Episode 17 Real Rescues


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Episode 17

Nick Knowles and Louise Minchin follow the work of the emergency services. In this episode, the team help a teenage boy who has suffered flash burns to his body.


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Today, a teenage boy who suffers flash burns to almost a quarter of his body,

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after pouring petrol onto a hot barbecue.

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-How bad's your pain at the moment?

-On my chest and my arm.

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Of course you can, my darling.

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And a woman calls 999 after crashing her car down a five-metre ditch.

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She is seriously injured, hidden from the road,

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and has no idea where she is.

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Hello. Welcome to Real Rescues.

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We're in the Thames Valley Police control room in Abingdon.

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They are responsible for 196 miles of motorway -

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parts of the M4, the M40 and the M25.

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That is more than any other British police force.

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Later in the programme,

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we'll hear how a wet motorway is a magnet for swans.

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The trouble is, they crash-land and then they can't take off.

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Petrol and barbecues don't mix.

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It may sound obvious but in the heat of the moment,

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when the coals won't light and you have a can of fuel to hand,

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common sense goes out the window.

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Louise has been to meet the Helimed team.

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This is the air ambulance control desk and the paramedic here

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decides which emergencies the helicopter gets sent out to.

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And they don't come much more serious than this next rescue.

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An explosion's happened, a child is hurt,

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and he has burns to his face and body.

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It's the start of the Easter weekend.

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But Good Friday has turned out very bad for teenager Regan.

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The air ambulance crew, including paramedic Lisa Brown

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and Dr Graham Stiff, are on their way.

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Regan's anxious parents have called 999

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after he's been badly burnt in a terrible accident.

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We were lying on my bed in our room and Regan was a bit bored.

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He then said to me, "Mum, can I please go outside and play?"

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I said, "Fine, that's not a problem."

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It must have been about two minutes after that,

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I heard the most almighty bang I've ever heard.

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I sort of jumped up from the bed and I said to Amanda, you know,

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"What the hell was that? What is it?"

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And I ran downstairs and she came after me.

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Regan was coming indoors just saying,

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"I was burning, I was burning."

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A fuel can exploded in the teenager's hand and set fire to him.

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He suffered painful burns to 13% of his body,

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including his face.

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-RADIO: 'Pre-landing checks, please.'

-OK. Radar?

-'Yep.'

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-Strobe?

-'Yep.'

-Security equipment?

-'Yep.'

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RADIO MESSAGES OVERLAP

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To get to the family's house quickly,

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the air ambulance control desk has to alert Heathrow airport.

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They're on the flight path and Air Traffic Control have to clear air space

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for the pilot, Alf Gasparro, to fly through.

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All this on a busy bank holiday.

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Rapid-response paramedic Tim Goddard has been treating 13-year-old Regan's injuries,

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and has him ready for the air crew.

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That's all right, mate.

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Bandaged and blanketed, Regan cuts an alarming figure.

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Never play with fire!

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But despite his pain, he is remarkably calm.

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He had lit a barbecue with a can of highly flammable model-aircraft fuel.

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He closed the lid on the barbecue and then attempted to pour

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the rest of the fuel into the air...

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Little air holes at the top of the barbecue.

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And that is when the fumes ran up the line of the fuel,

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and then the tank exploded in his hands.

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I'm going to pop a seat belt over you, my darling, OK?

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And you'll be fine. We'll look after you, so don't worry.

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He was, like, brown - sort of...

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His whole colour, like, was brown, like he had been burnt,

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and his hair was all singed.

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You'll be there before us, cos we've got to drive quite a long way.

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But don't rush, though, Dad, OK? Just take it steady.

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I promise we'll look after him. He's all right. He's in good hands.

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I grabbed Regan, put him in a cold bath

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and just kept on splashing him with the cold water.

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Dr Stiff knows that without Mum's and Dad's swift actions to minimise the damage,

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their son that would be even more badly burnt.

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DR STIFF: The effects of burns do get worse over time.

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Clearly, the damage is there to the surface

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but it also heats up the tissues underneath, and...

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if you don't cool that down as well,

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you're going to continue to have ongoing damage to the tissues underneath the skin.

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Of course you can, my darling.

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What I want to do is have a look at the side,

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and I want to borrow an arm if I can.

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Regan is understandably suffering.

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-How bad's your pain at the moment, sweetheart?

-On my chest and my arm.

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DR STIFF: I think Regan dealt with his injuries incredibly well.

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Think about how painful it is when you just touch a hot surface

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or a fire, or something like that.

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And in Regan's case, he had a burn affecting almost a quarter of his body.

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What we're going to do in the meantime is give you gas and air. Mum might know about this.

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-He likes the gas and air!

-You've had some gas and air?

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Mum and Dad have put on a brave front for Reagan's sake.

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You feel like you want to burst out crying.

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You know, Dad did have a few tears.

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But, er, he made sure Regan didn't see him.

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But he's in the best possible hands now.

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-REGAN:

-I love you, Mum.

-I love you. You're going to be good, OK?

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Me and Dad, we're going to go, sharpish but safe,

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and we'll see you there.

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Gas and air will only do so much and before they fly to hospital Graham wants to give Regan ketamine,

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a strong tranquilliser and fast-acting painkiller.

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To give him the best chance of avoiding permanent disfigurement

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Regan will be flown 25 miles to Stoke Mandeville Hospital.

