0:00:02 > 0:00:04Today on Real Rescues...
0:00:04 > 0:00:06He's fallen off. ..an emergency in a back garden -
0:00:06 > 0:00:10a man suffers multiple fractures after falling from a tower.
0:00:10 > 0:00:12Get hold of my leg! All right, matey...
0:00:12 > 0:00:15A desperate 999 call from an asthmatic.
0:00:15 > 0:00:18He barely has enough breath to speak.
0:00:21 > 0:00:24He's in a rural location and running out of time.
0:00:24 > 0:00:28His condition was grave - immediately life-threatening.
0:00:29 > 0:00:31And a four-year-old is knocked down after
0:00:31 > 0:00:33straying into the path of a car.
0:00:33 > 0:00:36Ambo working on her at the moment, so I don't know the full extent.
0:00:55 > 0:00:57Welcome to Real Rescues,
0:00:57 > 0:01:00going behind the scenes with all of our emergency services.
0:01:00 > 0:01:01Every day of the year,
0:01:01 > 0:01:06around 85,000 people in need of desperate help dial 999 in Britain.
0:01:06 > 0:01:10Those calls are routed into state of the art centres like this.
0:01:10 > 0:01:13The staff in here know that, when lives may be at stake,
0:01:13 > 0:01:15it's vital no time is lost.
0:01:19 > 0:01:22Ambulance clinician Simon Trenchard is heading to
0:01:22 > 0:01:24an emergency on the south coast.
0:01:24 > 0:01:26A man has had a serious accident in his back garden.
0:01:26 > 0:01:28He's fallen from a tower.
0:01:28 > 0:01:30It all depends how you fall.
0:01:30 > 0:01:32It's a luck of the draw thing, really.
0:01:32 > 0:01:33If you land on a particular
0:01:33 > 0:01:35part of your back or your chest,
0:01:35 > 0:01:38or your head, you can do quite serious damage.
0:01:38 > 0:01:40SIRENS BLARE
0:01:42 > 0:01:45An ambulance crew has also just arrived at the scene.
0:01:45 > 0:01:47On-board, Ben Alloway,
0:01:47 > 0:01:49Jason Fullarton and a student paramedic.
0:01:52 > 0:01:55In the back garden, the man is in extreme pain.
0:01:55 > 0:01:58Paramedic Paul Shears was first to arrive.
0:01:58 > 0:02:01He brings Simon up to date.
0:02:01 > 0:02:03That started to tip, he's fallen off.
0:02:03 > 0:02:06About 10 foot, landed on left shoulder, wrist, left hip.
0:02:08 > 0:02:12Ian is still lying where he fell. Simon makes an initial assessment.
0:02:12 > 0:02:14Ian, where's hurting the most at the moment?
0:02:14 > 0:02:16My shoulder and leg.
0:02:16 > 0:02:19Your shoulder and your leg? OK. You landed on that side.
0:02:21 > 0:02:23OK. I'll have a listen to your back, if that's OK?.
0:02:23 > 0:02:26Then we'll look about giving you some pain relief.
0:02:26 > 0:02:27A nice, deep breath in.
0:02:27 > 0:02:28Keep going.
0:02:28 > 0:02:30Ian's wife Janet was helping him
0:02:30 > 0:02:32dismantle the tower when it happened.
0:02:37 > 0:02:39He was quite a way down, really.
0:02:39 > 0:02:41Then, all of a sudden, it toppled.
0:02:41 > 0:02:42And he fell to the side.
0:02:42 > 0:02:45The couple had just finished pruning trees.
0:02:45 > 0:02:48Ian tried to jump free, but got tangled in the ladder
0:02:48 > 0:02:52and tower, hitting the ground hard on his left side.
0:02:52 > 0:02:56It was absolutely terrifying. I turned round and there he was.
0:02:56 > 0:02:57Just on the floor.
0:02:57 > 0:02:59That's good. Equal air entry.
0:02:59 > 0:03:01And no pains when you do that at all?
0:03:01 > 0:03:03You've got no pains in your rib at all? Yeah.
0:03:03 > 0:03:06So your shoulder, your wrist and your hip, isn't it? All right.
0:03:06 > 0:03:09Simon suspects Ian's suffered significant
0:03:09 > 0:03:13injuries on his left hip, shoulder and wrist.
0:03:13 > 0:03:15It's going to be impossible to
0:03:15 > 0:03:18isolate any of the injuries.
0:03:18 > 0:03:21Are we able to relax you onto your back at all, Ian?
0:03:21 > 0:03:25Just so I can see you from top to bottom? Can't move my leg!
0:03:25 > 0:03:26All right, matey, don't worry.
0:03:26 > 0:03:29Now, Ian's complaining of severe leg pain.
0:03:29 > 0:03:31His clothes are cut off for a closer look
0:03:31 > 0:03:34before any attempt to move him.
0:03:38 > 0:03:41All right. I'm going to pop a little tube in your arm
0:03:41 > 0:03:43and give you some medication. Sort this pain out for you.
0:03:43 > 0:03:45You're not allergic to morphine?
0:03:47 > 0:03:50You haven't had it? So, you feel your left wrist is damaged?
0:03:50 > 0:03:53Your left shoulder and your left hip. All left side, isn't it, matey?
0:03:53 > 0:03:55All right. Nice and still.
0:03:55 > 0:03:57There'll be a sharp scratch in the back of your wrist now.
0:03:57 > 0:03:59One, two, three, here it comes.
0:04:01 > 0:04:04Good man, well done. That's the horrible bit, all right?
0:04:04 > 0:04:08Next thing we're going to do is just stick it all down.
0:04:08 > 0:04:10We'll look at giving you some morphine, then.
0:04:10 > 0:04:13Which should help ease some of the pain for you.
0:04:13 > 0:04:15Once you're comfortable, we'll then roll you onto your back.
0:04:15 > 0:04:17There's no massive hurry.
0:04:17 > 0:04:19Everything we want to do with you is going to be comfortable,
0:04:19 > 0:04:22as opposed to rushing you over and shooting you off. All right?
0:04:22 > 0:04:24Simon is going to give him paracetamol for a drip,
0:04:24 > 0:04:26then a separate injection of morphine.
0:04:26 > 0:04:29Together, the drugs will keep on top of his pain.
0:04:36 > 0:04:38A team effort on this. Yeah, just give me two secs.
0:04:38 > 0:04:41I'll put them all... Flush through those, make sure his pain's...
0:04:41 > 0:04:44If you can try not to move, that would be brilliant.
0:04:44 > 0:04:46To add to Ian's problems, his position is making
0:04:46 > 0:04:52an existing back condition worse, causing severe cramp in his leg.
0:04:52 > 0:04:54We're going to get you comfy first.
0:04:54 > 0:04:56My leg! What happened then?
