0:00:02 > 0:00:06From the Highlands of Scotland, to the coast of Cornwall,
0:00:06 > 0:00:09the Great British countryside is spectacular.
0:00:11 > 0:00:13But we work and play in it...
0:00:13 > 0:00:14at our peril.
0:00:15 > 0:00:19SIREN WAILS And 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 > 0:00:29You're under arrest for failing to stop for police.
0:00:29 > 0:00:31DOG BARKS Going hundreds of miles
0:00:31 > 0:00:33against 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 > 0:00:51With police fighting crime...
0:00:51 > 0:00:53I'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 > 0:01:07..we're there as the emergency services pull together
0:01:07 > 0:01:11to pick up, patch up, and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:33 > 0:01:35Coming up,
0:01:35 > 0:01:38the Air Ambulance Crew in Cornwall struggle to find a man who
0:01:38 > 0:01:39might be in cardiac arrest...
0:01:46 > 0:01:47..on the Isle of Man,
0:01:47 > 0:01:51paramedics help a driver who's worryingly uncommunicative...
0:01:51 > 0:01:54- Mr Lucas.- Yeah?- Can you tell me your home address, please?
0:01:54 > 0:01:56Do you have family at home?
0:01:58 > 0:02:00..and a Worcestershire officer gets more than he bargained for
0:02:00 > 0:02:02on a night-time patrol.
0:02:02 > 0:02:05This is the farm that we had the attempted burglary,
0:02:05 > 0:02:06non-dwelling, the other day.
0:02:15 > 0:02:16The Isle of Man.
0:02:20 > 0:02:22Lying in the middle of the Irish Sea,
0:02:22 > 0:02:25between England, Ireland, Scotland and Wales.
0:02:26 > 0:02:3130 miles long, and 13 miles wide,
0:02:31 > 0:02:34the island is famous for its beautiful coastline...
0:02:36 > 0:02:40..miles of winding country roads...
0:02:40 > 0:02:42and it's peace and quiet,
0:02:42 > 0:02:44until August, that is...
0:02:44 > 0:02:47ENGINES ROAR LOUDLY
0:02:52 > 0:02:56..when the Festival Of Motorcycling roars into town for two weeks.
0:02:59 > 0:03:02Hundreds of spectators arrive around the clock,
0:03:02 > 0:03:07swelling the island's population of 85,000 to almost a 100,000.
0:03:14 > 0:03:17It's a major challenge for the island's ambulance service,
0:03:17 > 0:03:20calling for experienced teams,
0:03:20 > 0:03:23like Kevin Airey and Lisa Montgomery.
0:03:25 > 0:03:27I've been working with my current crew mate
0:03:27 > 0:03:31probably for about the last seven years.
0:03:31 > 0:03:33When you're working with somebody for that amount of time,
0:03:33 > 0:03:38cos you're working with that person for 12 hours, four days a week,
0:03:38 > 0:03:42and I think it always helps if you get on with that person.
0:03:42 > 0:03:44Every single job that you go to is different,
0:03:44 > 0:03:46there's no job ever the same.
0:03:46 > 0:03:49You know, and that's what I like. You know, you've got the variety.
0:03:53 > 0:03:55It's day one of the festival.
0:03:56 > 0:03:58A call comes in.
0:03:58 > 0:04:00- OVER RADIO:- 'All services requested.'
0:04:01 > 0:04:03Received.
0:04:11 > 0:04:15With all three services requested, it looks serious.
0:04:16 > 0:04:20SIRENS WAIL
0:04:26 > 0:04:29Kevin and Lisa blue light from their base in Douglas
0:04:29 > 0:04:31to a junction on the A2,
0:04:31 > 0:04:32just outside the capital.
0:04:36 > 0:04:38It should take 12 minutes to get there.
0:05:03 > 0:05:06Someone might need to be cut out of the vehicle.
0:05:11 > 0:05:13It's not a bad road
0:05:13 > 0:05:17cos just I think as you're coming into a 30mph speed limit,
0:05:17 > 0:05:20hopefully, it's low speed, impact,
0:05:20 > 0:05:22but again, like I say, until we get there,
0:05:22 > 0:05:24cos we've had no further update...
0:05:25 > 0:05:27- ..we don't know. - It could be anything there.
0:05:36 > 0:05:38Right, we're just arriving up here now.
0:05:41 > 0:05:45It's taken eight minutes from the call to reach the accident.
0:05:45 > 0:05:46It looks serious.
0:05:58 > 0:06:00As we approached the scene, you could see a car on the left-hand
0:06:00 > 0:06:04side that was in up on the pavement and in against the hedge,
0:06:04 > 0:06:06and then there was a yellow van,
0:06:06 > 0:06:10that was nosed into the hedge on the other side and on its roof.
0:06:10 > 0:06:13Certainly on this occasion when you see one car
0:06:13 > 0:06:17in the hedge on one side and you see, you know, a big transit van
0:06:17 > 0:06:21on its roof in the hedge the other side, you expect some injuries.
0:06:21 > 0:06:22Alpha 116 on scene. Over.
0:06:22 > 0:06:26- Do you want to go to that one and I'll go to that one?- Yep, OK.
0:06:27 > 0:06:29While Lisa heads straight for the van driver,
0:06:29 > 0:06:31Kevin's focus is the car.
0:06:33 > 0:06:36Local resident Paula witnessed the accident.
0:06:36 > 0:06:38Hiya. How we doing?
0:06:38 > 0:06:41- This is Joe, age 66. - Hi, Joe, I'm Kevin.
0:06:41 > 0:06:43Works up in England.
0:06:43 > 0:06:46He arrived on the island at six o'clock this morning on the ferry.
0:06:46 > 0:06:48He's got pains in his chest, but he thinks it feels like he's
0:06:48 > 0:06:52been banged rather than he's having any kind of problems.
