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 > 0:00:17SIRENS WAIL
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 > 0:00:29You're under arrest for failing to stop for police.
0:00:30 > 0:00:32..going hundreds of miles against the clock...
0:00:33 > 0:00:36..battling the elements and braving the weather.
0:00:38 > 0:00:40Lower the winch.
0:00:40 > 0:00:45From fields and forests to cliffs and country roads,
0:00:45 > 0:00:47we'll be right at the heart of the action...
0:00:49 > 0:00:50..with police fighting crime...
0:00:50 > 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 > 0:01:01..and wardens safeguarding our lakes.
0:01:01 > 0:01:03Come out of the way!
0:01:04 > 0:01:07We're there as the emergency services pull together
0:01:07 > 0:01:11to pick up, patch up and protect the public.
0:01:12 > 0:01:15This is Countryside 999.
0:01:34 > 0:01:37Coming up...
0:01:37 > 0:01:40in Cornwall, air-ambulance paramedics rush to the rescue
0:01:40 > 0:01:42of a badly injured rugby player.
0:01:53 > 0:01:55..the police on night patrol find more than they bargained for
0:01:55 > 0:01:57in Herefordshire...
0:01:59 > 0:02:01Out in the countryside, you just never know
0:02:01 > 0:02:02what you're going to come across.
0:02:05 > 0:02:07..and on the Isle of Man,
0:02:07 > 0:02:10paramedics race to save a man who's having a severe asthma attack.
0:02:10 > 0:02:13Asthma is a dangerous condition. It can be a killer.
0:02:22 > 0:02:24Cornwall.
0:02:24 > 0:02:27For 2,000 years, England's southernmost county
0:02:27 > 0:02:32was world-famous not for its natural beauty but for its mining.
0:02:34 > 0:02:39Cornish mines and quarries gave the world tin, copper, slate...
0:02:39 > 0:02:42and the Cornish pasty, the original miner's snack.
0:02:44 > 0:02:47Today, visitors flock here to enjoy
0:02:47 > 0:02:50every aspect of the glorious landscape.
0:02:50 > 0:02:54Even some of the quarries have a new life - as racetracks.
0:03:01 > 0:03:04And if anyone is injured anywhere in the Cornish landscape,
0:03:04 > 0:03:06the Cornwall Air Ambulance is there to help.
0:03:09 > 0:03:12The first air ambulance service of its kind in the UK,
0:03:12 > 0:03:16it's flown over 25,000 missions, saving the lives of thousands.
0:03:19 > 0:03:21Cornishman Steve Garvie
0:03:21 > 0:03:24has been a paramedic with the air ambulance for seven years.
0:03:26 > 0:03:29The job can be very challenging at times. One of the most challenging
0:03:29 > 0:03:32aspects can be dealing with younger patients,
0:03:32 > 0:03:34because no-one really wants to be involved in that situation
0:03:34 > 0:03:36if they can help it.
0:03:38 > 0:03:41At their base at Newquay Airport, a call comes in.
0:03:45 > 0:03:47Cornwall. Steve speaking.
0:03:47 > 0:03:48Yep.
0:03:51 > 0:03:53Mm-hm.
0:03:58 > 0:04:03All we know at the minute is we've got a 12-year-old male
0:04:03 > 0:04:06on a motocross bike, reported as he's come off his motocross bike,
0:04:06 > 0:04:08unconscious initially.
0:04:12 > 0:04:1501 Alpha. Ready to lift. I'm secure.
0:04:17 > 0:04:19When we were tasked to this incident,
0:04:19 > 0:04:22being a 12-year-old lad who's fallen from his motorcycle,
0:04:22 > 0:04:24it does heighten your senses a little bit more.
0:04:28 > 0:04:32From their base at Newquay, it's a five-minute hop to the casualty,
0:04:32 > 0:04:36who's on a motocross track in Summercourt, five miles away.
0:04:39 > 0:04:41Motocross can be a dangerous sport.
0:04:41 > 0:04:45Riders can come off their bikes onto rough ground at great speeds.
0:04:48 > 0:04:50Broken limbs are a common injury,
0:04:50 > 0:04:53but the most life-threatening are head injuries.
0:04:54 > 0:04:561-5-0.
0:05:11 > 0:05:13Landing isn't going to be easy.
0:05:13 > 0:05:16The track is on the uneven approach to a deep quarry,
0:05:16 > 0:05:19and it's crossed by a web of electricity lines
0:05:19 > 0:05:21coming from a nearby National Grid substation.
0:05:23 > 0:05:27There's some massive wires coming along, isn't there?
0:05:27 > 0:05:31The high-voltage power lines carry up to 400,000 volts of electricity.
0:05:34 > 0:05:36The wires spread apart, don't they?
0:05:38 > 0:05:41Getting the chopper tangled up in those could endanger
0:05:41 > 0:05:42hundreds of people below.
0:05:46 > 0:05:49Wires and helicopters do not mix.
0:05:49 > 0:05:53There was also quite a large wind turbine, so it was hazard central.
0:06:25 > 0:06:28In difficult circumstances it's a safe landing,
0:06:28 > 0:06:30but Steve's still got a long way to go.
