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 medical aid can feel like an hour.
0:00:08 > 0:00:12Which is why a helicopter like this can be a beautiful sight.
0:00:12 > 0:00:14It certainly was for me when I was a copper.
0:00:14 > 0:00:20This is the Yorkshire Air Ambulance and their business is saving lives.
0:00:40 > 0:00:45From the Dales to the big cities of Leeds and Sheffield, patients in the UK's biggest county
0:00:45 > 0:00:51are never more than ten minutes from a hospital, thanks 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 > 0:01:06Today on Helicopter Heroes, the team face a terrible choice -
0:01:06 > 0:01:09freeing a trapped driver could mean amputating his leg...
0:01:09 > 0:01:12Can we rig some sort of tourniquet up?
0:01:13 > 0:01:17..an usual hazard leads to a serious accident on a Pennine road...
0:01:17 > 0:01:20Sheep? Don't dodge 'em, run 'em over.
0:01:23 > 0:01:26..what happens when you forget to wear your seatbelt...
0:01:26 > 0:01:31The police officer's just informed me he definitely did not have his seatbelt on.
0:01:31 > 0:01:35..Paramedic Pat agrees to an unexpected request from an injured farmer.
0:01:35 > 0:01:38I'm not used to getting false teeth out!
0:01:41 > 0:01:46When I wore a uniform for a living, one of the hardest jobs was dealing with a trapped driver.
0:01:46 > 0:01:53It's a terrible situation and very hard to say anything that would make the victim feel better.
0:01:53 > 0:01:59On a country lane in North Yorkshire, a 26-tonne concrete mixer has left the road and turned over.
0:02:01 > 0:02:04Its 39-year-old driver is trapped in his cab.
0:02:04 > 0:02:09Firefighters fear that if the vehicle moves he could be crushed.
0:02:09 > 0:02:13It's a mile south on one of the minor roads.
0:02:13 > 0:02:15We've not got an exact road for it.
0:02:15 > 0:02:19Helimed 99 has just taken off from its base at Leeds Bradford Airport.
0:02:19 > 0:02:24When the victims of a road accident are trapped, the flying paramedics are always scrambled.
0:02:24 > 0:02:28It's at my five o'clock. If you bring it round now...
0:02:28 > 0:02:30I've got it. OK, right, thank you.
0:02:33 > 0:02:37This accident has the local traffic cops scratching their heads.
0:02:37 > 0:02:41It's a minor road, but the truck appears to have been travelling at high speed.
0:02:41 > 0:02:45No other vehicle was involved, so why did it turn over on a bend?
0:02:45 > 0:02:50Paramedics Paul Bradbury and Simon Kavanagh are about to find out.
0:02:50 > 0:02:55- Has he been knocked out? - Hasn't been unconscious. Normally fit and well. No allergies, nothing.
0:02:55 > 0:02:58- Is he trapped by his leg?- He's trapped for about 40 minutes now.
0:03:01 > 0:03:04Can we isolate the battery? It's still live in here.
0:03:04 > 0:03:07One thing's for sure, the driver won't be getting out in a hurry.
0:03:07 > 0:03:09He's had a lucky escape.
0:03:09 > 0:03:14He only has cuts and bruises, but he's firmly trapped by his lower leg.
0:03:14 > 0:03:17Slow your breathing down and tell me what's hurting you?
0:03:17 > 0:03:20It's just my right leg.
0:03:20 > 0:03:23Keep your arms down. We'll give you some morphine.
0:03:23 > 0:03:27We'll give you some morphine.
0:03:27 > 0:03:30I can't see anything. One leg's all right, but it's the one underneath.
0:03:30 > 0:03:33- Paul?- Nothing.
0:03:33 > 0:03:38Paramedics often strike up a close relationship with trapped patients.
0:03:38 > 0:03:44In the tension of a difficult rescue operation, they often have time to hear a driver's life story.
0:03:44 > 0:03:48But this patient's different. He's not giving much away.
0:03:48 > 0:03:51- What's your surname? - What's your name?
0:03:51 > 0:03:53- Oh...stop it!- OK, mate.
0:03:53 > 0:03:57He says he's called Jasper, but he won't even tell them his surname.
0:03:57 > 0:03:59It's very mysterious.
0:03:59 > 0:04:03The fire service are using airbags and cables to raise the truck
0:04:03 > 0:04:06from the roadside ditch where it came to rest.
0:04:06 > 0:04:10It should release the pressure on the cab which is pinning Jasper's leg.
0:04:10 > 0:04:15The paramedics appear to have stabilised the casualty.
0:04:15 > 0:04:20We're trying to pull the cab over very gently to give him some room.
0:04:20 > 0:04:24Apparently, there's a bar across his leg and it may just release his leg.
0:04:24 > 0:04:29We've got air bags in and pulling equipment,
0:04:29 > 0:04:32and we're just gradually working on it,
0:04:32 > 0:04:35very gently, and chocking as we go along.
0:04:35 > 0:04:39- Jasper, you're going to feel the cab moving in a minute.- Champion.
0:04:39 > 0:04:42If it hurts, tell me and I'll get these guys to stop.
0:04:42 > 0:04:47Paramedic Paul is trying to help free Jasper's leg, but nothing seems to help.
0:04:47 > 0:04:49What do we think it's trapped under?
0:04:49 > 0:04:51Is it the actual cab that's trapping his leg?
0:04:51 > 0:04:54The arm that you get for climbing on. It's got an arm.
0:04:54 > 0:04:58Yeah, one of them, and it's trapped on there. Right.
0:04:58 > 0:05:01The truck was delivering concrete to a building site.
0:05:01 > 0:05:04It's fully laden and it won't budge.
0:05:04 > 0:05:07Because it's such a heavy vehicle,
0:05:07 > 0:05:12the Fire Brigade can't just rip the door off or take the roof off,
0:05:12 > 0:05:15so they have to do a bit of a technical rescue.
0:05:15 > 0:05:20They've inflated some airbags because he's trapped by his right leg.
0:05:20 > 0:05:23The full weight of the truck is on it. We can't actually see it,
0:05:23 > 0:05:25so we don't know if it's crushed or fractured.
0:05:25 > 0:05:29Till we get the truck off, we don't know what we're dealing with.
0:05:29 > 0:05:32One of the cable anchors has been pulled from the ground
0:05:32 > 0:05:38and a farmer's powerful tractor is useless against the weight of 20 tonnes of concrete.
0:05:38 > 0:05:41There's no way to get behind it to lever it.