0:06:52 > 0:06:55He's been able to breathe. He's got a laceration to his head.
0:06:55 > 0:06:58He's obviously had a bang. He's very confused.
0:06:58 > 0:06:59He can't remember the accident.
0:06:59 > 0:07:01He can't remember what's happened at all?
0:07:01 > 0:07:03- Were you wearing your seatbelt, OK? - Yeah.- Yeah?
0:07:03 > 0:07:05So, you've gone into here...
0:07:10 > 0:07:1366-year-old Joe and his wife, Jackie, arrived on the ferry
0:07:13 > 0:07:15early this morning.
0:07:15 > 0:07:17They come every year to watch the motorbike races.
0:07:20 > 0:07:23It was Jackie's quick thinking that stopped the car.
0:07:36 > 0:07:38And I thought... Oh, I don't know!
0:07:38 > 0:07:39For that fact that he's spun around,
0:07:39 > 0:07:42I think he's been quite lucky, you know?
0:07:47 > 0:07:48- Really?- Yeah.- Yeah.
0:07:51 > 0:07:53You're OK, Joe?
0:07:53 > 0:07:57While the police investigate the site, Kevin attends to Joe.
0:07:59 > 0:08:02He was knocked out in the impact and is now disorientated.
0:08:04 > 0:08:05Do you know what day it is?
0:08:10 > 0:08:11No, that's fine, you've had...
0:08:11 > 0:08:15The thing is, you've had a shake to the head, you see. Yeah?
0:08:15 > 0:08:17I dealt with Joe.
0:08:17 > 0:08:20Lisa went to deal with the van driver,
0:08:20 > 0:08:23and thankfully, he was not injured at all,
0:08:23 > 0:08:26so she checked him out, that was fine.
0:08:26 > 0:08:30Amazingly, the van driver managed to climb out of the wreckage unscathed.
0:08:33 > 0:08:37But with wife Jackie in shock and being comforted by a passer-by,
0:08:37 > 0:08:40- and Joe still confused... - I'm Lisa, Joe.
0:08:40 > 0:08:41All right?
0:08:41 > 0:08:45..the team needs to get this couple to hospital as soon as possible.
0:08:56 > 0:09:00From rural roads to rural rogues...
0:09:04 > 0:09:07..crime in the country brings unique challenges for our cops.
0:09:09 > 0:09:12Theft tops the list of most common offences.
0:09:15 > 0:09:18Last year, stolen livestock and equipment cost the UK economy
0:09:18 > 0:09:20over £50 million.
0:09:24 > 0:09:28One of the counties affected by rural crime is Worcestershire...
0:09:29 > 0:09:31..the patch of Sergeant Rich Foxhall.
0:09:33 > 0:09:36Worcestershire is a very rural area,
0:09:36 > 0:09:41countryside with several towns.
0:09:41 > 0:09:44And then you don't have to go far from any of our major patrol bases
0:09:44 > 0:09:48and you're out in the countryside and big old distances to cover.
0:09:48 > 0:09:50So, real contrasts.
0:09:50 > 0:09:55After nine years, Rich still gets a kick from the job.
0:09:55 > 0:09:58The thing that appeals to me about the job, about police work,
0:09:58 > 0:10:00it's the variety.
0:10:00 > 0:10:03You really don't know each day what you're coming into, generally.
0:10:03 > 0:10:05It's helping people.
0:10:05 > 0:10:09Trying to make a difference but just by being there,
0:10:09 > 0:10:11by being positive, you can help people
0:10:11 > 0:10:15because generally most people that contact or have an interaction
0:10:15 > 0:10:18with the police, have got a need. They're in distress.
0:10:25 > 0:10:27Today, a farmer needs Rich's help.
0:10:27 > 0:10:29There's been an attempted theft.
0:10:32 > 0:10:39About 4.30 this morning a farm dog has woken the occupants
0:10:39 > 0:10:43of the farm and they've gone out to find that one of their vehicles
0:10:43 > 0:10:46has been taken out of a shed and it looks like somebody was trying
0:10:46 > 0:10:50to steal one of their farm vehicles.
0:10:50 > 0:10:52The cops were called to the farm in the middle of the night,
0:10:52 > 0:10:55but there was no sign of the thieves.
0:10:55 > 0:10:57Sergeant Rich is now on the trail.
0:10:58 > 0:11:00He's heading from Malvern Police Station
0:11:00 > 0:11:03to the farm three and a half miles away.
0:11:03 > 0:11:06We're only about five minutes' drive out,
0:11:06 > 0:11:10but very quickly you get into the open and dark countryside.
0:11:12 > 0:11:15With miles of quiet country lanes and widely dispersed properties,
0:11:15 > 0:11:18the countryside is a magnet for thieves,
0:11:18 > 0:11:20especially under the cover of darkness.
0:11:20 > 0:11:23As we're coming through here, I'm just sort of
0:11:23 > 0:11:26looking at the premises that we're going past
0:11:26 > 0:11:28and confirming, I think, what we knew already
0:11:28 > 0:11:32that there's no premises that are overlooking the road with
0:11:32 > 0:11:37CCTV cameras that we could, try and get any vehicles coming or going.
0:11:39 > 0:11:43Limited opportunities for any follow-up work.
0:11:45 > 0:11:48But as country roads can all look similar,
0:11:48 > 0:11:50finding the farm is no easy task.
0:11:52 > 0:11:54Luckily, this is Rich's patch.
0:11:55 > 0:11:58You all right? Which one's...
0:11:59 > 0:12:03Past the white house, on the corner, rough track to the right.
0:12:07 > 0:12:08Got to be the track down here.
0:12:12 > 0:12:14You all right? Do some good work last night, did you?
