Episode 15 Helicopter Heroes


Episode 15

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If you're seriously ill

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or critically injured, every second counts,

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especially if you're up high or off the beaten track.

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But thanks to these guys, the people

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of the UK's biggest county

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are never more than ten minutes away from a hospital.

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The Yorkshire Air Ambulance can do 150 miles an hour,

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and every day brings a new life or death emergency.

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Five million people

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depend on these yellow helicopters

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to bring lifesaving care from the skies.

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When a multiple pileup closes Britain's highest motorway,

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or there's a serious accident on the shop floor,

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the highly trained paramedics and pilots of the Helimed team

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are there to rescue the casualties.

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Today, on Helicopter Heroes...

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the team faces a difficult rescue

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as a small boy is impaled on a metal spike.

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He has got another potential for it to go in him again.

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There's a serious accident on a moorland road.

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There's also a casualty in the back of the ambulance with chest injuries.

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A climber's badly hurt in a freak fall.

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Just on the off chance that you've broken your neck,

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we'll take nice careful care of you.

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And World Cup fever lands a soccer-loving dad in hospital.

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Something's happened to his foot and elbow.

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Paramedics are trained to deal with any medical emergency,

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but sometimes a case comes along

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that puts special demands on the entire crew.

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Deep in the Yorkshire countryside,

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hundreds of people spend their working lives

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carving out a living from the local rock.

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Quarrying is big business.

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But when the diggers are gone

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and the workings are grassed over,

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these are dangerous places.

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And on the slopes

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of these workings near Pontefract today,

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there's been a serious accident.

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'Service, what's your emergency?'

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'It's not an address, it's by a quarry in Upton

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'where a boy's fell down and has got a wire going into him

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'just under his rib cage, and it's trapped under his rib cage.'

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'So he's... So he's fallen.

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-'Has he fallen onto the wire?'

-'We just can't move him. He's in agony.'

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The Sheffield crew have just clocked on.

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I've put in the post code for the quarry.

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Pilot Tim Taylor doesn't hang about getting airborne.

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Helimed 98. We've now lifted en route to detail at Darlington.

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Revised bearing of 026.

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They're flying 20 miles north of Sheffield,

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and it sounds as though they need to get there fast.

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All we know is a three-year-old child's fallen,

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or for whatever reason,

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has got some wire sticking out of his chest.

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-The quarry there.

-So this is the quarry.

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We just need the whereabouts, where the child actually is.

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Helimed 98, yeah, we're overseeing now at Darlington.

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We've got a visual with the land vehicles.

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Tim puts the chopper down

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as close to the edge of the quarry as he can.

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What have we got?

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Their patient is tiny.

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Helimed 98, can you just...

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Paramedic Lee Gray needs backup.

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The little boy has gone down a steep slope

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and wire from the post has penetrated his chest.

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So he's no injures other way out, anywhere else?

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Not on long bone...

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The crew worry that three-year-old Ricky

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might have damaged his internal organs.

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The wire has gone in near his heart.

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Scoop's on its way.

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Ricky's dad was with him when the accident happened.

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After I slipped meself on pebbles, I let him go,

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and he's fell into his side into trees into a post,

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and wire off the post

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has gone into him and got stuck under his ribs.

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He has got another potential for it to go in him again.

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-Has that snapped off, or do you see...

-No, just as far as we're aware,

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that's the only entry site in him. Is he normally fit and well, Dad?

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-Yeah.

-Good boy. Nice breath for me.

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Good lad. Like you're blowing a balloon up.

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As Lee examines the wound,

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Ricky starts getting distressed.

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It's a bad sign.

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RICKY CRIES

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Listen, shall we give you some meds and stop that pain, eh?

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Shall we?

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Yeah? Good lad.

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Lee, should I get you a pedi collar?

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Sammy and Lee want to get out quickly

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and on the way to hospital.

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The wire from the post is unstable.

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They're going to have to move him with it still stuck in.

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I mean, either one,

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but I think scoop would just be a bit safer.

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The plan is, because he's down a steep slope,

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we're going to scoop him and bring him up.

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We've only got, literally, a rope.

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Ricky needs to get to hospital soon.

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They can cut the wire from the fence,

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but how much of it is still embedded in the little boy?

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He may be tiny, but getting him up the slope

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without causing any more damage is going to be difficult.

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Coming up - Ricky's rescue is going to be tricky,

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but Sammy and Lee come up with a rope trick.

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We're going to put you on one of them,

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and we're going to get you up out of the way, eh?

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There's a serious climbing accident in picturesque Wharfedale.

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There could be a serious head injury there,

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bleeding inside his head.

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And how you can be badly hurt in your own back garden.

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He just slid down, and I just saw my mum panicking.

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The Yorkshire Ambulance Service

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employs nearly 4,000 staff,

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and eight out of ten of them

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are in frontline jobs like these.

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24/7, 365 days of the year,

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someone is here to take your 999 call,

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and sometimes that call rings a bell

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at Helimed H.Q.

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Even in winter,

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the resorts of the Yorkshire Coast

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attract holiday makers.

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But on the moorland road to the seaside town of Whitby,

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one tripper's journey has ended in a serious accident.

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There's been a head-on crash between a car and a Land Rover.

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When you say, he's trapped,

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can you just explain a bit more?

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Right, no problems at all. It's the dashboard

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that's pushed right up onto him.

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So he just can't get out of the car. Right.

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Driver Max Moore is trapped behind the wheel of his Fiat.

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He and his wife were on their way

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to their mobile home by the sea.

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Now she's on her way to hospital,

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and Max's feet and legs are pinned beneath the dash.

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Sounds like the dashboard's come in

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and may be causing some problems to the abdomen,

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and so we've been dispatched.

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It's quite a ways to check up there,

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and so probably about 15, 20 minutes flying time.

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You've got stood traffic out there at about two o'clock.

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Looks about right sort of place

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-in relation to that road curving round.

-Yep.

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The accident's happened

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a long drive from the nearest trauma unit -

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20 miles away in Middlesbrough.

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But Steve manages to put the chopper down

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a few yards from the crash.

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OK, clear. Tail's clear. Good.

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Max has a badly dislocated hip.

