0:00:02 > 0:00:05If you're seriously ill
0:00:05 > 0:00:08or critically injured, every second counts, especially
0:00:08 > 0:00:11if you're up high or off the beaten track.
0:00:11 > 0:00:15But, thanks to these guys, the people of the UK's
0:00:15 > 0:00:19biggest county are never more than 10 minutes away from a hospital.
0:00:19 > 0:00:23The Yorkshire Air Ambulance can do 150mph,
0:00:23 > 0:00:27and every day brings a new life-or-death emergency.
0:00:46 > 0:00:50Five million people depend on these yellow helicopters to bring
0:00:50 > 0:00:52life-saving care from the skies.
0:00:52 > 0:00:56When a multiple pile-up closes Britain's highest motorway,
0:00:56 > 0:00:59or there's a serious accident on the shop floor,
0:00:59 > 0:01:02the highly trained paramedics and pilots of the Helimed team
0:01:02 > 0:01:05are there to rescue the casualties.
0:01:05 > 0:01:07Today on Helicopter Heroes,
0:01:07 > 0:01:10a disabled driver crashes his supercar,
0:01:10 > 0:01:14and now the Fire Brigade must cut it apart.
0:01:14 > 0:01:17He's basically gone from 70 to nothing, straight into a tree.
0:01:17 > 0:01:19The team fight to save a biker's badly injured leg.
0:01:19 > 0:01:24He's done some quite severe damage to his foot, and we're querying his pelvis as well.
0:01:24 > 0:01:27On the road to the Dales, there's a serious accident.
0:01:27 > 0:01:30The lady's gone over the handlebars and hit her head on the floor.
0:01:30 > 0:01:32A young visitor to a stately home needs help.
0:01:32 > 0:01:36Climbing on the tree and was trying to get off it and fell off backwards.
0:01:45 > 0:01:49Owning a supercar is a dream that rarely comes true for most of us.
0:01:49 > 0:01:52But imagine if it did, and you ended up writing it off.
0:01:52 > 0:01:58One day in North Yorkshire, that nightmare became reality for one unlucky motorist.
0:02:00 > 0:02:05On a country road near York, a high performance supercar has crashed.
0:02:05 > 0:02:11The Nissan GTR has a top speed of 195mph and costs £60,000.
0:02:11 > 0:02:15But today, this one has run out of road.
0:02:15 > 0:02:20Four people are trapped in the vehicle, which left the road and ended up in a ditch.
0:02:20 > 0:02:26They're shrouded in protective sheeting as firemen try to work out how to free them.
0:02:26 > 0:02:29The major problem is if they've got life-threatening injuries,
0:02:29 > 0:02:32it's how to get them out quickly to get them to hospital.
0:02:32 > 0:02:36Prolonged entrapment causes us problems
0:02:36 > 0:02:39regarding treatment we can give them on scene.
0:02:39 > 0:02:41Helimed 99 is on the case.
0:02:41 > 0:02:44The accident scene is a long drive from hospital.
0:02:44 > 0:02:48Yeah, quite common for vehicles to leave the road on these types
0:02:48 > 0:02:53of bends and end up like this one in a ditch at the side of a road.
0:02:53 > 0:02:58Paramedics Tony Wilkes and Sammy Wills are in for a surprise.
0:02:58 > 0:03:02Four people in this car, come off the road about 60mph, landed as we see there.
0:03:02 > 0:03:04The driver is paraplegic anyway.
0:03:04 > 0:03:07- Right.- He's saying he's uninjured, that's good.
0:03:07 > 0:03:10Front seat passenger complaining of right arm pain, agitated.
0:03:10 > 0:03:12I've asked him if he's taken anything.
0:03:12 > 0:03:17Anyway, very agitated, no neck pain. No-one's been unconscious.
0:03:17 > 0:03:22Rear seat passenger behind the driver here, she's complained of neck pain and she's also
0:03:22 > 0:03:25a nasty laceration to the front of her head where she's come forward.
0:03:25 > 0:03:28They've been lucky.
0:03:28 > 0:03:32Six feet either side is a mature tree that could've killed everyone in the car.
0:03:32 > 0:03:37As it is, all the Fire Brigade have to worry about is a sapling that's in their way.
0:03:37 > 0:03:42Brief update, four casualties, two double man ambulances en route.
0:03:42 > 0:03:46However, at the moment, we are unable to gain access to the casualties.
0:03:46 > 0:03:49This car is among the most powerful on the road.
0:03:49 > 0:03:53500bhp and 0-60 in three seconds.
0:03:53 > 0:03:58It's a lot of power for a driver using hand controls.
0:03:58 > 0:04:02But it's the speed its occupant stopped that's worrying the Helimed team.
0:04:02 > 0:04:06We're just waiting for the Fire Service to get us a bit of an entrance, really.
0:04:06 > 0:04:09They're just starting to cut the doors off, get the roof off,
0:04:09 > 0:04:13so we can actually get in and make an assessment of the patients.
0:04:15 > 0:04:18Our main priority is to stabilise the vehicle, stop it
0:04:18 > 0:04:22from going any further down into the ditch or making sure it's stable.
0:04:22 > 0:04:28We're gaining initial access to the casualties using hydraulic cutting tools and hand tools.
0:04:28 > 0:04:33As you can see, there's going to be some difficulty in getting the casualties out from where they are
0:04:33 > 0:04:38just due to the location of where the vehicle's landed.
0:04:38 > 0:04:41One is the driver, two, three, four...
0:04:41 > 0:04:43Driver...
0:04:43 > 0:04:47The flying doctor has been called out from his home nearby.
0:04:47 > 0:04:49The impact's been severe.
0:04:49 > 0:04:54Any one of the passengers could have a serious neck or spinal injury.
0:04:54 > 0:04:56Just because of the speed that you've left the road,
0:04:56 > 0:05:01what we want to do initially is put a collar on your neck, OK?
0:05:01 > 0:05:04Not being able to examine their patients is difficult.
0:05:07 > 0:05:09They're all conscious, they're all
0:05:09 > 0:05:13breathing, their blood pressure and everything is within normal limits,
0:05:13 > 0:05:15but we can't actually get into them,
0:05:15 > 0:05:18so the Fire Brigade are just going to chop off the roof.
0:05:18 > 0:05:23Then we can then do a full assessment, decide who's suitable, if anybody, for the aircraft,
0:05:23 > 0:05:26and the land crews will be able to re-triage.
0:05:26 > 0:05:30The car is built to survive high-speed impacts,
0:05:30 > 0:05:35which means the Fire Brigade are going to have their work cut out reaching the four patients.
0:05:35 > 0:05:39Several motorists saw the accident happen in front of them.
0:05:39 > 0:05:44It just sort of went straight off the bend across the road, onto the mud.
