29/06/2014 Helicopter Heroes


29/06/2014

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If you're critically ill or seriously injured,

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seconds count. And in Britain's biggest county,

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you can be a long way from help.

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-'Where's the patient?'

-'She's stuck under the car!'

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The Yorkshire Air Ambulance flies at 150mph

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and thanks to its speed, hundreds of patients are alive today,

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saved by a highly-skilled team of doctors and paramedics.

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Stand clear, everybody! Keep going, mate.

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It covers some of the UK's most rugged landscapes,

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turning roadsides into operating theatres.

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I'm giving an emergency anaesthetic.

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And town centres into heli-pads.

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-Still good on the left?

-Just behind you, Tim.

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And every day, the Heli-Med teams' skill, speed and courage is saving lives.

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Today on Helicopter Heroes:

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a runner is fighting for his life after a night stranded on the freezing fells.

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He's spent all night on the moors with a broken leg.

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A bizarre crash leaves a biker badly injured.

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Once I got off the floor, I saw him under the car.

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A golfer is feeling below par after a painful slip on the green.

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Walked out of the bunker. Next thing, right leg disappeared underneath.

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It's easy to forget that some of Britain's most beautiful places

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are also some of its most dangerous,

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especially if you're caught out by the weather.

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Here in the hills, the temperature drops by one degree

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for every 300 feet you climb,

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making even a spring evening lethally chilly.

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RADIO PIPS

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'It's seven o'clock. Police are appealing for help after a man went missing from his home

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'near Ramsbottom. 65-year-old Steven Iggulden was last seen yesterday afternoon.

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'Police and mountain rescuers have been involved in the search.

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'His family say they're extremely worried.'

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1,500 feet up in the Pennines, the temperature plunged to minus two last night.

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But the Rossendale and Pendle mountain rescue team

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is about to make an extraordinary discovery.

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We're going to a patient who's fallen quite a long way.

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We think he's got a broken leg.

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We don't think there's a crew at the moment on scene,

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so we may well be first there.

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Pilot Steve Cobb must find a landing site on the hills above the remote Naden reservoir.

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It's not going to be easy.

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-Which way's the wind blowing?

-It's behind us.

-Right.

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What about on top of the... See where there's people in the red?

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There is a path on the far side that goes down. It's a bit of a trek but we can get down.

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I'll get round the back of these windmills.

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Mountain rescue have been searching for the missing fell runner.

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It's a familiar accident.

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But paramedic Graham Pemberton is about to find out that this is no ordinary case.

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Hello, mate. How you doing?

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This is Anthony. I'll give you the details.

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-Anthony's been here overnight.

-I just heard.

-65-year-old.

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He's conscious and breathing. He's quite confused.

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Right.

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Dressed in only a vest and shorts,

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their patient has survived 23 hours in sub-zero temperatures

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with a broken leg and a serious head wound.

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We were searching from nine last night till two this morning.

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We came back at first light this morning.

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A couple of bikers helped us in the search and one of them found him.

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The paramedics are down with him at the moment.

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They're assessing how he is.

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-Anthony?

-Yes?

-How are you doing down there, mate?

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ANTHONY'S REPLIES INDISTINCT

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Yeah? I don't know. How have you ended up down here?

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Anthony Iggulden, Steve to his friends, is a keen fell runner,

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competing in mountain marathons over rough terrain.

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His Alzheimer's has done little to reduce his stamina

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or his enthusiasm. But last night he failed to come home.

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Keep your arms down by your side, Anthony.

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Not much longer and we'll get you wrapped up nice and warm, mate.

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I've done motorbike events over these moors. I know it quite well.

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I looked in the bits the helicopter might not be able to spot.

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Little overhangs, some of the valleys that are tucked away.

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To be honest, it was touch and go whether I bothered coming this far out.

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We were just doing a final check on this side of the valley

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with their being some crags up there. Looked through the overhang

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and thought I'd go and have a check. As I came over the crest,

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although you don't expect to find anything,

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I had one of those moments where I thought, "That's the man."

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On move again. Ready, steady, move.

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We've had a lot of witnesses come forward, people in one area,

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and we concentrated our efforts on that area.

