Episode 4 Helicopter Heroes


Episode 4

Rav Wilding looks at the work of the Yorkshire Air Ambulance. A climber breaks his leg halfway up a cliff face and a golfer saves his father with skills learnt from a TV drama.


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Transcript


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If you're critically ill or seriously injured

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in a place like this, there's only one thing that can save you

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and that's speed.

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

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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

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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,

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there's a rescue operation after a climber is badly injured in the Peak District.

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Left ankle, just above the joint, tib and fib poking out.

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A golfer collapses on the green

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and only his son's first aid skills can save him.

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Come on, Dad!

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It's all stationary all the way down there, look.

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The Helimed team are scrambled to a major road crash.

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And the helicopters come into their own

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as snow puts the skids under their colleagues on the roads.

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I've had to dig myself out about four times.

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When I was in the Army I was a climbing instructor

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and I must say nothing feels as good as getting to the top of a really difficult crag like this.

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Sadly, few things hurt more than falling off.

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-It's Curbar Edge, which I would imagine is going to be a rock face.

-Okey-doke.

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It's near Froggatt, Froggatt Edge.

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Helimed 98 is being dispatched to a climber in trouble in the Peak District.

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Thousands of climbers tackle the crags and fells of Derbyshire every weekend.

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It's a beautiful but potentially dangerous location.

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-RADIO:

-'Air desk to Helimed 98, receiving.'

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Helimed 98, pass your message.

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'Yeah, just for information, I've spoken to Edale Mountain Rescue, they are en route.'

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Paramedics Pete Valance and Darren Axe know this area well.

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When he's not flying, Pete works on a ground ambulance in nearby Rotherham.

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There's a climber fallen off from near the top,

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-I think...

-Yeah, about 25 feet.

-And he's broken his leg just above his ankle, a compound fracture, I think.

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It's taken just five minutes for the crew to get to the Peaks

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and now pilot Andy Figg must find a safe landing site for Helimed 98.

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-Is anybody waving to us?

-There's a large group of people here.

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-I think the ambulance has pulled into the car park there.

-Yeah, OK. Do you see anything, Darren?

-No.

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We've got someone down here waving.

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-Oh, right. Here we are, maybe, possibly.

-Yeah, three o'clock.

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Oh, nice one, OK.

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Helimed 98 to Yorkshire Air Desk, we are on scene and landing.

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If we could keep Mountain Rescue running.

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OK, you've got two people underneath the nose here.

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Yeah, I know. Not a problem. I can see where they are... where our patients are.

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Yeah, they're on that outcropping there below...

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-Below the outcropping now at your two o'clock, Andy.

-OK, mate.

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All right, if these two people would like to get out of the way.

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It's a less than ideal landing site. Large boulders cover the uneven ground and two walkers

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are trying to marshal in Helimed 98, but with them standing in the middle

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of the landing site the team are relying on Darren's

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subtle hand gestures to move them out of the way!

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Move away!

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Just keep going!

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Helimed 98 are the first emergency service to arrive and help Hungarian climber Attilla Forbour.

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Darren's the first to make the treacherous trip down the crag.

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Left ankle, just above the joint, tib and fib poking out.

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Not a lot of blood. There's blood there, but it's not spurting.

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-The bone's protruding out?

-The bone's protruding out, yeah.

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Before Darren can treat the climber, he needs to understand what happened.

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How far have you come down, about 15 metres?

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-No, no. It was nothing at all. About two-and-a-half metres.

-Two-and-a-half metres?

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Just a very unfortunate landing.

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Unfortunate landing, all right. You've not banged your head?

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-No.

-You've got no pain in your back?

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-No, nothing.

-You've not been unconscious or knocked out, no?

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His feet got to eight, nine feet in height,

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he hadn't got his first bit of gear in.

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Slipped, fell off and as he landed on his mat

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he just rolled his ankle.

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It wasn't even a hard landing so it's just bad luck.

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As paramedic Pete prepares to give Attilla some pain relief more help arrives.

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Hello, people.

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-Hello.

-Hi, guys.

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Attilla moved to the Peak District from Hungary largely because of the climbing it offers.

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It's no coincidence some of the UK's best climbers live here.

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A Mountain Rescue team have also been scrambled to help.

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They rescue hundreds of climbers every year

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and have the specialist equipment needed to move Attilla off the crag.

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What sort of timescale are we looking at?

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They'll be here in ten minutes.

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Darren and Pete are worried.

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Attilla has a very painful broken leg

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and lying on an exposed crag 1,000 feet up hypothermia can set in quickly.

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-I'm worried about the inconvenience...

-Well, don't worry, mate. We'll look after you.

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As Attilla worries about causing a fuss,

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Darren discovers this situation is more serious than he thought.

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Attilla's leg is so badly broken the blood supply to his foot has been cut off.

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-But you know we're going to have to try and straighten this out, don't you?

-Yeah.

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Because the bones are sticking out.

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-Yeah.

-And that's not good.

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Coming up, resetting the bone is difficult in hospital, but the team have to cope on a rocky ledge.

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What we're going to do now is straighten your leg out, OK?

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Two Air Ambulances are scrambled after a builder's van is involved in a major pile-up.

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There's another Air Ambulance here that are dealing with the chap in the back of the van.

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And an elderly man with a heart problem is stuck in the snow.

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-He had a collapse driving over the moor, here.

-Right.

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Taking a first aid course is one of the things many of us say we'll do one day and never find time for.

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Well, I did some in the police and never regretted it.

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But sometimes those lifesaving skills can save someone very close to you.

