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.
0:00:17 > 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 > 0:00:33..going hundreds of miles against the clock,
0:00:33 > 0:00:36battling the elements and braving the weather.
0:00:38 > 0:00:39Lower 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...
0:00:49 > 0:00:51..with police fighting crime...
0:00:51 > 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 > 0:00:59BABY 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're there as the emergency services pull together
0:01:08 > 0:01:10to pick up, patch up,
0:01:10 > 0:01:12and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:33 > 0:01:35Coming up -
0:01:35 > 0:01:39chest pains lead to a blue light call on the Isle of Man.
0:01:39 > 0:01:41What would you score your pain on a scale of nought to ten?
0:01:41 > 0:01:44Nought being no pain and ten being the worst pain you've ever had.
0:01:47 > 0:01:49Windermere's lake wardens
0:01:49 > 0:01:52have an environmental crisis on their hands.
0:01:52 > 0:01:56You can see sort of oil and scum coming out of the engine already.
0:02:00 > 0:02:02And a serious head injury is a serious worry
0:02:02 > 0:02:05for the Royal Navy Search and Rescue Team.
0:02:22 > 0:02:23The Isle of Man.
0:02:26 > 0:02:2950 miles off the coast of Cumbria,
0:02:29 > 0:02:32famous for its 100 miles of rugged coastline...
0:02:34 > 0:02:36..its picturesque rural communities...
0:02:39 > 0:02:42..and more than 300 miles of scenic winding roads.
0:02:43 > 0:02:47The island has just over 300 residents per square mile,
0:02:47 > 0:02:51less than half the population density of the rest of the UK.
0:02:57 > 0:03:01So when there's an emergency call, getting to critical cases in time
0:03:01 > 0:03:04is a challenge for the emergency services.
0:03:06 > 0:03:07HE KNOCKS
0:03:07 > 0:03:09Hello? It's the Ambulance Service.
0:03:11 > 0:03:14The Isle of Man Ambulance Service is a vital lifeline.
0:03:17 > 0:03:20They're ready to respond 24 hours a day.
0:03:20 > 0:03:23Right, what we'll do, we'll put you in the ambulance and we'll
0:03:23 > 0:03:26pop down to Noble's to get this pain sorted out for you, all right?
0:03:28 > 0:03:31Paramedic Jason Gorns has worked for the Ambulance Service
0:03:31 > 0:03:33for seven years.
0:03:33 > 0:03:35I've seen quite a lot in the years I've done, but
0:03:35 > 0:03:38there's always something that surprises you out the blue.
0:03:41 > 0:03:43You get a call, you just never know what you're going to.
0:03:43 > 0:03:48Even what they tell you're going to can sometimes turn out to be something completely different.
0:03:51 > 0:03:54This evening, Jason's working the 12-hour night shift with
0:03:54 > 0:03:57ambulance technician, Danielle Sims.
0:03:58 > 0:04:01It's seven o'clock now, we're just doing vehicle checks.
0:04:03 > 0:04:07And we're on all night until 6:30 in the morning.
0:04:07 > 0:04:09Night shifts do generally tend to be a little bit quieter,
0:04:09 > 0:04:11though they can be busy as well.
0:04:11 > 0:04:14It's quite a rural area so we do cover a wide variety,
0:04:14 > 0:04:17so things can change by the minute, really.
0:04:21 > 0:04:23Just two hours into the shift,
0:04:23 > 0:04:27a 999 call has come in from a patient complaining of chest pains.
0:04:30 > 0:04:31SIREN WAILS
0:04:32 > 0:04:34Just going to a chest pain now
0:04:34 > 0:04:37and that's the only information we've got at the moment.
0:04:37 > 0:04:41Chest pain, normally what you tend to think is cardiac cases,
0:04:41 > 0:04:43but there can be numerous things for causing chest pains, so that's
0:04:43 > 0:04:46probably the worst out of all of the eventualities, really,
0:04:46 > 0:04:48so we'll speak to the patient, ask some questions
0:04:48 > 0:04:51and we'll try and determine whether it's cardiac related,
0:04:51 > 0:04:53like a heart attack or anything like that.
0:04:56 > 0:04:59With the possibility of a serious heart problem,
0:04:59 > 0:05:01it's important they get to the scene fast.
0:05:04 > 0:05:08From their ambulance station in Port Erin, they're driving over
0:05:08 > 0:05:1114 miles of country roads to the patient in the town of Douglas.
0:05:19 > 0:05:23- Can you bring the little defib bag? - Yeah.
0:05:23 > 0:05:27In just over 20 minutes they arrive to find 33-year-old Kevin
0:05:27 > 0:05:29in agony at his front door.
0:05:31 > 0:05:33- Are you on your own?- Yeah.
0:05:33 > 0:05:37- So what's happened to you, then? Have you got some pain?- Yeah.
0:05:37 > 0:05:40- Your chest, your stomach or...? - Just...- Just there.
0:05:40 > 0:05:42Any pain like this before?
0:05:43 > 0:05:46- You've had three heart attacks? At your age?- Yeah.- Right.
0:05:51 > 0:05:55Up to 10% of heart attacks occur before the age of 45.
0:05:55 > 0:05:57Jason probes further.
0:05:57 > 0:05:59You say you've had three heart attacks.
0:05:59 > 0:06:01When was your last one, how long ago?
0:06:01 > 0:06:0312 months ago.
0:06:03 > 0:06:05What would you score your pain on a scale of nought to ten?
0:06:08 > 0:06:10- Can you give it a score for me? - Yeah.
0:06:12 > 0:06:13Can you manage?
