0:00:02 > 0:00:04Today, horror for a mum out on a family bike ride.
0:00:04 > 0:00:07Now a whole team of medics are fighting to save her life.
0:00:07 > 0:00:10Our plan is to give her some medication, get her stable,
0:00:10 > 0:00:14then put her to sleep, take her to hospital, get her head scanned
0:00:14 > 0:00:16to see if there's serious damage.
0:00:16 > 0:00:20A runaway tanker turns upside down, leaking over 1,000 litres
0:00:20 > 0:00:23of hazardous kerosene. But there's a further 5,000 litres
0:00:23 > 0:00:27still inside, and it could explode at any moment.
0:00:51 > 0:00:54Welcome to Real Rescues. This is the Abingdon control room
0:00:54 > 0:00:56for the Thames Valley Police.
0:00:56 > 0:00:58Any kind of emergency can come through to this room.
0:00:58 > 0:01:01They have all the kit they need to deal with 999 calls,
0:01:01 > 0:01:05but we'll see later on how a little local knowledge goes a long way.
0:01:05 > 0:01:08But first, cyclist Caroline has crashed head-first
0:01:08 > 0:01:11over her handlebars deep in the woods.
0:01:11 > 0:01:13She's very distressed, and so badly injured
0:01:13 > 0:01:16that she's unable to speak.
0:01:16 > 0:01:18Medics have driven as close as they can,
0:01:18 > 0:01:21and now they race on foot to help. They know her sudden lack of speech
0:01:21 > 0:01:24could mean a serious brain injury.
0:01:30 > 0:01:32Forced to leave their vehicle behind,
0:01:32 > 0:01:33critical-care doctor Paul Rees
0:01:33 > 0:01:36and his colleague, paramedic Brian Hardy
0:01:36 > 0:01:38are heading off-road to find a patient
0:01:38 > 0:01:40who sounds in a bad way.
0:01:42 > 0:01:44We've been called to some woods near Southampton
0:01:44 > 0:01:47where a mountain biker has come off their bike.
0:01:47 > 0:01:50They've got a head injury and might have significant brain injury,
0:01:50 > 0:01:54so we're going to see what can be done before we get them out.
0:01:54 > 0:01:59Half a mile later, they reach an extremely distressed Caroline.
0:01:59 > 0:02:03She's come off her bike, hitting her head very hard on the ground.
0:02:03 > 0:02:06Ambulance medic Gareth is already there,
0:02:06 > 0:02:09and Caroline's partner Richard is holding her head
0:02:09 > 0:02:12- and attempting to comfort her. - Caroline, I'm a doctor. Hello.
0:02:12 > 0:02:14SHE MOANS AND WAILS Open your eyes for me.
0:02:14 > 0:02:16Caroline, open your eyes nice and wide.
0:02:16 > 0:02:19How are you feeling? SHE MOANS INCOHERENTLY
0:02:19 > 0:02:22It's sore on that side. That's OK.
0:02:22 > 0:02:25That's something we can... That's something we can fix.
0:02:25 > 0:02:28SHE CONTINUES TO MOAN You're having a job speaking.
0:02:28 > 0:02:30OK. That's all right.
0:02:30 > 0:02:33Incoherent, Caroline can only point to the pain in her face.
0:02:33 > 0:02:38Losing the ability to talk is a sign she could have a brain injury.
0:02:38 > 0:02:42The speech difficulty might be due to swelling or bleeding in the brain,
0:02:42 > 0:02:45in a similar way to a patient having a stroke
0:02:45 > 0:02:47might have some speech difficulties.
0:02:47 > 0:02:51Pressure, bleeding or swelling in the brain could cause the same symptoms.
0:02:51 > 0:02:54With no time to lose, the team get to work.
0:02:54 > 0:02:59Get that attached. Get a line in her and we'll see what we need to do.
0:02:59 > 0:03:02Information from these tests will be vital
0:03:02 > 0:03:04in allowing Paul to decide on the best treatment.
0:03:04 > 0:03:07Can you move this arm for me, squeeze my fingers?
0:03:07 > 0:03:10Is there some weakness there? SHE MOANS INCOHERENTLY
0:03:10 > 0:03:12We're going to lie you flat in a minute,
0:03:12 > 0:03:16give you something to make you feel relaxed and take you to hospital.
0:03:16 > 0:03:18My plan is to get her flat,
0:03:18 > 0:03:20give her some drugs to make her feel less distressed.
0:03:20 > 0:03:23Brian takes temporary control of Caroline's head.
0:03:23 > 0:03:25As she's lowered,
0:03:25 > 0:03:28it's essential her neck and back remain completely straight.
0:03:28 > 0:03:30OK. Well done. SHE MOANS
0:03:30 > 0:03:34Lovely. Do you mind doing that again? You were doing a very good job.
0:03:34 > 0:03:37Just gently support her head.
0:03:37 > 0:03:42It's hard to comprehend how a family day out has ended up like this.
0:03:43 > 0:03:47Earlier, Caroline had set out on her first-ever bike ride
0:03:47 > 0:03:50with Richard and their ten-year-old daughter Cecilia.
0:03:50 > 0:03:54Just ten minutes in, things went badly wrong.
0:03:54 > 0:03:56Behind her, Richard saw it all,
0:03:56 > 0:03:58but could do nothing to stop it happening.
0:03:58 > 0:04:01Just before I was setting off to follow them,
0:04:01 > 0:04:05I heard Caroline sort of shout, "I can't stop."
0:04:08 > 0:04:12Caroline went over the handlebars and landed hard on her face and arm.
0:04:12 > 0:04:16She tried to get up, and said, "Let's go home."
0:04:17 > 0:04:20And after that, that was the last thing that she said.
0:04:22 > 0:04:26Almost immediately she started sort of groaning and wailing,
0:04:26 > 0:04:30and pointing to her arm and her eye and her leg,
0:04:30 > 0:04:33and scratching on the gravel.
0:04:33 > 0:04:35The fact that she wasn't able to talk
0:04:35 > 0:04:39and she was just in this incoherent state,
0:04:39 > 0:04:41was the most worrying thing, yes.
0:04:41 > 0:04:46Two helpful passers-by have taken young Cecilia to one side
0:04:46 > 0:04:47while the team treat her mother.
0:04:47 > 0:04:51This lady's come off her mountain bike and sustained a head injury.
0:04:51 > 0:04:55It's not clear how serious that is. The main problem we're having
0:04:55 > 0:04:58is communicating with her, so we'll get her stable,
0:04:58 > 0:05:01put her to sleep, take her to hospital, get her head scanned
0:05:01 > 0:05:03and see if there's any serious damage.
0:05:03 > 0:05:06To safely get Caroline out of the woods,
0:05:06 > 0:05:09Paul will have to fully anaesthetise her right here, right now.
0:05:09 > 0:05:13It's a procedure that is only attempted in the most serious cases.
