0:00:02 > 0:00:04From the Highlands of Scotland
0:00:04 > 0:00:06to the coast of Cornwall,
0:00:06 > 0:00:09the great British countryside is spectacular.
0:00:11 > 0:00:14But we work and play in it at our peril.
0:00:16 > 0:00:19And when things go wrong,
0:00:19 > 0:00:22the emergency services race to the rescue...
0:00:22 > 0:00:25This chap is having a heart attack and we need to get him in quickly.
0:00:27 > 0:00:30There's no police courses for this.
0:00:30 > 0:00:33..going hundreds of miles against the clock,
0:00:33 > 0:00:36battling the elements and braving the weather.
0:00:38 > 0:00:40MAN GROANS
0:00:40 > 0:00:43From fields and forests
0:00:43 > 0:00:45to cliffs and country roads,
0:00:45 > 0:00:47we'll be right at the heart of the action...
0:00:49 > 0:00:51..with police fighting crime...
0:00:51 > 0:00:53Could seize your dogs, could seize your van,
0:00:53 > 0:00:55but I'm going to summons you all to court.
0:00:55 > 0:00:57..paramedics saving lives.
0:00:57 > 0:00:59BABY CRIES
0:00:59 > 0:01:02..and wardens safeguarding our lakes.
0:01:02 > 0:01:03Come out of the way!
0:01:04 > 0:01:08We are there as the emergency services pull together
0:01:08 > 0:01:11to pick up, patch up and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:35 > 0:01:36Coming up -
0:01:36 > 0:01:39in Cornwall, the air ambulance team rescue a rider
0:01:39 > 0:01:40who's fallen under a horse...
0:01:40 > 0:01:42That horse is a big old horse
0:01:42 > 0:01:44and it's landed right in your pelvic area.
0:01:46 > 0:01:49..the summer holidays come to a painful end in Penzance...
0:01:50 > 0:01:52CHILD WAILS
0:01:52 > 0:01:54- So, what do you feel like?- Sad.
0:01:56 > 0:02:00..and it's carnage on the country roads for County Durham cops.
0:02:00 > 0:02:02SIREN WAILS
0:02:13 > 0:02:17Every year, we Brits make over a billion day trips
0:02:17 > 0:02:18to the countryside.
0:02:23 > 0:02:27But it's not all cream teas and sedate strolls.
0:02:29 > 0:02:32Some seek adrenaline and adventure...
0:02:32 > 0:02:35and playing hard can sometimes hurt.
0:02:35 > 0:02:38GROANING
0:02:38 > 0:02:39Aarggh!
0:02:42 > 0:02:46On call, as ever, to help are rural emergency services.
0:02:56 > 0:02:57In Cornwall,
0:02:57 > 0:03:01the air ambulance has been saving lives for the past 27 years.
0:03:02 > 0:03:03Thank you.
0:03:05 > 0:03:08No stranger to adrenaline and adventure
0:03:08 > 0:03:11is long-serving air paramedic Mark Fuszard.
0:03:11 > 0:03:13Since 2006, I've been full-time aircrew
0:03:13 > 0:03:17and I've actually taken more people to hospital in the helicopter
0:03:17 > 0:03:19than I have done by road.
0:03:21 > 0:03:24When Mark's not saving lives, he's running ultra marathons
0:03:24 > 0:03:26in the Arctic and the desert.
0:03:26 > 0:03:29But nothing matches the buzz of being on call.
0:03:29 > 0:03:33Quite often, you'll turn up for work at 7.30 in the morning
0:03:33 > 0:03:36and by 7.50, 8.00, you're out on your first emergency call.
0:03:36 > 0:03:39As soon as the phone goes and the sirens go off in the hangar,
0:03:39 > 0:03:42the adrenaline does start to pump a little bit faster round your body.
0:03:42 > 0:03:45Sometimes you won't even know until you get into the aircraft
0:03:45 > 0:03:47cos if my colleague's taken the call,
0:03:47 > 0:03:50he'll be taking the details down while I'm actually waiting
0:03:50 > 0:03:51for the engines to start.
0:03:51 > 0:03:52It's kind of exciting, really,
0:03:52 > 0:03:54because you don't know what you're going to.
0:03:58 > 0:04:02Manning the phones today is team-mate paramedic Mick McLachlan,
0:04:02 > 0:04:04and an emergency call has just come in.
0:04:04 > 0:04:06Is there a road name or anything?
0:04:06 > 0:04:09Going to an equestrian centre where a young lady
0:04:09 > 0:04:12has fallen off a horse going over some jumps.
0:04:12 > 0:04:15The team scramble in just three minutes.
0:04:19 > 0:04:22We go to quite a few equestrian accidents in and around Cornwall.
0:04:22 > 0:04:25Lot of people, especially at weekends, are out riding the horses.
0:04:25 > 0:04:28There are some very life-threatening, life-changing injuries
0:04:28 > 0:04:31you can get from falling off a horse.
0:04:38 > 0:04:40They're heading 40 miles northeast
0:04:40 > 0:04:44to a horse trials event just outside Launceston.
0:04:44 > 0:04:47The only details we've got at the moment is a lady in her 20s
0:04:47 > 0:04:49has fallen off a horse going over jumps.
0:04:49 > 0:04:52Possible leg fracture, possible pelvic fracture.
0:04:53 > 0:04:55More than that, we don't know.
0:04:57 > 0:05:00Horse trials, or eventing, are tough competitions
0:05:00 > 0:05:04combining show-jumping, dressage and cross-country.
0:05:04 > 0:05:06Thousands of riders take part every year.
0:05:06 > 0:05:08Hundreds get injured.
0:05:10 > 0:05:13- OK, so...- That's an equestrian centre there, isn't it?- Oh, yes.
0:05:13 > 0:05:15A huge course. We've got like a steeplechase.
0:05:15 > 0:05:18- Is it like a point-to-point thingy? - Yeah, there's lots of...
0:05:18 > 0:05:21lots of jumps in this long field here down in our three o'clock.
0:05:21 > 0:05:26- Right, and whereabouts is...? - Somebody's waving here in white.
0:05:27 > 0:05:30I don't see any wires. The horses have all been cleared.
0:05:32 > 0:05:35With no danger of spooking the horses,
0:05:35 > 0:05:36it's a straightforward landing.
0:05:44 > 0:05:47Mark is briefed by event medics already at the scene.
0:05:54 > 0:05:57A rotational fall, where the horse lands on the rider,
0:05:57 > 0:06:00is the most dangerous in eventing.
0:06:00 > 0:06:04Horses can weigh up to 850 kilos.
0:06:04 > 0:06:05And in 2014,
0:06:05 > 0:06:09two experienced eventers died from rotational falls.
