Episode 1 Helicopter Heroes


Episode 1

Rav Wilding looks at the work of the Yorkshire Air Ambulance. A runner's heart stops beating and the Helimed team has minutes to save him, and a man crashes his 160mph supercar.


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Transcript


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If you're critically ill or seriously injured in a place like this

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there's only one thing that can save you, and that's speed.

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It doesn't matter where you are, this helicopter with its highly trained team of pilots and

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paramedics will fly to your rescue at two and a half miles a minute.

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These are Yorkshire's Helicopter Heroes.

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When the people of England's biggest county dial 999 there's a good chance help will come from the skies.

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The Yorkshire air ambulance is ready to scramble 365 days a year

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and each one brings a new life-or-death emergency.

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Today on Helicopter Heroes, this runner isn't breathing.

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His heart has stopped beating.

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He fell straight in front of me.

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This electric shock is his only hope.

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Stand clear. And shocking...

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A high-powered sports car is crashed and the driver's new girlfriend is badly hurt.

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-Where's your pain, then?

-In my left leg.

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Pain in your left leg.

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Helimed 99 faces an unusual hazard as the team try and reach an injured walker.

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Apparently there are some roving llamas about.

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Paramedic Lee finds out the chopper has some unlikely competition when it comes to speed.

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Keeping fit is one of the best ways of ensuring a long and healthy life,

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but too much physical exercise can be a bad thing and if your sport involves taking you out

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into the open countryside these guys are about the only ones who can help.

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It's the biggest day of the year for runners in the North.

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Thousands of athletes, from Sunday afternoon joggers to serious sub one hour men

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are pounding the route of the Great North Run.

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At Helimed headquarters, pilot Ian Mousette has more reasons than most to be glued to the box.

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Yesterday my son, Sam,

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completed the Junior Great North Run in 34 minutes.

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Today my wife is about to compete in her eighth Great North Run.

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-You've got a job.

-But just 10 miles from base

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a runner in a less glamorous race is fighting for his life.

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Harewood Ten Mile Run, which actually goes round Eccup Reservoir,

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one of the runners has collapsed and, according to the notes, there's a nurse doing CPR on the scene.

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Everybody happy? That looks good in the box that way. We can just go straight out, yeah?

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Now Ian has a race on his hands, to find a dying man in time.

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-..to 089.

-OK, thank you.

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Paramedics Sammy Wills and Pat Greaken know that only speed can save their patient's life.

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We have reports of a nurse doing CPR.

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We're not sure which part of the edge of the reservoir, but it's near a ploughed field.

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Roger.

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On the ground, emergency services are struggling to reach the scene.

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-Well, he's stuck in the mud, so he's not going anywhere.

-He's not going anywhere, is he?

-No.

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Tony Fell was fit for his age and a keen runner.

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His heart has stopped beating.

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He's not been breathing for a quarter of an hour.

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Now, by most people's reckoning, he's dead.

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-OK, visual. Visual. I've got him.

-Where he's pointing.

-Yeah, I've got it.

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But, by sheer luck, the runners immediately behind Tony when he collapsed were a nurse and doctor.

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They've given him the only hope of survival, CPR or cardiac massage.

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We're trying to clear his airway.

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The treatment paramedics Sammy and Pat give over the next five minutes

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will dictate whether Tony lives or dies.

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These pads will deliver a massive electric shock to his heart.

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-That's OK. He just went down.

-Yeah, just went down.

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-How far have you already... That's fine.

-This is eight miles.

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This is the eight mile point. How long ago is it since he collapsed?

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At least 15 minutes. At least 15 minutes we've been...

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I mean, he's had CPR the whole way through and he's definitely...

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He just fell. Literally, just fell straight in front of me.

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It just looked like exhaustion.

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-What are you seeing?

-Nothing.

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Nothing? OK, do you mind continuing on chest compressions, is that OK?

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The Helimed team know CPR isn't as successful as many people think.

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Only six in 100 heart attack victims respond to cardiac massage

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and many of them will suffer serious brain damage.

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-Right... Do you we shock him or shall we keep...

-Just keep going for a minute.

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Tony's life is on a knife edge.

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Pat and Sammy know their only hope is to shock his heart back into a normal rhythm.

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Charging the pads...

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They'll use a charge of 10,000 volts.

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Stand clear. And shocking.

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But it's kill or cure.

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This machine will either restore Tony's heart beat or stop it forever.

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OK, charging.

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Would you stand clear and watch your hands? Stand further back.

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-Thank you.

-I shocked twice.

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-Adrenaline.

-Yeah.

-Confirm. First one going in at...

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The drugs they're giving him will bombard his brain with chemical messages to increase his heart rate.

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OK. He's making some form of respiratory effort.

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-Atropine in at 12.20.

-12.20.

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-Is that the adrenaline kicking in?

-Yeah.

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The only way to find out if they're winning the battle is to wire Tony up to an ECG heart monitor.

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We've got a pulse.

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Incredibly, it's worked.

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We've got a pulse.

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-Come on, fella!

-Come on, Tony!

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Come on, Tony, stay with us.

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Tony's heart is beating once more and he's even taking shallow breaths.

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-Have you felt... Felt ventilating?

-Yeah.

-Good peripherals...

-Great.

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This gentleman's been running and arrested for whatever reason,

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but because of the medics and the first aiders

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he is now breathing of his own accord.

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-When you're doing CPR from the offset...

-Yeah.

-I think we stand a good chance, yeah.

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But the team know he's not out of the woods yet.

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Surviving a heart attack doesn't mean recovering.

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Tony's critically ill.