0:05:44 > 0:05:49Obviously, the mud slowed it down a bit and then luckily it went between
0:05:49 > 0:05:54the very large tree over the far side and these small trees here, which obviously broke its passage.
0:05:54 > 0:05:58Luckily, one witness was able to use her medical skills.
0:05:58 > 0:06:03We arrived just after, so I made the call to the emergency services.
0:06:03 > 0:06:09I'm a community matron so we sort of knew a bit - to keep them still and just wait for help to arrive.
0:06:09 > 0:06:12The occupants were obviously shocked.
0:06:12 > 0:06:14The gentleman in the passenger seat seemed quite agitated
0:06:14 > 0:06:19and was trying to get out of the car, and I was trying to ascertain
0:06:19 > 0:06:21how serious the injuries were.
0:06:21 > 0:06:26I approached the car after we'd viewed the accident and the gentleman was obviously in shock.
0:06:26 > 0:06:32I told him to switch his engine off. He said that he needed a wheelchair in order to get out of the car.
0:06:32 > 0:06:35The team aren't unduly concerned about the condition
0:06:35 > 0:06:38of their patients, but that's about to change.
0:06:43 > 0:06:46I'm only observing from up here, but he just doesn't look comfortable.
0:06:46 > 0:06:51Coming up - the team switch priorities as a passenger takes a turn for the worse.
0:06:51 > 0:06:53A husband wishes he'd nagged his wife more.
0:06:53 > 0:06:56I keep saying, "Put your helmet on, put your helmet on,"
0:06:56 > 0:06:58but she said, "No, it irritates me."
0:06:58 > 0:07:03And a passenger on England's most scenic railway has a nasty fall.
0:07:18 > 0:07:21Whether it's speeding past the jams or the thrill of the open road,
0:07:21 > 0:07:25bikers will tell you there's nothing like a motorcycle.
0:07:25 > 0:07:29But you're unlikely to find too many paramedics riding them.
0:07:34 > 0:07:38It's the beginning of summer on the roads of North Yorkshire, and the bikers are out.
0:07:38 > 0:07:44Riders travel hundreds of miles to enjoy these views, and the sweeping bends
0:07:44 > 0:07:48of the Dales and moors, but today, there's been a serious accident.
0:07:48 > 0:07:51It's a road that runs parallel with the A59.
0:07:51 > 0:07:54It's a car and a motorbike, someone with a partially amputated foot.
0:07:54 > 0:07:59If it's fully amputated, we might have to bag it up and take it with us.
0:08:01 > 0:08:04Paramedics need to think ahead.
0:08:04 > 0:08:08The Helimed team's job is to get patients to the right hospital as soon as possible.
0:08:08 > 0:08:13If we've got a partial amputation, LGI's going to be the best with this.
0:08:13 > 0:08:16- OK, yeah.- Do you agree?- Yeah, fine.
0:08:18 > 0:08:22Pete Balance and Glenn Powell are planning to bypass the local A&E
0:08:22 > 0:08:26and take their patient direct to the trauma unit in Leeds.
0:08:26 > 0:08:31- We've got it here, Steve, it's out at 9 o'clock now on the other road. - Well spotted.
0:08:31 > 0:08:38Helimed 99 to Yorkshire, we've located the incident and are just about to land, over.
0:08:39 > 0:08:43'99 Roger, let me know if you're going to LGI and I'll let them know early.'
0:08:46 > 0:08:49Within minutes of being scrambled, pilot Steve Cobb
0:08:49 > 0:08:53is on final approach to a country road in Nidderdale.
0:08:53 > 0:08:57There still looks to be a lot of working around the casualty.
0:08:57 > 0:08:58Is there an ambulance on scene?
0:08:58 > 0:09:01Yes, and a car.
0:09:01 > 0:09:05Sometimes the initial reports of accidents are exaggerated.
0:09:05 > 0:09:07But there's no mistake today.
0:09:07 > 0:09:12Biker Tim Rowe from Harrogate was out for a ride when his bike was involved in a collision with a car.
0:09:14 > 0:09:16- His foot is just...- Hanging off?
0:09:16 > 0:09:18It's in mush.
0:09:18 > 0:09:20Hello there.
0:09:20 > 0:09:24- Tim's leg took the full force of the impact.- All right, son. Listen, I'm going to take your blood pressure,
0:09:24 > 0:09:29and this guy's going to get you some morphine, and we'll get you in this helicopter and away, OK?
0:09:29 > 0:09:32- Tim, where's all your pain coming from, fella?- Foot.- OK.
0:09:32 > 0:09:35What would you score it as, out of ten? Ten's absolutely unbearable.
0:09:35 > 0:09:38- Ten out of ten. - All right, Tim. That's fine, mate.
0:09:38 > 0:09:40He's come off his motorbike, hit a car, come off and he's done some
0:09:40 > 0:09:44quite severe damage to his foot, and we're querying his pelvis as well.
0:09:44 > 0:09:48He's still got his sense of humour, which is great!
0:09:48 > 0:09:52He's just writing his details now for me.
0:09:52 > 0:09:57He's remarkably lucid, but ground paramedics know Tim's very badly hurt.
0:09:57 > 0:09:59We'll get you this morphine, and hopefully
0:09:59 > 0:10:03it'll take that painful feeling away, and we'll get you on your way.
0:10:03 > 0:10:05- It's now my right foot.- I know.
0:10:05 > 0:10:10The team's also concerned about his pelvis. It must be kept immobile,
0:10:10 > 0:10:15otherwise broken bones could cause further internal injuries.
0:10:15 > 0:10:20You're going to feel a belt go round your waist, all right? It needs to be pulled quite tight.
0:10:22 > 0:10:27Your leg is in the best position we need for transport, all right, Tim?
0:10:27 > 0:10:30OK. Just let us look after you, mate, all right?
0:10:30 > 0:10:33- When am I going to fly? - When are you going to fly?
0:10:33 > 0:10:35As soon as we can get you over there, OK?
0:10:35 > 0:10:37So he has hit a car, then?
0:10:37 > 0:10:42Yeah, he said he thought the road was clear, saw the car coming,
0:10:42 > 0:10:46pulled in and he's hit the left-hand side of the car.
0:10:46 > 0:10:51The team know the details of Tim's accident could give hospital doctors vital clues.
0:10:51 > 0:10:54Did you try and get up off the floor straightaway?
0:10:54 > 0:10:58No, I took my helmet and gloves off straightaway,
0:10:58 > 0:11:01- sat up and looked at my foot.- OK.
0:11:01 > 0:11:06- The one that was killing me. - This case is close to home for paramedic Glenn.
0:11:06 > 0:11:07He's a biker himself.
0:11:07 > 0:11:09Is it a 600F?
0:11:09 > 0:11:12- Yeah.- I had to sell mine last year.
