Episode 16 Real Rescues


Episode 16

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Today on Real Rescues.

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A joint rescue operation at sea to save a woman with

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life-threatening head injuries.

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A motorway accident leaves a young au pair lying on the hard shoulder.

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Right, I'd like you to keep very still. Whereabouts are you injured?

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And chest pains strike again for John.

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I've had a cardiac arrest, I've had two heart attacks,

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I've got six stents inside me.

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But this might not be quite what it seems.

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Hello and welcome to Real Rescues, where we go out to see the work

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of Britain's emergency services.

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It's places like this where calls are answered when people dial 999.

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Right, let's get started. We're about to witness a challenging

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rescue operation after a call comes in from a yacht in high seas.

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A woman has been very seriously hurt.

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Midsummer, Lee-on-Solent Air-Sea Rescue is preparing for takeoff.

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They're responding to an urgent Mayday call to Coastguard Control.

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It's a short flight from the airbase to the Isle of Wight.

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The RNLI lifeboat from Limington

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and the inshore rib from Yarmouth are also en route,

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but the coastguard needs more details.

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The man making the emergency call is distressed and struggling.

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The winchman on board the coastguard helicopter is also

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a trained paramedic.

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As they get closer, more details of the injury come through.

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The Limington RNLI rib is first to the yacht, Blue Boat.

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The boom is swinging free. The sea conditions are rough.

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First, RNLI crew Paul Harrison

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and Stuart Lane need to get on board to control the boat.

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The yacht's skipper, Laura,

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is drifting in and out of consciousness.

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Her partner, Steven, saw her thrown against the cabin.

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He was left struggling to control the boat, help her,

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and make the Mayday call.

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The boat's still in danger.

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Lifeboat crewman Paul grabs the tiller as Stuart secures the boom.

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Can you grab this? Yeah.

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But they need more help from the Yarmouth crew to carry out

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emergency first aid.

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The Limington crew bring their colleagues up-to-date.

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The RNLI first-aider can see that Laura has suffered

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a major head trauma.

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A sudden gust of wind sent the boat into a gybe

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and she was in the way of the boom.

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All the time her condition is deteriorating.

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Her consciousness levels are slipping.

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By now, air-sea rescue is overhead.

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It's too risky to follow the usual procedure.

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Laura is too poorly to cope with the transfer to the lifeboat

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and then an airlift.

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That leaves one option for the pilot.

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Immediately, they start preparing Laura for the airlift.

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They have to make the yacht as stable as possible

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before the winch can go ahead.

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The RNLI volunteer, Paul, needs to steer the boat into the wind,

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but he's struggling because of the way Laura has fallen.

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'I'm on the helm of the casualty vessel,

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'trying to keep the boat into sea.'

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The problem I had was Laura's leg was actually trapped

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just beneath the tiller for steering the boat.

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Now, it wasn't causing her any pain,

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but it meant that, sometimes, I was unable to get the boat around.

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It's going to be precarious winching around the mast

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onto the small, unstable yacht.

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Winchman and paramedic Nick Horst is being

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lowered onto the more stable platform

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of the larger Yarmouth lifeboat...

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..then transferred on the rib to Blue Boat.

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Now on board, Nick assesses Laura's condition.

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He needs to maintain her airways.

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'As soon as I got there, I could see that she had'

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quite a large wound on the right-hand side of her head.

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'My initial thoughts were'

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that she could well have spinal injuries.

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All the time, sea conditions are getting worse.

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'We were rolling and pitching'

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and there's waves being taken over the bow

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and we were getting sprayed quite frequently.

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'It was quite awkward to do,'

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but between myself and the lifeboatmen who managed to get

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a collar on and then place a Kendrick splint on her back,

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then basically she was ready for winching.

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But the helicopter pilot is worried the boat can't be held in position.

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He discusses the options with the Yarmouth lifeboat.

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Later, winchman Nick is forced to make a decision.

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They can't delay Laura's airlift to hospital any longer.

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Early evening on the M27 in Southampton.

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Rain and low sun are making driving conditions treacherous.

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SIRENS WAIL

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Emergency care practitioner Mark Ainsworth-Smith

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is heading to a crash. Two vehicles are involved.

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We have got a call to a car versus van,

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it's another accident

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on the motorway, unfortunately. It's a Sunday evening, so the traffic's

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likely to be fairly heavy and, of course,

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the road conditions are fairly wet,

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so this is quite a common call to get, unfortunately.

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We've got no information on the incident at all at this stage.

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I believe it's westbound,

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but could you just confirm, cos it may be eastbound, over.

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I've just seen the police going the opposite way,

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so I'll give you a sitrep as soon as I get there, over.

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The accident is on the opposite carriageway,

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somewhere in the gridlock caused by a previous incident.