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At Harrogate District Hospital a crash team is standing by,

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but the odds of Tony surviving the flight to reach them aren't good.

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OK, Tony.

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Coming up, Tony has already beaten the odds,

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but few patients in his condition live to leave hospital. Can he?

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We've handed him over, and the team are still fighting for his life.

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A dog walker is in agony thanks to his clumsy pet.

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He's put his weight on his right leg at the same time as his dog's hit him in the back of the knee.

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And on the narrow streets of historic York,

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pedal power comes to the rescue of a young cyclist.

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-Have you any pain down your back?

-No.

-No?

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Now, this beast can do 150 miles an hour but, believe it or not, there are cars that can go even faster.

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The trouble is, when a supercar runs out of road it's usually bad news for the passenger.

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On a busy bypass in North Yorkshire, a 200-mile-an-hour sports car has crashed.

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This TVR Cerbera can go from a standstill to 100 in 10 seconds, but not any more.

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We've got reports of somebody there that's in this vehicle.

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They've got some type of head injury and they are conscious to a degree

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and complaining of paralysis.

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It's veered off the slip road and hit three parked vehicles.

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Initial reports from the caller is that the patient is bleeding

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from the ear, which, if they've sustained a head injury

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could be quite a significant sign,

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so this patient could need the specialist care

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of a trauma centre such as LGI.

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We're a helicopter from Leeds to Tadcaster, just come to the A1 to the south of Wetherby.

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Chief pilot Steve Cobb needs to land the helicopter as close as possible

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to their patient, and today that means landing on the carriageway.

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Have we got a road blocked off down there, Steve?

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On this bit of a slip road, is it?

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Yeah, it looks it, doesn't it?

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SPEECH MUFFLED

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Sarah Wise is trapped and unable to move in the passenger seat of the sports car she was travelling in.

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Right, love, how you doing? You've been better.

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-I'm in very bad pain.

-Where is your pain, then?

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-In my left leg.

-Pain in your left leg.

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-Yeah.

-OK. This pain, if 10 is the worst pain that you've ever had...

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-10!

-It's 10 out of 10.

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The TVR's seat is so low, Sarah's almost lying down.

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Getting her out is going to be tricky.

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We think she may have been unconscious.

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We're not... We don't know. She wasn't when we arrived.

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-She was having a fit when we crashed.

-Having a fit when you crashed.

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-Is that why you crashed?

-No, not when we crashed, after.

-After.

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Looking at the vehicle, there's been quite an intense impact there,

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so there's a huge potential for injuries.

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We'll get her comfortable first and then we'll be able to do a better assessment.

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We're going to give you something for this pain.

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When we've given you that we'll get you out of this vehicle, all right?

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The driver also needs treatment.

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He and Sarah are on their second date and he doesn't want to leave her.

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If you've got back pain you need to be looked at.

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Let's get you out as well, all right? Are you listening to me?

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We'll look after her, but we need to look after you as well

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and you're no good if you're hurt and all. Let us help you.

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He appeared a bit confused, whether that's from the accident,

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and not very cooperative to the crews as they were trying to deal with him.

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That could well be because he's had a bang on the head.

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Everything we'll do to her is precautionary, all right?

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But we need to help you, as well. Just take it nice and easy, mate.

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Don't worry, we'll look after you.

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Sarah is given a hefty dose of morphine to help knock out the pain.

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Still 10 out of 10? You're not in any pain down here in your legs, are you?

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So, if we put a board in here and lift her across and slide her out that way.

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-You reckon that's the...

-That's going to be the way, yeah.

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The cramped cabin and sports seats of the TVR are working against Darren.

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He can't examine her properly, but moving her is going to hurt.

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SHE GROANS IN PAIN

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Keep still, then. Keep still. All right.

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Sarah's still in too much pain to be moved, so she's given more morphine.

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-Stop!

-I'm not touching you.

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A passing doctor has arrived to offer help.

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-She's complaining of pain in her left side.

-Yeah.

-Down here.

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So it could be dislocated. It doesn't look right to me. It looks twisted that way.

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With Sarah still in excruciating pain, Darren is left with no alternative.

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The TVR is about to become a convertible.

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We'll have the roof off, eh?

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-Yeah...

-You happy with that, yeah?

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The Fire Brigade's cutting gear can take thick steel apart,

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so the fibreglass roof of the supercar should be easy, but they need to get going -

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Darren thinks Sarah's pelvis is broken.

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Her wounds mean she's already lost a lot of blood,

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but the worry is a bleed they can't see

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and that could lead to organ failure.

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Sarah needs to be out of this car and in hospital fast.

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Coming up, the passenger's released, but her injuries are very serious.

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Wrap her pelvis up just in case because we're not sure.

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The runner who collapsed and died, only to be revived,

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finally reaches hospital.

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OK, we'll just push the stent through the previous stents.

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And the bike medics making one of the UK's

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most beautiful cities a safer place.

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If you can afford it, this is the only way to travel.

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No jams, no cancelled trains, no airport security.

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But if things go wrong in the air,

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your life's in the hands of the guy at the controls

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and how he reacts could mean the difference between life and death.

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But today pilot Andy Figg is going to face something new and challenging.

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He's flying paramedics, Lee Davison and Tony Wilkes,

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on their way to treat a walker with a dislocated leg.

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We don't know too many details about injuries,

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but apparently there's some roving llamas about,

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so that should be quite interesting when we get there.

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Well, I've not landed at a job with a llama yet,

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so there's a new one for today, probably.

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Llamas are not the most common animal on Yorkshire's farms.

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Right, we'll go on the right hand side of the field where the llamas were up at the hedgerow.

