Episode 7 Real Rescues


Episode 7

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Today a man clings on to a cliff and his life. Only the coastguard helicopter can save him.

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A car is jammed tight between the trees. It looks like it just dropped from the sky.

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It was clear that something out of the ordinary had happened. It wasn't a normal accident.

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And trapped by smoke upstairs, all caused by a large teddy bear.

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Hello and welcome to Real Rescues. We're at the ambulance control centre near Winchester.

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When people are hurt, scared and need medical attention, this is where they call.

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They've taken all sorts of calls here today. There's somebody who has fallen off their horse

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and a little toddler walked through a bonfire that had been put out, but was still hot.

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-Lee, are you busy? Are you OK to talk?

-Yeah.

-You've had a call from somebody in a DIY shop.

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Yeah, a young lady stumbled across some garden shears in the store and sustained an ankle injury.

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It sounds quite painful. What have you done about it?

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We've sent an emergency care practitioner to the scene

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to assess her injuries

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-and hopefully to treat her on the scene.

-And the point is that she won't have to go to hospital?

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Absolutely. If we can treat her on the scene, she won't have to go in.

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-Which saves time for everybody.

-Yes.

-Brilliant. We'll get an update later. Lee, thank you. Nick?

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Now a mystery under a busy motorway flyover.

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A car is embedded in trees and looks like it's just been dropped there.

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PC Adam Jackson has been despatched urgently after a very worrying emergency call has come in.

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A one-vehicle accident at the flyover at Lancaster.

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They're still trapped in there. Local units are on scene. I need to get there pretty sharpish.

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Adam arrives to find a hive of activity. All the services are here.

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This looks bad. The crashed car lies on its side on the island of this busy roundabout.

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It's completely wedged between the trees as if it's been slotted in with great force.

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Something out of the ordinary had happened.

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With the carnage of the vehicle, parts of road signs, the trees, the way the car was,

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my first thoughts are that we may well have a very seriously injured person, if not a fatality.

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The 51-year-old driver Kevin is trapped inside.

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He's suffered a massive impact and is hanging upside down, but he is conscious and breathing.

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Access is restricted by the trees, but a paramedic and firefighters Jim Tarbuck and Christine Shepherd

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have managed to crawl in.

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He was fully conscious but very quiet. He'd blood around his face.

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I basically tried to keep him calm while the paramedic worked on him.

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The driver, Kevin, is only held in by his seatbelt and needs his weight supporting.

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I was holding his head.

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Firefighter Tarbuck was laid on his back with his hands supporting his hips and his legs,

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just to make sure everything was held in place while the paramedics and the Fire Brigade were doing their jobs.

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After talking to eyewitnesses, the police found out how the car ended up in this position.

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Basically, what we've got, it would appear, is that a vehicle has come off the slip road,

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for whatever reason, at 60 miles an hour.

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he went straight across the roundabout to where we've got it now.

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Kevin's car has ploughed straight into the roundabout at speed, apparently without braking.

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Luckily, the lights were on green or the consequences could have been even worse.

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-Adam wants to establish Kevin's full identity and ownership of the car, but has a problem.

-No index plate.

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-Nothing on the front either?

-No.

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I can't see any index number.

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There's normally one number plate. To have none, back or front, you think, "This isn't right."

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Is there a reason why the plates aren't on the car? Has something else happened prior to the collision?

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All things you think about as a police officer - who, what, where, why and how?

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While Adam searches for the car's missing number plates, the fire crew have started getting Kevin out.

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To create enough room, they have to cut the roof off.

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It's a challenging task for Kevin Evenett and his team.

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The difficulty was a lack of space

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and access around the vehicle was restricted and difficult.

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Also, gravity was working against us so any movement of any glass would fall downwards onto the casualty.

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They have to work carefully around Kevin and the three people helping him inside the car.

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With all the cutting going on, we needed to make sure he was well-protected,

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so at one point I had a canvas sheet over me, over Kevin and the paramedics so the glass

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wouldn't come down on top of us.

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Meanwhile, Adam and his colleague PC Andy Green have found fragments of a number plate.

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-Golf Yankee something.

-Lima?

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It's an unusual jigsaw puzzle.

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Golf Yankee... Could you try that, please? Well done, mate.

