Episode 14 Real Rescues


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Episode 14

Nick Knowles and Louise Minchin follow the work of the emergency services. A grandmother has to make a 999 call as her daughter gives birth in the back of the car.


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Today on Real Rescues, the 15-year-old boy

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left lying face down on the ground after a high-impact rugby tackle.

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Paramedics fear injuries to his neck and spine.

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All he's worried about is his Sunday dinner!

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You want your roast?

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We can arrange that for you!

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And the family who rejoice at the first cries of their new baby

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even though it's born on the back seat of Granddad's car.

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BABY CRIES

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Welcome to Real Rescues from Abingdon, one of the two Thames Valley police control rooms.

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The other is in Milton Keynes.

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The operation here provides a 24-hour emergency service to over two million people.

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The call-takers here have seen just about everything.

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Later, we'll hear about the local big cat mystery.

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Is this the cast of a footprint of The Beast of Burford?

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I believe it is!

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Sport-related injuries make up one in seven of the injuries dealt with by the Thames Valley air ambulance.

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Callum has been the victim of a heavy rugby tackle

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which has left him flat on the floor, unable to move.

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The Thames Valley and Chiltern air ambulance

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is scrambled to a 15-year-old rugby player who's in distress.

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On board are paramedics Mark Begley, Lisa Brown, and MJ, the doctor.

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The ETA to the job is four minutes.

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Thanks very much. Received. An update,

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the patient is still on the ground.

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Suffered a neck injury following a tackle. Also hit in the head but believed not KO'd.

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Conscious now.

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Circling the pitches, pilot Al Gasparo looks for the best place to set down.

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They're in the centre of the field, are they?

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-Or are they at the far end?

-The far end.

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There's a whole bunch of people around.

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Their landing is softer than their patient's was.

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Running with the ball, Callum was tackled heavily from behind.

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Stay nice and still for a moment. Let's go down it again.

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As his head snapped back, it clashed with another player

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then he hit the ground hard.

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Callum, I'm going to expose you slightly so we can test your neck and back again. OK?

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The team are concerned about the effect of multiple impacts on his neck and spine.

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When I press your neck, does it hurt down the middle or to the sides?

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It hurts down my back.

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OK. Fine.

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They want to cut off Callum's top for better access,

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but even in pain, he's thinking of the team.

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You haven't got a number 11?

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But the club coach steps in.

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Tell me when it starts getting sore.

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-There.

-Over there.

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-If I press on your ribs, is that hurting?

-No, that tickles!

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Your tummy, is that sore at all?

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-No.

-Lisa is going to feel down your legs.

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Tell her if you have pins and needles.

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I'll cover you for a moment.

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Just going to the top of your bottom.

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Callum will need to go to hospital,

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but the problem is how to get him there without aggravating any potential injury

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to his back and neck.

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Lying face-down in an awkward position, this wasn't the Sunday he'd planned.

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-You want your roast?

-We can arrange that, Callum.

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But hidden under the humour is the fear that Callum could have a nasty injury.

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The team ask for some assistance from Callum's father, Andrew, and the club coaching staff.

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Many-handed, they can turn him from front to back

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with minimal movement to his spine.

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Any pins and needles in your fingers?

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-It's coming back.

-You can feel it round your neck now.

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It'll be uncomfortable for a minute.

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Where does it hurt when I'm doing this?

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-My shoulder blade.

-Shoulder.

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With a protective collar on Callum, they can now fit him properly onto the scoop stretcher.

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Ready, steady and move.

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How bad is that pain? It sounds pretty bad.

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Yeah, it hurts.

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We can give you some good pain relief but we'll have to put in a drip.

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Where is the pain? At your shoulder blade?

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Ow!

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Sorry, my darling.

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Callum is secure, but far from comfortable.

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Before she can allow him to have any pain relieving Entonox,

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MJ needs to check he hasn't got any damage to his lungs.

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Nice big breath.

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And out.

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Good. And again.

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Good.

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No difficulty in breathing?

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-No.

-If I press there, it's not sore?

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If you wouldn't mind giving him a bit of Entonox.

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Callum, you'll feel a sharp needle in your hand. Back of your hand.

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While Lisa starts placing a canula into Callum's arm,

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MJ explains to a worried dad what's going to happen.

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He's essentially sore from there all the way down there.

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We need to be careful of his spine. It could just be a bit of bruising and so on.

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The best thing for him would be if we take him to Stoke Mandeville Hospital,

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the regional spinal centre.

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If they do some x-rays and don't find anything, that's good.

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If they x-ray and find something wrong,

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-that's the right place to fix it.

-OK.

-Happy with that?

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Before moving him, they want to prepare Callum for the flight.

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We're going to give you an anti-emetic, to settle any nausea

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-when you're flying flat on your back.

