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If you're seriously ill or critically injured, | 0:00:04 | 0:00:06 | |
every second counts, especially if you are up high or off the beaten track. | 0:00:06 | 0:00:11 | |
But thanks to these guys, the people of the UK's biggest county | 0:00:11 | 0:00:15 | |
are never more than 10 minutes away from a hospital. | 0:00:15 | 0:00:19 | |
The Yorkshire Air Ambulance can do 150 miles an hour, | 0:00:19 | 0:00:23 | |
and every day brings a new life-or-death emergency. | 0:00:23 | 0:00:26 | |
Five million people depend on these yellow helicopters to bring life-saving care from the skies. | 0:00:46 | 0:00:52 | |
When a multiple pile-up closes Britain's highest motorway | 0:00:52 | 0:00:56 | |
or there's a serious accident on the shop floor, the highly trained paramedics | 0:00:56 | 0:01:00 | |
and pilots of the Helimed team are there to rescue the casualties. | 0:01:00 | 0:01:05 | |
Today on Helicopter Heroes - | 0:01:05 | 0:01:07 | |
There is a serious farm accident and a nine-year-old boy is fighting for his life... | 0:01:07 | 0:01:12 | |
He's climbed over it, swung on it and pulled it down like that. | 0:01:12 | 0:01:15 | |
A Yorkshire horse whisperer is trampled by a bucking Bronco... | 0:01:15 | 0:01:20 | |
His leg was up in the air and his head was on the floor. | 0:01:20 | 0:01:23 | |
Helimed 99 lands on the lawn after a visitor runs over her friend... | 0:01:23 | 0:01:28 | |
Who is holding my hand? | 0:01:28 | 0:01:31 | |
And the team rescue a cyclist who came off at 60 miles an hour. | 0:01:31 | 0:01:36 | |
A farm sounds like a great place to spend your childhood. | 0:01:44 | 0:01:47 | |
For tens of thousands of kids, home is one giant playground with acres of space and loads of animals. | 0:01:47 | 0:01:54 | |
But a modern farm is also a dangerous place. | 0:01:54 | 0:01:59 | |
High up in the Yorkshire Dales, farming is a family business, especially in the lambing season. | 0:02:00 | 0:02:06 | |
But on a farm near Settle, there has been a serious accident. | 0:02:06 | 0:02:09 | |
Ambulance emergency, how old is the patient? Is it nine? | 0:02:09 | 0:02:13 | |
OK, so they've obviously given us 301. | 0:02:13 | 0:02:17 | |
He's been outside playing, a baling spike has fallen on his head, he's got cuts to his head. | 0:02:17 | 0:02:23 | |
He's got head injury. | 0:02:23 | 0:02:25 | |
The spike from this baling machine has hit four-year-old James Bradley on the head. | 0:02:25 | 0:02:30 | |
He is badly injured. | 0:02:30 | 0:02:32 | |
'A baling spike has fallen on his head, apparently. It doesn't sound good, does it, that?' | 0:02:32 | 0:02:37 | |
-No, it doesn't. Is it a kiddie as well? -'Oh, don't say that. Is it?' | 0:02:37 | 0:02:41 | |
Local ground paramedics called in the Helimed team | 0:02:41 | 0:02:44 | |
after finding little James showing symptoms of a brain injury. | 0:02:44 | 0:02:48 | |
Obviously we are not familiar with what this machinery might entail, | 0:02:48 | 0:02:52 | |
but normally with farm machinery there's quite some weight involved. | 0:02:52 | 0:02:55 | |
The Bradley family's farm is a long way from specialist hospital care, | 0:02:55 | 0:03:00 | |
at least an hour in any direction by road. | 0:03:00 | 0:03:03 | |
There are hospitals dotted about, but obviously the one with the specialist sort of centres | 0:03:03 | 0:03:09 | |
that will deal with major trauma are further afield, | 0:03:09 | 0:03:13 | |
