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If you're seriously ill or critically injured,
every second counts, especially if you are up high or off the beaten track.
But thanks to these guys, the people of the UK's biggest county
are never more than 10 minutes away from a hospital.
The Yorkshire Air Ambulance can do 150 miles an hour,
and every day brings a new life-or-death emergency.
Five million people depend on these yellow helicopters to bring life-saving care from the skies.
When a multiple pile-up closes Britain's highest motorway
or there's a serious accident on the shop floor, the highly trained paramedics
and pilots of the Helimed team are there to rescue the casualties.
Today on Helicopter Heroes -
There is a serious farm accident and a nine-year-old boy is fighting for his life...
He's climbed over it, swung on it and pulled it down like that.
A Yorkshire horse whisperer is trampled by a bucking Bronco...
His leg was up in the air and his head was on the floor.
Helimed 99 lands on the lawn after a visitor runs over her friend...
Who is holding my hand?
And the team rescue a cyclist who came off at 60 miles an hour.
A farm sounds like a great place to spend your childhood.
For tens of thousands of kids, home is one giant playground with acres of space and loads of animals.
But a modern farm is also a dangerous place.
High up in the Yorkshire Dales, farming is a family business, especially in the lambing season.
But on a farm near Settle, there has been a serious accident.
Ambulance emergency, how old is the patient? Is it nine?
OK, so they've obviously given us 301.
He's been outside playing, a baling spike has fallen on his head, he's got cuts to his head.
He's got head injury.
The spike from this baling machine has hit four-year-old James Bradley on the head.
He is badly injured.
'A baling spike has fallen on his head, apparently. It doesn't sound good, does it, that?'
-No, it doesn't. Is it a kiddie as well?
-'Oh, don't say that. Is it?'
Local ground paramedics called in the Helimed team
after finding little James showing symptoms of a brain injury.
Obviously we are not familiar with what this machinery might entail,
but normally with farm machinery there's quite some weight involved.
The Bradley family's farm is a long way from specialist hospital care,
at least an hour in any direction by road.
There are hospitals dotted about, but obviously the one with the specialist sort of centres
that will deal with major trauma are further afield,
so that's when the air ambulance really comes
into its own.
Pilot Chris Atchell knows that in areas like this,
his helicopter sometimes represents the only chance of survival for a critically injured patient.
This is one of those days.
-Nine year-old James...
-Been playing in the barn.
It's quite a tall machine and it's actually come forward,
-toppled forward on to him.
I think he's climbed over it, swung on it and pulled it down like that.
Ah, right. Yeah, yeah, yeah.
Ey up, mate. How are we doing?
No loss of consciousness, no cervical pain, no back pain.
He remembers everything that's gone on. His pupil is equal and reacting.
The team know that James's brain is bruised and bleeding.
Inside his skull, pressure is building.
Unless it's released quickly, he will die.
Hello, James. I'm a James as well.
How are we doing?
-How do you feel?
-Does anything else hurt apart from your head?
No. Do you remember what happened?
You all right there, James?
James, do you remember what happened?
The bale spike fell on me.
Did it? Oh, dear.
There's no shortage of distractions at lambing time,
and James was playing in the barn while his parehts tended the sheep.
It was a freak accident.
They were all down there doing the...
I'm going to look where it was, I don't know.
But they were all doing the sheep and lamb jobs, the children were with Mum and Dad.
-It's really important I put a wee thing into your arm now.
-It scratches a little bit to start with, but then it goes away straight away, OK?
All done, I promise. All done.
Good lad. Hey, I've never met someone so brave.
-They make them hard up here, don't they?
James is going to be sedated for the trip to hospital.
His mum will go with him.
James, we're going to lift you up on this board now.
You just pop your arms there for me and keep them really still.
James is still conscious, that's a good sign, but children with a brain injury can deteriorate quickly.
His mum doesn't know it, but the team is extremely worried about his chances of survival.
Right, James, see you soon.
Coming up - James's mum joins him on the flight that could save her son's life.
