0:00:02 > 0:00:05Today, on Real Rescues: from the battlefield to the British roadside.
0:00:05 > 0:00:08A special technique used on wounded soldiers in Afghanistan
0:00:08 > 0:00:11is the only way to help a man with multiple injuries,
0:00:11 > 0:00:13and he is still fully conscious.
0:00:13 > 0:00:15He is clearly quite poorly.
0:00:15 > 0:00:19He has both arms fractured, so it is going to be difficult to get pain relief and access to him.
0:00:19 > 0:00:21And I am dressed like this for a reason.
0:00:21 > 0:00:27Because later in the programme I am going to be given a baptism of fire.
0:00:27 > 0:00:31We'll hear about a four-year-old who was so clever, she got emergency help for her mum -
0:00:31 > 0:00:35even if she didn't quite understand everything she was asked.
0:00:56 > 0:00:59Hello and welcome to Real Rescues, where we go out on the road
0:00:59 > 0:01:02in the air and at sea with all of Britain's emergency services.
0:01:02 > 0:01:04Today we're based at police headquarters
0:01:04 > 0:01:06at Lewes in east Sussex.
0:01:06 > 0:01:08Yes, and the staff here help people
0:01:08 > 0:01:11going through life changing, life-threatening emergencies
0:01:11 > 0:01:12as well as everyday crimes.
0:01:12 > 0:01:15We have got some really fascinating stories
0:01:15 > 0:01:16from the call takers here today.
0:01:16 > 0:01:18This is Linda Hackett.
0:01:18 > 0:01:20You were involved in finding a thief in a rather unusual place.
0:01:20 > 0:01:22I think you could say we flushed him out.
0:01:22 > 0:01:25Flushed him out? There's a clue there.
0:01:25 > 0:01:27You're about to see one of the most testing rescues
0:01:27 > 0:01:30we've ever witnessed here on Real Rescues.
0:01:30 > 0:01:33A man is trapped in his car after a head-on collision.
0:01:33 > 0:01:35He has multiple injuries,
0:01:35 > 0:01:38but is somehow still conscious.
0:01:38 > 0:01:41It will take real teamwork from police, fire and ambulance crews,
0:01:41 > 0:01:44and a rare specialist technique to help rescue him.
0:01:51 > 0:01:53It is ten o'clock on a Thursday morning.
0:01:53 > 0:01:56The air ambulance is on an emergency callout.
0:01:56 > 0:01:59On board are paramedics Paul Owen and Nigel Brown.
0:01:59 > 0:02:02All they know is a serious car crash
0:02:02 > 0:02:06has just happened near Chard, in Somerset.
0:02:20 > 0:02:22'Received, many thanks, over.'
0:02:30 > 0:02:33A ground crew is already on the scene.
0:02:33 > 0:02:36Anyone critically injured will need airlifting to hospital.
0:02:36 > 0:02:38It happened on an A-road near a village.
0:03:06 > 0:03:09The site will be crowded with emergency vehicles.
0:03:09 > 0:03:11The pilot's flying into the unknown.
0:03:11 > 0:03:14His priority is finding a makeshift landing site.
0:03:23 > 0:03:24They're overhead.
0:03:24 > 0:03:28Paul and Nigel can get their first sight of the accident.
0:03:28 > 0:03:31It could help prepare them for the work ahead.
0:03:38 > 0:03:42They are confronted with a horribly mangled wreck of a car,
0:03:42 > 0:03:44surrounded by emergency crews.
0:03:46 > 0:03:48Inside is the driver.
0:03:48 > 0:03:52He's survived, but his body has suffered a terrible impact.
0:03:52 > 0:03:56The front wheel has ended up pushed right back under his seat.
0:03:56 > 0:04:00The driver of the second car has escaped with minor injuries.
0:04:00 > 0:04:04- Do you want the green board then?- Yes.
0:04:04 > 0:04:06He's got bilateral arm fractures.
0:04:06 > 0:04:09And he has got some limited sensation in his legs,
0:04:09 > 0:04:11chest and abdos are good.
0:04:11 > 0:04:16The reduced feeling in his legs suggest the driver could have broken all his limbs.
0:04:16 > 0:04:18It is a critical situation.
0:04:18 > 0:04:22Multiple fractures can cause nerve damage and internal bleeding.
0:04:22 > 0:04:24However, the driver is conscious,
0:04:24 > 0:04:28but he'll need the strongest and fastest-acting pain relief.
0:04:28 > 0:04:31Paul will need all his specialist trauma equipment.
0:04:31 > 0:04:34You carry on. I'll get the board and stuff.
0:04:35 > 0:04:37He is clearly quite poorly.
0:04:37 > 0:04:41He's got both arms fractured, so it will be difficult to get pain relief and access.
0:04:41 > 0:04:45He's got leg fractures. His chest and abdo seems to be all right.
0:04:45 > 0:04:48He is a little bit confused from a bump on the head.
0:04:48 > 0:04:51But we'll get him boarded, collared, reassess once he's out the vehicle,
0:04:51 > 0:04:54and see what's going on from there.
0:04:54 > 0:04:57Meanwhile, air paramedic, Nigel,
0:04:57 > 0:05:00continues to assess 25-year-old David's injuries.
0:05:00 > 0:05:04He was alone when he collided head-on with another car.
0:05:04 > 0:05:05Sore on the front?
0:05:05 > 0:05:08The pain comes down, further down more here, does it?
0:05:08 > 0:05:13With so many injuries, the first task of giving pain relief is going to be far from straightforward.
0:05:13 > 0:05:18- How are we doing, Nige?- Yep, OK, both arms are not good for IV.
0:05:18 > 0:05:21- OK.- So, I don't know, can we go sternal?
0:05:21 > 0:05:24- Not in the position we're in. I would suggest...- I/O?
0:05:24 > 0:05:29We could go ahead with humerus I/O. We're going to have trouble getting pain relief into this chap.
0:05:29 > 0:05:33He has multiple injuries. Especially in the lower arms and legs.
0:05:33 > 0:05:37So I'm probably going to get the pain relief into the bone, which acts like a blood vessel.
0:05:37 > 0:05:38So we can get some pain relief in there.
0:05:38 > 0:05:43It's not particularly comfortable, but once the morphine takes effect it will be worthwhile.
0:05:45 > 0:05:49As the fire crew start cutting away the car, Paul prepares the drugs.