0:05:41 > 0:05:45- There must be something. - Honestly, mate, I've tried.
0:05:45 > 0:05:49The trucker is desperate, but Paul has an idea.
0:05:49 > 0:05:52Have you got one of the fire lads?
0:05:52 > 0:05:53Can I have a word?
0:05:55 > 0:05:59What are the chances of getting a ram in there?
0:06:00 > 0:06:04Do you want to nip the steering wheel off? Yeah, go on then.
0:06:04 > 0:06:08The Fire Brigade bring in their hydraulic cutters.
0:06:08 > 0:06:11But it seems to make little difference.
0:06:11 > 0:06:14It's his bottom leg that's trapped.
0:06:14 > 0:06:15The other option is to...
0:06:15 > 0:06:17HE MURMURS
0:06:17 > 0:06:21- There's no basics available around here?- No.
0:06:21 > 0:06:27Paul's worried. If circulation to Jasper's leg has been disrupted, releasing it could lead to
0:06:27 > 0:06:32potentially lethal complications as toxic blood flows around his body.
0:06:32 > 0:06:36And the longer he's trapped, the more serious it could be.
0:06:36 > 0:06:37We're struggling.
0:06:37 > 0:06:42We've tried every way possible now, safely, to get his leg out. We're now
0:06:42 > 0:06:46going to have to get a trauma team to come out. The worst-case scenario,
0:06:46 > 0:06:50we'd have to amputate his leg. But hopefully we have a few more options to try
0:06:50 > 0:06:52before we go to that extreme.
0:06:57 > 0:07:01Coming up, the Fire Brigade run out of options in the battle to free Jasper...
0:07:03 > 0:07:08..a Bulgarian driver finds himself at the centre of a major rescue operation...
0:07:08 > 0:07:12The police officer informed me he definitely did not have his seatbelt on.
0:07:14 > 0:07:17..and a farmer is run over by his own tractor.
0:07:17 > 0:07:19And lives to tell the tale.
0:07:25 > 0:07:28You have to be tough to live on top of the Pennines.
0:07:28 > 0:07:31Some of the locals tend to be a bit on the stubborn side,
0:07:31 > 0:07:35which can be a problem when you have to share a narrow lane with them.
0:07:35 > 0:07:40The wild and windy moors of the Pennines in West Yorkshire are a desolate place.
0:07:40 > 0:07:45There's only one type of livestock that can survive in these conditions - sheep.
0:07:45 > 0:07:50Yorkshire wool is still highly sought-after, and huge numbers of sheep roam the Pennines hills.
0:07:50 > 0:07:55There are no fenced fields around here and sheep regularly stray onto the roads,
0:07:55 > 0:07:58sometimes with dramatic consequences.
0:08:02 > 0:08:07On a road running parallel to the M62 near Ripponden,
0:08:07 > 0:08:10a delivery driver has swerved to avoid a flock of sheep.
0:08:10 > 0:08:15His van has plunged over 50 feet down an embankment and he's trapped inside.
0:08:15 > 0:08:18We're just going to set off now.
0:08:18 > 0:08:20If it's serious, we'll be on the scene. We can get
0:08:20 > 0:08:23to the patient once the fire service get there.
0:08:24 > 0:08:28Just minutes later, Helimed 99 is speeding towards the scene.
0:08:28 > 0:08:30But there's some worrying news.
0:08:30 > 0:08:34Ground paramedics have arrived, but the van is in such a perilous position,
0:08:34 > 0:08:37it's too dangerous for them to reach the driver.
0:08:37 > 0:08:40An ambulance crew has got on the scene and deemed it too dangerous
0:08:40 > 0:08:43to get in the vehicle to assess the patient.
0:08:43 > 0:08:47It's a concern when you can't get to the patient. But your own personal
0:08:47 > 0:08:49safety, then the safety of the casualty
0:08:49 > 0:08:53is the most important thing. If you put yourself in harm's way
0:08:53 > 0:08:55and you're injured, you're not able to help anybody.
0:08:59 > 0:09:02The crew of Helimed 99 know this area well.
0:09:02 > 0:09:04They're regularly called to accidents
0:09:04 > 0:09:09on the country's highest motorway that dissects the Pennines, the M62.
0:09:12 > 0:09:15From the air, it's clear this is a serious incident.
0:09:15 > 0:09:17Yep, quite a steep embankment.
0:09:17 > 0:09:21- Just coming down at one o'clock. - Got it, mate.
0:09:25 > 0:09:27Need to get between stanchions.
0:09:27 > 0:09:31Yeah, that looks good, but that's where the pole stand,
0:09:31 > 0:09:35so we might just have to play it by ear.
0:09:38 > 0:09:41If we get him up that bit, we'll get him up this bit.
0:09:43 > 0:09:47The van's driver, Nigel Clegg, has been thrown out of his seat
0:09:47 > 0:09:50and into the back of the van, but he's been lucky.
0:09:50 > 0:09:54A telegraph pole has stopped the van falling further down the embankment.
0:09:54 > 0:09:56- That one?- Yeah.
0:09:56 > 0:10:01Chest injuries at the moment. C spine possible, and further down.
0:10:01 > 0:10:02We'll get one off our wagon.
0:10:02 > 0:10:06Fire crews have secured the van with a cable, enabling ground paramedics
0:10:06 > 0:10:09to get into the back and assess Nigel's injuries.
0:10:09 > 0:10:12Our main concern was that the van was unstable.
0:10:12 > 0:10:17There were two members of the public in there, but we were concerned
0:10:17 > 0:10:20if more weight would start dragging it down the hill.
0:10:20 > 0:10:22He's obviously been freed.
0:10:22 > 0:10:27He's got some chest injuries and a query C spine as well.
0:10:27 > 0:10:32Nigel needs to be in hospital fast, so Tony and Darren quickly prepare the helicopter.
0:10:32 > 0:10:34Let's start clearing the deck here.
0:10:34 > 0:10:38As fire crews attempt a risky carry, back up the steep bank.
0:10:49 > 0:10:51Heave it up as hard as you can.
0:10:55 > 0:10:56All right, chief.
0:10:56 > 0:10:59Nigel was trapped inside his van for over half an hour.
0:10:59 > 0:11:04Now he's been released, the full extent of his injuries is now becoming clear.
0:11:04 > 0:11:06Start moving him in.
0:11:06 > 0:11:10'When we put this patient on the aircraft, it quickly became obvious
0:11:10 > 0:11:15'that his injuries could be more significant than they appeared.'
0:11:15 > 0:11:17Just have a listen at his chest.