0:05:13 > 0:05:16The best way to manage a patient with a head injury
0:05:16 > 0:05:18and with signs of swelling inside their brain
0:05:18 > 0:05:21is to get control of their airway and breathing,
0:05:21 > 0:05:24give them the right amount of oxygen and control their blood pressure,
0:05:24 > 0:05:27and the only way is to give them a general anaesthetic
0:05:27 > 0:05:30and put them onto a breathing machine.
0:05:33 > 0:05:36The air ambulance has also been sent for,
0:05:36 > 0:05:39but the surrounding trees means it has to land some distance away.
0:05:39 > 0:05:43Before he can anaesthetise Caroline, Paul will need the extra hands
0:05:43 > 0:05:44of the helicopter crew.
0:05:44 > 0:05:48Give them a quick ring and ask them to bring monitoring and drugs
0:05:48 > 0:05:52from the helicopter before they leave it. Thanks.
0:05:52 > 0:05:55To put Caroline to sleep, they must first get a line into her vein
0:05:55 > 0:05:59so they can give drugs. Although she can't speak,
0:05:59 > 0:06:02Caroline is managing to communicate with the help of Richard.
0:06:02 > 0:06:05Has she got a lot of pain, ask her.
0:06:08 > 0:06:11SHE CONTINUES TO MOAN
0:06:11 > 0:06:14As Paul administers some fast-acting pain relief,
0:06:14 > 0:06:17the paramedics from the air ambulance arrive.
0:06:17 > 0:06:20Hello, there, my darling. My name's Vicky.
0:06:20 > 0:06:24All right, Caroline. You may feel a little bit queasy.
0:06:24 > 0:06:27OK. Just take some nice deep breaths for us.
0:06:27 > 0:06:30You're doing really well, my darling. Well done.
0:06:32 > 0:06:35The tranquillising effects of the painkiller kick in.
0:06:35 > 0:06:39Soothed, Caroline has stopped groaning and trying to speak.
0:06:39 > 0:06:41She may be calmer on the surface,
0:06:41 > 0:06:44but what's going on inside is still a mystery.
0:06:44 > 0:06:47That really is an example of how important
0:06:47 > 0:06:49critical-care doctors like Paul are.
0:06:49 > 0:06:53He's effectively taking a hospital emergency room out on the road,
0:06:53 > 0:06:57and we'll see the incredible level of treatment he can give Caroline
0:06:57 > 0:06:59in just a few minutes. Louise.
0:06:59 > 0:07:03Kirsten has always managed to shield her son from her epilepsy -
0:07:03 > 0:07:06that is, until the day they were alone together at home
0:07:06 > 0:07:09and she fell on the floor having a fit in front of him.
0:07:09 > 0:07:13Luckily, though, young James had seen an advert on TV
0:07:13 > 0:07:17about dialling 999, so he picks up the phone and makes the call
0:07:17 > 0:07:19that saves her life.
0:08:20 > 0:08:23And remember, this is something he has never seen before.
0:08:23 > 0:08:26Despite that, James now tries very hard
0:08:26 > 0:08:28to do exactly as he's told,
0:08:28 > 0:08:32even resorting to some quite unusual tactics.
0:09:55 > 0:09:58Well, Joan, who is the paramedic who arrived with the ambulance
0:09:58 > 0:10:01is here with us now, as is James and Kirsten.
0:10:01 > 0:10:04James, first of all, well done. That was brilliant.
0:10:04 > 0:10:07Just describe to us a bit about what had been happening that day.
0:10:07 > 0:10:09Um...
0:10:09 > 0:10:11Well, she just went a bit...
0:10:11 > 0:10:16She just stood still and then fell on the floor.
0:10:16 > 0:10:20OK. And what was she doing when she fell on the floor?
0:10:20 > 0:10:23- Shaking.- Shaking.
0:10:23 > 0:10:25And how did you know to call 999?
0:10:25 > 0:10:27Er, after a stroke advert.
0:10:27 > 0:10:30- So there was a stroke advert on the TV?- Yeah.
0:10:30 > 0:10:33Brilliant. And what did it show you?
0:10:33 > 0:10:36How did you know it was the right thing to do, to call them?
0:10:36 > 0:10:40- I don't know.- You don't know. It was brilliant that you knew that.
0:10:40 > 0:10:43We'll come to you in a minute, Kirsten.
0:10:43 > 0:10:45Joan, the fact that he made that call,
0:10:45 > 0:10:49- did he potentially save her life? - He did, yeah. Yeah.
0:10:49 > 0:10:52He, um... She was in status epilepticus.
0:10:52 > 0:10:55- Which is a very serious... - It is a serious condition
0:10:55 > 0:10:58where they don't actually recover from the seizure.
0:10:58 > 0:11:03They go back into another seizure and they need medical treatment
0:11:03 > 0:11:07- as quickly as possible. - Obviously, while he's on the phone,
0:11:07 > 0:11:09- you don't remember any of that.- No.
0:11:09 > 0:11:11But he'd given you lots of key bits of information.
0:11:11 > 0:11:15- What sort of things did he tell you? - When we first arrived on scene,
0:11:15 > 0:11:18we like to get as much history about the patient as possible,
0:11:18 > 0:11:20whether there's any conditions she has got.
0:11:20 > 0:11:23He was able to tell us she was epileptic.
0:11:23 > 0:11:26He was able to tell us where she kept her medication,
0:11:26 > 0:11:30which was a great help, able to tell us her name and everything.
0:11:30 > 0:11:34And also importantly, you opened the door for them when they arrived.
0:11:34 > 0:11:37Had you gone and got yourself dressed? What had you been doing?
0:11:37 > 0:11:41Um, I just opened the door in my pyjamas.
0:11:41 > 0:11:44- THEY LAUGH - He was incredibly well prepared.
0:11:44 > 0:11:47He was. I'm really, really proud of him,
0:11:47 > 0:11:50and he did really, really well, I have to say.
0:11:50 > 0:11:53I... I am just very, very proud of him.
0:11:53 > 0:11:57And you were in a really serious situation, weren't you?
0:11:57 > 0:12:00- So very lucky that he managed to do what he did.- Yes.
0:12:00 > 0:12:03Yes. Um... I have to say thank you to Joan,
0:12:03 > 0:12:07and I have to say that it was unusual
0:12:07 > 0:12:09for him to be left alone with me,
0:12:09 > 0:12:12and what he did was pretty incredible,
0:12:12 > 0:12:19and I'm just very pleased he did the right thing, really.
0:12:19 > 0:12:22- And...I don't know. - And proud as well.
0:12:22 > 0:12:25What's it like for you to see Kirsten?
0:12:25 > 0:12:28When she was in the ambulance, the situation was quite different.
0:12:28 > 0:12:32It's been really good to actually find out that she's recovered
0:12:32 > 0:12:35- and that she's doing well now. - Brilliant. Thank you very much.
0:12:35 > 0:12:38- I know you want to thank the Epilepsy Society as well.- I do.
0:12:38 > 0:12:41They've given you lots of help. James, well done.
0:12:41 > 0:12:43Thank you very much.
0:12:43 > 0:12:46It's amazing. Time and time again, we find out
0:12:46 > 0:12:48children are capable of so much more than we think.