0:12:16 > 0:12:20He's met by farm dog Billy and the farm's owner, Steve.
0:12:20 > 0:12:23Both had a broken sleep last night.
0:12:23 > 0:12:26- Hi, buddy.- Hi, mate. You all right? - Yeah, how's it going?- Not so bad.
0:12:26 > 0:12:30The dog woke us up about...3.30 this morning.
0:12:31 > 0:12:35Didn't take any notice for the first five or ten minutes
0:12:35 > 0:12:38and then, he continued barking so we got up,
0:12:38 > 0:12:41had a bit of a wander round out here and then I noticed the RTV
0:12:41 > 0:12:44had been reversed out the shed.
0:12:44 > 0:12:48And then, just informed the police then
0:12:48 > 0:12:50in case there was still somebody around, really.
0:12:50 > 0:12:51Let's have a look.
0:12:51 > 0:12:54The very nearly stolen vehicle is in Steve's shed.
0:13:01 > 0:13:02Tried to start it.
0:13:04 > 0:13:07- The red thing.- Yeah.- OK.- Yeah.
0:13:07 > 0:13:12An RTV, or rough terrain vehicle, is a hardy four-wheel drive.
0:13:15 > 0:13:16Absolutely.
0:13:16 > 0:13:18How much one of them set you back, then?
0:13:19 > 0:13:21Yeah.
0:13:21 > 0:13:23They've had to come, you know, quite a way in
0:13:23 > 0:13:26- to come and try their luck, haven't they?- Yeah, basically.
0:13:26 > 0:13:30Yeah, it's obviously somebody who knows their way around because...
0:13:30 > 0:13:32they've opened the gates ready...
0:13:32 > 0:13:35- They were going to take it down that lane there.- OK.
0:13:35 > 0:13:37Then across that field and...
0:13:37 > 0:13:40- So, they've prepared their route already.- Prepared it, yeah.
0:13:40 > 0:13:43Are these keyed, as in do you need an ignition key?
0:13:43 > 0:13:46- Yeah, there is an ignition key in it.- You've left the keys in it
0:13:46 > 0:13:49- cos it's a farm vehicle you need it all the time.- Obviously.
0:13:49 > 0:13:53Yeah, quite. You got any motion activated lights?
0:13:53 > 0:13:56- No.- If somebody comes up the track
0:13:56 > 0:13:58or comes round the corner of the barn here,
0:13:58 > 0:14:00at least they get a floodlight in the face.
0:14:00 > 0:14:01You know something's moving.
0:14:01 > 0:14:03Yeah, I know we're off the beaten track a bit,
0:14:03 > 0:14:06we've never had any trouble before.
0:14:06 > 0:14:08All right, well, if we, if we get anything forensic wise,
0:14:08 > 0:14:12- we'll see...we'll be in touch. - Yeah, splendid.- OK.
0:14:12 > 0:14:14- It's frustrating, isn't it?- Yeah.
0:14:19 > 0:14:21A quarter of all farms in England and Wales
0:14:21 > 0:14:23were affected by crime last year.
0:14:25 > 0:14:27Steve's been lucky this time.
0:14:27 > 0:14:29Well, my grandfather come here in 1935
0:14:29 > 0:14:32and I think this is the first problem we've ever had.
0:14:32 > 0:14:34We're going to have to have a review
0:14:34 > 0:14:37and have a look at our security a bit.
0:14:37 > 0:14:38Pretty brazen, really,
0:14:38 > 0:14:41I mean, the fact that they've planned already to...where
0:14:41 > 0:14:44they were going to take the vehicle, so they knew what the thing
0:14:44 > 0:14:47they were looking, or the kind of thing that they were looking for.
0:14:47 > 0:14:49It's really now, it's just prevention.
0:14:49 > 0:14:51So, if it did happen again, if they decided to come back
0:14:51 > 0:14:54for another try, at least there's something different,
0:14:54 > 0:14:55some light to scare them,
0:14:55 > 0:14:58and can also prove to the folks in the house if the lights come on.
0:14:58 > 0:15:00that there is something moving out here.
0:15:08 > 0:15:12200 miles north-west of Malvern,
0:15:12 > 0:15:15the Isle of Man is hosting a major motorcycling festival.
0:15:17 > 0:15:2015,000 tourists and spectators have descended on the island
0:15:20 > 0:15:21for the event.
0:15:25 > 0:15:28On one of the main roads there's been a serious accident.
0:15:30 > 0:15:33Holiday-makers Joe and Jackie have collided with a van.
0:15:34 > 0:15:38Joe was knocked unconscious and can't remember what happened.
0:15:38 > 0:15:40Do you know what day it is?
0:15:43 > 0:15:47Ambulance technician Lisa and paramedic Kevin are treating them.
0:15:48 > 0:15:50What we have at the moment is in the ambulance here
0:15:50 > 0:15:54we've got a driver, a 66-year-old male,
0:15:54 > 0:15:56and his wife, 65-year-old female.
0:15:56 > 0:15:58I believe they've been coming off the junction here
0:15:58 > 0:16:01and they've been T-boned by a van coming up the other way.
0:16:02 > 0:16:04Our patients' vehicle has spun round on the road,
0:16:04 > 0:16:06ended up in the hedge there,
0:16:06 > 0:16:08and the driver of the yellow van here,
0:16:08 > 0:16:10you can see he's overturned into the hedge,
0:16:10 > 0:16:11just down the road here.
0:16:11 > 0:16:15Driver at the moment, he is concussed.
0:16:15 > 0:16:17He's also got chest pain.
0:16:19 > 0:16:22Kevin has been monitoring Joe in the ambulance
0:16:22 > 0:16:26and now there are signs of his memory coming back.
0:16:31 > 0:16:33Do you know where you are now?
