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 > 0:00:14But we work and play in it at our peril.
0:00:15 > 0:00:17SIREN WAILS
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 > 0:00:26This chap is having a heart attack and we need to get him in quickly.
0:00:27 > 0:00:30You're under arrest for failing to stop for police.
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 > 0:00:45From fields and forests to cliffs and country roads,
0:00:45 > 0:00:49we'll be right at the heart of the action
0:00:49 > 0:00:51with police fighting crime...
0:00:51 > 0:00:54I'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 and protect the public.
0:01:13 > 0:01:15This is Countryside 999.
0:01:35 > 0:01:39Coming up - coppers in County Durham face a difficult arrest.
0:01:39 > 0:01:42- Arrested for what?!- Stay still.
0:01:42 > 0:01:44SUSPECT ROARS
0:01:47 > 0:01:51On the Isle of Man, it's a tough break for a brave mum...
0:01:51 > 0:01:53- The hips are fine.- Hips are. Yeah, that's OK.
0:01:53 > 0:01:57- Argh, I can't move.- No, it's OK. - Don't worry, don't worry.
0:01:59 > 0:02:03..and HMS Gannet makes a dramatic cliff rescue on the Fife Coast.
0:02:21 > 0:02:24County Durham in the North East of England.
0:02:24 > 0:02:28862 square miles of rolling fields...
0:02:29 > 0:02:33..wide-open moorland and ancient communities.
0:02:33 > 0:02:37This diverse rural area is policed by Durham Constabulary.
0:02:42 > 0:02:44Their beat is vast and largely peaceful.
0:02:46 > 0:02:49But crime can happen in the most unexpected places.
0:02:55 > 0:02:57So they need to be ready for anything.
0:03:01 > 0:03:05PC Colin Brown is based at Consett Police Station.
0:03:05 > 0:03:08I've been a police officer for a total of...12 years.
0:03:12 > 0:03:15'Most people join the job to help people, to make a difference.'
0:03:17 > 0:03:20And also to catch the baddies, so to speak.
0:03:30 > 0:03:33A call's come in from the village of Shotley Bridge,
0:03:33 > 0:03:36a mile and a half from the station in Consett.
0:03:41 > 0:03:43Now Colin's on a manhunt.
0:03:45 > 0:03:48We've had a report of a burglary at a...
0:03:48 > 0:03:52a sandwich shop, which is just the other side of this field,
0:03:52 > 0:03:55in the top right-hand corner with the male.
0:03:55 > 0:03:58He's, erm...made off across this field.
0:04:01 > 0:04:04A member of the public's reported a burglar fleeing the scene.
0:04:04 > 0:04:08All available squad cars are scrambled to find the suspect.
0:04:12 > 0:04:14Even the chopper's out.
0:04:15 > 0:04:20Police helicopter's overhead doing a search of the open areas
0:04:20 > 0:04:23and gardens, and anyone looking like they're hiding.
0:04:25 > 0:04:26There's the dog man.
0:04:27 > 0:04:32We've got the police dog out from the last sighting of this male,
0:04:32 > 0:04:37trying to follow a track of where this suspect has gone to.
0:04:43 > 0:04:46The officers meet at the scene of the burglary...
0:04:49 > 0:04:52..a local shop that had closed for the day.
0:04:52 > 0:04:56Victim, shopkeeper Caroline, arrived to find chaos.
0:04:56 > 0:04:58Me son rang and said,
0:04:58 > 0:05:03"Mam, somebody's been to the house to say the shop's been broke into,"
0:05:03 > 0:05:06and then I jumped in the van to come down here.
0:05:08 > 0:05:11I've been here in this shop 14 years, it's been a lot longer
0:05:11 > 0:05:15than that, and I've never, ever had anything like this before.
0:05:17 > 0:05:20Didn't think we would ever have anything like this.
0:05:24 > 0:05:27Martin Willis is the sergeant in charge.
0:05:27 > 0:05:28Colin, you're round the back.
0:05:28 > 0:05:30He's just received a tip-off.
0:05:44 > 0:05:46They leg it to a nearby house...
0:05:48 > 0:05:51..where they've been told the suspects are hiding out.
0:05:53 > 0:05:55PC Colin Smith joins PC Colin Brown.
0:05:57 > 0:06:01'At that point, the adrenaline's going a bit and you're going into
0:06:01 > 0:06:03'the unknown. You don't know if they're going to be there,
0:06:03 > 0:06:07'you don't know if they're going to kick up a fuss or come compliantly.
0:06:10 > 0:06:12'It's a moment of tension.'
0:06:15 > 0:06:18Officers are at the front of the house and here at the back.
0:06:18 > 0:06:19The place is surrounded.
0:06:24 > 0:06:28'We always try and...what we call front-and-back an address to try'
0:06:28 > 0:06:31and stop anyone from making off if we knock on the front door.
0:06:31 > 0:06:32There's always a chance that they
0:06:32 > 0:06:34could run out the back door and away.
0:06:44 > 0:06:47With everyone in place, officers enter the front of the house.
0:06:47 > 0:06:50'We've knocked on the door and we've found our two suspects'
0:06:50 > 0:06:52in the address, so right now they've both been arrested.
0:06:52 > 0:06:55We're going to conduct a house search and see
0:06:55 > 0:06:57if we can find any of the stolen property.
