0:00:03 > 0:00:06'Today, on Real Rescues, a lifeboat tackles two-metre waves,
0:00:06 > 0:00:08'to rescue five people cut off by the tide.'
0:00:14 > 0:00:19'It's up to Air-Sea Rescue to save the last person.
0:00:20 > 0:00:22'A 999 call from a terrified wife.'
0:00:26 > 0:00:31'She's watching her husband fight for life for a second time.
0:00:34 > 0:00:38'And the search for the horse rider somewhere in the New Forest.'
0:00:38 > 0:00:42That orange thing down there. Is that waving at us?
0:01:01 > 0:01:04Hello and welcome to Real Rescues,
0:01:04 > 0:01:09where we see first-hand the work of the emergency services.
0:01:09 > 0:01:13These people are sending medical teams to sick and injured people.
0:01:13 > 0:01:17Today, we're starting with an emergency sea rescue by helicopter.
0:01:17 > 0:01:20They're operated by a mixture of the coastguard, the RAF
0:01:20 > 0:01:23and, in the most southwesterly point of England, the Royal Navy.
0:01:26 > 0:01:31'Culdrose in Cornwall, the Royal Navy Air-Sea Rescue crew is preparing for take-off.
0:01:33 > 0:01:36'They are needed at an emergency north of Newquay.
0:01:36 > 0:01:41'A group of people has been cut off by the sea at a notorious beach.'
0:01:43 > 0:01:45No, they're still on the beach.
0:01:45 > 0:01:48Can you see them down there? I can see the boat, yeah.
0:01:48 > 0:01:51Come hard right and come in over the cliffs...
0:01:51 > 0:01:55'Below, five people and a dog are stranded at Bedruthan Steps.
0:01:55 > 0:01:58'Newquay RNLI is already at the scene.
0:01:58 > 0:02:02'The tide is coming in fast. The conditions are tough.
0:02:02 > 0:02:05'The coastguard has sent Air-Sea Rescue as back-up.
0:02:05 > 0:02:09'The lifeboat may not be able to get all five people out in time.'
0:02:09 > 0:02:12ON RADIO: Are they right below you? Over.
0:02:13 > 0:02:17Affirmative. Over. They're immediately below us. Over.
0:02:17 > 0:02:21'Away from the cliffs, there's a second RNLI lifeboat.
0:02:21 > 0:02:24'The group will have to be rescued in relay.
0:02:24 > 0:02:26'The smaller RIB is on the beach.
0:02:26 > 0:02:30'The sea's so rough, it's only safe to take two people at a time.'
0:02:30 > 0:02:35They're having a go with two through the swell. It's quite a big swell.
0:02:35 > 0:02:38It's going to be quite hairy and they've got children down there.
0:02:38 > 0:02:43'Now the lifeboat has two on board, it's heading back through the surf.
0:02:43 > 0:02:44'The waves are reaching two metres.
0:02:44 > 0:02:49'As the RIB tackles each break, it's swamped by water.'
0:02:49 > 0:02:54If you require from us any more kit, this is the closest we can get.
0:02:54 > 0:02:57MAN CHORTLING: Jesus!
0:02:57 > 0:03:00They just got proper swamped!
0:03:00 > 0:03:05I bet they're thinking, "Look at the helicopter!" That's massive, look.
0:03:06 > 0:03:10'The RIB makes it through the swell with the two youngest in the group.
0:03:13 > 0:03:15'The helicopter's hovering above the cliff top.
0:03:15 > 0:03:19'The crew is poised to send down the winch the moment it's needed.'
0:03:19 > 0:03:22What are your intentions? Over.
0:03:23 > 0:03:27Yeah, Padstow 193. We're awaiting to see if the lifeboat needs our help.
0:03:27 > 0:03:31There's four on the beach. If they require us to winch them, we will.
0:03:31 > 0:03:33'The RIB powers back to the shrinking beach
0:03:33 > 0:03:36'to rescue two of the three people left stranded.'
0:03:36 > 0:03:38This is Padstow 01. That's all received.
0:03:38 > 0:03:42We'll leave it for you and Newquay lifeboat to decide.
0:03:42 > 0:03:44We're setting up our equipment.
0:03:44 > 0:03:47'The lifeboat crew get another two on board,
0:03:47 > 0:03:51'leaving the fifth person and the dog on the beach for a final pickup.
0:03:51 > 0:03:55'As the tide starts devouring the beach, they are running out of time.
0:03:55 > 0:03:58'A decision is taken.
0:03:58 > 0:04:01'The lifeboat will not make it back to rescue the fifth person
0:04:01 > 0:04:03'before the water reaches the cliffs.
0:04:03 > 0:04:09'It's going to be up to Air-Sea Rescue to winch the final member of the party to safety.
0:04:09 > 0:04:11'They'll have to take the dog at the same time.
0:04:11 > 0:04:14'It's going to be a challenging operation.'
0:04:15 > 0:04:17We were right next to the cliff
0:04:17 > 0:04:21having to think not only about the length of the wire,
0:04:21 > 0:04:24but also how close we were getting to the cliffs.
0:04:24 > 0:04:28'It's best practice for a helicopter to hover into the wind
0:04:28 > 0:04:29'to reduce the power needed.
0:04:29 > 0:04:32'The pilot needs to keep the aircraft
0:04:32 > 0:04:34'directly above the casualty.
0:04:34 > 0:04:39'The shrinking beach is pushing the operation closer to the cliffs.'
0:04:39 > 0:04:42I'm not sure we've got that much space, to be quite honest.
0:04:42 > 0:04:48So we were right at the edge of what was safe for us to operate with.
0:04:48 > 0:04:52'The aircraft's maximum winch height is 200 feet.
0:04:52 > 0:04:54'The cliffs here are higher.
0:04:54 > 0:04:58'It means the pilot is forced to hover alongside the cliff face.
0:04:58 > 0:05:02'At this height, every movement on the wire is amplified.'