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Air ambulance pilots like Andy understand animals better than most.

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Sheep run, horses panic and cows wander off

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before returning to chew parts of the helicopter.

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Now everyone's about to find out how llamas react to something very loud

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and very yellow dropping into their field.

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OK, got llamas visual. Keep an eye on them, OK?

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OK, a tree to the right. Be careful of the branches.

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-And llamas are moving away to the left.

-OK, man. And we're going into the field now

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-as that's no problem.

-OK.

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The llamas don't seem too impressed by the new arrival in their field,

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but Helimed 99's patient will be pleased to see them.

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Right, this kid has been hit from behind by a dog.

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The dog went into the back of his knee and knocked his kneecap right round.

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Ben Grane was out for a walk when he was hit from behind by his dog.

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Unbelievably, the impact has dislocated his knee.

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We've just been able to cut his trousers and his welly off,

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it was just too painful to even... Even the weight of his trousers.

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Ben's a long way off the beaten track, which is why

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ground paramedics have called up for help from above.

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Ben's in agony.

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The plan is, Ben, right, with our colleagues here,

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is we'll get you dosed up a bit more on Entenox, right,

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try and get your leg splinted, put you on a board just so we can carry you to the helicopter, all right?

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The human knee is meant to bend only one way.

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Any pressure in the wrong direction and the kneecap can pop out of joint.

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We've just come out walking dogs

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and as we've come up track he's put his weight on his right leg

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at the same time as his dog hit him in back of knee

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and he's just collapsed on floor and started screaming out.

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And I just saw his kneecap stuck out of the side of his leg.

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Basically, he's got a dislocated patella.

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Basically a dislocated knee.

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Sometimes when we try to straighten the leg

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they pop back in by themselves,

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but we'll have to see once we get it splinted.

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Which hopefully will help his pain a bit and keep it nice and immobile.

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But it is painful, dislocations are quite painful more often than not.

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-Keep going.

-Do what you need to do.

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Ben's leg must be straightened and that's going to hurt.

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Try and relax, try and relax. I know it's easy for us to say.

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Try and relax and let everything go floppy. Let them do the work for you, OK?

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They're fitting Ben's leg into a splint.

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The tendons and muscles in his knee joint are under terrible strain.

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The anaesthetic is helping him cope, but not for long.

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-Argh!

-BLEEP!

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Don't bend it! You'll make it worse by moving.

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The paramedics have all seen this before

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and they know that in preparing Ben for a flight to hospital

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there's a chance his dislocation will cure itself.

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-You've done it.

-Ben, you've done it.

-You've done it.

-It's back in.

-You've done it.

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It wasn't a pleasant surprise for Ben,

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but it's given him instant relief

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and that goes for his family at home, too.

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It's popped back in,

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so I think they're just going to take him to hospital now and make him feel a bit better.

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Ben's leg now looks as good as new, but just to be sure he needs a hospital checkup.

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All we're going to do now

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is roll you back onto your back so that you're on this board so we can get you on the helicopter,

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all right, mate? It shouldn't be as painful because it's popped back in.

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So you just relax and I'll just pop you back over onto the board.

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That's it. That's it.

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Ben is unlikely to need any more medical treatment but recovery from dislocation can be lengthy.

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He may need physio, too, but for the paramedics it's satisfying to see any injury cure itself.

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I think it was just that sudden movement

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when we were moving him. When we were doing it he was resisting,

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and I think because of the sheer pain

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he flicked his leg out and that kicked it back in.

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Normally, Ben's injury would not qualify him for a flight to hospital

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but he's fallen in an area which makes it difficult to transport him any other way.

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We're parked a long way down that track and it's all muddy.

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We couldn't have carried him. It would have been too dangerous.

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We've had to come across into the field where it's a more solid

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to walk up on this side. We couldn't have got him down.

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A dog may be man's best friend, but Ben is likely to be more careful around his pet in future.

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-I feel fine now.

-You don't feel sick at all?

-No, I feel fine, mate.

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No, it still hurts, but what I'm meaning

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is when I was laid on that floor it were hurting me,

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and then now I'm...

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I think it's also because I feel I'm all right now.

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Helimed 99's caseload is usually more complicated than this,

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but at least the crew have learnt something new today -

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llamas are pretty unimpressed by helicopters.

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Coming up, a couple in a supercar have survived an impact that could have killed them,

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but the 19-year-old passenger needs urgent treatment.

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She's got a pain

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around the pelvis which has been splinted.

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And in the ancient streets of York,

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there's a race to reach an office worker who's collapsed at her desk.

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Heart disease is the UK's biggest killer.

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Very few people who suffer cardiac arrest live to tell the tale.

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Near Harrogate, the Helimed team are determined today's patient will beat those odds.

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In the corner of a ploughed field, the Helimed team have just won a desperate battle

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to save a runner who's collapsed and died on a 10 mile

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cross country race.

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We've got a pulse.

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Tony Fell's heart stopped beating and he wasn't breathing for 15 minutes.

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Ground paramedics couldn't get near him, but Helimed 99 pilot Ian Mousette

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swooped to the rescue.

0:19:190:19:21

He just fell. Literally, just fell straight in front of me.

0:19:210:19:23

By chance the runners following Tony included a doctor, two nurses,

0:19:230:19:28

a Fire Brigade medic and a policeman.

0:19:280:19:31

Their immediate first aid

0:19:310:19:33

allowed paramedics Pat and Sammy to shock his heart

0:19:330:19:36

back into rhythm.

0:19:360:19:37

Stand clear. And shocking.