0:05:49 > 0:05:53Using the hydraulic cutters, called the Jaws Of Life,
0:05:53 > 0:05:57the firefighters quickly remove the roof, giving the paramedics more room to work.
0:06:01 > 0:06:04- Any pain around here?- Down there? - It's sore, but...
0:06:04 > 0:06:06It's a little bit further down?
0:06:06 > 0:06:11- HE WAILS - Which side is that?- My right arm. Someone just...- Your right arm? OK.
0:06:11 > 0:06:15Be careful with that right arm. We'll get a splint on that one in a minute.
0:06:15 > 0:06:18- Sorry.- Don't be sorry, mate.
0:06:18 > 0:06:23Paul needs to find a suitable and stable area of David's upper body
0:06:23 > 0:06:26to minimise the discomfort of the injection
0:06:26 > 0:06:28and to maximise the effectiveness.
0:06:28 > 0:06:31Paul warns his patient what to expect.
0:06:31 > 0:06:34OK, this is gonna hurt, all right?
0:06:36 > 0:06:40Looks painful, doesn't it? We'll find out how David gets on a little bit later on.
0:06:40 > 0:06:43Now, a new number to call for help in the UK is 101.
0:06:43 > 0:06:46It's the number to dial when your call is not an emergency
0:06:46 > 0:06:48but you need assistance from police, fire or ambulance,
0:06:48 > 0:06:51and the calls will be taken by these people here.
0:06:51 > 0:06:54But they don't just pick up the phone. I'm going to explain a little bit more
0:06:54 > 0:06:58- because I want to introduce you to Sarah. Sarah, can I talk to you for a second?- Yes.
0:06:58 > 0:07:01You answered a call from a panicky old-age pensioner. What happened?
0:07:01 > 0:07:06Yes, she'd had a vacuum repair man come to her home address.
0:07:06 > 0:07:08He knocked on the door and had been very pushy with her.
0:07:08 > 0:07:10He wanted to come inside.
0:07:10 > 0:07:11She'd managed to get rid of him
0:07:11 > 0:07:16but only by agreeing to let him come back for an appointment later that afternoon.
0:07:16 > 0:07:18And then what happened?
0:07:18 > 0:07:22Meanwhile we had another phone call from a different area of Sussex
0:07:22 > 0:07:29with another elderly lady who'd had another vacuum repair man come to her address.
0:07:29 > 0:07:33Unfortunately she had let him in. She'd gone to make him a cup of tea.
0:07:33 > 0:07:38When she came back out, he'd stolen her purse from her front room and left.
0:07:38 > 0:07:43- So you put two and two together. - Yes, it looked like the same MO, possibly the same person,
0:07:43 > 0:07:50so I let the officers know that this man was going to be going to the other address later that afternoon.
0:07:50 > 0:07:52They waited there for him.
0:07:52 > 0:07:54When he turned up, they arrested him
0:07:54 > 0:07:58and he still had the purse from the first lady's house.
0:07:58 > 0:08:01So thanks to your detective work, they arrested him
0:08:01 > 0:08:02and returned the purse.
0:08:02 > 0:08:05- Yes, yes.- Well done, you! Fantastic work.
0:08:05 > 0:08:08You see, the great work they do around here. Louise, back to you.
0:08:08 > 0:08:13There aren't many four-year-olds with the presence of mind to know what to do in an emergency.
0:08:13 > 0:08:16Next we're going to meet a little girl who showed such quick thinking
0:08:16 > 0:08:20and courage when her mummy collapsed that she's been nominated for a lifesaving award.
0:08:20 > 0:08:24On that day, her mum Caroline passed out at the top of the stairs.
0:08:24 > 0:08:28Jessica found a mobile phone and then managed to press the redial number
0:08:28 > 0:08:32and got through to her cousin, who dialled 999.
0:08:32 > 0:08:35That call came through to Tony Newsham.
0:08:35 > 0:08:40Tony, so you get a call from a lady who's obviously in quite a lot of distress.
0:08:40 > 0:08:43What sort of things were you thinking when you heard that call?
0:08:43 > 0:08:46My main concern was for Jessica as well as her mum,
0:08:46 > 0:08:48to get back in touch with them,
0:08:48 > 0:08:50make sure Jessica was all right,
0:08:50 > 0:08:52and to find out what was wrong with her mum.
0:08:52 > 0:08:54And presumably you knew she was a little girl
0:08:54 > 0:08:57so that's quite a big priority for you, isn't it?
0:08:57 > 0:09:01Of course, yeah, and you have to get back to them to make sure everybody's safe.
0:09:01 > 0:09:02OK, which is exactly what you did.
0:09:02 > 0:09:05You re-rang that mobile phone and this is what happened.
0:09:05 > 0:09:13PHONE RINGS
0:10:47 > 0:10:52What Tony didn't know is that Jessica had never been able to open the front door before.
0:10:52 > 0:10:55Although it was a big ask, Jessica was up for that challenge.
0:13:14 > 0:13:17Well done, Jessica. Here she is now. Hello, Jessica.
0:13:17 > 0:13:20- And Caroline, you're OK, aren't you?- Yes.- Jessica, just tell us.
0:13:20 > 0:13:23Tony said that he thought you were all on your own,
0:13:23 > 0:13:25but you weren't really on your own, were you?
0:13:25 > 0:13:30No, I was with the teddies, my teddies, and the dog.
0:13:30 > 0:13:32- The dog as well. And this is Rosebud, isn't it?- Yeah.
0:13:32 > 0:13:36Tell me what you thought when mummy was collapsed on the top of the stairs.
0:13:36 > 0:13:39- Were you quite worried about her? - Yes.- What did you think...
0:13:39 > 0:13:43- How did you know to go and get the phone?- I just knew.
0:13:43 > 0:13:46You don't remember much of what was going on, do you Caroline?
0:13:46 > 0:13:49Meanwhile, Jessica's gone and got the phone. What was going...
0:13:49 > 0:13:51When you came round, what were you thinking?
0:13:51 > 0:13:54I was just worried about her
0:13:54 > 0:13:58and wanted to make sure everything was OK.
0:13:58 > 0:14:00I'm so proud of what she did.
0:14:00 > 0:14:05How she opened the door for him, and she'd never done it before.
0:14:05 > 0:14:09Even she had the brains to put the dog in the kitchen.
0:14:09 > 0:14:11How did you know to put the dog in the kitchen?