0:06:57 > 0:06:59Now the arrests are in progress,
0:06:59 > 0:07:02the lads proceed to the front of the property.
0:07:02 > 0:07:04PC Colin Smith takes a short-cut
0:07:04 > 0:07:06while the others walk round the block.
0:07:06 > 0:07:10This is an excellent example of where the community come out
0:07:10 > 0:07:11and help us out.
0:07:11 > 0:07:15A lot of people have come and told us, given us names,
0:07:15 > 0:07:18telling us what they've seen because, you know, they're concerned
0:07:18 > 0:07:21about the people in the community, which is brilliant.
0:07:23 > 0:07:26But while they're on their way, news comes in.
0:07:32 > 0:07:35'We could hear, on the radio, a few brief transmissions of a
0:07:35 > 0:07:37'disturbance inside,
0:07:37 > 0:07:40'but couldn't get a clear update from the officers.'
0:07:41 > 0:07:44The arrests have turned violent.
0:07:44 > 0:07:46SUSPECT SHOUTS AND SWEARS
0:07:54 > 0:07:56From a manhunt...
0:07:59 > 0:08:00..to the Isle of Man.
0:08:03 > 0:08:07With a dramatic coastline, sandy beaches
0:08:07 > 0:08:08and welcoming Manx people...
0:08:11 > 0:08:15..it's no wonder nearly 300,000 visitors come to the
0:08:15 > 0:08:1833-mile-long island every year,
0:08:18 > 0:08:22bringing more than £100 million into the local economy.
0:08:26 > 0:08:29But all these holiday-makers put pressure
0:08:29 > 0:08:31on the island's emergency services.
0:08:36 > 0:08:39The Isle of Man Ambulance Service has three stations
0:08:39 > 0:08:42and a team of 42 ready to blue-light to any crisis.
0:08:46 > 0:08:50Technician Lisa Montgomery and Paramedic Kevin Airy
0:08:50 > 0:08:52have worked together for seven years.
0:08:56 > 0:08:59Just doing vehicle checks at the moment, start of the shift,
0:08:59 > 0:09:02so, erm, just doing the drug check,
0:09:02 > 0:09:04making sure we've got everything here,
0:09:04 > 0:09:06ready to go for that first job.
0:09:09 > 0:09:12The first emergency call of the day comes in.
0:09:15 > 0:09:17SIREN WAILS
0:09:19 > 0:09:21OVER RADIO:
0:09:29 > 0:09:32Just got a job onto Douglas Promenade,
0:09:32 > 0:09:35believe there's a lady, she's had a fall
0:09:35 > 0:09:39on the seaside off the promenade and sustained an arm injury.
0:09:41 > 0:09:45So we'll just pop down and assess what injuries she's had.
0:09:45 > 0:09:49She is fully conscious and sat on a bench, waiting for us.
0:09:53 > 0:09:56Trips and falls are the number one cause of 999 calls
0:09:56 > 0:09:59on the island, at 1,500 a year.
0:10:02 > 0:10:04From their current location in Douglas,
0:10:04 > 0:10:06the crew speed to the seafront.
0:10:15 > 0:10:18They're looking out for a patient on the two-mile promenade.
0:10:21 > 0:10:24We're not quite sure where it is along here.
0:10:25 > 0:10:28We'll just keep an eye out, see if we can pick her up.
0:10:28 > 0:10:30Problem is, there's people sitting on all these benches
0:10:30 > 0:10:32along the promenade here.
0:10:34 > 0:10:37- This isn't...- Is that...? - I don't know.- Is that her?
0:10:38 > 0:10:41Locating the patient isn't their only challenge.
0:10:43 > 0:10:46It's pretty busy on the promenade itself here.
0:10:46 > 0:10:49We've got the horse trams, which are running up and down, as well,
0:10:49 > 0:10:52which can hold the traffic up a little bit.
0:10:54 > 0:10:57Is that them over there? Yes, here we are.
0:10:57 > 0:11:00OK, we've got them now, just arriving at the scene.
0:11:01 > 0:11:03Alpha 116 on scene.
0:11:10 > 0:11:11Hello, my love.
0:11:11 > 0:11:14- And what's your name? - My name's Jenny.
0:11:14 > 0:11:15Jenny, I'm Kevin.
0:11:15 > 0:11:1971-year-old Jenny is on holiday with her husband, Peter.
0:11:20 > 0:11:22Jenny, what's happened this morning?
0:11:22 > 0:11:24I was walking along and I tripped.
0:11:24 > 0:11:27I felt myself going, and I did some running steps,
0:11:27 > 0:11:30but I couldn't stop myself and I fell on my arm.
0:11:30 > 0:11:33- So, you've fallen down, on this.... - On, just...
0:11:33 > 0:11:36- On this concrete here.- Just a little bit along there.- Right, OK.
0:11:36 > 0:11:40And I... My eyes went all misty, I couldn't see too good.
0:11:40 > 0:11:42- Afterwards?- But that's cleared.
0:11:42 > 0:11:45- That was after the fall, your eyes went misty?- That was after the fall.
0:11:45 > 0:11:46I felt sick, but I wasn't sick.
0:11:46 > 0:11:50It's made me feel I want to go to the toilet, but that's probably shock.