0:19:370:19:39

Now he's airborne for the waiting crash team at Harrogate Hospital.

0:19:400:19:45

Pilot Ian, a stranger to the area, will have to navigate himself.

0:19:450:19:49

OK, I'm good to Harrogate, but I haven't got a clue from there.

0:19:500:19:53

OK, I'm happy with this guy.

0:19:540:19:56

Just get the right one, the one with the bandstand in the corner.

0:19:560:20:00

Roger. Stand by for corrections!

0:20:000:20:04

Harrogate's easy enough to find, but the hospital is hidden by trees.

0:20:040:20:08

Luckily the crash team's wearing yellow,

0:20:080:20:10

but it's still touch and go.

0:20:100:20:12

Most patients who have been dead

0:20:120:20:14

for more than a quarter of an hour do not live to leave hospital and, if they do survive,

0:20:140:20:20

the brain is likely to have been damaged. The Helimed team

0:20:200:20:23

and off-duty medics in the race have done their bit.

0:20:230:20:26

Now it's up to Tony's battered heart and the skills of the cardiologists in the hospital.

0:20:260:20:30

OK, Tony.

0:20:300:20:32

This is why paramedics do their jobs, because for all the heart attack patients they see who don't survive,

0:20:320:20:38

there are lives like Tony's they save.

0:20:380:20:40

Great satisfaction.

0:20:400:20:42

Pat was the man. A jugular cannulation, they're quite rare in themselves,

0:20:420:20:47

so that was a good success. And the medics are really pleased as well.

0:20:470:20:50

He's still breathing for himself

0:20:500:20:52

and he's got a lovely pulse at the moment.

0:20:520:20:54

They started CPR straight away. That's really rare. Even ambulances try and get to a casualty

0:20:540:20:59

within eight minutes.

0:20:590:21:01

Your heart, it's supposed to feed your brain with oxygen and your brain starts getting starved

0:21:010:21:07

at, like, four minutes, so the fact that they were there immediately gave us a fighting chance.

0:21:070:21:12

At the end of the day, it was massive teamwork.

0:21:120:21:15

All of us pitched in and we've handed him over

0:21:150:21:17

and the team are still carrying on fighting for his life.

0:21:170:21:20

Tony's survival astonished his doctors, too,

0:21:200:21:24

and within a week he's awake and apparently unaffected by his brush with death.

0:21:240:21:30

Overtaking a doctor probably saved his life.

0:21:300:21:35

Perhaps I just opened my stride up a bit and perhaps got ahead of them.

0:21:350:21:41

Fortunately for me!

0:21:410:21:42

That would have been the... I think it was the seventh run

0:21:420:21:46

on successive Sundays, so,

0:21:460:21:49

you know, up to the time I fell over, I was doing quite well.

0:21:490:21:54

Tony's only symptom is not being able to remember the two weeks

0:21:540:21:58

leading up to his final race, never mind the day itself.

0:21:580:22:02

His fitness saved him.

0:22:020:22:03

In the ICU, when they did a scan

0:22:030:22:08

in the early hours of Monday morning,

0:22:080:22:11

the doctor on duty was amazed that there was no damage,

0:22:110:22:17

or apparently no damage, to my heart whatsoever.

0:22:170:22:20

And he put it down to my fitness pulling me through.

0:22:200:22:24

Within a month, Tony's back on his feet with a plan.

0:22:240:22:28

Unbelievably, he's determined to run again.

0:22:280:22:32

Well, I'm never going to win a race,

0:22:320:22:34

but I'll try and get... Well, beat the person in front.

0:22:340:22:37

And I'll manage that a few times.

0:22:370:22:40

But if that's to happen, Tony must have surgery on his heart.

0:22:400:22:45

Doctors say the arteries feeding it with oxygen need opening out.

0:22:450:22:49

He's had stents put in about 10 years back.

0:22:490:22:53

He's got narrowing inside the stent and just off the end of the stent.

0:22:530:22:58

This is not without risk.

0:23:000:23:02

One in 500 people undergoing this procedure die,

0:23:020:23:05

but if it allows him to run again Tony feels it's worth it.

0:23:050:23:10

OK, we've just pushed the stent through the previous stents.

0:23:100:23:14

And test that.

0:23:140:23:15

You just might get some discomfort in your chest, Mr Fell.

0:23:150:23:18

Thankfully, it's a success.

0:23:180:23:21

Just before we started there was a tight narrowing on the right artery, just here.

0:23:210:23:25

After we put the stent in, now I've got good flow down the artery

0:23:250:23:29

and it's wide open so it looks very nice.

0:23:290:23:32

His arteries are now bigger and better able to supply his heart.

0:23:320:23:35

But will he ever be able to pull on his running shoes again?

0:23:350:23:39

Coming up, Tony hits the treadmill, but will his heart hold out?

0:23:460:23:50

We're just being dispatched to a detail at the Norwich Union.

0:23:500:23:54

Let's see if I can get through there.

0:23:540:23:57

And paramedic Lee is losing the race to reach a patient to a man on a bike.

0:23:570:24:02

As my old police driving instructor would tell me,

0:24:080:24:11

any fool can drive fast, it's the stopping that takes the skill.

0:24:110:24:15

And up on a main road in North Yorkshire,

0:24:150:24:17

the teenage passenger in a supercar found that out the hard way.

0:24:170:24:21

The 200mph supercar is wrecked.

0:24:230:24:26

The passenger, Sarah Wise, is trapped and in great pain.

0:24:260:24:30

-This pain's still strong?

-Yeah.

-Still 10?

0:24:300:24:34

If I just feel at your leg here...