Doors secure, ready for take-off.
A patient with a head injury presents Dr Jez with a challenge...
I've had to give her a little bit of ketamine just to sedate her.
And as rescues go, this is a damn sight more dramatic than most.
Some people manage an entire career without ever being hurt,
but when your job involves breaking in untamed horses for a living,
perhaps you can expect that some day something may go wrong.
Riding horses is a dangerous sport.
Everyone who has climbed into a saddle knows that.
But at these stables in North Yorkshire they specialise in the riskiest form of riding.
Horse breaking is an ancient art, and Craig Chadwick is an expert.
Every day he takes two-year-old horses,
and with his riding partner Karen Nixon tries to tame them enough to get a saddle on their backs.
Even thoroughbreds are born wild. This is a dangerous job.
Like the horse whisperers of America, Craig and Karen use
a combination of touch, persuasion and a little telepathy to prepare a half-tonne animal to be ridden.
One wrong move can turn a gentle animal
into a bucking bronco, and when that happens, someone usually gets hurt.
Ambulance and emergency?
The horse has just absolutely exploded.
-He's got his leg caught in one of the reins.
It started bucking and freaking out.
-And he's got his leg stuck.
Is he completely alert?
No. Well, no, not really, he's a bad colour.
-I'm going to go and get a blanket and something to put on his head.
Immediately the call is passed to the team on Helimed 98.
Helimed 98, that's the traffic away now across runway 32.
It's paramedic Darren Axe's job to navigate to the scene.
There are many farms in the same area and it won't be easy to find, even on a map.
While we're in flight we use
large aviation maps to get to the general area,
and then we drop onto
the Ordnance Survey ones.
I've got you a better map.
-You can see the racecourse on your right at Catterick Bridge?
-No probs, mate.
-I'll just chuck this through.
Fellow trainers saw the accident but could only watch
as Craig was dragged under the horse he was breaking in.
Fence blowing away behind us, mate, I don't know where it's gone.
You're clear at the back, Chris.
This could be a dangerous landing, but the ground crew have made sure any loose horses have been put away.
Now Kate is about to take over.
This is Craig, he's 22.
The horse dragged him by the stirrups for about 40 seconds.
No loss of consciousness, there's no neck pain.
So where's the pain, what is he...
Central sternum and both sides of his chest, particularly his left.
-But suddenly Craig's heart rate drops.
It could mean that he's bleeding internally.
All right, Craig?
Talk to me, darling.
Craig's going into shock.
His skin is grey and clammy and his body starts shaking.
His friends managed to pull him free from the horse but his chest and legs have been crushed and kicked.
Craig's riding partner Karen has stayed by his side the whole time.
She dialled 999 from her mobile phone.
The horse started bucking and throwing a wobbler and he had his leg stuck in the stirrup
and wrapped with the lines, the lunge lines.
had to let go of the lines, but all the lines were wrapped round his leg.
Luckily the horse stopped and we got him off,
but his leg was up in the air and his head was on the floor,
and it was...rodeo-ing
Before the team move Craig, paramedic Kate needs to be sure they haven't missed any injuries.
The pain in their patient's chest could be masking other symptoms.
He said he's got tingling in his knees and he's got pain.
Can you feel that, mate? Can you feel that? Yeah, right. Fair enough.
They won't say it, but the paramedics know that the tingling in Craig's leg
could be could be a warning sign his spine had been damaged as he was dragged along the ground.
Coming up - a hospital crash team is on standby to examine Craig.
Pilot Chris is at full throttle as the patient is showing signs of brain damage.
The mountain biking accident that left its mark on a daredevil rider.
-How are you doing?
-A lot of pain.
A lot of pain. Whereabouts, mate?
Imagine hurting a friend.
Can friendship survive serious injury caused by someone close to you?
One day in West Yorkshire, two ladies found out the hard way.
Leeds is the UK's second biggest financial city,
which means house prices in some of the wealthiest suburbs rival those in the south-east
with bank bonuses inflating the value of homes.
