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Welcome to Real Rescues, going behind the scenes with all of our | :00:00. | :00:08. | |
emergency services. The cyclist is so agitated, the | :00:09. | :00:22. | |
medics put her in an induced coma on the roadside. A major rescue | :00:23. | :00:27. | |
operation to save 30 people. After a tall ship hits rocks of Co Cork. | :00:28. | :00:36. | |
We went into the rocks and there was over four metres inside of her. | :00:37. | :00:40. | |
Firefighters battled to save a family home. Every effort is made to | :00:41. | :00:46. | |
save Russia's hats and possessions. -- precious pets. | :00:47. | :01:03. | |
Welcome to Real Rescues, going behind the scenes with all of our | :01:04. | :01:09. | |
emergency services. Every day of the year, around 85,000 people in need | :01:10. | :01:12. | |
of desperate help dial 999 in Britain. Those calls are connected | :01:13. | :01:15. | |
to state-of-the-art centres like this. The staff in here know that | :01:16. | :01:20. | |
when lives may be at stake, it is vital no time is lost. | :01:21. | :01:27. | |
The Air Ambulance has been scrambled by the Emergency Desk at Control. It | :01:28. | :01:34. | |
is heading East to a small town near Portsmouth. The cyclist is | :01:35. | :01:37. | |
critically injured after a collision on the road. On board, paramedic Pat | :01:38. | :01:39. | |
Andrews and Dr Liz Shewry. The medics are already planning | :01:40. | :01:58. | |
ahead. The nearest neurological trauma unit is Southampton General. | :01:59. | :02:08. | |
They get their first sight of the accident. It looks like the cyclist | :02:09. | :02:15. | |
collided with a lorry. Priority now is finding a suitable place to land. | :02:16. | :02:22. | |
The road has been blocked off to traffic. Making it safe for the | :02:23. | :02:28. | |
emergency rescue crews. As soon as they are on scene, Pat and Liz are | :02:29. | :02:33. | |
brought up to date by the ambulance crew. The injured woman is showing | :02:34. | :02:36. | |
all the signs of a very serious head injury. | :02:37. | :02:42. | |
She has wounds on the side and back of her head. | :02:43. | :02:50. | |
The cyclist is in extreme pain, the paramedics cannot keep her still on | :02:51. | :02:55. | |
the board, she has already tried to get up. | :02:56. | :03:05. | |
The bike is still in one piece, it looks like the cyclist has been | :03:06. | :03:14. | |
thrown off after the collision. There has been a collision with an | :03:15. | :03:20. | |
articulated lorry. She has some serious head injuries and is very | :03:21. | :03:24. | |
unaware of what has happened to her. At this stage, we do not know how | :03:25. | :03:27. | |
serious the injuries are or where it is going to go from here. What we | :03:28. | :03:31. | |
know is her name is Cheryl. Liz tries asking her if she | :03:32. | :03:33. | |
remembers anything. Cheryl is now secured on a rigid | :03:34. | :03:43. | |
long board which will prevent any further injuries. | :03:44. | :04:06. | |
But her levels of agitation keep fluctuating. She needs to get to | :04:07. | :04:11. | |
hospital as quickly as possible, but it could be too dangerous by air. | :04:12. | :04:14. | |
Before they make a decision, Dr Shewry needs to examine her patient | :04:15. | :04:18. | |
more closely to check her breathing and for any other signs. Well done, | :04:19. | :04:21. | |
Cheryl, you are doing really well. All the time, Steve continues to | :04:22. | :04:23. | |
reassure Cheryl. The road is still closed, they | :04:24. | :04:39. | |
update the police. Have a look at her and make a | :04:40. | :04:42. | |
decision. And find out what the score is, yes? | :04:43. | :04:48. | |
Yes. OK. I have got your head, Cheryl. It is | :04:49. | :04:52. | |
Steve again, OK? I am going to hold your head. | :04:53. | :04:56. | |
The priority now is pain relief. Steve has noticed another injury to | :04:57. | :04:57. | |
her head. As Liz organises the injections, | :04:58. | :05:12. | |
Steve continues to chat to Cheryl, trying to distract her from the | :05:13. | :05:18. | |
pain. OK, what's my name? It's Steve. Do | :05:19. | :05:26. | |
you remember? Steve, yes. Help! It hurts! | :05:27. | :05:31. | |
We are getting you some painkillers now. | :05:32. | :05:33. | |
As well as reducing the pain, Dr Liz is hoping the drugs will also calm | :05:34. | :05:37. | |
Cheryl, Making it safe to take her by air to hospital. | :05:38. | :05:41. | |
You have had a bit of a bump on your bike, OK? | :05:42. | :05:43. | |
Liz continues her examination, as paramedic Claire McKenna prepares | :05:44. | :05:44. | |
the morphine. You are going to be fine. Please | :05:45. | :06:07. | |
don't hold this. Listen, listen. She was in a lot of pain from her | :06:08. | :06:12. | |
left arm, her left chest, so we gave her some morphine and paracetamol to | :06:13. | :06:15. | |
see if that would help and whether she would become less agitated with | :06:16. | :06:19. | |
that. We gave her some time for that to work, but she seemed more | :06:20. | :06:21. | |
agitated. They need to work out if Cheryl's | :06:22. | :06:24. | |
agitation is caused by pain or something more serious going on | :06:25. | :06:27. | |
inside her brain. Dr Shewry has noticed a worrying symptom, Cheryl's | :06:28. | :06:34. | |
pupils are different sizes. Did you ever have problems with your | :06:35. | :06:37. | |
eyes before, Cheryl? No! Please, stop the pain! | :06:38. | :06:41. | |
This can be a symptom of bleeding on the brain. This is a neurological | :06:42. | :06:44. | |
emergency, they have to make a decision about which hospital and | :06:45. | :06:46. | |
the quickest way to get there. The only option now is calming | :06:47. | :07:07. | |
Cheryl by putting her into an induced coma. | :07:08. | :07:23. | |
