Pennod 4 999: Ambiwlans Awyr Cymru


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-Over the past nine months...

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-..our cameras have been following

-the Air Ambulance Wales crew...

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-..who have rescued casualties

-from remote locations...

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-..and transported them to hospital.

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-The paramedics

-are fitted with cameras...

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-..allowing you to see what they see

-when responding to an emergency.

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-On tonight's programme, an atrocious

-accident in Llanelli, South Wales.

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-Because there was so much blood...

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-..down in his throat too...

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-..Nick was drowning

-in his own blood.

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-What attracts paramedics to the job?

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-The time we save by transporting

-casualties by air is incredible.

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-The crew assists a woman who has

-fallen headlong down some stairs.

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-OK.

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-Helicopters can be dispatched...

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-..within three minutes

-of an emergency call...

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-..from airbases in Swansea,

-Caernarfon and Welshpool...

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-..to anywhere in Wales

-within 20 minutes.

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-It's 4.30pm

-on a Wednesday afternoon.

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-The North Wales crew is responding

-to a traffic collision on the A5...

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-..near Betws-y-Coed.

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-All we know

-is that a 65-year-old man...

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-..is stuck underneath the car.

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-The three-tonne helicopter needs

-a flat surface on which to land.

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-But with people and cars present,

-police are called to clear the area.

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-Our only available area

-is the car park by the hotel.

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-Move them away. There's a police

-officer nearby so we can land.

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-You're clear of the trees.

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-The car park still isn't cleared...

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-..and the field behind is too steep.

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-Pilot Bob decides to drop off

-one of the paramedics...

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-..before taking to the air again and

-waiting for a space to be cleared.

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-Clear this car park.

-He wants to land here.

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-No problem.

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-Ian has to walk half a mile

-to the collision site.

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-The motorcyclist has been lying on

-the Tarmac for almost half an hour.

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-Luckily, an ambulance technician was

-travelling to work along the A5...

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-..and rushed to his assistance.

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-Are you alright, Andy?

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-Yes. I happened to be passing.

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-The guy was initially KO'd

-and hit the front of the car.

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-His pulse is roughly 100

-but we haven't done his BP yet.

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-GCS was 15 when I arrived.

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-Spine is alright, leg's alright,

-an ankle injury.

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-I was ready to cut his clothes

-to get his BP.

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-His chest sounds are clear.

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-The motorcyclist

-was knocked unconscious...

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-..after hitting

-the car's windscreen.

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-Two men on the scene

-have been assisting the paramedic.

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-What day is it today?

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-It's Wednesday.

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-It's Wednesday.

-

-Spot on.

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-I was on my way home.

-I live in Wrexham.

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-The motorcyclist is 65 years old.

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-He says he suffers from

-high blood pressure.

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-It needs to be checked right away.

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-But he's unwilling

-for them to cut his leathers.

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-We don't want to move you to take

-your jacket off. You need a cuff.

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-Try not to move, OK?

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-Try not to move, OK?

-

-Can we cut them, please?

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-I'd rather not.

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-I won't do it if you don't

-want me to but we want to do it.

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-Please can we cut them off?

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-I'd rather not.

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-The quicker we do this, the better.

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-What difference does it make?

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-We need to check

-your blood pressure.

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-Your pulse is racing.

-You could have internal bleeding.

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-Your blood pressure is an indicator.

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-Your blood pressure is an indicator.

-

-Ian radios the helicopter...

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-..to update Sam,

-the other paramedic on board.

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-Do you need something, Ian?

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-A board and collar?

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-Affirmative, Sam. Board and collar.

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-65-year-old male, frontal impact,

-bull's-eye windscreen.

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-Knocked out less than five minutes.

-GCS 15.

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-No bone injuries,

-no soft tissue injuries.

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-He refuses to let us cut through his

-jacket to take his blood pressure.

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-All we need at the minute

-is mobilization.

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-Scoops and board?

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-Board, please. There are plenty

-of men here to help us carry him.

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-Fantastic.

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-You'll thank us after.

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-At last the motorcyclist

-allows them to cut his leathers.

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-He has suffered serious injuries.

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-He was lucky

-an ambulance technician was passing.

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-I was on my way to work.

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-There was a traffic tailback.

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-I phoned Control

-and they told me it was an RTC.

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-A single vehicle and a motorbike.