0:05:02 > 0:05:08If you're not careful, you'll swing the winchman around like a conker underneath the aircraft.
0:05:08 > 0:05:12'Winchman Alan Speed will be lowered down, guided by the winch operator,
0:05:12 > 0:05:15'who's in constant communication with the pilot.'
0:05:15 > 0:05:18OK. We are committed throughout.
0:05:18 > 0:05:21Happy there? We're committed, we're committed, so...
0:05:21 > 0:05:24'Winchman Alan will put the dog in a yellow bag
0:05:24 > 0:05:27'normally used for rescuing very young children.'
0:05:27 > 0:05:30And lowering away.
0:05:30 > 0:05:32Lowering the winch.
0:05:32 > 0:05:36If you've got any room forward, go forward only 20 yards.
0:05:36 > 0:05:39Little bit drier. Easy. Easy.
0:05:39 > 0:05:42And steady. Good position.
0:05:42 > 0:05:47They're on the left. They've just got shorts and T-shirts on.
0:05:47 > 0:05:50'It's a wet landing.'
0:05:50 > 0:05:54You happy with the bag rather than the harness?
0:05:54 > 0:05:56Yeah. He's not that big, that dog.
0:05:56 > 0:05:59He ain't going to want to go in a yellow bag.
0:05:59 > 0:06:02It's a springer spaniel. CHUCKLES
0:06:03 > 0:06:07I'd been winched into the sea, so I had to wade up the beach.
0:06:07 > 0:06:10I saw the owner and the dog, cowering in the corner.
0:06:10 > 0:06:14I had to use the owner to help me to get him into the bag.
0:06:14 > 0:06:16Dog's in the bag.
0:06:16 > 0:06:19Guy's got his strop on.
0:06:19 > 0:06:22Watch the wave coming in, Speedy.
0:06:22 > 0:06:27'They've had to wade into the sea to get directly below the aircraft.'
0:06:27 > 0:06:29Dog's on the Grabbit.
0:06:30 > 0:06:33First strop going on. This will be a double lift.
0:06:34 > 0:06:38Raising the winch. All three coming clear.
0:06:38 > 0:06:42The bag's falling the right way, so the dog shouldn't fall out.
0:06:42 > 0:06:44We will be taking good charge of it.
0:06:44 > 0:06:47'They're operating at the end of 200 feet of winch,
0:06:47 > 0:06:50'but they're managing to limit the swing.'
0:06:51 > 0:06:55Happy to move slowly away from the cliff, if you want, five yards.
0:06:55 > 0:06:58Tail's clear. Just got the island at 2 o'clock.
0:06:58 > 0:07:02I'll let you know as soon as they're in the door.
0:07:02 > 0:07:07'Minutes later, the final person and the dog are inside the helicopter.
0:07:09 > 0:07:14'And after the shortest of flights, they're back on dry land.
0:07:14 > 0:07:18'The lifeboat's taken the rest of the group to nearby Newquay,
0:07:18 > 0:07:20'where they will all soon be reunited.
0:07:20 > 0:07:24'It's not the first rescue from this beach.
0:07:24 > 0:07:28'Locals are all too aware how quickly the tide can cut it off.'
0:07:28 > 0:07:32Tourists like to visit Cornwall in the summer.
0:07:32 > 0:07:35They don't really know the local area and the tide
0:07:35 > 0:07:37as well as the locals.
0:07:37 > 0:07:41They might find a nice cove that looks nice when the tide's out.
0:07:41 > 0:07:45Little do they know that the water will soon come in
0:07:45 > 0:07:47and they'll end up being stuck.
0:07:57 > 0:08:01'The South Western Ambulance Service control room in Exeter.
0:08:01 > 0:08:06'It's 5am, almost the end of a night shift for call handler Julie Ings,
0:08:06 > 0:08:09'when she takes a desperate 999 call.'
0:08:09 > 0:08:11PHONE RINGING
0:08:19 > 0:08:23'It's immediately clear this is one of the highest level emergencies.'
0:08:51 > 0:08:55'The emergency call is coming from a house in Christchurch.
0:08:55 > 0:08:59'It's not the first time the woman has woken to find her husband
0:08:59 > 0:09:01'lying next to her, looking so desperately ill.'
0:09:09 > 0:09:15'In the bedroom, the emergency is playing out exactly as it did three years earlier.'
0:09:15 > 0:09:19So I turned over, banged my light on to full blast,
0:09:19 > 0:09:23and Mario was mauve and blue.
0:09:23 > 0:09:26And I knew it was happening again.
0:09:26 > 0:09:28'It's all too much for Gill.
0:09:28 > 0:09:31'In her panic, she leaves the bedroom. She's still on the phone.'
0:09:40 > 0:09:42The lady got very panicked.
0:09:42 > 0:09:44I remember having to try and calm her down.
0:09:44 > 0:09:49We had to go with what she was able to do in the stress situation,
0:09:49 > 0:09:53try to keep her focused and as calm as possible while the crew were on their way,
0:09:53 > 0:09:57which can seem like a lifetime while they're waiting,
0:09:57 > 0:10:01but in fact it wasn't that long at all before the crew were with her.
0:10:18 > 0:10:24'It becomes clear to Julie that the caller is no longer in the same room as her husband.
0:10:24 > 0:10:27'She has to get Gill back to his side to start CPR.'
0:10:35 > 0:10:39'Gill's worrying about how the ambulance crew will get in.
0:10:39 > 0:10:42'She's putting the dogs away and opening the front door.
0:10:42 > 0:10:46'It's vital she starts the chest compressions straight away,
0:10:46 > 0:10:50'if husband Mario is to have any chance of recovery.'
0:10:57 > 0:11:00I knew that I was becoming hysterical
0:11:00 > 0:11:03and...slightly out of control.
0:11:05 > 0:11:08Because, as I say, the emotion just takes over.