0:04:56 > 0:04:58We haven't touched it, Ian... Oh!
0:04:58 > 0:05:00Whereabouts on your leg is it?
0:05:00 > 0:05:03When he was laid on the ground, obviously time was ticking on
0:05:03 > 0:05:07and he was getting vicious pains in his leg.
0:05:10 > 0:05:11Is it higher up or lower down?
0:05:13 > 0:05:15High up? OK. I've just got the pain relief.
0:05:15 > 0:05:19That might just settle your leg down a bit. All right.
0:05:19 > 0:05:21Right, don't move your hand just four two secs, all right?
0:05:21 > 0:05:24Just re-sticking this needle down that's in your arm.
0:05:24 > 0:05:27I'm going to give you a nice little slug of morphine just
0:05:27 > 0:05:28to relax you a second, all right?
0:05:28 > 0:05:30Can you feel that going in and starting to feel relaxed?
0:05:32 > 0:05:34Keep breathing, keep breathing.
0:05:34 > 0:05:37Later, Ian has so many injuries on one side of his body,
0:05:37 > 0:05:39the air ambulance is called in.
0:05:39 > 0:05:42Yeah, I wondered if we could request HEMS
0:05:42 > 0:05:44on this query pelvis?
0:05:47 > 0:05:50Listen, you'll be there in 15 minutes, OK? Trust me.
0:05:55 > 0:05:57It's the early hours of a December morning.
0:05:57 > 0:05:59A desperate call has come into
0:05:59 > 0:06:01the East of England ambulance control room.
0:06:29 > 0:06:32Martin's in bed at home in the grip of a severe asthma attack.
0:06:32 > 0:06:36He's used up all three inhalers.
0:06:36 > 0:06:38Now he barely has breath to talk.
0:07:11 > 0:07:15Call taker Hannah needs to reassure Martin that she's
0:07:15 > 0:07:18aware every reply is an enormous strain.
0:07:25 > 0:07:27Martin lives in a village in Norfolk.
0:07:27 > 0:07:30Emergency care practitioner Ryan Warwick is en route,
0:07:30 > 0:07:33but even with sat-nav, it's a difficult journey.
0:07:36 > 0:07:39It was a case of drive up and down to look for
0:07:39 > 0:07:41a likely looking mud path.
0:07:41 > 0:07:44There was very deep drainage ditches each side.
0:07:44 > 0:07:47It was about one vehicle width dirt track,
0:07:47 > 0:07:51absolutely full of potholes.
0:07:51 > 0:07:54It was absolute pitch-black, because he's a house out of town.
0:07:54 > 0:07:58There's no street lighting. There was no moon at that time.
0:08:30 > 0:08:34It takes a superhuman effort for Martin to get downstairs
0:08:34 > 0:08:36and reach the back door.
0:08:36 > 0:08:38MARTIN PANTS
0:08:42 > 0:08:44RATTLING
0:08:51 > 0:08:53He staggered to the door to unlock it
0:08:53 > 0:08:56and then staggered back to the sofa and collapsed.
0:08:56 > 0:09:00Looking around, first thing I noticed was several inhalers
0:09:00 > 0:09:04empty on the side of the table, which always indicates a worrying sign
0:09:04 > 0:09:07when an asthmatic's used all their inhalers.
0:09:07 > 0:09:11Brian examines Martin. At first the outlook seems bleak.
0:09:11 > 0:09:16The asthma attack is so severe his life is in danger.
0:09:16 > 0:09:21His condition was grave. Immediately life-threatening.
0:09:21 > 0:09:24His heart was going very fast trying to push oxygen round the body.
0:09:24 > 0:09:28He looked very pale and sweaty and clammy.
0:09:28 > 0:09:31He was making an incredible work of breathing.
0:09:32 > 0:09:34An ambulance crew arrive.
0:09:34 > 0:09:38Martin's breathing is so restricted he cannot inhale any drugs.
0:09:38 > 0:09:42Ryan is going to treat him intravenously.
0:09:42 > 0:09:48We gave him magnesium en route to hospital. It did not fix him.
0:09:48 > 0:09:51It's stabilised him and prevented him worsening.
0:09:51 > 0:09:54It gave the anaesthetic team, once we got to hospital,
0:09:54 > 0:09:59time to set up to prepare to do something called a rapid
0:09:59 > 0:10:02sequence induction, which is to put him off to sleep quickly.
0:10:02 > 0:10:05Martin was put into an induced coma and his breathing was taken
0:10:05 > 0:10:10over completely by a mechanical ventilator. That saved his life.
0:10:10 > 0:10:16It took over his breathing, allowed his respiratory muscles a rest.
0:10:16 > 0:10:18He was so tired,
0:10:18 > 0:10:21I don't think he would have kept on breathing for too much longer.
0:10:21 > 0:10:23Martin was kept in the induced coma
0:10:23 > 0:10:26for three days to allow his body to recover.
0:10:26 > 0:10:27Now back at home,
0:10:27 > 0:10:31he is aware he almost left it too late to make that phone call.
0:10:33 > 0:10:39Breathing was becoming more shallow, I was struggling quite a lot,
0:10:39 > 0:10:42actually, with my breath.
0:10:42 > 0:10:47So I dragged myself out of bed, I've got some feather pillows which I
0:10:47 > 0:10:51threw on the floor because I thought they were causing this problem.
0:10:53 > 0:10:57I came down the stairs, could only get halfway down the stairs,
0:10:57 > 0:11:01and decided I needed to phone an ambulance.
0:11:01 > 0:11:05I decided that if I didn't make that call as soon as possible,
0:11:05 > 0:11:08I probably wouldn't make it.
0:11:08 > 0:11:11Call taker Hannah Unsworth was Martin's lifeline
0:11:11 > 0:11:16until help could arrive. The lady at the end of the phone was an angel.
0:11:16 > 0:11:20Everything I could have needed at that time,
0:11:20 > 0:11:25she gave me through a calm manner,
0:11:25 > 0:11:29erm, a caring nature.
0:11:29 > 0:11:31As his condition continued to worsen,
0:11:31 > 0:11:34Martin did not hold out much hope of rescue.
0:11:34 > 0:11:37I was pretty certain I was going to die.
0:11:37 > 0:11:44I didn't believe it would be possible for anyone to get
0:11:44 > 0:11:46to me in time.
0:11:46 > 0:11:51Martin's attack was exceptionally bad, but Ryan has no doubt
0:11:51 > 0:11:55asthma sufferers should call for help at the first sign of trouble.
0:11:55 > 0:12:01I'd much rather go out to 99 asthmatics who turn out to be OK
0:12:01 > 0:12:07than to go out late to one asthmatic who then deteriorates significantly.
0:12:13 > 0:12:15This is Tony, who is the duty manager.
