Episode 14 Real Rescues


Episode 14

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Today on Real Rescues, the race to save a cow and its unborn calf.

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You need to lay flat on your belly and put your arm down alongside her torso.

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The heifer's stuck in six feet of slurry

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and it's starting to give birth.

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Two men are pulled from the sea, moments from drowning.

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Rescue workers battle to save them.

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And a 999 call - a fire at a pub.

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The thatch is alight, as customers drink inside.

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Hello and welcome to Real Rescues.

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Throughout this series we've followed the work of the police, fire and rescue, ambulance

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and coastguard

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and within the services there are many specialist units,

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trained to cope with more unusual emergencies.

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For example, the fire and rescue service has experts trained to deal

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with incidents involving animals.

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Today, we're going to an extraordinary rescue,

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one the animal specialists will never forget.

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The fire and rescue service are needed at a farm just outside Winchester.

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A valuable animal is in danger.

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A desperate sight greets them - a cow is struggling to stay alive

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after falling into six feet of slurry.

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There's not just one life at risk here - this heifer is pregnant.

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What's worse, it's all happening as it was being moved to give birth.

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This animal's been in labour for two hours.

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Animal specialist Anton Phillips and his crew will have to work

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in liquid animal waste to free the heifer.

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The cow was really wound up.

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You can tell by looking in their face, looking in their eyes,

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and this particular heifer, she was really upset, really wound up

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and probably really scared.

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The plan is to pull the animal out with straps.

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They will operate on inflatable pathways to minimise their exposure to the slurry.

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Got to slide it down. Literally just guide this across now.

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You're in.

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The environment is full of flies. The smell is horrendous.

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In fact, it gets into absolutely everything.

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Those suits will smell for weeks afterwards.

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It's a very difficult environment in which to work.

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Just gently, gently.

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First, the heifer must be sedated.

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All right, cow. All right, cow.

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A frightened animal like this could kill with one kick.

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Good girl, good girl.

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In a human emergency, you can normally reassure a casualty.

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Because it's an animal, we had no way of saying, "Calm down,

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"help is on the way."

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Good girl.

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Weighing around 600kg, in water, in fluid,

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potentially, that cow could bring one of us down and drown one of us

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or several of us.

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We needed a very decent amount of sedative.

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Vet Pete Platt has to get all of the tranquilliser in.

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Two jabs and it's done.

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Good girl.

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He has only moments to put on the head restraint

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which will keep the heifer's head out of the slurry.

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The crew have just 45 minutes to get this animal out of the slurry

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and then remove its unborn calf.

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Duncan, you're going to need to lay flat on your belly

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and put your arm down alongside her torso.

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It's the worst job.

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With their arms at full stretch, they try to pass the strops under the animal.

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The stench is almost overpowering.

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Yeah. But even with a strop guide to help them,

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locating the strop ends is proving desperately difficult.

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Finally, success.

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Just check - is it behind her front legs, guys?

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Behind her front legs and nice and tight?

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And then we're going to try and slide her up onto a path.

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Yeah. We're going to need a tractor to pull it.

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With the help of a tractor, the heifer is inched onto the inflatable pathway.

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Once on board, they can now pull it to the base of a concrete ramp.

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Stop, stop! Right, stop.

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Anton wraps a sheet around the heifer's head

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to protect its eyes from the gravel.

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Bit more, then. Go on.

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It's then moved onto a rescue mat.

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Just there. Lovely, OK.

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The pressure is on. To save this animal, they have to get her calf out

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and do it before the sedative wears off.

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That'll do for a minute.

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Hang on. She's waking up, boys and girls.

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We felt really pressured because we could hear people saying in the background,

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"15 minutes, 10 minutes.

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"Come on, guys, we've got to be quick."

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Then a worrying discovery. The calf's hooves are visible.

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The protective sac around the calf has been broken.

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Cow man Pat Wilcox knows both calf and mother have been exposed

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to the toxic slurry.

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The risk of infection is high.

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I remember talking to Pat and saying, "There's no hope.

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"This isn't going to be alive. No way."

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Pat's not going to give up on one of his prize heifers.

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Later, cow man Pat fights to save the mother and the calf.

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Air-sea rescue at Lee-on-Solent.

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There's an emergency on the Sussex coast.

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On duty, winch man and paramedic Alf Kitwood.

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The pilot heads east. They're going to West Wittering,

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a popular beach, especially at the height of summer.

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The coastguard is reporting a group of people in trouble in the water.

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A call came through for multiple casualties in the water

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off Wittering's beach, which is something not the norm,

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so quickly into the aircraft and en route.

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We're trying to fathom out exactly what was going on.

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At least one person is reported as unconscious and not breathing.

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It's early evening but the beach is still packed.

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It's impossible for the helicopter to land

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but they can't delay this rescue.

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I needed to get down on the beach as soon as possible.