Today Helimed 98 has been scrambled to Yorkshire's stockbroker belt.
MESSAGE ON RADIO
There has been a road accident in the well-heeled village of Bramhope.
-Have you got visual?
-I've got the response car.
And for pilot Tim Taylor there is no shortage of large lawns to turn into a helipad.
Barbara Marriott was leaving her home in a quiet cul-de-sac
when she was knocked down by a car being reversed by another elderly lady.
She is suffering from cerebral irritation,
a classic symptom of a head injury.
Just to give you heads up, this lady is going to go to LGI with a head injury.
She's cereberally irritated.
Who is holding me hand?
it turns out that the woman driving the car is a friend of Barbara's
who lives in the same cul-de-sac.
Not only has Jean Saville suffered a nasty bash on the head,
she's also devastated that one of her closest friends is badly injured.
We're still trying to establish exactly what has gone on
so we can piece together the events of this morning
and get answers for the families of those involved.
She was behind the car, has fallen backwards and hit the back of her head.
She was apparently not breathing for few minutes
and had mouth to mouth...
And then, obviously, she was breathing when we arrived
and was extremely agitated.
With clearly quite a bad head injury.
-I can do on his finger here, OK, sweetheart.
Agitated patients can be difficult to treat for any paramedic
but they are impossible in the cramped cabin of a helicopter.
Flying Doctor Jez Pinnell is an anaesthetist
and he's going to put Barbara to sleep for the short flight to hospital.
Head injuries are very hard to diagnose, only a scan will show
how serious Barbara's injury really is, but her symptoms aren't good.
I've had to give her a little bit of Ketamine just to sedate her really so we can manage her.
She is obviously now sedated but we need to take over her breathing, control her airway.
Medicine relies on his own ABC to safeguard patients.
Airway, breathing and circulation.
A tube carefully steered down Barbara's windpipe will look after the first
while the crew will have to take over responsibility for the second.
Barbara's friend needs a check-up herself but there is no doubting which patient is the most serious.
She's nice and steady now. She is anaesthetised, we have controlled her airway,
we're breathing for her so A and B is fine.
She's nice and stable from a blood pressure point of view so she is much safer to transfer like this.
We'll take her to LGI to get a CT scan and see where we go from there.
Helimed 98 weighs three tonnes and its skids will leave deep marks in this lawn
but the charity that runs the service receives few complaints.
Even the keenest gardeners seem to think it is a price worth paying for the air ambulance service.
In less than five minutes, doctors will be subjecting Barbara to a series of tests and scans
to determine whether the accident has caused permanent damage to her brain
or whether like many victims of cerebral irritation, she will recover completely in time.
For several days, Barbara was kept in an artificial coma
to allow her brain to recover, but within weeks she was up and on her way home.
And today the two friends are reunited but Jean is arriving on foot.
It is the first time the ladies have got together to piece together what happened on the day of the accident.
I took a real chunk out of it, then.
It's even got a bit of your reversing light.
The tree in Barbara's garden also bears the scars of the accident.
-Quite a day it was.
-It certainly was.
I don't want another day like that.
-It didn't spoil our friendship, that is what matters.
-You're quite right.
With the memory of the trauma behind them,
the two ladies are getting back into the swing of things, making a batch of Barbara's legendary lemon curd.
One thing I do remember was...
-coming round and everybody was fussing round me and I can't stand people crowding me.
And I looked up to see where Jean was and she was sat
in her car and the car was right up against the tree and she was just...
There was a lovely big egg on my head.
And you could see it, watch it coming up.
It was about half the size of that lemon.
Both women suffered head injuries in the accident, which has led to some confusion...
They think my foot slipped off and once it's in gear, it goes.
And they think my foot slipped,
and didn't hit the brake, you see.
-That's the only thing they can think of.
-I thought it had slipped off the brake and hit the accelerator.
-Well, it might have down, yes.
-It is just one of those things.
Barbara sells her home-made jams and pickles and to raise money
for local charities, including the Yorkshire air ambulance.