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Clearly he's a young guy and we're thinking about

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what his long term effects might be

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with scarring and that sort of thing.

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Mum and dad have done the best they can, now all they can do is wait and hope their son is OK.

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Regan's behaviour really touched the doctors that were helping him as we'll find out later.

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Everybody who works on that helicopter also works here as well.

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Paul, you're in charge. That's key, especially in a case like Regan's, isn't it?

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It's really important that the staff on the desk

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have the knowledge and understanding

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of how the helicopter works on a daily basis.

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If we use Regan's case as the example,

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it's really important because Regan had burns

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that affected his airway so for us to send a helicopter

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was really important because we were able to then move Regan

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to a specialist burns unit in Stoke Mandeville.

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What would have happened if you haven't sent a helicopter,

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would he have gone to a local hospital?

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Absolutely. Because of where Regan lives, he lives in the Slough area

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he'd have gone to Wrexham Park Hospital which is probably about 15 minutes by land,

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whereas actually it's a ten-minute flight to Stoke Mandeville by the helicopter,

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we can get straight to a regional centre of excellence that deals with burns and help him definitively.

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I know Lee's going to help us here and show us the maps, because he lived in a key area

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really close to Heathrow and you had to close the airspace, didn't you?

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We close the airspace on a regular basis.

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Terminal 5 is just here, Reagan lives in this area just here.

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So we need to make sure that

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the aircrafts on stack in this area are held off so we can land

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in the area here.

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Does it mean when we're going round on the airplanes

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that there might be a really good reason why it's happening?

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It could mean the aircraft's coming through the air space so it may be a five-minute delay

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but actually someone's life could be being dealt with at the other end.

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I will remember that. Thank you.

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We mentioned at the top of the programme how swans

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sometimes mistake roads for rivers.

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I'm going to have a chat with Dawn Tainton here who is a call taker.

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-You're not on a call?

-No.

-Jolly good.

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Really? Swans actually think that roads are rivers?

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Yeah, it's quite a common problem, they mistake the roads for water.

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-Why?

-If it's been raining or if the sun is shining the tarmac goes shiny

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so they think it's water.

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-Is it a regular thing?

-It's quite common.

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It's not every week, or every day, but it is quite a regular thing.

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What happens when you do get reports of it? Because they're a fair size, these birds, aren't they?

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Yeah, and they need a 30 yard minimum run up to be able to take off.

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-So what do you do?

-We put on a rolling road block,

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deploy police officers to put on a rolling roadblock to create a sterile area.

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-And try and give them the hurry up to...

-To give them the space

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and also we've got swan trained police officers.

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Swan trained police officers?!

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Yes, that are trained in how to pick up the swans and move them on.

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Moving on, if I come across here,

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PC Brigit Isted is one of those swan trained police officers, is that right?

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I'm not actually trained but I have moved a swan off the motorway,

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yes, I have removed one from lane one.

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-They're vicious though, aren't they?

-No, this one was quite docile,

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I got out of the vehicle, stuck my fluorescent jacket - black side down - over its head,

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it just cowered down, scooped it up into the car and away.

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-To where?

-We took it to the Swan rescue place at Eton.

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-That would make sense.

-It lived quite happily on the Thames.

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-It's a regular thing, is it?

-Yeah.

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Aw, so don't panic if you see a swan coming in to land on the motorway,

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just ring the police and they know what to do.

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It's bad enough having a car accident at any time

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but in this case the driver is on her own at night in an unfamiliar area.

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It's dark, she's seriously injured and concussion means she doesn't know where she is.

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This is her 999 call.

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Lara is unaware just how bad things are.

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Her car has ended up 15 feet down a ditch, buried in the undergrowth.

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She's broken her neck, collarbone and hip.

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The man you heard on the other end of the phone was Will East, who's here to talk us.

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How do you go about finding somebody who has no idea where they are?

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Initially officers were dispatched to her home address as an emergency

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to see if anyone there knew where she was, or where she was going,

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-or had been.

-Anyone there?

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It turned out her son was there, but he had no idea where she was or where she was going.

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-OK, Plan B?

-The next thing I did was ask her to hang up, although it sounded very strange.

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Hang up? That business about asking to her to hang up

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seems very odd, normally you'd try and keep the patient, or person,

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on the line to get clues, wouldn't you?

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Absolutely, but that way I could get some co-ordinates

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which we put on our mapping system to indicate roughly an area where she may be.

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-Who do you get these co-ordinates from?

-The BT operator.

-You can get some..?

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So give us an example.

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Once we put them into the system, it then pops up on the map there

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and it came back to the area of Northleach on the A429, or possibly the A40.

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OK, so it's not sat-nav accurate within six feet.

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-It gives you an area.

-That's correct, yes.

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So she could have been on the A40 or 429,

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or potentially some of these backroads down here.

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What other clues did she give you to say where she was?

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She was saying she could see a lot of headlights, and it seemed a busy road.

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-So we predominantly concentrated on the main road itself.

-Right, OK.

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So she was in undergrowth. So she's in the countryside,

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she's not anywhere near the big houses, but she's on quite a busy road,

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-so you think A40 or the other one? And you start sending police out?

-That's correct.

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All right, well, Will then needed to call Lara back

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and keep her talking until she could be found.

