0:00:02 > 0:00:05From the Highlands of Scotland to the coast of Cornwall,
0:00:05 > 0:00:10the great British countryside is spectacular.
0:00:10 > 0:00:14But we work and play in it at our peril.
0:00:15 > 0:00:16AMBULANCE SIREN BLARES
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.
0:00:26 > 0:00:28You're under arrest for failing stop for police.
0:00:28 > 0:00:30DOG BARKS
0:00:30 > 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.
0:00:37 > 0:00:39Lower the winch.
0:00:40 > 0:00:43From fields and forests,
0:00:43 > 0:00:45to cliffs and country roads,
0:00:45 > 0:00:48we'll be right at the heart of the action...
0:00:48 > 0:00:50with police fighting crime...
0:00:50 > 0:00:55I've got suspicions that there might be cannabis being used.
0:00:55 > 0:00:57..paramedics saving lives...
0:00:57 > 0:00:58BABY CRIES
0:00:58 > 0:01:01..and wardens safeguarding our lakes.
0:01:01 > 0:01:04- Come out of the way. - INDISTINCT RADIO VOICE
0:01:04 > 0:01:07We're there as the emergency services pull together
0:01:07 > 0:01:11to 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 > 0:01:39In Worcestershire, a country copper's on a drugs crackdown.
0:01:39 > 0:01:41Have you got any cannabis on you?
0:01:44 > 0:01:47Search and Rescue scramble to save a casualty in cardiac arrest
0:01:47 > 0:01:49on the Isle of Skye.
0:01:49 > 0:01:51His heart stopped.
0:01:51 > 0:01:53He's required CPR and defibrillation,
0:01:53 > 0:01:55so electronic shocks to restart his heart.
0:01:55 > 0:01:57AMBULANCE SIREN BLARES
0:01:58 > 0:02:02And on the Isle of Man, an elderly woman has had a nasty fall.
0:02:02 > 0:02:04Can you wiggle your foot?
0:02:04 > 0:02:06Can you move your food backward and forward like that for me?
0:02:06 > 0:02:08Well, I...
0:02:08 > 0:02:11- Don't do it if it hurts you. - No, no, no, I can't do it.
0:02:23 > 0:02:24In Worcestershire...
0:02:26 > 0:02:27Tenbury Wells.
0:02:28 > 0:02:30A traditional English market town.
0:02:32 > 0:02:35Surrounded by acres of unspoilt farming country.
0:02:37 > 0:02:40It's a close-knit community of around 3,000 people.
0:02:45 > 0:02:48Responsible for keeping that community safe...
0:02:50 > 0:02:52..is West Mercia Police.
0:02:59 > 0:03:03PC Nick Prosser is the only bobby based in Tenbury full time.
0:03:04 > 0:03:07I love the countryside. I could never leave the countryside,
0:03:07 > 0:03:08I love policing here.
0:03:11 > 0:03:14I like the camaraderie with the community.
0:03:14 > 0:03:17They know who I am, you know, they'll quite often drop by,
0:03:17 > 0:03:20knock on the door, just to say hello and have a cup of tea,
0:03:20 > 0:03:22and I like that. You don't get that in the city.
0:03:26 > 0:03:28But even in peaceful Tenbury...
0:03:30 > 0:03:32..there are illegal drugs.
0:03:32 > 0:03:34POLICE SIREN BLARES
0:03:41 > 0:03:44- BEEPING - Got some, um, cannabis here.
0:03:44 > 0:03:47We'll just carry on a quick search of the vehicle.
0:03:53 > 0:03:57Nick has received information about class-A drug use in the area,
0:03:57 > 0:04:00so he's planning a special mission.
0:04:00 > 0:04:02Going to ask you to be sort of the search teams
0:04:02 > 0:04:05when we walk into the pubs.
0:04:05 > 0:04:09Tonight, these officers will search local pubs for drugs.
0:04:09 > 0:04:12Recently, Friday evenings have seen...
0:04:12 > 0:04:16a build-up of younger people coming out into Tenbury,
0:04:16 > 0:04:18which is good to see, it's good for local businesses,
0:04:18 > 0:04:20brings people into town,
0:04:20 > 0:04:23but it's also brought in a couple of the dealers.
0:04:23 > 0:04:26Off the back of a number of members of the public giving us
0:04:26 > 0:04:29information on drugs use and supply,
0:04:29 > 0:04:31we just want to get a message across to the community that
0:04:31 > 0:04:34we're taking the information they've given to us seriously
0:04:34 > 0:04:36and we're taking the problem of drugs supply and use
0:04:36 > 0:04:39seriously here at Tenbury.
0:04:39 > 0:04:42We're just doing some walk-throughs of some of the local pubs,
0:04:42 > 0:04:45supported by PC Hunting.
0:04:45 > 0:04:48And PC Ade Hunting has a secret weapon.
0:04:48 > 0:04:50I'm acting as a dog handler.
0:04:50 > 0:04:52The dog will...
0:04:52 > 0:04:54screen the area round people, essentially,
0:04:54 > 0:04:58and if there's sort of a drug scent of interest,
0:04:58 > 0:05:01she'll indicate on the person.
0:05:01 > 0:05:03And then we will then decide
0:05:03 > 0:05:06what to do from there, whether to speak to them and question them
0:05:06 > 0:05:08and perhaps conduct a search.
0:05:12 > 0:05:15With Nick are three PCs and two special constables.
0:05:17 > 0:05:19Just because of the safety aspect
0:05:19 > 0:05:21and people being under the influence of alcohol,
0:05:21 > 0:05:25we just need to have enough bobbies to be able to make sure
0:05:25 > 0:05:28that the searches and the operation is carried out safely...