0:11:50 > 0:11:54- You're holding this arm here.- It's hurting, it's hurting there.- Right
0:11:54 > 0:11:56You fell on it, didn't you?
0:11:56 > 0:11:58Jenny and Peter are only one day into their trip.
0:12:00 > 0:12:01What I need to do,
0:12:01 > 0:12:04I just want to check your collar bone first, the way you're holding.
0:12:04 > 0:12:05- Can I just check?- Yes.
0:12:07 > 0:12:08- Is that all OK there?- Yes.
0:12:08 > 0:12:10- Feels OK?- Yes.
0:12:10 > 0:12:12And you can feel me touching down here?
0:12:12 > 0:12:13Yes, I can.
0:12:13 > 0:12:17- Can you feel me touching here?- I can feel you there.- OK, that's good.
0:12:17 > 0:12:19I think what we need to do is...
0:12:20 > 0:12:23I wouldn't be surprised if you've got a fracture of the arm, there.
0:12:23 > 0:12:25Yes, it wouldn't surprise me.
0:12:25 > 0:12:28If you could support your arm, just till we get you in the ambulance,
0:12:28 > 0:12:31we'll get you on the trolley, we'll take this top bit of clothing off
0:12:31 > 0:12:35and just see if we can see the injury site, and just see if we can pinpoint what's going on.
0:12:38 > 0:12:41Kevin needs to examine the arm more thoroughly.
0:12:52 > 0:12:54I can see there's a fracture of the arm there,
0:12:54 > 0:12:56I can feel the fracture, just the movement there.
0:12:56 > 0:13:01So, we'll just pop this triangular bandage on, just to support that.
0:13:03 > 0:13:08It looks like her arm is broken and, if it's broken, it's going to hurt.
0:13:08 > 0:13:12- Jenny, what's that pain like at the moment?- It's not bad, not bad.
0:13:12 > 0:13:15- We can give you something for the pain.- I just feel a bit woozy.
0:13:15 > 0:13:17No, I don't need anything for the pain.
0:13:17 > 0:13:20Are you sure? Right, OK.
0:13:20 > 0:13:23Just swing your legs up there, my love.
0:13:23 > 0:13:28'She's sustained what looks to be a fracture just above the left elbow
0:13:28 > 0:13:29'to the humorous.
0:13:29 > 0:13:33'She refused any pain relief, she's quite happy with it.'
0:13:41 > 0:13:44It's a ten-minute journey to Noble's Hospital,
0:13:44 > 0:13:46just outside Douglas.
0:13:47 > 0:13:50Not a great start to her holiday,
0:13:50 > 0:13:52but at least she's being well looked-after.
0:13:54 > 0:13:56The passers-by were very good.
0:13:56 > 0:13:59They all stopped to see if they could help.
0:13:59 > 0:14:00All wanted to help
0:14:00 > 0:14:03They got me to the seat where I sat and recovered a bit,
0:14:03 > 0:14:06and then my husband went back to the hotel
0:14:06 > 0:14:10and they came across and called the ambulance, and here I am.
0:14:10 > 0:14:13Always nice to meet new people and these people are on their holidays,
0:14:13 > 0:14:15it's a shame it happened to them,
0:14:15 > 0:14:19they're over here for a little break but, you know, a little "break".
0:14:19 > 0:14:20Not a break to the arm!
0:14:22 > 0:14:26With Jenny in safe hands, Kevin and Lisa are back on duty.
0:14:29 > 0:14:32And soon, there's another 999 call.
0:14:41 > 0:14:43Oh, no.
0:14:58 > 0:14:59In County Durham.....
0:15:03 > 0:15:06Police officers are rushing to a violent scene at a house.
0:15:12 > 0:15:15They're trying to arrest suspects in a shop burglary.
0:15:21 > 0:15:23But they're resisting arrest.
0:15:24 > 0:15:26- Get your- BLEEP- off me head!
0:15:26 > 0:15:27Calm yourself down!
0:15:27 > 0:15:29SUSPECT SHOUTS AGGRESSIVELY
0:15:30 > 0:15:33The coppers need to restrain the suspects to take them into custody.
0:15:39 > 0:15:41SUSPECT GROANS
0:15:41 > 0:15:43- Me wrist!- BLEEP.- Me wrist!
0:15:43 > 0:15:45Stay still.
0:15:45 > 0:15:47SUSPECT SCREAMS
0:15:47 > 0:15:48Just keep still, don't try and bite me.
0:15:48 > 0:15:50It's not good to bite me, don't try and do that.
0:15:50 > 0:15:54- Will you get that- BLEEP- out my face?
0:15:54 > 0:15:55Just wait, don't resist!
0:15:55 > 0:15:57Stop resisting.
0:15:57 > 0:15:59I didn't kick off. I didn't kick off, I'm not...
0:15:59 > 0:16:01Ow, ow!
0:16:01 > 0:16:03You're stood on me toe!
0:16:04 > 0:16:07PC Colin Smith is in the thick of it.
0:16:07 > 0:16:09Clearly, people don't like getting arrested.
0:16:09 > 0:16:12They don't like having their liberty taken and they decided
0:16:12 > 0:16:15to resist arrest and, therefore, the situation you've seen,
0:16:15 > 0:16:18they decided to fight with us and abuse us and spit at us.
0:16:20 > 0:16:22One suspect is so aggressive,
0:16:22 > 0:16:24handcuffs and leg restraints are the only option.