0:16:33 > 0:16:35Yeah? Go on, tell me.
0:16:37 > 0:16:39Ambulance on the Isle of Man, yeah. That's good.
0:16:39 > 0:16:40But...
0:16:50 > 0:16:54You got away relatively uninjured, really, which is...which is good.
0:16:54 > 0:16:56It's not worth thinking about.
0:16:59 > 0:17:00I think it'll be a write-off, yeah.
0:17:01 > 0:17:03I think...
0:17:03 > 0:17:04I think both vehicles have been written off.
0:17:04 > 0:17:06I think you're both...
0:17:06 > 0:17:08Yourself, your wife and the other driver
0:17:08 > 0:17:09have been extremely fortunate.
0:17:13 > 0:17:16All right, Jen, we're coming from... We'll be about ten minutes.
0:17:16 > 0:17:18All right. Thanks, Jenny. Bye.
0:17:18 > 0:17:22Get you up to Nobles and get you assessed up there and checked out,
0:17:22 > 0:17:25but I'd say you've had a lucky escape, really, which is...
0:17:25 > 0:17:27what we like to see.
0:17:27 > 0:17:30Incredibly, it looks like Joe and Jackie may have escaped
0:17:30 > 0:17:35with minor injuries, but it's been a shocking experience.
0:17:43 > 0:17:45I put the lady in the front with me
0:17:45 > 0:17:48and she travelled in with me in the front
0:17:48 > 0:17:51and I was chatting to her on the way, putting lots of reassurance
0:17:51 > 0:17:54and she was saying that they never normally bring the car
0:17:54 > 0:17:57and it's a write-off, and, you know, I just said to her,
0:17:57 > 0:18:00"Well, cars are replaceable. People aren't, you know?
0:18:00 > 0:18:02"The main thing is that you're both all right."
0:18:08 > 0:18:10- 12 or 13 years?- Yeah.
0:18:10 > 0:18:12Visiting the island for the bike racing. Yeah, that's good.
0:18:27 > 0:18:29Your rod. She's your rod. Yeah.
0:18:29 > 0:18:31Yeah.
0:18:44 > 0:18:46They've come to the island for a little break,
0:18:46 > 0:18:50and they've been here on regular holidays in the past,
0:18:50 > 0:18:54and obviously on this occasion, things haven't gone to plan.
0:18:54 > 0:18:56They've been involved in this accident
0:18:56 > 0:18:59and suddenly they're miles away from home,
0:18:59 > 0:19:01they've got no transport, the car was written off,
0:19:01 > 0:19:04and, yeah, you do feel for them.
0:19:05 > 0:19:09A hospital visit was the last thing Jackie expected today.
0:19:11 > 0:19:13She worked as an NHS cleaner for 27 years.
0:19:14 > 0:19:16I retired yesterday.
0:19:18 > 0:19:21Holiday today.
0:19:21 > 0:19:24And this is how it started.
0:19:24 > 0:19:26A car accident, isn't it?
0:19:26 > 0:19:27Good holiday.
0:19:32 > 0:19:37With Joe and Jackie in safe hands, Kevin and Lisa are back on call.
0:19:38 > 0:19:41In an hour, the A roads making up the racecourse
0:19:41 > 0:19:44will be closed for the racing bikers to practise.
0:19:46 > 0:19:49Lisa and Kevin receive another emergency call.
0:20:06 > 0:20:11From Douglas, the team blue light to the hamlet of Braaid
0:20:11 > 0:20:13where a man has been reported driving dangerously.
0:20:15 > 0:20:19Patrol Alpha 116, arriving at scene, over.
0:20:19 > 0:20:21- OVER RADIO:- '116, thank you.'
0:20:37 > 0:20:39Hiya, folks.
0:20:40 > 0:20:42Police officer Sarah Corkish
0:20:42 > 0:20:44is already at the scene with the driver,
0:20:44 > 0:20:45who appears extremely confused.
0:20:45 > 0:20:47What have we got?
0:20:48 > 0:20:49OK.
0:20:55 > 0:20:57Two members of the public had called us
0:20:57 > 0:20:59with regards to erratic driving,
0:20:59 > 0:21:01that this vehicle had been bouncing off the hedges.
0:21:01 > 0:21:03They managed to box the vehicle in
0:21:03 > 0:21:06and stop and speak to the driver who was clearly unwell,
0:21:06 > 0:21:11and did really well to get the keys off the gentleman and call us.
0:21:11 > 0:21:13- Hello, sir.- Hello.- How you doing?
0:21:13 > 0:21:14'Police were on scene.'
0:21:14 > 0:21:17Turns out that the police had actually found a number
0:21:17 > 0:21:19on the gentleman, rang it and it turned out that
0:21:19 > 0:21:21the fellow was a diabetic.
0:21:37 > 0:21:38Because he's diabetic,
0:21:38 > 0:21:4274-year-old Shane needs to take insulin every day.
0:21:42 > 0:21:45It's a hormone that regulates the amount of sugar levels
0:21:45 > 0:21:47or glucose in the blood.
0:21:48 > 0:21:50We did a quick BM test on him,
0:21:50 > 0:21:53just tested a little bit of his blood
0:21:53 > 0:21:56and that came back as being 2.2, which is quite low.
0:21:58 > 0:22:01Shane's reading should be between five and ten.
0:22:01 > 0:22:04He's showing signs of hypoglycaemia -
0:22:04 > 0:22:06an acute reaction in a diabetic
0:22:06 > 0:22:09caused by a severe drop in the blood glucose level.
0:22:10 > 0:22:13- Your sugars have dropped a little bit...- Mm-hm.
0:22:13 > 0:22:19..so what we'll do is give you some glucose for that, and...
0:22:19 > 0:22:22- hopefully that'll bring them back up again to an acceptable level.- OK.