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So she thinks she sees flashing lights or lights flashing,

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-which isn't the same thing.

-That's right.

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The difficulty was because ambulance was on route,

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it could have been them or it could have been the police vehicles.

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What's your next plan of action in terms of trying to narrow it down,

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-because you've got on that map, you've got people all the way round the area.

-That's correct.

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You know she's somewhere there, so how do you narrow it down?

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So, basically, as soon as she saw the blue lights,

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the radio operator... I told the officers to stop where they were,

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and individually they put their sirens on for her to listen out for.

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And once she could start hearing things like that,

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they all got out of their cars and started making on foot, and she started to shout.

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And then, obviously, we just listened for her,

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and we were able to find her that way.

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Smashing. OK. Then, at last, some positive news for Lara.

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Obviously emotional at that stage. You did an amazing job.

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-Thank you.

-Amazing job. How long were you on the phone to her?

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-I think it was about 40 minutes or so.

-About 40 minutes.

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What an amazing job. We're pleased that people like you are around.

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So, from Will, who lets go of the scene at that stage,

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-we're going to move on to Mark Maisey, who was the first paramedic on was a scene.

-That's right.

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We talked about the fact she was down a ditch, surrounded by undergrowth.

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How difficult was it for you to find and get to her?

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Very difficult. You couldn't see the car from the main road,

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but luckily, there was a gateway so we could access a field,

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and then we saw the lady's, sort of, car wedged under a tree.

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And we had to scramble over a stone wall to actually get into the car to see the lady.

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Here's the thing. With it wedged under the tree, normally you take the roof off

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-and do the transfer from there, but you couldn't do that.

-No, it was a difficult extrication.

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We had to take the side of the car out to get her out through the side and on the spinal board.

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And very important that you were careful about that

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-because her injuries were quite serious. Go through them again.

-Yes, initially when we got into the car

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and used our primary survey, airway, breathing and circulation was fine,

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but she was pale, and she was complaining of neck pain,

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severe neck pain, radiating to her left shoulder and right hip pain.

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-Turned out she actually had broken a bone in her neck.

-That's right.

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-So a bad extrication could have actually paralysed her?

-Yes. Yes.

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-So it had to be a rapid extrication but it had to be very controlled.

-How's she doing now?

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She's very well. She's visited the police headquarters

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and said thank you to them, and doing very well.

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It's amazing what you guys do. I'm constantly in awe of the job you do.

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-Thank you for coming in to talk to us.

-No problem at all.

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Now, a rescue that might make you wince.

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A man has fallen and badly broken his ankle.

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He thinks it could cut off the blood supply to his foot.

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So even before paramedics arrive, he uses brute force and straightens it.

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Ambulance crew Danny Miller and Ollie Hunt

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have been sent to the aid of an injured walker in Durlston Country Park.

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The coastguard helicopter are on their way, too,

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as the man has fallen on a cliff path and it will be difficult to move him.

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For Danny and Ollie to get to the location,

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they're going to need to do some serious off-road driving.

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'I think the car park's there, then you might have to walk it over.'

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Flagged down by a worried walker,

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the rest of their journey will have to be completed on foot.

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Do you want to bring the splints?

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Is it a relative of you?

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A group have been out for a hike when, just over the buffeting wind,

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they could hear faint cries for help.

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It led them to 66-year-old Bob.

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He'd badly hurt his ankle.

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And, not knowing when help would arrive,

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he'd chosen to perform some amateur surgery.

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When I slipped, my foot was at right angles to my ankle.

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-Yep.

-And with the boot still on,

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I moved it back into the normal position.

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There was a lot of crunching. A lot of crunching noise.

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And then when I looked at my ankle, I realised I was in trouble with the blood.

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To ease his agony, they immediately put Bob on gas and air.

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So, if you had to score that pain in your ankle at the moment,

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ten being the worst pain you've ever felt,

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zero being no pain whatsoever, how would you give it?

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-Eightish.

-Eightish?

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You're tougher than me.

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Bob's ashen appearance suggests this could be a nasty break.

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Going to pop a needle in his arm, going to give him some pain relief,

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and then we're going to immobilise the fracture.

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Can you feel your toes in your right leg?

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-Yes.

-We're going to have a look at that a bit closer in a minute, OK?

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Won't be a minute and I'll get morphine into you, OK?

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-Bob?

-Yes.

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Helicopter winchman Buck Rogers has arrived to help.

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Keep sucking all the air in there.

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-What was the pain score?

-We were going at eight.

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-That's after about a minute or two on the Entonox.

-It was about 13 before.

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HE LAUGHS

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Good sense of humour. Good sense of humour!

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Bob's raising of his pain makes sense when they look at his leg.

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The ankle is clearly misshapen, with an open wound.

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Let's get a bandage around it.

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They keep checking in with Bob as they know, despite the brave face, he must be feeling it.

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Bob, how's the pain?

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Excellent, well done.

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Well done, chum.

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Are you all right, there, Bill? Bob, even!

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-Don't call me Mary, for God's sake.

-All right, Mary?

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-We'll get there in the end.

-That's a slapping offence, innit?

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-Have you got any other pains at all?

-No.

-No? Right.

0:20:540:20:57

An experienced rambler, Bob's come well and truly unstuck this time.

0:20:570:21:02

-So you were sussing out a walk for the weekend, were you?

