Episode 13

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0:00:02 > 0:00:04They're the Brits who race to the rescue down under.

0:00:04 > 0:00:06'Multiple patients critical.'

0:00:06 > 0:00:09Everyday heroes saving lives.

0:00:09 > 0:00:11'12 miles to run.'

0:00:11 > 0:00:12Battling fires...

0:00:12 > 0:00:14Come out now! It's too late!

0:00:14 > 0:00:16It can be extremely dangerous.

0:00:16 > 0:00:17..and fighting crime.

0:00:17 > 0:00:18Put your arm down!

0:00:18 > 0:00:19Police! Open the door!

0:00:19 > 0:00:22From the big city to the outback.

0:00:22 > 0:00:25Our policing district is bigger than the whole of the UK.

0:00:25 > 0:00:26From the bush...

0:00:26 > 0:00:30'He's been crushed between one of those dingo diggers and a ute.'

0:00:30 > 0:00:32..to Bondi Beach.

0:00:32 > 0:00:34'The search continues for a British tourist

0:00:34 > 0:00:37'who hasn't been seen since he went for a swim.'

0:00:37 > 0:00:40You never know what you're in for or what's going to happen.

0:00:40 > 0:00:41'Three, three, two, mate, on the head in.'

0:00:41 > 0:00:44Very high impact. He's really quite critically injured.

0:00:44 > 0:00:47Brits on blue lights under blue skies.

0:00:54 > 0:00:56Today down under -

0:00:56 > 0:00:57flying doctor Chris

0:00:57 > 0:01:00is forced to turn a shed into an operating theatre.

0:01:00 > 0:01:02He's got a punctured lung on this side,

0:01:02 > 0:01:05so I'm going to put a tube in the side of his chest, drain out that blood.

0:01:05 > 0:01:07Police officers Kurt and Sarah

0:01:07 > 0:01:10are on the hunt for a wanted man in the outback.

0:01:10 > 0:01:13Is he likely to try and run away when we get up there?

0:01:13 > 0:01:15I know, I just want to get ready,

0:01:15 > 0:01:18if I need to take me belt off and sprint after him.

0:01:18 > 0:01:23And emergency vet Lucy pulls off a tricky delivery of Labrador pups.

0:01:23 > 0:01:26They're both girls! She's had girls!

0:01:26 > 0:01:27PUPPY SQUEALS

0:01:35 > 0:01:38'WS FM 101.7, hello there, it's Jonesy.

0:01:38 > 0:01:39'Nice looking day, mostly sunny,

0:01:39 > 0:01:42'25 degrees in the city, 30 in the west...'

0:01:42 > 0:01:44It's a sunny weekend in Sydney,

0:01:44 > 0:01:47and Aussies are out enjoying the start of summer.

0:01:51 > 0:01:53PHONE RINGS

0:01:53 > 0:01:55Ambulance emergency - what town or suburb?

0:01:55 > 0:01:58'16-year-old off a motorbike, unconscious.'

0:01:58 > 0:02:00OK, and you're with the patient now?

0:02:00 > 0:02:03British flying doctor Chris Cheeseman is heading off

0:02:03 > 0:02:07to a serious accident 40 miles north of the city.

0:02:07 > 0:02:11Control logs off, stowed. Fuel is sufficient.

0:02:11 > 0:02:12'ETA, Leggy?'

0:02:12 > 0:02:15Er, 12 minutes, mate.

0:02:15 > 0:02:16'Roger, thank you.'

0:02:18 > 0:02:22'Careflight 4, you are heading to a 16-year-old off a motorbike,

0:02:22 > 0:02:25'concussed, with a GCS of three.'

0:02:25 > 0:02:27Careflight 4, copy, thank you,

0:02:27 > 0:02:31we should be overhead at the scene at about 15:04.

0:02:31 > 0:02:34If we both go to the patient and just actually see what the story is.

0:02:34 > 0:02:37Yeah, definitely. Turn the appeal off and get some more information.

0:02:37 > 0:02:41Crewman John Legge from Merseyside is trying to find the motocross

0:02:41 > 0:02:46track where the accident's happened, and to identify a safe landing spot.

0:02:46 > 0:02:47OK, two miles to run.

0:02:49 > 0:02:51- I think it's probably this, mate. - Yeah.

0:02:51 > 0:02:55So the point that we're going for, that we were given, is over there on that crossroads.

0:02:55 > 0:02:58But this looks like a motocross track to me.

0:02:58 > 0:03:00- Yeah, straight off and over it. - Yeah.- Yeah.

0:03:02 > 0:03:06It's just 15 minutes since they were scrambled, but Dr Chris is down.

0:03:12 > 0:03:14Now he must hitch a ride to his patient.

0:03:18 > 0:03:19In the shed here?

0:03:19 > 0:03:22It's probably not a bad area for us to have a look at him,

0:03:22 > 0:03:24anyway, is it?

0:03:24 > 0:03:25Thanks, Dave.

0:03:27 > 0:03:29- How you doing, mate? - PATIENT GROANS

0:03:29 > 0:03:30All right.