0:11:08 > 0:11:11'But every minute that Mario's heart is stopped
0:11:11 > 0:11:13'reduces his chance of survival.
0:11:15 > 0:11:17'Later, Gill overcomes her emotions
0:11:17 > 0:11:21'and fights hard to keep Mario alive till the ambulance crew arrives.'
0:11:21 > 0:11:25VOICE BREAKING: You want to be brave and you want to do the right thing.
0:11:25 > 0:11:30And inside, your heart is being torn apart.
0:11:35 > 0:11:37I'm going to have a chat with Phil.
0:11:37 > 0:11:40Are you free to chat to us? Yeah, absolutely.
0:11:40 > 0:11:43It's interesting because Phil is a clinician here.
0:11:43 > 0:11:48A paramedic... Yes. ..who has worked as a paramedic in the community.
0:11:48 > 0:11:53You have an advisory role to all of the call-takers, is that right?
0:11:53 > 0:11:57That's correct, yeah. I've been out on the road for 23 years.
0:11:57 > 0:12:01I decided there was a change needed and this is an ideal opportunity
0:12:01 > 0:12:05to relay all my clinical skills to help with the triage on this system.
0:12:05 > 0:12:10You can take over on a call where extra knowledge is needed to help? Yes, most definitely.
0:12:10 > 0:12:13I was interested in something you were telling me earlier.
0:12:13 > 0:12:16I'm a motorcyclist, and the one thing that we all know
0:12:16 > 0:12:21is that when you come to an accident you should never take a crash helmet off a motorcyclist,
0:12:21 > 0:12:24cos you could damage the neck in the process.
0:12:24 > 0:12:30You say, because of an accident you attended, you shouldn't take the leathers off either. That's right.
0:12:30 > 0:12:33When you get to a scene, normally,
0:12:33 > 0:12:36a clinical person - paramedics, doctors -
0:12:36 > 0:12:41would cut all the leathers off to get down to the skin to see injuries et cetera.
0:12:41 > 0:12:46On this one occasion, due to the extensive injuries this motorcyclist had,
0:12:46 > 0:12:50we decided to leave the leathers on because they act as a compress.
0:12:50 > 0:12:56So by doing that, you're stopping the blood vessels from dilating and all the blood running out -
0:12:56 > 0:12:59i.e. getting him to hospital in one piece.
0:12:59 > 0:13:01On this occasion, it did work.
0:13:01 > 0:13:05Did that leaving his leathers on actually save his life?
0:13:05 > 0:13:08It probably contributed to it, yes. That's extraordinary.
0:13:08 > 0:13:13So for a member of the general public, we know not to take people's crash helmets off,
0:13:13 > 0:13:18leave the leathers on until somebody who knows what they're doing turns up? Any motorcyle accident, yes.
0:13:18 > 0:13:22Just leave the leathers alone. And get them to stay still? Yeah.
0:13:22 > 0:13:25Smashing. Thank you very much.
0:13:31 > 0:13:33'The New Forest in Hampshire.
0:13:33 > 0:13:36'The Air Ambulance has been scrambled to find an injured woman.'
0:13:47 > 0:13:50'On board, paramedic Pat Andrews, Dr Liz Shury
0:13:50 > 0:13:52'and Private Alan Scott.'
0:13:55 > 0:13:59Just to repeat - 835 6502. Over.
0:13:59 > 0:14:02'They're working off map grid references,
0:14:02 > 0:14:05'but there are no landmarks to guide them.
0:14:05 > 0:14:09'All the crew are keeping a keen lookout for any clues down below
0:14:09 > 0:14:12'that will lead them to the injured woman.
0:14:12 > 0:14:14'Suddenly, they see something.'
0:14:17 > 0:14:20'Two men from the Forestry Commission
0:14:20 > 0:14:23'are using a fluorescent jacket to attract their attention.'
0:14:23 > 0:14:25They are.
0:14:25 > 0:14:30'The men have found a clearing for the helicopter to touch down.'
0:14:50 > 0:14:53'Waiting to guide them to the casualty is David Morris.'
0:14:53 > 0:14:58That was a good signal. Good! I was trying to...
0:14:58 > 0:15:00'David brings the medics up to date.'
0:15:09 > 0:15:12Where's the horse?
0:15:15 > 0:15:17Was she on her own?
0:15:17 > 0:15:21'The injured woman was only found after a couple walking their dog
0:15:21 > 0:15:23'spotted a riderless horse.'
0:15:23 > 0:15:26She was completely dazed.
0:15:26 > 0:15:29The immediate thing was that her shoulder hurt.
0:15:29 > 0:15:34'The woman is where she landed, thrown by her horse onto a branch,
0:15:34 > 0:15:36'breaking it as she fell.'
0:15:36 > 0:15:42Do you remember hitting the tree? I remember coming towards it, thinking, "This is going to hurt."
0:15:42 > 0:15:44'Paramedic Pat is supporting her neck,
0:15:44 > 0:15:47'as Dr Liz quickly gets her some oxygen,
0:15:47 > 0:15:49'in case she's suffering serious injury.'
0:15:49 > 0:15:53We're holding on to your head, in case you've damaged your neck.
0:15:53 > 0:15:56It stinks, my hat! That's OK!
0:15:56 > 0:15:59I'm going to pop a bit of oxygen on you. That's standard again.
0:15:59 > 0:16:03Pop that there so you won't have to hold it.
0:16:03 > 0:16:07What's your name? Hannah. Hello, Hannah. I'm Liz. This is Pat.
0:16:07 > 0:16:10Do you know where you are? Yeah. In the woods.
0:16:10 > 0:16:13It's starting to come back to me.
0:16:13 > 0:16:16'Hannah was riding alone. There is no sign of her horse.
0:16:16 > 0:16:20'It bolted after being spooked by New Forest ponies.'
0:16:20 > 0:16:23Were you knocked off or you leapt off? Knocked off.