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What was supposed to be a relaxing round of golf has ended prematurely.

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Come on, Dad!

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Crookhill Golf Club.

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The air support unit has been called in and Helimed 99 is on the way.

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We're heading out to the outskirts of Doncaster, between Doncaster and Rotherham,

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to a golf course. We've got reports

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of a gentleman that's collapsed on the 18th tee.

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It seems 63-year-old golfer John Harrison has had a heart attack.

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His son is with him.

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The paramedics are planning ahead. Helicopters like this are fast,

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but they don't have a lot of space inside.

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In the helicopter we are quite confined, so if we have to carry out

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CPR or anything, advanced life support, we are quite restricted to what we can do.

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Paramedic Tony Wilkes gets an update.

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Still doing CPR. They've give him one shock.

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He's on 18th green. There's a large group of people there,

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so we should be able to identify him.

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As the helicopter comes in to land, pilot JJ Smith has to do what the golfers try to do,

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avoid the bunkers and the sand traps surrounding the 18th green.

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-He's come off the 18th green, just collapsed, no prior warning.

-Yeah.

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CPR was in progress upon my arrival. He was in...

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Patient John Harrison had just finished his round of golf when he collapsed.

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-He's got a family history of heart problems.

-Right.

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His father died of a heart attack, et cetera.

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-What's his name?

-It's John Harrison.

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Everybody knows him as Snake.

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-Right. And how old's John?

-63, 64.

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Wayne's dad is clinging on to life.

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His heart had failed, but one person knew what to do

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and knew how to perform heart massage, CPR.

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John was kept alive by his own son.

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As I knelt down, I could see he wasn't breathing.

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If his heart's not working then he's not, you know...

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That's probably what the breath thing is, and it's sort of ABC.

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So airway, breathing and circulation. So it was a case of, look, what can I do?

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-Do you want to get in your car.

-My phone is down here. I'll wait until they move him.

-All right, fine.

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'He's not breathing. His chest is not moving.'

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Start doing what you think you can do and I started chest compressions and mouth-to-mouth.

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Come on, Dad!

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'When I was in the Royal Navy'

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I did a St John's Ambulance course, but I would be honest

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and say it's probably been brushed up as such by watching TV, watching programmes that show it on TV.

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He's better than he was and he's starting to get a reflex back.

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'I've always felt'

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that I should know what to do in an emergency...

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I've got children myself, if something was happening

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I should be able to do at least the basics to help them out at that moment in time.

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Wayne's heart massage kept blood pumping around his dad's body when his heart had stopped.

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Paramedics call it 'effective CPR'. When the land crew arrived,

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they were able to shock John's heart back to life.

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-We have an output.

-You have got an output again?

-And a reflex.

-Good.

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-Come on, Dad!

-He's been in cardiac arrest.

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The land crew's managed to get an output back,

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so it's a case of getting as quickly as we can into hospital.

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John's son's quick thinking and CPR has increased his dad's chances of survival

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from less than 10% to 30%. He has that chance,

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but the odds are still stacked against him.

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Coming up, Wayne's dad's heart is still beating,

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but most people don't survive an attack as serious as his.

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Get a bag and mask and everything ready, just in case.

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The climber who shattered the bones in his leg

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needs urgent surgery, but he's still a long way from hospital.

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Getting them out from here is quite tricky and needs the expertise of the Mountain Rescue team.

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And Helimed 99 touches down in a playground

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to treat a young casualty of an ice slide.

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Every county in the UK now has an Air Ambulance.

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It's a network entirely funded by charity,

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but sometimes an incident is so serious

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one helicopter isn't enough.

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On a busy holiday route in the Derbyshire Peak District there's been a major pile-up.

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Three vehicles have collided and several people are trapped.

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Two vehicle RTC, head-on and they are saying three definite trapped.

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40 miles away at Leeds Bradford Airport, the crew of Helimed 99

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know they've got a long way to go and not long to do it.

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No matter how much of a hurry they're in, they must do their pre-takeoff checks by the book.

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-1017 of fuel. Clear green, no captions.

-Roger, control switches.

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-Both set to fly.

-Right, confirmed.

-Thank you.

-OK, we've got a bearing of 184.

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-184.

-About three miles.

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-OK.

-All clear at the back, Steve.

-Thank you.

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Multiple crashes put unique demands on the emergency services.

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Most modern ambulances can carry only one patient, and that goes for helicopters, too,

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but the Helimed team won't be alone today.

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Controllers have mobilised paramedics across a wide area.

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-RADIO:

-'Helimed 99, this job at Ashton, five persons trapped,

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'two car RTC head-on, four ambulances en route,

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'you and another Helimed also en route, over.'

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Sounds a bit juicy, this.

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-Cobby?

-Hello?

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There's another Area Ambulance also en route.

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He'll get there before us no matter where he's coming from.

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'It's Helimed 54,

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'Helimed 54 also en route with yourself, over.'

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This isn't good news for pilot Steve Cobb.

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Radar coverage on the Peaks is patchy at best and mid-air collisions are a real risk.

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He decides to talk to his colleagues in the County Air Ambulance.

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I'll just see if I can raise this other Air Ambulance.

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Helimed 54, this is Helimed 99 on the RC.

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But no-one is talking and now Steve will be relying on his eyesight to spot another chopper

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heading to the same job at the same speed.

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Head-on they'll be closing at 300mph.

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-It should be right on the nose, actually.

-Yeah.

-I've got stationary traffic on that road down there.

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-See the tanker there?

-Straight ahead of us? Straight down the middle?

-Yeah.