0:03:30 > 0:03:34So this is Mitchell, he's um, come off his bike while doing motocross.

0:03:34 > 0:03:37Unknown speed, unknown height.

0:03:37 > 0:03:40Erm...doesn't know how he fell off or where he landed.

0:03:40 > 0:03:43I've got decreased breaths down to the right-hand side

0:03:43 > 0:03:45- and lower- left-hand side. OK.

0:03:45 > 0:03:47Not complaining of any neck pain.

0:03:47 > 0:03:51But they said when they took his helmet off it was twisted.

0:03:51 > 0:03:53- Right, OK.- Thank you.

0:03:53 > 0:03:56- So he's got surgical emphysema on...?- Yeah.- OK. On this side.

0:03:57 > 0:03:59So we'll do... We'll do a chest drain.

0:03:59 > 0:04:0416-year-old Mitchell came off his bike on a high-speed jump.

0:04:04 > 0:04:06He's badly hurt - he's struggling to breathe.

0:04:06 > 0:04:10So I'm just going to do a quick scan of your tummy, mate.

0:04:10 > 0:04:12MITCHELL GROANS

0:04:12 > 0:04:14So...Pneumothorax on that side.

0:04:14 > 0:04:19Dr Chris diagnoses a collapsed lung, or pneumothorax, and broken ribs.

0:04:19 > 0:04:21Another sting, Mitch, in your arm, OK?

0:04:21 > 0:04:23Mitchell's dad is by his side.

0:04:23 > 0:04:26All right, Dad, listen, he's got a punctured lung on this side.

0:04:26 > 0:04:30So I'm going to put a tube in the side of his chest, drain out that blood, there, OK?

0:04:30 > 0:04:32I'm just going to do that straight away here now,

0:04:32 > 0:04:35and then we'll probably take him to Liverpool Hospital.

0:04:35 > 0:04:39OK, mate. Listen, Mitch. You've got a punctured lung, OK?

0:04:39 > 0:04:42I'm going to give you some medicine which is going to put you to sleep

0:04:42 > 0:04:45a bit, a bit drowsy, and I'm going to put a tube in the side of this chest, OK?

0:04:45 > 0:04:50Dr Chris must act immediately to ease his patient's breathing.

0:04:50 > 0:04:53He'll have to perform surgery in this shed.

0:04:53 > 0:04:57It's a risky procedure even in a hospital.

0:04:57 > 0:04:59But Mitchell's life is at stake.

0:05:14 > 0:05:17Kurt Weedon used to patrol Kent.

0:05:17 > 0:05:20- Sarah Denny comes from Liverpool. - OK.

0:05:20 > 0:05:22Together, they are the police

0:05:22 > 0:05:27in an area bigger than the British counties in which they worked.

0:05:27 > 0:05:29They're based in the outback town of Laverton,

0:05:29 > 0:05:33500 miles from Perth in Western Australia.

0:05:33 > 0:05:35We're going out to the desert today.

0:05:35 > 0:05:37This is something I never had to do back home.

0:05:37 > 0:05:41The old factor 50 sport, I can't remember...

0:05:41 > 0:05:43how many times I had to use sunscreen back in England.

0:05:43 > 0:05:44I think once.

0:05:44 > 0:05:48Kurt and Sarah are partners on duty and off.

0:05:48 > 0:05:50- PHONE RINGS - That'll be the phone.

0:05:51 > 0:05:53Sarah!

0:05:54 > 0:05:55How can it take so long?

0:05:57 > 0:06:00Are you rushing me now? I need to make sure I've got everything.

0:06:00 > 0:06:02Why haven't I got any sunglasses?

0:06:03 > 0:06:05I don't know, I'm not your mother!

0:06:05 > 0:06:08Like all officers, they have their strengths and weaknesses,

0:06:08 > 0:06:10and she knows all about his.

0:06:10 > 0:06:13He's actually quite good as a police officer.

0:06:13 > 0:06:14I can't really, erm...

0:06:14 > 0:06:16bag him off too much.

0:06:16 > 0:06:18- Bag him off! - SHE CHUCKLES

0:06:18 > 0:06:19He does know what he's doing.

0:06:19 > 0:06:23- He's not very good with, erm... - Oh, here we go!- ..computer systems.

0:06:23 > 0:06:26Not good with admin, not good with paperwork.

0:06:26 > 0:06:28At home he is very lazy.

0:06:28 > 0:06:30Refuses to do any housework.

0:06:30 > 0:06:32Can be a little bit moody.

0:06:33 > 0:06:36- A little bit irritating. - That's cos I live with you!

0:06:37 > 0:06:39They're on their way to arrest a teenager

0:06:39 > 0:06:41who's failed to turn up for court.

0:06:41 > 0:06:45He lives in a hamlet 20 miles from Laverton.

0:06:45 > 0:06:49- Have you dealt with him before? - Yeah, he thinks himself a little tough nut.

0:06:49 > 0:06:53There was a call come in that he's smashed, er...