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His right arm's broken,

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and he has injuries to his feet.

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He's in severe pain.

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How you doing? Yeah.

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He's trapped by his ankle.

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He's got some pain in his ankle and pain in his shoulder.

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-So we've got a fracture there.

-Hey, mate, you all right?

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-Do you need anything for pain, anything at all?

-Left leg's trapped.

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Local paramedics have tried to treat Max's pain,

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but gas isn't working.

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He needs morphine.

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Just for a second, lads.

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If you just stand back for five minutes, we'll get around

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and give him some morphine and get him settled.

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Is that all right with you, guys?

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What we're going to try to do first is get some IV access,

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get some pain relief into him, so that any sort of movement's

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going to be much more tolerable for him.

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Then the fire brigade can get down to their business

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of ripping the roof off, and we can extricate him

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with, hopefully, minimal fuss

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and minimal pain for the patient.

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So how much pain are you in?

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Sort of eight out of ten, or a five out of ten, or...

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-It's like a seven or eight at the time.

-A seven or eight.

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Max is a school chef.

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He and his wife were on their way

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from their home in County Durham to Whitby

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to buy carpet for their holiday home.

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The accident wasn't his fault.

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It would appear that one of the vehicles,

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travelling towards Guisborough

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has slowed down to turn right into the junction,

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which you can see behind me.

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The Land Rover coming behind that vehicle has

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seeing that vehicle, we believe, at the last minute

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swerved to avoid it, and then, unfortunately, hit the vehicle

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travelling the opposing direction,

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effectively a head-on collision.

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Being trapped can have serious consequences for patients.

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Crush injuries can lead to a build-up of toxins in the blood,

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and that can be deadly.

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Aah!

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OK, good. You're nearly well, mate.

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They need to get Max to hospital,

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but the steel shell of his Fiat is proving harder to cut

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than they expected,

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and Max is having difficulty dealing with the pain

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of his prolonged entrapment.

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-Aah!

-You're OK.

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Coming up - fire-fighters think they've freed Max,

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but his ordeal is not over yet.

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OK, ready, steady, and move.

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The experts arrive to help with little Ricky's rescue.

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-Hello, sir.

-You all right?

-We are.

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As you can see, there's our three-year-old's predicament.

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And the team rescue the victim

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of an unusual sporting accident.

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You can wiggle your feet for me OK, can you?

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Wiggle your fingers. Fabulous.

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It's the spectacular scenery of the Yorkshire Dales

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that makes this landscape so attractive to tourists.

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But these hills can also be deadly.

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The Cow and Calf Rocks above the spa town of Ilkley

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are a popular place for a day out.

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There are stunning views of the Wharfe Valley

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and, for some more adventurous visitors,

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rock faces that can challenge the most experienced climber.

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Off to a climber that's fallen at the Cow and Calf Rocks

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at Ilkley, quite a popular climbing spot.

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Yeah, I've got somebody on the floor

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in what looks like a space blanket around him

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in the quarry there,

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so in between all those paths.

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Pilot Chris Attrill has to make a precision landing.

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You guys want to hop out?

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The footpath is no wider than the chopper's skids.

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-How are you doing?

-Yeah, I'm OK.

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-What's you name, mate?

-Keir.

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Keir. OK. Do you know what happened?

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Student Keir Teasdale

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is being looked after by his climbing buddies.

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-I took a fall...

-Right.

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They're doing all the right things -

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keeping him warm, supporting his neck.

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-He wasn't wearing a helmet.

-Unfortunately not.

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You're going to get one for your birthday.

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I think I might do, yeah.

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He's fallen 20 feet onto his face.

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Al's worried.

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Nice deep breaths for me.

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Keir was leading, this climb up here,

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and he got onto that ledge up there,

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trying to get into that crack.

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Sometimes you can break your neck in a fall like this,

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which is, in itself, not a big deal.

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But if you break your neck, and there's some damage

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-to your spinal cord, that is a big deal.

-Yeah.

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So just on the off chance that you've broken your neck,

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we'll take nice careful care of you,

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keep you nice and wrapped up,

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and then if you have broken your neck,

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we can deal with it before there's any damage to your cord.

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All right, mate, it's not the most comfortable thing

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-in the world, this, OK?

-No.

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OK, there we go. That's a good fit.

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-RING TONE

-So we're happy with that.

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This patient's dropped, about halfway down

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the cliff face that you've looked at.

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He's landed on his face. He's sustained some injuries.

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Any injuries above the collar bone, clavicle,

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we treat those with a high suspicion of a spinal injury

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to go with it, so we completely immobilise him

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and make sure he's stable.

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The Cow and Calf Rocks

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are only a mile out of Ilkley town centre.

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But Cave Rescue have turned out to help

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with the final stage of getting Keir to the helicopter.

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Couldn't actually land it as close as we would like to,

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so, unfortunately,

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we had to land a little bit down below them.

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Normally, I like to drop the crew above

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so they've got to walk down.

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There could be a serious head injury there,

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bleeding inside his head.

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He could have other internal injuries from his fall.

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So although he seems OK,

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we're not going to be hanging around.

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We're gonna be getting him off to Leeds General Infirmary

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pretty sharpish just in case.

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Rock climbing accidents

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are surprisingly not that common.

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It's a very safety-conscious sport.

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But statistics show that when they do happen,

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it's almost always to inexperienced climbers.

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-Clear to land, mate?

-Yeah. No worries.

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Within minutes of leaving the rock face,

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Keir is landing at the Leeds General Infirmary.

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Falling 20 feet onto your face is going to hurt,

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but his broken nose and cracked teeth

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will be repaired.

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Amazingly, his spine wasn't damaged.

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-Keir was very lucky.

-One, two, three.

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He wants to get back to the rock face soon,

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and he's going to buy a helmet.

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Coming up - the battle to free a trapped motorist

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hits another setback.

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We're not going anywhere, guys.

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Something's wedged, I would suggest there.

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And a sporting dad has to sit out the World Cup

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after an embarrassing injury.

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This gentleman's fallen off this roof here

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where he got a nasty displaced fracture.

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Now let's return to the quarry in West Yorkshire

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where the team is struggling to rescue an injured boy

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badly hurt in a bizarre accident.

