Episode 6 Real Rescues


Episode 6

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Today, on Real Rescues: from the battlefield to the British roadside.

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A special technique used on wounded soldiers in Afghanistan

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is the only way to help a man with multiple injuries,

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and he is still fully conscious.

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He is clearly quite poorly.

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He has both arms fractured, so it is going to be difficult to get pain relief and access to him.

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And I am dressed like this for a reason.

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Because later in the programme I am going to be given a baptism of fire.

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We'll hear about a four-year-old who was so clever, she got emergency help for her mum -

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even if she didn't quite understand everything she was asked.

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Hello and welcome to Real Rescues, where we go out on the road

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in the air and at sea with all of Britain's emergency services.

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Today we're based at police headquarters

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at Lewes in east Sussex.

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Yes, and the staff here help people

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going through life changing, life-threatening emergencies

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as well as everyday crimes.

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We have got some really fascinating stories

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from the call takers here today.

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This is Linda Hackett.

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You were involved in finding a thief in a rather unusual place.

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I think you could say we flushed him out.

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Flushed him out? There's a clue there.

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You're about to see one of the most testing rescues

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we've ever witnessed here on Real Rescues.

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A man is trapped in his car after a head-on collision.

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He has multiple injuries,

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but is somehow still conscious.

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It will take real teamwork from police, fire and ambulance crews,

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and a rare specialist technique to help rescue him.

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It is ten o'clock on a Thursday morning.

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The air ambulance is on an emergency callout.

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On board are paramedics Paul Owen and Nigel Brown.

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All they know is a serious car crash

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has just happened near Chard, in Somerset.

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'Received, many thanks, over.'

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A ground crew is already on the scene.

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Anyone critically injured will need airlifting to hospital.

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It happened on an A-road near a village.

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The site will be crowded with emergency vehicles.

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The pilot's flying into the unknown.

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His priority is finding a makeshift landing site.

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They're overhead.

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Paul and Nigel can get their first sight of the accident.

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It could help prepare them for the work ahead.

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They are confronted with a horribly mangled wreck of a car,

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surrounded by emergency crews.

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Inside is the driver.

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He's survived, but his body has suffered a terrible impact.

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The front wheel has ended up pushed right back under his seat.

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The driver of the second car has escaped with minor injuries.

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-Do you want the green board then?

-Yes.

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He's got bilateral arm fractures.

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And he has got some limited sensation in his legs,

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chest and abdos are good.

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The reduced feeling in his legs suggest the driver could have broken all his limbs.

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It is a critical situation.

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Multiple fractures can cause nerve damage and internal bleeding.

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However, the driver is conscious,

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but he'll need the strongest and fastest-acting pain relief.

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Paul will need all his specialist trauma equipment.

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You carry on. I'll get the board and stuff.

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He is clearly quite poorly.

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He's got both arms fractured, so it will be difficult to get pain relief and access.

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He's got leg fractures. His chest and abdo seems to be all right.

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He is a little bit confused from a bump on the head.

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But we'll get him boarded, collared, reassess once he's out the vehicle,

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and see what's going on from there.

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Meanwhile, air paramedic, Nigel,

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continues to assess 25-year-old David's injuries.

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He was alone when he collided head-on with another car.

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Sore on the front?

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The pain comes down, further down more here, does it?

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With so many injuries, the first task of giving pain relief is going to be far from straightforward.

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-How are we doing, Nige?

-Yep, OK, both arms are not good for IV.

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-OK.

-So, I don't know, can we go sternal?

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-Not in the position we're in. I would suggest...

-I/O?

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We could go ahead with humerus I/O. We're going to have trouble getting pain relief into this chap.

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He has multiple injuries. Especially in the lower arms and legs.

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So I'm probably going to get the pain relief into the bone, which acts like a blood vessel.

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So we can get some pain relief in there.

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It's not particularly comfortable, but once the morphine takes effect it will be worthwhile.

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As the fire crew start cutting away the car, Paul prepares the drugs.

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Using the hydraulic cutters, called the Jaws Of Life,

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the firefighters quickly remove the roof, giving the paramedics more room to work.

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-Any pain around here?

-Down there?

-It's sore, but...

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It's a little bit further down?

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-HE WAILS

-Which side is that?

-My right arm. Someone just...

-Your right arm? OK.

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Be careful with that right arm. We'll get a splint on that one in a minute.

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-Sorry.

-Don't be sorry, mate.

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Paul needs to find a suitable and stable area of David's upper body

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to minimise the discomfort of the injection

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and to maximise the effectiveness.

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Paul warns his patient what to expect.

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OK, this is gonna hurt, all right?

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Looks painful, doesn't it? We'll find out how David gets on a little bit later on.

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Now, a new number to call for help in the UK is 101.

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It's the number to dial when your call is not an emergency

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but you need assistance from police, fire or ambulance,

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and the calls will be taken by these people here.

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But they don't just pick up the phone. I'm going to explain a little bit more

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-because I want to introduce you to Sarah. Sarah, can I talk to you for a second?