She is grateful for all that the medics did for her that day and is determined to repay them
and thank one of the men who came to her rescue.
Paramedic Paul Bradbury.
How are you?
-A lot better than last time you saw me.
-You're looking a lot better as well.
-Can you feel it?
Words haven't been invented.
Thank you is such an inadequate word. But...
it is thank you, thank you, thank you and thank you again.
It is a wonderful chance to say thank you to these people
because if they weren't here, I might not be here.
It's as stark as that.
Coming up - the horse breaker has been lucky to survive.
But how serious are his injuries?
The horse stopped or it could have been fatal.
And the team is called to the Peak District to rescue an injured cyclist.
Let's catch upon the case of James - the nine year-old farm boy
seriously injured in a freak accident in a barn.
Hey up, Jamesie, how are we doing?
James Bradley is fighting for his life
after this piece of farm machinery left him with a serious head injury.
-How long do you reckon he were out?
-He wasn't out at all. Oh, no.
Did he cry straight away?
The team have been piecing together the story of the accident with the help of his dad and mum.
This information could help surgeons save their son's life.
Doors Secure, ready for take-off.
-OK, then, doors, please.
Now James is on his way from the family farm in the Yorkshire Dales
to the neurological unit of Leeds General Infirmary.
How old is James? He is nine? What is his date of birth?
Paramedic James Vine knows his patient is critically ill.
Pressure is building inside his skull, and unless it is released quickly, he will die.
James's mum Laura doesn't know how serious his condition is.
Medical history - no asthma, no diabetes, no epilepsy?
Slowly, James's condition is getting worse.
Pressure is pushing the back of his brain down into the top of his spinal column.
Doctors call it coning and it is deadly.
He is not allergic to anything you are aware of? He is not on any regular medications?
He is a term baby, born on time?
Up-to-date with all his immunisations?
And he was a normal delivery? No problems?
A surgical team is on standby but even at 150 miles an hour
Helimed 98 will take 14 minutes to reach the LGI's rooftop helipad.
..En route for the LGI.
Pilot Chris Atchell is using all the power available from the chopper's two jet engines.
Got an ETA?
Cheers, mate, no worries.
Dozens of people on the ground are busy helping in the race to get James to hospital.
Air-traffic control have cleared Chris straight through the busy skies around Leeds-Bradford airport.
No conflict with us heading out.
Away from us. Good distance from us.
Hospital firefighters are waiting to rush him down to surgery.
If there is swelling and bleeding within the brain then they can sometimes manifest later on
and initially the patient will look quite stable but then deteriorate quite quickly,
hence the decision was made to bring him to LGI where he will get the full scans and checkovers
by the specialists before, you know, anything can hopefully progress.
Big deep breath. Good lad.
-Good lad. Pain in your tummy, James?
Is it just your head?
Paramedic James continues to ask the same questions.
He is not really interested in the answer.
His patient's condition is deteriorating and he needs to assess his level of consciousness.
OK chaps, this is James, nine-year-old male,
baling spike holder, approximately about 6 hundredweight's been on the floor
and he has climbed on it and it has fallen on top of him.
The Helimed team has done its job, now it is up to the LGI's
neurosurgeons to take over the fight to save James.
It'll be a long night for them and his mum.
Coming up - James is X-rayed and it is not good news.
If your brain stem gets squashed, you stop breathing...
-And the case of the downhill racer who outpaced some cars.
-60 mile an hour.
Remember the man who was badly injured trying to break in an untamed horse in North Yorkshire?
Let's find out how his treatment is going.
Craig Chadwick was working with fellow trainer Karen Nixon
when a horse bucked and he became tangled in the stirrups.
Paramedics are concerned about Craig's spine and his blood pressure, which is worryingly low.
It's not tropical, is it? Bless him.
Chris, do you want to roll out that sleeping bag on to the stretcher for us?
It's a tense time for everyone.
Craig has been riding since he was five
but this accident could mean he'll never be able to get on a horse again.