Cheryl's symptoms leave the air medics with no choice. | :07:24. | :07:30. | |
When we looked at her pupils, it is one of the signs we look at. We | :07:31. | :07:34. | |
began to be unsure whether they were the same size, and that often is a | :07:35. | :07:38. | |
sign of a head injury, rather than the sign of someone who is just in | :07:39. | :07:41. | |
pain. Later: the hospital comes to the | :07:42. | :07:45. | |
roadside. Cheryl is anaesthetised. Milton Keynes, 8pm, traffic cops | :07:46. | :08:06. | |
Russ Irwin and Steve are heading to the A5. The main North-South | :08:07. | :08:13. | |
arterial route. We've been called to a traffic | :08:14. | :08:17. | |
incident. We've got a report that a BMW has left the road joining the | :08:18. | :08:20. | |
slip road of the dual carriageway and collided with a lamp post. The | :08:21. | :08:26. | |
person that has called it in has said that three males have run from | :08:27. | :08:28. | |
the car. They arrive to find two cars on the | :08:29. | :08:43. | |
slip road leading to the main carriageway. One of them has | :08:44. | :08:46. | |
nosedived into the hedge and has serious damage to the front. The | :08:47. | :08:50. | |
driver of the other car saw it all happen and tried to record it. | :08:51. | :08:54. | |
I had my video phone, but was on the phone to the police at the same | :08:55. | :08:57. | |
time. There were at least three, possibly four. | :08:58. | :08:59. | |
Paul tells police how the crashed car originally overtook him and then | :09:00. | :09:03. | |
just slammed on its brakes in front of him. Paul avoided the car and | :09:04. | :09:08. | |
then, in his rear-view mirrors, saw it come off the road. | :09:09. | :09:12. | |
He put his foot down, skewed off straight over to the grass, slammed | :09:13. | :09:18. | |
into the laphost. As it fell, the lamp post crushed the roof and | :09:19. | :09:21. | |
dented the boot, before the car ended up in the hedge. Amazingly, | :09:22. | :09:24. | |
the driver and passengers all walked, or rather ran, away. I went | :09:25. | :09:30. | |
back to make sure they were all right but, by this time, they were | :09:31. | :09:34. | |
off, up the hill. Lucky for them, modern lamposts are more forgiving | :09:35. | :09:37. | |
than the old concrete variety, or they wouldn't have got off so | :09:38. | :09:39. | |
lightly. Some of the crash might have been | :09:40. | :09:47. | |
caught on the nearest CCTV camera. Hello, I'm at your roundabout, where | :09:48. | :09:53. | |
is your camera facing today? But he is out of luck. Isn't that | :09:54. | :09:59. | |
always the way? There is a CCTV camera covering the roundabout, | :10:00. | :10:02. | |
which is the only one off-line at the moment, so no help there! | :10:03. | :10:09. | |
Thankfully the lamp post ended up on the grass verge. If it had fallen | :10:10. | :10:15. | |
across the road, this could have been a very different story. The | :10:16. | :10:21. | |
bits are all... All live there so the council will come out and they | :10:22. | :10:24. | |
will deactivate that post and make it safe so no-one can get caught out | :10:25. | :10:30. | |
by it. But it is up to the traffic cops to deal with the crashed car. | :10:31. | :10:34. | |
It is displaying a tax disc belonging to a different car | :10:35. | :10:37. | |
altogether. And when Russ checks the chassis number it does not tally | :10:38. | :10:41. | |
with the registration plate. We found this tax disc which is | :10:42. | :10:45. | |
displayed in the vehicle. It comes back to a completely different | :10:46. | :10:48. | |
registration and it is a Ford Fiesta van anyway. The registration plate | :10:49. | :10:52. | |
of the crashed car has been copied from a similar BMW. This is a stolen | :10:53. | :10:59. | |
motor vehicle, stolen in May of this year from Staffordshire so it has | :11:00. | :11:02. | |
got false number plates on it and that has been confirmed through the | :11:03. | :11:05. | |
vehicle identity number. My suspicion was raised when I saw the | :11:06. | :11:08. | |
numberplate back up the road which was being held on by a double-sided | :11:09. | :11:14. | |
sticky tape. The thieves are long gone by now. The police will alert | :11:15. | :11:18. | |
local hospitals just in case they turn up for treatment. And they will | :11:19. | :11:22. | |
check other CCTV in the area for any signs of them. The stolen BMW is | :11:23. | :11:29. | |
beyond repair. It just needs to be cleared off the road. As night | :11:30. | :11:34. | |
falls, Russ prepares himself for one of those shifts. Oh, it is just one | :11:35. | :11:39. | |
of those very strange occurrences that you can guarantee on the night | :11:40. | :11:43. | |
of a full moon. The number of jobs we get sent to increases. People act | :11:44. | :11:48. | |
even more stupid than normal. It's just something that you could put | :11:49. | :11:52. | |
money on, that a full moon is always going to be a busy night. | :11:53. | :12:02. | |
Still to come on Real Rescues: A tall ship hits rocks off the coast | :12:03. | :12:07. | |
of County Cork. On board and in danger, 30 trainees sailors and | :12:08. | :12:14. | |
crew. And at the roadside, the air medics prepared to put injured | :12:15. | :12:24. | |
cyclist Cheryl into an induced coma. Call takers here at the South | :12:25. | :12:27. | |
Western Ambulance Centre are 111, 999, doesn't matter which, have to | :12:28. | :12:31. | |
be detectives to a certain extent because things aren't always what | :12:32. | :12:34. | |
they seem when callers come in with information. You had a call from | :12:35. | :12:40. | |
someone who thought they had bad toothache? Yes, we get a lot of | :12:41. | :12:45. | |
dental calls, we really do. We deal with the Dorset Dental Service. This | :12:46. | :12:49. | |