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Three-year-old Ricky is in agony.

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A piece of wire from an old fence post

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is imbedded in his chest.

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Ricky tumbled down the steep sides of the quarry

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when he was out with his dad.

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Can I just pop a little, a little scratch in your arm

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so we can get your some medicine and stop that tummy hurting?

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Yeah? Can I do all that for you?

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Your daddy's here. You going to be brave for us?

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-Yeah, he is.

-Good lad.

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All I'm going to do is, Dad, is just pop

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like a drip, and then we can give him some fluid,

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or some morphine or whatever just to help his pain.

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Open your eyes for me, Ricky.

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-Hello.

-Look at him.

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Are you going to have a little ride with your daddy

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-in this helicopter with us?

-Yeah.

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Yeah? Take you with your dad, eh?

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His arms are tiny, but they need to give Ricky

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pain-relieving morphine before they move him.

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-Hold onto Daddy's hand.

-Squeeze it.

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Little sharp scratch now.

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And good boy. Nice and still for me.

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Good boy. Well done, Ricky. Well done. Are you all right?

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Lee is worried the wire could have damaged internal organs.

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It's gone right into his chest.

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Well done, Ricky. What's hurting you, Ricky?

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-Tell me.

-Tell us where it's hurting.

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Tell me what's hurting you.

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This down there.

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Normally, to get a patient up a steep bank,

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the paramedics would wait for backup.

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But because Ricky is so tiny,

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they think they can lift him themselves.

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Sammy's making a makeshift hoist.

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Ricky, Ricky, we're all finished now.

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-No more sharp scratches.

-That's it now.

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But what I'm going to do is give you some medicine

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to make that pain go away a bit, eh?

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-Is that all right?

-Yes.

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Good lad. And then we'll slide you up this bank here.

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-So 1.4 to...

-1.4 to 2.9.

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The morphine dose is critical in small children,

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and Dad is with him for support.

0:16:290:16:33

The ropes aiding Ricky's escape from the slope

0:16:330:16:35

are normally used

0:16:350:16:37

to hold down the Helimed's rotor blades in high winds.

0:16:370:16:40

Paramedics in the field often have to improvise.

0:16:400:16:44

Ricky, you're going on like a little sled.

0:16:440:16:46

-Have you been on a sled in snow before?

-Yeah.

0:16:460:16:49

Yeah? We'll put you on one of them

0:16:490:16:51

and we'll get you up out of the way, eh?

0:16:510:16:53

You're going in my helicopter with your dad.

0:16:530:16:55

-Yeah.

-Yeah, you'll be able to tell all your mates, will you?

0:16:550:16:59

At last,

0:16:590:17:00

the fire brigade arrive to help in the rescue.

0:17:000:17:02

-Hello, sir?

-You all right?

-We are.

0:17:020:17:05

As you can see, there's our three-year-old's predicament.

0:17:050:17:08

Ricky's journey to hospital is about to begin.

0:17:080:17:10

Paramedic Lee knows he's likely to need surgery.

0:17:100:17:14

Good boy, Ricky.

0:17:140:17:16

Brilliant job.

0:17:160:17:19

Even though he's only three,

0:17:190:17:21

Ricky's mad keen on motocross.

0:17:210:17:23

He slipped and fell down the quarry side

0:17:230:17:26

when he and his dad were on their way to go biking.

0:17:260:17:29

There we go, little man.

0:17:290:17:30

We'll give you some more of this.

0:17:300:17:32

-Some more air.

-You might feel it tickle your nose, OK?

0:17:320:17:36

Dad's going to fly with the crew to the trauma unit.

0:17:360:17:39

His son's going to need an operation

0:17:390:17:41

to get the wire out.

0:17:410:17:43

Walking down the slope, that's when I slipped

0:17:430:17:45

and, obviously, I let go of him,

0:17:450:17:47

because I didn't want to bring him down with me.

0:17:470:17:49

He's gone into the side and come off worse than me.

0:17:490:17:51

Can I have your little thumb

0:17:510:17:53

to put this peg in like that? Yeah?

0:17:530:17:55

Despite paramedic Lee's adventure stories,

0:17:550:17:56

everyone's concerned about their tiny patient.

0:17:560:17:59

Coming up - surgeons operate to remove the spike

0:18:030:18:06

from little Ricky's chest.

0:18:060:18:08

And the off-duty medics go on a busman's holiday

0:18:080:18:11

to an air display.

0:18:110:18:13

It's amazing how safe you feel in your car.

0:18:210:18:24

But this metal cocoon can turn into a prison in a split second,

0:18:240:18:29

and a road accident can change your life.

0:18:290:18:32

On a moorland road near Whitby,

0:18:350:18:37

Max Moore is trapped in the wreckage of his Fiat

0:18:370:18:39

after a head-on crash with a Land Rover.

0:18:390:18:42

His wife's already on her way to hospital

0:18:420:18:45

with chest injuries, but her husband's in pain

0:18:450:18:47

and pinned by his legs.

0:18:470:18:48

-How do you feel? OK.

-Aah!

0:18:480:18:51

When you look at the wreckage of the car,

0:18:510:18:54

his injuries at the moment are relatively minor.

0:18:540:18:57

As you can see, the Land Rover, you know,

0:18:570:19:00

there's only going to be one winner if you hit one head-on.

0:19:000:19:04

Extensive damage to his car, and it's took the bumper

0:19:040:19:06

off the Land Rover, so for the moment, you know,

0:19:060:19:08

he's in a great deal of pain still

0:19:080:19:10

with a fracture to his arm.

0:19:100:19:13

But, hopefully, we can get him out soon

0:19:130:19:15

and get him on the way to hospital

0:19:150:19:17

and just relieve that pain a little bit more.

0:19:170:19:19

All right, Max, you just relax.

0:19:190:19:21

Don't try and help, because we'll do it all for you.

0:19:210:19:24

You just tell us if it hurts anywhere, OK?

0:19:240:19:26

Paramedic Tony's examined his patient thoroughly.

0:19:260:19:28

His pain suggests he's dislocated his hip,

0:19:280:19:32

-but he won't be able to confirm this until Max is freed...

-Aah!

