Episode 12

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0:00:02 > 0:00:05If you're with someone that's critically ill or injured,

0:00:05 > 0:00:08every minute you wait for medical aid to come can feel like an hour.

0:00:08 > 0:00:12Which is why a helicopter can be one of the most beautiful sights.

0:00:12 > 0:00:14It was for me when I was a copper.

0:00:14 > 0:00:17This is the Yorkshire Air Ambulance

0:00:17 > 0:00:20and their business is saving lives.

0:00:40 > 0:00:43From the dales to the big cities of Leeds and Sheffield,

0:00:43 > 0:00:48patients in the UK's biggest county are never more than 10 minutes from a hospital

0:00:48 > 0:00:51thanks to this 150mph life saver.

0:00:51 > 0:00:56Every day brings a new life or death emergency for its team of flying paramedics.

0:00:56 > 0:01:00Two helicopters, four paramedics, five million patients!

0:01:00 > 0:01:04Today, a man is crushed between two trucks.

0:01:04 > 0:01:06Can you get through the door?

0:01:06 > 0:01:09..And he's just stopped breathing.

0:01:09 > 0:01:11Quick as you can. He's going off.

0:01:13 > 0:01:16A visitor to one of the UK's biggest caves

0:01:16 > 0:01:18is knocked out by a falling rock.

0:01:18 > 0:01:20It hit her head and she collapsed.

0:01:22 > 0:01:24This teenage rider's been thrown

0:01:24 > 0:01:26and crushed by her horse.

0:01:26 > 0:01:29My back hurts but I can't feel it.

0:01:31 > 0:01:36And the team are scrambled to a tree surgeon who's come down to earth the hard way.

0:01:36 > 0:01:39'He fell from the top of that ladder.'

0:01:40 > 0:01:46If an accident can happen, it's likely the heli-med team have dealt with something like it before.

0:01:46 > 0:01:49But some jobs take them right back to training school.

0:01:49 > 0:01:51When lorry drivers need medical help

0:01:51 > 0:01:55it's normally because they've been involved in a an accident.

0:01:55 > 0:02:00Heli-med 99's flying paramedics are used to prising truckers out of their crushed cabs.

0:02:00 > 0:02:04But today a lorry driver needs their help urgently

0:02:04 > 0:02:06and he hasn't even left the yard.

0:02:07 > 0:02:10Outside Skipton in the Yorkshire Dales

0:02:10 > 0:02:14a driver is trapped between his lorry and a parked container.

0:02:14 > 0:02:17The driver's colleague is trying to keep him calm

0:02:17 > 0:02:21but he's pinned by his waist and his feet are six inches off the floor.

0:02:22 > 0:02:25Heli-med Alpha ready.

0:02:26 > 0:02:30A-med 99 have been scrambled and are quickly racing towards the Dales.

0:02:31 > 0:02:36Paramedics Tony Wilkes and Darren Axe know the driver's chances of survival

0:02:36 > 0:02:38depend on how quickly they get there.

0:02:38 > 0:02:44He's actually trapped physically. It depends on where he's trapped.

0:02:44 > 0:02:47Whether it's just by the legs or by the chest.

0:02:48 > 0:02:52Fire crews and a ground ambulance have already arrived

0:02:52 > 0:02:56and the driver's shocked colleagues have come to see what's happening.

0:02:56 > 0:03:00The driver's called Ray. He's 63 and he's very frightened.

0:03:00 > 0:03:03Ray desperately needs Heli-med 99.

0:03:03 > 0:03:08People who have been trapped for a long time can suffer numerous complications

0:03:08 > 0:03:12as toxins begin to build up around the trapped parts of the body.

0:03:12 > 0:03:15Once released, patients can quickly deteriorate

0:03:15 > 0:03:17and need to be in hospital fast.

0:03:17 > 0:03:21It's a fine line between how much intervention you can do on scene

0:03:21 > 0:03:24as to how much time that eats off the clock.

0:03:24 > 0:03:27If the hospital is eight minutes away, why spend 40 minutes on scene

0:03:27 > 0:03:32trying to do a protracted paramedic intervention on that patient

0:03:32 > 0:03:34unless it's really necessary.

0:03:35 > 0:03:39There's an ambulance down there, so he's got to be this patient.

0:03:39 > 0:03:40That's it.

0:03:41 > 0:03:46Pilot Tim Taylor manages to land the helicopter right next to the lorry park.

0:03:46 > 0:03:51It's now a race for paramedic Darren to work out how to get Ray out.

0:03:51 > 0:03:55He's trapped between two lorries. He can feel his legs and pelvis.

0:03:55 > 0:03:59He seems to be OK but the trouble is we've been a long time.

0:03:59 > 0:04:01Nobody knows how it's happened,

0:04:01 > 0:04:04but the wheel arch of his lorry is pinning him by the waist

0:04:04 > 0:04:06to the red container behind.

0:04:06 > 0:04:08Did you get to him through the door?

0:04:08 > 0:04:10Luckily, the door was open

0:04:10 > 0:04:14and Ray's head is resting inside his cab on the seat.

0:04:14 > 0:04:18But the gap is so narrow, no-one can get close to Ray

0:04:18 > 0:04:21and if the lorry moves again, he'll be crushed.

0:04:21 > 0:04:23What's his pain score, Terry?

0:04:23 > 0:04:25(INDISTINCT REPLY)

0:04:25 > 0:04:28- I've got some morphine. - We need a bit of morphine.

0:04:28 > 0:04:31The only way of treating Ray is from inside his cab,

0:04:31 > 0:04:36but there's barely enough room for Darren and ground medic Terry Blackburn.

0:04:36 > 0:04:38He's managed to get to Ray

0:04:38 > 0:04:40and has already started treatment.

0:04:40 > 0:04:42He's pinned in his pelvic region.

0:04:42 > 0:04:46But it's hard to say if it's crushing him or just restricting his movement.

0:04:46 > 0:04:49He can feel his legs, which is a good thing.

0:04:49 > 0:04:52He's in a lot of pain, so I've eased pressure there.

0:04:52 > 0:04:57- Are you under the doctor for owt? - No.- Any medicines?- No.

0:04:57 > 0:05:01All right. Don't you worry, you'll be out of there soon.

0:05:01 > 0:05:06Tony, if there's a basic structure, we might need some...

0:05:06 > 0:05:09Darren is so worried about Ray's condition,

0:05:09 > 0:05:13he calls for a doctor who will be able to give stronger painkillers

0:05:13 > 0:05:16and provide support if Ray's condition deteriorates.