0:05:30 > 0:05:32..and everybody goes home in one piece.
0:05:35 > 0:05:38We're en route now, so we're going to be there in less than a minute.
0:05:38 > 0:05:41We'll park up. Then we'll...
0:05:41 > 0:05:45stick our lids on and walk out into town.
0:05:45 > 0:05:47You can already see we're getting plenty of looks at us.
0:05:47 > 0:05:52They're not used to seeing this many police cars round here.
0:05:52 > 0:05:54Be interesting to see what sort of response we get
0:05:54 > 0:05:57when we walk into the local pubs.
0:06:00 > 0:06:04Sniffer dog Poppy is prepped for action too.
0:06:04 > 0:06:05I'll just put her harness on.
0:06:05 > 0:06:07Good girl. Wait there, then.
0:06:07 > 0:06:10Sit. Sit.
0:06:10 > 0:06:11She is a very good dog, actually.
0:06:11 > 0:06:16She's got a very good nose and it's very useful in this sort of work.
0:06:17 > 0:06:19If only she could talk
0:06:19 > 0:06:20and drive a car.
0:06:24 > 0:06:28The officers hit the pubs on Tenbury's main street first.
0:06:29 > 0:06:32Go and have a word with them, make sure everything's OK,
0:06:32 > 0:06:35and then hopefully reassure the public
0:06:35 > 0:06:37that, you know, the police are about
0:06:37 > 0:06:40and we take a hard line on drugs.
0:06:42 > 0:06:45While some enter through one door...
0:06:45 > 0:06:46It's the fuzz!
0:06:47 > 0:06:49Come on, then.
0:06:49 > 0:06:52..Poppy and PC Hunting take the side entrance.
0:06:55 > 0:06:57Come on, then, Pops.
0:06:57 > 0:07:00- Hello, sir. How you doing? All right?- Yeah, not too bad.
0:07:00 > 0:07:04- Just walking through the local pubs with the dog.- Checking for...
0:07:04 > 0:07:08Checking for various things, really. The dog will have just a bit of a...
0:07:08 > 0:07:10- Bit of a sniff! - ..sniff at people, that's right.
0:07:10 > 0:07:12- You having a good evening? - Yeah, not too bad.
0:07:12 > 0:07:15- All right. You take care. - All right.- Come on, then.
0:07:18 > 0:07:21Nothing out of the ordinary here.
0:07:21 > 0:07:24The dog had a walk around a few people.
0:07:24 > 0:07:27Not too many in the pub at that moment in time
0:07:27 > 0:07:29and no obvious indications.
0:07:29 > 0:07:32That was good in a way, that we didn't find anything.
0:07:32 > 0:07:34We'll just move on to walk through the next pub now.
0:07:35 > 0:07:37But news travels fast.
0:07:41 > 0:07:43We did notice a couple of people who were straight on their phone
0:07:43 > 0:07:47as soon as we walked out so need to try and get up and down the street
0:07:47 > 0:07:49and round the pubs as quickly as we can.
0:07:53 > 0:07:57Another pub across the road is a bit busier.
0:07:57 > 0:08:02Hello. Good evening. How you doing? All right?
0:08:02 > 0:08:07- Try not to stroke the dog. - Something we do from time to time.
0:08:08 > 0:08:11But here, they meet with some resistance.
0:08:12 > 0:08:15We're just doing reassurance patrols in Tenbury and in the town
0:08:15 > 0:08:18cos people are coming to us saying there's a lot of drug use going on.
0:08:18 > 0:08:19Drug use? Are you having a laugh?
0:08:19 > 0:08:23We're trying to do something about it and show reassurance. We're just doing our job.
0:08:42 > 0:08:44The unspoilt Isle of Man.
0:08:46 > 0:08:52100 miles of coastline, crags and sheltered coves.
0:08:53 > 0:08:56This island's home to around 85,000 people.
0:08:58 > 0:09:00It's a lovely spot to retire to,
0:09:00 > 0:09:03with 21% of the island's residents of pension age.
0:09:13 > 0:09:16The Isle of Man Ambulance Service is a lifeline for the population,
0:09:16 > 0:09:19especially those in their later years.
0:09:20 > 0:09:22What we'll do, then, we'll put you on the ambulance
0:09:22 > 0:09:24and we'll pop you down to Nobles
0:09:24 > 0:09:26to get this pain sorted out for you, all right?
0:09:30 > 0:09:34Paramedic Jason Gaunt is based at the Port Erin station
0:09:34 > 0:09:36in the south of the island.
0:09:36 > 0:09:38I've worked on the Isle of Man Ambulance Service
0:09:38 > 0:09:39for approximately seven years now.
0:09:39 > 0:09:42I like the variety of it. You never know what you're going to get.
0:09:42 > 0:09:44You can go to sort of anything, you know?
0:09:44 > 0:09:47You get a call, you never know what you're going to.
0:09:56 > 0:09:57Received. Thank you.
0:10:01 > 0:10:06An emergency call has come in from a casualty in nearby Port Erin.
0:10:06 > 0:10:07Alpha 126. We are mobile.
0:10:11 > 0:10:14Today, Jason's working with technician Danielle Sims.
0:10:16 > 0:10:18I think it's an 80-something-year-old female
0:10:18 > 0:10:22that's fallen in the kitchen, with a possible fractured ankle.
0:10:22 > 0:10:25It's only a couple of minutes away. It's not far away.
0:10:29 > 0:10:31Alpha 126 on scene.
0:10:39 > 0:10:41Hello?
