Episode 15 Real Rescues


Episode 15

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Today on Real Rescues...

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a delicate rescue operation in the treetops.

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HE YELLS

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A parachutist is stuck 60 feet up.

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Alfio is having a stroke.

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A drug could radically minimise the effects

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but is he well enough to be given it?

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We're just making a decision about thrombolysis now

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but he'll definitely have to come to the stroke unit.

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And a 999 call in the early hours, there's a fire in a house.

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A couple are trapped.

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Hello and welcome to Real Rescues

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and to the work of Britain's emergency services.

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Services which respond to our

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30 million 999 calls every year.

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The staff in here know that when lives may be at stake,

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it's vital no time is lost.

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Christchurch in Dorset.

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An ambulance is heading to one of the most urgent calls -

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a patient with a stroke. On board, Simon Trenchard.

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He's a senior paramedic who usually works alone.

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Today he's providing emergency cover alongside paramedic Wendy Woolgar.

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The crew don't yet have full details

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but a first responder is already at the house.

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Their patient is in his 70s.

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His symptoms are classic indicators of a stroke.

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He's moved to the ambulance immediately.

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Few bumps as we come in. One, two, three.

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The patient is Alfio.

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He's lost strength in his left arm and his speech is slurred.

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She's in the front of the ambulance. We've got her in there already, OK?

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Alfie, I'm here.

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See, there she is. You can hear her in the front.

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This is the plan, we'll get the door shut at the back as well...

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All Alfio is worrying about is his wife Elena.

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She's recently been diagnosed with a serious illness

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and he's her main carer.

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But now everyone needs to focus on Alfio.

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I think this is quite new today.

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The symptoms you're having with your speech problems

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and the weakness in your arm is you're having a stroke.

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Don't struggle.

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The good news is we can take you straight to hospital

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and do something about it, hopefully.

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OK? We'll get you sorted. Don't get upset for me, OK?

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First, Simon confirms the stroke diagnosis by running through

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some standard checks.

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I know you don't feel like doing this at all,

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but can you just give me a big smile for a second?

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Real big smile and show me your teeth.

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OK. Can you say, "Hello, Simon" for me?

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ALFIO SLURS SPEECH

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I know you're struggling and I'm not being rude, at all.

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It's just telling me that there's a problem with your speech.

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You know what's going on, you're just not able to control yourself.

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What I want to do, Alfio, is take you to a specialist part of the hospital.

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The severity of a stroke can be minimised with a clot

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dissolving treatment called thrombylisis.

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But there is only a small window of opportunity

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and not everybody is suitable.

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We have a checklist that we're going through because we're so close.

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Arm and leg. It's left arm. No loss of consciousness?

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No seizure, was there? No. Pulse is 66, irregular.

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Can you hold your arms out for me in a straight line, Alfio?

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OK. Can you squeeze my hand for me?

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Squeeze this one. You're not able to, are you? Don't worry.

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Can you lift this right leg for me? Good man. Down again.

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Can you lift your left leg for me?

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That is good, so you have some strength in your left leg. OK, good.

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You haven't had a stroke in the past or any problems with

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bleeds in your head, no?

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Things are going well until paramedic Wendy makes a discovery.

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Did you have a head injury in the past?

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It's a brain tumour about 20 years ago.

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You had a brain tumour 20 years ago.

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But everything's fine.

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It's a worrying development.

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It could mean Alfio is not suitable for the special stroke treatment.

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Yes, really, if we've had head things in the past.

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So I'm going to put that as an exclusion.

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But Simon wants to give Alfio the best chance possible.

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He phones ahead to the unit.

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The only thing I have a bit of an exclusion on the thrombolysis

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is he had a brain tumour 20 years ago.

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But other than that everything else is in a no box and good for straight to

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CT, so I'd like to do a straight to CT scan if we can activate the team.

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To the scanner we'll be about eight minutes. Zero-eight minutes.

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Simon gets the go ahead. Brilliant, thanks very much.

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Cheers, bye.

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OK, good news.

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What we're going to do, Alfio,

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is take you straight to the CT scanner

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so they can give you a picture of your brain

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and hopefully do something with what's happening at the moment.

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And improve your condition, OK?

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You might hear some noise with the sirens in a second.

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It's just to push us through the first bit of traffic.

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Now it's Elena who's worrying about Alfio.

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So this morning you just went into your kitchen

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and then your left side just gave out on you.

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And you ended up on the floor. That's what your wife heard.

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She heard the bang next door

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and then she came in and found you, as we have, on the floor.

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The reality of the situation is hitting home.

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Alfio, listen, it's happened. We need to get you through this.

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You need to be strong, OK?

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Your wife is with us.

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She's OK. She's helping with the directions in the front.

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She's all right. She's strong. Alfio.

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I know, buddy. She's being really strong, OK?

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Are you worried about not being able to help her?

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Let's not even think about that yet.

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Let's get today out of the way, yeah?

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Let's see where we stand. Yeah?

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Is that fair enough? Let's see where we stand

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and see what damage has been done and what can be recovered.

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All right? We're coming to the hospital now.

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I'm going to start unplugging all these things.

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Do you want to take her to the relatives room, Wendy?

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Yeah, when I come back. Cool.

