Episode 9 Real Rescues


Episode 9

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Today on Real Rescues,

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a packed ferry runs aground on rocks off the coast of Wales.

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As rescuers come to help, it starts to sink with people still on board.

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The way the tide was pulling, if they had gone in the water,

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they wouldn't have come back up again, it was that bad.

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On the hottest day of the year,

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the air ambulance is scrambled to a man in trouble on a coastal path.

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Fears are he's having a heart attack.

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And a 999 call from a woman in labour.

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She's still 15 miles away from hospital.

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Hello and welcome to the programme which features

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the amazing work of Britain's emergency services, Real Rescues.

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Now there's a code amongst all sailors that

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if anyone is in trouble at sea,

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the nearest boat will head to the rescue.

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So, when a ferry carrying day-trippers off the Pembrokeshire coast

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hits a rock and starts to list at 45 degrees,

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a boat carrying divers rushes to help.

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They're all too aware that the chance of anyone surviving

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the fast-running currents and cold temperatures is very slim.

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In Pembrokeshire, a ferry The Lady Helen has hit rocks -

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on board, 48 passengers.

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Minutes before, a day-tripper captures this footage as they travel

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through Jack Sound,

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a narrow channel separating mainland Wales from Skomer Island.

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Weather conditions look good, but a spring tide means the channel

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is unusually shallow and the rocks are emerging.

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Suddenly there's an ominous jolt.

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There are men, women and children on board.

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We were going along and, all of a sudden,

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bang, it crunched.

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It turned...

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and it tipped.

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The boat turned more or less 360 degrees,

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so we were facing back out to sea again,

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as opposed to going towards the mainland.

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It was all so quick.

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You didn't have time to work out what had happened.

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And then the boat started to list and that was the terrifying bit.

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It listed quite severely.

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The ferry has hit a rock just off Skomer Island.

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It's been holed.

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The bow is low in the water, the stern higher.

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Within minutes, a dive boat

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and a rib from the Skomer Marine Reserve are alongside,

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but the currents here

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are fast-running and notoriously dangerous.

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As I was looking into the water, it wasn't too far to the island.

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It wasn't far at all,

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but the water was so turbulent, I thought,

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"If I go in, I'm not going to reach it."

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The skipper of the dive boat, The Overdale, is Brian Dilly,

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a former RNLI coxswain.

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It took us about five or ten minutes to get there.

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The boat was listing very heavily and we thought she was sinking.

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Tim Crossland is one of the divers on board Brian's boat.

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We could see the boat was wedged on the top of the rock.

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He's definitely spun around.

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It was facing stern to the current

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and was listing very badly with the passengers in the stern.

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The way the tide was pulling, if they had gone in the water,

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they wouldn't have come back up again, it was that bad.

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And we were going to go right alongside the vessel

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and take the passengers off.

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But it turns out to be too dangerous for the dive boat to stay close.

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The small rib has to start transferring the passengers.

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On board is marine biologist Jennifer Jones.

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Initially, they handed down some children and their parents.

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There were a couple of moments when I was being handed down over

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the railings a couple of little children and I was thinking,

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"Gosh. This could be quite nasty."

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That was another scary bit because, with a small rib,

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they could only take off so many at a time

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and we were beginning to wonder,

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"How long will it be before we go off?"

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We seemed to be there a long time

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and the more I thought about it and looked around at the situation,

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it looked really bad.

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I couldn't see how we were going to get out of it without

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being in the water.

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By now, the Lady's sister ship, The Dale Princess, has arrived

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and managed to get a rope onto the stricken boat.

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Pulled it from the rock with still passengers on board

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and it was quite obvious that the boat was...

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in trouble and sinking.

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During all this, I was shaking from head to foot.

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I was really, really frightened.

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It was something I never want to experience again.

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As The Lady Helen is pulled away from the turbulent current,

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a police rib arrives and continues to transfer passengers to the dive boat.

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It is always dangerous to transfer people at sea in any conditions,

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but, luckily, the sea conditions were very good.

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It was a lovely day, the sea was calm,

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so we managed to get people transferred here from the rib,

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helped them across onto this boat,

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but it isn't an easy thing to do.

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The coastguard has sent two RNLI lifeboats

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and their sea rescue to the scene,

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but by now all the passengers are safely aboard the dive boat.

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Spirits amongst the survivors are soaring.

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The Lady Helen is now being towed back to shore,

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but she's holed and taking on more and more water.

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All the way, they're pumping it out.

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And they just make it to shore, where the ferry finally sinks.

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Safe on dry land, the passengers have time to reflect on their experiences.

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We sat on the rocks because that's all people could do.

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They were just stunned.

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Totally stunned. Dazed.

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We just thanked God that the people were there

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at the right time.

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There was enough boats in the area to come to our assistance.

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And hats off to the people that came and rescued us.

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A hazy morning at the air ambulance station in Somerset.

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The UK is in the grip of a heat wave.

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Temperatures are expected to reach 30 degrees.