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From what I understand, the gentleman who located him, where he was last seen,

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his local knowledge is better than what we know about the area up here.

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Thankfully, he's gone and found him.

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Ready, steady, move.

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His rescuers now know why.

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But their patient's survival is in real doubt.

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He may need an RAF helicopter to winch him out.

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He's spent all night out on the moors

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with a broken leg, scalp injury.

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And I think he might have damaged his other leg as well.

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He's obviously suffering quite a lot of exposure.

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The RAF are being...a bit non-committal

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about whether they can get in to us.

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So we'll have to use mountain rescue to get him up the hill to our helicopter.

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It's feared he's fallen up to 50ft down the cliff face.

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He's confused, and that could be a symptom of a serious head injury.

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But hypothermia is the most imminent threat to his life.

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Anthony, is it hurting at all anywhere now,

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now we've dragged you round?

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He has been well wrapped up, but desperately needs hospital treatment.

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But first his rescuers need to work out how to carry him up the sheer cliff face.

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It may take time that he cannot afford.

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If you ride a bike, all you have to protect you in an accident

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is your helmet, your boots and your leathers.

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And what you hit is entirely down to chance.

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The hill above the Yorkshire market town of Otley

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is called The Chevin.

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And its 1,000-foot summit, overlooking Wharfedale,

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is aptly named Surprise View.

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On a clear day, it's a popular destination,

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attracting hundreds of bikers and day-trippers.

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We can land this side. He can get through that gate.

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'5-8 over. Seeing the final approach. Over.'

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The rider of this bike came out to enjoy the sights of Wharfedale.

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But the only view in front of him is the underside of a Ford Fiesta.

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-Hello, Stuart.

-He has lost consciousness.

-OK.

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-He's fully with us.

-Lovely.

-His shoulder is his priority.

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OK.

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Two bikes were involved in the crash.

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But the other rider was luckier than Stuart.

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The car pulled across the road to turn into this car park.

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The first rider bumped into him. Then obviously I did as well.

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Once I got off the floor, I saw him under the car.

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You keep still for us. You're just going to feel the helmet ease over your ears.

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Try and keep your head still for me.

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Just tilt it over his nose.

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-Oh!

-Sorry, boss. Just pull it from the bottom.

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That's it. There you go.

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As well as some broken bones, Stuart has crush injuries.

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What I'd like to do now, boss, is stick a little needle in your arm.

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Can you talk to me when you're raising, so I'm ready? Let me know.

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-We're ready to raise more if you want.

-Not yet. I need to listen to his chest before we go.

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Sammy is worried her patient's condition could deteriorate

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if the car is suddenly lifted.

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I'd like to have a needle in, in case he drops his blood pressure, when we do that.

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It could lead to uncontrolled internal bleeding.

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His injuries are pretty serious.

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Crush injuries are always a worry,

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so we want to get him to hospital as quickly as possible.

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He is able to breathe. It's just when you release him, with his blood pressure,

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I need to make sure I've got an option to give him something.

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All right? Two seconds.

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We've got these airbags that we put air into

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and it slowly pushes the car up.

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But it makes the car a bit unstable when we do that.

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so we'll have to chock it. We're on the call of the paramedics as well

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because he's been trapped for a bit of time

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and that causes crush injuries which causes more complications.

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Sammy makes sure everything is in place before they move him.

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Sammy knows releasing the weight of the car could harm her patient.

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She also knows it's something that has to be done - now.

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When it comes to dangerous sports, I wouldn't put golf near the top of the list!

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But you'd be surprised how often the Heli-Med team has to touch down on the fairway.

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They say golf is one of those games that's deceptively simple

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yet endlessly complicated.

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But today, a bit of overenthusiastic celebrating of a great shot

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has left one golfer with a painful injury.

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He played out the bunker. His ball's on the green.

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He just walked onto the bank, literally walked a yard,

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and his legs went from under him.

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There's a golf cart there. There is a crew on scene.

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Is it slightly to the right?

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There's three in the same vicinity.

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I'm not 100% sure if that grid's 100% accurate.