0:06:43 > 0:06:45Ground paramedics are already on scene.
0:06:46 > 0:06:53I have a boy myself who's a similar age to the lad I'm going to treat,
0:06:53 > 0:06:57and it really brings it home as to how the parents would be feeling.
0:06:57 > 0:07:00It makes it very much an emotionally charged incident.
0:07:10 > 0:07:12Do you remember everything that happened, Brad?
0:07:12 > 0:07:15Don't remember at all? OK.
0:07:16 > 0:07:20Will he have been going fast on that, Dad, when he comes down here?
0:07:21 > 0:07:23Brad's dad saw the accident.
0:07:25 > 0:07:28Martin Graham, one of the race medics, was first on the scene.
0:07:30 > 0:07:32The rider's actually gone sideways over the jump
0:07:32 > 0:07:35and then barrel-rolled himself along the track.
0:07:35 > 0:07:39Obviously, our concern is head injury or brain injury.
0:07:42 > 0:07:44- Is there anything that's hurting you at the minute, mate?- No.
0:07:44 > 0:07:46Not at all?
0:07:48 > 0:07:52Brad's head has been braced to protect his upper spine.
0:07:52 > 0:07:54They can't risk moving him any distance
0:07:54 > 0:07:56until Steve's done a full examination.
0:07:58 > 0:08:00What we're going to do is go to that ambulance there,
0:08:00 > 0:08:03make sure there's nothing glaringly obvious we've missed,
0:08:03 > 0:08:06then we'll make a decision in there as to whether he goes by road
0:08:06 > 0:08:09or with ourselves, but either way he's going to be well catered for.
0:08:09 > 0:08:12- I'll leave that with you guys. - Yeah, no problem, bud.
0:08:12 > 0:08:15'The father was obviously concerned for his boy.
0:08:16 > 0:08:20'But I think he was relieved to see all the medics arrive quickly.'
0:08:21 > 0:08:23That was able to reassure him that we were all going to be
0:08:23 > 0:08:26working swiftly to do our best for his boy.
0:08:26 > 0:08:29- What's your name?- Scott. - Scott, I'm Steve.
0:08:29 > 0:08:31- Thanks, Steve. - No worries.
0:08:32 > 0:08:37'Children compensate very, very well with trauma injuries.'
0:08:37 > 0:08:40And they compensate up to a point,
0:08:40 > 0:08:43and then, if all systems fail, they can crash extremely quickly.
0:08:55 > 0:08:57Everyone got some?
0:08:59 > 0:09:01Rest here for a second, if you like, mate.
0:09:01 > 0:09:03He's a little bit pale.
0:09:03 > 0:09:05- All right? - Yeah.
0:09:05 > 0:09:08Get these bits off.
0:09:08 > 0:09:11Just saying on the way you've got pins and needles in both arms, yeah?
0:09:12 > 0:09:13Is that right?
0:09:15 > 0:09:18The tingling sensation of pins and needles
0:09:18 > 0:09:21could be a sign that Brad has damaged his spinal column.
0:09:23 > 0:09:24You don't feel sick at all, mate?
0:09:24 > 0:09:26A little bit?
0:09:28 > 0:09:31Do you know what day of the week it is today, Brad?
0:09:32 > 0:09:34Saturday. OK, mate.
0:09:39 > 0:09:43I had an underlying suspicion that there was...
0:09:43 > 0:09:45certainly at the very least a minor head injury.
0:09:51 > 0:09:53You need a drink? All right, mate.
0:09:53 > 0:09:56It's all right, Brad.
0:09:56 > 0:10:00The oxygen that you've had on you, mate, will have dried you out.
0:10:00 > 0:10:02All right, Brad.
0:10:02 > 0:10:05Brad, Brad, we don't have any drinks available at this stage, mate.
0:10:06 > 0:10:10So, as soon as we get you to hospital we can get you a drink.
0:10:10 > 0:10:12BRAD GROANS
0:10:13 > 0:10:17All right, mate. OK, Brad. Brad, what are you doing?
0:10:17 > 0:10:19You going to be sick?
0:10:19 > 0:10:21HE VOMITS
0:10:23 > 0:10:25All right, Brad. OK, love.
0:10:29 > 0:10:31'Another significant head injury sign is vomiting,
0:10:31 > 0:10:35'so we were well aware for the potential for vomiting,
0:10:35 > 0:10:37'but it still kind of caught us out.'
0:10:37 > 0:10:40But we were able to turn him on his side while still maintaining
0:10:40 > 0:10:42some spinal alignment for him.
0:10:45 > 0:10:47- Don't worry about that, mate. - Don't you worry about that, Brad.
0:10:47 > 0:10:50You're not the first, and you won't be the last.
0:10:51 > 0:10:54- You got any pain at all? - Not any more.
0:10:54 > 0:10:56Not any more. You're getting better.
0:10:56 > 0:10:58- Good man.- Vomiting's made you feel better, hasn't it?
0:10:58 > 0:11:00I thought you were looking pale.
0:11:00 > 0:11:03Amazingly, Brad's colour has returned,
0:11:03 > 0:11:05and his speech is much clearer.
0:11:09 > 0:11:13His nausea has lifted, making him feel a lot better.
