0:00:03 > 0:00:07If you're critically ill or seriously injured in a place like this,
0:00:07 > 0:00:11there's only one thing that can save you and that's speed.
0:00:11 > 0:00:17It doesn't matter where you are, this helicopter with its highly trained team of pilots and
0:00:17 > 0:00:22paramedics will fly to your rescue at two-and-a-half miles a minute.
0:00:22 > 0:00:25These are Yorkshire's helicopter heroes.
0:00:46 > 0:00:50When the people of England's biggest county dial 999 there's a
0:00:50 > 0:00:52good chance help will come from the skies.
0:00:52 > 0:00:58The Yorkshire Air Ambulance is ready to scramble 365 days a year and
0:00:58 > 0:01:02each one brings a new life or death emergency.
0:01:02 > 0:01:06Today on Helicopter Heroes, a jockey falls at 40 miles an hour.
0:01:06 > 0:01:08COMMENTATOR: Ras Laffan has fallen.
0:01:08 > 0:01:13Paramedic Lee is worried for his unconscious patient.
0:01:13 > 0:01:14She had a fit after she's landed.
0:01:14 > 0:01:20The team are scrambled to save a driver who's been lucky to survive a smash with a milk tanker.
0:01:20 > 0:01:22Argh! My leg, my leg!
0:01:22 > 0:01:24A builder is trapped under his upturned truck.
0:01:24 > 0:01:29We believe he's got an open fracture which means the bone is sticking out through the leg.
0:01:30 > 0:01:34There's a helicopter crash high in the Pennines.
0:01:39 > 0:01:44Now horse racing is a sport where women can compete with men on equal terms.
0:01:44 > 0:01:47For once size really is on their side
0:01:47 > 0:01:51and there's a growing band of female jockeys showing men just how to win.
0:01:51 > 0:01:57But up in North Yorkshire one top woman rider's career has come to a crashing halt.
0:01:59 > 0:02:05In North Yorkshire's racing country they're under starter's orders for the 2:10pm at Catterick.
0:02:05 > 0:02:07COMMENTATOR: And they're off.
0:02:07 > 0:02:11Cuccinello has jumped off quite some way behind the other runners.
0:02:11 > 0:02:14One of today's runners isn't going to make it to the finishing line.
0:02:16 > 0:02:22Ras Laffan is the favourite and amateur jockey Jacqueline Coward is looking good for a win.
0:02:22 > 0:02:25They're being followed by the market leader Ras Laffan.
0:02:25 > 0:02:26Until this happens.
0:02:26 > 0:02:29In the home straight, where Ras Laffan has fallen.
0:02:29 > 0:02:32The favourite's on the floor.
0:02:32 > 0:02:3622-year-old Jacqueline badly needs an air ambulance.
0:02:38 > 0:02:41The fall has knocked her unconscious and it may have broken her neck.
0:02:44 > 0:02:48Helicopter from Leeds Bradford, en route to the Catterick races.
0:02:48 > 0:02:53Request you provide information en route to Catterick. Out.
0:02:53 > 0:02:58Jacqueline's family run an annual point to point to raise money for the Helimed team.
0:02:58 > 0:03:01They're about to be very grateful they do.
0:03:01 > 0:03:05It's quite unusual in my time with the air ambulance,
0:03:05 > 0:03:09I've never actually been to a racecourse to collect a patient,
0:03:09 > 0:03:10especially a jockey.
0:03:10 > 0:03:13I like the races. I've been brought up with the races because my
0:03:13 > 0:03:17dad is a big race goer, so I've been to Catterick races myself before.
0:03:17 > 0:03:20The Jockey Club pay for ambulance paramedics to be at the racecourse
0:03:20 > 0:03:22for the duration of the full meeting.
0:03:22 > 0:03:25The meeting can't go ahead without our services there.
0:03:25 > 0:03:31I know there will be a doctor there and jockeys are at speed as well, quite high speed.
0:03:31 > 0:03:3440 miles an hour they'll be running at, some of them.
0:03:36 > 0:03:39No horse I back has ever run at 40 miles an hour!
0:03:42 > 0:03:44Before he became an air ambulance pilot,
0:03:44 > 0:03:50Steve spent years flying wealthy businessmen around the country and saw his fair share of racecourses.
0:03:50 > 0:03:53He knows today's mission may not be straightforward.
0:03:53 > 0:03:55It depends where the fall is,
0:03:55 > 0:03:58if they decided to carry on with the racing.
0:03:58 > 0:04:02If he's fallen on the track, at the side, it could be difficult and
0:04:02 > 0:04:07if it's close to the ring or the stables or any other place where the horses are,
0:04:07 > 0:04:13it could be awkward as well because we all know race horses are highly strung, aren't they.
0:04:13 > 0:04:16COMMENTATOR: Running up towards the line, it's Alloro
0:04:16 > 0:04:19under an enterprising Lucy Horner, who will get home in front.
0:04:19 > 0:04:20But there's good news for Steve.
0:04:20 > 0:04:26The stewards have stopped further racing until Jacqueline's rescuers have left the track.
0:04:26 > 0:04:28I don't know if they're in the med centre.
0:04:28 > 0:04:32- No, they're still on the track at the course.- Are they?- Yeah.- Oh, right.
0:04:32 > 0:04:33There's no horses knocking around.
0:04:33 > 0:04:36- We've got a yellow flag, mate. - Yeah, cheers.
0:04:36 > 0:04:42OK, we've got a camera platform, Steve, which is raised.
0:04:42 > 0:04:46Steve's landing is being watched by a crowd of racegoers
0:04:46 > 0:04:49and by thousands more at home on the punters' TV channel, Racing UK.
0:04:51 > 0:04:56Jacqueline hasn't moved since she fell. She's deeply unconscious.
0:04:56 > 0:05:03- Hi, mate. - 22 year-old female landed right side of her head, fitted on landing.
0:05:03 > 0:05:06She's had a litre and a half of fluid.
0:05:06 > 0:05:11- GCS has come up from three to five or six.- Yeah.
0:05:11 > 0:05:16Consciousness is measured by the Glasgow Coma Scale or GCS.
0:05:16 > 0:05:20Jacqueline's level is still worryingly low.
0:05:20 > 0:05:25She hit the ground at 40 miles an hour and without her description of
0:05:25 > 0:05:27her symptoms the medical team don't know if she's injured her neck
0:05:27 > 0:05:30or spine or even suffered brain damage.
0:05:30 > 0:05:33- I can't find any other major injuries.- Hi, guys.
0:05:33 > 0:05:36Hi, hello. Hello. Hi, hello.
0:05:36 > 0:05:41Ready when you are whenever you want to go, OK?