0:12:48 > 0:12:52What an amazing little boy that is! Moving on, a tanker has turned over
0:12:52 > 0:12:55in a country lane, its load of kerosene flooding the road.
0:12:55 > 0:12:58It could cause a huge fire and pollute the local water supply.
0:12:58 > 0:13:01A call goes out to the emergency services.
0:13:01 > 0:13:05Police and fire crews are streaming towards the village
0:13:05 > 0:13:09of East Meon. They have a messy situation on their hands.
0:13:13 > 0:13:17On its side, a fuel tanker is completely blocking a country lane.
0:13:17 > 0:13:20It rolled down the hill after the driver jumped out of the cab
0:13:20 > 0:13:22without applying the parking brake.
0:13:22 > 0:13:26The impact has also caused its main tank to rupture,
0:13:26 > 0:13:29and the kerosene it was carrying is spilling out.
0:13:29 > 0:13:33Thankfully nobody has been hurt, but to make sure it stays that way,
0:13:33 > 0:13:36fire crews, including group manager Al Murray,
0:13:36 > 0:13:39need to deal with the truck's dangerous cargo,
0:13:39 > 0:13:41which continues to flow down the road.
0:13:41 > 0:13:45It was leaking kerosene out of the lid at the top of the tanker.
0:13:45 > 0:13:49Because it was on its side, the lids were supposed to shut off,
0:13:49 > 0:13:53but this lid didn't, and it is explosive in large amounts,
0:13:53 > 0:13:57and it's the vapours that can ignite. It would create quite a big fireball.
0:13:58 > 0:14:00Time for some extra protection.
0:14:01 > 0:14:04It's not the most fetching get-up,
0:14:04 > 0:14:07but these biohazard suits will allow the firefighters
0:14:07 > 0:14:10to get close enough to try and stem the flow of the fuel.
0:14:10 > 0:14:15The chemical suits were worn because the fuel oil can be toxic
0:14:15 > 0:14:18to a certain extent, if it's in high volumes,
0:14:18 > 0:14:21so it can affect your breathing, and if it's on your skin,
0:14:21 > 0:14:23it is an irritant as well.
0:14:24 > 0:14:27As well as the fear of combustion,
0:14:27 > 0:14:30the fire crews are aiming to prevent an environmental disaster.
0:14:30 > 0:14:34If the fuel got into the soil, it would get into the water courses,
0:14:34 > 0:14:37and that is the drinking water for the people in that area.
0:14:37 > 0:14:40But also there was the issue of local fisheries
0:14:40 > 0:14:44about half a mile down the road, and the water for the fisheries
0:14:44 > 0:14:47is also fed from the underground water courses.
0:14:47 > 0:14:51The two firefighters have filled in the leak on the truck,
0:14:51 > 0:14:54and, at the lower end of the cordoned-off road,
0:14:54 > 0:14:56PC Gerry Lyon is hopeful that the spread of the kerosene
0:14:56 > 0:14:58has been curtailed.
0:14:58 > 0:15:01Basically they lost about a thousand litres of fuel,
0:15:01 > 0:15:05which has now come down the hill and is collecting at its base.
0:15:05 > 0:15:09Luckily, with the lanes and the hedges
0:15:09 > 0:15:12and burn on the side, it's actually kept on the road,
0:15:12 > 0:15:15so there's no drains that we're aware of at the moment.
0:15:15 > 0:15:18So it's currently contained, and they have stopped the leaking.
0:15:18 > 0:15:22But there's still a lot of fuel inside and outside the tanker.
0:15:22 > 0:15:24Effectively it's a bomb waiting to go off,
0:15:24 > 0:15:28so they can't take any chances. With the aid of the police helicopter,
0:15:28 > 0:15:31Sergeant Paul Diamond has been coordinating the operation
0:15:31 > 0:15:33to evacuate local residents.
0:15:33 > 0:15:36These aerial photographs show the size of the area
0:15:36 > 0:15:38affected by the accident.
0:15:38 > 0:15:42At the moment we're just waiting for the experts who've turned up
0:15:42 > 0:15:45to assess what they're going to do with the vehicle,
0:15:45 > 0:15:48how they're going to get the material, product out,
0:15:48 > 0:15:51how they're going to do that without impacting on the environment any more
0:15:51 > 0:15:53than has happened at the moment.
0:15:53 > 0:15:56The stricken tanker has lost a quarter of its load,
0:15:56 > 0:16:00but there's another 5,000 litres of flammable fuel
0:16:00 > 0:16:04left inside. Any sparks created by trying to move the vehicle
0:16:04 > 0:16:06could potentially ignite it.
0:16:06 > 0:16:10They'll tell you how the rescue's going to be implemented,
0:16:10 > 0:16:12because if they've got to drag it,
0:16:12 > 0:16:15they're looking at vapours and sparks and...
0:16:15 > 0:16:19To solve the problem, the oil company send in a special vehicle
0:16:19 > 0:16:21to remove the fuel.
0:16:21 > 0:16:23Looking at where the vehicle's located
0:16:23 > 0:16:25and how difficult it is to get it out,
0:16:25 > 0:16:29they're going to cut some holes in the side,
0:16:29 > 0:16:32which is now the top of the tanker, and decant the product
0:16:32 > 0:16:35out through the top, which is the safest method of getting it.
0:16:37 > 0:16:41As darkness draws in, the expert team carefully siphon the fuel out
0:16:41 > 0:16:43of the damaged tank and into a new one,
0:16:43 > 0:16:46while out of sight, further down the road,
0:16:46 > 0:16:50fire crews soak up the fuel with special pads and pumps.
0:16:50 > 0:16:53We have got a list of how much is in each tank.
0:16:53 > 0:16:57About 3,000 in the other tanks, I think,
0:16:57 > 0:16:59so it should take a little less time,
0:16:59 > 0:17:02but they need to drill again just to depressurise it.
0:17:04 > 0:17:06A few hours later the job is done,
0:17:06 > 0:17:09and the vehicle-recovery team can move in to shift the tanker.
0:17:09 > 0:17:12Basically all we need to do now is get it righted.
0:17:12 > 0:17:14Not a problem.
0:17:14 > 0:17:16Using the powerful hydraulic crane,
0:17:16 > 0:17:20they meticulously lift and twist the truck inch by inch,
0:17:20 > 0:17:22until it's the right way up.
0:17:25 > 0:17:27The tanker's now back on its wheels,
0:17:27 > 0:17:31and the Highways will keep the road shut till the morning
0:17:31 > 0:17:33till a further investigation can be made,
0:17:33 > 0:17:36so from our point of view, we're making up and going now.
0:17:36 > 0:17:40Late evening, and the now-empty tanker can be towed away.
0:17:40 > 0:17:44It's taken all day to sort out the mess,
0:17:44 > 0:17:47but finally local residents can get back to their homes
0:17:47 > 0:17:49and back to normal.
0:17:49 > 0:17:52A delicate and very lengthy operation,
0:17:52 > 0:17:54but fortunately a complete success.