0:19:320:19:36

..and that's proving harder than anyone thought.

0:19:360:19:38

The bodywork of the Fiat

0:19:380:19:40

is continuing to frustrate his rescuers.

0:19:400:19:42

I'll go ahead. So we'll go on move then, all right?

0:19:420:19:45

Everybody got a bit?

0:19:450:19:46

OK, ready, steady, and move.

0:19:460:19:49

We're not going anywhere, guys.

0:19:490:19:51

Something's wedged, I would suggest there.

0:19:510:19:53

Finally, they reach his feet,

0:19:530:19:56

but now there's another problem.

0:19:560:19:58

Max, deep breaths. Slow it down and deeper.

0:19:580:20:01

Max? Open your eyes for me, Max. Max?

0:20:010:20:04

That's better.

0:20:040:20:05

Hold on, Max. Hold on.

0:20:050:20:09

Those short breaths, Max, you're not getting

0:20:090:20:11

it into your lungs, so you're not going to benefit.

0:20:110:20:13

Deep, slow breaths.

0:20:130:20:15

That's great stuff, Max.

0:20:150:20:18

-Aah!

-Everybody got a bit then? We're going up about six inch.

0:20:180:20:21

-Ready, steady, move.

-Aah!

0:20:210:20:24

Great stuff.

0:20:240:20:25

At last,

0:20:250:20:27

Max is removed from his car.

0:20:270:20:29

The team know dislocations can cause internal bleeding,

0:20:290:20:32

and they need to be careful.

0:20:320:20:35

OK, I'm ready whenever you guys are ready.

0:20:350:20:37

Ready, steady, and move then. Nice and steady.

0:20:370:20:40

Yeah, yeah. It's on the top end.

0:20:420:20:44

Max is in pain,

0:20:440:20:46

but he can't stop thinking about his wife.

0:20:460:20:49

Is my wife all right?

0:20:490:20:51

Yeah, she's already gone.

0:20:510:20:52

She'll be well on her way to hospital now.

0:20:520:20:55

Doctors at the James Cook Hospital

0:20:550:20:57

at Middlesbrough have already been alerted to Max's arrival.

0:20:570:21:00

They'll know he'll probably need surgery.

0:21:000:21:03

Max has got some obvious lacerations,

0:21:030:21:07

but we're more concerned about any possible internal injuries.

0:21:070:21:10

He has been complaining of pain throughout his pelvic area,

0:21:100:21:12

so if he has got a fractured pelvis,

0:21:120:21:15

that can bleed quite significantly, internally.

0:21:150:21:18

He's also been complaining of pain down his right leg,

0:21:180:21:21

so, again, the big bone in his leg is his femur.

0:21:210:21:23

If that was fractured and to bleed internally,

0:21:230:21:26

then he could have a lot of blood loss.

0:21:260:21:28

His blood pressure's fine at the moment,

0:21:280:21:30

so we're not going to give him any fluids,

0:21:300:21:32

but we've got it set up just in case.

0:21:320:21:34

If he suddenly drops his blood pressure

0:21:340:21:36

significantly, then we can give him fluids.

0:21:360:21:38

It's all ready to go.

0:21:380:21:40

As usual, we treat for the worst-case scenario

0:21:400:21:42

and hope for the best.

0:21:420:21:45

Max will soon be in an operating theatre,

0:21:450:21:47

the first of three

0:21:470:21:50

surgical procedures he'll need.

0:21:500:21:52

Your good lady

0:21:520:21:53

will be in here, I'm sure.

0:21:530:21:56

He's been lucky to survive, and a week later,

0:21:560:21:58

he's recovering in a normal ward

0:21:580:22:01

with clear memories of his ordeal.

0:22:010:22:03

You think, you know,

0:22:030:22:05

I've been on that road hundreds of times before

0:22:050:22:08

in the past taking our children on holidays

0:22:080:22:10

to Whitby and to Scarborough,

0:22:100:22:13

and you always think that it's OK.

0:22:130:22:17

On this occasion, it wasn't.

0:22:170:22:21

But thank goodness, at the end of it,

0:22:210:22:24

I'm still alive and here to tell the story.

0:22:240:22:27

But it's through these wonderful people,

0:22:270:22:30

that they are the ones that have kept me alive.

0:22:300:22:34

Max is confined to bed for almost three months.

0:22:340:22:38

It means there's an important person missing

0:22:380:22:40

from Red House School.

0:22:400:22:42

He's the chef, and the kids are missing the man

0:22:420:22:45

behind their favourite menu.

0:22:450:22:47

But today they have a visitor.

0:22:470:22:50

Hey!

0:22:500:22:52

Good to see you all!

0:22:520:22:55

Hey! And you've all grown!

0:22:550:22:58

It's not for nothing Max is popular here.

0:22:580:23:02

Max always makes us laugh,

0:23:020:23:06

and he knows every single person

0:23:060:23:10

in the school's name.

0:23:100:23:13

And every year, we have a favourites day,

0:23:130:23:16

and each year group chooses their favourite meal,

0:23:160:23:20

and Max will then cook it.

0:23:200:23:23

A dislocated hip,

0:23:230:23:25

a broken right arm, and other injuries

0:23:250:23:28

mean Max is still in pain, despite the brave face,

0:23:280:23:31

and he still can't drive.

0:23:310:23:34

I'm not done and dusted yet.

0:23:340:23:36

I intend to get back to work.

0:23:360:23:38

And I would hope that it will be this year,

0:23:380:23:41

but, obviously, I'm in the hands of the hospital consultants.

0:23:410:23:46

Coming up -

0:23:490:23:52

little Ricky's mum and dad wait for news from the doctors.

0:23:520:23:55

Everyone loves some time off,

0:24:020:24:04

but it's amazing how often a weekend's relaxation

0:24:040:24:07

can end in a trip to A&E.

0:24:070:24:09

This is the Helimed team's idea of a good weekend.

0:24:090:24:12

He's got his AA sunglasses on.

0:24:120:24:15

Today, they're on a busman's holiday

0:24:150:24:17

to an air show.

0:24:170:24:19

RAF Waddington in Lincolnshire

0:24:190:24:21

stages one of the UK's biggest displays.