Right. Oh! OK, if we can just go up.
-Bring him in from the side and just spin him sideways as you get him in.
Just keep hold of that bag there.
Training wild horses is dangerous.
But none of Craig's friends were prepared for it to go so wrong.
The paramedics won't be able to communicate properly with Craig during the flight
so they need to attach him to the helicopter's monitoring equipment.
-Right, so your pain's all in your chest, Craig, is it?
-Keep your arm straight for me.
-Is it tender, can I have a feel? Tender when you press?
Yeah, tender there? OK.
The horse that trampled on Craig weighs around half a tonne.
Kate's worried that it could have punctured his lungs.
Detecting it now could stop them having to perform an emergency operation 2,000 feet up.
OK sweetheart, just take a breath for me.
It seems Craig has been lucky, he's stable enough to begin his flight to hospital.
Radar, Helimed 98 Alpha.
Helimed 98 Alpha
'Brompton-on-Swale and routing through James Cook.
'Requesting a basic service and clearance for the zone, please.'
Pilot Chris doesn't want to spook the nearby horses.
There's a danger it could cause another accident so it's a quick take-off.
-Six to run, Kate.
At the James Cook Hospital, the trauma team is already gathering.
Orthopaedic surgeons and Accident & Emergency consultants are being briefed on their airborne patient.
Radar, Helimed 98 Alpha, letting down James Cook.
Over the next few hours, Craig has many X-rays and scans
but doctors can't find any internal injuries or broken bones.
To everyone's amazement, he's discharged the next day.
-So you can walk?
I didn't think you'd be back today.
After just three days off, Craig is back at work.
It seems that Craig's lucky escape hasn't deterred him from riding again.
He's anxious to get back in the saddle and continue breaking in horses.
When I got on, I thought everything was OK and as she went to let me out on the lunge,
the horse spun the opposite way and so the lunge line got wrapped around the whole horse
which then attached me to the horse
so as I came out the side,
I was still attached so I was dangling a foot off the floor
and I was caught between the horse's front legs.
So as it took off down the school, I was still attached to it!
With no-one else holding on to it.
Karen knows how close Craig came to death that day.
The memories of the accident are still very clear.
I thought he was going to be killed. I did think.
He was so lucky, I don't know how he didn't break anything.
He was just getting tossed about like a rag doll.
And thank God, the horse stopped.
Because if it had carried on I think it would've been...it could have been fatal.
Coming up - Doctors operate on the farmer's son injured in a freak accident.
If your brain stem gets squashed, you stop breathing.
It's quick, it's clean and it's good for you.
But cycling can be dangerous if you come off.
Even wearing the right equipment isn't always going to save you.
Up in the Pennines, cyclists often have an uphill struggle getting from A to B.
But sometimes riding downhill has its hazards too.
-Are you ready?
-OK, clear left.
Today the Helimed team's keenest cyclist, James Vine,
and colleague Tony Wilkes are on their way to a fellow rider.
We've been requested to attend a cyclist
who's come off his cycle
going downhill at a really fast speed, apparently.
He's clearly fractured his wrist, it's also suspected he could have a back or neck injury as well.
-Looks fairly murky out there, doesn't it?
Helimed 99's heading up to some of the highest roads
in England on the hills between West Yorkshire and Greater Manchester.
We're getting to that time of year now where it's nice weather for people to get out and about
and obviously if they come off at high speeds down some of these hills, you can get some nasty injuries.
Five to run, please.
This is rough country and even spotting something as big as an ambulance up here isn't easy.
-'Unless you're pilot Steve Cobb.'
-That's not an ambulance, is it? Halfway up the hill?
-Get a visual.
-God, you're eagle-eye or something. Eagle-eye Cobb.
This area attracts hardcore cyclists training for races.
What makes this accident unusual is the cycle and cyclist.
This is a serious racing bike, worth several thousand pounds.
James Byron is just 16 but he's a keen road racer.
He was out training with his dad when he had a tyre blow-out.
He's been lucky to survive, given the speed at which he came off.