0:11:15 > 0:11:18The head injury isn't as bad as Steve had feared.
0:11:18 > 0:11:20We'll wipe all that off you, buddy.
0:11:20 > 0:11:22We'll get you cleaned right up in a minute.
0:11:22 > 0:11:23You've had a pasty, haven't you?
0:11:25 > 0:11:28If all is generally well, sometimes humour can be a great aid
0:11:28 > 0:11:31and a great analgesic property.
0:11:31 > 0:11:34We'll stretch to getting you a blanket.
0:11:34 > 0:11:38Brad's recovery is so quick, Steve thinks it's safe for him
0:11:38 > 0:11:39to go to hospital by road.
0:11:40 > 0:11:42Steve's job here is done.
0:11:43 > 0:11:44Sorry about your ambulance.
0:11:44 > 0:11:46I should have been quicker on the ball there.
0:11:46 > 0:11:48I'm used to it, don't worry.
0:11:49 > 0:11:52It was only 15 to 20 minutes' drive away, and Dad was able
0:11:52 > 0:11:57to go with him, most importantly - so father and son stayed together.
0:11:57 > 0:12:01Thank you, thanks very much, mate. Thank you, really appreciate it.
0:12:16 > 0:12:21Over 400 miles due north of Cornwall lies the Isle of Man -
0:12:21 > 0:12:24an emerald jewel in the deep blue Irish Sea.
0:12:24 > 0:12:26It's been a holiday destination
0:12:26 > 0:12:29ever since the Victorians discovered its temperate climate
0:12:29 > 0:12:33and stunning views around every corner of its 100-mile coastline.
0:12:36 > 0:12:38Today, tourists still flock here,
0:12:38 > 0:12:41with nearly 3,000 visiting every year.
0:12:43 > 0:12:47And if any of them need medical help in a hurry, the 42 personnel
0:12:47 > 0:12:50of the island's ambulance service are there to help.
0:12:53 > 0:12:57Paramedic Team Leader Kevin Airey signed up to the service
0:12:57 > 0:13:0222 years ago, and every day is as fresh as his first.
0:13:02 > 0:13:03'That's what I love about the job.'
0:13:03 > 0:13:06Every day can be so different. You don't know where you're going
0:13:06 > 0:13:10to end up, who you're going to meet and in what circumstances.
0:13:10 > 0:13:13Kevin and Emergency Medical Technician Lisa Montgomery
0:13:13 > 0:13:14are on a blue light.
0:13:17 > 0:13:21A lorry has left the road, driver's a query - a head injury.
0:13:21 > 0:13:24Apparently, one of our community responders is on scene,
0:13:24 > 0:13:27and that's all we know, really.
0:13:29 > 0:13:32The accident is around six miles away.
0:13:32 > 0:13:34From Douglas,
0:13:34 > 0:13:35they're heading towards Peel,
0:13:35 > 0:13:37along the main east-west trunk road,
0:13:37 > 0:13:38the A1.
0:13:45 > 0:13:47- Yeah.- Yeah.
0:13:47 > 0:13:52There are around 680 miles of public road on the island,
0:13:52 > 0:13:55and outside towns and villages, most of them have no speed limit.
0:13:57 > 0:14:02But with many roads narrow and winding, drivers have to be safe.
0:14:10 > 0:14:14Alpha 116 arriving on scene at Greeba Bridge.
0:14:18 > 0:14:20- Oh, yeah...- He's in the hedge. - Oh, yeah, he's...
0:14:20 > 0:14:22Oh, he's done a good job there!
0:14:22 > 0:14:25It looked as if the truck driver had come round the corner
0:14:25 > 0:14:28and then gone a little bit further and then mounted the hedge.
0:14:34 > 0:14:35- Hiya.- Hello.
0:14:37 > 0:14:38- Hiya. I'm Lisa.- Ed.
0:14:40 > 0:14:41Around 20 minutes ago,
0:14:41 > 0:14:45Ed's 25.5-ton tipper truck came off the road.
0:14:52 > 0:14:55Just five minutes after the accident,
0:14:55 > 0:14:58a Community First Responder found the 56-year-old
0:14:58 > 0:15:00in a dazed and confused state.
0:15:02 > 0:15:05I tell you what, Ed, shall we just get you in the back of the vehicle
0:15:05 > 0:15:07- and we can have a proper look?- Yeah.
0:15:07 > 0:15:10All right? We'll get you off here. Just take your time.
0:15:10 > 0:15:13- I'm all right.- You OK? - Let's just get you in.
0:15:13 > 0:15:15So do you think you've blacked out, Ed?
0:15:22 > 0:15:25He's got an abrasion here, Kev, on his head.
0:15:25 > 0:15:26I think that's new as well.
0:15:29 > 0:15:33Lisa and Kevin are checking for damage caused by the accident,
0:15:33 > 0:15:36and also for problems that might have caused it.
0:15:36 > 0:15:38What have you done here,
0:15:38 > 0:15:41if you don't mind me asking? I know it's nothing to do with this.
0:15:42 > 0:15:45No diabetes, no breathing problems, no cardiac?