0:06:15 > 0:06:16Are you a bit tired?
0:06:19 > 0:06:21Does this feel like the heart pain you've had before?
0:06:22 > 0:06:27You don't think it's to do with your heart, it feels totally different?
0:06:27 > 0:06:31With Kevin's worrying medical history, Jason's taking no chances.
0:06:32 > 0:06:35Let's pop you on this stretcher. Just take your time.
0:06:35 > 0:06:39In the ambulance, Jason can monitor Kevin's heart
0:06:39 > 0:06:40with an electrocardiogram
0:06:40 > 0:06:42and do further tests.
0:06:42 > 0:06:45Just going to have a listen to your chest.
0:06:45 > 0:06:47Just take a deep breath in and out for me.
0:06:50 > 0:06:52Right, let's do your blood pressure.
0:06:52 > 0:06:55Have you taken any painkillers at all?
0:06:55 > 0:06:56Nothing?
0:06:56 > 0:06:59You say it's been slowly getting worse all day, has it?
0:07:00 > 0:07:02You felt something pop.
0:07:02 > 0:07:05- You say you've never had a hernia or anything like that, have you?- No.
0:07:05 > 0:07:07No?
0:07:07 > 0:07:09Do you have problems with your blood pressure normally?
0:07:11 > 0:07:14- Has it been quite high in the past, then?- Yes.
0:07:14 > 0:07:17What else was it you say you suffer with?
0:07:21 > 0:07:22Right.
0:07:25 > 0:07:27ECG looks fine. That's good.
0:07:27 > 0:07:30You don't want any Entonox or anything to try?
0:07:30 > 0:07:33Kevin turns down the offer of gas and air for his pain.
0:07:35 > 0:07:37But with his history of heart and liver problems
0:07:37 > 0:07:38and high blood pressure,
0:07:38 > 0:07:42Jason's keen to get him to hospital as quickly as possible.
0:07:45 > 0:07:48Right. Your blood pressure's fine at the moment.
0:07:48 > 0:07:50A little bit high, if anything. That can sometimes make you feel
0:07:50 > 0:07:53a bit strange and dizzy but, if you do, you're monitored anyway
0:07:53 > 0:07:57and you're on a stretcher so you're not going anywhere, all right?
0:08:00 > 0:08:01Well, we'll see.
0:08:01 > 0:08:03See what the doctors find when we get you up there.
0:08:03 > 0:08:06They've got a lot more equipment than we've got, so...
0:08:09 > 0:08:12In just five minutes, they're at Noble's Hospital,
0:08:12 > 0:08:14Accident & Emergency ward.
0:08:16 > 0:08:19Is it a bit like your second home up here, then?
0:08:24 > 0:08:28Right, Kevin, do you think you're able to shuffle yourself across there? Just take your time.
0:08:30 > 0:08:32Here, they can run more tests.
0:08:36 > 0:08:40You look familiar, Kevin. Have you been in before?
0:08:40 > 0:08:43- Only about 20 times. - 20 times.- At least.
0:08:43 > 0:08:46There's so many things that can go wrong with the abdo, really.
0:08:46 > 0:08:49You know, we bring them to the hospital for the doctors to do scans
0:08:49 > 0:08:53and other tests and things, and hopefully they'll find something that's causing his pain.
0:08:53 > 0:08:56For Danielle and Jason, it's back on the road.
0:08:59 > 0:09:03With just three island ambulances on call, night-time can be busy,
0:09:03 > 0:09:07and in just two hours this team are on another blue light.
0:09:08 > 0:09:12Responding to...I think it was a 32-year-old male
0:09:12 > 0:09:15that's been hit in the face with steel toe-cap boots, apparently.
0:09:15 > 0:09:17The police are in attendance as well
0:09:17 > 0:09:19so we'll see what we get when we get there.
0:09:30 > 0:09:34From blue lights on the Isle of Man, to blue skies in Cumbria.
0:09:38 > 0:09:39The stunning Lake District
0:09:39 > 0:09:43attracts more than 16 million visitors a year,
0:09:43 > 0:09:45generating more than £1 billion of revenue.
0:09:50 > 0:09:55On Windermere, England's largest and longest lake,
0:09:55 > 0:09:57tourists flock to enjoy the watersports
0:09:57 > 0:09:59and leisure pursuits the area offers.
0:10:11 > 0:10:15Martin Dodgson is one of Windermere's six lake wardens
0:10:15 > 0:10:18employed by South Lakeland District Council.
0:10:18 > 0:10:20Right. Avanti.
0:10:28 > 0:10:31From their high-powered patrol boats,
0:10:31 > 0:10:33Martin and his colleagues keep the tourists
0:10:33 > 0:10:36and the local residents around Windermere safe and sound.
0:10:42 > 0:10:46They also guard the lake's diverse natural environment.
0:10:47 > 0:10:50Well, the lake is a very, very magical place.
0:10:50 > 0:10:53I'm lucky enough to be born and bred on Windermere.
0:10:53 > 0:10:54I love it.
0:10:58 > 0:11:01It's always nice to see people enjoying themselves.
0:11:04 > 0:11:08This lake warden's job is such a varied, varied job.
0:11:08 > 0:11:13I mean, you can do anything. If anything can happen on land,
0:11:13 > 0:11:17it can happen on water, and we have to end up dealing with it.
0:11:17 > 0:11:19And this morning's no different.
0:11:25 > 0:11:29We've just had a report that there's a vessel
0:11:29 > 0:11:31that looks like it's taken a little bit of water.
0:11:35 > 0:11:38The stricken boat is half a mile from their Bowness base
0:11:38 > 0:11:40on the west side of the lake.