0:22:22 > 0:22:25- Is that OK?- Yeah.
0:22:25 > 0:22:27Shane is worryingly uncommunicative.
0:22:27 > 0:22:30If hypoglycaemia is not treated immediately,
0:22:30 > 0:22:33it can result in a coma, and even death.
0:22:35 > 0:22:36Just wait here.
0:22:39 > 0:22:41But with traffic building up
0:22:41 > 0:22:44and the roads about to close for practising bikers,
0:22:44 > 0:22:47Kevin and Lisa need to act fast.
0:23:02 > 0:23:03Cornwall.
0:23:03 > 0:23:05A spectacular peninsula at the very tip
0:23:05 > 0:23:08of Britain's South West.
0:23:08 > 0:23:10Famed for its warm climate,
0:23:10 > 0:23:14300 miles of rugged coastline and sandy beaches,
0:23:14 > 0:23:17it's home to over 500,000 people.
0:23:17 > 0:23:19But in the summer months,
0:23:19 > 0:23:22the population swells to five million
0:23:22 > 0:23:25as holiday-makers arrive in their droves.
0:23:27 > 0:23:31Much of this coastal landscape is remote and inaccessible,
0:23:31 > 0:23:33so when accidents happen,
0:23:33 > 0:23:37the emergency services need to be able to get there quickly -
0:23:37 > 0:23:39not always possible by road.
0:23:42 > 0:23:44The Cornwall Air Ambulance
0:23:44 > 0:23:47is the busiest service in the South West.
0:23:47 > 0:23:51One of its full-time paramedics is Mark Fuszard.
0:23:51 > 0:23:53My job involves going to critically injured
0:23:53 > 0:23:56and critically ill people by helicopter,
0:23:56 > 0:23:58stabilising those patients on scene
0:23:58 > 0:24:01and then getting them to hospital really quickly.
0:24:01 > 0:24:04It also involves going to people that need us in remote areas.
0:24:06 > 0:24:08The challenges are not only the medical side of it,
0:24:08 > 0:24:11because obviously they can be quite challenging at times,
0:24:11 > 0:24:14especially the patients that we tend to get tasked to,
0:24:14 > 0:24:16but also the logistics.
0:24:16 > 0:24:18Trying to get the patient to the aircraft
0:24:18 > 0:24:21and trying to get the paramedics to the patient,
0:24:21 > 0:24:24that can be a challenge in itself at times.
0:24:28 > 0:24:32Mark is on call today. An emergency has come in.
0:24:37 > 0:24:39Yep.
0:24:39 > 0:24:41The address, she said it was on a beach.
0:24:43 > 0:24:49It's another cardiac arrest on a beach in Zennor, St Ives.
0:24:49 > 0:24:53With a man in cardiac arrest, the crew must move fast.
0:24:57 > 0:24:59It's a little bit vague.
0:24:59 > 0:25:01The details aren't really that clear,
0:25:01 > 0:25:02so at the moment we're being lifted
0:25:02 > 0:25:05because potentially it could be an arrest,
0:25:05 > 0:25:07in which case we're going to be needing
0:25:07 > 0:25:09to transport him to hospital.
0:25:09 > 0:25:11MAN SPEAKS INDISTINCTLY OVER RADIO
0:25:14 > 0:25:16Fellow Paramedic Steve Garvey
0:25:16 > 0:25:18and pilot Doug Pye complete the team.
0:25:18 > 0:25:21'Helipad 01 alpha is ready. Lift and depart.'
0:25:23 > 0:25:24The accident is reported
0:25:24 > 0:25:27as being on a beach near St Ives
0:25:27 > 0:25:2845 miles away,
0:25:28 > 0:25:30but the details are sketchy -
0:25:30 > 0:25:32a worry when time's critical.
0:26:08 > 0:26:12- Mate, we are 12 minutes away. - Cool.
0:26:12 > 0:26:15We've got a patient that's fallen potentially seven metres,
0:26:15 > 0:26:18and we're not sure what he's landed on at the moment,
0:26:18 > 0:26:20but he's in cardiac arrest...
0:26:20 > 0:26:23so obviously we need to get there fairly quickly...
0:26:25 > 0:26:27and find out what's going on
0:26:27 > 0:26:29and maybe stabilise the patient, hopefully.
0:26:29 > 0:26:32Take him to the nearest hospital by the sounds of it,
0:26:32 > 0:26:34so that's going to be Treliske.
0:26:34 > 0:26:37The thing is, we don't really know what's going on. We could have...
0:26:37 > 0:26:39He could've had a cardiac arrest and then fell,
0:26:39 > 0:26:42or he could have fallen, which has produced the cardiac arrest,
0:26:42 > 0:26:45but we don't really know what's going on at the moment.
0:26:45 > 0:26:47We're guessing he's probably fallen
0:26:47 > 0:26:50and then had the arrest at the bottom, which isn't good.
0:26:52 > 0:26:53Blood trauma cardiac arrest
0:26:53 > 0:26:56is less than 1% chance of recovery from that.
0:26:56 > 0:27:01Though, the sooner we can get there, the sooner we can do what we do
0:27:01 > 0:27:03and take him to hospital, the better.
0:27:09 > 0:27:14The patient needs urgent help, but the crew must find him first.
0:27:17 > 0:27:19It's a very small beach
0:27:19 > 0:27:21and it is a very popular spot this time of year, yeah,
0:27:21 > 0:27:24so it's going to be busy, there's going to be people around.
0:27:24 > 0:27:26The tide's on his way in,
0:27:26 > 0:27:29so that's going to be another challenge for us,
0:27:29 > 0:27:31and hopefully we can land near the patient,
0:27:31 > 0:27:33but we really don't know.