0:06:13 > 0:06:15Kate is conscious and talking.
0:06:15 > 0:06:18Her horse is unhurt, but she could have serious injuries.
0:06:18 > 0:06:20How are you feeling? If you keep your neck nice and still for me.
0:06:20 > 0:06:21- What's your name?- Kate.
0:06:21 > 0:06:24My name's Mark. I'm one of the paramedics from the helicopter.
0:06:24 > 0:06:28What I'm going to do is just going to drop you back onto your back, OK?
0:06:28 > 0:06:29To look after your neck.
0:06:29 > 0:06:31Unfortunately, because of the tumble you've had
0:06:31 > 0:06:32and you have a distraction injury,
0:06:32 > 0:06:34we have to look after your neck as well, OK?
0:06:36 > 0:06:39Getting Kate flat is now vital to immobilise her
0:06:39 > 0:06:42and to allow Mark to properly assess her.
0:06:42 > 0:06:44What we need to do... Will that fence move?
0:06:44 > 0:06:46- No.- It might.
0:06:46 > 0:06:49Guys, will that fence move?
0:06:49 > 0:06:51'It'll be pinned down. Yeah, get Andy.'
0:06:51 > 0:06:53Is it easy to move? I just want to lie this girl back.
0:06:53 > 0:06:55- 'We'll have to take a whole load of pins out.'- OK.
0:06:57 > 0:06:58Can you remember what happened?
0:06:58 > 0:07:01You haven't knocked yourself out or anything like that?
0:07:01 > 0:07:03Where is the main part of your pain at the moment?
0:07:03 > 0:07:06- Pelvis area and my knee.- And you say it's an eight out of ten?- Yeah.
0:07:06 > 0:07:09OK. How are you getting on with the Entonox? Is that working at all?
0:07:09 > 0:07:11Makes me just feel a bit spaced out.
0:07:13 > 0:07:16Right, OK? We're just going to lie you flat a little bit.
0:07:16 > 0:07:18Just going to go slightly to your back.
0:07:20 > 0:07:21- Lean into me here.- OK.
0:07:21 > 0:07:24Every inch of movement is agony.
0:07:24 > 0:07:27Keep going back. That's it. All the way back.
0:07:27 > 0:07:29We need to take your top off and have a good look at your chest
0:07:29 > 0:07:31to make sure you haven't damaged your chest at all.
0:07:31 > 0:07:33'Do you want me to get a blanket out?'
0:07:34 > 0:07:36Yeah, that'd be good.
0:07:36 > 0:07:38There are a lot of injuries that you may not see initially
0:07:38 > 0:07:41and you kind of have to go through what we call the mechanism of injury.
0:07:41 > 0:07:43You look at what might have happened
0:07:43 > 0:07:46if that horse has landed on a particular part of that body.
0:07:46 > 0:07:49So, you're looking at injuries to the chest and the lungs
0:07:49 > 0:07:51that you may not be able to see from the outside
0:07:51 > 0:07:53but that might be going on from the inside.
0:07:53 > 0:07:54Deep breath.
0:07:54 > 0:07:55And relax.
0:07:57 > 0:08:00Kate could have internal injuries
0:08:00 > 0:08:04but with no scanners or X-rays, Mark can't know for sure.
0:08:04 > 0:08:06Does that feel different?
0:08:06 > 0:08:08Getting a clearer picture of the fall would help.
0:08:08 > 0:08:11Somebody said to me they've got pictures of the actual fall.
0:08:11 > 0:08:13Oh, brilliant. We'll have a look, if they can show us that.
0:08:13 > 0:08:15Yeah. Excuse me?
0:08:15 > 0:08:16Did you say you had the pictures?
0:08:16 > 0:08:18Can you just show my colleague here?
0:08:18 > 0:08:22- Kate, your horse, somebody said 17 hands.- Yeah.
0:08:22 > 0:08:24- I'm a bit thick with horses. That's a big one, isn't it?- It's big.
0:08:24 > 0:08:26Yeah, I thought it was.
0:08:26 > 0:08:28And you were travelling?
0:08:28 > 0:08:29OK.
0:08:38 > 0:08:40So, he's fallen forward as well?
0:08:40 > 0:08:42- And landed on top of me.- Ooh, OK.
0:08:42 > 0:08:43I've got pictures of it.
0:08:43 > 0:08:46If I could have a quick look, that would be fantastic.
0:08:46 > 0:08:50Do you want to do it yourself? Zoom. There's a sequence of them.
0:08:54 > 0:08:56Right, OK. So, basically, the horse has come down
0:08:56 > 0:08:58right in-between your legs on its back.
0:08:58 > 0:09:00Yeah, that's what it looks like, yeah.
0:09:00 > 0:09:02We managed to see the photographs and she'd got them in stages
0:09:02 > 0:09:04and it was fantastic for us to see
0:09:04 > 0:09:07because we've got more of an impression of the mechanism
0:09:07 > 0:09:09of what had actually happened.
0:09:09 > 0:09:11And the lady had come across the top of the horse,
0:09:11 > 0:09:13landed on the ground on her back
0:09:13 > 0:09:17and then the horse had pretty much done a rotation and was inverted
0:09:17 > 0:09:21and then landed in-between the lady's legs and onto her abdomen.
0:09:23 > 0:09:26Soon as you saw the pictures, you're thinking, there's going to be
0:09:26 > 0:09:30some possible abdominal injuries, high risk of some pelvic injuries.
0:09:30 > 0:09:34You know, you can be really quite poorly from a pelvic fracture
0:09:34 > 0:09:35very quickly.
0:09:35 > 0:09:38The photos confirm it's a serious fall.
0:09:38 > 0:09:42The team need to get Kate off the ground and into the helicopter.
0:09:58 > 0:10:00A quiet drive in the County Durham countryside
0:10:00 > 0:10:02can be an escape from city life.
0:10:08 > 0:10:10But scenic isn't always safe.
0:10:17 > 0:10:19Around every bend, there are hidden dangers.
0:10:22 > 0:10:2560% of road fatalities happen in the countryside,
0:10:25 > 0:10:29where roads at 11 times more lethal than motorways.
0:10:34 > 0:10:37Working to keep 2,400 miles of road safe
0:10:37 > 0:10:41are the traffic cops from County Durham's Road Policing Unit.
0:10:43 > 0:10:47PC Damian Stevens is a long-serving traffic cop
0:10:47 > 0:10:49based at Spennymoor, near Bishop Auckland.
0:10:51 > 0:10:54I've done road policing for ten years now. I love it.
0:10:54 > 0:10:57It's every boy's dream. It's a great job.