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-It's all stationary all the way down there, look.

-Yeah.

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On these rural roads a jam usually means only one thing, a crash.

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There's relief all round when they find the county chopper is already on the ground.

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-Thanks. We've just had a word with your medic.

-Yeah.

-He said this one's going to be for us at some stage.

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A gang of contract workers have been using their van as a bus.

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It's a practice discouraged by the police because this is what happens when there's an accident.

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We've two serious casualties - the driver trapped in the front

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and someone in the back of the van that we've not had a look at.

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Another Air Ambulance will deal with the chap in the back of the van

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so we'll deal with the chap in the front.

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Hello, Paul. Are you all right? Yeah, these guys looking after you?

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He's still trapped as you can see. There's quite a lot of deformity to the vehicle,

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but he's conscious and talking. His airway is fine, he's breathing fine.

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His circulation is fine. He's got an injury to his shoulder, possible some injuries to his legs.

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The driver's foot is entangled around the brake pedal,

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they need to free it to move him

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but the Fire Brigade's cutting equipment is too big to reach the footwell.

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-I've just tried pedal cutter in and it won't go.

-No. And we've haven't got anything smaller, have we?

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-That's free.

-Right.

-I reckon we can move his foot.

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We reckon now we can move his feet down this side.

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There's a lot of damage to the car. It's been quite a high speed impact. Although he seems fairly stable,

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he obviously could have significant injuries that are yet to become apparent.

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One of the driver's mates has been lucky to escape with a broken arm

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but the man travelling in the back of the van has a collapsed lung so a flying doctor

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has to perform surgery in the road, inserting a chest drain to reinflate it.

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The County Air Ambulance copped for the most seriously ill patient,

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so they'll take theirs to Sheffield. It's only five minutes from here.

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We'll take our gentlemen to Manchester, to Wythenshawe,

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as it's ten minutes from here for us.

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Few hospitals are equipped to deal with several seriously injured patients at once.

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Often they have no choice but to accept them,

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but the speed of the Air Ambulances means several A&E units are often within a few minutes'

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flying time and they can share the workload around.

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At last, they've found a way to free the driver

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and Helimed 99's patient is about to start the journey to hospital.

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-I'm going to shift your shoe now, Richard, and your little leg should pop out.

-You can shout if you wish.

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-It's stuck on pedal.

-I know, I manoeuvring it

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-about until it comes out but that's all.

-That's out, that's out.

-All right, we're out. Marvellous.

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All right there, are you? Let's get your leg round.

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-That's good.

-Superb.

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The driver's Paul Brown, the leader of the contract gang.

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He was driving his men home to Sheffield when the accident happened.

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Ready, steady, slide.

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Well, done, well done. He's on it.

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-Relax, relax.

-Well, done, mate.

-Are you all done?

-Relax, yeah.

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He has a broken wrist and collar bone as well as deep cuts to his face,

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but the team suspect he may also have internal injuries.

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I'm just going to have a little listen to your chest, OK?

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Just take a deep breath for me, Paul.

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Lovely. And again.

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But it looks like Paul's been lucky.

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His injuries are relatively minor for a head-on impact.

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Helimed 99's flight to Manchester should take less than ten minutes,

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but that would take it through the dozens of airliners queuing up

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to land at one of the UK's busiest airports. It's a headache for pilot Steve.

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The best route would have been a straight line from here

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but that takes us across Manchester International,

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so whether we get that route I don't know.

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It is a case of wait and see when we get airborne.

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It could be messy but hopefully not.

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Air traffic controllers try and give Air Ambulances priority but it's not always possible.

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Manchester Helimed 99, alpha.

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But today the chopper's allowed to fly straight across Manchester Airport,

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with holiday flights carrying hundreds making way for one injured man.

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Just ten minutes after lifting off from the Peak District,

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their patient's touching down with at Wythenshawe Hospital where Paul will undergo a full examination.

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Doctors later confirmed he'd a lucky escape with no further injuries.

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Coming up, the golfer who survived a cardiac arrest thanks to his son, but will he recover fully?

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What he basically needs is intensive care as soon as possible.

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And the chopper faces a monumental problem as a woman collapses in the local churchyard.

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Now, let's return to the crags of the Peak District

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where a badly injured climber

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is relying on Mountain Rescue to save his leg.

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In the Derbyshire Peak District, Helimed 98's crew is rescuing an injured rock climber

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who's fallen ten feet from a rugged gritstone crag.

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Attilla Forbour has broken two bones in his leg

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but it's so serious that paramedics Darren Axe and Peter Valance

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cannot find a pulse in his foot.

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We need to cover this

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wound because his bones are exposed to the air and infection.

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If the team can't restore blood circulation to his foot Attilla could lose it.

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We need to try and straighten his leg somewhat,

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immobilise it and secure it in place.

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A local Mountain Rescue team have also arrived

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and will help get Attilla off the crag, but first Darren and Pete

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must examine his leg and that means cutting his shoe off,

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the first part of the excruciating treatment.

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Don't want to cut your little toe off, do we?

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Just support his foot, mate, while I go under here.

0:19:150:19:18

Next to arrive is anaesthetist Dr Steve Rowe. He regularly flies

0:19:180:19:22

with the Air Ambulance and is also a Mountain Rescue volunteer

0:19:220:19:26

in his spare time.

0:19:260:19:28

-He's had ten of morphine...

-Yeah.

-His pain's reduced but he's still feeling it somewhat.

0:19:280:19:33

-I've got no pulse and he can't wiggle his toes at all, so...

-OK.