-Yes.

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You answered a call from a panicky old-age pensioner. What happened?

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Yes, she'd had a vacuum repair man come to her home address.

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He knocked on the door and had been very pushy with her.

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He wanted to come inside.

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She'd managed to get rid of him

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but only by agreeing to let him come back for an appointment later that afternoon.

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And then what happened?

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Meanwhile we had another phone call from a different area of Sussex

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with another elderly lady who'd had another vacuum repair man come to her address.

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Unfortunately she had let him in. She'd gone to make him a cup of tea.

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When she came back out, he'd stolen her purse from her front room and left.

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-So you put two and two together.

-Yes, it looked like the same MO, possibly the same person,

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so I let the officers know that this man was going to be going to the other address later that afternoon.

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They waited there for him.

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When he turned up, they arrested him

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and he still had the purse from the first lady's house.

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So thanks to your detective work, they arrested him

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and returned the purse.

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-Yes, yes.

-Well done, you! Fantastic work.

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You see, the great work they do around here. Louise, back to you.

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There aren't many four-year-olds with the presence of mind to know what to do in an emergency.

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Next we're going to meet a little girl who showed such quick thinking

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and courage when her mummy collapsed that she's been nominated for a lifesaving award.

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On that day, her mum Caroline passed out at the top of the stairs.

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Jessica found a mobile phone and then managed to press the redial number

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and got through to her cousin, who dialled 999.

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That call came through to Tony Newsham.

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Tony, so you get a call from a lady who's obviously in quite a lot of distress.

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What sort of things were you thinking when you heard that call?

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My main concern was for Jessica as well as her mum,

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to get back in touch with them,

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make sure Jessica was all right,

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and to find out what was wrong with her mum.

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And presumably you knew she was a little girl

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so that's quite a big priority for you, isn't it?

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Of course, yeah, and you have to get back to them to make sure everybody's safe.

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OK, which is exactly what you did.

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You re-rang that mobile phone and this is what happened.

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PHONE RINGS

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What Tony didn't know is that Jessica had never been able to open the front door before.

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Although it was a big ask, Jessica was up for that challenge.

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Well done, Jessica. Here she is now. Hello, Jessica.

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-And Caroline, you're OK, aren't you?

-Yes.

-Jessica, just tell us.

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Tony said that he thought you were all on your own,

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but you weren't really on your own, were you?

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No, I was with the teddies, my teddies, and the dog.

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-The dog as well. And this is Rosebud, isn't it?

-Yeah.

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Tell me what you thought when mummy was collapsed on the top of the stairs.

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-Were you quite worried about her?

-Yes.

-What did you think...

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-How did you know to go and get the phone?

-I just knew.

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You don't remember much of what was going on, do you Caroline?

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Meanwhile, Jessica's gone and got the phone. What was going...

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When you came round, what were you thinking?

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I was just worried about her

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and wanted to make sure everything was OK.

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I'm so proud of what she did.

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How she opened the door for him, and she'd never done it before.

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Even she had the brains to put the dog in the kitchen.

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How did you know to put the dog in the kitchen?

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I just opened the gate and the dog just came running in the kitchen.

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She's done an amazing thing.

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You asked her whether she had an address, she obviously didn't, but she knew where she was, didn't she?

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She knew where she lived, yes.

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How important is that when you're taking that call?

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It's very important for children to know where they live,

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especially if they can get a postcode and a house number.

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That's tantamount to our job and what we do.

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And when she opened the door, we could hear it being opened,

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it sounded like there was a lot of traffic. That was a problem for you as well, wasn't it?

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It was, it put my heart in my mouth.

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I actually thought she was right on the road itself.

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I was quite frightened for her

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and that's why I kept saying to her, "don't go outside".

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I know you're a really proud mum.

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She hadn't opened that door before, she'd never managed to open it.

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No. She can't do it now. If I ask her to do it now, she can't do it.

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So it just shows you, when you're in that sort of position,

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it's surprising what they can do.

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-OK, and do you think you were being brave at the time?

-Yes.

-Yes?

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-Would you do it again if you had to?

-Yes.

-You would, wouldn't you?

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Brilliant, well best of luck with Rosebud, and take care.

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Thank you very much.

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Still to come on Real Rescues, a lucky escape for the scooter rider

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who ends up under a truck and lives to tell the tale.

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-I remember going under his vehicle. It's slowly coming back to me.

-Right.

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And there's nowhere to run to, and you can't dial 999 -

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I experience the nightmare of being trapped in a burning ship.

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OK, it's burning in the space above your head.

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-That energy is coming down on top of you now.

-Wow! Look at that!

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Today, we're following the story of a man who is trapped in his car after a high-speed head-on crash.

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He's so badly injured,

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air ambulance paramedic Paul Owen is about to start the rarely-used procedure

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of injecting morphine directly into the injured man's bone.

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Which side? Lower down.

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Yeah.