0:10:57 > 0:11:01We do a lot of good. A lot of people don't like us.
0:11:01 > 0:11:03That kind of goes with the territory.
0:11:03 > 0:11:05We've seen a lot of awful things.
0:11:05 > 0:11:08Many, many fatal accidents, many serious injury accidents.
0:11:08 > 0:11:10That's the low part of the job.
0:11:10 > 0:11:13But there's a lot of high parts and there's a lot of excitement
0:11:13 > 0:11:16and I'd be lying if I said I didn't love my job.
0:11:17 > 0:11:22The mix of rural roads and busy arterial routes can be challenging.
0:11:23 > 0:11:27We've got the A1M, which travels north to south through the county.
0:11:27 > 0:11:30The A66 travels east to west.
0:11:30 > 0:11:33And they're both, you know, 70mph roads
0:11:33 > 0:11:37which have had their fair share of serious accidents over the years.
0:11:41 > 0:11:43Preventing accidents is a priority.
0:11:44 > 0:11:48Today, Damian is on patrol looking for speeders.
0:11:49 > 0:11:51We're travelling west on the A66.
0:11:51 > 0:11:54We're heading towards the Cumbrian border.
0:11:54 > 0:11:56Just...
0:11:56 > 0:11:59I've seen a vehicle of interest which has overtaken me.
0:11:59 > 0:12:02I'm travelling at 80-plus and it's overtaken me.
0:12:02 > 0:12:05We're just monitoring this guy's driving...
0:12:06 > 0:12:08..to see how bad it's going to get.
0:12:09 > 0:12:13Damian's in an unmarked car equipped with the latest technology
0:12:13 > 0:12:15to catch dodgy drivers.
0:12:15 > 0:12:19We've got all the speed-detection, video-recording facilities running.
0:12:19 > 0:12:23The guy in the Discovery in front obviously has no idea of that.
0:12:25 > 0:12:30He's patrolling the A66, the cross-country route
0:12:30 > 0:12:33linking the A1M in the east to the M6 and the West.
0:12:33 > 0:12:35This is a dangerous road.
0:12:35 > 0:12:37There's been a lot of accidents on this cross-Pennine route
0:12:37 > 0:12:39over the years, some serious accidents.
0:12:41 > 0:12:46With 18 deaths in ten years, the A66 is a notorious stretch of road.
0:12:48 > 0:12:50Just going to start recording now.
0:12:52 > 0:12:55So, I'm happy that we are following at a uniform distance now.
0:12:55 > 0:12:59We'll follow him for half a mile. We're at 90mph, 93.
0:12:59 > 0:13:02He's overtaking heavy goods vehicles.
0:13:03 > 0:13:05There's a lot of other vehicles on the road,
0:13:05 > 0:13:07as you can see, and I think...
0:13:08 > 0:13:09..enough's enough now.
0:13:11 > 0:13:14You can see the distance he is from the Clio in front at 80mph.
0:13:14 > 0:13:17He's just bullied him out of the way.
0:13:17 > 0:13:18So...
0:13:18 > 0:13:21SIREN WAILS
0:13:29 > 0:13:32- Good afternoon, sir. - Good afternoon.- How are you doing?
0:13:33 > 0:13:34Are you in a rush?
0:13:35 > 0:13:39Damian leads the driver back to his patrol car.
0:13:39 > 0:13:41When you overtook us, it was obvious that you were
0:13:41 > 0:13:44travelling in excess of the speed limit. Um...
0:13:44 > 0:13:48So, I began to follow you with the audio rolling and the speeds,
0:13:48 > 0:13:52you got up into the 90s, but in general it was in the high 80s.
0:13:52 > 0:13:57Pretty much the entire journey. We're talking maybe seven or eight miles.
0:13:57 > 0:14:00At one point, there was a little Renault Clio in front of you
0:14:00 > 0:14:04and you just plain bulled him out of the way.
0:14:04 > 0:14:05It is an endorsable offence,
0:14:05 > 0:14:10which would carry three penalty points and £100 fine.
0:14:10 > 0:14:12The video is the best tool we've got
0:14:12 > 0:14:16because it is hard to contest what the video says.
0:14:16 > 0:14:18That video is linked to a calibrated speedometer
0:14:18 > 0:14:22that's obviously calibrated by an outside engineering company.
0:14:22 > 0:14:24We know it is accurate.
0:14:24 > 0:14:28The beauty of it is, we sit people in the car and we speak to them.
0:14:28 > 0:14:30And we speak to them at an understanding level,
0:14:30 > 0:14:32but we need to point what the issue is,
0:14:32 > 0:14:35play them the video, they make their own minds up.
0:14:37 > 0:14:40This driver will get three penalty points and a £100 fine.
0:14:42 > 0:14:44Well, it just happens, unfortunately.
0:14:44 > 0:14:46You do your best to watch out for these guys,
0:14:46 > 0:14:48but every so often, it catches us out.
0:14:48 > 0:14:50Just drive a bit slower in the future, yeah.
0:14:50 > 0:14:53The road conditions are good, I felt it was nice and quiet,
0:14:53 > 0:14:58so, yeah, just going places, going places a bit too fast, I'm afraid.
0:14:58 > 0:15:00You grin and bear it, yeah. Just get on with it.
0:15:01 > 0:15:04The gentleman was very accepting of what I had to say to him.
0:15:04 > 0:15:08You know, we try and give people a chance and we try and be lenient,
0:15:08 > 0:15:11but there comes a time when you just have to
0:15:11 > 0:15:14enforce the laws that are there. And that was a prolonged period
0:15:14 > 0:15:17for several miles on what is a really dangerous road.
0:15:18 > 0:15:20So, a couple of hours left of the shift.
0:15:20 > 0:15:22We're just going to see what presents itself now.
0:15:25 > 0:15:26Back on the A66,
0:15:26 > 0:15:30it's not long before Damian clocks another speeding car.
0:15:30 > 0:15:32Following an Audi, a red Audi.
0:15:32 > 0:15:35Currently keeping a uniform distance behind him. We're up in the 100s.
0:15:35 > 0:15:37We're doing 107mph.
0:15:39 > 0:15:46At 37mph over the speed limit, this driver is chancing his luck.
0:15:46 > 0:15:48But that luck is about to run out.
0:15:56 > 0:15:59From dangerous driving to risky riding.
0:16:00 > 0:16:03Back in Cornwall, the air ambulance and land paramedics
0:16:03 > 0:16:06are helping fallen horse rider Kate.
0:16:07 > 0:16:12That horse is a big old horse. It's landed right in your pelvic area.
0:16:12 > 0:16:14- We're treating everything for the worst-case scenario.- OK.