so that's when the air ambulance really comes | 0:03:13 | 0:03:15 | |
into its own. | 0:03:15 | 0:03:18 | |
Pilot Chris Atchell knows that in areas like this, | 0:03:18 | 0:03:21 | |
his helicopter sometimes represents the only chance of survival for a critically injured patient. | 0:03:21 | 0:03:26 | |
This is one of those days. | 0:03:26 | 0:03:29 | |
-Nine year-old James... -Yeah. -Been playing in the barn. -Yeah. | 0:03:31 | 0:03:35 | |
It's quite a tall machine and it's actually come forward, | 0:03:35 | 0:03:39 | |
-toppled forward on to him. -Yeah. | 0:03:39 | 0:03:41 | |
I think he's climbed over it, swung on it and pulled it down like that. | 0:03:41 | 0:03:46 | |
Ah, right. Yeah, yeah, yeah. | 0:03:46 | 0:03:48 | |
Ey up, mate. How are we doing? | 0:03:48 | 0:03:51 | |
No loss of consciousness, no cervical pain, no back pain. | 0:03:51 | 0:03:54 | |
He remembers everything that's gone on. His pupil is equal and reacting. | 0:03:54 | 0:03:57 | |
The team know that James's brain is bruised and bleeding. | 0:03:57 | 0:04:01 | |
Inside his skull, pressure is building. | 0:04:01 | 0:04:03 | |
Unless it's released quickly, he will die. | 0:04:03 | 0:04:06 | |
Hello, James. I'm a James as well. | 0:04:06 | 0:04:09 | |
How are we doing? | 0:04:09 | 0:04:12 | |
-How do you feel? -Fine. | 0:04:12 | 0:04:15 | |
-Does anything else hurt apart from your head? -No. | 0:04:15 | 0:04:18 | |
No. Do you remember what happened? | 0:04:18 | 0:04:20 | |
You all right there, James? | 0:04:20 | 0:04:22 | |
James, do you remember what happened? | 0:04:22 | 0:04:24 | |
The bale spike fell on me. | 0:04:25 | 0:04:28 | |
Did it? Oh, dear. | 0:04:28 | 0:04:30 | |
There's no shortage of distractions at lambing time, | 0:04:30 | 0:04:33 | |
and James was playing in the barn while his parehts tended the sheep. | 0:04:33 | 0:04:36 | |
It was a freak accident. | 0:04:36 | 0:04:39 | |
They were all down there doing the... | 0:04:39 | 0:04:42 | |
I'm going to look where it was, I don't know. | 0:04:42 | 0:04:46 | |
But they were all doing the sheep and lamb jobs, the children were with Mum and Dad. | 0:04:46 | 0:04:51 | |
-James? -Yes? -It's really important I put a wee thing into your arm now. | 0:04:51 | 0:04:56 | |
-It scratches a little bit to start with, but then it goes away straight away, OK? -Yeah. | 0:04:56 | 0:05:01 | |
Sharp scratch. | 0:05:01 | 0:05:02 | |
All done, I promise. All done. | 0:05:02 | 0:05:04 | |
Good lad. Hey, I've never met someone so brave. | 0:05:04 | 0:05:07 | |
-They make them hard up here, don't they? -Yeah. | 0:05:07 | 0:05:10 | |
James is going to be sedated for the trip to hospital. | 0:05:11 | 0:05:14 | |
His mum will go with him. | 0:05:14 | 0:05:17 | |
James, we're going to lift you up on this board now. | 0:05:17 | 0:05:20 | |
You just pop your arms there for me and keep them really still. | 0:05:20 | 0:05:23 | |
James is still conscious, that's a good sign, but children with a brain injury can deteriorate quickly. | 0:05:23 | 0:05:30 | |
His mum doesn't know it, but the team is extremely worried about his chances of survival. | 0:05:30 | 0:05:35 | |
Right, James, see you soon. | 0:05:35 | 0:05:38 | |
Coming up - James's mum joins him on the flight that could save her son's life. | 0:05:42 | 0:05:48 | |
Doors secure, ready for take-off. | 0:05:48 | 0:05:50 | |
A patient with a head injury presents Dr Jez with a challenge... | 0:05:50 | 0:05:54 | |