0:14:11 > 0:14:17I just opened the gate and the dog just came running in the kitchen.
0:14:17 > 0:14:18She's done an amazing thing.
0:14:18 > 0:14:23You asked her whether she had an address, she obviously didn't, but she knew where she was, didn't she?
0:14:23 > 0:14:25She knew where she lived, yes.
0:14:25 > 0:14:28How important is that when you're taking that call?
0:14:28 > 0:14:30It's very important for children to know where they live,
0:14:30 > 0:14:35especially if they can get a postcode and a house number.
0:14:35 > 0:14:37That's tantamount to our job and what we do.
0:14:37 > 0:14:40And when she opened the door, we could hear it being opened,
0:14:40 > 0:14:44it sounded like there was a lot of traffic. That was a problem for you as well, wasn't it?
0:14:44 > 0:14:46It was, it put my heart in my mouth.
0:14:46 > 0:14:49I actually thought she was right on the road itself.
0:14:49 > 0:14:51I was quite frightened for her
0:14:51 > 0:14:54and that's why I kept saying to her, "don't go outside".
0:14:54 > 0:14:56I know you're a really proud mum.
0:14:56 > 0:14:58She hadn't opened that door before, she'd never managed to open it.
0:14:58 > 0:15:01No. She can't do it now. If I ask her to do it now, she can't do it.
0:15:01 > 0:15:05So it just shows you, when you're in that sort of position,
0:15:05 > 0:15:07it's surprising what they can do.
0:15:07 > 0:15:11- OK, and do you think you were being brave at the time?- Yes.- Yes?
0:15:11 > 0:15:14- Would you do it again if you had to? - Yes.- You would, wouldn't you?
0:15:14 > 0:15:18Brilliant, well best of luck with Rosebud, and take care.
0:15:18 > 0:15:19Thank you very much.
0:15:21 > 0:15:25Still to come on Real Rescues, a lucky escape for the scooter rider
0:15:25 > 0:15:29who ends up under a truck and lives to tell the tale.
0:15:29 > 0:15:33- I remember going under his vehicle. It's slowly coming back to me. - Right.
0:15:33 > 0:15:37And there's nowhere to run to, and you can't dial 999 -
0:15:37 > 0:15:41I experience the nightmare of being trapped in a burning ship.
0:15:41 > 0:15:45OK, it's burning in the space above your head.
0:15:45 > 0:15:48- That energy is coming down on top of you now.- Wow! Look at that!
0:15:51 > 0:15:56Today, we're following the story of a man who is trapped in his car after a high-speed head-on crash.
0:15:56 > 0:15:58He's so badly injured,
0:15:58 > 0:16:01air ambulance paramedic Paul Owen is about to start the rarely-used procedure
0:16:01 > 0:16:06of injecting morphine directly into the injured man's bone.
0:16:12 > 0:16:14Which side? Lower down.
0:16:15 > 0:16:17Yeah.
0:16:17 > 0:16:20Paramedics and fire crew are fighting to get the driver, David,
0:16:20 > 0:16:24out of his car following an horrific accident.
0:16:24 > 0:16:27He's suffered multiple fractures to his arms and legs.
0:16:27 > 0:16:32The priority is pain relief. Only then can he be moved.
0:16:32 > 0:16:37But his limbs are too unstable for the medics to inject intravenously.
0:16:41 > 0:16:46Air ambulance paramedic Paul is going to use a technique commonly used on the battlefield.
0:16:46 > 0:16:49It involves drilling straight into the bone.
0:16:51 > 0:16:54The drill allows a needle to be put into the bone marrow.
0:16:58 > 0:17:02That's enough. Keep it down, all right?
0:17:02 > 0:17:04It's 30 minutes since the accident.
0:17:04 > 0:17:06Somehow David has remained conscious throughout.
0:17:06 > 0:17:09Now the needle's in place, the morphine can be injected.
0:17:09 > 0:17:13The bone marrow will move it quickly around the body.
0:17:13 > 0:17:16But even giving the drug is a painful process.
0:17:16 > 0:17:19Paul keeps him informed at every stage.
0:17:19 > 0:17:22It does hurt a little bit. I'm going to give it really slowly.
0:17:22 > 0:17:24David's levels of endurance are impressive.
0:17:24 > 0:17:27He manages to spare a thought for the other driver.
0:17:29 > 0:17:32- Yeah, they're fine.- They're fine. As far as we know, David, they're fine.
0:17:32 > 0:17:36I know they listened to your chest. I'm just going to have another listen, all right?
0:17:39 > 0:17:40Two deep breaths.
0:17:42 > 0:17:45All the time, Paul monitors David's heart and breathing.
0:17:45 > 0:17:48He may have suffered serious internal injuries
0:17:48 > 0:17:52and his condition could deteriorate at any time.
0:17:54 > 0:17:58Can I have a little feel of your hip? Is that all right?
0:17:58 > 0:18:00- That side is a little sore. - OK, what does that feel like?
0:18:00 > 0:18:03- Does that feel normal? - My leg's normal, yes.
0:18:03 > 0:18:06- My right one feels a little numb. - Does that feel OK, though?
0:18:06 > 0:18:11- You can feel me touching you? - I can feel you touching me, but it feels like it's going to sleep.- OK.
0:18:11 > 0:18:13- Well done.- Well done, David. That's fantastic.
0:18:13 > 0:18:16Paul is concerned that David has fractured his pelvis,
0:18:16 > 0:18:20an injury that can cause massive blood loss.
0:18:20 > 0:18:23They need to get him out as quickly and as carefully as possible,
0:18:23 > 0:18:28but first his arms must be stabilised in vacuum splints.
0:18:28 > 0:18:32Well done. Well done. Where is it? Are you all right there?
0:18:32 > 0:18:35It's a good sign David is conscious,
0:18:35 > 0:18:38but it means he's feeling every part of his rescue.
0:18:38 > 0:18:41- HE WAILS - All right, David. OK, mate.
0:18:41 > 0:18:43That's it. Well done.
0:18:44 > 0:18:48The medics are certain three of David's four limbs are broken,
0:18:48 > 0:18:51but they can't rule out a pelvis fracture or spinal injury.
0:18:51 > 0:18:56They will have to slide him out on a board to keep him as stable as possible.
0:18:56 > 0:19:00If I lift that up... No, you support that.
0:19:00 > 0:19:02DAVID CRIES OUT
0:19:02 > 0:19:06The fire crews are given the go-ahead to cut away the car door.