0:05:41 > 0:05:46What she needs now is a speedy flight to hospital and that's where the Helimed team come in.
0:05:46 > 0:05:49But Lee has just found out another worrying sign.
0:05:49 > 0:05:52Jacqueline's injuries may be more serious than they seem.
0:05:52 > 0:05:55She's had a fit after she's landed
0:05:55 > 0:05:58which is significant of some head trauma.
0:05:58 > 0:06:01A fit may indicate a brain injury.
0:06:01 > 0:06:06The race to get the jockey to hospital just became even more urgent.
0:06:12 > 0:06:17Coming up, Jacqueline is flown to hospital but her condition doesn't look good.
0:06:17 > 0:06:20You can see in her eyes she's not with us very well at all.
0:06:20 > 0:06:24There's an accident in one of Yorkshire's most beautiful dales.
0:06:24 > 0:06:27He's got a nasty open femur, quite a lot of blood trapped in there.
0:06:27 > 0:06:30On the ground, leave it here.
0:06:30 > 0:06:34And there's an emergency landing after Helimed 99 springs a leak.
0:06:34 > 0:06:37I can't see any fire or anything.
0:06:41 > 0:06:45The Helimed team know if you're in a road accident the chances of recovery
0:06:45 > 0:06:52depend on what vehicles are involved and if it's a lorry the odds are already stacked against you.
0:06:53 > 0:06:57Dispatchers don't send a helicopter to every emergency,
0:06:57 > 0:07:01but when a driver is trapped in a wrecked car there's no question.
0:07:01 > 0:07:04It's a lorry and a car gone off the road.
0:07:04 > 0:07:10I've spoken to the RRV on scene and there's someone trapped in a car
0:07:10 > 0:07:12that they can't get to.
0:07:12 > 0:07:17Today, Helimed 98 is heading north to a road just off the A1.
0:07:18 > 0:07:19There's been numerous calls
0:07:19 > 0:07:22come in for road accidents there,
0:07:22 > 0:07:24some of which are stating a lorry, an oil tanker,
0:07:24 > 0:07:25has left the road
0:07:25 > 0:07:27and also there's a car overturned.
0:07:27 > 0:07:33We've tried to get further information and the crews on scene are stating there are casualties.
0:07:33 > 0:07:39One casualty is still trapped in a car upside down and they're unable to get access to them.
0:07:39 > 0:07:44The potential hazards from road accidents are quite numerous anyway but if you've got a tanker
0:07:44 > 0:07:47involved in that, then obviously any cargo that's in there,
0:07:47 > 0:07:52the fire brigade will have to ascertain whether it's a risk to the rescuers and
0:07:52 > 0:07:55whether we can get anywhere near the scene at this time.
0:07:55 > 0:07:59The driver was lucky to survive when her car cartwheeled down the
0:07:59 > 0:08:01road after a collision involving a heavy lorry.
0:08:01 > 0:08:04Now she's trapped in the wreckage.
0:08:04 > 0:08:07Her leg is badly injured and until she's freed
0:08:07 > 0:08:11her life is in real danger from internal bleeding or fire.
0:08:12 > 0:08:15She was still in her seatbelt when I got here.
0:08:15 > 0:08:19She undid that herself because she was complaining she was hanging upside down
0:08:19 > 0:08:22and went crunch on the floor and that made it even worse.
0:08:22 > 0:08:25We've just got one female who's been trapped in the car for quite a while.
0:08:25 > 0:08:29Fire brigade have managed to get access and
0:08:29 > 0:08:30the crew are getting a bit closer.
0:08:30 > 0:08:33It's difficult to find out exactly what injuries she's got.
0:08:33 > 0:08:36She's got numerous lacerations.
0:08:36 > 0:08:39She must have been thrown about quite a lot from the wreckage of the car.
0:08:39 > 0:08:44Once we get her out we can have a better look and find out if she's got any life-threatening injuries.
0:08:44 > 0:08:48The emergency services know there's no risk from the contents of the tanker at least.
0:08:49 > 0:08:54It's a milk tanker from one of the local dairies. It's very local to here.
0:08:54 > 0:08:57There's no chemicals on board and at the moment the milk
0:08:57 > 0:09:00has not been wasted, it's being pumped away to another tanker.
0:09:00 > 0:09:04Rescuing the driver isn't going to be straightforward.
0:09:04 > 0:09:08- What's that hurting there, Jean? - Yeah.- Me, there?
0:09:08 > 0:09:13Motorist Jean Trevelyan is trapped in the twisted interior of her estate car.
0:09:13 > 0:09:15I can't breathe, can't breathe!
0:09:15 > 0:09:17You can, sweetheart.
0:09:17 > 0:09:19Moving her could worsen her condition.
0:09:21 > 0:09:24- Aargh!- Well done, Jean. Well done, well done.- My leg, my leg!
0:09:24 > 0:09:26It's OK. It's all right, it's OK.
0:09:26 > 0:09:28That's it, well done.
0:09:28 > 0:09:30Well done, Jean.
0:09:30 > 0:09:35In this part of North Yorkshire most of the firefighters are
0:09:35 > 0:09:38part-timers who respond to emergencies from their day jobs.
0:09:38 > 0:09:42But they're trained to the same standards as full-time colleagues
0:09:42 > 0:09:45and today their skills are being tested to the limit.
0:09:45 > 0:09:49The vehicle's on its roof. It's a very tight situation inside the vehicle.
0:09:49 > 0:09:51The crews have made access to the side of the vehicle
0:09:51 > 0:09:57for the paramedics and the ambulance technicians and then reassured and offered first aid to the casualty.
0:09:57 > 0:10:02But until she's released, diagnosing her injuries is little more than guesswork.
0:10:02 > 0:10:06- The femur's gone. Lower leg's gone. - All right.- Are we all clear?
0:10:06 > 0:10:10Jean is trapped by her ankle, but at last a fireman manages to release her.
0:10:10 > 0:10:14- We need to go a bit further. - Do you want to go a bit further?
0:10:14 > 0:10:16- Hold your arms in for us, duck. - There we go.
0:10:16 > 0:10:19It's now clear Jean's injuries are serious.
0:10:19 > 0:10:23She has a fractured arm and a badly broken leg.
0:10:23 > 0:10:28Jean needs emergency surgery but there's a problem.
0:10:28 > 0:10:29Her broken leg is bent.
0:10:29 > 0:10:30If it's left as it is
0:10:30 > 0:10:33she'll never fit in the cramped cabin of Helimed 98,
0:10:33 > 0:10:37but straightening it will mean a complicated procedure
0:10:37 > 0:10:40that will leave her in even more pain.
0:10:48 > 0:10:54Coming up, the team begin to straighten Jean's leg, but it's not going to be easy for them or her.