-Yes.

0:21:020:21:06

As my wife would often say, "There's no fool like an old fool."

0:21:060:21:11

With the laughing gas clearly raising Bob's spirits,

0:21:110:21:14

the team can get on with the business of placing his leg in a splint that will hold it firmly.

0:21:140:21:20

A badly misaligned ankle can cut off blood supply to the foot,

0:21:220:21:25

so Bob's stoicism in attempting to straighten it himself

0:21:250:21:28

may have actually helped his chances of avoiding permanent damage.

0:21:280:21:33

Can you feel this, Bob? Can you feel that?

0:21:330:21:37

-Toes are a bit cold, but you can feel it?

-Yeah.

0:21:370:21:41

Bob's circulation seems to be in order but they need to get him off this chilly hill

0:21:410:21:46

and into the warm.

0:21:460:21:47

Put your good leg into here, please.

0:21:510:21:53

On three. All right?

0:21:530:21:55

One, two, three.

0:21:550:21:57

He's got full feeling there, still.

0:21:590:22:01

The terrain is too rough to take him by land, so Bob will have to go to hospital by helicopter.

0:22:010:22:07

Draw us up 50 Cyclizine, is that all right?

0:22:130:22:16

Before take-off, Ollie dashes back to the ambulance to fetch an anti-sickness drug for Bob

0:22:160:22:21

that will make his flight more comfortable.

0:22:210:22:24

How's the pain now, Bob?

0:22:290:22:31

Creeping up a little bit.

0:22:310:22:34

Just now he's probably warming up a bit, it's beginning to hurt.

0:22:340:22:38

It'll only take minutes to transport Bob to Poole Hospital

0:22:400:22:43

where he will find out if he needs an emergency operation on his ankle.

0:22:430:22:47

Unable to move on such a filthy weather day,

0:22:530:22:55

Bob was fortunate to be found so quickly.

0:22:550:22:58

Thanks, guys.

0:22:590:23:00

-Lucky you guys heard him, really.

-Well, we heard him...

-It's cold, isn't it?

0:23:000:23:04

Come on, don't pick on the guy, he's broken his ankle!

0:23:060:23:10

You're hard!

0:23:100:23:11

'Job done, Danny and Ollie can get back on the bumpy road

0:23:130:23:16

'to civilisation.'

0:23:160:23:18

Bob, still with his sense of humour, is here with me. Hi there, Bob.

0:23:210:23:24

-You had the operation, didn't you?

-I did.

-How's it going now?

-It's going very well.

0:23:240:23:28

-The plaster cast is off.

-Yes.

0:23:280:23:31

-You're now in a boot.

-As you can see.

0:23:310:23:34

And I've got another three weeks left

0:23:340:23:38

-as everything sort of mends.

-All the ligaments and everything?

-The ligaments mend.

0:23:380:23:44

It turns out you were so brave that you'd done yourself a favour, hadn't you?

0:23:440:23:48

It appears that way. It was purely instinctive.

0:23:480:23:51

At the time, I realised looking down at my foot

0:23:510:23:54

that it was not only sort of dangling on the end of my leg,

0:23:540:23:57

but also it was at right angles to it.

0:23:570:24:01

-Yes.

-Something needed to be done.

0:24:010:24:03

And we can see an X-ray of how it was,

0:24:030:24:05

which, even I can see, looks pretty nasty.

0:24:050:24:07

So you managed to put it back into place. What have they done to it?

0:24:070:24:10

-They've put pins in, have they?

-They've put a pin in.

0:24:100:24:13

-As I was yanking it into place, it was grinding and crunching.

-Ooh!

0:24:130:24:19

That's making me feel a bit squeamish. But you weren't at all.

0:24:190:24:23

-You kept your sense of humour throughout, didn't you?

-I guess so, yes.

0:24:230:24:28

-Does your wife say to you often that there's no fool like an old fool?

-From time to time, yes.

-Does she?

0:24:280:24:34

-You were out looking for a ramblers' recce?

-Yes.

0:24:340:24:39

Did they go on the ramble?

0:24:390:24:41

A friend of mine actually took over the walk

0:24:410:24:45

and lead that walk as planned just over a week later.

0:24:450:24:49

And I understand your wife happens to have a spare mobility scooter. Have you been using it?

0:24:490:24:55

That's true and we have been seen, on Swanage Promenade, both of us,

0:24:550:25:01

trundling along like Darby and Joan.

0:25:010:25:03

-That's quite romantic, actually, isn't it?

-It is, yes.

0:25:030:25:07

We were married 47 years ago yesterday,

0:25:070:25:10

-so we've got something to celebrate.

-That's fantastic.

0:25:100:25:13

You're a serious swimmer, too, so I hope that you can get back swimming soon.

0:25:130:25:16

-Thank you for coming to see us.

-Thank you.

0:25:160:25:18

Still to come on Real Rescues, the horse called Mischief

0:25:200:25:23

'who's gone in at the deep end and needs rescuing from a swimming pool.'

0:25:230:25:27

He panicked. There's nothing you can do. The only thing we couldn't do

0:25:270:25:31

was get into the water with him, cos he was thrashing around so much.

0:25:310:25:34

And we'll be back with teenager Regan, as he is transferred to a specialist burns unit.