0:16:34 > 0:16:36Come on, then.
0:16:36 > 0:16:37- I am not... Why the- BLEEP...
0:16:37 > 0:16:41Just let us stand up, then! Let us stand up, then!
0:16:41 > 0:16:45But the level of verbal aggro from this suspect is off the charts.
0:16:45 > 0:16:52The language used by particularly one male was very offensive,
0:16:52 > 0:16:57and very racially aggressive towards PC Smith.
0:16:57 > 0:16:59Look how many bizzies it takes for yous!
0:16:59 > 0:17:03'There's not much else that could have been said to insult him
0:17:03 > 0:17:05'or wind him up.'
0:17:05 > 0:17:06Up you get, come on.
0:17:06 > 0:17:08BLEEP.
0:17:08 > 0:17:10We've already pulled his trousers up.
0:17:10 > 0:17:11SUSPECT SPITS
0:17:11 > 0:17:13Assault PC!
0:17:13 > 0:17:14All right, get...
0:17:14 > 0:17:16BLEEP.
0:17:16 > 0:17:17SUSPECT ROARS
0:17:17 > 0:17:18Up you get, come on.
0:17:18 > 0:17:19We're professionals,
0:17:19 > 0:17:22and you can't let your emotions override your actions.
0:17:22 > 0:17:25You have to deal with these people in a professional manner,
0:17:25 > 0:17:27in a professional time,
0:17:27 > 0:17:30and make sure no-one gets hurt and they don't get hurt.
0:17:30 > 0:17:31- SUSPECT:- Under arrest for assault!
0:17:33 > 0:17:36They're trying to get a rise out of us and we can't bite.
0:17:36 > 0:17:39Yes, I didn't like the situation, I didn't like the abuse,
0:17:39 > 0:17:42it was the worst I've ever come across, but I wasn't going to let...
0:17:42 > 0:17:45I wasn't going to fall to his level, I wasn't going to let him get me.
0:17:48 > 0:17:51It's been a difficult collar, and a bruising one.
0:17:58 > 0:18:01Whilst conveying one of the males to the van,
0:18:01 > 0:18:05he's decided to spit upon me, as you can see,
0:18:05 > 0:18:06on my right sleeve,
0:18:06 > 0:18:08which isn't a very pleasant thing to have done.
0:18:08 > 0:18:10The adrenaline goes, but we're all professionals.
0:18:10 > 0:18:13We've been in this situation many times before,
0:18:13 > 0:18:17we just don't overreact to it and don't react to them,
0:18:17 > 0:18:21cos what they want is to get a reaction out of us.
0:18:28 > 0:18:31My job is paid to protect you, the public, and that's what I have to do.
0:18:31 > 0:18:34And sometimes it's not very pleasant, it can get nasty,
0:18:34 > 0:18:36you can get hurt - I've been cut, you know, blood everywhere.
0:18:36 > 0:18:38I've been spat at.
0:18:39 > 0:18:41It's just one of the natures of the job.
0:18:45 > 0:18:46With the suspects in custody,
0:18:46 > 0:18:49the officers update burglary victim Caroline.
0:18:50 > 0:18:52They've told us they've arrested somebody
0:18:52 > 0:18:55and took them off to be interviewed.
0:18:55 > 0:18:57I'm chuffed to bits with it all.
0:18:57 > 0:18:59How they've... How it's been handled.
0:19:01 > 0:19:05And Shotley Bridge's usually quiet streets can get back to normal.
0:19:07 > 0:19:08I'm very proud of them.
0:19:08 > 0:19:12I've seen them face some horrendous abuse.
0:19:12 > 0:19:16These are our colleagues and these are the people that I entrust my life to on a daily basis,
0:19:16 > 0:19:20and here when I see them get hurt and injured, it upsets me.
0:19:20 > 0:19:23Yeah, I care for them, they're my family when I'm here,
0:19:23 > 0:19:24and I massively care about them,
0:19:24 > 0:19:27so it is very difficult to see them come away injured.
0:19:29 > 0:19:33I dealt with him best I could, hopefully in a professional manner.
0:19:33 > 0:19:36He didn't get... I didn't get hurt, I went home to see my wife and kids.
0:19:36 > 0:19:38Going home de-stresses you.
0:19:38 > 0:19:41The kids come up and ask if I caught any robbers today
0:19:41 > 0:19:42and I said, "Yes, I have, son."
0:20:00 > 0:20:01The Scottish mainland.
0:20:05 > 0:20:08Much of it a vast and beautiful wilderness.
0:20:10 > 0:20:13But ringing that remote landscape is even wilder country.
0:20:15 > 0:20:20790 islands dotted around 6,000 miles of coastline.
0:20:21 > 0:20:25It's some of the most dramatic terrain in Britain,
0:20:25 > 0:20:27but when there's a medical emergency,
0:20:27 > 0:20:29getting to those islands can be a nightmare.
0:20:33 > 0:20:36But there's one team who are always up to the job -
0:20:36 > 0:20:39the Royal Navy Search and Rescue Unit, HMS Gannet.
0:20:43 > 0:20:46This elite team fly from Prestwick on the country's west coast.
0:20:55 > 0:20:5720 feet, 15 feet...
0:20:59 > 0:21:01On call 24/7,
0:21:01 > 0:21:04they clock up around 300 missions a year.