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At the morning briefing,

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pilot John Erp is predicting good conditions for the helicopter.

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Yeovil are out of fog already.

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Temperature 12, due point of 12,

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so everything's breaking up nicely and nice high pressure,

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so we're sat in what's left of the fog.

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Everyone else is clear around us.

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So, essentially, it's a lovely flying day.

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In high temperatures like this, calls out to the emergency services go up.

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On the ground and in the air, every resource is under pressure.

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I'll get some speed along the runway and then we'll do a southerly turn.

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On duty with pilot John is paramedic Paul Owen

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and emergency basics doctor Phil Hyde.

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The first emergency is at a well-known coastal beauty spot

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in Dorset, Durdle Door.

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They can only speculate at this point what the problem may be.

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They have to prepare for the worst.

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First they need to find the walker.

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They've been told to look out for an obelisk-shaped landmark.

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Their patient is a long way from the road.

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As soon as they're down, paramedic Paul heads off...

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..closely followed by Dr Phil Hyde and pilot John.

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The casualty is downhill near the edge of the cliff.

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This is Glen. He's walked from Osmington Mill to see...

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Seven or eight miles, did you say? Yeah.

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So, he's come across that way.

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Starting going that way.

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He's just run out of energy, so he's turned back.

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He started heading back, coming up the hill... OK.

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He's not had any pain at any stage.

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He's just felt weak and unable to continue.

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Have you had any pain in your chest? No.

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If I do get a pain in the chest, it's like a stitch.

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What do you mean, if you do get a pain?

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Paramedic Paul needs Glen to be explicit about any pain.

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Have you had a pain in your chest today? No.

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I did yesterday. Have you been in hospital for anything? No.

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Never had any heart problems? No.

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Glen set off at 8am, hoping to miss the extreme heat,

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but the temperature defeated him.

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He collapsed near a group of soldiers from the Royal Armoured Corps

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training regiment. They gave him water and raised the alarm.

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I'm going to stick a load of stickers on your chest.

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I think it looks pretty good.

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We've got to take some details,

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but we haven't found anything significantly horrible.

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Now, if we can... We'd rather you didn't walk back

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cos you're going to end up in the same state walking back.

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But if we can get you a lift, something like that,

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are you happy if we can get you taken back?

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Yeah. Cos I don't think there's any need to go to hospital.

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All right? All you need to do is take it easy, drink plenty of fluids.

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I just need to...

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Paramedic Paul updates control.

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He's hoping a coastguard volunteer will be able to take Glen home.

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Yeah, 7250, we're on scene.

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Patient doesn't need to be conveyed to hospital.

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What's the situation with regards to the coastguard?

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Are they turning up in a 4 x 4, over?

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They're bringing up a four-wheel-drive up here. Right.

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And we'll be able to stick you on the back of that

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and get you back down to civilisation. Right, cheers.

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So we'll keep you out of the sun at the moment while we're...

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Stay sat down. Have you had some of that Lucozade?

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HE LAUGHS

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Yeah, I don't like cherry! You're all right!

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Just get a little bit more down you.

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Take the cherry on the chin, and get it down you.

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Glen's still suffering, but this spot is inaccessible by Land Rover.

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There's no choice - Glen has to walk back up the hill.

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Are you feeling a bit better after that fluid, electrolytes? Yeah.

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It's a steep climb in the searing heat.

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How are you feeling?

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We'll just get you through this gate and sit down.

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It's too much for Glen.

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Just deep breaths here, mate.

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We'll get him in the shade again.

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He drops to the ground again, too exhausted to continue.

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Where was that fluid he was drinking?

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I've got a car back here.

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That's kind of you. Where's those bottles that you were drinking?

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The army group kicks into action. They split into two teams.

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One goes to chase up the Land Rover,

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the second keeps Glen hydrated and cool.

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Within minutes, the coastguard appears, complete with army escort.

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Are you able to drop him back home,

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or are you able to drop him with the ambulance?

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Despite his second collapse, Paul is happy to discharge his patient.

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We can take him back to wherever, but if it's local,

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I mean, where is..? Osmington.

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There's just time for Glen to thank all his rescuers

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and for medic Paul to give him some advice.

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Did you hear that? It looks like they're happy to drop you back.

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All right? But just take it easy.

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Take plenty of fluids, keep out of the sun, you know,

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just enjoy yourself. Don't have too much alcohol to drink. Right.

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I know you're on holiday, but you can't, all right?

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It's a 35-mile flight back along the dramatic coastline.

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Once they land,

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all hands are needed to prepare the aircraft for its next emergency.

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It's not long before the air ambulance is needed again.

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They're heading back towards the South Coast.

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Unconscious, dragged out of the water. Is that the story? Yeah.

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RADIO: '1750, stand down, stand down, not required.

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'Land crews on scene, over.'

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But a few minutes later, an update comes through from control.

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The air medics are no longer required.

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Later, the ambulance is needed at a school.

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A young girl has a high fever...