I've had to give her a little bit of ketamine just to sedate her. | 0:05:54 | 0:05:57 | |
And as rescues go, this is a damn sight more dramatic than most. | 0:05:57 | 0:06:03 | |
Some people manage an entire career without ever being hurt, | 0:06:17 | 0:06:21 | |
but when your job involves breaking in untamed horses for a living, | 0:06:21 | 0:06:25 | |
perhaps you can expect that some day something may go wrong. | 0:06:25 | 0:06:30 | |
Riding horses is a dangerous sport. | 0:06:31 | 0:06:33 | |
Everyone who has climbed into a saddle knows that. | 0:06:33 | 0:06:36 | |
But at these stables in North Yorkshire they specialise in the riskiest form of riding. | 0:06:36 | 0:06:41 | |
Horse breaking is an ancient art, and Craig Chadwick is an expert. | 0:06:41 | 0:06:46 | |
Every day he takes two-year-old horses, | 0:06:46 | 0:06:48 | |
and with his riding partner Karen Nixon tries to tame them enough to get a saddle on their backs. | 0:06:48 | 0:06:55 | |
Even thoroughbreds are born wild. This is a dangerous job. | 0:06:55 | 0:06:59 | |
Like the horse whisperers of America, Craig and Karen use | 0:06:59 | 0:07:03 | |
a combination of touch, persuasion and a little telepathy to prepare a half-tonne animal to be ridden. | 0:07:03 | 0:07:10 | |
One wrong move can turn a gentle animal | 0:07:10 | 0:07:13 | |
into a bucking bronco, and when that happens, someone usually gets hurt. | 0:07:13 | 0:07:18 | |
Ambulance and emergency? | 0:07:18 | 0:07:19 | |
The horse has just absolutely exploded. | 0:07:19 | 0:07:22 | |
-He's got his leg caught in one of the reins. -Right. | 0:07:22 | 0:07:24 | |
It started bucking and freaking out. | 0:07:24 | 0:07:27 | |
-Right. -And he's got his leg stuck. | 0:07:27 | 0:07:29 | |
Is he completely alert? | 0:07:29 | 0:07:31 | |
No. Well, no, not really, he's a bad colour. | 0:07:31 | 0:07:34 | |
-I'm going to go and get a blanket and something to put on his head. -Yeah. | 0:07:34 | 0:07:37 | |
Immediately the call is passed to the team on Helimed 98. | 0:07:37 | 0:07:42 | |
Helimed 98, that's the traffic away now across runway 32. | 0:07:42 | 0:07:46 | |
It's paramedic Darren Axe's job to navigate to the scene. | 0:07:46 | 0:07:50 | |
There are many farms in the same area and it won't be easy to find, even on a map. | 0:07:50 | 0:07:55 | |
While we're in flight we use | 0:07:55 | 0:07:57 | |
large aviation maps to get to the general area, | 0:07:57 | 0:08:00 | |
and then we drop onto | 0:08:00 | 0:08:01 | |
the Ordnance Survey ones. | 0:08:01 | 0:08:03 | |
I've got you a better map. | 0:08:03 | 0:08:05 | |
-You can see the racecourse on your right at Catterick Bridge? -Yeah. | 0:08:05 | 0:08:10 | |
-No probs, mate. -I'll just chuck this through. | 0:08:10 | 0:08:14 | |
Fellow trainers saw the accident but could only watch | 0:08:14 | 0:08:17 | |
as Craig was dragged under the horse he was breaking in. | 0:08:17 | 0:08:20 | |
Fence blowing away behind us, mate, I don't know where it's gone. | 0:08:20 | 0:08:24 | |
You're clear at the back, Chris. | 0:08:24 | 0:08:26 | |
This could be a dangerous landing, but the ground crew have made sure any loose horses have been put away. | 0:08:26 | 0:08:32 | |
Now Kate is about to take over. | 0:08:32 | 0:08:34 | |
Hiya, hon. | 0:08:34 | 0:08:37 | |
This is Craig, he's 22. | 0:08:37 | 0:08:39 | |
The horse dragged him by the stirrups for about 40 seconds. | 0:08:39 | 0:08:43 | |
No loss of consciousness, there's no neck pain. | 0:08:43 | 0:08:45 | |