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Alfio is taken into the hospital where they'll be able to decide

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if treatment can go ahead.

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It's a very powerful drug, sir.

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Doctors talk Alfio through the treatment.

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Now he has to make the choice.

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The sooner we give it, the better it will be for you.

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The traffic police are on duty in Milton Keynes.

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Ambulance arrived yet. Any updates on injuries?

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PCs Mat Waters and Ben Taylor are heading to an emergency

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call in one of the town's suburbs.

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Basically, we received a report of a car versus a petal cycle.

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12-year-old female cyclist has been hit by a car.

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Ambulance are on the scene and we are en route.

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It's one of the last days of the summer holidays

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and approaching rush hour.

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A potentially dangerous combination.

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Even getting there, the traffic is causing problems.

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Move over.

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Watch out!

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There we go. Right here. Straight ahead.

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HE SIGHS

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There's quite a crowd gathered by the ambulance.

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How is everyone doing?

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PC Mat is going to check out the casualty first.

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It's a young boy who is being treated by the paramedics

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at the side of the road.

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Hello! Do you need a hand or anything?

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Not at the moment. You're managing.

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Who's the driver? You're the driver.

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His bike has collided with the car.

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Leaving quite a mark on the offside wing.

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The driver is understandably very shaken.

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Must be quite a shock. You got far to go?

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No. Just taking my daughter to the doctors. But she's had to get a cab there.

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Right, OK. Have you got your licence on you?

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After such an impact, 12-year-old Tyrese could have sustained

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significant internal injuries.

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No pain in your hips at all?

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He's not complaining

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but the paramedics have to treat for the worst.

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The board is immobilising his neck and back,

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protecting his spine in case of hidden injuries.

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Mat's checking the extent of the damage to the car.

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This area's not secure.

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The boy's mum has been contacted but she's at work

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and it might be some time before she can get here.

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OK, so just run that by me again.

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Luckily, Lynne was driving very slowly when the accident happened.

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She's not used to being the one giving details to police.

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You're an ex-police officer? Oh, no.

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Special. Nine years, Walton.

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Oh, OK. Don't fancy coming back, then? We're short staffed.

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I'm too old. Do you want to do this?

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The most obvious explanation for the collision is

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the brakes on the bike failed.

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Has the young lad said that his brakes had gone?

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He said he didn't have any brakes.

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All the children looked at his bike and pulled the hand grips.

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How are you feeling? Now Mat needs to ask Tyrese what went wrong.

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What happened?

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OK.

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The bike should give him some answers. Mat is taken under escort.

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I just need to write some details down, you see.

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What make and model it is.

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The bike has been moved out of the way by a helpful neighbour.

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Is it his bike, is it?

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His friend just gave it to him today to fix up. OK.

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Not very good at all, is it? No.

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Needs a new MOT, I think. Yeah.

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Missing vital rubbers.

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Basically, what we know is this young lad has come down the hill

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here on his mountain bike.

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Appears for whatever reason his brakes are defective at the moment.

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He's been unable to stop and he's hit a passing

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vehicle on the driver's offside front wing causing a bit of a dent.

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And he's received an injury to his ankle and his wrist.

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So he'll go up to hospital.

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And we'll catch up with him up there and get his account.

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Other than that there's nothing more the driver could have done, really.

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It's taking some time for Lynne to get over the shock of what's happened.

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I am absolutely trembling. I'm shaking.

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Never happened to me before.

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But...he just absolutely came out of nowhere,

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just hit me full side-on.

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I heard this loud bang.

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And just saw his shoulder and his head hit my windscreen.

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But as long as he's OK. That's the main thing.

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You're free to go now. Make sure you go home and have a nice cup of tea.

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She'll have to make an insurance claim to fix the damage to her car.

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Right, take care. I'll ring you a little bit later on. Take care.

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And the signs are Tyrese has got off quite lightly.

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He seems fine.

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As it stands at the moment they don't suspect any

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sort of serious injuries.

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Possibly a sprain or soft tissue damage to his wrist.

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But at the moment everything is precautionary.

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They're going to check him

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out over at the hospital to make sure there isn't anything underlying

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but at the moment he seems to have got away reasonably well with it.

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Lynne is off home for her much-needed cup of tea

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and Tyrese is off to the hospital for a check-up.

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OK. We're going up to the hospital to speak to his mum.

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Are you saying, "Cup of tea?"

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HE LAUGHS

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The next call we're going to talk about is on the one side,

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very frightening, on the other, hilarious

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because it is amazing how stupid thieves

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and burglars are on occasion. Let's start with the

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frightening bit at the beginning. You get a phone call in about a robbery?

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Yep, that's right. A burglary because it's in someone's house. So...

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The caller had just come home.

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She'd called upstairs because there was somebody up there.

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She thought it was her family members, only to see a male run

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downstairs, kick through the door and absolutely leg it out of her house.

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So being a woman she chased after him. Which is brilliant.

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We don't recommend you chase the burglars. No, not at all.

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On this occasion she decided to.

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So she followed the burglar out.

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She managed to get a really good description,

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a direction of travel and those are the really important things

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that help officers when they get on the ground.

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Where somebody's going and what they look like.

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OK. So then you start to close a net in around the area, do you?

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Yep, that's right.

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Within two minutes we'd already dispatched officers on scene.