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SHE WHIMPERS

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..and has been fitting for seven minutes.

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It's 6.30am in the South Western Ambulance control room,

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and a frenetic 999 call has just come in from Cornwall.

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A heavily pregnant woman is being driven by her husband

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from Penzance to hospital in Truro.

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They have 15 miles to go,

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but Christina's contractions have started.

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SHE SQUEALS

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By now, they're in the small town of Camborne.

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Husband Max is frantically searching for an ambulance station,

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but he's running out of time.

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SHE SCREAMS

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SHE SCREAMS

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MAX: Oh, darling, darling, darling, please.

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Max decides to pull into the local police station car park,

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where Christina's piercing screams can be heard from inside.

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We thought it was an animal in pain.

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A sound that you can only describe

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as coming from somewhere

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deep down inside you.

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Off we went, out through the gate, to find Max and Christina there.

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Max was on the phone, doing his very best to speak to ambulance control.

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Christina was out of the car, doubled up.

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So I went over to talk to her

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and discovered, you know, she was due.

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They had another 15 miles to go

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when they really couldn't go on any further.

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Dave's colleague, Paul Freestone,

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takes over the call with ambulance control and suddenly,

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the police find themselves playing the role of midwives.

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SHE SCREAMS

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There is no time to get Christina to hospital.

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Her baby is going to be born in the car park.

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An ambulance has now arrived at the police station.

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The paramedics get Christina into the back seat,

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and it's not long before the car has one more occupant.

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This kid has got to win gold medals in 18, 19 years time

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at the Olympics, because,

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unlike my four children that have sort of come out sedately,

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this kid came out like a rocket.

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But the drama isn't over yet.

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The baby has the umbilical cord wrapped around its neck.

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Dave is very relieved that a paramedic is on hand.

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As I caught the body, he's got the head and he's got his fingers

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under the cord, which has come out over the top of the baby

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and was wrapped round the neck, and he was just SO quick.

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Five weeks on, Christina is home with baby Macaulay,

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and can look back on her night in the strangest of delivery rooms.

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I apologised to everyone as I was being wheeled to the ambulance.

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And they said, "Oh, no, no, it was an amazing experience."

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And I said, "Yes, but I apologise for the noise and the screaming!"

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But, yeah, it was amazing.

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It was just a sense of smile, you know, happiness.

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When I looked around, I saw a lot of people smiling at the same time.

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I was just over the moon, the fact that everything was OK, and...

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..messy car, but everything was OK.

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And the experience for would-be midwife Dave

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is one he'll never forget.

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A real way to end the career, because I retire on Sunday,

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and that's it, you know.

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I think of all the dark things that have happened,

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this certainly comes up in the memories of the sweetest -

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the sweetest of my career.

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And believe it or not, the policeman who delivered the baby at work

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belongs to C-section. Absolutely true!

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Right, time to talk about hide and seek with the police

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and CCTV with Leonie here.

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Tell us about this incident.

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Well, we had a call on the radio from CCTV saying that

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there was a fight going on in a back alley, so they put it

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through on the live feed for us, and we started to monitor it.

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We'd got officers making to the area to try and break them up,

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and whilst they were en route, it started to escalate.

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The chap knocked another gentleman out,

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and then ran off and tried to hide from us.

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He took his T-shirt off and that left him topless...

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He's hiding by going topless? Yes.

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That's not very bright, is it? No, it's not, no.

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It will attract more attention. It will.

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And he actually sat at a bus stop waiting for a bus,

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but as he saw us arrive, he ran off down the road.

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Another officer's joined, er...following him,

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and he hid behind a telephone box, which we followed on the CCTV,

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and we went either side and nicked him.

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NICK CHUCKLES So he thinks he's hiding?

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He thinks he's hiding, and we've actually followed him on CCTV

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and managed to arrest him for the assault.

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So, there you go, don't try playing hide and seek with the police,

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because they've got CCTV and they'll find you, wherever you are.

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Still to come on Real Rescues:

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the air ambulance is flying to a young schoolgirl

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who has some very worrying symptoms...

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..and a young man is found wandering, injured,

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on a notoriously busy road, but it's not clear how it happened.

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He says he's been hit by the wing mirror,

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and he's been walking this way towards us, toward Bedford,

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so you'd expect the injuries to be on the right-hand side of his body,

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and in fact, his leg injury is on the left.

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SIRENS BLARE

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Emergency care practitioner Malcolm Silvester has received

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what's called a crew referral.

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Paramedics already at an incident have requested his help.

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The crew has been out to this patient for a fall, apparently.

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They've fallen in the garden, an 87-year-old chap,

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and they're referring it for an eye injury, just above the eye.

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Malcolm has the skills to treat such an injury in the patient's home,

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saving him a trip to hospital.

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We've got this young gentleman here, 87 years young, Terry Williams.

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Inside, paramedic Steve Follett brings Malcolm up to speed.

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He's come in, he was putting his washing out, and he's fallen,

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and he's bashed his head on the concrete.