0:16:23 > 0:16:28Maybe a bit of both. I was just, "Here comes a tree." OK.
0:16:28 > 0:16:33'Hannah can remember everything, but she suffered an impact to her shoulder, arm and head.
0:16:33 > 0:16:35'The medics can't take any chances.'
0:16:35 > 0:16:39OK. And how's your breathing? OK.
0:16:39 > 0:16:41No pain in your chest or anything?
0:16:41 > 0:16:44A little bit, where I've hit the ground.
0:16:44 > 0:16:48Do you know what day it is? Yeah. I had to think about that before!
0:16:48 > 0:16:52Wednesday morning. And no bruises on your head. My head hurts a bit.
0:16:52 > 0:16:58What about your leg? Does that hurt? Everything feels a bit tight. OK.
0:16:58 > 0:17:03'It was thanks to dog walkers Marcus and Maria that Hannah was discovered so quickly.'
0:17:03 > 0:17:06We saw a herd of horses that were clearly spooked,
0:17:06 > 0:17:08so we put the dogs on the lead.
0:17:08 > 0:17:14Then I noticed one of the horses had a saddle on it, so we then backtracked up the paths.
0:17:14 > 0:17:20We didn't know who we were looking for or where we were going, but we knew we had to find her.
0:17:20 > 0:17:24'When they found her she was slumped on the ground.'
0:17:24 > 0:17:28She was conscious, but very confused and sorry for herself.
0:17:28 > 0:17:30'It's an hour since the accident.
0:17:30 > 0:17:33'Dr Shury's preparing some strong pain relief,
0:17:33 > 0:17:37'which will help Hannah cope with the air-lift to hospital.
0:17:37 > 0:17:40'By now, her friend Anna has arrived
0:17:40 > 0:17:42'and takes over immobilising Hannah's neck.'
0:17:42 > 0:17:47How old are you, love? I'm...31. 31! I had to think about that.
0:17:47 > 0:17:51'The drugs are easing Hannah's pain, but it won't be easy for her,
0:17:51 > 0:17:53'being moved onto the stretcher.'
0:17:53 > 0:17:55That's better.
0:17:55 > 0:18:00That will warm you up a little bit while we get you out of here.
0:18:00 > 0:18:03I'll give you some of this then we'll lie you down.
0:18:03 > 0:18:05That'll make you feel a bit better, I expect.
0:18:05 > 0:18:08'The only way to get Hannah to the helicopter
0:18:08 > 0:18:11'is to load her onto the pickup.
0:18:11 > 0:18:15'Anna and the Forestry Commission workers will stay to look for the missing horse
0:18:15 > 0:18:19'that's still running with the New Forest ponies.
0:18:19 > 0:18:21'It could take some time.'
0:18:21 > 0:18:24There we are. That's that anti-sickness drug in.
0:18:24 > 0:18:29It'll work in a few minutes. Yeah. It's pretty quick. OK?
0:18:29 > 0:18:32'Hannah's starting to drift into unconsciousness.
0:18:32 > 0:18:36'Her friend is determined to keep her awake.'
0:18:36 > 0:18:40It's going to be fine, all right? They just want to make you better.
0:18:53 > 0:18:56'Liz will stay by Hannah's side for the journey.'
0:18:57 > 0:18:59Well done. You all right there?
0:19:03 > 0:19:05'It's a short flight to Southampton General.
0:19:12 > 0:19:14'The emergency department is on standby.
0:19:20 > 0:19:23'More on Hannah's injuries later.'
0:19:26 > 0:19:28Coming up on Real Rescues...
0:19:29 > 0:19:33'..a collision takes the shine off one driver's brand new vehicle,
0:19:33 > 0:19:37'but the police do their best to pick up all the pieces.'
0:19:37 > 0:19:40You might not afford the whole thing, but you could have that!
0:19:40 > 0:19:43This is the closest I'll get to one!
0:19:43 > 0:19:45'And Mum refuses to take the blame
0:19:45 > 0:19:49'after son Jayden dislocates his knee helping clear up.'
0:19:49 > 0:19:54"It's all Mum's fault for making me tidy the lounge!" Yeah, Mum's fault!
0:19:59 > 0:20:02'Earlier, we were following a dramatic 999 call
0:20:02 > 0:20:05'to South Western Ambulance control room.
0:20:05 > 0:20:09'A 53-year-old man is in cardiac arrest.
0:20:09 > 0:20:12'It's his second heart attack in three years.
0:20:12 > 0:20:15'His wife, Gill, has made the call,
0:20:15 > 0:20:18'but she's been too hysterical to begin chest compressions.'
0:21:25 > 0:21:29'Mario's too heavy for Gill to get him off the bed and onto the floor.'
0:21:30 > 0:21:36We needed to get some effective CPR going as quickly as possible.
0:21:36 > 0:21:42She stated that she wasn't able to get him to the floor, so we did the next best thing that we could.
0:21:42 > 0:21:45We got him in bed, where he already was, on his back where he was
0:21:45 > 0:21:49and got some good hard CPR happening.
0:22:04 > 0:22:08'Julie's talking her through, insisting that she keeps going.'
0:22:08 > 0:22:11Because I was so emotional, I don't think I'd have been able to.
0:22:11 > 0:22:17It was HER actually counting "one and two and three and four",
0:22:17 > 0:22:21that literal "one and two and three and four"
0:22:21 > 0:22:23that kept me going.
0:22:23 > 0:22:27I think if she'd have stopped, I'd have stopped.
0:23:08 > 0:23:12The last thing we want to do is cause another heart attack
0:23:12 > 0:23:14for someone who's performing CPR.
0:23:14 > 0:23:17We have to be aware of that as well.
0:23:17 > 0:23:20She sounded like she was coping physically OK.
0:23:37 > 0:23:40'Just six minutes since she made the call,
0:23:40 > 0:23:43'Gill hears the ambulance arrive outside.'
