Episode 16

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

0:00:05 > 0:00:08every minute you wait for aid to arrive feels like an hour.

0:00:08 > 0:00:13That's why a helicopter like this can be one of the most beautiful sights.

0:00:13 > 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 > 0:00:19and 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 ten minutes from hospital

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

0:00:51 > 0:00:53Every day brings a new life-or-death emergency

0:00:53 > 0:00:56for its team of flying paramedics.

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

0:01:00 > 0:01:03Today on Helicopter Heroes:

0:01:03 > 0:01:07a climber falls and breaks her leg half-way up a deadly rock face.

0:01:07 > 0:01:09They've been up there quite a while.

0:01:09 > 0:01:11And the doctor scared of heights.

0:01:13 > 0:01:17The driver of a vintage sports car is trapped behind the wheel.

0:01:17 > 0:01:20Pilot Tim has to turn fireman.

0:01:22 > 0:01:25A cyclist comes off on a very steep hill.

0:01:26 > 0:01:29The brakes may have given out. I don't know.

0:01:31 > 0:01:34And the emergency services are called to a crash

0:01:34 > 0:01:36on one of the highest roads in the Dales.

0:01:41 > 0:01:43Yorkshire is famous for its rock faces.

0:01:43 > 0:01:47That's why some of the UK's best climbers were born here.

0:01:47 > 0:01:48But it's a dangerous hobby.

0:01:48 > 0:01:52If you fall, there's no such thing as a soft landing.

0:01:53 > 0:01:56This is the ultimate test for an adrenaline junkie.

0:01:56 > 0:02:00Hundreds of climbers flock to Malham Cove every weekend

0:02:00 > 0:02:04to take on one of the UK's most formidable cliff faces.

0:02:04 > 0:02:06It's a prehistoric waterfall,

0:02:06 > 0:02:08260 foot of vertical rock

0:02:08 > 0:02:11polished smooth by water over millions of years.

0:02:12 > 0:02:14With the thrills come huge risks.

0:02:14 > 0:02:17Climbers have died here.

0:02:18 > 0:02:22'Hello, Heli-med 99 Alpha. Divert to Malham Cove.'

0:02:22 > 0:02:27'Heli-med 99 Alpha, roger. At your discretion to the north-west.'

0:02:29 > 0:02:32We're going to Malham Cove,

0:02:32 > 0:02:36which is quite a busy tourist visiting area.

0:02:36 > 0:02:39Apparently somebody's fallen 20 feet. A female.

0:02:39 > 0:02:42It could be quite nasty injuries

0:02:42 > 0:02:45when we get there if they've had a bad fall.

0:02:45 > 0:02:48Today, a climber has fallen over 20 feet

0:02:48 > 0:02:51and hit the sheer cliff hard.

0:02:51 > 0:02:53She's lucky to have survived the fall.

0:02:53 > 0:02:58Now she's perched on a narrow ledge, 100 feet up and in severe pain.

0:02:58 > 0:03:01Heli-med 99 is heading for the Yorkshire Dales

0:03:01 > 0:03:03at 150 miles an hour.

0:03:03 > 0:03:08Paramedics Lee Davison and Tony Wilkes are unaware of the complicated rescue that lies ahead.

0:03:08 > 0:03:12We don't know what she's done. Looking at multiple injuries.

0:03:12 > 0:03:16Head and limb fractures. We'll assess her when we get there.

0:03:17 > 0:03:20The crew's problems begin before they've even landed.

0:03:20 > 0:03:24Terry, looking at the terrain there, it looks quite steep.

0:03:24 > 0:03:26Yeah.

0:03:26 > 0:03:30- So you might have to be independent if it arises.- Yes, mate.

0:03:30 > 0:03:33Same thing as we did before.

0:03:33 > 0:03:37It'll just be you going out the door if we need to.

0:03:39 > 0:03:42The terrain surrounding Malham Cove is rugged.

0:03:42 > 0:03:46Pilot Tim is worried they won't be able to land close to the climber.

0:03:46 > 0:03:50The solution is paramedic Tony will jump out of the helicopter

0:03:50 > 0:03:53while Tim hovers just above the slope.

0:03:53 > 0:03:56Has she actually fallen off the wall itself?

0:03:56 > 0:04:00I don't know. It said they've fallen 20 feet. It could be there.

0:04:00 > 0:04:04INDISTINCT

0:04:06 > 0:04:09It looks like we'll have to land there.

0:04:09 > 0:04:12To paramedic Tony's relief,

0:04:12 > 0:04:16the ground is flat and pilot Tim will be able to land at the foot of the cove.

0:04:16 > 0:04:20But it's still not going to be a straightforward landing.

0:04:20 > 0:04:23There's quite a bit of rock on the left-hand side.

0:04:23 > 0:04:26Yeah, there's some rock there.

0:04:26 > 0:04:30- I think I can fit her in.- I'll just open the door before you land.

0:04:30 > 0:04:34- Check the rock.- Watch the front left corner here, Tim. Right a bit.

0:04:34 > 0:04:37- I'm gonna crack my door front left, OK?- Yeah.

0:04:37 > 0:04:39OK. Clear on your right.

0:04:40 > 0:04:43Still clear left. Still clear left.

0:04:43 > 0:04:46Down on the front lug. Skids on.

0:04:46 > 0:04:49- Skids on right.- She's down, mate.

0:04:49 > 0:04:51They're down, at last.

0:04:51 > 0:04:55The climber who saw the accident gives them the first bad news.

0:04:55 > 0:04:58She hit the ground. The ridge broke her fall.

0:04:58 > 0:05:01But as the rope fell to the floor, she swung back into the cliff

0:05:01 > 0:05:03and collided heavily with the cliff.

0:05:05 > 0:05:08This is gonna be quite tight, looking where she is.

0:05:08 > 0:05:11The guy that's come has got a harness on and everything.

0:05:11 > 0:05:14They've obviously been up there quite a while.

0:05:14 > 0:05:17We'll just have to see when we make an assessment.

0:05:17 > 0:05:23Dr Neil McDonald and paramedic Tony will have to climb up the cove themselves.

0:05:23 > 0:05:26Neither has any climbing experience.

0:05:27 > 0:05:29It's rained heavily and the path is very muddy.

0:05:29 > 0:05:34But Tony's about to discover that this will be the easiest part of the rescue.

0:05:34 > 0:05:36Just be really careful here. It's slippy.

0:05:37 > 0:05:42Tony's patient, Rachel Somerville, is still over 100 yards away.