gentleman had a toothache but when we take him through the questions we | :12:50. | :12:53. | |
need to ask, because people over a certain age, we will check whether | :12:54. | :12:56. | |
their dental pain is radiating to anywhere else around, you know, to | :12:57. | :13:00. | |
their chest, to their jaw, anything else. If it comes up as a positive | :13:01. | :13:04. | |
answer there we will look into it further. Why? He thought he had an | :13:05. | :13:10. | |
abscess. He knew he had an abscess he was having trouble with and | :13:11. | :13:13. | |
assumed the pain was dental because of the abscess. Yes, but the pain he | :13:14. | :13:17. | |
had was radiating away from there which can be the early signs of | :13:18. | :13:21. | |
heart problems, having a heart attack. We always have to | :13:22. | :13:26. | |
investigate that further. And in that is what it turned out to be. | :13:27. | :13:31. | |
Yes, it did. Because it is not usual we have to check. We refer it to a | :13:32. | :13:36. | |
clinician to give further advice. They did that, felt the man needed | :13:37. | :13:40. | |
an ambulance and when the crew got there he was having a heart attack. | :13:41. | :13:44. | |
The other thing that is a surprise is I did not know that teeth | :13:45. | :13:48. | |
problems or dental problems, people call in with those. We get a huge | :13:49. | :13:52. | |
amount of calls from people with dental pain. A lot of people are not | :13:53. | :13:56. | |
registered with dentists. We have details of the emergency dental | :13:57. | :13:59. | |
service in Dorset, which is actually a very good service. It varies | :14:00. | :14:02. | |
around different parts of the country but the Dorset dental | :14:03. | :14:05. | |
service, we can get people booked into in the majority of cases if | :14:06. | :14:09. | |
they have not got their own dentist. Having had really bad tooth pain, it | :14:10. | :14:13. | |
drives you mad and you desperately need some relief. And we need to | :14:14. | :14:17. | |
deal with a lot of patients who are in an awful lot of pain and not | :14:18. | :14:21. | |
happy. All right, smashing, thank you very much. Very interesting. | :14:22. | :14:31. | |
In a village near East Grinstead in Sussex, firefighters are battling to | :14:32. | :14:34. | |
save a family home. The blaze has already taken hold when it was | :14:35. | :14:39. | |
spotted. The owners have managed to escape unhurt, but within 15 minute, | :14:40. | :14:42. | |
the flames filled the entire roof space. To make matters worse, the | :14:43. | :14:47. | |
first-floor rooms are all built in the roof. It is making it difficult | :14:48. | :14:53. | |
to get on top of the fire. It was a construction which involved having | :14:54. | :14:56. | |
bedrooms and rooms in the roof space. That creates an issue for us | :14:57. | :15:00. | |
because that creates voids around the bedrooms where the fire can | :15:01. | :15:06. | |
travel and go undetected. And also once we had detected it, it is | :15:07. | :15:11. | |
difficult to get access to it to put it out. It is just too dangerous to | :15:12. | :15:15. | |
put men on the first floor inside the roof, so all their efforts are | :15:16. | :15:19. | |
being concentrated on pouring water on to the roof. As high-powered jets | :15:20. | :15:23. | |
are trained on the roof, firefighters going on the ground | :15:24. | :15:26. | |
floor to check gas and electrics, as well as saving precious belongings | :15:27. | :15:32. | |
and pets. We have been made aware by the occupier that two of her rabbits | :15:33. | :15:36. | |
were in the area just know the fire. Crews were made aware of this at an | :15:37. | :15:40. | |
early stage and they were removed to safety. Both pet rabbits are smudged | :15:41. | :15:46. | |
with soot but are otherwise unharmed. Firefighters are being | :15:47. | :15:50. | |
called in from other stations as back-up. It's a difficult job. They | :15:51. | :15:54. | |
have to remove tiles to get water onto the fire, but that also fans | :15:55. | :16:00. | |
the flames. It is a balance because when you remove the tiles you are | :16:01. | :16:04. | |
opening up the area for more oxygen to go in. That could potentially | :16:05. | :16:14. | |
feed the fire. But we need to make that access so we can put water onto | :16:15. | :16:19. | |
the fire to extinguish it. The teams work in relays using breathing | :16:20. | :16:22. | |
apparatus. But the fire keeps breaking out in different rooms. The | :16:23. | :16:26. | |
firefighters are working from ladders to attack the fire from | :16:27. | :16:29. | |
above, but the flames keep bursting through again and again. They need | :16:30. | :16:36. | |
more water but they can't get the big aerial platform anywhere near | :16:37. | :16:40. | |
the house. The alternative is more crews and more appliances. 16 fire | :16:41. | :16:44. | |
engines and 50 firefighters are now at the scene. On top of that, it is | :16:45. | :16:53. | |
starting to break through into the ground-floor as well. Threatening to | :16:54. | :16:59. | |
engulf the entire house. They have been pouring water on to the flames | :17:00. | :17:02. | |
for almost an hour. Firefighters are surrounding the house, working from | :17:03. | :17:07. | |
the back and the front. They are running out of water. But they have | :17:08. | :17:13. | |
a lucky break. The water supply we had from the hydrant was not enough | :17:14. | :17:17. | |
to deal with the job that we needed. Luckily, the occupiers had a | :17:18. | :17:21. | |
swimming pool at the back and so we used the water from the swimming | :17:22. | :17:24. | |
pool to feed the hose reels so that helped us out a lot. It is 90 minute | :17:25. | :17:30. | |
before the flames are finally put out but the firefighters' work is | :17:31. | :17:35. | |