0:10:54 > 0:10:58To get your leg into the splint I need to put pressure on it and just pull it.
0:10:59 > 0:11:02Jacqueline, the injured jockey, reaches hospital,
0:11:02 > 0:11:04but she's still unconscious.
0:11:05 > 0:11:08And the team are scrambled to a downed helicopter.
0:11:08 > 0:11:12We're concerned about him with the nature of the accident obviously.
0:11:16 > 0:11:20These guys make safety a top priority at work.
0:11:20 > 0:11:24They wear helmets, harnesses and high-vis almost all of the time,
0:11:24 > 0:11:27but they aren't alone in having hazardous jobs.
0:11:27 > 0:11:31Building workers are especially vulnerable to accidents at work.
0:11:33 > 0:11:38Addresses don't get more remote than some of the hamlets high in the North York Moors.
0:11:38 > 0:11:43For most of the time the beauty of these dales makes up for the isolation.
0:11:43 > 0:11:49But when someone's seriously hurt, speedy help can only come from the air.
0:11:49 > 0:11:54At the Helimed base the team are on the case of a builder badly injured in remote Farndale.
0:11:54 > 0:11:58Any further north and paramedic Pat would be touching the ceiling.
0:11:58 > 0:12:02- That's it.- So it's there.
0:12:02 > 0:12:05The team know their patient will be enduring a long wait for help.
0:12:05 > 0:12:09We're off to Farndale. A 19-year-old
0:12:09 > 0:12:13has for whatever reason got his legs trapped underneath a dumper truck.
0:12:13 > 0:12:15We believe he's got an open fracture,
0:12:15 > 0:12:18which means the bone is sticking out through the leg,
0:12:18 > 0:12:20and that's where we're going to go and assist.
0:12:20 > 0:12:2619-year-old builder's labourer Aaron Jeffries was driving a dumper truck when it overturned.
0:12:26 > 0:12:29His leg is trapped and badly broken.
0:12:29 > 0:12:34He was working on the most remote house in the dale when the accident happened.
0:12:34 > 0:12:40We believe he's got a compounded broken leg. The bone is broken and it's broken through the skin.
0:12:40 > 0:12:45Part-time firefighters from the nearby market town 14 miles away
0:12:45 > 0:12:49have done a good job to beat Helimed 99 on its 20 minute flight.
0:12:51 > 0:12:53Hello.
0:12:53 > 0:12:55We haven't even got him out yet.
0:12:55 > 0:12:58This is Aaron, 19.
0:12:58 > 0:13:00This dumper's come over on him.
0:13:00 > 0:13:03Aaron's in a bad way.
0:13:03 > 0:13:04He's in serious pain.
0:13:04 > 0:13:09But his thigh bone is shattered and paramedic Sammy knows this is a potentially fatal injury.
0:13:09 > 0:13:14Patients can bleed to death internally after accidents like this.
0:13:14 > 0:13:19He's got a nasty open femur. Quite a lot of blood trapped in there, bleeding quite badly,
0:13:19 > 0:13:21so we had a litre of fluid up, we've given him some pain relief.
0:13:21 > 0:13:25Aaron, you're going to feel the weight coming off of your leg
0:13:25 > 0:13:28and then we're going to slide the board underneath you.
0:13:28 > 0:13:31- Right.- Stay still, stay still.
0:13:31 > 0:13:34Guys, are you ready? Who am I talking to?
0:13:34 > 0:13:40Firefighters have bought an airbag which will slowly ease the truck off the teenager's leg.
0:13:40 > 0:13:43There, nice and steady.
0:13:44 > 0:13:47That's it. You're just going to feel your ankle moving a little bit.
0:13:47 > 0:13:50That's it, mate, that's it. It's just coming out of the mud.
0:13:50 > 0:13:54We're just trying to get this off.
0:13:54 > 0:13:57- Get it off me, take it off. - Aaron...- Take it off.
0:13:57 > 0:13:59- It'll come off.- It'll come off.
0:13:59 > 0:14:01Yeah, that's it, Aaron.
0:14:01 > 0:14:03We're now ready to move.
0:14:03 > 0:14:09After half-an-hour pinned to the ground in freezing temperatures Aaron is free at last.
0:14:09 > 0:14:11My leg just clicked again.
0:14:11 > 0:14:12On your call, Sammy.
0:14:12 > 0:14:16Injuries involving builders are among the most common industrial
0:14:16 > 0:14:22accidents and this one is bound to result in an inquiry by the police and the Health and Safety Executive.
0:14:22 > 0:14:25One, two, three.
0:14:25 > 0:14:30For now all Aaron's shocked colleagues are concerned about is their injured workmate.
0:14:30 > 0:14:33He needs hospital treatment urgently,
0:14:33 > 0:14:38but despite the remoteness of the dale it won't be long thanks to Helimed 99.
0:14:38 > 0:14:40We are not too far from hospital here.
0:14:40 > 0:14:42Maybe about seven minutes for us to James Cook,
0:14:42 > 0:14:45but it's a very remote area to go by road.
0:14:45 > 0:14:46You must be looking 25-30 minutes
0:14:46 > 0:14:49at least over the moors so it's a good air ambulance job for us, this one.
0:14:49 > 0:14:55Sammy and Pat know how to keep patients calm, but under the cheerful chat, they're worried.
0:14:55 > 0:14:57I want this arm, mate.
0:14:57 > 0:15:02Aaron's blood pressure is dropping. It could be a sign of internal bleeding.
0:15:02 > 0:15:07Not a very nice fractured femur with the displacement.
0:15:07 > 0:15:10Because we are unable to put traction on it cos of possible pelvis,
0:15:10 > 0:15:14it's still an irregular shape and it doesn't look very nice.
0:15:14 > 0:15:18So, for him, pain management is sorted, but visually, it's still quite disconcerting for him.
0:15:18 > 0:15:24Farndale is famous for its daffodils and they're just coming into bloom.
0:15:24 > 0:15:27Pilot Steve is more concerned about an invisible feature of the dale.
0:15:27 > 0:15:32Valleys like this are notorious for turbulence and strong downdrops.
0:15:32 > 0:15:35'Helimed 99, good morning.
0:15:35 > 0:15:40'No traffic to affect you. Reply on approaching James Cook.'
0:15:40 > 0:15:44Clear, direct. Will go ahead.
0:15:46 > 0:15:49Steve is making sure he has enough height to stay safe.
0:15:49 > 0:15:52But, in the back, Pat has his own concerns.
0:15:52 > 0:15:57Monitoring Aaron's falling blood pressure and pain level is one of them.
0:15:57 > 0:15:59As he's rolled and trapped his leg,
0:15:59 > 0:16:01he's broke his upper femur.