0:23:50 > 0:23:54'Finally, Gill can hand over to the ambulance crew.
0:23:54 > 0:23:59'She's kept Mario going, but now he'll be wired up to a defibrillator
0:23:59 > 0:24:02'and they'll try to shock his heart back to a normal rhythm.
0:24:06 > 0:24:09'The paramedics talk about the battle to save Mario.'
0:24:09 > 0:24:12We gave him three or four shocks before we got him back.
0:24:12 > 0:24:16The first time, we had him back for two or three minutes.
0:24:16 > 0:24:21We were getting ready to move him at that point. He arrested again.
0:24:24 > 0:24:28Hoping to have a word with Danni, if she's not on a call.
0:24:28 > 0:24:30All right? Yeah. Jolly good.
0:24:30 > 0:24:33Would it be fair to say that, as a call taker,
0:24:33 > 0:24:38you're quite pleased when you get a call that really tests your skills?
0:24:38 > 0:24:42Yeah? Yeah. So give us an example of one that you've dealt with
0:24:42 > 0:24:45where you felt that your skills have come to the fore.
0:24:45 > 0:24:49I had a gentleman who was working in a food factory.
0:24:49 > 0:24:54The call came in and a gentleman that I was speaking with
0:24:54 > 0:24:58said that one of his colleagues had his hand stuck in machinery.
0:24:58 > 0:25:03Like damaged-trapped? Trapped. It was trapped in the machinery.
0:25:03 > 0:25:06He'd used his other hand to try to pull that hand out,
0:25:06 > 0:25:09and he'd injured that hand as well. Wow! Yeah.
0:25:09 > 0:25:13For me - this is probably why I do what I do, rather than doing what you do -
0:25:13 > 0:25:16I would be thinking "mangled" and the blood.
0:25:16 > 0:25:20You've got to kick into professional mode, find out as much as you can.
0:25:20 > 0:25:24Was the person that was talking to you next to the person? No.
0:25:24 > 0:25:27He was upstairs, in the office.
0:25:27 > 0:25:30All the information was being passed by three people to me.
0:25:30 > 0:25:34There's a three-person relay going backwards and forwards? Yeah.
0:25:34 > 0:25:37What are you looking to find out? What's the most important thing?
0:25:37 > 0:25:41Blood loss. If they're still trapped in the machinery.
0:25:41 > 0:25:47Then we need to think about getting other people involved to help release the hand.
0:25:47 > 0:25:51Yeah... So you can push that out to Fire Rescue?
0:25:51 > 0:25:56Yeah. Anybody that could help if he was still trapped.
0:25:56 > 0:26:01With that kind of injury, where someone's caught a limb in a piece of machinery,
0:26:01 > 0:26:06isn't it quite dangerous to release it because that can then start the blood flow?
0:26:06 > 0:26:11There's not that much advice we can give. If he's still trapped, he's still trapped.
0:26:11 > 0:26:16By the time we'd got the information, he had managed to release his arm.
0:26:16 > 0:26:20Then it was trying to find out how much blood he was losing,
0:26:20 > 0:26:24how damaged his hand was, getting enough information for the crews.
0:26:24 > 0:26:28That's like Chinese whispers if you go via three people.
0:26:28 > 0:26:30The information coming back isn't always... No.
0:26:30 > 0:26:36It's very hard to get the right information relayed back to them to help with the bleeding.
0:26:36 > 0:26:40What was the result of this, with the chap and his hand?
0:26:40 > 0:26:44Well, I managed to assess it - very basically.
0:26:44 > 0:26:49Gave him as much information as I can to help stem the bleeding
0:26:49 > 0:26:52and then the crew arrived on the scene, luckily.
0:26:52 > 0:26:55Was the damage bad to the guy's hand?
0:26:55 > 0:27:00From what I understood, he had quite bad damage to his left hand
0:27:00 > 0:27:03and then his right hand was quite...mangled.
0:27:03 > 0:27:07But as a rule - obviously you deal with everything that comes in -
0:27:07 > 0:27:10it's good to be tested? Yeah.
0:27:10 > 0:27:13Not that you'd ever wish anybody any injury. Absolutely.
0:27:13 > 0:27:20But if you know that you're the first person to offer them help, then that's a good thing.
0:27:20 > 0:27:25A great sense of pride, I imagine, once you get off the phone, that you've been of some help? Yeah.
0:27:25 > 0:27:29We can offer as much information as we can to get that help on the way
0:27:29 > 0:27:33and help treat them whilst they're on the way to them.
0:27:33 > 0:27:38It's a cool job. Yeah. I'll let you get back to it. Thank you.
0:27:46 > 0:27:50'Early morning rush hour in Milton Keynes.
0:27:50 > 0:27:54'Traffic cops Dave Morgan and Gary Fortnum are making their way through traffic
0:27:54 > 0:27:57'to a crash on the other side of town.'
0:27:57 > 0:28:00I would have thought it would be on these bends up here.
0:28:00 > 0:28:03There's a farm. I don't know what farm it is.
0:28:03 > 0:28:08It's slippery. Yeah, it is. But then it hasn't rained for a while.
0:28:08 > 0:28:10The roads are going to be slippery.
0:28:10 > 0:28:13'Sure enough, two cars have collided on a left-hand bend,
0:28:13 > 0:28:15'almost head-on.'
0:28:16 > 0:28:20Show us on scene. The road's only partially blocked.
0:28:24 > 0:28:28'First thing the police need to do is check that no-one is hurt.'
0:28:28 > 0:28:31Me. You and you, yeah? We'll sort it out. Don't worry.
0:28:31 > 0:28:34'The next job is clearing the road.'
0:28:34 > 0:28:36Does the BMW not drive?
0:28:36 > 0:28:41When I tried to move it, it came up with, like, "disabled"...
0:28:41 > 0:28:46'Driver Jay is being comforted by Charlotte, her dog walker.