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This part of Yorkshire is a bit of a golfing hot-spot.

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Finding the right hole on the right course is going to be tricky.

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-There's quite a few close together.

-There's three.

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I think that's it. I've played that.

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Paramedic James Vine is a golfer himself,

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clearly wishing he was playing a round today.

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..Finish that putt off for him, Chris?

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It looks like it breaks left to right.

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It'd probably go a good foot...

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Why don't we just go over and move the balls a bit?

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He's slipped and it's gone underneath him.

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-He's getting a bit numb, but he thinks it's from the position he's in.

-Right.

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Rather than anything else.

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Keep going on that, mate.

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He's golfing and he's slipped on the bank. His leg's gone underneath him.

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It looks like he's dislocated his ankle.

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Golf's a game that's built around team work and camaraderie.

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Simon Darby's team-mate, Steve, is clearly concerned.

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But not necessarily about Simon's injured leg.

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He's conceded my putt before he slipped

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so that's not bad going, is it?

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I got a result out of it.

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Trouble is, he was carrying me round the golf course!

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I don't know what I'm going to do for the next 12 holes!

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After what Simon has described as one of his best-ever bunker shots,

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he lost concentration, fell over and has a serious leg injury.

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With a deformity like this, it's crucial blood can still flow to the foot.

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The best way to sort that is also the most painful way.

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Keep going. Big deep breaths!

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They need to straighten and splint his leg.

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Keep going! Keep going!

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Has it gone back in?

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That looks better than it did.

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Golf courses can clearly be dangerous places.

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And even when the paramedics are with you,

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there are still hazards to watch out for.

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Watch this golf bag here!

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Just keep going. Watch it!

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-I've got spikes on!

-I think you have.

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Haven't you?

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Looks like he's got a potential fracture dislocation of his ankle.

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The ankle's certainly dislocated.

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He's got a good pulse at the moment,

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so now we've aligned the fracture site,

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we'll get him down to LGI

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and let the orthopaedic surgeons have a look.

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Yes. 52 years. Isolated right ankle. It looks like it's dislocated.

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I've had a few jobs on golf courses. All of them have been a pain.

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This one's very good cos they don't mind you driving

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but a lot of them don't want you driving near the greens cos it's such an expensive thing.

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But people get ill on the golf courses. They have heart attacks or falls in the bunkers,

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-as this gentleman's done.

-Just played a really good bunker shot,

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and just as I was feeling happy,

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I walked out the bunker and next thing

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the right leg disappeared underneath.

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Two cracks as I went down.

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As I was lying on my back, I realised my foot was at 90 degrees to my knee!

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-Get that score card marked up. I'll give you that.

-I was holding the match together, as well!

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They won't win now without me!

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Simon's flight to hospital lasts just four minutes.

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No golfer wants their round to end like this.

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All this for a bunker shot!

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But it's clear Simon still has the game on his mind.

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You've got to see how close to the flag it finished!

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But it'll be a while before he's tee-ing off again!

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Now let's return to the windswept hills above Rochdale,

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where the team is fighting to rescue a fell runner

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who's lucky to be alive after a night in sub-zero temperatures.

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Fell running is a sport only for the fittest.

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Runners who take on gruelling marathons in treacherous terrain.

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Man against mountain. Injuries are common.

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But this runner is lucky to be alive.

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-Anthony, can you open your eyes for me?

-Yes.

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Well done that man.

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Anthony Iggulden, Steve to his mates, has survived a night in sub-zero temperatures,

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dressed in shorts and a running vest.

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Unfortunately, this male's come up on his own with no means of communication,

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no mobile phone or telephone.

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Obviously when he's not returned, there's no means to contact him.

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So they've contacted us about a missing person.

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When they came up last night, they contacted mountain rescue.

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The fact he's still alive is a little short of a miracle.

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I saw the chap laid against the fence there.

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We knew straightaway this is obviously the person we'd all been looking for.

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With him not moving, there was a time where I thought it might be the worst outcome.

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But as I got closer, I could see he was shivering

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so I dumped the bike, took off my fleece, covered him up as best I could.

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I think we're ready, lads.