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Oh, there we go.

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SAT NAV: You have arrived at your destination.

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The young woman is lying on the ground,

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surrounded by a concerned family.

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Right, I'd like you to keep very still. My name is Mark.

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What's your name?

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OK. Whereabouts are you injured?

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Have you got pain anywhere?

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In your chest. How about your neck?

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Left ear. And that's all since the accident, is it?

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Mark finds out what's happening.

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You were in a different car to her? No, we were all in the same car.

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OK, and you're in a car. OK. How is she, normally? Is she normally well?

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Yes, she's normally well. Is she a family friend of yours?

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She's our au pair. Au pair, OK, fantastic.

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Where was she sitting in the car? In the seat by the driver.

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OK, all right. So, has she taken quite a bit...?

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The young woman got out of the car, but then collapsed.

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The vehicle she was in collided with the one in front,

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the impact setting off the airbags.

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I don't want you to move at all. OK?

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Yeah, keep very still.

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What we're going to do is... I'm in a car.

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We're going to get an ambulance as well

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so we can properly assess her in the back of the ambulance.

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I don't want to move her neck until I've got some extra help,

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so what I need to do is have a little look at your arm.

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Now, how precious is this coat?

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Normally, we'd cut it off you to do your blood pressure.

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No... No, you don't want us to do that. Take it off...

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Yeah, OK, we don't want to move your neck, though,

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don't let that compromise her neck, please. I understand...

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This is all routine. It's normal, we do this for everyone.

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Keep your head nice and still, that's it.

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How bad is the pain in your chest and stuff?

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OK.

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OK.

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Au pair Rosa has chest pain.

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Mark wants to check for any major injuries.

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Rosa, I'd like you to take some big breaths for me, please.

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Big breaths for me.

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OK, just try and take SOME breaths for me.

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Because of the combination of Rosa's symptoms - hearing loss

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and breathing difficulties - Mark wants to insert

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a line into her hand in case she needs drugs or fluids.

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I'm going to pop a little needle in your arm now, OK?

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I want you to try and keep still and not to jump.

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I'm treating her for the worst.

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The symptoms she's saying, I've got to treat...you know?

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She's quite cold. She's been lying here... It's not the easiest job.

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Fortunately for Rosa, the backup ambulance has arrived.

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Mark briefs the crew.

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She's got good airways, but she was complaining of difficulty breathing,

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says she can't breathe. Her oxygen saturations are 100%.

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I see she's got a good radial pulse,

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but she's got a blood pressure of 97 on 56,

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and I'm just putting in a precautionary cannula

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because of that.

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Rosa will be put on a rigid longboard to keep her neck secure.

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Once we get her rolled and on a scoop, then we'll stick

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a collar on when she's on her back. Is that all right with you?

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That seems like the easiest thing.

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A paramedic tells Rosa what's about to happen,

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but now it seems mum Olga is feeling unwell too.

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Do you want us to get another ambulance here? What do you feel?

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No, no, I just would like to... Are you going to be going in with her?

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I don't know. So, if you are, you could get checked out in the...

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I'm going to concentrate on her for a minute, OK?

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Rosa, can you straighten your legs out just a little bit?

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Rosa is in an awkward position, not helped by prickly undergrowth.

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I've got a better idea. I'm going to use your quick-cuts...

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I'm going to do a bit of pruning, mate.

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Rosa is gently rolled onto her back,

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so they can slide the board underneath her.

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Nearly in, actually, that's brilliant.

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Her head is then immobilised to protect her neck.

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Good. Secured safely to the board, Rosa is finally off the ground.

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Beautiful, well done. Yeah, we're going to get you

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in the warm now, all right, in the back of an ambulance?

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You'll be a lot warmer in there.

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Mark goes back to check how the others are doing.

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Right, if anyone's got any injuries,

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you need to travel in the ambulance and go to hospital.

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It looks like one of the children

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might now be feeling a bit poorly too.

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Jump in the ambulance, we'll check you over.

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Um, now Mum is saying she's got chest injuries,

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the same as the little one as well.

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So, are you happy to take a kid and one adult in the back?

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All three patients will now be thoroughly checked out at hospital,

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leaving Mark to get back on shift.

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As you can imagine, not all births are straightforward

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and that's true of births that happen at home as well as ones

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that happen in the hospital.

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So, the call-takers here have to deal with those too.

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If Leanne's not on a call, can we have a chat? Yeah.

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So, have you got an example of this recently? Tell us about this call.

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Yeah, we had a call come in - a second call, actually -

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from the mother-in-law of a daughter.

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The daughter was on the floor in the pub and she was in labour...

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This was the landlady in labour?

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Yeah, they'd already called, but they were in quite a remote location.

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It took quite a while for us to get there, so, um, she...