0:05:42 > 0:05:48In order to reach her, Tony and Dr Neil will have to walk across a narrow ledge

0:05:48 > 0:05:53with other climbers on one side and a 100-ft drop on the other.

0:05:53 > 0:05:57Tony's carrying all his kit in a rucksack weighing over 20 kilos.

0:05:57 > 0:06:01He's struggling to keep his balance on the polished limestone.

0:06:01 > 0:06:05Tony and Dr Neil know if it's this difficult to get to their patient,

0:06:05 > 0:06:10it's going to be even more challenging and dangerous to get her to safety.

0:06:16 > 0:06:19Coming up: Rachel has survived her fall

0:06:19 > 0:06:21but her rescue could be just as dangerous.

0:06:21 > 0:06:25I'll take direction from the guys that are skilled in these rescues.

0:06:27 > 0:06:30A major disaster exercise is cut short

0:06:30 > 0:06:33as Heli-med 99 is scrambled to a real emergency.

0:06:33 > 0:06:36'We have an officer on scene with no vehicle.'

0:06:40 > 0:06:44Yorkshire's bikers hit the road again and some are in trouble.

0:06:44 > 0:06:45..taking the corner.

0:06:56 > 0:06:58This is a pretty safe place to be.

0:06:58 > 0:07:02Air bags, crumple zones and seat belts are all designed to save your life.

0:07:02 > 0:07:04But that wasn't always the case.

0:07:04 > 0:07:07Sometimes, today's emergency services get to see

0:07:07 > 0:07:11what their counterparts 40 years ago had to deal with.

0:07:11 > 0:07:15You can't get much further away from it all than Wensleydale.

0:07:15 > 0:07:18This is the valley that gave the world a famous cheese

0:07:18 > 0:07:21as well as some of the UK's remote addresses.

0:07:22 > 0:07:24When the Heli-med team get called here,

0:07:24 > 0:07:29they know they'll often have to handle whatever comes at them alone.

0:07:33 > 0:07:36'Ultimately, you've got a patient to deal with.

0:07:36 > 0:07:41'You can't really say what you're going to do with them until you get eyes on them.'

0:07:41 > 0:07:46At other times you just have to try and find the best kit or best people

0:07:46 > 0:07:50qualified to complete an extrication and you deal with the casualty.

0:07:50 > 0:07:54We'll just go with what we know and get the assistance if we need it.

0:07:54 > 0:07:59Today's call-out is a car crash near the picturesque village of Wensley.

0:08:00 > 0:08:05The local policeman is already on the scene, plus a fast-response paramedic.

0:08:05 > 0:08:06But no sign of the fire brigade.

0:08:06 > 0:08:11We're on our way to a road accident just west of Leyburn.

0:08:11 > 0:08:13We have reports of three vehicles involved

0:08:13 > 0:08:15and one person trapped.

0:08:15 > 0:08:17We don't know the extent of the injuries

0:08:17 > 0:08:21but we're less than four minutes' flying time away

0:08:21 > 0:08:23so we'll find out quickly.

0:08:27 > 0:08:30A classic car being towed to a local spray shop

0:08:30 > 0:08:31has swung out on a sharp bend

0:08:31 > 0:08:34and hit a hatchback head on.

0:08:34 > 0:08:37There's a police car, he's obviously shut the road.

0:08:37 > 0:08:39- Right below us.- I see it.

0:08:39 > 0:08:41No ambulances?

0:08:42 > 0:08:47- OK. Looks like we've got a responder.- Yep.

0:08:47 > 0:08:49Just have a look at the tree line, please.

0:08:49 > 0:08:52With so few rescue resources on hand,

0:08:52 > 0:08:56it's up to the crew of Heli-med 99, a ground paramedic and a local bobby

0:08:56 > 0:08:59to free the victims by themselves.

0:09:02 > 0:09:05The driver of the 40-year-old MG sports car is badly hurt.

0:09:05 > 0:09:09His kneecap is shattered, his leg is broken,

0:09:09 > 0:09:13and with no seatbelt, his chest has been crushed by the steering wheel.

0:09:15 > 0:09:18Nick Jones is the local landlord.

0:09:18 > 0:09:22He's a classic car nut and this MGC is one of his rarest.

0:09:22 > 0:09:24Are your legs hurting you?

0:09:24 > 0:09:26It's one of only 2,000 ever built.

0:09:26 > 0:09:28Have you no wrecking bar?

0:09:28 > 0:09:31If Nick is to be freed from his seat,

0:09:31 > 0:09:32it needs to be cut apart.

0:09:35 > 0:09:39A friend told Nick's wife what happened. She's in shock.

0:09:39 > 0:09:44We've got to cut it. Cut it out. The steering wheel's knackered, mate.

0:09:44 > 0:09:48Heli-med 99 pilot Tim Taylor is an army veteran

0:09:48 > 0:09:50who's happy to get stuck in.

0:09:52 > 0:09:55He's about to become an amateur fire-fighter,

0:09:55 > 0:09:58borrowing a pair of cutters to free Nick from the wreckage.

0:09:59 > 0:10:04Nick's in too much pain to care about Tim's hatchet job on his steering wheel.

0:10:04 > 0:10:07His 40-year-old chrome wheel is a collector's item

0:10:07 > 0:10:09worth more than £200.

0:10:14 > 0:10:16'We've all got different roles to play.

0:10:16 > 0:10:20'Firemen are experts at this, but when there's no-one around,'

0:10:20 > 0:10:24we've got to improvise and get the job done as best we can.

0:10:25 > 0:10:30The door is wedged closed so we need the firemen and their cutting equipment to get it off

0:10:30 > 0:10:32but he's more comfortable now.

0:10:32 > 0:10:37The fire brigade should be here in a couple of minutes so we'll have him out soon.

0:10:37 > 0:10:40The passenger in the hatchback has been injured.

0:10:40 > 0:10:43The driver escaped almost unhurt.

0:10:43 > 0:10:46This lady's got chest injuries, she's got pain.

0:10:46 > 0:10:50The paramedic feels she needs some analgesia

0:10:50 > 0:10:52so we'll give her some strong analgesia.

0:10:52 > 0:10:54This is gonna be flushed.

0:10:54 > 0:10:57It's cold water. It cleans the cannula out, OK?

0:10:57 > 0:11:00Give me this arm, mate. There's gonna be a sharp scratch.

0:11:02 > 0:11:0640 years of safety developments have made a difference in this crash.