0:16:01 > 0:16:02He's very badly deformed,
0:16:02 > 0:16:06which can cause excessive amounts of bleeding into the femur.
0:16:06 > 0:16:09So we are keeping an eye on his obs and his blood pressure and giving him
0:16:09 > 0:16:12fluids and he's had a lot of pain relief to help with the pain.
0:16:12 > 0:16:15What I suspect at the moment is every time he gets a jolt,
0:16:15 > 0:16:19the bones are rubbing together, which is causing the pain.
0:16:19 > 0:16:22We have to try and ease that pain while moving him in and out of the aircraft.
0:16:22 > 0:16:27Middlesbrough's James Cook hospital is named after the famous explorer,
0:16:27 > 0:16:31but today's flight doesn't need a great feat of navigation.
0:16:31 > 0:16:36As soon as Helimed 99 clears the hills at the end of the valley, Teesside is right in front of it.
0:16:38 > 0:16:41Helimed 99 approaching James Cook.
0:16:42 > 0:16:47A medical team is already waiting inside A&E for Aaron's arrival.
0:16:47 > 0:16:48How is the pain at the moment?
0:16:48 > 0:16:52- What's score would you put it at now out of one to ten?- It's all right.
0:16:52 > 0:16:55One being no pain, ten being...
0:16:55 > 0:16:58- About five or six. - About five or six. OK, Aaron.
0:16:58 > 0:17:02They know injuries like this can be very serious.
0:17:02 > 0:17:07But everything, including his age, is on Aaron's side.
0:17:07 > 0:17:13Within days of having his leg reset, he was back home with a new respect for safety at work.
0:17:19 > 0:17:25Coming up, the motorist involved in a head-on smash with a milk tanker is finally airborne.
0:17:25 > 0:17:29Blood pressure at the moment is round about the minimum we would want it to be.
0:17:30 > 0:17:37And the team are too late to save a trainee pilot after a flying lesson goes tragically wrong.
0:17:37 > 0:17:40This looks pretty terminal. Just one casualty.
0:17:45 > 0:17:49Now, let's get back to the racetrack where a top female jockey
0:17:49 > 0:17:52is still unconscious after a 40 mile an hour fall.
0:17:56 > 0:17:59Top amateur jockey, Jacqueline Coward, was knocked unconscious
0:17:59 > 0:18:03since she fell from her horse on a jump at Catterick races.
0:18:03 > 0:18:05COMMENTATOR: Ras Laffan has fallen.
0:18:05 > 0:18:07The favourite is on the floor.
0:18:07 > 0:18:12She hit the ground at 40 miles an hour and, without a description of her symptoms,
0:18:12 > 0:18:14the medical team don't know if she's injured her neck or spine,
0:18:14 > 0:18:16or even suffered brain damage.
0:18:18 > 0:18:22The course doctor and medics have been with Jacqueline since her fall.
0:18:22 > 0:18:27They are used to jockeys who have fallen, but most recover consciousness within minutes.
0:18:27 > 0:18:3120 minutes ago, Jacqueline was riding the favourite.
0:18:31 > 0:18:34Now a trauma team is awaiting her arrival at a hospital in Middlesbrough.
0:18:37 > 0:18:39Hello.
0:18:39 > 0:18:41Her name's Jackie.
0:18:41 > 0:18:43The method of landing was with her head tucked underneath her.
0:18:43 > 0:18:45She's tucked in, yes.
0:18:45 > 0:18:49Jockeys have a fatalistic attitude to injury.
0:18:49 > 0:18:53And Jacqueline would understand the track's keenness to get on with the racing.
0:18:53 > 0:18:56Let me know about two or three minutes before you take off,
0:18:56 > 0:18:59- cos they want to saddle the horses for the next race. - Yeah.- That would be great.- OK.
0:18:59 > 0:19:03Part of a paramedic's job is cutting through the confusion
0:19:03 > 0:19:07in a dazed patient's mind, encouraging them to come round.
0:19:07 > 0:19:10It's not working.
0:19:10 > 0:19:14Jackie, hello, hi. We are from the air ambulance, all right?
0:19:14 > 0:19:16We will be going off shortly.
0:19:16 > 0:19:21She fleetingly opens her eyes but she's clearly not taking in his words.
0:19:21 > 0:19:27The patient is loaded and stable and the crew expect to be taking off
0:19:27 > 0:19:30within the next three to five minutes.
0:19:30 > 0:19:33At least Steve doesn't have much to worry about.
0:19:33 > 0:19:36The horses are all down the other end so there's no problem there.
0:19:36 > 0:19:39They stopped the race until we'd finished
0:19:39 > 0:19:40so it's been easy so far.
0:19:40 > 0:19:45Jacqueline's flight to James Cook hospital will take less than 15 minutes.
0:19:45 > 0:19:51Racegoers will be kept up-to-date with her condition through the track's PA system.
0:19:51 > 0:19:54The doctor described that she'd come off and tucked under.
0:19:54 > 0:19:57They were on the scene within 30 seconds.
0:19:57 > 0:20:03Her neck was tucked under and she has had a fit, post the event.
0:20:03 > 0:20:07She's had some type of head trauma going on there.
0:20:07 > 0:20:12This specialist area up at James Cook...
0:20:12 > 0:20:16The doctor spoke to James Cook A&E and they know that she's coming.
0:20:16 > 0:20:20She responded to me flicking her mask, but you can see in her eyes that she's
0:20:20 > 0:20:23not with us very well at all.
0:20:23 > 0:20:28But Lee's priority is monitoring Jacqueline's condition.
0:20:28 > 0:20:33If he can get her to come round, diagnosing any injuries will be much easier.
0:20:33 > 0:20:36But she remains deeply unconscious.
0:20:36 > 0:20:39Even bright light fails to rouse her.
0:20:39 > 0:20:42I'm just checking her pupils. They are a bit sluggish.
0:20:42 > 0:20:43Two minutes, Lee.
0:20:43 > 0:20:45OK, thanks.
0:20:45 > 0:20:50Doctors at the James Cook hospital in Middlesbrough are used to seeing jockeys who have taken a tumble.
0:20:50 > 0:20:54Nearby North Yorkshire is home to some of the UK's top trainers.
0:20:57 > 0:21:01Jacqueline knew she was a member of one of sport's riskiest professions
0:21:01 > 0:21:05but she probably didn't count on ending today's race like this.
0:21:05 > 0:21:08We're just going to go down to A&E with the girl now.
0:21:08 > 0:21:12I'll just handover to the doctor and let him look after her from there.
0:21:12 > 0:21:18The next hour will be critical as doctors scan her unconscious body for other injuries.
0:21:24 > 0:21:30Coming up, back on the gallops, Jacqueline's colleagues wait for news from the hospital.