0:17:57 > 0:17:59Still to come on Real Rescues,
0:17:59 > 0:18:02taking the emergency department out on the road.
0:18:02 > 0:18:05Dr Paul Rees gives cyclist Caroline intensive medical treatment
0:18:05 > 0:18:08right where she fell, buying crucial time
0:18:08 > 0:18:10before the journey to hospital.
0:18:10 > 0:18:13Once they decided to anaesthetise her,
0:18:13 > 0:18:17I realised that it was a fairly serious situation.
0:18:17 > 0:18:20And paramedic Chris is treating a broken ankle,
0:18:20 > 0:18:24but his patient becomes hysterical. This will take some tough love.
0:18:24 > 0:18:26SHE MOANS AND WAILS
0:18:26 > 0:18:29Frankie? Right, Frankie, listen to me.
0:18:29 > 0:18:34Listen. Put your arms down. Listen. Calm yourself down. OK?
0:18:36 > 0:18:39The operators here all have the latest maps and technology
0:18:39 > 0:18:43to locate people, but sometimes just a little bit of local knowledge
0:18:43 > 0:18:45and quick thinking can make all the difference,
0:18:45 > 0:18:49and Lyn has had a call like that from a man who was fitting
0:18:49 > 0:18:52near a churchyard, as far as you knew.
0:18:52 > 0:18:55- And what did he tell you? - All the information we had
0:18:55 > 0:18:59was that a male was fitting in a church in Banbury,
0:18:59 > 0:19:03so I put "church" into my computer,
0:19:03 > 0:19:07and that came up with six pages, a hundred items.
0:19:07 > 0:19:09So you then need to use your local knowledge.
0:19:09 > 0:19:12So I had his phone number. I rang him.
0:19:12 > 0:19:16Immediately I knew that he'd been away from home for 50 minutes.
0:19:16 > 0:19:19Just trying to gauge how far he'd been able to walk.
0:19:19 > 0:19:21He didn't have his medication.
0:19:21 > 0:19:24All he could see was a clock that was lit up.
0:19:24 > 0:19:27- That's not terribly helpful. - No. A clock that was lit up.
0:19:27 > 0:19:32I ascertained from him, did he think that he was still in Banbury.
0:19:32 > 0:19:35He told me where he was going to. Working on the local knowledge,
0:19:35 > 0:19:39and he was still in Banbury, I believed it to be St Mary's Church
0:19:39 > 0:19:44in Horsefair, and where he could see, I suppose, it lit up,
0:19:44 > 0:19:46would be to the west of Banbury Cross.
0:19:46 > 0:19:48And this is because you live near here?
0:19:48 > 0:19:52Yes. I know the area. And he gave me one vital bit of information,
0:19:52 > 0:19:57that he could see "For sale, to let, with 20 parking spaces",
0:19:57 > 0:20:00and within Banbury town centre that's very limited,
0:20:00 > 0:20:03so I knew it would be off West Bar Street,
0:20:03 > 0:20:07so the units in between were directed, put their sirens on,
0:20:07 > 0:20:10and I was listening through the mobile phone,
0:20:10 > 0:20:14and we found him laid on the ground behind the veterinary surgery.
0:20:14 > 0:20:16And that's just because you know the area so well
0:20:16 > 0:20:19- that you can guess where it is. - Yes. Mmm. Yeah.
0:20:19 > 0:20:22- Brilliant. I understand you got a commendation for it.- Yes, I did.
0:20:22 > 0:20:25- Congratulations. - Thank you.- Thank you.
0:20:25 > 0:20:28Now, back to the woods near Southampton
0:20:28 > 0:20:31where medics are treating a cyclist who has a serious head injury.
0:20:31 > 0:20:34They need to give her a general anaesthetic,
0:20:34 > 0:20:36something normally only done in a hospital,
0:20:36 > 0:20:39not on a path in the woods.
0:20:40 > 0:20:43Led by critical-care doctor Paul Rees,
0:20:43 > 0:20:47a group of highly skilled medics from air and ground ambulances
0:20:47 > 0:20:50are now treating Caroline in the middle of the wood.
0:20:50 > 0:20:53They've been joined by an off-duty A&E nurse, Alan Charter,
0:20:53 > 0:20:56- who lives nearby. - Keep your head nice and still.
0:20:56 > 0:21:00Caroline is a lot calmer now the painkilling drugs have kicked in,
0:21:00 > 0:21:03and that's a comfort for her partner Richard.
0:21:03 > 0:21:07As soon as the pain relief came, and I could see she was free of pain,
0:21:07 > 0:21:10that was when the kind of relief to me came,
0:21:10 > 0:21:13because I knew that then she was no longer in distress.
0:21:14 > 0:21:18A local fire crew has cut through a locked gate
0:21:18 > 0:21:21to allow an ambulance access to the forest.
0:21:21 > 0:21:25Keep you nice and still. Nice and still, that's right.
0:21:25 > 0:21:27At this stage it's impossible to know
0:21:27 > 0:21:30just how serious a brain injury Caroline may have suffered.
0:21:30 > 0:21:33The safest thing to do is treat her as though she has,
0:21:33 > 0:21:36and put her to sleep so we can take control of her breathing,
0:21:36 > 0:21:38optimise the flow of oxygen to her brain,
0:21:38 > 0:21:41get her circulation how we want it and get her off to hospital,
0:21:41 > 0:21:43where we can scan her brain.
0:21:43 > 0:21:48Caroline is still conscious, but the drugs have eased her pain.
0:21:48 > 0:21:52They're now getting everything in place ready to anaesthetise her.
0:21:52 > 0:21:55It's something that would normally only be done in hospital.
0:21:55 > 0:21:59The procedure has three main phases. First you get the patient prepared,
0:21:59 > 0:22:01getting plenty of oxygen into the patient,
0:22:01 > 0:22:05making sure you've got access to the circulation by means of drips
0:22:05 > 0:22:09so you can give fluid and drugs. The second phase is giving anaesthetic,
0:22:09 > 0:22:11a dose of anaesthetic drug into the vein,
0:22:11 > 0:22:14followed by a muscle relaxant to make the muscles go floppy
0:22:14 > 0:22:18and allow us access to the airway. We then put a tube into the windpipe
0:22:18 > 0:22:21and get control of the breathing. Once the tube is in,
0:22:21 > 0:22:24the third phase is making the patient stable enough to move,
0:22:24 > 0:22:27and then off to hospital.
0:22:27 > 0:22:31Richard is just grateful the medics reached her in time.
0:22:31 > 0:22:34Once they decided to anaesthetise her,
0:22:34 > 0:22:38I realised that it was a fairly serious situation.
0:22:38 > 0:22:41But in terms of my own feelings,
0:22:41 > 0:22:45I was happy that these guys knew what they were doing,
0:22:45 > 0:22:47and that Caroline was in good hands.
0:22:47 > 0:22:50OK, ready, steady, lift.
0:22:50 > 0:22:52That's it. And ready, steady, move.