0:27:35 > 0:27:39Emergency services are called to an average of 20 incidents
0:27:39 > 0:27:41on Cornwall's perilous cliffs every year.
0:27:58 > 0:28:02The crew need to get as close as possible to the accident,
0:28:02 > 0:28:04but it's a challenging location to find.
0:28:26 > 0:28:29It was really difficult to land next to this particular patient.
0:28:29 > 0:28:31We orbited the scene a few times
0:28:31 > 0:28:35to make sure that there wasn't anywhere close that we could land.
0:28:46 > 0:28:49Suddenly, they spot people heading down the cliff face.
0:29:12 > 0:29:16With time against them and the beach inaccessible,
0:29:16 > 0:29:18they land in a field at the top of the cliff.
0:29:23 > 0:29:28Mark must move fast while carrying 50 kilos of equipment.
0:29:29 > 0:29:32We did have a fair bit of kit to take to a cardiac arrest.
0:29:32 > 0:29:36We took our response bag, which weighs around 20 kilos,
0:29:36 > 0:29:39the compression device, which weighs another ten kilos,
0:29:39 > 0:29:41and other bits of kit that we needed to take,
0:29:41 > 0:29:43including the monitor and the defibrillator.
0:29:53 > 0:29:56Luckily, the coastguards were just passing as we were landing,
0:29:56 > 0:29:58so we stopped the coastguards, got all our kit into the back
0:29:58 > 0:30:01of their vehicle and managed to get fairly close to the scene.
0:30:02 > 0:30:06This serious accident in a difficult location
0:30:06 > 0:30:09means several local emergency services have been mobilised.
0:30:11 > 0:30:14The coastguard will access the site by sea...
0:30:14 > 0:30:17So, 908. 908 from 7105, over.
0:30:18 > 0:30:22..while the naval search and rescue helicopter is also en route.
0:30:23 > 0:30:26Land paramedics have already arrived by road.
0:30:29 > 0:30:32Once we got there, there was two of our land crew colleagues
0:30:32 > 0:30:34treating the patient for his injuries.
0:30:36 > 0:30:38It's a relief.
0:30:38 > 0:30:4265-year-old John is not in cardiac arrest as reported,
0:30:42 > 0:30:44but he does have serious facial injuries
0:30:44 > 0:30:46after falling down the cliff.
0:30:46 > 0:30:47Not in cardiac arrest,
0:30:47 > 0:30:49but has fallen and will need to go to hospital.
0:30:49 > 0:30:51But due to the location and the cliff path
0:30:51 > 0:30:53and the fact that it's going to take quite a while
0:30:53 > 0:30:56to get him up to the top, and safely,
0:30:56 > 0:30:59Rescue 193, our colleagues on the naval helicopter,
0:30:59 > 0:31:02they're going to come down hopefully and they're going to winch him up.
0:31:02 > 0:31:06John had just arrived to holiday in Cornwall with his family.
0:31:06 > 0:31:08Son Tom was with him when he fell.
0:31:10 > 0:31:12Well, he fell from...
0:31:12 > 0:31:14He went round to the bottom of the cliffs there
0:31:14 > 0:31:17and he fell about sort of 15 foot and bounced...
0:31:17 > 0:31:20bounced down on the rocks, and we've obviously called...
0:31:20 > 0:31:21Only arrived in Cornwall yesterday,
0:31:21 > 0:31:24so we don't really know where we are and we got the air ambulance.
0:31:24 > 0:31:27It's on its way now to pick him up.
0:31:27 > 0:31:29So his lip's gone through, yeah,
0:31:29 > 0:31:32and he was unconscious obviously at the time.
0:31:41 > 0:31:43Now needing hospital treatment,
0:31:43 > 0:31:46the fastest way to get John there is by helicopter.
0:31:49 > 0:31:52From its base 20 miles away in Helston,
0:31:52 > 0:31:54the much larger and more powerful
0:31:54 > 0:31:57navy search and rescue helicopter has arrived.
0:31:57 > 0:31:58Because this was a cardiac arrest
0:31:58 > 0:32:00that we were all initially alerted to,
0:32:00 > 0:32:02we had quite a few resources there.
0:32:02 > 0:32:05We had the coastguards there, we had the lifeboat on their way.
0:32:05 > 0:32:06And the coastguards had actually got
0:32:06 > 0:32:09the search and rescue aircraft lifted as well,
0:32:09 > 0:32:11so that was inbound also.
0:32:11 > 0:32:14So, with ourselves, we acted as a team.
0:32:14 > 0:32:15We worked really as a team,
0:32:15 > 0:32:17and we did the best we could for the patient,
0:32:17 > 0:32:20which in this case was to airlift them to hospital
0:32:20 > 0:32:21via the search and rescue aircraft.
0:32:37 > 0:32:40The misunderstanding about the cardiac arrest
0:32:40 > 0:32:42came as a result of the remote location.
0:32:44 > 0:32:46The communications were fairly poor on this job
0:32:46 > 0:32:49and that was purely down to where the patient was.
0:32:49 > 0:32:53Sometimes it can be quite difficult to get messages in and out
0:32:53 > 0:32:54from things like low cliffs
0:32:54 > 0:32:55and because of the geography of the area.
0:32:58 > 0:33:02But in the end, the services worked out the best way to help John.
0:33:05 > 0:33:09In just ten minutes, he'll be in the hands of A & E.
0:33:12 > 0:33:13But for Mark,
0:33:13 > 0:33:16getting back to his helicopter takes double that time.
0:33:19 > 0:33:21We do get a lot of narrow lanes
0:33:21 > 0:33:24and get in a lot of kind of difficult places
0:33:24 > 0:33:26where getting out of them can be quite difficult.