0:28:46 > 0:28:50'They were taking Jay's puppy Megan to the vet when the crash happened.'
0:28:50 > 0:28:53I suppose it's got loads of buttons to drive it? Yeah.
0:28:53 > 0:28:56Well, I'll have a go, see if I can get it.
0:28:56 > 0:29:02'They're going to get the dog out before Dave has a go at moving this brand new 4x4,
0:29:02 > 0:29:04'with its key-less technology.'
0:29:04 > 0:29:07You'll have to show me how to start this.
0:29:07 > 0:29:11'Dave might be a traffic cop, but he's never driven one of these.'
0:29:11 > 0:29:17They've got so many buttons, I've got no idea how to drive one. I'm not used to this technology.
0:29:19 > 0:29:22Go! Have you driven one of these before?
0:29:22 > 0:29:25I'll do some traffic control!
0:29:25 > 0:29:27Want to go forward first.
0:29:27 > 0:29:31'Eventually, Dave masters the controls and gets the 4x4 moving.
0:29:32 > 0:29:37'The blue car's offside front wing is completely smashed in.
0:29:37 > 0:29:42'It was heading down the hill, skidding on the wet surface at the tight left-hand bend.'
0:29:42 > 0:29:46They'll tell me as soon as it's on its way.
0:29:46 > 0:29:51'This collision is going to be sorted out between the drivers' insurance companies.
0:29:51 > 0:29:55'Dave gets on clearing the road when something catches his eye.'
0:29:55 > 0:29:59You won't afford the whole thing but maybe you could have that.
0:29:59 > 0:30:02'It's a pricey car, so even the badge is worth holding on to.'
0:30:02 > 0:30:05This is the closest I'll get to one!
0:30:06 > 0:30:09'They've missed the appointment at the vet,
0:30:09 > 0:30:12'so they're keen to head home, if they can.'
0:30:12 > 0:30:15The wheel arch is a bit loose, it's flapping about,
0:30:15 > 0:30:18so we'll pull it off...
0:30:19 > 0:30:24'The police are going to try some roadside maintenance - if Jay can bear it.'
0:30:24 > 0:30:26Shall we see if it will pop off?
0:30:26 > 0:30:29I'll go the other side and put my fingers in my ears.
0:30:29 > 0:30:31Yeah, you might want to.
0:30:31 > 0:30:35See if I can wedge it back in as opposed to pulling it out.
0:30:37 > 0:30:40BANGING
0:30:40 > 0:30:43'All it needs now is a bit of police tape,
0:30:43 > 0:30:47'then maybe this brand new 4x4 will be good to go.'
0:30:47 > 0:30:52Going to tie it back to the car, that's the plan. Whether it will work is another matter.
0:30:52 > 0:30:56What was a minor repair has just gone up a few thousand quid!
0:30:56 > 0:30:59Police barrier tape at its best! Check it out!
0:31:02 > 0:31:06'Now, the moment of truth for Jay back in the driving seat.'
0:31:06 > 0:31:10SQUEAKING AND RUBBING No, still don't like that.
0:31:10 > 0:31:13'There's an ominous noise.' Stop! Look at the wheel.
0:31:13 > 0:31:16'Something more substantial is wrong.
0:31:16 > 0:31:19'The bottom of the wheel is pointing outwards.'
0:31:19 > 0:31:21That's definitely not right.
0:31:21 > 0:31:25The wheel. You might have bent the axle. It'll have to be recovered.
0:31:25 > 0:31:29'It'll mean an expensive repair to Jay's brand new pride and joy.
0:31:29 > 0:31:33'All she can do now is call recovery and she's covered for that.
0:31:33 > 0:31:37'Meanwhile, a breakdown truck arrives for the blue car.
0:31:37 > 0:31:40'Now Jay's worrying if her vehicle
0:31:40 > 0:31:44'will make it onto the breakdown truck with its broken axle.'
0:31:44 > 0:31:48They roll, but not in the direction they're meant to go, I think.
0:31:48 > 0:31:53Do you want me to speak to him? Yes, please. Could you speak to the police officer, please?
0:31:53 > 0:31:55Hello?
0:31:56 > 0:32:02They roll to get on a recovery truck but I think it's done something to one of the axles on the rear.
0:32:02 > 0:32:05One of the wheels is out of line, but it drives.
0:32:05 > 0:32:08You'll be able to drive it on the truck, no problem.
0:32:08 > 0:32:11'The other car's already loading.
0:32:11 > 0:32:15'It's time for Dave and Gary to move on.'
0:32:15 > 0:32:19We're going to depart, anyway. OK. I hope you have a nice day.
0:32:19 > 0:32:22I hope YOUR day's going to get better.
0:32:22 > 0:32:25Never mind. Lovely little space on my driveway.
0:32:25 > 0:32:28A big space, I would have thought! LAUGHTER
0:32:28 > 0:32:31See you later. Take care. Bye bye.
0:32:37 > 0:32:39SIREN BLARES
0:32:42 > 0:32:45'It's the last week of the school holidays.
0:32:45 > 0:32:49'An ambulance is heading to a housing estate north of Portsmouth.
0:32:49 > 0:32:51'On board, paramedic Jade Foley
0:32:51 > 0:32:54'and emergency care assistant Danny Collins.
0:32:54 > 0:32:58'They've been told a schoolboy is in pain after an accident at home.
0:33:01 > 0:33:05'They arrive to find Jayden in pain, holding his knee in the front room.'
0:33:05 > 0:33:08Hello. What's happening?
0:33:08 > 0:33:13He's gone to move and... You explain it, Jayden.
0:33:13 > 0:33:17I just moved and something went in my leg, like that.
0:33:17 > 0:33:21You felt something go? Yeah. I dunno, but...
0:33:21 > 0:33:23This is the only way I can get it.
0:33:23 > 0:33:26When I go like that, it hurts.