0:19:330:19:36

My mate'll bring down some gas and air for you to suck on, it's going

0:19:360:19:41

to turn you all dizzy and then we're going to pull it straight, OK?

0:19:410:19:45

Attilla is in agony, but paramedic Pete delivers the news that it's going to get worse.

0:19:450:19:50

As your breathing it in you need to take nice deep breaths,

0:19:500:19:53

but it wears off as soon as you stop breathing it

0:19:530:19:56

so you need to have that pain relief inside you

0:19:560:19:59

for when we move this leg, OK?

0:19:590:20:01

OK, ready, steady, go.

0:20:010:20:05

Concentrate on your breathing.

0:20:050:20:07

-That's it.

-Keep breathing.

0:20:090:20:11

Well, done.

0:20:110:20:13

-Keep breathing.

-Well done.

0:20:130:20:14

Entenox, or gas and air, is keeping Attilla's pain at bay

0:20:140:20:18

but his foot needs more painful manipulation.

0:20:180:20:22

What we'll do now is straighten your leg out

0:20:220:20:24

from the knee, OK?

0:20:240:20:26

To keep Attilla's broken leg straight Darren and Pete strap it into a splint.

0:20:300:20:35

Just need a clean dressing, now.

0:20:350:20:37

Well, done. You did really well. I know that was sore and I'm sorry that it had to hurt you

0:20:410:20:45

but your leg's all straight and the bones aren't poking out

0:20:450:20:47

and that's a good thing. It means it's going to heal better.

0:20:470:20:51

The trauma of moving Attilla's leg has left him exhausted

0:20:510:20:55

but his rescuers must now prepare him for the journey to the waiting helicopter.

0:20:550:20:59

Although the Air Ambulance is able to get here very quickly

0:20:590:21:02

and administer immediate care, that's great, but getting them out from here is quite tricky

0:21:020:21:08

and that needs the expertise of the Mountain Rescue team.

0:21:080:21:12

You wrap it round your body, closely fitting round the body, then draw the air out

0:21:120:21:15

and it's got polystyrene balls inside and it makes it stiff, like a splint around your body.

0:21:150:21:20

Ready, steady, lift.

0:21:200:21:23

Attilla has fallen on to a ledge no wider than ten foot.

0:21:230:21:26

Mountain Rescue teams are trained to deal with extreme situations like this but the hill is steep

0:21:260:21:32

and the wet heather is slippery underfoot

0:21:320:21:34

and there's a steep drop if anything goes wrong.

0:21:340:21:37

On a normal rescue like this it takes about 20 to 25 people.

0:21:370:21:40

When we've got the casualty stable and on the stretcher we'll then bring them up the crag

0:21:400:21:45

on the stretcher, and that's what you saw. We had to pass the stretcher

0:21:450:21:48

between people's hands. Rather than six people carry it we had to pass it on like pass the parcel

0:21:480:21:53

and that's the safest and most stable way

0:21:530:21:55

of getting a casualty up the crag in these circumstances.

0:21:550:21:58

You can put the board on here, please, and then just feed it round.

0:21:580:22:02

Today it worked very nicely. Air Ambulance Control were able to alert our team directly,

0:22:020:22:06

so we both arrived at a similar time and worked well together.

0:22:060:22:09

Attilla knows all about the coordination and teamwork that's needed for such a remote rescue.

0:22:090:22:15

I'm on a rescue team, myself.

0:22:150:22:17

-Are you?

-Are you a rescue team member?

0:22:170:22:19

He's a rescue team member himself.

0:22:190:22:20

-Here?

-No, no, not here. I did quite a bit in the Julian Alps

0:22:200:22:23

-and other parts of the world.

-Right, so you'll have been on the other end of all this, then?

-Yeah.

0:22:230:22:29

Attilla's rescuers have done all they can to save his foot.

0:22:290:22:32

They've restored the circulation and stabilised him but with miles to the nearest hospital

0:22:320:22:37

it's down to Helimed 98 to get him to the waiting team of surgeons in time.

0:22:370:22:41

Coming up, Attilla reaches the hospital, but will his injury mean his climbing days are over?

0:22:480:22:54

The leg was bent this way - 90 degrees more or less.

0:22:540:22:58

Once you reach hospital, your chances of surviving

0:23:030:23:06

a serious injury or critical illness immediately improve

0:23:060:23:10

but when your patient's suffered a cardiac arrest recovery really isn't that simple.

0:23:100:23:15

63-year-old golfer John Harrison has had a heart attack on the 18th green.

0:23:150:23:21

His golf partner is his son, Wayne.

0:23:210:23:23

You've got it, yeah, yeah.

0:23:230:23:25

He kept his dad alive by performing CPR, heart massage,

0:23:250:23:29

until the paramedics arrived and used electric shock treatment to get the golfer's heart going again.

0:23:290:23:34

The air crew need to get him to hospital now as soon as possible if he's to have any chance of recovery.

0:23:340:23:40

The land crew's done a great job -

0:23:400:23:42

they've got a cardiac output back. Time's of the essence now.

0:23:420:23:45

We need to get him to Rotherham Hospital as soon as we can do.

0:23:450:23:48

Caring for Dad isn't the only priority at this stage.

0:23:480:23:51

Wayne has done a fantastic job but now he must leave his dad in the hands of others.

0:23:510:23:57

Paramedic Paul reassures him.

0:23:570:23:59

It's important he knows exactly what's going on.

0:23:590:24:03

We'll take him to Rotherham Hospital, all right? It'll take us two minutes to get him there.