0:21:31 > 0:21:36And flying paramedic Lee is scrambled to an air crash too close to home for comfort.
0:21:36 > 0:21:39It could be one of the machines I've flown recently.
0:21:44 > 0:21:48Remember the motorist injured in a collision with a milk tanker?
0:21:48 > 0:21:53The Helimed team won't forget this case in a hurry because it's about to get a lot more complicated.
0:21:55 > 0:21:57On a country road in North Yorkshire,
0:21:57 > 0:22:00emergency services have spent the last half hour
0:22:00 > 0:22:03freeing motorist Jean Trevelyan from her wrecked car.
0:22:03 > 0:22:06She was trapped after a collision with a milk tanker
0:22:06 > 0:22:09that blocked the road near the market town of Boroughbridge.
0:22:09 > 0:22:12Now she's free, but there's a problem.
0:22:12 > 0:22:16Her badly broken leg is bent and paramedics Pete Vallance and Paul Bradbury
0:22:16 > 0:22:21must straighten it so they can slide her into Helimed 98's cramped cabin.
0:22:21 > 0:22:22They are using a traction splint.
0:22:22 > 0:22:27It will put the shattered bones in Jean's leg back in line.
0:22:27 > 0:22:28Yes, cheers. Jean?
0:22:28 > 0:22:32- Yes.- What we're going to do is we're going to give you something to ease the pain.
0:22:32 > 0:22:35You've broken your leg so we are going to need to straighten it.
0:22:35 > 0:22:37I'm not going to say it's going to be pain-free,
0:22:37 > 0:22:42- but it will be better for you once we can get it into the position it should be in.- OK.
0:22:42 > 0:22:48She's already been given pain relief, but this will still be an agonising process.
0:22:48 > 0:22:50Just nice and steady. You might feel a few twinges.
0:22:50 > 0:22:52It's OK. Yeah?
0:22:52 > 0:22:55If you want to scream, you scream. It doesn't matter.
0:22:55 > 0:22:59To get your leg into this splint, I need to put pressure on it and just pull it.
0:22:59 > 0:23:03You'll get that sensation of it being pulled. All right?
0:23:03 > 0:23:08You keep talking to me, Jeanie, all right?
0:23:08 > 0:23:11The impact shortened her leg by three inches.
0:23:11 > 0:23:17Without pain relief, Jean would be in agony, but she's getting by by gritting her teeth.
0:23:18 > 0:23:22But it's not over yet. To make sure a broken bone is not
0:23:22 > 0:23:27closing off veins or arteries, they need to stretch Jean's leg too.
0:23:27 > 0:23:30Her bone is actually protruding from her leg.
0:23:30 > 0:23:33She's got no pulse below it, so what we've had to do is
0:23:33 > 0:23:38put traction on the leg in order to maintain the blood supply to her foot
0:23:38 > 0:23:40which we've managed to do now.
0:23:40 > 0:23:43And, all being well, they are just moving her now
0:23:43 > 0:23:45so we'll be off to the hospital.
0:23:45 > 0:23:49A broken right leg is among the most common injuries
0:23:49 > 0:23:51following a serious road crash.
0:23:51 > 0:23:54A driver's right foot is normally on the brake pedal
0:23:54 > 0:23:57and when an impact comes, it suddenly takes the full
0:23:57 > 0:24:03weight of the body, multiplied many times over as car and motorist stop in the space of a few feet.
0:24:03 > 0:24:06How bad's your pain at the moment still?
0:24:06 > 0:24:08- Eight.- Eight, OK.
0:24:08 > 0:24:10I'll give you some oxygen here.
0:24:10 > 0:24:13Ten of morphine.
0:24:13 > 0:24:16Jean was driving from her home in Northumberland to Leeds to visit
0:24:16 > 0:24:19her son, who is recovering after hospital treatment.
0:24:19 > 0:24:21Now, she too needs a doctor.
0:24:21 > 0:24:24Your blood pressure is a bit on the low side, which is
0:24:24 > 0:24:28understandable, bearing in mind what you've just been through. OK.
0:24:28 > 0:24:31My right ankle hurts.
0:24:31 > 0:24:32Yeah, it will do.
0:24:32 > 0:24:35Jean, in flight, you're not going to be able to hear much.
0:24:35 > 0:24:37- All right. - All right, it's going to be noisy.
0:24:37 > 0:24:44It's going to be about 12 minutes and we'll be back up your neck of the woods. All right?
0:24:44 > 0:24:50Jean may be badly hurt, but at least she has a sense of humour when it comes to the thought of NHS cuisine.
0:24:50 > 0:24:53- Any in-flight meals? - We'll serve you one later.
0:24:53 > 0:24:56Caviar and chips.
0:25:00 > 0:25:06Broken bones can lead to internal bleeding and Peter has noticed some worrying signs.
0:25:06 > 0:25:10Her blood pressure at the moment is around about the minimum
0:25:10 > 0:25:11we would want it to be.
0:25:11 > 0:25:15We've set some fluids up to try and compensate for that,
0:25:15 > 0:25:18but it may indicate that she has some bleeding
0:25:18 > 0:25:22that's hidden from us, that's causing her blood pressure to drop.
0:25:22 > 0:25:26Jean's on her way to the trauma unit at the James Cook hospital in Middlesbrough.
0:25:26 > 0:25:29Doctors there are experts at treating car-crash injuries.
0:25:31 > 0:25:35There's really only one winner when you come up against a car.
0:25:35 > 0:25:37And it's not the car.
0:25:37 > 0:25:41The fact that Jean is still with us is a bonus.
0:25:41 > 0:25:46Within minutes of her arrival, Jean is under the care of a surgeon.
0:25:46 > 0:25:50She spent several months in a wheelchair but eventually she got back on her feet
0:25:50 > 0:25:56and her son ended up visiting her hospital bedside rather than the other way around.
0:26:02 > 0:26:09Coming up, the jockey injured on live TV finally gets to see her spectacular accident.
0:26:09 > 0:26:12I watched it and thought, "Silly horse, why didn't it land?"
0:26:16 > 0:26:21A helicopter has become a status symbol for the successful businessman.
0:26:21 > 0:26:25Somewhere after the yacht, and just before the corporate jet.
0:26:25 > 0:26:29But, no matter how good the pilot, or how well maintained the chopper,
0:26:29 > 0:26:33flying them will never be completely risk-free.
0:26:35 > 0:26:38Flying in helicopters is a dangerous business,
0:26:38 > 0:26:42but every day the Helimed team put their own lives on the line to help their patients.
0:26:42 > 0:26:47The pilots are some of the most experienced and skilled around.
0:26:47 > 0:26:50And the paramedics must complete an intensive training course,
0:26:50 > 0:26:53because if something goes wrong up here, it's a long way down.