not over. There is still a danger the timbers could reignite at any | :17:36. | :17:39. | |
time. Now it is safe for the fire crews to move inside the roof space. | :17:40. | :17:44. | |
They need to open it up and cut away the burned timbers. There is a | :17:45. | :17:48. | |
landslide of tiles as they work quickly before the fire can start up | :17:49. | :17:54. | |
again. It is four hours before they can issue the stop message. The fire | :17:55. | :18:02. | |
is finally out. All the burnt and smouldering wood has been cut away. | :18:03. | :18:09. | |
The following day, the crews return. We stayed for another two to three | :18:10. | :18:13. | |
hours, maybe more, and we did some more salvage. We took some stuff out | :18:14. | :18:16. | |
for the occupiers, all the time monitoring the progress of the | :18:17. | :18:20. | |
debris, to see if there are any signs of fire. Only when we are | :18:21. | :18:24. | |
convinced it will not go any further then we close the incident. A | :18:25. | :18:30. | |
different time of day and things could have been far worse. Had this | :18:31. | :18:34. | |
have happened in the evening, it could have been a different story | :18:35. | :18:37. | |
with the fire allowed to develop undetected as there was no fire | :18:38. | :18:41. | |
detection up in the roof space as well. | :18:42. | :18:48. | |
This is Peter who is coming up for retirement after 40 years' service | :18:49. | :18:53. | |
with South Western Ambulance, before it was South Western Ambulance. Who | :18:54. | :18:59. | |
did you start out with? I started with Hampshire Ambulance Service in | :19:00. | :19:03. | |
1973. We moved into Dorset in 1974 and then South Western Ambulance | :19:04. | :19:07. | |
service in 2006. I thought it would be a good opportunity to look back | :19:08. | :19:10. | |
over 40 years of service at the differences and how it has changed | :19:11. | :19:14. | |
over those 40 years. What you think the main differences are? A whole | :19:15. | :19:19. | |
range of things. The vehicles we drive are much better equipped, more | :19:20. | :19:23. | |
modern. My first ambulance that I drove had a bell on it. Right. And | :19:24. | :19:29. | |
what was in it? Very basic. A stretcher and a few pieces of | :19:30. | :19:32. | |
resuscitation equipment, blankets and that was about it. We carried | :19:33. | :19:35. | |
chairs and stuff like that. Nowadays there is a whole range of equipment, | :19:36. | :19:39. | |
defibrillators and stuff like that. And is that ambulance that turns up | :19:40. | :19:43. | |
today, more well-equipped than say a hospital was when you first started | :19:44. | :19:46. | |
out because there is so much that you carry? I would say so in some | :19:47. | :19:51. | |
areas, certainly, yes. The equipment they carry now is far more extensive | :19:52. | :19:55. | |
than the equipment I had when I was operational. Our paramedics are | :19:56. | :19:58. | |
trained to a much higher level and to a much greater degree now than I | :19:59. | :20:02. | |
was when I first started in the service. And the personnel itself. | :20:03. | :20:06. | |
How does the training compare when you started to how they are now? We | :20:07. | :20:11. | |
did six weeks at training college and that was it and you're | :20:12. | :20:15. | |
operational at that point. It is a university degree to become a | :20:16. | :20:18. | |
paramedic nowadays. It's three years at university just to become a | :20:19. | :20:23. | |
paramedic. And we are in a communications hub here, how | :20:24. | :20:26. | |
different is communications from when you first started? Well, | :20:27. | :20:29. | |
hugely, when I first moved to the hub environment in 1982, we just had | :20:30. | :20:33. | |
telephones effectively and a VHF radio. Now, we've got data, | :20:34. | :20:37. | |
automatic vehicle location, the call advisory to give advice to the crew | :20:38. | :20:45. | |
and ambulance. In the old days, we used to tell the caller that the | :20:46. | :20:49. | |
ambulance was on its way and that was the end of it. So much more | :20:50. | :20:54. | |
interactive? Very much so. We are the first point of contact with the | :20:55. | :20:57. | |
general public and are very qualified and willing to give | :20:58. | :21:02. | |
advice. Have you enjoyed it all? I've loved it. Really? Really. No | :21:03. | :21:08. | |
doubts? Nothing bad over the years, no changes that have been difficult? | :21:09. | :21:12. | |
Well, there's always change, but I have a very positive outlook on life | :21:13. | :21:15. | |
and I've enjoyed my career. I can honestly say that there is never a | :21:16. | :21:20. | |
day when I haven't wanted to come to work. It's an extraordinary thing to | :21:21. | :21:32. | |
be able to say. One of the things that strikes me is that | :21:33. | :21:34. | |
occasionally, ambulance crews come under attack. They do, occasionally, | :21:35. | :21:38. | |
yes. Now and again. It's very occasionally and it's not every day | :21:39. | :21:41. | |
of the week. Do you think it's more now than when you first started? | :21:42. | :21:45. | |
Yes. Because of a change of attitude? I think so, yes, and drink | :21:46. | :21:49. | |
and drugs have a part to play in that, I am sure. And I think society | :21:50. | :21:53. | |
has changed as well. Do you think? Yes, the emergency services are not | :21:54. | :21:57. | |
held in the same regard as they were 20, 30 years ago. Which is | :21:58. | :22:00. | |
extraordinary,why would you want to attack the people that are trying to | :22:01. | :22:04. | |
help you? And we hear this from the Fire Service as well, which is kind | :22:05. | :22:07. | |
of weird. So looking back, you wouldn't have changed anything? No, | :22:08. | :22:10. | |
I wouldn't. I've loved what I've done. You'll be bored, won't you, | :22:11. | :22:13. | |