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Top banana.

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Now that they've confirmed the car belongs to Kevin, they can look for any medical information

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that might help explain why this accident happened.

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We can check the DVLA database for medical conditions.

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It was clear from this incident this guy wasn't suffering from anything,

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so there was nothing untoward.

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Emergency specialist Dr Brando Tamayo has arrived to assess Kevin.

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He thinks the unexplained crash is still likely to have been caused by a medical issue.

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Why do people fall down in the street? Or crash their cars?

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Sometimes it's road conditions,

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sometimes driving behaviour, sometimes something happens to you - a blackout or chest pains...

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Whatever the reasons for Kevin ending up in this position, attention is on getting him out.

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Our next rescue is an extremely difficult one. A man is clinging on to a 45-degree slope

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-which is a bit like that?

-Yeah, it may not look much, but it's almost impossible to stand.

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On top of that, he has broken limbs and is bleeding heavily.

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It's going to take the most exact flying by the coastguard helicopter crew, who Louise went to meet.

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I'm with Rescue 106 and its highly-specialised crew.

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Two pilots, one winch operator and one winchman.

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They work together as a close team and they never know what they are going to be called out to.

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The crew have got an emergency right on their doorstep in Portland.

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A man's been spotted clinging on for dear life to a cliff face after losing his footing on a path.

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Onboard are pilots Kevin Balls and Mark Bazalgette,

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winch operator Steve Larson and winch man Buck Rogers.

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-Why don't you just put him on the ground to walk up?

-Buck is lowered down on a wire

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and carefully manoeuvred towards the man who is in obvious pain.

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To the right. Right a further two.

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Right one, and steady. That's good.

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The camera angle from the helicopter doesn't show it, but this is a very steep gradient, at least 45 degrees,

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-and covered in loose rock.

-Steady. Steady. Right one.

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The winch supports Buck's weight, so it's safer and easier for him to clamber up the slope.

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They come from below so that the downdraft helps the man to hold on

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-rather than forcing him further down the cliff.

-Right, steady.

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Buck disconnects himself from the helicopter so that it can fly away.

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That's the hook now.

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Winching in. OK, clear the target area while Buck sorts himself out.

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He can now speak clearly with the casualty and assess his injuries.

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What was difficult to see there was how steep that cliff face was.

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-It was quite tricky to get Buck on there safely.

-The danger on that loose slope was

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was the casualty had no firm footing and we could have dislodged him

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-and made him fall further.

-How forceful is the downdraft? It could take you off the edge?

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Effectively, it's a very strong wind. It's a cushion of air keeping the weight of the aircraft airborne.

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And he could have easily slid down? How did you stop him?

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What you tend to try and want to do is to be below the casualty and walk up the cliff on the winch

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so that if anything does happen... hopefully they'll come your way and you'll be able to stop them!

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And immediately you have to assess him and start looking after him.

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It's a bit of an awkward one. We'll wait to see what Buck says.

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A coastguard cliff rescue team have arrived. The casualty is exhausted from hanging on for over an hour.

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Buck updates the helicopter crew.

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Roger. Splints bag on its way.

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With further examination, it appears he's actually broken both legs.

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What sort of extraction are you looking at, Buck?

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While the helicopter gets in position, Buck gives the casualty gas and air to help with his pain.

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We can look at this as a practice extraction as well. ..Winching out.

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They lower the splint equipment with pinpoint precision.

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Right four and forward. Three, two, one. Steady.

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Steady. Right one.

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Steady. Steady. Right one and forward.

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Steady. Contact. Steady. Good position.

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One of the cliff rescue team has been roped down to them.

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It's a bit misleading on the camera. It's quite a gradient that you're hanging on to.

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He helps the casualty to hold on, letting Buck treat the injuries.

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He'll have numerous lacerations.

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He'll have to use all of his medical training on this job and has to strap the casualty's legs securely

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-in difficult conditions.

-He's earning his supper today.

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He's splinted it. He's done a good job there. He's done all right, hasn't he?

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Buck, he was seriously injured. What was going on?

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He had fractures to both legs, both lower legs.

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One was an open fracture, so blood loss. The other one was closed.