0:11:17 > 0:11:20'He complained of having a lot of difficulty breathing,'
0:11:20 > 0:11:23and his oxygen saturation levels
0:11:23 > 0:11:25in his body also started to drop.
0:11:28 > 0:11:31Nigel, are you in a lot of pain? On a scale of one to ten, what is it?
0:11:31 > 0:11:33Ahh...
0:11:33 > 0:11:39Nigel is struggling to cope with the pain, but he still manages to remember how the accident happened.
0:11:39 > 0:11:42It was sheep.
0:11:42 > 0:11:45You were dodging sheep? Sheep? Don't dodge 'em, run 'em over.
0:11:45 > 0:11:49Still getting a little bit there, but respiratory effort is poor.
0:11:49 > 0:11:53The paramedic on scene said he'd had difficulty
0:11:53 > 0:11:56in hearing the breath sounds on the right side of the patient's chest.
0:11:56 > 0:12:01I checked it again and asked Tony to confirm it, and it was obvious that
0:12:01 > 0:12:05the breath sounds on that side were significantly diminished.
0:12:05 > 0:12:11There's a possibility that the lung on that side of the chest was collapsing or had collapsed.
0:12:11 > 0:12:15This is potentially a life-threatening situation.
0:12:15 > 0:12:18- Nigel, I'm going to give you something for this pain. - Oh, thank you!
0:12:18 > 0:12:23When this pain is taken away, I'll put a needle into your chest and it'll help your breathing.
0:12:23 > 0:12:25You'll feel a stab in your right hand, OK?
0:12:26 > 0:12:27Well done.
0:12:27 > 0:12:31Listen, Nigel, this is going to be painful.
0:12:31 > 0:12:34All right, but it can't hurt any more than it does now,
0:12:34 > 0:12:38- and it might relieve the pressure in your chest. Are you listening to me?- Yes.
0:12:38 > 0:12:42Nigel's condition is deteriorating and he's struggling to breathe.
0:12:42 > 0:12:47He needs a surgical procedure usually done by a doctor in hospital to relieve pressure in his chest.
0:12:47 > 0:12:49But there's no time.
0:12:49 > 0:12:53Darren must decompress Nigel's chest, and fast.
0:12:57 > 0:13:02Coming up, Darren prepares for a life-saving operation at the roadside...
0:13:04 > 0:13:08..the team send for reinforcements in the battle to free a trapped driver...
0:13:08 > 0:13:12Basically, a doctor, an anaesthetist and a surgeon,
0:13:12 > 0:13:14just in case we need to amputate his leg.
0:13:16 > 0:13:20..and cardiac-nurse-turned-paramedic Tony Wilkes flies to the rescue
0:13:20 > 0:13:24after a pig farmer is struck down by a heart attack.
0:13:29 > 0:13:32Most people have a driving licence.
0:13:32 > 0:13:37But these days, there's no guarantee that the driver in front of you took his test in the UK.
0:13:37 > 0:13:40Sometimes, that makes a difference.
0:13:40 > 0:13:42It comes out onto the A19.
0:13:42 > 0:13:44How many casualties, four?
0:13:44 > 0:13:47There's four patients, there's one trapped.
0:13:47 > 0:13:50This morning, there's a race to get Helimed 99 off the ground.
0:13:57 > 0:13:59VOICES ON RADIO
0:13:59 > 0:14:03York's ancient Minster was built almost 1,000 years ago,
0:14:03 > 0:14:06but it is very popular with today's tourists.
0:14:06 > 0:14:07And pilots.
0:14:07 > 0:14:10It can be seen from 50 miles away on a clear day,
0:14:10 > 0:14:16which means Helimed 99's crew are never short of a landmark when they're called to the city.
0:14:17 > 0:14:21There's been a serious shunt on the A19,
0:14:21 > 0:14:24the main route north from York to industrial Teesside.
0:14:25 > 0:14:28Four vehicles involved and we believe
0:14:28 > 0:14:31there is a number of casualties, one of which is still trapped.
0:14:31 > 0:14:34They're already thinking which hospital to fly to.
0:14:34 > 0:14:37For the A19, York will be our first choice
0:14:37 > 0:14:39unless there's an isolated head injury.
0:14:39 > 0:14:41We'll assess when we get on scene.
0:14:44 > 0:14:47With the road blocked and traffic backed up for miles,
0:14:47 > 0:14:52emergency crews know the chopper is the only way to get the victim to hospital quickly.
0:14:55 > 0:14:58Paramedics Sammy Wills and Pete Vallance are here to care
0:14:58 > 0:15:01for one driver who's more seriously injured than the others.
0:15:01 > 0:15:04Lacerations. No central neck or back pain
0:15:04 > 0:15:07in either of these two gentlemen, just a bit of arm pain.
0:15:07 > 0:15:1327-year-old Vince is a Bulgarian working in the UK.
0:15:13 > 0:15:15How old are you?
0:15:15 > 0:15:19His hatchback stood up well to the impact with a road sign,
0:15:19 > 0:15:21which is more than you can say for its driver.
0:15:21 > 0:15:24You're normally fit and well?
0:15:24 > 0:15:30The accident has happened at a busy junction on a fast, straight section of the A19.
0:15:30 > 0:15:33The white van, we believe, was waiting to turn right.
0:15:33 > 0:15:37He's been struck by another car, which in turn has pushed it into the black car.
0:15:37 > 0:15:39This is how we found it when we got here.
0:15:39 > 0:15:43The drivers of the other two vehicles have escaped with minor injuries,
0:15:43 > 0:15:46but Vince has some nasty wounds to his head and face.
0:15:46 > 0:15:48He's also injured his knees and his chest.
0:15:48 > 0:15:51When you look at the damage to the car, that's a high impact.
0:15:51 > 0:15:54He'll come with us, purely because of
0:15:54 > 0:15:57the mechanism, the speed and the damage to his car.
0:15:57 > 0:15:59Paramedics Sammy and Pete are puzzled.
0:15:59 > 0:16:05Vince suffered the same impact as two other motorists, but came off much worse.
0:16:05 > 0:16:08The Fire Brigade are having to cut Vince out.
0:16:08 > 0:16:13He's trapped by the twisted steering wheel and he appears to have hit the windscreen.
0:16:13 > 0:16:15The fire crew are just making us a path
0:16:15 > 0:16:19through all the trip hazards, and all appears well.
0:16:21 > 0:16:25It's feared Vince may also have damaged his neck.
0:16:25 > 0:16:28Can I take head from there? Vince, let us just ease you...?