0:21:04 > 0:21:06- Is it just one casualty? - One casualty, yeah.
0:21:11 > 0:21:14Paramedic and winchman Taff Ashman
0:21:14 > 0:21:16has been with Royal Navy Search and Rescue for ten years.
0:21:18 > 0:21:22The stuff that I really enjoy about working in search and rescue
0:21:22 > 0:21:23is job satisfaction.
0:21:24 > 0:21:28The fact that I'm making a genuine difference to people
0:21:28 > 0:21:30and helping them.
0:21:30 > 0:21:31You OK?
0:21:32 > 0:21:35And it's the variety of the work that we get, as well.
0:21:35 > 0:21:38It's something that could not ever been described as a
0:21:38 > 0:21:399-5 office-type job.
0:21:43 > 0:21:46This is Rescue 177, how do you read?
0:21:46 > 0:21:47Rescue 177, go.
0:21:48 > 0:21:51Today, Taff's crewmate, Chris Flynn,
0:21:51 > 0:21:54the team's winch operator and observer, is taking a call.
0:22:08 > 0:22:10The 11-year-old boy has had a seizure,
0:22:10 > 0:22:12caused by an existing brain tumour.
0:22:12 > 0:22:15He needs emergency medical care - fast.
0:22:19 > 0:22:22From their base, the team are flying west to Bute,
0:22:22 > 0:22:24an island in the Firth of Clyde.
0:22:28 > 0:22:30As the crow flies, it's nearly 30 miles.
0:22:32 > 0:22:35This chopper can do it in under ten minutes.
0:22:46 > 0:22:48100 yards to run.
0:22:48 > 0:22:49Good line, 50 yards.
0:22:51 > 0:22:54They're landing in the town of Rothesay, on the Isle of Bute.
0:22:55 > 0:22:58The patient is brought to the helicopter by ambulance.
0:23:07 > 0:23:11Young Mark was on holiday on the island with his aunt, Jacqueline,
0:23:11 > 0:23:12when he suffered a seizure.
0:23:32 > 0:23:34But Mark's a brave lad.
0:23:34 > 0:23:37He's looking forward to his first trip on a helicopter.
0:23:44 > 0:23:47And there's one part of the flight he's particularly excited about.
0:23:54 > 0:23:57Taff and the ground paramedics carefully start Mark's transfer.
0:24:11 > 0:24:14Mark needs specialist paediatric care
0:24:14 > 0:24:16at Glasgow's Royal Hospital For Children.
0:24:19 > 0:24:22Part of the biggest critical care complex in Scotland.
0:24:24 > 0:24:28An ambulance using road and ferry would take two hours,
0:24:28 > 0:24:31but Gannet gets him there in under 15 minutes.
0:24:32 > 0:24:33Roger running in.
0:24:33 > 0:24:36You've got probably about 100 yards to run.
0:24:39 > 0:24:42The element of speed was what was really important today.
0:24:42 > 0:24:44Three...
0:24:44 > 0:24:45two...
0:24:45 > 0:24:46one.
0:24:46 > 0:24:48Tail on.
0:24:50 > 0:24:54We got Mark, today, to a hospital where he needed to be,
0:24:54 > 0:24:57and, you know, hopefully things can progress.
0:24:59 > 0:25:01Helping kids like Mark can affect the crew.
0:25:03 > 0:25:06Most of us at Gannet are parents.
0:25:06 > 0:25:09So, if you end up picking up children,
0:25:09 > 0:25:12it brings it a lot nearer to home.
0:25:15 > 0:25:17When we did land in the hospital,
0:25:17 > 0:25:20he did lean up and say he wanted a high five
0:25:20 > 0:25:23cos he'd just had a helicopter ride!
0:25:23 > 0:25:26Taking vulnerable patients to specialist care
0:25:26 > 0:25:28is a big part of this team's role.
0:25:31 > 0:25:34But another day, another shift.
0:25:36 > 0:25:38And a new crisis.
0:26:17 > 0:26:19On the Isle of Man,
0:26:19 > 0:26:22technician Lisa Montgomery and paramedic Kevin Airie
0:26:22 > 0:26:25are blue-lighting to a call-out.
0:26:25 > 0:26:28There's a lady fallen out of a wheelchair.
0:26:31 > 0:26:33She's conscious, she's alert,
0:26:33 > 0:26:36but we're unaware of what injuries she's sustained in this at present.
0:26:42 > 0:26:45They're speeding from their current location near Kirk Michael
0:26:45 > 0:26:46to Ramsey, in the north-east.
0:26:49 > 0:26:53A local volunteer trained in first aid, and known as a first responder,
0:26:53 > 0:26:55is already with the casualty.
0:27:04 > 0:27:05Do you know who it is?
0:27:09 > 0:27:13Lisa and Kevin think they know the casualty.
0:27:13 > 0:27:14- It is her.- It is her, yeah.
0:27:18 > 0:27:21- Hi, Jay.- She's an amputee, she's fallen out of her wheelchair,
0:27:21 > 0:27:23head over heels,
0:27:23 > 0:27:26- and she's very painful on her left knee where the amputee is.- OK.
0:27:26 > 0:27:28She thinks it could be maybe broken.
0:27:28 > 0:27:30It's a lot more swollen than normal.
