0:00:03 > 0:00:07If you're critically ill or seriously injured in a place
0:00:07 > 0:00:12like this, there's only one thing that can save you and that's speed.
0:00:12 > 0:00:17It doesn't matter where you are, this helicopter, with its highly trained team of pilots
0:00:17 > 0:00:22and paramedics will fly to your rescue at two and a half miles a minute.
0:00:22 > 0:00:25These are Yorkshire's Helicopter Heroes.
0:00:47 > 0:00:50When the people of England's biggest county dial 999,
0:00:50 > 0:00:53there's a good chance help will come from the skies.
0:00:53 > 0:00:58The Yorkshire Air Ambulance is ready to scramble 365 days a year
0:00:58 > 0:01:02and each one brings a new life or death emergency.
0:01:02 > 0:01:09Today on Helicopter Heroes, there's an accident in a dairy and a worker is trapped in a machine.
0:01:09 > 0:01:12A piece of metal has gone all the way through his hand.
0:01:12 > 0:01:17A trainee journalist hits the headlines when he crashes his car.
0:01:17 > 0:01:20We've got a potential sucking chest wound there.
0:01:20 > 0:01:25The team return to the scene of a rail disaster for another life or death emergency.
0:01:25 > 0:01:26The carriages were in that field.
0:01:26 > 0:01:31And up in the Peak District, a girl on a go-cart needs help.
0:01:31 > 0:01:35Can you move all your arms and legs, yeah? You can?
0:01:40 > 0:01:45Everything about this machine is designed to make it easier for pilots and paramedics.
0:01:45 > 0:01:48It takes just one press on one button to start the engines
0:01:48 > 0:01:51and most of the dials have been replaced by TV screens,
0:01:51 > 0:01:56but whenever you mix man and machine there is a risk something could go wrong.
0:01:58 > 0:02:02Helimed 98. We've a lift on this detail near Huddersfield.
0:02:02 > 0:02:04ETA approximately six minutes, over.
0:02:05 > 0:02:09Helimed 98 is leaving Sheffield Airport for the Pennine hills.
0:02:09 > 0:02:12We're going to a location just south of Huddersfield.
0:02:12 > 0:02:15We've had reports there that someone's got their hand caught
0:02:15 > 0:02:20in some machinery and they are still trapped at this stage.
0:02:20 > 0:02:22Emley Moor on the nose.
0:02:22 > 0:02:26The Emley Moor TV transmitter is as tall as the Empire State building
0:02:26 > 0:02:30and the crew are heading for a farm in its shadow.
0:02:30 > 0:02:36Jason Bentley was bottling milk in the small dairy unit when his hand became trapped.
0:02:36 > 0:02:40He seems calm, but he's being brave.
0:02:40 > 0:02:46A piece of metal has gone all the way through his palm pinning him to the machine.
0:02:46 > 0:02:48Helimed 98, over, now landing at Emley Moor.
0:02:48 > 0:02:53As pilot Tim Taylor circles over the farm, he spots a landing hazard in the nearby field.
0:02:53 > 0:02:56- We've got a wire that runs... - Yeah, I was going to say...
0:02:56 > 0:02:59Have you seen that one? It's running all the way straight across the...
0:02:59 > 0:03:03- ..the yard.- There's wires and livestock everywhere.
0:03:03 > 0:03:07What about in where the silver car is there, your three o'clock, Tim?
0:03:07 > 0:03:11Yeah, there's wires at rudder and there's horses this side.
0:03:11 > 0:03:13Oh, yeah, yeah. I can see them now.
0:03:13 > 0:03:17But he manages to find a field 100 metres away.
0:03:17 > 0:03:22Inside the dairy, Jason is going nowhere.
0:03:22 > 0:03:24He and a fire service crew are waiting for paramedics,
0:03:24 > 0:03:29Peter Vallance and Paul Bradbury before they start to try and free him.
0:03:29 > 0:03:33- It's a penetrating injury, Lee, straight through his hand.- Right.
0:03:33 > 0:03:37It's obvious Jason is in real pain and it's only when Paul and Pete
0:03:37 > 0:03:41have a good look at how he's trapped do they see why.
0:03:41 > 0:03:43There's a piece of metal,
0:03:43 > 0:03:45has actually gone all the way through his hand.
0:03:45 > 0:03:47Thankfully, he's in quite a sterile area
0:03:47 > 0:03:49so the chance of infection is reduced.
0:03:49 > 0:03:52It's not as if a rusty nail has gone into his hand.
0:03:52 > 0:03:55The crew normally ask for a pain score out of 10,
0:03:55 > 0:03:59but Jason is off the scale and is being remarkably calm.
0:03:59 > 0:04:02The gas and air is helping, but they must try
0:04:02 > 0:04:06and figure out a way of getting him out of the machine without causing more pain.
0:04:06 > 0:04:11The Fire Brigade at the moment are looking for the easiest way to actually remove the...
0:04:11 > 0:04:14the piece of metal that's there.
0:04:14 > 0:04:17So what we're looking at doing is cutting it off
0:04:17 > 0:04:22about a foot away from his hand and actually taking part of the machinery with us to hospital,
0:04:22 > 0:04:24then it can be removed in much better circumstances
0:04:24 > 0:04:27than trying to do it in an environment such as this.
0:04:27 > 0:04:34Despite his pain and predicament, Jason is showing extraordinary dedication to his job.
0:04:34 > 0:04:36Will I be back at work today?
0:04:36 > 0:04:39There's a load of milk to bottle up today, you know what I mean?
0:04:39 > 0:04:42So, we're already an hour back.
0:04:43 > 0:04:49As the Fire Brigade prepare a power saw to cut through the metal bar going through his hand,
0:04:49 > 0:04:52Jason has some suggestions as to where they cut.
0:04:52 > 0:04:56If you cut there you can do one cut and then it'll come away.
0:04:56 > 0:04:59But paramedic, Paul points out a practical problem.
0:04:59 > 0:05:01You won't make it too big?
0:05:01 > 0:05:03It'll not fit in the helicopter.
0:05:03 > 0:05:10Jason is already in immense pain and everyone knows it's going to hurt a lot more when they start cutting,
0:05:10 > 0:05:14so paramedic, Pete tries to get some morphine into Jason before they start.
0:05:14 > 0:05:22A combination of factors including shock and cold are making it impossible to find a vein.
0:05:22 > 0:05:27- Can't you find it?- No, mate, I'm afraid not at this moment in time.
0:05:27 > 0:05:29Now we can't get a vein as he's shut down.
0:05:29 > 0:05:35They need to get him out, so without extra pain relief Jason gives them the go ahead.
0:05:35 > 0:05:39- Go on. Give it a go, give it a go. - Go on, see what it's like.