-What's nausea?

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-Nausea. Sickness.

-OK.

-Do you feel sick at the moment?

-Yeah.

-Yes?

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It's a good idea we give you some, then!

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Everybody going to go on lift. Ready, steady and lift.

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Walk that direction and walk round.

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This might make you feel a bit dizzy, Callum.

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They give Callum morphine to soothe his pain.

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It also prepares him for hospital

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as he'll be poked and prodded once more while doctors search for any sign of serious injury.

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How are you feeling?

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-Headache.

-Headache.

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Andrew will be reunited with his son at the hospital.

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It's a 40-minute drive for him

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but it'll take the helicopter barely ten minutes.

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-You guys all right at the back?

-Yeah.

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-Patient's fine. We've got the thumbs up.

-Excellent.

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Once at the hospital, they hand Callum over to the A&E department,

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where he'll be given a full check-over.

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Across and lower. Brilliant.

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The Spinal Injuries Unit at Stoke Mandeville is internationally acclaimed

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so he really couldn't be in better hands.

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Callum had a badly strained neck, but he got out of hospital that night

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just in time for that roast dinner, reheated, of course.

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You might think you've mastered police-speak when you know RTA means road traffic accident.

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But that's just the start. There's also DORTA, a damage-only road traffic accident, and so on.

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There are so many acronyms, the team here have a website dedicated to breaking the codes.

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Jargon Buster is a computer tool that helps new recruits deal with police speak.

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Charlotte is going to take us through some of those.

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-You're not on a call or anything?

-No, no.

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Up here we can see a list. There's a lot of them.

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-So if we pick one. BIP.

-Burglary in progress.

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Burglary in progress. Pick us another letter.

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C. CHALET, there's a good one.

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Here. That's for casualties, hazards, access to the location,

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emergency vehicles and what type of incident it is.

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That's really long. Let's have another letter.

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D. DIC. What's DIC?

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That's drunk in charge.

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Drunk in charge. Any others?

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Um, we've got POE, which is a point of entry,

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MARAC, which is the multi-agency risk assessment committee.

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How are you meant to know all these? Do you have to learn them as you work?

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No, you pick it up. Essentially, you use it to communicate and record information quickly.

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It makes our jobs a little easier.

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But using this jargon buster on our intranet page makes it a lot easier.

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-You pick it up over time.

-You pick it up.

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I suppose some of them are used more than others.

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So how would you say we've finished? How about OTL? Over to Louise!

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Very good. Strokes are common, and the response they get from the emergency medical teams

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is fast, thorough and well-practised.

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We followed that rapid response treatment from a patient's front room

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through to the hospital scanner.

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It's lunch time, and an ambulance crew is rushing a patient from his home into their vehicle.

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His symptoms are alarming but very familiar.

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This is Laurie. His wife's come home and found him collapsed.

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He's got considerable right-sided weakness.

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He's unable to speak at present.

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As soon as Jason gets Laurie on board the ambulance,

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he carries out some more tests to confirm his thoughts

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that this is a stroke.

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I'll take your blood pressure.

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Are you able to grip my hand with that hand?

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Give my hands a really big squeeze for me.

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Laurie can't make any movement with his right hand.

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Jason phones through to put the hospital's stroke team on stand-by.

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He's FAST positive. ETA is about five minutes.

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FAST indicates facial droop and other symptoms of stroke.

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Onboard too is Laurie's wife, Veronica.

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She suspected the worst as soon as she saw her husband.

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I returned about ten to one.

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I could hear the TV. I said, "It's only me."

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Then I saw him sat on the settee with his face drooped

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and his arm down to one side and I knew straightaway it was a stroke.

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So he's not spoken since you got home?

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Laurie's distress and bewilderment is made all the worse

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by the loss of speech.

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Jason explains exactly what's happening.

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Laurie, we're taking you into Bournemouth Hospital.

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They'll have a look at you there. A doctor will assess you.

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All right?

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OK? I know it's a bit bumpy, but you're quite safe.

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All right, Laurie. We're there now. We're just pulling into hospital.

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Inside, a specialist team of consultants, registrars and nurses are waiting.

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They're greeted by stroke research nurse Catherine Ovington.

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We'll pop you on our trolley here and check your blood pressure, OK?

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We'll talk about what happens next.

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The first stage is to work out what kind of stroke he's had.

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Laurence, it's looking like you've had a stroke.

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That's causing this trouble, isn't it?

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You need to know if a blood vessel in the brain has popped,

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flooded an area with blood and damaged it.

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Or whether it's the more common type, caused by a clot.

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Both types of stroke are equally bad. They're just managed very differently.

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The best time to treat a stroke is within one hour of it happening.

