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0:00:21 > 0:00:26- Here in Wales, the Ambulance Service - responds to 250,000 calls a year.
0:00:26 > 0:00:31- The Air Ambulance helicopters - respond to the most serious cases.
0:00:31 > 0:00:34- For the past nine months...
0:00:34 > 0:00:38- ..our cameras have been - following the men in red...
0:00:38 > 0:00:41- ..as they respond to emergencies.
0:00:41 > 0:00:43- On tonight's programme...
0:00:44 > 0:00:48- ..Rhys Meirion leads an expedition - to raise money for the charity.
0:00:49 > 0:00:51- None of us could have done it alone.
0:00:52 > 0:00:55- When one of us has been feeling low, - the others have picked us up.
0:00:56 > 0:01:00- We meet an engineer responsible - for the helicopters' maintenance.
0:01:00 > 0:01:05- I work as part of a team that - rescues the people of North Wales.
0:01:06 > 0:01:10- And the North Wales crew - helps a baby fighting for breath.
0:01:21 > 0:01:23- Friday, 5.00pm...
0:01:23 > 0:01:28- ..and the Helimed 57 crew is called - to a traffic accident near Tregaron.
0:01:29 > 0:01:30- In poor weather...
0:01:31 > 0:01:34- ..pilot Tom Marcus battles - the elements to reach the scene.
0:01:35 > 0:01:37- ETA to you of 20 minutes.
0:01:37 > 0:01:42- There's been a head-on collision - between a car and a bus...
0:01:43 > 0:01:45- ..between Tregaron - and Llanddewi Brefi.
0:01:46 > 0:01:48- Two ambulance crews are present...
0:01:48 > 0:01:51- ..but they require - helicopter assistance.
0:01:52 > 0:01:55- We're en route to Tregaron. - Due there in 15 minutes.
0:01:55 > 0:01:59- Can you give us an update - of any patient injuries?
0:02:00 > 0:02:02- "Patient - has head and back injuries."
0:02:03 > 0:02:07- The patient needs to be transferred - urgently to Morriston Hospital.
0:02:08 > 0:02:10- The journey - takes 1.5 hours by road...
0:02:10 > 0:02:14- ..but it takes a helicopter - 15 minutes to reach Morriston.
0:02:15 > 0:02:17- Follow the trail.
0:02:18 > 0:02:22- The Fire Service has managed - to free the girl from the vehicle.
0:02:22 > 0:02:24- Alright, guys?
0:02:24 > 0:02:28- She's being treated - in the back of the ambulance.
0:02:28 > 0:02:31- The bus was carrying - only one passenger...
0:02:32 > 0:02:34- ..who escaped uninjured.
0:02:34 > 0:02:38- I wasn't expecting it - because I was on my phone.
0:02:38 > 0:02:41- The next thing I knew - we'd crashed into the car.
0:02:42 > 0:02:47- With the bus weighing 12 tonnes, - there's more damage to the car...
0:02:48 > 0:02:51- ..than the 585 service bus - to Aberystwyth.
0:02:51 > 0:02:53- I'm OK - and the bus driver's OK too.
0:02:54 > 0:02:57- The woman driver...
0:02:57 > 0:02:59- ..is in a far worse state.
0:02:59 > 0:03:03- The crew assess her injuries - in the ambulance.
0:03:04 > 0:03:08- She's shaken up, and paramedic - Jason Hughes tries to calm her down.
0:03:09 > 0:03:12- Try and relax, OK? You need - to relax. The worst is over now.
0:03:13 > 0:03:15- You're all done.
0:03:15 > 0:03:20- When the Fire Service arrived, - the girl was trapped inside the car.
0:03:20 > 0:03:23- Specialist equipment - was used to free her.
0:03:26 > 0:03:28- The girl was stuck inside the car.
0:03:29 > 0:03:32- It's a narrow road - with no room for two-way traffic.
0:03:32 > 0:03:34- One crashed into the other.
0:03:35 > 0:03:37- She's injured her back.
0:03:38 > 0:03:40- The crew - transfers her to a spinal board.
0:03:41 > 0:03:45- Paramedic Ross Griffin believes - she's had a lucky escape.
0:03:45 > 0:03:47- She's got a few injuries...