0:16:15 > 0:16:18Photos confirmed it was a serious fall
0:16:18 > 0:16:20and the horse landed on top of her.
0:16:20 > 0:16:23Kate needs pain relief, but the colder she becomes,
0:16:23 > 0:16:26the trickier it is to administer.
0:16:26 > 0:16:28Just trying to warm your hand up,
0:16:28 > 0:16:30see if I can get one of these veins to come to the surface.
0:16:30 > 0:16:33Initially, we tried to get some intravenous access
0:16:33 > 0:16:35but unfortunately, she'd been quite cold.
0:16:35 > 0:16:38And she did tell me while we were at the scene
0:16:38 > 0:16:41that they'd struggled to get IV access on her before
0:16:41 > 0:16:43when she'd had some operation,
0:16:43 > 0:16:45so there was quite a challenge to get a line in
0:16:45 > 0:16:47to give her some IV morphine.
0:16:47 > 0:16:49Kate, this is oral morphine, OK?
0:16:49 > 0:16:52Which we can give you prior to us giving you some...
0:16:52 > 0:16:53You want that!
0:16:53 > 0:16:54OK.
0:16:57 > 0:16:59Swallow that. Fantastic. Well done.
0:16:59 > 0:17:00Tastes good, does it?
0:17:04 > 0:17:06While Mark deals with the pain,
0:17:06 > 0:17:08friend Becky deals with Kate's horse.
0:17:19 > 0:17:22Kate, I'll be honest, because you've got a pelvic injury,
0:17:22 > 0:17:24we're going to have to take all your clothes off.
0:17:24 > 0:17:26I know it sounds a little bit excessive
0:17:26 > 0:17:28but we've got to put a pelvic bind around your waist
0:17:28 > 0:17:30to make sure your hips stay in place.
0:17:30 > 0:17:33But we'll maintain your modesty throughout.
0:17:33 > 0:17:36But to get this belt on, that's what we have to do.
0:17:39 > 0:17:44They must get Kate off the ground as quickly and as gently as possible.
0:17:44 > 0:17:46Ready, set, slide.
0:17:47 > 0:17:48That's perfect.
0:17:48 > 0:17:51There we go. Well, Graham's going to be ready to roll.
0:17:51 > 0:17:54We'll go on the iron rolls. We want to leave the clothes behind.
0:17:54 > 0:17:56Three hands over, three hands under.
0:17:56 > 0:17:58So, be ready, set on the iron roll.
0:17:58 > 0:18:01We're just going up to about 20 degrees, hold there.
0:18:01 > 0:18:02Ready, set, roll.
0:18:03 > 0:18:04That's lovely. We'll pause there.
0:18:07 > 0:18:10Mark explains the pelvic bind.
0:18:10 > 0:18:13Do you know like a weight belt in a gym? It's a bit like that,
0:18:13 > 0:18:15only it goes a little bit lower on your hips.
0:18:15 > 0:18:19Basically, cos your pelvis is a bit like this, like a book, yeah?
0:18:19 > 0:18:22We're just going to keep that book together and that's all that does.
0:18:31 > 0:18:32Ready, set, lift.
0:18:39 > 0:18:41Because of the mechanism of the injury,
0:18:41 > 0:18:43and we've seen the photographs of exactly what happened
0:18:43 > 0:18:45which is really useful,
0:18:45 > 0:18:47so the chances of a pelvic injury are quite high.
0:18:47 > 0:18:48So, that's where we need to be.
0:18:48 > 0:18:51We need to take her to the Derriford Major Trauma Centre
0:18:51 > 0:18:53and look after her pelvis, look after her neck
0:18:53 > 0:18:55and then monitor everything else as well.
0:18:55 > 0:18:58So...yeah. Plymouth is where we need to be.
0:19:21 > 0:19:24Summer holidays in the country.
0:19:24 > 0:19:28A giant playground to explore and discover.
0:19:28 > 0:19:31But even the bravest adventurers can have accidents.
0:19:36 > 0:19:38Getting its fair share of holiday bumps and scrapes
0:19:38 > 0:19:41is the Urgent Care Centre in Penzance.
0:19:44 > 0:19:48Here, a summer break means going home in plaster
0:19:48 > 0:19:50with an X-ray for a holiday pic.
0:19:50 > 0:19:54So, you've got a fracture that goes down through here, can you see that?
0:19:54 > 0:19:58On shift today is Emergency Nurse Practitioner Julie Oliver.
0:19:58 > 0:20:01So, we're coming up to the end of the summer holidays
0:20:01 > 0:20:03and it is a really nice day today,
0:20:03 > 0:20:07so it'll be interesting to see what we get through our doors today.
0:20:07 > 0:20:09We've seen... Already this year, we've seen
0:20:09 > 0:20:11lots of fractures and breaks.
0:20:14 > 0:20:19And first up is three-year-old River, who has a very sore foot.
0:20:19 > 0:20:22My name is Julie, one of the nurse practitioners. How can I help you?
0:20:22 > 0:20:25- My husband took River to the park yesterday afternoon.- Right.
0:20:25 > 0:20:27And after he'd been at the park,
0:20:27 > 0:20:29he was complaining of some pain in his left foot.
0:20:29 > 0:20:31And then he went to bed and everything and he was fine,
0:20:31 > 0:20:33and he woke up crying this morning.
0:20:33 > 0:20:36- OK.- Saying that it was hurting quite a lot.
0:20:36 > 0:20:40River, can you see my little pictures up here?
0:20:40 > 0:20:44Can you tell me which you feel like?
0:20:44 > 0:20:48That's a happy face and that's a very sad face.
0:20:48 > 0:20:49So, what do you feel like?
0:20:49 > 0:20:52- Sad.- You feel sad, do you?
0:20:52 > 0:20:54Pop your leg straight, my darling.
0:20:54 > 0:20:57Now, you tell me if it hurts when I'm pressing.
0:20:57 > 0:20:58How does that feel?
0:21:00 > 0:21:03That's a bit bothering you, isn't it? And that is sore, isn't it?
0:21:03 > 0:21:06- His foot's a little bit swollen. We will get it X-rayed.- OK.
0:21:13 > 0:21:17Just sending River off now, down for an X-ray,
0:21:17 > 0:21:19and hopefully there won't be anything broken.
0:21:20 > 0:21:25River's X-rays might shed some light on his sore foot.
0:21:25 > 0:21:30- Right, so, these are the bones in your leg.- Wow.- OK?
0:21:30 > 0:21:33And they look absolutely fine.
0:21:33 > 0:21:36Hang on, let's have a look. A little bit closer.
0:21:37 > 0:21:40Better inspect it properly, hadn't we?
0:21:40 > 0:21:42Ooh.