0:16:28 > 0:16:31Can somebody get round his waist and slide him up as though he's on a bench?
0:16:31 > 0:16:35He'll be gently removed from his seat to avoid worsening any injury.
0:16:35 > 0:16:37Great stuff. Cheers, guys.
0:16:37 > 0:16:41The reason for Vince's condition soon becomes clear.
0:16:41 > 0:16:47He didn't learn to drive in the UK, so he missed out on a vital safety precaution.
0:16:47 > 0:16:52The police officer informed me he did not have his seatbelt on, so that makes a huge difference
0:16:52 > 0:16:54to where his injuries will be.
0:16:54 > 0:16:57The Helimed pilots aren't just there to fly the helicopter.
0:16:57 > 0:17:01When they're on the ground, they become medical photographers.
0:17:01 > 0:17:03The plan for me is to get photos of the accident
0:17:03 > 0:17:08for the hospital, so they can see the type of impact in case that helps them.
0:17:08 > 0:17:10Then we'll be off to Harrogate.
0:17:10 > 0:17:13A five-minute flight, and straight in there.
0:17:15 > 0:17:20Paramedics used to see injuries like this all the time before seatbelts were made compulsory.
0:17:20 > 0:17:23That's why he's got so much glass in his forehead.
0:17:23 > 0:17:25Usually, your seatbelt would keep you back.
0:17:25 > 0:17:29It makes a difference on the steering wheel, which bit hits him and where.
0:17:31 > 0:17:35Vince is lucky. He's off for a full check-up at the hospital in Harrogate.
0:17:35 > 0:17:40It looks like his car was travelling backwards when it hit the road sign.
0:17:40 > 0:17:43That could explain why his injuries weren't even more serious.
0:17:43 > 0:17:46His seat and headrest probably took most of the impact.
0:17:46 > 0:17:48We'll get you to hospital.
0:17:50 > 0:17:53In accidents like today's, paramedics are trained to seek
0:17:53 > 0:17:57out the patient, like Vince, who most needs their skills.
0:17:57 > 0:18:01With several casualties there, you've got to find the most seriously injured
0:18:01 > 0:18:04before you can start treating anyone. It's no good to go rushing in,
0:18:04 > 0:18:07find the first one and start treating them,
0:18:07 > 0:18:09because basic treatment can save someone's life.
0:18:09 > 0:18:14If you assess properly, in triage, you can make sure the people who need the treatment first get it.
0:18:15 > 0:18:18Despite Vince's relatively lucky escape,
0:18:18 > 0:18:22you won't find many paramedics driving without seatbelts.
0:18:22 > 0:18:24Sammy sees every day how they save lives.
0:18:24 > 0:18:29And, too often, how people die without them.
0:18:29 > 0:18:32People that don't wear seatbelts take a great risk.
0:18:32 > 0:18:36It's quite an old-fashioned injury now, to go to patients that have not
0:18:36 > 0:18:39been wearing seatbelts, given that it's the law.
0:18:39 > 0:18:43If this patient had been wearing a seatbelt, it's likely he'd have
0:18:43 > 0:18:45been one of the walking wounded, like the others.
0:18:45 > 0:18:49Thankfully, Vince recovered and now wears a seatbelt.
0:18:53 > 0:18:59Coming up, paramedic Darren has to tell a forgetful patient how his accident happened...
0:18:59 > 0:19:01- What happened?- Yeah. - You were avoiding sheep.
0:19:03 > 0:19:07..and what happens when things go wrong down on the farm.
0:19:12 > 0:19:16On a minor road in North Yorkshire, the emergency services are trying
0:19:16 > 0:19:22to make sense of an accident which left a 38-year-old trucker trapped in his upturned lorry.
0:19:23 > 0:19:25On a country lane in North Yorkshire,
0:19:25 > 0:19:29a lorry driver has been trapped in his cab for more than an hour.
0:19:29 > 0:19:33The man told paramedic Paul Bradbury he's called Jasper,
0:19:33 > 0:19:36but for some reason he's reluctant to give his surname.
0:19:37 > 0:19:40What Paul is not telling him is that he may lose his leg if
0:19:40 > 0:19:44the Fire Brigade can't work out a way of freeing him soon.
0:19:44 > 0:19:46- He's been trapped too long now.- Yeah.
0:19:46 > 0:19:49We're trying to push
0:19:49 > 0:19:53the bodywork off his leg but it's just not happening, unfortunately.
0:19:53 > 0:19:57As I said, hopefully, we'll be able to do it. But as a last resort,
0:19:57 > 0:20:00and it's a last resort, we may have to look at amputation.
0:20:00 > 0:20:04The flying paramedics have sent pilot Paul Curtis off to pick up
0:20:04 > 0:20:08a surgeon and an anaesthetist from Harrogate Hospital.
0:20:08 > 0:20:11Their job will be to amputate Jasper's leg where he lies.
0:20:11 > 0:20:15Can we rig some sort of tourniquet up, so I can at least get it round?
0:20:15 > 0:20:18Yes, how much do you want?
0:20:18 > 0:20:21Just... Just sort of round his thigh.
0:20:21 > 0:20:25Only one thing can save the driver's right leg.
0:20:25 > 0:20:30The Fire Brigade have tried airbags and winches to ease the pressure,
0:20:30 > 0:20:35but the lorry was fully laden with 20 tonnes of concrete and it won't budge.
0:20:35 > 0:20:39Jasper has drained two cylinders of Entonox, a pain-killing gas,
0:20:39 > 0:20:43on top of the strongest drugs the paramedics carry.
0:20:44 > 0:20:45- Paul?- Nothing.
0:20:48 > 0:20:52I know, when you're a copper, you get a hunch about some accidents.
0:20:52 > 0:20:56The local traffic officers are clearly not happy about this crash.
0:20:56 > 0:20:59The driver is reluctant even to give them his second name.
0:20:59 > 0:21:06And this is a minor road. The truck was clearly travelling pretty fast to come off the road on a bend.
0:21:06 > 0:21:12The primary concern is to find out what happened. Obviously, he's been trapped quite a long time now
0:21:12 > 0:21:16and it raises concerns for me and my colleagues.
0:21:16 > 0:21:20An accident investigation team is on the way.
0:21:20 > 0:21:24But for now, all that matters is getting Jasper out.
0:21:25 > 0:21:30Pilot Paul Curtis is flying in the trauma team, and they're almost ready to start work.
0:21:30 > 0:21:33Basically, a doctor,
0:21:33 > 0:21:37anaesthetist and a surgeon, just in case we need to amputate his leg.