0:05:16 > 0:05:21At Air Ambulance HQ, it's dispatcher Chris's job to find a doctor.

0:05:21 > 0:05:23But the search is not going well.

0:05:23 > 0:05:26I've asked them to page me the doctor's.

0:05:26 > 0:05:29I told them to ring me here and find out who's nearest

0:05:29 > 0:05:32but they've got nobody on their way at the moment.

0:05:32 > 0:05:36Back at the scene, fire crews are frantically trying to work out

0:05:36 > 0:05:38how to free Ray.

0:05:38 > 0:05:40They can't move the lorry forward or back

0:05:40 > 0:05:43as Ray will be crushed against the container.

0:05:43 > 0:05:46So they decide to attach a cable to the side of the lorry

0:05:46 > 0:05:49and hope the powerful winch will gently move the lorry away,

0:05:49 > 0:05:53allowing the medical team to lower Ray onto a spinal board.

0:05:53 > 0:05:57He'll collapse as soon as he's free, so hopefully they'll get a board behind him

0:05:57 > 0:06:00to stop him collapsing once he's free.

0:06:00 > 0:06:05Once this board's in place, boss, that's it. We need manpower to grab him when he's freed.

0:06:05 > 0:06:08- We'll be round that side. - That's great.

0:06:08 > 0:06:10This is a dangerous operation.

0:06:10 > 0:06:14If the cable slips, the lorry will fall back and crush Ray.

0:06:14 > 0:06:18If he's got a spinal injury, any movement could cause paralysis.

0:06:18 > 0:06:23Dispatcher Chris still hasn't found a doctor. But time is running out.

0:06:23 > 0:06:26Darren and Tony will have to cope on their own.

0:06:26 > 0:06:30It could make things a lot worse for the rescue teams as well

0:06:30 > 0:06:33so we have to be careful and think about what we're doing.

0:06:40 > 0:06:43Coming up: Ray stops breathing.

0:06:43 > 0:06:44Pulse rate dropping. 42.

0:06:44 > 0:06:48Freeing him becomes a matter of life or death.

0:06:48 > 0:06:50As much as you can! Keep going!

0:06:53 > 0:06:56A teenage rider is in pain after coming off her horse.

0:07:00 > 0:07:03And the paramedics test their head for heights

0:07:03 > 0:07:05on a hair-raising trip down a cliff.

0:07:05 > 0:07:08It's just a case of trying to stay upright!

0:07:14 > 0:07:19Tourists turn up in their millions to see Yorkshire's natural attractions.

0:07:19 > 0:07:22But some are harder to get to than others.

0:07:23 > 0:07:27The Yorkshire Dales is one of the country's most dramatic landscapes.

0:07:27 > 0:07:30Over millions of years, water passing through the limestone

0:07:30 > 0:07:33has carved out spectacular rock features.

0:07:33 > 0:07:36And nowhere is more dramatic than this place!

0:07:37 > 0:07:41Gaping Gill is Britain's biggest cave chamber,

0:07:41 > 0:07:45a huge hole in the ground that falls away 360 feet

0:07:45 > 0:07:47to the base of this immense cavern.

0:07:47 > 0:07:49It's Britain's finest cave.

0:07:49 > 0:07:51It's a fantastic place.

0:07:51 > 0:07:55You've got a 360-foot-high shaft open to daylight

0:07:55 > 0:07:58falling into the biggest cave chamber in Britain.

0:07:58 > 0:08:00This incredible spectacle

0:08:00 > 0:08:03can normally only be seen by experienced cavers.

0:08:03 > 0:08:05But for one week a year,

0:08:05 > 0:08:09a local pot-holing club set up a special winch

0:08:09 > 0:08:12to lower the public into this massive chamber.

0:08:13 > 0:08:15But today there's been an accident.

0:08:15 > 0:08:19Someone's been hit by a large rock and been knocked out.

0:08:19 > 0:08:22At Gaping Gill south.

0:08:22 > 0:08:25The cave rescue team have called for the air ambulance

0:08:25 > 0:08:30otherwise this patient would face a bumpy hour-long trip back to the nearest road.

0:08:33 > 0:08:37The heli-med 99 can be there in a matter of minutes.

0:08:37 > 0:08:41Paramedics Sammy Wills and Pat Greaken are on their way.

0:08:41 > 0:08:46We've been requested by cave rescue to attend a place called Gaping Gill

0:08:46 > 0:08:48above Ingleborough.

0:08:48 > 0:08:53A lot of caving and climbing goes on in that area. We don't know if it's a climber or caver.

0:08:54 > 0:09:00We'll have to wait and see. It could be a caver but you never know.

0:09:00 > 0:09:02It's a clear day

0:09:02 > 0:09:04and the sun's out.

0:09:04 > 0:09:08But for pilot Steve Cobb, it's the wind that's causing him concern.

0:09:08 > 0:09:12The weather today is not particularly nice - a gusty wind.

0:09:12 > 0:09:15It's gusting at 40 or 45 knots on the ground

0:09:15 > 0:09:18so up on the exposed hills it may be worse than that.

0:09:18 > 0:09:22So we'll have to wait till we get there to see how bad it is.

0:09:28 > 0:09:31- Is that vehicles just below the top, Steve?- Yes.

0:09:31 > 0:09:32Looks like it.

0:09:33 > 0:09:36As soon as they land on the windswept hillside,

0:09:36 > 0:09:40Sammy meets the cave rescuers who've been treating the patient.

0:09:40 > 0:09:44The accident has happened at the bottom of a steep slope.

0:09:44 > 0:09:47Kerry Sell had been waiting to go down the cave

0:09:47 > 0:09:50when a boulder fell and hit her on the back of the head,

0:09:50 > 0:09:52knocking her unconscious.

0:09:52 > 0:09:54How bad does the sickness feel?

0:09:54 > 0:09:57It's been on and off, hasn't it?

0:09:57 > 0:09:58Yes.

0:09:58 > 0:10:01We're moving you, OK?

0:10:01 > 0:10:03We had a report from Bradford Pothole Club

0:10:03 > 0:10:08that someone waiting up here had had a loose rock fall on their head.

0:10:08 > 0:10:12They'd been unconscious and just had a scalp injury.

0:10:12 > 0:10:15'It was the sound of the rock falling down the bank.

0:10:15 > 0:10:17'The young lady on the stretcher'

0:10:17 > 0:10:21was sat upright, didn't see it and it hit her on the head and she collapsed.