0:11:12 > 0:11:15I'm thinking of selling mine.
0:11:15 > 0:11:19Yeah, I won't be riding mine no more.
0:11:19 > 0:11:22Half an hour ago, Tim was out for a ride in the country.
0:11:22 > 0:11:27Now he's on his way to hospital, awaiting a decision that could change his life.
0:11:27 > 0:11:30He may lose that, to be honest with you, by the look of it.
0:11:34 > 0:11:39Coming up, there's a serious setback as doctors begin the fight to save their patient's leg.
0:11:39 > 0:11:43His bone's visible, there's lots of contamination from grass.
0:11:43 > 0:11:46The trapped passenger takes a turn for the worse.
0:11:46 > 0:11:50Find out what her obs are, then we can make a clinical decision.
0:11:50 > 0:11:55And the team hit the tourist trail as a visitor collapses at a rocky attraction.
0:11:55 > 0:11:59If you feel at all dizzy, we'll sit straight back down to where I am, yeah?
0:12:09 > 0:12:12Break an arm or a leg and you could be up and about within a few weeks.
0:12:12 > 0:12:15But fracture your skull and your life's in danger.
0:12:15 > 0:12:19And that's why we're all encouraged to wear a cycle helmet.
0:12:20 > 0:12:22The market town of Skipton
0:12:22 > 0:12:26is known as the Gateway to the Dales for good reason.
0:12:26 > 0:12:30For millions of motorists heading out of Yorkshire's big cities,
0:12:30 > 0:12:32this is where the hills and the jams begin.
0:12:32 > 0:12:38Luckily for the locals, the town has a busy bypass, leaving its shopping streets relatively quiet.
0:12:38 > 0:12:44But today, one local has been the victim of a serious accident on it.
0:12:44 > 0:12:46It's a bit of a murky Sunday morning,
0:12:46 > 0:12:50we've been called out to a road-traffic collision
0:12:50 > 0:12:54out towards Skipton at the junction of two major A-roads.
0:12:54 > 0:12:57It's a cyclist and a car.
0:12:57 > 0:13:02There is an off-duty paramedic on scene, who says there is some serious injuries involved in this,
0:13:02 > 0:13:06so based on that limited information, we've deployed on it.
0:13:06 > 0:13:0963-year-old Margaret Rouse was out on her bike
0:13:09 > 0:13:12when she was involved with a collision with a car.
0:13:12 > 0:13:13She's badly hurt.
0:13:13 > 0:13:15It's not the best at the moment.
0:13:15 > 0:13:18We're trying to make our way down the valley, er...
0:13:18 > 0:13:24Quite low cloud, a little bit murky here and there, so we're just hoping for the best, see how we get on.
0:13:24 > 0:13:28They're heading to a roundabout that was the scene of an identical crash last year.
0:13:28 > 0:13:30That cyclist almost died.
0:13:30 > 0:13:32Typical - fences.
0:13:32 > 0:13:39There is lighting stanchions all the way around this roundabout by the looks of it.
0:13:39 > 0:13:45Motorists, including an off-duty nurse, have already begun Margaret's treatment.
0:13:45 > 0:13:50She wasn't wearing a helmet, and it's feared she has a fractured skull.
0:13:50 > 0:13:54As far as we gather, the lady on a push-bike is coming around the roundabout.
0:13:54 > 0:14:00Another lady in a car coming out of the roundabout has pulled out and clipped her.
0:14:00 > 0:14:03Lady's gone over the handlebars, hit her head on the floor.
0:14:03 > 0:14:06No loss of consciousness, as far as we know,
0:14:06 > 0:14:10but she does have quite a head injury, so she needs to be lifted to the LGI.
0:14:10 > 0:14:15Margaret lives nearby and had nipped out for a spin on an early spring weekend.
0:14:15 > 0:14:19Now she's confused and showing signs of a serious head injury.
0:14:19 > 0:14:21Got to secure it somehow, haven't we?
0:14:21 > 0:14:24We've got two RRVs on scene. The ambulance is a fair way away.
0:14:24 > 0:14:27Al's going to get us a spinal board and some further equipment,
0:14:27 > 0:14:31then we're going to immobilise as just a matter of caution, really.
0:14:31 > 0:14:35She's got quite a nasty head injury, so we're going to deal with that
0:14:35 > 0:14:39and we think we'll pop her into the LGI and look at her, it's an isolated head.
0:14:39 > 0:14:42Paramedic Daz knows this case is serious.
0:14:42 > 0:14:48They'll dress her wound, but she urgently needs an X-ray and scan in hospital.
0:14:48 > 0:14:52- Here we go.- Marvellous. - I've got you, Margaret, I've got you.
0:14:52 > 0:14:55- I'm all dizzy. - Are you all dizzy?- Yeah.
0:14:55 > 0:14:56This patient's got a head injury,
0:14:56 > 0:15:00and although there's no evidence that she's damaged her spine,
0:15:00 > 0:15:02with a head injury we'd always immobilise
0:15:02 > 0:15:05just as a matter of caution, to be on the safe side, really.
0:15:05 > 0:15:08Are we ready? Two, three, and lift.
0:15:08 > 0:15:11Okey-doke, we're going up that banking.
0:15:11 > 0:15:15The holiday season is stretching local emergency crews to the limit.
0:15:15 > 0:15:20The nearest available ground ambulance was in Todmorden, 25 miles away.
0:15:20 > 0:15:23Its crew have done well to arrive so quickly.
0:15:23 > 0:15:25- Where will she be going now?- LGI.
0:15:25 > 0:15:27- Where's that?- Leeds.- Leeds.
0:15:27 > 0:15:30Margaret's husband Paul was enjoying a lie-in at home
0:15:30 > 0:15:33when his granddaughter told him about the accident.
0:15:33 > 0:15:34He's rushed to the scene.
0:15:34 > 0:15:36She just came to the door and said,
0:15:36 > 0:15:40"Margaret's had an accident on her bike," you know.
0:15:40 > 0:15:41Must've been a shock for you.
0:15:41 > 0:15:44I were in bed. I was still in bed.
0:15:44 > 0:15:48Wearing a helmet could've prevented Margaret's injury.
0:15:48 > 0:15:54Cos we live on the main road, and most of the bikers coming past all have helmets on.
0:15:54 > 0:15:57I keep saying, "Put your helmet on, put your helmet on,"
0:15:57 > 0:16:01but she said, "No, it irritates me, it falls over my eyes
0:16:01 > 0:16:04"and I can't see and everything," you know.
0:16:04 > 0:16:07He'll play hell with me, my husband, cos I won't wear that helmet.
0:16:07 > 0:16:11- Well, Margaret... - It annoys me so much.
0:16:11 > 0:16:14- We've said so many times, "Wear your helmet."- I know.- Honest.