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So, mother-in-law's having to midwife a little bit at that stage.

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Yeah. And what instructions are you giving in the early part?

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Presumably, you hope the ambulance will get there?

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We always hope they're going to get there, but you have to prepare them,

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so you tell them to get the towels out and get some water,

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make sure Mum's in a comfortable position cos she's on the floor

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in the pub, but you need to be as comfortable as you can and then

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you need to start talking through to the mother-in-law on

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how to deliver the baby there. At this stage, you now actually have

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a clinician, a paramedic who works in the room here.

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Yeah, if it's looking like the ambulance isn't going to come in time

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and you're going to have to be delivering the baby over the phone,

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then you need a clinician in to listen.

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It was at this point that it suddenly became more serious?

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Yeah. Obviously, over the phone it's difficult anyway,

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but at this point we then realised that the baby

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was in a breech position so it was coming out legs and rear first.

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OK, at which point, presumably, the clinician takes over.

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Yeah. They were already listening and it then gets difficult

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and then you just pass it over to the clinician on duty at the time

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to take over. Who's your clinician at the moment?

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Our clinician is Phil. Phil, so... Thank you very much.

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I'm going to have a word with Phil and see what happens at that point.

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So, I don't know if you overheard there, Phil.

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We were talking about the landlady who was giving birth

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on the floor of the pub and suddenly...

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How do you recognise that a birth is breech,

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because, when a bum starts to come through,

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it can look very much like a head.

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Yeah, exactly.

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I mean, the normal perception for any childbirth

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is the head comes out first,

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um, but on the odd occasion I've actually listened to a call

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where somebody's actually said, "The head's coming through, but

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"there's a massive, great, big crack in it."

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So, it's, "OK, let's calm the situation down.

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"That's actually his backside that's coming out."

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Um, and on that occasion it would be just to calm everything down, um,

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and just let it progress naturally and just do not touch the child.

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Why not touch the child?

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Because if the body is being birthed, but the head hasn't yet,

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the temptation would be to try and pull the baby out, but

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that's not necessarily the right thing? No, you're right there.

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Normally, in a normal childbirth, when the head comes out

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and most of the body comes out,

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the baby will gasp for air with a bit of stimulation.

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Now, if you manhandle that child before the head's out,

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that stimulises that child, he will then try to breathe.

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And bearing in mind that the head is still inside the woman's pelvis...

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So, even if the body is out of the...in the birth,

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the head is still engaged, you would still not...not stimulate the child

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and you'd leave that hanging in that position for the ambulance...

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Yeah, yeah. Cos the child won't take a breath till it's completely out.

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Exactly. You need to support it,

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cos they tend to let the mum sort of dangle into space, basically,

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and let the child come out naturally. Invariably it will, and then,

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as long as the cord's not wrapped round the neck,

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everything should be fine.

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Which is the danger with a breech birth as well, where the cord is...

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On this occasion, everything was OK? Yeah, absolutely.

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So, mother-in-law managed to deliver a breech birth,

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something that's frightening even within hospital.

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Not a call you want to get every day, is it? No, not really.

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All right. Thank you very much. OK.

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In the Solent, five crew from the RNLI and an air-sea rescue paramedic

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are on board a small yacht preparing to airlift skipper Laura

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who's suffered a critical head injury.

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She needs urgent specialist care.

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The yacht is at the mercy of the rough seas,

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making an airlift difficult.

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The more stable Yarmouth lifeboat would make

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a better platform, but winchman Nick fears time is

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running out for his casualty.

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But even if Blue Boat is undertow,

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this will be precarious for the helicopter.

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The yacht's mast is a potential hazard.

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But they can't wait any longer.

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A decision is made to go ahead with the winch.

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They're going to use a high line - a wire that will allow

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the helicopter to fly to the side of the boat.

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Avoiding being directly over the mast,

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it needs a lot of expertise and specialist knowledge.

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We lower a line with weights on it

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to the yacht, they take the line in hand,

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and then they pull in the slack,

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and on the end of that is the hook.

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The line comes in without a hitch and is connected to Laura and Nick.

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This is the most critical time.

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The helicopter is now connected to the people on the boat.

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Any contact with the mast and everyone is in danger in the air

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and on the boat.

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The pilot needs immense precision to avoid the yacht mast,

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but if he's too far away, winchman Nick

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and Laura will swing violently off the boat.

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One forward...

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One only...

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Touch.

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Right, one...

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Winch, you clear?

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Clear, clear, back and left.

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They swing, there's not a straight lift,

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the crew on the yacht would then stabilise the swing using this

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attached line and then we winch them to the aircraft.

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On target.

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As Laura is being lifted, winchman Nick tries to rouse her,

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but with no success.

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In the doorway.

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Bring her in.

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On board.