0:10:41 > 0:10:43Hello, my love. It's ambulance service.
0:10:43 > 0:10:46Where are you? Are you on the floor still?
0:10:46 > 0:10:49Hello. I'm Jason. This is Danielle.
0:10:49 > 0:10:51- It's standing out.- Right.
0:10:51 > 0:10:55I was over there and I stepped down,
0:10:55 > 0:10:59and instead of putting my foot on the slat, I went sideways.
0:10:59 > 0:11:01You've gone over on your ankle, have you?
0:11:01 > 0:11:03- You see, that's what's happened. - Right.
0:11:05 > 0:11:09Isabel fell in her kitchen and hasn't been able to get up.
0:11:12 > 0:11:15Her husband Donald called for help.
0:11:15 > 0:11:16Can you wiggle your foot?
0:11:16 > 0:11:19Can you move your foot backward and forward like that for me?
0:11:19 > 0:11:22- I can't do that.- You can't do it. Can you not do it at all?
0:11:22 > 0:11:25- Well, I...- Don't do it if it hurts.
0:11:25 > 0:11:26- No, no, no. I can't do it.- Right.
0:11:26 > 0:11:29Can't always tell if they're fractured so we'll pop it
0:11:29 > 0:11:31in a little splint, a little box splint, all right?
0:11:31 > 0:11:33We'll pop you up the hospital, get them have a look.
0:11:33 > 0:11:35They might need to X-ray it.
0:11:35 > 0:11:37Jason's concerned it may be fractured.
0:11:37 > 0:11:39It was a little bit swollen, the ankle was.
0:11:39 > 0:11:41A little bit bruised on the inside.
0:11:41 > 0:11:43That's where she was complaining of the pain.
0:11:43 > 0:11:46Just going to pop this little splint round it
0:11:46 > 0:11:49and if you have fractured it, it'll give it a little bit of support.
0:11:49 > 0:11:52Just used the simple box splint on the lady.
0:11:52 > 0:11:53They're easy to apply.
0:11:53 > 0:11:56They're normally quite safe to put on and everything.
0:11:58 > 0:12:01You stay where you are. We're going to bring a little chair in
0:12:01 > 0:12:03and we're going to try and get you on the chair
0:12:03 > 0:12:06and you try and push up. After three. One, two, three.
0:12:06 > 0:12:09That's it. All your weight on your good leg.
0:12:09 > 0:12:14And then swing your bum round and we'll get you in that little chair.
0:12:14 > 0:12:16That's it.
0:12:16 > 0:12:19Now with your good leg, push yourself back.
0:12:19 > 0:12:21Let me guide your feet where they're to go.
0:12:21 > 0:12:22That's it.
0:12:29 > 0:12:30Just keep that arm nice and still.
0:12:30 > 0:12:32We're just going to do your blood pressure.
0:12:32 > 0:12:34So is your pain quite tolerable?
0:12:34 > 0:12:37Are you able to cope with your pain or do you want any pain relief?
0:12:37 > 0:12:40- No, no.- It's comfortable, is it? - It is comfortable.
0:12:42 > 0:12:46With Isabel refusing pain relief, they set off for Nobles Hospital.
0:12:52 > 0:12:55It's 15 miles of winding roads to Douglas,
0:12:55 > 0:12:57the island's largest town.
0:12:59 > 0:13:02While he monitors Isabel's condition,
0:13:02 > 0:13:04Jason keeps her chatting.
0:13:04 > 0:13:06What did you used to do for a living, then? In your younger days?
0:13:06 > 0:13:08Did you work or anything?
0:13:10 > 0:13:11On a farm!
0:13:11 > 0:13:15Something in common, then. I used to work on a farm, years ago.
0:13:19 > 0:13:22It is nice to talk to patients. You find so much about them, really.
0:13:22 > 0:13:25Their life story, where they've worked and what they've done,
0:13:25 > 0:13:28about their families, so it's always a pleasure meeting these people.
0:13:28 > 0:13:30You do pick up so many lovely stories.
0:13:34 > 0:13:36In 30 minutes, they arrive.
0:13:39 > 0:13:41And you, my love. It's been very nice.
0:13:41 > 0:13:46All right, love. I'm coming in with you, don't worry. I'm not going yet.
0:13:46 > 0:13:48You can't get rid of me that easy.
0:13:50 > 0:13:52After three. One, two, three.
0:13:54 > 0:13:57There you go, my love. How's that? It's nice to have met you.
0:13:57 > 0:14:01- It was nice.- Fingers crossed you've not broken it.
0:14:01 > 0:14:03All right? You stay safe.
0:14:03 > 0:14:04All right, love.
0:14:07 > 0:14:10- So it's the left foot here, yes? - That's the one.
0:14:10 > 0:14:12That's the one.
0:14:12 > 0:14:16Try to keep as still as you possibly can, my dear. I know it's sore.
0:14:17 > 0:14:20Fantastic. That's the first one done.
0:14:21 > 0:14:25Radiographer Gerard takes multiple x-rays of Isabel's ankle
0:14:25 > 0:14:27to see if it's fractured.
0:14:27 > 0:14:29Well done.
0:14:29 > 0:14:31She remembers a time when the island's hospitals
0:14:31 > 0:14:32weren't so hi-tech.
0:14:34 > 0:14:36I remember going to the old Nobles Hospital
0:14:36 > 0:14:39and wasn't like going here now.
0:14:39 > 0:14:42It was sort of small and all this is big now.
0:14:42 > 0:14:45When we were kids, if you'd fallen,
0:14:45 > 0:14:48you just couldn't go and tell your mother you'd done it
0:14:48 > 0:14:50because she wouldn't listen to you.