-I rushed to the man's aid.

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-Two men were already with him.

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-I assessed his injuries

-and waited for the lads to attend.

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-After smashing into

-the car's windscreen...

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-..the crew fears spinal injuries.

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-The casualty

-must remain completely still.

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-With his collar in place, help is

-required to lift him onto the board.

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-One, two, three, roll.

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-There you go, Malcolm.

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-OK, Sam?

-OK, on the count of three again.

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-One, two, three, roll.

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-On three, slide towards Sam.

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-One, two, three, slide. Spot on.

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-The land crew

-has weaved its way through traffic.

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-The ambulance must now transport...

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-..the stretchered patient

-to the helicopter.

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-There we go.

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-He was unconscious for five minutes

-straight after the impact.

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-He's quite good at the moment.

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-It looks as if he's broken his leg.

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-After transferring the casualty,

-Andy is sure...

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-..that this won't be the last

-accident he'll see on the A5.

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-This is third or fourth accident

-I've come across on my way to work.

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-This stretch of the A5

-is very dangerous.

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-The patient will be at Ysbyty

-Gwynedd's A&E within five minutes.

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-Later in the programme, we will

-return to check on his progress.

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-16 full-time paramedics work for

-the Wales's Air Ambulance Service...

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-..but what's the attraction?

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-Do you want coffee?

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-Do you want coffee?

-

-I'd like tea, please.

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-At home on Anglesey, Alwyn Roberts

-is preparing for his shift.

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-He was one of the first helicopter

-paramedics in North Wales.

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-It all started in 1993...

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-..when I volunteered on weekends

-with the police.

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-For 20 years, he has worked

-both on land and in the air.

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-The Air Ambulance Service makes

-a difference in serious incidents.

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-I can compare working as a paramedic

-on land and in the air.

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-The time we save by transporting

-casualties by air is crucial.

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-I still have to pinch myself...

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-..when I consider

-how quick the response can be.

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-His wife, Ruth, also works for

-the Air Ambulance charity...

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-..which funds the helicopters.

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-Nowadays,

-Alwyn only works part time.

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-Bye, Ruth. See you later.

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-He's an experienced paramedic who's

-witnessed some atrocious incidents.

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-But for him, accidents involving

-children are hardest to deal with.

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-Every paramedic would say...

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-..that dealing with children

-is the worst.

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-When you see children suffering,

-and as a father myself...

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-..the empathy is there.

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-Not only do you have to

-deal with an injured child...

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-..you usually have to deal with the

-parent, and you feel for them too.

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-Although Alwyn only works part time

-with the Air Ambulance...

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-..he says the thrill

-is still the same.

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-It's a great feeling when

-casualties show their gratitude.

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-It's very rewarding.

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-It's a charity, after all.

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-When people turn up at the airbase

-some months later...

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-..to thank us in person...

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-..they sometimes donate money

-to show their gratitude.

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-It's a nice feeling.

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-In Part 2, we join Alwyn as the crew

-responds to an incident on Anglesey.

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-And we hear about

-one boy's battle...

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-..to overcome grave injuries

-after being knocked off his bike.

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-The van's mirror

-hit the back of his head.

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-.

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-Subtitles

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-Subtitles

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-PHONE RINGS

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-Hello, Air Ambulance.

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-Hiya. Are you alright? Yes.

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-Give me the grid reference.

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-No. We'll get there. OK.

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-Thanks. Bye.

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-3.00pm on a Wednesday

-and a 35-year-old mother...

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-..has fallen down the stairs

-at her home on Anglesey.

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-It's feared she has spinal injuries.

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-Approximate running time

-of five minutes.

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-Roger.

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-The journey across the Menai Straits

-takes five minutes from Caernarfon.

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-On duty are pilot, Bob Kendall...

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-..and paramedics,

-Alwyn Roberts and John Adams.

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-Above the village of Caergeiliog,

-pilot Bob spots a landing space.

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-There's a van on your right

-but you are clear.

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-John runs to assess the severity

-of the casualty's injuries...

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-..while Alwyn

-stays with the helicopter...

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-..to bring any necessary equipment.

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-Jackie Lewis has fallen down

-the stairs and landed on her head.

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-Two ambulance crews on the scene

-have transferred her onto a board...

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-..to protect her back.

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-She's better

-than we first thought, really.

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-Mechanical fall

-or has she collapsed?