0:05:39 > 0:05:41No, no, no, no!
0:05:41 > 0:05:45- No.- As expected the bar through his hand vibrates and it's too much for Jason.
0:05:45 > 0:05:49I'm not bothered who or how many people hold it, you're not
0:05:49 > 0:05:53cutting it yet until I get some more pain relief.
0:05:53 > 0:05:55It's absolutely killing now, really.
0:05:55 > 0:05:58The Air Ambulance crew need to figure out how to get
0:05:58 > 0:06:03pain-killing morphine into Jason and the Fire Brigade need to get some more powerful cutters.
0:06:03 > 0:06:05For now, Jason has to wait.
0:06:10 > 0:06:16Coming up, the Fire Brigade call in more muscle to free their patient.
0:06:16 > 0:06:20The team fly to the rescue of a rail crash hero.
0:06:21 > 0:06:25And an elderly driver is teetering on the edge of a Derbyshire peak.
0:06:25 > 0:06:30You must be talking, 80, 100 feet to go down here in into that next bit.
0:06:34 > 0:06:39It's not surprising these guys are the regular stars of local newspapers and TV.
0:06:39 > 0:06:46Everything they do is news, but it's not often they find a journalist on scene before they even arrive.
0:06:48 > 0:06:50It's early morning and it's wet.
0:06:50 > 0:06:54The Sheffield Helimed crew have only just driven into work
0:06:54 > 0:06:56and now they have another long journey ahead of them.
0:06:56 > 0:07:00Helimed 98 has just lifted Sheffield for the route into Whitby.
0:07:00 > 0:07:03Request flight information service and clearance to climb into the zone.
0:07:03 > 0:07:06The early shout means paramedic, Pat
0:07:06 > 0:07:10and pilot Tim haven't had a chance to settle into their morning routine.
0:07:10 > 0:07:12Shakes the cobwebs, Pat, eh?
0:07:12 > 0:07:14Shakes the cobwebs in the morning.
0:07:14 > 0:07:16- Just a little bit. - We've not had a cuppa yet.
0:07:16 > 0:07:22Helimed 98 from Yorkshire Air Centre, the patient is still in the vehicle.
0:07:22 > 0:07:26It sounds as if he had a nasty arm injury and he was bleeding quite badly.
0:07:26 > 0:07:32This WAS a Vauxhall Corsa and its driver is 22 years old.
0:07:35 > 0:07:39The accident is on the remote Moor's Road linking the Yorkshire coast and Teeside.
0:07:41 > 0:07:43It looks like he's still in the car.
0:07:43 > 0:07:46Yeah.
0:07:46 > 0:07:52Police, ground paramedics, a doctor and the Fire Brigade have already been working hard.
0:07:52 > 0:07:55There is only one car involved in the smash
0:07:55 > 0:08:01and as it's careered out of control, it flipped on to its roof trapping the driver.
0:08:01 > 0:08:04Carl Hansell is a student journalist from Scarborough
0:08:04 > 0:08:07who was driving to his college course when the accident happened.
0:08:07 > 0:08:12He's out of his wrecked car, but badly in need of hospital treatment.
0:08:12 > 0:08:15Tell me about the pain that you've got. Which bit hurts the most?
0:08:15 > 0:08:17- My right shoulder. - Your right shoulder.
0:08:17 > 0:08:21And do you take any medication for anything?
0:08:21 > 0:08:23No, but I wouldn't mind some.
0:08:23 > 0:08:25You wouldn't mind some? All righty.
0:08:25 > 0:08:30The fire crew have worked hard to get Carl out of this wreck.
0:08:30 > 0:08:31What injuries have we got, Sam?
0:08:31 > 0:08:34Well, we're talking pelvis,
0:08:34 > 0:08:37right shoulder, elbow and lacerations.
0:08:37 > 0:08:41After this sort of impact, Sammy is worried that Carl's injuries
0:08:41 > 0:08:44might not be just the ones she can see.
0:08:45 > 0:08:50- Take a deep breath for me. - Carl's chest is very swollen.
0:08:50 > 0:08:53- Have you seen it, yeah? - There in the...- Yeah.
0:08:53 > 0:08:58We've got a potential sucking chest wound there. It's all right, I've got this one over it.
0:08:58 > 0:09:03Sammy's worried. She's detected a potentially fatal injury in Carl's chest.
0:09:03 > 0:09:06His lung may be in danger of collapsing.
0:09:06 > 0:09:11What we're thinking of doing, Carl, is just putting you into our helicopter and flying to James Cook.
0:09:11 > 0:09:15- Yeah! - Unfortunately, Carl, you're only going to be on about eight minutes.
0:09:15 > 0:09:20Carl's enthusiastic about flying, but he doesn't know yet
0:09:20 > 0:09:24that Sammy is about to perform an emergency operation on him in the back of the helicopter.
0:09:30 > 0:09:34Coming up, the driver's on his way to hospital, but will his injuries
0:09:34 > 0:09:37end his journalistic career before it's begun?
0:09:38 > 0:09:45A trapped worker's in agony and paramedic, Paul has to use a fearsome new gadget.
0:09:45 > 0:09:50Plus, pilot Tim finds himself flying in the slipstream of the Dambusters.
0:09:50 > 0:09:54- Steady, steady! - Straight between towers, mate! - Steady, steady.
0:09:58 > 0:10:01When I was a copper I would have given anything for a view
0:10:01 > 0:10:04of an incident that these guys get, but when you're arriving
0:10:04 > 0:10:10at an emergency getting a bird's eye view of what you're about to deal with can be pretty scary.
0:10:10 > 0:10:16This is the chaotic scene that the Helimed team found one day in 2001.
0:10:16 > 0:10:22A mainline train derailed with 10 people dead and 82 injured.
0:10:22 > 0:10:28The Great Heck train crash is the worst incident the Yorkshire Air Ambulance has ever attended.
0:10:28 > 0:10:32One of the heroes of that they lived yards from the crash.
0:10:32 > 0:10:3572-year-old, Gillian Whittles and her husband rushed from their trackside home
0:10:35 > 0:10:40to help the casualties, but now she needs help.
0:10:40 > 0:10:44Gillian's having a heart attack and Helimed 99 is on the way.
0:10:44 > 0:10:49- Helimed 99, just confirm the grid course 32.- '600 direct.'- Roger that.
0:10:49 > 0:10:54For paramedic, Lee Davison, the name of Great Heck brings back unpleasant memories.
0:10:54 > 0:10:56All the engines were in that...
0:10:56 > 0:10:59And all the carriages were in that field.
0:10:59 > 0:11:01It was just horrific.