0:06:53 > 0:06:55his parents' house.

0:06:55 > 0:06:56Smashed the walls up or something,

0:06:56 > 0:06:59so he's obviously having a tantrum and lost his temper.

0:06:59 > 0:07:03Erm...and it turns out he's also got a warrant, anyway.

0:07:03 > 0:07:05So he's not turned up for court at some point.

0:07:05 > 0:07:08The community's quite small, so there's a chance we'll...

0:07:08 > 0:07:10We'll see him somewhere out there.

0:07:10 > 0:07:14So we're having to drive about 30Ks out of Laverton

0:07:14 > 0:07:18to one of the small communities called Mount Margaret.

0:07:18 > 0:07:21Er, our radio doesn't work out there, so...

0:07:21 > 0:07:23we found this out when us two went out last time.

0:07:23 > 0:07:27Something similar like this happened, a domestic, bloke who'd beaten his missus,

0:07:27 > 0:07:31and then when we got there he was hiding in the roof.

0:07:31 > 0:07:32She was calling for people.

0:07:32 > 0:07:35We had a foot chase with him, and eventually managed to...

0:07:35 > 0:07:36- I like the "we"!- ..detain him.

0:07:36 > 0:07:38- You what?- Well, I... - HE CHUCKLES

0:07:38 > 0:07:41..started the foot chase with you, and then I commandeered the...

0:07:41 > 0:07:45- Gave up after about 30 seconds. - I commandeered a lift from one of the...

0:07:45 > 0:07:46people in the community.

0:07:47 > 0:07:49So you were running, I was in a car.

0:07:51 > 0:07:52We got him.

0:07:53 > 0:07:56If he does a runner, Kurt knows who'll be doing the chasing.

0:07:59 > 0:08:02Just watch for anyone shooting off, like...

0:08:02 > 0:08:03seeing us and doing one.

0:08:04 > 0:08:06It's too hot to run in...

0:08:06 > 0:08:08Well, you don't run anyway!

0:08:08 > 0:08:10Can I just watch you?

0:08:10 > 0:08:13Give me the car keys and I'll drive, you can run.

0:08:13 > 0:08:14There you go.

0:08:14 > 0:08:16You can't beat having a bull in your front garden.

0:08:16 > 0:08:17SHE LAUGHS

0:08:17 > 0:08:21What the hell is going on? How the hell have they got that in there?

0:08:21 > 0:08:23- He's having a tinkle. - SHE LAUGHS

0:08:25 > 0:08:28There's no-one in at the house of the suspect.

0:08:28 > 0:08:30But the neighbours are happy to help.

0:08:30 > 0:08:33So if there's no green car there, that means they've...

0:08:33 > 0:08:36- They're not there.- They've gone off somewhere.- Yeah, somewhere.

0:08:36 > 0:08:39- They might be at somebody's place. - You don't reckon they've gone out...

0:08:39 > 0:08:42- They wouldn't have gone bush or anything, would they?- Nah. - Hey, is this them?

0:08:42 > 0:08:43There they are, there.

0:08:43 > 0:08:44Lovely.

0:08:44 > 0:08:46The suspect's mum has turned up.

0:08:48 > 0:08:50How you going? All right.

0:08:51 > 0:08:52Where has he gone?

0:08:52 > 0:08:54- He's at his auntie's house, I think. - OK.

0:08:54 > 0:08:56So what has happened today, then?

0:09:01 > 0:09:04Is he drinking or sniffing or anything? No? OK.

0:09:04 > 0:09:06Cos obviously we want to go and see him.

0:09:06 > 0:09:08Do you want to come up there with us so you can get us... So you can

0:09:08 > 0:09:12ask her to let us in the house in case he doesn't want to come out?

0:09:13 > 0:09:15That'll be the easiest way, yeah.

0:09:15 > 0:09:18All right. Cos you do know that he's going to come away with us, don't you?

0:09:18 > 0:09:22- Cos he's got a warrant, so we'll be taking him away cos of that, cos he's not gone to court.- Yeah.

0:09:22 > 0:09:24So he'll get that dealt with today.

0:09:24 > 0:09:26Do you want to report the other damage,

0:09:26 > 0:09:28or do you want to leave it as him just going away for the warrant?

0:09:30 > 0:09:32Yeah? OK. All right, then.

0:09:33 > 0:09:36Now what's that, when... Is he likely to try and run away when we get up there?

0:09:36 > 0:09:39All right, no, I just want to get ready

0:09:39 > 0:09:42if I need to take me belt off and sprint after him.

0:09:46 > 0:09:50His mum has told them where he is, but he may not come quietly,

0:09:50 > 0:09:53and with backup at least an hour away,

0:09:53 > 0:09:55they need to be prepared for anything.

0:10:12 > 0:10:14On a rural motocross circuit,

0:10:14 > 0:10:19a teenage biker is about to undergo surgery in this shed.

0:10:19 > 0:10:21He came off on a jump and punctured a lung.