0:11:45 > 0:11:47Thankfully, no-one's on board,
0:11:47 > 0:11:50but it could still spell disaster for the lake.
0:11:52 > 0:11:55This does happen on a regular basis.
0:11:55 > 0:11:58The cover gets ripped off in the wind, rainwater goes in,
0:11:58 > 0:12:01fills it up, starts sinking,
0:12:01 > 0:12:03which then in turn
0:12:03 > 0:12:08could cause an environmental issue
0:12:08 > 0:12:11with all the engine oils and the fuels coming out of it.
0:12:14 > 0:12:16And as you can see, the floor's collapsed in it.
0:12:18 > 0:12:20The cover's gone.
0:12:20 > 0:12:22Full of water. Everything's porous.
0:12:25 > 0:12:29You can see sort of oil and scum coming out of the engine already.
0:12:30 > 0:12:35Oil is responsible for 16% of all UK water pollution incidents
0:12:35 > 0:12:38and can be a catastrophe for local wildlife.
0:12:38 > 0:12:43It needs to be mopped out correctly, basically.
0:12:43 > 0:12:45The oil needs to be taken off.
0:12:45 > 0:12:49People need to take responsibility for their vessels.
0:12:49 > 0:12:53It's... There can be big, heavy fines by the Environment Agency
0:12:53 > 0:12:57for polluting waterways, which Windermere is obviously
0:12:57 > 0:12:59the largest one in England.
0:12:59 > 0:13:01We don't want pollution on our lake.
0:13:01 > 0:13:03Or on MY lake, even. My lake.
0:13:10 > 0:13:13Martin fetches a motor pump to bail out the boat.
0:13:13 > 0:13:15Seems he's found a friend, too.
0:13:17 > 0:13:20I've got my good buddy, Ronnie Muggeridge.
0:13:20 > 0:13:24He's the head Lake District National Park ranger.
0:13:24 > 0:13:27We work closely together, which is always good.
0:13:27 > 0:13:30- We work even closer together when we go like this. - THEY LAUGH
0:13:30 > 0:13:34Yeah, I've known Ronnie just through this job. He's a good lad...
0:13:34 > 0:13:35some say.
0:13:35 > 0:13:40I've asked if I can borrow their little petrol pump to do this job
0:13:40 > 0:13:46cos our pump, we have a big RNLI trash pump, which is very heavy.
0:13:48 > 0:13:50Now to put his antipollution plan into action.
0:13:54 > 0:13:58So basically, it's going to be an improvised filter.
0:13:58 > 0:14:02So we've got a lovely container here with a few little holes in it.
0:14:02 > 0:14:05That's to let the water drain out, obviously.
0:14:05 > 0:14:07Some oil-absorbent pads.
0:14:07 > 0:14:10There's a few already in the bottom of it. So that is going to
0:14:10 > 0:14:13catch any contamination. Fasten that to the bow of our boat.
0:14:20 > 0:14:23That's now sucking away nicely.
0:14:23 > 0:14:26Any spilled oil will form a thin layer on the lake,
0:14:26 > 0:14:30stopping oxygen transfer between air and water.
0:14:30 > 0:14:33It can lead to suffocation for plants and wildlife,
0:14:33 > 0:14:36so it's a good thing this pump's doing its job...
0:14:36 > 0:14:37for now.
0:14:37 > 0:14:39PUMP STOPS
0:14:39 > 0:14:40Ohhh!
0:14:40 > 0:14:41He's broken the pump!
0:14:49 > 0:14:51Come on, lads. Give it some wellie.
0:14:56 > 0:14:58Poor old girl's struggling.
0:15:01 > 0:15:03Normal service will resume shortly.
0:15:03 > 0:15:05We're simply having technical difficulties.
0:15:14 > 0:15:18From a bumpy day on the Lakes,
0:15:18 > 0:15:21to a busy night on the Isle of Man.
0:15:30 > 0:15:33Paramedic Jason Gorns and technician Danielle Sims
0:15:33 > 0:15:36are still working their 12-hour night shift.
0:15:36 > 0:15:40They're responding to another 999 call and it sounds like trouble.
0:15:40 > 0:15:43We're responding to...I think it was a 32-year-old male
0:15:43 > 0:15:45that's been hit in the face.
0:15:45 > 0:15:47I think the police
0:15:47 > 0:15:50are in attendance as well, so we'll see what we get when we get there.
0:15:52 > 0:15:54From their ambulance station in Port Erin,
0:15:54 > 0:15:58the call's taking them eight miles to the village of Ballasalla.
0:16:01 > 0:16:04It's nearly midnight and a late-night call like this
0:16:04 > 0:16:07rings alarm bells for Jason.
0:16:07 > 0:16:10There'll be alcohol involved, I've got a pretty good idea,
0:16:10 > 0:16:11but we could be wrong.
0:16:12 > 0:16:15You can walk through an area in the daytime, it look quite
0:16:15 > 0:16:16picturesque and nice,
0:16:16 > 0:16:19but night times it can just be a completely different environment.
0:16:19 > 0:16:24It sounds like a violent incident but it's unclear how serious it is,
0:16:24 > 0:16:28so the police are blue-lighting to the scene, too.
0:16:28 > 0:16:29It can be a bit worrying.
0:16:29 > 0:16:32It's always nice to have the police there. The Isle of Man police
0:16:32 > 0:16:36are normally quite good, actually, normally very quick to respond.
0:16:36 > 0:16:38With our job, it is very unpredictable
0:16:38 > 0:16:41and you can go into a situation that you think is quite safe
0:16:41 > 0:16:44and it can suddenly change, you know, at a second's notice, really,
0:16:44 > 0:16:47so you just need to be on your guard all the time.