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Looking down onto the beach, it was incredibly busy.

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It was packed out for a summer's day.

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Couldn't find a space to land, so the pilot elected to winch me down over the sea

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and then manoeuvre into a position to put me onto the edge of the beach.

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Recorded on Alf Kitwood's helmet camera,

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a group of people is seen huddling around a man on the sand.

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He's too weak to move but he is breathing, thanks to the lifeguards.

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An ambulance crew is already on the beach.

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Paramedic Steve Andrews brings Alf up to date.

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RADIO: Go ahead.

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Alf goes to check the second casualty.

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It's clear the two casualties were just moments from drowning

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when they were pulled from the water by a vigilant jet-skier

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and trained lifeguard.

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I noticed there was a dark shadow in the water.

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It wasn't until I was about five to ten metres away

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that I realised it was actually a body face down in the water.

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So I approached him, I grabbed an arm,

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swung him onto the back of my jet-ski.

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I had to rope in a member of the public as well

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to help me clamp him onto the back of the rescue sled.

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But James' work is not over. There's another man in trouble.

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As I did this, I noticed there was a second casualty in the water,

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probably another ten, 15 metres further out

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into the middle of what we call The Trench.

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This guy was face down on a body board.

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His head was out of the water,

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so immediately, it was my priority to get the first one in as quickly as possible.

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When I pulled the first guy out, there was really no response.

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Sort of foaming at the mouth, sort of spluttering,

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but there was no breath there.

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Now James has to go back to rescue the second man.

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I grabbed his arm. He was very limp, sort of semi-conscious.

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As we got back onto the beach, we lifted him up the beach a little bit, clear of the water,

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and then set him down in the recovery position,

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where he proceeded to be sick

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but at that point, he was still breathing.

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Both men are breathing but not out of danger

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and suddenly reports come through there could be a third person in cardiac arrest.

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PEOPLE SHOUTING

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Coastguard volunteers continue the search for the third man,

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leaving air paramedic Alf to organise airlifting the two known casualties to hospital.

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Take them further back. OK, I got it, yes.

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He needs the helicopter back urgently

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but there are still crowds of people on the beach.

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Alf gets everyone organised to act as soon as the helicopter lands.

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He radios for the helicopter.

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Later, as the casualties are airlifted to hospital,

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one of them takes a turn for the worse.

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My casualty required his airway supporting

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whilst en route down to the A department.

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The M27 stretches for 25 miles along the south coast.

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Like most weekday mornings, at 8am it's busy

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and today, there's an emergency.

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The nearest ambulance is on its way.

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On board, technician Stacey Smith

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and emergency care assistant Jordan Gablin.

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HORN BEEPS, SIREN WHOOPS

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We've just passed the incident on the opposite side of the road.

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I can see one car up against the barrier.

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There are several resources there already - the police, the fire

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and one of our RVs as well.

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Traffic is at a complete standstill.

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Four vehicles have been caught up in the shunt.

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All attention is on the driver of the silver car.

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She is a 27-year-old female.

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Bringing Stacey up to date is student paramedic Jade Foley,

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who stopped on her way to training.

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And instantly winded, unable to get out of the vehicle.

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I was walking towards the crash.

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The policeman was telling me to go back to my car

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and when I shouted to him that I was ambulance service,

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he beckoned me over, so I knew that something was wrong.

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It's the first time Jade has worked alone.

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And lungs are clear, SATS at 79%.

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But she's trained with senior paramedics for two years

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and seen many accidents.

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Maria was complaining of quite severe back and neck pain

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and a really nasty headache.

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So I just sat with her and tried to calm her down

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because she was obviously quite upset and shocked by what had happened.

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I just tried to calm her down.

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The car was travelling at about 60mph

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when it went into the car in front.

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The priority is to get the driver out of the car as quickly and safely as possible.

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The fire crew soon have the roof off.

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The woman is complaining of considerable pain

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and Jade goes in to reassure her.

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The driver has been given an injection of morphine.

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She's also taking gas and air.

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Shane, do you want her on the scoop? Are we going to transfer her onto the scoop?

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So shall we get her onto the stretcher

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and then we'll just scoop it and lift it?

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The car has taken quite an impact

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and the woman's pain levels are high.

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Emergency care practitioner Mark Ainsworth Smith is on site,

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as well as the ambulance crew.

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They'll work together to get her out.

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The back board slides in first,

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so the injured driver can be carefully lowered to a horizontal position.

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All the time, trainee Jade is by her side,

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letting her know what's happening.

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Ready, brace and lift.

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Finally out of the car, ambulance technician Stacey takes over.

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Hello. Maria, we're just going to get you onto yet another stretcher.

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All right? There's two pieces that come in either side of you.

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It feels a bit strange but you're perfectly safe.

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On roll. Ready, set, roll.

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OK. And back. Ready, set, back.