0:16:14 > 0:16:19- You might've got a few bumps and grazes, but you wouldn't have bumped your head, would you?- No, I know.
0:16:19 > 0:16:23- When you get back on your bike, are you going to wear your helmet?- Yeah.
0:16:23 > 0:16:27- Are you sure? - This isn't the first accident Margaret has had on her bike.
0:16:27 > 0:16:32I've had a few accidents. You wouldn't believe what I did. It were a bit softer, than this.
0:16:32 > 0:16:34I cycled into the canal.
0:16:34 > 0:16:35You cycled into the canal?
0:16:35 > 0:16:37- Yeah.- Were it an hot day?
0:16:37 > 0:16:40- No, it were January. - That's not good, is it?
0:16:40 > 0:16:42No, it were a good job I could swim.
0:16:42 > 0:16:44I bet you got out a lot faster than you got in.
0:16:44 > 0:16:50Outside of work, paramedic Al Day is a keen walker, climber and cyclist.
0:16:50 > 0:16:54He, more than anyone, knows the importance of wearing protective head gear.
0:16:54 > 0:16:57I wear a helmet for anything, really.
0:16:57 > 0:17:03I wear a helmet when I'm skiing as well, which not many people do, but I've just been
0:17:03 > 0:17:05to too many head injuries not to, really.
0:17:05 > 0:17:12Most patients are flown direct to the nearest hospital, but Margaret's injuries are potentially so serious
0:17:12 > 0:17:19she's being taken to the regional trauma unit at Leeds General Infirmary, an hour's drive away.
0:17:19 > 0:17:21Are you all right there, Margaret?
0:17:21 > 0:17:26When Margaret is seen by specialists, it turns out she's had a lucky escape.
0:17:26 > 0:17:32Although she's had to have many stitches in her head, a scan reveals she hasn't damaged her brain.
0:17:32 > 0:17:38Margaret's head is very tender, and she's kept overnight in hospital for observation.
0:17:38 > 0:17:41But the following day, doctors say she's fit enough to leave.
0:17:41 > 0:17:45Her husband Paul is coming to collect her and take her home.
0:17:45 > 0:17:50I can remember screaming and flying through the air, and then the next thing I know,
0:17:50 > 0:17:54I was on the floor and people were round me immediately.
0:17:54 > 0:17:58Well, my head was hurting, but I didn't have any pain anywhere else,
0:17:58 > 0:18:02it was just my head, at the back here.
0:18:02 > 0:18:07Erm, and I was really more frightened of the other traffic going past. I thought,
0:18:07 > 0:18:10"I don't want to be run over while I'm on the floor."
0:18:10 > 0:18:13Margaret knows she should've been wearing a cycle helmet.
0:18:13 > 0:18:18Her reason for not doing so doesn't sound very convincing.
0:18:18 > 0:18:20For some reason, I don't know if it's when you
0:18:20 > 0:18:24get older, things irritate you more, and I'm trying to itch my head,
0:18:24 > 0:18:26you know, with the helmet on,
0:18:26 > 0:18:31which is not much good, and that's why I haven't worn it, basically.
0:18:31 > 0:18:38Seven weeks later, and now it's the perfect weather for cycling in the Yorkshire Dales.
0:18:38 > 0:18:43Despite her bad experience, Margaret is determined to get back on her bike.
0:18:43 > 0:18:47But her husband Paul is insisting she now wears a helmet.
0:18:47 > 0:18:51He said he won't allow me to go out unless I have a helmet on,
0:18:51 > 0:18:56but I wouldn't argue with him at all,
0:18:56 > 0:19:00because I myself wouldn't go without a helmet now, ever.
0:19:00 > 0:19:02Every time I see someone without a helmet,
0:19:02 > 0:19:06I do feel like saying, "Get a helmet on, you don't know what happened to me,"
0:19:06 > 0:19:09you know? But I keep my mouth shut.
0:19:10 > 0:19:16Coming up, a biker's family wait for news as surgeons fight to save his leg.
0:19:16 > 0:19:20The plan now is to take him for a CT, make sure that we're not missing anything.
0:19:20 > 0:19:25And a family trip to a stately home ends with a painful bump.
0:19:30 > 0:19:33Now, let's return to North Yorkshire, where the team
0:19:33 > 0:19:37is battling to release the occupants of a wrecked sports car.
0:19:37 > 0:19:42On a country road near York, a powerful sports car is being slowly
0:19:42 > 0:19:48cut apart in a battle to free four people trapped when it left the road and hit a line of trees.
0:19:51 > 0:19:55The 195mph sports car had been specially adapted for its driver.
0:19:55 > 0:19:59He's paralysed from the waist down following another car crash.
0:19:59 > 0:20:05Just cos of the speed the car's come off the road, we're going to take precautions with your neck and back,
0:20:05 > 0:20:10- so we're going to put a board behind your back and getting you out with the board, OK?- OK.
0:20:10 > 0:20:15Paramedics Tony and Sammy have been treating a woman in the back seat.
0:20:15 > 0:20:20She has a suspected broken nose, but it's feared she may also have a spinal injury.
0:20:20 > 0:20:24- Can you remember what happened? - We come round the corner, and then it crashed.
0:20:24 > 0:20:27Tony's giving her morphine to dull the pain.
0:20:27 > 0:20:31Despite her seat belt, her face hit the back of the driver's seat
0:20:31 > 0:20:37as the car crashed, but Sammy's concerned about Jamie, the passenger in the front seat.
0:20:37 > 0:20:40I'm only observing from up here, but he doesn't look comfortable.
0:20:40 > 0:20:43Flying doctor Rob Anderson goes to check his condition.
0:20:43 > 0:20:48- Ideally, we'd like to put the needle into your hand.- Don't ask me again!
0:20:48 > 0:20:51But their patient's terrified of needles.
0:20:51 > 0:20:55If you feel like you need something for your pain, just say, OK?
0:20:55 > 0:21:00The team are worried. Jamie's agitated, and there are signs he could have internal injuries.
0:21:00 > 0:21:03He has a raised heart rate and a reduced blood pressure.
0:21:03 > 0:21:06There's no obvious sign of bleeding externally,
0:21:06 > 0:21:09so we suspect that something is going on internally.
0:21:09 > 0:21:13It might be that he's just a fit young man that's very anxious, but we'll play it safe.
0:21:13 > 0:21:15They're changing their priorities.
0:21:15 > 0:21:18Do you want to reprioritise? Are you happy for the lady
0:21:18 > 0:21:24to still be number one by the aircraft and not number two, front-seat passenger?
0:21:24 > 0:21:27I'd probably prioritise and take the passenger.
0:21:28 > 0:21:32Jamie's desperate to be out of the car, but the team need to protect
0:21:32 > 0:21:37his back from further injury, so he must stay where he is for now.