0:19:06 > 0:19:08He said his feet feel numb.
0:19:09 > 0:19:13Paul and Nigel can now get a closer look at David's legs.
0:19:13 > 0:19:16- They are stuck, right down there. - OK.
0:19:16 > 0:19:19- Are you happy for me to try a bit more?- You can try.
0:19:19 > 0:19:22We're just trying to sort his legs out, see if we can get him out with his legs,
0:19:22 > 0:19:26but we'll get him connected up. He's got bilateral arm fractures.
0:19:26 > 0:19:29Can you dig us out another blanket?
0:19:29 > 0:19:31Thanks, Mark. Or another couple.
0:19:34 > 0:19:37As the fire crew carefully cut away the dashboard to free David's legs,
0:19:37 > 0:19:42Paul monitors the line injected into David's shoulder bone.
0:19:44 > 0:19:47This is the fluid, as you're aware. Let us know when that runs through,
0:19:47 > 0:19:50so we won't give him more fluid than we have to.
0:19:50 > 0:19:52Let's just to check that it will run.
0:19:52 > 0:19:56The fluid is helping push the morphine around the body.
0:19:56 > 0:19:59- That's running. - HE WAILS
0:19:59 > 0:20:01OK, mate, bear with us.
0:20:03 > 0:20:05David's pain relief must be maintained.
0:20:05 > 0:20:10His rescuers are about to reach the critical stage - lifting him out of the car.
0:20:12 > 0:20:17Ooh, that looked painful, didn't it? We've got Paul Owen, the paramedic, here, and the dreaded drill.
0:20:17 > 0:20:21Let's see it. Please tell me that's not a bit of David you've got there!
0:20:21 > 0:20:23- It's not a bit of David, no! - Thank goodness for that.
0:20:23 > 0:20:27Paul, I have to say, it did look really very painful.
0:20:27 > 0:20:31I mean you only sort of perform that procedure in emergencies, right?
0:20:31 > 0:20:33Yes. When there's no other options.
0:20:33 > 0:20:36We couldn't get a vein in the traditional method
0:20:36 > 0:20:39so we had to find a different way and this was the most appropriate.
0:20:39 > 0:20:43It is a little bit gruesome, it is painful, but it needed to be done.
0:20:43 > 0:20:45I like how you said, "This could be a little bit painful."
0:20:45 > 0:20:49It is really painful. I mean, how painful is it?
0:20:49 > 0:20:54- The needle going in itself isn't too bad.- Right. Just show us.
0:20:54 > 0:20:57- If that was my leg or shoulder. - If this was your leg, we'd drill in,
0:20:57 > 0:21:00we'd push down, that would then stop there.
0:21:00 > 0:21:06- Disconnect, and that one comes out, leaving the tube in place.- Yes.
0:21:06 > 0:21:10- That does hurt...- Yes! - it hurts more when you push...
0:21:10 > 0:21:13You've got to push a bolus of fluid in to clear the space
0:21:13 > 0:21:16- and create some sort of route and that's what really hurts.- Right.
0:21:16 > 0:21:18But, it needed to be done.
0:21:18 > 0:21:21For the short-term pain, we needed to get some sort of access
0:21:21 > 0:21:25so we could get pain relief in and treat other conditions, should they arise.
0:21:25 > 0:21:29Now, as I understand it, this is the result of work with Southwest Ambulance and the Army, right?
0:21:29 > 0:21:32It's been developed... I think it's been around for a long time
0:21:32 > 0:21:34but it's been reintroduced by the Army and the military medics
0:21:34 > 0:21:37and the Southwest Ambulance Service have introduced this.
0:21:37 > 0:21:41We've carried it a little while and now they've decided to carry it on all their vehicles,
0:21:41 > 0:21:46which is brilliant because it does give you that access when you have no other options.
0:21:46 > 0:21:51OK, so on a rating of 1-10, how painful would that be?
0:21:51 > 0:21:52I don't know.
0:21:52 > 0:21:55- 11? 12?- It would...
0:21:55 > 0:21:57I don't know, seven or eight, it's going to be painful
0:21:57 > 0:22:00but it's something that's only painful for a short time
0:22:00 > 0:22:03and you can then get pain relief in and treat other conditions.
0:22:03 > 0:22:05OK. Thank you very much for your hard work.
0:22:05 > 0:22:06We'll find out how painful it was,
0:22:06 > 0:22:10because we speak to David a little bit later on in the programme.
0:22:10 > 0:22:11Ouch!
0:22:11 > 0:22:15Being trapped in any fire is a terrifying prospect,
0:22:15 > 0:22:17but a fire at sea adds a new dimension.
0:22:17 > 0:22:19There is nowhere to run from the flames
0:22:19 > 0:22:23and the elements can play a huge factor.
0:22:23 > 0:22:27We've seen before on Real Rescues how an electrical fault in the galley caused a spectacular fire
0:22:27 > 0:22:29on a fishing boat called Be Ready,
0:22:29 > 0:22:33stranded in the North Atlantic in snow and a force-nine gale.
0:22:33 > 0:22:38The captain of the ship, Ellis Fullerton, described the power of the fire.
0:22:38 > 0:22:40It was just basically like a blowtorch.
0:22:40 > 0:22:47It was moving and going through the ship faster than you could imagine a fire could ever move.
0:22:47 > 0:22:52And I remember the heat of the fire so much that my socks were sticking to the deck at that point.
0:22:52 > 0:22:56On that occasion, Ellis and his crew were saved by the combined efforts
0:22:56 > 0:23:00of the coastguard helicopter and the crew of another fishing boat.
0:23:00 > 0:23:03Anyone employed to work at sea, and I really mean anyone -
0:23:03 > 0:23:06from a hairdresser on a cruise ship to a hardened merchant seaman -
0:23:06 > 0:23:10must complete a course on how to cope with a fire on board.
0:23:10 > 0:23:11So, with some trepidation,
0:23:11 > 0:23:14I was volunteered to see what they have to do.
0:23:21 > 0:23:22I'm at Warsash Maritime Academy.
0:23:22 > 0:23:25This is the fire school and Martin is in charge,
0:23:25 > 0:23:28and I'm standing next to this extraordinary building, Mark.
0:23:28 > 0:23:29Explain to us what it is.
0:23:29 > 0:23:31Well what we've replicated here, Louise,
0:23:31 > 0:23:34- is the workings of a ship, compartments within a ship.- Yep.