0:03:47 > 0:03:52- ..but nothing that we'd call - life threatening or overly serious.
0:03:52 > 0:03:55- We're going to take her - down to Morriston.
0:03:55 > 0:03:58- OK, going down.
0:03:58 > 0:04:02- The Air Ambulance isn't permitted to - fly at night and it's getting late.
0:04:02 > 0:04:05- They have to act quickly.
0:04:06 > 0:04:09- Leave the stretcher - and carry her on the board.
0:04:09 > 0:04:12- One, two, three.
0:04:12 > 0:04:17- The casualty must be carried - across a field to the helicopter.
0:04:17 > 0:04:21- It takes several people - to carry her over wet ground.
0:04:21 > 0:04:26- At the moment, there are - no life-threatening injuries...
0:04:26 > 0:04:30- ..but she's going to Morriston - with the Helimed crew...
0:04:30 > 0:04:33- ..where she'll be assessed again.
0:04:33 > 0:04:37- Once Ross ensures the patient - is safe in the helicopter...
0:04:37 > 0:04:42- ..Jason alerts Morriston Hospital - that they are on their way.
0:04:42 > 0:04:46- The lady was - a restrained driver of a car...
0:04:47 > 0:04:50- ..that slid - at approximately 30mph into a bus.
0:04:50 > 0:04:52- But as the helicopter leaves...
0:04:53 > 0:04:57- ..the work of the emergency services - is far from over.
0:04:57 > 0:05:00- We have to wait - until the bus is recovered.
0:05:01 > 0:05:04- The police have arranged - the car's recovery.
0:05:04 > 0:05:06- Hopefully, we can leave in an hour.
0:05:07 > 0:05:10- The casualty is now stable...
0:05:10 > 0:05:14- ..but she needs monitoring - in case her condition worsens.
0:05:17 > 0:05:21- She has an injury to the top - of her head. A large laceration.
0:05:21 > 0:05:25- She has some pain - in her shoulder and lower back.
0:05:25 > 0:05:28- She's got some pain - in her wrists and her hips also.
0:05:29 > 0:05:32- She's quite stable. - Her obs have been fine.
0:05:32 > 0:05:36- We'll take her to Morriston - because of the injuries...
0:05:36 > 0:05:38- ..and the damage to the car.
0:05:43 > 0:05:49- At Morriston, she'll be transferred - to a specialist injury unit.
0:05:54 > 0:05:56- Wales Air Ambulance is a charity.
0:05:57 > 0:06:00- With every mission costing 1,500...
0:06:00 > 0:06:03- ..it's a costly call every time.
0:06:03 > 0:06:08- Swansea Airport, the home - of the South Wales Air Ambulance.
0:06:10 > 0:06:15- It's August, and a group of walkers - are on a pilgrimage to Caernarfon...
0:06:16 > 0:06:18- ..to raise money for the charity.
0:06:18 > 0:06:21- Tenor Rhys Meirion - is leading the walk.
0:06:21 > 0:06:23- Three, two, one, yay!
0:06:25 > 0:06:29- There are hundreds of people - who wouldn't be with us today...
0:06:29 > 0:06:33- ..if it wasn't for - the Air Ambulance.
0:06:34 > 0:06:36- The mission is called Walk On.
0:06:36 > 0:06:41- The aim is to raise enough money to - buy a new helicopter for Mid Wales.
0:06:41 > 0:06:45- There are new helicopters like this - in Swansea and Caernarfon...
0:06:46 > 0:06:49- ..but the Welshpool helicopter - needs replacing.
0:06:50 > 0:06:54- We're raising money - for a new helicopter in Welshpool.
0:06:56 > 0:07:01- Among the walkers are Martin - Darlington, the Welshpool pilot...
0:07:01 > 0:07:05- ..and Ian Thomas, - one of the North Wales paramedics.
0:07:05 > 0:07:09- We're starting the 200-mile walk - this morning in the rain.
0:07:09 > 0:07:11- We're looking forward.
0:07:15 > 0:07:18- There are - eight stages to the walk...
0:07:18 > 0:07:21- ..with the crew - walking 26 miles a day.
0:07:21 > 0:07:24- Sarra Elgan joined the walk - on the first day.
0:07:27 > 0:07:29- I'm walking - from Swansea to Glynneath.