0:16:48 > 0:16:51- Is that the police there? - Is that them there?
0:16:51 > 0:16:54- Is it?- Is it police? - Yeah, yeah, yeah.
0:16:56 > 0:17:00The casualty, 32-year-old Paul, made the 999 call.
0:17:03 > 0:17:05He's waiting with the police officer.
0:17:05 > 0:17:08Pop yourself in the ambulance and let's have a look at you.
0:17:08 > 0:17:09Put your fag out, then.
0:17:10 > 0:17:12Stretcher, Danielle, pop him on there.
0:17:12 > 0:17:14Right, sit yourself on the stretcher, matey.
0:17:14 > 0:17:17What's happened to you, then?
0:17:20 > 0:17:24Thrown at your face? So you weren't kicked by anybody? Right.
0:17:24 > 0:17:26So he's been booted in the head,
0:17:26 > 0:17:28but thankfully not in the conventional way.
0:17:28 > 0:17:30Was you knocked out at all?
0:17:30 > 0:17:33- No.- Not at all. Have you got...? Keep your head still for me.
0:17:33 > 0:17:36Have you got any pain in your neck at all in the centre.
0:17:36 > 0:17:38- No.- No. Just sit...
0:17:38 > 0:17:41Right, sit yourself forward for me.
0:17:41 > 0:17:43- Any pain in your back anywhere?- No.
0:17:43 > 0:17:46- So when I feel down your back there's no pain?- No.
0:17:46 > 0:17:49- Nothing at all. You say you wasn't knocked out?- No.
0:17:49 > 0:17:53As head injuries can be serious, Jason checks for complications.
0:17:54 > 0:17:56Just look straight at my nose.
0:17:56 > 0:17:59I'm just going to shine a light in your eyes.
0:17:59 > 0:18:01Have you had any alcohol tonight or anything?
0:18:01 > 0:18:03How much have you had, a lot or...?
0:18:06 > 0:18:08Eight or ten pints.
0:18:08 > 0:18:09'Somebody that appears intoxicated
0:18:09 > 0:18:12'could actually have had a head injury and the signs and symptoms
0:18:12 > 0:18:15'could solely be down to the head injury, not just the alcohol,
0:18:15 > 0:18:17'so you have to treat them for the worst case.'
0:18:17 > 0:18:19Pop this on your arm, we'll do your blood pressure.
0:18:19 > 0:18:23It's not particularly bleeding greatly at the moment, so we'll leave well alone.
0:18:23 > 0:18:27You've got no pain anywhere else at all, then, just your head, is it?
0:18:29 > 0:18:31But Paul's got another headache.
0:18:32 > 0:18:34PC Robin Arnold has something else to add.
0:18:51 > 0:18:53But before he's taken in for questioning,
0:18:53 > 0:18:55Paul needs to be taken in for treatment.
0:18:57 > 0:19:00Obviously, your wellbeing is the first priority,
0:19:00 > 0:19:02so we're going to get that sorted first.
0:19:02 > 0:19:03Yeah, would that not be...?
0:19:03 > 0:19:07I'm not going to talk to you about it, Paul. You're under caution.
0:19:07 > 0:19:11- There's a time and a place to talk about it and it's not here.- OK.
0:19:11 > 0:19:13It's all right, you've got blood all over you, mate.
0:19:13 > 0:19:15I know, but... Thanks anyway.
0:19:18 > 0:19:20It's an easy drive back to A & E.
0:19:22 > 0:19:24No pain relief given or anything?
0:19:24 > 0:19:26No, he's not really asked for anything
0:19:26 > 0:19:28and he seems fairly OK in himself.
0:19:28 > 0:19:31- I'll just get some times for that and I'll bring it back.- No worries.
0:19:31 > 0:19:33OK, thanks very much. All the best, mate. You take care.
0:19:33 > 0:19:35All right.
0:19:35 > 0:19:39Nurse Malcolm Diash cleans Paul's wounds up...
0:19:39 > 0:19:41ready for Dr Eva Longworth.
0:19:43 > 0:19:45Just going to feel your head now.
0:19:45 > 0:19:46Any tenderness there?
0:19:46 > 0:19:50- Yes. Yeah, that's... - And here as well?- Yeah, yeah, yeah.
0:19:50 > 0:19:54If you look at my finger, any double vision or anything?
0:19:54 > 0:19:55No.
0:19:55 > 0:19:59- And it's sore here?- Yeah.- OK.- Yeah.
0:19:59 > 0:20:03Concerned about fractures, the doctor's being cautious.
0:20:03 > 0:20:08- What I'd like you to do is come back in the morning for X-rays.- OK.
0:20:08 > 0:20:10What we'll try to do is glue it
0:20:10 > 0:20:15and then give the other gentleman some advice when to bring you back
0:20:15 > 0:20:17- and we'll see you back in the morning.- OK.
0:20:17 > 0:20:19All right, thank you.
0:20:22 > 0:20:25Malcolm patches up Paul's head.
0:20:25 > 0:20:27This might sting just a little bit.
0:20:29 > 0:20:31That feel OK?
0:20:31 > 0:20:32Yeah.
0:20:32 > 0:20:35But there's no rest for this lad.
0:20:35 > 0:20:38Yeah, is there the chance of a transport from A & E
0:20:38 > 0:20:40up to headquarters, please?
0:20:40 > 0:20:42Now he's taken in for questioning...
0:20:42 > 0:20:43Thanks, guys.
0:20:43 > 0:20:45Cheers. Thanks very much. Bye.