0:21:42 > 0:21:44Actually, what's that there?
0:21:44 > 0:21:45- Just have a seat there a minute.- OK.
0:21:45 > 0:21:48Oh, Sham? Sorry, do you mind just having a quick look
0:21:48 > 0:21:50- at this X-ray for me, please?- Yeah.
0:21:50 > 0:21:54This little lad, unsure of mechanism of injury, but was at the park.
0:21:54 > 0:21:56Pain, lateral malleolus.
0:21:56 > 0:21:59He can weight bear, but a little bit reluctantly.
0:21:59 > 0:22:03But I'm just looking at that there. What do you think?
0:22:08 > 0:22:09Treat it as a fracture?
0:22:13 > 0:22:15River will be given a temporary plaster cast
0:22:15 > 0:22:17until he visits the fracture clinic.
0:22:19 > 0:22:20But it's unfortunate timing.
0:22:20 > 0:22:24- Pageboy on Saturday at Grandad's wedding.- Oh, he's going to be?- Yes.
0:22:24 > 0:22:26Oh, dear! Oh, gosh.
0:22:27 > 0:22:31Now, pop that hand in there.
0:22:31 > 0:22:34And that hand in there.
0:22:34 > 0:22:37Wow. Mum is right behind you and I'm right in front of you.
0:22:37 > 0:22:42So, what I want you to do is I want you to bring the crutches towards me,
0:22:42 > 0:22:44little steps, and then hop.
0:22:44 > 0:22:46- Hop!- Hop!
0:22:46 > 0:22:48- Hop forwards. - JULIE LAUGHS
0:22:48 > 0:22:51- That's great! - And then next one and that one.
0:22:51 > 0:22:53Do another hop to where your crutches are. Hop.
0:22:53 > 0:22:55- JULIE LAUGHS - Yay!
0:22:55 > 0:22:57There we go. Right, so, those are for Mummy.
0:22:58 > 0:23:02We've given him the crutches, which you saw, just brilliant with them.
0:23:02 > 0:23:07So, I'll just go through the plaster advice with Mum
0:23:07 > 0:23:08and they can go home.
0:23:10 > 0:23:15River might be patched up and free to go, but Julie's not.
0:23:15 > 0:23:18Her day of bumps and breaks is far from over.
0:23:18 > 0:23:21And next on the list, four-year-old Annie,
0:23:21 > 0:23:23who has fallen off some monkey bars.
0:23:25 > 0:23:28Is this all OK where I'm pressing? Is it all right?
0:23:28 > 0:23:29Is that OK?
0:23:30 > 0:23:32That's a bit sore, isn't it?
0:23:33 > 0:23:35How's that there? ANNIE WHIMPERS
0:23:35 > 0:23:37OK, it's all right. SHE CRIES
0:23:37 > 0:23:39We won't push it any more, OK?
0:23:39 > 0:23:41- I think she's probably broken that. - Oh.
0:23:41 > 0:23:44So, what we're going to do, we're going to get your picture taken.
0:23:44 > 0:23:47Will that be OK? Not of your face.
0:23:49 > 0:23:52So, little Annie has had a fall off of the monkey bars.
0:23:52 > 0:23:55Most likely to be what we call a fall on an outstretched hand,
0:23:55 > 0:23:57where they put their hand down.
0:23:57 > 0:24:00It's quite common, usually small children or younger children
0:24:00 > 0:24:02get what we call a green stick fracture.
0:24:03 > 0:24:07We'll just X-ray that, most likely go onto a backslab.
0:24:07 > 0:24:11A backslab is a half plaster that doesn't fully cover the arm.
0:24:11 > 0:24:13It's used on injuries with a lot of swelling.
0:24:15 > 0:24:17Right. Let's have a look.
0:24:17 > 0:24:20There, you've got a little break in your wrist there.
0:24:20 > 0:24:25And in actual fact, I think she's probably done both.
0:24:25 > 0:24:27- Oh, my goodness.- So, you did do a good job, didn't you?
0:24:27 > 0:24:29Did it properly, didn't you, Annie?
0:24:29 > 0:24:32- So, we need to make it better, don't we?- Yep.
0:24:32 > 0:24:36Right, do you want to sit up on the big chair for me?
0:24:36 > 0:24:37All right.
0:24:38 > 0:24:40Julie fits the cast.
0:24:42 > 0:24:44How does that feel?
0:24:44 > 0:24:46- Not fine.- Not fine?
0:24:46 > 0:24:48- But does it feel better?- No.
0:24:48 > 0:24:51- Mm?- Not much better.
0:24:53 > 0:24:56Next step, a sling. But little Annie is still not keen.
0:24:56 > 0:25:00I think it's important to get the child on your side.
0:25:00 > 0:25:03Just the communication can be quite difficult.
0:25:03 > 0:25:07But ideally, it's just not to upset them too much.
0:25:07 > 0:25:08If they don't want something -
0:25:08 > 0:25:10if they don't want to have medicine, that's fine.
0:25:10 > 0:25:13If they don't want to have the sling on, that's fine.
0:25:15 > 0:25:19So no monkey bars for Annie for the next few weeks.
0:25:23 > 0:25:25And no rest for Julie.
0:25:26 > 0:25:29Another play park casualty is three-year-old Emily,
0:25:29 > 0:25:31who's hurt her elbow.
0:25:31 > 0:25:34SHE SCREAMS LOUDLY
0:25:34 > 0:25:35Let's have a look.
0:25:37 > 0:25:41- That's a nasty fra...looks like a fracture.- Does it?
0:25:41 > 0:25:44A fracture...probably a supracondylar fracture.
0:25:44 > 0:25:47So we need to get it X-rayed first, all right?
0:25:48 > 0:25:49Left elbow.
0:25:53 > 0:25:56Come on, then. EMILY CRIES
0:25:56 > 0:25:59I'll pick you up, don't worry. Come on.
0:26:03 > 0:26:05- The lady will do it for you. - EMILY CRIES
0:26:05 > 0:26:08Just slowly, just gently, that's it. There you go, good girl.
0:26:08 > 0:26:10- Brilliant.- Good girl.
0:26:10 > 0:26:12You're going to hear a funny noise now.
0:26:12 > 0:26:14That's it.
0:26:15 > 0:26:18X-ray over, Dad takes Emily back to see Julie.
0:26:18 > 0:26:20OK, come and take a seat.
0:26:22 > 0:26:24Right, OK.
0:26:24 > 0:26:27Right, let's have a look at your X-ray.
0:26:27 > 0:26:32Right, so it is what we call a supracondylar fracture at the elbow.
0:26:32 > 0:26:33It doesn't look displaced
0:26:33 > 0:26:38but you can just see on the X-ray, it's broken just through there
0:26:38 > 0:26:39and through there.