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I'm going to clear the high line and throw it overboard.

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As soon as she's in the helicopter, the crew work to stabilise her.

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Both of us maintained life support for the young lady,

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she looked quite bad. She looked very pale, unconscious.

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It was... It looked quite serious.

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We made the decision to take the casualty to Southampton,

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because that is the major trauma unit for this area

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and if there's any complications,

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All you need to do is take one deep breath

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and blow till I tell you to stop.

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Ready? And just blow. Keep going. Keep going. Keep going.

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Stop. That's perfect, thank you.

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I shall leave your souvenir in the car. They're both clear.

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That's a zero as well.

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The other chap's provided a negative breath test as well,

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so he hadn't had any alcohol, OK?

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And what is he to you, relation-wise?

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Right now, a friend of one of the drivers has arrived.

0:23:240:23:27

Was you in the car with him or not?

0:23:270:23:28

He didn't see anything and was not involved.

0:23:280:23:31

So, you've come to help him? OK.

0:23:310:23:33

Mat's going to interview both of the men at the hospital,

0:23:330:23:36

but first he needs to gather all the evidence from the crash scene.

0:23:360:23:39

What I'll do now is I'll take pictures of the scene

0:23:410:23:43

and then I'll start building up an investigation into what's happened.

0:23:430:23:47

It's turning into a very long day for recovery driver Alan.

0:23:470:23:51

I'm dying to find out - what was your dinner?

0:23:510:23:55

What was it?

0:23:550:23:56

A salad?

0:24:000:24:01

Oh, not a...not a roast dinner or anything like that?

0:24:070:24:10

No, mate!

0:24:100:24:12

And it's not over yet. Alan's proving too useful.

0:24:120:24:16

To PC Water's relief, he agrees to recover one of the cars.

0:24:160:24:19

No rest for the wicked. So, it's back to the day job for Alan.

0:24:230:24:27

It's going to be a while before he sees that ready meal.

0:24:270:24:30

One zero, can I have your own details, please?

0:24:370:24:39

Time of call, time of arrival?

0:24:390:24:41

The damage to the front of the car makes this slow work.

0:24:450:24:48

Yes, yes, both vehicles are leaking coolant. It's just the debris that...

0:24:480:24:53

It's just the coolant to remove from the road surface and, yes,

0:24:530:24:56

Alan sees to that as well.

0:24:560:24:58

Mate, so this stuff they're putting down is dry sand,

0:25:000:25:02

which will absorb the... like, the oil and the coolant,

0:25:020:25:05

to prevent it being slippery.

0:25:050:25:07

Obviously, there's motorcyclists going over it

0:25:070:25:09

and if it's not treated, it could be dangerous for them.

0:25:090:25:11

At last, Alan's work is done.

0:25:160:25:18

Thanks for your help. Traffic flowing again,

0:25:200:25:22

Mat can get off to the hospital to continue his investigations.

0:25:220:25:26

Coming up on Real Rescues.

0:25:330:25:34

Why violent chest pains don't always signal

0:25:360:25:39

heart failure for a patient with a serious cardiac history.

0:25:390:25:43

They're saying I've got so many stents on one artery now that, over

0:25:430:25:46

a period of time, they said it tries to reject and it goes into spasm.

0:25:460:25:50

And Laura the yacht skipper rescued from her boat at sea

0:25:520:25:55

faces a long road to recovery.

0:25:550:25:58

Partner Steven recalls the moment it happened.

0:25:580:26:00

It was quite horrific, really,

0:26:000:26:02

cos she was over the other side of the cockpit.

0:26:020:26:04

It just caught the back of her lifejacket and flicked her

0:26:040:26:07

and she went across like a ragdoll and just dashed

0:26:070:26:10

against the side of the cockpit, which was a horrible thing to see.

0:26:100:26:14

This is Julie who's a clinician here at the hub and, indeed,

0:26:170:26:20

a paramedic as well. That is correct.

0:26:200:26:23

Tell us about this call that you had from a carer recently.

0:26:230:26:26

We had a call from a carer come in to the 111,

0:26:260:26:30

it was earlier this year.

0:26:300:26:32

She actually looks after a 90-year-old lady and, um,

0:26:320:26:35

she was very concerned this particular morning, the lady

0:26:350:26:39

was quite cold, she felt cold to touch and she was somewhat confused.

0:26:390:26:43

She just didn't seem to be herself, so the call was made.

0:26:430:26:47

Um, and from the information,

0:26:470:26:49

we were concerned and a clinician called her back

0:26:490:26:53

to speak with her and from lots of questions

0:26:530:26:57

about how the lady was and how she was presenting,

0:26:570:27:00

and how she seemed, signs and symptoms, and, um...