0:27:30 > 0:27:33She was going to take her strapping off, but I told her to leave it on.
0:27:33 > 0:27:36- Hello. I forget your name, what is your name?- Zara.
0:27:36 > 0:27:40Zara, that's right. So what's happened here, you've gone off the pavement have, you?
0:27:40 > 0:27:42I didn't come off the pavement.
0:27:42 > 0:27:46I lost control of the casters on the front of the wheelchair,
0:27:46 > 0:27:50and I came forward, and I was using my leg to break,
0:27:50 > 0:27:53to slow my speed down,
0:27:53 > 0:27:55and then I just went forward.
0:27:55 > 0:27:57So, you've come forward out of the chair?
0:27:57 > 0:28:00Yeah, and I landed... All my weight landed on the knee.
0:28:00 > 0:28:02Right, OK.
0:28:02 > 0:28:0516 months ago, she had a below-knee amputation.
0:28:05 > 0:28:08She'd been at the hospital for an appointment
0:28:08 > 0:28:10and was going back down the hill.
0:28:11 > 0:28:15The wheelchair just seemed to gain speed and get out of control,
0:28:15 > 0:28:19and she was tipped out of the front of it and she landed on the stump.
0:28:19 > 0:28:22What might be best, if we assist you into your chair
0:28:22 > 0:28:26and put our ramp down on here, wheel you onto the ambulance,
0:28:26 > 0:28:28once you're on there, we can give you some....
0:28:28 > 0:28:32Zara's lower leg was recently amputated due to a blocked vein.
0:28:32 > 0:28:36Now there might be a fracture to her femur, or thigh bone.
0:28:36 > 0:28:37ZARA SCREAMS
0:28:37 > 0:28:39- That's OK.- Oh, I can't move.
0:28:39 > 0:28:41It's OK, don't worry. Don't worry, don't worry.
0:28:41 > 0:28:44Do you want something for the pain first before we move you?
0:28:44 > 0:28:46- Yes, please!- You do? Right, OK.
0:28:46 > 0:28:50Once we arrived on scene, it became apparent Zara was in a lot of pain.
0:28:50 > 0:28:53So, initially, yeah, it was all pain management we gave her,
0:28:53 > 0:28:55an oral morphine solution.
0:28:56 > 0:29:00For single mum Zara, this new injury is a big blow.
0:29:01 > 0:29:02Where are the boys?
0:29:02 > 0:29:07- My youngest one has started in...Ramsey Grammar.- OK.
0:29:07 > 0:29:09- Starting at the Grammar? - He is, yeah.
0:29:09 > 0:29:12Oh, that's scary, isn't it?
0:29:13 > 0:29:16I'm supposed to be getting their uniforms sorted out tonight.
0:29:16 > 0:29:18Let me just check your pulse there.
0:29:18 > 0:29:20Kevin will wait for the morphine to kick in
0:29:20 > 0:29:23before helping Zara into the ambulance.
0:29:23 > 0:29:26Right. OK, just open wide, let's have a little...
0:29:29 > 0:29:31ZARA SCREAMS
0:29:31 > 0:29:32Oh, oh, oh!
0:29:32 > 0:29:35- Yowzer, yowzer. Sorry!- It's OK.
0:29:35 > 0:29:38Now, what I want to do is to spin round and sit on there, if you can.
0:29:38 > 0:29:39Yep, OK.
0:29:39 > 0:29:41- You OK there, Jay?- Yeah, fine.
0:29:41 > 0:29:44- Take a hop.- Yeah, fine this side.
0:29:44 > 0:29:46Go a bit more, Lise, a bit higher.
0:29:48 > 0:29:50OK, if I put my arm down.
0:29:50 > 0:29:53I've got you this side, as well, don't worry.
0:29:58 > 0:29:59Easy done.
0:30:04 > 0:30:07So, the boys doing all right? Are they behaving themselves?
0:30:07 > 0:30:11As much as little teenagers can get away with.
0:30:12 > 0:30:15Yeah! No, they're doing really good.
0:30:18 > 0:30:20I've been independent for so long,
0:30:20 > 0:30:25even straight from hospital, I was up doing things myself.
0:30:29 > 0:30:33Yeah, even looking after the boys, you know, I'm a single parent.
0:30:34 > 0:30:36You know, you've just got to get on with it.
0:30:36 > 0:30:38You really do.
0:30:38 > 0:30:39Yeah, tough going.
0:30:39 > 0:30:42It is.
0:30:42 > 0:30:45But, to be honest, I don't...
0:30:45 > 0:30:47It doesn't feel like I know any different now.
0:30:49 > 0:30:52It's 15 miles to Nobel's Hospital.
0:30:52 > 0:30:55On bumpy country roads, it's a difficult journey.
0:30:55 > 0:30:59Some Entonox, or gas and air, eases Zara's pain.
0:30:59 > 0:31:00Short-acting painkiller.
0:31:00 > 0:31:04Once she stops taking it, you know, the effects of the drug
0:31:04 > 0:31:07will wear off and the pain will return.
0:31:07 > 0:31:09How are you feeling, Zara?
0:31:11 > 0:31:15- I'm OK.- A bit better with that? - A little bit better.
0:31:22 > 0:31:25A 25-minute journey later,
0:31:25 > 0:31:27Zara's transferred to the hospital nurses.