0:21:37 > 0:21:40When we move you, OK, we're going to try and be as gentle as we can.
0:21:40 > 0:21:44To do that, we're going to put like a big corset down your back, round your side,
0:21:44 > 0:21:49so when we move you, it's not moving your back about so it'll keep your pain under control, OK?
0:21:49 > 0:21:53We assessed the patient purely on the patient's blood pressure
0:21:53 > 0:21:54and how the observations were.
0:21:54 > 0:21:56Jamie's normally
0:21:56 > 0:21:59quite an anxious chap, he says, but the...
0:21:59 > 0:22:04blood pressure was a little bit low, and his heartbeat was going quite quickly. Even though he's
0:22:04 > 0:22:11not complaining of any injuries, I've seen similar incidents of high speed accidents turn out
0:22:11 > 0:22:15to have patients who have nasty chest internal injuries,
0:22:15 > 0:22:18bleeding into the chest, which we can't detect without scans.
0:22:18 > 0:22:23All four patients do still remain in the car, and it's possible we may be
0:22:23 > 0:22:25reprioritising and having a young male.
0:22:25 > 0:22:29Sammy's concerned that the operation to free her patients is taking too long.
0:22:29 > 0:22:31It's almost an hour since the accident.
0:22:31 > 0:22:37Just a general announcement, this RTC was one hour now, so if we can...
0:22:37 > 0:22:39And there's bad news from the fire brigade.
0:22:39 > 0:22:45If it is an electric seat, we may have to start looking at cutting away at the bottom of it
0:22:45 > 0:22:48to further strut it, then it should lay back.
0:22:48 > 0:22:50But we won't be able to tell that until we have a proper look.
0:22:50 > 0:22:53- There's a manual device there.- Yeah.
0:22:53 > 0:22:55- Electric.- Is it? Fair enough.
0:22:55 > 0:22:58We might have to knife open the back of the seat
0:22:58 > 0:23:04so we can see the strutting and then it'll be a saw-type job to cut away those struts so we can lean it back.
0:23:04 > 0:23:09The four occupants of the car are tightly packed.
0:23:09 > 0:23:12Without being able to move its hi-tech seats, squeezing their patients out
0:23:12 > 0:23:17while keeping their backs rigid will be very difficult.
0:23:17 > 0:23:20And Jamie's going to have to wait even longer for release.
0:23:25 > 0:23:31Coming up - there's another setback as the fight to free the injured passenger reaches its climax.
0:23:31 > 0:23:35We're having to take out the people in the back first to be able to lift the people out in the front.
0:23:35 > 0:23:41And up in the Pennines there's an unlucky break for a charity walker.
0:23:41 > 0:23:43- This is Linda.- You all right there?
0:24:01 > 0:24:03Imagine losing part of a limb.
0:24:03 > 0:24:06For some people, it's like a bereavement.
0:24:06 > 0:24:09No wonder the Helimed team are determined to make sure
0:24:09 > 0:24:15a badly injured biker walks again, despite a lower leg that's been almost severed.
0:24:15 > 0:24:19Right, Tim, we're going to leave you with these guys now.
0:24:19 > 0:24:22Biker Tim Rose, on his way to hospital in Leeds after an accident
0:24:22 > 0:24:26on a country road that has almost severed his left leg.
0:24:26 > 0:24:29It took the full force of a collision with a car.
0:24:29 > 0:24:34And if it hadn't been for his armoured boot, it could have been even worse.
0:24:34 > 0:24:36Left foot
0:24:36 > 0:24:40is virtually amputated
0:24:40 > 0:24:43as a result of the accident.
0:24:43 > 0:24:47Tim's in danger of causing further damage to his leg. It's almost severed.
0:24:47 > 0:24:48Keep your right knee where it is.
0:24:48 > 0:24:52- It's more comfy. - I know...- For me to put that up.
0:24:52 > 0:24:55You'll cause your foot to be injured even worse if you do that.
0:24:55 > 0:24:57It's not the one that's hurt.
0:24:57 > 0:24:59- What - you want to bring your right one up?- Yeah.
0:24:59 > 0:25:01Just try and keep it where it is. You've got straps all the way round.
0:25:01 > 0:25:04You've got to just stay like that, I'm afraid.
0:25:04 > 0:25:05But Tim knows he's lucky to be alive.
0:25:05 > 0:25:11- Seven years ago, his younger brother was killed in a motorbike accident. - Tim?- Yeah.
0:25:11 > 0:25:16I know it's hard but try and breathe without grunting, I just want to have a quick listen to that chest.
0:25:16 > 0:25:19HE BREATHES HEAVILY
0:25:19 > 0:25:24In...and out. In...and out.
0:25:24 > 0:25:29It's rush hour on the roads of North Yorkshire as Leeds commuters head home.
0:25:29 > 0:25:32But pilot Steve Cobb has his own congestion to worry about.
0:25:32 > 0:25:38This is peak time for airliners heading in and out of the North's airports.
0:25:38 > 0:25:40RADIO: '...heading for LGI.'
0:25:42 > 0:25:45'Alpha Roger. Radar control. Another 2,000ft, straight to LGI.'
0:25:45 > 0:25:51Air Traffic Control try to give air ambulance flights priority.
0:25:51 > 0:25:54And tonight, Helimed 99 is ducking under the main
0:25:54 > 0:25:58approach path to the busy runway at Leeds Bradford Airport.
0:25:58 > 0:26:00Ready, steady - move.
0:26:00 > 0:26:02OK, all the way now.
0:26:02 > 0:26:04Ready, steady... And move.
0:26:04 > 0:26:08LGI's trauma team are already waiting for Tim.
0:26:08 > 0:26:12They're experts in saving damaged limbs using micro-surgery.
0:26:12 > 0:26:15You're going to be surrounded by doctors
0:26:15 > 0:26:18and nurses, and they're all going to be firing questions at you, OK?
0:26:18 > 0:26:20Questions that you've probably been asked already.
0:26:20 > 0:26:21Just bear with it and answer best you can.
0:26:21 > 0:26:28The decisions made over the next few hours will decide whether Tim walks on his own leg again.
0:26:28 > 0:26:30Going from top to toe the main injuries seem
0:26:30 > 0:26:33to be down his left-hand side and his foot is the main one of concern.
0:26:33 > 0:26:37Very nasty injury there, there's bone visible,
0:26:37 > 0:26:39lot's of contamination from grass and things like that
0:26:39 > 0:26:42so it's primarily orthopaedic injuries that he's got.
0:26:42 > 0:26:44The plan now is to take him for a CT to make sure we're not
0:26:44 > 0:26:47missing anything, but those initial X-rays do look fine.