0:24:210:24:25

Plane-spotting doesn't strike me as the most hazardous hobby,

0:24:250:24:29

but you'd be surprised how an innocent pastime

0:24:290:24:31

can leave you in pain.

0:24:310:24:33

The most popular hobby in the UK is gardening.

0:24:360:24:40

We spend hours pruning, weeding,

0:24:410:24:43

mowing, and planting.

0:24:430:24:46

It's also the hobby that lands 87,000 people a year

0:24:460:24:49

in hospital A&E departments.

0:24:490:24:52

Help is requested by an ambulance to be on the scene

0:24:520:24:56

with a gentleman, we think he's fallen,

0:24:560:24:59

and snapped his upper leg, his femur.

0:24:590:25:01

Just had control on.

0:25:010:25:04

Apparently there is a field behind the ambulance,

0:25:040:25:07

and they've secured any livestock. Over.

0:25:070:25:09

Helimed 99 is looking for somewhere to land

0:25:090:25:12

in the picturesque village of Sawdon, near Scarborough.

0:25:120:25:15

There's been a gardening accident.

0:25:150:25:18

It's a big garden -

0:25:180:25:19

big enough to land a helicopter in.

0:25:190:25:23

-You all right?

-Ralph Fieldhouse has fallen while mowing the lawn.

0:25:230:25:27

He's really tensing up and he's screaming out

0:25:270:25:30

when we try and move him, aren't you, Ralph?

0:25:300:25:32

You're not happy with what we've given you so far?

0:25:320:25:34

He's landed awkwardly and has broken his leg.

0:25:340:25:36

So pain-wise, so we know how much pain you're in,

0:25:360:25:39

if you had to score it, nought being no pain at all,

0:25:390:25:42

ten worse you could imagine, what are you saying it is

0:25:420:25:44

-at the minute?

-Uh, probably 9/10,

0:25:440:25:47

-and an experience.

-So I would say

0:25:470:25:49

that you're still hurting a bit then.

0:25:490:25:52

The air ambulance carries the most powerful painkiller

0:25:520:25:55

a paramedic can deliver.

0:25:550:25:57

Lee prepares the morphine.

0:25:570:25:59

What we do, how we go on with morphine is w give you

0:25:590:26:01

a bit at a time until we get on top of your pain, all right?

0:26:010:26:04

So we'll give you a bit, see how we go

0:26:040:26:06

after a few minutes, a bit more if you need it,

0:26:060:26:08

rather than giving it all at once,

0:26:080:26:10

cos it sometimes makes you feel a bit sick.

0:26:100:26:12

Ralph has got himself wedged in an awkward place,

0:26:120:26:15

between his apple tree and beech hedge.

0:26:150:26:18

Moving him is going to be tricky and painful.

0:26:180:26:22

Just going to give him a bit more pain relief.

0:26:220:26:25

I mean, people vary on how they take pain relief.

0:26:250:26:28

It sometimes takes a little. It sometimes takes quite a bit.

0:26:280:26:31

So, this guy's had his first dose,

0:26:310:26:34

which has helped him, but it's not got him totally pain free,

0:26:340:26:37

so we're just going to give him a bit more.

0:26:370:26:40

-Yeah?

-Put your hands together, mate,

0:26:400:26:42

and make sure you keep them in, because if you put them out,

0:26:420:26:44

it sort of unbalances a bit.

0:26:440:26:46

It's not surprising Ralph is in such pain.

0:26:460:26:49

He has a history of leg and hip injuries.

0:26:490:26:51

He has five breaks below the knee,

0:26:510:26:54

and he's got a...

0:26:540:26:56

replacement knee and a replacement hip.

0:26:560:26:58

He had just gone round the corner and slipped.

0:26:580:27:01

Oh, my!

0:27:010:27:03

-He was wearing those stupid clogs.

-Oh.

0:27:030:27:06

So do you feel like your knee gave way,

0:27:060:27:09

or did you just trip?

0:27:090:27:10

-I-I slipped and then...

-You slipped.

0:27:100:27:13

-..and then my ankle went underneath.

-Right.

0:27:130:27:15

I see, it's only five minutes down to Scarborough.

0:27:150:27:19

The most common gardening accident

0:27:190:27:21

has nothing to do with a mower,

0:27:210:27:23

not even a hedge trimmer.

0:27:230:27:25

More than 115,000 gardeners

0:27:250:27:28

take a tumble every year.

0:27:280:27:30

But very few are lucky enough

0:27:300:27:32

to get the full Helimed treatment to the door

0:27:320:27:34

at their local Accident and Emergency department.

0:27:340:27:39

Back at the air show, the medics can relax,

0:27:390:27:42

but they know that the chances are

0:27:420:27:45

someone somewhere will need their air ambulance today,

0:27:450:27:48

and the two colleagues missing out on the display.

0:27:480:27:51

Unfortunately, we see the aftermath of, you know,

0:27:510:27:53

when good times go bad, really,

0:27:530:27:55

but you don't have to be going at 200 miles an hour

0:27:550:27:58

and flying upside down to have an accident.

0:27:580:28:01

32 nations,

0:28:010:28:03

736 players,

0:28:030:28:05

four years of anticipation.

0:28:050:28:07

The 2010 World Cup is in full swing,

0:28:070:28:10

and for many, it's a chance to leave work early.

0:28:100:28:13

Fans are gathering in city squares across the country

0:28:130:28:17

to see the action on big screens

0:28:170:28:19

and shops have done a roaring trade on memorabilia.

0:28:190:28:22

It's also inspired many amateur Wayne Rooneys

0:28:220:28:25

to have a kick around in the back garden.

0:28:250:28:28

Today's football victim

0:28:280:28:30

isn't on a pitch.

0:28:300:28:33

He's in his back garden, and a helicopter

0:28:330:28:36

is hovering above looking for somewhere to land.

0:28:360:28:38

The accident has happened on an estate in Yeadon,

0:28:380:28:41

a mile away from the helicopter pad.

0:28:410:28:44

He fell off the roof, fell off the shed roof up here

0:28:440:28:47

trying to get the football for a little boy.

0:28:470:28:50

Getting married in two and a half weeks.