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He wasn't knocked out.

0:21:430:21:44

Just got a little lac above the right eye there,

0:21:440:21:46

just needs a little bit of attention.

0:21:460:21:48

How do you feel now, Terry? Fine, thank you. Good.

0:21:480:21:51

They looking after you, then? Oh, excellent.

0:21:510:21:53

He's on a lot of medications, but apart from that,

0:21:530:21:55

he's normally fit and well. Not bad for his age, are you?

0:21:550:21:58

No, I'm lucky. We're going to look at your eye, yeah? Yeah.

0:21:580:22:02

Patch you up. And put me to bed.

0:22:020:22:05

I don't know about that!

0:22:050:22:08

Terry's sense of humour, it seems, has survived the fall.

0:22:080:22:12

You remember what happened, then? Yes, clearly.

0:22:120:22:15

And his memory is good too. Both positive signs.

0:22:150:22:18

We thought, "Why rush you up to the hospital?"

0:22:180:22:20

We don't want to do that.

0:22:200:22:22

Wonderful, let's just have a look at your wound. Does that hurt, Terry?

0:22:220:22:26

No. Good.

0:22:260:22:28

Can you fix it? This is the question.

0:22:280:22:31

Won't spoil my good looks, stitches, will it?

0:22:310:22:34

It could even make you better-looking,

0:22:340:22:36

even better-looking -

0:22:360:22:37

how about that? Rugged!

0:22:370:22:39

With Terry's home treatment under way,

0:22:410:22:44

paramedic Steve is free to answer another call.

0:22:440:22:47

Right, we're off, then, take care. Thanks very much. Thanks, Steve.

0:22:470:22:51

Malcolm has opted for stitches, rather than medical glue,

0:22:510:22:54

to close the wound.

0:22:540:22:56

Where the wound is, at the moment,

0:22:570:22:59

and the way the wound's quite jagged,

0:22:590:23:02

it's not going to close with a bit of glue.

0:23:020:23:04

I'm going to put two or three stitches in there,

0:23:040:23:06

just to hold it together.

0:23:060:23:08

The adhesive type of stitches, or steri-strips, won't be used either,

0:23:080:23:12

because Terry's cut is very close to an eyebrow.

0:23:120:23:16

This is going to sting a little bit, OK?

0:23:160:23:19

Before his wound is stitched, the area will be made numb with anaesthetic.

0:23:190:23:23

Malcolm needs to make several small injections to ensure the area

0:23:230:23:27

is completely numb.

0:23:270:23:28

Terry's son, Steve, arrives.

0:23:300:23:32

All right, Dad? You're Steve, are you? Hello, Steve, I'm Malcolm.

0:23:320:23:36

Hello, Malcolm. OK?

0:23:360:23:38

He's got a laceration just above the eye, where the eyebrow is.

0:23:380:23:42

It's quite deep, but it's too deep to glue. Right.

0:23:420:23:45

It's in the wrong place for steri-strips to hold it,

0:23:450:23:48

so I'm going to put two or three stitches in it to hold it together.

0:23:480:23:51

So you literally did it, Dad, just before you rung me?

0:23:510:23:54

I went down to wipe the line clean, you know, it gets cobwebby.

0:23:540:23:58

After five minutes, the delicate job of stitching Terry's cut can begin.

0:24:000:24:03

Do you want to come and have a look, Steve?

0:24:080:24:10

Quite a long one, isn't it?

0:24:100:24:11

Now he's got three stitches in there. He needs them taken out.

0:24:110:24:14

Malcolm's final job is to brief Steve on any possible after-effects of a head injury.

0:24:140:24:21

Excessively sleepy, severe headache, blurred vision -

0:24:210:24:24

any of those symptoms, anything out of the ordinary, really,

0:24:240:24:28

just to look out for.

0:24:280:24:30

You take it easy for the rest of the day, all right? Yes, yes.

0:24:300:24:33

I shall, for the rest of the week. Good idea.

0:24:330:24:38

And go careful outside, all right? I will, yes.

0:24:380:24:42

It may come as no surprise to you to know that people sometimes lie to the police.

0:24:440:24:48

Sometimes that's easier to detect than others,

0:24:480:24:51

as Louise will explain to us.

0:24:510:24:53

I took a call from a guy one day to say that he couldn't make it

0:24:530:24:56

for bail that evening because he was stuck in India.

0:24:560:24:58

He couldn't get a flight home.

0:24:580:24:59

I said, "Is that true? Because the landline you're calling from

0:24:590:25:03

"is displayed on my phone and shows a Milton Keynes dialling code."

0:25:030:25:06

He said, "No, you must have got it wrong. It's been rerouted."

0:25:060:25:09

I said, "You're clearly in Milton Keynes. You're lying to me on a recorded line.

0:25:090:25:13

And then I overheard his friend in the background say,

0:25:130:25:15

"I'm ordering a pizza from a well known UK-based takeaway company,

0:25:150:25:19

"what do you want on the topping?"