0:31:29 > 0:31:32Right, we'll do a ready, steady, slide, and we'll go on "slide", OK?
0:31:32 > 0:31:34Ready, steady, slide.
0:31:38 > 0:31:40Here they'll be able to treat her leg.
0:31:43 > 0:31:46We'll get this Entonox on you. Is it Zara, did you say?
0:31:46 > 0:31:48Zara, yeah.
0:31:48 > 0:31:49I'm relieved that I'm here.
0:31:50 > 0:31:53If I'd gone home, with the pain,
0:31:53 > 0:31:58I think I would have just ended up back here anyway, so, yeah, I'm OK.
0:31:58 > 0:32:00I'm in good hands.
0:32:00 > 0:32:02She'll undergo further assessment
0:32:02 > 0:32:05and then X-rays to see what's happened to the knee.
0:32:05 > 0:32:08But, fingers crossed, she'll be OK and get back home shortly.
0:32:22 > 0:32:23Back on the mainland...
0:32:27 > 0:32:31The crew of Royal Navy Search and Rescue Unit HMS Gannet
0:32:31 > 0:32:33are on their way to an emergency call.
0:32:34 > 0:32:37A 17-year-old has collapsed on an inaccessible cliff.
0:32:42 > 0:32:45Flying from their west of Scotland base,
0:32:45 > 0:32:48the crew are heading 82 miles north-east,
0:32:48 > 0:32:50to a remote location near the town of Elie.
0:32:54 > 0:32:56The Scottish east coast is stunning.
0:32:57 > 0:33:01But these dramatic cliffs and crags are difficult terrain
0:33:01 > 0:33:03when trying to reach a casualty.
0:33:05 > 0:33:10Winchman and paramedic Taff Ashman is monitoring the updates.
0:33:40 > 0:33:43The casualty has diabetes and has lost consciousness.
0:33:43 > 0:33:46His condition could be serious.
0:33:46 > 0:33:50'We were told that this lad had potentially gone hypoglycaemic.
0:33:50 > 0:33:53'When someone's hypoglycaemic it means the level of sugar in their
0:33:53 > 0:33:56'blood is low, so they don't have the sort of energy stores,
0:33:56 > 0:33:58'if you like, to keep going.'
0:33:58 > 0:34:02And that was the worrying thing, for me, was if this lad had crashed so quickly,
0:34:02 > 0:34:07what had led to it and was there an underlying problem
0:34:07 > 0:34:10that had led to the loss of consciousness?
0:34:12 > 0:34:16In extreme cases, hypoglycaemia can lead to a diabetic coma.
0:34:18 > 0:34:19And there's another problem.
0:34:19 > 0:34:21It's 8:00pm.
0:34:21 > 0:34:22The light is fading fast.
0:34:51 > 0:34:53They spot lifeguards from the RNLI below.
0:34:55 > 0:34:56They arrived by boat
0:34:56 > 0:34:59and helped the casualty down from the steep cliffs to the beach.
0:35:11 > 0:35:13Unable to land on the rocky beach,
0:35:13 > 0:35:15paramedic Taff will be winched down.
0:35:31 > 0:35:33To keep the aircraft clear of the cliffs,
0:35:33 > 0:35:37they need to lower Taff on a long winch line.
0:35:37 > 0:35:40Eight more feet. Eight more feet.
0:35:40 > 0:35:43'It was quite a high winch.
0:35:43 > 0:35:46'The big issue for us really was by trying to get the aircraft up
0:35:46 > 0:35:50'to a height where, if it has a problem and loses an engine,
0:35:50 > 0:35:54'it can dive away and actually gain some forward speed
0:35:54 > 0:35:56'and be able to fly the aircraft away,
0:35:56 > 0:35:59'rather than it crash into the cliffs.'
0:36:00 > 0:36:03Now, they manoeuvre the chopper towards the cliffs
0:36:03 > 0:36:04with Taff suspended below.
0:36:18 > 0:36:20But it's a tricky landing.
0:36:26 > 0:36:28Just with the little bit of a swing,
0:36:28 > 0:36:32we caught the wrong bit of the beach and unfortunately hanging upside
0:36:32 > 0:36:35down for a couple of seconds, before I managed to get off the winch hook.
0:36:37 > 0:36:42Very quick sort of like, that's not gone great, I'm all right,
0:36:42 > 0:36:45so I managed to get clear of the winch hook
0:36:45 > 0:36:47and grab my bag and off we went.
0:36:50 > 0:36:53Now on the ground, Taff is briefed by the RNLI.
0:37:00 > 0:37:04A few of the lifeboat guys had actually got to Cameron
0:37:04 > 0:37:06and were giving him some first aid.
0:37:06 > 0:37:09They gave him a sugary drink and something to eat.
0:37:11 > 0:37:14Minutes ago, the casualty, Cameron, was unconscious
0:37:14 > 0:37:16on a treacherous cliff ledge.
0:37:30 > 0:37:33After a severe blackout, he needs to get to hospital.
0:37:38 > 0:37:40But the only way to the chopper is by winch.
0:38:27 > 0:38:29With Taff and Cameron safely in the aircraft,
0:38:29 > 0:38:32they speed to Accident and Emergency care
0:38:32 > 0:38:34at the Royal Infirmary of Edinburgh.