0:26:47 > 0:26:51It's going to be down to the orthopaedic surgeons to take him to theatre, give it a really good clean
0:26:51 > 0:26:53and see whether or not the foot is salvageable.
0:26:53 > 0:26:55Fingers crossed - hopefully, it will be.
0:26:55 > 0:26:59Under the next two days, Tim undergoes several operations.
0:26:59 > 0:27:02The impact of the crash crushed the bones and tissue in his limb
0:27:02 > 0:27:07so badly that the surgeons are forced to amputate his leg below the knee.
0:27:07 > 0:27:11Tim vividly remembers everything that happened on the day of the accident,
0:27:11 > 0:27:15including the unbearable pain that he felt.
0:27:15 > 0:27:17Somebody asked me
0:27:17 > 0:27:22to describe the pain on a 1-10 scale and I said no, 20!
0:27:22 > 0:27:25It was just immense.
0:27:27 > 0:27:30I wouldn't want anybody else to go through
0:27:30 > 0:27:32that pain whatsoever.
0:27:32 > 0:27:36Losing a limb is one of the most traumatic injuries you can suffer.
0:27:36 > 0:27:39Nurses on the ward have specialist training for dealing with not only
0:27:39 > 0:27:44the physical injury but also the mental recovery.
0:27:44 > 0:27:47Emotionally, I've cried because...
0:27:49 > 0:27:52..of what I've put the rest of my family through.
0:27:52 > 0:27:56Or what my family are going to go through, because a lot of them still haven't seen me yet.
0:27:56 > 0:28:01A lot of them still haven't been able to get from Kent to visit me.
0:28:01 > 0:28:03You know...
0:28:03 > 0:28:09People don't want to see their parents or grandparents with a limb missing.
0:28:11 > 0:28:16Very few bikers are put off their hobby, even after the most serious of accidents.
0:28:16 > 0:28:19In Tim's case, this is even more surprising.
0:28:19 > 0:28:22I've had a brother younger than me,
0:28:22 > 0:28:24seven years ago
0:28:24 > 0:28:28ruptured his heart on a bike accident.
0:28:28 > 0:28:32So I'm lucky to be here.
0:28:32 > 0:28:36I'm grateful to everybody - the staff at LGI,
0:28:36 > 0:28:39air ambulance that got me here...
0:28:39 > 0:28:43Bless 'em. You know...angels of the sky, they've got to be.
0:28:47 > 0:28:53Coming up - the patient at the centre of a major rescue operation is finally prepared for takeoff.
0:28:59 > 0:29:04When summer comes to the Yorkshire countryside, the day-trippers are never far behind.
0:29:04 > 0:29:08And no wonder, with places like this to visit.
0:29:08 > 0:29:15But for an unlucky few, a grand day out ends with a medical emergency.
0:29:15 > 0:29:18The magnificent Chatsworth Estate is home to
0:29:18 > 0:29:21the Duke and Duchess of Devonshire, and a major tourist attraction.
0:29:21 > 0:29:26But this treasure house is also a star of film and television.
0:29:26 > 0:29:31Most notably for the Keira Knightley movie, The Duchess.
0:29:31 > 0:29:36Today, Helimed 99 is on its way to the 1,000-acre park designed by the legendary landscape gardener
0:29:36 > 0:29:43Capability Brown, to rescue a seven-year-old boy who's fallen out of a tree.
0:29:43 > 0:29:46Isaac is on a walking holiday with his mum and dad and they decided
0:29:46 > 0:29:52to spend the first day of their week long trip exploring the grounds of Chatsworth House.
0:29:52 > 0:29:54How are we doing, Isaac?
0:29:54 > 0:29:57How's that feel? Uncomfortable? Squeeze this hand for me, Isaac.
0:29:57 > 0:29:59Great job.
0:29:59 > 0:30:01Now squeeze this hand.
0:30:01 > 0:30:04Great job. Wiggle this toe for me.
0:30:04 > 0:30:06And this one. Good boy.
0:30:06 > 0:30:09Isaac, what we're going to do is move up to the helicopter now.
0:30:09 > 0:30:12Mum's coming with us so there's nothing to worry about.
0:30:12 > 0:30:14We'll have a proper look at you on there. get you out of the cold.
0:30:14 > 0:30:1812ft is a long way for a seven-year-old to fall.
0:30:18 > 0:30:22Paramedic James Vine is concerned that Isaac has damaged his spine.
0:30:22 > 0:30:25The sooner he gets to hospital the better.
0:30:25 > 0:30:28Have you been on a helicopter before, Isaac?
0:30:28 > 0:30:30Whereabouts?
0:30:30 > 0:30:36Was he knocked out at all, Mum? No, cried straightaway. This is Isaac.
0:30:36 > 0:30:38He just fell off the tree.
0:30:38 > 0:30:42Climbing on the tree and was trying to get off it and fell off backwards.
0:30:42 > 0:30:44Landed on his back.
0:30:45 > 0:30:50Isaac, we're just going to do a couple of checks, there's nothing to worry about.
0:30:50 > 0:30:53Just checking your blood pressure and making sure your pulse and everything is OK.
0:30:53 > 0:30:55All right - how's that pain?
0:30:55 > 0:30:58- It's a bit better. - Is it very bad or is it just bad?
0:30:58 > 0:31:00Just bad.
0:31:00 > 0:31:08Roger, seven-year-old male, normally fit and well, fallen approximately 12ft from tree onto his back.
0:31:08 > 0:31:11Complained of mid-thoracic pain.
0:31:11 > 0:31:15Primary survey is clear, no altered neurology.
0:31:15 > 0:31:18Vital signs all within normal limits.
0:31:18 > 0:31:21We'll be lifting in about five minutes. Over.
0:31:21 > 0:31:23It was fine, all the indications are quite good.
0:31:23 > 0:31:25He's fallen and thankfully he's gone onto the
0:31:25 > 0:31:27soft ground, so that's a good thing,
0:31:27 > 0:31:28and he's landed flat onto his back, again,
0:31:28 > 0:31:30which is quite a good thing.
0:31:30 > 0:31:35Everything's moving, he's got full sensation in every limb.
0:31:35 > 0:31:37The painkillers are making Isaac sleepy, but the noise
0:31:37 > 0:31:42from the helicopter's powerful engines can be overwhelming.
0:31:42 > 0:31:44- Two minutes.- Right, thank you.
0:31:44 > 0:31:47He'll be seen by the specialist doctors there.
0:31:47 > 0:31:49Right, OK, thank you.
0:31:49 > 0:31:53Seeing your child in pain is heart-wrenching for every parent,
0:31:53 > 0:31:58and James has to reassure Mum that Isaac is going to be OK.
0:31:58 > 0:32:00I don't think there's anything for you to worry about.