when you retire? No, certainly not! No, I have a lot of hobbies and | :22:14. | :22:17. | |
interests. We are caravanners so we will spend time in our caravan. And | :22:18. | :22:21. | |
my two sons have just got married and bought a home. You'll be helping | :22:22. | :22:25. | |
them do their houses up! I am, yes! Well, a fantastic and interesting | :22:26. | :22:28. | |
career, when you add up the number of people that you've helped in your | :22:29. | :22:32. | |
life. I mean, massive, a fantastic achievement. And good luck with your | :22:33. | :22:35. | |
retirement. Thanks for talking to us. Thank you. | :22:36. | :22:38. | |
Guys, if you could come down here. A busy road is about to become a | :22:39. | :22:42. | |
makeshift trauma unit. Back a little bit. About there. A woman cyclist | :22:43. | :22:44. | |
has been critically injured. Cheryl has been given pain relief in an | :22:45. | :22:48. | |
ambulance, but she is still agitated. The signs are she could | :22:49. | :22:52. | |
have damage to the brain, as well as serious injuries to her chest and | :22:53. | :23:01. | |
school. Air medic Dr Shewry puts her under anaestheticnow on the | :23:02. | :23:04. | |
roadside, so she can be flown to a neurological unit at Southampton. | :23:05. | :23:10. | |
We will give you some medicine to make you feel really relaxed in a | :23:11. | :23:15. | |
minute. Liz works as a hospital anaesthetist, but these are very | :23:16. | :23:17. | |
different circumstances. 15 mls of that. Right. She has had | :23:18. | :23:28. | |
ten of morphine... OK. So when it comes to it, I think 15 is about | :23:29. | :23:30. | |
right. Steve has been reassuring Cheryl | :23:31. | :23:34. | |
throughout. First, Liz needs to give extra oxygen. | :23:35. | :23:39. | |
The chest injury means she is not breathing properly. | :23:40. | :23:44. | |
When we give someone an aesthetic, we actually stop them breathing for | :23:45. | :23:47. | |
themselves. We need a good period of time with enough oxygen before we | :23:48. | :23:51. | |
can breathe safely for them. The injuries are also making it | :23:52. | :23:54. | |
difficult for Cheryl to understand what's happening. | :23:55. | :23:56. | |
Trust us. The bright sunlight is making things | :23:57. | :23:59. | |
difficult. I can't see the monitor at all. | :24:00. | :24:04. | |
They are using blankets to shield them. | :24:05. | :24:06. | |
Drop all that, that's fine. Liz and Pat work closely with | :24:07. | :24:15. | |
ambulance paramedic Claire McKenna. Relax, relax, relax, relax. | :24:16. | :24:23. | |
Cheryl's SATS, or oxygen saturation levels, need to be higher. They need | :24:24. | :24:30. | |
to press on. Paramedic Claire prepares to give Cheryl the | :24:31. | :24:31. | |
painkiller. Hold on a second. Flush it in. A big | :24:32. | :24:45. | |
breath for me, Cheryl. Next, they give her the anaesthetic, | :24:46. | :24:46. | |
effectively paralysing her. Liz has just a few seconds to take | :24:47. | :24:58. | |
over Cheryl's breathing. A small hollow tube is used to insert a | :24:59. | :25:01. | |
breathing tube into Cheryl's windpipe. It is the most critical | :25:02. | :25:07. | |
part of the procedure. Got it? I have. The Tube is out. We | :25:08. | :25:21. | |
will do a BP. OK, suction. SATs are 97 still. Are you happy the suction | :25:22. | :25:26. | |
can go off? I am happy the suction can go off, thank you. | :25:27. | :25:30. | |
Cheryl is now under anaesthetic, her oxygen levels are good, she is | :25:31. | :25:33. | |
breathing via a ventilator. She is now asleep, like an intensive | :25:34. | :25:38. | |
care patient would be. We are keeping her asleep, we are breathing | :25:39. | :25:41. | |
for her, providing her with oxygen. Then we have to think about getting | :25:42. | :25:45. | |
her to the hospital as soon as possible. | :25:46. | :25:47. | |
Air Ambulance pilot Stuart radios ahead to the hospital helipad. At | :25:48. | :25:53. | |
last, Cheryl's induced coma makes it safe for the airlift, and also | :25:54. | :25:56. | |
reduces the brain's need for oxygen, stopping any increase in swelling. | :25:57. | :26:02. | |
The teamwork has to be carefully choreographed. The ventilator has to | :26:03. | :26:09. | |
be operating manually as they load the structure. I will do the bag. | :26:10. | :26:19. | |
Somebody has got the tubes? Ready, steady, lift! | :26:20. | :26:29. | |
Watch the right elbow. The ventilator is now connected up to | :26:30. | :26:33. | |
the aircraft. As soon as she is on board, Dr Shewry contacts the | :26:34. | :26:40. | |
clinical team at Southampton. We are coming in by air, we will be | :26:41. | :26:50. | |
ten minutes. It is a Level One call, for more seriously injured patients, | :26:51. | :26:53. | |
where we have the whole hospital response. So we expect an | :26:54. | :26:56. | |
anaesthetist there to take over my role, surgeons, someone to run the | :26:57. | :26:59. | |
trauma call and the emergency department there. Cheryl is closely | :27:00. | :27:04. | |
monitored throughout the flight, in the second makeshift emergency | :27:05. | :27:07. | |
department of the day. We have a ventilator which continues to | :27:08. | :27:19. | |
breathe for Cheryl. I was giving her drugs to keep her asleep. What we | :27:20. | :27:22. | |
would call a general anaesthetically induced coma. They touch down at | :27:23. | :27:25. | |
Southampton, it has taken less than ten minutes. The careful monitoring | :27:26. | :27:30. | |
has to be maintained the whole time. Thank you. | :27:31. | :27:40. | |
Cheryl is wheeled to a trauma unit. Now Liz can hand over to the Resus | :27:41. | :27:42. | |
team. She is a 53-year-old. Hit by a | :27:43. | :27:50. | |
lorry. Head injuries, to the point of her head and to the back. Pain in | :27:51. | :27:58. | |