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We'd dispatched a dog unit and that turned out to be really handy

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because it was the dog that caught the scent of the burglar.

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How did they catch the scent?

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What happens is the dog will go to the scene and try to pick up a scent.

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It then started to track the burglar.

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The burglar had actually chucked the bag containing the items that

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he'd stolen.

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So the dog got a really good scent from the bag.

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From the bag they managed to track him to where he actually was.

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Right, but there was one other clue in the bag with the stolen

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goods, wasn't there?

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That's right.

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Our burglar had actually left his wallet in the bag of stolen items!

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THEY LAUGH

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Which is... I know it's not a funny story but it kind of is, isn't it?

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How stupid can you be? It's brilliant, on one hand.

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I suppose. Very nice of him to make it that obvious.

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Where did you find him in the end?

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Our burglar isn't that bright because he turned out to be wedged

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underneath the car which is where our dog tracked him to.

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Marvellous.

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It's quite reassuring when burglars are that stupid and easy to catch.

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If only they were all that stupid and easy to catch. Absolutely.

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Most of them aren't, but this one we had a brilliant description,

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we had a dog that tracked him really well.

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We had all the information that we need.

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Better still he wedged himself somewhere he wasn't going to get free.

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Or he couldn't get out and he left the wallet. Smashing.

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Thank you very much for running us through the call.

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The early hours of a Monday morning in the

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Hampshire Fire and Rescue control room.

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Call handler Lisa has just taken a 999 call. A house is on fire.

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The emergency is happening at this terraced house in Portsmouth.

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It's 2:30am. Young mum Samantha has been woken by the fire alarm.

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Toxic gasses are filling the hallway, trapping her upstairs.

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Samantha's husband Simon is downstairs in the thick smoke

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trying to find a way out but the front door is locked.

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Simon is desperately trying to find the keys in the smoke-filled darkness.

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As soon as I understood what the situation was,

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it was a case of trying to understand what was going on in the building,

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who was with her and where the fire was in the property.

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Desperately worried about his wife,

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Simon's gone back upstairs where the two are now trapped.

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Firefighters are en route

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but now the couple are worrying about their pets.

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Samantha's panicked cries for help are heard over the phone.

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Call handler Lisa needs to keep her calm.

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Finally, there's some relief for Samantha.

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By getting her to describe what was going on it occupied her mind

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and made her less panicky because she had a job to describe stuff to me.

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And then it also helped me because she was being my eyes, as well.

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So she could tell me what was going on so I could advise her

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and the rest of the control room what the current situation was.

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One of the first fire fighters at the scene is Paul Grant.

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Immediately the A Crew have got the hose reel off

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and started making entry into the ground floor to fight the fire.

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Me and another couple of lads grabbed a ladder

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and put it up to the first floor.

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Assisted the lady down first, was then handed the dog.

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And then the male occupant came down following that.

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Went and found the second dog in the garden and brought him through.

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Reunited them all together and took them

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to a neighbours to look after them.

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Four weeks on, the couple's house is still uninhabitable.

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The seat of the fire was in the living room.

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A dehumidifier left on overnight caught fire after developing

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an electrical fault.

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I remember hearing a noise and the first thing that hit me

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was the smell.

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I got out of bed and then I noticed the smoke.

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It stung the eyes a little bit,

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and at that point I turned round to Simon and said, "Get up."

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Simon recalls opening the door onto the fire as he desperately

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searched for the front door keys in a bid to escape.

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I couldn't see flames, but there was a lot of smoke hit me

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in the face, and I realised how serious things were at that point.

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I shut the door again, of the living room,

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and then realised at that point how dense it had

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become in the hallway,

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to the point where I could probably only see

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about that far in front of me.

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I had to actually crouch down and put the key to the door to

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get it into the lock.

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I managed it eventually, and got the door open.

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And I, sort of, didn't quite know what to do at that point,

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and thought, "I don't think Sam's going to be able to come down here."

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Because it was too black.

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Then I heard her scream at me to get back upstairs,

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so I went back upstairs.

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It almost seems silly that I went back up there,

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but I wasn't comfortable leaving her on her own.

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Samantha and Simon were treated at the scene for the effects

0:21:060:21:08

of smoke inhalation, but they know it could have been a lot worse.

0:21:080:21:14

Looking back on their terrifying ordeal,

0:21:140:21:16

Samantha is relieved their daughter Evelyn

0:21:160:21:18

was staying with her grandparents.

0:21:180:21:21

Our daughter was with my in-laws - with Simon's mum and dad.

0:21:210:21:26

So fortunate that she wasn't in the house when it caught fire.

0:21:260:21:31

Had she been in the property, I would have panicked a lot more.

0:21:310:21:34

And there could have been a very different outcome

0:21:340:21:37

if they hadn't had a smoke alarm installed.

0:21:370:21:40

If you don't have a smoke alarm fitted, obviously,

0:21:400:21:42

potentially the combustion, the smoke and the gasses

0:21:420:21:46

could have entered their bedroom and would have

0:21:460:21:49

probably just have overcome them before they even knew about it.

0:21:490:21:53

So, it could have been a much more tragic incident.

0:21:530:21:56

The firemen saved our lives.

0:22:000:22:02

If...