0:21:37 > 0:21:41When we left, we didn't know how bad a leg injury he's got,
0:21:41 > 0:21:46so I nipped over to Harrogate and picked up two doctors and a nurse.
0:21:46 > 0:21:51Hopefully they can add a different dimension to the care he's been getting already.
0:21:51 > 0:21:55This is the Fire Brigade's last chance to save Jasper's leg.
0:21:55 > 0:21:59This time, they're trying brute force.
0:22:01 > 0:22:06This chain is forcing the steering column away from the driver's leg.
0:22:06 > 0:22:07One, two, three...
0:22:10 > 0:22:12And it's worked!
0:22:12 > 0:22:16Jasper can at last move his leg.
0:22:16 > 0:22:19The surgical team's skills may not now be needed,
0:22:19 > 0:22:25but trapped patients can suffer lethal complications even after they are freed.
0:22:25 > 0:22:26- This is Jasper.- Yes.
0:22:26 > 0:22:31His right foot has been trapped for about an hour-and-a-half. He's had 20 of morphine.
0:22:31 > 0:22:33His pain is all right, it's acceptable.
0:22:33 > 0:22:36He's not been knocked out. He's come round the corner and lost it.
0:22:36 > 0:22:41Lorry's tipped over and trapped him. In the last three minutes, we've managed to free it a bit.
0:22:41 > 0:22:45I've tourniqueted it at the top, but it's been an hour-and-a-half now.
0:22:45 > 0:22:49We should get a spinal board down the back and secure him to it while he's still upright.
0:22:49 > 0:22:55The thing is, once he is released, that's when the clock starts ticking if he has a crush injury.
0:22:55 > 0:23:00Will the 90 minutes Jasper has spent pinned to his seat cause lasting damage?
0:23:00 > 0:23:03He could still lose his leg.
0:23:09 > 0:23:11Coming up, the surgeons waiting.
0:23:11 > 0:23:14It's the last chance to save Jasper's leg...
0:23:16 > 0:23:20..and a farm worker has fallen 25 foot while repairing a roof.
0:23:20 > 0:23:23Now, he needs Helimed 99's help.
0:23:23 > 0:23:26One minute, he was there. The next, he wasn't.
0:23:30 > 0:23:34Paramedics are highly trained, but they're not doctors.
0:23:34 > 0:23:39Sometimes, they find themselves having to perform complicated procedures or lose a patient.
0:23:39 > 0:23:44On a road in the Pennines, that's exactly what's happened to medic Darren Axe.
0:23:45 > 0:23:48The van has plummeted over 50 feet down an embankment.
0:23:48 > 0:23:53The driver, Nigel Clegg, swerved to avoid a flock of sheep
0:23:53 > 0:23:56and was trapped in the back of the van for over 30 minutes.
0:23:58 > 0:24:01Helimed 99 arrives just in time.
0:24:01 > 0:24:05Fire crews have managed to get Nigel out safely and carry him to the helicopter.
0:24:05 > 0:24:09Nigel, are you in a lot of pain? On a scale of one to ten, what is it?
0:24:09 > 0:24:11Ahh...
0:24:11 > 0:24:15But he has a serious chest injury. Paramedic Darren Axe has to perform
0:24:15 > 0:24:19one of the most complicated and risky medical procedures.
0:24:19 > 0:24:23This will be painful, all right? But it can't hurt more than it does now
0:24:23 > 0:24:27- and it might relieve the pressure in your chest. Are you listening to me?- Yeah.
0:24:27 > 0:24:29Air is escaping from Nigel's right lung.
0:24:29 > 0:24:34With nowhere for the air to go, pressure is building up in Nigel's chest cavity.
0:24:34 > 0:24:40If the lung collapses and the cavity fills up with air outside the lung,
0:24:40 > 0:24:43there is a possibility it will crush the other structures.
0:24:43 > 0:24:48It will put pressure on the heart, it forces the windpipe across
0:24:48 > 0:24:52and could, potentially, put the patient into cardiac arrest.
0:24:54 > 0:24:55- Oh!- Is that hurting you?- Yes.
0:24:55 > 0:25:01It might seem crude, but Darren has to insert a large needle into Nigel's chest.
0:25:01 > 0:25:04If he's just a centimetre out, the procedure won't work.
0:25:04 > 0:25:08- Oh, Jesus.- OK, that's it, now, mate, it's done.
0:25:08 > 0:25:12It's one of the more high-risk procedures that paramedics carry out,
0:25:12 > 0:25:16so you must be certain of what you're doing and you must be committed
0:25:16 > 0:25:20to making sure you've got everything right and it's in the right place.
0:25:20 > 0:25:24- Take a breath, Nigel.- Ah!- Oh, yes.
0:25:24 > 0:25:26- Ah!- It sounds a bit better to me now.
0:25:26 > 0:25:28I can hear it now and I couldn't before.
0:25:28 > 0:25:30Darren's done it. The needle is positioned
0:25:30 > 0:25:35in exactly the right place and air begins to flow out of the valve.
0:25:35 > 0:25:39It is now a lot easier for Nigel to breathe, but he's still in a huge amount of pain.
0:25:39 > 0:25:41Is it less or is it still bad?
0:25:41 > 0:25:42It's still bad.
0:25:44 > 0:25:50Right, take nice easy breaths for us, Nigel and the pain will start to ease off a bit. Are you with me?
0:25:52 > 0:25:58It also appears Nigel suffered concussion and he needs Darren to remind him how the crash happened.
0:25:58 > 0:26:00- What happened?- What happened?
0:26:00 > 0:26:02- Yeah.- You were avoiding sheep.
0:26:02 > 0:26:04It were either that or a fluffy rock.
0:26:04 > 0:26:09- OK, mate, we're going to go off to hospital now, all right?- Yes.
0:26:09 > 0:26:12I'm going to move him down a bit, Tone.
0:26:16 > 0:26:18Darren can't relax yet.
0:26:18 > 0:26:21Nigel's body has suffered a huge impact and internal injuries
0:26:21 > 0:26:25must be monitored carefully as patients can deteriorate quickly.
0:26:25 > 0:26:30I've attempted to release that pressure and reinflate that lung before it collapses too far.
0:26:30 > 0:26:33His pain has reduced somewhat
0:26:33 > 0:26:36and his breathing seems to have settled down a lot now.
0:26:36 > 0:26:39He's got good saturation levels.
0:26:39 > 0:26:42So we'll get him off and checked in resus.
