely upset. The parents have told them off."

Hopefully we have stopped them before they go any further

with the antisocial behaviour.

So I personally don't think we'll be seeing them for a while.

Back in Builth Wells, it's the final day of the Royal Welsh Show.

Four days of countryside celebrations

are drawing to a thrilling close.

The motorbike stunt team are highly skilled serving soldiers who

like to spend their weekends jumping through burning rings of fire.

But, even for this elite bunch,

practice doesn't always make perfect.

We just had a radio message to say there might be a gentleman coming

in that's come off a motor cycle

with a fracture dislocation to his shoulder.

I don't know how old he is. I don't know any more information than that.

But they're en route to us now.

Someone who does have more information is Cameron.

So it's a 25-year-old male called Rob.

He's part of the White Helmets.

He was stood on top of his motorbike doing some kind of performance.

He's fallen off his bike to his right-hand side

with a right outstretched arm.

Onto his arm, did feel a popping or a crunch sensation when he fell.

-Hello, my friend. Take a seat.

-The pain's starting to kick in again.

Yeah.

My name's Martin. I'm going to take a little bit of history again from

these gentlemen that came to you.

-Yeah.

-What's happened? He's come off? Has he been given Entonox?

This is Rob.

Rob was taking part in his motorbike display in the cattle ring.

Standing on the site of the motorbike when he's fallen off.

-Landed arm stretched down.

-Yeah.

-Sorry.

Pulled himself onto the corner of the ring, which is when we've got there.

Can I have a little feel of it to start with

-while you got your gas going?

-Yeah.

-Is it painful round here?

-No, no, it's just on the end.

-On the end.

-Right in. Right there. That's there, yeah.

-Yeah, OK.

OK, we're going to do your blood pressure.

We'll pop a needle in your arm to give you some proper pain relief

then we'll get the doctor to come

and have a look at you and we shall see...

If it's out, we'll try and relocate it here

and then just send you for an x-ray.

-Rob, is it?

-Hello.

I was performing a trick called the swallow

and I stand on the seat and, as I was going up to stand up

and put my arms out, it revved on a little bit and I came off the

back with my arms outstretched and landed slightly to my right.

I heard a bit of a pop and then...

no pain at first but then a lot of pain later on.

No, I had my helmet on. Most of the brunt was onto the arm.

-No.

-There's no marks on the helmet.

-Can I try and get it off without cutting it?

-Of course.

If I stand up it might be easier because I can help with this arm.

Don't want you standing up having just had that, actually.

Looks like Rob's more worried about his shirt than his shoulder.

Nobody ever likes having anything to do with biking stuff cut off.

So, if I touch you there and there does that feel the same?

I can feel it, yeah. I've just got pins and needles, I think,

cos I've been holding it in this position.

-Does that feel the same as that?

-Yeah.

Just up here. Yeah.

-Not your perfect day?

-No, not really.

-No. Not how you planned it.

-Not really, no.

-So we'll get some morphine drawn up for you.

Give you some morphine. Get you comfy, get you to hospital.

And then they can develop a cunning plan.

The team can't deal with Rob's suspected dislocation here.

He'll need further scans at the local hospital.

So he gets a shot of morphine for the journey,

and a visit from a concerned biking buddy.

This is Corporal Budding.

How are you doing? You all right?

-I am now, after this.

-Are they pumping you up, bud? Nice.

-Was it a good one?

-I didn't see it.

All I saw was you on the floor not moving.

He's facing at least a 45-minute journey by ambulance.

All that's left now is to introduce Rob to his taxi service.

This is Rob.

Rob is a member of the White Helmets that was doing impressive

manoeuvres on a motorbike.

Well, a trolley, please.

But Rob's not so keen on being a trolley dolly.

He can't stay down.

Right, mate, happy days. Take care.

-Do you want a sling for it or something?

-No, it's OK.

-It's OK, mate.

-Cheers, mate.

Looks like the morphine's well and truly kicked in.

See you on the Wirral sometime soon.

So Rob swaps his two wheels for four and heads off

to the County Hospital, leaving his team a man down.

But they rally together for an epic finale

at Britain's biggest country show

and the end of a full-on four days for Cameron and the medical team.

Work at the Royal Welsh Show was very intense.

We saw over 1,000 patients in four days for a range of conditions

ranging from people who had blisters on their feet that were quite bad

to patients who were having a cardiac event so, you know,

we had a great skill set available to us.

Everyone did a great job of making sure these patients

came in unwell and left a lot better than they came in.

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

After collapsing at the Royal Welsh Show,

Mark was taken to Nevill Hall Hospital in Abergavenny

for further tests.

Luckily it wasn't his heart, just severe dehydration.

Steph's nasty fall in Cornwall left her with a broken leg.

She was off work for six weeks and has had a steel plate fitted.

And Rob's swallow dive from his motorbike left him

with a ruptured shoulder joint.

He's now back on his bike

and hopes to be performing with his team very soon.

And you thought it was quiet in the countryside.