0:11:06 > 0:11:10The hatchback's crumple zones reduced the impact for its occupants.

0:11:10 > 0:11:14Which is more than can be said for Nick's 1960s steel.

0:11:15 > 0:11:18Although it looks like it can stand more of an impact,

0:11:18 > 0:11:22it doesn't deal with the impact as well as a modern car.

0:11:22 > 0:11:25You haven't got the airbags, no crumple zones,

0:11:25 > 0:11:28just a steel chassis hitting another car.

0:11:28 > 0:11:32It's more of a concern what injuries he's sustained.

0:11:32 > 0:11:35So that pain's increasing? What do you think it is now? Six?

0:11:35 > 0:11:37I'm gonna give you a whiff of this.

0:11:37 > 0:11:41Heli-med 99's crew have done all they can to care for Nick.

0:11:41 > 0:11:44But they daren't move him until the fire brigade arrive

0:11:44 > 0:11:47to cut the roof off his precious car.

0:11:47 > 0:11:50And in Wensleydale's winding lanes,

0:11:50 > 0:11:53even blue lights can't guarantee a speedy arrival.

0:11:59 > 0:12:03Coming up: It's his pride and joy, but they'll have to cut it up

0:12:03 > 0:12:05if he's to reach hospital.

0:12:05 > 0:12:08He's taken a significant impact to his chest.

0:12:08 > 0:12:11The team's nerves are tested as they tackle a sheer rock face

0:12:11 > 0:12:13to reach their patient.

0:12:13 > 0:12:15It's quite slippy.

0:12:17 > 0:12:22And the victim of a moorland bike accident has an embarrassing confession.

0:12:22 > 0:12:24I've got pyjama bottoms on!

0:12:24 > 0:12:26Gonna tell us what colour they are?

0:12:32 > 0:12:35The flying paramedics have to be ready for anything

0:12:35 > 0:12:39and that includes a national disaster on their doorstep.

0:12:41 > 0:12:45Last year, over 300,000 people took a trip back in time

0:12:45 > 0:12:47on the North Yorkshire Moors Railway.

0:12:47 > 0:12:51Steam locomotives like this weigh over 100 tonnes.

0:12:51 > 0:12:54Imagine what would happen if one crashed.

0:12:54 > 0:12:58That's what Yorkshire's emergency services are practising today.

0:12:58 > 0:13:02Heli-med 98 is playing a part in the disaster exercise.

0:13:04 > 0:13:06But the flying paramedics can't stay.

0:13:06 > 0:13:09They've just received another emergency call

0:13:09 > 0:13:11and this time it's for real.

0:13:12 > 0:13:15On a steep hill ten miles away,

0:13:15 > 0:13:18a cyclist has been thrown off her bike at high speed.

0:13:20 > 0:13:22The inclines of the dales and moors

0:13:22 > 0:13:27can give cyclists injuries every bit as serious as motorcyclists.

0:13:28 > 0:13:30Got this bit of land coming out here.

0:13:30 > 0:13:34We have an officer on scene, but no vehicle.

0:13:34 > 0:13:38The rider has been lucky that Heli-med 98 was close by. They need to hurry.

0:13:38 > 0:13:43She's losing a lot of blood and could have a punctured lung.

0:13:43 > 0:13:46- I've got flashing lights. - That'll be them.

0:13:47 > 0:13:48Orange flashing light.

0:13:48 > 0:13:53Fly across to the left-hand side here at 90 degrees.

0:13:54 > 0:13:57Pilot Tim has landed as close to the scene as possible.

0:13:57 > 0:14:00But it still leaves paramedic Sammy with an awkward climb.

0:14:00 > 0:14:02Looks like we're going over.

0:14:02 > 0:14:04I'm covering the least bit of ground

0:14:04 > 0:14:08but it doesn't look a very strong wall.

0:14:08 > 0:14:12Kirsty Smith has managed to stagger to a nearby bench.

0:14:12 > 0:14:15But she's in severe pain.

0:14:15 > 0:14:17Some of her injuries are obvious.

0:14:17 > 0:14:21She has deep cuts on her face and a badly broken shoulder.

0:14:21 > 0:14:24But Sammy is more worried about the injuries she can't see.

0:14:24 > 0:14:27You've got a little cut above your eye.

0:14:27 > 0:14:30Then I'll have another listen to her chest.

0:14:30 > 0:14:33Kirsty and partner James are keen cyclists

0:14:33 > 0:14:38and were on a 50-mile bike ride from York to the seaside village of Robin Hood's Bay.

0:14:38 > 0:14:41I was taking it really easy on the slope

0:14:41 > 0:14:46and I'm not sure but her brakes might have given out. I don't know.

0:14:47 > 0:14:50Sammy knows the severity of injuries sustained by cyclists

0:14:50 > 0:14:54often depends on how fast they were travelling.

0:14:54 > 0:14:56- Did she have her helmet on. - Yes.- Do you have it?

0:14:56 > 0:14:59Is there any markings on it at all?

0:14:59 > 0:15:03- I don't know. Do you want me to get it?- That would be great. Thank you.

0:15:03 > 0:15:06If Kirsty's helmet is badly damaged,

0:15:06 > 0:15:08she could have a serious head injury.

0:15:09 > 0:15:12To avoid a dry stone wall and a barbed wire fence,

0:15:12 > 0:15:15pilot Tim is going to relocate the helicopter

0:15:15 > 0:15:18onto a patch of ground barely big enough for the chopper.

0:15:18 > 0:15:22To make it harder, there's a blustery 30mph wind.

0:15:24 > 0:15:28Finally, Sammy finds out which part of Kirsty's body took most of the impact.

0:15:28 > 0:15:30And it's not good news.

0:15:30 > 0:15:35That's what saved her. It was quite a significant impact, that.

0:15:35 > 0:15:40What we'll do, Sammy, is put her in the ambulance, take her up the road.

0:15:40 > 0:15:43Could you bring your vehicle back here?

0:15:43 > 0:15:47To protect Kirsty from the huge down-draught when the helicopter lands,

0:15:47 > 0:15:51the team move her into the back of the land ambulance.

0:15:51 > 0:15:55The medical team have done their job. Now it's time for pilot Tim to do his.

0:15:55 > 0:16:00This might look easy, but this is a tiny landing site.

0:16:00 > 0:16:02Tim is fighting against the gusty winds.

0:16:04 > 0:16:07With a little help from Pat, Tim is down safely.