0:38:52 > 0:38:56At hospital, Cameron's strong enough to walk into A&E.
0:38:56 > 0:38:59For the Gannet team, it's been another successful rescue.
0:39:22 > 0:39:25Four weeks later, Cameron's back home and spending time
0:39:25 > 0:39:29with his uncle Colin, who was walking with him when he collapsed.
0:39:30 > 0:39:34Cameron got the all-clear from hospital within a few hours,
0:39:34 > 0:39:38but it turns out this lad had an incredibly lucky escape.
0:39:39 > 0:39:41I didn't realise I was having a hypo.
0:39:41 > 0:39:43I thought I was just tired.
0:39:43 > 0:39:46I felt my legs going a bit jelly,
0:39:46 > 0:39:50and I felt... I kept feeling like I was going to slip,
0:39:50 > 0:39:53even though it wasn't really wet, and I had boots on.
0:39:53 > 0:39:58But I just felt like my body was getting weaker and weaker and then,
0:39:58 > 0:40:00I think, I just, you know...
0:40:00 > 0:40:03I was just out of it, I just stopped altogether.
0:40:06 > 0:40:09For his uncle, it was a terrifying moment.
0:40:09 > 0:40:11They were attempting a treacherous cliff route,
0:40:11 > 0:40:13called the Elie Chain Walk.
0:40:16 > 0:40:17We were both sat down,
0:40:17 > 0:40:20and at that point he started to slide up against a rock.
0:40:22 > 0:40:25He was practically unconscious at this point.
0:40:25 > 0:40:28Then I started to realise, right, this is diabetes,
0:40:28 > 0:40:31this is a hypo, it has to be a hypo, this is going to turn serious.
0:40:31 > 0:40:34It was a beautiful day, turning into almost a nightmare.
0:40:35 > 0:40:38The duo were perched on a tiny cliff ledge,
0:40:38 > 0:40:4140 feet above the rocky shore.
0:40:41 > 0:40:44So, I grabbed a hold of him, and I've got him between my legs,
0:40:44 > 0:40:45I put my arms around him.
0:40:45 > 0:40:48One slip, we could be dead.
0:40:48 > 0:40:52And then, I started to think to myself, right, OK,
0:40:52 > 0:40:55what do I need to do here? I need to make some phone calls, I need help.
0:40:58 > 0:41:01They says to me, "Look, we're going to send air support,
0:41:01 > 0:41:03"and the coastguard will arrive, as well."
0:41:03 > 0:41:06So, from that point onwards, I was glad.
0:41:06 > 0:41:10Actually, I thought, "Well, the right people are on their way."
0:41:10 > 0:41:14Cameron began to regain consciousness while they waited for help.
0:41:14 > 0:41:16I thought it was a dream.
0:41:16 > 0:41:18I thought I just went to sleep
0:41:18 > 0:41:20and when I woke back up I'd be in my room or something,
0:41:20 > 0:41:26but I woke up on this rock with my uncle wrapped around me.
0:41:26 > 0:41:28So, I was like, "What's going on?"
0:41:30 > 0:41:33The RNLI helped him and Colin off the cliff,
0:41:33 > 0:41:36but it's the chopper Cameron remembers.
0:41:36 > 0:41:39I was told that the helicopter was coming, I was thinking, "Aw, jeez!"
0:41:39 > 0:41:43We hear the rotors. You could hear them from miles away.
0:41:43 > 0:41:46The downforce from the helicopter was crazy.
0:41:46 > 0:41:49You could barely breathe, it was on top of you.
0:41:49 > 0:41:53That was the first time I've ever been in a helicopter,
0:41:53 > 0:41:56so I thought it was a pretty cool experience.
0:41:56 > 0:41:58I thought it was cool when they were flying,
0:41:58 > 0:42:01and had the door open for a while.
0:42:01 > 0:42:03I thought that was pretty James Bond!
0:42:03 > 0:42:07Take away the hypo and everything, that was fun.
0:42:14 > 0:42:17It's been all go for the Emergency Services across the British Isles.
0:42:21 > 0:42:22In County Durham,
0:42:22 > 0:42:25one of the suspected burglars the coppers nabbed
0:42:25 > 0:42:27pleaded guilty to burglary, assaulting an officer,
0:42:27 > 0:42:30and a racially aggravated public order offence.
0:42:30 > 0:42:33He was sentenced to six weeks in prison.
0:42:33 > 0:42:36The other suspects were released without charge.
0:42:39 > 0:42:40In Glasgow,
0:42:40 > 0:42:44HMS Gannet got Mark to hospital before he had a second seizure.
0:42:44 > 0:42:48This second seizure left him unconscious for 18 hours,
0:42:48 > 0:42:51but the hospital specialists were on hand to treat him.
0:42:53 > 0:42:54On the Isle of Man,
0:42:54 > 0:42:56Jenny's broken arm was cast in plaster.
0:42:56 > 0:42:59She had metal plates fitted when she got back home.
0:42:59 > 0:43:02She missed her holiday, but her arm is healing well.
0:43:03 > 0:43:06Zara had chipped the cartilage in her knee.
0:43:06 > 0:43:09But X-rays revealed she had also fractured her femur.
0:43:09 > 0:43:12But she's back home now and her plaster cast is due off soon.
0:43:14 > 0:43:16And you thought it was quiet in the countryside!