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Paramedics and fire crew are fighting to get the driver, David,

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out of his car following an horrific accident.

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He's suffered multiple fractures to his arms and legs.

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The priority is pain relief. Only then can he be moved.

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But his limbs are too unstable for the medics to inject intravenously.

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Air ambulance paramedic Paul is going to use a technique commonly used on the battlefield.

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It involves drilling straight into the bone.

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The drill allows a needle to be put into the bone marrow.

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That's enough. Keep it down, all right?

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It's 30 minutes since the accident.

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Somehow David has remained conscious throughout.

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Now the needle's in place, the morphine can be injected.

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The bone marrow will move it quickly around the body.

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But even giving the drug is a painful process.

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Paul keeps him informed at every stage.

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It does hurt a little bit. I'm going to give it really slowly.

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David's levels of endurance are impressive.

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He manages to spare a thought for the other driver.

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-Yeah, they're fine.

-They're fine. As far as we know, David, they're fine.

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I know they listened to your chest. I'm just going to have another listen, all right?

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Two deep breaths.

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All the time, Paul monitors David's heart and breathing.

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He may have suffered serious internal injuries

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and his condition could deteriorate at any time.

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Can I have a little feel of your hip? Is that all right?

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-That side is a little sore.

-OK, what does that feel like?

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-Does that feel normal?

-My leg's normal, yes.

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-My right one feels a little numb.

-Does that feel OK, though?

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-You can feel me touching you?

-I can feel you touching me, but it feels like it's going to sleep.

-OK.

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-Well done.

-Well done, David. That's fantastic.

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Paul is concerned that David has fractured his pelvis,

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an injury that can cause massive blood loss.

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They need to get him out as quickly and as carefully as possible,

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but first his arms must be stabilised in vacuum splints.

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Well done. Well done. Where is it? Are you all right there?

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It's a good sign David is conscious,

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but it means he's feeling every part of his rescue.

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-HE WAILS

-All right, David. OK, mate.

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That's it. Well done.

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The medics are certain three of David's four limbs are broken,

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but they can't rule out a pelvis fracture or spinal injury.

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They will have to slide him out on a board to keep him as stable as possible.

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If I lift that up... No, you support that.

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DAVID CRIES OUT

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The fire crews are given the go-ahead to cut away the car door.

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He said his feet feel numb.

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Paul and Nigel can now get a closer look at David's legs.

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-They are stuck, right down there.

-OK.

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-Are you happy for me to try a bit more?

-You can try.

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We're just trying to sort his legs out, see if we can get him out with his legs,

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but we'll get him connected up. He's got bilateral arm fractures.

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Can you dig us out another blanket?

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Thanks, Mark. Or another couple.

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As the fire crew carefully cut away the dashboard to free David's legs,

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Paul monitors the line injected into David's shoulder bone.

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This is the fluid, as you're aware. Let us know when that runs through,

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so we won't give him more fluid than we have to.

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Let's just to check that it will run.

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The fluid is helping push the morphine around the body.

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-That's running.

-HE WAILS

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OK, mate, bear with us.

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David's pain relief must be maintained.

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His rescuers are about to reach the critical stage - lifting him out of the car.

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Ooh, that looked painful, didn't it? We've got Paul Owen, the paramedic, here, and the dreaded drill.

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Let's see it. Please tell me that's not a bit of David you've got there!

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-It's not a bit of David, no!

-Thank goodness for that.

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Paul, I have to say, it did look really very painful.

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I mean you only sort of perform that procedure in emergencies, right?

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Yes. When there's no other options.

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We couldn't get a vein in the traditional method

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so we had to find a different way and this was the most appropriate.

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It is a little bit gruesome, it is painful, but it needed to be done.

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I like how you said, "This could be a little bit painful."

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It is really painful. I mean, how painful is it?

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-The needle going in itself isn't too bad.

-Right. Just show us.

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-If that was my leg or shoulder.

-If this was your leg, we'd drill in,

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we'd push down, that would then stop there.

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-Disconnect, and that one comes out, leaving the tube in place.

-Yes.

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-That does hurt...

-Yes!

-it hurts more when you push...

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You've got to push a bolus of fluid in to clear the space

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-and create some sort of route and that's what really hurts.

-Right.

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But, it needed to be done.

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For the short-term pain, we needed to get some sort of access

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so we could get pain relief in and treat other conditions, should they arise.

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Now, as I understand it, this is the result of work with Southwest Ambulance and the Army, right?

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It's been developed... I think it's been around for a long time

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but it's been reintroduced by the Army and the military medics

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and the Southwest Ambulance Service have introduced this.

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We've carried it a little while and now they've decided to carry it on all their vehicles,

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which is brilliant because it does give you that access when you have no other options.

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OK, so on a rating of 1-10, how painful would that be?

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I don't know.

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-11? 12?

-It would...

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I don't know, seven or eight, it's going to be painful

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but it's something that's only painful for a short time

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and you can then get pain relief in and treat other conditions.

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OK. Thank you very much for your hard work.