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'So you've really got two fractures and you've also got the blood loss to take care of

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'before we could take him anywhere.'

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He'd taken his t-shirt off to do something pretty important.

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Yeah, very clever, actually.

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He'd taken the t-shirt off and used it as a tourniquet above the open fracture,

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which meant he reduced the blood loss through the wound. Clever stuff, bearing in mind he was a cliff faller

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and was in a bit of a state.

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I know it took you about 45 minutes to get him sorted out and you also had concerns

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that drugs could have a bad effect.

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Yeah, we were using Entonox on this. The problem with Entonox is

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with too much of it it will make you unconscious, make you go to sleep.

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What we don't want is for the person to become completely limp and roll the rest of the way.

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-Cos he was holding on.

-Right.

-Eventually, you did get him sorted and you called back the team.

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They're going to lower two harnesses that Buck can fix around himself and the casualty for a quick getaway

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but first they need to retrieve all their equipment.

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OK, left two.

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Left one.

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And winch again. OK, we have recovered the gear.

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-Just bringing the gear into the cabin.

-Is that a thumbs up?

-I'm not too sure. I think it was.

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-Clear to winch?

-Clear to winch.

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So really the pick-up is up and just left a bit.

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Yeah, just left so we can get to those bushes.

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And steady. Steady.

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Steady. Contact looks in hand.

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Steady. Just about to hook on.

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Hooked on. Winching in.

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After desperately holding on for well over an hour, the injured man can finally be lifted away

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from his ordeal.

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Left two.

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Left two. Left one.

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Going slowly. Still all clear.

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15 foot of cable to come.

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Down four, down three, down two. Down one. Steady.

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Just below step height.

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Coming to the step.

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Safely onboard, they head straight for the Emergency Department at a hospital in Dorchester

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where his injuries can be fully treated.

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I'll look at some of the other hazards Buck and the crew face a bit later.

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Just listen to this.

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-CHATTER

-That's the general hubbub of people very calmly answering calls

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from people who are generally in a panic because they need help. That's the general hubbub you hear.

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We're not disturbing them. Chris is here observing from Bicester. He's watching Charlee Buckles here.

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He said he'd take advantage of me coming in to make a cup of tea.

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-People observe different units...

-Yeah. They come and see the difference between our systems.

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Yeah. I wanted to ask you about a case recently

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where you had a phone call from someone... We want to talk about amputations, toes, fingers.

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Yeah, I had one from this lady whose son...

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sorry, husband was mowing the lawn

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and he went over his son's foot. She thought it was just cut, so we gave her bleeding instructions

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to get a clean, dry cloth or towel and place it on the wound to control the bleeding

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until her husband piped up that he'd found a toe in the grass.

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-He'd cut his son's toe off?

-Yeah.

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-So what advice do you give then?

-We advise them to put them into a clean plastic bag

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and to save it until the crew arrives and we'll try to reattach it.

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Should you wash the grass off the toe? Or wash dirt off?

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We say to put it straight into the bag and let the crew deal with it.

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-And put it in ice?

-We just advise to keep it where it is in the bag.

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-So the thing about ice isn't necessarily true?

-Not necessarily.

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It depends how long it's been out. We just advise to put in in a bag and preserve it for the crew.

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There you go. It's interesting. You expect the old advice,

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but you don't want to over-freeze a toe or a finger or whatever.

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So just put it in a bag, keep it cool, don't play around with it, and wait for the ambulance. Thanks.

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Earlier we saw a car wedged sideways between trees under a flyover.

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The driver, Kevin, is trapped inside suspended by his seatbelt.

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All three emergency services are working hard to free him.

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Rescue teams are at work.

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Inside the car, firefighters are helping to support his weight as he's suspended only by his seatbelt.

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After about 15, 20 minutes, Kevin's legs started to go numb because of the pressure

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and weight all being on one side, even though we supported him.

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It was a very awkward position.

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They're working as fast as they can to release him.

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To create enough space, they cut the roof off the car using electric saws.

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They also use a more traditional type of saw to cut back the trees.

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After being trapped in a very uncomfortable position for half an hour, Kevin sees the outside world.

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He's being held in mid-air as they delicately manoeuvre him out.

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We try to minimise any movement.

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One, two, three.