0:07:30 > 0:07:33- I'm only doing one day. - I'm not as brave as the others.
0:07:33 > 0:07:35- I can't wait.
0:07:39 > 0:07:43- The charity raises 5.5m a year...
0:07:43 > 0:07:48- ..but to sustain the new helicopter, - they must raise 6m annually.
0:07:49 > 0:07:52- Wales is served - by three helicopters.
0:07:52 > 0:07:55- Swansea and Caernarfon - operate the EC135...
0:07:55 > 0:08:01- ..but the Welshpool helicopter, the - Bolkow 105, is no longer suitable.
0:08:01 > 0:08:06- A new model would allow the crew - to travel further afield...
0:08:06 > 0:08:08- ..and carry a doctor or parent.
0:08:11 > 0:08:16- After four days on the road, the - walkers have reached Mid Wales...
0:08:16 > 0:08:21- ..100 miles from Swansea, and - there is a big welcome in Berriew.
0:08:21 > 0:08:23- Good to see you.
0:08:23 > 0:08:26- And you. Thank you very much.
0:08:26 > 0:08:28- Thank you very much.
0:08:29 > 0:08:34- The charity tries to organize - one major event every year.
0:08:34 > 0:08:39- Walking every step of the way this - year is comedienne Rhian Davies.
0:08:39 > 0:08:43- It's majorly important - to raise loads of money...
0:08:43 > 0:08:46- ..because these paramedics - do an amazing job.
0:08:46 > 0:08:50- It makes my job look like, - just, like, nothing.
0:08:50 > 0:08:54- They're so wonderful. They're quick - and they save loads of lives.
0:08:55 > 0:08:57- It's important - we raise shedloads of money.
0:08:58 > 0:09:02- The population of rural - Montgomeryshire is scattered.
0:09:02 > 0:09:05- With the nearest hospital - almost 30 miles away...
0:09:06 > 0:09:09- ..the locals - are eager to support the cause.
0:09:12 > 0:09:16- The roads aren't suitable - for high-speed traffic.
0:09:16 > 0:09:21- We're far from hospitals that are - big enough to deal with emergencies.
0:09:22 > 0:09:27- It's an agricultural area and - accidents occur in remote locations.
0:09:27 > 0:09:29- The Air Ambulance is vital...
0:09:29 > 0:09:34- ..to secure the urgent transfer - of casualties to hospital.
0:09:38 > 0:09:42- By the time they reach Machynlleth, - there are some sore feet.
0:09:42 > 0:09:47- One of the walkers - has even dislocated his kneecap.
0:09:47 > 0:09:49- This is hydrocortisone cream.
0:09:52 > 0:09:54- Friday, 24 August...
0:09:54 > 0:09:58- ..the final day of the walk, - and the Caernarfon air base...
0:09:59 > 0:10:01- ..is preparing - to welcome the walkers.
0:10:02 > 0:10:05- The charity's coffers - will hopefully benefit.
0:10:06 > 0:10:09- We don't receive a penny - from the government...
0:10:09 > 0:10:11- ..or the Lottery.
0:10:12 > 0:10:14- Raising over 6m a year is vital...
0:10:14 > 0:10:18- ..and this walk has certainly - raised the charity's profile.
0:10:19 > 0:10:21- APPLAUSE
0:10:24 > 0:10:27- The eight have walked - 200 miles in eight days.
0:10:30 > 0:10:33- The welcome - has taken some walkers by surprise.
0:10:33 > 0:10:37- We've been in a cocoon, - not realizing what's been going on.
0:10:37 > 0:10:40- Seeing the support is fantastic.
0:10:40 > 0:10:42- Each of us has blisters and more.
0:10:43 > 0:10:45- But we've - pulled ourselves together...
0:10:46 > 0:10:49- ..and it's been - an unforgettable experience.
0:10:49 > 0:10:52- None of us could have done it alone.
0:10:53 > 0:10:56- We've accomplished it - as a group of eight...
0:10:57 > 0:11:01- ..and when one of us has been low, - others have picked us up.
0:11:01 > 0:11:03- It's been a team effort.
0:11:10 > 0:11:14- The walkers - have so far raised almost 40,000...
0:11:14 > 0:11:16- ..and that figure continues to rise.
0:11:21 > 0:11:27- In Part 2, an engineer who keeps the - North Wales helicopter in the air.