0:24:340:24:35

No, I'm not touching you. If I just feel, does that hurt?

0:24:350:24:38

-Yeah.

-It really, really hurts?

0:24:380:24:41

-Still 10 out of 10.

-12.

-12?

0:24:410:24:44

12 out of 10.

0:24:440:24:46

Sarah is very badly hurt and Darren thinks she has a broken pelvis and may be bleeding heavily internally.

0:24:460:24:52

That can lead to organ failure.

0:24:520:24:55

Sarah needs to be out of this car and away.

0:24:550:24:59

Darren decides to give moving Sarah one more go before the cutters come out.

0:24:590:25:03

Two, three and up.

0:25:030:25:05

Yeah, that's it. That's good.

0:25:050:25:07

That's good. That's good. Hold it. Hold it.

0:25:070:25:10

You got her head?

0:25:100:25:12

She is obviously in great pain, but getting her out quickly and on to hospital is the priority.

0:25:120:25:18

Despite all the morphine she's had it's a painful process.

0:25:180:25:23

SARAH GROANS

0:25:230:25:25

Darren can now get Sarah ready to fly to hospital, and first he must splint her pelvis and that requires

0:25:250:25:31

his ex-miner's tailoring skills.

0:25:310:25:35

Get the pelvis splinted. I'll carry on cutting. Strap her pelvis up just in case because we're not sure.

0:25:350:25:41

Obvious injuries at the moment, she's got pain round the pelvis

0:25:420:25:48

which has been splinted. Tapes on left leg.

0:25:480:25:51

Numerous abrasions.

0:25:510:25:53

The flight to hospital will take just 10 minutes.

0:25:530:25:56

OK, we'll just try and go as straight up as we can here.

0:25:560:26:00

-Yeah.

-Stand and go back, obviously, and then just turn the nose into the wind as we get above the trees.

0:26:000:26:05

Darren keeps a close eye on her blood pressure during the flight, worried about the extent

0:26:060:26:12

of Sarah's internal bleeding.

0:26:120:26:13

Obviously that was a fibreglass car so it was everywhere,

0:26:130:26:18

the vehicle had shattered and it was difficult to extricate her

0:26:180:26:22

because she was in so much pain with her legs.

0:26:220:26:24

We gave her some pain relief at the scene and something to stop her feeling sick,

0:26:240:26:29

which assisted us in getting her out of the vehicle,

0:26:290:26:31

but it was just a case of getting, you know, the manpower together,

0:26:310:26:35

putting the equipment in place that we needed and just get her out.

0:26:350:26:38

As they come into Leeds, the trauma team are ready for Sarah.

0:26:400:26:44

What started out as a day's shopping trip to York with her boyfriend

0:26:440:26:48

has unexpectedly ended in intensive care at the Leeds General Infirmary.

0:26:480:26:52

Sarah loved fast cars and has a passion for skydiving.

0:26:550:26:59

But three weeks later, and with her pelvis held together with bolts of metal,

0:26:590:27:03

she's just thankful to be alive.

0:27:030:27:07

I do feel lucky, in a way.

0:27:070:27:08

I'm a bit of a mess, but I do think to myself it could have...

0:27:080:27:11

It could have been worse.

0:27:110:27:13

She looks very well, but underneath the smile is an extensive list of injuries.

0:27:130:27:20

Shattered my pelvis. Split my spleen.

0:27:200:27:23

Broke my ribs,

0:27:230:27:24

skull, cheekbone, jaw... Broke my jaw.

0:27:240:27:28

Sarah doesn't remember anything about the accident or what happened, but after Darren's handiwork

0:27:280:27:34

she did notice the state of her jeans when she got to hospital.

0:27:340:27:38

I were more bothered about my clothes! I'd my favourite outfit on

0:27:380:27:42

and my most expensive pair of jeans and my top from Ibiza

0:27:420:27:46

and all my wrist bands, they had to cut all them off. So I was, like, more concerned about them!

0:27:460:27:52

But after getting out of this, Sarah is just happy to be alive

0:27:520:27:57

and she knows who to thank.

0:27:570:27:59

Just thank you to the air ambulance

0:27:590:28:01

and the staff here that have, literally, saved my life.

0:28:010:28:05

Coming up, thanks for saving my life.

0:28:090:28:12

Tony meets the paramedics who restarted his heart.

0:28:120:28:16

When we put you into the aircraft your heart had started again.

0:28:160:28:19

-Yes.

-But you weren't breathing very well.

0:28:190:28:21

Up there nothing can touch the Helimed team for speed,

0:28:250:28:29

but down here on the narrow streets of ancient York

0:28:290:28:32

they've got some serious competition and it's not from horsepower.

0:28:320:28:36

BIKE SIREN WAILS

0:28:360:28:38

Every year, nearly four million tourists come here to visit

0:28:400:28:45

and, not surprisingly, cars are banned from most streets

0:28:450:28:47

so there's nothing like good old-fashioned pedal power for getting around.

0:28:470:28:51

With its Gothic Minister and mediaeval walls,

0:28:510:28:54

York's a great place to live and visit but leave your car at home.

0:28:540:28:59

In the centre of the city the traffic is awful.

0:28:590:29:03

We're going to spend the day with Craig Barley, one of York's team of paramedics on a pushbike.

0:29:040:29:10

-How you doing?

-Craig. Nice to meet you.

0:29:100:29:12

-Hi. Not the normal mode of transport for a paramedic!

-Well, no.

0:29:120:29:17

But very effective around York.

0:29:170:29:19

So, what sort of jobs then would you respond to you on this?

0:29:190:29:23

Anything that anyone would call 999 for.