0:15:45 > 0:15:48- No.- No? Just sciatica.- Yeah.
0:15:48 > 0:15:50Are you on any medication?
0:15:50 > 0:15:53- Yeah, co-codamol.- Is that just for your pain, yeah?- Yeah.- Right.
0:15:53 > 0:15:56I'm just going to try and do your blood pressure again.
0:15:56 > 0:15:58Just try and relax that arm for us, as best you can.
0:16:01 > 0:16:02It's very high.
0:16:04 > 0:16:06For a healthy man of his age,
0:16:06 > 0:16:10Ed's blood pressure should be around 120/80.
0:16:11 > 0:16:15Right now, it's 210/113,
0:16:15 > 0:16:18which would explain his confusion and nausea.
0:16:20 > 0:16:24Roughly how fast were you going, when you come round that corner?
0:16:24 > 0:16:27- About 35.- About 35.
0:16:27 > 0:16:31Whatever the cause of the accident, Ed needs to be checked out
0:16:31 > 0:16:34at Noble's Hospital, around six miles away.
0:16:40 > 0:16:43Hey, you've walked away from it, so you're all right.
0:16:52 > 0:16:56Right, swing your legs round for us. There you go.
0:16:57 > 0:17:01Main concern is his blood pressure. It's through the roof.
0:17:01 > 0:17:04The first one we did was 210/113.
0:17:04 > 0:17:07The second one was 201/119.
0:17:09 > 0:17:10Ed's safe.
0:17:12 > 0:17:14But the outcome for him and other road users
0:17:14 > 0:17:16could have been very different.
0:17:18 > 0:17:21Bit scary, really - you know, it's a busy road.
0:17:21 > 0:17:23There's lots of cyclists on that road,
0:17:23 > 0:17:25there's lots of cars on that road.
0:17:25 > 0:17:28It's a busy road, it could have been worse.
0:17:36 > 0:17:39Over 300 miles due south of the Isle of Man,
0:17:39 > 0:17:44Steve Garvey and the Cornwall Air Ambulance Team are back at base.
0:17:45 > 0:17:48But within 30 minutes, another call comes in.
0:17:54 > 0:17:57OK, mate. No worries, we're on the way. Cheers. Bye.
0:18:00 > 0:18:04Right, this call is right down in West Cornwall,
0:18:04 > 0:18:05so quite some distance away.
0:18:05 > 0:18:07Playing rugby, involved in a collapse
0:18:07 > 0:18:09in a tackle with a neck injury.
0:18:17 > 0:18:21They need to get to the casualty fast, but he's lying unconscious
0:18:21 > 0:18:24on one of the most remote rugby pitches in Britain.
0:18:36 > 0:18:39From their base in Newquay, St Just's rugby club
0:18:39 > 0:18:41is around 40 miles to the southwest.
0:18:43 > 0:18:46Two miles further west, mainland Britain stops at Land's End.
0:18:53 > 0:18:54Flying down the coast,
0:18:54 > 0:18:57the chopper will get there in around 20 minutes.
0:19:22 > 0:19:24Rugby players can hit each other head-on
0:19:24 > 0:19:29with forces of up to a quarter of a tonne -
0:19:29 > 0:19:32the equivalent of jumping from a 12-foot building.
0:19:54 > 0:19:56They're attempting to land as close as is safe.
0:19:59 > 0:20:02But second paramedic Paul Simons spots a figure below.
0:20:13 > 0:20:15They'll have to land further away.
0:20:25 > 0:20:29In an emergency like this, the difference between life and death
0:20:29 > 0:20:30could be measured in seconds.
0:20:32 > 0:20:33You all right?
0:20:34 > 0:20:35A Community First Responder...
0:20:37 > 0:20:40..and a paramedic in a rapid-response vehicle
0:20:40 > 0:20:42arrived on scene first.
0:20:47 > 0:20:49- What's he called?- Phil.- Phil?
0:20:51 > 0:20:52Phil is in the Royal Navy.
0:20:52 > 0:20:55He was playing for his hometown team during shore leave.
0:20:57 > 0:21:00Phil? All right, bud? Phil?
0:21:03 > 0:21:05Phil, you want to talk to me, mate?
0:21:07 > 0:21:09No?
0:21:09 > 0:21:11You don't know what's going on, Phil?
0:21:15 > 0:21:19The GCS, or Glasgow Coma Scale, rates levels of consciousness,
0:21:19 > 0:21:21with a number from three to 15.
0:21:22 > 0:21:26Phil's eyes are open, but he's not responding to questions,
0:21:26 > 0:21:28or reacting to physical stimuli.
0:21:29 > 0:21:32The first responder rates this GCS6,
0:21:32 > 0:21:36which generally indicates severe brain injury.
0:21:36 > 0:21:38Do you want to go down to skin?
0:21:38 > 0:21:41I'm not concerned of anything anywhere else, really.
0:21:41 > 0:21:43More...just a bit of exposure - just to have a look,
0:21:43 > 0:21:45see if there's any obvious signs of injury.
0:21:48 > 0:21:50The land ambulance team arrive.
0:22:07 > 0:22:10Phil's suffered a major axial load -
0:22:10 > 0:22:13a hit to the head with such a force that it sends the shock
0:22:13 > 0:22:15through to the neck and body.