her left shoulder. The work is now over for the Air | :27:59. | :28:03. | |
Ambulance medics. Cheryl is in the hands of the hospital. We will be | :28:04. | :28:05. | |
following her progress later. The people who deal with 999 calls, | :28:06. | :28:16. | |
like the people in this control room, never know what to expect. For | :28:17. | :28:21. | |
example, when a tall ship carrying more than 20 teenagers gets into | :28:22. | :28:24. | |
trouble off the coast of Ireland, that is a job for the RNLI and the | :28:25. | :28:29. | |
Irish Coast Guard. The ship's engine has failed and it has hit rocks, the | :28:30. | :28:34. | |
lives of 30 people are at risk. A tall ship is sinking in heavy seas | :28:35. | :28:38. | |
off the South coast of Ireland. It is the final heartbreaking scene | :28:39. | :28:43. | |
after a dramatic rescue. The Astrid's engine failed near Kinsale. | :28:44. | :28:51. | |
Gale-force winds and a four metre swell pushed her onto the rocks. | :28:52. | :28:55. | |
On-board, 30 people. It was fast becoming one of the worst days of | :28:56. | :28:58. | |
the Dutch skipper Pieter De Kam's life. | :28:59. | :29:07. | |
We had a blackout in the engine room and a blackout means the engines and | :29:08. | :29:19. | |
the main engine. And then force seven to the rocks, and a swell to | :29:20. | :29:23. | |
the rocks, and you know you are in trouble. | :29:24. | :29:25. | |
Astrid is a sail training ship, with 26 trainee sailors on board. Some as | :29:26. | :29:31. | |
young as 15. In charge, four professional crew. The ship was en | :29:32. | :29:35. | |
route to Kinsale Harbour in County Cork when disaster struck, leaving | :29:36. | :29:38. | |
all 30 people on board in danger of going down with the ship. The Irish | :29:39. | :29:41. | |
Coastguard accept the Mayday call. Within minutes, a helicopter is | :29:42. | :29:44. | |
scrambled and four RNLI lifeboats launched. | :29:45. | :29:46. | |
The crew are helping the trainees. With life jackets and things like | :29:47. | :29:56. | |
that. And they put them in a safe place, and we are waiting for the | :29:57. | :29:59. | |
lifeboats. The concerned lifeboat crew get | :30:00. | :30:03. | |
sight of the Astrid, she is already riding the rocks, the vote could | :30:04. | :30:11. | |
break up at any time. We rounded Hangman's Point, the headland and we | :30:12. | :30:14. | |
saw the vessel was very close to the rocks. We train there quite | :30:15. | :30:20. | |
regularly. We knew straightaway that we had to get them off. Helmsman | :30:21. | :30:26. | |
Nick is put on board the stricken ship. He works with the captain | :30:27. | :30:30. | |
moving the 26 trainees from the Astrid onto the lifeboats. All the | :30:31. | :30:35. | |
time, waves crashing against its decks. She was touching the bottom | :30:36. | :30:43. | |
at that stage. Beam on to the rocks. There was probably just over a four | :30:44. | :30:46. | |
m swell inside of her. It made it more difficult for Liam and Jim in | :30:47. | :30:50. | |
the lifeboat behind me to come alongside to take the 12 off me. The | :30:51. | :30:55. | |
first 12 people are organised to leap into the RNLI RIB but the | :30:56. | :30:58. | |
treacherous conditions are making it very hard. We are hitting the rocks | :30:59. | :31:06. | |
and we are a little bit silent and he is coming up. The first six, | :31:07. | :31:11. | |
seven people are jumping in but it was very dangerous. It takes 20 | :31:12. | :31:16. | |
attempts to get the first 12 into the lifeboat. They are transferred | :31:17. | :31:20. | |
to the safety of the offshore lifeboat, while RNLI helmsman Nick | :31:21. | :31:23. | |
starts organising the next group through the small doorway into the | :31:24. | :31:31. | |
Astrid's life raft. He is down under and you do not see him and then she | :31:32. | :31:35. | |
is coming, coming, coming and then there is a hole. They are sitting in | :31:36. | :31:44. | |
a circle. The skipper just has time to grab a few possessions. I go one | :31:45. | :31:49. | |
time inside and take a look through all my Navy stuff and take my | :31:50. | :31:53. | |
backpack with all my important papers and I go into the life raft. | :31:54. | :32:03. | |
I was filling up the life raft with the remaining 18, so when the | :32:04. | :32:06. | |
lifeboat came back in we established a tow on the life raft. We cut the | :32:07. | :32:13. | |
life raft loose. We towed the life raft out and passed it on to the | :32:14. | :32:17. | |
local harbour master. RNLI volunteer Nick is the last one to leave the | :32:18. | :32:21. | |
sinking ship. He has got all the sailors off safely. Just two minutes | :32:22. | :32:25. | |
later, Astrid's decks are covered by the rising water. It looks like the | :32:26. | :32:30. | |
end of Pieter's seven year love affair with the tall ship Astrid. I | :32:31. | :32:35. | |
look to her and I see her go slowly down under. That was not nice to | :32:36. | :32:42. | |
see, of course. On that moment, you think, OK, my trainees are safe. | :32:43. | :32:48. | |
That is very important. They are safe in the yacht club and that was | :32:49. | :32:54. | |
OK. The rescued sailors were transferred to the RNLI lifeboat and | :32:55. | :32:58. | |
a local yacht and then taken to Kinsale. 16-year-old Rose Lynch was | :32:59. | :33:03. | |
one of the trainee sailors on-board Astrid. She recalls how they | :33:04. | :33:11. | |
practised for just such an event. We trained in case it would happen but | :33:12. | :33:14. | |
it never crossed my mind that it would happen. There was definitely a | :33:15. | :33:21. | |
shock. Clearly there was an element of fear in everyone but no-one was | :33:22. | :33:26. | |
panicky or stressed out. Everyone was perfect and calm. The respect | :33:27. | :33:31. | |
the trainees had for skipper Pieter helped save the day. He was kind of | :33:32. | :33:41. | |