0:10:21 > 0:10:26Members of the local pothole club were going to be taking Kerry down the cave.

0:10:26 > 0:10:30Instead, they've been left to deal with her injuries on the surface.

0:10:30 > 0:10:33There was a lot of blood matted in her hair.

0:10:33 > 0:10:35But she was very, very pale,

0:10:35 > 0:10:39she was shaking and she kept going in and out of consciousness,

0:10:39 > 0:10:45coming back and saying she had blurred vision and really didn't feel well at all.

0:10:46 > 0:10:50The paramedics know head injuries need to be treated very carefully

0:10:50 > 0:10:55so flying Kerry to the nearest hospital is by far the best option.

0:10:56 > 0:11:01We're gonna bring her up the steps and get her off to the hospital.

0:11:02 > 0:11:07But the wind is picking up. Pilot Steve has already had to tie down the rotor blades

0:11:07 > 0:11:09to stop them being damaged by the gusts.

0:11:09 > 0:11:12If it gets any worse, they won't be flying anywhere.

0:11:12 > 0:11:16The landing's not a problem, it's starting up again.

0:11:16 > 0:11:19cos we've got a 50-knot limitation on the rotors.

0:11:19 > 0:11:22It's probably over 40 now and it's gusting.

0:11:22 > 0:11:26A steady wind's not so bad, but a gusting wind makes things worse.

0:11:26 > 0:11:28So we'll have to hope for the best.

0:11:28 > 0:11:31We hope the wind dies down a little enough for us to get going.

0:11:31 > 0:11:34It will be quite tense when we start it.

0:11:36 > 0:11:38I can hardly talk, it's so windy.

0:11:38 > 0:11:40We're putting her on a long board.

0:11:40 > 0:11:43She's on a stretcher but that can't come with us

0:11:43 > 0:11:46so we'll put her on a long board in the aircraft.

0:11:53 > 0:11:58So with Kerry on board, the hospital treatment she needs is minutes away.

0:11:58 > 0:12:00But the gusts are blowing harder

0:12:00 > 0:12:03and if Steve removes the ropes holding on to the rotor blades,

0:12:03 > 0:12:06the wind could snap them clean off.

0:12:06 > 0:12:08Whether Kerry gets to hospital now

0:12:08 > 0:12:10depends entirely on the weather.

0:12:17 > 0:12:20Coming up: Steve calls in paramedic Pat

0:12:20 > 0:12:23to lend a hand as they try to get Kerry into the air.

0:12:23 > 0:12:27We don't want them to start turning before we start the engine power.

0:12:29 > 0:12:31There's a life-or-death decision to take

0:12:31 > 0:12:34as a trapped man takes a turn for the worse.

0:12:34 > 0:12:36As quickly as you can.

0:12:36 > 0:12:38He's going off.

0:12:40 > 0:12:45And up on the roof, a country cottage conversion ends in agony.

0:12:50 > 0:12:55They say when you've fallen off a horse, you should get straight back on or you'll lose your nerve.

0:12:55 > 0:12:58But for some riders, it's not that simple.

0:12:59 > 0:13:04Heli-med 99 is on its way to a riding yard near Malton in North Yorkshire.

0:13:04 > 0:13:07A young girl has had a serious accident.

0:13:07 > 0:13:1114-year-old Charlotte Boyes was crushed when the horse she was riding

0:13:11 > 0:13:13fell on top of her.

0:13:13 > 0:13:17The most likely injuries will be neck and back injuries. The weight of the horse

0:13:17 > 0:13:23falling onto a smaller person will have more effect than on an adult.

0:13:23 > 0:13:26The crew are told that Charlotte's injuries are severe.

0:13:26 > 0:13:30Ground paramedics suspect she has a fractured pelvis.

0:13:30 > 0:13:34This is worrying paramedic Darren Axe.

0:13:34 > 0:13:37It could wind up with bursting her bladder

0:13:37 > 0:13:39or severing major blood vessels.

0:13:39 > 0:13:42But we've also got other injuries as well

0:13:42 > 0:13:44like possible fractured arm and a fractured leg.

0:13:45 > 0:13:49Heli-med 99 Alpha about to let down, please.

0:13:49 > 0:13:52The horse that Charlotte was riding has been put away.

0:13:52 > 0:13:56People often forget that animals can be terrified by helicopters.

0:13:57 > 0:13:59Charlotte, how many years young are you?

0:13:59 > 0:14:02- Seven.- You're not! You're 14!

0:14:02 > 0:14:06- You're 14? Are you married? - No.- Wonderful.

0:14:06 > 0:14:10Darren's bedside manner and the presence of Mum

0:14:10 > 0:14:11can help calm Charlotte.

0:14:11 > 0:14:16Charlotte, try not to cry, pet. I'll make it better as quick as I can.

0:14:18 > 0:14:23For pilot Steve Cobb, it's a personal reminder of how dangerous horse-riding can be.

0:14:23 > 0:14:27- STEVE:- Both my daughters ride horses and both have had accidents.

0:14:27 > 0:14:30Bad accidents, really. It's a stressful time.

0:14:30 > 0:14:34You can't help but feel for them, to be honest.

0:14:34 > 0:14:38I can feel that a leg hurts, but I can't really feel it.

0:14:38 > 0:14:40OK. I'll give you some more, then.

0:14:40 > 0:14:44The numbness Charlotte is feeling is worrying. She could have hurt her spine.

0:14:44 > 0:14:48She needs hospital treatment urgently.

0:14:48 > 0:14:54Heli-med 99 must get Charlotte to James Cook Hospital in Middlesbrough as soon as possible.

0:14:54 > 0:14:59X-rays will reveal the extent of her injuries and whether she'll be able to ride again.

0:15:00 > 0:15:03A week later, back at the family's riding yard near Malton,

0:15:03 > 0:15:05there's some good news.

0:15:05 > 0:15:08Charlotte's had a very lucky escape.

0:15:09 > 0:15:12X-rays revealed that she had no broken bones

0:15:12 > 0:15:14but her hip was dislocated.

0:15:14 > 0:15:18She's still in pain and walking with the aid of crutches,

0:15:18 > 0:15:20but she feels very lucky.

0:15:20 > 0:15:24I just remember him on top of me

0:15:24 > 0:15:30I couldn't really feel how heavy he was. It felt like I was being crushed.

0:15:30 > 0:15:33Christine Boyes was riding with her daughter

0:15:33 > 0:15:35and saw the accident happen.