0:12:15 > 0:12:18If there were a Captain Kirk looking over the flight deck
0:12:18 > 0:12:20this would be you.
0:12:20 > 0:12:22We thought the ideal person to talk to about clinicians.
0:12:22 > 0:12:23First of all,
0:12:23 > 0:12:26we have met some paramedics that are clinicians in here.
0:12:26 > 0:12:28But you don't have to be a paramedic to be a clinician,
0:12:28 > 0:12:30so what is a clinician?
0:12:30 > 0:12:35We have a range of clinicians, we also have some care practitioners.
0:12:35 > 0:12:38We also have some nurses with varied backgrounds from midwifery through
0:12:38 > 0:12:42to intensive care, a massive background of knowledge and skills.
0:12:42 > 0:12:45These are people who have worked in the community, have a big
0:12:45 > 0:12:47medical background, and you use them as backup
0:12:47 > 0:12:49and extra knowledge. Absolutely.
0:12:49 > 0:12:53We use their experience and skills to backup the computer systems
0:12:53 > 0:12:55we have here and the knowledge of the call takers.
0:12:55 > 0:12:57The call takers obviously build up experience
0:12:57 > 0:12:59and they have question systems that help them.
0:12:59 > 0:13:02At what point do you call in a clinician? Several points.
0:13:02 > 0:13:06If the call taker goes through the assessment process with
0:13:06 > 0:13:13the patient, and it's not reflecting what is actually happening...
0:13:13 > 0:13:15You mean, they are just feeling uncomfortable?
0:13:15 > 0:13:17Yes, if they are getting lots of not sures
0:13:17 > 0:13:21and the questions don't seem to fit, they will pass over to the
0:13:21 > 0:13:25clinician who can ask more freelance questions and use their experience.
0:13:25 > 0:13:29At the end of the assessment, they reach a point where
0:13:29 > 0:13:32it's need to go to get advice from a nurse for home care
0:13:32 > 0:13:36or to be advised to go to an emergency department.
0:13:36 > 0:13:40Equally, if I dispatch comes to give the callout to the crews,
0:13:40 > 0:13:43if they have a look at it and think they are not sure
0:13:43 > 0:13:45if it is correct they will ask questions of the clinicians.
0:13:45 > 0:13:48I know for a fact having spoken to some of the people here that
0:13:48 > 0:13:52one of the moments you automatically get a clinician involved is
0:13:52 > 0:13:54if you get a pregnancy or somebody is
0:13:54 > 0:13:55actually in the process of giving birth.
0:13:55 > 0:13:58Although the callers actually have a system for dealing with it,
0:13:58 > 0:14:00they always like to go, "Come in here now."
0:14:00 > 0:14:03It is a good bit of moral support for the call takers
0:14:03 > 0:14:05knowing there is somebody very experienced,
0:14:05 > 0:14:08medically, on the end of the phone with them, who can give
0:14:08 > 0:14:11them the extra hints and tips rather than what is coming up on the screen.
0:14:11 > 0:14:13Although they are very well trained,
0:14:13 > 0:14:15there is something about the paramedics
0:14:15 > 0:14:17and the clinicians in here, because they have dealt with
0:14:17 > 0:14:21the general public in the past, when the call takers are not getting
0:14:21 > 0:14:23responses, they can be much more straightforward
0:14:23 > 0:14:26and to the point, taking control and being quite aggressive
0:14:26 > 0:14:31if they need to be to get the thing moving on. Absolutely.
0:14:31 > 0:14:33Years of experience built up on the road,
0:14:33 > 0:14:36or nurses in the wards, that they use to do that.
0:14:36 > 0:14:38Handy.
0:14:38 > 0:14:41It's reassuring to know there is this huge wealth of medical
0:14:41 > 0:14:44knowledge that backs up the call takers.
0:14:44 > 0:14:45Thank you very much, Tony.
0:14:52 > 0:14:55Milton Keynes, Monday afternoon, in the middle of the school holidays.
0:14:55 > 0:14:57Traffic cops Steve Leathersich
0:14:57 > 0:15:00and Russ Irwin are heading to an accident.
0:15:00 > 0:15:02A four-year-old girl has been knocked down.
0:15:02 > 0:15:05It is a callout they dread.
0:15:05 > 0:15:07We haven't got the full extent of injuries at the moment,
0:15:07 > 0:15:10but when you're looking at children as young as that,
0:15:10 > 0:15:14you've got to assume the worst and hope for the best.
0:15:17 > 0:15:19An ambulance is already on the scene.
0:15:23 > 0:15:27The young girl is crying. It is distressing, but it's a relief.
0:15:27 > 0:15:31It means she is conscious. A local officer brings Steve up-to-date.
0:15:33 > 0:15:34She is conscious and breathing.
0:15:35 > 0:15:39Ambo working on it the moment, so I don't have the full extent.
0:15:39 > 0:15:41You all right?
0:15:41 > 0:15:44Paramedics have already given the little girl pain relief.
0:15:44 > 0:15:46They fear she has broken her leg
0:15:46 > 0:15:49but they also need to check for other hidden injuries.
0:15:49 > 0:15:52The young girl appears to have run into the path of a car,
0:15:52 > 0:15:55leaving the driver extremely upset and shaken.
0:15:57 > 0:15:59Steve tries to reassure her.
0:15:59 > 0:16:02All right, she is being looked after. All right?
0:16:02 > 0:16:04She is in the best place at the moment.
0:16:04 > 0:16:07It's very easy for me to say not to focus on it.
0:16:08 > 0:16:13Just focus on me, OK? Were you in the car on your own? Yes.
0:16:13 > 0:16:14Tell me what's happened.
0:16:15 > 0:16:19Witnesses say the little girl followed her teenage sister
0:16:19 > 0:16:22crossing the road, but when she saw none of the rest of the family
0:16:22 > 0:16:26was following, she turned back, straying into the path of a car.
0:16:27 > 0:16:29As you slowed down, that's when you hit her,
0:16:29 > 0:16:32because you said something about going back across.
0:16:32 > 0:16:36Steve clarifies everything with the little girl's sister.
0:16:36 > 0:16:37You thought they were following you,
0:16:37 > 0:16:42but it appears they have gone off that way and split up.
0:16:42 > 0:16:44The pain relief has settled the young girl.
0:16:44 > 0:16:47Her leg is in a splint and she is ready for the ambulance journey.
0:16:47 > 0:16:50She'll be taken to A where
0:16:50 > 0:16:53she will be X-rayed and examined for any other possible injuries.
0:16:55 > 0:16:58The police are now anxious to reassure the other casualty,
0:16:58 > 0:16:59the driver.
0:16:59 > 0:17:01She has got a suspected broken leg,
0:17:01 > 0:17:05but they are going to be taking her to hospital to see the full extent
0:17:05 > 0:17:09of that, but they are not treating it as anything bad. Yes, a broken
0:17:09 > 0:17:13leg is bad but they are not treating it as anything worse than that.