0:26:53 > 0:26:57Helicopters are not inherently dangerous machines.
0:26:57 > 0:26:59If they were, we would not be allowed to fly them.
0:26:59 > 0:27:04But they are very unforgiving. If something goes wrong, you don't have a lot time to react.
0:27:04 > 0:27:06There's a lot of rotating machinery
0:27:06 > 0:27:08which has a lot of inertia and we spent a lot of time
0:27:08 > 0:27:10quite close to the ground so if anything goes wrong,
0:27:10 > 0:27:14it goes wrong quickly and you don't have much time to recover from that.
0:27:14 > 0:27:19The crew don't need a reminder of the dangers they face, but today they are going to get one.
0:27:19 > 0:27:23A frantic 999 call has come in saying a helicopter's crashed on the
0:27:23 > 0:27:26outskirts of Doncaster in South Yorkshire.
0:27:26 > 0:27:27Our vehicle is en route,
0:27:27 > 0:27:29but no-one is on the scene as yet.
0:27:29 > 0:27:32Apparently a witness has actually called in
0:27:32 > 0:27:34and can actually see the aircraft
0:27:34 > 0:27:38from where they are on the M18.
0:27:38 > 0:27:41So we are just going to go to see what
0:27:41 > 0:27:44we can see and hopefully direct the land crews to where we are.
0:27:44 > 0:27:46As far as injuries are concerned, number of persons,
0:27:46 > 0:27:49what type of crash it's been, we are not aware of, as yet.
0:27:50 > 0:27:57Despite advances in aircraft safety, few people survive the huge impact involved in an air crash.
0:27:57 > 0:28:01In the UK, there were over 20 accidents like this one last year.
0:28:01 > 0:28:05'We've got two patients on the ground seriously injured. Over.'
0:28:05 > 0:28:11- Would it be worth an early call to Sandtoft to see if they know the location?- It might be.
0:28:11 > 0:28:16Paramedic Lee Davison often swaps his syringe for a joystick.
0:28:16 > 0:28:21He's a qualified commercial helicopter pilot, but this job is a little too close to home.
0:28:21 > 0:28:25Only a few weeks ago, he was flying the same helicopter that crashed.
0:28:25 > 0:28:29Yeah, I've recently done a lot of flying out of Sandtoft
0:28:29 > 0:28:34for my commercial helicopter pilot's qualification.
0:28:34 > 0:28:37I did all my training there just before Christmas.
0:28:37 > 0:28:41So it could well be one of the machines I have flown very recently.
0:28:41 > 0:28:44I will be interested myself to see what's happened.
0:28:44 > 0:28:51This could be a major incident and Helimed 98 is not the only chopper racing towards the scene.
0:28:51 > 0:28:55The Lincs and Notts Air Ambulance Helimed 29
0:28:55 > 0:28:59is also heading for the crash site, a small airfield called Sandtoft.
0:28:59 > 0:29:0329 Alpha. We're four minutes to the south of Sandtoft,
0:29:03 > 0:29:06if you're coming to the same incident.
0:29:06 > 0:29:10There is a Robinson R22 in the overhead as well.
0:29:10 > 0:29:12Roger, thanks, mate.
0:29:12 > 0:29:16Two and a half miles northwest of Sandtoft? Confirm.
0:29:16 > 0:29:19See you down there.
0:29:19 > 0:29:24The wreckage of the small Robinson R22 helicopter confirms everyone's worst fears.
0:29:24 > 0:29:29'Just wondering how far you are from Sandtoft. It looks pretty terminal.
0:29:29 > 0:29:32'Just one casualty.'
0:29:32 > 0:29:37Trainee pilot Kim Carter had just dropped off his instructor
0:29:37 > 0:29:41and was completing a solo training run when the accident happened.
0:29:41 > 0:29:43The father of three was killed instantly.
0:29:43 > 0:29:47It was a type of aircraft that I trained in and did 500 hours'
0:29:47 > 0:29:51flying in when I was working towards my commercial licence.
0:29:51 > 0:29:56So it's always a little bit... It brings you up a little bit to see what can happen to people.
0:29:56 > 0:29:58Luckily, it didn't happen to me.
0:29:58 > 0:30:03I survived and obviously got more experience, and hopefully that'll keep me out of trouble in the future.
0:30:03 > 0:30:05But not everybody is that lucky, unfortunately.
0:30:07 > 0:30:10The Helimed team work their aircraft hard.
0:30:10 > 0:30:15Today, the chopper's barely out of the hangar and they're off to a road accident.
0:30:16 > 0:30:21Helimed 99 cost £3 million and comes equipped with the latest technology.
0:30:21 > 0:30:28But unfortunately for paramedic Lee Davison and doctor Andy Pountney, that doesn't include heated windows.
0:30:29 > 0:30:30See anything?
0:30:31 > 0:30:34OK, just coming back down again. We're misting up on the front.
0:30:34 > 0:30:36That's not a good thing to do when there's
0:30:36 > 0:30:40snow about. Open your vents up, we're breathing too heavy.
0:30:40 > 0:30:44- Can you see the aircraft? - Got it, thank you.
0:30:44 > 0:30:48Nothing that flies is foolproof, and this morning, the captain
0:30:48 > 0:30:51is about to find that out.
0:30:51 > 0:30:53On the control panel, a warning light is flashing.
0:30:53 > 0:30:58Helimed 98. Aborting our take-off. We're coming in to land.
0:30:58 > 0:31:00We've got a low in the transmission.
0:31:00 > 0:31:05Helimed 98 would now like to return back to 125 Central.
0:31:05 > 0:31:07The gearbox oil pressure is low.
0:31:07 > 0:31:10It's probably a false alarm, but Ian hasn't survived 30 years
0:31:10 > 0:31:13in the pilot's seat by not taking warnings seriously.
0:31:13 > 0:31:15Sorry, guys, I can't let it flash twice.
0:31:15 > 0:31:18It's transmission low pressure.
0:31:18 > 0:31:20What was the numbers that flashed up then, did you see it?
0:31:20 > 0:31:23- 53.- OK, going on the ground.
0:31:23 > 0:31:24Leave it here.
0:31:24 > 0:31:29Helimed 99 isn't going any further than the airport taxiway.
0:31:29 > 0:31:32And the tell-tale stream of oil leaking from the engines
0:31:32 > 0:31:37is proof that Ian's decision to abandon the flight was a smart move.
0:31:37 > 0:31:40Shall we go out that door?
0:31:40 > 0:31:41Can't see any fire or anything.
0:31:45 > 0:31:47We've had to put down on the taxiway.