0:15:35 > 0:15:37I just jumped off my horse and ran to her.

0:15:37 > 0:15:40She was lying still. I didn't know what to think.

0:15:40 > 0:15:44Christine knows that this accident could have been a lot worse.

0:15:44 > 0:15:50She's sure the safety equipment Charlotte was wearing helped prevent further injuries.

0:15:50 > 0:15:53This is a back protector which Charlotte wears when riding.

0:15:53 > 0:15:55If she hadn't had this on,

0:15:55 > 0:15:58her injuries would have been a lot worse.

0:15:58 > 0:16:00It protects both front and back

0:16:00 > 0:16:05and with the horse falling on her, I'm sure this is what saved her from serious injuries.

0:16:05 > 0:16:08Although Charlotte's recovery will take a while,

0:16:08 > 0:16:11she's keen to ride her horse Chester again soon.

0:16:11 > 0:16:13'I probably won't jump for a while.

0:16:13 > 0:16:16'As soon as I could walk, I was on a horse.

0:16:16 > 0:16:20'I really want to go riding now but it might be a bit hard.'

0:16:26 > 0:16:31Coming up. An injured sightseer has missed her chance of visiting Yorkshire's biggest cave.

0:16:31 > 0:16:33Or has she?

0:16:34 > 0:16:37And a kids' trampoline is great fun...

0:16:37 > 0:16:40unless you're 58 and have had a few beers.

0:16:40 > 0:16:43What about pain level? How is it?

0:16:43 > 0:16:44It's all right. It's sound.

0:16:50 > 0:16:52At a factory in North Yorkshire,

0:16:52 > 0:16:55a man has been trapped between two lorries.

0:16:55 > 0:16:57Paramedic Darren Axe is worried -

0:16:57 > 0:16:59with good reason.

0:17:02 > 0:17:06Heli-med 99's crew have been scrambled to a warehouse near Skipton

0:17:06 > 0:17:08to save a trapped lorry driver.

0:17:09 > 0:17:13Raymond Walsh is wedged between his cab and a parked container.

0:17:13 > 0:17:15His feet are six inches off the floor.

0:17:15 > 0:17:18If we can gain a few inches

0:17:18 > 0:17:21then we'll be able to pull the man through the cab.

0:17:21 > 0:17:22That's Plan A.

0:17:22 > 0:17:25Fire crews are frantically attaching a winch

0:17:25 > 0:17:27to pull the lorry across to release Ray

0:17:27 > 0:17:31while Darren Axe tries to control his patient's pain.

0:17:31 > 0:17:33That pain now, buddy.

0:17:33 > 0:17:35What is it now?

0:17:36 > 0:17:39- My back. It's the same.- Same?

0:17:39 > 0:17:43- Three.- Right we want nought.

0:17:44 > 0:17:48Ground paramedic Terry Blackburn reached Ray first and is helping keep him stable.

0:17:48 > 0:17:52But they're both worried about the length of time he's been trapped.

0:17:52 > 0:17:56Toxins can start to build up around the trapped part of the body.

0:17:56 > 0:17:59Once released, they can cause lethal complications.

0:18:03 > 0:18:06Ray's been trapped for over half an hour,

0:18:06 > 0:18:11but finally the fire crews are ready to start the winch and pull the lorry away.

0:18:11 > 0:18:13He's fine! Keep going!

0:18:13 > 0:18:14Keep going!

0:18:14 > 0:18:18This is very risky. If the cable snaps or the winch fails,

0:18:18 > 0:18:21Ray will be crushed.

0:18:21 > 0:18:23Don't let it back now, for Christ's sake!

0:18:23 > 0:18:25But there's a problem.

0:18:25 > 0:18:30The winch isn't powerful enough to pull the heavy lorry away to release Ray.

0:18:30 > 0:18:32It has moved a little bit.

0:18:32 > 0:18:35Stick your hand back under that corner.

0:18:35 > 0:18:38Fire crews are baffled and must now think of Plan B.

0:18:38 > 0:18:42But the situation is about to become even more serious.

0:18:44 > 0:18:47Papa! Papa! Talk to me.

0:18:48 > 0:18:49Talk to me.

0:18:49 > 0:18:51Pulse rate dropping. 42.

0:18:51 > 0:18:52Papa?

0:18:52 > 0:18:54Just BLEEP get it done!

0:18:54 > 0:18:57Can't do that.

0:18:57 > 0:18:58- Can't we?- No.

0:18:58 > 0:19:00We'll pull her round now.

0:19:03 > 0:19:07Chop them hinges as quick as you can. He's going off.

0:19:07 > 0:19:10Ray's gone into cardiac arrest.

0:19:10 > 0:19:11Look at me, Chief!

0:19:11 > 0:19:15"Going off" is paramedic slang for a patient dying.

0:19:15 > 0:19:19The small movement has caused blood to flow back down Ray's body.

0:19:19 > 0:19:23His blood pressure has plummeted and he's unconscious.

0:19:23 > 0:19:25You've got no more pull on that at all?

0:19:25 > 0:19:29We're lifting now. As soon as we lift it, we'll have someone in.

0:19:29 > 0:19:32The fire crews are desperately trying to free Ray.

0:19:32 > 0:19:36Until they do, Darren and Terry can't get close enough to resuscitate him.

0:19:36 > 0:19:39Unless they start soon, Ray will die.

0:19:39 > 0:19:41As much as you can!

0:19:41 > 0:19:42Keep going!

0:19:43 > 0:19:47- Rest! Enough! - Hold it at that! Hold it!

0:19:47 > 0:19:49- Is he out?- He's out.

0:19:49 > 0:19:51They've done it! The lorry moves just enough

0:19:51 > 0:19:54for paramedic Tony to drag Ray out.

0:19:54 > 0:19:57He's still unconscious and the team must now try and revive him.

0:19:57 > 0:20:00We've got a pulse. Got a pulse.

0:20:00 > 0:20:02Let's get a line back on him.

0:20:05 > 0:20:07Ray is fighting for his life.

0:20:07 > 0:20:10He's been in cardiac arrest for nearly two minutes

0:20:10 > 0:20:13and is still not responding to Darren and Tony.

0:20:13 > 0:20:17Drugs and fluids are helping, but they're relying on Ray's body to react.

0:20:17 > 0:20:20Papa! Now, then, me old china, keep looking at us.

0:20:22 > 0:20:24It's a big relief for the team

0:20:24 > 0:20:26as Ray finally shows signs of life.