0:11:01 > 0:11:07But Lee knows he must put his memories to one side and concentrate on helping his next patient.
0:11:09 > 0:11:15The pain is caused when the heart is starved of oxygen, so the longer that the heart is starved of oxygen,
0:11:15 > 0:11:18the more damage there is to the tissues around the heart.
0:11:18 > 0:11:20The muscle itself.
0:11:20 > 0:11:24The faster that we can get patients to hospital and get that blockage
0:11:24 > 0:11:30cleared or whatever is causing that lack of oxygen to get to the muscles, then that's better for the patient.
0:11:30 > 0:11:33Also on board today is Dr Jez Pinnell.
0:11:33 > 0:11:38He is a hospital consultant and his extra skills could be vital.
0:11:38 > 0:11:39There's somebody in this field.
0:11:39 > 0:11:41They're waving their arms about.
0:11:41 > 0:11:45Yeah, yeah. Waving their arms about for access, yeah.
0:11:47 > 0:11:51- And this is the actual site where the train crashed. Here?- Yeah.
0:11:51 > 0:11:54Exactly this field, because that's the farm that they used.
0:11:54 > 0:11:56They crashed into this field.
0:11:56 > 0:11:59Lee may have been here before but not into this living room.
0:11:59 > 0:12:01He has to try and reassure his patient, Gillian.
0:12:01 > 0:12:06The team quickly connect their patient up to a heart monitor to confirm their suspicions.
0:12:06 > 0:12:10She has got chest pain central, with...
0:12:10 > 0:12:15It looks like she's having two, three AVF elevation with reciprocal changes.
0:12:15 > 0:12:20It's worse than anyone thought. Gillian's having a massive heart attack.
0:12:20 > 0:12:23We're going to fly her into LGI for an angiogram
0:12:23 > 0:12:26and possibly an angioplasty and stenting, depending on what's going on.
0:12:26 > 0:12:29OK, sweetheart, just a sharp scratch, OK?
0:12:29 > 0:12:31I've given her morphine for her pain
0:12:31 > 0:12:33and that seems to be settling.
0:12:33 > 0:12:35She's steady and reasonably stable at the moment.
0:12:35 > 0:12:39Gillian's family all live nearby and have come over to help.
0:12:39 > 0:12:42Great Heck is a small, tight-knit community
0:12:42 > 0:12:46brought even closer together by the tragedy of the train crash.
0:12:46 > 0:12:52Gillian and her husband, Andy, cared for the walking wounded in these very rooms.
0:12:52 > 0:12:56- I've explained to your mum that Leeds do the gold standard...- Right.
0:12:56 > 0:12:58..for the condition that she's got at the moment, OK?
0:12:58 > 0:12:59So that's why... Hang on.
0:12:59 > 0:13:03- So that's why we'll fly her to Leeds. - OK, we'll just get her standing up.
0:13:03 > 0:13:06We'll come across in a four-by-four.
0:13:06 > 0:13:09- I think that belongs to the family. - Right.
0:13:09 > 0:13:14If Gillian is to survive, she needs emergency surgery on her heart
0:13:14 > 0:13:18and that can only be done over 20 miles away at the Leeds General Infirmary.
0:13:18 > 0:13:22It's crucial the team don't waste any time
0:13:22 > 0:13:26and her son quickly drives her round the corner to the waiting helicopter.
0:13:26 > 0:13:28- All right, chaps.- Thanks.
0:13:28 > 0:13:30- Thanks guys, cheers. - See you then. Thanks, Jeffrey.
0:13:30 > 0:13:33Good to see you, mate.
0:13:33 > 0:13:36It's been a tough few months for Gillian's family and friends.
0:13:36 > 0:13:41Her husband, Andy, has cancer and she was due to go into hospital for an operation on her gall bladder,
0:13:41 > 0:13:48but now they can only hope that Helimed 99 gets her to the expert care she needs in time.
0:13:48 > 0:13:53We're all set at LGI, so hopefully she'll be on the operating table in the next 15, 20 minutes.
0:13:53 > 0:13:56I'm just going to put some headphones on you, sweetheart, OK?
0:13:59 > 0:14:02Helimed 99 Alpha. We've lifted from close to Egley power station
0:14:02 > 0:14:04and we're inbound to the LGI.
0:14:04 > 0:14:07Just climbing to 1,000 feet, turn around 1009.
0:14:07 > 0:14:11There's little that can be done for heart attack patients out of hospital.
0:14:11 > 0:14:16All Lee can do is make Gillian as comfortable as possible and monitor her condition closely.
0:14:16 > 0:14:18Gillian, how's your pain now?
0:14:18 > 0:14:19Has it eased?
0:14:22 > 0:14:27The journey to Great Heck has brought back some painful memories for the crew.
0:14:27 > 0:14:30It was actually right... It was right early in the morning,
0:14:30 > 0:14:33wasn't it? Did you hear it, were you in bed?
0:14:35 > 0:14:36Yeah.
0:14:36 > 0:14:39Was he?
0:14:39 > 0:14:43Let's hope you never have to see anything like that again, eh?
0:14:43 > 0:14:46As well as being a specialist cardiac centre,
0:14:46 > 0:14:49the Leeds General Infirmary also has a state of the art helipad
0:14:49 > 0:14:56on its roof which means the team can quickly get Gillian on her way to the waiting surgeons.
0:14:56 > 0:14:57We've already phoned the cath lab
0:14:57 > 0:15:00so basically she'll go straight down to there,
0:15:00 > 0:15:03straight on to the operating table
0:15:03 > 0:15:05and they'll put a stent into the artery
0:15:05 > 0:15:07which she's got a blockage in at the moment
0:15:07 > 0:15:10and, hopefully, she'll make a really good recovery.
0:15:10 > 0:15:15The Helimed team fly so many patients to hospital for what's now a routine procedure
0:15:15 > 0:15:22it's easy to forget any cardiac problem can be life-threatening and so it proved in Gillian's case.
0:15:22 > 0:15:24Although the angioplasty treatment went without a hitch,
0:15:24 > 0:15:29there were complications, and for several weeks her condition was critical.
0:15:30 > 0:15:33I were nearly a goner.
0:15:33 > 0:15:37I went into heart failure while I were in there.
0:15:37 > 0:15:40And my pulse used to go over 200 beats a minute
0:15:40 > 0:15:41during the night.
0:15:41 > 0:15:45If they operated it was a 60/40 chance that I'd die.
0:15:45 > 0:15:48I feel lucky that I'm here.
0:15:48 > 0:15:52I'm sorry to say that soon after we spoke to her, Gillian died.
0:15:52 > 0:15:56Her family say that thanks to the Helimed team,
0:15:56 > 0:16:01they had a few more precious months with a very brave lady and to show their appreciation,
0:16:01 > 0:16:07at Gillian's funeral, there was a collection for the Air Ambulance charity.