0:17:13 > 0:17:17But the thing we experience with kids involved in car accidents,
0:17:17 > 0:17:20they are very good at bouncing, generally.
0:17:20 > 0:17:22That is how they are looking at it at the moment,
0:17:22 > 0:17:25so hopefully that will make things better for you. All right?
0:17:25 > 0:17:27The lady has done as much as she could do.
0:17:27 > 0:17:29She's already reduced her speed
0:17:29 > 0:17:31when she saw that the people were stood at the side.
0:17:31 > 0:17:33And it's just been unfortunate
0:17:33 > 0:17:36that she's caught the little girl and knocked her over.
0:17:36 > 0:17:38So I've tried to give her reassurance that,
0:17:38 > 0:17:40from a police side of things,
0:17:40 > 0:17:44we're not looking to take this matter too much further.
0:17:44 > 0:17:48It will just be a case of if insurance companies get involved,
0:17:48 > 0:17:50they can deal with the injury side of things.
0:17:50 > 0:17:52But with the prosecution side of things,
0:17:52 > 0:17:54it's not something that we would see
0:17:54 > 0:17:56as being in the public interest to pursue.
0:18:00 > 0:18:02Still to come on Real Rescues...
0:18:04 > 0:18:09The air ambulance is scrambled after a huge fire engulfs a family home.
0:18:09 > 0:18:12Three people are unaccounted for.
0:18:12 > 0:18:14An ambulance crew is called by a GP
0:18:14 > 0:18:18after a man suffers an allergic reaction to a wasp sting.
0:18:27 > 0:18:29In a back garden in Bournemouth,
0:18:29 > 0:18:32paramedics are still battling to manage a man's severe pain.
0:18:32 > 0:18:35Ian has fallen heavily from a scaffold tower
0:18:35 > 0:18:38and may have broken his wrist, shoulder and hip.
0:18:38 > 0:18:43That morphine I've given, has that helped at all? No. It hasn't?
0:18:43 > 0:18:45MAN CRIES OUT
0:18:45 > 0:18:47Ian also has a long-standing back condition
0:18:47 > 0:18:52which may be causing bouts of painful spasm in his left leg.
0:18:52 > 0:18:53If I have this for a second,
0:18:53 > 0:18:55can we just have an exam on the femur, please?
0:18:55 > 0:18:59I'll tell you what we can do to relieve the spasm,
0:18:59 > 0:19:00can we pop on some Entonox?
0:19:00 > 0:19:03Ian is already on a paracetamol drip, but now they going to
0:19:03 > 0:19:08give him nitrous oxide gas, which acts as a muscle relaxant.
0:19:08 > 0:19:11What we'll do is we'll try all different types of pain relief
0:19:11 > 0:19:15just to get you sorted. Open your mouth a bit wider. That's it.
0:19:15 > 0:19:16Lips and teeth round it.
0:19:16 > 0:19:20I want you to take some big, deep breaths through it for us.
0:19:20 > 0:19:23No, lips around it. You haven't made a seal, matey.
0:19:23 > 0:19:24I'm sure they are.
0:19:24 > 0:19:27He may need to go to Southampton's special trauma unit.
0:19:27 > 0:19:33The quickest and least painful way there is in the air ambulance.
0:19:33 > 0:19:36Just so we know, is the Helimed available if required? Over.
0:19:36 > 0:19:39'The Helimed is available. Over.'
0:19:39 > 0:19:40We are going to put a collar on your neck.
0:19:40 > 0:19:42I know you haven't got any head or neck pain,
0:19:42 > 0:19:45but you have other injuries that are distracting.
0:19:45 > 0:19:47We want to try and protect everything else. OK?
0:19:48 > 0:19:52Ian, just slow yourself down, Ian. Just slow things down.
0:19:52 > 0:19:57Can you feel me touching your foot? Yeah? And the other one?
0:19:57 > 0:19:59Can you wiggle your toes? And this one?
0:19:59 > 0:20:02I need to get to that arm to do your blood pressure before we move you.
0:20:02 > 0:20:05I don't think there's anything sinister going on.
0:20:05 > 0:20:06Just relax.
0:20:06 > 0:20:08While the painkillers go to work,
0:20:08 > 0:20:12senior paramedic Simon Trenchard goes through his regular checks.
0:20:12 > 0:20:15A bit of pressure on your arm. It's just doing your blood pressure.
0:20:15 > 0:20:17It may stop your drip in a second.
0:20:17 > 0:20:19OK, that's fine.
0:20:19 > 0:20:22But even after morphine, a steady flow of intravenous paracetamol
0:20:22 > 0:20:26and Entonox, Ian is still suffering.
0:20:26 > 0:20:28Ian, Ian, just relax.
0:20:28 > 0:20:31If we can try... That's it, you've got it. That's it.
0:20:31 > 0:20:33Ian, whatever you're doing now, continue.
0:20:33 > 0:20:36You've got the hang of that now, breathing that in. That's it.
0:20:36 > 0:20:37That's better.
0:20:37 > 0:20:39He was in an awful lot of pain,
0:20:39 > 0:20:40but they were giving...
0:20:40 > 0:20:43As they were giving him the pain control, it was...
0:20:43 > 0:20:46it was helping him
0:20:46 > 0:20:47an awful lot.
0:20:47 > 0:20:50Any pain in your neck at all? No. Any pain here? No.
0:20:50 > 0:20:52Here? No. Here? No.
0:20:52 > 0:20:54After one more check for spinal injuries,
0:20:54 > 0:20:58Simon worked out a strategy for the best way to put Ian on the board.
0:20:58 > 0:21:01Can you hold that wrist for me? Also might put in a small vacuum...
0:21:01 > 0:21:03Have we got vacuum... ..vacuum splint.
0:21:03 > 0:21:05Do you want me to investigate?
0:21:05 > 0:21:06Yes, let's do that.
0:21:06 > 0:21:09Before they start, Ian's wrist, which is almost certainly broken,
0:21:09 > 0:21:10must be protected.
0:21:12 > 0:21:16Can you grip? Just grip the end of that. That's it. Well done.
0:21:16 > 0:21:18OK, guys. Right, ready, set, roll.
0:21:18 > 0:21:22I'll do leg. You're on leg. You're on... I'll jut sort of do torso.
0:21:22 > 0:21:25There'll be a bit of pain. Just go through it.
0:21:25 > 0:21:27Nice deep breaths on that for me.
0:21:27 > 0:21:30Keep going. Keep going. Ready, set, roll.
0:21:30 > 0:21:33Keep going. Keep breathing. Keep breathing.
0:21:33 > 0:21:34HE CRIES OUT
0:21:34 > 0:21:36It's clear Ian has a significant injury,
0:21:36 > 0:21:39and by hyperventilating he is making the pain worse.