0:28:500:28:53

Putting a twin jet-engined air ambulance down

0:28:530:28:55

in the middle of a housing estate

0:28:550:28:57

isn't an everyday occurrence, but pilot Chris Attrill

0:28:570:29:00

has spotted a handy helicopter-sized patch of grass.

0:29:000:29:04

-If I put you into that green field in at 4 o'clock...

-Yep.

0:29:040:29:08

You should be able to get through the back gate.

0:29:080:29:10

Richard Harrison has fallen off the roof of his garden shed

0:29:100:29:14

while retrieving a football.

0:29:140:29:16

God, that's the fastest I've run in years!

0:29:160:29:18

-Oh!

-We're getting married in two weeks.

0:29:180:29:22

As well as the cushion to support Richard's head,

0:29:220:29:25

step-daughter Evie has all the details.

0:29:250:29:30

What happened was, um, they were...

0:29:300:29:32

Oscar and my step-dad were playing football,

0:29:320:29:34

and it went over there,

0:29:340:29:36

so then Richard climbed up and onto the shed,

0:29:360:29:40

because he thought it was up there.

0:29:400:29:43

Then I was just in the kitchen, and he just...

0:29:430:29:46

slid down and I just saw my mum panicking,

0:29:460:29:50

so I went over to her and she said,

0:29:500:29:52

"Just get me the phone," so I went and got the phone,

0:29:520:29:55

and now you've all come, and he's broken...

0:29:550:29:57

Well, something's happened to his foot and elbow.

0:29:570:30:02

It seems like a simple accident, but it's not.

0:30:020:30:06

The ground paramedics who arrived first

0:30:060:30:09

noticed that Richard's toes were going white.

0:30:090:30:12

The break in his leg had cut off

0:30:120:30:14

the blood supply to his foot.

0:30:140:30:18

If paramedic Pete Vallance doesn't straighten it right now

0:30:180:30:21

and get the blood flowing again, he could lose it.

0:30:210:30:24

That's it, bud, hold on.

0:30:270:30:29

Keep going. Go on, nice deep breaths. Go on.

0:30:290:30:32

Richard's on the gas and air, but it's still going to hurt

0:30:320:30:35

when two of the air ambulance's beefiest paramedics

0:30:350:30:39

combine muscle power and skill to try and get

0:30:390:30:42

this misshapen foot back into the right line.

0:30:420:30:45

See, look. He's fine.

0:30:450:30:46

Everyone is feeling the pain,

0:30:510:30:55

but no one quite as much as Richard.

0:30:550:30:58

Despite a lot of effort,

0:30:580:31:01

there's still no pulse in the foot.

0:31:010:31:03

Pete's decided it's worth another go.

0:31:030:31:06

-Just have one last pull.

-Go on, go on.

0:31:060:31:08

Five good ones, Go on, mate.

0:31:080:31:10

After some strenuous manipulation,

0:31:130:31:17

it's worked.

0:31:170:31:19

Getting a little bit of colour back in your foot now.

0:31:190:31:22

When the bone's misplaced, it can cut off the circulation,

0:31:220:31:25

which is not good for the long-term effects on the foot.

0:31:250:31:29

So we've managed to do that. He's got nice pink toes now.

0:31:290:31:32

So we're happy and get him loaded on, and we'll fly him to LGI.

0:31:320:31:36

Richard's in enough trouble with his foot,

0:31:360:31:38

but there's more grief to come.

0:31:380:31:39

As he's loaded into the helicopter

0:31:390:31:42

for his journey on to hospital,

0:31:420:31:44

his partner reminds him that he has a date

0:31:440:31:47

at the registry office in a couple of weeks time.

0:31:470:31:50

Well, if we get there.

0:31:500:31:52

Will Richard make his big day,

0:31:520:31:55

or will his foot fall

0:31:550:31:57

stop the wedding plans in their tracks?

0:31:570:32:00

Two weeks later,

0:32:000:32:02

one day after his wedding day,

0:32:020:32:05

and Richard's still in hospital.

0:32:050:32:08

Me toes, me foot and me ankle were all smashed.

0:32:080:32:12

But again, hopefully, they've put the pins

0:32:120:32:15

and the plate in.

0:32:150:32:17

That should stay in forever, and I won't have

0:32:170:32:20

to come back and have them take it out,

0:32:200:32:21

so it's been quite lucky in that respect,

0:32:210:32:23

that I won't have to come back and have another operation.

0:32:230:32:26

Apart from a touch of the sun and some temporary deafness,

0:32:260:32:30

there's not much danger at the air show today,

0:32:300:32:32

and pilot Tim Taylor

0:32:320:32:34

likes to keep things in perspective.

0:32:340:32:36

It's important to have a holiday.

0:32:360:32:39

You're just as likely to have an accident at home,

0:32:390:32:42

you know, watching telly and doing nothing,

0:32:420:32:44

so it's important you don't let accidents

0:32:440:32:47

affect your frame of mind

0:32:470:32:49

and you just crack on with what you enjoy.

0:32:490:32:52

But if you're young, even the most ordinary day out

0:32:520:32:55

could land you in A&E.

0:32:550:32:59

Brimham Rocks near Harrogate

0:32:590:33:01

must be one of the UK's weirdest tourist attractions.

0:33:010:33:04

An extraordinary collection of boulders

0:33:040:33:06

weathered into bizarre shapes

0:33:060:33:09

by thousands of years of wind and rain.

0:33:090:33:12

It's a great place for a day out, but today,

0:33:120:33:15

there's been a nasty accident,

0:33:150:33:16

and Helimed 99 is being scrambled.

0:33:160:33:19

Reports of a nine-year-old that's fallen 50 feet.

0:33:190:33:23

The land crew are with him.

0:33:230:33:25

I don't know about his condition yet,

0:33:250:33:27

but obviously very concerned about falling 50 feet.

0:33:270:33:30

Ground paramedics are looking after nine-year-old Ryan Morgan,

0:33:300:33:34

a key member of the Boys Brigade.

0:33:340:33:36

-Hello.

-Back of the ambulance.

0:33:360:33:38

Is he in the back now? Great, thank you very much.

0:33:380:33:40

Are you a relative?