0:16:09 > 0:16:15Coming up, after an accident on a moor land road the student reporter needs surgery.
0:16:15 > 0:16:19What I'm thinking of doing is just putting a little needle into your chest wall, OK?
0:16:19 > 0:16:26And in the Peak District, paramedic, Pat faces an uphill struggle to reach his patient.
0:16:30 > 0:16:35Your hand has more nerve endings than almost any other part of the body
0:16:35 > 0:16:41and normally that's a good thing, but when you're palm has been pierced by a sharp piece of metal
0:16:41 > 0:16:45and you can't move, that means it's agony.
0:16:47 > 0:16:50At a dairy farm in the Pennines, farm worker Jason Bentley has got
0:16:50 > 0:16:53his hand trapped in a milk bottling machine.
0:16:53 > 0:16:57A piece of it has passed through his palm pinning him to it.
0:16:57 > 0:17:01Paramedics, Pete and Paul try and fail to give him morphine
0:17:01 > 0:17:04as the veins in his arm have shut down with cold and shock.
0:17:04 > 0:17:07Can't you find it?
0:17:07 > 0:17:10No, mate, I'm afraid not at this moment in time.
0:17:10 > 0:17:16So, with minimal pain relief Jason lets the Fire Service try and saw the machinery,
0:17:16 > 0:17:20so he can be flown to hospital with a metal bar still attached.
0:17:20 > 0:17:24- Go on, give it a go, give it a go. - Go on, see what it's like.
0:17:24 > 0:17:26- No, no, no, no.- No.
0:17:26 > 0:17:28The attempt fails because the bar vibrates.
0:17:28 > 0:17:30It's killing now, really.
0:17:30 > 0:17:33The Fire Brigade only have one option left now,
0:17:33 > 0:17:37the heavy duty cutters that they use to prise smashed cars apart.
0:17:37 > 0:17:42As they turn on the mobile generator that powers them, paramedic, Paul explains to Jason
0:17:42 > 0:17:47that they're going to have to cut him out without morphine and it's going to be painful.
0:17:49 > 0:17:55Only when he's free from the machine will they try another way to administer painkillers.
0:17:55 > 0:17:58The last option to us is what we call intraossious,
0:17:58 > 0:18:01which we normally use on children, and it's putting a needle
0:18:01 > 0:18:04straight into the bone in the leg. We tend not to use it on adults
0:18:04 > 0:18:07unless they're unconscious, but this guy is in excruciating pain.
0:18:07 > 0:18:09The Entonox we've given him's not touching him.
0:18:09 > 0:18:14We put a needle into his leg, drill a needle into his leg, and give him some morphine through there.
0:18:14 > 0:18:17I've already explained it's going to be painful for him,
0:18:17 > 0:18:20but, we've not got any options available to us at the moment.
0:18:20 > 0:18:25So, with the thought of having a drill put into his leg and with no pain relief,
0:18:25 > 0:18:28Jason allows the Fire Brigade to move in with their cutters.
0:18:28 > 0:18:31- Do you know where the little drill is?- Yeah.
0:18:31 > 0:18:33Are you holding it? Hold it.
0:18:37 > 0:18:40- Right, now.- It's going through now. It's going through.
0:18:40 > 0:18:43The metal bar through his hand is twisting.
0:18:43 > 0:18:47Ya (BLEEP)!
0:18:47 > 0:18:48That's it, done.
0:18:48 > 0:18:52Right, Jase, come on, deep breaths, deep breaths.
0:18:54 > 0:18:57- I want that morphine you promised me!- All right. It's all right.
0:18:57 > 0:19:00After very audibly letting off steam,
0:19:00 > 0:19:07Jason, who seems to be able to tolerate remarkable amounts of pain, is prepared for his next ordeal.
0:19:07 > 0:19:10Paul talks to the fire crew.
0:19:10 > 0:19:13If you guys ease him...
0:19:13 > 0:19:16ease him down, obviously keeping him...
0:19:16 > 0:19:18- And with Jason helping out, the team prepare to move him...- No.
0:19:18 > 0:19:23Are you doing it or is it easier for me to do it, that's what I'm saying.
0:19:23 > 0:19:29Very carefully, with a large metal bar still attached to his hand.
0:19:29 > 0:19:31Quick, quick, quick, quick.
0:19:31 > 0:19:33Quick, quick, quick, quick.
0:19:33 > 0:19:38The paramedics only use the bone drilling method of giving morphine as a last resort.
0:19:38 > 0:19:44They know it can be painful, so they have one more go at finding a vein in Jason's feet.
0:19:44 > 0:19:45I'm going to tap your leg, Jase.
0:19:50 > 0:19:51Have you got morphine in?
0:19:51 > 0:19:55No. There's diddly squat in your feet, mate.
0:19:58 > 0:20:03Coming up, the paramedics are forced to pull out their painkilling gun.
0:20:05 > 0:20:12And at a place called Surprise View, an elderly motorist has a terrifyingly close look.
0:20:12 > 0:20:17Another turn and it would have gone over and she would have been down in the bracken.
0:20:21 > 0:20:25Now, let's go back to the North York Moors to catch up on the case of a young journalist
0:20:25 > 0:20:29who's found himself the centre of a news story.
0:20:29 > 0:20:33Carl Hansell has been trapped in his car for nearly an hour.
0:20:33 > 0:20:39Among his list of injuries is one that's causing paramedic, Sammy Wills real concern.
0:20:39 > 0:20:42We've got a potential sucking chest wound there.
0:20:42 > 0:20:45It's all right, I got this one over it now.
0:20:45 > 0:20:47He doesn't know it yet,
0:20:47 > 0:20:52but Sammy's about to perform an emergency operation on him in the back of the helicopter.
0:20:52 > 0:20:55I'm going to have to put a little needle in your chest.
0:20:55 > 0:20:59- Have you found it's difficult to breathe at the moment?- Yeah.
0:20:59 > 0:21:03He needs a surgical procedure usually carried out by a doctor in hospital.
0:21:03 > 0:21:07What I'm thinking of doing is just putting a little needle into your chest wall, OK?
0:21:07 > 0:21:11What's happening at the moment is the air is collecting, all right?
0:21:11 > 0:21:14I can't hear anything, so...
0:21:14 > 0:21:18They have to find the exact spot to insert the needle.
0:21:18 > 0:21:21If they get it wrong, they could puncture internal organs.
0:21:24 > 0:21:26Mid-clavicle,
0:21:26 > 0:21:29third or fourth intercostal.
0:21:29 > 0:21:31Can't feel a rib.