0:22:17 > 0:22:19This would be the cause of the initial concussion,
0:22:19 > 0:22:22but there must be something else keeping him in this state.
0:22:22 > 0:22:26Steve needs to find out more.
0:22:26 > 0:22:28Do you know if he's got any medical history?
0:22:28 > 0:22:30He had a stroke five years ago?
0:22:33 > 0:22:37'There are a lot of people at scene. The patient's dad was also there.'
0:22:37 > 0:22:40This is very handy in this sort of situation, really,
0:22:40 > 0:22:43because he was able to fill us in on previous medical history
0:22:43 > 0:22:45and problems that his son had suffered.
0:22:45 > 0:22:48- Hello, Dad, all right? My name's Steve.- Hello, Steve.
0:22:48 > 0:22:51Yeah, OK, so he's had a...he's 26, he's had a stroke, five year ago?
0:22:51 > 0:22:54- Yeah.- Quite young, isn't it? - He's in the Navy, so...
0:22:57 > 0:22:58Right.
0:23:05 > 0:23:07The new information isn't good.
0:23:07 > 0:23:09Phil may have had a seizure,
0:23:09 > 0:23:12or heart complications could be affecting blood flow to his brain.
0:23:15 > 0:23:18So, Dad, we're going to take him to Treliske Hospital, all right?
0:23:18 > 0:23:21He's going to be in the emergency department up there,
0:23:21 > 0:23:22so he can be assessed.
0:23:22 > 0:23:25'He has history of, as I say,'
0:23:25 > 0:23:28of stroke, and he's suffered a significant head injury.
0:23:30 > 0:23:32'Potentially very serious.'
0:23:32 > 0:23:33Ready, lift.
0:23:41 > 0:23:44We'll look after him, all right, buddy? We'll look after him.
0:23:44 > 0:23:46Phil's dad will drive to the hospital,
0:23:46 > 0:23:49but Phil needs to get into the air - fast.
0:24:08 > 0:24:10En route to hospital,
0:24:10 > 0:24:12we were further evaluating his vital signs,
0:24:12 > 0:24:15so we're constantly monitoring and rechecking, just to see if there's
0:24:15 > 0:24:18anything that can have been missed or anything that's changed.
0:24:34 > 0:24:37They've found that Phil's blood sugar levels are dangerously low,
0:24:37 > 0:24:40which could have led to hypoglycaemia
0:24:40 > 0:24:43and could contribute to an extended loss of consciousness.
0:24:45 > 0:24:49Give you a hand to drive. He's quite a big chap.
0:24:52 > 0:24:54All right, can do you do it? We're moving, watch your fingers.
0:24:54 > 0:24:57But Steve and Paul don't want to leave Phil just yet.
0:24:58 > 0:25:01They're hoping he's in there - somewhere.
0:25:03 > 0:25:06Phil, Phil can you hear me at all? Phil?
0:25:08 > 0:25:11Give my hands a good squeeze there, buddy.
0:25:12 > 0:25:14Phil, give my hand a squeeze.
0:25:15 > 0:25:17You got a pen torch on you?
0:25:18 > 0:25:20Just going to shine a light in your eyes, bud.
0:25:20 > 0:25:21GROANING
0:25:21 > 0:25:23Was that a groan?
0:25:25 > 0:25:27GROANING
0:25:27 > 0:25:29There's a faint sound.
0:25:29 > 0:25:33Phil, can you hear me? Eh?
0:25:37 > 0:25:42For the first time since his injury an hour-and-a-half ago,
0:25:42 > 0:25:43Phil is trying to communicate.
0:25:48 > 0:25:52It's been a difficult mission. But at its end, there's hope.
0:25:53 > 0:25:55Phil may be coming round.
0:26:11 > 0:26:15Around 200 miles to the northeast of Cornwall,
0:26:15 > 0:26:18Herefordshire rolls out over 840 square miles
0:26:18 > 0:26:20of prime agricultural land.
0:26:24 > 0:26:27Two in five people here live in areas so remote,
0:26:27 > 0:26:30providing public transport is a big challenge.
0:26:32 > 0:26:35That's why more people travel to work by car, van or tractor
0:26:35 > 0:26:39in Herefordshire than in any other country in England.
0:26:43 > 0:26:46PC Sam Davies has been policing the roads
0:26:46 > 0:26:48of rural Herefordshire for three years.
0:26:49 > 0:26:51But she's lived here all her life.
0:26:53 > 0:26:55I am very much a country girl.
0:26:55 > 0:26:58Although I was born in one of the market towns
0:26:58 > 0:27:00in Herefordshire,
0:27:00 > 0:27:03I spend most of my life out in the countryside.
0:27:03 > 0:27:05I've got horses, I've got dogs -
0:27:05 > 0:27:07I can't think of anywhere better to be.
0:27:09 > 0:27:13It's early evening at Peterchurch Police Station.
0:27:13 > 0:27:17And Sam's joining PC Tom Milton for a night-time investigation.
0:27:17 > 0:27:18It's here somewhere.