0:14:50 > 0:14:53She'd say, "Well, it's your own fault, you see?"
0:14:53 > 0:14:55That's the way we were brought up.
0:14:55 > 0:14:59Isabel, it seems, has inherited that no-nonsense attitude.
0:15:02 > 0:15:05The verdict's in and it's no minor injury.
0:15:07 > 0:15:10I'm afraid I've got bad news for you.
0:15:10 > 0:15:13It looks like you've fractured your ankle in two different places.
0:15:13 > 0:15:17Well, I thought as much when it happened, that it was broken,
0:15:17 > 0:15:22so it's nothing really new to me.
0:15:22 > 0:15:24It's slightly displaced.
0:15:24 > 0:15:26I mean, it's out of place
0:15:26 > 0:15:30so what I'm going to do is to speak to the orthopaedic doctors
0:15:30 > 0:15:31to have a look at the X-ray
0:15:31 > 0:15:34and tell me what should be the management plan, OK?
0:15:34 > 0:15:36Thank you.
0:15:36 > 0:15:38Thank you.
0:15:38 > 0:15:41With any luck, it will require just a simple cast.
0:15:43 > 0:15:45He said that I could sleep here tonight.
0:15:45 > 0:15:47So it'll get all sorted out now.
0:15:47 > 0:15:51As I say, I'm in the right place anyway.
0:15:51 > 0:15:54It's the way I look at it.
0:15:54 > 0:15:56No, I think I'm in the safest place.
0:16:13 > 0:16:15In the Worcestershire town of Tenbury...
0:16:19 > 0:16:21..the officers of West Mercia police
0:16:21 > 0:16:23are conducting an anti-drugs operation
0:16:23 > 0:16:25with the help of sniffer dog Poppy.
0:16:32 > 0:16:35They've just arrived at the second pub of the evening.
0:16:37 > 0:16:39We're just doing reassurance patrols in Tenbury
0:16:39 > 0:16:41because people are coming to us saying
0:16:41 > 0:16:43there's a lot of drug use going on and a lot of supply.
0:16:43 > 0:16:45Drug use! Are you having a laugh?
0:16:45 > 0:16:49We're just trying to do something about it. Just doing our job.
0:16:49 > 0:16:52Some of the customers fear their local's being targeted.
0:16:52 > 0:16:55PC Nick Prosser reassures them.
0:16:55 > 0:16:58- OK. We're just doing our job. - OK. I beg your pardon.
0:16:58 > 0:17:01- All right. No probs. - OK, I'm sorry.- No probs.
0:17:03 > 0:17:06Poppy's given the all clear on the drugs front.
0:17:07 > 0:17:10What we're going to do is we're going to go back to the car
0:17:10 > 0:17:13and just add another pub on the list. One at the top of the town.
0:17:15 > 0:17:19We got a little bit of hostility in the one pub
0:17:19 > 0:17:24but our main purpose, if you like, is to reassure people
0:17:24 > 0:17:27that we're about and that's exactly what we've done tonight.
0:17:27 > 0:17:30Their next pub is up town.
0:17:30 > 0:17:33It's where, on Saturday nights, you get all the partygoers.
0:17:33 > 0:17:34It's a little lively.
0:17:34 > 0:17:36We'll crack on. We'll see what we've got.
0:17:40 > 0:17:44Poppy and dog handler PC Ade Hunting do a sweep.
0:17:52 > 0:17:55And it's not long before Poppy takes an interest in someone.
0:18:00 > 0:18:02Just searching around the local pubs, OK?
0:18:02 > 0:18:04The dog's indicated on you
0:18:04 > 0:18:06that she's quite interested in smells around your...
0:18:06 > 0:18:08Have you got anything on you?
0:18:08 > 0:18:11Have you been around any controlled drugs?
0:18:12 > 0:18:14Little bit of weed.
0:18:14 > 0:18:18I'm PC Nick Prosser, all right, from Tenbury police station, all right?
0:18:18 > 0:18:19I'm detaining you at the moment
0:18:19 > 0:18:21under Section 23 Misuse of Drugs Act 1971.
0:18:21 > 0:18:25The reasons for that is because a passive drugs dog has indicated
0:18:25 > 0:18:28by the side of you that they're very interested in your pocket, OK?
0:18:28 > 0:18:30For those reasons, you're just detained,
0:18:30 > 0:18:32just the purposes of the search, OK?
0:18:32 > 0:18:34We'll take you somewhere a little bit more private
0:18:34 > 0:18:37and we'll just have a chat about what you've disclosed to us
0:18:37 > 0:18:42- is in your pocket. Is that all right?- Yeah, that's fine.
0:18:42 > 0:18:45The man's admitted to carrying a small amount of cannabis.
0:18:45 > 0:18:48The dog walked past a gentleman sat at the bar
0:18:48 > 0:18:51and basically did a double take, went back and checked
0:18:51 > 0:18:55and she was quite positive in what she was trying to tell me,
0:18:55 > 0:18:57so we had a chat with the gentleman,
0:18:57 > 0:19:01he disclosed he had some controlled drugs on him
0:19:01 > 0:19:03and Nick's just talking to him now.
0:19:03 > 0:19:07Listen, we've got a job to do, all right? I'm not judging you.
0:19:12 > 0:19:15I appreciate your honesty. Thanks very much for that.
0:19:15 > 0:19:17I just rewarded the dog there
0:19:17 > 0:19:21because I saw that Nick had got some drugs there
0:19:21 > 0:19:22so I was able to reward her
0:19:22 > 0:19:25so that she knows she's done a good job, basically.