0:21:31 > 0:21:32No, we'll just have to aim.
0:21:32 > 0:21:35There's the rib there, Sam.
0:21:35 > 0:21:38Pat's "little needle" looks pretty big to me.
0:21:38 > 0:21:40Right, you're just going to feel a sharp stab.
0:21:43 > 0:21:46Sharp scratch coming up now.
0:21:46 > 0:21:48- And they've done it. - Well done, lad.
0:21:51 > 0:21:55Carl is now on the short leg of this journey over the North York Moors
0:21:55 > 0:22:01to Teesside and on to the waiting surgical team at James Cook Hospital in Middlesbrough.
0:22:01 > 0:22:06- How does your breathing feel at the moment?- Shallow.
0:22:06 > 0:22:09Carl had to give up his student journalist course after this smash.
0:22:09 > 0:22:15His shoulder blade was in 150 pieces and he lost several litres of blood.
0:22:15 > 0:22:17He was lucky to survive.
0:22:20 > 0:22:24Just four months since the accident, Carl is coming to his local radio station
0:22:24 > 0:22:29to be interviewed about his lucky escape, and to do a bit of job-hunting.
0:22:29 > 0:22:33He's now even more determined to become a journalist.
0:22:33 > 0:22:36It's just made me stronger. I really want to go for it now.
0:22:36 > 0:22:38It's a big commitment,
0:22:38 > 0:22:41so I'm going to have to get back to work.
0:22:41 > 0:22:45I'll try and... Try and get some funding from somewhere.
0:22:45 > 0:22:49Good afternoon. Jonathan's away. You've got Jules for the next three hours.
0:22:49 > 0:22:52Nobody else was involved in Carl's accident
0:22:52 > 0:22:56and he puts it down to the long hours he spent driving to get to college.
0:22:56 > 0:23:01I got onto this dream course, I'd been on it five weeks,
0:23:01 > 0:23:07so I was exhausted from shorthand revision through the night because learning shorthand's a big deal.
0:23:07 > 0:23:10It's like learning a new language, you're practising constantly.
0:23:10 > 0:23:17Having endured a terrible car smash Carl now nervously prepares for his first live interview.
0:23:17 > 0:23:18He wants to do well.
0:23:18 > 0:23:21This will look good on his CV.
0:23:21 > 0:23:25We've had some pretty amazing stories arrive here at BBC Radio York
0:23:25 > 0:23:28as a result of rescues made by the Yorkshire Air Ambulance.
0:23:28 > 0:23:30Carl Hansell joins us now.
0:23:30 > 0:23:33This is interesting. You're going to try and tell me
0:23:33 > 0:23:37the story but you don't remember half the story itself!
0:23:37 > 0:23:44I was driving past Whitby and my car careered into a fence.
0:23:44 > 0:23:45I'm lucky there were no other cars
0:23:45 > 0:23:49because there were other cars on the road and I'm lucky that they weren't involved.
0:23:49 > 0:23:53Presumably you've been knocked about by this and you were unconscious?
0:23:53 > 0:23:58Yeah, my first clear memory was waking up in a hospital with a severely shattered shoulder.
0:23:58 > 0:24:03If there was no Yorkshire Air Ambulance, would you be here talking to me now?
0:24:03 > 0:24:08It's possible I wouldn't. You don't like to think about these things.
0:24:08 > 0:24:10I'm sorry, Mum! But, yeah.
0:24:10 > 0:24:14It's all gone well and he gets to play DJ.
0:24:14 > 0:24:16This is Jack Johnson, Better Together.
0:24:18 > 0:24:23Carl knows he's been very lucky to walk away from this and amazingly,
0:24:23 > 0:24:27there was one more bit of good fortune for our would be journalist.
0:24:27 > 0:24:31It's possibly the only luck I got that day is that it was my right shoulder that shattered
0:24:31 > 0:24:36and I'm actually left-handed, so in terms of affecting me, my life,
0:24:36 > 0:24:40I've been ridiculously lucky in that aspect.
0:24:40 > 0:24:46Yeah. So, life goes on, I can continue to write for my journalism, for example.
0:24:50 > 0:24:53Coming up, a trapped worker's been freed,
0:24:53 > 0:24:56but he's still attached to part of the machine which injured him.
0:24:56 > 0:24:59Actually taking part of the machinery with us to hospital,
0:24:59 > 0:25:02then it can be removed in much better circumstances
0:25:02 > 0:25:05than trying to do it in an environment such as this.
0:25:10 > 0:25:14Everybody likes a bit of fresh air and for millions of people
0:25:14 > 0:25:18the Derbyshire Peak District is the ideal place to get away from it all,
0:25:18 > 0:25:24but that means the Helimed team must get used to landing in some of the UK's most rugged terrain.
0:25:26 > 0:25:30The Peak District is the UK's oldest national park.
0:25:30 > 0:25:36555 square miles of stunning landscape straddling six counties.
0:25:36 > 0:25:43Just 38,000 people live here, but it attracts 22 million visitors every year
0:25:43 > 0:25:46and that's why the Helimed team know it like the backs of their hands.
0:25:49 > 0:25:54The Peak District is a huge playground for thousands of people who want to enjoy a brisk walk
0:25:54 > 0:26:01and take in these views, but for others the only way to get to the top is a full on attack.
0:26:01 > 0:26:07It's the rugged rock faces of the park that attract most people and from paragliders
0:26:07 > 0:26:12to rock climbers they're here for the adrenaline buzz that comes from doing something risky.
0:26:12 > 0:26:15But extreme sports have a habit of ending painfully.
0:26:15 > 0:26:21Helimed 99 has been called to a climber who has fallen at the top of Stanage Edge.
0:26:21 > 0:26:27The weather is perfect for paragliders, but that's bad news for paramedic, Pat Greaken.
0:26:27 > 0:26:30It means the helicopter has to land at the bottom of the valley
0:26:30 > 0:26:34to avoid a collision, so Pat's got to climb to the top the hard way.
0:26:35 > 0:26:36A fractured ankle.
0:26:36 > 0:26:41Up here, it can be difficult getting him down off the fell.
0:26:41 > 0:26:45The out of breath paramedic is going to need Mountain Rescue's help with this patient.
0:26:45 > 0:26:51Ian Dallas from Cheltenham was visiting the peaks with his family when he fell.
0:26:51 > 0:26:55I... We were introducing the kids to climbing on an easy climb
0:26:55 > 0:26:57and I was only eight to 10 feet up
0:26:57 > 0:27:02on a very popular route, turned out to be very slippery
0:27:02 > 0:27:09and a hand jam came out, my feet shot off and I landed upright with the proverbial crack from my right ankle.