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ECP Mark regularly trains students like Jade

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but usually in the classroom.

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Well done, Maria. You've done really, really well, OK?

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These guys were on their way to trauma training.

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Wow! You don't need to go now.

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The first aid's really boring because I teach it.

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Is that where you're supposed to be?

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With the blocks taped firmly in place,

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the driver is now completely secure.

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Her spine is completely immobilised. There is no risk of further injury.

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If you do feel sick, tell us straightaway, OK?

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We've given you something to stop you feeling sick

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but if you're lying like this and you start vomiting,

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that's a concern for us and you must tell us straightaway. OK.

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We'll get you in the back of the ambulance.

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It'll be much warmer in there.

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It's the end of the driver's car and her day at the office.

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Her husband has been told and is meeting the ambulance at the hospital.

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She's got a good radial pulse. Yeah, yeah.

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After a quick consultation with Mark,

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they can leave for the hospital.

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Yeah, we're happy, then. Yeah, thank you.

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Give us a shout if you need anything. All right, will do.

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We're just about to turn into the hospital now, all right?

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The pain relief is working.

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The woman is feeling much more comfortable, even though she's strapped to a long board.

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Inside, the casualty will be x-rayed and examined fully

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to discover what injuries she's suffered.

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Here's an interesting thing.

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Not everybody who calls in to ask for help can speak English

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and that presents a problem.

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If Cat's not on a call... Are you all right to talk? Yeah.

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So what do you do when somebody calls in but can't speak English?

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They must be really panicked to be calling at all.

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Yes, we've had several calls from people who don't speak the language.

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For instance, I had a call from a Chinese gentleman

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whose wife was in a lot of pain

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but all I could get from him was the address and the postcode.

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OK. And can you hear her in the background?

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Yes, she was crying out. You could tell she was in a lot of pain.

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So this sounds like a serious call.

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Is it easy to establish what language they do speak?

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Because if they don't speak English, then you asking, "What language?" is kind of...

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It's not always easy but we do get there eventually. OK.

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So you had a pretty good idea this person was Chinese,

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even if he couldn't tell you. Yeah.

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So what do you do then? How do you go about getting that specialist knowledge and help?

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Well, we have a special phone number for this - the Language Line.

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If you come round, on the screen you can see there's different kinds of services

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available to the call-takers here.

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And this one here is Language Line.

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So you fire onto that one. Yeah and it gives us the phone number, which we would call,

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and we give them a code that lets them know it's the ambulance service calling

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and they would find an interpreter for us.

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And they can find pretty much any language? Yes, pretty much.

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And then the person comes on.

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Will they just translate in one direction

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or will they stay on the line and help out?

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We do an assessment with the patient,

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so we'd have the interpreter on the line

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and they would translate the questions for us, into Chinese, in this case.

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OK. What happens if, say, the paramedics that work in here

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need to come on and give information?

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Will that person help with that? Yeah, they would give all the advice that we need to give them.

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So what happened to the Chinese lady?

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It turned out she had quite bad stomach pains

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and she was taken to hospital and treated. OK.

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Reassuring that no matter what language you speak,

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you'll get understood if you call through. Yeah. Smashing, thank you.

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Still to come on Real Rescues.

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40 fire-fighters battle to save a 400-year-old pub

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from a thatch fire.

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We were just having a breather when we noticed smoke had started again.

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And emergency hospital staff stand by to treat two men

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pulled from the sea unconscious and not breathing.

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All right, that'll do for a minute. Right.

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At a farm in Hampshire, a cow man is fighting

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to save the life of a heifer which bolted into a slurry pit

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as it started to give birth.

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The rescue operation has been going on for two hours.

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The heifer's been dragged out of the pit

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by animal rescue specialists

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but now Pat Wilcox knows that to save its life,

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they might have to sacrifice the calf.

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It's taken us two years to get her to that stage.

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If we lost her at that point,

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we've not only lost between 1,600 and 1,800 quid

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but we've lost all the time and effort it goes to get her there.

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And, you know, she was going to be part of our future.

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The heavily sedated heifer can't push the calf out,

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so Pat uses a mechanical device.

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With the pulling power of five men,

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it takes all of his experience to use it safely.

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We're checking all the time that we're not pulling too tight

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but at the same time, we're trying to do everything as quickly as we can

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because we've got a heifer that's flat out on the floor

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that really needs to be in a box on some straw

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and being looked after properly.

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The rescue is now all about saving the heifer.

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No-one believes a half-born calf can survive this ordeal.

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They really want to get this calf out of this cow really quickly.

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Dead or alive, it's got to come out to enable the cow to survive.

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To get the calf and win that one would have been a bonus.

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We knew it was going to be a busy few days. That's still going. That's still going.

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Then suddenly, something happens that takes everyone by surprise.

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Come on. It's alive!

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Yeah, she's alive.