0:31:47 > 0:31:53We were just going to take off on a job and we've had a red caution light on in the front here which
0:31:53 > 0:31:55Ian, the pilot, spotted, and Tony.
0:31:55 > 0:32:00We've had to just turn around, but we were losing oil pressure in the transmission.
0:32:00 > 0:32:03So we've had to just put on the ground on the taxiway here.
0:32:03 > 0:32:08If you go around the other side, there's all oil down the side of the aircraft. We'll have a look.
0:32:08 > 0:32:12This is the vital lubrication that keeps the chopper's rotors turning.
0:32:12 > 0:32:17An oil line has broken and Helimed 99's life blood is draining away.
0:32:18 > 0:32:23I tell you, I'm glad we weren't 2,000 feet up.
0:32:23 > 0:32:29Continuing to fly could have meant an in-flight emergency over the suburbs of Leeds.
0:32:29 > 0:32:34You're always disappointed if you go off to a job and there's patients
0:32:34 > 0:32:36that are waiting for us and we can't get there.
0:32:36 > 0:32:42But safety has to come first, and it's a good job it was winter so we were waiting for it to demist
0:32:42 > 0:32:45and gave a chance for this to become apparent.
0:32:45 > 0:32:49I'm glad we weren't 2,000 feet up and a long way from home.
0:32:49 > 0:32:57Repairs will take a few hours' work, but Ian's quick thinking has saved them tens of thousands of pounds.
0:32:57 > 0:33:00That's how much a new gearbox would have cost.
0:33:01 > 0:33:05The other good news is that the emergency hasn't delayed the patient's treatment.
0:33:05 > 0:33:09The responder called up on the radio and said that the patient
0:33:09 > 0:33:14wasn't in a life threatening at that moment
0:33:14 > 0:33:18and that she was still trapped in an awkward position, but her ankle would suffice.
0:33:18 > 0:33:20So we can stand the helicopter down. No harm done.
0:33:20 > 0:33:24Playing it safe is every professional pilot's rule,
0:33:24 > 0:33:29but the skies are now busy with a new breed of aviator - the enthusiastic amateur.
0:33:29 > 0:33:32They're taking up flying in increasing numbers
0:33:32 > 0:33:36thanks to a new generation of recreational helicopters.
0:33:36 > 0:33:40The biggest problem early on is that people get over-confident.
0:33:40 > 0:33:45When they get to about 100 hours or so they think they have actually learnt how to master the helicopter.
0:33:45 > 0:33:50That's not the case. It's almost a living thing. You can't take your hands off the controls for a minute
0:33:50 > 0:33:52because it just goes where it wants.
0:33:52 > 0:33:54You've got to be concentrating 100 per cent all the time.
0:33:54 > 0:34:00A lot of accidents in the past are with people who have just got their licence and are taking
0:34:00 > 0:34:04their family and friends out for flights and they just overcooked it and were too blase about it all.
0:34:04 > 0:34:07It's a dangerous machine if not treated properly.
0:34:07 > 0:34:11A quarter of a million quid and it's yours.
0:34:11 > 0:34:15Lots of people dream of having their own helicopter just like this.
0:34:15 > 0:34:20But the downside is if something goes wrong, it can be very expensive and painful.
0:34:21 > 0:34:24When the sun shines, private pilots head out in their hundreds.
0:34:24 > 0:34:31But in the Pennines, a helicopter flight has come to a sudden and very painful end.
0:34:31 > 0:34:34Hello, have you just made an emergency call for a reported helicopter crash?
0:34:34 > 0:34:37The team are always quick to set off.
0:34:37 > 0:34:41But when it's a fellow aviator in trouble, there's an added pressure.
0:34:41 > 0:34:45It must feel very strange, especially when you're flying in a helicopter
0:34:45 > 0:34:48and you're going to one that has just crashed, you're thinking,
0:34:48 > 0:34:49"Are we going to be all right?"
0:34:49 > 0:34:55But they probably aren't thinking that, they're probably concentrating on what they're going to.
0:34:55 > 0:34:58More information is being sent to the crew all the time,
0:34:58 > 0:35:02and eyewitness accounts are not encouraging.
0:35:02 > 0:35:03We've talked to a lady
0:35:03 > 0:35:07that witnessed the incident and she said she saw a helicopter
0:35:07 > 0:35:08come down on the moor,
0:35:08 > 0:35:11but we don't know if she saw any flames or smoke.
0:35:11 > 0:35:18She witnessed a helicopter, she believes, crash land and she hasn't seen anybody get out of it.
0:35:18 > 0:35:21We're going to take a look and see what's going on there.
0:35:21 > 0:35:25The helicopter that has crashed has four seats, and with the possibility
0:35:25 > 0:35:31of passengers being injured as well as the pilot, another air ambulance has also been scrambled.
0:35:31 > 0:35:33Helimed 98, I'm going to stand you down.
0:35:33 > 0:35:38I'm leaving Helimed 99 running, they're almost on scene and only one helicopter is required.
0:35:38 > 0:35:40One patient is involved.
0:35:40 > 0:35:42We'll stand down there.
0:35:42 > 0:35:44They're saying that there's one casualty.
0:35:44 > 0:35:46One casualty, I heard that.
0:35:46 > 0:35:49The crew have already flown over a lorry fire on the M62.
0:35:49 > 0:35:54But at the scene, emergency crews have arrived in force.
0:35:54 > 0:36:00We've got a situation at the moment. Obviously, we won't know the reasons as to why the helicopter has crashed
0:36:00 > 0:36:02until the the investigation has been completed.
0:36:02 > 0:36:05It's down here somewhere.
0:36:05 > 0:36:07That might be the hotel she was on about.
0:36:07 > 0:36:11Yeah, I've got emergency services on scene. Bang on the nose.
0:36:11 > 0:36:13In the field there, yeah.
0:36:13 > 0:36:17Pilot Steve Cobb approaches the area with extra care.
0:36:17 > 0:36:21He doesn't know how or why the other helicopter has crashed and nobody on
0:36:21 > 0:36:24board wants to end up in the same situation as the injured pilot.
0:36:29 > 0:36:31Hello, sir.
0:36:31 > 0:36:34No loss of consciousness on impact.
0:36:34 > 0:36:37He's basically mid-shaft right tib and fib.
0:36:37 > 0:36:39He can mobilise his toes. Got sensation.
0:36:39 > 0:36:44He's been lucky. Few people survive after crashing a helicopter.
0:36:44 > 0:36:46But he's not out of danger.
0:36:46 > 0:36:52He's complaining of a severely broken right leg, no other injuries that we can
0:36:52 > 0:36:56find at the moment, but we're a bit concerned about him with the nature of the accident.
0:36:56 > 0:36:59The pilot's injury could be serious.
0:36:59 > 0:37:02Patients can bleed to death internally from broken legs.