0:21:39 > 0:21:42Simon needs to calm him down quickly.
0:21:43 > 0:21:47Ian, Ian, stop. Just relax a second. Stop.
0:21:47 > 0:21:49HE CRIES OUT
0:21:52 > 0:21:55Simon decides Ian's injury should be investigated
0:21:55 > 0:21:58at Southampton Hospital's trauma unit.
0:21:58 > 0:22:01Do you want to get online for HEMS? Yeah?
0:22:01 > 0:22:04Paramedic Ben Alloway makes the call.
0:22:04 > 0:22:08I wonder if we could request HEMS on this.
0:22:08 > 0:22:12I think... 61-year-old. GCS is 15. His GCS is 15. Not knocked out.
0:22:12 > 0:22:15I wonder if we could have them RV with us
0:22:15 > 0:22:17on the green by Hengistbury Head.
0:22:17 > 0:22:20Ian, what we are going to do, because your hips and pelvis
0:22:20 > 0:22:24are hurting in that region, and because of your shoulder,
0:22:24 > 0:22:27it ticks a few boxes for us to take you to Southampton Hospital,
0:22:27 > 0:22:29which is our major trauma centre in the area.
0:22:29 > 0:22:32The quickest and nicest way for you is by helicopter.
0:22:32 > 0:22:33Oh, I hate helicopters.
0:22:33 > 0:22:37OK. Listen, you will be there in 15 minutes, OK? Trust me.
0:22:37 > 0:22:40If we take you by road, it'll be 45 minutes and bumpy.
0:22:40 > 0:22:44Because he's had morphine, which induces nausea
0:22:44 > 0:22:46and he's going to be laid on his back,
0:22:46 > 0:22:49because it a helicopter, we can't roll him at all.
0:22:49 > 0:22:51So to stop him being sick en route, we are going to give him
0:22:51 > 0:22:54an anti-sickness now, just to keep him stable.
0:22:54 > 0:22:58Now on his back, Ian's leg spasms can be helped by raising his knee.
0:22:59 > 0:23:02Can you come round this way, Gareth?
0:23:02 > 0:23:05I want someone strong with the lady. And we are going feet first.
0:23:05 > 0:23:10Emily, Gareth, Paul, me. Then we'll get our balance. Everyone happy?
0:23:10 > 0:23:12Ready, set, lift.
0:23:12 > 0:23:14And balance. And then carry on.
0:23:14 > 0:23:18Their rendezvous with the air ambulance at Hengistbury Head,
0:23:18 > 0:23:19a local beauty spot.
0:23:19 > 0:23:24Simon calls the trauma unit to let them know what to expect.
0:23:24 > 0:23:26Thank you. We've packaged the patient...
0:23:26 > 0:23:28If you want to update the helicopter. Packaged the patient.
0:23:28 > 0:23:32He's got a left shoulder fracture, left fractured wrist,
0:23:32 > 0:23:36a possible left hip fracture. Query pelvis, not obvious.
0:23:36 > 0:23:38He is stable, lots of pain relief on board.
0:23:38 > 0:23:42The crew are loading him into the ambulance as we speak.
0:23:42 > 0:23:44It's a very worrying time for wife Janet,
0:23:44 > 0:23:47but at least Hengistbury Head is only a five-minute drive.
0:23:51 > 0:23:54Marshal them into this grassy area just here.
0:24:03 > 0:24:07In the ambulance, Simon hands over to air paramedic Steve Freeman.
0:24:08 > 0:24:10Ian, this is Steve. Hello, Ian.
0:24:10 > 0:24:13You happy for our little trip to Southampton?
0:24:13 > 0:24:15Ready, set, lift.
0:24:22 > 0:24:26OK, nice and gentle. Gently towards the aircraft. His feet loading.
0:24:26 > 0:24:28When we get there, out of habit, I can't stop saying it,
0:24:28 > 0:24:30we'll stop, pause.
0:24:30 > 0:24:31Ready, set, lift.
0:24:31 > 0:24:33And then gently down.
0:24:33 > 0:24:35All right, matey. Sorry.
0:24:35 > 0:24:36With the leg pain easing,
0:24:36 > 0:24:38Ian becomes more aware of his other injuries.
0:24:43 > 0:24:45I'll go and get my five of morphine. We'll do that.
0:24:45 > 0:24:48Ben, have you got that five of morphine left?
0:24:48 > 0:24:50My arm up a little bit.
0:24:50 > 0:24:52My left arm up. Lift it up.
0:24:55 > 0:24:58How is that? That's better. That's it?
0:25:00 > 0:25:02Put him in a better position.
0:25:02 > 0:25:04Right, this is the last bit I'm giving you, OK?
0:25:04 > 0:25:08Simon gives Ian one last dose of morphine for the journey,
0:25:08 > 0:25:11but he's conscious of not overdoing it.
0:25:11 > 0:25:14Because when we get there, we want you to be able to talk some sense.
0:25:14 > 0:25:16You've been talking sense throughout all of this.
0:25:16 > 0:25:18Thank you.
0:25:23 > 0:25:25It's only a ten-minute flight to Southampton Hospital.
0:25:37 > 0:25:41This will be the bumpiest bit of the whole trip.
0:25:41 > 0:25:42Ian goes to Resus
0:25:42 > 0:25:47where air paramedic Steve Freeman hands over to the trauma team.
0:25:47 > 0:25:51This is Ian, a 61-year-old gentleman, who was on a 10-to-15-foot gantry
0:25:51 > 0:25:52pruning bushes.
0:25:52 > 0:25:54He's taken a tumble from that,
0:25:54 > 0:25:56landing on the hard ground underneath.
0:26:01 > 0:26:04Ian is given some standard tests.
0:26:05 > 0:26:08Then transferred to the body scanner
0:26:08 > 0:26:11for a thorough examination of his injuries.
0:26:12 > 0:26:16And with his pain now under control, he even manages a smile.
0:26:20 > 0:26:21Later:
0:26:21 > 0:26:24The consequences of Ian's fall from the tower are revealed.
0:26:28 > 0:26:30This is Tish, who's going to explain, well,
0:26:30 > 0:26:33hopefully you're going to explain the difference between 111,
0:26:33 > 0:26:35999 and how you handle those calls
0:26:35 > 0:26:38because, to be honest, I've been involved with
0:26:38 > 0:26:39Real Rescues for several years now
0:26:39 > 0:26:42and I'm not sure I understand what the difference is and how it works.
0:26:42 > 0:26:45So, a call comes through to 111,
0:26:45 > 0:26:49if it's an emergency, does it get shifted to 999 and vice versa?
0:26:49 > 0:26:51It does, yes.
0:26:51 > 0:26:54If you were to call 999, for example,
0:26:54 > 0:26:56that should be for immediately life-threatening calls.