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It looks brutal, but to get this calf to breathe on its own,

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they need to dislodge any fluid in its lungs.

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Got to survive now, hasn't it?

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Go on.

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You've never had such an audience.

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It's going. Then it happens. It's going. Yeah!

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It takes its first breath. Oh, excellent.

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Excellent. That's a miracle. It is a miracle. Yes.

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I felt emotionally relieved.

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After having worked with cattle all my life,

0:20:500:20:53

it really did sort of pull at me a little bit.

0:20:530:20:57

So, yeah.

0:21:000:21:01

A heifer calf means it will live out its life on the farm

0:21:080:21:11

as part of the milking herd.

0:21:110:21:13

Now all attention turns to the mother.

0:21:130:21:16

The sedation will wear off any minute.

0:21:160:21:18

They need to get her somewhere familiar and comfortable.

0:21:180:21:21

It may be undignified but it's the safest and quickest way to move the animal.

0:21:230:21:28

Back in the barn, the heifer is given an antidote to counter the effects of the sedative.

0:21:310:21:36

Just because she's dangerous? Yeah, oh, yeah.

0:21:400:21:43

15 minutes later and the new mother is back on its feet.

0:21:430:21:47

The fire-fighters on scene were really quite emotional at that stage.

0:21:470:21:51

There were one or two there with the odd tear in their eye

0:21:510:21:55

and I thought, "Yeah, we've pulled this one off by sheer luck."

0:21:550:21:58

They're fantastic guys. They've got the kit, they've got everything

0:21:590:22:04

that was needed to perform the rescue

0:22:040:22:06

and we couldn't have done it without them.

0:22:060:22:08

And when it comes to naming the newborn,

0:22:090:22:11

inspiration came from the fire-fighter in charge of the operation - Anton.

0:22:110:22:13

inspiration came from the fire-fighter in charge of the operation - Anton.

0:22:130:22:15

Initially they were going to call it Antoinette,

0:22:150:22:18

which I thought was hysterical,

0:22:180:22:20

but I understand they're probably going to call it Lucky,

0:22:200:22:23

and quite rightly.

0:22:230:22:24

Later, Lucky and mum continue to amaze their rescuers.

0:22:280:22:33

We're used to dramas on the farm

0:22:330:22:35

and we try and handle it in as calm a way as we can.

0:22:350:22:38

This area of the room is where 111 calls are answered.

0:22:420:22:46

They recently had a call from a mother whose baby was coughing.

0:22:460:22:49

It wasn't serious, which is why she dialled 111,

0:22:490:22:51

but she was worried about the child.

0:22:510:22:53

After a little while on the phone, though, that child then started to choke,

0:22:530:22:57

at which point a clinician is needed to explain how best to deal with chocking.

0:22:570:23:02

I haven't seen before how to deal with that,

0:23:020:23:05

so Mark's come along with the mannequin of the baby to explain.

0:23:050:23:08

When you get involved in a conversation like that

0:23:080:23:10

and the child is choking, how can you clear the airways of the baby?

0:23:100:23:14

OK, as long as the baby is fighting for breath, is still breathing,

0:23:140:23:18

the easiest is the way we do it. This is the way we tell everyone to do it.

0:23:180:23:22

Pop the baby on your forearm like this, supporting the head with your hand

0:23:220:23:26

to make sure it's nice and safe - you don't want to drop it.

0:23:260:23:29

And then you give five sharp back slaps with the hard part of your hand

0:23:290:23:33

and it's as hard as this.

0:23:330:23:34

FIRM THUDDING

0:23:340:23:37

Now, if that clears it, fine. If not, turn the baby over...

0:23:380:23:42

I'm surprised how firm that was, actually.

0:23:420:23:44

That really was quite... Yeah, it's got to be firm to clear the blockage

0:23:440:23:48

because we need to clear the blockage - it's an emergency situation now.

0:23:480:23:51

We want the airway clear. The baby won't cope without it at all.

0:23:510:23:54

Turn the baby on the back if it's still struggling for breath

0:23:540:23:57

and using two fingers, between the nipples, you press down five sharp times again.

0:23:570:24:02

And you continue that routine until the blockage has come out

0:24:060:24:10

or until an ambulance crew turns up or help turns up.

0:24:100:24:13

Now, obviously, although the mother dialled 111,

0:24:130:24:16

this has obviously become very serious.

0:24:160:24:18

As soon as the word choking is used...

0:24:180:24:20

Yeah, a life-threatening situation. The ambulance is dispatched and you are brought in as a clinician.

0:24:200:24:24

At this point, the mum said she thought the baby was turning blue.

0:24:240:24:27

That's a different kettle of fish again, isn't it? Absolutely.

0:24:270:24:30

We would give her advice on how to do CPR,

0:24:300:24:32

which is basically chest compressions.

0:24:320:24:34

And that's different for a baby than it is for an adult? Yeah.