like a father to all of us, I think. We all got on really well with him. | :33:42. | :33:45. | |
We all trusted him. The trainees are just glad to have survived their | :33:46. | :33:49. | |
ordeal. Everyone was safe and happy. We were all lucky to have everyone. | :33:50. | :33:53. | |
We had all left stuff there like laptops and phones but no-one really | :33:54. | :33:57. | |
cared because everyone was OK. The rescue was a great team effort by | :33:58. | :34:01. | |
coastguard and RNLI. Obviously, we have never been involved in a rescue | :34:02. | :34:05. | |
with that amount of people. But we had to get them off. There was | :34:06. | :34:09. | |
no-one injured or anything. It was a good result at the end of the day. | :34:10. | :34:17. | |
Alan is a call taker here. We were just talking about the fact that | :34:18. | :34:20. | |
pain can make you react abnormally and make you more aggressive. It can | :34:21. | :34:24. | |
make you act in all kinds of strange ways, all of which you have to take | :34:25. | :34:28. | |
into account when you deal with a caller. Yes, I have seen people | :34:29. | :34:31. | |
shout a lot, especially with things like toothache and back pain. It | :34:32. | :34:38. | |
makes people quite angry. To them it is quite important that they get the | :34:39. | :34:42. | |
care because they are in pain. And the more the pain, the more | :34:43. | :34:45. | |
aggressive they are likely to be. Yes. What are things which are | :34:46. | :34:50. | |
particularly painful? Earache. Earache is painful and it is the | :34:51. | :34:54. | |
kind of pain which does not go away and you cannot get to it because it | :34:55. | :34:58. | |
is in your ear. That makes people quite angry. Certain conditions can | :34:59. | :35:01. | |
make you act abnormally as well? Yes, things like diabetes can make | :35:02. | :35:05. | |
you act abnormally, high and low blood sugars. Also a stroke, I | :35:06. | :35:09. | |
presume. Yes, things like slurred speech and things like that can come | :35:10. | :35:13. | |
across on the phone as almost being drunk but obviously, they are not. | :35:14. | :35:18. | |
So when you take a call from some who may appear drunk, you have to | :35:19. | :35:22. | |
assume there may be something else going on. We take everything quite | :35:23. | :35:25. | |
seriously because it is someone's health care at the end of the day. | :35:26. | :35:29. | |
That is not to say that occasionally you get calls from people who are | :35:30. | :35:33. | |
drunk? We do, yes! It is trying to narrow down what kind of things they | :35:34. | :35:37. | |
are. But what you are saying is pain will make people, for example, it | :35:38. | :35:41. | |
has always fascinated me that in the latter stages of Labour, that women | :35:42. | :35:44. | |
will shout, but almost involuntarily and scream and swear a lot. Yes, | :35:45. | :35:48. | |
that is the pain, making them aggressive. I would not know because | :35:49. | :35:52. | |
I have not been in that kind of pain! No, and luckily, neither you | :35:53. | :35:55. | |
nor I will be in that kind of circumstances. Interesting, because | :35:56. | :35:59. | |
you have to take into account the condition that somebody is in. Yes. | :36:00. | :36:04. | |
I suppose you have to grow thick skins to deal with it. Yes, yes, | :36:05. | :36:08. | |
obviously, we get a lot of people in pain, it is the nature of the job so | :36:09. | :36:13. | |
you do get thick skinned quite quickly. And you have to work on | :36:14. | :36:16. | |
your assertiveness as well to get information from people while they | :36:17. | :36:20. | |
are shouting at you. Yes, you have to be assertive. You have to get | :36:21. | :36:25. | |
people to back down a little bit so you can ask them questions that need | :36:26. | :36:29. | |
to be asked so you can give them the care. And not everybody is a | :36:30. | :36:32. | |
naturally assertive person. But the training helps that? Yes, we do get | :36:33. | :36:37. | |
some training on that. You get used to it after a while. Obviously, the | :36:38. | :36:40. | |
support from your colleagues helps as well. Fascinating. Fascinating | :36:41. | :36:44. | |
what people have to work out. It is almost like a detective thing that | :36:45. | :36:48. | |
they have to work out what is going on. Thank you very much. | :36:49. | :36:53. | |
A month after the fire that came close to destroying a family home | :36:54. | :36:56. | |
near East Grinstead, the house is still in a sorry state. The first | :36:57. | :37:03. | |
floor was completely destroyed. Much of it collapsed and ended up | :37:04. | :37:10. | |
downstairs. With all the water damage as well, 70% of the ground | :37:11. | :37:16. | |
floor is in need of repair. It will be many months before the family can | :37:17. | :37:23. | |
move back in. It was seven days before the tall | :37:24. | :37:27. | |
ship Astrid could be salvaged. A floating crane was used to lift the | :37:28. | :37:33. | |
submerged wreck of the 42 m rig. It is now in dry dock in Kinsale. The | :37:34. | :37:38. | |
damage is far worse than its owner and skipper had first thought. I saw | :37:39. | :37:44. | |
the first movies underwater. I thought it was still OK. She is not | :37:45. | :37:51. | |
broken. The damage is not so bad that we cannot repair her or things | :37:52. | :37:56. | |
like that. But you can see it only when she is out of the water and now | :37:57. | :38:01. | |
I see her damage on the starboard side, it is very bad. Pieter can't | :38:02. | :38:06. | |
give up on his beloved Astrid. He hopes to re-fit the 95-year-old | :38:07. | :38:11. | |
boat. First, my job is now to bring her back to the Netherlands and we | :38:12. | :38:15. | |
shall take a look with a naval architect, and see if we can repair | :38:16. | :38:25. | |