0:25:340:25:40

Regan's a 13-year-old lad. He was playing with some petrol,

0:25:400:25:44

it exploded in his face and on the right side of his body.

0:25:440:25:47

It was an instantaneous flash burn.

0:25:470:25:49

Now, an accident on a fast and busy main road.

0:25:520:25:55

A taxi has hit a tree, the driver and young passenger in the back are trapped.

0:25:550:26:00

It's going to take a team effort and careful manoeuvring to get both of them out of the car.

0:26:000:26:05

'An ambulance is heading out to a car that's crashed off a busy country road

0:26:070:26:11

'into a tree, a potentially serious accident.

0:26:110:26:14

'Danny Millam and Ollie Hunt are on board.'

0:26:140:26:17

We believe there's a 16-year-old involved.

0:26:170:26:20

We've got no real details other than that.

0:26:200:26:23

'It turns out the car is a taxi which was bringing the teenager home from school.

0:26:230:26:29

'He and the driver are still inside when the team arrive.'

0:26:310:26:35

-Have you got any pain in your neck?

-No... Ah!

0:26:350:26:38

-Don't move for a minute, OK.

-My forehead.

0:26:380:26:41

You've hurt your forehead? OK.

0:26:410:26:43

'Because of the heavy impact with the tree, the main concern is for neck and spinal injuries.

0:26:430:26:48

'Ollie climbs into the back to check on Daniel.

0:26:480:26:52

'He's bloodied but not complaining of any pain.

0:26:520:26:55

'The taxi driver, however, is suffering, so Ollie holds her head immobile.'

0:26:550:27:00

I need someone to secure the young guy's head, if that's all right.

0:27:000:27:04

And then until we get extra hands...

0:27:040:27:06

David, you just sit nice and still.

0:27:060:27:08

'Until another crew arrives, they enlist the help of the police to assist with David.

0:27:080:27:12

'Danny calls for back-up.'

0:27:120:27:15

Can we have a further ambulance and can we have the fire brigade, please, over?

0:27:150:27:19

-RADIO: Yeah, will do.

-'Due to the impact speed,'

0:27:190:27:22

we're going to immobilise them both, just to be safe rather than sorry.

0:27:220:27:25

Immobilise their necks via boards.

0:27:250:27:27

So we're waiting for another crew.

0:27:270:27:29

'The heavy impact has jammed David's door shut,

0:27:290:27:33

'meaning the crew can't get proper access to him until the fire service arrive.'

0:27:330:27:37

This is a quite fast road, OK, and because of what's happened to the car

0:27:370:27:42

and just to be safe rather than sorry,

0:27:420:27:44

we're going to immobilise your neck and back and put you on a board, OK?

0:27:440:27:49

If you had to score the pain out of one to ten,

0:27:490:27:52

ten being the worst pain you've ever felt, zero being no pain,

0:27:520:27:56

what would you give that at the moment?

0:27:560:27:58

-At the moment it's not hurting, except I can't breathe deeply.

-OK, all right.

0:27:580:28:02

The fire service arrive

0:28:030:28:05

and immediately concentrate on making the car safe to work on.

0:28:050:28:09

Neither of the airbags have gone off in the front,

0:28:090:28:11

I don't know if we have anything we can whack over that.

0:28:110:28:14

It's had a hell of a front-end whack, hasn't it?

0:28:140:28:17

-We'll get a spider on there.

-Lovely, thank you.

0:28:170:28:20

The spider is placed on the steering wheel to protect them

0:28:200:28:24

in case the airbag goes off.

0:28:240:28:26

Now that the second ambulance has arrived,

0:28:260:28:28

they can start to get neck collars on to both casualties.

0:28:280:28:32

While I'm doing this, just relax your head as it was.

0:28:320:28:35

OK, Ollie, it's in position, if I take the head now, can you do the rest?

0:28:350:28:39

-Are you on?

-Yeah, I'm on.

0:28:390:28:41

OK, just be very careful on her chest.

0:28:410:28:44

They don't build cars for this, do they?

0:28:440:28:46

In order to get the driver out of the car on a long board,

0:28:460:28:50

the fire service are going to have to take the roof off,

0:28:500:28:53

but it's a strange and very noisy experience for them both.

0:28:530:28:57

Paramedic Matt is monitoring David

0:29:030:29:05

and keeping him up-to-date about what's going to happen.

0:29:050:29:09

We'll get you onto a board, shortly and take you down to Dorchester Hospital,

0:29:090:29:13

so hopefully you'll get a clean bill of health.

0:29:140:29:16

David's mum and dad have now arrived.

0:29:180:29:20

They watch on as the professionals do their work.

0:29:200:29:23

Now the roof has been removed,

0:29:280:29:29

they can get David on to a long board and out.

0:29:290:29:33

It will give them better access to the driver.

0:29:330:29:35

Ready, steady, slide.

0:29:350:29:38

Ah, my foot's caught.

0:29:380:29:39

It's all right, all right.

0:29:390:29:41

-Everyone ready?

-Yeah.

0:29:410:29:43

How are you doing?

0:29:430:29:45

He's out, he's out, safe and sound, OK?

0:29:450:29:48

He's even got Wednesday's socks on on Tuesday,

0:29:480:29:52

that's no good, is it?

0:29:520:29:55

Now it's the driver's turn.

0:29:560:29:57

I know it's sore.