0:22:020:22:03

I don't want to think about...

0:22:030:22:05

what would have happened.

0:22:050:22:07

Still to come on Real Rescues...

0:22:150:22:17

A parachutist takes fright as fire and rescue begin lowering him

0:22:190:22:23

from the top of a 60-foot tree.

0:22:230:22:25

MAN SHOUTS

0:22:250:22:28

And on the motorway, wet weather is making driving difficult.

0:22:300:22:33

There's been a shunt and one man's suffering the after effects.

0:22:330:22:36

OK. Are you all right, sir? My name's Mark.

0:22:360:22:39

Do you?

0:22:390:22:40

76-year-old Alfio is having a stroke.

0:22:480:22:50

It's taken just eight minutes for the ambulance to get him to hospital,

0:22:500:22:53

where a specialist stroke team is on stand-by.

0:22:530:22:57

They may be able to reverse the effects of the stroke with

0:22:570:23:00

a treatment called thrombolysis, but it only works if the stroke is

0:23:000:23:04

caused by a blood clot, not if it's caused by a bleed on the brain.

0:23:040:23:08

The only way to be sure what's caused the stroke

0:23:080:23:11

is by looking at Alfio's brain with a CT scanner.

0:23:110:23:15

We'll see you in a minute, OK.

0:23:150:23:17

MACHINE BLEEPS

0:23:170:23:19

The first images start to come through.

0:23:210:23:23

MACHINE BLEEPS

0:23:230:23:25

We're just making a decision about the thrombolysis now,

0:23:250:23:27

but he'll have to come to the stroke unit.

0:23:270:23:30

In the ambulance,

0:23:300:23:31

Alfio told paramedics he'd had a brain tumour 20 years ago.

0:23:310:23:34

The stroke team need to discuss the implications.

0:23:340:23:37

They're concerned about a patch on the scan which could be a bleed,

0:23:510:23:54

the drug will make any bleed on the brain worse,

0:23:540:23:57

and that could be fatal.

0:23:570:24:00

After further scrutiny, they rule out any bleed on the brain.

0:24:050:24:08

Dr Damien Jenkinson explains what they've found.

0:24:270:24:30

We've done a brain scan which shows you've got the blockage

0:24:300:24:34

form of stroke.

0:24:340:24:36

One of the vessels on the right side is blocked,

0:24:360:24:39

affecting the body down the left side.

0:24:390:24:41

We have a treatment that helps clear out the blockage,

0:24:410:24:45

a clot-busting treatment, and we're keen to use that.

0:24:450:24:48

It would seem that you're suitable to have it - the time is right,

0:24:480:24:52

the blood pressure, everything else is favourable

0:24:520:24:54

and the brain scan is favourable.

0:24:540:24:56

I need to make sure you understand.

0:24:570:24:59

You're keen to have it done?

0:24:590:25:01

Yeah...

0:25:010:25:03

However, the drug can cause complications.

0:25:030:25:07

There is a small risk of it increasing bleeding into the brain.

0:25:070:25:11

Most people don't get that.

0:25:110:25:12

The sooner we give it, the better it will be for you.

0:25:120:25:17

Is there anything else you want to ask, me, sir, or tell me?

0:25:170:25:20

I have no doubt that you're suitable. Everything looks very favourable.

0:25:240:25:28

All right. You're in the right place with the right people.

0:25:280:25:31

There you go.

0:25:360:25:37

But Alfio's main worry is his wife Elena.

0:25:370:25:40

and who's going to look after her.

0:25:400:25:42

We'll speak to her and tell her what's happening.

0:25:420:25:44

You relax and let the drug work its business, all right?

0:25:440:25:47

All right? Happy?

0:25:490:25:50

OK. I'll see you back on ward.

0:25:500:25:52

All right, sir?

0:25:520:25:54

We'll see you on the stroke ward.

0:25:540:25:57

Yeah. Talk to him about it.

0:25:570:25:58

All right, sir. See you soon.

0:25:580:26:01

Now it's just a waiting game to see if the thrombolysis has worked.

0:26:010:26:04

I'm going to do some sips of water with you just to check

0:26:040:26:07

that your swallow's still safe

0:26:070:26:09

and nothing's going to go down the wrong way.

0:26:090:26:11

My dentures...

0:26:110:26:13

Later, Elena recalls her fears the moment Alfio collapsed.

0:26:140:26:19

I could hardly speak, I was all shaking and everything.

0:26:190:26:22

I assume that he's gone for good.

0:26:220:26:27

This next story is a sobering reminder of the dangers

0:26:310:26:33

of having a pond in the garden and also the fact,

0:26:330:26:35

as every parent knows, turn your back for two minutes

0:26:350:26:38

and no matter how small the child is, they can move like lightning.

0:26:380:26:43

Are you on a call at the moment?

0:26:430:26:44

No, that's fine.

0:26:440:26:46

Tell us about this call you got and how it developed.

0:26:460:26:49

It wasn't a call I took, it was a colleague,

0:26:490:26:52

but I was involved with it cos I was working with the force inspector,

0:26:520:26:55

who was overseeing the job.

0:26:550:26:57

Basically, an 18-month-old child managed to get into the garden,

0:26:570:27:00

fall into a pond, and was found by a family who called an ambulance.