0:11:29 > 0:11:31- Come here, little one.
0:11:31 > 0:11:35- And a little boy - with breathing difficulties.
0:11:35 > 0:11:39- He's my little boy. He's my world, - at the end of the day.
0:11:42 > 0:11:42- .
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0:11:51 > 0:11:56- It's Sunday afternoon, but there's - no rest for the Caernarfon crew.
0:11:58 > 0:12:00- OK, what do you have?
0:12:01 > 0:12:05- When the phone rings, - the crew has to respond immediately.
0:12:06 > 0:12:12- To Rhostryfan, to an 18-month-old - with breathing difficulties.
0:12:12 > 0:12:16- The baby needs - urgent medical attention.
0:12:17 > 0:12:20- Bob, got a job in your village!
0:12:22 > 0:12:24- Bob Kendall is today's pilot.
0:12:25 > 0:12:29- When he turned up for work, - he didn't expect to be heading home.
0:12:31 > 0:12:33- Helimed 61 now airborne.
0:12:34 > 0:12:39- Caernarfon air base is - only five miles away.
0:12:39 > 0:12:44- Paramedics Ian Thomas and - Tony Stevens are there in no time.
0:12:44 > 0:12:48- The best place to land - is in the field next to Bob's house.
0:12:48 > 0:12:54- Ian Thomas wears a special camera - which records everything he sees.
0:12:58 > 0:13:00- Are you alright?
0:13:00 > 0:13:02- As he rushes to the house...
0:13:03 > 0:13:08- ..he notices a quick-response - ambulance is present at the address.
0:13:12 > 0:13:14- Hello.
0:13:15 > 0:13:17- Is this the right house?
0:13:17 > 0:13:21- Jac is 16 months old - and is struggling to breathe.
0:13:21 > 0:13:24- He has suffered - similar difficulties before.
0:13:24 > 0:13:27- It's a possible asthma attack.
0:13:27 > 0:13:29- Maybe asthmatic.
0:13:29 > 0:13:31- Maybe asthmatic.- - Not diagnosed yet?
0:13:31 > 0:13:32- Definitely maybe!
0:13:33 > 0:13:34- Yes.
0:13:35 > 0:13:39- He's had 2.5 Salbutamol - and a mil of Atrovent.
0:13:40 > 0:13:41- I can't give him any more.
0:13:42 > 0:13:43- Atrovent is pretty good.
0:13:44 > 0:13:47- He's been given medication - by Heidi Butler...
0:13:47 > 0:13:52- ..the quick-response paramedic, - but there's no improvement.
0:13:52 > 0:13:55- He must be transferred urgently - to hospital.
0:13:56 > 0:13:57- What's the baby's name?
0:13:57 > 0:13:58- What's the baby's name?- - Jac.
0:13:59 > 0:14:01- After listening to Jac's lungs...
0:14:02 > 0:14:05- ..Heidi thinks - he might have a chest infection.
0:14:07 > 0:14:10- Any wheeze there - or just constriction?
0:14:10 > 0:14:14- It's hard to hear the wheeze - because there isn't much airflow.
0:14:14 > 0:14:16- Are you happy to carry him?
0:14:17 > 0:14:19- Yes, of course.
0:14:19 > 0:14:22- We've got a 15-month-old child.
0:14:22 > 0:14:26- He's going to be travelling with - Mum. He's got a congested chest.
0:14:26 > 0:14:29- He's had medication - but he's not improving.
0:14:30 > 0:14:33- Seems a bit flat, - so we'll walk over with Mum now.
0:14:34 > 0:14:37- OK, mate, no problem at all.
0:14:37 > 0:14:39- Ready, Bethan?
0:14:39 > 0:14:41- Ready, Bethan?- - Yes. Do I carry this too?
0:14:41 > 0:14:43- Yes, keep that with him.
0:14:43 > 0:14:45- Yes, keep that with him.- - Come on, my little baby.
0:14:45 > 0:14:47- Can I give you that?
0:14:47 > 0:14:48- Do you want a blanket?
0:14:48 > 0:14:50- Do you want a blanket?- - No, my mother has one for him.
0:14:51 > 0:14:53- As they walk to the helicopter...
