Pennod 3 999


Pennod 3

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-Wales's landscape is truly dramatic.

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-Thousands of people

-enjoy outdoor pursuits every year.

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-But if you run into difficulty

-in remote locations...

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-..transport to the nearest hospital

-may prove challenging.

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-That's when

-the Wales Air Ambulance...

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-..can make the difference

-between life and death.

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-Our cameras have been

-following the paramedics in red...

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-..as they respond

-to emergency calls.

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-Special cameras

-have been installed on board...

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-..to capture what

-the crews see on their missions.

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-Tonight on Ambiwlans Awyr...

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-..the North Wales crew deals with a

-motorcyclist injured in a collision.

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-He was thrown over the rear end, and

-we suspect he's injured his pelvis.

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-We hear from the workman who was

-injured on the Brecon Beacons.

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-I phoned 999 and told them...

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-..we were in a remote spot

-and needed a helicopter.

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-And harsh weather

-makes it difficult for the crews...

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-..to reach some casualties.

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-A small scratch.

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-A small scratch.

-

-Her speech is impaired...

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-..and we suspect

-it's the dreaded stroke.

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-It's Sunday afternoon and

-Helimed 61 is above Merionethshire.

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-A motorbike

-has collided with a car near Bala.

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-You've got wires

-crossing the road there.

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-On duty are paramedics

-Tony Stevens and Ian Thomas.

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-Today's pilot is Bob Kendall.

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-OK, Bob?

-I'm just going to stand down, mate.

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-The Bala ambulance

-is already at the scene.

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-Hello. Are you alright?

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-The ambulance crew...

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-..has begun assessing

-the motorcyclist.

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-He's in a critical condition.

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-He's in a critical condition.

-

-Mid femur.

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-Possibly pelvic. He's in pain

-when we try to move his leg.

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-Ken Irving was returning home to the

-Midlands when the accident happened.

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-Paramedics suspect he's broken

-several bones in his body.

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-We have a pelvic splint...

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-..and a traction splint, so we'll

-put them on once you've finished.

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-They fear a vein

-in his leg is constricted...

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-..preventing blood flow to his foot.

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-There's a lot of swelling.

-Is there a distal pulse?

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-Ian checks for a pulse

-in Ken's foot.

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-If he doesn't find a pulse,

-the leg is in danger.

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-I've found a pulse.

-He looks very ashen.

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-His leg is very grey.

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-The pulse is weak, which means

-the blood flow is restricted.

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-He must be

-taken to hospital at once.

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-How old are you, Ken?

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-How old are you, Ken?

-

-58.

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-Normally fit and healthy?

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-Normally fit and healthy?

-

-Yeah.

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-Been to the doctor for anything?

-Nothing, no?

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-I'm just going to pop a needle

-in your arm. Is that alright?

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-Ken needs morphine to ease the pain.

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-Nothing at the moment.

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-What I'm going to do, Ken, we've

-got to stabilize your pelvis...

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-..and get you on the board,

-but we'll give you pain relief.

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-I'll get the morphine in you now.

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-It's possible the casualty

-has broken his pelvis and hip.

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-These injuries can be serious.

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-These injuries can be serious.

-

-Sorry about all the questions.

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-We must be very careful...

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-..because

-these kind of injuries can be fatal.

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-The crew must use a thick strap

-called a pelvic splint...

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-..to stabilize Ken's pelvis.

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-We must do something

-on your left leg.

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-It'll hurt for a moment and then

-it'll relieve the pain for you.

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-But it's important that we do it.

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-It was obvious that he'd broken

-his femur in his left leg.

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-We carry a traction splint

-on the air ambulance...

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-..which keeps the two bones together

-when attached to the leg.

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-It stops

-internal bleeding in the leg.

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-Before it's attached,

-the leg must be straightened.

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-Scream if you need to.

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-Scream if you need to.

-

-Argh!

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-Good lad.

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-OK, mate, that's it.

-That's all we need.

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-It's important that he doesn't

-bend his back with such an injury.

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-A plastic spinal board is

-the best way of keeping him stable.

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-Everyone ready?

-Good. One, two, three.

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-That's it. Good man, Ken.

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-Hold him there for a sec.

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-It's on a bit of leg.

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-Seven minutes later, Ken

-is transferred to Ysbyty Maelor...

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-..where medics confirm that he's

-broken bones in his leg and spine...

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-..and dislocated his hip.