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'To lift him in a smooth manner.

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'Instead of walking with the casualty, we'd pass them from one set of hands to another set.'

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Many hands make light work.

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Kevin is finally free and out into the open.

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The car had hit a roundabout at 60mph and gone through a sign before flipping onto its side,

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yet Dr Brando Tamayo's initial examination finds that, amazingly, Kevin is relatively unscathed.

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At the present time, it looks like he's gotten away pretty Scot-free.

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He's still going to hospital.

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We'll do all the blood tests, make sure he's well before he goes home.

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The outcome of this accident could have been a lot worse.

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He's very lucky. If he'd gone against a red instead of through a green,

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he could have been hit by another vehicle and the force could plough him across the carriageway.

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If he hit something hard, a concrete barrier, then significant injuries.

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Here he's gone through the trees and they absorbed the force.

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These springy young trees may have saved Kevin's life,

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but the reason for his crash is still unknown and PC Adam Jackson needs to check

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whether alcohol was involved.

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-The cause is probably medical.

-Right.

-Something's happened to him, he's felt a bit unwell,

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he's blacked out, something's happened to cause that.

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-Does he smell of alcohol?

-Not to me.

-Is he up to providing a blow sample?

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-Has he got any facial...?

-Personally, I think you could.

-Right, OK.

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-Hello, Kev. How are you? Have you had anything to drink?

-No.

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Put this tube in your mouth, blow quite hard for about 10 seconds. All right? As hard as you can.

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Go, mate.

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Good lad. Well done, mate. Beautiful.

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The breath test results confirm that Kevin has not drunk any alcohol.

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He's taken to hospital for further medical checks.

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A vehicle recovery team has arrived to pull the car from the trees.

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Adam has seen a lot of incidents and is astounded by Kevin's good fortune.

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You can see the extent of the damage to the roadside furniture,

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to the vegetation, to the car. And he's got a little bump on his head.

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-So he's very lucky.

-This incident tested the skills of all three emergency services

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who worked closely together to get Kevin out of the wreckage.

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Christine is taking a well-earned break after holding his head steady for such along time inside the car.

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Because it's so cramped, you are in the same spot

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so, yeah, fingers go numb. Very hot.

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Yes, it was a great relief to get myself out the car.

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Kevin did black out and lose control. He is recovering well now

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and wanted to thank everyone involved in his rescue.

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Still to come on Real Rescues:

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if a coastguard rescue goes into a spin, it's a perilous moment - how do you stop it?

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And does my bum look big in this? The fat-bottomed pony who... well, she just got stuck.

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Now to a serious fire caused by a teddy bear. The smoke spread throughout the ground floor,

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trapping the owner upstairs. Terrified, she called 999.

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So much smoke fills the upstairs that it's starting to seep into the bedroom. This happened next.

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Ian, you took that call. You were incredibly calm! How did you manage to do that?

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Just talking to her and giving her the information that was going on,

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telling her where the appliances were. I watch them on a map to keep track of them.

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It helps keep her calm because she knows the area and can visualise where they are at the time.

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When you talked to her about going to the window, she got confused. She thought she had to get out.

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Yeah, I didn't want her to get out! She had to be on at least the first floor. I didn't want her to go out.

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I just wanted her to get fresh air so she wasn't breathing any smoke.

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She was sounding really croaky. I wanted her to get fresh air.

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You were very concerned to get the layout of the house. Why is that?

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So we can tell the crew where they are, so they go straight there.

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They can go straight up the stairs to the room where the lady was,

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-rather than search every room.

-Which makes it safer.

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-It makes it quicker for her, so we can get the lady out.

-And safer for the firefighters.

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You warned her about the breathing apparatus. Why was that?

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The sets make a noise. The exhalation valves make a noise when the firefighters breathe out,

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so for anybody who doesn't understand that or know what to expect, they can be quite frightening.

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-It sounds a bit like Darth Vader.

-Yeah.

-That horrible breathing.

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You made sure to stay on the phone until you spoke to them. Why?

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What I didn't want the lady to do was put the phone down and disappear off into the house to get out.

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-And I wanted to make sure that the firefighters knew where she was.

-Is that what people do?

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They'll put the phone down, thinking they can get out

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and from the sounds of the call and the amount of smoke there was, I didn't want her making herself ill.