0:27:20 > 0:27:23Tom's had a call about a suspicious store of fuel containers,
0:27:23 > 0:27:27and his informant has sent him pictures.
0:27:27 > 0:27:30This is a woodland - this is all woodlands here
0:27:30 > 0:27:32and basically, the road is running here.
0:27:32 > 0:27:33There's a T-junction
0:27:33 > 0:27:37and then that brings you back out onto a slip road up under the trees.
0:27:37 > 0:27:41So you've got two bits of ply board and then behind the ply board,
0:27:41 > 0:27:43you can see there's loads of drums and this wheelbarrow,
0:27:43 > 0:27:47and they've got remnants of red diesel at the bottom of them.
0:27:49 > 0:27:52Red diesel is a cheap government-subsidised fuel
0:27:52 > 0:27:55for working vehicles such as JCBs and tractors.
0:27:55 > 0:27:58And diesel thefts are a large contributor
0:27:58 > 0:28:03to the £610,000 a year cost of rural crime in Herefordshire.
0:28:05 > 0:28:07He's targeting the farms that are so big
0:28:07 > 0:28:09that they're just not noticing...
0:28:09 > 0:28:10That's what I was thinking.
0:28:10 > 0:28:13..three or four of these smaller barrels going.
0:28:13 > 0:28:17It's mid-September and with farms stockpiling fuel for the winter,
0:28:17 > 0:28:19the police are being extra vigilant.
0:28:20 > 0:28:24Due to the time of year, farmers could easily not notice
0:28:24 > 0:28:27a few hundred gallons of diesel going missing, because they're
0:28:27 > 0:28:31bringing so much fuel onto site to cope with the harvest.
0:28:31 > 0:28:35Tom's been informed that the containers are visited by a man
0:28:35 > 0:28:37in a vehicle during the night.
0:28:40 > 0:28:43It's 8pm, and they're on the lookout for a suspicious car.
0:28:45 > 0:28:47- Literally down the lane, yeah?- Yeah.
0:28:48 > 0:28:52But first, they want to see the fuel containers for themselves.
0:28:53 > 0:28:56We're just making our way down to the area
0:28:56 > 0:28:59that these diesel drums are stored.
0:29:05 > 0:29:08- Little track here on the right. - Yes.- Is that it?- Yeah.
0:29:22 > 0:29:26The containers are well-hidden in the corner of a remote field.
0:29:27 > 0:29:29Look at this lovely little hide.
0:29:31 > 0:29:34If you were using it to just go in and out of - you were using
0:29:34 > 0:29:37it as a storage, you're not going to have a tree across the way.
0:29:37 > 0:29:39You're going to have it somewhere where, if you're using
0:29:39 > 0:29:43it for legitimate purposes, that you've got easy access to.
0:29:53 > 0:29:57Back on the road, new information comes in.
0:29:57 > 0:30:00We have had one call already tonight from a member of the public
0:30:00 > 0:30:03not too far away from here about a suspicious vehicle,
0:30:03 > 0:30:05so we're obviously keeping our eyes out for that as well,
0:30:05 > 0:30:07just in case we come across that.
0:30:13 > 0:30:15It's 10pm, and they come across
0:30:15 > 0:30:17a car pulling out of a petrol station.
0:30:18 > 0:30:20As we pulled on the forecourt,
0:30:20 > 0:30:24quite a shabby-looking old Vectra has left the forecourt.
0:30:24 > 0:30:26Something just didn't look right.
0:30:26 > 0:30:30Gut instinct. Traffic officer gut instinct - didn't look right.
0:30:44 > 0:30:46YK, can you run...?
0:30:46 > 0:30:47Tom calls in the number plate.
0:30:50 > 0:30:53And the details come back in seconds.
0:31:04 > 0:31:06Pull it in Kingstone, in the actual village itself.
0:31:06 > 0:31:10We've got more chance of it being lit up, then, haven't we?
0:31:10 > 0:31:13- So it's got no insurance. - No insurance, got a brake light out.
0:31:15 > 0:31:16They need to stop the car
0:31:16 > 0:31:19where there'll be no risk to other road users.
0:31:23 > 0:31:26- Let's get out the way of the pub, shall we?- Yeah.
0:31:32 > 0:31:33QUICK BLAST OF SIREN
0:31:36 > 0:31:38He is stopping.
0:31:48 > 0:31:51Hello, do you want to just switch the car off for me?
0:31:51 > 0:31:54- Switch them off for me.- It's all right here?
0:31:54 > 0:31:56- Is it all right here? What, stopping the car?- Yeah.
0:31:56 > 0:31:59Yeah, it's absolutely fine. Have you got your driving licence on you?
0:31:59 > 0:32:02- Have you got some driving details? Could I have them, please?- OK.
0:32:02 > 0:32:05The reason we stopped you - you've got a brake light
0:32:05 > 0:32:08out on the back of your car, OK? And running it through the system,
0:32:08 > 0:32:10it's showing the car hasn't got any insurance.
0:32:11 > 0:32:13Lovely, thank you very much.
0:32:13 > 0:32:15And have you got any insurance papers with you
0:32:15 > 0:32:16or anything like that?
0:32:22 > 0:32:25- You understand everything? - Yeah.- Yeah?