0:33:26 > 0:33:28We're all in a hurry to get here, obviously,
0:33:28 > 0:33:32so we've got an ambulance and two vehicles
0:33:32 > 0:33:33to get down to this patient,
0:33:33 > 0:33:36and getting them out is going to be a challenge, I think.
0:33:36 > 0:33:38SIREN BUZZES
0:33:48 > 0:33:53From high-flying choppers to crime-fighting coppers.
0:33:53 > 0:33:56It's early evening in rural Worcestershire
0:33:56 > 0:33:59and Sergeant Rich Foxhall is preparing for a night on the beat.
0:33:59 > 0:34:03It's about five to seven. It's a Saturday evening.
0:34:03 > 0:34:06We came on today at five o'clock.
0:34:06 > 0:34:08We're on till four in the morning.
0:34:08 > 0:34:09We'll see what the night brings.
0:34:13 > 0:34:14It's a big area, Malvern.
0:34:14 > 0:34:17The Malvern area runs 120 square miles,
0:34:17 > 0:34:18big geographical area.
0:34:20 > 0:34:24Couple of large towns in it, but there's big old country between,
0:34:24 > 0:34:28so we've got a huge variety of jobs.
0:34:29 > 0:34:33Tonight, he's patrolling the country roads around Malvern.
0:34:37 > 0:34:41So, at the moment, we aren't going to a specific job.
0:34:41 > 0:34:43We are just patrolling.
0:34:45 > 0:34:49Suddenly, he spots a line of vehicles on the roadside,
0:34:49 > 0:34:52just as a call comes in reporting some trouble in the area.
0:34:54 > 0:34:59There's just a group of folks parked up at the side, yeah,
0:34:59 > 0:35:01so they're deploying us to now.
0:35:01 > 0:35:04On scene, Rich meets a familiar face.
0:35:04 > 0:35:06Hello again!
0:35:06 > 0:35:09Farmer Steve had the near theft of his RTV two nights ago.
0:35:11 > 0:35:14Just having a cup of coffee and these two chaps
0:35:14 > 0:35:16on these quad bikes were out in the yard
0:35:16 > 0:35:20and we just got in the car and they tore off, basically.
0:35:20 > 0:35:22I don't know what... I don't know what they were up to.
0:35:22 > 0:35:24They said they thought it was a road.
0:35:24 > 0:35:26Just makes you feel a bit on edge
0:35:26 > 0:35:28after the break in we had earlier on in the week.
0:35:28 > 0:35:31You just... You just wonder what they're up to, really.
0:35:33 > 0:35:37The lads were driving their quad bikes on Steve's land.
0:35:37 > 0:35:41Steve and some friends took chase and boxed them in at the roadside.
0:35:43 > 0:35:46This is the farm that we had the attempted burglary,
0:35:46 > 0:35:48non-dwelling, the other day.
0:35:48 > 0:35:49Same farm.
0:35:54 > 0:35:57OK, we'll get your details and check everything through
0:35:57 > 0:35:59and we'll see what the situation is, all right?
0:36:01 > 0:36:03Rich checks out the lads
0:36:03 > 0:36:05by sending their licence details to headquarters.
0:36:07 > 0:36:10It's been another worrying night for Steve.
0:36:11 > 0:36:12Of course you are.
0:36:15 > 0:36:16Absolutely.
0:36:16 > 0:36:18The lads' licences are clean.
0:36:20 > 0:36:22Just go and get them on their way.
0:36:22 > 0:36:23All right, guys.
0:36:23 > 0:36:25- We can get off now, yeah? - Yeah, you can.
0:36:25 > 0:36:29- Vehicles are all in order.- Yeah. - Your licences are in order.- Yeah.
0:36:29 > 0:36:31I know you live round here,
0:36:31 > 0:36:34so you probably should know better of where the farms are
0:36:34 > 0:36:36and whatnot, so be careful.
0:36:36 > 0:36:39OK. Take it easy, guys, Take it easy.
0:36:42 > 0:36:45All their details check out. We know who they are.
0:36:45 > 0:36:47We'll probably put an intelligence log in,
0:36:47 > 0:36:48to say that those vehicles,
0:36:48 > 0:36:51those people are driving round at night,
0:36:51 > 0:36:56so if maybe we get some calls of unknown vehicles,
0:36:56 > 0:36:58it's at least logged that we know that they are some of them
0:36:58 > 0:37:00that are moving around.
0:37:04 > 0:37:06- And that's all we can do. - No, that's right.
0:37:06 > 0:37:08- Is that all right? - Yeah, that's fine.
0:37:08 > 0:37:09Let's all get on with our nights.
0:37:10 > 0:37:11- Go to bed.- Yeah.
0:37:11 > 0:37:14We're on for a few hours yet, but you guys take it easy.
0:37:14 > 0:37:16Nice to see you again. All right.
0:37:16 > 0:37:19It may be cocoa and slippers for Steve,
0:37:19 > 0:37:23but for Rich, it's another four hours on countryside patrol.
0:37:32 > 0:37:34On the Isle of Man,
0:37:34 > 0:37:37it's just 45 minutes until the main roads close
0:37:37 > 0:37:39for the bikers' practice run.
0:37:43 > 0:37:47Paramedic Kevin and technician Lisa are treating diabetic Shane
0:37:47 > 0:37:50who's suffering from hypoglycaemia.
0:37:57 > 0:37:59They need to act fast.
0:37:59 > 0:38:02He's in danger of slipping into a coma.
0:38:03 > 0:38:05Have you had this stuff before?
0:38:05 > 0:38:07- What's that?- It's sugary gel.
0:38:09 > 0:38:11What we're going to do is squirt that into your mouth.
0:38:11 > 0:38:15You just open your mouth. And then just, if you can...
0:38:15 > 0:38:16Close your mouth on it. That's it.
0:38:16 > 0:38:18I'll just squeeze a little bit in there for you.