0:27:09 > 0:27:15The apprentice climbers are concerned for their father, but he's in pain and his pride hurts a lot.
0:27:15 > 0:27:18Something's cracked. Never had anything like this before, I'm afraid.
0:27:18 > 0:27:23We've climbed all around the world and you go and do it on something stupid and simple like this.
0:27:23 > 0:27:27Meanwhile, at the bottom of the hill Mountain Rescue have begun to arrive in force.
0:27:27 > 0:27:33There's enough work to keep seven separate teams busy in the peaks.
0:27:33 > 0:27:36We want to be thought of as local teams, part of the community,
0:27:36 > 0:27:39and that's how we go about it.
0:27:39 > 0:27:42And some have a personal reason for turning out to help.
0:27:42 > 0:27:4720 years ago it was me up there with a broken leg and somebody came to fetch me, so I'm just...
0:27:47 > 0:27:50I'm just paying back what they paid me all those years ago.
0:27:50 > 0:27:56When the footpaths are covered with boulders you need ingenuity to transport the injured up here
0:27:56 > 0:28:00and this is how Ian's going to get off the fellside today.
0:28:00 > 0:28:05At the top of the hill Mountain Rescue doctor, Steve Rowe has taken over treating Ian's ankle.
0:28:05 > 0:28:07He's a climber himself.
0:28:07 > 0:28:11The bottom bit was very slippy where lots of people have climbed on it over the years.
0:28:11 > 0:28:14Beyond that it's a very nice route, but the bottom is a bit treacherous.
0:28:14 > 0:28:18With his ankle splinted, Ian's ready for his lift off the fellside.
0:28:20 > 0:28:22It's difficult to tell if it's broken or sprained.
0:28:22 > 0:28:23He can't walk so we'll carry him
0:28:23 > 0:28:26in a Mountain Rescue stretcher and check him out at the road head.
0:28:26 > 0:28:31Ian's injury is too minor to earn him a flight to hospital,
0:28:31 > 0:28:38he's going to go by road instead, but such is the remoteness of this place even the most minor incident
0:28:38 > 0:28:42can turn into something life-threatening, especially in winter.
0:28:46 > 0:28:50When snow falls up here you've got to take it seriously
0:28:50 > 0:28:54and getting around on the roads has its dangers in mid-winter.
0:28:54 > 0:28:59- OK, well I'll just...- It's a road traffic... A car overturned in traffic. Over.
0:28:59 > 0:29:04On a road in the heart of the peaks, an overturned car is balanced precariously
0:29:04 > 0:29:08on the edge of a 300-foot ravine known as Surprise View.
0:29:08 > 0:29:12Yeah, we believe that this area is within an hour's drive
0:29:12 > 0:29:16of about 10 million people, so obviously a lot of people come through this area.
0:29:16 > 0:29:18Across at two o'clock, flashing blue light.
0:29:18 > 0:29:22- Two o'clock, yeah, I can see it. - This is a holiday area
0:29:22 > 0:29:28and the roads can be lethal for drivers unfamiliar with the local switchbacks and sharp bends.
0:29:28 > 0:29:31It's not going to be an easy landing for pilot, Matt Tachon.
0:29:31 > 0:29:34Have a quick look out the right door at the rear rights please, mate.
0:29:34 > 0:29:39- OK.- Should be all right. - Cracking the door.- But with paramedic, Pat's help, he's down.
0:29:39 > 0:29:43- OK on the right. You're on the path on the right on the right skid. - Left's clear, mate.
0:29:43 > 0:29:44- Left one is on the pad.- Heli down.
0:29:46 > 0:29:49Pensioner, Patricia Raydan is trapped in her car.
0:29:49 > 0:29:56Fire-fighters fear she's badly hurt and one has climbed into her upturned Volvo to protect her neck.
0:29:56 > 0:29:58There's not a lot we can do until they get her out.
0:29:58 > 0:30:01They'll cut the roof off and lift her out. She's moving.
0:30:01 > 0:30:04She says her neck... Her neck and shoulder are sore, but...
0:30:04 > 0:30:08The car has come to a rest, feet from the edge.
0:30:08 > 0:30:09It's probably saved Patricia's life.
0:30:09 > 0:30:16You must be talking 80, 100 feet to go down here and into that next bit. So, she's been lucky.
0:30:16 > 0:30:20Another turn of the car and it would have gone straight over and the momentum...
0:30:20 > 0:30:22Well, she would have been down in the bracken.
0:30:22 > 0:30:25It looks like she's come up the hill here
0:30:25 > 0:30:30and hit the banking and somehow, you can see the marks on the road, which has flicked her over on to her side.
0:30:30 > 0:30:33But she's an elderly lady and, you know,
0:30:33 > 0:30:36she's not remembered anything of the accident which is a bit of a concern.
0:30:36 > 0:30:40Paramedics, Lee and Pat need to reach their patient.
0:30:40 > 0:30:42Because it's on the roof, we don't want to roll it
0:30:42 > 0:30:45when she's sat with her legs out of the window,
0:30:45 > 0:30:48sat facing with her back to the seat of the chair.
0:30:48 > 0:30:51The Fire Brigade are going to cut the roof off so we can get access to the lady.
0:30:51 > 0:30:56Anyone not doing anything, come and stand back a little bit. Come and stand back.
0:30:56 > 0:31:00The Fire Brigade are having trouble freeing Patricia.
0:31:00 > 0:31:05The car is solidly built and their cutting gear is working overtime.
0:31:06 > 0:31:11One fire-fighter has been inside the car now for 20 minutes.
0:31:11 > 0:31:16We actually put one in there to put a collar on her because she was complaining of spine injuries.
0:31:16 > 0:31:21We need someone in there to put blankets right her and to put what we called the soft shielding
0:31:21 > 0:31:25and hard shielding to protect her from flying debris.
0:31:25 > 0:31:28Patricia was driving across the Pennines from her home in Southport
0:31:28 > 0:31:31to visit her daughter and grandchildren in Sheffield.
0:31:32 > 0:31:37Despite being trapped Patricia was able to ring her daughter on her mobile phone.
0:31:37 > 0:31:41Now she's arrived to help Pat with her mum's medical history.
0:31:41 > 0:31:44- Does your mum have any medical problems?- She's on...
0:31:44 > 0:31:48- She's on medication. It'll be in her bag on the back of the car.- What's it for?
0:31:48 > 0:31:49She told me she has hypertension.
0:31:49 > 0:31:52Hypertension and that... Any heart problems?
0:31:52 > 0:31:56- Heart problems, no. She's all right, she still OK in there? - Yeah, she's sat there.
0:31:56 > 0:32:00At last the Fire Brigade have finished cutting
0:32:00 > 0:32:03and the Helimed team can finally examine their patient.