0:29:570:29:59

Just be aware of the right shoulder, guys, if we can.

0:29:590:30:03

One, two, three, slide...

0:30:030:30:05

How was that?

0:30:070:30:09

Well, that's what we're doing.

0:30:170:30:18

Once on board the ambulance, Danny can start to do more checks,

0:30:180:30:23

but their patient is anxious that they let her husband know what's going on.

0:30:230:30:27

I'm Danny, a paramedic with South Western Ambulance.

0:30:270:30:30

The accident's severe enough for us to take her to the hospital.

0:30:300:30:33

Hopefully you'll be able to go straight round and see her, all right?

0:30:330:30:37

Okey-doke, no problem, bye-bye.

0:30:370:30:40

They reach Dorchester Hospital, where her husband is waiting.

0:30:420:30:46

To help keep her mind off the pain,

0:30:460:30:48

the crew have been keeping her spirits high with lots of friendly chat,

0:30:480:30:52

and they haven't forgotten she's a taxi driver.

0:30:520:30:55

There you go, my love, that's Dorchester Hospital, £23.50, please.

0:30:550:30:59

Yeah, right!

0:30:590:31:00

Cheeky rascals, those paramedics.

0:31:030:31:05

David, the passenger, was treated for whiplash,

0:31:050:31:07

and released later that day.

0:31:070:31:09

The driver has made a full recovery.

0:31:090:31:11

13-year-old Regan has been burnt by an exploding fuel can.

0:31:110:31:15

Earlier, we heard how his parents did all they could at home

0:31:150:31:18

and placed him in a cool water bath,

0:31:180:31:20

but he's now being flown to a specialist burns unit for urgent medical treatment.

0:31:200:31:24

-I can hear you, can you hear me?

-Yeah.

0:31:240:31:26

OK, close your eyes and just relax, we're going to take off now.

0:31:260:31:29

The flight will last 10 minutes.

0:31:290:31:31

Throughout, paramedic Lisa and Graham the doctor

0:31:310:31:34

closely monitor their young patient's condition.

0:31:340:31:37

Just give him another one of these.

0:31:410:31:43

The doctor's just put some fluid into you.

0:31:430:31:46

Where you've been burnt, you can lose a lot of fluid.

0:31:460:31:49

You can feel it going in?

0:31:510:31:53

It feels a bit cold, doesn't it?

0:31:530:31:55

Regan has been remarkably calm, considering the torment

0:31:550:31:58

of having painful burns to a large part of his body.

0:31:580:32:01

It hasn't stopped his natural curiosity about the aircraft.

0:32:010:32:04

How many feet?

0:32:080:32:10

-Probably...

-500.

0:32:100:32:11

About 500.

0:32:110:32:12

-You want to go back to sleep again?

-You want to go back to sleep?

0:32:150:32:19

To sedate Regan and make life more comfortable for him,

0:32:190:32:23

Graham gives him another dose of the fast-acting sedative.

0:32:230:32:27

So far he's had 60 milligrams.

0:32:270:32:29

-He said he wanted to be asleep.

-I know he did, yeah.

0:32:290:32:32

Yeah, he's gone.

0:32:320:32:35

They land at a playing field near to the hospital.

0:32:380:32:41

-Hello.

-Hi, there.

0:32:410:32:43

Are we here?

0:32:430:32:44

-We're here now, my darling, that was all right, wasn't it?

-Well done.

0:32:440:32:48

The team will travel with Regan the rest of the way in a land ambulance.

0:32:480:32:52

He's a very, very polite, very friendly little boy, isn't he?

0:32:520:32:56

Lovely.

0:32:560:32:58

Open your eyes.

0:32:580:33:00

That's it, have a little look around, what can you see?

0:33:000:33:04

-Faces.

-Faces.

0:33:040:33:05

Well done.

0:33:050:33:06

Good lad.

0:33:060:33:08

-His eyes are fine, aren't they?

-Yeah.

0:33:080:33:11

It's caught on the eyelashes, though.

0:33:110:33:13

-Yeah, his eyebrows, as well.

-And the hair at the front.

0:33:130:33:16

I think it must have been a very sharp, sudden bang.

0:33:160:33:20

At Stoke Mandeville Hospital, a special burns team are ready to receive Regan.

0:33:250:33:30

Regan's a 13-year-old lad who was involved in a petrol burn

0:33:300:33:34

about an hour and 10 minutes ago.

0:33:340:33:37

He was playing with some petrol, it exploded in his face

0:33:370:33:40

and on the right side of his body.

0:33:400:33:42

It was an instantaneous flash burn,

0:33:420:33:44

so he's suffering from burns on the right side of his body, chest and face.

0:33:440:33:49

He's got some evidence of nasal hair burns,

0:33:490:33:52

nothing inside the mouth at the time when we picked him up,

0:33:520:33:55

so it's mostly on the outside, I wasn't worried about airway at scene.

0:33:550:33:59

Earlier, a paramedic used clingfilm to cover his burns,

0:33:590:34:03

as it's sterile and helps prevent infection.

0:34:030:34:06

The burns look quite nasty, certainly very painful,

0:34:060:34:09

but with a bit of luck they're going to be superficial

0:34:090:34:12

and won't cause him too many problems, so he's in the right place.

0:34:120:34:15

Regan's grace under pressure has impressed everyone involved in his care.