0:23:34 > 0:23:38Inside we have different types of classes of fire for our students to practice on.
0:23:38 > 0:23:43- So anybody who goes on a ship should do this course?- Absolutely, yes.
0:23:43 > 0:23:47Any seafarers will have to do this under government fire regulations.
0:23:47 > 0:23:51- I can feel the heat from this little fire here.- Little, yes!
0:23:51 > 0:23:54- It's a little one for you, isn't it? - Just a bit(!)
0:23:54 > 0:23:58So we're going to go in there and it's a real situation, isn't it?
0:23:58 > 0:24:01Because this is a live fire. It's not a gas fire.
0:24:01 > 0:24:04No, the gas training units are good for procedural training
0:24:04 > 0:24:07but what you don't get is the heat and the steam, and they are strength sappers.
0:24:07 > 0:24:09- And it's the smoke, isn't it? - And the smoke.
0:24:09 > 0:24:12- So we put this kit on. - We do, to protect ourselves.
0:24:12 > 0:24:15- Do we need some help?- Yes, we do. - I think young Tony is going to help us. Tony?
0:24:30 > 0:24:31OK, Louise, what we've got...
0:26:44 > 0:26:48Oh, my goodness! I don't think I've ever seen you move so quickly.
0:26:48 > 0:26:52- How hot was it?- Do you know, it's made me nervous even watching that again.
0:26:52 > 0:26:55You can't really understand how hot it is until you've been in it.
0:26:55 > 0:26:57It's 600 degrees at the top.
0:26:57 > 0:27:00When that fire was rolling over my head, that's how hot it is.
0:27:00 > 0:27:05600 degrees Celsius, and basically if I'd taken one breath without the breathing apparatus
0:27:05 > 0:27:08I would have burnt the inside of my lungs.
0:27:08 > 0:27:11As Martin told me, that would've literally been my last breath.
0:27:11 > 0:27:13Until you've been in a fire like that,
0:27:13 > 0:27:15you have no idea how terrifying it is.
0:27:15 > 0:27:19I mean, we were steaming. You saw steam coming off our jackets. That means it's...
0:27:19 > 0:27:21OK, I want to show everybody at home
0:27:21 > 0:27:24a nice bright, shiny yellow fireman's helmet.
0:27:24 > 0:27:26Now, that's how they start off.
0:27:26 > 0:27:30And this is what they've given me to show you what happens if you stay in there too long basically.
0:27:30 > 0:27:33- You know, 10 minutes or so in there. - Only 10 minutes?
0:27:33 > 0:27:3610, 15 minutes in that sort of heat and look - it completely melts.
0:27:36 > 0:27:40And that's the inside as well, it starts getting buckling and all the rest of it.
0:27:40 > 0:27:42- So this was all part of the course? - This is part of the course,
0:27:42 > 0:27:46basically teaching people on board ships how to deal with, how to cope in a fire situation
0:27:46 > 0:27:49and all it taught me was just...
0:27:49 > 0:27:51You know, you have no idea of the power of fire
0:27:51 > 0:27:53and the most useful thing I did was get on the ground,
0:27:53 > 0:27:56get out of the heat, crawl away, get away as fast as you can -
0:27:56 > 0:27:58if you can on a ship, which could be difficult.
0:27:58 > 0:28:03- Well done, Louise. I'm so glad I was busy that day.- Thanks!
0:28:05 > 0:28:09A bad Monday morning now, for a man on his way to work.
0:28:09 > 0:28:11Fuel prices meant Paul Brooker's daily commute
0:28:11 > 0:28:14was getting so expensive, he decided to switch from a car
0:28:14 > 0:28:15to a scooter.
0:28:15 > 0:28:17It all seemed like a good idea.
0:28:17 > 0:28:19At the time.
0:28:21 > 0:28:248.00am - it's rush hour in East Sussex.
0:28:24 > 0:28:26Traffic cops Philip Edwards and Andy Smith
0:28:26 > 0:28:28are making their way at speed to Heathfield,
0:28:28 > 0:28:30a market town in the countryside.
0:28:30 > 0:28:32SIRENS BLARE
0:28:32 > 0:28:33Andy takes evasive action,
0:28:33 > 0:28:36via the roadworks, to cut past some of the traffic.
0:28:36 > 0:28:38Might drop down a big hole in a minute.
0:28:38 > 0:28:40There has been a collision between a man on a scooter
0:28:40 > 0:28:42and a truck.
0:28:42 > 0:28:44These type of accidents usually happen
0:28:44 > 0:28:46close to the rider's home.
0:28:46 > 0:28:49Traditionally, a lot of accidents happen on roads
0:28:49 > 0:28:51where people are familiar with that road,
0:28:51 > 0:28:53cos they drive that road day in, day out.
0:28:53 > 0:28:55They come round that bend 300 times every year,
0:28:55 > 0:28:58but one particular morning, there's a tractor there.
0:28:58 > 0:29:00That's where accidents happen,
0:29:00 > 0:29:03as they're not consciously thinking where they're going.
0:29:03 > 0:29:05An ambulance is already on the scene,
0:29:05 > 0:29:08and the police want to get there as fast as they can.
0:29:08 > 0:29:10But on country roads,
0:29:10 > 0:29:12there can be frustrating delays.
0:29:12 > 0:29:14He's slowed down - we've had to slow down, as well.
0:29:14 > 0:29:16If he's kept the same speed,
0:29:16 > 0:29:18we could have drifted past him at an appropriate point.
0:29:18 > 0:29:20- Another one.- Stopping on a left-hand bend, a blind bend,
0:29:20 > 0:29:22on solid white lines.
0:29:22 > 0:29:26If they had carried on driving as normal,
0:29:26 > 0:29:28we'd have come round the bend,
0:29:28 > 0:29:29and when the view had opened up....
0:29:32 > 0:29:35The police action depends on the seriousness
0:29:35 > 0:29:37of the scooter rider's injuries.
0:29:37 > 0:29:39At the scene, they are brought up to date
0:29:39 > 0:29:41by paramedic Dave Keeley.
0:29:41 > 0:29:43At the moment, the only injuries we can find
0:29:43 > 0:29:45is possibly one fractured leg
0:29:45 > 0:29:47and some cuts and bruises.
0:29:47 > 0:29:51- So hopefully, nothing too serious. - Right, OK.