0:29:230:29:25

Our normal run of the mill jobs are people tripping over the paving and the cobbles down...

0:29:250:29:32

-Because there's a lot of the cobbles stones, isn't there?

-Yeah. In an ancient city like this

0:29:320:29:36

it's part of the character of the city and it's fabulous for the visitors,

0:29:360:29:40

-but unfortunately it does trip people up.

-So, obviously on this, you're not going to be able to move

0:29:400:29:46

as fast as a land ambulance or, certainly, a helicopter

0:29:460:29:49

so are you still meeting the 999 targets? Are you getting there quick enough?

0:29:490:29:53

-100%. We...

-Really?

0:29:530:29:56

Absolutely. We can hit anywhere within the city...

0:29:560:29:59

No more than four minutes it should take us

0:29:590:30:02

to get anywhere within the city within the Bar walls.

0:30:020:30:06

Well, today we're going to put Craig here to the test against another paramedic

0:30:060:30:11

in another form of transport.

0:30:110:30:14

The air ambulance's Lee Davison grew up in York.

0:30:140:30:18

He's used to dropping into emergencies in the fastest piece of kit the Ambulance Service has.

0:30:180:30:24

But today, Lee faces a speed challenge of a different kind.

0:30:240:30:29

SIREN WAILS

0:30:290:30:30

OK, we've just been dispatched to a detail at the Norwich Union.

0:30:300:30:34

Let's see if I can get through there.

0:30:340:30:36

I don't know if this crew's going to the same job or not.

0:30:390:30:42

York is such a busy place the bike can be a lot, lot quicker

0:30:450:30:49

and probably will be on the scene I would think about the time when we get there.

0:30:490:30:53

And Lee's right. Craig has gone through the pedestrianised centre and down a one-way street the wrong way,

0:30:530:31:00

across the River Ouse and into the office complex before Lee arrives.

0:31:000:31:05

One of the office staff has collapsed and is fitting.

0:31:070:31:11

Hello. My name is Craig, with the ambulance. What's your name?

0:31:110:31:16

-Helena.

-Helena.

0:31:160:31:18

Craig's already treating the patient as the road crew arrive

0:31:180:31:21

-and negotiate the lift to the fifth floor.

-She was sat on a chair and then all of a sudden she went...

0:31:210:31:26

And then fell off a chair. So she's been unconscious... Well, she was when I came down for you guys.

0:31:270:31:32

Just relax.

0:31:320:31:34

Sometimes when you've had a fit it takes a while just to come round.

0:31:340:31:38

-She just fell.

-It's OK. It's all right.

-Turn right.

0:31:380:31:42

All right. OK.

0:31:420:31:44

Would it be OK if I gave you a little bit of oxygen just to help you clear your head a little bit?

0:31:440:31:50

When Lee and the ambulance crew arrive, Craig is able to brief them.

0:31:500:31:55

Right, just... Just relax. Just relax.

0:31:550:31:57

The lady has had a fit of about seven minutes, an epileptic fit.

0:31:570:32:00

She's a little bit unpredictable at the moment, so we're not quite sure, you know, what's going on.

0:32:000:32:06

We're just going to give her a little bit of oxygen just to see if it can bring her around a bit.

0:32:060:32:10

Helena has had a prolonged epileptic fit.

0:32:110:32:14

The oxygen is helping but she will need to go to hospital.

0:32:140:32:18

It can be embarrassing for the patient being treated medically when they're in

0:32:180:32:23

such a big open place with a lot of people watching,

0:32:230:32:25

so the crew I think are going to remove her down to the ambulance.

0:32:250:32:29

Craig getting there so quickly means Helena is on her way to hospital sooner.

0:32:290:32:34

When she give me the call she said that,

0:32:350:32:37

you know, the ambulance might beat me,

0:32:370:32:41

but we like a challenge like that so...

0:32:410:32:43

Yes, a minute before the ambulance

0:32:430:32:45

and obviously that minute equates to a little bit longer

0:32:450:32:48

when you've got to get up in the lift as well, so...

0:32:480:32:51

Especially with somebody fitting, the sooner you get to them the quicker the better, really.

0:32:510:32:56

One thing Craig can't do on the bike, though, is take Helena to the Accident and Emergency department.

0:32:560:33:02

-How are we doing, Helena?

-OK.

-Feeling a bit better?

0:33:020:33:05

Good stuff. The healing hands of these two, you see.

0:33:050:33:08

-Yeah.

-That's what it is. I'm going to leave you with them.

0:33:080:33:11

-I hope you're OK.

-Thank you.

-All right? Thanks, guys.

0:33:110:33:14

It may not have rotor blades and go 150, but nevertheless Lee is impressed.

0:33:140:33:20

The bike's more agile, isn't it, when you look at it?

0:33:200:33:22

-Absolutely.

-And the people we're having, you know?

0:33:220:33:25

-We know that you've been there so quick, she hasn't had a fit for long...

-Absolutely.

-..has she?

0:33:250:33:29

If she had still been fitting we have drugs to help her stop fitting.

0:33:290:33:33

Obviously it's not a good condition to be in.

0:33:330:33:35

-No.

-The longer it goes on the worse it can be, so, yeah...

0:33:350:33:38

But thankfully she wasn't fitting at the time. We didn't need to give her any drugs.

0:33:380:33:43

As their patient heads back through the traffic and on to hospital, another emergency call comes in.

0:33:430:33:49

OK, cheers. A 14-year-old has fallen off a pushbike outside the Mount School.

0:33:490:33:54

-All right.

-So, I'll see you up there.

-All right. OK.

-All right.