0:10:25 > 0:10:29British flying doctor Chris Cheeseman is making an incision

0:10:29 > 0:10:31in the side of 16-year-old Mitchell's chest.

0:10:34 > 0:10:37He's already anaesthetised the young rider.

0:10:37 > 0:10:40It's just... has a little bit of extra security.

0:10:40 > 0:10:43Draining blood and fluid that is crushing Mitchell's lungs

0:10:43 > 0:10:45will help his breathing.

0:10:45 > 0:10:48Yeah, he'll be nice and... He'll be nice and sleepy.

0:10:48 > 0:10:51So we've got good access, his head, his airway's OK.

0:10:51 > 0:10:56But Dr Chris also suspects more blood loss in his abdomen.

0:10:56 > 0:10:57It could kill him.

0:10:59 > 0:11:02He's certainly got a punctured lung.

0:11:02 > 0:11:05Erm...we could feel that even without our ultrasound.

0:11:05 > 0:11:07He had some air bubbling inside his chest.

0:11:07 > 0:11:09Lift, lift, lift.

0:11:09 > 0:11:12I'd say he's probably got, er... broken ribs as well.

0:11:12 > 0:11:14And I'm worried about his abdomen, as well.

0:11:14 > 0:11:16I think there's bleeding inside of his abdomen.

0:11:16 > 0:11:22Mitchell's in critical condition and hospital in Sydney is 40 miles away.

0:11:22 > 0:11:24By air, that's 20 minutes.

0:11:24 > 0:11:26But if their young patient deteriorates,

0:11:26 > 0:11:30the team knows it will be easier to treat him on the road.

0:11:30 > 0:11:34With loading him onto the aircraft and flying him and everything else,

0:11:34 > 0:11:36it works out roughly about the same time,

0:11:36 > 0:11:39so they may as well just have to... with the chest drain being in

0:11:39 > 0:11:41and everything else, just have the stability

0:11:41 > 0:11:44of being in the back of an ambo instead of the back of a chopper.

0:11:44 > 0:11:46Er...

0:11:46 > 0:11:47So you've got the drugs, got the blood.

0:11:47 > 0:11:49SIREN WAILS

0:11:49 > 0:11:53This journey will take half an hour or more.

0:11:53 > 0:11:55Hey, Mitchell, how you doing?

0:11:58 > 0:12:00But there's a problem.

0:12:00 > 0:12:02Mitchell's blood pressure has crashed.

0:12:03 > 0:12:05Is that a real blood pressure, do you think?

0:12:05 > 0:12:06I'm doing it one more time.

0:12:08 > 0:12:10If you're not happy, just feel the radial whilst...

0:12:10 > 0:12:11Whilst we're going.

0:12:14 > 0:12:17Dr Chris suspects his internal bleeding is getting worse.

0:12:17 > 0:12:20- Yeah, so he's got a diminished cap refill there.- Yeah.

0:12:20 > 0:12:26He needs a transfusion immediately, or his life may be in danger.

0:12:26 > 0:12:30- Yeah, you pass the code three, and I'll do the blood. - Yeah, OK, righto.

0:12:30 > 0:12:31HE SIGHS

0:12:34 > 0:12:36B negative.

0:12:36 > 0:12:42Er... Date 28th of October 2015, expiry date 9th of December 2015.

0:12:42 > 0:12:44Thank you.

0:12:44 > 0:12:48Trauma surgeons at the Liverpool Hospital are being put on standby.

0:12:49 > 0:12:53Liverpool, we are just about to commence a blood transfusion,

0:12:53 > 0:12:57and we will be with you in approximately 15 minutes.

0:13:02 > 0:13:06- So it has an expiry, 11-2017. - Thank you.

0:13:07 > 0:13:11Let's get a bit more tape on there to, erm...so we don't lose that.

0:13:11 > 0:13:15Dr Chris is injecting a drug to help Mitchell's blood clot.

0:13:15 > 0:13:17It'll help stem the bleeding.

0:13:19 > 0:13:21TX 80's going in now, mate.

0:13:23 > 0:13:25Well, that's worked well, that's OK.

0:13:27 > 0:13:29Hey, Mitchell, how you doing, eh?

0:13:29 > 0:13:31Mitchell?

0:13:31 > 0:13:32Hey, mate, how you doing?

0:13:32 > 0:13:34Poke your tongue out for me.

0:13:34 > 0:13:36Mitchell, poke your tongue out.

0:13:37 > 0:13:40Mitchell is now minutes from hospital.

0:13:40 > 0:13:42He needs emergency surgery.

0:13:42 > 0:13:44So he's got some fluid in his abdomen,

0:13:44 > 0:13:49so what I mentioned to you about the possibility of him bleeding

0:13:49 > 0:13:52into his tummy seems to be the case, OK, that's what I'm worried about.

0:13:52 > 0:13:56We had a couple of low blood pressures, so...

0:13:56 > 0:13:57I'm assuming that he's...

0:13:57 > 0:14:00That's because he's losing blood into his abdomen, OK?