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But in Laurie's case, nobody knows when this was

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as he was alone in the house.

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I left for work just after eight. He was going back to bed then.

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-How was he looking? Was he talking?

-He was fine.

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That was just after eight.

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Laurie could have suffered his stroke up to five hours earlier.

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It limits his treatment options.

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His only hope now is taking part in a new drugs trial.

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If it's the type of stroke caused by a clot, there's a licensed drug

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to get rid of that clot, for certain people.

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-Throm... Thrombosis.

-Thrombolysis, yes.

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But it can only be given, that drug, within a certain time period

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because then it becomes less effective.

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The risks outweigh the benefits.

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Now, that time has passed. We're past that time.

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However, we are running a study around the world that involves a different clot-busting drug.

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A different thrombolysis, where the time period is extended.

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It's extended quite a few hours, and we're in that time period.

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A scan will tell them which type of stroke he's had

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and that will determine whether he's suitable for the drug trial.

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It's under an hour since Veronica found her husband.

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The results of the scan will be critical.

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Later, we'll hear the results of that scan

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and find out whether Laurie is suitable for the drug trial.

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The entire Rawlings family are rushing Jade to their local hospital.

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It's snowing outside and there's lots of traffic.

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But babies don't care, and this one is not waiting.

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All granny-to-be Tina can do is call 999.

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You heard Gail, the call-taker on that phone call, sounding very calm.

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The first thing you asked them to do was stop the car. Why's that?

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We need them to stop the car so we can get the ambulance to them.

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-Because they'd be driving to hospital and the ambulance would be following them?

-Yes, chasing them.

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-Also, I guess it was important for you to know how far things had gone.

-Yes, definitely.

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-Why did you need to know?

-So that I could give some clear instructions

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as to what to do next.

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You follow a script. What sort of things was it telling you to find out?

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I need to find out how many minutes apart the contractions are.

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Whether there's any part of the baby showing yet. That sort of thing.

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Then you can pass on crucial information if the baby's coming quickly, as it seems it was.

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-Yes.

-How could you tell it was quite close? The way they were acting?

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-The contractions were fairly close, yes.

-So you had to give them some clear instructions.

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Gail needs to ensure that the ambulance can find them, but also prepare the family for the birth.

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Oh, my goodness. Well, Tina's husband, Richard, Jade's dad,

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now takes over the phone call and follows Gail's advice.

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BABY CRIES

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Well, Richard is here, who actually delivered the baby.

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And Jade. Introduce your son, would you?

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-This is Caleb.

-How old is he now?

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-25 weeks.

-And how was that for you?

-Scary!

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I'm not surprised! You were amazing. Take us through it.

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-You were on the way to hospital so you knew she was having the baby.

-Yeah.

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-So you stopped the car.

-Gail asked to see if there was anything showing, which there wasn't.

-Yes.

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So I thought I'd get out the car.

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Next there's banging on the window, "The head's showing!"

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My wife was on the phone to Gail. She said, "Take over", and passed me the phone

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-and it just went from there.

-It was down to you.

-Yeah.

-What happened next?

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Within minutes, Caleb was here. I was holding him in my hand.

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And I dropped the phone and that's as much as I can remember.

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Absolutely fabulous. I loved on the phone call you were saying, "She's here. No, he's here!"

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-What was going on?

-I knew she was going to have a boy and I just got confused completely.

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And there was a bit of an audience?

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-Yeah, we parked outside a bus stop packed full of people!

-Goodness me.

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Thank you very much and thanks for bringing him in.

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I'll come back to you, if that's OK. Just checking what's going on on the phones.

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Now, the cost of a motorway accident is considerable. The impact on individuals and their vehicles.

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But it can also cost up to £10,000 per lane per hour to manage the incident

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and any delays or diversions.

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This next rescue caused major disruption to a busy intersection.

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Late afternoon and there's been a collision at a very busy junction

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where two motorways join together.

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At least three vehicles involved, two lanes blocked.

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Debris all over the place.

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And it's the middle of the rush hour.

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It's a matter of urgency to get it clear.

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Police sergeant Wayne Voller is a very experienced traffic cop.

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He's expert at handling the aftermath of road accidents

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and the traffic chaos that often ensues.

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There's certainly a mess here, surrounded by scattered debris.

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The remains of a severely damaged Ford Focus lies in the middle lane.

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A small Peugeot with a huge dent in the front is by the barrier.

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And an articulated lorry with a blown tyre is on the hard shoulder.

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The very first thing Wayne needs to know on arrival

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is the condition of any casualties.

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Have we got any serious injuries?

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No serious. One potential neck injury, but not serious.

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The fact that there's no serious injuries to the three drivers involved seems incredible.

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I'm looking to open lane two if we can, but that's stuck there.