0:22:56 > 0:22:59With Caroline on a stretcher, Paul briefs everyone on their role
0:22:59 > 0:23:03in this delicate operation to give her a general anaesthetic.
0:23:03 > 0:23:06Here, Brian. Come round here. If you just do the head from there.
0:23:06 > 0:23:09- Immobilise the neck, Vicky. - All right, Caroline.
0:23:09 > 0:23:12Just relax, my darling. It's just a mask on your mouth
0:23:12 > 0:23:14just to help with your breathing, OK?
0:23:14 > 0:23:16Once we've given the muscle relaxant,
0:23:16 > 0:23:19the patient will stop breathing by themselves.
0:23:19 > 0:23:21We get access to the airway, put the tube in,
0:23:21 > 0:23:24make sure it's in the right place, secure it properly
0:23:24 > 0:23:27and take over breathing for them.
0:23:29 > 0:23:32You got it? Good. Everybody else stay in position.
0:23:32 > 0:23:36Thanks. 24. That's fine. Everybody else stay put.
0:23:36 > 0:23:38Lovely. And take the CO2.
0:23:38 > 0:23:42The tube has been successfully inserted down Caroline's throat.
0:23:42 > 0:23:45Now he's in sole control of her breathing,
0:23:45 > 0:23:48Paul has to press the bag 12 times every minute
0:23:48 > 0:23:50to provide her with air.
0:23:50 > 0:23:54What we're doing is giving her a chemically induced coma,
0:23:54 > 0:23:57stopping the clock, allowing us some time to stabilise her,
0:23:57 > 0:24:00get her to hospital, establish what her injuries are,
0:24:00 > 0:24:03then get her definitive surgical treatment for those.
0:24:08 > 0:24:11Paramedic Vicky will travel by road ambulance with Paul
0:24:11 > 0:24:14to help monitor Caroline's condition.
0:24:14 > 0:24:16On the way, they alert A&E
0:24:16 > 0:24:19that they're bringing in a very serious trauma case.
0:24:19 > 0:24:23We've got a 40-year-old female who's got a blunt head injury
0:24:23 > 0:24:25following a fall in some woods.
0:24:25 > 0:24:28We're about 20 minutes out from the hospital.
0:24:28 > 0:24:31She's GCS 12, some right-sided facial weakness,
0:24:31 > 0:24:35right-sided facial injuries, so she's been RSI'd,
0:24:35 > 0:24:36intubated and ventilated.
0:24:43 > 0:24:46'I've handed Caroline over to the emergency-department team.'
0:24:46 > 0:24:50They're stabilising her, and the intensive-care team have come down
0:24:50 > 0:24:52to take her to the CT scanner for a brain scan.
0:24:52 > 0:24:55If anything there needs an operation,
0:24:55 > 0:24:57she'll go straight from the scanner to fix that,
0:24:57 > 0:25:01and if not, she'll go up to ICU where they'll look after her.
0:25:01 > 0:25:06Inside, Richard must wait to find out what the brain scans will show.
0:25:06 > 0:25:09A brain swelling and bleed could mean an injury
0:25:09 > 0:25:12that Caroline may never fully recover from.
0:25:12 > 0:25:15Richard can recall the consultant's warning.
0:25:15 > 0:25:17I remember his comment quite strongly,
0:25:17 > 0:25:20that "this will be the longest 24 hours of your life".
0:25:22 > 0:25:26And I'm pleased to say that Caroline is well enough to join us here
0:25:26 > 0:25:29to talk about that fateful day.
0:25:29 > 0:25:31You were quite emotional, watching that.
0:25:31 > 0:25:34Yes, very emotional. Very, very.
0:25:34 > 0:25:36It was a very frightening thing at the time.
0:25:36 > 0:25:40Looking back on it now, it's awoken all those feelings again.
0:25:40 > 0:25:45Things I can't remember at all, so to watch it again
0:25:45 > 0:25:48- is just a bit scary. - Yes, I'm sure it is.
0:25:48 > 0:25:52Um, er... Now, can we ask how you're feeling now,
0:25:52 > 0:25:54because you've made an amazing recovery,
0:25:54 > 0:25:57given the seriousness of the injury that you had.
0:25:57 > 0:25:59But there are still a few problems.
0:25:59 > 0:26:03Yes, I do. I have... My throat. I can't actually talk properly,
0:26:03 > 0:26:06but this will go eventually, so...
0:26:06 > 0:26:09It's not hurting you to talk to us now, is it?
0:26:09 > 0:26:12It's fine, as long as you can hear me.
0:26:12 > 0:26:14We can hear you very well. You're doing very well.
0:26:14 > 0:26:18- And you have problem with one of your eyes?- Yes,
0:26:18 > 0:26:20but in time it will recover.
0:26:20 > 0:26:23- Have you got no sight, or some? - A little bit of sight.
0:26:23 > 0:26:27A little bit of sight. Richard, emotional watching that back.
0:26:27 > 0:26:29Both of you finding it emotional, that day.
0:26:29 > 0:26:32Difficult to... You said in the film
0:26:32 > 0:26:35that you felt confident because they were so good at their jobs,
0:26:35 > 0:26:38but there is a feeling of helplessness.
0:26:38 > 0:26:43There is, but as I said in the film, you're in expert hands.
0:26:43 > 0:26:46The people are there looking after Caroline,
0:26:46 > 0:26:48and that kind of gives you confidence
0:26:48 > 0:26:52that everything that can go wrong has already gone wrong,
0:26:52 > 0:26:54and from that point on everything can just get better.
0:26:54 > 0:26:58Let's move forward. Let's think in positive terms as well,
0:26:58 > 0:27:01because the people who looked after you were amazing.
0:27:01 > 0:27:03- This is not the first time that we've met.- No.
0:27:03 > 0:27:08- I met you nine and a half years ago. - When I was pregnant with Cecilia.
0:27:08 > 0:27:11And here it is. Let me show you this.
0:27:11 > 0:27:14I'm coming round this side to introduce you to Caroline
0:27:14 > 0:27:17and Sue of course, Sue Marshall. Morning. How are you?
0:27:17 > 0:27:20- Not bad.- Can we have a listen to your baby as well?
0:27:20 > 0:27:23- Yeah, you can.- Listen. - HEARTBEAT PULSES OVER MONITOR
0:27:23 > 0:27:25Extraordinary!
0:27:25 > 0:27:28On City Hospital, I met you when you were suffering with pre-eclampsia,
0:27:28 > 0:27:32and we were all very worried about whether the baby was going to be OK.
0:27:32 > 0:27:35Would you like to meet the baby? Come in, Cecilia.
0:27:35 > 0:27:39Come and join us over here. This is Cecilia, who's now...
0:27:39 > 0:27:41Let's show you a picture of you when you were little.
0:27:41 > 0:27:46- There we go. That's you! - Oh, you're sweet.
0:27:46 > 0:27:49Amazing. Mother and baby. You guys look great.
0:27:49 > 0:27:53I looked a lot younger. What happened to me in nine years?