0:20:45 > 0:20:48..and a late night visit to the local nick.
0:21:05 > 0:21:06Scotland.
0:21:08 > 0:21:11Over 30,000 square miles of towering mountains...
0:21:13 > 0:21:16..storm-battered coastline
0:21:16 > 0:21:17and remote farmland.
0:21:19 > 0:21:23Living in this isolated wilderness can be wonderful,
0:21:23 > 0:21:24but when tragedy strikes,
0:21:24 > 0:21:28reaching critically injured casualties is a hard task.
0:21:31 > 0:21:35But it's a task taken up by the best -
0:21:35 > 0:21:36HMS Gannett.
0:21:37 > 0:21:41Covering 98,000 square miles of the UK,
0:21:41 > 0:21:43this Royal Navy Search and Rescue Team
0:21:43 > 0:21:47provide a lifesaving service, vital for rural communities.
0:21:48 > 0:21:52Today, Lieutenant Commander Florry Ford is briefing the team.
0:21:52 > 0:21:54The first one is winch training.
0:21:54 > 0:21:59Once they're ready and we've risk assessed with a winch transfer...
0:21:59 > 0:22:02This morning they're working on a special
0:22:02 > 0:22:04Royal Navy training exercise.
0:22:06 > 0:22:10Today's training exercise is to work with a couple of warships,
0:22:10 > 0:22:14and we're going to practise winch training with them.
0:22:14 > 0:22:17There is a potential for us to be tasked to an incident,
0:22:17 > 0:22:21because we're already airborne, so providing we have the fuel
0:22:21 > 0:22:23and we're going to be the quickest unit,
0:22:23 > 0:22:26then potentially we could be called out later on today.
0:22:48 > 0:22:50They've left their base at Prestwick,
0:22:50 > 0:22:54to fly 31 miles northwest to the Firth of Clyde.
0:22:54 > 0:22:57There they'll rendezvous and train with two naval warships.
0:23:00 > 0:23:03Important training manoeuvres like these keep everyone's skills
0:23:03 > 0:23:04at the highest level.
0:23:06 > 0:23:10Mike H Henson is the team's winchman and paramedic.
0:23:10 > 0:23:13He'll be lowered down to the deck of a warship.
0:23:15 > 0:23:18I won't put him out till we get over the top,
0:23:18 > 0:23:20and then we'll get him down quick.
0:23:20 > 0:23:23Winching from a hovering helicopter to a moving target
0:23:23 > 0:23:27is the sort of challenge these boys relish.
0:23:27 > 0:23:30That will be affirmative. Ready to winch. Out he gets.
0:23:33 > 0:23:38Go back and right, half past three, 40 yards.
0:23:38 > 0:23:41Good line. 30 yards.
0:23:41 > 0:23:42And lowering.
0:23:42 > 0:23:45Go back right, four o'clock.
0:23:45 > 0:23:49Easy...easy. And steady.
0:23:49 > 0:23:53Four yards. Clear back and right.
0:23:53 > 0:23:55Steady. On the deck, with the gear.
0:23:58 > 0:24:01Raise the winch, and move back to the left.
0:24:01 > 0:24:05This morning's training has gone well for winchman Mike.
0:24:05 > 0:24:09The most satisfying things, I find, is the teamwork,
0:24:09 > 0:24:14A, within the aircraft, but B, with all the multiagencies.
0:24:14 > 0:24:18RNLI, Mountain Rescue, Health Service,
0:24:18 > 0:24:19other emergency service personnel,
0:24:19 > 0:24:21all coming together to achieve an end.
0:24:22 > 0:24:26Easy, easy. Steady is the touch. Raise is clear.
0:24:26 > 0:24:28Move back and right now to clear the vessel.
0:24:28 > 0:24:33Level with the step.
0:24:33 > 0:24:34Level with the door.
0:24:34 > 0:24:36And bringing him onboard.
0:24:41 > 0:24:45As training takes the team further north, a call comes in.
0:25:31 > 0:25:33From their current position near Arrochar,
0:25:33 > 0:25:36the team head full-power to the casualty on a farm
0:25:36 > 0:25:39near Strathaven in Lanarkshire,
0:25:39 > 0:25:40about 40 miles as the crow flies.
0:25:45 > 0:25:47Rescue 177's en route.
0:25:47 > 0:25:50Echo Tango Alpha is 1155 UTC, over.
0:25:50 > 0:25:52Roger out.
0:25:54 > 0:25:57By road, the journey's almost 70 miles.
0:25:57 > 0:26:00In this powerful Sea King Mk5 chopper,
0:26:00 > 0:26:01it'll take just 20 minutes.
0:26:13 > 0:26:16A farm worker has suffered a serious head injury,
0:26:16 > 0:26:18while operating machinery.
0:26:18 > 0:26:20The skull is a closed vault,
0:26:20 > 0:26:25so any bleeding or any swelling in there, it ends up compressing
0:26:25 > 0:26:28the brain, as opposed to swelling out the way,
0:26:28 > 0:26:32which causes some significant and serious complications.
0:26:35 > 0:26:37Almost every three minutes,
0:26:37 > 0:26:40a head injury patient is admitted to a British hospital.
0:26:40 > 0:26:43In severe cases, the consequences can be fatal.
0:26:43 > 0:26:47It's vital these patients get the best care, fast.
0:26:56 > 0:26:59OK, clear and dispatch. Do I have the clear door?
0:26:59 > 0:27:00You are clear door.
0:27:08 > 0:27:11Doctors from the Emergency Medical Retrieval Service
0:27:11 > 0:27:13are already at the farm.