0:16:07 > 0:16:11But after ten minutes in the turbulent air above,

0:16:11 > 0:16:13Tim is the one that now needs medical attention.

0:16:13 > 0:16:15I feel as sick as a carrot!

0:16:15 > 0:16:20There were 30-knot winds coming at me. I was blown about all over the gaff!

0:16:20 > 0:16:25I had to crash on the only suitable patch that's available for landing.

0:16:25 > 0:16:29So we've moved her out of the way and repositioned the air ambulance

0:16:29 > 0:16:30so we can load her up.

0:16:33 > 0:16:34AGONISED CALLS

0:16:34 > 0:16:37- What's hurting you?- Oh, my chest!

0:16:37 > 0:16:41- Sam, was she knocked unconscious? - No, she doesn't think so.

0:16:42 > 0:16:47As Kirsty found out, the routes across the North York moors are treacherous.

0:16:47 > 0:16:51Without Heli-med 98, she'd have faced a long and bumpy road journey.

0:16:52 > 0:16:56Instead, she'll be in a top trauma centre in only ten minutes.

0:16:56 > 0:17:00She's not very well. She's got problems with fractured ribs.

0:17:00 > 0:17:05The chest wall damage is making it difficult for her to breathe.

0:17:05 > 0:17:08It's her helmet that saved her, to be honest.

0:17:08 > 0:17:12Kirsty was planning to end her day on the sea front at Robin Hood's Bay,

0:17:12 > 0:17:18not the Accident and Emergency Department at James Cook Hospital in Middlesbrough.

0:17:20 > 0:17:23Three months later and back home in York,

0:17:23 > 0:17:25one of the UK's biggest cycling cities,

0:17:25 > 0:17:28Kirsty is only just back on her bike.

0:17:28 > 0:17:33I've missed cycling and all I've wanted to do is get my bike back and get back out

0:17:33 > 0:17:37and start to rebuild some of the strength in my arm

0:17:37 > 0:17:40and also to rebuild some confidence.

0:17:40 > 0:17:42It's really good and I'm sure it'll just get better.

0:17:42 > 0:17:47As we were coming down, I started to realise that the hill was getting steep

0:17:47 > 0:17:50and as I went to put my hands on the brakes,

0:17:50 > 0:17:52I realised I couldn't stop my bike.

0:17:52 > 0:17:56It was a 33% gradient, so it was very steep.

0:17:56 > 0:17:59The bike started getting faster and faster

0:17:59 > 0:18:04until in the end I came right off the road and fell.

0:18:04 > 0:18:09It's been a long and very painful journey back to fitness.

0:18:09 > 0:18:11Kirsty spent over a week in hospital

0:18:11 > 0:18:16and her shoulder and elbow were so badly damaged they're now held together by metal plates.

0:18:16 > 0:18:22'I broke my collar bone and completely smashed my elbow.

0:18:22 > 0:18:26'I'd cut all my head and then my eye, so I had some stitches there.'

0:18:27 > 0:18:32It's really, really important to make sure that you dress correctly,

0:18:32 > 0:18:35especially to wear a helmet

0:18:35 > 0:18:40because I think on this occasion I can almost definitely say it saved my life.

0:18:40 > 0:18:46Kirsty's determination to get back on her bike has helped her to make such a good recovery.

0:18:46 > 0:18:51But she knows that without Heli-med 98's help, her injuries could have been even worse.

0:18:53 > 0:18:57In that situation, you don't know what's wrong with you. It's frightening.

0:18:57 > 0:19:02They're so calm, and even having a bit of a laugh and a joke

0:19:02 > 0:19:07and it makes you feel like maybe there's not so much wrong with you.

0:19:08 > 0:19:13This year, we were supposed to be doing the John O'Groats to Land's End, but we couldn't.

0:19:13 > 0:19:18Next year we'll do it and raise some money for the Yorkshire Air Ambulance.

0:19:18 > 0:19:20So that I can pay back my air fare!

0:19:25 > 0:19:30Coming up! The fire brigade arrive at last at the scene of a vintage car crash.

0:19:30 > 0:19:31Make us a door, mate!

0:19:33 > 0:19:35On one of England's highest routes,

0:19:35 > 0:19:40Heli-med 99 is called to a biker who needs urgent treatment.

0:19:45 > 0:19:47Everybody's frightened of something.

0:19:47 > 0:19:50But the last people we'd expect to be scared of heights

0:19:50 > 0:19:53are members of a helicopter crew!

0:19:54 > 0:19:59In the Yorkshire Dales, a popular beauty spot is the scene of a major rescue.

0:20:00 > 0:20:03A climber's been injured after falling over 20 feet

0:20:03 > 0:20:05and smashing into the rock face at Malham Cove.

0:20:07 > 0:20:09She's stuck over 100 feet up

0:20:09 > 0:20:11and perched on a narrow ledge.

0:20:11 > 0:20:15Heli-med 99 paramedic Tony Wilkes and Dr Neil McDonald

0:20:15 > 0:20:17negotiated the treacherous path

0:20:17 > 0:20:20and finally reached climber Rachel Somerville.

0:20:20 > 0:20:24But they must now try and treat her just feet from the huge drop.

0:20:24 > 0:20:27Hiya. Are you Rachel?

0:20:27 > 0:20:31We'll sort you out from here and give you some pain relief.

0:20:31 > 0:20:36Get that immobilised and work out the easiest way of getting you out of here.

0:20:37 > 0:20:39Rachel's had a lucky escape.

0:20:39 > 0:20:44She landed in the one part of the cove in walking distance of the helicopter,

0:20:44 > 0:20:49and a safety rope has stopped her falling over 150 feet to the bottom of the cliff face.

0:20:50 > 0:20:53A sharp stab coming up. Bear with it.

0:20:54 > 0:20:57If you had to score your pain, Rachel,

0:20:57 > 0:21:00nought being no pain whatsoever,

0:21:00 > 0:21:04ten being the worst you'd imagine, what would you say your pain was?

0:21:04 > 0:21:06About five.

0:21:06 > 0:21:10Tony and Lee know it's far too dangerous to carry Rachel off the ledge themselves.

0:21:10 > 0:21:12They're going to need some help.

0:21:12 > 0:21:15We'll have to call for some mountain rescue

0:21:15 > 0:21:19or fell rescue who we work with quite closely.

0:21:19 > 0:21:22It might be a winch job,

0:21:22 > 0:21:29it might be a detail that we have to get mountain rescue to help us get the patient from that position.

0:21:29 > 0:21:32Rachel has broken her leg and is in severe pain.