0:26:39 > 0:26:43- So that is going to need to go in a cast.- OK.
0:26:43 > 0:26:48A supracondylar fracture means Emily has broken the bone in her upper arm
0:26:48 > 0:26:51just above the elbow - a common injury in young children.
0:26:53 > 0:26:55We've given her some pain relief.
0:26:55 > 0:26:58Pain relief seems to have helped quite a bit.
0:26:58 > 0:27:01So we're now going to put her into a backslab.
0:27:03 > 0:27:04Go round and round.
0:27:08 > 0:27:12Now, this is going to feel nice and warm.
0:27:12 > 0:27:17- OK. Tuck it in here.- Eurgh.- Bleurgh.
0:27:17 > 0:27:21Be as quick as we can. And nice and cosy.
0:27:21 > 0:27:24And pop that one in there.
0:27:26 > 0:27:30All right? Wow, that's a big plaster for a little girl, isn't it?
0:27:30 > 0:27:33- I want to take it off.- Hey.
0:27:35 > 0:27:36OK.
0:27:38 > 0:27:40Oh, dear.
0:27:46 > 0:27:49Another satisfied customer. JULIE LAUGHS
0:27:50 > 0:27:52We find that we often get runs of three.
0:27:52 > 0:27:55So, like today, we've had those three children in.
0:27:55 > 0:27:58And then already, I think, this morning, or today,
0:27:58 > 0:28:02we've had three fractured wrists of children.
0:28:02 > 0:28:05So maybe they're getting tired at the end of the summer holidays,
0:28:05 > 0:28:07they need to go back to school.
0:28:07 > 0:28:10Too much having good fun, I think.
0:28:22 > 0:28:26From patching up minor accidents to preventing major ones.
0:28:29 > 0:28:32Back on the A66 dual carriageway in County Durham,
0:28:32 > 0:28:37PC Damian Stevens is on the lookout for dodgy drivers.
0:28:37 > 0:28:40Earlier he stopped a speeding Land Rover.
0:28:41 > 0:28:43- Good afternoon, sir. - Good afternoon.- How are you doing?
0:28:43 > 0:28:45Are you in a rush?
0:28:45 > 0:28:51He's now tailing a red Audi that's clocking up speeds of over 100mph.
0:28:51 > 0:28:53Currently keeping a uniform distance behind him.
0:28:53 > 0:28:56We're up in the 100s. We're doing 107.
0:28:58 > 0:29:01The road is about to turn into a single lane.
0:29:01 > 0:29:05That stretch of road where the two lanes merge into one
0:29:05 > 0:29:08is known as cross lanes for an obvious reason -
0:29:08 > 0:29:10there's a junction there on both sides.
0:29:10 > 0:29:12This is a minor junction. It's used by farmers.
0:29:12 > 0:29:13It's a very rural, agricultural area.
0:29:13 > 0:29:16There's a lot of slow-moving vehicles using that road.
0:29:16 > 0:29:20And a tractor or a slow-moving car pulling out of that junction
0:29:20 > 0:29:22would not have known that that Audi was travelling at 106.
0:29:26 > 0:29:31So 108 was about the highest speed, so we'll have a word with him and...
0:29:35 > 0:29:37..get him back to the car.
0:29:37 > 0:29:39Afternoon, how are you doing? Any ideas why...?
0:29:39 > 0:29:40I don't have any ideas.
0:29:40 > 0:29:43You don't have any ideas? Right, well, I shall show you the video.
0:29:43 > 0:29:45Just have a seat in there, we'll move the seat forward.
0:29:45 > 0:29:47We'll have a look.
0:29:47 > 0:29:50It's a calibrated speedometer that's linked to the video. OK, so...
0:29:50 > 0:29:52DAMIAN SIGHS I mean, that's...
0:29:52 > 0:29:54It's not great reading, that's 108.
0:29:54 > 0:29:57So you peaked at about 108 but in general, it was between 104
0:29:57 > 0:29:59and, you know, 108.
0:29:59 > 0:30:01And you can see we're coming down where two lanes come into one.
0:30:01 > 0:30:03Loads of signs, loads of paint on the road
0:30:03 > 0:30:07telling you that there's a hazard coming up.
0:30:07 > 0:30:10And you go at 106. Yeah, so...
0:30:12 > 0:30:13And then, obviously, you slowed.
0:30:13 > 0:30:16Cos at that point, I thought we'd better put the blue lights
0:30:16 > 0:30:17and sirens on and get you slowed down.
0:30:17 > 0:30:21With such high speeds, it's not looking good for the driver.
0:30:26 > 0:30:28Right, I can't say what it's going to be.
0:30:28 > 0:30:33It's in the hundreds, so the guide, generally,
0:30:33 > 0:30:37is that the court may consider a disqualification.
0:30:37 > 0:30:41"May consider a disqualification" is the term that we use.
0:30:41 > 0:30:44It's a high speed, mate, and...
0:30:45 > 0:30:46..you can't get away from that.
0:30:46 > 0:30:48Cheers, thank you.
0:30:48 > 0:30:50I don't think a warning's appropriate,
0:30:50 > 0:30:53I don't think a telling-off or a caution's appropriate
0:30:53 > 0:30:55and I don't think a speed awareness campaign's appropriate.
0:30:55 > 0:31:01I think that's a definite decision to travel at crazy speed
0:31:01 > 0:31:05and I think that there has to be some penalty for that -
0:31:05 > 0:31:09financial and points and maybe even a disqualification.
0:31:11 > 0:31:13I think the fact has just hit him, really,
0:31:13 > 0:31:17that that's going to have a hell of an effect on his life.
0:31:17 > 0:31:18He needs his car for work.
0:31:18 > 0:31:22But he can't get away from the fact that 108mph...
0:31:22 > 0:31:26and I know it's harsh and I know the lad's heartbroken, in tears,
0:31:26 > 0:31:30but, you know, he would kill someone or he'd kill himself
0:31:30 > 0:31:35if he even had a minor accident at that speed.
0:31:35 > 0:31:40Accident prevention is always better than having to pick up the pieces,
0:31:40 > 0:31:44but collisions are an inevitable part of being a country traffic cop.
0:31:48 > 0:31:52Damian's been called to an accident close by.
0:31:52 > 0:31:55We've had a report of a three-vehicle road traffic accident.
0:31:55 > 0:31:58We have no update yet on the severity of the accident.
0:31:58 > 0:32:01So it's about a five-minute drive from here.
0:32:01 > 0:32:03There's other units attending, I think we're the closest.
0:32:05 > 0:32:09One of our colleagues off the motorcycle unit is behind us
0:32:09 > 0:32:10to give some support.