0:33:26 > 0:33:29'Jayden's right knee is very swollen.'
0:33:29 > 0:33:31I had to roll that leg sideways.
0:33:31 > 0:33:33'Jayden will need an X-ray,
0:33:33 > 0:33:37'but they can't move him until they get on top of the pain.'
0:33:37 > 0:33:39Does it hurt when you poke it? UNCLEAR RESPONSE
0:33:39 > 0:33:42If you scored that pain out of ten,
0:33:42 > 0:33:45ten being having your leg ripped off? Eight.
0:33:45 > 0:33:48So it's quite bad? Has it been worse than this?
0:33:48 > 0:33:52Is this a bit better than before? Yeah. Right.
0:33:52 > 0:33:54Are you not able to move your knee?
0:33:54 > 0:33:59I can, when it was, like, up here,
0:33:59 > 0:34:02I could wiggle my toes a tiny bit.
0:34:02 > 0:34:05'Jayden's day has gone from bad to worse.
0:34:05 > 0:34:09'He was told off for being untidy and asked to clear up the lounge.
0:34:09 > 0:34:13'As he sat on the floor sorting through things, his knee went.
0:34:13 > 0:34:16'Paramedic Jade explains what might be going on,
0:34:16 > 0:34:20'as he loads up with the pain-killing gas nitrous oxide.'
0:34:20 > 0:34:22Dislocating means that...
0:34:22 > 0:34:26Your knee's like this. It's a ball in a socket, like your shoulder.
0:34:26 > 0:34:30Sometimes, if you put pressure on it in the wrong place, it pops out.
0:34:30 > 0:34:34When I had my hand there, I felt like this thing was moving.
0:34:34 > 0:34:38It might have been your kneecap swivelled round. This thin bit.
0:34:38 > 0:34:41Yeah. Everyone's got a cap on the front of their knee.
0:34:41 > 0:34:46Sometimes, that...moves. It's not supposed to, but it does.
0:34:46 > 0:34:50That might be what's happening. That's why it's so painful now.
0:34:50 > 0:34:52You've bruised everything inside.
0:34:52 > 0:34:55'The kneecap seems to be in the right place now,
0:34:55 > 0:34:58'although there is a lot of swelling as well as pain.'
0:34:58 > 0:35:02I can't walk on it. No, we can shift you onto...
0:35:02 > 0:35:06We'll have to fly you. Have you got a magic carpet?
0:35:06 > 0:35:10Because if you don't, we are in trouble.
0:35:10 > 0:35:14'There's no avoiding moving the leg to get it into the splint.
0:35:14 > 0:35:18'Every move hurts, even with the gas.'
0:35:18 > 0:35:24We're going to do the most painful bit. Every single breath, take it through the gas.
0:35:24 > 0:35:28We have to take that cushion out from underneath your leg.
0:35:28 > 0:35:30We'll do it all in one go, OK?
0:35:30 > 0:35:34I think the gas and air's making him feel a bit giddy now!
0:35:34 > 0:35:37You want me to grab the beanbag? I'll grab the beanbag.
0:35:37 > 0:35:39You support him under there. Argh!
0:35:39 > 0:35:42Keep taking that every single breath.
0:35:44 > 0:35:45Well done.
0:35:45 > 0:35:49Don't worry about that. Don't worry. You're fine.
0:35:49 > 0:35:53'Jayden's coping well, and now the vacuum splint's in place,
0:35:53 > 0:35:55'the worst is over.
0:35:56 > 0:35:59'They need to slide Jayden onto the scoop stretcher
0:35:59 > 0:36:01'to get him into the ambulance.'
0:36:05 > 0:36:07This is just to be able to get you out again.
0:36:09 > 0:36:11Shuffle down a little bit.
0:36:17 > 0:36:20Put your head down.
0:36:24 > 0:36:27How old are you, Jayden? 12.
0:36:30 > 0:36:35You normally run around, play football and all the rest? Normally, I sit down inside.
0:36:35 > 0:36:38'The gas and air is doing its job.
0:36:38 > 0:36:41'Jayden's feeling well enough to tease Mum about what's happened.'
0:36:41 > 0:36:46I was tidying up the lounge and I tried to move
0:36:46 > 0:36:48and my knee went like that.
0:36:48 > 0:36:50Badly.
0:36:51 > 0:36:56Mum was hoovering, so I kept moaning and moaning then she came.
0:36:56 > 0:36:57LAUGHING
0:36:57 > 0:37:02I was waiting for "It's Mum's fault for making me tidy the lounge!"
0:37:02 > 0:37:06Yeah, it's Mum's fault for making me tidy up the lounge.
0:37:06 > 0:37:10He's definitely going to milk this one.
0:37:10 > 0:37:13I'm sure. For a long time.
0:37:16 > 0:37:18'Once inside A, the crew can hand Jayden over
0:37:18 > 0:37:22'to the safe hands of Sister Kerry Gilbert and her team.'
0:37:22 > 0:37:25He was still in pain when we got there.
0:37:25 > 0:37:29He's had Entonox as well. He's now pain scoring at two.
0:37:29 > 0:37:32INAUDIBLE
0:37:32 > 0:37:36'The knee will be X-rayed to make sure it's back in the right place
0:37:36 > 0:37:39'and there are no other injuries.'
0:37:45 > 0:37:49'Doctors confirmed that Jayden's knee had been dislocated,
0:37:49 > 0:37:52'but it had popped back into place.
0:37:52 > 0:37:55'The pain was caused by his muscles going into spasm.
0:37:55 > 0:37:59'He's made a full recovery and he has no excuse not to help his mum
0:37:59 > 0:38:03'next time she needs the front room tidying.
0:38:04 > 0:38:08'Hannah was thrown by her horse onto a branch in the New Forest.
0:38:11 > 0:38:15'X-rays revealed that Hannah didn't suffer any broken bones.