0:14:00 > 0:14:03This is why we're giving him a blood transfusion here, OK?

0:14:03 > 0:14:08And it turned out Mitchell was lucky to survive his accident.

0:14:08 > 0:14:10Over several days in hospital in Sydney,

0:14:10 > 0:14:13surgeons were forced to remove his spleen,

0:14:13 > 0:14:16and he will be on antibiotics for three years.

0:14:16 > 0:14:19Eventually, he makes a full recovery.

0:14:19 > 0:14:22He hopes to be back in the saddle soon.

0:14:33 > 0:14:38In an outback hamlet 500 miles from Perth in Western Australia,

0:14:38 > 0:14:41British police officers Kurt and Sarah are on their way

0:14:41 > 0:14:44to arrest a teenage suspect.

0:14:44 > 0:14:46He's failed to turn up for court,

0:14:46 > 0:14:48and he's just smashed up his mum's house.

0:14:48 > 0:14:50She's told the police where he is.

0:14:50 > 0:14:52She's telling us now he's in the auntie's house,

0:14:52 > 0:14:55so I've said to her it's better if she comes up with us.

0:14:55 > 0:14:58Erm...to see if he wants to, you know...come,

0:14:58 > 0:15:02or if the... If the auntie doesn't want to let us in, she can...

0:15:02 > 0:15:04ask the auntie to let us in.

0:15:04 > 0:15:07And then obviously I'm going to be there in case he plays up

0:15:07 > 0:15:09or if he decides to run off when he sees the police,

0:15:09 > 0:15:10which is a possibility.

0:15:15 > 0:15:18The teenager is inside.

0:15:18 > 0:15:20Kurt's keeping it low-key.

0:15:25 > 0:15:27Yeah, he's here. How you going?

0:15:27 > 0:15:31You know you've got a warrant, don't you, so you've not been turning up for court, all right?

0:15:31 > 0:15:32What's been going on with earlier on?

0:15:32 > 0:15:35Do you want to talk about it or not? No?

0:15:35 > 0:15:37Look, it's your mum, OK? Your mum's told us about it.

0:15:37 > 0:15:41But your mum's... You know, she doesn't want all this sort of stress, but she's...

0:15:41 > 0:15:43She doesn't want anything done about what's happened, all right?

0:15:43 > 0:15:46But you obviously know you can't do that sort of stuff, all right?

0:15:46 > 0:15:48He's in there - we're just going to bring him out now.

0:15:48 > 0:15:51I'm just going to open the back of the car.

0:15:52 > 0:15:55The suspect's accused of burglary and theft,

0:15:55 > 0:15:58but the police are concerned for his wellbeing.

0:15:58 > 0:15:59He seems depressed.

0:15:59 > 0:16:02Have you been drinking anything?

0:16:02 > 0:16:03Any drugs or anything, no?

0:16:03 > 0:16:05He's quite calm, erm...

0:16:05 > 0:16:08Looks a little bit fed up, really.

0:16:08 > 0:16:10But, yeah, he knows what's happening.

0:16:10 > 0:16:12He knows that we're going to bring him in,

0:16:12 > 0:16:15try and get him put before the court this afternoon.

0:16:16 > 0:16:19You look fed up, mate - what's the matter?

0:16:19 > 0:16:23You been having any problems out here, any issues or anything?

0:16:23 > 0:16:25Don't want to talk to us?

0:16:27 > 0:16:30No issues at all. Erm, I got in the house quite quick cos he's a young lad, he's...

0:16:30 > 0:16:33He's known to run, he's... but the mum was talking to him, he was fine,

0:16:33 > 0:16:36he was calm when we got in the house. So he's fine with that.

0:16:36 > 0:16:38He just seems a little bit down, that's all, so...

0:16:38 > 0:16:41it might've been doing him a favour, getting him out of the community for a few hours,

0:16:41 > 0:16:45and, you know, he'll get his problems sorted out, get the issues sorted out.

0:16:46 > 0:16:51Kurt and Sarah sympathise with young people growing up in the outback.

0:16:51 > 0:16:54I'm not being a soft touch, but there's definitely,

0:16:54 > 0:16:57definitely underlying reasons, you know, why they're doing it.

0:16:57 > 0:16:59It's...you know, the...

0:16:59 > 0:17:02- A lot of it's to do with boredom as well.- Boredom.

0:17:02 > 0:17:05- It's pretty sad, innit, with some of the kids out here, cos they're not...- Yeah.

0:17:05 > 0:17:10They're just not bad kids. They've just got no real parental guidance or support,

0:17:10 > 0:17:13no direction, no role models.

0:17:13 > 0:17:16And as she said, they're just bored. I mean, it's just a...

0:17:16 > 0:17:18They're in the middle of a desert, there's nothing to do.

0:17:18 > 0:17:22It's a vicious cycle of, you know...

0:17:22 > 0:17:24Their boredom gets them into substances,

0:17:24 > 0:17:27paint and, you know, alcohol.