0:25:190:25:21

And he turned round and I said to him again,

0:25:210:25:23

"You do realise you are on a recorded line and you aren't phoning from India?"

0:25:230:25:27

He called me a few names I can't repeat and then hung up on me.

0:25:270:25:31

So presumably he got himself into enormous trouble.

0:25:310:25:34

Not very bright, is he? No. Not least because he's insulting you

0:25:340:25:37

on the phone, which is never going to endear you, is it? Not at all.

0:25:370:25:40

So be polite on the phone and don't be stupid, I think that's the advice here.

0:25:400:25:43

It's 10am on a busy weekday and Green Watch are on their way to reports of a gas leak.

0:25:480:25:53

But, unusually, this leak is coming from a parked campervan.

0:25:530:25:57

The van's been converted to run on liquid petroleum gas.

0:25:590:26:02

LPG vaporises faster than petrol

0:26:020:26:05

and even a small amount can ignite and explode.

0:26:050:26:09

Drag everything back, Charlie. We'll close this road off as well.

0:26:090:26:13

Crew manager Liam Barry

0:26:140:26:16

must act quickly to prevent a potential disaster.

0:26:160:26:18

LPG vehicles vary in the way they're fitted.

0:26:220:26:26

Liam has the difficult task of finding the isolation switch to stop the leak.

0:26:260:26:30

Luckily, the owner, Bernard, has just arrived.

0:26:330:26:36

Is that yours, is it? Yeah. Right, I was just going to phone you.

0:26:360:26:39

Although they have found the isolation switch, there's a problem.

0:26:390:26:43

It's completely frozen over.

0:26:430:26:44

The escaping gas has cooled the water in the air.

0:26:440:26:47

Now there's the added danger of severe cold burns

0:26:480:26:52

so Liam and the crew must take extra care.

0:26:520:26:54

Can you put a light spray on there while I'm underneath,

0:26:570:27:00

and just kind of keep it that way?

0:27:000:27:02

Just try and disperse the LPG that way

0:27:020:27:04

while I have a look at the valve from under there. Does that make sense?

0:27:040:27:08

That's all right, that's fine.

0:27:110:27:13

I thought that might freeze on there but it's actually melting it.

0:27:130:27:16

Know the ice has melted, the firefighters can finally

0:27:160:27:18

attempt to shut off the valve.

0:27:180:27:20

You can still smell it, though.

0:27:220:27:24

But that hasn't fixed it. Liam needs help from Bernard.

0:27:250:27:29

The little yellow lever, that's turned down.

0:27:290:27:32

Yeah.

0:27:320:27:34

I'm not sure which side of the leak it's isolated.

0:27:340:27:37

If one of those valves wasn't working, that should do it,

0:27:370:27:41

as I understand it. The gas is still escaping.

0:27:410:27:43

Liam is now considering leaving it until the tank is empty.

0:27:430:27:47

But there's a problem with that too.

0:27:470:27:49

I filled it yesterday, yeah.

0:27:490:27:51

So on that grounds, it would take a week, the rate that's going at.

0:27:510:27:54

Whilst people are working round it, there is a risk there, isn't there?

0:27:540:27:59

So I would be very reluctant to leave anyone with it.

0:27:590:28:03

Options are running out. Liam needs to get some ideas from his crew.

0:28:030:28:08

I was hoping that isolator would have worked.

0:28:080:28:10

I thought when we switched it that it'd stopped.

0:28:100:28:13

Switched it back on, just to make sure it was that,

0:28:130:28:16

and it started evaporating off, whatever the word is for it.

0:28:160:28:22

Um, switched it back off again and it's still going,

0:28:220:28:25

although I can't see any at the moment.

0:28:250:28:27

Whilst they've been talking, the leak appears to have stopped.

0:28:270:28:32

It has stopped now. Has it? Yeah.

0:28:320:28:34

Yeah. It's fine.

0:28:390:28:41

Thankfully, the leak is now under control

0:28:410:28:44

and Liam is happy to hand over to Bernard.

0:28:440:28:46

I'll fill in a handover form which hands responsibility

0:28:460:28:49

back to you from this point, and then we're off, if that's OK?

0:28:490:28:53

It's been a challenging job and not one the firefighters are used to.

0:28:530:28:57

Every system tends to be different.

0:28:570:28:59

Different switches in different places

0:28:590:29:01

and different switches will isolate different parts of the system.

0:29:010:29:04

Limited experience in these sorts of things, really,

0:29:040:29:06

compared to petrol and diesel.

0:29:060:29:08

Obviously, an LPG leak presents

0:29:080:29:10

a different kind of hazard to a petrol leak.

0:29:100:29:13

Bernard is a satisfied customer.

0:29:130:29:15

He can now take his van to the garage to get it fixed.

0:29:150:29:19

Thank you very much. Sorry you were disturbed in that way. That's fine.

0:29:190:29:22

It's 11pm and traffic police Gary Fortnum and Ray McNaught

0:29:280:29:32

have been called to a job out of their area.