0:27:000:27:04

Although it was confusion, originally,

0:27:060:27:09

that the carer was concerned about,

0:27:090:27:11

confusion is a symptom of hypothermia.

0:27:110:27:13

Oh, was that what it was - hypothermia? Yes, yes.

0:27:130:27:16

So, what do you look for in a relative or somebody

0:27:160:27:18

that you know that might be hypothermic?

0:27:180:27:21

Well, there are three stages to hypothermia.

0:27:210:27:24

There is mild hypothermia,

0:27:240:27:25

the body's temperature's usually about 37 and, um,

0:27:250:27:29

when it drops to 35, then it's starting to go into mild hypothermia.

0:27:290:27:33

So, only a two-degree difference will take you into mild hypothermia?

0:27:330:27:36

Two degrees, yes. Wow.

0:27:360:27:37

The elderly and the very young are the ones most at risk

0:27:370:27:42

and this is what we have to be aware of. And what are you looking for?

0:27:420:27:45

What are those signs?

0:27:450:27:47

Uh...

0:27:470:27:49

Someone would be maybe cold to touch, they'd be tired, um,

0:27:490:27:53

lethargic, um,

0:27:530:27:55

maybe loss of appetite...

0:27:550:27:57

It's easy to be confused with many things... Yes.

0:27:570:28:00

Especially with the elderly, who might be feeling that way anyway.

0:28:000:28:03

Well, by the time confusion comes in,

0:28:030:28:05

we're well into moderate hypothermia where someone would then be

0:28:050:28:08

starting to get a little colder and the symptoms would change.

0:28:080:28:13

That's when the confusion would start to come in.

0:28:130:28:15

They would still be shivering, they'd still be cold,

0:28:150:28:18

they may be sleeping a great deal, but, um...

0:28:180:28:22

When we take calls, when we consider anyone who we are

0:28:220:28:27

concerned about, we also have to take the whole picture on board.

0:28:270:28:30

It's not just the symptoms, it's where the person is.

0:28:300:28:35

This particular lady was in a very cold house,

0:28:350:28:38

because she didn't want to put the heating on

0:28:380:28:40

and this is the concern that we all have about the elderly,

0:28:400:28:45

when they don't want to put the heating on.

0:28:450:28:47

So, it's not an unusual call here during the winter months?

0:28:470:28:50

No, it's not, no. OK.

0:28:500:28:51

How do you warm someone up or how do you help someone in that situation?

0:28:510:28:55

Plainly, medical attention is a good idea

0:28:550:28:57

when it's something serious like that, but should you warm them up,

0:28:570:28:59

put a hot-water bottle on them,

0:28:590:29:01

or give them a hot drink or something to...?

0:29:010:29:03

Um, what we need to do is we need to warm them up slowly.

0:29:030:29:06

Oh, slowly, not quickly. That is the main thing to do.

0:29:060:29:09

Putting extra blankets on them, maybe a warm drink, um, not alcohol,

0:29:090:29:13

not hot-water bottles, don't put them in front of the fire, you know,

0:29:130:29:17

put the fire on and then snoodle them up right in front of the fire -

0:29:170:29:20

we need to do it very slowly,

0:29:200:29:21

the body temperature has to return slowly back to normal.

0:29:210:29:25

So, warm drinks, you know, blankets, duvet covers,

0:29:250:29:28

even, if you're very close to them, even giving them a good cuddle will

0:29:280:29:33

help as well because the warmth from your body will help them.

0:29:330:29:37

So, there you go - the message is cuddle a pensioner this winter

0:29:370:29:40

and you can help people out. Important information, though.

0:29:400:29:43

Thank you very much indeed. You're very welcome.

0:29:430:29:45

In the Solent, a critically injured woman has been airlifted to

0:29:510:29:54

safety from her yacht, the Blue Boat.

0:29:540:29:57

Laura, the skipper of the boat,

0:29:570:29:58

suffered a very severe head injury and has been taken to

0:29:580:30:02

Southampton General Hospital, a six-minute flight away.

0:30:020:30:05

She was slammed into the cabin by a rope on the main sail.

0:30:100:30:13

Her partner, Steven, was left stranded,

0:30:130:30:15

struggling with the boat at the same time as trying to help Laura.

0:30:150:30:20

It's taken a coastguard helicopter and two RNLI crews to

0:30:200:30:23

pull off the rescue in some of the most demanding conditions.

0:30:230:30:26

All the time, Steven was fearing the worst.

0:30:260:30:30

The conditions were so rough that I could sort of anticipate

0:30:300:30:35

further things happening, but as soon as she got into that helicopter,

0:30:350:30:38

I felt so relieved and I looked up at the helicopter and

0:30:380:30:42

I remember one of the lifeboatmen put his hand on my shoulder

0:30:420:30:46

and he said, "Are you OK?" And I said, "Yes.