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Absolutely. Also, you did find out later what caused the fire. Tell me what caused it.

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I believe the lady had thrown a teddy bear into a room, which landed on the gas fire.

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-I don't know what size the teddy bear was.

-I understand it was quite a big teddy bear.

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-I didn't know.

-Did the teddy bear make it?

-I doubt it!

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I expect so, too. Thank you. Lovely to speak to you.

0:27:060:27:10

Earlier in the programme we saw the coastguard rescue helicopter saving a man with two broken ankles.

0:27:100:27:16

The crew talked about how they avoid the dangers of rotor blade downdraft

0:27:160:27:21

which can occasionally result in the winchman going into a spin.

0:27:210:27:25

The crew gave us this footage. Hello.

0:27:250:27:29

They gave us this footage of the rescue of a young woman recently.

0:27:290:27:33

Yes, this is Buck Rogers, who I met. he's on the end of the winch with this young woman

0:27:330:27:39

-who had an accident while climbing.

-It's extraordinary.

0:27:390:27:43

She's got a leg injury. He's trying to winch her in and they spin.

0:27:430:27:47

And it's not something that's slowing down. It's getting faster.

0:27:470:27:51

It gets faster and faster.

0:27:510:27:54

They start separating, which must have been terrifying for her.

0:27:540:27:58

Quite sick-making. Quite painful considering she has an injury.

0:27:580:28:02

And as you can see it gets faster and faster.

0:28:020:28:06

I asked a pilot how and why that happens.

0:28:060:28:11

The downdraft from the aircraft rotor blades hits whatever is beneath

0:28:110:28:16

and that can induce a spin.

0:28:160:28:19

That can get so bad that the winch man and casualty pass out.

0:28:190:28:23

So the way we can get round that is to get forward airspeed

0:28:230:28:28

and that pushes our downdraft away from the people underneath

0:28:280:28:32

and stops the spin. If it gets really bad and we can't do that,

0:28:320:28:36

the last option we have available is to dunk them in the sea.

0:28:360:28:41

And you'd stop feeling sick quite quickly.

0:28:410:28:45

-That has to be an option?

-Yeah.

0:28:450:28:47

And on this occasion this is how the stopped it - they dropped gently onto the ground.

0:28:470:28:53

-Which looks pretty uncomfortable. They'd rather not do that, but...

-He said they could pass out.

0:28:530:28:59

He said, "We just plonk them in the sea." I think he meant they gently touch them onto the surface!

0:28:590:29:06

It's amazing the skill they have.

0:29:060:29:08

It happens only when there's no breeze for them to fly into. The breeze takes it away.

0:29:080:29:14

-Otherwise it goes straight down. Extraordinary stuff.

-Scary.

-We have more take home facts now.

0:29:140:29:21

-I'll do a bit on chest pain and you're doing...?

-We saw that injured man on the side of a cliff.

0:29:210:29:27

He'd broken both ankles. One was an open fracture and he'd made a tourniquet from his t-shirt

0:29:270:29:33

and tied it around his leg. Mark is an expert on all this.

0:29:330:29:37

As a member of the public, it's controversial. Should people use tourniquets?

0:29:370:29:43

We normally advise that they shouldn't in the civilian world.

0:29:430:29:47

They can cause big complications.

0:29:470:29:49

-What sort of things?

-Potentially, people can suffer very serious nerve damage,

0:29:490:29:55

or they don't get enough oxygen to their cells and end up with necrosis, where limbs are seriously affected.

0:29:550:30:02

But you might occasionally use them in an emergency?

0:30:020:30:06

-It would be rare.

-You've got one.

-I've got a real one here. It would be very rare to use them.

0:30:060:30:12

It tends to be at major incidents with masses of casualties and delays going into hospital.

0:30:120:30:18

It goes on like this and then we tighten the Velcro up...like this.

0:30:180:30:23

The word tourniquet comes from to turn. That's what this does.

0:30:230:30:27

-You see how quickly that would cut off the blood.

-And we secure it.

0:30:270:30:32

-I'm not going to do that!

-No! You also put the time on it.

0:30:320:30:36

-That's important.