0:26:56 > 0:26:59You would call 111 with non-life-threatening emergencies.
0:26:59 > 0:27:03However, if you do call 111 and it appears to be life-threatening
0:27:03 > 0:27:05then you'll get the same level of care as you would
0:27:05 > 0:27:08if you called 999 for an emergency response.
0:27:08 > 0:27:10So, in order to do that, you must have some kind of system or
0:27:10 > 0:27:13filter that happens to separate, how does that work?
0:27:13 > 0:27:15The South Western Ambulance Service,
0:27:15 > 0:27:20we use NHS pathways which have been designed by the NHS for use
0:27:20 > 0:27:24within the NHS, and it's a triage system so the patient or caller will
0:27:24 > 0:27:27get asked a series of questions and depending on the answers given
0:27:27 > 0:27:30they will be directed in the right direction for the most
0:27:30 > 0:27:33appropriate level of care for them and those symptoms.
0:27:33 > 0:27:35OK, so, for example, that sounds slightly scary
0:27:35 > 0:27:38because it means you've got a number of questions and it sounds very
0:27:38 > 0:27:41sort of bureaucratic in how you deal with a patient
0:27:41 > 0:27:44but if someone comes on the line and says, "My baby's stopped breathing."
0:27:44 > 0:27:46You will get immediate care.
0:27:46 > 0:27:48Immediate response sent to you
0:27:48 > 0:27:53and you'll get the same help that you would get if you called any number.
0:27:53 > 0:27:57And the same bit, if I ring 999 and I say, "I think my son's got
0:27:57 > 0:28:00"a cold because he's got a runny nose."
0:28:00 > 0:28:02Then that'll get shifted sort of down the line to
0:28:02 > 0:28:04an appropriate response? Absolutely.
0:28:04 > 0:28:07It's about making sure that we treat calls as a priority. OK.
0:28:07 > 0:28:10What you're looking at, because you look after people
0:28:10 > 0:28:12when you're taking these calls. Yes.
0:28:12 > 0:28:14It kind of looks like the coolest job in the world.
0:28:14 > 0:28:17I come to work and make television programmes, people go to work
0:28:17 > 0:28:19and do whatever they do, you come to work
0:28:19 > 0:28:22and work with people who save people's lives on a daily basis.
0:28:22 > 0:28:24Yes. It's a really rewarding job. It's really good.
0:28:24 > 0:28:27Would you want to do anything else?
0:28:27 > 0:28:29I'd like to add to my knowledge, yes.
0:28:29 > 0:28:30But I really enjoy the job I'm doing.
0:28:30 > 0:28:33I enjoy coming to work everyday. I'm not surprised.
0:28:33 > 0:28:35It is a fantastic job. Thanks for explaining the 111, 999 thing.
0:28:35 > 0:28:37I wondered how it worked,
0:28:37 > 0:28:39all these years, I've never quite understood it. OK.
0:28:48 > 0:28:50It's mid-afternoon on a summer's day.
0:28:50 > 0:28:54Paramedics Jason Somerville and Sally Morrell are on shift.
0:28:55 > 0:29:00They're heading out of Southampton. A woman's been badly hurt.
0:29:00 > 0:29:03We're responding to an 85-year-old female.
0:29:03 > 0:29:05It looks like she's fallen in the garden.
0:29:05 > 0:29:07The information we've got so far is a bang to the head
0:29:07 > 0:29:10and a fractured arm.
0:29:10 > 0:29:14Jason arrives to find the woman still sitting where she fell.
0:29:14 > 0:29:16You've got a little bang your head there, haven't you?
0:29:16 > 0:29:20The woman is cared for by her daughter, Rachel.
0:29:20 > 0:29:23She was in the house as her mum was enjoying the sun
0:29:23 > 0:29:24when she tripped.
0:29:24 > 0:29:26I went back upstairs
0:29:26 > 0:29:29because I was dusting and changing the room around.
0:29:29 > 0:29:32Came down to check on Mum and I saw her on the floor.
0:29:32 > 0:29:35She didn't call out, didn't... nothing.
0:29:35 > 0:29:39The woman is complaining of a very painful right arm.
0:29:39 > 0:29:42What I'm going to do is just pop that forearm,
0:29:42 > 0:29:43your forearm into a box splint, OK?
0:29:43 > 0:29:47Which is a splint we put round either side and it'll keep it nice
0:29:47 > 0:29:51and straight for us. But how bad... How bad's your pain at the moment?
0:29:51 > 0:29:54It's, it's, it's all right, it's just painful.
0:29:54 > 0:29:57Just painful in that one spot? Yeah. OK.
0:29:57 > 0:30:01Did you trip, do you think or did you feel unwell at all? No.
0:30:01 > 0:30:04I found one slipper off and one slipper on.
0:30:04 > 0:30:07So I think Mum might have erm... tripped.
0:30:07 > 0:30:09Let's have a little feel and make sure there's no other...
0:30:09 > 0:30:11Any pain in your knees? No.
0:30:12 > 0:30:16Jason needs to check for any other injuries.
0:30:16 > 0:30:19Rachel's mum also looked bruised around her face.
0:30:19 > 0:30:21Excellent.
0:30:21 > 0:30:25Can you just...close your eyes a second? Open them up again. Fabulous.
0:30:25 > 0:30:28I'm just going to shine a light in.
0:30:28 > 0:30:30And... OK, thank you.
0:30:30 > 0:30:33No small box splint. No small box splint? OK.
0:30:33 > 0:30:36INDISTINCT CHATTER
0:30:36 > 0:30:39Paramedic Sally arrives with the splint.
0:30:39 > 0:30:41I'm going to just place your arm in there.
0:30:41 > 0:30:45And then what we do is, we fold it over, like so...
0:30:45 > 0:30:47So that we can see your fingers.
0:30:48 > 0:30:51And then we, strangely, suck all the air out of it
0:30:51 > 0:30:54and it goes nice and stiff.
0:30:54 > 0:30:56Very carefully, they wrap her arm
0:30:56 > 0:30:58and then put it in a protective sling.
0:31:01 > 0:31:03There we go. Grab that side.
0:31:05 > 0:31:08The next task is getting Rachel's mum up on her feet.
0:31:08 > 0:31:11They're going to use an inflatable chair.
0:31:11 > 0:31:14What it'll do, it'll bring you up off the floor in stages.
0:31:14 > 0:31:16And then we can get you to a standing position.
0:31:16 > 0:31:18Just shuffle down.
0:31:18 > 0:31:21All the time, Jason reassures his patient about what is happening.
0:31:21 > 0:31:24I've got you, so you don't have to put your arm on the floor.
0:31:24 > 0:31:28I need you to shuffle over here. If you can.
0:31:28 > 0:31:32You're doing well sweetheart, don't worry, we've got all day.