0:21:32 > 0:21:35Her injuries aren't Tony's biggest concern.

0:21:35 > 0:21:38He wants to know how they're going to get her down.

0:21:38 > 0:21:44It is quite slippy, so if you want to send one up to see what's happening.

0:21:44 > 0:21:46That might be safest.

0:21:46 > 0:21:50'One man from mountain rescue is making his way up towards you.'

0:21:52 > 0:21:55Finally, a cave rescue team arrive.

0:21:55 > 0:21:58- Fracture?- Fractured tib and fib.

0:21:58 > 0:21:59And there's good news.

0:21:59 > 0:22:02A simple stretcher.

0:22:03 > 0:22:07They think they'll be able to move Rachel off the ledge and down the cove

0:22:07 > 0:22:10in a specialist stretcher.

0:22:10 > 0:22:15Even with all their expertise, this is still going to be a difficult and dangerous rescue.

0:22:15 > 0:22:17Thanks for that.

0:22:17 > 0:22:20With Rachel's pain under control,

0:22:20 > 0:22:22Tony needs to put her broken leg into a splint.

0:22:22 > 0:22:26It's now Lee's turn to face the risky scramble across the cove.

0:22:26 > 0:22:29Tony, long leg splint.

0:22:30 > 0:22:33Rachel, I'm gonna put this splint on your leg.

0:22:34 > 0:22:37Moving a broken limb is incredibly painful.

0:22:37 > 0:22:41But Rachel's leg must be immobilised before they can move her.

0:22:41 > 0:22:45This is hard work with Rachel in such a precarious position.

0:22:45 > 0:22:51We've obviously got safety issues. We're right on the edge of Malham Cove.

0:22:51 > 0:22:55Which is difficult. We need to make sure that things are secure.

0:22:55 > 0:22:59We'll take direction from these guys who are skilled in these rescues.

0:22:59 > 0:23:03More and more cave rescue volunteers arrive to help.

0:23:03 > 0:23:08The ledge is so narrow, they decide to attach a safety rope to the stretcher

0:23:08 > 0:23:10in case anyone falls.

0:23:10 > 0:23:13The atmosphere is becoming increasingly tense.

0:23:14 > 0:23:18Where are you gonna put the stretcher? I want you here if we can.

0:23:18 > 0:23:21- Are we going down and across the water?- Yeah.

0:23:21 > 0:23:23Fine.

0:23:23 > 0:23:27We're gonna attempt to keep this limb elevated while we get her off here.

0:23:27 > 0:23:32We'll traverse along this rock to a stretcher and carry her off.

0:23:32 > 0:23:34She's been tied on to keep her safe.

0:23:34 > 0:23:39An hour after Rachel fell, the team are finally ready to move her.

0:23:40 > 0:23:46When we start to move you, if you feel any pain or discomfort, you say so. OK?

0:23:46 > 0:23:47Are we ready?

0:23:49 > 0:23:52It may be only a few feet to the stretcher,

0:23:52 > 0:23:55but the ledge is deceptively steep

0:23:55 > 0:23:59and they're moving Rachel gradually closer to the edge and the 100-foot drop.

0:23:59 > 0:24:02You're doing really good, Rachel. Really good.

0:24:05 > 0:24:09They've done it. Rachel's made it safely to the stretcher.

0:24:09 > 0:24:11It's a big relief for Tony.

0:24:11 > 0:24:15But his colleague has a surprise piece of information

0:24:15 > 0:24:17which he's kept quiet from his fellow rescuers.

0:24:17 > 0:24:22Interesting challenge. I'm not very good with heights!

0:24:22 > 0:24:24A strange location. A lot of dangers.

0:24:24 > 0:24:27But the job's going quite well so far.

0:24:27 > 0:24:32Rachel may be a little more comfortable, but she can't relax yet.

0:24:32 > 0:24:35The helicopter is parked at the bottom of the cove

0:24:35 > 0:24:38and Rachel faces the most dangerous part of the rescue.

0:24:38 > 0:24:44A frightening journey down a deep and treacherous path to safety.

0:24:50 > 0:24:55Coming up: We're back on the rock face as the battle to save Rachel reaches a critical stage.

0:24:55 > 0:24:58Any pain other than prior to us moving?

0:25:00 > 0:25:03And the team are scrambled from a hospital helipad

0:25:03 > 0:25:06to a bike rider thrown off on a remote road.

0:25:11 > 0:25:15Now, let's catch up on a difficult rescue operation

0:25:15 > 0:25:18in the heart of North Yorkshire's most famous dale.

0:25:18 > 0:25:21On a country lane near the beautiful village of Wensley,

0:25:21 > 0:25:24there's been an unusual accident.

0:25:24 > 0:25:27A classic car being towed to a re-spray shop

0:25:27 > 0:25:31has slid out on a sharp bend and hit a hatchback head on.

0:25:31 > 0:25:36Local landlord Nick Jones is trapped in his 1960s MGC,

0:25:36 > 0:25:38one of only 2,000 ever built.

0:25:38 > 0:25:41His kneecap is shattered, his leg is broken.

0:25:41 > 0:25:45He injured his chest on the unforgiving vintage steering wheel.

0:25:45 > 0:25:48Pilot Tim removed that with bolt cutters.

0:25:48 > 0:25:51There's gonna be a sharp scratch.

0:25:51 > 0:25:55Paramedics Darren and Simon know Nick could have more serious injuries.

0:25:55 > 0:25:57But there's a problem.

0:25:57 > 0:26:00Wensleydale is famous for its cheese and its winding lanes.

0:26:00 > 0:26:04And there's still no sign of the fire brigade.

0:26:04 > 0:26:09At last, the local fire crew arrive, led by one of Nick's regulars.

0:26:14 > 0:26:16Just make us a door, mate.

0:26:16 > 0:26:20Their cutting gear will make short work of the MG's aging bodywork.

0:26:24 > 0:26:26SIMON: They're taking the door off.

0:26:26 > 0:26:28The guy in the MG is still trapped.

0:26:30 > 0:26:33The fire brigade are taking apart the vehicle as we speak.

0:26:33 > 0:26:36He's taken a significant impact to his chest.

0:26:36 > 0:26:40Although the air is still going in OK, he's not got a safety belt

0:26:40 > 0:26:43and he's not got a crumple zone or an air bag or whatever.

0:26:43 > 0:26:47So the whole force has been transmitted through his chest.

0:26:47 > 0:26:50We think he's hit the windscreen as well, but we're not sure.