0:38:15 > 0:38:19'However, a few days after the accident, she returned to hospital
0:38:19 > 0:38:23'with breathing problems caused by serious bruising.
0:38:23 > 0:38:27'It took her friend two hours to find her horse, which had bolted
0:38:27 > 0:38:30'after being spooked by New Forest ponies.'
0:38:39 > 0:38:43'Ten weeks after suffering a second heart attack in three years,
0:38:43 > 0:38:48'Mario is well enough to go and thank the paramedics who helped save his life.'
0:38:48 > 0:38:50Hello. Angels without wings!
0:38:50 > 0:38:54'Rapid responder Matthew Smith was the first paramedic to arrive
0:38:54 > 0:38:58'and took over chest compressions from Mario's wife, Gill.
0:38:58 > 0:39:00'It's an emotional reunion.
0:39:00 > 0:39:06'Matthew worked on Mario alone until the ambulance crew arrived with advanced life support.
0:39:06 > 0:39:11'None of the crew expected to see Mario looking so well so quickly.'
0:39:11 > 0:39:14How are you doing? I'm all right. How are YOU doing?
0:39:14 > 0:39:19I'm...as good as can be. You look a lot better than you did in hospital!
0:39:19 > 0:39:23I think I was a better shade of blue. How are you doing? Very well.
0:39:23 > 0:39:25Yourself? I'm OK now.
0:39:25 > 0:39:30'Paramedic Kelvin Crocker remembers the lengthy battle to restart Mario's heart.'
0:39:30 > 0:39:32We gave him three or four shocks
0:39:32 > 0:39:36before we got him back the first time.
0:39:36 > 0:39:38We had him back for two or three minutes.
0:39:38 > 0:39:42We were getting ready to move him at that point. He arrested again.
0:39:42 > 0:39:46Another shock and another cycle of CPR
0:39:46 > 0:39:49meant that we got him back again
0:39:49 > 0:39:52and this time, he stayed - he stayed with us.
0:39:52 > 0:39:56'Mario was taken to the cardiac unit at Bournemouth Hospital,
0:39:56 > 0:39:58'where he had two new stents fitted
0:39:58 > 0:40:02'to restore the blood flow to his arteries.
0:40:02 > 0:40:04'Mario's heart arrested twice that night,
0:40:04 > 0:40:07'making his recovery all the more remarkable.'
0:40:07 > 0:40:11By the time I arrived on scene, Mario had been in cardiac arrest
0:40:11 > 0:40:13for about 11 minutes.
0:40:13 > 0:40:16Normally, the statistics turn round and say
0:40:16 > 0:40:21it's about eight minutes in cardiac arrest when people do not come back.
0:40:21 > 0:40:25Considering the amount of time he was down, his recovery was amazing.
0:40:25 > 0:40:29'Marion knows Gill played a vital role in his survival.'
0:40:29 > 0:40:33I was so grateful to my wife, looking back,
0:40:33 > 0:40:35the work that she's done
0:40:35 > 0:40:39and the immediate response that she took at the time
0:40:39 > 0:40:45which, no doubt, saved...saved my life, there's no question of that.
0:40:45 > 0:40:47'Gill never thought she could do it.'
0:40:47 > 0:40:51If that had been a stranger there,
0:40:51 > 0:40:53I probably could have coped far, far better.
0:40:53 > 0:40:57But because it was my world laying there,
0:40:57 > 0:41:00I um... I went totally to pieces.
0:41:00 > 0:41:04'The call handler's calm instructions were crucial.'
0:41:04 > 0:41:07The lady on the end of the phone saved Mario's life.
0:41:07 > 0:41:10And the paramedics saved Mario's life. It wasn't me.
0:41:10 > 0:41:17I love my job. I do it because I feel it's a worthwhile job to do.
0:41:17 > 0:41:20It's nice to know that it's appreciated because...
0:41:20 > 0:41:24the serious calls are ones that we really need to take control of.
0:41:24 > 0:41:27There's so much happening.
0:41:27 > 0:41:30It's nice to know that they're worthwhile calls,
0:41:30 > 0:41:33that it's got a good outcome.
0:41:33 > 0:41:36'Mario suffered some short-term memory loss,
0:41:36 > 0:41:39'but after a couple of months convalescing, he's back at work.'
0:41:39 > 0:41:44We're trying, as much as we can, to get back doing what we used to do.
0:41:44 > 0:41:47I haven't done any of my astronomy, which I loved.
0:41:47 > 0:41:49I want to get back into that.
0:41:49 > 0:41:54Everything now happens to be more sedentary than it was before.
0:41:54 > 0:41:57We'll be down the quay, parked up, watching the ships go by.
0:41:57 > 0:42:02Sounds like pensioner's heaven with seagulls, but there we are.
0:42:02 > 0:42:04That's what we're doing, just taking life easy.
0:42:06 > 0:42:12What have you got to say to these guys? I want to say a big thanks to Gill and all you guys.
0:42:12 > 0:42:17And Dr Tower and his team at Royal Bournemouth, really for...
0:42:17 > 0:42:21I don't know. I went in Thursday and they threw me out on Sunday!
0:42:21 > 0:42:24It was pretty good going. They had enough of me.
0:42:24 > 0:42:26Thanks very, very much.
0:42:26 > 0:42:31I could say, "Thanks, from the bottom of my heart," but I won't say that.
0:42:31 > 0:42:33LAUGHTER
0:42:41 > 0:42:47The response of the emergency services to Gill when Mario was having his heart attack
0:42:47 > 0:42:51leaves us in no doubt the call handlers aren't only taking calls.
0:42:51 > 0:42:53They're a key part of the emergency response
0:42:53 > 0:42:57and are instrumental in saving lives every day - quite a job!
0:42:57 > 0:43:00That's it for today on Real Rescues. See you next time.
0:43:06 > 0:43:10Subtitles by Red Bee Media Ltd
0:43:10 > 0:43:12E-mail subtitling@bbc.co.uk