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But paramedic Graham Pemberton is concerned about his patient's condition.

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As well as the cold, he's suffering from a deep head wound and a badly broken leg.

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How are you doing, Anthony? Open your eyes.

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Steve has Alzheimer's and his confusion is making the team's job harder.

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Graham has tried to call in an RAF helicopter to winch his patient from the hillside where he's lying.

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But it appears the terrain is too difficult, even for the military.

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I got the message that the RAF are not attending. Is that right? Over.

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'Confirmed.'

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Mountain rescue volunteers carry their patient up the treacherous hillside.

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But without an RAF Sea King to assist,

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the only option left is manpower and determination.

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It's quite a windy day and we're close to the wind farm.

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They were worried about where they were in proximity to these massive wind farms.

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It was a no-go for them, unfortunately.

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This is a lonely place.

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The route to safety takes them past abandoned miners' cottages,

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along a path trodden out by moorland sheep.

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-'Do you have any spare climbers?'

-How many do you want, Ted?

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'As many as we can, just to get through this section. Over.'

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The rescuers are taking no chances.

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The safety rope will prevent their patient plunging down the hillside for a second time.

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Can we get two of you down there?

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Steve's survival has amazed the emergency services.

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But not those who know the toughness of the average fell runner.

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He's a fit bloke, really. He's obviously a good fell runner.

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He was sheltered in the valley there, fortunately,

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and I think it was just below zero last night. Minus one, minus two.

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In cases like this, there's a temptation to raise the patient's body temperature quickly.

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But Graham won't be cranking up the heater on this flight.

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The normal procedure with hypothermic patients is you can warm them too quickly

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and send them into shock and cardiac arrest.

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So in hospital, they will warm them at one degree per hour.

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So if they're stable now, we don't do anything.

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We just keep them stable and take them to hospital

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and let the hospital deal with it.

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If we put the heaters on in the helicopter and warm him too quickly,

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we could make him a lot worse than he is already.

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But their patient's not out of the woods yet.

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Hypothermia and his head injury are a dangerous combination.

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Remember the biker trapped under a car after a freak accident in West Yorkshire?

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Let's find out how the operation to free him is going.

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Put this back here. Behind these two.

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Stuart Thornton's rescuers could be about to endanger his life.

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He had been pinned under this car for half an hour.

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The sudden release of its weight could lead to a cardiac arrest.

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We're going to get you safe first, sir.

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-Will it release me?

-Yes, it will.

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Ready, steady, move.

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It's the back protector, that's what it is.

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At last he's out, and he has survived his release.

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But it's now clear he's very badly injured.

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Mind the leg. It's quite displaced off to one side.

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This is the impact his head made on the first car that hit him.

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And only now can Sammy examine him for broken bones.

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I'm just going to cut your shirt, OK?

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PATIENT CRIES OUT IN PAIN

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She suspects there are many.

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My mate's got your left leg, mate.

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He has some serious limb injuries.

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INDISTINCT

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Your pain. If ten is the worst pain imaginable,

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and zero is none, what number are you at?

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Eleven.

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Which bit hurts the most?

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-Left shoulder.

-Your left shoulder.

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A pain score of 11 out of 10 isn't unusual.

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Morphine usually provides a temporary cure.

0:19:280:19:31

You're just going to feel... It might feel a little cold going in.

0:19:310:19:35

We're giving you morphine now.

0:19:350:19:37

Then we can get you more comfy on the board.

0:19:370:19:40

PATIENT GROANS

0:19:400:19:41

All right, Stu. Right at the side. We'll come this way.

0:19:410:19:45

Several emergency service teams have been helping Stuart.

0:19:450:19:50

They are focusing on one thing.

0:19:500:19:52

Getting him to hospital as quickly and as safely as possible.

0:19:520:19:56

He was breathing OK, although the weight of the car was resting on his chest.

0:19:560:20:00

Thankfully, the fire brigade weren't too long, so they managed to elevate the car,

0:20:000:20:06

get him out, then we could do a full assessment.

0:20:060:20:08

Under the circumstances, he should be, fingers crossed, OK.

0:20:080:20:11

He was obviously wearing the right protective gear.