0:33:540:33:58

We're off to a road traffic accident,

0:34:000:34:03

somebody that's been knocked from a pedal cycle.

0:34:030:34:06

The Life Cycle is on its way, as well.

0:34:060:34:10

It is a little bit of a distance just outside of the city walls

0:34:100:34:14

so the Life Cycle's in front of us now

0:34:140:34:16

so we're just going to end up beating him there, probably.

0:34:160:34:20

On this occasion, horsepower is able to beat pedal power.

0:34:210:34:25

On blue lights and through red lights,

0:34:250:34:28

Lee gets there first.

0:34:280:34:30

-What's happened?

-I fell off my bike

0:34:300:34:32

and I hurt my elbow and my knee.

0:34:320:34:35

30 seconds later, Craig arrives.

0:34:350:34:38

-Oh, so it wobbled a bit?

-Yeah.

0:34:420:34:43

-Yeah?

-I fell, but the bike took most of it.

-Right, OK.

0:34:430:34:46

-Did you fall on to the road and have you moved from where you are?

-No.

0:34:460:34:49

So tell me at the moment whereabouts you're hurting.

0:34:490:34:52

My elbow and my right knee.

0:34:520:34:55

And your right knee. OK.

0:34:550:34:57

Let me have a feel of your chest.

0:34:570:34:58

Take a deep breath.

0:34:580:34:59

-Does that hurt?

-No.

-No?

0:34:590:35:02

-Any pain down your back?

-No.

-No?

0:35:020:35:06

-Your tummy feel OK?

-Yeah.

-Yeah?

-Yeah.

0:35:060:35:09

Just let me have a feel of your hips.

0:35:090:35:12

-Is that all right?

-Yeah.

-Yeah, OK.

0:35:120:35:14

You've had a bit of a scuff there, haven't you, eh?

0:35:140:35:17

-How do you feel?

-I feel fine.

0:35:170:35:19

-Do you?

-It just shock.

-Just feel a bit shaken up by it all?

0:35:190:35:23

14-year-old Tom is battered and bruised and about to get some top advice.

0:35:230:35:28

So, Tom, do you think you're going to buy yourself a helmet now, eh?

0:35:280:35:33

-Probably.

-I think you need to get yourself a helmet, don't you? One like Craig's.

0:35:330:35:37

Tom's lucky he hasn't got any serious injuries,

0:35:370:35:40

but he does need a bit of patching up and some TLC.

0:35:400:35:43

You could get 10,000 bikes for the cost of an air ambulance but after his day in York,

0:35:450:35:52

Lee thinks that the Life Cycle works brilliantly in the city centre.

0:35:520:35:55

We'd be having difficulty I think landing

0:35:550:35:59

anywhere within the city walls apart from around the Minister area

0:35:590:36:03

where there's a bit of open land.

0:36:030:36:05

Even with the speed of the helicopter,

0:36:050:36:07

unless the job is very, very close

0:36:070:36:09

it doesn't get us there within one or two minutes. Craig was on that job this morning

0:36:090:36:13

within a minute, a minute and a half. I mean that's very quick to a scene. Credit to Craig,

0:36:130:36:18

he's so passionate for it and he knows everybody. We've spoke to all the traffic wardens,

0:36:180:36:22

police officers. He knows everybody, local traders and stuff. It has been really good.

0:36:220:36:28

Flying paramedic Lee there finding out speed isn't all about horsepower.

0:36:280:36:33

Now, can a runner who stopped breathing for 15 minutes,

0:36:330:36:37

after suffering a massive heart attack, but came back from the dead make a return to fitness?

0:36:370:36:43

Athlete Tony Fell is about to find out.

0:36:430:36:46

Today is a big day for keen runner Tony.

0:36:460:36:50

He's back at Harrogate Hospital hoping for some good news.

0:36:500:36:54

Just three months ago, he collapsed eight miles into a race.

0:36:540:36:58

His heart stopped beating, but thanks to the quick actions

0:37:010:37:04

of the Helimed team and a group of medics, who by chance

0:37:040:37:08

were running behind Tony in the race, he's made a full recovery.

0:37:080:37:11

You might think that after going through an ordeal like that,

0:37:110:37:15

he's ready to take things easy but Tony wants to do the exact opposite.

0:37:150:37:19

He wants to start running again.

0:37:190:37:21

We go hill walking occasionally, getting out and doing that,

0:37:210:37:24

and the next 12 months will be more of the same, hopefully.

0:37:240:37:29

His wife, Jan, knows only too well how important exercise is to him.

0:37:290:37:33

It's everything. It's his life.

0:37:330:37:35

That's his main hobby.

0:37:350:37:37

He lives and breathes it, really.

0:37:370:37:39

-Ha! Not quite!

-Almost!

0:37:390:37:42

So, even when we're on holiday the running shoes have to come with us.

0:37:420:37:46

So there's no dinner till he's had his run of an evening.

0:37:460:37:50

It might surprise you to learn that after a heart attack doctors actually encourage patients to exercise.

0:37:500:37:57

It strengthens the heart and lowers blood pressure and cholesterol.

0:37:570:38:01

And this is the previous stent here which had a narrowing inside it.

0:38:010:38:04

It's up to Tony's doctor, Mark Appleby, to decide

0:38:040:38:07

whether his heart can cope with the extra strain that jogging will put on it.

0:38:070:38:11

Once we've fixed the problem,

0:38:110:38:12

the idea is to then get back to full capacity,

0:38:120:38:16

try and then stress the heart to increase what the heart does

0:38:160:38:19

and try and encourage more exercise. So, yes,

0:38:190:38:22

long-term wise the risks are less if they get back exercising.