0:27:53 > 0:27:57- Look how big I was, though!- Really? - I was three times bigger then.
0:27:57 > 0:28:00Cycling has become a bit of a family thing.
0:28:00 > 0:28:03- Will you be doing it again? - Definitely not.
0:28:03 > 0:28:05- Definitely not. - Definitely not more cycling.
0:28:05 > 0:28:09- How about horse-riding? - I did fall, so definitely not.
0:28:09 > 0:28:12- You've fallen off a horse as well? - Yes.
0:28:12 > 0:28:14Obviously on foot is the only way forward.
0:28:14 > 0:28:18- Yes?- Oh, I may try car races,
0:28:18 > 0:28:22so I'll keep on my car and walking.
0:28:22 > 0:28:26Thanks. Nice to meet you, Cecilia. We never got to talk before.
0:28:26 > 0:28:28- No.- All right. Thanks.- Thank you.
0:28:28 > 0:28:32Rescuing a trapped horse is often dangerous for the horse,
0:28:32 > 0:28:34but more so for the crews trying to help.
0:28:34 > 0:28:36On this callout for the animal-rescue specialists,
0:28:36 > 0:28:40there's an added complication, because it soon becomes clear
0:28:40 > 0:28:42that this horse is heavily pregnant.
0:28:42 > 0:28:46This pony's distress is clearly visible.
0:28:46 > 0:28:49She's shaking and soaked to the skin.
0:28:49 > 0:28:53No-one knows how she ended up in this newly dug clay pit,
0:28:53 > 0:28:55or how long she's been there.
0:28:56 > 0:28:58It could have been all night.
0:29:00 > 0:29:03West Sussex Fire Service have been called in to try and get her out.
0:29:05 > 0:29:08First consideration is always the simplest method.
0:29:08 > 0:29:11Is it possible to, say, dig out one side of the hole
0:29:11 > 0:29:14so that we can simply lead the horse out?
0:29:14 > 0:29:16Although there was an excavator on site
0:29:16 > 0:29:19that had been used to dig the hole, the size of the hole meant
0:29:19 > 0:29:22bringing the excavator bucket in very close to the horse.
0:29:22 > 0:29:25The pony's called Poppy, and there's every chance
0:29:25 > 0:29:28the attempt to get her out will distress her further.
0:29:28 > 0:29:32The West Sussex team have had to call on their Hampshire neighbours
0:29:32 > 0:29:35who will arrive with their specially adapted crane
0:29:35 > 0:29:37to try and lift Poppy onto dry land.
0:29:37 > 0:29:42The pony seems very calm now, but a lot is about to happen,
0:29:42 > 0:29:45and she could easily get stressed and kick out.
0:29:45 > 0:29:48She'll need to be sedated to make her safe to work around.
0:29:48 > 0:29:52Vet Stuart Wallis needs to get very close
0:29:52 > 0:29:54to inject right into a vein.
0:29:54 > 0:29:57'I climbed down into the water, and she gave a little bit of a...'
0:29:57 > 0:30:00She looked like she wanted to climb out of the ditch,
0:30:00 > 0:30:03and I was worried I might get squashed,
0:30:03 > 0:30:06but she settled very quickly and allowed me to clean her neck
0:30:06 > 0:30:08and get the injection in.
0:30:08 > 0:30:12It's impossible for Stuart to examine Poppy's legs
0:30:12 > 0:30:15under the water, so he's also giving her some painkiller
0:30:15 > 0:30:18in case she injured herself when she fell.
0:30:18 > 0:30:21By now Poppy's owner has been contacted,
0:30:21 > 0:30:24and there's a complication. This mare is pregnant,
0:30:24 > 0:30:26with just over a month to go.
0:30:26 > 0:30:28Luckily the drugs she's been given so far
0:30:28 > 0:30:31are no danger to the unborn foal.
0:30:34 > 0:30:37But the fire crews will have to be very careful
0:30:37 > 0:30:40how they place the lifting straps around her.
0:30:40 > 0:30:44There are only two positions you can safely hold a horse,
0:30:44 > 0:30:47and one is to put the strap in underneath the armpits,
0:30:47 > 0:30:50so the very front of the chest, and the second is as far back
0:30:50 > 0:30:53near the hips as you possibly can, and in those two positions,
0:30:53 > 0:30:57you don't cause any undue compression of the abdomen or the chest.
0:30:57 > 0:31:01The clay in the water will make it difficult to use their usual tools
0:31:01 > 0:31:03to guide the strops into position,
0:31:03 > 0:31:07but luckily they've got the long arm of the fire service on their side.
0:31:07 > 0:31:10Mick, very tall guy, very long arms,
0:31:10 > 0:31:14was able to safely get in quite close to where the horse was,
0:31:14 > 0:31:18and actually use his hands to pass the strops underneath the horse
0:31:18 > 0:31:20and get them in place that way.
0:31:22 > 0:31:24Just extend it.
0:31:24 > 0:31:27Strops in place, the crane can now be brought close
0:31:27 > 0:31:29and attached ready for the lift.
0:31:33 > 0:31:36It's a tense moment as Poppy starts to come up.
0:31:36 > 0:31:39'The difficulty comes as soon as you start to lift.'
0:31:39 > 0:31:42There's a tendency for the straps to slip.
0:31:42 > 0:31:46The rigid yellow bar should help keep Poppy balanced
0:31:46 > 0:31:48as she's lifted high over the bushes,
0:31:48 > 0:31:51and despite being almost 15 feet in the air,
0:31:51 > 0:31:55remarkably there's no sign of panic from this mum-to-be.
0:31:55 > 0:31:58It's the first chance Stuart has had to examine Poppy's legs.
0:31:58 > 0:32:00If they're injured and she can't stand,
0:32:00 > 0:32:03she could just crash to the floor when she's released.
0:32:03 > 0:32:06The last thing I wanted her to do was either fall over
0:32:06 > 0:32:12or half lie down, then try and stand up and cause herself more harm.
0:32:12 > 0:32:15And also I was concerned that, although the straps are OK,
0:32:15 > 0:32:18they are putting pressure on where the foal is,
0:32:18 > 0:32:21and we don't want to have too much pressure on there for too long.
0:32:21 > 0:32:24'So we just paused her there for a couple of seconds.
0:32:24 > 0:32:27'She showed no inclination to want to take her weight whatsoever.
0:32:27 > 0:32:31'Looking at her head and eye, she was still very sleepy and placid.'
0:32:33 > 0:32:36He finds no sign of serious leg injuries,
0:32:36 > 0:32:39but Poppy doesn't seem to want to support herself.
0:32:39 > 0:32:43Er, no. Right down, right down. Right down.
0:32:43 > 0:32:46So Stuart decides it's safest to lie her down.
0:32:46 > 0:32:50'She was very cold in her extremities, her nose and ears.'
0:32:50 > 0:32:52So at that point I was thinking about things
0:32:52 > 0:32:56that we now needed to do to resuscitate her,
0:32:56 > 0:32:59because if she showed no inclination to try and stand
0:32:59 > 0:33:03after about 15 to 20 minutes, then it was going to be hypothermia
0:33:03 > 0:33:06that was stopping her from wanting to fully recover.