0:29:320:29:35

We got a report from Bedfordshire colleagues

0:29:350:29:38

that they've come across a male pedestrian on the A421

0:29:380:29:42

and he's saying he's been hit by a car.

0:29:420:29:45

It's an odd place for a pedestrian.

0:29:450:29:48

It is a very dangerous section of road.

0:29:480:29:50

We have had some really horrendous collisions on this bit of road.

0:29:500:29:55

Juliet, Tango, Papa, nine, two...

0:29:550:29:58

PC Casey from Bedfordshire Police hands over to Gary.

0:29:580:30:02

He says he got knocked into the bushes.

0:30:020:30:06

When we managed to get to him,

0:30:060:30:07

he was already on the phone to the ambulance.

0:30:070:30:10

They were confused as to where he was. Is he English? No.

0:30:100:30:14

Lithuanian, isn't it? Latvian.

0:30:140:30:16

Latvian. Ronalds. He's got his ID in his pocket.

0:30:160:30:19

OK, mate, all right. Our colleagues are going to go off

0:30:190:30:23

and you can stay with us until the ambulance comes. OK.

0:30:230:30:27

Nice and steady.

0:30:270:30:28

Ronalds has a bad limp on his left side.

0:30:280:30:31

Thanks, guys.

0:30:310:30:33

Have a sit on there. Just lean on there for a minute.

0:30:330:30:36

There we go. What happened?

0:30:380:30:39

What did he hit you with, was it the wing mirror? Yeah?

0:30:450:30:50

OK, so it hit you on this side? Yeah, yeah.

0:30:500:30:53

And whereabouts did it hit you? On your leg or your arm?

0:30:530:30:56

Moments later, an ambulance arrives

0:31:020:31:04

and paramedics start to examine Ronalds.

0:31:040:31:06

They check for evidence of spinal injury.

0:31:080:31:10

And it turns out home is a long way from here.

0:31:230:31:26

The address is in Bedford.

0:31:310:31:33

Ronalds was attempting a 14-mile walk home

0:31:330:31:37

along notoriously dangerous roads.

0:31:370:31:39

I still can't make up my mind

0:31:420:31:43

whether he's been hit by a car or whether he's fallen in the ditch.

0:31:430:31:47

He says he's been hit by the wing mirror.

0:31:470:31:50

And he's been walking this way towards us, towards Bedford,

0:31:500:31:53

so you would expect the injuries

0:31:530:31:55

to be on the right-hand side of his body.

0:31:550:31:57

And in fact, his leg injury's on the left.

0:31:570:31:59

But how he got the injuries is less important than treating them.

0:32:000:32:04

Since he's complained of back pain, Ronalds is placed on a spinal board.

0:32:040:32:08

Coming back, going to lay down nice and straight. Ready?

0:32:080:32:13

Down we come, all the way. Neck nice and straight. Keep going.

0:32:130:32:16

Gary wonders if alcohol may have

0:32:160:32:18

played a part in Ronalds' predicament.

0:32:180:32:20

How much have you had to drink today?

0:32:200:32:22

Lambrini? A big bottle?

0:32:240:32:26

It's a fairly low-alcohol drink, so even a large bottle doesn't

0:32:280:32:31

explain tonight's events, or Ronalds' memory.

0:32:310:32:34

With Ronalds safely aboard the ambulance,

0:32:400:32:42

Gary tries again to piece together what happened.

0:32:420:32:45

So, this wing mirror, when it hit you, did it hit you on the arm?

0:32:460:32:50

And you were definitely walking on the left-hand side of the road?

0:32:510:32:55

So, you should have got hit on this arm.

0:32:550:32:57

But regardless of how it happened, Ronalds injuries are undeniable.

0:32:570:33:01

He's off to Milton Keynes Hospital now. So, whatever the cause,

0:33:100:33:14

he needs to go to hospital to have it checked out anyway.

0:33:140:33:17

Now, this control room, as you can see,

0:33:230:33:25

covers a great deal of motorway and Trefor can chat to us

0:33:250:33:28

about the responsibilities that come with that,

0:33:280:33:31

especially at the moment, because we've just recently had an incident

0:33:310:33:35

which is starting to clear up.

0:33:350:33:36

Let me draw your attention to this screen.

0:33:360:33:38

You can see the northbound, I suppose,

0:33:380:33:40

or westbound carriageway... It's the northbound. ..on the M40.

0:33:400:33:44

You can see, it's very, very busy here,

0:33:440:33:46

but it's just clearing through because there was an incident.

0:33:460:33:49

That's right. We had a report of a three-vehicle...

0:33:490:33:51

It came as injury-RTC, with all three lanes blocked. And where is that?

0:33:510:33:56

Can you show us where that is on the map? Yeah, yeah.

0:33:560:33:59

It's on the M40. And it's going northbound, between six and seven.

0:33:590:34:03

In fact, it was about...

0:34:030:34:04

by that bridge there where the incident occurred.