0:29:51 > 0:29:53It's good news. The rider, Paul,
0:29:53 > 0:29:56has not suffered life-threatening injuries.
0:29:56 > 0:29:59However, he was unconscious for a few minutes after the impact,
0:29:59 > 0:30:02and is complaining of a lot of pain in his legs.
0:30:02 > 0:30:09- Do you remember what happened? - The cars. Three cars stopped.- Right.
0:30:09 > 0:30:15- Stopped their motors and I stopped and I just slid.- Right.
0:30:15 > 0:30:19All the drivers involved in the shunt are still at the scene.
0:30:19 > 0:30:21Andy's gathered witness statements.
0:30:21 > 0:30:22A van has been travelling along,
0:30:22 > 0:30:25has slowed down to turn right into a junction.
0:30:25 > 0:30:28The vehicle behind hasn't quite noticed
0:30:28 > 0:30:31he's been turning in time.
0:30:31 > 0:30:32Has left it a bit too late to brake.
0:30:32 > 0:30:35He's braked suddenly, thankfully for him
0:30:35 > 0:30:37he hasn't gone into the back of the van.
0:30:37 > 0:30:40But behind him is a chap on a moped.
0:30:40 > 0:30:44Again hasn't given himself enough gap to stop in time.
0:30:44 > 0:30:46He's tried to brake, being a slippery road, the bike's gone down,
0:30:46 > 0:30:48it's slid under the pickup truck
0:30:48 > 0:30:53here and, as a result, you've got some quite nasty leg injuries.
0:30:53 > 0:30:56All right, what I need to do, Paul, if you're happy,
0:30:56 > 0:30:58if you feel OK at the moment, is do a quick
0:30:58 > 0:31:02sample of breath from you to make sure you're not over the limit.
0:31:02 > 0:31:06It turns out Paul slid along the tarmac for seven metres
0:31:06 > 0:31:08before abruptly coming to a halt under the truck.
0:31:08 > 0:31:11He's not feeling very lucky at the moment,
0:31:11 > 0:31:14but Andy's seen motorcyclists in similar accidents
0:31:14 > 0:31:16come off far worse.
0:31:16 > 0:31:18His head was in the middle of the carriageway,
0:31:18 > 0:31:21quite a narrow lane here, traffic coming the other way.
0:31:21 > 0:31:25I dread to think, if a bigger vehicle had come the other way what would have happened.
0:31:25 > 0:31:30So he's got a broken leg, he's come out of it reasonably well, really.
0:31:30 > 0:31:33Zero, just what we wanted.
0:31:33 > 0:31:35Paul's taken to hospital.
0:31:38 > 0:31:41Philip and Andy wait for his scooter to be recovered.
0:31:41 > 0:31:43This type of accident is a familiar callout.
0:31:43 > 0:31:46Out of all our accidents, vehicle shunts -
0:31:46 > 0:31:49where one car or vehicle drives into the back of another -
0:31:49 > 0:31:51is probably the most common type of accident.
0:31:51 > 0:31:56A third of our accidents are from that type of accident. It only takes a lead car
0:31:56 > 0:31:59to brake a bit sharply because people don't leave enough of a gap between themselves
0:31:59 > 0:32:03and the vehicle in front, the vehicle behind that will brake even sharper again and so on.
0:32:03 > 0:32:05By the time you get to the last vehicles,
0:32:05 > 0:32:08they're anchoring up doing emergency braking.
0:32:08 > 0:32:11And sooner or later, someone's not going to stop in time.
0:32:11 > 0:32:14We've got a slippery, damp country road here
0:32:14 > 0:32:16and they will just slide into the back of the car in front.
0:32:20 > 0:32:23Once the recovery truck's collected the bike,
0:32:23 > 0:32:26Philip checks up on Paul's progress at the hospital.
0:32:26 > 0:32:30There was no damage to his truck, so...
0:32:30 > 0:32:33- I remember going under his vehicle. - Yeah.- It's slowly coming back to me.
0:32:33 > 0:32:37- So the front locked up underneath you?- Kind of.
0:32:37 > 0:32:41- Yeah. It kind of went. It happened so quick.- You don't want to know.
0:32:41 > 0:32:44- No. I'm not doing it any more.- No?
0:32:44 > 0:32:47- I bought it for 2½ grand to save money.- Yeah.
0:32:47 > 0:32:52- I've got a car, but I think I've lost my confidence.- Yeah.
0:32:52 > 0:32:54Yeah. It's not nice when you do slide off.
0:32:54 > 0:33:00- No, I'd just rather be in a car. - Yeah.- I've got a car, but I done it to save money.- Yeah.
0:33:00 > 0:33:02Because I'd been using too much fuel.
0:33:02 > 0:33:04OK. I'll leave you alone now, all right?
0:33:04 > 0:33:08I'll try and get an update from hospital staff as to the extent of your injuries.
0:33:11 > 0:33:12And Paul has been a lucky man -
0:33:12 > 0:33:15he didn't break his legs, but he was badly bruised.
0:33:15 > 0:33:19- I want to talk to a call-taker, Linda. You're OK to talk just now, are you?- Yes.
0:33:19 > 0:33:23- You took a call from a man who said his car had been damaged. - That's right.
0:33:23 > 0:33:26- The person who had allegedly damaged it had done something odd, hadn't they?- Yes.
0:33:26 > 0:33:31In his attempt to get away, he'd jumped into the marina.
0:33:31 > 0:33:33OK, and then what happened?
0:33:33 > 0:33:37He swam across to the other side of the marina and got on a boat
0:33:37 > 0:33:39and was hiding in the toilet.
0:33:39 > 0:33:43- OK. How on earth was he found? It's a dangerous situation.- Absolutely.
0:33:43 > 0:33:46It turns from an attempted robbery to something quite different.
0:33:46 > 0:33:48That's right. It was quite cold.
0:33:48 > 0:33:53So using the police dogs, and the Coastguard,
0:33:53 > 0:33:56and with the thermal imaging camera of the police,
0:33:56 > 0:34:00they found him on the boat via his footsteps.
0:34:00 > 0:34:04- Literally from the wet footsteps on the boat?- On the boat, yes.
0:34:04 > 0:34:08- And he was in a strange place. - He was hiding in the toilet.
0:34:08 > 0:34:11So using all your expertise, the Coastguard and police,
0:34:11 > 0:34:12you flushed him out.
0:34:12 > 0:34:16- Absolutely.- Quite extraordinary, some of the calls you take.