0:27:000:27:06

He was very, very cold - it was in March when it was cold.

0:27:060:27:09

How serious was his condition and what was the response?

0:27:090:27:12

He was very, very cold and it wasn't looking very good.

0:27:120:27:15

Taken to hospital? Yeah, taken to hospital in the helicopter

0:27:150:27:18

and the parents were taken to hospital in the ambulance to

0:27:180:27:21

be there, and luckily, over time, over a couple of days,

0:27:210:27:25

they managed to stabilise him, start to warm him up.

0:27:250:27:29

The next thing we've heard, is that he's done extremely well and

0:27:290:27:33

they were quite surprised by it, but he was one of the lucky ones, really.

0:27:330:27:38

Two things about that -

0:27:380:27:40

first of all, the pond business - if you have small children...

0:27:400:27:44

The mother only had her back turned very briefly.

0:27:450:27:48

Yeah, I think they've got a door, or something

0:27:480:27:50

and he was with his brother watching the telly, and I think the door

0:27:500:27:53

made a squeak and normally they'd know if the child had gone out.

0:27:530:27:56

And children will move fast.

0:27:560:27:58

The other thing is, as an operator - and you have children -

0:27:580:28:02

do you get emotionally involved when you're taking a call like that?

0:28:020:28:06

You can't afford to, you've got to get on with the job in hand.

0:28:060:28:10

I suppose the adrenaline rush keeps you going, um, professionally.

0:28:100:28:15

Then afterwards, after the call's been taken and you've got time

0:28:150:28:19

to reflect, it might hit you then, cos we're all human.

0:28:190:28:22

Yeah. But, in the end,

0:28:220:28:24

you managed to get a response going that saved the child's life, so...

0:28:240:28:28

Along with ambulance, so... Yeah. Must have been a great feeling to have done that.

0:28:280:28:31

Be careful if you have a pond - make sure it's guarded

0:28:310:28:34

if you have toddlers. Thank you.

0:28:340:28:35

After weeks of dry conditions,

0:28:430:28:45

rain has made road surfaces suddenly very slippy.

0:28:450:28:49

Is it an accident?

0:28:490:28:51

Emergency care practitioner Mark Ainsworth-Smith is on duty

0:28:510:28:54

when an accident happens right in front of him.

0:28:540:28:57

Just going to go and see what's going on.

0:28:580:29:00

Mark needs to quickly assess the situation and call for back up.

0:29:000:29:04

Have you had an accident or are you broken down? Bit of an accident.

0:29:040:29:07

OK. You're all right? No injuries?

0:29:070:29:09

Absolutely fine. We're both medical students, so...

0:29:090:29:12

OK. I'll just have a quick chat.

0:29:120:29:13

Hello. I'm Mark, any injuries?

0:29:150:29:18

Is anyone injured?

0:29:180:29:19

All I can see...

0:29:190:29:21

Are you all right, sir? My name's Mark.

0:29:210:29:24

The silver car has had a substantial impact,

0:29:240:29:26

the driver will have to be treated.

0:29:260:29:28

But first, Mark has to discover

0:29:280:29:30

if there are any more critical injuries.

0:29:300:29:33

MARK: I'm just going to and see what's happening down there and I'll be with you in a moment.

0:29:330:29:37

Just so I can let control know what's happening.

0:29:370:29:40

Are you injured at all?

0:29:420:29:44

I feel OK at the moment. Who was in that car?

0:29:440:29:47

That guy there. Sir...

0:29:470:29:49

Mark radios through details of the incident.

0:29:490:29:52

I'm just getting an ambulance so we can get you checked out.

0:29:520:29:55

I'm in a car.

0:29:550:29:57

A three-vehicle RTC out in lane three.

0:29:570:30:00

At this stage I've got two people with minor injuries

0:30:000:30:02

and one complaining of chest pain.

0:30:020:30:05

Could you, please, request police or highways?

0:30:050:30:08

I'm going to need one ambulance here. Over.

0:30:080:30:11

This is a dangerous situation.

0:30:110:30:12

Until the police or Highways Agency can get there to

0:30:120:30:16

close off the road, everyone is at risk.

0:30:160:30:18

For everyone's safety, just stay this side of the road.

0:30:180:30:21

We've got the police coming

0:30:230:30:25

and we've got an ambulance coming to sort out this chap, as well.

0:30:250:30:30

I'm going to check him out now.

0:30:300:30:31

It doesn't seem that there's anyone else too seriously injured.

0:30:310:30:35

We'll just concentrate on him for the moment and then we can have a chat.

0:30:350:30:38

Mark starts to assess the driver.

0:30:380:30:41

Sir, I'd like you to keep your neck very still,

0:30:410:30:44

so just keep your head completely still for now.

0:30:440:30:46

We're going to give you a check over.

0:30:460:30:47

All these airbags have gone off. Have you got airbags to the side?

0:30:470:30:50

Keep your head still for me. OK. Fantastic.

0:30:500:30:53

What I'm going to do is your blood pressure first of all.

0:30:530:30:56

What do you remember happening?

0:30:560:30:58

I was just driving and saw them starting to brake

0:30:580:31:01

and I braked, my car just kept going.

0:31:010:31:04

You just slid. I slid about 20m.