-It's very important to note when it was applied. For every minute,

0:30:360:30:42

more damage is done to the cells. We'd make a note in the record and even on the tourniquet.

0:30:420:30:48

So if we saw somebody with a very serious injury, there's basic first aid you do before you do that.

0:30:480:30:55

-If there's a single casualty, apply direct pressure to the wound.

-So press it.

-Yep. Or go above it.

0:30:550:31:02

-Then elevate it, ideally, above the level of the patient's heart. The higher the better.

-Fantastic.

0:31:020:31:08

-Great talking to you.

-No problem.

0:31:080:31:11

-I have a quick question.

-Go on.

-If you damage a main artery and you're losing blood really fast,

0:31:110:31:17

-surely the tourniquet is the best of a bad job?

-If you directly press on the artery affected,

0:31:170:31:23

you can stop the bleeding yourself. Sometimes, with a groin injury, you have to use your foot.

0:31:230:31:29

-Better to press something on?

-Yes, direct pressure.

0:31:290:31:34

We try to avoid these. There is a need in the military, but not here.

0:31:340:31:39

Thank you very much. OK, I was just interested there.

0:31:390:31:43

Now almost 10% of all 999 calls to the ambulance service are for people with chest pains.

0:31:430:31:49

Symptoms vary, so paramedics have to work skilfully to detect is it a chest pain or a heart attack?

0:31:490:31:57

Paramedic Angie Carter is on duty in a rapid response vehicle.

0:31:580:32:03

-Hello?

-'Hello, Angie. We have an 81-year-old male with chest pains.'

-OK. On my way.

0:32:030:32:09

-'OK, no worries.'

-Bye.

0:32:090:32:12

Anyone with chest pain should be going to hospital.

0:32:120:32:16

No chest pain is normal so it needs to be investigated anyway.

0:32:160:32:20

Chest pains could lead to a potentially fatal heart attack, so Angie wastes no time.

0:32:220:32:28

At the house she finds Ray who was outside with his wife Jean when his problems started.

0:32:280:32:35

I went in the garden to pluck a few weeds and I felt this pain,

0:32:350:32:41

-mostly back there. And it came across the chest.

-OK.

0:32:410:32:46

And, er...

0:32:460:32:48

It gradually got worse.

0:32:490:32:52

And now it's... it's making me shake, you know.

0:32:520:32:56

Angie has to work quickly. Ray's told her he had a heart bypass ten years ago

0:32:560:33:01

and she must assume the worst.

0:33:010:33:04

I'll just do your blood pressure, then we'll pop some of these on your chest to look at your heart.

0:33:040:33:10

There is an ambulance running.

0:33:100:33:13

If you take a deep breath in, does it change the pain at all?

0:33:130:33:17

-No. Worse.

-Just makes it worse.

-Yeah.

-Can I get to your chest?

0:33:180:33:24

-Up this way?

-That'll be fine.

0:33:240:33:26

-The next step is getting an electronic reading from Ray's heart.

-Still got that discomfort?

-Yeah.

0:33:260:33:33

-Things aren't looking normal.

-There's some slight discrepancies on the ECG.

0:33:330:33:39

Ray's had surgery, a triple bypass. So I want to be sure if that's new or old, looking at the ECG.

0:33:390:33:45

We'll be taking him to hospital because he has chest pain and they can compare ECGs with the last time.

0:33:460:33:53

The ambulance has arrived.

0:33:530:33:56

Hello. This young man is Ray. Ray's been out gardening to pull up a few weeds

0:33:560:34:01

and got a sudden onset of chest pain.

0:34:010:34:04

Ray's heart condition was originally diagnosed from shortness of breath.

0:34:040:34:09

How's your breathlessness been since then? No problems?

0:34:090:34:13

Actually, in the last 10 minutes, quarter of an hour, it seems to have got a little bit worse.

0:34:130:34:19

Ray's condition is worrying the team and they quickly get him into the ambulance.

0:34:190:34:26

I'll go with the crew. Ray's heart rate has gone right down. It's a little lower than we'd like.

0:34:260:34:33

I'll go with them so they've got paramedic back-up.

0:34:330:34:37

All right there, Jean?

0:34:370:34:40

Inside the ambulance, he's connected up to the ECG again to spot changes.