0:32:03 > 0:32:06Hello, Pat. Do you remember anything of the accident, Pat?
0:32:06 > 0:32:09Do you remember what you were doing before the accident?
0:32:09 > 0:32:14- I didn't hit my head or anything.- No, I'm just making sure, love. Trying to get the glass out and stuff.
0:32:14 > 0:32:16There's glass all over the place.
0:32:16 > 0:32:20She can't remember anything of the accident which makes me wonder whether she's...
0:32:20 > 0:32:23- Blacked out.- Yeah, whacked it... Or whacked her head on the side
0:32:23 > 0:32:26of the gate post when she's gone over onto this position.
0:32:26 > 0:32:27Patricia's been lucky.
0:32:27 > 0:32:32Despite rolling her car and stopping feet short of a 300 foot drop
0:32:32 > 0:32:36she's escaped with little more than bruising. Her daughter is relieved.
0:32:36 > 0:32:40All right, you daft thing? Are you going to be all right? They're going to take you...
0:32:40 > 0:32:41You are going to be all right.
0:32:41 > 0:32:45They're just going to go and examine your shoulder and neck.
0:32:45 > 0:32:48- Sorry I ruined your weekend. - You haven't ruined any weekend.
0:32:48 > 0:32:50As long as you're all right, that's what matters.
0:32:50 > 0:32:55Patricia's going to complete her journey to Sheffield as she started, by road.
0:32:55 > 0:32:58It's too risky to carry her stretcher up the steep slope back to Helimed 98,
0:32:58 > 0:33:04but before that weekend at her daughters, there'll be a trip to hospital
0:33:04 > 0:33:06for a check-up just in case.
0:33:07 > 0:33:10No-one loves flying in the peaks more than pilot, Tim Taylor.
0:33:10 > 0:33:15He's a military historian and he knows that Derwent Valley
0:33:15 > 0:33:19is where the wartime Dambusters trained for their famous bombing raid.
0:33:23 > 0:33:27And the route to today's case allows him to fly in their slipstream.
0:33:29 > 0:33:33Look at that! Across the dams.
0:33:33 > 0:33:35- Steady... - Straight between towers, mate.
0:33:35 > 0:33:38Steady!
0:33:38 > 0:33:39Bomb gone!
0:33:39 > 0:33:42Boing, boing, boing!
0:33:46 > 0:33:51Everything about the Peak District is outsized, including the hills.
0:33:51 > 0:33:55If you are relying on your legs, getting around can be hard work,
0:33:55 > 0:34:00but when you're heading downhill gravity has its dangers too.
0:34:00 > 0:34:02Near the picturesque village of Grindleford,
0:34:02 > 0:34:0512-year-old Briony Kirkman has found that out the hard way.
0:34:05 > 0:34:09Two kiddies playing on a go cart.
0:34:11 > 0:34:13One was on... There were both on at the same time.
0:34:13 > 0:34:15- Yeah.- Fell over.
0:34:15 > 0:34:18One seems to be all right apart from scratches
0:34:18 > 0:34:21and that sort of thing, the other one has banged her head on the road.
0:34:21 > 0:34:23No helmets, needless to say.
0:34:23 > 0:34:25No? There's a surprise.
0:34:25 > 0:34:30The trippers are out in force in the peaks and every ambulance in the area is busy.
0:34:30 > 0:34:36- Luckily for Briony, Helimed 99 has flown to the rescue with paramedic, Darren Axe.- Hi, Les.
0:34:36 > 0:34:38- This is Briony, she's 12 years old. - Hello.
0:34:38 > 0:34:42She was stood on those and grabbing on while her friend was steering,
0:34:42 > 0:34:45gave it big licks coming down here, as they should, at their age.
0:34:45 > 0:34:47- Yeah.- And they've lost control of it.
0:34:47 > 0:34:50Have you got pins and needles anywhere?
0:34:50 > 0:34:52Yeah, just in this hand where... where...
0:34:52 > 0:34:54- It's this, the left one. - The left one, OK.
0:34:54 > 0:34:58I've tried to uncover that and it doesn't stick to it.
0:34:58 > 0:35:00Can you move your arms and legs?
0:35:00 > 0:35:02- Yeah, we have.- Yeah, you can?
0:35:02 > 0:35:04Can you remember everything that happened?
0:35:04 > 0:35:06No, not when I fell off.
0:35:06 > 0:35:08- Now when you fell off?- No.
0:35:08 > 0:35:12That could mean Briony's been knocked out. It could be a bad sign.
0:35:12 > 0:35:15Children's skulls fracture more easily than adults,
0:35:15 > 0:35:20but it's also easy to worry them so Darren's keeping it light.
0:35:20 > 0:35:23- Briony, how old are you? - 12.- 12. Are you married?- No.- No!
0:35:23 > 0:35:26Briony was playing with a friend when the accident happened.
0:35:26 > 0:35:32Mum wasn't expecting a trip to Accident & Emergency.
0:35:32 > 0:35:34So, nothing to be frightened of.
0:35:34 > 0:35:38We won't hurt you. We're not going to drag you around or poke you with things.
0:35:38 > 0:35:41We're going to put some little things on you so we can see what's happened.
0:35:41 > 0:35:45As soon as I came the paramedic said that he thought everything should be OK.
0:35:45 > 0:35:47I mean, obviously, there's no guarantees,
0:35:47 > 0:35:51but it's just not very nice seeing her being taken away in that, so...
0:35:51 > 0:35:54The Helimed team are taking no chances.
0:35:54 > 0:35:59Briony's spine has been immobilised for the flight to hospital in Chesterfield.
0:35:59 > 0:36:01But she's still cheerful.
0:36:01 > 0:36:03Because I'll probably...
0:36:03 > 0:36:06You'll probably, like, you know...
0:36:06 > 0:36:08- Drop you!- Yeah!
0:36:08 > 0:36:13People who live in the Peak District know that if they need urgent medical treatment,
0:36:13 > 0:36:19the narrow local lanes and notorious traffic jamming them mean that help can be a long way away.
0:36:19 > 0:36:24This way Briony will be in hospital in five minutes.
0:36:24 > 0:36:26And she was soon back home.
0:36:26 > 0:36:28Her injuries turned out to be minor.
0:36:28 > 0:36:33But the Helimed team know it won't be long before they're heading back to the peaks.
0:36:35 > 0:36:39The downside to life in the hills.
0:36:39 > 0:36:45Now, in a dairy in West Yorkshire the operation to free a trapped man is reaching its climax.
0:36:46 > 0:36:49Jason Bentley was bottling milk when he became impaled.