0:33:10 > 0:33:14The next few hours will be critical for Poppy and her unborn foal.
0:33:14 > 0:33:16She'll be rubbed down and kept warm,
0:33:16 > 0:33:19but she will need to get back on her feet
0:33:19 > 0:33:23if she and the foal are to have a chance of survival.
0:33:23 > 0:33:26And if you're wondering how Poppy is now,
0:33:26 > 0:33:28she's a very proud mum
0:33:28 > 0:33:30with a fit and healthy foal.
0:33:33 > 0:33:34Ahh! Now, moving on -
0:33:34 > 0:33:37Thames Valley Police cover 196 miles of motorway,
0:33:37 > 0:33:40more than any other force. This is Inspector Pete Edwards.
0:33:40 > 0:33:43He's the one in control when there's a major incident.
0:33:43 > 0:33:47We've noticed, when an incident kicks off in a control room,
0:33:47 > 0:33:50- there's a sudden change in atmosphere.- That's correct.
0:33:50 > 0:33:54Say, for example... Let's pick an incident between junctions 10 and 11
0:33:54 > 0:33:56on the M4, which you can see behind us here.
0:33:56 > 0:34:00A big articulated lorry has gone across the central reservation,
0:34:00 > 0:34:03and 30, 40 cars were involved. What's the first indication you get?
0:34:03 > 0:34:06The first indication is a screen up there on the wall
0:34:06 > 0:34:10which indicates when calls are starting to come in on the 3-9,
0:34:10 > 0:34:13- emergency calls.- Zero means nobody's waiting at the moment.
0:34:13 > 0:34:16- That'll bounce up - what? Ten, 15 calls?- Absolutely.
0:34:16 > 0:34:20You'll soon see that change. We're next to some call-takers here.
0:34:20 > 0:34:23You'll soon hear the chatter as they type the keyboards,
0:34:23 > 0:34:26take details from the people reporting an emergency,
0:34:26 > 0:34:29and whilst they're taking those details,
0:34:29 > 0:34:34this will get moved over to the operators on the motorway desk.
0:34:34 > 0:34:38So you've got them taking details of an incident here,
0:34:38 > 0:34:40and they'll read the details of the incident
0:34:40 > 0:34:44and start to call up roads-policing officers close to that location.
0:34:44 > 0:34:48They'll see the maps and send people there as quickly as possible.
0:34:48 > 0:34:50And you want to get a look at it as soon as possible.
0:34:50 > 0:34:53They can use the cameras, which are all over the motorway.
0:34:53 > 0:34:57Would you look to see if you could get a helicopter up?
0:34:57 > 0:35:00There's a whole host of things, including the helicopter.
0:35:00 > 0:35:03We'll inform people from all different services -
0:35:03 > 0:35:05ambulance, fire service, Highways Agency,
0:35:05 > 0:35:08who work on the same channel as us, so we'll inform them.
0:35:08 > 0:35:12Myself, when I'm situated in the corner of the control room...
0:35:12 > 0:35:16That's the inspector's desk. You've got your own feed for pictures.
0:35:16 > 0:35:19There's an empty desk. I've always wondered what goes on here.
0:35:19 > 0:35:22It's reserved for when we have a major incident,
0:35:22 > 0:35:25so you start to have people move from other locations,
0:35:25 > 0:35:27to have an incident channel to deal with it.
0:35:27 > 0:35:30That's what happens. The place comes to life
0:35:30 > 0:35:34- the moment something comes in. Thank you very much.- Thank you.
0:35:35 > 0:35:39I'm in the custody suite a couple of floors below Nick right now,
0:35:39 > 0:35:42with Inspector Mary Cooper, who's in charge.
0:35:42 > 0:35:44- And you've got about 30 cells. - Correct, yeah.
0:35:44 > 0:35:47You run this now, but you've had to rescue people
0:35:47 > 0:35:51- before you arrested them. - Yes, and I think that's quite common.
0:35:51 > 0:35:54When I was a sergeant, we had an incident
0:35:54 > 0:35:58whereby some offenders did what's known as a vamoose burglary.
0:35:58 > 0:36:00A vamoose burglary? What did they do?
0:36:00 > 0:36:03At the same time as burgling the house
0:36:03 > 0:36:06they stole the car. And we had intelligence.
0:36:06 > 0:36:09- We suspected who it might be, so we...- Did a stakeout.
0:36:09 > 0:36:13- Exactly.- Found them, and they all ran off in different directions.
0:36:13 > 0:36:18Exactly. And myself and my team, we followed different groups,
0:36:18 > 0:36:22and myself and the dog handler followed one along the canal bank,
0:36:22 > 0:36:27and he disappeared. And we were sort of almost giving up,
0:36:27 > 0:36:30and then we heard some cries, and he'd actually jumped into the canal.
0:36:30 > 0:36:33So you've got to pull him out, I guess.
0:36:33 > 0:36:37Well, yes, because it was very cold, it was deep, and he couldn't swim,
0:36:37 > 0:36:41so he was actually struggling. So first of all we got him out,
0:36:41 > 0:36:45then obviously the ambulance attended and confirmed he was OK,
0:36:45 > 0:36:48- and then he was arrested. - Thank you very much!
0:36:48 > 0:36:51Things have moved on since you first started here.
0:36:51 > 0:36:54This is called the documentation room. Beth is in here.
0:36:54 > 0:36:58When Mary first started, this is how they used to do fingerprints,
0:36:58 > 0:37:01on a piece of paper, but you don't do that any more.
0:37:01 > 0:37:03- No.- Very sophisticated computer.
0:37:03 > 0:37:06A little bit earlier you took my fingerprints.
0:37:06 > 0:37:09What I'm interested in, you took the sides of my hand, didn't you?
0:37:09 > 0:37:12You can see them here. Why did you do that?
0:37:12 > 0:37:15That part of the hand is what I call peeping-Tom hands.
0:37:15 > 0:37:19That part is what's left on the glass if somebody's looking in.
0:37:19 > 0:37:22- It sounds silly, but it's incredibly useful.- Yes.
0:37:22 > 0:37:26Brilliant. Thank you. I hope you're going to take them off the computer!
0:37:26 > 0:37:28- Yes.- OK.
0:37:28 > 0:37:30A case of tough love now.
0:37:30 > 0:37:3317-year-old Frankie has a minor injury,
0:37:33 > 0:37:35but it very quickly gets too much for her.
0:37:35 > 0:37:39Some stern words are going to be needed to talk her round.
0:37:41 > 0:37:44Paramedic Chris Kirby is taking details from Control
0:37:44 > 0:37:47about a teenage girl who's fallen over.
0:37:47 > 0:37:51Do you want us to go on red, if she's in that much pain? OK.
0:37:51 > 0:37:54Technician Jason Harrap gets going on blue lights.
0:37:54 > 0:37:57SIREN WAILS
0:37:57 > 0:38:00The girl's in a lot of pain with her ankle.