0:20:26 > 0:20:28But there's no more they can do.

0:20:28 > 0:20:32Ray is critically ill and needs specialist hospital care.

0:20:34 > 0:20:36CONVERSATION INDISTINCT

0:20:37 > 0:20:39Up, up, up, up, up.

0:20:40 > 0:20:43And rest. There we are.

0:20:43 > 0:20:47It's just the basics. Put a cannula in. Gave him fluids.

0:20:47 > 0:20:49Pain relief, oxygen.

0:20:49 > 0:20:53He went off on us but they dragged the wagon away, he went off.

0:20:53 > 0:20:58Good job he's alive. That's the main thing. It's not up to us now.

0:20:59 > 0:21:03The industrial unit is just outside the Dales market town of Skipton,

0:21:03 > 0:21:05miles from the nearest hospital.

0:21:05 > 0:21:09But thanks to Heli-med 99 and the helipad at Leeds General Infirmary,

0:21:09 > 0:21:12Ray will be receiving more life-saving treatment

0:21:12 > 0:21:15at a top trauma centre in just ten minutes.

0:21:17 > 0:21:21It's a text-book job from everybody that was involved in it.

0:21:21 > 0:21:25From a technical rescue point of view initially it was difficult.

0:21:25 > 0:21:28You have to choose the direction you're gonna pull this thing.

0:21:28 > 0:21:31Once you pull it, you can't let it go back.

0:21:31 > 0:21:36From a paramedic's point of view, myself and the other paramedic that were in the cab,

0:21:36 > 0:21:42we'd got a patient to watch because we knew his condition would change rapidly

0:21:42 > 0:21:45once they removed the weight from his abdomen and body.

0:21:45 > 0:21:47Which proved to be the case.

0:21:47 > 0:21:53When they took the weight from him, he went into cardiac arrest when his blood pressure dropped.

0:21:53 > 0:21:56Ray's body has been through a huge ordeal.

0:21:56 > 0:21:59He's been given the best possible chance of survival.

0:21:59 > 0:22:03But will the rescue team's efforts be in vain?

0:22:09 > 0:22:13Coming up: Doctors start work on Ray as his family rush to his bedside.

0:22:15 > 0:22:18And the paramedics go over the top

0:22:18 > 0:22:21as they tackle a coastguard rescue course.

0:22:26 > 0:22:29Not many people would sign up for a sightseeing tour

0:22:29 > 0:22:34that involved a 300-foot vertical ride on the end of a rope.

0:22:34 > 0:22:36But one woman who did buy a ticket

0:22:36 > 0:22:39is about to enjoy another hair-raising experience.

0:22:41 > 0:22:45Kerry Sell has come to the Dales for a unique opportunity -

0:22:45 > 0:22:48to be lowered into the vast Gaping Gill cavern.

0:22:48 > 0:22:50But she's never left the surface.

0:22:50 > 0:22:52She's been knocked out by a falling rock.

0:22:52 > 0:22:57Heli-med 99's crew decide she needs to be checked out at hospital.

0:22:57 > 0:23:00But the strong wind is at the limit for taking off safely.

0:23:01 > 0:23:05Pat's been given a special task in order for them to leave the ground.

0:23:05 > 0:23:08One that's certainly stretching him!

0:23:08 > 0:23:13The wind is so gusty, it's near our parameters, our maximum limit.

0:23:13 > 0:23:17We don't want them to start turning before we start the engine power.

0:23:17 > 0:23:20We don't want them to flap, either.

0:23:20 > 0:23:24So Pat is just supporting it until the pilot is ready to go.

0:23:24 > 0:23:26Then he'll get the thumbs up and he'll move.

0:23:26 > 0:23:28It's down to Pat on this one.

0:23:30 > 0:23:33This is all about crucial timing.

0:23:43 > 0:23:46Eventually, Heli-med 99's engines take the strain

0:23:46 > 0:23:48and the plan has worked.

0:23:48 > 0:23:51They can now head off this windswept moor to the hospital.

0:23:52 > 0:23:56- What's the ETA, Pat? - Our ETA is 12 minutes.

0:23:56 > 0:23:5812. Cool.

0:23:58 > 0:23:59I told her six or seven.

0:23:59 > 0:24:03Well, when you've had a bang on the head, time sort of...

0:24:03 > 0:24:06That's cruel!

0:24:08 > 0:24:10- A bit of breeze on your face, all right?- Yep.

0:24:10 > 0:24:14While Kerry's condition seems to have stabilised for now,

0:24:14 > 0:24:19it's vital her head injury is thoroughly checked out in hospital.

0:24:19 > 0:24:23The fact that the rock has fallen onto her and knocked her out,

0:24:23 > 0:24:26that's our main concern that she could have concussion

0:24:26 > 0:24:28or any other head injury.

0:24:35 > 0:24:39This spectacular cave is only open to the public for a few days a year.

0:24:39 > 0:24:44Kerry's unexpected trip to hospital means she's missed her chance.

0:24:44 > 0:24:46But just four days later,

0:24:46 > 0:24:51the cave rescue team are heading back to the Gill with a special passenger.

0:24:52 > 0:24:56Only hours after Gaping Gill closes to the public for 12 months,

0:24:56 > 0:25:00Kerry's come back. Her rescuers have laid on a VIP visit to the cave

0:25:00 > 0:25:02to make up for her bump on the head.

0:25:02 > 0:25:04I'm OK.

0:25:04 > 0:25:07Just coming back is a bit weird.

0:25:07 > 0:25:09Seeing where it was and that.

0:25:09 > 0:25:10But I'm OK.

0:25:12 > 0:25:15The cut on Kerry's head has been treated with stitches

0:25:15 > 0:25:17and she's had a few days rest.

0:25:17 > 0:25:20Now she's feeling ready to head down into this huge abyss.

0:25:20 > 0:25:23I'm quite excited about going down.

0:25:25 > 0:25:27A bit nervous, but...

0:25:27 > 0:25:29It looks good.

0:25:29 > 0:25:31And now Kerry's time has come.

0:25:35 > 0:25:39At the start of the week, she'd been heading upwards in an air ambulance.

0:25:39 > 0:25:42Now she's on her way downwards into this immense cavern.

0:25:44 > 0:25:46Oh, it's amazing!

0:25:46 > 0:25:50It's really small and you think you'll hit something.

0:25:50 > 0:25:53Then as you come down it gets really big and you hear the water

0:25:53 > 0:25:58and see it coming down the rock face. That was brilliant!