0:19:25 > 0:19:29In this case, I've given her her ball.
0:19:29 > 0:19:31You happy to come down to the station next week
0:19:31 > 0:19:34and we'll just have a quick chat about that?
0:19:34 > 0:19:37No, that's cool. We can do that. That's not an issue.
0:19:41 > 0:19:43Just seized a very small amount of cannabis.
0:19:43 > 0:19:45It's properly only £5-6 worth.
0:19:45 > 0:19:48There's not a great deal, but it's a positive.
0:19:48 > 0:19:50It shows she knows what she's doing.
0:19:50 > 0:19:52It is a good result and we'll seize that and interview him next week.
0:19:52 > 0:19:54We've got his details now.
0:19:56 > 0:19:58It's just sending out a great message.
0:19:58 > 0:20:01We've obviously got a positive.
0:20:01 > 0:20:02So it's a good result.
0:20:05 > 0:20:08They haven't found any class-A drugs,
0:20:08 > 0:20:11but the operation sent out an important message.
0:20:13 > 0:20:14It's only a small amount,
0:20:14 > 0:20:17but at least everybody in Tenbury's going to know
0:20:17 > 0:20:18we've been around with the drugs dog
0:20:18 > 0:20:21and that we've seized a little bit of cannabis -
0:20:21 > 0:20:22it'll soon be round the town.
0:20:22 > 0:20:25It'll probably go a little quiet, I would suggest, the next few weeks,
0:20:25 > 0:20:27possibly leading up to Christmas.
0:20:46 > 0:20:48From Scotland's highest peaks...
0:20:52 > 0:20:53..to Northern Ireland...
0:20:56 > 0:20:58..and the Lake District.
0:21:01 > 0:21:06Every day, HMS Gannet scrambles its Search and Rescue helicopters
0:21:06 > 0:21:10in order to save lives in some of Britain's most remote locations.
0:21:12 > 0:21:14Today, a call's come in.
0:21:17 > 0:21:20The crew must transport a critically ill patient to Glasgow.
0:21:35 > 0:21:38The driver of a coach tour visiting the island
0:21:38 > 0:21:40has had a cardiac arrest behind the wheel,
0:21:40 > 0:21:42with 40 tourists on board.
0:21:51 > 0:21:55Flying today are pilots James Bullock and NV Hammond...
0:21:59 > 0:22:04..winchman paramedic Taff Ashman and observer Richie Lightfoot.
0:22:13 > 0:22:15From their base in Prestwick,
0:22:15 > 0:22:19they're flying 130 miles to Broadford on the Isle of Skye.
0:22:21 > 0:22:23But first, they have to pick up
0:22:23 > 0:22:26a specialist emergency medical retrieval team from Glasgow.
0:22:49 > 0:22:53The retrieval team includes consultant doctor Neil McMahon,
0:22:53 > 0:22:56who'll supervise the casualty's transfer.
0:22:56 > 0:22:58His heart stopped.
0:22:58 > 0:23:00He's required CPR and defibrillation,
0:23:00 > 0:23:02so electric shocks to restart his heart.
0:23:02 > 0:23:05And he's now... His heart is beating and he is breathing,
0:23:05 > 0:23:08but he's deeply unconscious as a result of that cardiac arrest,
0:23:08 > 0:23:10so he needs his airway secured
0:23:10 > 0:23:13and he needs transferred to a specialist cardiology centre,
0:23:13 > 0:23:16which will be the Golden Jubilee Hospital in Clydebank.
0:23:16 > 0:23:17And our job is to get him there
0:23:17 > 0:23:20in the best physiological state possible.
0:23:20 > 0:23:22Bear right.
0:23:22 > 0:23:25- You are now...feet wet.- Roger.
0:23:25 > 0:23:28With only 25 beds, the hospital on the Isle of Skye
0:23:28 > 0:23:31has limited resources for specialist cardiac treatment.
0:23:32 > 0:23:36Relatively common, obviously, cardiac arrest.
0:23:36 > 0:23:39There's at least one in the west of Scotland every day.
0:23:39 > 0:23:42And, obviously, if that happens close to a metropolitan hospital,
0:23:42 > 0:23:44a city centre - Glasgow, for example -
0:23:44 > 0:23:46then you'll be treated by local staff and paramedics
0:23:46 > 0:23:48first of all, and then the hospital staff.
0:23:48 > 0:23:53But because remote and rural places don't have intensive care units
0:23:53 > 0:23:58and easy access to cardiac catheterisation labs, etc,
0:23:58 > 0:24:00then, actually, transport for them becomes...
0:24:00 > 0:24:04a transfer becomes more of a challenge and more important.
0:24:04 > 0:24:06The crew sets course for Skye.
0:24:15 > 0:24:18There's concern about the weather.
0:24:18 > 0:24:21But this being Scotland, it can change in an instant.
0:24:49 > 0:24:51Pilots Bullock and Hammond
0:24:51 > 0:24:53familiarise themselves with the landmarks.
0:25:12 > 0:25:14An hour after leaving Glasgow,
0:25:14 > 0:25:16Gannet lands near the hospital on Skye.
0:25:30 > 0:25:32Over two and a half hours ago,
0:25:32 > 0:25:3666-year-old Terence's heart had stopped beating entirely.
0:25:38 > 0:25:41To keep this guy stable during the flight,
0:25:41 > 0:25:44he's effectively going to be put in an induced coma.
0:25:44 > 0:25:49So he's being kept unconscious and he's on a ventilator,
0:25:49 > 0:25:51so the machine is breathing for him.
0:25:51 > 0:25:55And he's obviously going to be wired up to a defib monitor throughout.