0:20:110:20:15

So that's obviously helped him.

0:20:150:20:16

A&E staff partly measure the severity of cases

0:20:160:20:21

by what's known as "the mechanism of injury".

0:20:210:20:23

It doesn't come much worse than the accident Stuart has survived.

0:20:230:20:27

First, the impact with the car.

0:20:270:20:29

Then the road, and finally being crushed by the Fiesta.

0:20:290:20:33

It's not surprising that the LGI's trauma team sent him straight to surgery.

0:20:340:20:40

He undergoes a long and complex operation to save his leg.

0:20:410:20:45

His knee has to be rebuilt and several weeks later,

0:20:450:20:49

he is still in hospital with metalwork and pins holding his broken bones together.

0:20:490:20:54

The bottom half of my leg is separated from the top half

0:20:550:20:59

and being held together with the framework.

0:20:590:21:01

When the swelling goes down, we hope to rebuild the kneecap

0:21:010:21:05

and then we'll take it from there.

0:21:050:21:08

Stuart's bones are mending - and he has the itching to prove it!

0:21:080:21:14

But he can't remember a thing about the accident.

0:21:140:21:16

I've no idea. It's just...

0:21:160:21:20

Three months later, and Stuart has made a special request.

0:21:240:21:28

Hello! Pleased... Oh, come on.

0:21:280:21:31

He has asked if he can come and meet the paramedic team who helped him,

0:21:310:21:35

to say thank you and to piece together exactly what he's been through.

0:21:350:21:41

-Doing well. A couple more operations to go.

-Have you?

0:21:410:21:45

Then it could be another 12-month healing process, but we'll get there.

0:21:450:21:50

The last time paramedics Sammy Wills and Al Day saw Stuart,

0:21:500:21:54

they were dealing with his physical injuries.

0:21:540:21:58

Today is about dealing with some of the emotional ones that came afterwards.

0:21:580:22:01

Oh, look at that.

0:22:030:22:05

That's the helmet. I remember when I looked back,

0:22:050:22:08

that's the helmet I saw.

0:22:080:22:10

See, I'm awake. I can't remember any of this.

0:22:100:22:13

-'What I'd like to do now, boss...'

-A £700 helmet, ruined!

0:22:130:22:17

They're so cool about it!

0:22:170:22:19

It's their day-to-day job.

0:22:190:22:21

For me, if I were to attend a scene such as mine,

0:22:210:22:27

I'd just flip out. "Where do we start from here?"

0:22:270:22:30

But they're professionals. They know what they're doing

0:22:310:22:34

and you've got to let them do it.

0:22:340:22:36

-That's what I hit with my head.

-That's why you hit that thing there.

0:22:380:22:41

I cut my leg.

0:22:420:22:44

VIDEO CONTINUES

0:22:440:22:46

Are you all right?

0:22:490:22:51

I feel so grateful, having seen the video,

0:22:510:22:55

of how many people attended.

0:22:550:22:58

The emergency services that attended.

0:22:580:23:01

The effort that went in to rescue me...

0:23:010:23:04

I just owe them so much.

0:23:110:23:13

I'm really grateful.

0:23:130:23:15

Now, what about the fell runner who spent a bitterly cold night out on the Peaks?

0:23:210:23:26

Let's catch up on his case.

0:23:260:23:28

Heli-Med 99 has just taken off from a hilltop above Rochdale,

0:23:310:23:34

carrying a man who should not be alive.

0:23:340:23:37

Steve Iggulden fell down a rock face and broke his leg 24 hours ago.

0:23:370:23:43

He is so difficult to find. They were out all night looking for him.

0:23:430:23:47

-It'll be a marvel if we find him today.

-I know.

0:23:470:23:50

Now, after a night in temperatures of minus two,

0:23:500:23:53

the team have started the long process of heating him up in mid-air.

0:23:530:23:57

Manchester's Wythenshawe Hospital is just ten minutes' flying time.

0:23:570:24:02

Specialists are waiting to examine him.

0:24:020:24:05

The fact that he runs every day across the moors has kept him alive.

0:24:050:24:08

Cos he's so fit, it's kept him alive through the night.