0:25:58 > 0:25:59I really enjoyed that.

0:25:59 > 0:26:03Now, a chance to explore a unique underground world

0:26:03 > 0:26:08after a speedy recovery made even quicker by Heli-med 99.

0:26:08 > 0:26:11It was a lovely ride and the pilot was brilliant.

0:26:11 > 0:26:15Considering it was really windy that day, and the woman was really nice.

0:26:15 > 0:26:18She was talking to me and she was really helpful.

0:26:19 > 0:26:25I reckon if the helicopter wasn't there, I wouldn't have recovered as quickly.

0:26:27 > 0:26:31And it seems Kerry's caving experience might not be ending here.

0:26:31 > 0:26:34She had a smile on her face when she came back.

0:26:34 > 0:26:38I spoke to her and she seemed fairly amazed by it.

0:26:38 > 0:26:40She says she's considering taking up caving.

0:26:40 > 0:26:42She's talking about joining the club.

0:26:42 > 0:26:46So all you need to do to get new members is whack 'em on the head!

0:26:57 > 0:27:01Coming up: The paramedics have brought him back from the dead.

0:27:01 > 0:27:04But can a trapped worker make a full recovery?

0:27:10 > 0:27:13They say what goes up must come down.

0:27:13 > 0:27:15But gravity isn't always a good thing.

0:27:15 > 0:27:20It's responsible for an awful lot of accidents. Just ask the flying paramedics.

0:27:20 > 0:27:24There are plenty of things to fall off in a place like Yorkshire.

0:27:24 > 0:27:27If that happens here, the chalk cliffs of Flamborough Head,

0:27:27 > 0:27:30it's a long way down.

0:27:30 > 0:27:35You don't need to tell a helicopter paramedic that gravity can be deadly.

0:27:35 > 0:27:39Today, the Heli-med team are learning how to defy it the safe way

0:27:39 > 0:27:41with the coastguard rescue squad.

0:27:41 > 0:27:43It's a sheer drop to about 150 foot.

0:27:43 > 0:27:48Sadly, the victims of most falls aren't this well prepared.

0:27:48 > 0:27:51Hi, it's Chris ringing from the Yorkshire Air Ambulance.

0:27:51 > 0:27:53Can I take your name, please?

0:27:53 > 0:27:57At Air Ambulance HQ, dispatcher Chris has sent Heli-med 99

0:27:57 > 0:28:00to an urgent job in the Yorkshire market town of Malton.

0:28:02 > 0:28:05Heli-med 99 Alpha going to Malton.

0:28:05 > 0:28:0965-year-old Neil Gardener was lopping this tree

0:28:09 > 0:28:12when he fell onto the concrete path below.

0:28:12 > 0:28:16He has a serious head injury and has lost a lot of blood.

0:28:18 > 0:28:21It's 40 miles from Heli-med 99's base to Malton.

0:28:21 > 0:28:24It will take them under 20 minutes.

0:28:24 > 0:28:28When paramedic Simon Cavanagh gets an update from ambulance control,

0:28:28 > 0:28:31they know they're urgently needed.

0:28:31 > 0:28:34'Patient with severe head injuries.'

0:28:34 > 0:28:38We've got reports that the gentleman has been or is unconscious.

0:28:38 > 0:28:41We're looking at the head injuries unit.

0:28:41 > 0:28:45INDISTINCT

0:28:45 > 0:28:47Once they arrive at the scene,

0:28:47 > 0:28:49Tim decides to land in a school playing field.

0:28:49 > 0:28:55Classes break to come and watch as the rugby pitch is turned into a makeshift helipad.

0:28:56 > 0:29:01- He's fallen from a tree.- Landed right on his face.- From how high?

0:29:01 > 0:29:03- About 40 foot.- 40 foot?! BLEEP

0:29:04 > 0:29:07There are a few motorcycle paramedics in Yorkshire.

0:29:07 > 0:29:12Luckily for Neil, one of them was parked around the corner from his house.

0:29:13 > 0:29:16Not only that, his garden backs onto the local hospital

0:29:16 > 0:29:19so two doctors are on the scene as well.

0:29:19 > 0:29:23Neil has fallen from the top of that ladder

0:29:23 > 0:29:26down here onto this hard path.

0:29:26 > 0:29:29They've all quickly worked to stabilise Neil.

0:29:29 > 0:29:33- Any more to do?- We're just parked at the school.

0:29:34 > 0:29:36Neil, we're gonna get you moved now, OK?

0:29:36 > 0:29:40Neil's skull is fractured from his forehead to the top of his neck.

0:29:43 > 0:29:46What's happening inside his head? We don't know.

0:29:46 > 0:29:49He's had a fall of 40 foot onto concrete.

0:29:50 > 0:29:52Who knows what else he's hurt?

0:29:52 > 0:29:55Neil spent four weeks in hospital.

0:29:56 > 0:29:59As a result of his serious head injury,

0:29:59 > 0:30:01he's lost some of his memory.

0:30:03 > 0:30:07All who saw how far he fell agree he's lucky to have survived.

0:30:10 > 0:30:16Back on the east coast, paramedic Sammy Wells is next over the edge in her training with the coastguard.

0:30:16 > 0:30:20It's just a case of trying to stay upright!

0:30:20 > 0:30:25Apparently, it's a very wobbly and not sound surface.

0:30:26 > 0:30:30If you fly in a helicopter, you can deal with heights.

0:30:32 > 0:30:34The coastguard have all the right safety kit.

0:30:34 > 0:30:39But most people hurt in falls are doing a bit of DIY.

0:30:40 > 0:30:43Around 200,000 people go to hospital every year

0:30:43 > 0:30:46after trying to "do it themselves".

0:30:46 > 0:30:49Many accidents involve ladders.

0:30:49 > 0:30:53We've been requested to attend an incident by a land crew.

0:30:54 > 0:30:58A middle-aged gentleman has fallen two storeys off a ladder

0:30:58 > 0:31:00with possibly a fractured arm.

0:31:01 > 0:31:05The man who's called Heli-med 99 is Air Ambulance paramedic Darren Axe

0:31:05 > 0:31:07who's working on the ground today.

0:31:08 > 0:31:12He quickly decided that patient Kevin Howarth's broken arm

0:31:12 > 0:31:15would probably need surgery to put it back together.

0:31:15 > 0:31:18The ladder slid away from he and he dropped to the ground.

0:31:18 > 0:31:23He's got a fractured humerus. It's bleeding quite bad and he's in a lot of pain.