0:24:030:24:07

Don't break your neck getting there. The last thing we want is for you to have an accident.

0:24:070:24:11

-At this moment, Wayne, dad's heart's beating again on its own.

-All right.

-OK?

0:24:110:24:15

'I never stopped talking to him. I told him he wasn't going. I did call him a few...

0:24:150:24:19

'a few obscene names that,'

0:24:190:24:21

you know, there was plenty of life left and it wasn't...

0:24:210:24:25

As I say, it wasn't the time or the place to be going anywhere.

0:24:250:24:28

'It started to affect me more in a shock

0:24:280:24:32

'at what had gone on because, as I say, it was so out of the blue.

0:24:320:24:36

'I thought, "It's too late."

0:24:360:24:38

'I thought what I'd done wasn't enough.'

0:24:380:24:41

Speed means survival with cardiac cases.

0:24:410:24:45

Even the best CPR can lead to the brain being starved of oxygen with lethal complications.

0:24:450:24:51

But with a chopper standing by on the 18th green, John has a better chance than most patients.

0:24:510:24:56

AD's disconnected.

0:24:560:24:57

Although he's breathing on his own, the paramedics are still worried.

0:24:570:25:02

Let's just get the bag and mask and everything ready, just in case.

0:25:020:25:06

It's a short journey from the golf course to the hospital by air,

0:25:060:25:09

with John's son making his way there by road to be with his dad.

0:25:090:25:12

A young man who'd I'd never met before drove my car with his friend

0:25:120:25:17

following in his car and I couldn't remember where the hospital was.

0:25:170:25:22

Luckily, we saw the helicopter and I knew it was in that direction.

0:25:220:25:27

We... We got there.

0:25:270:25:29

Half a mile to go. And the ambulance is parked in the field.

0:25:290:25:32

They call it the "golden hour" but John has made it in minutes.

0:25:320:25:39

He will soon be in intensive care.

0:25:400:25:42

Emergencies like this don't always run smoothly

0:25:440:25:47

but this team effort has gone according to plan giving John the best possible chance of recovery.

0:25:470:25:52

I'll look in your eyes, John.

0:25:520:25:55

-All right?

-Yeah, fire away, mate.

0:25:550:25:57

SIREN WAILS

0:25:570:25:59

The crew have done really well and eventually they've got a pulse back, a cardiac output,

0:25:590:26:05

so what he needs is intensive care as soon as possible which is why we brought him straight to Rotherham.

0:26:050:26:10

It's three months since John's heart attack

0:26:100:26:13

and there's no chance of teeing off today

0:26:130:26:16

but two golfers have come back to the wintry 18th green.

0:26:160:26:19

If you don't have heart massage after cardiac arrest

0:26:210:26:25

your chances of survival go down by 10% every minute,

0:26:250:26:28

which means John owes his son his life.

0:26:280:26:32

He's not fully fit but he's alive.

0:26:320:26:34

This is where, I think, where it happened.

0:26:360:26:39

The helicopter landed there on the green.

0:26:390:26:42

Well, I'm stuttering at bit with my speech therapy

0:26:420:26:47

but I'm all right apart from that, you know?

0:26:470:26:51

-It looks a bit different now.

-Yeah.

0:26:510:26:54

It definitely looks different now but, um...

0:26:540:26:57

first time we've been back.

0:26:570:26:58

'I think he's 90% better.'

0:26:580:27:03

He's still got a little distance to go.

0:27:030:27:08

The emergency services that got him there, the nursing staff

0:27:080:27:12

et cetera that have nursed him through have been fantastic.

0:27:120:27:16

The aftercare help he's had has been fantastic.

0:27:160:27:19

Now, it's a case... I think it's just going to be small steps, but hopefully we'll...

0:27:190:27:24

Well, I know we'll get to where we've got to get to.

0:27:240:27:27

Wayne and his dad hope one day they'll play again.

0:27:270:27:31

He only normally plays with me because I'm the only one that will put up with his cheating!

0:27:310:27:37

'Life's important, isn't it? You know,'

0:27:400:27:43

life itself. But the ambulance and the hospital staff

0:27:430:27:47

are absolutely brilliant and they're worth their weight in gold,

0:27:470:27:51

as simple as that. I never thought I'd ever be

0:27:510:27:55

in an ambulance in my life, a helicopter anyway!

0:27:550:27:58

And father and son are closer than ever and are even making plans for a rematch.

0:27:580:28:03

I'll look forward to coming back when the weather's better

0:28:030:28:06

and the next game of golf we play will be together.

0:28:060:28:09

I'm proud of my son, yeah. He's brilliant.

0:28:090:28:12

Coming up, the climber rescued from a rock face recovers from surgery

0:28:160:28:21

but doctors will decide whether he climbs again.

0:28:210:28:24

The Helimed teams spend their lives fighting nature.

0:28:290:28:32

They're always up against the weather

0:28:320:28:34

and the rugged Yorkshire landscape does its best to get in their way, too.

0:28:340:28:38

Winter comes early in the Pennines.

0:28:400:28:42

It may look beautiful but snow means the flying paramedics are likely to be busy.

0:28:420:28:48

Today, Helimed 99 is heading north to the icy Yorkshire Dales

0:28:480:28:52

for an elderly patient who has suffered a cardiac arrest

0:28:520:28:55

on a road near the market town of Leyburn.

0:28:550:28:57

-RADIO:

-'They're currently located in a 4x4 vehicle.

0:28:570:29:00

'He's in a very poor state and there's concern that he may arrest.'

0:29:000:29:06

With snow blocking many roads, the helicopter's his only hope.