0:24:340:24:37

The problem with doing CPR on babies is there's a lot of soft tissues.

0:24:370:24:41

You've got to be careful about giving soft tissue injuries around the kidneys and stomach,

0:24:410:24:46

so, yeah, it's a different procedure.

0:24:460:24:47

We'll demonstrate this but bear in mind this is something that must only be used

0:24:470:24:52

if you're given instruction by an expert on what to do. Absolutely.

0:24:520:24:54

It's not something you should attempt on your own.

0:24:540:24:57

But to get an idea... This is what we'd ask people to do

0:24:570:25:00

that have no experience and have not been trained in any way. OK.

0:25:000:25:03

So what we're going to do, lie baby on a hard surface.

0:25:030:25:06

You need to pop a little towel or a tea towel between the shoulder blades

0:25:060:25:09

because what you need is that completely level along there

0:25:090:25:12

because the baby's physiological build is different than an adult.

0:25:120:25:15

And then again, between the nipples,

0:25:150:25:19

you do about 100 to 120 compressions a minute.

0:25:190:25:22

So one and two and three and four and one and two and three and four

0:25:220:25:26

and one and two and three and four.

0:25:260:25:28

And you keep doing that until the ambulance crew turns up.

0:25:280:25:30

It's very fast. It's got to be fast.

0:25:300:25:33

What we're trying to do now is to get all the blood perfusion round to parts of the body,

0:25:330:25:38

and most important is the brain.

0:25:380:25:40

And babies' hearts do seem to beat very fast - 100 to 120 beats per minute.

0:25:400:25:45

It's 100 to 120 a minute

0:25:450:25:47

and you'd keep doing that until assistance turns up.

0:25:470:25:50

OK, so there you go.

0:25:500:25:51

If the baby's choking, we've given you an idea of how to clear that choking

0:25:510:25:54

but you always dial 999 and a clinician like Mark or someone like Mark will be here

0:25:540:26:00

to talk you through it.

0:26:000:26:01

This isn't something that you should just go for yourself.

0:26:010:26:04

You need medical advice but hopefully that might be of some use in the future.

0:26:040:26:08

Mark, thank you very much. Thank you.

0:26:080:26:10

A major rescue operation is underway at West Wittering beach in Sussex.

0:26:160:26:20

Two men have been dragged from the sea, moments from drowning.

0:26:200:26:23

The coastguard helicopter is preparing an emergency airlift to hospital.

0:26:230:26:27

Both men are in a critical condition.

0:26:270:26:30

They each need a paramedic to travel with them.

0:26:300:26:33

A third casualty has now been found.

0:26:520:26:54

He's not in cardiac arrest but is on his way to hospital by ambulance.

0:26:540:26:59

Now the beach is clear, the helicopter comes in to land.

0:27:070:27:09

Alf wastes no time as he heads off to get the stretcher for the first casualty.

0:27:130:27:17

But the man is still vomiting.

0:27:220:27:23

It's too unsafe for him to travel on his back.

0:27:370:27:39

They work quickly to get him onto the stretcher.

0:27:430:27:45

They're keeping him in the recovery position.

0:27:450:27:48

Ready?

0:27:550:27:56

The first casualty, the second to be pulled out of the water,

0:27:580:28:01

is loaded onto the helicopter.

0:28:010:28:03

The second follows shortly after.

0:28:090:28:12

There is little room to look after these two very sick patients.

0:28:140:28:17

They're both connected to life support equipment.

0:28:170:28:20

During the transit, I was looking after the second casualty,

0:28:240:28:28

who wasn't very well.

0:28:280:28:30

He was breathing very shallowly

0:28:300:28:32

and at times I had to assist the breathing

0:28:320:28:34

using an apparatus called a bag and mask.

0:28:340:28:36

The second casualty was being looked after by the ambulance paramedic.

0:28:360:28:41

Again, in very similar condition.

0:28:410:28:44

The two men need to be continually monitored throughout the five-minute flight to hospital.

0:28:440:28:49

It's demanding work, especially for paramedic Nicola,

0:28:490:28:53

who's working in an unfamiliar environment.

0:28:530:28:55

The ambulance paramedic did a fantastic job

0:28:590:29:02

because, for me in the back of the aircraft, it's where I work,

0:29:020:29:04

it's my office, if you like.

0:29:040:29:06

For the ambulance paramedic to do such a fantastic job

0:29:060:29:09

in the back of the aircraft was tremendous

0:29:090:29:12

and I'd say well done to her.

0:29:120:29:14

The emergency department at Queen Alexandra Hospital in Portsmouth

0:29:170:29:20

are ready and waiting as the helicopter touches down.

0:29:200:29:23

The hospital staff will take both casualties straight into resus.

0:29:280:29:32

But one man's had to come off his board

0:29:370:29:40

and getting him out isn't straightforward.