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While PC Mark Fruin takes care of the investigation,

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Wayne's priority is to get another lane open.

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There are jams already several miles long.

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If they don't act quickly, the whole of Portsmouth could become gridlocked.

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See if it'll push, then, Wes.

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First they tackle the Focus, the most badly damaged of all the vehicles.

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In a minute. Hang on!

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Right, hold it there, Wes, cos he has got the keys.

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Its driver, Bob Knowles, was on his way home from work

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when disaster struck.

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As the two roads merge, I was in the left-hand lane.

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I was aware from my peripheral vision that a large lorry,

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an articulated lorry, was coming up on my right-hand side.

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As we came alongside, suddenly he started verging into the left, encroaching on my lane.

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I braked slightly, but he kept coming then he hit me. He caught my wing mirror, then my front wing

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and he shunted me into the left-hand side crash barrier,

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which I hit very hard because I must have been doing 60 at that point.

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An almighty bang. Frightened the life out of me.

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The lorry's erratic movements may be explained by a blow-out to one of its tyres.

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Bob's fortunate to be walking around as his car has suffered four serious impacts.

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The last came from the Peugeot as it followed behind.

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Its driver is being treated for neck pain

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and has been put on a spinal board as a precaution.

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When you get a chance, I can get the road open.

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The ambulance, I've asked them to move their vehicle.

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If they move it into lane three, I can get two lanes open.

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They also need to make the road safe by sweeping away any debris that could puncture further tyres.

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With their patient on board, the ambulance transfers into lane three.

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In under ten minutes, Wayne has helped get Portsmouth on the move again.

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Wayne's now free to interview the lorry driver and find out what happened.

0:22:500:22:54

With the arrival of a recovery truck, there will soon be no sign left

0:22:590:23:03

that an accident ever happened here.

0:23:030:23:05

But the memory will remain with Bob for a long time.

0:23:050:23:09

Probably the most terrifying experience of my life.

0:23:090:23:12

When you impact something going at speed, there's a boom, and you feel yourself bouncing off.

0:23:120:23:19

Your hands are like this on the steering wheel and you've got no control at all.

0:23:190:23:23

Then suddenly your whole world spins around.

0:23:230:23:27

I can't think of any time where I was probably more scared.

0:23:270:23:30

The two cars involved are write-offs.

0:23:300:23:34

Thankfully, they are the only things to have suffered permanent damage after such a serious crash.

0:23:340:23:40

Modern-day car has a lot of impact-absorbing areas

0:23:400:23:43

which saved me from serious harm - or worse.

0:23:430:23:48

So I'm thankful for that. I was very lucky to walk out of it alive.

0:23:480:23:52

Still to come on Real Rescues: the young woman trapped in her boyfriend's new car.

0:23:560:24:01

The only way out is through the roof.

0:24:010:24:04

-Is she all right?

-Shaken, I think.

0:24:040:24:07

We've now got a convertible!

0:24:070:24:10

And the local Big Cat mystery.

0:24:100:24:12

Callers to the control room claim they've seen a large feline

0:24:120:24:16

prowling on the hill near us in Abingdon.

0:24:160:24:19

But what is it?

0:24:190:24:21

Stroke victims need rapid and sophisticated treatment.

0:24:230:24:27

If medical care gets to you in time,

0:24:270:24:29

there are drugs that can make an enormous difference to your recovery.

0:24:290:24:33

We saw paramedics called to the home of Laurie.

0:24:330:24:35

His wife had found him slumped on the sofa, unable to speak.

0:24:350:24:39

A CT scan is the next step in the rapid response specialist treatment Laurie is receiving in hospital.

0:24:390:24:45

It's only an hour since he was discovered at home,

0:24:450:24:48

and already his brain is being scanned for abnormalities which may have caused his stroke.

0:24:480:24:53

A scanner produces cross-sectioned images of his brain.

0:24:560:24:59

They're far more detailed than a normal x-ray.

0:24:590:25:02

If the doctors find a clot, he'll be eligible to take part in a new drug trial.

0:25:050:25:10

They're looking for a clot in a certain vessel in the brain.

0:25:110:25:15

And some things that need to be excluded which are quite complex

0:25:150:25:20

but particularly we're looking for a clot in one vessel.

0:25:200:25:24

All the images are being studied by consultant Dr Roger Patel.

0:25:240:25:29

He's found what he's looking for - the cause of Laurie's stroke.

0:25:290:25:33

It's as if we're looking from the top of his head down. It's highlighting the vessels.

0:25:330:25:38

On the right is a satisfactory artery that branches into peripheral branch arteries,

0:25:380:25:45

or M2 and M3-level vessels.

0:25:450:25:47

As you follow the vessel out on the normal side, it looks OK.