0:37:02 > 0:37:08Soon he'll be airborne again, this time for a short flight to hospital in nearby Manchester.
0:37:08 > 0:37:12All the team know that flying makes their job more dangerous.
0:37:12 > 0:37:17In the last year, three people have died in chopper crashes in Yorkshire alone.
0:37:17 > 0:37:20But they also know that they're in safe hands.
0:37:20 > 0:37:23Steve Cobb has flown 5,000 hours without a single accident.
0:37:23 > 0:37:26He's determined to keep it that way.
0:37:26 > 0:37:33The pilot who crashed was kept in hospital for a considerable time with injuries to his leg and back.
0:37:33 > 0:37:37But he was lucky. His aircraft was beyond repair.
0:37:37 > 0:37:39If it was an engine failure or some mechanical failure,
0:37:39 > 0:37:42the position he was in wasn't good for a successful landing.
0:37:42 > 0:37:44It was on a hillside, it wasn't flat at all.
0:37:44 > 0:37:47But he actually seemed to do quite well.
0:37:47 > 0:37:49I wondered what the man thought -
0:37:49 > 0:37:53He's just crashed a helicopter then he's getting into another helicopter to take him to hospital.
0:37:54 > 0:37:57We have one of the latest, up to date, modern helicopters
0:37:57 > 0:37:59flown by some of the best pilots in the country.
0:37:59 > 0:38:03I have every confidence in this helicopter and our pilots.
0:38:05 > 0:38:08I'm pleased to say that the injured pilot has recovered.
0:38:08 > 0:38:11Now, in North Yorkshire's racing country,
0:38:11 > 0:38:14top jockey Jacqueline Coward's family are waiting for news.
0:38:14 > 0:38:20COMMENTATOR: ..The Iron Giant, who is followed by Feeling Peckish...
0:38:20 > 0:38:22Racing's back under way at Catterick,
0:38:22 > 0:38:26after an up-and-coming young jockey was thrown from her horse.
0:38:26 > 0:38:30Jacqueline Coward hasn't regained consciousness, and Helimed 99
0:38:30 > 0:38:33have rushed her to the James Cook Hospital in Middlesbrough.
0:38:33 > 0:38:38It's only when she wakes up that doctors will be able to find out just how serious her injuries are
0:38:38 > 0:38:41and Jacqueline will discover if she'll ever ride again.
0:38:46 > 0:38:50Horseracing is a way of life in this part of North Yorkshire.
0:38:50 > 0:38:54And at Jacqueline's family farm near York, work starts at the crack of dawn.
0:38:54 > 0:38:58The horses need exercising, washing and grooming.
0:38:58 > 0:39:03But there's one member of the team missing. Jacqueline was unconscious for over an hour.
0:39:03 > 0:39:10But despite hitting the ground at 40 mph, she's escaped any serious neck or spinal injuries.
0:39:10 > 0:39:15However, six weeks later, a blossoming racing career is still on hold.
0:39:15 > 0:39:17Supposedly I can't ride for
0:39:17 > 0:39:23three to six to nine months. It just depends.
0:39:23 > 0:39:26Every day you've got to take at a time. Apparently your body tells you.
0:39:26 > 0:39:29People just keep saying, "Don't rush things,
0:39:29 > 0:39:33don't rush things." I have these like major ups and downs.
0:39:33 > 0:39:37It's very strange, very weird. Good days and bad days.
0:39:37 > 0:39:40Before the race I'd had a really good weekend.
0:39:40 > 0:39:44I'd ridden three winners and I'd ridden a winner in Ireland so I was quite chilled out, thinking,
0:39:44 > 0:39:47"Oh, well, hopefully I'm on the favourite and I'm going to win
0:39:47 > 0:39:50"and who cares if I don't because I've been winning lately."
0:39:50 > 0:39:52And then that just happened.
0:39:52 > 0:39:56Few people have the chance to see how their accident happened.
0:39:56 > 0:40:00Jacqueline suffered severe concussion and can't remember anything about the race.
0:40:00 > 0:40:05But the TV cameras caught every moment of her unfortunate fall.
0:40:05 > 0:40:08I've only just watched it once, coming back from hospital,
0:40:08 > 0:40:12so it's difficult to remember because my memory hasn't been great.
0:40:12 > 0:40:16But it was fine, I just watched it and thought, "Silly horse. Why didn't it land?"
0:40:16 > 0:40:18I just thought nothing of it.
0:40:18 > 0:40:20It's weird because I just know nothing about it.
0:40:20 > 0:40:23So when people are like, "Are you all right?"
0:40:23 > 0:40:26I'm like, "Yeah, absolutely fine."
0:40:26 > 0:40:30Then you kind of look at the replay and think, "That's why they were worried."
0:40:30 > 0:40:33Injuries are part and parcel of being a jockey,
0:40:33 > 0:40:36and Jacqueline accepts the risks every time she saddles up.
0:40:36 > 0:40:39But there's nothing else she'd rather do.
0:40:39 > 0:40:42It's like addiction. You can't help it.
0:40:42 > 0:40:44Your horses are like your children.
0:40:44 > 0:40:47I said to Mum, I said, "What is it about them?
0:40:47 > 0:40:50"Why is it that whatever happens to them you always go back?"
0:40:50 > 0:40:55She says it's because, "at your age, they're like your children. They're so precious to you."
0:40:55 > 0:40:58I'll definitely go back. Of course I will. Definitely.
0:40:58 > 0:41:04Without a doubt, I'll be back. I might not be back very soon, but I'll be back at some point in my life.
0:41:06 > 0:41:10Jacqueline has ridden 50 winners and can't wait to add to her tally.
0:41:10 > 0:41:15But she also knows that if she's concussed again, she may lose her licence to ride.
0:41:15 > 0:41:19No wonder she's taking her time before joining her friends on the gallops.
0:41:19 > 0:41:23When Helicopter Heroes comes back, 10 year old Lucas has just been
0:41:23 > 0:41:27hurled 20 feet over a wall after a road accident.
0:41:27 > 0:41:30He's complaining of a pain in his head. No neck pain, no back pain.
0:41:30 > 0:41:33Now the team fear he may have a serious head injury.
0:41:34 > 0:41:40It's Christmas, but there's no rest for paramedic Darren on a 999 dash to the top of the Pennines.
0:41:40 > 0:41:43A lot of pain in his back. He's saying it hurts to breathe.
0:41:43 > 0:41:46There's a freak accident down on the farm.
0:41:46 > 0:41:52And the team ruffle a few feathers touching down on a village green.
0:41:59 > 0:42:02Subtitles by Red Bee Media Ltd
0:42:02 > 0:42:05E-mail subtitling@bbc.co.uk