So where's the pain, what is he... | 0:08:45 | 0:08:47 | |
Central sternum and both sides of his chest, particularly his left. | 0:08:47 | 0:08:50 | |
-OK. -But suddenly Craig's heart rate drops. | 0:08:50 | 0:08:54 | |
It could mean that he's bleeding internally. | 0:08:54 | 0:08:56 | |
All right, Craig? | 0:08:58 | 0:09:00 | |
Craig? | 0:09:00 | 0:09:01 | |
Talk to me, darling. | 0:09:01 | 0:09:02 | |
Craig's going into shock. | 0:09:04 | 0:09:05 | |
His skin is grey and clammy and his body starts shaking. | 0:09:05 | 0:09:09 | |
His friends managed to pull him free from the horse but his chest and legs have been crushed and kicked. | 0:09:09 | 0:09:15 | |
Craig's riding partner Karen has stayed by his side the whole time. | 0:09:15 | 0:09:19 | |
She dialled 999 from her mobile phone. | 0:09:19 | 0:09:22 | |
The horse started bucking and throwing a wobbler and he had his leg stuck in the stirrup | 0:09:22 | 0:09:27 | |
and wrapped with the lines, the lunge lines. | 0:09:27 | 0:09:30 | |
had to let go of the lines, but all the lines were wrapped round his leg. | 0:09:30 | 0:09:34 | |
Luckily the horse stopped and we got him off, | 0:09:34 | 0:09:37 | |
but his leg was up in the air and his head was on the floor, | 0:09:37 | 0:09:41 | |
and it was...rodeo-ing | 0:09:41 | 0:09:44 | |
Before the team move Craig, paramedic Kate needs to be sure they haven't missed any injuries. | 0:09:46 | 0:09:51 | |
The pain in their patient's chest could be masking other symptoms. | 0:09:51 | 0:09:55 | |
He said he's got tingling in his knees and he's got pain. | 0:09:55 | 0:09:58 | |
Can you feel that, mate? Can you feel that? Yeah, right. Fair enough. | 0:10:01 | 0:10:06 | |
They won't say it, but the paramedics know that the tingling in Craig's leg | 0:10:06 | 0:10:10 | |
could be could be a warning sign his spine had been damaged as he was dragged along the ground. | 0:10:10 | 0:10:15 | |
Coming up - a hospital crash team is on standby to examine Craig. | 0:10:20 | 0:10:25 | |
-ETA? -Four minutes. | 0:10:25 | 0:10:27 | |
Pilot Chris is at full throttle as the patient is showing signs of brain damage. | 0:10:27 | 0:10:32 | |
The mountain biking accident that left its mark on a daredevil rider. | 0:10:33 | 0:10:37 | |
-How are you doing? -A lot of pain. | 0:10:37 | 0:10:40 | |
A lot of pain. Whereabouts, mate? | 0:10:40 | 0:10:42 | |
Imagine hurting a friend. | 0:10:55 | 0:10:57 | |
Can friendship survive serious injury caused by someone close to you? | 0:10:57 | 0:11:01 | |
One day in West Yorkshire, two ladies found out the hard way. | 0:11:01 | 0:11:05 | |
Leeds is the UK's second biggest financial city, | 0:11:07 | 0:11:10 | |
which means house prices in some of the wealthiest suburbs rival those in the south-east | 0:11:10 | 0:11:16 | |
with bank bonuses inflating the value of homes. | 0:11:16 | 0:11:20 | |
Today Helimed 98 has been scrambled to Yorkshire's stockbroker belt. | 0:11:21 | 0:11:25 | |
MESSAGE ON RADIO | 0:11:25 | 0:11:28 | |
There has been a road accident in the well-heeled village of Bramhope. | 0:11:29 | 0:11:33 | |
-Have you got visual? -I've got the response car. | 0:11:35 | 0:11:39 | |
And for pilot Tim Taylor there is no shortage of large lawns to turn into a helipad. | 0:11:39 | 0:11:44 | |
Barbara Marriott was leaving her home in a quiet cul-de-sac | 0:11:47 | 0:11:51 | |
when she was knocked down by a car being reversed by another elderly lady. | 0:11:51 | 0:11:55 | |