0:34:420:34:47

All this valuable information can be called through to the medical team at the hospital

0:34:470:34:53

-while they're still en route.

-The hospital know we're coming in.

0:34:530:34:57

-We'll just keep an eye on things. You all right, Ray?

-Yeah.

-Yeah?

0:34:570:35:02

Jean watches anxiously as he's given gas and air to relieve the pain.

0:35:030:35:09

Just suck the gas out of the bottle. Like breathing the morning air.

0:35:090:35:13

A spray medication will lower his blood pressure and take the strain off his heart.

0:35:130:35:19

-You've had this spray before, haven't you?

-Mm.

0:35:190:35:23

OK? So...under.

0:35:230:35:26

-Carry on with this?

-Yes, please!

0:35:280:35:31

It certainly won't hurt.

0:35:310:35:34

As they make their way to A&E,

0:35:350:35:38

the gas and air take effect and Ray gets onto his favourite topic.

0:35:380:35:42

Last time I went to Wembley was the Zenith Data Cup. How old am I?!

0:35:420:35:48

I was only little then.

0:35:480:35:50

I've still got tickets from 1956.

0:35:500:35:53

Have you? Wow! That's something worth keeping.

0:35:530:35:58

-Do you know of Stanley Matthews?

-Yes.

-I was there when he won his medal.

0:35:580:36:04

They're soon at the hospital where A&E staff are expecting him.

0:36:060:36:11

They'll do more ECGs and run some bloods and a thorough check up

0:36:110:36:16

to find out if the cardiac rhythm we were getting is normal for him.

0:36:160:36:20

And here is Angie. Every time you get a call, it can be very different.

0:36:230:36:29

I said I'd give you information on this. There's no way of narrowing down if it is indigestion

0:36:290:36:35

or a chest pain or heart attack.

0:36:350:36:38

No, we have tests. If you think it might be indigestion,

0:36:380:36:43

if you haven't got some Gaviscon, you can try some milk.

0:36:430:36:47

That should help with indigestion.

0:36:470:36:49

-But you'd rather hear anyway.

-We'd rather come out for a look.

0:36:490:36:53

We've got other tests. ECGs will see if there's any discrepancies on the ECG tracing,

0:36:530:36:59

but we'd normally take you to hospital for a blood test.

0:36:590:37:04

-There are other brands of indigestion drink available!

-Sorry!

-It's all right.

0:37:040:37:10

The other thing is, if someone actually has a heart attack or think they're having one,

0:37:100:37:16

-what do you do?

-Stay still. Don't go upstairs or downstairs, if you're experiencing chest pain.

0:37:160:37:22

Dial 999 or get someone to dial for you. Try to make yourself as comfortable and relaxed as possible.

0:37:220:37:28

-Can you take any painkiller?

-If you've got aspirin at home, take up to 300mg.

0:37:280:37:34

If you've got GTN spray, which patients with angina may have,

0:37:340:37:38

take that as well to relieve the symptoms.

0:37:380:37:42

The last thing we should say is if someone them stops breathing, that's not game over.

0:37:420:37:48

-If you can keep them going with CPR until the ambulance arrives, they've a good chance.

-Early intervention.

0:37:480:37:54

So compressions in the breathing. Keep it going for as long as you can.

0:37:540:37:58

-It is quite difficult, but until the ambulance crew get there.

-Brilliant. Thank you. Learn CPR.

0:37:580:38:05

When Molly the New Forest pony fancied a scratch up against a tree,

0:38:050:38:09

she ended up walking into a trap.

0:38:090:38:12

This needs a man with a gentle touch, so it's one of Hampshire Fire Service's animal rescue specialists.

0:38:120:38:19

Animal rescue specialist Buster Brown is heading to a stables where a pony is in a predicament.

0:38:210:38:27

Buster meets an extraordinary sight. Molly, a New Forest pony, is stuck

0:38:270:38:33

between two large branches of one tree. She wanted a good old scratch,

0:38:330:38:38

but clearly underestimated the size of her rear end.

0:38:380:38:43

The owner sensibly kept her calm. If she's calm, the animal stays calm.

0:38:430:38:47

Owner Louise continues to soothe Molly. Equine vet David Langrish is also on hand

0:38:470:38:54

-as well as the local fire crew.