0:34:150:34:19

The first thing he said when we arrived on scene

0:34:190:34:22

was to thank us for coming, one of the politest kids.

0:34:220:34:27

Just brought a tear to your eye, actually.

0:34:270:34:30

Certainly choked me a bit when we first met him.

0:34:320:34:35

So, with a bit of luck, he'll be OK.

0:34:350:34:38

That's how special he is.

0:34:380:34:40

It takes a lot to move seasoned medical professionals, and everyone had taken to Regan,

0:34:400:34:44

who's joined us here now to have a chat about what he went through,

0:34:440:34:48

and mum Amanda and dad Darren are also here to join in the chat.

0:34:480:34:52

So, what a day that was.

0:34:520:34:54

Yeah, it was quite a big day for me, as well.

0:34:540:34:56

Yeah, how are you feeling at the moment?

0:34:560:34:58

I'm feeling all right, nothing really hurts, it's going all right.

0:34:580:35:02

-So, no pain left any more?

-No.

0:35:020:35:04

And how are you healing up, you're looking good on your face?

0:35:040:35:06

Yes, just a few little red marks, but they'll go in a few months.

0:35:060:35:09

-They said in a few months you'll be back to normal?

-Yeah.

0:35:090:35:13

You looked very calm, why weren't you freaking out?

0:35:130:35:16

I was in my mind, but I just thought, it's not going to help me getting more angry, is it?

0:35:160:35:21

So I just thought, calm yourself down, and just did what I had to do.

0:35:210:35:25

And when you were burnt, how did...

0:35:250:35:28

It's a terrible question to ask,

0:35:280:35:30

but is it like when you burn your finger or something on a stove?

0:35:300:35:34

It's like, if you can imagine when you get chips out of the oven

0:35:340:35:37

and you touch the little metal thing on the top that's really hot,

0:35:370:35:40

you go, "Ouch!" - imagine that all over my body.

0:35:400:35:44

All my arms, my face, everywhere.

0:35:440:35:47

Guys, you must have been in bits at this stage,

0:35:470:35:50

when he was all bandaged up and strapped,

0:35:500:35:53

you must have been in a terrible state.

0:35:530:35:55

Yes, obviously it was mostly shock, so just instinct takes over,

0:35:550:36:03

and I think afterwards, after he'd been taken away, the whole thing sinks in,

0:36:030:36:08

but at the time I think it's just... everything is just instinctual and you just go with it.

0:36:080:36:14

When he was actually at the hospital, you weren't there, because you couldn't... What happened?

0:36:140:36:20

Because you were supposed to be following, but what happened?

0:36:200:36:23

We actually got lost on the way,

0:36:230:36:25

and halfway there I got a call from the doctors saying,

0:36:250:36:31

"We're very worried about Regan's breathing,"

0:36:310:36:34

and of course you can imagine as a mum driving knowing what's happened to your child

0:36:340:36:39

and they phone you with this news, so I just went numb,

0:36:390:36:43

I said to them, "Do whatever it takes,

0:36:430:36:46

"I'll sign whatever needs to be signed when I get to the hospital."

0:36:460:36:49

But by that point I couldn't feel my legs any more.

0:36:490:36:52

I'm not surprised.

0:36:520:36:54

Have you got any advice for other kids?

0:36:540:36:58

I just want to say, because I'm feeling a bit sad for other people,

0:36:580:37:01

there are probably kids doing the same thing now,

0:37:010:37:04

and they're probably going through the same as I went through,

0:37:040:37:06

and I want to say, it's not what it turns out to be, I thought it was cool, I was being a big man,

0:37:060:37:11

so I could tell people I did this and that,

0:37:110:37:13

but it's not as good as it turns out, it's nothing like it.

0:37:130:37:17

So, don't mess around about barbecues and fires and things,

0:37:170:37:20

because you don't know how big it's going to be.

0:37:200:37:23

How are you feeling now overall?

0:37:230:37:25

I'm all right, I'm in no pain at all, as I said.

0:37:250:37:27

The first time I had my bandages I wasn't allowed to take a bath

0:37:270:37:31

for like a week, so I stunk a bit.

0:37:310:37:33

Do you know what, a kid of your age,

0:37:330:37:36

I think that's pretty much standard.

0:37:360:37:39

Amazing story, thank you very much for coming in and chatting to us.

0:37:390:37:42

Thank you also for having us, thank you.

0:37:420:37:45

Emergency control rooms are used to dealing with the unusual.

0:37:450:37:49

This is the 999 call that came through to Hampshire Fire and Rescue Control one Sunday morning

0:37:490:37:54

about a horse called Mischief.

0:37:540:37:55

This is a job for the animal rescue specialists.

0:38:160:38:20

It turns out the horse has escaped from its field,

0:38:200:38:22

walked onto the tarpaulin covering the swimming-pool,

0:38:220:38:25

thinking it was solid ground. He's gone under three times.

0:38:250:38:28

The fire service filmed how they got him out.

0:38:280:38:31

Mischief the horse is stranded in the shallow end of the swimming-pool

0:38:320:38:36

in the garden next to his field.

0:38:360:38:38

Vet Luke Gamble is calming him as the owner Sarah watches on.

0:38:380:38:43

She's relieved his head's out of the water and he's free from the tarpaulin.