0:31:32 > 0:31:36Are you ready? Aha. OK that side, Jason? Hang on a second.
0:31:38 > 0:31:40As each section fills with air,
0:31:40 > 0:31:44the patient is gradually raised to her feet.
0:31:44 > 0:31:45First floor, menswear.
0:31:45 > 0:31:48Now, I need to bend your knees up.
0:31:48 > 0:31:49Well done, and the other one.
0:31:52 > 0:31:54Everyone should have one of these!
0:31:57 > 0:31:59HE TITTERS
0:31:59 > 0:32:01You'll be standing up in no time. So, when you're ready.
0:32:03 > 0:32:08Now it's easy for Rachel's mum to stand up. How's that?
0:32:08 > 0:32:12Do you fancy one of those? How's that, Jane? That's fine.
0:32:12 > 0:32:15All right, my darling. All right, so what we're going to do,
0:32:15 > 0:32:18we'll just walk you straight round to the ambulance, if that's all right.
0:32:19 > 0:32:23Rachel is going to travel with her mother.
0:32:23 > 0:32:26In the ambulance, they monitor her heart with an ECG
0:32:26 > 0:32:30and take her blood pressure but there's no cause for concern.
0:32:30 > 0:32:32That's one.
0:32:32 > 0:32:34One more.
0:32:34 > 0:32:35And you're down.
0:32:35 > 0:32:39At hospital, the woman's arm will be X-rayed and she'll be fully
0:32:39 > 0:32:42examined to see if she's suffered any more injuries.
0:32:57 > 0:33:00In a Hampshire village near Winchester,
0:33:00 > 0:33:02there's a massive house fire.
0:33:02 > 0:33:04There's no mistaking where it is.
0:33:04 > 0:33:06A plume of smoke's rising high into the air.
0:33:09 > 0:33:11It's a major callout across the emergency services.
0:33:11 > 0:33:14As well as fire and police, the air ambulance has been scrambled
0:33:14 > 0:33:17to support road crews with any casualties.
0:33:19 > 0:33:22There are fears that people may be trapped inside the house.
0:33:24 > 0:33:27Local traffic's been diverted away from the area.
0:33:27 > 0:33:30Everything's in place to deal with a major incident.
0:33:32 > 0:33:35The Hazardous Area Response Team have been called in.
0:33:35 > 0:33:37The specialist medical unit are trained to cope with
0:33:37 > 0:33:41casualties in difficult and dangerous conditions.
0:33:41 > 0:33:44And with a fire this intense, as well as people in the house,
0:33:44 > 0:33:47they could have injured firefighters to treat.
0:33:47 > 0:33:49Their chief briefs the air ambulance crew.
0:34:00 > 0:34:03There's concern that three adults, a couple and their son,
0:34:03 > 0:34:04could be trapped inside the house.
0:34:04 > 0:34:08So far, no-one has been able to contact them.
0:34:21 > 0:34:24Although no-one's been seen or heard inside the house,
0:34:24 > 0:34:28three cars are parked outside and no-one knows where the owners are.
0:34:33 > 0:34:36By now, the house has been so devastated by fire
0:34:36 > 0:34:40that there's little chance of anyone inside being alive.
0:34:41 > 0:34:45Firefighters are still attacking the blaze from all sides,
0:34:45 > 0:34:48and indoors they are searching for any signs of the family,
0:34:48 > 0:34:50but conditions are hazardous.
0:35:10 > 0:35:14As the minutes go by, all hope of saving anyone fades.
0:35:14 > 0:35:17The ambulance manager keeps everyone updated.
0:35:18 > 0:35:21But there's still some risk to the firefighters.
0:35:37 > 0:35:42One of the firefighters is already being treated for burns to his hand.
0:35:42 > 0:35:44Although they're on top of the fire, it will be several hours
0:35:44 > 0:35:50before they finish damping down to make sure it doesn't reignite.
0:35:50 > 0:35:53Thankfully, there's good news about the occupants.
0:35:53 > 0:35:56It turns out that two of the family were away on holiday
0:35:56 > 0:35:58and the other was out at work.
0:35:59 > 0:36:03This time, the impressive medical resources of the air ambulance
0:36:03 > 0:36:06and the Hazardous Area Team were not needed,
0:36:06 > 0:36:09but they're more than happy there are no lives lost
0:36:09 > 0:36:11and everyone's safe.
0:36:22 > 0:36:25It's another day and paramedics Jason and Sally are back on shift
0:36:25 > 0:36:27on the ambulance.
0:36:27 > 0:36:29Their first call has come through -
0:36:29 > 0:36:32a woman with a long history of epilepsy is having convulsions.
0:36:36 > 0:36:37Did you actually see her fitting?
0:36:37 > 0:36:40The patient's carers tell Jason the fit went on
0:36:40 > 0:36:42for at least a minute.
0:36:42 > 0:36:45First thing is just let her recover for a second, have a little snooze.
0:36:45 > 0:36:48They're told it was the woman's second fit of the day.
0:36:48 > 0:36:51This time, she'd bitten into her tongue.
0:36:51 > 0:36:53We waited until she recovered to a point
0:36:53 > 0:36:54that they were comfortable with,
0:36:54 > 0:36:57and that point was that she was able to smile
0:36:57 > 0:37:01and part of her demeanour is to hug men.
0:37:01 > 0:37:05One of the signs that said that she was back to normal, really,
0:37:05 > 0:37:07was that she made a beeline for me.
0:37:07 > 0:37:09The ladies do. Well, you know...
0:37:10 > 0:37:14Within minutes, they're directed to their next patient.
0:37:17 > 0:37:19The call has come from a GP surgery -
0:37:19 > 0:37:23a 63-year-old man is having a severe reaction to a wasp sting.
0:37:23 > 0:37:25He's fighting for breath.
0:37:27 > 0:37:30The man has been stabilised by the GP,
0:37:30 > 0:37:31but it's all very worrying for his wife.
0:37:31 > 0:37:34If you just give us a couple of minutes... Yeah.
0:37:34 > 0:37:36..we'll just get your husband settled.
0:37:36 > 0:37:38Some people react so badly to stings,
0:37:38 > 0:37:40they go into anaphylactic shock, which can be fatal.
0:37:40 > 0:37:44Difficulty breathing and swelling in the throat are common symptoms.
0:37:47 > 0:37:49Thomas was stung in his back garden.
0:37:49 > 0:37:51Half an hour later, he felt dizzy
0:37:51 > 0:37:55and a rash appeared over his whole body.
0:37:55 > 0:37:58I can't remember where I put the leads.
0:37:58 > 0:38:02His doctor wasted no time in giving him adrenaline and hydrocortisone
0:38:02 > 0:38:05and calling the ambulance.
0:38:05 > 0:38:09How are you feeling? A bit of a headache. Bit of a headache? Yes.