0:34:040:34:06

Now, we can see the traffic is moving again.

0:34:060:34:08

So, at what point, for you, do you say, "OK,

0:34:080:34:10

"we have an incident here, and the tailback is going back,

0:34:100:34:14

"we need to divert the traffic that is building up"?

0:34:140:34:18

Because, obviously, clogged motorways

0:34:180:34:20

is a problem for you as well.

0:34:200:34:21

Well, obviously, an important thing is to preserve the scene,

0:34:210:34:26

especially if it's a serious injury-RTC.

0:34:260:34:29

We need to look after people on the scene first. Injuries?

0:34:290:34:32

Yes. Possible criminal investigation, depending on the seriousness?

0:34:320:34:36

Yes, yes. If it's serious injury,

0:34:360:34:38

then we would treat it as a crime scene.

0:34:380:34:40

We secure the scene,

0:34:400:34:42

and then we would worry about people in the tailback,

0:34:420:34:45

after we've got the scene secured. OK.

0:34:450:34:47

At which point, then, is there a discussion,

0:34:470:34:50

or is that the officer on the ground who says,

0:34:500:34:52

"Right, I need to divert people around"? It would be the

0:34:520:34:55

officer on the scene who would decide how serious the incident is.

0:34:550:34:59

And then obviously, we would take it from there.

0:34:590:35:02

So, how difficult is it, because you have a lot of motorway here

0:35:020:35:04

that you look after in this control room?

0:35:040:35:06

We actually cover 200 miles of motorway, which is

0:35:060:35:09

more than any other force in the country. Is that right?

0:35:090:35:11

Yes. 200 miles.

0:35:110:35:13

And you go through practice, don't you, where if there is a major

0:35:130:35:15

incident, you have a system where you can throw a whole

0:35:150:35:18

load of people at an incident, if there is a major incident?

0:35:180:35:21

Yes, we would find people to cover all aspects of the incident,

0:35:210:35:25

including the Highways Agency as well, of course,

0:35:250:35:27

who help us to keep the motorways open.

0:35:270:35:30

Is it a big responsibility?

0:35:300:35:32

Do you feel the weight of responsibility to keep

0:35:320:35:34

our motorways open?

0:35:340:35:36

We do our best to obviously keep it because we know how much people

0:35:360:35:40

rely on using the motorways to get from A to B.

0:35:400:35:42

Trefor, thank you very much. Lovely. Thanks for talking us through that.

0:35:420:35:46

Amazing, really. 200 miles, you say? Yes. Wow.

0:35:460:35:48

Back in Somerset, it's one of the hottest days of the year.

0:35:560:36:00

The air paramedics have already treated a walker who

0:36:000:36:03

collapsed after suffering heat exhaustion.

0:36:030:36:06

Now they are heading to a school,

0:36:060:36:07

where a young girl is fitting uncontrollably.

0:36:070:36:10

Meningitis is a medical emergency.

0:36:160:36:19

Air paramedic Paul Owen is in contact with the ambulance

0:36:190:36:22

crew already at the scene.

0:36:220:36:23

These are all signs of meningitis,

0:36:410:36:43

which can be fatal in a very short space of time.

0:36:430:36:46

The school field makes a perfect landing site for the air ambulance.

0:37:010:37:04

We are downwind at the moment, so I will just set myself

0:37:040:37:06

up for a diagonal approach, reciprocal, heading into the field.

0:37:060:37:10

As soon as they land, they head inside.

0:37:110:37:14

The young girl is called Emily.

0:37:140:37:16

By her side, her mother and a teacher.

0:37:160:37:19

The crew are updated by paramedic Colin Sullivan.

0:37:190:37:23

She had a witnessed grand mal fit lasting about seven minutes.

0:37:230:37:27

She was about GCS-8 when we arrived, she wasn't fitting.

0:37:270:37:30

Query postictal.

0:37:300:37:32

Her BM is 8.1, her temperature is 39.4, it's not really budged much.

0:37:320:37:36

The concerning thing for me is I popped her flat on her back,

0:37:360:37:39

popped her chin on her chest, and her left leg involuntarily moves

0:37:390:37:43

every time I pop her chin on her chest.

0:37:430:37:45

Hello, Emily.

0:37:450:37:46

Hello, Emily, are you all right?

0:37:460:37:49

Emily has been given paracetamol

0:37:490:37:50

and an injection of antibiotics in case it is meningitis.

0:37:500:37:54

Can you hold your hands there? Hold both hands there.

0:37:570:37:59

Don't let them fall.

0:37:590:38:01

Paul starts some neurological tests.

0:38:010:38:02

So, how long ago did she come out of the fit?

0:38:040:38:06

She came out about 13.22.

0:38:080:38:11

So 40 minutes or so ago.

0:38:110:38:13

Mum says recovery normally is a bit quicker than this.

0:38:130:38:17

EMILY CRIES

0:38:170:38:18

Emily has a history of fits. She is looking very poorly. Mummy...

0:38:190:38:24

She's here. Mum?