0:31:040:31:06

It's quite a bit hit, actually, isn't it?

0:31:060:31:09

Can you tell me what day it is today?

0:31:090:31:11

Sunday.

0:31:110:31:13

And what month are we in right now?

0:31:130:31:15

September.

0:31:150:31:17

Keep your head really still for me.

0:31:170:31:19

I'm just going to feel your neck,

0:31:190:31:21

it might be sore where the seat belt was.

0:31:210:31:24

Any pain in there? No.

0:31:240:31:26

Big breath for me now.

0:31:260:31:27

And out. That's lovely, thank you.

0:31:270:31:30

The Highways Agency has arrived to manage the traffic.

0:31:300:31:33

He's complaining of some chest pains, otherwise,

0:31:330:31:36

these are the walking wounded.

0:31:360:31:37

We will just have a quick look at them, but they're OK,

0:31:370:31:39

and one of my other colleagues has just arrived.

0:31:390:31:43

Mark gets back to his patient's chest pain.

0:31:430:31:45

He can't assume it's been caused by impact with the airbag,

0:31:450:31:48

and wants to monitor his heart.

0:31:480:31:51

I'm just going to put some monitoring on your heart,

0:31:510:31:53

so we can keep an eye on your heart rate.

0:31:530:31:56

The police don't want to hold up the traffic any more than needed,

0:31:560:31:59

and get an update from Mark.

0:31:590:32:01

I've got an ambulance coming.

0:32:010:32:03

I'd rather get him in the back of the truck, but if you want to clear, I can move him.

0:32:030:32:06

We've got fire coming... I don't need fire. No?

0:32:060:32:10

His only injury is a central chest injury,

0:32:100:32:12

so I think it's airbag related, but I need to get an ECG in the ambulance.

0:32:120:32:16

The occupants of the car in front of David have escaped without injuries.

0:32:160:32:20

We tried to stop cos the van in front was slowing down quickly,

0:32:220:32:26

and we skidded a little bit, came to a stop without colliding,

0:32:260:32:28

and unfortunately we got rammed from behind by the elderly gentleman.

0:32:280:32:32

So, not great, but what can you do?

0:32:320:32:35

You all right, then? I'm absolutely fine.

0:32:350:32:37

Just a bit of a bump, to be honest.

0:32:370:32:40

Mark's back up has arrived.

0:32:400:32:42

This is David.

0:32:420:32:43

He's a 74-year-old male

0:32:430:32:45

and he's hit the back of traffic at about 60mph.

0:32:450:32:48

Quite significant intrusion in the front there.

0:32:480:32:50

He's complaining of pain in the centre of his chest,

0:32:500:32:52

he believes that's cos of where the airbag deployed.

0:32:520:32:55

OK, David. We're going to get you to spin yourself around and...

0:32:550:32:59

No new aches? Apart from the pain there, nothing new?

0:32:590:33:03

Good man.

0:33:030:33:05

Nice and steady.

0:33:060:33:07

Good man.

0:33:070:33:08

As David's taken to the ambulance for a more detailed

0:33:100:33:12

check of his heart, the carriageway is cleared

0:33:120:33:14

and traffic flow begins to get back to normal.

0:33:140:33:17

An alarming sight - a man is stuck 60 feet up a tree after

0:33:260:33:30

a parachute jump has gone dramatically wrong.

0:33:300:33:33

Local journalist Kevin Clark rushes to the scene

0:33:330:33:36

and starts recording the unfolding drama.

0:33:360:33:40

When we first got here, we pulled up outside the church

0:33:400:33:43

and it was obvious that we weren't going to get close enough to

0:33:430:33:45

shoot any kind of quality video.

0:33:450:33:47

So I came round the back of the building,

0:33:470:33:48

and that was as close as I was able to get.

0:33:480:33:51

The tree is just a short distance that way

0:33:510:33:54

and I was able to shoot quite a lot of coverage.

0:33:540:33:57

He seemed fairly calm.

0:33:570:33:59

He was obviously moving, obviously conscious.

0:33:590:34:01

It wasn't the case that he was just draped there.

0:34:010:34:04

But his movements were quite calm, quite placid,

0:34:040:34:07

so it didn't seem like there was any pain.

0:34:070:34:09

If he'd deliberate set out to land in the most inaccessible place

0:34:090:34:13

possible, given that he was in the middle of town,

0:34:130:34:15

he couldn't have done a better job, really.

0:34:150:34:17

Pracheen Gamawat was on his first parachute jump.

0:34:180:34:22

3,500 metres above, there's an aircraft filled with other

0:34:220:34:26

parachuters who are fearing the worst.

0:34:260:34:28

On the ground, all Pracheen's instructor can do is track him

0:34:300:34:33

through the binoculars.

0:34:330:34:35

It was probably within ten seconds of him leaving the aeroplane

0:34:350:34:38

when we realised he wasn't responding as we would have wanted.

0:34:380:34:41

Normally, someone would take control of the canopy pretty quickly,

0:34:410:34:44

certainly within the first ten seconds.

0:34:440:34:46

But there was none of that.

0:34:460:34:47

They last saw their man drifting two miles away from the landing site,

0:34:500:34:54

apparently unable to steer the canopy.