0:17:27 > 0:17:30Then they obviously have no way of working or earning money

0:17:30 > 0:17:32when they've dropped out of the school system,

0:17:32 > 0:17:35so they break into houses for that sort of stuff.

0:17:37 > 0:17:40They want to avoid locking up the teenager overnight.

0:17:42 > 0:17:44Laverton mobile to Laverton base.

0:17:46 > 0:17:49'Yeah, base receiving.'

0:17:49 > 0:17:53Would somebody be able to give the court a call so that we can try

0:17:53 > 0:17:57and get him listed this afternoon so we don't have to keep him overnight?

0:17:57 > 0:18:00- 'Yeah, Roger, we'll give them a call now.'- Yeah, cheers, thanks.

0:18:04 > 0:18:06Ohh!

0:18:06 > 0:18:07Jump out.

0:18:08 > 0:18:12The teenager will be held until he can appear before a magistrate

0:18:12 > 0:18:14on closed-circuit television.

0:18:18 > 0:18:19DOOR SLAMS

0:18:19 > 0:18:23What do you want to do - do you want to sit in the cell or do you want to sit outside? It's up to you.

0:18:23 > 0:18:26It's warm, but... You want to sit outside for a bit? OK.

0:18:26 > 0:18:30We've got... You can see our cell area, but cos a lot of people don't like being confined in there,

0:18:30 > 0:18:34what we've got here is an outside... Like an exercise yard so they can sit in the exercise yard.

0:18:34 > 0:18:39It's all monitored on the CCTV. Erm...so it just gives them a bit of fresh air to sit outside.

0:18:39 > 0:18:42So I've put him outside, just giving him some water.

0:18:42 > 0:18:45Do you want something to eat in a bit, yeah? Get you a... Do you want a pie?

0:18:46 > 0:18:48- Eh?- Yes, please.

0:18:48 > 0:18:49Yeah, a pie, yeah? All right, cool.

0:18:49 > 0:18:51See you in a minute.

0:18:51 > 0:18:54I'm just waiting for the court to give us a call back

0:18:54 > 0:18:57to say that they're ready to hear the matter.

0:18:57 > 0:19:00Erm...hopefully it should be in the next few minutes, and then once

0:19:00 > 0:19:04they call, I can get him through and put him on videolink.

0:19:08 > 0:19:09- They're ready?- Yeah.

0:19:09 > 0:19:15At last, the magistrate is on the line from a court 250 miles away.

0:19:15 > 0:19:19'Hi, Laverton. I'm just connecting through to Kalgoorlie,

0:19:19 > 0:19:22'and then the magistrate will come in.'

0:19:22 > 0:19:24OK, thank you.

0:19:33 > 0:19:35The teenager is given another chance.

0:19:35 > 0:19:39He can go home, but if he fails to turn up for court next time,

0:19:39 > 0:19:42he's off to detention.

0:19:42 > 0:19:44In Laverton, the people here are so much more respectful.

0:19:44 > 0:19:46They know we've got a job to do.

0:19:46 > 0:19:50Erm, they know if they make mistakes sometimes, a crime's committed or...

0:19:50 > 0:19:53They understand when we come and do our job, and it's all very amicable.

0:19:53 > 0:19:55Occasionally there's alcohol involved,

0:19:55 > 0:19:58and people behave differently, but as soon as it's out of their system,

0:19:58 > 0:20:02we meet up the next day, you know, there's no... There's never any bad feeling.

0:20:02 > 0:20:05It's a really good working relationship with the people here.

0:20:05 > 0:20:06It's so much better than the UK.

0:20:06 > 0:20:10You know, it does make work, coming to work, a hell of a lot easier.

0:20:25 > 0:20:28'Nick Larusso here with an M4 breakdown.'

0:20:28 > 0:20:31'James Ruse Drive westbound, we've got Sydney-bound traffic

0:20:31 > 0:20:34'very slow going now from the Cumberland Highway.'

0:20:34 > 0:20:39It's rush hour, and the traffic into Australia's biggest city

0:20:39 > 0:20:40is about to become a problem

0:20:40 > 0:20:44for Scottish flying doctor Caroline Macari.

0:20:44 > 0:20:46She's on her way to rescue a patient

0:20:46 > 0:20:48with a rare but terrifying heart condition.

0:20:48 > 0:20:52INDISTINCT RADIO CHATTER

0:20:54 > 0:20:5620 miles away in the suburb of Nepean,

0:20:56 > 0:20:59nine-year-old Caleb is under observation

0:20:59 > 0:21:02after his heart stopped beating without warning.

0:21:02 > 0:21:05It only restarted after he suffered a seizure.

0:21:05 > 0:21:07What we're heading to is a nine-year-old boy

0:21:07 > 0:21:10in a hospital out by the Blue Mountains.

0:21:10 > 0:21:12He has a thing called complete heart block,

0:21:12 > 0:21:16which means the electricity is not really working in his heart,

0:21:16 > 0:21:19and it's causing his heart to go much slower than it should be going.

0:21:19 > 0:21:21So, erm...