0:38:240:38:26

Keep straight ahead.

0:38:280:38:30

It's possible the fitting has been caused by a high temperature,

0:38:390:38:42

which in turn is probably caused by an infection.

0:38:420:38:45

But the medics don't know what sort.

0:38:450:38:48

Paramedic Paul confers with Dr Phil Hyde

0:38:480:38:50

about which hospital to take her to.

0:38:500:38:52

How long in the aircraft? Five minutes or so.

0:38:540:38:57

We'll go along to Bath,

0:38:570:38:59

the hospital, if that sounds OK? Yeah.

0:38:590:39:01

And so she can be checked over

0:39:010:39:03

and actually then kept an eye on, as well.

0:39:030:39:06

Dr Hyde wants to fit a tube in Emily's arm so that he can

0:39:060:39:09

administer more drugs quickly if her condition deteriorates.

0:39:090:39:12

He's doing something to my hand!

0:39:140:39:15

It's all getting a bit much for Emily. All right.

0:39:170:39:20

Right, can I pick you up, Emily?

0:39:220:39:24

Paul sweeps her up and off to the helicopter.

0:39:240:39:26

EMILY CRIES IN DISTRESS

0:39:260:39:28

Has this bear got the name?

0:39:340:39:36

Emily. Emily Bear? That's a nice name.

0:39:360:39:40

My daughter is called Emily as well.

0:39:400:39:42

The air ambulance sets off for the hospital in Bath.

0:39:430:39:45

Once she's safely delivered, the crew head back to base.

0:40:010:40:04

But it's not the end of the day.

0:40:040:40:05

They're looking for an open area.

0:40:160:40:18

It's one of the most serious calls.

0:40:210:40:23

Luckily, a local sports field makes a perfect landing site.

0:40:230:40:27

The crew set off to join the paramedics already with the patient.

0:40:280:40:31

But tragically, the woman could not be saved.

0:40:350:40:38

It's something the team has to deal with more often than

0:40:400:40:42

they would like. It's a low end to the final shift of Paul's week.

0:40:420:40:48

Since Monday, we've had three cardiac arrests,

0:40:480:40:50

a couple of cardiac related collapses,

0:40:500:40:52

a couple of RTAs, a fall from a ladder, anaphylaxis, RTA,

0:40:520:40:58

a child fitting.

0:40:580:40:59

So, it's been a real spectrum of what we've seen.

0:40:590:41:03

We've got a good team up here.

0:41:030:41:04

We come back, we'll debrief most jobs between us, and then

0:41:040:41:08

the other crews that come in will

0:41:080:41:09

talk through the other things that have happened.

0:41:090:41:12

I think if you held everything, all the sad moments, in your head,

0:41:120:41:14

you'd be a very sad person.

0:41:140:41:17

The day ends with the practicalities.

0:41:170:41:19

Time to go home!

0:41:190:41:20

It's the crew's job to put the helicopter back in the hangar.

0:41:220:41:26

That has got to be the most hot,

0:41:260:41:28

intense day we've had for a long time.

0:41:280:41:30

Everyone's exhausted,

0:41:340:41:36

but at least they may have lightened the air ambulance's load.

0:41:360:41:39

It would be interesting if we had weighed ourselves this morning,

0:41:390:41:42

and see how much we have lost...

0:41:420:41:44

Both the air ambulance patients we've

0:41:500:41:52

been following throughout the programme are doing well.

0:41:520:41:55

After collapsing during a sweltering early-morning walk,

0:41:570:42:00

Glen recovered quickly with no further symptoms.

0:42:000:42:03

He bought the Army Corp boys a drink in the evening to say thank you.

0:42:040:42:08

Nothing right now. He's doing something in my hand!

0:42:080:42:10

Schoolgirl Emily was not suffering from meningitis,

0:42:100:42:14

but she did have an infection in both ears.

0:42:140:42:17

After some more antibiotics, she was on the mend in a few days.

0:42:170:42:20

Terry, who fell and bashed his head,

0:42:230:42:25

suffered no lasting ill-effects, not even a headache.

0:42:250:42:28

Have a look, Steve. Yeah...

0:42:280:42:33

He had the stitches out a week later.

0:42:330:42:35

OK, whoa. Nice and steady.

0:42:360:42:38

And it turned out Ronalds was walking the 15 miles to

0:42:380:42:40

Bedford in the middle of the night

0:42:400:42:42

because he had missed a coach connection at Milton Keynes.

0:42:420:42:45

After being knocked into a ditch by a car wing mirror,

0:42:450:42:48

he had injuries to his back and left knee.

0:42:480:42:51

With the help of physio, he's progressing well.

0:42:510:42:53

I was just thinking about our little baby born at the police station.

0:42:560:42:59

Perhaps, amongst all the other equipment

0:42:590:43:01

that police forces need to carry now,

0:43:010:43:03

they should have wicketkeeping gloves for extra-fast deliveries.

0:43:030:43:06

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

0:43:060:43:08

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