0:32:10 > 0:32:15The A690 is a busy road, it's an arterial road through the county,
0:32:15 > 0:32:18and so there could be traffic issues
0:32:18 > 0:32:20as well as, obviously, any casualties so...
0:32:36 > 0:32:39Unfortunately, despite all the flashing head lamps,
0:32:39 > 0:32:44flashing blue lights, sirens, people still pull out on you, but...
0:32:46 > 0:32:48..disaster averted.
0:33:01 > 0:33:04Police and ambulance are already on scene
0:33:04 > 0:33:06and the traffic's backed up in both directions.
0:33:07 > 0:33:10A colleague gives Damian an update.
0:33:10 > 0:33:11Anyone injured?
0:33:17 > 0:33:20There's no sign of speeding cars.
0:33:20 > 0:33:22This collision involves three vehicles approaching
0:33:22 > 0:33:24temporary traffic lights.
0:33:24 > 0:33:26Have you worked out the choreography of this?
0:33:27 > 0:33:30The vehicle at the front of the queue was turning right into a farm,
0:33:30 > 0:33:33quite legitimately, and this caused the line of traffic
0:33:33 > 0:33:34to slow down and stop.
0:33:34 > 0:33:38And the van which was at the back of the line mustn't have seen
0:33:38 > 0:33:41that the vehicles were slowing and has hit it with some force.
0:33:41 > 0:33:45That's caused the vehicle it hit to go into another vehicle
0:33:45 > 0:33:47and a kind of concertina effect.
0:33:47 > 0:33:52In the ambulance is the pregnant driver of the front car, Stephanie.
0:33:52 > 0:33:54The traffic just came to a stop up ahead
0:33:54 > 0:33:57and everyone slammed the brakes on.
0:33:57 > 0:33:59And I, obviously, wasn't very close to the guy in front of us.
0:33:59 > 0:34:01Like, I managed to stop in time
0:34:01 > 0:34:04and then I just felt somebody hit us from the back.
0:34:04 > 0:34:06The guy in the truck in front, when we stopped,
0:34:06 > 0:34:09said that somebody was indicating, trying to turn round in the road,
0:34:09 > 0:34:11so everybody in front of me stopped and I've stopped
0:34:11 > 0:34:13and they've kind of gone in the back.
0:34:13 > 0:34:15Could have done without it to be honest, but...
0:34:15 > 0:34:17At least we're all right.
0:34:17 > 0:34:19A little bit shook up, a little bit of pain,
0:34:19 > 0:34:21but hopefully everything's OK.
0:34:21 > 0:34:24In the middle car behind Stephanie was 69-year-old Kay.
0:34:25 > 0:34:30I'm shaking. I've drove for over 30 years, I never had an accident.
0:34:30 > 0:34:35- What happened was, there was a car turning right...- Into the farm.
0:34:35 > 0:34:37..and then there was a wagon in front of the car.
0:34:37 > 0:34:40- And the wagon's just slammed his anchors on.- This girl stopped...
0:34:40 > 0:34:43- Yeah.- And then I realised she stopped and I put my brakes on,
0:34:43 > 0:34:45I swerved round her and you ran in the back.
0:34:45 > 0:34:46And I've gone into the back.
0:34:46 > 0:34:48- So you've clipped the passenger side.- Yeah.
0:34:49 > 0:34:51The people involved, the severity of injuries,
0:34:51 > 0:34:54that's the priority, really.
0:34:54 > 0:34:56You never know what you're coming to.
0:34:56 > 0:34:58If you're coming to something which, on the face of it,
0:34:58 > 0:35:01looks relatively minor. We're just glad to see
0:35:01 > 0:35:04the ambulance crew look quite unstressed by it all.
0:35:04 > 0:35:07It looks like walking wounded at worst, really.
0:35:07 > 0:35:11One of them is pregnant, she's 24 weeks pregnant this week.
0:35:11 > 0:35:13So she's got a little bit of pain in her chest,
0:35:13 > 0:35:15she doesn't think it's related to the accident.
0:35:18 > 0:35:21Damian must rule out alcohol as a factor in the crash.
0:35:23 > 0:35:26- Have you had an alcoholic drink today?- Never, no, I don't drink.
0:35:26 > 0:35:27No problem, I have to ask.
0:35:29 > 0:35:31- OK, have you ever done one of these before?- No, I haven't. What do I do?
0:35:31 > 0:35:34Just, if you form a nice seal around there with your mouth
0:35:34 > 0:35:36and then just blow until I say stop.
0:35:36 > 0:35:39Keep blowing. That's it. You've done it, sample taken.
0:35:41 > 0:35:44It is a lawful requirement if you're involved in a road traffic accident
0:35:44 > 0:35:46that you provide a specimen of breath.
0:35:46 > 0:35:49They've all complied with that, they've all given a zero sample,
0:35:49 > 0:35:51so that's one box ticked.
0:35:52 > 0:35:57The white van that hit Kay's car from behind has come off the worst.
0:35:57 > 0:35:59If you crash into the back of someone
0:35:59 > 0:36:01cos they've braked sharply or heavily,
0:36:01 > 0:36:04the onus is on you as the following vehicle to maintain a gap
0:36:04 > 0:36:06in which you can stop.
0:36:06 > 0:36:11So there is no defence to going into the back of somebody,
0:36:11 > 0:36:14because you should've been able to maintain that distance.
0:36:15 > 0:36:17Stephanie's given the all clear.
0:36:17 > 0:36:20There's no injury to herself or her unborn baby.
0:36:20 > 0:36:23It's done all sorts. It's been to Eminem at Wembley,
0:36:23 > 0:36:25it's done a zip wire when I didn't know.
0:36:26 > 0:36:27What else have we done?
0:36:27 > 0:36:30Oh, it's been to Glastonbury, went to Belgian Formula One last week
0:36:30 > 0:36:32and now it's been in a car accident.
0:36:32 > 0:36:35With cars and casualties dealt with,
0:36:35 > 0:36:37Damian can now get back out on patrol.
0:36:38 > 0:36:40So I've been told by the paramedics
0:36:40 > 0:36:42that there's no cause for concern anywhere.
0:36:42 > 0:36:46All three drivers are unhurt and unharmed.
0:36:46 > 0:36:48Two of the vehicles are still driveable,
0:36:48 > 0:36:50they're going to continue on their journey.
0:36:50 > 0:36:53We've got one vehicle being recovered so we're waiting on a local garage.
0:36:53 > 0:36:56And I'm ready now just to continue on my shift.
0:37:09 > 0:37:12Back in Cornwall, the air ambulance team are flying
0:37:12 > 0:37:16injured horse rider Kate to the major trauma centre at Plymouth.