0:26:42 > 0:26:44The cause of the accident is the hot topic
0:26:44 > 0:26:47of conversation for Helimed 99's crew.
0:26:47 > 0:26:53He said he was dodging sheep, which I can well believe, looking at where he was.
0:26:55 > 0:26:58It's not the closest hospital to where Nigel had his accident,
0:26:58 > 0:27:02but the Leeds General Infirmary is a specialist trauma centre
0:27:02 > 0:27:05and can give him the expert care he needs.
0:27:11 > 0:27:13He'll have a lot of blood tests, X-rays, examinations
0:27:13 > 0:27:15by the doctors and nursing staff.
0:27:15 > 0:27:22Obviously the forces generated from that kind of accident, he's been thrown about in the vehicle,
0:27:22 > 0:27:27so the forces generated can easily cause spinal injuries, back injuries.
0:27:30 > 0:27:34Three weeks later and Nigel is still in hospital.
0:27:34 > 0:27:40His list of injuries included a fractured neck, five broken ribs and collapsed lungs.
0:27:40 > 0:27:45The sheep he avoided has caused a lot of pain.
0:27:45 > 0:27:47It was just instinct just to avoid the thing.
0:27:47 > 0:27:50I mean, I didn't recognise it
0:27:50 > 0:27:54at first as a sheep, it was just something ran out in front of you.
0:27:54 > 0:27:59It's only when you think about it a few seconds later you realise, "Oh, that were a sheep."
0:27:59 > 0:28:03Nigel remembers very little about his accident
0:28:03 > 0:28:07but he is aware that the outcome could have been very different.
0:28:07 > 0:28:11People have shown me pictures of what I looked like when I'd just
0:28:11 > 0:28:17had the accident and I've seen pictures of the van and, wow, I am lucky, very lucky.
0:28:19 > 0:28:21He's grateful to the emergency services
0:28:21 > 0:28:25who helped get him off the hillside and into the hospital so quickly.
0:28:25 > 0:28:29And he has some words of warning for the sheep.
0:28:29 > 0:28:31It's not going to survive next time!
0:28:35 > 0:28:40Coming up, the truth behind a major accident emerges in court...
0:28:45 > 0:28:49If you live out in the countryside, it's good it know that one of these
0:28:49 > 0:28:51things is waiting if you really need it.
0:28:53 > 0:28:58Working the land is a dangerous job and if you're hurt or taken ill on a farm,
0:28:58 > 0:29:01you can be a long way from hospital.
0:29:01 > 0:29:06No wonder farmers are among the Air Ambulance's most regular patients.
0:29:06 > 0:29:11Today, there's been a 999 call from a remote hill farm high in the Pennines.
0:29:11 > 0:29:14That is homing in on Crow Hill Farm.
0:29:16 > 0:29:22An emergency flight to an isolated fell involves careful planning if they are not to miss their patient.
0:29:24 > 0:29:31Nearly 2,000 feet up, near Ripponden, farmer Derek Cox has been run over by his own tractor.
0:29:31 > 0:29:34He's 77 years old and badly injured.
0:29:34 > 0:29:38His chest has been crushed. His daughter dialled 999.
0:29:40 > 0:29:47Helimed 98 is cruising at 150 miles an hour and paramedic Pat knows Derek's life is in danger.
0:29:47 > 0:29:49Crush injuries, you could have cardiac tamponade
0:29:49 > 0:29:53which is blood around the heart which stops the heart pumping.
0:29:53 > 0:29:55You're looking at lung problems - collapsed lungs,
0:29:55 > 0:30:01injuries to the lungs. Derek could be having difficulty from his breathing.
0:30:01 > 0:30:03Definitely a time-critical patient.
0:30:03 > 0:30:08It's quite an awkward spot to find so bear with me.
0:30:08 > 0:30:12The trouble is, the wild landscape that inspired the Bronte sisters,
0:30:12 > 0:30:15tends to look the same from 3,000 feet
0:30:15 > 0:30:19and the crew of Helimed 98 are having difficulty finding their patient.
0:30:19 > 0:30:21Chris was confident it's Crow Road Farm.
0:30:23 > 0:30:28- There's lot of farmers.- Somebody is moving their arms around down there. - Where?
0:30:28 > 0:30:32The emergency services on the ground are having the same problem.
0:30:34 > 0:30:41At last, Steve spots Derek lying beside his 40-year-old tractor.
0:30:43 > 0:30:47Hill farmers are a tough breed.
0:30:47 > 0:30:51You'd never know Derek is in agony after a tonne of tractor rolled over him.
0:30:51 > 0:30:53- The big one or the small one? - The big one.
0:30:53 > 0:30:57- It went directly over the centre of your chest?- Yes. - How does your breathing feel?
0:30:57 > 0:31:00- Well, it hurts like.- Yes.
0:31:00 > 0:31:02But Pat knows he's in trouble.
0:31:02 > 0:31:09Even with blue lights, it's taken the ground ambulance crew and the police 20 minutes to reach
0:31:09 > 0:31:13the lonely farm along a torturous series of winding lanes.
0:31:13 > 0:31:17It's a return journey Derek can't afford to take.
0:31:17 > 0:31:20We're going to take you to hospital in the helicopter.
0:31:20 > 0:31:23- You might have collapsed your lung this side, right?- Yep.
0:31:23 > 0:31:28Hill farming is a precarious business and despite his pain, Derek is in no mood
0:31:28 > 0:31:31to lose any of his hard-earned personal possessions.
0:31:31 > 0:31:35I'm not used to getting false teeth out!
0:31:35 > 0:31:41The false teeth have been saved, but there is no reprieve for Derek's prized coat.
0:31:41 > 0:31:43How many layers have you got on?
0:31:43 > 0:31:45He was wrapped up warm when the accident happened
0:31:45 > 0:31:50and it is possible all those layers saved his life by protecting his chest from the tractor wheel.
0:31:53 > 0:31:59According to family folklore, Derek hasn't left his farm, high in the Pennines, since he was a teenager.
0:31:59 > 0:32:01Ready, steady, move.
0:32:01 > 0:32:04Unfortunately his life now depends on him leaving
0:32:04 > 0:32:09the dale were he has lived and worked for more than 70 years.
0:32:12 > 0:32:14Bring it round.
0:32:14 > 0:32:17Derek is a 77-year-old chap who has been run over
0:32:17 > 0:32:19by the large wheel of a tractor.
0:32:21 > 0:32:23Apart from blood pressure problems,
0:32:23 > 0:32:26he's normally fit and well and we'll take him to Huddersfield.