0:34:16 > 0:34:18- Absolutely.- Thanks, Linda.
0:34:18 > 0:34:22All through this programme, we've followed the rescue of David Langdon from his smashed car.
0:34:22 > 0:34:25Despite his many injuries, David's managed to stay conscious
0:34:25 > 0:34:28but he's got two broken arms.
0:34:28 > 0:34:31So, how will the firefighters lift him out?
0:34:35 > 0:34:40It's 40 minutes since a head-on collision left David trapped in his car
0:34:40 > 0:34:43with horrific injuries - multiple fractures
0:34:43 > 0:34:45and possible internal injuries.
0:34:45 > 0:34:49A team of highly-skilled paramedics have kept him stable. Along with the fire crews,
0:34:49 > 0:34:51they're now ready to move David out of the wreckage.
0:34:51 > 0:34:54Shall we just sort of ease forward?
0:34:54 > 0:34:57Feed that in, put the board in and if we can use enough hands...
0:34:57 > 0:34:59We've got the hands to lift him.
0:34:59 > 0:35:01Just want to be really careful with that line. Yeah.
0:35:01 > 0:35:04OK, we need to support both arms. We'll have a look at the legs
0:35:04 > 0:35:06- and perhaps splint them if we need to. Yeah?- Yeah.
0:35:06 > 0:35:08The team will have to move David
0:35:08 > 0:35:10without putting any pressure on his arms.
0:35:10 > 0:35:13Somehow, they'll have to slide him onto a long board
0:35:13 > 0:35:15without touching his limbs
0:35:15 > 0:35:19and at the same time keeping his spine as straight as possible.
0:35:19 > 0:35:22I'll take the head from here.
0:35:22 > 0:35:25You're going to look after the legs and can you do the pelvis as well?
0:35:25 > 0:35:29They can't pull on his arms or shoulders.
0:35:29 > 0:35:30They'll have to improvise.
0:35:32 > 0:35:34We're going to have to lift quite a lot from the belt
0:35:34 > 0:35:35because the arms are both gone.
0:35:35 > 0:35:38All right? So if we bring forward on the teardrop.
0:35:38 > 0:35:41We're just going to try and bring it forward a little bit.
0:35:41 > 0:35:42We're going to support this arm.
0:35:42 > 0:35:44- HE GROANS - Sorry.
0:35:44 > 0:35:47What we're initially going to do is just go 18 inches,
0:35:47 > 0:35:48get the leg straight. OK?
0:35:48 > 0:35:51So we'll come up the board when everyone's ready.
0:35:51 > 0:35:55Be really careful with that arm. We've got a fracture at the top of the humerus.
0:35:55 > 0:35:58Can you reach down to his belt on his trousers?
0:35:58 > 0:35:59So we'll go 18 inches to start with.
0:35:59 > 0:36:01Ready, set, slide.
0:36:01 > 0:36:04- HE WHIMPERS - OK.
0:36:04 > 0:36:05HE GROANS
0:36:05 > 0:36:07How are those feet looking?
0:36:07 > 0:36:11'But David's feet are jammed under the pedals.'
0:36:11 > 0:36:14We've got two jammed together. We've got to free them.
0:36:14 > 0:36:17- Right. That's it. Are we free now?- Yes.
0:36:17 > 0:36:20OK. Ready, set, slide.
0:36:20 > 0:36:21HE GROANS
0:36:21 > 0:36:22OK.
0:36:22 > 0:36:26As he's pulled free, it's clear that David's right leg is broken
0:36:26 > 0:36:27and twisted out of line.
0:36:27 > 0:36:32If we can just take the board out, lay over there, reassess over there.
0:36:32 > 0:36:37After 50 minutes of being trapped in his car, David is finally free.
0:36:38 > 0:36:40Right. If we come back here.
0:36:46 > 0:36:49We can see that possibly
0:36:49 > 0:36:54the big bone called the femur might be fractured,
0:36:54 > 0:36:56so we're going to apply some traction shortly.
0:36:56 > 0:36:58The gentleman's had some more pain relief
0:36:58 > 0:37:02and we're going to put a special splint on to immobilise it
0:37:02 > 0:37:03and prevent the pain.
0:37:03 > 0:37:06But they can't rule out his pelvis is broken as well.
0:37:06 > 0:37:07Any tenderness around here?
0:37:09 > 0:37:11Top of the left hip.
0:37:11 > 0:37:12Don't worry.
0:37:12 > 0:37:14Right. Can we also have that SAM splint?
0:37:14 > 0:37:17Paul's using another splint to immobilise David's pelvis.
0:37:17 > 0:37:20There are major blood vessels in the pelvis.
0:37:20 > 0:37:24A fractured bone could result in internal bleeding.
0:37:24 > 0:37:28If you can just lift that pelvis a fraction, I will feed this...
0:37:30 > 0:37:33DAVID MOANS
0:37:34 > 0:37:37Strapped to the stretcher and completely immobile,
0:37:37 > 0:37:41David can be safely carried to the waiting helicopter.
0:37:46 > 0:37:50There you go, buddy. Sorry, Davey.
0:37:50 > 0:37:52Good luck, David.
0:37:52 > 0:37:53No problem, mate.
0:37:53 > 0:37:55It's been one of the most difficult rescues,
0:37:55 > 0:37:58but David has remained calm and conscious throughout.
0:37:58 > 0:38:01How does that leg feel now, David?
0:38:01 > 0:38:03Left leg's not too bad. Right leg feels very,
0:38:03 > 0:38:06sort of...pins and needles.
0:38:06 > 0:38:09HE GROANS
0:38:16 > 0:38:18The hospital emergency department is on standby.
0:38:18 > 0:38:22The half-hour journey by road will take minutes by air.
0:38:22 > 0:38:25Pilot speaking. Just to let you know, we are airborne,
0:38:25 > 0:38:29on the way to Taunton. ETA, three minutes.
0:38:29 > 0:38:31Only now can Paul think about how this driver
0:38:31 > 0:38:34may have sustained such dreadful injuries.
0:38:34 > 0:38:36I think he's braced himself against the steering wheel,
0:38:36 > 0:38:39so the forces have gone back up and fractured both humeruses.
0:38:39 > 0:38:42He's also got a fracture to the femur, the big bone in the leg.
0:38:42 > 0:38:44But he's nice and stable now. I wouldn't say he's comfortable
0:38:44 > 0:38:48but he's certainly looking around him, interested in what's going on.