-Happy with the plan, David?

-Yeah.

0:38:540:38:58

The fire crew are going to prise the trunks apart to release Molly,

0:38:580:39:03

but first she has to be sedated.

0:39:030:39:05

'When horses are released from a situation'

0:39:050:39:10

where they are trapped, they often panic.

0:39:100:39:14

Then there's quite a serious risk to the people around and the horse.

0:39:140:39:19

'By sedating a horse sufficiently, but not unduly,

0:39:190:39:24

'you can actually control that.'

0:39:240:39:27

Being trapped brings on a natural sedative in the animal, so they don't have to give her too much.'

0:39:270:39:33

'The two trees squeezing the abdomen of the horse'

0:39:350:39:38

has created the animal to naturally produce endorphins which are painkillers

0:39:380:39:44

and stress-free relief agents in the blood.

0:39:440:39:48

Owner Louise has an important part to play as well.

0:39:480:39:52

I'll leave you on the head because it's your horse.

0:39:520:39:56

Otherwise we would take over.

0:39:560:39:59

Before the fire crews start to winch, they remove some small branches from the tree.

0:39:590:40:05

It's time to widen the gap. This is the moment that could cause Molly to panic and lash out.

0:40:070:40:13

Tony, can you take up the... the tension on that?

0:40:130:40:19

'The winching is very quiet. It has no mechanical engine running.'

0:40:190:40:24

So it's kept very quiet. My only concern really was that once the horse realised

0:40:240:40:30

that she was becoming released, she might react and try to get herself free before we're ready.

0:40:300:40:37

So we must keep good head control.

0:40:370:40:41

Slowly, inch by inch, the trees are pulled apart.

0:40:430:40:47

Molly has kept her head and with a little more help from vet David, she can finally walk free.

0:40:470:40:53

Good girl.

0:40:530:40:56

'She had minor abrasions to her pelvis, just in front of the pelvic bones.'

0:40:560:41:02

And a few scratches to her abdomen. She was a little sore.

0:41:020:41:07

'Otherwise, she was fine and was happy to go and have her breakfast and go on and be a normal horse.'

0:41:070:41:13

Owner Louise is delighted Molly is out and safe.

0:41:130:41:17

I think she can just rest. When she's woken up a little bit, I'll walk her over to her stable.

0:41:170:41:24

She can eat in about an hour.

0:41:240:41:27

Then I'll let her rest for the day.

0:41:270:41:30

They get all sorts of calls here.

0:41:320:41:35

Linda, you're a bit of a specialist. You've delivered lots of babies over the phone. How many?

0:41:350:41:41

-17 in total in two years.

-You're kidding me!

-No.

0:41:410:41:45

One was particularly dramatic because the baby was in trouble.

0:41:450:41:49

Yes, when it was born it had the umbilical cord around its neck.

0:41:490:41:54

It came out and wasn't breathing.

0:41:540:41:57

So we had to take off the umbilical cord, or get the father to do it,

0:41:570:42:02

and then get a towel and rub the baby's back briskly to stimulate it to breathe.

0:42:020:42:10

-And...?

-And then the tiny little noises that I heard were just such a relief to hear.

0:42:100:42:16

-That is just a fabulous story. Are there any little Lindas named after you?

-No, I don't think so!

0:42:160:42:22

-I bet there are!

-I'm sure there's not.

-Good luck with the next one. Lovely to talk to you. Thank you.

0:42:220:42:30

I've got some updates for you. The person who fell off the horse,

0:42:300:42:34

perfectly fine, gone to hospital for a check-up.

0:42:340:42:38

The toddler who walked through a bonfire has gone to a specialist burns unit in Salisbury.

0:42:380:42:44

And the lady in the DIY store.

0:42:440:42:46

They treated her on the scene - a couple of stitched and she's OK.

0:42:460:42:50

I'm surprised we don't teach CPR as compulsory in schools.

0:42:500:42:55

-Good idea.

-We'll have more for you of all kinds of rescues soon.

-Bye-bye.

0:42:550:43:02

Subtitles by Subtext for Red Bee Media Ltd - 2010

0:43:160:43:20

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0:43:210:43:23

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