0:27:13 > 0:27:15They're specialists in emergency care.
0:27:15 > 0:27:18They only attend the most serious of cases.
0:27:24 > 0:27:29A quick brief from the doctors reveals the situation is critical.
0:27:47 > 0:27:5164-year-old Daniel's head injury is life-threatening.
0:27:51 > 0:27:53His wife May is at the scene.
0:27:55 > 0:27:59We've arrived at the scene. Clearly there's a full medical team here.
0:27:59 > 0:28:00The guy's got a head injury.
0:28:02 > 0:28:05Farming, by its very nature, is a dangerous occupation.
0:28:05 > 0:28:09Accidents happen, but they generally happen in remote, inaccessible
0:28:09 > 0:28:14areas, which is where helicopter services come to their own.
0:28:14 > 0:28:16They can get to places where ambulances can't get.
0:28:18 > 0:28:20The doctors have anesthetised Daniel
0:28:20 > 0:28:23and need to urgently transport him to hospital.
0:28:23 > 0:28:26That's where the HMS Gannet team can help.
0:28:27 > 0:28:30For the safety of the patient, the doctors anesthetise
0:28:30 > 0:28:33the casualty, and take over their breathing.
0:28:33 > 0:28:36They don't have enough room in the Air Ambulance
0:28:36 > 0:28:39to work on the patient safely,
0:28:39 > 0:28:42so the doctors decided to call us cos we've got such
0:28:42 > 0:28:46a big aircraft that they get the benefit of being able to anesthetise
0:28:46 > 0:28:50the patient, work on them and get them to hospital fairly rapidly.
0:28:56 > 0:28:58One, two, three.
0:29:04 > 0:29:07It's all hands on deck for the emergency services
0:29:07 > 0:29:10to get Daniel to the chopper and hospital quick.
0:29:30 > 0:29:34Back on Windermere, in Cumbria, lake warden Martin Dodgson
0:29:34 > 0:29:37is trying to prevent an environmental incident.
0:29:41 > 0:29:45A sinking boat is threatening to pollute the lake with oil.
0:29:45 > 0:29:48You can see, sort of, oil and scum are in,
0:29:48 > 0:29:50coming out of the engine already.
0:29:50 > 0:29:53Determined not to spill any oily drop,
0:29:53 > 0:29:55Martin is bailing it out.
0:29:55 > 0:29:57But as the first pump broke...
0:29:57 > 0:29:59ENGINE SPLUTTERS
0:29:59 > 0:30:01Normal service will resume shortly.
0:30:01 > 0:30:05We're simply having technical difficulties.
0:30:05 > 0:30:08Yep. On to there. Let me get on.
0:30:08 > 0:30:11Martin and national park ranger Ronnie Muggeridge
0:30:11 > 0:30:12have found a replacement.
0:30:15 > 0:30:18Take two!
0:30:18 > 0:30:21We've now got our huge pump,
0:30:21 > 0:30:24I'm positive will do the job.
0:30:24 > 0:30:27If it doesn't, I'm going home...
0:30:27 > 0:30:32to get a bucket and do it by bailing by hand, the old-fashioned way.
0:30:32 > 0:30:34It'll take a little bit of rigging up, but we'll get there.
0:30:34 > 0:30:36I have an idea.
0:30:36 > 0:30:40As Baldrick would say, "I have a cunning plan."
0:30:44 > 0:30:46Right!
0:30:46 > 0:30:49Put that into the bucket for us.
0:30:50 > 0:30:55This is terrible. It's very noisy and very smoky, by the way.
0:30:55 > 0:30:58ENGINE ROARS
0:30:58 > 0:31:00RONNIE COUGHS
0:31:04 > 0:31:07The reason why we're doing this, is we really want to avoid
0:31:07 > 0:31:09a major pollution incident.
0:31:09 > 0:31:13Cos this could have a potential of, say, 100 litres of oil in it.
0:31:15 > 0:31:18Just five litres of oil will disperse to cover an area
0:31:18 > 0:31:20the size of two football pitches.
0:31:21 > 0:31:23As you can see,
0:31:23 > 0:31:26we've got very little pollutants coming into the lake
0:31:26 > 0:31:29through this lovely filter system, which we've improvised on.
0:31:29 > 0:31:34But the gentlemen really does need to come and get his boat sorted out.
0:31:34 > 0:31:36Can't carry on like this.
0:31:36 > 0:31:38It's becoming a home to various bits of wildlife,
0:31:38 > 0:31:41it's that neglected.
0:31:41 > 0:31:45So I'm surprised that there hasn't actually been an otter,
0:31:45 > 0:31:47or a mink actually boarding it and sleeping on it
0:31:47 > 0:31:49and making its den.
0:31:49 > 0:31:51If I'm not mistaken, that's what they make.
0:31:51 > 0:31:56Sitting here with its deckchair, eating its fish lunch every day.
0:31:56 > 0:32:01Bottle of prosecco, a nice fish lunch, a few olives.
0:32:01 > 0:32:03Crack on. Job's a good'un.
0:32:03 > 0:32:06Cos that's what I'll be doing tonight.
0:32:08 > 0:32:13Job done and the Windermere environment's safe again.
0:32:13 > 0:32:18But Martin's not getting that glass of prosecco just yet.
0:32:18 > 0:32:23We've just had a report that apparently there's a car
0:32:23 > 0:32:27somewhere up in our car park, that seems to have run off the car park.
0:32:27 > 0:32:29He's down an embankment.
0:32:29 > 0:32:32They may end up having a tow out of the woods.
0:32:34 > 0:32:36Oh, dear.