0:32:26 > 0:32:30He's got crush injuries to his chest and air in wrong place.
0:32:31 > 0:32:33Hence we're being quick.
0:32:38 > 0:32:44Derek was in hospital within 20 minutes and doctors managed to repair the injuries to his chest.
0:32:44 > 0:32:48He's one of around 1,200 farmers who will be injured at work this year.
0:32:48 > 0:32:52It is one of the UK's most dangerous industries.
0:32:52 > 0:32:55Last year, 34 people were killed.
0:32:55 > 0:33:01But it is a stressful job too and when a farmer is hit by a serious illness, like a heart attack,
0:33:01 > 0:33:04the time it takes to get to hospital can mean
0:33:04 > 0:33:07he is less likely to recover than someone from the city.
0:33:07 > 0:33:11Today, in North Yorkshire, the chopper is coming to the rescue
0:33:11 > 0:33:13of a pig farmer who has collapsed at work.
0:33:13 > 0:33:18Alan has been suffering from agonising chest pains.
0:33:20 > 0:33:24They've touched down at an isolated farm near the market town of Thirsk.
0:33:26 > 0:33:30A ground crew called in Helimed 99 after an ECG machine
0:33:30 > 0:33:32showed the signs of a heart attack.
0:33:32 > 0:33:35You're pointing slightly over to your right side.
0:33:35 > 0:33:37Yes. Nothing like it.
0:33:37 > 0:33:40Yes, it sounds classic. Let me start unhooking you.
0:33:40 > 0:33:43Alan is feeling much better but he needs urgent treatment
0:33:43 > 0:33:46if the crew are to minimise the damage to his heart muscle.
0:33:46 > 0:33:49It brought you to your knees. Have you been feeling sick?
0:33:49 > 0:33:54Alan is in good hands. On today's crew is Tony, who is a former cardiac nurse.
0:33:54 > 0:33:59He will be helping make sure he gets the best treatment as quickly as possible.
0:33:59 > 0:34:01It looks like he's having a heart attack.
0:34:01 > 0:34:04The signs and symptoms definitely present as such and the ECG.
0:34:04 > 0:34:06The crew have done a great job.
0:34:06 > 0:34:10They've done the clinical intubations and pre-arranged a bed for him up at James Cook.
0:34:10 > 0:34:14So it's a case of monitoring him and getting him up there as soon as possible.
0:34:14 > 0:34:17What we'd like to do it is pop you on this chair.
0:34:17 > 0:34:20We want to keep you at ease as much as possible.
0:34:20 > 0:34:25Alan is on oxygen, but wearing a mask has its drawbacks when you have the sniffles.
0:34:25 > 0:34:27- Kitchen roll.- How big is his nose?
0:34:28 > 0:34:30- Thank you.- There we go.
0:34:31 > 0:34:33Alan's work mates have done the right thing.
0:34:33 > 0:34:36Ignoring chest pains can kill.
0:34:36 > 0:34:39Are you happy if I disappear and get everything ready?
0:34:39 > 0:34:41We're just going up over the step.
0:34:41 > 0:34:43Ready, steady...
0:34:43 > 0:34:44Are you all right there?
0:34:44 > 0:34:48- You must be a strong girl!- I've had my Weetabix this morning.
0:34:48 > 0:34:52The farming business stops for nothing, even the boss's heart attack.
0:34:52 > 0:34:54The pigs still need feeding.
0:34:54 > 0:34:57We're looking at an ETA of about 15 minutes.
0:34:58 > 0:35:04Alan had been helping to lift some heavy gas cylinders when his symptoms started.
0:35:04 > 0:35:08I put two big propane cylinders in the back of my Land Rover
0:35:08 > 0:35:14and...just straightaway, very tight pains.
0:35:16 > 0:35:21The sooner they can get their patients to hospital, the better his chances of a full recovery.
0:35:21 > 0:35:25Long hours of hard, physical work and the stress of running your own business
0:35:25 > 0:35:30can put farmers at high risk of heart attacks. So Alan is not going to his local hospital.
0:35:30 > 0:35:35He will be flown another 20 miles to a specialist coronary care unit at Middlesbrough.
0:35:35 > 0:35:39For this gentleman, his nearest hospital in a straight line, would be Harrogate.
0:35:39 > 0:35:42Because we think he's having a heart attack,
0:35:42 > 0:35:46the most appropriate hospital is James Cook, where he can receive angioplasty.
0:35:46 > 0:35:50Angioplasty is the most modern treatment for heart attacks.
0:35:50 > 0:35:55Surgeons will literally clean out the blocked blood vessels around Alan's heart.
0:35:55 > 0:36:01There's only a few centres around the UK that do this, one of them is James Cook.
0:36:01 > 0:36:03As far as heart attacks are concerned,
0:36:03 > 0:36:09basically your heart muscles are deteriorating minute-by-minute until you have the treatment.
0:36:09 > 0:36:13So the quicker we can get this patient to hospital and into the angio suite,
0:36:13 > 0:36:16the better the outcome will be for the patient.
0:36:18 > 0:36:25The team are flying Alan directly to a helipad at the front door of James Cook Hospital.
0:36:25 > 0:36:29Within an hour, surgeons will be operating under local anaesthetic,
0:36:29 > 0:36:32and tomorrow he will be going home to the farm.
0:36:36 > 0:36:42When home is ten miles from the nearest DIY shop, self-sufficiency becomes a way of life.
0:36:42 > 0:36:45Last year, more farm workers were killed falling from farm buildings
0:36:45 > 0:36:48than in accidents involving agricultural machinery.
0:36:48 > 0:36:53Today, Helimed 99 is airborne over the rolling fields of East Yorkshire
0:36:53 > 0:36:56to a worker who has had a serious fall.
0:36:56 > 0:36:59He's sustained some leg injuries, possibly pelvic injuries
0:36:59 > 0:37:01and he's got a wound to his head.
0:37:01 > 0:37:04It's quite a substantial distance to fall and for that energy to be
0:37:04 > 0:37:06transferred through his legs.
0:37:06 > 0:37:11Something has to give and it looks like his right leg and possibly his pelvis may be fractured.
0:37:11 > 0:37:17Charles slipped while doing some roofing and landed on a concrete floor.
0:37:17 > 0:37:19The ground ambulance crew called in the helicopter
0:37:19 > 0:37:23because the accident happened a long drive from the nearest A&E unit.
0:37:23 > 0:37:28This gentleman fell approximately 25 feet through an asbestos roof
0:37:28 > 0:37:34and landed on his heels, then obviously onto the concrete.