0:38:220:38:26

It's good news. Tony's ready to start running again

0:38:260:38:30

but the risks are so great he must first try jogging under medical supervision.

0:38:300:38:35

Before he takes to the treadmill,

0:38:370:38:39

Tony wants to thank the medics that have given him a second chance.

0:38:390:38:43

Helimed paramedics Sammy Wills and Pat Greaken were at his side

0:38:430:38:46

within 10 minutes of his collapse and they provided the drugs and equipment that saved his life.

0:38:460:38:51

When we put you into the aircraft your heart had started again.

0:38:510:38:54

-Yes.

-But you weren't breathing well.

-No.

-That's why I was sat at your head end and breathing for you.

0:38:540:39:00

As well as Sammy and Pat, Tony owes his survival to seven fellow runners,

0:39:000:39:04

including a nurse, a doctor and a policeman, who started resuscitating him straight away.

0:39:040:39:10

-Come on, Tony!

-Come on, Tony!

0:39:100:39:13

This incredible story has led to the runners being affectionately dubbed the Magnificent Seven.

0:39:130:39:19

As we were landing, we could see the Magnificent Seven working on you

0:39:190:39:23

and we were able to bring the shock box, or the defib, to your side and that is what makes the difference.

0:39:230:39:28

And that's why we try and promote, you know, sports centres,

0:39:280:39:31

shopping centres, big companies to have their own defibrillator.

0:39:310:39:35

Because there's nothing that we can do as human beings to do what that box does do.

0:39:350:39:40

Back at Harrogate Hospital, Tony has been wired up

0:39:400:39:44

so his heart can be monitored as he gives it it's first workout since his near fatal attack.

0:39:440:39:49

If you get any pain at all, dizziness...

0:39:490:39:52

Yes.

0:39:520:39:53

..breathlessness, even tiredness or if you're feeling unwell at any point let us know.

0:39:530:39:58

Tony's on edge. The last time he went jogging his heart stopped beating.

0:39:580:40:02

Will it cope with the treadmill?

0:40:020:40:05

And will it affect his damaged heart muscles?

0:40:050:40:07

-Are you feeling all right in your legs?

-Yes.

0:40:090:40:12

The electrodes glued to his body give nurses a clear picture of how his heart's coping.

0:40:120:40:17

It's time to step up the pace.

0:40:170:40:20

And it's good news.

0:40:200:40:22

Despite a three month layoff his heart is dealing well with the demands of a gentle jog.

0:40:220:40:28

That seemed harder than my normal run!

0:40:320:40:35

I don't think that was bad as you had just been walking.

0:40:350:40:38

The results of this won't be as obvious

0:40:380:40:40

as the one that almost killed him. The medics have to crunch the numbers first

0:40:400:40:44

but Tony's out of breath and happy.

0:40:440:40:47

My legs feel a bit tired, my knees are feeling knackered,

0:40:470:40:52

but that's the most exercise for two-and-a-half months.

0:40:520:40:57

Well, I didn't fall over so it must be all right!

0:40:570:41:00

He managed to jog comfortably for 14 minutes, a time that would shame many younger runners.

0:41:000:41:06

Well, what we have to do now is give the results to Dr Appleby and he'll look at

0:41:060:41:11

how the ECG traces are relating to the exercise.

0:41:110:41:16

We know he's done a very good time but he will give us the final answer.

0:41:160:41:19

It was excellent, so we're very happy with that.

0:41:190:41:23

We're going to get you to the rehab sister next week

0:41:230:41:27

and she's going to start you on the classes and we'll plan

0:41:270:41:30

to gradually increase your exercise programme

0:41:300:41:33

-and get you back to everything you've previously been doing.

-Smashing.

0:41:330:41:36

But whether he'll be able to pull on his running shoes again depends on the doctor's final verdict.

0:41:360:41:41

You took away the still shots you gave me - the before and after.

0:41:410:41:47

-Oh, right, yeah. Well, we can run off some fresh prints.

-Smashing.

0:41:470:41:51

I couldn't ask for anything better.

0:41:510:41:53

He's had such terrific care, you know. Right from the start, the collapse and people helping him.

0:41:530:41:59

He's very, very lucky and we're lucky to have him.

0:41:590:42:02

But I don't think we'll keep him out of his running shoes for long!

0:42:020:42:05

I'm sure he'll be back running with them, hopefully maybe next year.

0:42:050:42:09

I'm not sure how I'll feel being at the end of a run again, though!

0:42:090:42:12

When Helicopter Heroes comes back,

0:42:140:42:16

a little girl's knocked down on the way home from school.

0:42:160:42:20

-Daddy!

-Daddy's here.

0:42:200:42:21

Look at the helicopter!

0:42:210:42:23

It's a big yellow one.

0:42:230:42:25

There's a freak accident in a garage and a mechanic needs help.

0:42:250:42:28

He's fallen face down and is complaining of facial and chest injuries.

0:42:280:42:33

This man's having a heart attack and the team face a fight for his life in midair.

0:42:340:42:38

OK, mate, just bear with it. A couple of minutes.

0:42:380:42:41

-All right?

-Yeah.

-Not too tight?

0:42:410:42:43

And I'm on the wrong end of a mountain rescue high in the Peak District.

0:42:430:42:47

Subtitles by Red Bee Media Ltd.

0:42:550:42:58

E-mail [email protected]

0:42:580:43:01

A runner's heart stops beating and the Helimed team has minutes to save him, a man crashes his 160mph supercar, and the helicopter is beaten by a team of cycling paramedics in historic York.


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