0:36:49 > 0:36:54Paramedics, Paul Bradbury and Pete Vallance could only give him minimal pain relief
0:36:54 > 0:36:58before the fire service cut him out with a metal bar still running through his hand.
0:36:58 > 0:37:02Ya (BLEEP)!
0:37:02 > 0:37:04So, what we're looking at doing
0:37:04 > 0:37:07is taking part of the machinery with us to hospital,
0:37:07 > 0:37:10then it can be removed in better circumstances
0:37:10 > 0:37:13than trying to do it in an environment such as this.
0:37:13 > 0:37:17But before that, they must give him some morphine
0:37:17 > 0:37:21and the only way of doing it is by drilling into his leg and into a bone.
0:37:21 > 0:37:26What Jason doesn't know is that paramedic, Paul has never done this before.
0:37:26 > 0:37:30We actually drill into the bone and the centre of your bone
0:37:30 > 0:37:35is very rich in blood supply so any drug given to that's very effective.
0:37:35 > 0:37:37It's... It's like a little battery-powered drill
0:37:37 > 0:37:41and he'll be in agony for probably about a second
0:37:41 > 0:37:43until it actually goes in and then hopefully
0:37:43 > 0:37:47we can start giving him some morphine and it will ease the pain for him.
0:37:47 > 0:37:51paramedic, Paul has some encouraging words of advice.
0:37:51 > 0:37:53Now, look away for this bit, Jase.
0:37:53 > 0:37:58While Pete finds the exact spot for him to drill...
0:37:58 > 0:38:00- Happy there?- Yeah.
0:38:00 > 0:38:01Steady, Jase.
0:38:05 > 0:38:07One, two, three.
0:38:07 > 0:38:09..and the hollow needle is in,
0:38:09 > 0:38:12with an understandable reaction from Jason.
0:38:12 > 0:38:13(BLEEP)
0:38:13 > 0:38:15- What are you doing to me?! - It's done.
0:38:18 > 0:38:22Before they can get the morphine in, they must first draw out some bone marrow.
0:38:22 > 0:38:26- I've just... That bit's fine.- And then flush it out with some water.
0:38:26 > 0:38:30- A big flush. - Jason gets another pain warning.
0:38:30 > 0:38:32This might be painful as it goes through as well.
0:38:32 > 0:38:35It's because it's cold water, Jase. You might feel it.
0:38:35 > 0:38:37Aah! Stop it!
0:38:37 > 0:38:39Keep sucking, keep sucking.
0:38:39 > 0:38:42Just count to five and it'll be done.
0:38:42 > 0:38:45And at last, the morphine.
0:38:45 > 0:38:48There's morphine is going in now, Jase.
0:38:48 > 0:38:51It is painful when you first start putting
0:38:51 > 0:38:54any sort of fluids through it because the pressure within the...
0:38:54 > 0:38:57Within the bone itself causes that pain sensation.
0:38:57 > 0:39:02That's now subsided and the morphine should be getting round into his system very quickly.
0:39:02 > 0:39:05But the new pain gun has worked.
0:39:05 > 0:39:08Jason is much more comfortable now.
0:39:08 > 0:39:12The whole emergency operation has been watched by his workmates.
0:39:12 > 0:39:15He's desperate to get back to his job at the dairy,
0:39:15 > 0:39:17but Jason won't be working any time soon,
0:39:17 > 0:39:21and neither will the machine they've had to chop apart to free him.
0:39:25 > 0:39:27Within the hour, Jason was being operated on.
0:39:27 > 0:39:32Paramedics, Peter and Paul returned to base full of praise for their patient.
0:39:32 > 0:39:35I think if he'd not been able to keep his head
0:39:35 > 0:39:41and tolerate the amount of pain that he was going through then it would have made it much more difficult
0:39:41 > 0:39:44- to work with him to get him freed from that situation. - That's not fixed.
0:39:44 > 0:39:46You can cut there. You can do one cut and...
0:39:46 > 0:39:50On the whole he was calm and he assisted us and he even
0:39:50 > 0:39:53gave some sort of advice to the fire service.
0:39:53 > 0:39:58Because he's used to working with that bit of kit he knew where the best place to cut it would be.
0:39:58 > 0:40:01Unfortunately, Jase was in quite a lot of pain.
0:40:01 > 0:40:05I think at one time he said it was 50 out of 10, which rates quite highly!
0:40:05 > 0:40:09Yah (BLEEP)!
0:40:09 > 0:40:12Yeah, think if I'd got a metal bar stuck through my hand, I think
0:40:12 > 0:40:16I'd be screaming and shouting like Jason was, so I can't blame him
0:40:16 > 0:40:19for the choice of language that he used when he was...
0:40:19 > 0:40:21when he was at his worst pain!
0:40:21 > 0:40:24You know, I think I would have been exactly the same and most people would be.
0:40:24 > 0:40:29The SAS have used this to drill quickly to get morphine into wounded soldiers.
0:40:29 > 0:40:32For Paul, this was a first.
0:40:33 > 0:40:37Yeah, it's just like a normal little electric screwdriver-type drill
0:40:37 > 0:40:42and when you're pushing against it initially there was no sort of movement at all.
0:40:42 > 0:40:47Obviously, once it's pierced the skin you're against the cortex of the bone, which obviously is rock hard.
0:40:47 > 0:40:51And then eventually, there's a give and it goes straight into the bone,
0:40:51 > 0:40:52but you can't to go too far
0:40:52 > 0:40:55or you're going to, come out the other side or at least
0:40:55 > 0:40:58go into the back part of the bone so you're not going to get the same effect.
0:40:58 > 0:41:02It was a team effort to sort Jason out and one which paid off.
0:41:02 > 0:41:06Once the metal bar was removed, hand surgery followed,
0:41:06 > 0:41:10then two days in hospital and Jason was soon back at work.
0:41:12 > 0:41:16When Helicopter Heroes comes back, there's a major road accident.
0:41:16 > 0:41:20Were having difficulty getting through. the weather's bad up here.
0:41:20 > 0:41:23And the Helimed team are battling appalling weather.
0:41:25 > 0:41:28One of the RAF's top gun ejects.
0:41:28 > 0:41:31So at the moment he's quite severe pain, but he is stable.
0:41:31 > 0:41:38Why this teenage show jumper looked a little familiar to paramedic, Darren Axe.
0:41:38 > 0:41:41As far as I'm aware, she'll be the first repeat customer that we've ever had.
0:41:41 > 0:41:47And a young biker proves wearing the right safety gear can't always save you from serious injury.
0:41:47 > 0:41:48How does that feel?
0:41:48 > 0:41:50Does that feel normal?
0:41:58 > 0:42:01Subtitles by Red Bee Media Ltd
0:42:01 > 0:42:04E-mail subtitling@bbc.co.uk