0:38:09 > 0:38:12Adrenaline sometimes triggers headaches.
0:38:12 > 0:38:15Thomas will be monitored throughout the quick trip to hospital.
0:38:15 > 0:38:17We'll get it to take the blood pressure
0:38:17 > 0:38:20and all sorts of things while we're on the move.
0:38:20 > 0:38:23The hydrocortisone reduces Thomas' inflammation
0:38:23 > 0:38:27and his lowered blood oxygen levels will be helped by adrenaline,
0:38:27 > 0:38:29which speeds up the heart.
0:38:29 > 0:38:32Just cos of the adrenaline, that's all.
0:38:32 > 0:38:35Thanks to his speedy treatment, Thomas' breathing is easier
0:38:35 > 0:38:38and the alarming rash is starting to go.
0:38:38 > 0:38:41Actually, if you notice your feet, they've...
0:38:41 > 0:38:43I don't know if...you can't see. I don't have my glasses, no.
0:38:43 > 0:38:45But the redness is gone.
0:38:45 > 0:38:47Let's have a look at the rest of it.
0:38:47 > 0:38:50So it is subsiding. They've done a good job there.
0:38:50 > 0:38:54And Thomas' vital signs are looking much better too.
0:38:54 > 0:38:58The blood pressure is good. 145 now, so that's shot back up now.
0:38:58 > 0:39:02Going to sit you over there. Right, thank you.
0:39:02 > 0:39:04But he'll still need to be checked out at hospital.
0:39:04 > 0:39:06Wife Rosemary is going too.
0:39:06 > 0:39:08It's certainly a lot better.
0:39:08 > 0:39:11It's a shame we didn't get a before and after picture.
0:39:11 > 0:39:13I can get stung again if you want.
0:39:13 > 0:39:17Now that everything's calmed down, Sally is back in the driving seat.
0:39:17 > 0:39:21Jason stays with Thomas in case he takes a turn for the worse.
0:39:21 > 0:39:24He's feeling well enough now to tell Jason a little more
0:39:24 > 0:39:26about how he got stung.
0:39:26 > 0:39:30Do you think it got stuck in some clothing or did it just...?
0:39:36 > 0:39:3845 minutes later, he knew something wasn't right
0:39:38 > 0:39:40and went to his doctor's.
0:39:40 > 0:39:43What sort of state were you in when you got into the GP's?
0:39:43 > 0:39:46I felt faint...
0:39:46 > 0:39:47and hot.
0:39:48 > 0:39:50The drugs do their work
0:39:50 > 0:39:51and by the time they get to A,
0:39:51 > 0:39:53Thomas' rash has almost gone.
0:39:57 > 0:39:5911 o'clock at night
0:39:59 > 0:40:02and Sally and Jason are nearing the end of their shift.
0:40:02 > 0:40:05SAT-NAV: 'You have arrived at your destination.'
0:40:05 > 0:40:08A woman has had a fall at home and cut her head.
0:40:08 > 0:40:11She's conscious and breathing,
0:40:11 > 0:40:13but they're taking no chances with the head injury.
0:40:13 > 0:40:16They want her to be checked over in hospital.
0:40:16 > 0:40:19How long ago was it when you banged your head?
0:40:19 > 0:40:22The lady has a gash on her forehead
0:40:22 > 0:40:24that will need to be cleaned and dressed.
0:40:24 > 0:40:27Have you got a handbag or something you want to take with you?
0:40:27 > 0:40:31If you grab that yellow bar on your way up.
0:40:31 > 0:40:33That's it, well done.
0:40:33 > 0:40:35And we'll just get you sat down, just there.
0:40:36 > 0:40:39The woman is admitted to the hospital
0:40:39 > 0:40:42just to be sure there are no lasting effects from her head injury.
0:40:42 > 0:40:46As for Jason and Sally, their shift is finally over.
0:40:55 > 0:40:57At hospital, the little girl who was knocked down
0:40:57 > 0:41:00after running into the path of a car was X-rayed.
0:41:00 > 0:41:02She had a broken leg.
0:41:02 > 0:41:03It was put in a plaster cast
0:41:03 > 0:41:05and she is recovering well.
0:41:07 > 0:41:08The woman who fell over in the
0:41:08 > 0:41:10garden was found to have suffered
0:41:10 > 0:41:11three fractures to her arm.
0:41:11 > 0:41:15She had to have an operation and has now made a full recovery.
0:41:15 > 0:41:17Ian's fall from a scaffold tower
0:41:17 > 0:41:20left him with severe injuries.
0:41:20 > 0:41:23Scans revealed a compound fracture in his left shoulder,
0:41:23 > 0:41:27a broken hip and a broken wrist.
0:41:27 > 0:41:30Back at home, five weeks later, Ian recalls the fateful day.
0:41:30 > 0:41:32I could see my wrist was pointing
0:41:32 > 0:41:34in the wrong direction,
0:41:34 > 0:41:36so, initially, I thought I'd just broken my wrist
0:41:36 > 0:41:40and my leg had gone into a cramp, cos sometimes it does
0:41:40 > 0:41:42from a previous injury I had.
0:41:42 > 0:41:48I tried to move it to alleviate the pain
0:41:48 > 0:41:50and it just wouldn't go,
0:41:50 > 0:41:54there was just something that was really, you know, bad about it.
0:41:54 > 0:41:58But then, the pain in the shoulder was also quite bad
0:41:58 > 0:42:00and I couldn't move that either.
0:42:00 > 0:42:03Ian and his wife Janet are extremely grateful to the ambulance crews
0:42:03 > 0:42:05who came out to help them.
0:42:05 > 0:42:07You don't realise how lucky we are.
0:42:07 > 0:42:10On the end of that one phone call
0:42:10 > 0:42:14comes so much help, it's unbelievable.
0:42:14 > 0:42:17Ian's had surgery on both hip and wrist,
0:42:17 > 0:42:20but it will be 18 months before he's back to normal.
0:42:20 > 0:42:24But he knows it could have been far worse.
0:42:24 > 0:42:27If I had landed on my head,
0:42:27 > 0:42:29well, I don't think I would have been here now.
0:42:29 > 0:42:33And I certainly, if I had damaged my back,
0:42:33 > 0:42:37I could have, you know, been in a wheelchair constantly.
0:42:37 > 0:42:40So, really, I am quite lucky.
0:42:40 > 0:42:42But no more tree cutting, I think.
0:42:42 > 0:42:45I think we'll leave that to the professionals in future.
0:42:48 > 0:42:51Just another day in the office for the extraordinary men and women
0:42:51 > 0:42:54of our emergency services. That's it for today's Real Rescues.
0:42:54 > 0:42:56See you next time.
0:43:21 > 0:43:25Subtitles by Red Bee Media Ltd