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We'll find out how painful it was,

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because we speak to David a little bit later on in the programme.

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Ouch!

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Being trapped in any fire is a terrifying prospect,

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but a fire at sea adds a new dimension.

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There is nowhere to run from the flames

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and the elements can play a huge factor.

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We've seen before on Real Rescues how an electrical fault in the galley caused a spectacular fire

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on a fishing boat called Be Ready,

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stranded in the North Atlantic in snow and a force-nine gale.

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The captain of the ship, Ellis Fullerton, described the power of the fire.

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It was just basically like a blowtorch.

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It was moving and going through the ship faster than you could imagine a fire could ever move.

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And I remember the heat of the fire so much that my socks were sticking to the deck at that point.

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On that occasion, Ellis and his crew were saved by the combined efforts

0:22:520:22:56

of the coastguard helicopter and the crew of another fishing boat.

0:22:560:23:00

Anyone employed to work at sea, and I really mean anyone -

0:23:000:23:03

from a hairdresser on a cruise ship to a hardened merchant seaman -

0:23:030:23:06

must complete a course on how to cope with a fire on board.

0:23:060:23:10

So, with some trepidation,

0:23:100:23:11

I was volunteered to see what they have to do.

0:23:110:23:14

I'm at Warsash Maritime Academy.

0:23:210:23:22

This is the fire school and Martin is in charge,

0:23:220:23:25

and I'm standing next to this extraordinary building, Mark.

0:23:250:23:28

Explain to us what it is.

0:23:280:23:29

Well what we've replicated here, Louise,

0:23:290:23:31

-is the workings of a ship, compartments within a ship.

-Yep.

0:23:310:23:34

Inside we have different types of classes of fire for our students to practice on.

0:23:340:23:38

-So anybody who goes on a ship should do this course?

-Absolutely, yes.

0:23:380:23:43

Any seafarers will have to do this under government fire regulations.

0:23:430:23:47

-I can feel the heat from this little fire here.

-Little, yes!

0:23:470:23:51

-It's a little one for you, isn't it?

-Just a bit(!)

0:23:510:23:54

So we're going to go in there and it's a real situation, isn't it?

0:23:540:23:58

Because this is a live fire. It's not a gas fire.

0:23:580:24:01

No, the gas training units are good for procedural training

0:24:010:24:04

but what you don't get is the heat and the steam, and they are strength sappers.

0:24:040:24:07

-And it's the smoke, isn't it?

-And the smoke.

0:24:070:24:09

-So we put this kit on.

-We do, to protect ourselves.

0:24:090:24:12

-Do we need some help?

-Yes, we do.

-I think young Tony is going to help us. Tony?

0:24:120:24:15

OK, Louise, what we've got...

0:24:300:24:31

Oh, my goodness! I don't think I've ever seen you move so quickly.

0:26:440:26:48

-How hot was it?

-Do you know, it's made me nervous even watching that again.

0:26:480:26:52

You can't really understand how hot it is until you've been in it.

0:26:520:26:55

It's 600 degrees at the top.

0:26:550:26:57

When that fire was rolling over my head, that's how hot it is.

0:26:570:27:00

600 degrees Celsius, and basically if I'd taken one breath without the breathing apparatus

0:27:000:27:05

I would have burnt the inside of my lungs.

0:27:050:27:08

As Martin told me, that would've literally been my last breath.

0:27:080:27:11

Until you've been in a fire like that,

0:27:110:27:13

you have no idea how terrifying it is.

0:27:130:27:15

I mean, we were steaming. You saw steam coming off our jackets. That means it's...

0:27:150:27:19

OK, I want to show everybody at home

0:27:190:27:21

a nice bright, shiny yellow fireman's helmet.

0:27:210:27:24

Now, that's how they start off.

0:27:240:27:26

And this is what they've given me to show you what happens if you stay in there too long basically.

0:27:260:27:30

-You know, 10 minutes or so in there.

-Only 10 minutes?

0:27:300:27:33

10, 15 minutes in that sort of heat and look - it completely melts.

0:27:330:27:36

And that's the inside as well, it starts getting buckling and all the rest of it.

0:27:360:27:40

-So this was all part of the course?

-This is part of the course,

0:27:400:27:42

basically teaching people on board ships how to deal with, how to cope in a fire situation

0:27:420:27:46

and all it taught me was just...

0:27:460:27:49

You know, you have no idea of the power of fire

0:27:490:27:51

and the most useful thing I did was get on the ground,

0:27:510:27:53

get out of the heat, crawl away, get away as fast as you can -

0:27:530:27:56

if you can on a ship, which could be difficult.

0:27:560:27:58

-Well done, Louise. I'm so glad I was busy that day.

-Thanks!

0:27:580:28:03

A bad Monday morning now, for a man on his way to work.

0:28:050:28:09

Fuel prices meant Paul Brooker's daily commute

0:28:090:28:11

was getting so expensive, he decided to switch from a car

0:28:110:28:14

to a scooter.