0:21:21 > 0:21:23obviously, that can be very dangerous

0:21:23 > 0:21:25if his blood pressure drops.

0:21:25 > 0:21:27It can cause you to pass out.

0:21:27 > 0:21:29The reason we're going is that we're going to go and get him

0:21:29 > 0:21:32to take him to the paediatric specialist hospital

0:21:32 > 0:21:34where they'll have heart specialists

0:21:34 > 0:21:35that can help deal with this problem.

0:21:35 > 0:21:37OK.

0:21:39 > 0:21:42You've had a bad day, I hear.

0:21:42 > 0:21:45- SHE CHUCKLES - I'm Caroline, I'm a doctor

0:21:45 > 0:21:48that's come to take you to another hospital.

0:21:48 > 0:21:51Do you feel unwell at all just now?

0:21:51 > 0:21:53No.

0:21:53 > 0:21:56Can you feel it when your heart goes funny?

0:21:56 > 0:21:58Do you feel a bit yuck? Yeah.

0:21:58 > 0:22:01His family are understandably concerned.

0:22:01 > 0:22:04Caleb's had seizures, a series of seizures,

0:22:04 > 0:22:06and this morning he had one early on,

0:22:06 > 0:22:08so we brought him down in an ambulance

0:22:08 > 0:22:10to try to see what was going on.

0:22:11 > 0:22:13The big white sticker on his chest

0:22:13 > 0:22:16will allow doctors to shock his heart back into rhythm

0:22:16 > 0:22:17if it happens again.

0:22:17 > 0:22:21He experiences nausea, will vomit,

0:22:21 > 0:22:24and then he will become quite lethargic, drowsy,

0:22:24 > 0:22:28and on a couple of occasions seems to have lost consciousness

0:22:28 > 0:22:30and then progressed into a seizure.

0:22:30 > 0:22:32OK, A little... OK, right.

0:22:32 > 0:22:35And there's nothing funny that's happened in the past few days,

0:22:35 > 0:22:38you haven't had anything funny like taken any little tablets that

0:22:38 > 0:22:40you found or anything like that?

0:22:40 > 0:22:43No? And there's nothing at home that...

0:22:43 > 0:22:48Dr Caroline's bedside manner is reassuring Caleb and his family.

0:22:48 > 0:22:50- There's the heart block.- Yeah.

0:22:50 > 0:22:53- First degree heart block with a normal QT. - So that's his baseline.

0:22:53 > 0:22:56So I guess it must just be something he's potentially always had,

0:22:56 > 0:22:59- and it's just come out today a bit more so.- Yeah.

0:22:59 > 0:23:01But it's good that they've caught it, finally, isn't it?

0:23:01 > 0:23:05So what we'll do is just have a quick look at you. Make sure everything looks OK.

0:23:05 > 0:23:08These guys have done a brilliant job so far, done everything perfectly,

0:23:08 > 0:23:10but we'll just make sure everything's fine.

0:23:10 > 0:23:13Now I'm going to have a listen with my horribly cold stethoscope.

0:23:15 > 0:23:18Caroline's job is to monitor Caleb during his transfer,

0:23:18 > 0:23:21and restart his heart if necessary.

0:23:21 > 0:23:23Mmm, so what are we doing just now?

0:23:23 > 0:23:26Your heart's perfect right now, isn't it?

0:23:26 > 0:23:30Everything's perfect right now, but that's the problem is that he's perfect in the meantime,

0:23:30 > 0:23:34and then he just suddenly will have an episode where that pulse just drops away.

0:23:34 > 0:23:37We obviously don't want this to carry on.

0:23:37 > 0:23:39He's doing really well just now, but the more it happens,

0:23:39 > 0:23:42then you can imagine he'll feel more and more unwell with it.

0:23:42 > 0:23:46And so when they get there, they'll fully discuss the options,

0:23:46 > 0:23:49but it most likely is that they'll try this infusion,

0:23:49 > 0:23:52if that stops things happening, then they have a bit of time

0:23:52 > 0:23:54to sort of think about what the next step is.

0:23:54 > 0:23:55But if that doesn't help,

0:23:55 > 0:23:59they'll probably end up having to look at a thing called pacing.

0:23:59 > 0:24:02- You might have heart of old people that have pacemakers in.- Yeah.

0:24:02 > 0:24:05Well, they can do a more temporary form in people that's...

0:24:05 > 0:24:07Just to try and figure out what's happening,

0:24:07 > 0:24:11if this is something that is just going to resolve itself or, etc...

0:24:11 > 0:24:14They just can do a different type in the meantime, just to bide him

0:24:14 > 0:24:18over this time while they decide what the outcome needs to be.

0:24:21 > 0:24:24If Caleb's heart stops again in the back of the ambulance,

0:24:24 > 0:24:27Dr Caroline will have seconds to react.

0:24:33 > 0:24:35Very expensive bed.

0:24:35 > 0:24:38The most expensive bed you'll ever lie in!

0:24:38 > 0:24:42The journey should take 30 minutes, depending on traffic.