0:38:18 > 0:38:21- It's not nice. It tastes awful. - Swallow it. That's it.
0:38:22 > 0:38:25Yeah? Little bit more.
0:38:29 > 0:38:32The gel should quickly raise Shane's blood sugar levels.
0:38:32 > 0:38:34That's it. Well done.
0:38:34 > 0:38:36What we will need to do is get you in the ambulance
0:38:36 > 0:38:41and just do some observations, Mr Lucas, if we can do.
0:38:42 > 0:38:46Just do your blood pressure and do an ECG, check your heart's OK.
0:38:49 > 0:38:52They'll know it's working if Shane starts responding.
0:38:54 > 0:38:57But the signs are not good.
0:38:57 > 0:38:59Where do you live, do you know where you live?
0:38:59 > 0:39:02- Sorry, what?- What your home address is? Can you remember?
0:39:02 > 0:39:04Yep, yep.
0:39:04 > 0:39:07OK. Tell me where it is.
0:39:10 > 0:39:13- Mr Lucas.- Yep.- Can you tell me your home address, please?
0:39:13 > 0:39:15Diabetics can come over in different ways.
0:39:15 > 0:39:17They can be unconscious, they can be uncooperative.
0:39:17 > 0:39:19It's just the nature of the condition.
0:39:21 > 0:39:23I think we need to get you sorted out, don't we?
0:39:23 > 0:39:25Get a full assessment done.
0:39:27 > 0:39:29Shane's not alone.
0:39:29 > 0:39:31Diabetes is an incurable condition
0:39:31 > 0:39:36affecting nearly three and a half million people in the UK,
0:39:36 > 0:39:40with a further estimated 600,000 who don't know they have it.
0:39:49 > 0:39:54Worryingly, Shane doesn't appear to be responding to the sugary gel.
0:39:54 > 0:39:57Just going to roll your socks down a minute.
0:39:57 > 0:39:59Just need to pop some more dots on your...
0:40:01 > 0:40:03Just mind your arm there.
0:40:03 > 0:40:06Kevin and Lisa monitor Shane's heart activity
0:40:06 > 0:40:09with an electrocardiogram, or ECG.
0:40:12 > 0:40:16BM initially, 2.2, and that's gone up to 3.3.
0:40:19 > 0:40:21It's a slight rise, but not enough.
0:40:21 > 0:40:25Shane's blood sugar levels are still a long way from five,
0:40:25 > 0:40:26where they should be.
0:40:30 > 0:40:32He gets another dose of sugary gel.
0:40:32 > 0:40:35- Are you feeling a little bit more...better?- Yeah.
0:40:35 > 0:40:38Good. Squirt it in your mouth again.
0:40:40 > 0:40:44Eight minutes later, Kevin checks on Shane's progress.
0:40:44 > 0:40:47- How do you feel now, Mr Lucas?- OK.
0:40:47 > 0:40:48You feel OK?
0:40:48 > 0:40:50I think we just got it in time.
0:40:50 > 0:40:53- It was dropping down. It got to 2.2, which is...- That's very low.
0:40:53 > 0:40:56..which is quite low, but not drastically low,
0:40:56 > 0:41:00so it's been quite easy to recover your sugars.
0:41:00 > 0:41:02It's a dramatic turnaround.
0:41:02 > 0:41:05If you do catch these hypoglycaemic episodes,
0:41:05 > 0:41:08before the blood sugars do get too low,
0:41:08 > 0:41:12we can give them something and they do recover quite quickly.
0:41:12 > 0:41:16Once they do go that bit lower,
0:41:16 > 0:41:19it takes a bit longer to bring them around sometimes.
0:41:24 > 0:41:26He's feeling much better,
0:41:26 > 0:41:29but Shane still needs to be fully assessed at the hospital.
0:41:36 > 0:41:38- Take your time.- Mm-hm.
0:41:38 > 0:41:41It's over to nurse Rachel Lochrey,
0:41:41 > 0:41:44who receives an altogether much chirpier patient.
0:41:46 > 0:41:49- Hello there. What's your name? - Shane. Shane Vickers.- Shane.
0:41:49 > 0:41:52Swing your legs round, Shane. There you go.
0:41:52 > 0:41:53There's your wallet.
0:41:53 > 0:41:56Turns out the day hasn't been all bad.
0:41:56 > 0:41:57It's been a very unusual day.
0:41:57 > 0:42:02I'm an artist and I was asked to someone's house this morning
0:42:02 > 0:42:06in Onchan who wanted to see some of my work
0:42:06 > 0:42:09and gave me £1,000 for it.
0:42:09 > 0:42:11- It has been a good day. - It's been a good day.
0:42:11 > 0:42:15It's been a busy day, which is nice, you know.
0:42:15 > 0:42:16Nothing too traumatic.
0:42:16 > 0:42:20You know, you meet lots of nice people, again, during your day.
0:42:20 > 0:42:21Yeah, it's been good.
0:42:33 > 0:42:38It's been all go for the emergency services across the British Isles.
0:42:38 > 0:42:42Joe and Jackie went straight home to Worksop without their car,
0:42:42 > 0:42:44missing the motorcycle races.
0:42:44 > 0:42:46They're hoping to try again next year.
0:42:48 > 0:42:52Steve took Rich's advice and put motion lights up at his farm.
0:42:52 > 0:42:54There have been no further burglary attempts.
0:42:55 > 0:42:59After being airlifted to hospital following his fall near St Ives,
0:42:59 > 0:43:02John was treated for fractures to his eye socket,
0:43:02 > 0:43:06his sinus bone, his cheek bone and for his torn lip.
0:43:06 > 0:43:08He's now made a full recovery.
0:43:11 > 0:43:14And who said it was quiet in the countryside?