0:29:060:29:10

Winter takes its toll, especially on the elderly.

0:29:100:29:14

When you start to get cold it puts stress on the heart. It has to beat

0:29:140:29:17

that bit harder to get the blood pumped around your circulation.

0:29:170:29:20

But the snow's the least of pilot Steve Cobb's worries.

0:29:200:29:24

He's heading into one of the UK's busiest military training areas.

0:29:240:29:28

Could you just have a buzz through that, Simon, and see

0:29:280:29:31

-if if it says anything about danger areas where my finger is?

-Yeah.

0:29:310:29:35

Helimed 99 could come under fire from the Army if Steve can't contact the military

0:29:350:29:39

and ask them to stop shooting on the rifle range

0:29:390:29:42

that's right next to the road where their patient is waiting.

0:29:420:29:46

We'll need to make sure we don't inadvertently go whizzing in and get shot down.

0:29:460:29:51

The trouble is the military can't decide who's in charge of the range.

0:29:510:29:56

-RADIO:

-'I do have a contact number for 409 and 408 but not for 442.'

0:29:560:30:02

Roger. If you give it on 409, please.

0:30:040:30:07

Just in time word reaches the ranges, and a temporary ceasefire is declared.

0:30:080:30:14

'They have got through to somebody

0:30:140:30:17

'and he says they will be... They can stop firing.'

0:30:170:30:21

Roger, that's great, thanks very much. We'll be there in about four minutes.

0:30:210:30:25

Heavy snow has brought chaos to the Yorkshire Dales with minor roads blocked

0:30:250:30:29

and the temperature below zero even at lunchtime.

0:30:290:30:33

This is no time or place to be seriously ill.

0:30:330:30:35

You all right?

0:30:350:30:37

-This is an 80-year-old gent who has basically had a medical collapse driving over the moor here.

-Right.

0:30:370:30:43

Their patient, 82-year-old Tom Shepherd, was taken ill

0:30:430:30:46

as he tried to reach his home in the remote village of Reeth.

0:30:460:30:50

He's one of hundreds of motorists caught out by the early arrival of winter.

0:30:500:30:54

It's even caught some of the locals out because I was talking

0:30:540:30:57

to one local we were digging out on top of the Buttertubs

0:30:570:30:59

and he hadn't gone anywhere with a shovel and he thought he could get through in his 4x4.

0:30:590:31:04

The roads are so treacherous Helimed 99, which is based 30 miles away,

0:31:040:31:09

has been on scene for two minutes before the local land ambulance crew arrive.

0:31:090:31:14

We've had to dig ourselves out a few times.

0:31:140:31:16

I certainly have had to dig myself out

0:31:160:31:19

about four times in the last two days, so it is quite hard going at the moment.

0:31:190:31:23

Tom's in a bad way.

0:31:230:31:26

He has a history of cardiac problems and he has a pacemaker fitted.

0:31:260:31:30

It looks like he's fairly stable at the moment. Still worried about him, but it's nothing too bad.

0:31:300:31:35

It's feared Tom had a cardiac arrest.

0:31:350:31:38

He's lucky his heart appears to have restarted itself but he needs urgent medical treatment.

0:31:380:31:43

Troops preparing for war in Afghanistan

0:31:430:31:46

have had to stand and wait while Helimed 99 was in the firing line.

0:31:460:31:51

Now the ceasefire's over as the team lift off for Harrogate Hospital's coronary care unit.

0:31:510:31:57

But the weather is continuing to cause disruption across much of the north

0:31:570:32:01

and the NHS is feeling the freeze, too.

0:32:010:32:05

-Just getting a sat phone call, mate.

-OK.

-'I've just spoken to casualty again, Si.'

0:32:050:32:09

They're not refusing to see you but they're saying if you could go to James Cook it would help.

0:32:090:32:14

They've no beds in the department and they're full in resus.'

0:32:140:32:18

It would help them out.

0:32:180:32:20

-Harrogate are full. They're not refusing us, but it would help them greatly...

-If we could go there.

0:32:200:32:25

-Let's go to LGI, then.

-LGI, then.

0:32:250:32:27

-OK, do you want to check that with Si?

-Yeah, OK.

0:32:270:32:30

Are you OK there, Tom, mate? You're not struggling with your breathing or anything?

0:32:300:32:34

Tom needs urgent medical attention, but if there's no bed for him at Harrogate he'll have to be flown

0:32:340:32:40

15 miles further to Leeds.

0:32:400:32:43

It's all down to the weather.

0:32:430:32:45

It's called 'winter pressures', that's what the NHS refer to it as.

0:32:450:32:49

It's the rise in road accidents, people falling and breaking their wrists and ankles and things.

0:32:490:32:54

It all adds up to a wait in A&E.

0:32:540:32:58

Even big city hospitals aren't immune from those pressures.

0:32:580:33:02

Leeds General Infirmary is itself full to bursting today but they do have room for Tom.

0:33:020:33:09

Thankfully, his heart scare didn't cause any permanent damage and he was home for Christmas.

0:33:090:33:14

Even back at base,

0:33:160:33:17

Leeds Bradford Airport,

0:33:170:33:19

the early winter makes a difficult job even harder for the Helimed team.

0:33:190:33:24

This year's been quite bad for us,

0:33:240:33:26

yes. We've had snow, we've had fog, we've had mist,

0:33:260:33:29

we've had rain, it's been cold and miserable.

0:33:290:33:32

As I say, it's been below plus two for the last three weeks so it's not been nice.

0:33:320:33:36

We've not been caught out yet.