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-One, two, three, lift.

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-One of the first to arrive at the

-scene was paramedic Ludwik Mrowiec.

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-He's sure this won't be the last

-time he'll be called to this spot.

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-We've been here several times

-before with motorbikes.

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-He was thrown over

-the rear end of the car.

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-We suspect

-he's injured his pelvis...

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-..and possibly his femur.

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-Thank you very much for your help.

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-OK, you're well clear, Tony.

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-Ken is now recovering, though

-he's not yet back on his bike.

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-At any one time here in Wales...

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-..350 of these vehicles...

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-..and more than 1,800 paramedics

-and technicians are on standby.

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-It's these crews that call

-on the air ambulance for assistance.

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-I visited the Bala Ambulance Service

-to meet one of the crews.

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-It's 8.00am in Bala and the day crew

-prepares for a 10-hour shift.

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-Have you checked the morphine?

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-Have you checked the morphine?

-

-Yes, Ray. Everything's fine.

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-Paramedic Ludwik Mrowiec and

-ambulance technician Ray Thomas...

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-..have worked together

-in Bala for seven years.

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-Will you pass me

-some of those stabbers?

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-Thank you, Lud.

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-Between the two of them,

-they have 50 years of experience.

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-They say every day is different.

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-When there are children involved,

-it can be a difficult job to do.

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-But then again, there are highs...

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-..such as when a baby is born

-in the back of the ambulance.

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-If there are no complications.

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-If there are no complications.

-

-Yes.

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-That's the nice part of the job.

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-Bala's ambulance service serves

-a rural area in south Gwynedd.

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-The pair say they get

-the most unexpected calls at times.

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-I heard about one person

-who'd phoned 999...

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-..because his fingers

-were turning black.

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-He'd been reading a newspaper!

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-He'd been reading a newspaper!

-

-The men say...

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-..they've seen many changes

-over the years, especially Ray...

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-..who joined in the late 1970s.

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-There was no such thing

-as helicopters when I started.

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-You drove and sounded the siren.

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-You drove and sounded the siren.

-

-Yes, that's right.

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-And rode horses!

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-But seriously,

-how have things improved?

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-I'm sure the air ambulance

-has made a world of difference.

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-Yes, especially in rural areas.

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-As we've already seen

-this evening...

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-..they work closely

-with the air ambulance paramedics.

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-And we have

-a traction splint on board.

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-Ludwik and Ray were present

-when the air ambulance assisted Ken.

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-We depend a great deal on them

-and they depend on us too.

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-We help each other out.

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-We help each other out.

-

-How does the partnership work?

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-We usually arrive on scene

-around the same time...

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-..but sometimes we get there first.

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-We assess the casualty

-and do what needs to be done...

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-..to make sure they're ready to fly

-straightaway in order to save time.

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-They land, transfer the casualty

-and off they go.

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-Working together

-is the nature of our jobs.

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-We do the same work,

-except they're in a helicopter...

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-..and we're in an ambulance.

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-The work is the same but

-the mode of transport is different.

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-There's no rotor

-on top of the ambulance!

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-In Part 2, treacherous snow...

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-..creates havoc throughout Wales.

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-And a man is badly injured

-when he's crushed by a tree trunk.

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-Due to the pressure,

-it went off like a gun.

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-.

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-Subtitles

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-January, and Wales

-is covered in a blanket of snow.

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-Rural roads are impassable.

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-Some areas have ground to a halt

-due to the treacherous weather.

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-But with people getting into

-difficulty after venturing out...

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-..the demand for emergency services

-is higher than usual.

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-Swansea Airbase

-on the Gower peninsula.

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-Snow and ice make it difficult to

-get the helicopter to the helipad.

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-It's three degrees below freezing.

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-Water and ethanol is pumped into

-the engine to prevent freezing.

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-Experienced pilot

-Tom Marcus knows...

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-..that caution must be exercised.

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-We're taking more precautions,

-so any landing sites...

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-..especially

-if they're snow-covered...

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-..you must be wary

-of what's beneath.

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-The North Wales crew

-has had to deal with the snow too.

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-Pilot Bob Kendall and paramedics

-Carl Hudson and Ian Thomas...

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-..are responding

-to an emergency call.

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-Helimed 61

-now mobile towards Y Fron.

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-Be about three minutes. Over.

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-We're on our way

-to the Dyffryn Nantlle area...

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-..to assist a woman in her eighties

-who's suffered a stroke.