0:32:26 > 0:32:28The driver is from Poland.
0:32:28 > 0:32:30He's just finished work at a local farm.
0:32:32 > 0:32:35There was a slight language barrier. I did check with him,
0:32:35 > 0:32:36to make sure that he wasn't...
0:32:36 > 0:32:39that he understood everything I was saying and he was fine.
0:32:39 > 0:32:42It's clear the driver isn't involved in any diesel theft,
0:32:42 > 0:32:45but driving without insurance is a crime.
0:32:52 > 0:32:54He says he recently bought the car from a friend,
0:32:54 > 0:32:57and his friend swapped the insurance from his old car.
0:33:11 > 0:33:13The vehicle's showing on our systems as having no insurance
0:33:13 > 0:33:16and you've also produced me with a certificate which is
0:33:16 > 0:33:18for the wrong car which is out of date, OK?
0:33:20 > 0:33:24It doesn't sound good. But the driver is adamant he's insured.
0:33:28 > 0:33:29But there's no proof.
0:33:33 > 0:33:35Sam will have to take the car off the road.
0:33:37 > 0:33:40I'm going to give you a form to say that we've seized your vehicle, OK?
0:33:40 > 0:33:42Do you understand?
0:33:42 > 0:33:44- I think so.- Yeah?
0:33:45 > 0:33:48My car, what... Is it now just gone?
0:33:48 > 0:33:50Yeah, it's going to be towed away.
0:33:51 > 0:33:53What you need to do then,
0:33:53 > 0:33:56I'll explain to you how you get that back, all right?
0:33:56 > 0:33:59To reclaim his car, he needs to pay £150,
0:33:59 > 0:34:02plus £20 for every day it's impounded.
0:34:05 > 0:34:08He decides he doesn't want the car back at all.
0:34:10 > 0:34:11- Sure?- Yeah.
0:34:11 > 0:34:14- Cos once it's gone, it's too late. - I'm sure.
0:34:17 > 0:34:21Having no car leaves the driver with the problem of getting home,
0:34:21 > 0:34:23around four miles away.
0:34:24 > 0:34:27But public safety plays a big part in Sam's job.
0:34:28 > 0:34:32I was very kind, I'm a very nice officer, and due to the location
0:34:32 > 0:34:35and the fact it was very, very dark,
0:34:35 > 0:34:37I didn't want a casualty on our hands
0:34:37 > 0:34:40and he lived just up the road in a farm, so I gave him a lift home.
0:34:40 > 0:34:41Come on, seatbelt.
0:34:47 > 0:34:50- We'll be back shortly. - OK, see you later.
0:34:50 > 0:34:52- No worries. You take care. - You walked?
0:34:52 > 0:34:55- Take care. I walked.- Thank you.
0:34:57 > 0:35:00They didn't find the diesel hoarder they were looking for,
0:35:00 > 0:35:05but the police in rural Herefordshire have to be prepared for anything.
0:35:06 > 0:35:10Unfortunately, shows you should be paying for your insurance.
0:35:10 > 0:35:12And yeah, we'll go and have a look and see if we can find
0:35:12 > 0:35:15the people we were looking for in the first place, then, and see
0:35:15 > 0:35:18what else we come across, but, this job, you just never know,
0:35:18 > 0:35:21out in the countryside you just never know
0:35:21 > 0:35:23what you're going to come across.
0:35:36 > 0:35:38Wherever you are in the British Isles,
0:35:38 > 0:35:41the emergency services are only three digits away...
0:35:43 > 0:35:45..night...
0:35:45 > 0:35:47or day.
0:35:48 > 0:35:51On the Isle of Man, it's early afternoon.
0:35:52 > 0:35:57Paramedic Kevin Airey and emergency medical technician Lisa Montgomery
0:35:57 > 0:35:59are responding to a 999 call.
0:36:09 > 0:36:12They're heading from coast to coast.
0:36:15 > 0:36:16From their location
0:36:16 > 0:36:19just outside Douglas on the east of the island...
0:36:19 > 0:36:22they're speeding west to the port town of Peel.
0:36:28 > 0:36:31If an asthma sufferer has called 999,
0:36:31 > 0:36:34this could be a serious medical emergency.
0:36:37 > 0:36:41Asthma is a dangerous condition, yeah, it is, you know,
0:36:41 > 0:36:43it can be a killer.
0:36:44 > 0:36:48It's estimated that someone has a life-threatening asthma attack
0:36:48 > 0:36:50in the UK every ten seconds.
0:36:53 > 0:36:57Around ten minutes after getting the call, Kevin and Lisa arrive.
0:37:10 > 0:37:12As we went in through the front door,
0:37:12 > 0:37:15and then through the hallway into the front room,
0:37:15 > 0:37:19the first thing I saw was Wesley on his hands and knees.
0:37:19 > 0:37:24Wesley? I'm Kevin. Is it your asthma, is it, yeah?
0:37:24 > 0:37:27Can I have a little listen to your back, here, OK?
0:37:29 > 0:37:32Wesley is 32 years old.
0:37:32 > 0:37:35He's suffered from asthma since he was a child.
0:37:35 > 0:37:39He was chatting to partner Stephen when the attack started.