0:33:360:33:39

There's still plenty of winter left so we have to be careful every day,

0:33:390:33:42

make sure we know what the weather's going to do and make sure we have the right kit with us

0:33:420:33:46

If it's snowing, the apron where the aircraft's based

0:33:460:33:49

gets covered in snow, maybe ice, it gets quite slippy.

0:33:490:33:52

Snow and ice can alter the shape of the blades

0:33:520:33:55

which reduces the lift and can compromise our performance.

0:33:550:34:00

We operate quite a lot up in the Dales, Yorkshire, in the Peak District.

0:34:000:34:04

If we do have a problem up there with the aircraft and we get stuck

0:34:040:34:07

then we could have problems in just surviving up there in the middle of winter.

0:34:070:34:11

You need to be properly equipped when snow comes to Yorkshire,

0:34:140:34:17

not like this walker up at 2,000 feet in jeans and trainers.

0:34:170:34:22

It's not for nothing that Helimed 98 carries a tent and survival equipment.

0:34:230:34:28

A forced landing up here in the Fells would be serious.

0:34:280:34:32

Today, the team are heading for the market town of Settle in the Dales

0:34:320:34:36

where an elderly lady has fallen in the snow.

0:34:360:34:39

Basically, what's happened is the lady's been walking on the packed ice

0:34:390:34:43

and she's fallen and she's got a fracture of her leg. Luckily

0:34:430:34:48

that's a surgery across the road so they've managed to come and assist her.

0:34:480:34:52

The accident happened in the local churchyard.

0:34:520:34:55

Finding a landing site could be tricky.

0:34:550:34:59

OK, just going over tall trees now.

0:34:590:35:03

Pilot Andy Figg must manoeuvre three tonnes of helicopter into a handy gap

0:35:030:35:08

between the gravestones.

0:35:080:35:09

Elderly people are especially vulnerable to falls in snowy weather and 82-year-old Christina Isles

0:35:100:35:17

has suffered the most complex form of broken leg, a compound fracture.

0:35:170:35:23

Helimed 98's paramedics are usually welcomed by their patients, but Christina has news for her rescuers.

0:35:230:35:29

-I hate helicopters.

-You hate helicopters? Right.

0:35:290:35:33

-Have you ever been in one?

-No.

0:35:330:35:35

-I've been on an aeroplane a couple of times.

-Oh, right.

0:35:350:35:39

It's a little bit noisier than an aeroplane.

0:35:390:35:41

Nurses from the local GP surgery have made Christina more comfortable, but the graveyard

0:35:410:35:46

where she's lying is freezing and she needs urgent hospital treatment.

0:35:460:35:51

The actual bone's

0:35:510:35:52

come out, cracked and it's sort of bent her ankle round.

0:35:520:35:55

We're going to apply traction, give her some painkillers

0:35:550:35:58

and put it back round again so she's got a pulse back in her foot.

0:35:580:36:02

-Deep breaths.

-Keep breathing, Chrissy.

0:36:020:36:06

-In and out. Keep breathing in and out.

-All right, lovey.

-Well, done.

0:36:060:36:10

-OK, lovely.

-Well, done, you were very brave. I'm sorry if that hurt you.

0:36:100:36:14

Christina's trip to hospital in Lancaster is likely to be

0:36:140:36:18

more comfortable by air, even if she doesn't like flying.

0:36:180:36:21

The good news is her broken leg was set and she was soon back home

0:36:210:36:26

but she won't be taking any more shortcuts in the snow.

0:36:260:36:29

One man's blocked road is another child's playground and that's why Helimed 98

0:36:310:36:37

is on its way to a primary school near Pickering on the edge of the North York Moors.

0:36:370:36:42

The weather's played a huge part for the Ambulance Service.

0:36:420:36:45

Over the last couple of days we've had a lot of ice

0:36:450:36:48

and it's made the footpaths, paths, roads treacherous.

0:36:480:36:53

Teachers saw 11-year-old Grace Smith fall during morning playtime.

0:36:530:36:57

She's hurt her back and her symptoms are worrying.

0:36:570:37:01

She's got no feelings in both arms, which is obviously a bit concerning. That's all we know, really.

0:37:010:37:06

The ambulance crew's been dispatched from Whitby, which is quite a way from Pickering.

0:37:060:37:11

Landing in the middle of a market town can be tricky, but thanks

0:37:110:37:14

to the school's football pitch pilot Tim Taylor's got a handy helipad waiting.

0:37:140:37:19

200 kids have been ordered to stay inside as Grace's rescuers arrive but the windows are crowded.

0:37:190:37:26

Ground paramedics have already started checking out Grace's back.

0:37:260:37:30

We're going to ask you to very, very slowly I want you to turn your head

0:37:300:37:34

and if at any point it hurts I need you to tell me, OK?

0:37:340:37:38

Her fall happened only days after she took a tumble from her pet pony and that's a bad sign.

0:37:380:37:44

But the fact that she can move her arms after all is a very good sign.

0:37:440:37:49

And she's just tripped up today, basically. The initial worry about her having no feelings

0:37:490:37:53

in her arms has disappeared. She's got full movement.

0:37:530:37:56

It seems Grace has just bruised her back

0:37:560:37:59

and the numbness may be down to the freezing snow she'd been lying in.

0:37:590:38:04

There's relief for her teachers and her gran who rushed round as soon as she heard what had happened.

0:38:040:38:09

Typical Grace. I mean, she throws herself into everything that she takes on.

0:38:090:38:15

Everything that she takes on, everything she takes part in she just sort of goes wholeheartedly into it.