0:25:59 > 0:26:01Terence's condition is life-threatening.
0:26:01 > 0:26:04They need to get him to the chopper now.
0:26:24 > 0:26:26In Worcestershire...
0:26:31 > 0:26:33..PC Nick Prosser of West Mercia Police
0:26:33 > 0:26:36is back on his beat in the town of Tenbury.
0:26:40 > 0:26:43Nick believes there's been a recent increase
0:26:43 > 0:26:46in illegal drug use in town, and he's cracking down on it.
0:26:46 > 0:26:49Seized a very small amount of cannabis.
0:26:49 > 0:26:52It's probably only £5, £6 worth there.
0:26:52 > 0:26:55There's not a great deal, but it's a positive, it is a good result,
0:26:55 > 0:26:57and we'll seize that and interview him next week.
0:26:57 > 0:26:59We'll get his details now.
0:27:01 > 0:27:04It's nearly 11pm.
0:27:04 > 0:27:06Thursday night in this rural market town.
0:27:06 > 0:27:08Things look quiet.
0:27:09 > 0:27:12Until Nick spies something suspicious.
0:27:12 > 0:27:14Oh, he HAS shot off.
0:27:15 > 0:27:21It's just a small little motorbike that's left an address
0:27:21 > 0:27:26where we believe that cannabis might be being sold from,
0:27:26 > 0:27:28so we're just going to have a...
0:27:28 > 0:27:31a chat with this guy in a minute, pull him over.
0:27:36 > 0:27:41We followed the motorbike, did a check on the registration,
0:27:41 > 0:27:43and it came back to an individual
0:27:43 > 0:27:46who I had my suspicions about that might be using cannabis.
0:27:48 > 0:27:50He indicates to the rider to pull over.
0:27:54 > 0:27:57Fella, do you want to pull over on the petrol station?
0:27:57 > 0:27:59Pull over on the petrol station.
0:28:08 > 0:28:11Thank you, 1189 to move and check, Teme Street, Tenbury.
0:28:16 > 0:28:20- I do know your mate that you've just been to.- Yeah.- OK?
0:28:21 > 0:28:24And the reason why I'm stopping you, I've got suspicions
0:28:24 > 0:28:28that there might be cannabis being used at that address.
0:28:28 > 0:28:31- OK, and you've just come from there, haven't you?- Yeah.- OK.
0:28:31 > 0:28:33So for that reason, at the moment,
0:28:33 > 0:28:36you're detained under Section 23 of the Misuse of Drugs Act, all right?
0:28:36 > 0:28:40- So for the purposes of a search, do you understand that?- Yeah.
0:28:40 > 0:28:42What you need to know is who I am, all right?
0:28:42 > 0:28:44I'm PC 1189, Nick Prosser.
0:28:44 > 0:28:46I'm attached to Tenbury Police Station,
0:28:46 > 0:28:47one of the local bobbies here.
0:28:47 > 0:28:49- Yeah.- All right?
0:28:49 > 0:28:51Are you happy with why I'm detaining you at the moment?
0:28:51 > 0:28:53You've just come from an address
0:28:53 > 0:28:55where I believe drugs are being used from.
0:28:55 > 0:28:57- Yeah, that's fine. - Have you got any cannabis on you?
0:28:57 > 0:28:59- I do, yeah. - You have got some on you? OK.
0:28:59 > 0:29:02- How much have you got on you? - Just one...
0:29:02 > 0:29:05- Just a gram?- Yeah... Well, not even that.- OK.
0:29:05 > 0:29:07- Take your helmet off for me, buddy, please.- Yeah.
0:29:07 > 0:29:09Is it on you, or is it on or in the bike somewhere?
0:29:09 > 0:29:12- No, it's in my pocket... It's in my pocket, mate.- OK.
0:29:18 > 0:29:21How much is there? Ten quid's worth? Is it just a gram, is it?
0:29:21 > 0:29:23Not even that, mate. It's just the tiniest bit.
0:29:23 > 0:29:25Nick seizes the cannabis....
0:29:27 > 0:29:29..and searches for more.
0:29:29 > 0:29:33- Appreciate you being honest with me. - That's OK, mate.- All right?
0:29:33 > 0:29:36- I knew you were going to stop me, anyway.- How did you know that?
0:29:36 > 0:29:38- Cos I just heard.- You heard?
0:29:38 > 0:29:41I heard that... Yeah, that you were stopping people.
0:29:43 > 0:29:48News has been getting around town about Nick's recent drugs crackdown.
0:29:48 > 0:29:50Certainly, he'd obviously heard of me
0:29:50 > 0:29:52and that we were stopping people for drugs round here,
0:29:52 > 0:29:54which we do a lot of.
0:29:54 > 0:29:55We try to stay on top of it,
0:29:55 > 0:29:58cos we do have a problem with it round here, in particular cannabis.
0:29:58 > 0:30:00So it sends a clear message out.
0:30:00 > 0:30:02But we'll deal with him in the back of the car now,
0:30:02 > 0:30:05and then we'll take it from there.
0:30:06 > 0:30:07You need to be aware, mate,
0:30:07 > 0:30:10I'm blitzing this town on drugs at the moment,
0:30:10 > 0:30:14and I will deal with everybody that's using drugs in this town.
0:30:14 > 0:30:16All right?
0:30:16 > 0:30:19You've heard that we've been stopping people for a good reason.
0:30:19 > 0:30:21Have you smoked some dope tonight? Cos your eyes do look pretty big.
0:30:23 > 0:30:26The suspect was driving his motorbike,
0:30:26 > 0:30:28so there could be another charge.