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-We know nothing further

-at the moment.

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-We'll probably arrive the same time

-as the response vehicle.

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-Although the crew

-has been given the location...

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-..it's difficult to tell which is

-the correct address from the air.

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-Hello!

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-As Ian enters the house,

-Carl stays with the helicopter...

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-..until the blades

-have stopped rotating.

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-Who's the lady?

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-Who's the lady?

-

-Mam.

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-What's your name?

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-What's your name?

-

-Mair.

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-What's happened, Mair?

-Do you feel unwell?

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-Mair Jones

-has been ill for a few hours.

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-She's been vomiting, is light-headed

-and is having trouble walking.

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-In spite of the weather,

-paramedic Alwyn Roberts...

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-..arrived at the scene

-in his rapid-response vehicle.

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-I want you to squeeze my fingers

-as hard as you can.

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-I'll give you some oxygen.

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-There we go. Slowly does it.

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-Listen to me, Mair.

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-Can you raise your right leg for me?

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-She had paralysis in her left leg...

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-..and the left side

-of her face was drooping.

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-The fact it wasn't improving

-set alarm bells ringing.

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-Can I take your watch off?

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-It's probable

-that Mair has suffered a stroke.

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-This occurs when blood flow

-to the head is restricted...

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-..and a lack of oxygen to the brain.

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-..and a lack of oxygen to the brain.

-

-I'm taking your temperature.

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-36.3.

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-Like many other patients,

-the 86-year-old woman...

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-..doesn't want to leave her home.

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-She doesn't want to go to hospital.

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-Come on, it's a nice day.

-We'll have a chat on the way.

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-By myself?

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-By myself?

-

-With me.

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-There's no room for the ladies.

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-You'll be fine with Ian.

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-You're fine with me.

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-Can I put a needle in your hand in

-case I need to give you something?

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-A small scratch.

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-It started this morning.

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-She's taken a turn for the worse

-and her speech is impaired.

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-We suspect

-the dreaded stroke is the culprit.

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-I'm going to give you saltwater.

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-A stroke can be very serious.

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-It changes people's lives

-and also kills.

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-The ambulance crew

-has battled the elements too...

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-..but it's quicker

-to transport Mair by helicopter.

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-The lads will look after you,

-don't you worry.

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-Don't worry. Is it this side

-that's been affected?

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-The crew uses a special chair

-to carry Mair from her house.

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-Mair will be in Bangor

-in less than five minutes.

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-There we go. A-1.

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-After being treated

-at Ysbyty Gwynedd...

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-..she is currently

-recovering at home.

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-The council have done a

-remarkable job clearing the roads...

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-..but remote areas are the problem.

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-We can't get the ambulance near

-these small roads and rural estates.

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-It's not a problem

-for the helicopter, of course.

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-It can land in the middle of these

-estates to assist the response cars.

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-On that day, as you've seen, there

-was a blanket of snow everywhere.

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-Ambulance crews struggle

-to respond to every emergency call.

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-That's when

-the helicopter comes into its own.

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-Usually, this helicopter carries

-one pilot and two paramedics...

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-..to deliver

-urgent medical assistance...

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-..or to reach remote locations.

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-When Wayne Morgan was injured

-in the Brecon Beacons...

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-..he needed urgent assistance.

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-The slopes of Pen Y Fan

-in the Brecon Beacons.

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-Brothers Wayne and Cerith Morgan...

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-..were working

-in a forest on the mountain.

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-It was a very bleak day.

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-It was pouring with rain and foggy.

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-That day,

-Wayne was operating the chainsaw.

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-I took the chainsaw

-to one of the trees.

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-The boys were winching

-across the way from me.

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-The brothers run a woodcutting

-business in the Swansea valley.

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-They were clearing

-over two acres of woodland that day.

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-The size of the trees made it hell.

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-The poles were a metre and beyond.

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-They were clearing trees

-that had been blown over.

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-The work is dangerous due to

-the remaining tension in the trunks.

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-I start cutting away from me...

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-..depending

-on where the pressure is.

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-As Wayne began cutting

-the trunk of the tree...

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-..it flew at him like a bullet.

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-There was so much pressure,

-it went off like a gun.

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-He took a nasty hit and his leg

-got trapped under the trunk.

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-He was in a great deal of pain and

-knew he'd been seriously injured.

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-One of the boys came over

-to check on me and pull me out.