James has been coming down the hill, approximately 60 mph, his dad says, who's been following in the car.
-Hit a grate, wobbled off.
-I saw him land and then he got up and picked the bike up.
-How did he land? Did he...
I don't know, it happened too quick.
I took James out on a training ride,
this is part of our regular training route for him as a racing cyclist.
We rode to the top of Holme Moss
and we were riding back down.
And we got to this one-mile marker, James come off the bike,
lost control when he hit a drain in the road.
James has hurt his arm but the ground crew are playing it safe.
He could easily have broken his neck, so they're treating him as though he has a spinal injury
and there's a good reason for that.
We've clocked him getting to this one-mile marker in 60 seconds so he was doing 60 mph.
This is just a bit of morphine, all right? So it should help.
No-one could believe it was a cycle he came off at 60.
Tony or James, can you confirm, was at a push bike, a bicycle he came off, over?
Yeah, roger, a push bike.
James's dad is worried his son is badly hurt.
But flying doctor Simon doesn't want to see another accident today.
So is this your van?
-Because there's no need to rush,
-I know you want to be there quickly but there's no need to rush it here at breakneck speed, OK?
Paramedic James knows how lucky his teenage patient has been.
When he's not flying, he rides a paramedic cycle in Leeds and is no stranger to speed himself.
Sounds like he's come off at quite a significant speed.
We're on a decent-sized hill as you can see when you look around.
Apparently he's been doing up to 60 mph on a push bike.
Cyclist James can cover more than 100 miles in a training run,
at speeds close to the limit for cars,
but he's about to travel to hospital even faster.
James is being taken to the Huddersfield Royal Infirmary to be checked out by doctors.
It will take X-rays to rule out a spinal injury.
He's been lucky that he's not hit any dry-stone walls or anything, he's just landed on some grass.
So as far as we make out, he's got a probable fractured wrist
so he's quite settled now, so it's just a case of a quick five-minute flight down to Huddersfield Hospital.
But the injury to his arm alone required three-and-a-half hours of surgery.
Off-road biking is a great way to get out and see the countryside but if you're off the beaten track,
there are no warning signs for steep hills or other hazards.
The North York Moors are a mountain biker's paradise but it doesn't feel like paradise when you come off.
Today, Helimed 98 is on its way to the Dalby Forest where a cyclist's come a cropper.
Helimed 98 to Yorkshire Air Desk, our ETA 1203, over.
We're heading to Dalby Forest,
a wonderful place where mountain bikers go at the weekend.
Unfortunately, a chap's come off his bike,
he's got a rather serious chest injury.
Andrew Bell and three of his friends were riding a trail designed for experienced mountain bikers.
-There's someone in a reflective jacket waving down there. Got it?
-OK, yeah. Got him.
He came off his bike halfway round after attempting a six foot jump.
Hello, sir. What's your first name?
I'm Sammy, I'm one of the paramedics.
-How are you doing?
-Lot of pain.
A lot of pain, whereabouts, mate?
-Your shoulder, which one, left or right?
-Your right shoulder, OK.
Andrew took up the sport again a couple of months ago after a break.
He may have been a bit over-ambitious.
He fell from a six foot drop, sort of thing.
He jumped and fell.
He didn't get back up.
Take a deep breath for me, sir. As best you can.
-Is your tummy OK?
You got any pain in your ribs at all?
He's complaining of a lot of pain his ribs, he just isn't breathing.
-Has he got IV access?
-No, we've tried.
-Are you guys happy to help carry?
-Course we are, yeah.
Andrew's mates know he's in good hands and that he'll soon be
on his way to get the best possible care in hospital.
-Do you know where you are?
-Where are you?
Paramedic Sammy Wills keeps asking Andrew simple questions
to check that he hasn't got concussion or a more serious head injury.
He's got a lot of pain in his shoulder
and it's spreading through to the right side of his ribs.
We've given him some morphine which is usually really effective
and hopefully his breathing will be a lot easier.