0:26:50 > 0:26:56His seat is not actually bolted in. He's got something wedged behind it so he doesn't slide back.

0:26:56 > 0:26:58So this seat's not bolted to the floor?

0:26:58 > 0:27:03The detached seat should help the crew get their patient out.

0:27:04 > 0:27:07But the roof is still in the way.

0:27:07 > 0:27:10Nick's precious classic car is about to become a convertible.

0:27:16 > 0:27:22- I think if this seat lifts, we can physically take the seat completely out that way.- No probs.

0:27:22 > 0:27:25Steady, steady, steady.

0:27:25 > 0:27:26Watch his legs.

0:27:27 > 0:27:29This might look strange,

0:27:29 > 0:27:33but being able to keep Nick's neck and spine in the same position

0:27:33 > 0:27:35could prevent any further injuries.

0:27:35 > 0:27:38As daft as this sounds, if we lift him up again

0:27:38 > 0:27:40and just withdraw the seat away.

0:27:42 > 0:27:45NICK SHOUTS IN PAIN

0:27:45 > 0:27:47All right, mate. All right.

0:27:47 > 0:27:49Got him, Si?

0:27:52 > 0:27:55Off to the helicopter. One, two, three, lift.

0:27:58 > 0:28:01TIM: When you're first on scene, there's lots of confusion,

0:28:01 > 0:28:03nobody seems to know what's happening.

0:28:03 > 0:28:09We take it for granted a lot of times, turning up and everything's done for us.

0:28:10 > 0:28:13In this instance, the bloke was trapped by his steering wheel

0:28:13 > 0:28:15and by the dashboard.

0:28:15 > 0:28:18We got bolt crops off the police and freed him.

0:28:26 > 0:28:30It's in remote places like this the chopper's speed comes into its own.

0:28:30 > 0:28:32It can reach hospital in minutes,

0:28:32 > 0:28:35a journey that could take an hour or so by road.

0:28:35 > 0:28:37It's good news for Nick.

0:28:37 > 0:28:41He's stable at the moment. We're giving him morphine for pain.

0:28:41 > 0:28:42We've got some support set up

0:28:42 > 0:28:46which we set up just to maintain his radial pulses.

0:28:46 > 0:28:50We're not certain whether or not he's got lower leg fractures.

0:28:50 > 0:28:53He's obviously got significant pain.

0:28:53 > 0:28:56He can breathe all right. We'll get him down to Harrogate

0:28:56 > 0:28:58and hand him over to the staff there.

0:28:58 > 0:29:01Hello, how you doing? That's good.

0:29:02 > 0:29:04The paramedics know Nick's been lucky.

0:29:04 > 0:29:09It's no coincidence the UK's road death rate was much higher in the 1960s

0:29:09 > 0:29:12and with far fewer cars on the road.

0:29:13 > 0:29:16The MG was notorious for cornering badly

0:29:16 > 0:29:19and Nick's proved its handling hasn't improved with age.

0:29:20 > 0:29:24The car obviously had no air bag. It had no safety belt, either.

0:29:24 > 0:29:27They weren't designed with crumple zones in mind.

0:29:27 > 0:29:31So it's just basically a steel box on wheels.

0:29:31 > 0:29:35Doctors at Harrogate hospital soon patch Nick up.

0:29:35 > 0:29:40Within a week, the landlord of The Three Horseshoes is back in his garden

0:29:40 > 0:29:42in the leafy surroundings of Wensley.

0:29:43 > 0:29:45But this time, he's in a wheelchair.

0:29:48 > 0:29:52Nick's not much use behind the bar now. He can't see over it.

0:29:52 > 0:29:55His staff are having to work overtime to help him out.

0:29:56 > 0:30:00As I understand it, I think this kneecap is in five pieces.

0:30:02 > 0:30:07So I believe they've drilled and wired it all together.

0:30:07 > 0:30:10And this ankle was broken in three places

0:30:10 > 0:30:14and was bent over between the clutch and the brake pedal.

0:30:15 > 0:30:17I know I'm lucky to be here

0:30:17 > 0:30:21because from what I can see of the car from the inside is grim enough.

0:30:21 > 0:30:25And my wife came running down the hill. She said, "I saw the car

0:30:25 > 0:30:27"and just went numb and cold

0:30:27 > 0:30:31"because there was no way anyone would have survived that.

0:30:31 > 0:30:36"And then a minute later I was sat in the passenger footwell talking to you."

0:30:37 > 0:30:40Few people want to see the wreckage of their car after an accident.

0:30:40 > 0:30:44But Nick's MG was an 18th birthday gift for his daughter

0:30:44 > 0:30:46and he's asked for it to be returned.

0:30:46 > 0:30:51This is the first time Nick has seen his prized MG since the crash.

0:30:56 > 0:30:59Well, it's a mess, isn't it?

0:30:59 > 0:31:01It's a big mess.

0:31:03 > 0:31:05I think I've finished it anyway, haven't I?

0:31:05 > 0:31:07It's a finished job, that one.

0:31:10 > 0:31:13It will be back on the road in one form or another.

0:31:15 > 0:31:17Nick has plans to thank the medics

0:31:17 > 0:31:19who came to his rescue.

0:31:19 > 0:31:22'I want to thank everybody that was there.

0:31:24 > 0:31:28'I'm here by the grace of God, aren't I? I'm lucky to be here.

0:31:28 > 0:31:33'We're going to put on some live music and a big barbecue

0:31:33 > 0:31:35'where everybody will be welcome.

0:31:35 > 0:31:38'And we'll be going round with a big bucket

0:31:38 > 0:31:40'raising money for the air ambulance.'

0:31:47 > 0:31:50Coming up: On a dangerous ledge,

0:31:50 > 0:31:53the life of a climber is in the hands of the rescue team.

0:31:59 > 0:32:01Bikers love an empty twisting road

0:32:01 > 0:32:05and the remote dales of Yorkshire attract riders from 100 miles away.

0:32:05 > 0:32:09But some moorland routes aren't as idyllic as they seem.

0:32:10 > 0:32:15High in the hills, emergency services are speeding towards the scene of a motorcycle accident.

0:32:15 > 0:32:17And it sounds serious.

0:32:20 > 0:32:22In Middlesbrough, 30 miles away,

0:32:22 > 0:32:25Heli-med 98's crew have just flown another patient into A&E.

0:32:25 > 0:32:27And they've also got the call.

0:32:27 > 0:32:30Probably about ten minutes' flying time.