0:14:53 > 0:14:58- ..the family is happy to see - the familiar face of Bob the pilot.
0:14:58 > 0:15:00- You're going with Bob now.
0:15:00 > 0:15:05- Usually, there's no room for the - family to travel with the patient.
0:15:06 > 0:15:08- The helicopter has a weight limit.
0:15:09 > 0:15:14- But since Jac's so young and light, - Mum Bethan is able to accompany him.
0:15:14 > 0:15:17- The rest of the family - must drive to Bangor.
0:15:17 > 0:15:20- He can sit on your knee.
0:15:20 > 0:15:23- We'll strap him to you. - Give him to me.
0:15:23 > 0:15:26- Come here, little one.
0:15:27 > 0:15:29- Go inside and I'll pass him to you.
0:15:39 > 0:15:42- With everyone safely on board...
0:15:43 > 0:15:48- ..Bob flies his little neighbour - to Ysbyty Gwynedd for further tests.
0:15:50 > 0:15:54- With children, - they keep going and going...
0:15:54 > 0:15:57- ..but they deteriorate quickly.
0:15:57 > 0:16:04- It's important to admit children - with breathing difficulties asap.
0:16:10 > 0:16:14- Every helicopter - needs meticulous maintenance.
0:16:14 > 0:16:20- Unlike cars, the EC135 - requires daily servicing.
0:16:20 > 0:16:25- If it wasn't for the engineers in - Swansea, Welshpool and Caernarfon...
0:16:25 > 0:16:29- ..the paramedics - wouldn't leave the ground.
0:16:29 > 0:16:31- It's the beginning of a shift.
0:16:32 > 0:16:36- Paul Ramsden is the pilot on duty - and Mick Chapman is the engineer.
0:16:39 > 0:16:43- The pilot and engineer - follow a strict daily regime...
0:16:43 > 0:16:45- ..to ensure the helicopter is safe.
0:16:46 > 0:16:49- I'm hoping - they don't take half the paint off.
0:16:49 > 0:16:52- The EC135 - is stationed in Caernarfon...
0:16:52 > 0:16:56- ..and is the most popular model - for an air ambulance.
0:16:56 > 0:16:59- Mick is responsible - for its maintenance...
0:16:59 > 0:17:03- ..and no matter what has broken, - it's his duty to repair it.
0:17:04 > 0:17:08- There might be a part number - on here. Have you got a pen?
0:17:08 > 0:17:12- The strap holding - the ECG machine in place has broken.
0:17:12 > 0:17:15- A new part must be ordered.
0:17:15 > 0:17:18- It's raining...
0:17:18 > 0:17:20- ..and clouds are low.
0:17:20 > 0:17:24- The Air Ambulance is - unable to fly through thick cloud.
0:17:24 > 0:17:30- Paul the pilot is worried he won't - be able to see clearly enough.
0:17:30 > 0:17:33- The biggest problem now - over towards the east...
0:17:34 > 0:17:36- ..is to get down to - the hospital itself.
0:17:36 > 0:17:39- Down the straits - and over the bridges.
0:17:39 > 0:17:43- The EC135 is equipped - with two engines.
0:17:43 > 0:17:47- One is for back-up in case - the other cuts out in mid air.
0:17:47 > 0:17:52- I started seven years ago - in RAF Valley with 22 Squadron...
0:17:53 > 0:17:56- ..as well as - the Search & Rescue training unit.
0:17:56 > 0:18:01- After that, I got a job on the - Helimed with Bond Air Services...
0:18:01 > 0:18:03- ..two years ago.
0:18:05 > 0:18:09- Mick wants the helicopter - to shelter in the hangar.
0:18:09 > 0:18:12- We'll do a long launch - from the hangar.
0:18:12 > 0:18:15- We'll leave the doors open. Yeah?
0:18:15 > 0:18:17- Okey-dokey.
0:18:17 > 0:18:19- Do you want to do that now?
0:18:19 > 0:18:20- Do you want to do that now?- - Yes.
0:18:21 > 0:18:25- If the weather improves, they'll - fetch the helicopter back out.
0:18:30 > 0:18:35- It does the EC135 no good - to be left out in the rain.
0:18:35 > 0:18:39- If the wind picks up, - it may even damage the blades.
0:18:39 > 0:18:44- With the helicopter in the shed, - Mick can give it its daily service.