0:33:400:33:42

-He's with you?

-Yeah.

0:33:420:33:44

OK, then. Thank you.

0:33:440:33:46

He was on the rocks with his mates from Rochdale

0:33:460:33:48

when the accident happened.

0:33:480:33:50

No worry for a weekend at glass houses

0:33:500:33:52

on our annual camp.

0:33:520:33:53

They were climbing,

0:33:530:33:55

because that's what we've come to do,

0:33:550:33:57

with the two adults up there with them,

0:33:570:33:59

and Ryan had been told not to jump,

0:33:590:34:01

and he foolishly decided that he could manage the gap,

0:34:010:34:04

which he failed to do.

0:34:040:34:06

Yeah, it's a weekend away for the lads to enjoy.

0:34:060:34:09

We were canoeing this morning and stuff like that.

0:34:090:34:11

We were climbing rocks, and then...

0:34:110:34:13

Ryan was leaping from one boulder to another

0:34:130:34:17

when he fell, hitting several rocks on the way down.

0:34:170:34:20

His head hurts, but it looks like he's been very lucky.

0:34:200:34:23

-Can you give me a pain scale?

-Nine.

0:34:230:34:26

-Nine out of ten for his head.

-You need to stay awake, don't you, darling?

0:34:260:34:29

Shall we give him some Calpol?

0:34:290:34:31

-Do you want to come for a ride in my helicopter?

-Yeah.

0:34:310:34:33

-All right, then that's what we'll do.

-Can I come?

0:34:330:34:36

-Are you eight or nine, Ryan?

-He's nine.

0:34:360:34:38

Oh, definitely nine. Great boy.

0:34:380:34:40

Holiday-maker Brian Harris,

0:34:400:34:42

a fire-fighter out for the day with his son Jake,

0:34:420:34:45

helped care for Ryan.

0:34:450:34:47

Well, I heard somebody shout, "Oh, there's a lad fell

0:34:470:34:50

"from the top and fell in the ravine."

0:34:500:34:53

The two rocks join together,

0:34:530:34:54

so he tried to step from one to the other,

0:34:540:34:56

and fell down the crack, the crevice in between.

0:34:560:34:58

Right, you're going down, Neil.

0:34:580:35:01

Brimham Rocks are only a few miles from Harrogate

0:35:010:35:04

and its A&E unit.

0:35:040:35:07

-That's where Ryan is heading now.

-Open your mouth.

0:35:070:35:09

Last little bit, lad.

0:35:090:35:11

The rocks are owned by The National Trust,

0:35:110:35:14

and every year, an unlucky few visitors

0:35:140:35:17

end up with an unexpected aerial view of the attraction.

0:35:170:35:20

Paramedic Sammy was right to be cautious

0:35:230:35:26

about Ryan's case.

0:35:260:35:28

A few weeks later,

0:35:280:35:30

he's back home in Rochdale,

0:35:300:35:32

but he's been very lucky considering his injury.

0:35:320:35:35

I feel really lucky,

0:35:350:35:39

because some people could have died when they fell.

0:35:390:35:42

I fractured my skull

0:35:420:35:48

and cut all my back.

0:35:480:35:51

All my friends were on the rock next to me,

0:35:510:35:55

and I tried to jump across

0:35:550:35:57

to the one where all my friends were,

0:35:570:36:00

and I buckled on the other side and fell back.

0:36:000:36:03

And, when I hit one of the rocks,

0:36:030:36:06

I slid down halfway.

0:36:060:36:08

I feel happy that I survived

0:36:080:36:11

and just glad that I got out of...

0:36:110:36:17

got out of hospital quickly.

0:36:170:36:19

Now here's a sport

0:36:190:36:23

that you don't see that much of - lacrosse.

0:36:230:36:25

It may have a gentile image, but read the rules,

0:36:250:36:29

and you'll see that body-and-stick contact

0:36:290:36:32

is permitted.

0:36:320:36:34

That's why they need protective gear.

0:36:340:36:37

Yeah, all right!

0:36:370:36:40

How are you doing? This is George.

0:36:400:36:43

-18-year-old.

-OK.

0:36:430:36:44

He's been involved in a crunching tackle

0:36:440:36:46

whereby he felt his forehead has gone

0:36:460:36:48

-right down to his chest.

-Right.

0:36:480:36:50

18-year-old George Ievers

0:36:500:36:52

plays for Sheffield Steelers lacrosse team.

0:36:520:36:55

-He says he thinks he remembers what happened.

-His dad is the team's coach.

0:36:550:36:59

Final of the Yorkshire Shield Lacrosse Tournament.

0:36:590:37:03

George here got hit

0:37:030:37:05

by two of the Leeds players.

0:37:050:37:07

Crunch, and a bit of whiplash back.

0:37:070:37:09

-He got knocked out.

-George has come round.

0:37:090:37:12

He sounds groggy, but manages to explain

0:37:120:37:14

to air ambulance doctor Alison Walker

0:37:140:37:16

where the injury is.

0:37:160:37:18

-Hi. How you doing? What is your name?

-George.

0:37:180:37:20

George. How are you feeling, George?

0:37:200:37:23

-Sore in the back of the neck.

-Sore in the back of your neck?

0:37:230:37:25

Is it the bottom of your neck and the top of your back?

0:37:250:37:28

-Is that where it's sore?

-She's worried that he may have damaged his spine.

0:37:280:37:32

-Yeah, OK, any numbness or tingling anywhere?

-No.

0:37:320:37:34

You can wriggle your feet for me OK, can you?

0:37:340:37:37

Wiggle your fingers? Fabulous.

0:37:370:37:38

This is the news Dr Alison was looking for.

0:37:380:37:41

We've examined him, and he's got

0:37:410:37:44

normal feeling in his hands. He's got normal power

0:37:440:37:46

in his limbs, which is a very good sign.

0:37:460:37:48

Hopefully there isn't any significant injury.

0:37:480:37:51

The important thing now is to keep his neck

0:37:510:37:53

in the neutral position, and to safely move him somewhere

0:37:530:37:55

that they can do some further investigation, such as X-rays,

0:37:550:37:58

-to exclude any kind of injury.

-George is in great pain.