0:30:460:30:48

"I'm so glad that she's gone onto the helicopter now."

0:30:480:30:50

And that was the point when I was relieved that she was in safe hands.

0:30:500:30:53

But Steven and Blue Boat are not out of danger.

0:30:550:30:58

As one crew escorts the yacht back to the Isle of Wight, their

0:30:580:31:01

RNLI colleagues on board suddenly notice water pouring onto the deck.

0:31:010:31:07

Because the sea was so rough, it was taking on water

0:31:070:31:10

and we started sinking.

0:31:100:31:12

But the pump's not working, the gasket's gone.

0:31:260:31:29

I gave them a washing-up bowl, which they said was perfect,

0:31:310:31:33

a big, square washing-up bowl

0:31:330:31:35

and they were chucking the water over the side

0:31:350:31:37

and they decided that there were too many people on board

0:31:370:31:40

because the water was just coming in over the sides of the boat

0:31:400:31:43

and over the back and it was filling up more than it was emptying.

0:31:430:31:47

We were just paddling that out as quickly as we can

0:31:510:31:53

and then we decided to take a couple of crew members off.

0:31:530:31:56

Two hours after Laura's accident,

0:32:010:32:02

yacht Blue Boat finally limps into Cowes on the Isle of Wight.

0:32:020:32:07

It had all started so differently.

0:32:070:32:09

Steven and Laura had set sail that morning with their dog

0:32:090:32:12

in good weather, but, out at sea, conditions became rough and windy.

0:32:120:32:17

Steven remembers vividly what happened next.

0:32:170:32:20

The boom flicked right over and the main sheet that holds

0:32:200:32:24

the boom down to the deck was caught on the back of Laura's lifejacket.

0:32:240:32:30

It was quite horrific, really,

0:32:300:32:32

because she was over the other side of the cockpit

0:32:320:32:34

and it just caught behind the back of her lifejacket and flicked her

0:32:340:32:38

and she went across like a ragdoll and just dashed

0:32:380:32:40

against the side of the cockpit, which was a horrible thing to see.

0:32:400:32:45

I could sense that her head was hurting,

0:32:450:32:47

cos she put her hand up to shield her head and she turned and faced me

0:32:470:32:53

and she was just completely different, she wasn't really there.

0:32:530:32:56

Her eyes were completely black.

0:32:560:32:58

It was so scary. I just thought she wasn't there any more.

0:33:010:33:04

It was very, very frightening.

0:33:040:33:06

After Laura's accident,

0:33:070:33:09

Steven finds her in the Trauma Unit at Southampton General Hospital.

0:33:090:33:13

They didn't sort of give me any false hopes and they didn't scare me

0:33:130:33:17

to death either.

0:33:170:33:18

Laura's head had been badly fractured

0:33:180:33:20

and there were fears she had a bleed on her brain.

0:33:200:33:23

They'd said that, from the CT scan,

0:33:230:33:25

liquid inside her skull had probably come from the fracture

0:33:250:33:30

inside her skull,

0:33:300:33:31

which wasn't as concerning as what it would have been

0:33:310:33:35

if it had been from the brain, which was quite a relief, really,

0:33:350:33:38

and they said that she was going to be OK.

0:33:380:33:41

Later, Laura faces a long recovery to full health.

0:33:430:33:47

Bournemouth, mid-morning,

0:33:560:33:58

a 999 call has come into South-western Ambulance Control

0:33:580:34:02

from a GP's surgery.

0:34:020:34:04

A doctor fears one of his patients is having a heart attack.

0:34:040:34:07

He needs to be taken to hospital by the fastest possible means.

0:34:070:34:11

Ambulance crew Phil Barrett and Karen Wright need to wire him up

0:34:110:34:16

to an ECG so they can monitor him on the journey.

0:34:160:34:19

It might seem a silly question, John -

0:34:190:34:21

zero, no pain, ten, the worst pain you ever had.

0:34:210:34:24

What number would you give it at the moment? It's about eight. Eight, OK.

0:34:240:34:27

Can you give me something for it? Yeah, I'm going to sort that out.

0:34:270:34:30

60-year-old John is suffering from severe chest pains.

0:34:300:34:33

'They came on last night, but died down again.

0:34:330:34:36

'This morning they're back with a vengeance.'

0:34:360:34:39

When did you last have a squirt of GTN?

0:34:390:34:43

When I was in the reception, I... Oh, God... OK.

0:34:430:34:47

So, how long ago roughly

0:34:530:34:54

did all of this episode sort of occur, previously?

0:34:540:34:58

I was in hospital back in May. May, was it? OK, right.

0:34:580:35:00

I'm just going to look underneath your tongue, then.

0:35:000:35:03

The GTN spray dilates his arteries and eases the pain.