0:38:00 > 0:38:03They need to get there quickly to make sure there's no threat to her foot.
0:38:03 > 0:38:06Looks like the second left past the college.
0:38:10 > 0:38:13They find Frankie crumpled on the pavement
0:38:13 > 0:38:15in the care of a police community officer.
0:38:15 > 0:38:19- When you fell, you didn't bang your head or anything?- No.
0:38:19 > 0:38:22And the reason you fell over was mechanical, was it?
0:38:22 > 0:38:25- I don't know. I... - You tripped over that. OK.
0:38:25 > 0:38:27Where's most of the pain?
0:38:27 > 0:38:31Right down at the bottom. Any pains in your knee at all?
0:38:31 > 0:38:35I'm just going to feel down your leg. You tell me where the pain starts.
0:38:35 > 0:38:37- Just say "now".- There.
0:38:37 > 0:38:40- On that bit?- Yeah.- OK. All right.
0:38:40 > 0:38:44- The 17 year old is very upset. - I have phoned her mum.
0:38:44 > 0:38:48Her mum is aware. She will meet her at the hospital.
0:38:48 > 0:38:49Right. OK.
0:38:49 > 0:38:53Frankie is scoring her pain highly, putting it at nine out of ten.
0:38:53 > 0:38:56To make her more comfortable, Chris administers gas and air.
0:38:56 > 0:38:58Breathe through the tube, deep into your lungs.
0:38:58 > 0:39:01But breathe normally, OK? Don't hyperventilate.
0:39:01 > 0:39:04And slowly out through your nose. Big breath down.
0:39:04 > 0:39:07That's going to make you feel a little bit wobbly,
0:39:07 > 0:39:10but it'll take the edge off the pain you've got in your leg.
0:39:10 > 0:39:13The next step is getting her on the trolley.
0:39:13 > 0:39:15One, two, three... OK. Lovely.
0:39:15 > 0:39:18Lovely. There we are.
0:39:18 > 0:39:22Once she's up, the effect of the gas suddenly leads to a change in mood.
0:39:22 > 0:39:25- My trousers! - SHE LAUGHS
0:39:26 > 0:39:28- OK. You got her?- Hop to the left.
0:39:28 > 0:39:31We can't hold you here. That's it, love.
0:39:31 > 0:39:33Well done.
0:39:33 > 0:39:37Has that taken the edge off any of the pain? It has? Good girl.
0:39:37 > 0:39:40In the ambulance, Chris takes a closer look at the ankle.
0:39:40 > 0:39:44Well done. Brilliant. Keep going, darling.
0:39:44 > 0:39:46Keep going. SHE SOBS
0:39:46 > 0:39:49Right. Just drop your leg down for me.
0:39:49 > 0:39:53It's swollen, and will need X-rays at the hospital.
0:39:53 > 0:39:57But it's Frankie's reaction which is worrying Chris more.
0:39:57 > 0:39:59- I want my mum!- I know you do, hon.
0:39:59 > 0:40:01SHE SOBS Frankie, listen, darlin'.
0:40:01 > 0:40:05You're quite safe, all right? You're quite safe.
0:40:05 > 0:40:07The influence of the gas, and the shock of the pain,
0:40:07 > 0:40:11is becoming too much for her. She's getting overwrought.
0:40:11 > 0:40:14- A little tough love is required. - SHE WAILS
0:40:14 > 0:40:16Frankie? Right. Frankie? Listen to me.
0:40:16 > 0:40:21Listen. Put your arms down. Right. Listen. Calm yourself down.
0:40:21 > 0:40:22- OK.- Mm-hm!
0:40:22 > 0:40:25All you've done, all right, is at very most...
0:40:25 > 0:40:28done a small fracture in your ankle, at very least a sprain. All right?
0:40:28 > 0:40:31- OK.- There's no need to get yourself worked up
0:40:31 > 0:40:35to the point where you go hysterical. You're quite safe.
0:40:35 > 0:40:38You're in a nice warm ambulance. Nobody's going to hurt you.
0:40:38 > 0:40:40OK? We're here to look after you, OK?
0:40:40 > 0:40:43You couldn't be anywhere safer than where you are now.
0:40:43 > 0:40:46All right? Mum's going to meet us at the hospital.
0:40:46 > 0:40:49All right? She'll be there to help you.
0:40:49 > 0:40:53It seems to do the trick. Jason gives her some more painkillers
0:40:53 > 0:40:55while Chris puts the ankle in a splint.
0:40:55 > 0:40:59This is going to support your leg, so when it's moving around
0:40:59 > 0:41:02- when we're driving, it won't hurt. - All right?
0:41:02 > 0:41:06At very most, all right, like I said, it could be a tiny fracture.
0:41:08 > 0:41:11But you're moving it, all right, which is all good signs.
0:41:14 > 0:41:17Moments later, and Frankie is much more relaxed.
0:41:17 > 0:41:20The painkillers and Chris's jokes turn her tears to laughter.
0:41:20 > 0:41:23Can I take my hair clip out, because it's really...
0:41:23 > 0:41:27Jason will do your hair if you want. He used to be a hairdresser.
0:41:27 > 0:41:30- SHE LAUGHS - What did you say that for?
0:41:30 > 0:41:33We can make some money on the side. Just go with it.
0:41:33 > 0:41:36She's under the Entonox. She won't know the difference.
0:41:38 > 0:41:41I promise you we really are ambulance people.
0:41:41 > 0:41:44- How much pain are you in now? - Hardly any.
0:41:44 > 0:41:47- So we're doing our job right, are we?- Yeah.
0:41:48 > 0:41:51Are you sure you don't want your hair doing?
0:41:51 > 0:41:55Jason sets off for the hospital. Chris keeps Frankie entertained
0:41:55 > 0:41:58as he fills out the paperwork.
0:41:58 > 0:42:01So, you were walking along. How fast to you think you were going?
0:42:01 > 0:42:04Oh, no. That's a car accident. You were walking.
0:42:04 > 0:42:07That's fine.
0:42:08 > 0:42:12By the time they reach the hospital, Frankie is revived from her ordeal.
0:42:12 > 0:42:17You hate hospitals? So do we, and they keep making us come back here!
0:42:17 > 0:42:19THEY LAUGH
0:42:19 > 0:42:23She's survived the accident as well as the onslaught of jokes.
0:42:23 > 0:42:26Chris is confident her stay at hospital will be a short one.
0:42:26 > 0:42:29Fingers crossed it is just a sprain.
0:42:29 > 0:42:33If not, and it's a fracture, she'll be plastered,
0:42:33 > 0:42:36but she'll certainly be going home today.
0:42:36 > 0:42:40That shows that it's not just their medical skills, is it?
0:42:40 > 0:42:43- It's their personal skills. - Very calm and kind, aren't they?
0:42:43 > 0:42:47- Join us next time for more Real Rescues. See you then.- Bye-bye.
0:42:53 > 0:42:57Subtitles by Red Bee Media Ltd