0:34:540:34:56

One of our worst nightmares is a parachutist out there landed

0:34:560:34:59

and we can't find them because they may be injured.

0:34:590:35:02

Again, that's why we keep the aircraft overhead.

0:35:020:35:05

Watched him go downwind off the field

0:35:070:35:08

and landing in the trees off in the distance.

0:35:080:35:11

Yeah, that's was actually quite a tense moment.

0:35:110:35:15

The emergency services are quickly despatched to Pracheen,

0:35:150:35:18

including fire chief Steve Cummings.

0:35:180:35:21

He's amazed to find Pracheen conscious,

0:35:210:35:23

talking and relatively unscathed.

0:35:230:35:26

A rescue such as this is casualty-driven,

0:35:260:35:29

so we look at the condition of the casualty.

0:35:290:35:31

Fortunately, on this occasion, he wasn't injured,

0:35:310:35:34

he was merely sitting on top of the tree.

0:35:340:35:36

Steve immediately calls in rope rescue specialist Tony Sugget

0:35:380:35:40

and his team.

0:35:400:35:42

But if Pracheen's landing was surprisingly comfortable,

0:35:420:35:45

Tony knows the rescue itself won't be easy.

0:35:450:35:50

I've never seen anything like it before

0:35:500:35:52

and perhaps won't see anything like it again.

0:35:520:35:54

It was completely out of the ordinary for us.

0:35:540:35:56

It wasn't just coming out of a building, it wasn't

0:35:560:35:58

just going below ground, we had to

0:35:580:36:00

improvise around our techniques that we would normally carry out.

0:36:000:36:05

It's an intricate job to remove Pracheen from the tree.

0:36:050:36:08

As the hours pass, the worry is his condition could get a lot worse.

0:36:080:36:13

He was actually assisting us,

0:36:130:36:15

putting harnesses on and clipping things onto him.

0:36:150:36:17

So, physical injuries, he seemed quite fine,

0:36:170:36:20

but the one concern that we had was to keep his blood moving round

0:36:200:36:24

his body - keep his body parts moving to prevent suspension trauma.

0:36:240:36:28

If Pracheen's blood flow is restricted too long,

0:36:280:36:30

there's a risk his body could be flooded with dangerous toxins

0:36:300:36:33

the moment he's released.

0:36:330:36:36

As the rescue operation stretches on,

0:36:360:36:39

Pracheen is beginning to complain of chronic leg pain -

0:36:390:36:41

a common symptom of suspension trauma.

0:36:410:36:45

Tony and the crew step up their efforts to release him.

0:36:450:36:48

The main area of concern for us was getting a rescuer to Pracheen

0:36:480:36:53

without dislodging any of the branches.

0:36:530:36:55

The second part of the rescue would then be securing him

0:36:550:36:58

to our own rescuer,

0:36:580:36:59

and the third part would be lowering Pracheen safely to the ground.

0:36:590:37:03

With Pracheen now safely attached to his rescuer, it's a

0:37:040:37:07

slow and cautious descent.

0:37:070:37:09

As we came down, any branch that snapped was similar to Kerplunk,

0:37:090:37:12

where any branch that went could have meant that Pracheen

0:37:120:37:16

fell to the ground.

0:37:160:37:18

So every branch that we traversed, every branch that we touched,

0:37:180:37:21

we had to be very careful it wasn't supporting his weight.

0:37:210:37:25

From Pracheen's point of view, this was probably quite

0:37:250:37:27

unnerving, cos he thought he was going to fall.

0:37:270:37:29

And at one point he was holding on to the rescuer's hands for dear life.

0:37:290:37:33

Every now and then, sounds of panic are heard coming from the tree.

0:37:330:37:38

MAN SHOUTS

0:37:380:37:39

Safely back on the ground, some five hours after jumping from

0:37:410:37:44

the plane, Pracheen is finally off to hospital.

0:37:440:37:48

Later, Pracheen recounts his side of the jump that went horribly wrong.

0:37:510:37:55

The driver involved in a motorway shunt in wet weather was taken to

0:38:020:38:05

hospital where his injuries were checked out.

0:38:050:38:09

David suffered severe bruising to his chest,

0:38:090:38:11

and was sent home with painkillers.

0:38:110:38:14

He's making a good recovery. Police brought no prosecutions.

0:38:140:38:17

The 12-year-old boy who came off his bike after colliding with

0:38:190:38:22

a car suffered a broken wrist.

0:38:220:38:24

Tyreese is in a plaster cast, but he's still riding his bike.

0:38:240:38:28

The brakes are now working.

0:38:280:38:31

I'm going to do some careful sips of water with you...

0:38:320:38:34

The stroke team at Bournemouth Hospital closely monitored

0:38:340:38:37

Alfio after he was given a clot-busting drug to lessen

0:38:370:38:40

the effects of a stroke.

0:38:400:38:42

How's this arm then?

0:38:420:38:44

Can you move it?

0:38:440:38:45

Try and stretch it out now. I've taken the weight.

0:38:470:38:52

Soon afterwards, things began to improve - and rapidly.

0:38:520:38:55

So quickly, that Alfio was home with his wife Eleanor the following day.

0:38:550:39:01

They asked me, "Can you move your arm, your left arm?"