0:25:470:25:50

But on the affected side, if you try and follow that vessel out,

0:25:500:25:55

you see a prompt truncation point of that.

0:25:550:25:58

There should be an artery here with some branches into this part of the brain.

0:25:580:26:03

This clot is causing all the problems with the right-hand side of his body.

0:26:030:26:07

But the positive news is it means he is suitable to take part in the trial

0:26:070:26:11

of a new drug.

0:26:110:26:13

In a way, it breaks up the clot, but not in a dangerous way,

0:26:130:26:16

in a good way to let the blood supply back in

0:26:160:26:19

to save the area of brain that's saveable

0:26:190:26:22

to minimise disability.

0:26:220:26:24

But it means Laurie or his family have to make the decision very quickly.

0:26:240:26:28

The drug has to be given within the next 50 minutes.

0:26:280:26:32

The consultant, Owen Davis, leads the team. More tests must be carried out before he can give the drug.

0:26:390:26:46

All Veronica and their son, Stewart, can do is look on.

0:26:460:26:49

I knew he was in very good professional hands, and it was nice to have our son there

0:26:500:26:56

as support for me.

0:26:560:26:58

I just had to stand back and let them get on with what they knew best.

0:26:580:27:05

There's a flurry of activity as doctors and nurses double-check everything.

0:27:050:27:09

Close your eyes for me, sir.

0:27:090:27:11

Point to where I'm touching you.

0:27:110:27:13

Dr Davis tests Laurie's sensation in his right side.

0:27:130:27:16

He moves his left arm to show he can feel something.

0:27:160:27:19

It's an encouraging sign that some sensation is returning.

0:27:190:27:24

Stroke research nurse Catherine prepares the injection.

0:27:250:27:29

But as this is a trial, there are no guarantees that this will help Laurie.

0:27:290:27:34

I'm just going to reconstitute it and give the amount that they say,

0:27:340:27:39

which is 8.3 mls.

0:27:390:27:41

So I just have to add 10 mls of water to the ampule.

0:27:410:27:48

Mix it up...

0:27:480:27:49

..and give it to the patient.

0:27:510:27:53

We've got the special medicine for you. I'll keep a very close eye on you afterwards.

0:27:530:27:59

Laurie is looking very tired as Catherine administers the drug.

0:27:590:28:04

Well done.

0:28:060:28:08

Veronica is still trying to find out if her husband can tell her when he collapsed.

0:28:080:28:13

Did you have long in bed this morning?

0:28:130:28:16

An hour?

0:28:180:28:20

All the family can do now is hope that the drug trial will help disperse the clot

0:28:200:28:26

and aid his recovery.

0:28:260:28:28

Well, I just hope that everything will be back to where it was before

0:28:300:28:34

but time will tell, really.

0:28:340:28:38

Laurie will now be monitored closely in the resus room.

0:28:380:28:42

It could be some time before they know if the drug has helped him.

0:28:420:28:46

We'll look out for any signs of bleeding, any signs of drowsiness

0:28:460:28:51

that might mean neurological problems.

0:28:510:28:54

In which case we'll re-CT him.

0:28:540:28:56

Any bleeding we look out for, monitor his blood pressure and pulse.

0:28:560:28:59

Looking out for any kind of allergic reaction.

0:28:590:29:02

Watching his mouth, make sure he doesn't get short of breath.

0:29:020:29:06

And closely monitoring him for the next 24 hours.

0:29:060:29:11

I'll be here a lot this evening!

0:29:110:29:12

And Laurie is on the mend. It's a month since his stroke

0:29:170:29:20

and he's still in hospital but is improving by the day.

0:29:200:29:23

I have a story that will blow your mind, I'm sure.

0:29:230:29:26

This is PC Simon Towers, a wildlife crime officer.

0:29:260:29:29

And you might have heard that people think they've seen big cats and things in the wild,

0:29:290:29:34

and it's usually the kind of territory of people who think they've seen the Loch Ness monster.

0:29:340:29:39

You know what I mean! Turns out, it's pretty much true now!

0:29:390:29:43

-Afraid so!

-You're absolutely certain.

-Absolutely.

0:29:430:29:46

Earlier, we showed this cast. Where was this taken?

0:29:460:29:49

This cast was taken from about a 300-metre track that was found in a forest.

0:29:490:29:55

We got scenes of crime officers there because we didn't want to lose these tracks.

0:29:550:30:00

-It showed us there's a big cat out there.

-This is the pad, mid-foot.

0:30:000:30:05

The toes are here. See that now?

0:30:050:30:08

There's a photograph of what it actually looked like.

0:30:080:30:12

I don't know if you can see how clear that paw print is.

0:30:120:30:15

These paw prints actually appeared while there were people in the tree above?