0:28:140:28:15

It all seemed like a good idea.

0:28:150:28:17

At the time.

0:28:170:28:19

8.00am - it's rush hour in East Sussex.

0:28:210:28:24

Traffic cops Philip Edwards and Andy Smith

0:28:240:28:26

are making their way at speed to Heathfield,

0:28:260:28:28

a market town in the countryside.

0:28:280:28:30

SIRENS BLARE

0:28:300:28:32

Andy takes evasive action,

0:28:320:28:33

via the roadworks, to cut past some of the traffic.

0:28:330:28:36

Might drop down a big hole in a minute.

0:28:360:28:38

There has been a collision between a man on a scooter

0:28:380:28:40

and a truck.

0:28:400:28:42

These type of accidents usually happen

0:28:420:28:44

close to the rider's home.

0:28:440:28:46

Traditionally, a lot of accidents happen on roads

0:28:460:28:49

where people are familiar with that road,

0:28:490:28:51

cos they drive that road day in, day out.

0:28:510:28:53

They come round that bend 300 times every year,

0:28:530:28:55

but one particular morning, there's a tractor there.

0:28:550:28:58

That's where accidents happen,

0:28:580:29:00

as they're not consciously thinking where they're going.

0:29:000:29:03

An ambulance is already on the scene,

0:29:030:29:05

and the police want to get there as fast as they can.

0:29:050:29:08

But on country roads,

0:29:080:29:10

there can be frustrating delays.

0:29:100:29:12

He's slowed down - we've had to slow down, as well.

0:29:120:29:14

If he's kept the same speed,

0:29:140:29:16

we could have drifted past him at an appropriate point.

0:29:160:29:18

-Another one.

-Stopping on a left-hand bend, a blind bend,

0:29:180:29:20

on solid white lines.

0:29:200:29:22

If they had carried on driving as normal,

0:29:220:29:26

we'd have come round the bend,

0:29:260:29:28

and when the view had opened up....

0:29:280:29:29

The police action depends on the seriousness

0:29:320:29:35

of the scooter rider's injuries.

0:29:350:29:37

At the scene, they are brought up to date

0:29:370:29:39

by paramedic Dave Keeley.

0:29:390:29:41

At the moment, the only injuries we can find

0:29:410:29:43

is possibly one fractured leg

0:29:430:29:45

and some cuts and bruises.

0:29:450:29:47

-So hopefully, nothing too serious.

-Right, OK.

0:29:470:29:51

It's good news. The rider, Paul,

0:29:510:29:53

has not suffered life-threatening injuries.

0:29:530:29:56

However, he was unconscious for a few minutes after the impact,

0:29:560:29:59

and is complaining of a lot of pain in his legs.

0:29:590:30:02

-Do you remember what happened?

-The cars. Three cars stopped.

-Right.

0:30:020:30:09

-Stopped their motors and I stopped and I just slid.

-Right.

0:30:090:30:15

All the drivers involved in the shunt are still at the scene.

0:30:150:30:19

Andy's gathered witness statements.

0:30:190:30:21

A van has been travelling along,

0:30:210:30:22

has slowed down to turn right into a junction.

0:30:220:30:25

The vehicle behind hasn't quite noticed

0:30:250:30:28

he's been turning in time.

0:30:280:30:31

Has left it a bit too late to brake.

0:30:310:30:32

He's braked suddenly, thankfully for him

0:30:320:30:35

he hasn't gone into the back of the van.

0:30:350:30:37

But behind him is a chap on a moped.

0:30:370:30:40

Again hasn't given himself enough gap to stop in time.

0:30:400:30:44

He's tried to brake, being a slippery road, the bike's gone down,

0:30:440:30:46

it's slid under the pickup truck

0:30:460:30:48

here and, as a result, you've got some quite nasty leg injuries.

0:30:480:30:53

All right, what I need to do, Paul, if you're happy,

0:30:530:30:56

if you feel OK at the moment, is do a quick

0:30:560:30:58

sample of breath from you to make sure you're not over the limit.

0:30:580:31:02

It turns out Paul slid along the tarmac for seven metres

0:31:020:31:06

before abruptly coming to a halt under the truck.

0:31:060:31:08

He's not feeling very lucky at the moment,

0:31:080:31:11

but Andy's seen motorcyclists in similar accidents

0:31:110:31:14

come off far worse.

0:31:140:31:16

His head was in the middle of the carriageway,

0:31:160:31:18

quite a narrow lane here, traffic coming the other way.

0:31:180:31:21

I dread to think, if a bigger vehicle had come the other way what would have happened.

0:31:210:31:25

So he's got a broken leg, he's come out of it reasonably well, really.

0:31:250:31:30

Zero, just what we wanted.

0:31:300:31:33

Paul's taken to hospital.

0:31:330:31:35

Philip and Andy wait for his scooter to be recovered.

0:31:380:31:41

This type of accident is a familiar callout.