0:37:39 > 0:37:41He couldn't breathe,
0:37:41 > 0:37:43he was on his hands and knees, asthma attack,
0:37:43 > 0:37:45and he was gasping for air, yeah.
0:37:49 > 0:37:53Right, got two of the ipratropium and two salbutamol, please?
0:37:53 > 0:37:56Asthma is a condition of the bronchioles,
0:37:56 > 0:37:59the tubes that carry air in and out of the lungs.
0:38:01 > 0:38:04When the lungs become irritated, the air tubes inflame
0:38:04 > 0:38:08and close up, making it difficult or even impossible to breathe.
0:38:08 > 0:38:11Going to give you some salbutamol now
0:38:11 > 0:38:14and some Atrovent in there and hopefully...
0:38:14 > 0:38:16we'll get you sorted out.
0:38:16 > 0:38:17OXYGEN HISSES
0:38:19 > 0:38:22Kevin's giving Wesley pure oxygen mixed with a large dose
0:38:22 > 0:38:25of drugs designed to relax his bronchial airways.
0:38:28 > 0:38:30Are you able to sit up more so that...
0:38:30 > 0:38:32that drug'll work better? There we go.
0:38:32 > 0:38:34OXYGEN HISSES
0:38:41 > 0:38:43Wesley's calming down.
0:38:44 > 0:38:47It'll help your breathing, just relax, if you can.
0:38:55 > 0:38:58Right, OK if I do your blood pressure on this arm?
0:38:58 > 0:38:59Is that OK?
0:39:01 > 0:39:02WESLEY COUGHS
0:39:12 > 0:39:13160 over 84.
0:39:14 > 0:39:18His blood pressure is high, which may be the result of the attack,
0:39:18 > 0:39:21or it could be related to what caused it.
0:39:22 > 0:39:25To find out, Kevin needs more information.
0:39:25 > 0:39:28Just kind of give me the story from this morning
0:39:28 > 0:39:31and, you know, what you've been doing in the run-up to this.
0:39:34 > 0:39:36Have you got some antibiotics from the doctor?
0:39:38 > 0:39:40All right, OK.
0:39:40 > 0:39:45So your temp is up, so, you know, this chest infection, that would be
0:39:45 > 0:39:50the reason, probably, why your meds can't cope with it, you know.
0:39:50 > 0:39:51In five minutes,
0:39:51 > 0:39:55Wesley's breathing easily enough to be moved to the ambulance.
0:39:56 > 0:39:59Give us a hand there, mate, if you want.
0:39:59 > 0:40:01Up you come.
0:40:01 > 0:40:02Right, just take it easy.
0:40:09 > 0:40:11You all right?
0:40:13 > 0:40:16Just lift yourself up on that step, it's a bit steep.
0:40:20 > 0:40:23I'll follow in the car, I'm just going to sort the dogs out.
0:40:23 > 0:40:25All right?
0:40:29 > 0:40:31It's been a severe attack,
0:40:31 > 0:40:33which came on suddenly just under an hour a go.
0:40:49 > 0:40:53I think with this chest infection sitting...on his chest as well,
0:40:53 > 0:40:55he's had a struggle...
0:41:02 > 0:41:04Around six million people in the UK have asthma.
0:41:09 > 0:41:11And three die of asthma attacks every day.
0:41:35 > 0:41:37- OK, Wesley?- Yeah.
0:41:39 > 0:41:43Thanks to the Isle of Man Ambulance Service, Wesley's safe.
0:41:47 > 0:41:49Bring your feet up here.
0:41:49 > 0:41:51Yeah, course you can.
0:41:51 > 0:41:53They were absolutely fantastic.
0:41:53 > 0:41:57I was really embarrassed at the time, but I'm glad I phoned.
0:41:57 > 0:42:00If I hadn't phoned them, I would have been very ill.
0:42:02 > 0:42:06Once he's been checked out, he should get back home today.
0:42:06 > 0:42:07I'm just going to go to bed.
0:42:07 > 0:42:09HE CHUCKLES
0:42:09 > 0:42:10And he's going to look after me.
0:42:12 > 0:42:13He'll milk it.
0:42:21 > 0:42:25It's been all go for the emergency services across the British Isles.
0:42:25 > 0:42:28In Cornwall, Brad was concussed
0:42:28 > 0:42:31but thankfully there was no serious injury to his spine.
0:42:32 > 0:42:37After five hours of tests in hospital, he was back home
0:42:37 > 0:42:39and two days later, he was back on his bike.
0:42:41 > 0:42:43In Herefordshire,
0:42:43 > 0:42:46investigations into the theft of red diesel are ongoing.
0:42:48 > 0:42:52And back in Cornwall, doctors feared Phil had broken his neck,
0:42:52 > 0:42:55but tests came back clear
0:42:55 > 0:42:57and the following morning,
0:42:57 > 0:43:00the morning of his 27th birthday, he finally woke up.
0:43:02 > 0:43:05Amazingly, he was back aboard ship with the Royal Navy
0:43:05 > 0:43:08the following day and given the all-clear three weeks later.
0:43:11 > 0:43:14And you thought it was quiet in the countryside...