0:32:02 > 0:32:04'It doesn't feel like
0:32:04 > 0:32:07'there are any steps or any deformities or anything like that.'
0:32:07 > 0:32:14When Isaac gets to hospital, doctors confirm that he hasn't done any permanent damage to his back.
0:32:14 > 0:32:21Two of his vertebrae are cracked, but because Isaac is so young, they will heal by themselves.
0:32:21 > 0:32:25Many of Yorkshire natural attractions are in rugged places.
0:32:25 > 0:32:27And some are so far off the beaten track,
0:32:27 > 0:32:32the Helimed team is often called in to back up colleagues on the ground.
0:32:34 > 0:32:37The A1 is busy with holiday traffic heading north.
0:32:37 > 0:32:41Helimed 99 is about to touch down at the scene of a road accident.
0:32:41 > 0:32:44- 'They don't want us. - Did you get a waver?'
0:32:44 > 0:32:48Luckily, no-one's been hurt, and the helicopter isn't needed.
0:32:48 > 0:32:51But dispatcher Dave has another job for them nearby.
0:32:51 > 0:32:54I'm going to head you towards Brimham Rocks.
0:32:55 > 0:32:59Brimham Rocks is a collection of grit-stone rock formations
0:32:59 > 0:33:0110 miles west of Harrogate.
0:33:01 > 0:33:05It's spread over 50 acres and is difficult to get to by road.
0:33:08 > 0:33:13Unfortunately, it's also difficult to find a suitable place for the helicopter to land.
0:33:13 > 0:33:18Paramedic Sammy has to make the final part of her journey on foot.
0:33:18 > 0:33:21Good day, how are you? Hello, sir.
0:33:23 > 0:33:2619-year-old student Josh Simpson was out walking with his friend.
0:33:26 > 0:33:29He suddenly became very dizzy and keeled over.
0:33:29 > 0:33:33He does have a central frontal headache.
0:33:33 > 0:33:38It doesn't go anywhere else. No history of headaches, no history of loss of consciousness.
0:33:38 > 0:33:42Up until today, fit and well, not ailing a thing.
0:33:42 > 0:33:48- What was it that made you want to just sit down then, Josh?- I felt like a rest.- Just fancied a rest?
0:33:48 > 0:33:50Proper genuine teenager, then!
0:33:50 > 0:33:51- Yeah.- Yeah!
0:33:52 > 0:33:55- I haven't slept in three weeks, so...- Why's that?- I just haven't.
0:33:55 > 0:34:00So, the thing we've discovered is your blood sugar is quite low.
0:34:00 > 0:34:04Normal would be between 4 and 7.
0:34:04 > 0:34:06You're 2.9.
0:34:06 > 0:34:10Josh has eaten a meal recently, so it's important to find out why
0:34:10 > 0:34:13his blood-sugar level has dropped so low.
0:34:13 > 0:34:16We believe this patient's going to be conveyed by land.
0:34:16 > 0:34:20I'm just going to assist taking him down to the vehicle.
0:34:20 > 0:34:24You're OK where you are, Tone. I'll shout you if we need you, over.
0:34:24 > 0:34:26This is quite sweet.
0:34:26 > 0:34:30It's not the nicest thing in the world, but what it'll do is help get your blood sugar up.
0:34:30 > 0:34:33What I'd like you to do is put some between your gums and...
0:34:33 > 0:34:35- On the cheek?- Down there, yeah.
0:34:35 > 0:34:39We're just treating that with a sugary glucose gel.
0:34:39 > 0:34:42Hopefully that'll freshen him up a little bit, and then
0:34:42 > 0:34:48we'll take him to the ambulance and place him under investigation, find out what's wrong.
0:34:48 > 0:34:54The concentrated glucose gel has given Josh enough energy to stand and walk to the ambulance.
0:34:54 > 0:34:59- If you feel at all dizzy, we'll sit straight back down?- Right.
0:34:59 > 0:35:06It's a good job. He's 6ft tall, and carrying him on a stretcher would've meant calling out mountain rescue.
0:35:06 > 0:35:10One of the basic obs that we do - after checking airway, breathing and circulation -
0:35:10 > 0:35:16is their blood sugar, and on this occasion, young Josh... his blood sugar was quite low, 2.9.
0:35:16 > 0:35:21Your brain needs sugar to operate, and, for whatever reason, his blood sugar's low at the moment,
0:35:21 > 0:35:25so we've given him a glucose gel, it's brightening him up.
0:35:25 > 0:35:29My colleagues are just rechecking his blood sugar, but because it's the first instance for him,
0:35:29 > 0:35:34we're going to take him to hospital and let him be investigated as to why that's happened.
0:35:34 > 0:35:38For him, it's a simple problem but could have huge implications.
0:35:38 > 0:35:43He could've just sat down and stayed there and effectively gone to sleep until somebody had found him.
0:35:43 > 0:35:49Victorian engineers gave the North dozens of new landmarks - from giant mills to huge town halls -
0:35:49 > 0:35:54but few matched the monuments the railways brought with them,
0:35:54 > 0:35:56and they have their fair share of visitors too.
0:35:58 > 0:36:01This is the giant Ribblehead Viaduct.
0:36:01 > 0:36:09Completed in 1870, it's 100ft high, 400ft long, and carries the most scenic railway in England.
0:36:09 > 0:36:15The Settle to Carlisle line boasts stunning views, and it's Helimed 99's destination today.
0:36:15 > 0:36:18'Channel 0, we've got a rescue, Channel 6.
0:36:18 > 0:36:20'We're not sure at the moment whether we're going, because it's
0:36:20 > 0:36:24'a nasty type of injury, or because of the where they are.
0:36:24 > 0:36:28'So, it's quite a flight up for us, looking at the map.
0:36:28 > 0:36:30'It's in middle of nowhere, basically.
0:36:30 > 0:36:33'So, yeah, we'll see when we get there, but there's a good chance
0:36:33 > 0:36:37'it's mainly an access problem for the local crews as well as for the injury itself.'
0:36:37 > 0:36:41The team are trying to find a rambler who's fallen and injured her head minutes after getting off
0:36:41 > 0:36:45the train at Dent Station, the highest in England.
0:36:45 > 0:36:50But finding patients in the outsize landscape of the Three Peaks isn't easy.
0:36:50 > 0:36:55'Roger, 99. We're still having a hover around, we can't seem to find
0:36:55 > 0:36:58'anyone at the moment, there's nobody that's attracting our attention.
0:36:58 > 0:37:02'We've spotted the ambulance itself, but no crew as such.
0:37:02 > 0:37:05'Whether there's anyone inside or not, we're not quite sure, over.'
0:37:07 > 0:37:11Finally, they spot Joan Dickinson. She was out with her husband
0:37:11 > 0:37:14when she tripped on the rocky path down to the viaduct.