0:35:030:35:07

The crew also want to minimise the risk of a clot forming.

0:35:070:35:11

If we can, we'll take your top off, if that's all right.

0:35:110:35:15

Aspirin in some water for you there, John. All right? So, if you...

0:35:200:35:25

can drink that for me.

0:35:250:35:26

'The ECG will tell Phil if John is having,

0:35:290:35:32

'or about to have, a heart attack.'

0:35:320:35:35

This patient has a long history of serious heart problems

0:35:360:35:39

and cardiac surgery.

0:35:390:35:41

I've had a cardiac arrest, I've had two heart attacks,

0:35:410:35:44

I've got six stents inside me.

0:35:440:35:47

Stents are minute wire mesh tubes inserted into arteries after

0:35:470:35:51

they've been cleared of any blockage.

0:35:510:35:54

OK, there doesn't appear to be anything new or acute

0:35:540:35:57

showing on the ECG there, John, all right? That's good.

0:35:570:36:01

That's a huge relief. There would be clear signs of another heart attack.

0:36:010:36:05

But John's still in great pain.

0:36:070:36:10

Although the spray has taken the edge off it,

0:36:100:36:12

he needs more powerful painkillers.

0:36:120:36:13

A sharp scratch to the back of your hand, all right? Yeah.

0:36:130:36:16

Paramedics are going to give him the strongest painkiller they carry.

0:36:170:36:22

All right, so you've had some morphine before? Yeah.

0:36:220:36:25

So, you know, it might make you feel

0:36:250:36:27

a little bit woozy and light-headed. OK.

0:36:270:36:30

Like, maybe, you've had a few of your favourite tipple, if you enjoy one.

0:36:300:36:34

It seems the problem might be caused by the body reacting to

0:36:340:36:38

the stents, trying to reject the foreign bodies.

0:36:380:36:40

It's the second time this has happened in three months.

0:36:400:36:44

After going through so much,

0:36:440:36:46

John has a good understanding of his heart problems.

0:36:460:36:49

Did they say last time anything sort of about the arteries just

0:36:500:36:53

sort of, you know, almost consistently spasming at all? Or...?

0:36:530:36:58

Because a part of my heart's died... Yeah.

0:36:580:37:01

..and I've got a blocked artery, which they...

0:37:010:37:05

they have tried to drill out...

0:37:050:37:08

but it's very small.

0:37:080:37:09

Um...I've had more stents put in my other artery.

0:37:110:37:15

Yeah. Um...

0:37:150:37:16

and they're saying I've got so many stents on one artery now that,

0:37:160:37:20

over a period of time, it tries to reject and it goes into spasm.

0:37:200:37:24

It sounds a similar sort of episode to... Something's not right. No.

0:37:260:37:31

It's possible the coronary artery is going into spasm as the body

0:37:310:37:36

tries to reject the stents.

0:37:360:37:38

If that continues, it could cause another heart attack.

0:37:380:37:41

Feeling anything yet?

0:37:420:37:44

A little bit more relaxed...? Yeah.

0:37:440:37:47

OK. Right, we'll see how that goes. Yeah.

0:37:510:37:54

All right, what sort of number would you give it at the moment

0:37:540:37:56

between zero and ten?

0:37:560:37:58

About four or five now. It's about four or five. It's come down now.

0:37:580:38:01

John's had a rough time, but, for now, the morphine is doing its job.

0:38:010:38:05

Pain under control,

0:38:050:38:06

John's stable enough to start the journey to hospital.

0:38:060:38:09

Phil stays by his side, continually monitoring the ECG to make sure

0:38:090:38:14

there are no signs of a heart attack.

0:38:140:38:16

With John's history, they can't take any chances.

0:38:160:38:20

Everything's checking out all right, John. OK?

0:38:200:38:23

All your observations are stable, which are good

0:38:230:38:26

and there's no changes on the ECG at all. All right? That's good.

0:38:260:38:30

At hospital, John will be taken to the cardiology unit,

0:38:380:38:40

where his chest pains will be fully investigated.

0:38:400:38:44

The au pair who collapsed by the roadside after

0:38:540:38:56

a shunt on the M27 motorway was checked over at hospital.

0:38:560:39:00

Have you got pain anywhere?

0:39:000:39:02

In my chest. In your chest? How about your neck?

0:39:020:39:04

Rosa suffered serious bruising from the seatbelt

0:39:040:39:07

and was sent home to rest with painkillers.

0:39:070:39:10

Right, if anyone's got any injuries,

0:39:100:39:12

you need to travel in the ambulance and go to hospital.

0:39:120:39:15

Both Olga and her son, Alec, also suffered minor bruising,

0:39:150:39:20

but are now fully recovered.