0:30:150:30:20

There were some deer stalkers. They were looking to shoot a deer.

0:30:200:30:24

They'd gone up a couple of hours beforehand and came down.

0:30:240:30:27

They discovered these around the base of their tree and they'd seen nothing.

0:30:270:30:32

-So...

-Perhaps it's a hoaxer, or...

0:30:320:30:35

Why are you so certain?

0:30:350:30:37

Sometimes you get things like a hoax. A single print,

0:30:370:30:40

but we had 300 metres of continual print as if this had walked down a hill, round a pond,

0:30:400:30:45

-and just disappeared into the forest.

-Have you seen one?

0:30:450:30:49

-I've seen the back end of one.

-Definitely seen one?

-The back end of one.

0:30:490:30:54

How are they here?

0:30:540:30:56

There are lots of theories. The Dangerous Wild Animals Act '76 came in.

0:30:560:31:00

People could keep a wild cat at home, a tiger or whatever,

0:31:000:31:04

-and some could have been released into the wild.

-They're breeding, then?

0:31:040:31:08

-Yeah.

-Any signs of breeding?

-We've had a report of a mother and cub over the years.

0:31:080:31:13

-And evidence of a mother and cub.

-What sort of cat are we talking about?

-Like a puma.

0:31:130:31:19

That's confirmed? And that footprint's been identified?

0:31:190:31:22

-Identified by a Home Office expert.

-Should we be frightened?

-No, not at all.

0:31:220:31:27

-They just feed on rabbits and things?

-And carcases, deers and things like that.

0:31:270:31:31

-Road kill.

-Fascinating stuff. Absolutely amazing, it's confirmed now. Thank you.

0:31:310:31:36

Now, a young couple who went out shopping and got more than they bargained for!

0:31:360:31:41

There's been a crash on a busy city centre road.

0:31:440:31:48

A 21-year-old woman is trapped inside a car

0:31:480:31:51

and the fire-fighters of White Watch, led by Sean Cheeseman,

0:31:510:31:55

have been called in to help get her out.

0:31:550:31:57

-Mate, can you give me what you need from us?

-We need to take the roof off to get her out.

0:31:570:32:02

OK. Start getting all the stuff over here. Put it here so it's out of the road. Roof removal.

0:32:020:32:07

The car was hit from behind and Charlotte is feeling pain in her neck.

0:32:070:32:11

It's also started to spread down her back.

0:32:110:32:15

There's a chance she has spinal injuries.

0:32:160:32:19

Any attempt to move her from the passenger seat

0:32:190:32:22

could twist her back and make matters far worse.

0:32:220:32:25

Instead, they'll need to cut off the roof so she can be lifted out.

0:32:260:32:30

One person trapped in car. Extrication in progress.

0:32:300:32:34

Paramedic Fran Ango is inside the car, holding Charlotte's head still

0:32:360:32:40

and keeping her calm.

0:32:400:32:43

I'm Fran, a paramedic.

0:32:430:32:45

We've got suspected spinal injuries.

0:32:450:32:48

-OK.

-And lower back pain.

0:32:480:32:51

It's all precautionary. She's got pain in her head as well.

0:32:510:32:55

OK, that's fine.

0:32:550:32:57

-Have you got head protection and all that?

-I have in my car.

0:32:570:33:00

We'll just get set up and we'll let you know how it's going.

0:33:000:33:04

Boyfriend Mark was driving when the accident happened.

0:33:040:33:08

But he's escaped injury.

0:33:080:33:11

He's only had the car a few weeks. It looks like he won't have it much longer.

0:33:110:33:15

Fran the paramedic is in the back. I've put some head gear on him.

0:33:150:33:19

Come on, let's get this going.

0:33:190:33:21

Because this is a modern car, the fire crew know it'll be fitted with an array of safety devices.

0:33:210:33:26

They're useful in a crash but now they could be a hazard to those inside.

0:33:260:33:31

Internal I've got airbags that haven't deployed.

0:33:330:33:36

And I've got any other airbag systems cos this is quite a new motor

0:33:360:33:41

with any of the restraints around the top.

0:33:410:33:44

But all cars are different, and the more information they can get, the better.

0:33:440:33:48

Excuse me, sir. Can I ask a question about the car?

0:33:480:33:51

SRS airbag systems. They're in the pillars?

0:33:530:33:56

-It's got it everywhere.

-OK.

0:33:560:33:59

It's designed that you can roll it and walk away from it.

0:33:590:34:02

We'll have to slide the board in. She's got lower back...

0:34:020:34:06

We'll have to cut as low as possible.

0:34:060:34:09

We'll go for a lot of protection in the front there.

0:34:090:34:13

We'll cut the furthest one first and see what we end up with.