0:39:010:39:04

Initially, I couldn't, but some time later they asked me again,

0:39:060:39:10

"Can you move your left arm?"

0:39:100:39:13

I said, "Oh, right. Great."

0:39:130:39:14

I remember all the way to the ward...

0:39:140:39:16

..kind of, keeping my arm up in case it stopped!

0:39:180:39:22

I never, ever, ever want anything better than this.

0:39:240:39:28

The happiness of having my husband with me,

0:39:290:39:34

nothing will make it happier than this.

0:39:340:39:39

Alfio has made an astonishing recovery.

0:39:400:39:44

It's just a few weeks since paramedics Simon

0:39:440:39:46

and Wendy arrived at his house - he could barely speak

0:39:460:39:49

and he'd lost the use of his left arm.

0:39:490:39:53

Can you squeeze my hands for me?

0:39:530:39:55

Squeeze this one.

0:39:550:39:56

You're not able to, are you?

0:39:560:39:58

Don't worry.

0:39:580:40:00

Elena travelled with Alfio to hospital.

0:40:000:40:02

She had to run to a neighbour for help after finding her

0:40:020:40:05

husband collapsed on the kitchen floor.

0:40:050:40:07

I was almost asleep and I hear...

0:40:080:40:10

SHE YELLS IN PAIN

0:40:100:40:12

Of course I couldn't really...

0:40:120:40:14

Then he said, "Elena!"

0:40:140:40:17

Not clear, but I heard his voice, and I thought, "Oh, my God."

0:40:170:40:24

I assumed that he is gone for good.

0:40:260:40:31

I could hardly speak, I was all shaking and everything.

0:40:310:40:36

Even though he knows how close a call he's had,

0:40:360:40:39

Alfio never doubted he'd go home.

0:40:390:40:42

The thought of saying, "Will I make it or...?"

0:40:440:40:46

No.

0:40:460:40:48

It never occurred to me.

0:40:480:40:50

That positive attitude has helped Alfio get back to

0:40:500:40:53

caring for Elena once again.

0:40:530:40:55

57 years together and feeling for each other the same as we did many,

0:40:570:41:02

many years ago, when we first met.

0:41:020:41:05

That cant be bad.

0:41:070:41:09

I just want to have you and to be with me.

0:41:090:41:12

That's it.

0:41:120:41:14

She's after my money, really!

0:41:160:41:19

THEY LAUGH

0:41:190:41:20

The parachutist who landed in the top of a 60ft tree was checked

0:41:230:41:26

over at hospital and escaped without injury.

0:41:260:41:30

Looking back, Pracheen can't quite believe what happened.

0:41:300:41:33

I still remember, one of the guys came up and he was like, "Are you OK?

0:41:330:41:38

"Are you hurt?"

0:41:380:41:39

And I'm like, "No, man, don't worry about me, I'm perfectly fine."

0:41:390:41:42

And he's like, "You're not fine. You're stuck in a tree."

0:41:420:41:45

And I'm like, "Yeah. Please, call someone."

0:41:450:41:48

It did get really painful and my legs were really numb at the end.

0:41:490:41:52

I couldn't move my legs for a while.

0:41:520:41:53

But then, everything was my fault, so in a way I did deserve that pain.

0:41:530:41:57

It's not unheard of for parachutists to freeze as they descend.

0:41:570:42:01

It seems Pracheen was suffering from a known syndrome.

0:42:010:42:04

So what exactly did happen to Pracheen after jumping

0:42:040:42:07

from the plane?

0:42:070:42:09

It's not unheard of for someone to be so overwhelmed by the experience

0:42:090:42:12

of jumping out of an aeroplane that the mind just does a complete blank.

0:42:120:42:16

It's sometimes referred to as a sensory overload.

0:42:160:42:19

I was 60ft above the ground.

0:42:200:42:22

Still just cuts and bruises - nothing happened.

0:42:220:42:25

Just...I'm blessed.

0:42:250:42:26

There's just one word which comes to the minds of everyone involved

0:42:270:42:31

that day, after his unscheduled landing.

0:42:310:42:34

Lucky.

0:42:340:42:35

If it's possible to be lucky landing 60ft up a tree, yes,

0:42:350:42:37

he was quite lucky.

0:42:370:42:39

Pracheen was a really, really lucky young man.

0:42:390:42:41

Of all of the places he could have landed,

0:42:410:42:43

of all of the possible scenarios, he landed in a comfortable

0:42:430:42:47

position in the tree, in the middle of the town centre.

0:42:470:42:49

I don't think he'll ever really be as lucky again.

0:42:490:42:52

I still seems like a dream to be honest.

0:42:520:42:54

It doesn't seem like it actually happened, but then...

0:42:540:42:58

the canopy tells a story.

0:42:580:43:00

Well, I've confirmed one thing for myself - I've never wanted to

0:43:080:43:11

do a parachute jump and I never WILL do a parachute jump.

0:43:110:43:15

I've never seen the point in jumping out of a perfectly

0:43:150:43:18

serviceable plane.

0:43:180:43:20

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

0:43:200:43:22

Subtitles by Red Bee Media Ltd

0:43:470:43:50

This is Malcolm. He owns Iceland.

0:43:580:43:59

He's the one that's going to present us with the ten grand WHEN we win it.

0:43:590:44:02

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