0:31:26 > 0:31:30The DIY fall happened in a housing estate in Goole, East Yorkshire.

0:31:30 > 0:31:34It's fortunate that there's a ploughed field right next door

0:31:34 > 0:31:36for the helicopter to land in.

0:31:37 > 0:31:41I've got a line in one side but I'm not giving him any pain relief

0:31:41 > 0:31:44cos if we give him owt, let's give him morphine.

0:31:46 > 0:31:50Kevin Howarth was replacing the soffits on the roof of his home.

0:31:50 > 0:31:52His wife, Alexis, was holding the ladder.

0:31:52 > 0:31:55Except for the moment when he fell.

0:31:56 > 0:32:01No, cos I never held the ladder. He said I had to go up inside cos he couldn't manage.

0:32:01 > 0:32:03So I went inside.

0:32:03 > 0:32:05Kevin's arm is badly damaged.

0:32:05 > 0:32:08He used it to break his fall from the roof

0:32:08 > 0:32:10and the bone was shattered.

0:32:10 > 0:32:14Are you happy to fly with us in the helicopter?

0:32:16 > 0:32:20A bit more DIY is required first before they can get Kevin on his way to hospital.

0:32:23 > 0:32:27I've given the gentleman 10mg of morphine for the pain.

0:32:27 > 0:32:30He seems quite happy with 10mg of morphine.

0:32:30 > 0:32:33It's taken the edge off his injury.

0:32:33 > 0:32:36All his observations are fine.

0:32:36 > 0:32:39We're taking him to Pinderfields to hand him over to the medics.

0:32:43 > 0:32:45Kevin was taken to hospital in Wakefield

0:32:45 > 0:32:49and surgeons successfully pinned his arm back together.

0:32:54 > 0:32:57The coastguards do this sort of thing for a living.

0:32:57 > 0:33:00Some jobs do put you at the mercy of gravity.

0:33:01 > 0:33:05Every year, falls kill more than 20 building workers in the UK.

0:33:09 > 0:33:13Heli-med 99 is on the way to a cottage conversion on a farm near Thirsk.

0:33:14 > 0:33:17Steve Nelson was working 20 foot up when he fell.

0:33:17 > 0:33:21He's in great pain and he's just become a statistic.

0:33:21 > 0:33:26One of 1,000 construction workers who will be seriously hurt at work this year.

0:33:26 > 0:33:31A land ambulance crew has already put his dislocated knee back

0:33:31 > 0:33:34but there may be other injuries.

0:33:37 > 0:33:39He's fallen approximately ten feet

0:33:39 > 0:33:41but he's still eight feet off the ground.

0:33:41 > 0:33:45We'll need some extra help just to get him from where he is.

0:33:45 > 0:33:48Steve has already been securely strapped to a rigid spinal board

0:33:48 > 0:33:51to protect his back when he's moved.

0:33:51 > 0:33:56It's a bit tricky. We're offering an extra pair of hands.

0:33:57 > 0:34:01Can I just feel your pulse? Are you normally fit and well?

0:34:01 > 0:34:03Keep breathing on that if you want.

0:34:03 > 0:34:07It look like he's landed on something fairly flat and broad

0:34:07 > 0:34:10so he's not damaged himself that much

0:34:10 > 0:34:14but it could have been a different story if he'd landed on his head on these rocks.

0:34:16 > 0:34:18Would you like some more gas before we lift you

0:34:18 > 0:34:21or can you cope without? Why don't you take some more?

0:34:21 > 0:34:24This is gonna be the hard part of this job.

0:34:24 > 0:34:28Many hands make light work. Can you co-ordinate down that side?

0:34:28 > 0:34:30Straight onto the stretcher. OK with that?

0:34:30 > 0:34:32One, two, three, move back a bit more.

0:34:32 > 0:34:35- You're off.- Clear.

0:34:35 > 0:34:37- Watch that big hole. - OK. I've got the hole.

0:34:42 > 0:34:45Steve's not badly hurt

0:34:45 > 0:34:47so he'll miss out on a flight today.

0:34:47 > 0:34:49He was back at work in a week or two.

0:34:54 > 0:34:56But most paramedics agree

0:34:56 > 0:35:00that these have led to the biggest increase in injuries from falls.

0:35:00 > 0:35:03The most recent stats show 11,000 people a year

0:35:03 > 0:35:06end up in A&E thanks to trampolines.

0:35:07 > 0:35:09And not all of them are kids!

0:35:09 > 0:35:12We're going to South Embersil.

0:35:12 > 0:35:15A patient has fallen off a trampoline.

0:35:15 > 0:35:19Assume he didn't bounce very well. He's got a back injury.

0:35:19 > 0:35:24We're getting lots and lots of these trampoline details recently.

0:35:26 > 0:35:28Flat on his back in an ambulance,

0:35:28 > 0:35:31Alan Truman is ready for the Heli-med team.

0:35:32 > 0:35:36His wife, Caroline, saw what happened.

0:35:36 > 0:35:38What made him panic is he couldn't feel his feet.

0:35:38 > 0:35:42So we phoned for the ambulance straightaway.

0:35:44 > 0:35:47Paramedic Darren Axe knows this area well.

0:35:47 > 0:35:50His local knowledge is going to come in handy today.

0:35:50 > 0:35:54We're landing in the school where I went.

0:35:54 > 0:35:56So I know where we're going.

0:35:57 > 0:36:01The ambulance with Alan on board has already made its way to Darren's old school.

0:36:01 > 0:36:05The crew that picked him up are taking no chances with this back injury.

0:36:07 > 0:36:12Alan had been relaxing with a few drinks on a sunny bank holiday when it all went wrong.

0:36:12 > 0:36:14He's had four pints of Stella and a brandy.

0:36:14 > 0:36:19Are you comfortable? What about your pain level? How is it?

0:36:19 > 0:36:22It's all right. It's sound.

0:36:22 > 0:36:27He's one of these who don't like to... Don't make a fuss. I'm OK.

0:36:30 > 0:36:33He's not fallen off the trampoline. He landed awkwardly.

0:36:33 > 0:36:37He's had a sharp pain in his back then lost the feeling from the waist down.

0:36:37 > 0:36:44Obviously you can't take chances. A journey to Pinderfields will be excessive for him.

0:36:44 > 0:36:46The crew have done the right thing calling us in.

0:36:46 > 0:36:49Found us a good landing spot. Couldn't ask for more.