0:34:130:34:17

They put in boards to protect Charlotte and Fran

0:34:170:34:21

just in case the airbags go off.

0:34:210:34:22

The heavy cutting equipment is very loud and it's right next to Charlotte's head.

0:34:300:34:35

It's a frightening experience, but Fran is there to reassure her.

0:34:360:34:40

Once they're through the final post, the roof can be lifted right off.

0:34:430:34:47

The way is clear to slide a long board in behind Charlotte.

0:34:540:34:57

Once she's secured to the board, it'll keep her spine in a fixed position

0:35:020:35:06

so she can be moved without danger.

0:35:060:35:08

Now that Charlotte's safely out,

0:35:160:35:18

Mark starts worrying about his new car, as well as his girlfriend.

0:35:180:35:22

-Is she all right?

-Shaken, I think.

0:35:220:35:26

We've now got a convertible!

0:35:260:35:29

-You have.

-That's it. Thank you.

-Right.

0:35:290:35:33

Mark will travel with Charlotte to A&E where she'll be thoroughly checked over

0:35:380:35:43

to assess her injuries.

0:35:430:35:45

Charlotte suffered whiplash injuries and was off work for three weeks.

0:35:460:35:50

Mark now has a new car to replace his previous pride and joy.

0:35:500:35:54

Most young boys dream of flying in a helicopter, and a few old dads, too!

0:35:540:35:59

But you wouldn't want to break your arm to do it.

0:35:590:36:02

The Thames Valley and Chiltern air ambulance

0:36:040:36:08

has been sent out to the small village of Southmoor after a boy's had a nasty fall off a trampoline.

0:36:080:36:13

Because of the layout of the houses,

0:36:150:36:17

pilot Al Gasparo has had to land 200 yards away.

0:36:170:36:21

Dr Simon Brown and paramedic Paul Jeffries

0:36:210:36:24

are picked up by a helpful next-door-neighbour who ferries them to the garden

0:36:240:36:28

where the young casualty is.

0:36:280:36:31

Fast-response paramedic Lucy Hawthorne is already with six-year-old Will

0:36:360:36:41

and his dad.

0:36:410:36:43

They were playing a game, jumping in and out of the trampoline.

0:36:430:36:47

As he came out, he's gone down and put his arm out to save himself.

0:36:470:36:51

-It looks like a lower arm fracture.

-Break in his arm.

-Nothing open.

0:36:510:36:55

A good distal pulse.

0:36:550:36:57

He's had a lot of Entonox which enabled me to splint it.

0:36:570:37:00

He's quite comfortable now.

0:37:000:37:02

OK. How much is it hurting now?

0:37:020:37:04

Um...

0:37:040:37:07

Medium.

0:37:070:37:09

Will's game of bouncy-bouncy ended with a big bang

0:37:090:37:12

when he fell down the trampoline steps.

0:37:120:37:14

He has what's known as a swan's neck fracture,

0:37:140:37:18

so called because of the shape it forces the arm into.

0:37:180:37:21

Lucy has already put a splint on to stabilise the break

0:37:210:37:25

and ease his pain.

0:37:250:37:27

-Is he allergic to anything that you know of?

-Fur.

0:37:270:37:30

-Fur? No medication.

-He's asthmatic.

-OK.

0:37:300:37:32

How does your breathing feel at the moment?

0:37:320:37:35

-Quite good.

-Quite good. OK.

0:37:350:37:38

-Can you wiggle your toes?

-Yeah.

-All working?

0:37:380:37:42

This hand works fine? Can you wiggle the other fingers gently?

0:37:420:37:45

The poorly ones. That's fine. OK.

0:37:450:37:48

It looks like he's broken the small bones in his left forearm.

0:37:480:37:52

He's had that splint in using Entonox gas in order to ease the pain.

0:37:520:37:57

What we'll do now is give him some Oramorph, a morphine solution

0:37:570:38:01

which over the next 20 minutes, half an hour will make him more comfortable

0:38:010:38:05

so that by the time we get to hospital and x-ray it,

0:38:050:38:08

he'll be more able to have that done.

0:38:080:38:10

-You OK?

-Yeah.

-Good stuff.

0:38:100:38:12

We'll make you comfy in a minute, eh?

0:38:120:38:16

OK.

0:38:160:38:18

Put your head back now and relax.

0:38:190:38:21

Will's being brave at the moment and Simon hopes some painkiller will keep him that way

0:38:220:38:27

as they have to move him shortly.

0:38:270:38:29

Will, this is some medicine.

0:38:290:38:31

I'll squirt it in and you swallow it.

0:38:310:38:34

I don't know what it tastes like. Swallow that.

0:38:340:38:37

Here's some more. What does it taste like?