0:31:410:31:43

Out of all our accidents, vehicle shunts -

0:31:430:31:46

where one car or vehicle drives into the back of another -

0:31:460:31:49

is probably the most common type of accident.

0:31:490:31:51

A third of our accidents are from that type of accident. It only takes a lead car

0:31:510:31:56

to brake a bit sharply because people don't leave enough of a gap between themselves

0:31:560:31:59

and the vehicle in front, the vehicle behind that will brake even sharper again and so on.

0:31:590:32:03

By the time you get to the last vehicles,

0:32:030:32:05

they're anchoring up doing emergency braking.

0:32:050:32:08

And sooner or later, someone's not going to stop in time.

0:32:080:32:11

We've got a slippery, damp country road here

0:32:110:32:14

and they will just slide into the back of the car in front.

0:32:140:32:16

Once the recovery truck's collected the bike,

0:32:200:32:23

Philip checks up on Paul's progress at the hospital.

0:32:230:32:26

There was no damage to his truck, so...

0:32:260:32:30

-I remember going under his vehicle.

-Yeah.

-It's slowly coming back to me.

0:32:300:32:33

-So the front locked up underneath you?

-Kind of.

0:32:330:32:37

-Yeah. It kind of went. It happened so quick.

-You don't want to know.

0:32:370:32:41

-No. I'm not doing it any more.

-No?

0:32:410:32:44

-I bought it for 2½ grand to save money.

-Yeah.

0:32:440:32:47

-I've got a car, but I think I've lost my confidence.

-Yeah.

0:32:470:32:52

Yeah. It's not nice when you do slide off.

0:32:520:32:54

-No, I'd just rather be in a car.

-Yeah.

-I've got a car, but I done it to save money.

-Yeah.

0:32:540:33:00

Because I'd been using too much fuel.

0:33:000:33:02

OK. I'll leave you alone now, all right?

0:33:020:33:04

I'll try and get an update from hospital staff as to the extent of your injuries.

0:33:040:33:08

And Paul has been a lucky man -

0:33:110:33:12

he didn't break his legs, but he was badly bruised.

0:33:120:33:15

-I want to talk to a call-taker, Linda. You're OK to talk just now, are you?

-Yes.

0:33:150:33:19

-You took a call from a man who said his car had been damaged.

-That's right.

0:33:190:33:23

-The person who had allegedly damaged it had done something odd, hadn't they?

-Yes.

0:33:230:33:26

In his attempt to get away, he'd jumped into the marina.

0:33:260:33:31

OK, and then what happened?

0:33:310:33:33

He swam across to the other side of the marina and got on a boat

0:33:330:33:37

and was hiding in the toilet.

0:33:370:33:39

-OK. How on earth was he found? It's a dangerous situation.

-Absolutely.

0:33:390:33:43

It turns from an attempted robbery to something quite different.

0:33:430:33:46

That's right. It was quite cold.

0:33:460:33:48

So using the police dogs, and the Coastguard,

0:33:480:33:53

and with the thermal imaging camera of the police,

0:33:530:33:56

they found him on the boat via his footsteps.

0:33:560:34:00

-Literally from the wet footsteps on the boat?

-On the boat, yes.

0:34:000:34:04

-And he was in a strange place.

-He was hiding in the toilet.

0:34:040:34:08

So using all your expertise, the Coastguard and police,

0:34:080:34:11

you flushed him out.

0:34:110:34:12

-Absolutely.

-Quite extraordinary, some of the calls you take.

0:34:120:34:16

-Absolutely.

-Thanks, Linda.

0:34:160:34:18

All through this programme, we've followed the rescue of David Langdon from his smashed car.

0:34:180:34:22

Despite his many injuries, David's managed to stay conscious

0:34:220:34:25

but he's got two broken arms.

0:34:250:34:28

So, how will the firefighters lift him out?

0:34:280:34:31

It's 40 minutes since a head-on collision left David trapped in his car

0:34:350:34:40

with horrific injuries - multiple fractures

0:34:400:34:43

and possible internal injuries.

0:34:430:34:45

A team of highly-skilled paramedics have kept him stable. Along with the fire crews,

0:34:450:34:49

they're now ready to move David out of the wreckage.

0:34:490:34:51

Shall we just sort of ease forward?

0:34:510:34:54

Feed that in, put the board in and if we can use enough hands...

0:34:540:34:57

We've got the hands to lift him.

0:34:570:34:59

Just want to be really careful with that line. Yeah.

0:34:590:35:01

OK, we need to support both arms. We'll have a look at the legs

0:35:010:35:04

-and perhaps splint them if we need to. Yeah?

-Yeah.

0:35:040:35:06

The team will have to move David

0:35:060:35:08

without putting any pressure on his arms.

0:35:080:35:10

Somehow, they'll have to slide him onto a long board

0:35:100:35:13

without touching his limbs

0:35:130:35:15

and at the same time keeping his spine as straight as possible.

0:35:150:35:19

I'll take the head from here.

0:35:190:35:22

You're going to look after the legs and can you do the pelvis as well?