0:32:36 > 0:32:40- Is it yours?- No. It's his, over there.- What happened?
0:32:40 > 0:32:42You live and learn. I'll never do that again.
0:32:42 > 0:32:44I reversed and I just never bothered parking in the first place.
0:32:44 > 0:32:47What, were you trying to turn around or something?
0:32:47 > 0:32:50Visitor Stuart's car has sunk into the grass verge.
0:32:50 > 0:32:54There was two or three cars parked there and I just went in next to the rest of them.
0:32:54 > 0:32:57I couldn't find a space anywhere and now we're three-foot deep in mud.
0:32:57 > 0:33:01Give me five minutes. I'll walk back down, get the tractor and...
0:33:01 > 0:33:04We'll... We'll...
0:33:04 > 0:33:07- We'll get you out. Worry ye not. - MARTIN LAUGHS
0:33:07 > 0:33:10Time for another of Martin's cunning plans.
0:33:10 > 0:33:13ENGINE RUMBLES
0:33:17 > 0:33:20ENGINE PURRS
0:33:21 > 0:33:25ENGINE RUMBLES
0:33:28 > 0:33:31But the car's not shifting for some reason.
0:33:32 > 0:33:35Oh, and tell him to take the handbrake off,
0:33:35 > 0:33:37cos that back wheel's locking.
0:33:37 > 0:33:40VEHICLE BEEPS
0:33:40 > 0:33:41Come on, lads.
0:33:41 > 0:33:44Right. Now put the lock in, and go.
0:33:44 > 0:33:46ENGINE ROARS
0:33:46 > 0:33:48That's it.
0:33:53 > 0:33:56- Don't lose that. - Right, thanks very much for that.
0:33:56 > 0:33:58- No worries, fella.- Cheers.- Eh?
0:34:00 > 0:34:03Now Martin can drive off into the sunset
0:34:03 > 0:34:06and uncork that long-awaited bottle of fizz.
0:34:10 > 0:34:12SIREN WAILS
0:34:18 > 0:34:22Events are much more serious in Strathaven, Lanarkshire, where
0:34:22 > 0:34:26farm worker Daniel is being carried to the HMS Gannet helicopter.
0:34:26 > 0:34:28His head injury is life-threatening.
0:34:33 > 0:34:34We've arrived at the scene,
0:34:34 > 0:34:37and clearly there's a full medical team here.
0:34:37 > 0:34:39The guy's got a head injury.
0:34:41 > 0:34:44They need to get Daniel to a specialist trauma hospital
0:34:44 > 0:34:46in Glasgow, quickly.
0:35:03 > 0:35:05Gannet's paramedic, Mike Henson,
0:35:05 > 0:35:09knows that choosing the right hospital for Daniel is crucial.
0:35:09 > 0:35:12Some serious injuries can only be dealt with by
0:35:12 > 0:35:15the appropriate consultants,
0:35:15 > 0:35:18so choosing the right hospital, and getting them to
0:35:18 > 0:35:22the correct hospital in the appropriate time is...
0:35:22 > 0:35:25Prehospital care is priority.
0:35:25 > 0:35:27HELICOPTER WHIRS
0:35:29 > 0:35:31The hospital is at Glasgow.
0:35:31 > 0:35:35The huge new centre up there is staffed by some of
0:35:35 > 0:35:39the most phenomenal people I've ever had the pleasure to work with,
0:35:39 > 0:35:43so I knew getting the casualty to that particular facility
0:35:43 > 0:35:45would give him the best chance.
0:35:45 > 0:35:48Right, move right one o'clock four. Steady, good position.
0:35:48 > 0:35:50You are clear, right behind and below.
0:35:50 > 0:35:52- Clear left.- Go down slowly. Go down.
0:35:52 > 0:35:55This hospital is Scotland's leading centre for
0:35:55 > 0:35:56brain and spinal injuries.
0:35:56 > 0:35:58Thanks for holding. The lever's fully down.
0:36:05 > 0:36:09We just dropped the casualty off at Glasgow University Hospital,
0:36:09 > 0:36:10with the retrieval team,
0:36:10 > 0:36:13and now he's on his way into the Emergency Department.
0:36:13 > 0:36:16They'll fully assess him and take it from there,
0:36:16 > 0:36:18so, erm, we're just heading back now.
0:36:19 > 0:36:23With Daniel in the best hands, they're heading back to base...
0:36:26 > 0:36:30..but Lieutenant Commander Florry Ford takes another emergency call.
0:36:56 > 0:36:59This is the second serious head injury of the day.
0:37:01 > 0:37:04They're speeding back to the Firth of Clyde,
0:37:04 > 0:37:05where they trained this morning -
0:37:05 > 0:37:09this time to the naval base at Faslane on Gare Loch.
0:37:11 > 0:37:14The 25-year-old casualty has suffered a head trauma
0:37:14 > 0:37:18while playing football in the gym of the naval base.
0:37:18 > 0:37:22It's the most closely guarded naval facility in the UK,
0:37:22 > 0:37:25and home to the Trident Nuclear Defence System.
0:37:39 > 0:37:43- Visual of Faslane.- 177, copy your last. You are clear to land.
0:38:01 > 0:38:04The casualty, James, was kept alive by his Navy mates performing
0:38:04 > 0:38:08first aid until trauma doctors got to the scene,
0:38:08 > 0:38:10but he's in a serious condition.
0:38:11 > 0:38:15He's transferred straight onto the chopper.
0:38:15 > 0:38:18Once again, medics from the Emergency Medical Retrieval Service
0:38:18 > 0:38:22are on scene and have anesthetised James.