0:37:14 > 0:37:18She's gone down, she's tripped over, caught the bridge of her nose, lost a few teeth.
0:37:18 > 0:37:21I haven't looked at that one - there were nurses on scene.
0:37:21 > 0:37:23I've just had a look at that one, you can just see it's a bit...
0:37:24 > 0:37:26- So, what's your name again, sweetheart?- Sorry, love?
0:37:26 > 0:37:28- What's your name again?- Joan.- Joan.
0:37:28 > 0:37:33Right, Joan, obviously cos you're quite a way from the ambulance, we're just going to bob you
0:37:33 > 0:37:37in the helicopter and fly you down to where the ambulance is, OK?
0:37:37 > 0:37:39Her blood pressure's a little bit high.
0:37:39 > 0:37:42I think as long as we're nice and gentle, she can walk back
0:37:42 > 0:37:45to the land ambulance and be taken to hospital if necessary there.
0:37:45 > 0:37:47That's it, Joan.
0:37:47 > 0:37:49- There you go. Feel dizzy?- No.
0:37:49 > 0:37:51- You feel all right?- Mmm.
0:37:51 > 0:37:53Well, it's a free ride in a helicopter.
0:37:53 > 0:37:56One thing I didn't like doing.
0:37:56 > 0:37:59I used to think, I don't want to go in a helicopter.
0:37:59 > 0:38:01Joan's sight-seeing trip is over.
0:38:01 > 0:38:05She needs stitches, so Helimed 99 will give her
0:38:05 > 0:38:08the short flight down to the land ambulance parked under the viaduct.
0:38:11 > 0:38:16I was walking along the path and I just tripped up and went forward,
0:38:16 > 0:38:21banged my head, down to the ground and my nose, and did my teeth.
0:38:21 > 0:38:23Just a bit shocked, that's all.
0:38:23 > 0:38:29Sore, but the two nurses there helped me, which was lucky.
0:38:29 > 0:38:33And I'm pleased to say all our injured day-trippers have recovered.
0:38:33 > 0:38:36Now, here in North Yorkshire, paramedics Sammy and Tony
0:38:36 > 0:38:39have their work cut out dealing with a bizarre accident.
0:38:39 > 0:38:43For more than an hour, firefighters have been struggling to release
0:38:43 > 0:38:49four people trapped in a sports car that left a country road and smashed into a ditch.
0:38:49 > 0:38:54The driver, paralysed from the waist down in a previous crash, says he isn't hurt.
0:38:54 > 0:39:00But paramedics Sammy and Tony are concerned about Jamie, his front-seat passenger.
0:39:00 > 0:39:04He has a raised heart rate and a reduced blood pressure.
0:39:04 > 0:39:08There's no obvious sign of bleeding externally, so we suspect
0:39:08 > 0:39:09something is going on internally.
0:39:09 > 0:39:15At last, the first casualty of the crash is about to be released.
0:39:15 > 0:39:19Because of their potential injuries, we're having to take out
0:39:19 > 0:39:21the people in the back first to lift the people out in the front.
0:39:21 > 0:39:25They're in specialist sports seats that are unfortunately also
0:39:25 > 0:39:28electronic, so we can't just wind them back.
0:39:31 > 0:39:36The 23-year-old patient had joined three friends for a ride in the country.
0:39:36 > 0:39:42Now she's strapped to a rigid spinal stretcher and heading for the accident unit of York Hospital.
0:39:43 > 0:39:47Firemen have cut the supports in the back of Jamie's seat.
0:39:48 > 0:39:50It's just loosely on.
0:39:50 > 0:39:54Now they must gently ease him out. It's not going be easy.
0:39:58 > 0:40:00But at last, he's free.
0:40:00 > 0:40:03Right, got straps here, lads.
0:40:03 > 0:40:05He's had quite a high-speed deceleration injury
0:40:05 > 0:40:07from 60 miles an hour to nothing.
0:40:07 > 0:40:12Lucky, you know. Hit a tree, and, yeah, it's amazing no-one's
0:40:12 > 0:40:14more severely injured, really.
0:40:14 > 0:40:18Finally, Jamie's on his way to Helimed 99 for the 30-mile flight
0:40:18 > 0:40:22to the trauma unit of Leeds General Infirmary.
0:40:22 > 0:40:29Surgeons have already been alerted by flying doctor Rob Anderson, who rushed to the scene from his home.
0:40:29 > 0:40:32He's basically gone from 70 to nothing, straight into a tree pretty quickly.
0:40:34 > 0:40:36Jamie's beginning to calm down.
0:40:36 > 0:40:39He thought the car was on fire after the crash.
0:40:39 > 0:40:45Helimed 99, imminent lift, ETA to LGI about 15 minutes maximum, over.
0:40:46 > 0:40:51An accident with so many casualties places a strain on the NHS,
0:40:51 > 0:40:58and Helimed 99's speed is going to help out York Hospital's overstretched A&E unit.
0:40:58 > 0:41:03'It's always a case of assessing the patients and deciding which ones need to come out first in
0:41:03 > 0:41:07'priority of the severity of injury, but then sometimes you can't get to
0:41:07 > 0:41:08'them people, because somebody else is in the way.
0:41:08 > 0:41:12'In this case, all of the back-seat passengers need to physically
0:41:12 > 0:41:15'come out before we could get this patient out,
0:41:15 > 0:41:18'so quite a long extrication, really, but a really good team effort
0:41:18 > 0:41:19'with the fire service
0:41:19 > 0:41:24'and the land ambulance crews to get everybody out as soon as we could.'
0:41:25 > 0:41:31Just 15 minutes after leaving the accident scene, Jamie's arriving at Leeds General Infirmary.
0:41:31 > 0:41:34Slide - ready, steady, slide.
0:41:34 > 0:41:41He'll be undergoing a series of tests to establish whether he has indeed suffered internal injuries.
0:41:41 > 0:41:45Luckily for Jamie, after a one-night stay at the LGI, he's released -
0:41:45 > 0:41:50bruised but otherwise unhurt after what was a very lucky escape.
0:41:53 > 0:41:55When Helicopter Heroes comes back...
0:41:55 > 0:42:01the team faces a difficult rescue as a small boy is impaled on a metal spike.
0:42:01 > 0:42:04He has got another potential for it to go in him again.
0:42:04 > 0:42:07There's a serious accident on a moorland road.
0:42:07 > 0:42:10A climber's badly hurt in a freak fall.
0:42:10 > 0:42:15Just on the off-chance you've broken your neck, we'll take careful care of you.
0:42:15 > 0:42:18And World Cup fever lands a soccer-loving dad in hospital.
0:42:32 > 0:42:34Subtitles by Red Bee Media Ltd
0:42:34 > 0:42:36E-mail subtitling@bbc.co.uk