her. It will not be the Astrid's first refit. In the 1980s, she | :38:26. | :38:30. | |
underwent a complete overhaul. But Pieter is determined the Astrid will | :38:31. | :38:35. | |
sail again. I will give all my good years now for her that I have. But I | :38:36. | :38:40. | |
do not know if we can find the foundation for the Astrid for such a | :38:41. | :38:45. | |
lot of money. Because I do not have money for that. All the money was in | :38:46. | :38:51. | |
the ship and now she is gone. Yes, we must see now if we can arrange | :38:52. | :38:53. | |
all the things. Earlier, we saw cyclist Cheryl had | :38:54. | :39:02. | |
been critically injured after colliding with a lorry. Air | :39:03. | :39:06. | |
ambulance team, Dr Liz Shewry and paramedic Pat put Cheryl into an | :39:07. | :39:09. | |
induced coma at the roadside before flying with her to Southampton's | :39:10. | :39:12. | |
emergency department, where she was handed over to the trauma team. | :39:13. | :39:22. | |
There is pain but she is more agitated. I was worried that she had | :39:23. | :39:27. | |
a chest injury, like she had some air up here. It suggested that she | :39:28. | :39:31. | |
might have something called a pneumothorax, where air, or a rib | :39:32. | :39:34. | |
has punctured the lung and air has escaped from that. Thankfully, when | :39:35. | :39:37. | |
I got there, there were no other signs to suggest that she had any | :39:38. | :39:41. | |
other obvious injuries at that point in time but I was pretty worried | :39:42. | :39:47. | |
about her head. I hope that the fact that she was quite conscious when | :39:48. | :39:50. | |
she was originally seen would mean that she would get over this, rather | :39:51. | :39:54. | |
than go on to have a devastating injury. And amazingly, just eight | :39:55. | :39:57. | |
weeks after the accident, Cheryl is getting over it, despite extensive | :39:58. | :40:01. | |
injuries. From the top, the head got a good banging and it is all | :40:02. | :40:05. | |
fractured. I have got fractures all across my skull. And then inside the | :40:06. | :40:09. | |
brain, what is left of it, swelled apparently, and then I had blood | :40:10. | :40:12. | |
hanging around on the other side. There were some fractures across my | :40:13. | :40:17. | |
ears. They hurt quite a little bit. My collarbone was fractured. My ribs | :40:18. | :40:20. | |
down one side were fractured. One of my backbones fractured and I | :40:21. | :40:23. | |
punctured my long. I think that was it mostly. I think that was about | :40:24. | :40:32. | |
all! Ironically, Cheryl had been on her | :40:33. | :40:36. | |
way to see a friend in hospital who had fallen off her bike. | :40:37. | :40:39. | |
Halfway there, something happened, which I have no recollection of at | :40:40. | :40:44. | |
all. I don't remember anything until four days later. After the amazing | :40:45. | :40:54. | |
treatment that the people in the helicopter had given me, and also in | :40:55. | :40:58. | |
Intensive Care. I wish I could remember it. I know some of it | :40:59. | :41:01. | |
wasn't very pleasant, but I would like to have known what went on. And | :41:02. | :41:05. | |
I know that people worked so incredibly hard to get me back | :41:06. | :41:07. | |
again. Put your hand down by your side. It | :41:08. | :41:10. | |
hurts my head! One of my sons told me I was making | :41:11. | :41:15. | |
a bit of a nuisance of myself, but I think that's what happens. You start | :41:16. | :41:18. | |
flaying around a little bit. I think at some time, they decided I was | :41:19. | :41:21. | |
best to be unconscious completely! So that is what they did. | :41:22. | :41:26. | |
My family said, you're just a pest, you need to be put into a coma as | :41:27. | :41:31. | |
soon as possible. I think they should be a bit more sympathetic, | :41:32. | :41:33. | |
don't you?! At first, Cheryl's injuries limited | :41:34. | :41:36. | |
her ability to move. I could lie flat, I could walk a | :41:37. | :41:40. | |
bit, but there was nothing in between. So sitting and leading a | :41:41. | :41:43. | |
book, working on the computer, looking at the television... Just | :41:44. | :41:51. | |
going for an appointment. You can't sit down in the waiting room. That | :41:52. | :41:55. | |
was awful for a few weeks. Once that started to improve, it was | :41:56. | :41:57. | |
fantastic. And her eyesight has also been | :41:58. | :41:59. | |
affected. My cranial nerves are damaged, so | :42:00. | :42:02. | |
this will just happily lie like that. It was double-vision for a | :42:03. | :42:10. | |
while and that is getting better. So I think if the nerves can heal and | :42:11. | :42:14. | |
all the muscles can heal, all the little bits of bone, I should be | :42:15. | :42:16. | |
fine. After such severe injuries, her | :42:17. | :42:21. | |
recovery has impressed Dr Shewry. I saw her a couple of times | :42:22. | :42:25. | |
afterwards and I thought she had done incredibly well for somebody | :42:26. | :42:28. | |
who had such a serious accident, and I am sure she will continue to | :42:29. | :42:30. | |
improve. I still can get a bit dizzy if I | :42:31. | :42:35. | |
move too quickly. I have fallen flat on my face a couple of times, but | :42:36. | :42:40. | |
nothing too disastrous. But every day, I can think of something that I | :42:41. | :42:44. | |
can do that I couldn't do a couple of days ago. I've just been really | :42:45. | :42:47. | |
lucky, I've healed very, very quickly, and so I'm just eternally | :42:48. | :42:49. | |
grateful. Reassuring, isn't it, that in our | :42:50. | :42:59. | |
hour of greatest need, there is an army of well-trained professionals | :43:00. | :43:05. | |
ready to come to our aid. That's it, see you next time on Real Rescues. | :43:06. | :43:08. |