0:29:400:29:42

Can we get these things out the way?

0:29:420:29:44

But Nicola and Alf quickly manoeuvre him back onto the board

0:29:440:29:48

and out of the helicopter.

0:29:480:29:50

Alf deals with his patient and both men are wheeled to resus.

0:29:540:29:59

But Alf's patient is deteriorating.

0:29:590:30:02

After landing on the helipad at QA Hospital,

0:30:020:30:05

my casualty required his airway supporting whilst en route down to the A department.

0:30:050:30:11

Alf continues to monitor his airways until handing over to staff

0:30:130:30:17

in resus.

0:30:170:30:19

The man is now going to get the best possible care

0:30:220:30:25

but his chances of survival are still in the balance.

0:30:250:30:28

Later, more details of the men's condition.

0:30:290:30:32

It's mid afternoon. A 999 call comes through to the control room

0:30:370:30:41

at Cheshire fire and rescue.

0:30:410:30:43

Barmaid Ann has raised the alarm.

0:30:530:30:55

It's a bank holiday Monday and the pub is packed.

0:30:550:30:58

While Ann is on the phone to the emergency services,

0:31:060:31:09

landlady Laura is trying to get through.

0:31:090:31:12

It was a bank holiday Monday, April Fool's Day,

0:31:120:31:14

and I'd called here on the landline to see how busy they were,

0:31:140:31:19

to see if they needed me back straightaway.

0:31:190:31:21

Ann Yates, who was on the bar for me, said,

0:31:210:31:24

"You need to come back, the pub's on fire."

0:31:240:31:26

Every year on April Fool's Day

0:31:260:31:29

somebody tells you that your thatched building is on fire.

0:31:290:31:32

So my first initial thought was, because I was two minutes away from here,

0:31:320:31:36

is to get back here and shout at whoever's made it up.

0:31:360:31:40

Laura is heading to the pub while another 999 call comes in.

0:31:420:31:46

This fire is for real.

0:31:460:31:48

'Thanks. Bye-bye.'

0:32:100:32:11

A total of 40 fire-fighters from seven stations are needed.

0:32:110:32:15

As one team pour water onto the fire around the chimney stack,

0:32:150:32:19

another team make a firebreak in the thatch.

0:32:190:32:22

It was a well-developed fire

0:32:220:32:24

and there were quite a lot of crews in attendance already

0:32:240:32:27

and there was members of the public stood nearby.

0:32:270:32:31

The next job is removing all the burning and smouldering thatch.

0:32:310:32:35

Thatch is obviously designed to repel water because it's part of a roof.

0:32:350:32:39

The only way to stop the fire spreading is

0:32:390:32:42

to remove all the thatch.

0:32:420:32:44

The only way to get it off the roof

0:32:440:32:46

is to physically have people working off ladders,

0:32:460:32:49

actually dragging it off with implements we call stack jacks,

0:32:490:32:52

their bare hands, axes,

0:32:520:32:55

otherwise the fire will spread either through it or underneath it

0:32:550:32:58

and whilst you're still removing it,

0:32:580:33:00

the fire will be starting to burn past you

0:33:000:33:02

and on parts of the roof that aren't affected.

0:33:020:33:05

At seven in the evening, after three hours of hard work,

0:33:050:33:09

the fire-fighters are confident they've put it out.

0:33:090:33:11

Three hours into the incident,

0:33:110:33:14

there was no smoke showing, there was no flames.

0:33:140:33:16

We'd taken most of the thatch off half the building

0:33:160:33:19

and we were having a breather

0:33:190:33:20

when we noticed smoke had started again at the hip joint of the other part of the roof,

0:33:200:33:24

so we scrambled to make sure that was out.

0:33:240:33:26

It just shows you the nature of thatch fires.

0:33:260:33:29

You can never be completely sure they're out

0:33:290:33:33

until you've absolutely uncovered everything.

0:33:330:33:35

Crews stayed on, dampening down the thatch,

0:33:350:33:37

supported throughout by the local community.

0:33:370:33:40

They were amazing. The farmers were here until 1am,

0:33:400:33:44

moving with a loader all the thatch that was on the road.

0:33:440:33:47

There were people from the church bringing cakes and soup for the fire brigade.

0:33:470:33:52

People that live in the village were coming to help that night.

0:33:520:33:55

The local community police officer finished his shift,

0:33:550:34:00

came back with his wife to help.

0:34:000:34:02

It was just amazing.

0:34:020:34:03

With most of the rescue efforts focused on fighting the fire,

0:34:030:34:07

a specialist salvage team helped Laura get ancient valuables out of the pub.

0:34:070:34:12

This building's almost 400 years old

0:34:120:34:14

and there's things that will never be replaced if they're removed or burnt.

0:34:140:34:18

So they were amazing and they got out as many as they could.