0:38:150:38:20

Today the Helimed team's lifesaving skills won't be needed.

0:38:200:38:24

She's walking fine so we'll leave her with the land crew

0:38:240:38:27

and, hopefully, she'll be well. We'd rather get to a job

0:38:270:38:30

and not be required than be required so, yes, a good ending for us all.

0:38:300:38:36

For Sammy this job has brought back memories of her own days at primary school.

0:38:360:38:41

I used to dream of helicopters landing at my junior school!

0:38:410:38:44

I was staring out the window, "Ooh, what if a helicopter could land here?"

0:38:440:38:48

And at least today she gets to give today's kids their own private air display.

0:38:480:38:53

All that snow makes you shiver, doesn't it?

0:38:530:38:56

Now, let's get back to the warmth of a hospital ward

0:38:560:38:59

where a climber who shattered his leg is recovering after surgery.

0:38:590:39:02

On a rocky crag high up in the Peak District, Helimed 98 is about to complete

0:39:030:39:08

the final part of a mission to rescue an injured climber. Before paramedics

0:39:080:39:12

Darren Axe and Pete Valance arrived, Attilla Forbour

0:39:120:39:15

was in real danger of losing his foot. Despite a painful procedure

0:39:150:39:20

to straighten the badly broken bones there's no more the team can do.

0:39:200:39:24

Attilla needs the expert care of an orthopaedic surgeon.

0:39:240:39:28

At the Sheffield Northern General Hospital,

0:39:300:39:32

a team of doctors is waiting for the Helimed team's arrival

0:39:320:39:35

but the job of reconstructing his foot will put all of them to the test.

0:39:350:39:40

It's not as bad as it looks.

0:39:400:39:41

But it's... It looks like a torturing machine or something.

0:39:410:39:45

The bones were sticking out that way

0:39:450:39:48

and the leg was bent this way 90 degrees, more or less.

0:39:480:39:53

It took doctors hours of complicated surgery to reconstruct

0:39:530:39:57

and realign Attilla's foot but after a few months' rest

0:39:570:40:01

he should be able to put his climbing shoes on once again.

0:40:010:40:04

It wasn't a real fall. It was almost jumping off

0:40:040:40:07

because I went for the big hold on the top.

0:40:070:40:09

I didn't get it for the first time and I thought, "I'll just lower myself down a bit."

0:40:090:40:14

It was just a very, very bad landing. A few minutes earlier

0:40:140:40:18

you were climbing, you were independent, you were doing what you wanted to do,

0:40:180:40:22

and a few minutes later

0:40:220:40:23

being dragged around on the hillside by people you don't know.

0:40:230:40:27

It is a very scary experience.

0:40:270:40:29

Three months later and Attilla's climbing buddies are back traversing their way across

0:40:290:40:35

the Peak District's rocky outcrops

0:40:350:40:37

but Attilla's recovery is taking longer than expected and his feet are still firmly on the ground.

0:40:370:40:42

I went out a couple of times with them since the accident actually and I'm quite enjoying watching.

0:40:420:40:49

I was going to do some climbing today, actually, but I'm not quite sure if they would let me!

0:40:490:40:54

Attilla's best mate Kev was climbing with him when the accident happened.

0:40:540:40:59

It's frustrating for us because, I mean, we've got a good mate

0:40:590:41:02

who can't climb with us. It's just one of those freak accidents that happens.

0:41:020:41:05

The Air Ambulance was superb. I mean, they got to the crag,

0:41:050:41:09

they circled, they instantly knew where to land

0:41:090:41:12

and were there very, very quickly.

0:41:120:41:15

And despite the pain he inflicted on Attilla by straightening

0:41:150:41:20

his broken leg, he's full of praise for beefy paramedic Darren Axe.

0:41:200:41:24

'Wow! He was just absolutely brilliant. Actually I was told in the hospital

0:41:240:41:29

'that he saved me probably a couple of months of suffering

0:41:290:41:32

'with doing such a good job with it and putting it back'

0:41:320:41:35

right at the place and without actually making any further damages than there was already.

0:41:350:41:41

Originally from Hungary, Attilla loves the great outdoors

0:41:410:41:44

and used to be a Mountain Rescue volunteer himself.

0:41:440:41:48

But if you thought nearly losing his foot would put him off climbing you'd better think again.

0:41:480:41:54

There are all sorts of lovely climbing destinations so the challenges are out there

0:41:540:41:59

and I just need to get a bit better.

0:41:590:42:01

I can't wait to be back on my feet and to be able to do it again.

0:42:010:42:06

When Helicopter Heroes comes back,

0:42:060:42:09

a walker slips on an icy ravine and starts a major rescue operation.

0:42:090:42:14

Coming down here wasn't such a good idea.

0:42:140:42:16

There's a race to save a golf club greenkeeper's badly injured hand.

0:42:160:42:20

This gentleman has put his fingers into what looks like a strimmer.

0:42:200:42:24

The team hit the language barrier after a French jockey falls from her horse.

0:42:240:42:29

HE SPEAKS FRENCH

0:42:290:42:30

His dialect's wrong.

0:42:300:42:32

And winter puts the skids under Yorkshire's motorists with painful results.

0:42:320:42:37

Subtitles by Red Bee Media Ltd.

0:42:480:42:51

E-mail [email protected]

0:42:510:42:55

A climber falls and breaks his leg halfway up a cliff face, a golfer saves his father with first aid skills learnt from a TV drama and in the Yorkshire Dales snow puts the emergency services on the skids.


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