0:39:200:39:22

At hospital, the driver of the car that went into the crash barrier

0:39:230:39:27

was found to have a broken rib and fractured bones in his feet.

0:39:270:39:31

No charges were brought against him

0:39:310:39:33

or the other driver, who was treated for whiplash.

0:39:330:39:37

As for Alan, the recovery driver who stopped to help,

0:39:370:39:40

he didn't make it home until the early hours of the morning.

0:39:400:39:43

Too late for dinner.

0:39:430:39:45

John, the heart patient taken into hospital with severe

0:39:460:39:50

chest pains, was kept in for a week.

0:39:500:39:51

During that time, his anti-rejection medication was adjusted.

0:39:510:39:55

He's now back home and feeling much better.

0:39:550:39:58

It's three months since Laura's accident on Blue Boat.

0:40:030:40:06

She was left with multiple fractures to her skull.

0:40:060:40:09

Although she was discharged from hospital after a week,

0:40:090:40:12

she may still have to undergo surgery,

0:40:120:40:14

but doctors want to wait for the injuries to settle.

0:40:140:40:18

What I understand is that I had a fracture in my skull here

0:40:180:40:21

and that fractured the eye socket on the right side.

0:40:210:40:26

They had to shave my head and put stitches under here

0:40:260:40:29

and I have had something that feels like a concave kind of crater,

0:40:290:40:33

I called it a crater, here,

0:40:330:40:35

but even that is becoming more and more normal.

0:40:350:40:38

It's fantastic, actually. I'm incredibly lucky.

0:40:390:40:42

One of the most disabling effects of a head injury is coping

0:40:430:40:46

with double vision, which makes everyday tasks much more difficult.

0:40:460:40:51

My two eyes are working quite differently

0:40:510:40:54

and it's too much for my brain to pull it together.

0:40:540:40:57

In hospital, they were trying to encourage me

0:40:570:40:59

to do things independently and pour a glass of water, and I couldn't.

0:40:590:41:02

I couldn't see where the glass was

0:41:020:41:04

and I'd be pouring it all over the table,

0:41:040:41:06

but just walking about, it's amazed me

0:41:060:41:08

how much you count on your eyes to see if the ground's uneven

0:41:080:41:11

or if there are steps

0:41:110:41:12

and I've become someone who thinks there should be

0:41:120:41:15

a yellow strip on every step now.

0:41:150:41:17

Life is now continually interrupted by medical appointments, but Laura

0:41:170:41:21

has been reassured that, in time, her sight will return to normal.

0:41:210:41:26

Every morning as I wake up and look,

0:41:260:41:27

"Have I got double vision this morning?"

0:41:270:41:29

Um, unfortunately, I always have so far, but I am hopeful that

0:41:290:41:33

it's going to correct itself and will sort itself out.

0:41:330:41:37

Laura can't remember anything about the accident

0:41:370:41:39

and it has not put her or her partner, Steven, off sailing.

0:41:390:41:44

I think Laura has always had sailing in her blood,

0:41:440:41:47

she's always been sailing, she's always done something on boats.

0:41:470:41:50

She's drawn to that lifestyle and those activities.

0:41:500:41:55

She's a very positive person. She's always upbeat about everything.

0:41:550:41:59

She always sees the bright side of things

0:41:590:42:01

and I think it's that ambition and that drive that keeps her going and

0:42:010:42:05

I think we will start to sail again, maybe after Christmas

0:42:050:42:09

and maybe next season.

0:42:090:42:11

The rescue operation saved Laura's life.

0:42:140:42:16

The difficult weather conditions requiring all the experience

0:42:160:42:20

and expertise of the coastguard, air-sea rescue

0:42:200:42:23

and two RNLI crews.

0:42:230:42:26

Oh, it was a superb team effort.

0:42:260:42:29

I don't think we could have got the casualty out from

0:42:290:42:33

where she was without the effort of the RNLI.

0:42:330:42:36

Um, they were very good.

0:42:360:42:37

There's three of them on the yacht all doing different jobs and, uh...

0:42:370:42:43

they all acted extremely well.

0:42:430:42:45

It was a good shout for us.

0:42:450:42:46

It was where we all worked together, it's where the training kicked in.

0:42:460:42:49

It was the first time I had done a high line with the winchman.

0:42:490:42:52

So, again we knew the theory,

0:42:520:42:53

but it was nice to put some of that theory into practice

0:42:530:42:56

and it's nice to hear that, obviously,

0:42:560:42:58

Laura's making a recovery and we were able to help her that day.

0:42:580:43:01

It never fails to amaze me -

0:43:070:43:08

the skill, dedication and selflessness of the helicopter crews

0:43:080:43:12

and RNLI who are out there helping those in need around our coastline.

0:43:120:43:17

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

0:43:170:43:19

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