0:35:220:35:25

They can't pull on his arms or shoulders.

0:35:250:35:29

They'll have to improvise.

0:35:290:35:30

We're going to have to lift quite a lot from the belt

0:35:320:35:34

because the arms are both gone.

0:35:340:35:35

All right? So if we bring forward on the teardrop.

0:35:350:35:38

We're just going to try and bring it forward a little bit.

0:35:380:35:41

We're going to support this arm.

0:35:410:35:42

-HE GROANS

-Sorry.

0:35:420:35:44

What we're initially going to do is just go 18 inches,

0:35:440:35:47

get the leg straight. OK?

0:35:470:35:48

So we'll come up the board when everyone's ready.

0:35:480:35:51

Be really careful with that arm. We've got a fracture at the top of the humerus.

0:35:510:35:55

Can you reach down to his belt on his trousers?

0:35:550:35:58

So we'll go 18 inches to start with.

0:35:580:35:59

Ready, set, slide.

0:35:590:36:01

-HE WHIMPERS

-OK.

0:36:010:36:04

HE GROANS

0:36:040:36:05

How are those feet looking?

0:36:050:36:07

'But David's feet are jammed under the pedals.'

0:36:070:36:11

We've got two jammed together. We've got to free them.

0:36:110:36:14

-Right. That's it. Are we free now?

-Yes.

0:36:140:36:17

OK. Ready, set, slide.

0:36:170:36:20

HE GROANS

0:36:200:36:21

OK.

0:36:210:36:22

As he's pulled free, it's clear that David's right leg is broken

0:36:220:36:26

and twisted out of line.

0:36:260:36:27

If we can just take the board out, lay over there, reassess over there.

0:36:270:36:32

After 50 minutes of being trapped in his car, David is finally free.

0:36:320:36:37

Right. If we come back here.

0:36:380:36:40

We can see that possibly

0:36:460:36:49

the big bone called the femur might be fractured,

0:36:490:36:54

so we're going to apply some traction shortly.

0:36:540:36:56

The gentleman's had some more pain relief

0:36:560:36:58

and we're going to put a special splint on to immobilise it

0:36:580:37:02

and prevent the pain.

0:37:020:37:03

But they can't rule out his pelvis is broken as well.

0:37:030:37:06

Any tenderness around here?

0:37:060:37:07

Top of the left hip.

0:37:090:37:11

Don't worry.

0:37:110:37:12

Right. Can we also have that SAM splint?

0:37:120:37:14

Paul's using another splint to immobilise David's pelvis.

0:37:140:37:17

There are major blood vessels in the pelvis.

0:37:170:37:20

A fractured bone could result in internal bleeding.

0:37:200:37:24

If you can just lift that pelvis a fraction, I will feed this...

0:37:240:37:28

DAVID MOANS

0:37:300:37:33

Strapped to the stretcher and completely immobile,

0:37:340:37:37

David can be safely carried to the waiting helicopter.

0:37:370:37:41

There you go, buddy. Sorry, Davey.

0:37:460:37:50

Good luck, David.

0:37:500:37:52

No problem, mate.

0:37:520:37:53

It's been one of the most difficult rescues,

0:37:530:37:55

but David has remained calm and conscious throughout.

0:37:550:37:58

How does that leg feel now, David?

0:37:580:38:01

Left leg's not too bad. Right leg feels very,

0:38:010:38:03

sort of...pins and needles.

0:38:030:38:06

HE GROANS

0:38:060:38:09

The hospital emergency department is on standby.

0:38:160:38:18

The half-hour journey by road will take minutes by air.

0:38:180:38:22

Pilot speaking. Just to let you know, we are airborne,

0:38:220:38:25

on the way to Taunton. ETA, three minutes.

0:38:250:38:29

Only now can Paul think about how this driver

0:38:290:38:31

may have sustained such dreadful injuries.

0:38:310:38:34

I think he's braced himself against the steering wheel,

0:38:340:38:36

so the forces have gone back up and fractured both humeruses.

0:38:360:38:39

He's also got a fracture to the femur, the big bone in the leg.

0:38:390:38:42

But he's nice and stable now. I wouldn't say he's comfortable

0:38:420:38:44

but he's certainly looking around him, interested in what's going on.

0:38:440:38:48

The journey has taken seven minutes.

0:38:510:38:54

David has had the best and fastest care he could have received,

0:38:540:38:59

but his injuries are so serious, he's not yet out of danger.

0:38:590:39:02

It's now down to the hospital medical team to do all they can

0:39:020:39:06

to stabilise him and treat his injuries.

0:39:060:39:09

After that remarkable rescue, I'm delighted to say David is here now.

0:39:100:39:15

-Hello.

-That was only a month ago

0:39:150:39:19

and you're looking in remarkably good shape.

0:39:190:39:21

How are you feeling?

0:39:210:39:23

Yeah, good. On the road to recovery.

0:39:230:39:25

That's good to hear.

0:39:250:39:26

I'm going to go through the list, because it's remarkable.