0:18:49 > 0:18:53- I carry out - the after-flight servicing now...
0:18:53 > 0:18:58- ..which involves checking the top, - the engines, the oil and so on.
0:18:59 > 0:19:03- Following fears about cracks in - the blades of these helicopters...
0:19:04 > 0:19:07- ..thorough checks - must be carried out daily.
0:19:08 > 0:19:12- After every job, he checks - to see if any cracks have appeared.
0:19:12 > 0:19:16- He must regularly check the fuel - to ensure it is free from water.
0:19:16 > 0:19:22- I'm taking a fuel sample - from the helicopter's sump.
0:19:25 > 0:19:28- Water in the fuel - may make the engine cut out...
0:19:28 > 0:19:31- ..causing the helicopter - to plummet to the ground.
0:19:35 > 0:19:38- There's a filtering tablet - in the syringe...
0:19:38 > 0:19:42- ..and then we extract it - through the tablet.
0:19:44 > 0:19:47- It's still yellow, which is fine.
0:19:47 > 0:19:52- If it turns blue, there's a problem. - It means there's water in the fuel.
0:19:53 > 0:19:59- Mick must ensure it is in full - working order before it's launched.
0:19:59 > 0:20:01- Power on.
0:20:01 > 0:20:05- I'm checking the warning systems - and battery power.
0:20:07 > 0:20:13- I'm also checking that the - tail rotor controls are smooth.
0:20:13 > 0:20:17- After being in the RAF for 12 years, - Mick is pleased to be back home...
0:20:18 > 0:20:20- ..working for the Air Ambulance.
0:20:20 > 0:20:24- I'm proud - to work for Air Ambulance Wales...
0:20:24 > 0:20:29- ..because I work in a team which - rescues the people of North Wales.
0:20:34 > 0:20:38- June 2012 and a collision between - a car and a bus near Tregaron.
0:20:39 > 0:20:43- After being freed from her car, - the casualty was flown to Morriston.
0:20:44 > 0:20:49- She suffered minor injuries and - was discharged within a few days.
0:20:50 > 0:20:52- Come here, little one.
0:20:53 > 0:20:56- You go in and I'll pass him to you.
0:20:57 > 0:21:01- The village of Rhostryfan - near Caernarfon in June.
0:21:01 > 0:21:05- Jac was struggling to breathe - and needed medical attention.
0:21:06 > 0:21:08- Give me the ball!
0:21:09 > 0:21:11- Good boy. Where are you going now?
0:21:12 > 0:21:16- After a night in hospital, he is - now home with his mother, Bethan.
0:21:19 > 0:21:21- He was assessed in hospital...
0:21:22 > 0:21:25- ..and was given oxygen - for quite a while.
0:21:26 > 0:21:28- He was also given steroids.
0:21:28 > 0:21:32- He used an inhaler every 20 minutes - and then every four hours...
0:21:32 > 0:21:34- ..before being allowed home.
0:21:35 > 0:21:38- Bethan is grateful - to the quick-response paramedic...
0:21:38 > 0:21:43- ..who called the helicopter - and to Bob, the pilot and neighbour.
0:21:43 > 0:21:47- It was nice in a way - because we knew him.
0:21:47 > 0:21:53- He's my parents' neighbour, - so we knew we were in safe hands.
0:21:58 > 0:22:02- Jac now uses an inhaler - to deal with asthma attacks.
0:22:02 > 0:22:06- Bethan admits that things - could have been far worse.
0:22:07 > 0:22:11- If the Air Ambulance didn't exist, - Jac might have been far worse.
0:22:11 > 0:22:14- His condition - might have deteriorated.
0:22:14 > 0:22:17- I'm very grateful for the service.
0:22:18 > 0:22:21- I'm very grateful - they were there that day.
0:22:22 > 0:22:26- He's my little boy, and he's - my world at the end of the day.
0:22:28 > 0:22:33- Next week, a policeman is thrown - from his bike on his way home.
0:22:34 > 0:22:37- And horrific injuries in the snow.
0:22:38 > 0:22:42- They were shouting, "Emyr's fallen - and the tractor's driven over him."
0:22:59 > 0:23:01- S4C Subtitles by Adnod Cyf.
0:23:02 > 0:23:02- .