0:38:430:38:48

'The weight of him just went through half of it,'

0:38:480:38:51

but unfortunately he was over the reinforced part by that stage,

0:38:510:38:56

which then caught up in his back legs.

0:38:560:38:58

'As he panicked, it became tighter. There's nothing you can do.

0:38:580:39:02

'The only thing we knew we couldn't do was get into the water with him'

0:39:020:39:05

because he was thrashing around so much.

0:39:050:39:07

Before they can start the rescue, vet Luke Gamble needs to sedate Mischief

0:39:070:39:12

to reduce the danger to the horse and the firefighters.

0:39:120:39:15

Getting the dosage absolutely right is critical.

0:39:150:39:18

'If I used too much of the drug,'

0:39:180:39:20

although I want a heavy sedation, the last thing I wanted was for him to go under the water.

0:39:200:39:25

There's a huge risk then. He's a dead weight, at the bottom of the pool,

0:39:250:39:28

he can potentially drown or inhale water,

0:39:280:39:31

and we've got a whole different world of problems to deal with.

0:39:310:39:34

'Likewise, if I don't use enough first time, I've got another crisis,

0:39:340:39:38

'because he's then a risk to everyone who's working around him.'

0:39:380:39:42

Leaping about, he's not going to put up with straps.

0:39:420:39:45

If we pull him out and he kicks someone, even though he's not particularly big,

0:39:450:39:49

getting kicked by a horse in the head...potentially fatal.

0:39:490:39:52

The tranquilliser is doing its job. Mischief remains calm

0:39:520:39:56

whilst animal rescue specialist Jim Green gets the straps around him.

0:39:560:40:01

'We needed to lift the animal slightly

0:40:010:40:04

'and then spill it over the side of the pool.

0:40:040:40:07

'The barrel configuration is perfect for coming up and over the side of the pool,'

0:40:070:40:10

but if you were to pull it for any length of time,

0:40:100:40:13

what it tends to do is role the animal.

0:40:130:40:16

That rolling effect can stimulate it to want to stand.

0:40:160:40:19

Luke takes charge of the horse's head.

0:40:200:40:23

'What we wanted was a good strong head collar,

0:40:230:40:25

'that we could really hold on to, that wasn't going to break or snap.'

0:40:250:40:28

It gave us a bit of a handle on him.

0:40:280:40:30

The whole weight of a horse, really, all the movement, is in the head.

0:40:300:40:35

Keeping control of the head is everything.

0:40:350:40:37

While the firefighters get into position,

0:40:370:40:39

Luke is twitching the end of Mischief's nose.

0:40:390:40:42

It sounds harsh, but in fact it's a common method of calming a horse.

0:40:420:40:47

'Horses really do respond to having the end of their nose pinched,'

0:40:470:40:51

or sometimes you can use an ear twitch, which is a much more extreme form of twitch.

0:40:510:40:56

But even sometimes a shoulder pinch also works.

0:40:560:40:59

And it just does, in horses, release endorphins, which relaxes them.

0:40:590:41:03

Everything's in place.

0:41:060:41:08

One big heave...

0:41:100:41:12

..and Mischief is out of the pool...

0:41:170:41:19

..and on his feet.

0:41:220:41:23

'I tried to delay things for a few seconds

0:41:280:41:30

'by placing my knee just behind his head,

0:41:300:41:32

'because that just gave everyone a moment to get away.

0:41:320:41:35

'At one point, he does stumble a bit

0:41:420:41:45

'but again, that is just the drug kicking in. He's had a huge dose.'

0:41:450:41:48

That goes to show that, although he did seem quite calm,

0:41:480:41:51

he was indeed quite stressed, as I think any animal would be

0:41:510:41:55

when it's nearly drowned.

0:41:550:41:56

And when he's checked him over, miraculously,

0:41:560:41:59

he has hardly any injuries.

0:41:590:42:01

'The only thing he got from the rescue was a tiny little cut on his fetlock.'

0:42:010:42:05

He was not even lame. He was not stiff or anything. It was wonderful.

0:42:050:42:10

It's been a textbook rescue.

0:42:130:42:16

'This rescue went to plan and, at the end of the day,

0:42:160:42:19

'firefighters and the public were safe,'

0:42:190:42:22

the pony was uninjured and we had a good result.

0:42:220:42:26

'Mischief was calm,'

0:42:260:42:28

he was just wonderfully treated.

0:42:280:42:30

'We certainly couldn't have got him out ourselves.

0:42:300:42:33

'We could possibly in time have managed to build a ramp

0:42:330:42:36

'but I don't know how we'd have built the ramp out of the swimming pool,'

0:42:360:42:39

and he'd have undoubtedly got hurt coming out.

0:42:390:42:42

We've had some charming people on this programme, particularly Regan, who wants to be a cameraman.

0:42:440:42:49

And your Bob. Love is sharing the mobility scooter, it seems.

0:42:490:42:53

-You see, there is love out there.

-See you next time on Real Rescues.

0:42:530:42:56

Goodbye.

0:42:560:42:57

Subtitles by Red Bee Media Ltd

0:43:190:43:21

E-mail [email protected]

0:43:210:43:23

The team help a teenage boy who has suffered flash burns to his body, a woman who has crashed her car into a five metre deep ditch and has no idea where she is, and a horse who has fallen into a swimming pool.