0:30:28 > 0:30:32He's admitted that he's smoked a small amount of cannabis,
0:30:32 > 0:30:35and he's been riding on his bike,
0:30:35 > 0:30:37so he could be unfit through drink or drugs.
0:30:37 > 0:30:39OK, fella.
0:30:41 > 0:30:45At the moment, as of 11.10,
0:30:45 > 0:30:48you are under arrest on suspicion of possession of cannabis,
0:30:48 > 0:30:52and also suspicion of riding your motorbike while being unfit.
0:30:52 > 0:30:55- OK, do you understand that?- Yeah. - You do not have to say anything.
0:30:55 > 0:30:58It may harm your defence if you do not mention now something which you later rely on in court.
0:30:58 > 0:31:02Anything you do say may be given in evidence. Do you understand that?
0:31:02 > 0:31:06Driving under the influence of cannabis is a more serious offence
0:31:06 > 0:31:09than possessing a small amount of the drug.
0:31:12 > 0:31:14The suspect could have posed a danger to himself
0:31:14 > 0:31:16and other road users.
0:31:20 > 0:31:22Right now, Nick must take him over 20 miles
0:31:22 > 0:31:25to Hereford Police Station for testing.
0:31:26 > 0:31:29You've got about...
0:31:29 > 0:31:32probably about a 25-minute drive to Hereford custody now,
0:31:32 > 0:31:37where there'll be a... a road policing unit waiting
0:31:37 > 0:31:40so they can carry out the appropriate test.
0:31:40 > 0:31:43Try and find out how much cannabis is in his system.
0:31:43 > 0:31:45We'll deal with that offence at custody,
0:31:45 > 0:31:47and possession of the cannabis.
0:32:00 > 0:32:03PC Leon Symms tests him for cannabis use.
0:32:11 > 0:32:12OK.
0:32:14 > 0:32:16Test is positive for cannabis,
0:32:16 > 0:32:19so it'll be a doctor to come out and take a blood sample.
0:32:20 > 0:32:23Like drunk driving, driving while unfit due to cannabis use
0:32:23 > 0:32:25is only prosecuted
0:32:25 > 0:32:28if a certain level of the drug is found in the blood.
0:32:29 > 0:32:31So next is a blood test.
0:32:31 > 0:32:34I've had plenty of drink drivers, but not drug drivers,
0:32:34 > 0:32:37so, yeah, it's the first one in the bin for me.
0:32:37 > 0:32:38The Chief Constable's tasked us
0:32:38 > 0:32:41with trying to reduce deaths on the road.
0:32:41 > 0:32:44Obviously, cannabis has been found in his saliva
0:32:44 > 0:32:47so, yeah, it's a good result,
0:32:47 > 0:32:50and the roads are slightly safer tonight in Tenbury.
0:33:10 > 0:33:13In Scotland, on the Isle of Skye...
0:33:20 > 0:33:23..the crew of Royal Navy Search and Rescue unit HMS Gannet
0:33:23 > 0:33:26have rushed to a man who suffered a sudden heart attack
0:33:26 > 0:33:29while driving a coach full of tourists.
0:33:36 > 0:33:39At Dr MacKinnon Memorial Hospital in the town of Broadford,
0:33:39 > 0:33:44Gannet paramedic Taff Ashman is about to help transfer the casualty.
0:33:46 > 0:33:4866-year-old Terence.
0:33:49 > 0:33:54The guy was a bus driver that was up taking a sort of tour group.
0:33:54 > 0:33:58He's taken unwell, I believe at the wheel of the bus,
0:33:58 > 0:34:00so when they've got him out of the bus,
0:34:00 > 0:34:02he's gone into cardiac arrest.
0:34:02 > 0:34:05There just so happened to be a medic who was passing.
0:34:06 > 0:34:09- Thank you.- See you later.
0:34:09 > 0:34:13At the roadside, Terence's heart stopped beating.
0:34:13 > 0:34:16Incredibly, local ambulance technician Hamish Robertson
0:34:16 > 0:34:17was driving past
0:34:17 > 0:34:20and stopped in his patient transport vehicle.
0:34:21 > 0:34:24There was a man lying on the side of the road,
0:34:24 > 0:34:26on his side, not breathing.
0:34:26 > 0:34:28His colour was blue.
0:34:28 > 0:34:30There was people round about him trying to help him.
0:34:30 > 0:34:35I then got my kit from the vehicle, cleared his airway,
0:34:35 > 0:34:39applied a defibrillator to him and gave him five shocks.
0:34:39 > 0:34:41And, eventually, he started breathing again
0:34:41 > 0:34:43and his heart started working.
0:34:45 > 0:34:50His heart restarted, but still unconscious and in a critical state,
0:34:50 > 0:34:53Terence was transferred by ambulance to the hospital here on Skye.
0:34:58 > 0:35:01He's been brought into A & E on the island
0:35:01 > 0:35:04and we're now going to package him up
0:35:04 > 0:35:06and take him back down to intensive care in Glasgow.
0:35:09 > 0:35:12Terence needs specialist cardiac treatment urgently.
0:35:12 > 0:35:15We'll bring the stretcher out, go down to the cab,
0:35:15 > 0:35:17load into the aircraft, and then fly back down to Glasgow.
0:35:23 > 0:35:26He's been driving tourist coaches for 22 years...
0:35:29 > 0:35:31..and was planning to retire next year.
0:35:35 > 0:35:37If everybody's happy...
0:35:37 > 0:35:39Ready, steady, lift.
0:35:47 > 0:35:51With Terence safely in the chopper, it takes off.