0:34:180:34:22

They were taking pictures off the walls.

0:34:220:34:25

We was conscious from a very early stage

0:34:250:34:27

that the nature and the age of the pub were very important.

0:34:270:34:31

It's also an important focal point to the local community

0:34:310:34:33

and sometimes during an incident,

0:34:330:34:37

you have to look past actually resolving the incident

0:34:370:34:40

because the first actions are to save life and protect property.

0:34:400:34:44

But you've also got to consider the impact of any fire on the community.

0:34:440:34:48

Half a Guinness? Right.

0:34:480:34:50

It means a lot to a lot of people,

0:34:500:34:52

so it's not just me and my husband and family and staff

0:34:520:34:56

that were upset from the fire - it's everybody else.

0:34:560:35:00

They've had their weddings, their christenings,

0:35:000:35:02

everything here, over 40, 50, 60 years.

0:35:020:35:05

It took four months to restore this 400-year-old building

0:35:050:35:09

to its former glory.

0:35:090:35:10

The fire was thought to have been caused

0:35:130:35:15

by embers from the ancient fireplaces.

0:35:150:35:17

They've had to be replaced

0:35:170:35:19

but their character has been preserved.

0:35:190:35:22

It's a grade two star listed building,

0:35:220:35:24

so it needed to be perfect, as perfect as it was,

0:35:240:35:27

so it needed not to be apparent that there'd been a problem inside.

0:35:270:35:31

It had to look as it did before.

0:35:310:35:33

6.30 in the morning.

0:35:430:35:45

Jade Foley, now a fully qualified paramedic, is on duty with Lindsey Thompson.

0:35:450:35:50

They're off to the first call of the day.

0:35:500:35:52

A 93-year-old man has been suffering all night with chest pains.

0:35:550:35:58

When the crew arrive, Leonard is not complaining.

0:35:580:36:01

And you've got no pain any more, Len? Not at the moment.

0:36:010:36:05

It's er... No. It's completely gone.

0:36:050:36:07

It's quite... It was more like a scorching pain than anything else.

0:36:070:36:11

Yeah? Quite uncomfortable. Very uncomfortable, yeah.

0:36:110:36:15

And during the night, I used the puffer, I suppose, four times at least. OK.

0:36:150:36:22

Which I hadn't used for months. Yeah.

0:36:220:36:26

He's been using a prescription spray and the pain is easing.

0:36:260:36:30

Did you take any pain relief last night or just the spray?

0:36:300:36:34

The puffer... Yeah. ..and er... Yeah.

0:36:340:36:37

Erm... paracetamol. OK.

0:36:370:36:41

The GTN spray works by dilating the arteries,

0:36:410:36:43

making it easier for the heart to work.

0:36:430:36:46

Was it just one you took or two? Two. Good. OK.

0:36:460:36:49

Even though the pain's gone now,

0:36:490:36:52

Leonard could still be having a heart attack.

0:36:520:36:54

It's impossible to tell without an ECG.

0:36:540:36:57

Couple of bumps, Len.

0:36:570:36:59

They need to get Leonard to hospital as quickly as possible.

0:36:590:37:02

Daughter Barbara is going with him for support.

0:37:020:37:04

Once Leonard's inside the ambulance, they can check out his vital signs.

0:37:070:37:11

All right if we put some sticky dots on your chest, Len?

0:37:130:37:15

You what, my dear? To have a look at your heart. Yeah, OK.

0:37:150:37:18

The ECG immediately shows up irregularities in his heart.

0:37:220:37:25

The chest pain could have been angina,

0:37:280:37:31

a narrowing of the vessels around the heart.

0:37:310:37:34

You can't just assume that he'll be OK, can you?

0:37:340:37:37

No, no. It's always better to have it checked out.

0:37:370:37:39

Once in hospital, they'll do blood tests,

0:37:390:37:42

as well as more ECGs to get to the bottom of what's happening to Leonard's heart.

0:37:420:37:45

Jade and Lindsey can get back on the road

0:37:500:37:52

and by chance, their next shout is to a 93-year-old with chest pains.

0:37:520:37:56

The call's come from a holiday park on Hayling Island,

0:37:580:38:00

where William is having a week by the sea.

0:38:000:38:04

It's William, is it? It is, yes. Right, William.

0:38:040:38:07

Tell us a bit about what's been happening.

0:38:070:38:09

It's the pain in his chest that's causing concern.

0:38:090:38:13

Well, the pain when I'm trying to get things up.

0:38:130:38:16

I get a pain right in here, where my heart is.

0:38:160:38:18

Right, how long has this been going on for?

0:38:180:38:20

It's only about a week, I think, yeah. Only?!

0:38:200:38:23

William's playing it down

0:38:230:38:25

but they have to take all chest pains seriously.

0:38:250:38:28

Point to where the pain goes. Well, it's there now. In here.