0:38:32 > 0:38:34Oh, right.
0:38:38 > 0:38:41Yeah, that's Air Sea Rescue 177. We've departed Faslane.
0:38:41 > 0:38:43We're now eight souls onboard,
0:38:43 > 0:38:47endurance two hours, and routing to Glasgow University Hospital.
0:38:47 > 0:38:50We have an Echo Tango Alpha 1623 UTC, over.
0:38:52 > 0:38:55They're flying back to Queen Elizabeth University Hospital
0:38:55 > 0:39:00in Glasgow - an hour's journey by road, but 15 minutes by air.
0:39:06 > 0:39:08HELICOPTER WHIRS
0:39:11 > 0:39:14James is transferred into the care of the specialists
0:39:14 > 0:39:16at this state-of-the-art facility.
0:39:46 > 0:39:50What started as a training day for HMS Gannet rapidly
0:39:50 > 0:39:56turned into an intense challenge for this elite rescue unit,
0:39:56 > 0:40:01but despite their efforts the outcome is not always positive.
0:40:01 > 0:40:04Sadly, farm worker Daniel passed away in hospital,
0:40:04 > 0:40:07ten days after his accident.
0:40:07 > 0:40:10His family wanted his story to be told,
0:40:10 > 0:40:13to highlight the vital work done by rural emergency services...
0:40:19 > 0:40:21..and their work IS vital.
0:40:24 > 0:40:27Four weeks after being picked up by Gannet,
0:40:27 > 0:40:30Royal Navy Marine Engineer James is recuperating at home
0:40:30 > 0:40:32with his dog Jack.
0:40:32 > 0:40:36He's had 13 days of intensive hospital care since he played
0:40:36 > 0:40:39that fateful game of five-a-side in the gym at his naval base.
0:40:41 > 0:40:45I remember running after the ball and colliding with my mate,
0:40:45 > 0:40:46and flying into the wall,
0:40:46 > 0:40:48and that's all I can remember of the game.
0:40:48 > 0:40:51It was only when I was in hospital and I woke up
0:40:51 > 0:40:53and I was completely confused of where I was,
0:40:53 > 0:40:55and I was calling for the nurse,
0:40:55 > 0:40:59and that's when she revealed what happened and I was just...
0:40:59 > 0:41:01Wow.
0:41:01 > 0:41:02I was completely...so...
0:41:02 > 0:41:05so confused, so dizzy, didn't know where I was.
0:41:05 > 0:41:07Horrendous.
0:41:07 > 0:41:10At one stage, erm, my kidneys were failing,
0:41:10 > 0:41:13and they weren't quite sure what the problem was
0:41:13 > 0:41:15or why it was happening,
0:41:15 > 0:41:18and they've just put it down to the shock of the whole thing.
0:41:18 > 0:41:20And there was constant...
0:41:20 > 0:41:23I couldn't eat or drink and I lost... I had no appetite.
0:41:23 > 0:41:24Any time I'd had a sip of water,
0:41:24 > 0:41:27I was throwing it back up again, and food.
0:41:27 > 0:41:29I didn't eat for about a week. It was... Or didn't...
0:41:29 > 0:41:30I didn't move for about a week.
0:41:32 > 0:41:35James didn't know the full story of what had happened to him in
0:41:35 > 0:41:38the gym until his naval colleagues came to visit him in hospital.
0:41:38 > 0:41:40They came to the hospital, come to see us,
0:41:40 > 0:41:42and they were explaining what happened,
0:41:42 > 0:41:45and they were just saying it was absolutely horrific, like.
0:41:45 > 0:41:48Erm, like, they seen it - there was blood everywhere.
0:41:48 > 0:41:51There was... There was some guy trying to perform, erm, like,
0:41:51 > 0:41:52first aid on us.
0:41:52 > 0:41:55It was something out of Black Hawk Down or something.
0:41:55 > 0:41:57He was like, "We're losing him! We're losing..."
0:41:57 > 0:41:59Honestly, it was... When they was telling us,
0:41:59 > 0:42:01I was like, "What on earth's going on?" Just...
0:42:01 > 0:42:03Yeah, they were extremely worried, like.
0:42:03 > 0:42:06When I left the hospital, they pretty much told me to take it easy,
0:42:06 > 0:42:08so all I've been doing, really, is walking the dog for 20 minutes,
0:42:08 > 0:42:12half an hour a day, and just chilling at home.
0:42:12 > 0:42:15I'll probably go back to work and play loads of fives again,
0:42:15 > 0:42:16but I'll probably be wearing a helmet.
0:42:19 > 0:42:23James is looking forward to getting back to work at Faslane soon,
0:42:23 > 0:42:26but there's one other naval unit he won't forget in a hurry.
0:42:27 > 0:42:29People from HMS Gannet,
0:42:29 > 0:42:33thank you very much for coming to my...my rescue.
0:42:33 > 0:42:34I can't...
0:42:34 > 0:42:36My life's in your debt, you know.
0:42:43 > 0:42:48It's been all go for the emergency services across the British Isles.
0:42:48 > 0:42:51On the Isle of Man, Kevin still suffers from high blood pressure
0:42:51 > 0:42:53and heart problems.
0:42:53 > 0:42:56He's been referred to a specialist cardiac unit in Liverpool,
0:42:56 > 0:42:58where he'll undergo further tests.
0:42:58 > 0:43:02Paul was released without charge and his wounds healed well.
0:43:02 > 0:43:04As for the person who threw the boots -
0:43:04 > 0:43:06he received a police caution.
0:43:08 > 0:43:11And you thought it was quiet in the countryside.