0:38:51 > 0:38:54The journey has taken seven minutes.
0:38:54 > 0:38:59David has had the best and fastest care he could have received,
0:38:59 > 0:39:02but his injuries are so serious, he's not yet out of danger.
0:39:02 > 0:39:06It's now down to the hospital medical team to do all they can
0:39:06 > 0:39:09to stabilise him and treat his injuries.
0:39:10 > 0:39:15After that remarkable rescue, I'm delighted to say David is here now.
0:39:15 > 0:39:19- Hello.- That was only a month ago
0:39:19 > 0:39:21and you're looking in remarkably good shape.
0:39:21 > 0:39:23How are you feeling?
0:39:23 > 0:39:25Yeah, good. On the road to recovery.
0:39:25 > 0:39:26That's good to hear.
0:39:26 > 0:39:29I'm going to go through the list, because it's remarkable.
0:39:29 > 0:39:31Both arms broken, left humerus shattered,
0:39:31 > 0:39:36right leg femur bone broken, torn bowel and two broken ribs.
0:39:36 > 0:39:39- Yeah.- That takes a long time to recover from.
0:39:39 > 0:39:43How far are you in your recovery? Are you walking?
0:39:43 > 0:39:46A little bit, with the help of a little crutch.
0:39:46 > 0:39:49Very short distances, but helping to strengthen.
0:39:49 > 0:39:53- It's just physio. - Can you remember anything about it?
0:39:53 > 0:39:55No. Nothing at all. The day before was pancake day.
0:39:55 > 0:39:58I can only remember that because it was pancake day.
0:39:58 > 0:40:02But nothing of the accident until I saw the video tapes.
0:40:02 > 0:40:04So how about the recovery?
0:40:04 > 0:40:07Throughout that, you look as if you are in dreadful pain.
0:40:07 > 0:40:12The next couple of days, a lot of painkillers, can't remember much.
0:40:12 > 0:40:15It wasn't until I got out of the operation on the Friday night really
0:40:15 > 0:40:19that I can start to remember little flashes and that
0:40:19 > 0:40:22but everything was quite blurry. A lot of painkillers.
0:40:22 > 0:40:24I bet you don't really want to remember much of it.
0:40:24 > 0:40:27No, it wasn't the nicest time. But I had a lot of support from friends
0:40:27 > 0:40:30and family which is always a good thing.
0:40:30 > 0:40:32I'm just going to show you some of the pictures
0:40:32 > 0:40:36because what a remarkable team, what a remarkable effort they put in.
0:40:36 > 0:40:39- Do you remember any of the conversations?- No.
0:40:39 > 0:40:44'Even though in the video I'm completely conversing with them,
0:40:44 > 0:40:46'but I cannot remember anything.'
0:40:46 > 0:40:48Very politely as well.
0:40:48 > 0:40:51Yeah, which is hopefully not an odd thing.
0:40:51 > 0:40:52My friends might say different.
0:40:52 > 0:40:57But they were just a great team. You saw how many people were there.
0:40:57 > 0:41:01'They all knew what they were doing, knew their jobs and the roles
0:41:01 > 0:41:02'and got on with it, spot-on.'
0:41:02 > 0:41:04Have you met any of the team that helped you out?
0:41:04 > 0:41:10- I've met the air ambulance... - Paul?- Paul - and he likes the scars.
0:41:10 > 0:41:13Quite impressive. Really thankful for him and what he did.
0:41:13 > 0:41:15You've got quite a few scars.
0:41:15 > 0:41:17Show the camera this one, which is the longest one.
0:41:17 > 0:41:18This is the good one.
0:41:18 > 0:41:21- Yeah, the longest one on the arm. - That's a belter!- It's a good one.
0:41:21 > 0:41:25- I've got over a metre's worth now. - You've measured them all?
0:41:25 > 0:41:27- Yeah, something to do. - So let's look forward.
0:41:27 > 0:41:29- Girlfriend's looking after you, mum's looking after you.- Yeah.
0:41:29 > 0:41:32- You're on the road to recovery? - Yeah. It's going well
0:41:32 > 0:41:36so fingers crossed, hopefully everything goes well with the x-rays
0:41:36 > 0:41:37and I'll be back to it.
0:41:37 > 0:41:40A lot of people wouldn't have known when we were watching that,
0:41:40 > 0:41:43you said, "I had brand-new trousers and T-shirt on there."
0:41:43 > 0:41:44- And they cut them off him.- Yeah.
0:41:44 > 0:41:48And they shaved my stomach as well when I got into hospital.
0:41:48 > 0:41:50I wasn't impressed when I woke up with that.
0:41:50 > 0:41:53- But they've got to do it.- Most mums watching would be very pleased
0:41:53 > 0:41:55because you had clean underpants on.
0:41:56 > 0:42:00- We saw a good view of that. - Yeah.- What did your mum say?
0:42:00 > 0:42:01Er...
0:42:01 > 0:42:05Nothing much really. As a mother, she was more shocked about the whole situation.
0:42:05 > 0:42:09But at least I had clean underwear on, bright white ones as well.
0:42:09 > 0:42:10Bright white ones!
0:42:10 > 0:42:13David, we are so pleased you got through that awful experience
0:42:13 > 0:42:16and we wish you the very best of luck in your recovery.
0:42:16 > 0:42:17Thank you very much.
0:42:17 > 0:42:20It's lovely to see him with a smile on his face.
0:42:20 > 0:42:24Paul, you met David for the first time since you were looking after him in that accident.
0:42:24 > 0:42:26- How was it to see him today? - It's awesome.
0:42:26 > 0:42:28It's what makes the job worthwhile, to see somebody so well
0:42:28 > 0:42:30when it could have gone so differently.
0:42:30 > 0:42:32Really down to teamwork as well.
0:42:32 > 0:42:33All of you working together.
0:42:33 > 0:42:36Absolutely. It's the hospital, the fire, the police, us.
0:42:36 > 0:42:38It is everyone, as you say, working together.
0:42:38 > 0:42:41- He looks brilliant. Great job. Well done, Paul.- Thank you.
0:42:41 > 0:42:43Thank you very much. That is it for Real Rescues today.
0:42:43 > 0:42:46- Yes and we will see you next time. Bye bye.- Bye.
0:43:07 > 0:43:10Subtitles by Red Bee Media Ltd