0:24:42 > 0:24:46He's had about five-plus episodes today where he suddenly vomits.

0:24:46 > 0:24:49And the electricity pretty much stops going through the heart

0:24:49 > 0:24:51for quite a prolonged period.

0:24:51 > 0:24:53In that time he had a little seizure,

0:24:53 > 0:24:56which is basically that not enough blood's getting to his brain.

0:24:56 > 0:24:59And then it all kicks back into action again.

0:24:59 > 0:25:02Caleb's been given a drug called atropine.

0:25:02 > 0:25:04It speeds up the heartbeat.

0:25:09 > 0:25:10After 30 minutes on the road,

0:25:10 > 0:25:14destination is the Westmead Children's Hospital in Sydney.

0:25:18 > 0:25:21Caleb spent a week in hospital.

0:25:21 > 0:25:26Doctors discovered his heart problem was caused by a nerve in his chest.

0:25:26 > 0:25:30It could happen again, but he's been well since his release.

0:25:40 > 0:25:44In the spectacular Blue Mountains an hour west of Sydney,

0:25:44 > 0:25:48British vet Lucy King handles the canine emergencies

0:25:48 > 0:25:52at the veterinary clinic in the tourist town of Katoomba.

0:25:52 > 0:25:56British people are renowned for being crazy about their animals,

0:25:56 > 0:25:58and going over and above for everything.

0:25:58 > 0:26:00But a lot of Aussies love their animals too,

0:26:00 > 0:26:03and they'll do a lot for their pets.

0:26:03 > 0:26:05There's still referral centres and specialists and people will

0:26:05 > 0:26:09still pay a lot of money to get their special friend fixed up.

0:26:09 > 0:26:12And today she's examining a mum-to-be.

0:26:12 > 0:26:17When Laya got home, she was really tired and just laying around,

0:26:17 > 0:26:20- and...- Yeah.- ..then about 8 o'clock,

0:26:20 > 0:26:23she was panting and just laying there, really, sort of...

0:26:23 > 0:26:26Laya the Labrador is carrying pups,

0:26:26 > 0:26:29and her worried owners think she's in distress.

0:26:29 > 0:26:31She's been in labour for a little while,

0:26:31 > 0:26:33and it's a long time for a dog to be pushing.

0:26:33 > 0:26:35So although I can't feel anything stuck,

0:26:35 > 0:26:37it could be that something just keeps butting up

0:26:37 > 0:26:40against the pelvic canal and can't actually get in there.

0:26:40 > 0:26:43She's quite a big dog for me to feel as well,

0:26:43 > 0:26:45so I can't feel the entire length of the birth canal.

0:26:45 > 0:26:48- Bye-bye!- Bye, thank you, bye!

0:26:48 > 0:26:51Lucy, who moved down under from Bristol this year,

0:26:51 > 0:26:55has decided Laya should have an emergency caesarean.

0:26:59 > 0:27:00Ooh!

0:27:02 > 0:27:04Ooh!

0:27:04 > 0:27:06- INDISTINCT - Yeah, please.

0:27:07 > 0:27:09These guys are ginormous!

0:27:09 > 0:27:15And in less than five minutes, Lucy delivers two perfect black labs.

0:27:15 > 0:27:16Her job's done,

0:27:16 > 0:27:20but her nurses now need to deliver some canine resuscitation.

0:27:20 > 0:27:24When we get the puppies out of the uterus, we need to rub them.

0:27:24 > 0:27:25It's kind of like CPR -

0:27:25 > 0:27:29because they don't have the usual squeezing out of the birth canal,

0:27:29 > 0:27:32they don't get stimulated to breathe, so we need to stimulate them to breathe.

0:27:32 > 0:27:36And that involves vigorous rubbing, which is quite hard.

0:27:36 > 0:27:39You have to be quite rough with them, and they're these tiny little puppies,

0:27:39 > 0:27:42and you have to rub them quite hard to stimulate them to breathe.

0:27:42 > 0:27:44But once they're going and squeaking,

0:27:44 > 0:27:46you know you've done a good job.

0:27:47 > 0:27:49Ah, girls. They're both girls!

0:27:49 > 0:27:50PUPPIES SQUEAL

0:27:50 > 0:27:54They are noisy, it's a good sign! Hungry little guys.

0:27:58 > 0:28:01It's time for Laya and her pups to meet the family.

0:28:04 > 0:28:06Goodness gracious me!

0:28:06 > 0:28:09There's a lot of baby slobber in there.

0:28:11 > 0:28:14- This little puppy needs to be careful...- They're very... They move around a lot.

0:28:14 > 0:28:16OK, thank you.

0:28:16 > 0:28:17No worries at all.

0:28:17 > 0:28:19Take care, and give us a ring any time

0:28:19 > 0:28:21if you're worried about anything.

0:28:21 > 0:28:23OK, thank you. Have a nice night, guys.

0:28:23 > 0:28:26In a few weeks, they'll be on their way to new homes

0:28:26 > 0:28:30in one of Australia's most stunning landscapes.