0:36:02 > 0:36:04They're heading for Golden Jubilee Hospital,
0:36:04 > 0:36:07a specialist cardiac unit in Clydebank, near Glasgow.
0:36:11 > 0:36:13By the winding roads of the Western Highlands,
0:36:13 > 0:36:16this journey would take at least four hours.
0:36:16 > 0:36:19But Gannet can fly it in under 60 minutes.
0:36:28 > 0:36:32Paramedic Taff and the emergency doctors keep a watchful eye.
0:36:42 > 0:36:44The medics have sedated Terence.
0:36:44 > 0:36:46It's a tricky balance,
0:36:46 > 0:36:50ensuring the precise amount of anaesthetic propofol is given.
0:36:50 > 0:36:52Consultant doctor Neil McMahon is treating him.
0:37:32 > 0:37:34But the weather's not on their side.
0:37:34 > 0:37:38They've flown into an area of low cloud and rain.
0:37:38 > 0:37:41Pilots Bullock and Hammond have to navigate carefully.
0:37:59 > 0:38:01RADIO TRANSMISSION CONTINUES
0:38:06 > 0:38:07Great.
0:38:19 > 0:38:22They reach Golden Jubilee Hospital.
0:38:25 > 0:38:2740.
0:38:27 > 0:38:2820.
0:38:51 > 0:38:55Here, Terence will be treated by specialists in cardiac care.
0:39:22 > 0:39:23Four months later...
0:39:28 > 0:39:31..Terence is back home in the town of Ulverston, Cumbria,
0:39:31 > 0:39:33with his wife, Christine.
0:39:33 > 0:39:37"You'll be up and out and good as new before a whole lot longer."
0:39:38 > 0:39:42And that's from all the people that were on the coach
0:39:42 > 0:39:43when you had your heart attack.
0:39:43 > 0:39:45Yeah.
0:39:45 > 0:39:48I don't remember anything for two weeks prior to the day.
0:39:49 > 0:39:51It's all blank.
0:39:53 > 0:39:55And three weeks after it.
0:39:56 > 0:40:00But Christine remembers the day her husband almost died all too well.
0:40:03 > 0:40:07As HMS Gannet Search and Rescue were racing to Skye,
0:40:07 > 0:40:10Christine was at work near their home when the phone rang.
0:40:11 > 0:40:15Got a phone call from a nurse,
0:40:15 > 0:40:21asking me if I was on my own, or, "Sit down,"
0:40:21 > 0:40:23and that my husband had had a heart attack
0:40:23 > 0:40:25and he was very seriously ill.
0:40:25 > 0:40:27I was more worried on the way up there
0:40:27 > 0:40:30as to if he HAD crashed his coach,
0:40:30 > 0:40:34was anybody else on board his coach involved and injured?
0:40:35 > 0:40:38Terence had no history of heart problems.
0:40:38 > 0:40:42Fortunately, when he began to feel ill, he was able to stop the coach.
0:40:43 > 0:40:47He'd pulled it over to the side of the road...
0:40:47 > 0:40:49in time.
0:40:50 > 0:40:53His family rushed to the hospital in Glasgow.
0:40:53 > 0:40:55When we got to the hospital,
0:40:55 > 0:40:58we were taken into a room, what they call the family room.
0:40:58 > 0:41:01You expect it to be bad news,
0:41:01 > 0:41:05but when they came in and said that he was still alive,
0:41:05 > 0:41:08he was very, very seriously ill,
0:41:08 > 0:41:13the fact that he was still alive was a weight off our shoulders.
0:41:20 > 0:41:22They said they'd put him into a coma
0:41:22 > 0:41:25because it was a way for his heart to recover.
0:41:25 > 0:41:28As he started coming out of the coma,
0:41:28 > 0:41:30he was getting very confused.
0:41:30 > 0:41:32He thought he was still at work.
0:41:32 > 0:41:34Kept going on about his coach.
0:41:34 > 0:41:40Since then, Terence has made an amazingly speedy recovery.
0:41:40 > 0:41:42He went to see his specialist the other day,
0:41:42 > 0:41:46and his specialist was absolutely over the moon with him.
0:41:46 > 0:41:49So he is really doing well.
0:41:49 > 0:41:53He should be, I reckon, definitely 99%.
0:41:55 > 0:41:59But at the age of 66, it's now time to take it easy.
0:41:59 > 0:42:03I can't drive now, so that's me retired now.
0:42:04 > 0:42:06Relax, do my garden.
0:42:06 > 0:42:09Wants a dog so that he can take it out for walks,
0:42:09 > 0:42:13so that'll give us something to look forward to.
0:42:13 > 0:42:16If he writes his letter to Father Christmas, he might get one!
0:42:28 > 0:42:33It's been all go for the emergency services across the British Isles.
0:42:35 > 0:42:38In Tenbury, the cannabis-carrying suspect
0:42:38 > 0:42:40sniffed out by drugs dog Poppy
0:42:40 > 0:42:43was given a cannabis warning and won't end up with a conviction.
0:42:46 > 0:42:48The motorbike rider's blood test
0:42:48 > 0:42:52revealed he was over the legal limit for cannabis use while driving.
0:42:53 > 0:42:56He was given a caution for possession of the drug,
0:42:56 > 0:42:59a 14-month driving ban, a fine and court costs.
0:43:01 > 0:43:03On the Isle of Man,
0:43:03 > 0:43:06Isabel's fractured ankle was set in a cast.
0:43:06 > 0:43:08She spent a couple of weeks in hospital
0:43:08 > 0:43:11before getting back home with husband Donald.
0:43:12 > 0:43:15And you thought it was quiet in the countryside(!)