0:36:50 > 0:36:52Alan's ready for his flight,

0:36:52 > 0:36:55feeling a little bit the worse for wear.

0:37:00 > 0:37:02The pain - I don't believe it.

0:37:02 > 0:37:03Really painful, is it?

0:37:03 > 0:37:06Very, very, very painful.

0:37:14 > 0:37:17Ten minutes later, Alan is in the hands of specialists.

0:37:18 > 0:37:23Two, three, lift. All right, Alan, just relax. That's it. Clear.

0:37:23 > 0:37:28He still has a bad back, but he has cut down on the trampolining!

0:37:28 > 0:37:34Unfortunately, trampolines are coming more and more to the fore.

0:37:34 > 0:37:37If you want to get injured, get a trampoline!

0:37:38 > 0:37:42I'm pleased to say all our patients who fell victim to gravity

0:37:42 > 0:37:43are now on the mend.

0:37:43 > 0:37:48Let's catch up on the man who owes his life to paramedics Darren Axe and Tony Wilkes.

0:37:50 > 0:37:55At the Leeds General Infirmary, lorry driver Raymond Walsh is fighting for his life.

0:37:56 > 0:38:00An hour ago, he was trapped between his lorry and a parked container

0:38:00 > 0:38:03outside an industrial unit in North Yorkshire.

0:38:05 > 0:38:10Flying paramedics Darren Axe and Tony Wilkes and a team of rescuers managed to free Ray.

0:38:10 > 0:38:14But his blood pressure dropped so low he lost consciousness

0:38:14 > 0:38:16and stopped breathing.

0:38:16 > 0:38:18We've got a pulse.

0:38:19 > 0:38:22'We expected something like that to happen

0:38:22 > 0:38:25so we'd attempted to buffer his system prior to that

0:38:25 > 0:38:28by the amount of fluids that we'd given him.

0:38:28 > 0:38:31When he arrested, I thought that was it.

0:38:31 > 0:38:35I thought that was game shot and we'd be up against it.

0:38:35 > 0:38:40But Tony and the firemen and other crew took him out from the truck.

0:38:40 > 0:38:44By the time I got out of the cab, they'd started resus.

0:38:44 > 0:38:47He was starting to come round, which is amazing, really.

0:38:47 > 0:38:51It's an anxious few hours for Ray and his family.

0:38:51 > 0:38:53He undergoes numerous tests and scans.

0:38:53 > 0:38:57By the end of one of the most traumatic days of his life,

0:38:57 > 0:38:59Ray is out of danger.

0:39:01 > 0:39:06Just two days later, Ray is well enough to take his wife for a cappuccino.

0:39:06 > 0:39:11Not bad for a man who literally died 48 hours ago!

0:39:11 > 0:39:15The woman who put me through, it were a doctor, says, "This is nothing.

0:39:15 > 0:39:18"The spring through again, you've missed it.

0:39:18 > 0:39:20"There must be something." And there wasn't.

0:39:20 > 0:39:23Which is a miracle in itself

0:39:23 > 0:39:26because at the time I thought my pelvis had gone.

0:39:28 > 0:39:30Ray may not be physically injured,

0:39:30 > 0:39:33but the mental scars will take a long time to heal.

0:39:35 > 0:39:42I was moving a trailer. I heard a scraping noise and thought, "It shouldn't be moving!"

0:39:42 > 0:39:46I thought the handbrake on the unit was on.

0:39:46 > 0:39:51I turned round and went to get in the cab to put the handbrake on.

0:39:51 > 0:39:57Whether it was my weight, jumping on the... There's two steps to get in,

0:39:57 > 0:40:03my weight on the bottom step just gave it that... And it rolled.

0:40:03 > 0:40:06I couldn't move. I had a job to breathe.

0:40:08 > 0:40:11I thought, "Whatever you do, don't panic."

0:40:11 > 0:40:14I've just one main regret.

0:40:16 > 0:40:18And that's putting the wife through it all.

0:40:22 > 0:40:26Today, Ray's come to Leeds Bradford airport, home of the Heli-med team.

0:40:26 > 0:40:30There's one man who he especially wants to meet.

0:40:30 > 0:40:32- I've met you before. - Give me your hand.

0:40:34 > 0:40:36- You all right?- Fine, thanks. - You look well.

0:40:36 > 0:40:39- Better than you did that day! - I can imagine!

0:40:39 > 0:40:42- I was talking to you and you nodded off on me!- That's right!

0:40:42 > 0:40:45That were a real shocker!

0:40:45 > 0:40:49So I gave them a now or never. "Pull him out now or never."

0:40:49 > 0:40:51You were in real trouble.

0:40:51 > 0:40:53Darren's used to meeting grateful patients

0:40:53 > 0:40:55and showing them round his office.

0:40:55 > 0:40:59But he wasn't expecting to see Ray quite so soon!

0:40:59 > 0:41:02Not many patients that scare me as much as you did!

0:41:02 > 0:41:05- You're scaring me, now! - You did scare me.

0:41:05 > 0:41:08You've done so well.

0:41:08 > 0:41:12When we rang up and they said, "Oh, he's sat up drinking tea",

0:41:12 > 0:41:17I was stunned because I knew you were gonna be all right at that point

0:41:17 > 0:41:21- but to say you weren't badly injured, I can't believe that. - I can't.

0:41:21 > 0:41:26Ray has nothing but praise for the rescuers that saved his life.

0:41:27 > 0:41:32'They weren't like machines. They were real people

0:41:32 > 0:41:34'and they really cared.

0:41:34 > 0:41:36'That's what came across to me.

0:41:36 > 0:41:38'You weren't just a casualty.'

0:41:38 > 0:41:40No problem. Any time. That's what we do.

0:41:40 > 0:41:44'You were a human being and you needed looking after.'

0:41:45 > 0:41:48That's all from Helicopter Heroes. But when we come back...

0:41:51 > 0:41:54A struggle for survival as a couple fall into a canal.

0:41:54 > 0:41:57Patients can become hypothermic.

0:41:59 > 0:42:01A horse throws its rider.

0:42:01 > 0:42:04Paramedics fear she could be paralysed.

0:42:04 > 0:42:06Where exactly does it hurt?

0:42:08 > 0:42:12There's a miraculous escape for a farm worker in a road accident.

0:42:12 > 0:42:14He'd been ejected and thrown.

0:42:16 > 0:42:21A pensioner's downhill run on her grandchildren's sledge ends in pain.

0:42:40 > 0:42:43Subtitles by Moira Diamond Red Bee Media - 2008