0:37:32 > 0:37:35Photos of the fall seen by paramedic Mark Fuszard
0:37:35 > 0:37:37explain the team's caution.
0:37:38 > 0:37:40The momentum has carried the horse over,
0:37:40 > 0:37:43but the horse has done a somersault and landed...
0:37:43 > 0:37:46She's landed on the floor with her legs slightly open.
0:37:46 > 0:37:50The horse has gone inverted and landed on its back
0:37:50 > 0:37:53right on her pelvis.
0:37:55 > 0:37:57You can't imagine that happening.
0:37:57 > 0:38:01That size horse landing on you like that and not sustain an injury.
0:38:03 > 0:38:06It's just a nine-minute journey to Derriford Hospital,
0:38:06 > 0:38:09where the trauma team take Kate for investigation.
0:38:12 > 0:38:14- Hello.- Hello.- I'm Jan.
0:38:18 > 0:38:21She's taken the full force of this horse right on her pelvis.
0:38:23 > 0:38:26Heart rate of 120 initially, is now 88.
0:38:27 > 0:38:31Primary survey, X-rays in. Come onto this side, please.
0:38:33 > 0:38:36- Need me to explain anything else? - No, you're gone. Thank you.
0:38:36 > 0:38:37- Thanks very much.- Thanks.
0:38:39 > 0:38:42It's job done for the air paramedics.
0:38:42 > 0:38:46And over to the hospital to assess and treat Kate's injuries.
0:38:59 > 0:39:03Three weeks later, Kate's back at home and on the mend.
0:39:03 > 0:39:05I got rushed in to the resus,
0:39:05 > 0:39:07all the doctors and nurses were brilliant.
0:39:07 > 0:39:10They came rushing round and I had X-rays on my pelvis,
0:39:10 > 0:39:15X-rays on my knees, scans, blood tests, cannulas put in.
0:39:15 > 0:39:16They were brilliant.
0:39:20 > 0:39:23Kate badly bruised her pelvis and damaged her knee.
0:39:23 > 0:39:27But miraculously, there were no broken bones.
0:39:27 > 0:39:29I feel very grateful that my accident
0:39:29 > 0:39:33didn't cause more damage to me than originally thought.
0:39:33 > 0:39:36Obviously, I was off for a couple of weeks on crutches,
0:39:36 > 0:39:39due to the damage to my knee, and a bit of bed rest.
0:39:39 > 0:39:43I'm still taking a lot of painkillers and just...
0:39:43 > 0:39:45I'm trying to get back to normal.
0:39:45 > 0:39:50Physically, I feel OK, but it's the mental damage that it's done
0:39:50 > 0:39:53that's going to take a while to get over.
0:39:55 > 0:39:59The memories of the accident are still very vivid.
0:39:59 > 0:40:02The trials were only her second eventing competition
0:40:02 > 0:40:04with her horse, Flash.
0:40:06 > 0:40:09Went off to do the show jumping, where he was brilliant.
0:40:09 > 0:40:12He only had one down and then we went round the cross-country,
0:40:12 > 0:40:15which during the break, it was a bit wet.
0:40:15 > 0:40:19And then the whole way round he went clear, got to fence 16,
0:40:19 > 0:40:21which he flew over but jumped too big.
0:40:21 > 0:40:25I remember him jumping the first part of the double - massive -
0:40:25 > 0:40:27and then sitting, thinking,
0:40:27 > 0:40:29"I'm not sure that he's going to make the second part."
0:40:33 > 0:40:37And then I remember coming to in a bit of a state and agony
0:40:37 > 0:40:39and wondering where my horse was.
0:40:39 > 0:40:41That horse is a big old horse,
0:40:41 > 0:40:43- and he's landed right in your pelvic area.- Yeah.
0:40:43 > 0:40:46- We're treating everything for the worst-case scenarios.- OK.
0:40:46 > 0:40:48'While the paramedics were working on me,
0:40:48 > 0:40:51'I was just constantly thinking about my friend Becky, who was brilliant,'
0:40:51 > 0:40:54where Flash was and what was going to happen to him,
0:40:54 > 0:40:57how we were going to get the horses home and everything other
0:40:57 > 0:40:59than the pain I was in, really.
0:40:59 > 0:41:01Just worrying about everything else.
0:41:01 > 0:41:03'But I just couldn't help thinking about where Flash was
0:41:03 > 0:41:05'and if he was OK.'
0:41:14 > 0:41:17Initially, I got told that it was a rotational fall,
0:41:17 > 0:41:21so what was going on in my head was...dreadful.
0:41:21 > 0:41:23The images I had going on was horrible.
0:41:23 > 0:41:25And then when I saw the pictures,
0:41:25 > 0:41:28the ones of him landing on me were pretty horrific.
0:41:29 > 0:41:33But falling under a half-tonne horse hasn't put Kate off.
0:41:33 > 0:41:37- Her bond with Flash is as strong as ever.- Come on, then.
0:41:38 > 0:41:40I bought him at eight months old
0:41:40 > 0:41:43and we've never been apart, really.
0:41:43 > 0:41:45'He's a big boy but we've done everything together.'
0:41:45 > 0:41:47Good boy.
0:41:47 > 0:41:48I just love him.
0:41:50 > 0:41:52'After the accident, I got back on Flash'
0:41:52 > 0:41:54after two weeks,
0:41:54 > 0:41:57but I did it all very slowly with help from my friends,
0:41:57 > 0:41:59and they've helped me boost my confidence again.
0:42:01 > 0:42:05Not only is she back in the saddle, she's back competing again.
0:42:05 > 0:42:08Me and Flash did go to our first show jumping competition
0:42:08 > 0:42:11a couple of nights ago, and his confidence is fine.
0:42:11 > 0:42:14So from him being so brave, I think it'll help.
0:42:14 > 0:42:17We'll work together as a team and we'll get there again.
0:42:25 > 0:42:29It's been all go for the emergency services in Britain's rural areas.
0:42:32 > 0:42:35After a visit to the fracture clinic,
0:42:35 > 0:42:38it turns out River hadn't broken his ankle after all.
0:42:38 > 0:42:41At least he didn't have to hop down the aisle at Grandad's wedding.
0:42:43 > 0:42:45The driver of the red Audi
0:42:45 > 0:42:48is due to appear in court on speeding charges.
0:42:48 > 0:42:51And after over 2,000 rescue missions,
0:42:51 > 0:42:55air paramedic Mark Fuszard, who treated rider Kate,
0:42:55 > 0:43:00was awarded National Air Paramedic Of The Year 2014.
0:43:00 > 0:43:03And you thought it was quiet in the countryside.