0:24:080:24:11

If it had been a more frail person of his age,

0:24:110:24:16

I don't think it would be the same outcome.

0:24:160:24:18

Their patient's family feared he was lying dead out on the moors.

0:24:180:24:22

Now his relieved wife and daughter are on the way to the hospital by road.

0:24:220:24:27

And his survival is already making headlines.

0:24:270:24:30

NEWS: 'A man who went missing from his home near Ramsbottom on Sunday

0:24:300:24:34

'has been found by Rossendale and Pendle Mountain Rescue team.

0:24:340:24:37

'He'd fallen down a 70-feet drop and suffered a fractured skull and punctured lung.'

0:24:370:24:43

Slowly, doctors raise Steve's body temperature to normal levels

0:24:430:24:46

and he responds well.

0:24:460:24:48

A month later and he's been moved to North Manchester General Hospital.

0:24:480:24:52

His leg was badly broken in the fall and he's still in a wheelchair.

0:24:520:24:57

But otherwise, he's making a good recovery.

0:24:570:24:59

-I brought us some tea.

-Oh, good.

0:24:590:25:02

Steve has cheated death by the narrowest of margins.

0:25:020:25:05

But while his body is super-fit,

0:25:050:25:08

as an Alzheimer's sufferer, mentally he is still confused.

0:25:080:25:12

-That's nice.

-Is that nice?

-It's good.

0:25:120:25:14

His onset of Alzheimer's has been very, very gradual.

0:25:140:25:17

And he's remained very fit,

0:25:170:25:20

physically fit and well throughout.

0:25:200:25:22

He does have disabilities from it,

0:25:220:25:24

but one of his main joys has been to run, swim, go to the gym.

0:25:240:25:29

He really loves the outdoors.

0:25:290:25:31

It's always been, for the last two or three years,

0:25:310:25:35

um...

0:25:350:25:36

..a difficult risk to take.

0:25:380:25:40

Because he's not frail. He's very active, very energetic.

0:25:400:25:46

So I've tried to always keep an eye on him in strange places,

0:25:460:25:50

when we're away.

0:25:500:25:52

But he has, up till now, been safe.

0:25:520:25:55

For Helen, the 23 hours she spent waiting for news of her husband

0:25:550:25:59

as mountain rescue teams combed the moors,

0:25:590:26:02

will not be easily forgotten.

0:26:020:26:05

But as the evening drew in, she became increasingly concerned.

0:26:050:26:09

A very good friend of mine came and sat with me.

0:26:090:26:13

We must have had about 20 cups of tea.

0:26:130:26:16

I kept thinking, "God, this is a horrible nightmare. I wish I'd wake up."

0:26:160:26:21

It really, I thought, "This is so awful, it just can't possibly be true.

0:26:210:26:26

"I must be having a really bad dream."

0:26:260:26:29

Steve and his legendary fitness are well known to many of his rescuers.

0:26:290:26:34

While the odds were against him surviving that night,

0:26:340:26:37

some of the searchers were optimistic he'd be found alive.

0:26:370:26:40

The first thing he said to me was, "I'm sorry."

0:26:400:26:43

So he was aware the whole time, even though he had a head injury,

0:26:460:26:52

he'd been aware through the night.

0:26:520:26:54

He said to me later, he'd thought he was a gonner.

0:26:540:26:58

And there was no point in shouting because there was nobody around and it was pitch-black.

0:26:580:27:02

He does remember the fall,

0:27:030:27:06

but I haven't probed him about it.

0:27:060:27:08

Cos probably it's better that we just sort of think,

0:27:080:27:13

"That was a horrible experience. We don't want to go on and on re-experiencing it."

0:27:130:27:17

Steve's injuries from the fall will heal.

0:27:170:27:20

For his family, there are still tough times ahead,

0:27:200:27:24

but they can take comfort in the fact that he is a survivor. He will not give up without a fight.

0:27:240:27:30

You won't be surprised to hear that Anthony isn't planning on hanging up his running shoes just yet.

0:27:300:27:35

He intends to get back out on the fells as soon as his leg is healed.

0:27:350:27:39

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