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-A mechanical fall is the term used

-for an accidental fall.

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-They don't think there's

-a medical reason for the fall.

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-It's a struggle to carry her on

-the board via the narrow front door.

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-Because of the awkwardness?

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-Where does that lead to then?

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-She's better than what we thought.

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-They change their minds...

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-..and with her child watching, they

-carry her through the front door.

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-One, two, three, lift. OK.

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-Small step. OK. You're alright.

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-Jackie is in serious pain.

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-The crew gives her Entonox,

-gas and air, to ease the pain.

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-The crew is worried about

-the journey to the hospital...

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-..so it'll be

-a smoother ride by helicopter.

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-The lady

-has fallen down the stairs...

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-..and injured her neck.

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-The crew

-considers giving her morphine...

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-..but she has

-blood pressure problems.

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-They fear the morphine

-might adversely affect her.

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-We'll check your blood pressure

-on the way.

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-The patient has been stabilized

-on a spinal board.

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-We're now going to

-transport her to Bangor.

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-Jackie will reach Ysbyty Gwynedd

-in Bangor within five minutes.

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-Fighting the pain with Entonox.

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-We'll get her X-rayed

-to locate the injury.

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-But as they reach the hospital,

-the pain is unbearable.

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-100 feet.

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-John decides that morphine

-should be administered right away.

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-Oh, shit!

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-The hospital's helipad

-is 400 metres from the A&E unit...

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-..which is too far to carry her.

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-An ambulance is required.

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-Alright, girl?

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-These lads

-have come to transfer you.

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-Bear with us.

-We'll get things ready for you.

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-Thank you.

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-Thank you.

-

-You're welcome.

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-Thank you.

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-After being X-rayed...

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-..Jackie discovers

-there is no permanent damage.

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-But a medical condition

-has been detected...

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-..which causes her to faint.

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-Medics believe

-this is what caused her to fall.

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-Any calls to assist a child puts

-emotional strain on paramedics.

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-The story of Nick Richards-Ozzati

-from the Llanelli area...

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-..is unforgettable

-for Swansea's Helimed crew.

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-July 2003, and a 12-year-old boy...

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-..is riding his bike

-in Llangennech near Llanelli.

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-He was within weeks

-of his 13th birthday...

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-..and the bike was

-an early present from his parents.

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-He was riding along

-the A4138 near his home...

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-..when he turned to cross the road.

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-He didn't notice the van behind him.

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-The van

-tried to swerve to avoid him.

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-But the driver couldn't avoid him.

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-Mel Thomas was on duty in Swansea.

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-The van's mirror

-hit the back of his head.

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-Nick was thrown into the air

-and landed on his back.

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-He was unconscious

-with blood pouring from his head.

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-He was in a critical condition.

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-The journey to Llangennech from the

-Swansea air base took three minutes.

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-The crew was on its way.

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-Gareth Williams was another

-of the paramedics on board.

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-We landed in the field

-adjacent to the road...

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-..and made our way to the incident.

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-The child was lying down,

-motionless.

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-That's when I thought,

-this is looking very serious now.

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-An ambulance crew

-had also arrived on the scene.

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-Nick was barely breathing.

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-He was still flat, a GCS of three.

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-His resps

-were very laboured as well.

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-It was obvious that Nick

-had sustained brain damage.

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-What set the alarm bells off

-for me...

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-..was the fact

-that his teeth were locked shut.

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-It's what we call trismus.

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-That is one of

-the tell-tale signs...

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-..that a serious brain injury

-has occurred.

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-Because his teeth

-were firmly closed...

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-..it was difficult to clear

-his airways with suction.

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-Because there was so much blood

-down in his throat too...

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-..we couldn't use

-the suction tools...

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-..to extract the blood.

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-In effect,

-Nick was drowning in his own blood.

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-I was waiting for Nick

-to go into cardiac arrest.

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-I didn't think he'd survive.

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-The two experienced paramedics...

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-..knew he had to be transferred

-urgently to Morriston...

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-..if he stood

-any chance of surviving.

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-I looked at Gareth and there was

-a recognition between us...

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-..that this was serious.

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-We decided to do what's known

-in the job as a scoop and run.

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-One, two, three, back.

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-After fitting him with a collar, the

-crew tied Nick to the spinal board.

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-Are you ready to go?