0:39:260:39:29

Both arms broken, left humerus shattered,

0:39:290:39:31

right leg femur bone broken, torn bowel and two broken ribs.

0:39:310:39:36

-Yeah.

-That takes a long time to recover from.

0:39:360:39:39

How far are you in your recovery? Are you walking?

0:39:390:39:43

A little bit, with the help of a little crutch.

0:39:430:39:46

Very short distances, but helping to strengthen.

0:39:460:39:49

-It's just physio.

-Can you remember anything about it?

0:39:490:39:53

No. Nothing at all. The day before was pancake day.

0:39:530:39:55

I can only remember that because it was pancake day.

0:39:550:39:58

But nothing of the accident until I saw the video tapes.

0:39:580:40:02

So how about the recovery?

0:40:020:40:04

Throughout that, you look as if you are in dreadful pain.

0:40:040:40:07

The next couple of days, a lot of painkillers, can't remember much.

0:40:070:40:12

It wasn't until I got out of the operation on the Friday night really

0:40:120:40:15

that I can start to remember little flashes and that

0:40:150:40:19

but everything was quite blurry. A lot of painkillers.

0:40:190:40:22

I bet you don't really want to remember much of it.

0:40:220:40:24

No, it wasn't the nicest time. But I had a lot of support from friends

0:40:240:40:27

and family which is always a good thing.

0:40:270:40:30

I'm just going to show you some of the pictures

0:40:300:40:32

because what a remarkable team, what a remarkable effort they put in.

0:40:320:40:36

-Do you remember any of the conversations?

-No.

0:40:360:40:39

'Even though in the video I'm completely conversing with them,

0:40:390:40:44

'but I cannot remember anything.'

0:40:440:40:46

Very politely as well.

0:40:460:40:48

Yeah, which is hopefully not an odd thing.

0:40:480:40:51

My friends might say different.

0:40:510:40:52

But they were just a great team. You saw how many people were there.

0:40:520:40:57

'They all knew what they were doing, knew their jobs and the roles

0:40:570:41:01

'and got on with it, spot-on.'

0:41:010:41:02

Have you met any of the team that helped you out?

0:41:020:41:04

-I've met the air ambulance...

-Paul?

-Paul - and he likes the scars.

0:41:040:41:10

Quite impressive. Really thankful for him and what he did.

0:41:100:41:13

You've got quite a few scars.

0:41:130:41:15

Show the camera this one, which is the longest one.

0:41:150:41:17

This is the good one.

0:41:170:41:18

-Yeah, the longest one on the arm.

-That's a belter!

-It's a good one.

0:41:180:41:21

-I've got over a metre's worth now.

-You've measured them all?

0:41:210:41:25

-Yeah, something to do.

-So let's look forward.

0:41:250:41:27

-Girlfriend's looking after you, mum's looking after you.

-Yeah.

0:41:270:41:29

-You're on the road to recovery?

-Yeah. It's going well

0:41:290:41:32

so fingers crossed, hopefully everything goes well with the x-rays

0:41:320:41:36

and I'll be back to it.

0:41:360:41:37

A lot of people wouldn't have known when we were watching that,

0:41:370:41:40

you said, "I had brand-new trousers and T-shirt on there."

0:41:400:41:43

-And they cut them off him.

-Yeah.

0:41:430:41:44

And they shaved my stomach as well when I got into hospital.

0:41:440:41:48

I wasn't impressed when I woke up with that.

0:41:480:41:50

-But they've got to do it.

-Most mums watching would be very pleased

0:41:500:41:53

because you had clean underpants on.

0:41:530:41:55

-We saw a good view of that.

-Yeah.

-What did your mum say?

0:41:560:42:00

Er...

0:42:000:42:01

Nothing much really. As a mother, she was more shocked about the whole situation.

0:42:010:42:05

But at least I had clean underwear on, bright white ones as well.

0:42:050:42:09

Bright white ones!

0:42:090:42:10

David, we are so pleased you got through that awful experience

0:42:100:42:13

and we wish you the very best of luck in your recovery.

0:42:130:42:16

Thank you very much.

0:42:160:42:17

It's lovely to see him with a smile on his face.

0:42:170:42:20

Paul, you met David for the first time since you were looking after him in that accident.

0:42:200:42:24

-How was it to see him today?

-It's awesome.

0:42:240:42:26

It's what makes the job worthwhile, to see somebody so well

0:42:260:42:28

when it could have gone so differently.

0:42:280:42:30

Really down to teamwork as well.

0:42:300:42:32

All of you working together.

0:42:320:42:33

Absolutely. It's the hospital, the fire, the police, us.

0:42:330:42:36

It is everyone, as you say, working together.

0:42:360:42:38

-He looks brilliant. Great job. Well done, Paul.

-Thank you.

0:42:380:42:41

Thank you very much. That is it for Real Rescues today.

0:42:410:42:43

-Yes and we will see you next time. Bye bye.

-Bye.

0:42:430:42:46

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