He'll just feel a lot more comfortable on the way in.
Andrew's wife and parents are on their way to the James Cook Hospital.
They'll soon find out that his injuries are more serious than everyone first thought.
Andrew has a broken vertebra in his back as well as his collarbone and his shoulder.
He'll have to have an operation and will spend nine days in hospital.
Two-and-a-half weeks later, and Andrew is back at home with a couple of very impressive scars.
The main scar down the back is where they've pieced together where I broke my 12th vertebra.
The bottom scar is from a bone graft.
If I lie on my lie on my back it's sore, and I can't lie on my side because of my collarbone.
I've broken my 12th vertebra,
I've broken my shoulder, I've broke my collarbone,
I broke three ribs, and I punctured my right lung
so the pain, when it first happened,
the biggest problem was breathing.
To try and get my breath was very hard because I was also out of breath as well off riding the bike.
-Ever hurt your shoulders before, mate?
I was shaking cos I was that cold from being on the ground for two hours.
I kept saying to us, you'll be all right, Andrew, you're going to the right place.
That was about it, really.
I can't remember the noise of it, how bumpy it was, landing, there's loads of bits I can't remember!
It'll take around 12 weeks for Andrew's injuries to heal.
But this hasn't put him off mountain biking.
I'll still do mountain biking, if my injuries fully heal and there's no pains there, to be honest.
But I think I'll be investing in a bit of body armour.
It's your head that's most vulnerable in a bike accident and every year, dozens of cyclists die
or are left permanently disabled as a result of injuries that could have been prevented by one of these.
An emergency call from the Derbyshire Peak District and the Helimed 98 crew are on their way.
Yes, a request from a neighbouring service.
We've got reports of a 19-year-old male who's come off his push bike
near a reservoir and he's got head injuries and he's semi-conscious.
Putting a helicopter down in the Peaks is a tricky business.
So paramedic Al Day immediately starts mapping out potential landing sites.
We can't land close by.
What might seem like a short walk, 400 metres, 500 metres when you're
trying to carry a person,
that's quite difficult, especially if the ground isn't flat.
If you're having to carry somebody down a steep slope or something.
That can be dangerous unless you've got the right equipment and you know what you're doing.
-Is that the ambulance?
It's impossible for Helimed 98 to land near the casualty.
So the land ambulance will pick him up and drive him to a suitable site at the end of the reservoir.
If they can get in contact with whoever's on scene, if they can tell them if they see us
and talk us into where they are, that might be a way if we can.
It takes all pilot Steve Cobb's skill to put the aircraft down safely right next to the dam.
That looks good my side.
I'd say if anything, you want to be more to my side.
The rangers from the nearby Visitor Centre raised the alarm.
He's fairly stable, they think.
-They're going to transport him back here now.
And they'll be here fairly shortly.
The patient's been located
by a land ambulance at the next dam along, about a mile away.
So they're just bringing the patient down to us.
Apparently he's got some kind of head injury.
The ground crew have had difficulty communicating with injured cyclist Ryan Horsley
because he lost his hearing aid when he came off his bike.
He's got a good laceration to the side of his head.
His left ear is quite torn at the top.
Clavicle fracture. His pal that was with him he's gone on down to the visiting centre
so we'll probably get more information.
-Do you want me to get him back?
-Yes, that'd be fantastic.
-I'll get someone to bring him back.
Hello, you OK?
Are you OK?
-He's been complaining of his hip hurting but I think that's just the abrasion.
I've had a good feel of the hip and everything's fine.
Just going to move your legs, OK?
Does that hurt?
With mobile phones out of action, Ryan's brother had to cycle to the Visitor Centre to get help.
I just saw the blood and somebody was looking after him.
Seemed to know what he was doing so they told me to go and get some help quick.
Meanwhile, some passing walkers took care of Ryan.
There's no mobile signals or anything, we had to send his friend on the bike to come and fetch help.
And of course when you're in that situation it seems like forever but it's only minutes, basically.
But seems like a long time when you're stuck there.