0:38:370:38:40

Swallow that bit down.

0:38:400:38:41

And a bit more to come.

0:38:410:38:44

Excellent.

0:38:440:38:45

So no school Monday. Is that good news or bad news?

0:38:470:38:50

-Good news.

-Good news? No, surely not!

0:38:500:38:55

How's the pain? Is it a real "owwy" pain?

0:38:550:38:58

Or is it just a little bit sore?

0:38:580:39:01

-A bit sore.

-But it's not "owwy" any more, is it?

0:39:010:39:04

As he clutches on to his favourite cuddly toy,

0:39:040:39:07

the time has come to get Will up.

0:39:070:39:10

Stand yourself up first. Up you come. Well done.

0:39:100:39:13

-Are you happy carrying him?

-I'll carry him.

0:39:160:39:19

The arm supports itself, so just carry him as you'd normally do.

0:39:190:39:23

Just pick him up, whatever you find easiest.

0:39:230:39:26

One, two, three, up. That's good.

0:39:260:39:29

Jumping up in the air has gone badly wrong for Will.

0:39:320:39:35

But to get him fixed, they'll have to take to the skies.

0:39:350:39:38

So this is going to slide in there.

0:39:380:39:41

OK? Just keep your arms in and we'll slide you in. See Dad?

0:39:410:39:46

Dad's coming with you.

0:39:460:39:48

It'll take barely five minutes to get to John Radcliffe Hospital in Oxford.

0:39:550:39:59

-DAD:

-This is good, isn't it, a helicopter ride?

0:40:020:40:06

Yeah.

0:40:060:40:08

What do you think about flying in a helicopter, Will? Is it really good?

0:40:080:40:12

-Yeah.

-I think Dad's enjoying it as much as you!

0:40:120:40:16

It's a fantastic view up here.

0:40:160:40:19

Shame he had to break an arm to see it,

0:40:190:40:21

but a great luxury limousine service.

0:40:210:40:25

Thank you very much indeed.

0:40:250:40:27

After all the airborne excitement,

0:40:300:40:33

Will's travels are set to continue as a road ambulance will transfer him to the A&E department.

0:40:330:40:39

A helicopter and an ambulance!

0:40:390:40:41

Probably be getting a hospital ship next!

0:40:410:40:45

Are you feeling all right, mate? How's your arm?

0:40:450:40:48

-Does it hurt?

-Not too much.

-Not too much.

0:40:480:40:51

Good. Say goodbye to the helicopter.

0:40:510:40:53

He's stayed remarkably calm throughout, and now on the small wheels of the stretcher,

0:40:560:41:01

Will's journey is at an end.

0:41:010:41:03

He'll have a series of x-rays so doctors can determine how badly he's broken his arm.

0:41:030:41:08

Will did have a few days off school but has enjoyed retelling the story of his helicopter ride many times!

0:41:090:41:16

Here's an interesting story. Zena, how's it going?

0:41:160:41:18

-Very well, thanks.

-You had a call in.

0:41:180:41:21

Yeah, I had a 999 call on the radio. It came through as a burglary in progress.

0:41:210:41:28

The call-taker was keeping the member of the public on the line

0:41:280:41:32

and they were adamant there was someone breaking in to their garden.

0:41:320:41:35

The updates were coming in saying there was banging and crashing at the side gate.

0:41:350:41:40

I had units making to the scene.

0:41:400:41:42

Further updates were saying they were now at the bottom of the garden.

0:41:420:41:47

She didn't have any security lights to see what was going on,

0:41:470:41:50

but could hear the banging and crashing. We got units there. They could hear the noise.

0:41:500:41:55

They shone their torches over the fence and it appeared that it was the rabbit hutch

0:41:550:42:01

banging against the shed at the bottom of the garden

0:42:010:42:04

and she thought she had two girl rabbits, but it was a boy and a girl getting a bit frisky in spring!

0:42:040:42:10

Birds do it. Bees do it. It seems rabbits do it, too! Louise?

0:42:100:42:15

You couldn't make it up! Simon, I heard you and Nick talking about the puma.

0:42:150:42:19

I'm concerned. I've got children. What about children running round?

0:42:190:42:23

No, I don't have any issues at all with that.

0:42:230:42:26

It's very safe. All wild animals will just want to get away.

0:42:260:42:30

You'd have to go quite a long way into the wild, deep into the woods

0:42:300:42:37

-to come across one.

-Good to know!

0:42:370:42:39

-We'll have more exciting stories on Real Rescues soon.

-Bye!

-Bye!

0:42:390:42:43

Subtitles by Red Bee Media Ltd

0:43:100:43:13

A grandmother has to make a 999 call as her daughter gives birth in the back of the car and a police officer has proof that a big cat is at large on his patch.