0:37:34 > 0:37:36Charles's work mates are stunned.
0:37:36 > 0:37:38We were just both working together
0:37:38 > 0:37:41and one minute he was there and next minute he wasn't.
0:37:41 > 0:37:45Charles is in pain and may need surgery.
0:37:45 > 0:37:48As far as I can make out, he's possibly injured his pelvis.
0:37:48 > 0:37:52Possibly his right femur and he has a head injury as well.
0:37:57 > 0:38:01Charles has been given morphine but the Helimed crew are used to needing
0:38:01 > 0:38:04fewer painkillers when they're working out in the country.
0:38:04 > 0:38:06These farming people tend to be quite tough,
0:38:06 > 0:38:09and I don't think Charles is any exception to that rule
0:38:09 > 0:38:12because his pain is reduced and he's not complaining.
0:38:12 > 0:38:17I've not given him any further. I don't want to mask anything for when we get to hospital.
0:38:17 > 0:38:21Within a few minutes of leaving a field next to the building where he fell,
0:38:21 > 0:38:25Charles is arriving at Hull Royal Infirmary's trauma centre.
0:38:29 > 0:38:33I'm glad to say that all three of our farming patients are all on the mend.
0:38:33 > 0:38:39Now, let's catch up on that tense operation to free a trapped lorry driver in North Yorkshire.
0:38:39 > 0:38:45A 90-minute rescue operation on a country road has had its first success.
0:38:45 > 0:38:48Thanks to brute force and a Fire Brigade chain,
0:38:48 > 0:38:53a trucker called Jasper can, at last, move his trapped leg.
0:38:53 > 0:38:57But paramedics Paul and Simon know their patient is not out of trouble yet.
0:38:57 > 0:39:01We're trying to reduce the risk by putting a tourniquet on his leg,
0:39:01 > 0:39:04which is a risk in itself, but you have to trade these things off.
0:39:04 > 0:39:07We have to see what happens when we get the leg out.
0:39:07 > 0:39:11There's no blood pouring out everywhere, so we're not on the clock that way,
0:39:11 > 0:39:15but we'll just have to see when it comes out.
0:39:16 > 0:39:22Jasper's 26-tonne concrete truck has presented firefighters with a terrible problem.
0:39:22 > 0:39:26It is so heavy, all attempts to right it have failed.
0:39:26 > 0:39:33But now they face a new challenge - manoeuvring Jasper out of his cab without causing further injury.
0:39:33 > 0:39:35One, two, three.
0:39:35 > 0:39:38Ah! Ah! Whoa, whoa, whoa...
0:39:38 > 0:39:40There's some plastic here now.
0:39:40 > 0:39:44There's certainly no shortage of manpower.
0:39:44 > 0:39:46We've got more doctors here than at Holby!
0:39:46 > 0:39:50At last, the driver is hoisted through the windscreen.
0:39:50 > 0:39:54He's been lucky. His leg injuries appear to be minor.
0:39:54 > 0:39:57Paramedics feared his lower leg had been crushed.
0:39:57 > 0:39:59The doc looking at his leg. It's quite swollen.
0:39:59 > 0:40:03There's no obvious fractures sticking out or anything like that.
0:40:03 > 0:40:06They're happy to go to Harrogate District with him
0:40:06 > 0:40:09so we're just going to get our stuff and get going.
0:40:09 > 0:40:11The surgeon is checking him out now before we leave.
0:40:11 > 0:40:18The police are suspicious about this accident and an investigation has already begun.
0:40:18 > 0:40:21They've already found the answer to one mystery, the driver's name.
0:40:21 > 0:40:23- Are you- BLEEP BLEEP?
0:40:23 > 0:40:26- I certainly am.- Right, that's fine, that's all I need to know.
0:40:26 > 0:40:28Hup!
0:40:28 > 0:40:33It's been one of the longest rescue operations the Helimed team have ever tackled.
0:40:33 > 0:40:36The paramedics are delighted that the outcome they feared
0:40:36 > 0:40:40a few minutes ago did not become a reality.
0:40:40 > 0:40:45At the end of the day, I would rather the medical team have amputated
0:40:45 > 0:40:47his leg than we had a dead patient.
0:40:47 > 0:40:51But thankfully we've not had to do that and we managed to release him.
0:40:51 > 0:40:53I think he's just got...
0:40:53 > 0:40:58Well, hopefully just minor abrasions and bruising to his lower leg.
0:40:58 > 0:41:00He must have some fractures in his foot,
0:41:00 > 0:41:04but other than that, he's an extremely lucky gentleman.
0:41:04 > 0:41:07- What's going to happen now, Jasper? - Can you take this off?
0:41:07 > 0:41:11No, honestly, trust me. You've got it on for ten minutes, that's it.
0:41:11 > 0:41:16In a few minutes, Jasper will be receiving specialist care at Harrogate Hospital.
0:41:16 > 0:41:18It is nearly two hours since his crash.
0:41:18 > 0:41:23Tests confirm that his injuries, though painful, were relatively minor.
0:41:23 > 0:41:26But he won't be forgetting his accident in a hurry.
0:41:28 > 0:41:33A year later, Jasper has an important appointment with justice.
0:41:35 > 0:41:38Unbelievably, just ten months before the crash,
0:41:38 > 0:41:42he'd lost his licence for three years for failing to take a breath test.
0:41:43 > 0:41:47Jasper was given a two-year suspended sentence.
0:41:47 > 0:41:52The chairman of the Magistrates told him he was lucky no-one was killed in the accident.
0:41:52 > 0:41:54That's all from Helicopter Heroes.
0:41:54 > 0:41:58But when we come back, a teenage boy is accidentally shot by his dad...
0:41:58 > 0:42:00It's gone in here.
0:42:00 > 0:42:02I'm not sure if the bullet is still in.
0:42:02 > 0:42:06..They're in the middle of sitting their A-levels,
0:42:06 > 0:42:09but the drive home has ended in agony for three sixth formers...
0:42:09 > 0:42:12It went on the water. I couldn't get it to stop.
0:42:12 > 0:42:16..A biker must be seriously injured, but where is he?
0:42:18 > 0:42:21- He's stuck in a tree where?- Here. - Over the fence.
0:42:21 > 0:42:25..and an accident with a bonfire leaves a woman badly burnt.
0:42:25 > 0:42:29They chucked an aerosol can on to it and it exploded into her.
0:42:45 > 0:42:48Subtitles by Red Bee Media Ltd
0:42:48 > 0:42:50E-mail subtitling@bbc.co.uk