-Communication was difficult because he was deaf.
-Yes, he'd lost his hearing aid.
Apparently his friend's got that so we were having to write it on a bit of paper and present that to him.
Of course with the blow to the head, he was a bit confused anyway.
Instead of an uncomfortable 40-minute journey by road,
Ryan is being whisked to Sheffield's Northern General Hospital by helicopter.
There, his injured shoulder and head can be fully assessed.
And all our cyclists are recovering and planning to get back in the saddle.
Now, let's catch up with James's case, the farmer's son badly injured in North Yorkshire.
Nine-year-old James Bradley has been lucky to reach couple alive.
That lump is a sign of a serious head injury
that has caused a dangerous buildup of pressure inside his brain.
It's every parent's nightmare to be involved in an accident, let alone one that involves
taking a blow to the head with heavy machinery and then having to fly to hospital.
Thanks to the Helimed team, he's now in one of the UK's top neurological units.
But his survival is in real doubt as the pressure builds up inside his skull.
Surgeons at the Leeds General Infirmary decide
to temporarily remove a portion of his skull to relieve the swelling.
For two long days, it's touch and go.
But children can be incredibly resilient.
And less than a week after the accident, there's good news at the family farm.
James decided, in his infinite wisdom, that he was going to swing on it like a monkey
so he put his hands on the top here, coming from that direction,
tried to swing his legs through, and all he succeeded in doing was pulling it onto his head.
And it makes quite a satisfying... bang.
It was really scary
and it really hurt
and I was shocked and
blood coming down my face
and I was really annoyed.
Everything was just...
just a bit freaky.
His forehead was under there and the back of his head was on the concrete.
There's scarcely enough room to fit a little head under there.
James's mum and dad had no idea how badly he was hurt.
At the time, we just thought it really wasn't going to be anything too serious.
Then they decided to take him for a CT scan, then by the time he'd come out of the scan,
his nose had started to bleed.
Then they just took him straight into theatre.
They came and spoke to me
and just said he's got a blood clot.
So whereupon, I just thought... you just hear those words and I thought, oh, my God.
I thought he was going to die. I thought that's it, blood clot, he's going, you know.
I was driving down when Laura rang me and I was nearly there actually,
she said they've just taken him to theatre because they've found
a blood clot in his head. Well, I nearly missed my lane on the roundabout
and at that point, it all got quite scary.
The neurologist who operated on James says his life was in the balance.
This is James's scan. This is the blood clot here, the white thing here.
So the brain is being squashed from the left to the right
by about a centimetre, which is quite a significant shift.
This part of the brain then gets squashed across and presses on the brain stem.
The brain stem controls your heart rate and your breathing.
And if your brain stem gets squashed, you stop breathing, your heart rate disappears and that's it.
If you can have the blood clot out, the pressure relieved within four hours of the injury,
you're much more likely to have a good outcome from the injury. Time is critical.
By being brought straight to us by the air ambulance, he was here in a matter of minutes.
Within a very short space of time of his injury, he'd had his surgery.
The air ambulance was absolutely critical in that.
Being a typical nine-year-old, James is keen to put the whole thing behind him.
Now he's just trying to get back to normal.
I'll say, "James, just be careful what you're doing. You can't do this, don't run.
"Watch out, don't bang your head." He just goes, "Mum, stop nagging."
I think one of them's also mooing, that bluey one because its calf's getting into the feed.
The thing is with James, he's one who won't be beat by anything.
He's a tough little thing!
Which is good.
He won't be beat.
When Helicopter Heroes comes back -
a young mum is thrown 20 feet after a road accident. But the chopper can't land.
Stop, stop, stop.
A veteran biker's badly hurt.
He's gone over and landed on this big slab here so...
The gritters are out but not on this road.
We're going to put you on to a spinal board.
I'm putgin you in the helicopter, is that OK?
And the call a young rugby player's mum didn't want to receive.
Oliver is going to be transported by an air ambulance, Mrs Moore.
Subtitles by Red Bee Media Ltd
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