0:32:30 > 0:32:32We should be on that pretty quick.

0:32:32 > 0:32:34OK, mate. Thanks a lot.

0:32:36 > 0:32:41It's spring and the weather has persuaded hundreds of bikers to dust off the leathers

0:32:41 > 0:32:43and venture out to Yorkshire's remotest routes.

0:32:46 > 0:32:50These unlucky bikers have crashed on one of the highest roads in the country.

0:32:50 > 0:32:52Heli-med 98 is their only hope of a rapid rescue.

0:32:52 > 0:32:55There are two casualties at this scene.

0:32:55 > 0:32:59Either two separate motorcyclists or a pillion passenger.

0:32:59 > 0:33:01All clear this side.

0:33:06 > 0:33:09The biker is being treated in the back of a land ambulance.

0:33:09 > 0:33:14But his pillion, Samantha Monroe, hasn't moved since the accident.

0:33:14 > 0:33:19He came over the brow there and locked the bike up taking the corner.

0:33:19 > 0:33:23Basically, he lost control of the bike.

0:33:23 > 0:33:25It's flipped her onto her back.

0:33:25 > 0:33:28As it came over the thing, it went a bit light.

0:33:28 > 0:33:30There's all the gravel on that side.

0:33:30 > 0:33:32It skipped.

0:33:35 > 0:33:37Sam seems to be in good spirits.

0:33:37 > 0:33:40Her chances of escaping serious injury

0:33:40 > 0:33:44were helped by the fact she's got the right protective gear

0:33:44 > 0:33:48including one piece of clothing few bikers would admit to wearing.

0:33:48 > 0:33:50'I've got pyjama bottoms on underneath!'

0:33:50 > 0:33:52Tell us what colour later!

0:33:53 > 0:33:56Few bikers will ride past the scene of an accident.

0:33:56 > 0:33:59They know just how dangerous their passion can be.

0:33:59 > 0:34:03- Which is the wrist that's hurting? - I don't think they're broken.

0:34:03 > 0:34:05I just fell funny.

0:34:05 > 0:34:08The hard tarmac is supporting Sam's back.

0:34:08 > 0:34:12But paramedics Pete and Pat have to move her onto a spinal board

0:34:12 > 0:34:14and that's going to be very painful.

0:34:14 > 0:34:16We're moving you onto the board, Sam.

0:34:16 > 0:34:18One, two, three, roll.

0:34:18 > 0:34:20PAINED CRIES

0:34:20 > 0:34:22You're on the board now, my love.

0:34:22 > 0:34:24In the middle of nowhere.

0:34:24 > 0:34:27Probably 30 miles from the nearest hospital by air.

0:34:27 > 0:34:29A lot longer by road.

0:34:29 > 0:34:31So 15 or 20 minutes maybe to get to hospital.

0:34:31 > 0:34:34One, two, three, lift.

0:34:35 > 0:34:36It looks like Sam's been lucky.

0:34:36 > 0:34:40Bikers often have serious internal injuries.

0:34:40 > 0:34:42But Sam doesn't want any pain relief.

0:34:48 > 0:34:53X-rays and scans at hospital quickly rule out any serious injuries.

0:34:55 > 0:34:59She's in A&E, still in a considerable amount of pain.

0:34:59 > 0:35:05She didn't want her jacket cut. You find that a lot if they've got the correct gear on.

0:35:05 > 0:35:09They'll not let you near them with the scissors.

0:35:09 > 0:35:12They'd rather suffer the pain than have their jacket cut!

0:35:12 > 0:35:16Fortunately, A&E got her jacket off without any damage!

0:35:16 > 0:35:19I'm happy to say Sam was soon out on the bike

0:35:19 > 0:35:22and enjoying the Yorkshire countryside.

0:35:26 > 0:35:31Every day, the flying paramedics put their lives on the line to save others.

0:35:31 > 0:35:36But the job rarely takes as much courage as a rescue on one of Yorkshire's trickiest rock faces.

0:35:36 > 0:35:40In the Yorkshire Dales, Heli-med 99 has landed at Malham Cove

0:35:40 > 0:35:44where an injured climber is stuck over 100 feet up

0:35:44 > 0:35:46on a narrow ledge.

0:35:46 > 0:35:50This is gonna be tight, where she is. The guy that's come to her has a harness on.

0:35:50 > 0:35:52I'll give her morphine.

0:35:52 > 0:35:57Rachel Somerville has broken her leg and has been on a cold wet ledge for over an hour.

0:35:58 > 0:36:00Heli-med 99 paramedic Tony Wilkes

0:36:00 > 0:36:04and Dr Neil MacDonald have eased the pain with morphine.

0:36:04 > 0:36:08The cave rescue team have managed to get Rachel safely onto a stretcher.

0:36:09 > 0:36:12It's a strange location, a lot of dangers.

0:36:12 > 0:36:14The job's going quite well so far.

0:36:14 > 0:36:17Rachel's still a long way from hospital

0:36:17 > 0:36:20and the team now faces the most dangerous part of the rescue.

0:36:20 > 0:36:25Rachel, any pain other than what you've had prior to us moving?

0:36:25 > 0:36:29They must carry Rachel down a wet and slippery path

0:36:29 > 0:36:31and across a stream to the waiting helicopter.

0:36:32 > 0:36:35The expert team carrying Rachel

0:36:35 > 0:36:37know how risky rescues like this can be.

0:36:37 > 0:36:40The path is steep and an afternoon's rainfall

0:36:40 > 0:36:44has left the smooth limestone treacherous underfoot.

0:36:48 > 0:36:52Rachel's partner, Richard Kirby, saw her fall and quickly raised the alarm.

0:36:54 > 0:36:57'As she fell, she smacked into the rock face.'

0:36:57 > 0:37:01It's unfortunate cos you fall off a lot with this sort of climbing

0:37:01 > 0:37:03and this doesn't usually happen.

0:37:03 > 0:37:05So it's a bit unfortunate for her, really.

0:37:05 > 0:37:09He's now following close behind. But there's a problem.

0:37:09 > 0:37:11Whoa!

0:37:11 > 0:37:12Whoa!

0:37:12 > 0:37:16- I'll have to take it off. - We're taking it off.

0:37:17 > 0:37:20The safety rope has run out barely half-way down the slope.

0:37:20 > 0:37:24The team will have to continue down the path

0:37:24 > 0:37:26meaning that if anything goes wrong,

0:37:26 > 0:37:30there's nothing to prevent the stretcher and Rachel from falling.