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-He freed my leg and straightened it.

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-What's happened?

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-What's happened?

-

-My leg! My leg!

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-He's a tough bloke...

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-..so I knew if he couldn't move,

-it was serious.

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-The men moved the trunk, but

-Wayne's leg had to be kept straight.

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-He shouted to the lads,

-"Cut me two splints.

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-"Stick them on

-and I'll walk out of here."

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-HE GROANS IN PAIN

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-It wasn't safe

-for them to move Wayne.

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-He needed urgent medical attention.

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-I phoned 999, despite

-not having much of a signal...

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-..but there was

-just enough that day.

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-I told them we were working

-in a remote spot...

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-..and that we needed a helicopter.

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-They would never

-have moved him without a helicopter.

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-That day, paramedics Chris Connor

-and Gareth Williams were on duty...

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-..at Swansea Airbase.

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-From the grid reference given...

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-..we knew the incident

-was in an inaccessible place.

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-Crews are regularly called

-to remote locations...

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-..but this spot proved challenging.

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-He was lying halfway down

-a mountainside strewn with trees.

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-They couldn't land

-close to where I was lying...

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-..in case the brash

-got caught in the blades.

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-They had to land

-three fields away from me.

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-We made our way down

-the mountainside to where he was...

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-..climbed over a barbed-wire fence

-and through a ditch and some trees.

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-He had serious injuries

-to both legs.

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-Wayne had to be treated immediately.

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-They put a splint on me.

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-There was a danger he was bleeding

-internally from his pelvic bone...

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-..so they secured the bone tightly

-with a special strap.

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-But it was too far to carry him

-to the air ambulance.

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-The crew needed assistance.

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-If we'd have waited

-for mountain rescue...

0:20:500:20:54

-..or the ambulance service to come,

-it would've been hours.

0:20:540:20:59

-They knew the only way

-they could get him out of here...

0:20:590:21:03

-..was with the Sea King.

0:21:040:21:06

-The paramedics alerted the RAF.

0:21:060:21:09

-It was atrocious weather...

0:21:090:21:11

-..but fortunately, the yellow

-helicopter arrived in half an hour.

0:21:110:21:16

-The Sea King turned up

-and off I went!

0:21:180:21:21

-The rope looked very thin...

0:21:240:21:27

-..but I knew I was in safe hands.

0:21:270:21:29

-Wayne was winched to safety...

0:21:290:21:32

-..and taken to hospital

-in Merthyr Tydfil.

0:21:320:21:35

-It took 10 minutes.

0:21:360:21:38

-It took 10 minutes.

-

-His knee had been crushed...

0:21:380:21:40

-..and he'd broken his tibia

-and fibula in his left leg.

0:21:400:21:44

-It's been nine months

-since the accident.

0:21:440:21:47

-There's not much damage there.

0:21:470:21:49

-They cut all the way down.

0:21:500:21:52

-They gave me scaffolding

-first of all.

0:21:520:21:55

-Two holes in the bone here

-and two in my shin.

0:21:550:21:59

-I wore scaffolding for a month.

0:21:590:22:01

-That's the only scar I have.

0:22:010:22:04

-It's barely noticeable, really.

0:22:040:22:07

-It moves well.

-Everything's in working order.

0:22:080:22:11

-The brothers are grateful

-to the two helicopter crews...

0:22:110:22:15

-..that rescued Wayne

-in the Brecon Beacons.

0:22:150:22:18

-You're out in the mountains.

0:22:200:22:22

-Without an air ambulance,

-you couldn't do the job.

0:22:220:22:25

-I could've lost my leg

-if it weren't for the air ambulance.

0:22:260:22:30

-They saved my leg.

0:22:300:22:32

-I was lucky.

0:22:350:22:37

-They're on standby

-and they do their job well.

0:22:370:22:40

-Next week on Ambiwlans Awyr...

0:22:460:22:48

-..it's a race against time

-to save a boy's life...

0:22:480:22:51

-..after a boat's propeller

-rips through his leg.

0:22:510:22:54

-My insides were outside

-and blood was squirting everywhere.

0:22:550:22:59

-And the story

-of the three-year-old girl...

0:23:000:23:03

-..who regularly relies

-on the air ambulance.

0:23:030:23:06

-Knowing they're there

-makes you feel safe.

0:23:060:23:09

-S4C Subtitles by Adnod Cyf.

0:23:250:23:27

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0:23:270:23:28

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