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-The pilot and helicopter

-were standing by, ready to go.

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-We did a hot load.

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-With the blades whirring...

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-..the helicopter was on its way

-to Morriston Hospital.

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-We were fighting to keep

-a 12-year-old boy alive.

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-It took 16 minutes

-from when we landed...

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-..to his transfer to hospital.

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-It felt like a lifetime, but

-it took something like 16 minutes.

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-When he arrived, medics put Nick to

-sleep in order to open his mouth...

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-..and clear the blood

-from his throat.

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-He'd suffered a brain haemorrhage

-and broken his back.

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-The left side of his body

-was paralysed.

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-The 12-year-old

-was fighting for his life.

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-The scars are still visible

-nine years after the accident.

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-Nick had to learn

-to walk and swallow...

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-..after suffering brain damage.

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-These days he is fighting fit and

-recalls the incident with a friend.

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-I was in a coma and had broken

-the C1 and C2 vertebrae in my neck.

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-I'd broken my collarbone and jaw...

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-..and also suffered a brain

-haemorrhage and spinal haemorrhage.

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-He's undergone dozens of operations.

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-I was given numerous CT scans...

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-..and I have metal screws and plates

-holding my head to my body.

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-After leaving the boy

-in the hospital's care...

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-..the paramedics

-didn't know if he'd survived.

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-But when the helicopter returned

-three months later, Nick was there.

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-When they said who he was,

-I was on cloud nine.

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-I was absolutely on cloud nine.

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-It always seems worse

-when children are involved.

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-It's a bigger blow.

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-But to see him there, alive...

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-..it was a good feeling inside.

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-Nick has been inspired

-by the paramedics' work.

0:21:100:21:13

-He now works at the

-Ambulance Service's call centre...

0:21:140:21:17

-..answering emergency calls.

0:21:170:21:21

-Ambulance Service.

-What's the full address?

0:21:220:21:25

-He is also a Community First

-Responder in the Llanelli area.

0:21:270:21:31

-Mel Thomas sees him regularly...

0:21:310:21:34

-..when he is working

-in the vicinity.

0:21:340:21:37

-Remembering how he was after the

-serious accident when he was 13...

0:21:370:21:42

-..and seeing him now,

-it's brilliant.

0:21:420:21:45

-We talk to each other

-as colleagues now.

0:21:450:21:50

-I want to thank the nurses

-at the Heath Hospital...

0:21:500:21:54

-..as well as

-the Air Ambulance crew...

0:21:540:21:57

-..and the paramedics who helped me.

0:21:570:22:00

-In June, our cameras filmed the crew

-responding to a collision...

0:22:010:22:06

-..near Betws-y-Coed.

0:22:060:22:08

-Please can we cut them off?

0:22:080:22:10

-I'd rather not.

0:22:100:22:11

-Malcolm Hoyle broke bones in his

-back, neck, eye socket, ankle...

0:22:140:22:20

-..shoulder and thumb.

0:22:200:22:22

-He is currently recovering from

-his injuries at home in Wrexham.

0:22:220:22:27

-I'd had a pretty heavy impact.

0:22:270:22:30

-I'd been knocked out...

0:22:300:22:32

-..so my thinking processes

-were all over the place.

0:22:320:22:35

-But I've had

-quite distinct memories...

0:22:360:22:39

-..after the accident.

0:22:400:22:41

-The silliest

-being the conversation...

0:22:420:22:44

-..regarding the removal of my

-leathers, which are precious to us.

0:22:450:22:49

-He knows his injuries

-would have been worse...

0:22:490:22:52

-..if he'd moved after the accident.

0:22:520:22:54

-He's grateful to the Air Ambulance

-and the ambulance technician...

0:22:540:22:58

-..who stopped

-on his way to work that day.

0:22:590:23:01

-I really do think that I may not

-have been here without them.

0:23:020:23:06

-Just... I can't...

0:23:090:23:11

-Words aren't enough.

0:23:110:23:13

-Next week

-on 999: Ambiwlans Awyr Cymru...

0:23:140:23:17

-..wet weather

-causes problems for one driver.

0:23:170:23:20

-And a little boy in North Wales

-fights for breath.

0:23:220:23:26

-I'm very grateful

-because he's my little boy.

0:23:270:23:30

-S4C Subtitles by Adnod Cyf.

0:23:500:23:52

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0:23:520:23:52

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