0:37:30 > 0:37:32They're making slow progress

0:37:32 > 0:37:35but after a few readjustments,

0:37:35 > 0:37:38the team are ready to attempt the final hurdle in this risky rescue,

0:37:38 > 0:37:43carrying Rachel through a rocky stream that flows under the cove.

0:37:43 > 0:37:46- Is your pain all right?- Yes.

0:37:46 > 0:37:48One, two, three, lift.

0:37:51 > 0:37:57It's taken a long time and the helicopter is a welcome sight for Rachel and her rescuers.

0:37:57 > 0:37:59'No two jobs are the same.

0:37:59 > 0:38:03'When you're half-way up the ledge, it's impressive.'

0:38:03 > 0:38:05It's what we're trained for and we're ready.

0:38:05 > 0:38:08Cave and mountain rescue came and helped

0:38:08 > 0:38:10so it went to plan.

0:38:16 > 0:38:19We've just transferred the casualty onto our board

0:38:19 > 0:38:22so that we can manoeuvre her better.

0:38:23 > 0:38:25She's obviously been out for a while.

0:38:25 > 0:38:29We'll fly her directly to Harrogate hospital, six or seven minutes away.

0:38:29 > 0:38:31She'll get her leg seen to.

0:38:31 > 0:38:34Rachel's broken leg looks simple enough to treat.

0:38:34 > 0:38:37But the real extent of her injuries won't be known

0:38:37 > 0:38:41until she's safe in hospital. There she'll be scanned and x-rayed.

0:38:41 > 0:38:44This has been a nerve-racking rescue

0:38:44 > 0:38:46that's taken its toll on the whole crew.

0:38:46 > 0:38:49It could have been potentially quite a difficult job.

0:38:49 > 0:38:52We've all worked together well as a team.

0:38:52 > 0:38:55We've had rescuers working with us as well.

0:38:55 > 0:38:58Clinically, we've stabilised Rachel.

0:38:58 > 0:39:03Hopefully she's not in too much pain now. She's quite comfortable.

0:39:03 > 0:39:07In a relatively short time we've got her in the helicopter and into hospital.

0:39:07 > 0:39:11Just half an hour ago, Rachel was stranded half-way up a sheer rock face,

0:39:11 > 0:39:14one of the Yorkshire Dales' most spectacular sights.

0:39:14 > 0:39:16Now, thanks to her rescuers,

0:39:16 > 0:39:18she's in the hands of hospital doctors.

0:39:18 > 0:39:22But the team have no hard feelings about people who live on the edge.

0:39:22 > 0:39:26Everybody's got their own sports. I've done climbing before.

0:39:26 > 0:39:30It is good and exhilarating when it works out well.

0:39:30 > 0:39:32Obviously she's just lost her footing

0:39:32 > 0:39:37and ended up coming to grief on the ledge there.

0:39:37 > 0:39:40But it's all ended happily, I think.

0:39:40 > 0:39:45Two days later, Rachel is having to get used to a more relaxed lifestyle.

0:39:45 > 0:39:49Her injuries are more serious than any of her rescuers had realised.

0:39:49 > 0:39:53She faces a long time away from the rock face as her leg heals.

0:39:54 > 0:39:57Both the tibia and fibia are completely broken

0:39:57 > 0:40:00at the point close to the ankle.

0:40:00 > 0:40:03They're clean breaks.

0:40:04 > 0:40:07So there's nothing left, really, at the end of it.

0:40:07 > 0:40:11And the bone at the bottom has shattered quite a lot as well.

0:40:11 > 0:40:15There's apparently quite a lot of fragments of bone in there

0:40:15 > 0:40:18which all need to be put back together.

0:40:19 > 0:40:22Rachel's memories of her fall are fresh.

0:40:23 > 0:40:27In rock climbing, one mistake can have devastating consequences.

0:40:28 > 0:40:32I knew instantly that my leg was broken.

0:40:32 > 0:40:34It made this huge snapping sound.

0:40:34 > 0:40:36There was a lot of pain.

0:40:36 > 0:40:41I looked down at my foot and could see it was sort of dangling a bit.

0:40:41 > 0:40:44I just knew that it wasn't right

0:40:44 > 0:40:48and we had to call an ambulance and get it sorted.

0:40:48 > 0:40:52For Rachel, the shock of breaking her leg was quickly replaced by a panic.

0:40:53 > 0:40:56And a fear that rescuers may not be able to reach her.

0:40:58 > 0:41:02They didn't look all that safe on the catwalk when they were coming across.

0:41:02 > 0:41:08I was really worried. I didn't think they'd be capable of getting me off the ledge at all.

0:41:08 > 0:41:10Rachel's got a real head for heights.

0:41:10 > 0:41:14But even she struggled to cope with being carried down from the rock face.

0:41:14 > 0:41:17Her life in the hands of her rescuers.

0:41:17 > 0:41:21'When you're on a stretcher, you pretty much can't move anything.

0:41:21 > 0:41:24'They don't want you to move anything.

0:41:24 > 0:41:26'So you feel helpless.

0:41:29 > 0:41:32'It would be really hard to get to that spot

0:41:32 > 0:41:34'in a normal ambulance.

0:41:34 > 0:41:37'So for them to be able to fly in

0:41:37 > 0:41:40'and fly me out really quickly is perfect.

0:41:40 > 0:41:45'We got there at least an hour or two quicker than in a normal ambulance.'

0:41:45 > 0:41:48One thing is almost certain.

0:41:48 > 0:41:53It's unlikely Heli-med 99 has visited Malham Cove for the last time.

0:41:55 > 0:41:59That's all from Helicopter Heroes. But when we come back:

0:41:59 > 0:42:01The team face a terrible choice.

0:42:01 > 0:42:05Freeing a trapped driver could mean amputating his leg.

0:42:06 > 0:42:08Can we rig a tourniquet up?

0:42:09 > 0:42:13An unusual hazard leads to a serious accident on a Pennine road.

0:42:14 > 0:42:16Sheep? Don't dodge 'em! Run 'em over!

0:42:19 > 0:42:23What happens when you forget to wear your seatbelt.

0:42:23 > 0:42:26The police say he definitely did not have his seat belt on.

0:42:27 > 0:42:31And paramedic Pat agrees to an unexpected request from an injured farmer.

0:42:31 > 0:42:34I'm not used to getting false teeth out!

0:42:49 > 0:42:52Subtitles by Moira Diamond Red Bee Media - 2008