0:37:580:38:02

Paramedic Sammy Wills has the answer.

0:38:020:38:05

This is morphine.

0:38:050:38:06

All I'm doing is diluting it to make it easier to give,

0:38:060:38:08

and that'll give George a bit more pain relief.

0:38:080:38:11

He's not very comfortable as he is at the moment.

0:38:110:38:15

The medics are not taking any chances.

0:38:150:38:17

George is going to hospital to have his neck

0:38:170:38:19

thoroughly checked out.

0:38:190:38:21

He may be leaving the field of play injured

0:38:210:38:23

and on a stretcher, but he's still awarded

0:38:230:38:26

the Yorkshire Shield Player of the Tournament trophy.

0:38:260:38:28

And I'm pleased to say all our victims of weekend mishaps

0:38:330:38:36

are on the road to recovery.

0:38:360:38:38

But that's not the case with all the teams' patients.

0:38:380:38:42

Three-year-old Ricky fell down the side of a quarry

0:38:420:38:45

and impaled himself on a fence post.

0:38:450:38:48

A wire sticking out from it has got imbedded in his chest.

0:38:480:38:52

He's fell into his side into trees,

0:38:520:38:54

onto a post and wire off the post

0:38:540:38:57

gone into him and got stuck under his ribs.

0:38:570:39:00

As the crew leave the quarry for hospital,

0:39:000:39:03

it all goes very quiet.

0:39:030:39:05

Dad is understandably worried.

0:39:050:39:07

He's gone quite quiet, but he's had

0:39:070:39:10

that morphine from me, so that's just to get rid

0:39:100:39:12

of that pain, so we could get him in up here and back.

0:39:120:39:14

-All right?

-Yeah.

0:39:140:39:16

Helimed 98...

0:39:160:39:18

As they land on the rooftop helipad,

0:39:180:39:22

the trauma team below prepare to X-ray Ricky

0:39:220:39:25

to find out the wire's path through his body

0:39:250:39:28

and assess any damage.

0:39:280:39:30

It was difficult for the land crews

0:39:300:39:32

and ourselves, and Ricky was in so much pain

0:39:320:39:34

when we arrived down there, because, obviously, he'd got

0:39:340:39:37

this wire that penetrated via his ribcage as well,

0:39:370:39:39

so we had to get him settled off with some pain relief

0:39:390:39:41

before we could think of trying to get ourselves out of there

0:39:410:39:44

and stay on his own feet at the same time, really.

0:39:440:39:46

He did look a little bit Heath Robinson,

0:39:460:39:49

but what you've got to remember is that in a child

0:39:490:39:51

of three years old, it's extremely dangerous

0:39:510:39:53

for anything to be piercing into their abdomen,

0:39:530:39:55

or the chest area, so we wanted to get Ricky out of there

0:39:550:39:57

as soon as we possibly could to have a really good look at him

0:39:570:40:00

and get him through to LGI here.

0:40:000:40:02

After his X-rays,

0:40:020:40:04

Ricky was prepared for the operating theatre.

0:40:040:40:06

The surgeons worked on him that night,

0:40:060:40:10

and the next day, he was home.

0:40:100:40:12

Let's go on then. Come on. Let's go.

0:40:120:40:15

-OK.

-Ricky is still pursuing

0:40:150:40:17

a life of fun and adventure with his dad.

0:40:170:40:21

The quarry is currently out of bounds.

0:40:210:40:24

The front room is a safer playground.

0:40:240:40:28

It went in there just under his ribcage,

0:40:280:40:30

but it had, like, a knock on it, so it went

0:40:300:40:33

like that and a piece of wire about that long,

0:40:330:40:35

so it must have gone in, and then it was stuck up here.

0:40:350:40:37

But the piece of wood were up here. They cut it about here.

0:40:370:40:40

We were in the hospital and waited for ten hours.

0:40:400:40:43

Just strapped his back there.

0:40:430:40:45

But you can't take the biker out of this boy.

0:40:450:40:48

Mum and Dad are amazed.

0:40:480:40:52

Woke up about 7 o'clock in the morning.

0:40:520:40:54

-Just normal, really, as though nothing's happened.

-Nothing had happened, yeah.

0:40:540:40:59

Within an hour of being home, he was out playing on his bike.

0:40:590:41:02

He's been normal ever since.

0:41:020:41:04

Ooh!

0:41:040:41:06

When I first saw it, I just thought

0:41:060:41:09

his internal organs...

0:41:090:41:11

-That's what I thought.

-His lungs are around that area.

0:41:110:41:13

Just anything. I don't know how far it had gone across or anything.

0:41:130:41:17

-The hole there was like that.

-Mm-hmm.

0:41:170:41:19

I could more or less see into him,

0:41:190:41:21

-which wasn't a very good sight.

-Can I have your little thumb

0:41:210:41:24

-to put this peg in like that?

-The day of Ricky's big adventure

0:41:240:41:26

is not one that mum and dad will ever forget.

0:41:260:41:28

And the family have nothing but praise

0:41:280:41:30

for all the emergency services

0:41:300:41:33

-that turned out to help.

-They kept me calm, and they kept our Ricky...

0:41:330:41:36

Well, they were calm anyway, they kept calm.

0:41:360:41:38

They kept talking with him. They did a brilliant job.

0:41:380:41:41

Air ambulance, paramedics, and fire crew.

0:41:410:41:44

Even the operator I phoned up,

0:41:440:41:46

she was good, and the man who phoned me back,

0:41:460:41:49

he were an operator - they were all excellent.

0:41:490:41:51

Mum quite likes the idea of Ricky being restricted

0:41:510:41:54

to playground slides.

0:41:540:41:56

But both he and dad still have plans

0:41:560:42:00

for bigger thrills.

0:42:000:42:02

It's in my blood sort of thing. Me dad had motorbikes.

0:42:020:42:04

I've always had motorbikes.

0:42:040:42:06

My 13-year-old son's always had motorbikes,

0:42:060:42:09

and it's natural to me.

0:42:090:42:11

He's been around them all the time,

0:42:110:42:13

the noise and everything, he's just been round them,

0:42:130:42:15

and he obviously wanted to copy his big brother.

0:42:150:42:18

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