0:38:280:38:32

Not much, though. I try to be macho.

0:38:320:38:35

William's got a history of high blood pressure,

0:38:360:38:38

another cause for concern,

0:38:380:38:41

but he's reluctant to disrupt his holiday.

0:38:410:38:44

I don't want to go into hospital on my holiday.

0:38:440:38:46

Are you diabetic? No, I'm not. I'm very lucky, there.

0:38:460:38:51

Bill's away with his mate Fred.

0:38:510:38:53

They're related through their children's marriage.

0:38:530:38:55

We're father-in-laws to each other's... Father-in-laws, yeah, so...

0:38:550:38:59

Although he's never had any problems with his heart before,

0:38:590:39:02

they need to do an ECG in the ambulance

0:39:020:39:04

and make sure there's nothing sinister going on.

0:39:040:39:06

Think you're up to walking out there?

0:39:060:39:09

Oh, yes. Or shall we get you a chair?

0:39:090:39:11

No, no, I can walk. It's fine. We'll get you a chair.

0:39:110:39:14

They're not taking any chances.

0:39:140:39:17

So you live by the Dartford Tunnel? Yeah, about four miles away.

0:39:180:39:22

So you haven't got that pain at the moment? No.

0:39:220:39:24

Nothing. Everything's marvellous.

0:39:240:39:27

William's pain keeps coming and going.

0:39:270:39:30

He had an ECG about three months ago.

0:39:300:39:33

So they didn't find anything the last time they did one of these?

0:39:330:39:36

Bill, have you ever been told that you have an irregular heart rate?

0:39:360:39:41

No.

0:39:410:39:43

The ECG confirms that William needs a more thorough examination.

0:39:430:39:47

Bill, I know you're not going to like what I'm going to say.

0:39:470:39:51

No, go on and say it. I don't mind. I'm past worrying about anything.

0:39:510:39:55

Because you've got a bit of an irregular heart rate

0:39:550:39:59

showing on there,

0:39:590:40:00

and you've got no heart problems, no history of heart problems at all. No, I haven't.

0:40:000:40:05

So obviously, we don't know that that's normal for you.

0:40:050:40:08

It might well be but if you haven't been told that,

0:40:080:40:11

and we don't know, we need to get it checked out, really.

0:40:110:40:14

So it's going to be a little trip up to the hospital to get them to have a look at you.

0:40:140:40:18

Today? Mm, yeah.

0:40:180:40:20

It's the last thing he wants to hear.

0:40:200:40:22

Fred's going to keep him company. Anything for a ride.

0:40:230:40:26

And with any luck, he'll soon be out of hospital

0:40:260:40:29

to enjoy the rest of his holiday.

0:40:290:40:31

The two men who were airlifted to hospital

0:40:460:40:48

after they were rescued from the sea at West Wittering

0:40:480:40:50

have both made a good recovery.

0:40:500:40:52

One of the men was discharged the same day

0:40:520:40:54

but the second man was in intensive care for just under a week.

0:40:540:40:58

He didn't regain consciousness until four days after the accident.

0:40:580:41:03

The third man who was taken to hospital by ambulance

0:41:030:41:06

suffered no ill effects and was allowed home the same day.

0:41:060:41:09

The driver who had to be cut out of her car

0:41:120:41:15

after a crash on the M27 motorway

0:41:150:41:17

suffered whiplash and serious internal bruising.

0:41:170:41:20

She was off work for more than a week.

0:41:200:41:22

Paramedic Jade Foley was on her way to work

0:41:240:41:26

when she came across the accident.

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Still a student at the time, this was something of a first for Jade.

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It was the first time I'd ever been at an accident like that by myself

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without anyone standing behind me,

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telling me that I was doing something right or something wrong.

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That was the first time that I was treating somebody

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for a car crash without having anybody else clinical...

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I was the clinical person on scene.

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I was the one who was making decisions.

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And Jade's two older patients are both at home and doing well.

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Len's feeling much better

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and although Bill's undergoing tests to find out what's wrong,

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he simply puts it down to old age.

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Four weeks on, and this heifer calf and its mother are showing

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no ill effects after their dramatic rescue.

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In fact, they're barely recognisable.

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The unborn and its mother were saved from drowning in six feet of slurry.

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No-one was expecting the calf to live.

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Since then, both animals have made a full recovery.

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Once the calf was born and we'd put her in a box,

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we made sure they paired up,

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made sure that the calf got its colostrum

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and 24 hours later, she was coming through the parlour and milking as normal

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with no ill effects.

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We're used to dramas on the farm

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and we try and handle it in as calm a way as we can.

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Like her mother, the heifer calf, Lucky, will live out her life on the farm.

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I hope you found the rescue of the cow and her calf moo-ving.

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That's it for today's Real Rescues. See you next time.

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Subtitles by Red Bee Media Ltd

0:43:080:43:10

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