She is suffering from cerebral irritation, | 0:11:58 | 0:12:02 | |
a classic symptom of a head injury. | 0:12:02 | 0:12:04 | |
Just to give you heads up, this lady is going to go to LGI with a head injury. | 0:12:04 | 0:12:09 | |
She's cereberally irritated. | 0:12:09 | 0:12:11 | |
Who is holding me hand? | 0:12:11 | 0:12:13 | |
Me. | 0:12:13 | 0:12:15 | |
it turns out that the woman driving the car is a friend of Barbara's | 0:12:15 | 0:12:18 | |
who lives in the same cul-de-sac. | 0:12:18 | 0:12:21 | |
Not only has Jean Saville suffered a nasty bash on the head, | 0:12:22 | 0:12:26 | |
she's also devastated that one of her closest friends is badly injured. | 0:12:26 | 0:12:31 | |
We're still trying to establish exactly what has gone on | 0:12:31 | 0:12:34 | |
so we can piece together the events of this morning | 0:12:34 | 0:12:36 | |
and get answers for the families of those involved. | 0:12:36 | 0:12:39 | |
She was behind the car, has fallen backwards and hit the back of her head. | 0:12:39 | 0:12:43 | |
She was apparently not breathing for few minutes | 0:12:43 | 0:12:46 | |
and had mouth to mouth... | 0:12:46 | 0:12:48 | |
And then, obviously, she was breathing when we arrived | 0:12:48 | 0:12:51 | |
and was extremely agitated. | 0:12:51 | 0:12:52 | |
With clearly quite a bad head injury. | 0:12:52 | 0:12:54 | |
-SHE MOANS -I can do on his finger here, OK, sweetheart. | 0:12:54 | 0:12:58 | |
Agitated patients can be difficult to treat for any paramedic | 0:12:58 | 0:13:01 | |
but they are impossible in the cramped cabin of a helicopter. | 0:13:01 | 0:13:04 | |
Flying Doctor Jez Pinnell is an anaesthetist | 0:13:04 | 0:13:07 | |
and he's going to put Barbara to sleep for the short flight to hospital. | 0:13:07 | 0:13:11 | |
Head injuries are very hard to diagnose, only a scan will show | 0:13:11 | 0:13:15 | |
how serious Barbara's injury really is, but her symptoms aren't good. | 0:13:15 | 0:13:20 | |
I've had to give her a little bit of Ketamine just to sedate her really so we can manage her. | 0:13:20 | 0:13:24 | |
She is obviously now sedated but we need to take over her breathing, control her airway. | 0:13:24 | 0:13:29 | |
Medicine relies on his own ABC to safeguard patients. | 0:13:30 | 0:13:33 | |
Airway, breathing and circulation. | 0:13:33 | 0:13:37 | |
A tube carefully steered down Barbara's windpipe will look after the first | 0:13:37 | 0:13:42 | |
while the crew will have to take over responsibility for the second. | 0:13:42 | 0:13:45 | |
Barbara's friend needs a check-up herself but there is no doubting which patient is the most serious. | 0:13:45 | 0:13:52 | |
She's nice and steady now. She is anaesthetised, we have controlled her airway, | 0:13:52 | 0:13:57 | |
we're breathing for her so A and B is fine. | 0:13:57 | 0:14:00 | |
She's nice and stable from a blood pressure point of view so she is much safer to transfer like this. | 0:14:00 | 0:14:05 | |
We'll take her to LGI to get a CT scan and see where we go from there. | 0:14:05 | 0:14:10 | |
Helimed 98 weighs three tonnes and its skids will leave deep marks in this lawn | 0:14:10 | 0:14:15 | |
but the charity that runs the service receives few complaints. | 0:14:15 | 0:14:20 | |
Even the keenest gardeners seem to think it is a price worth paying for the air ambulance service. | 0:14:20 | 0:14:25 | |
In less than five minutes, doctors will be subjecting Barbara to a series of tests and scans | 0:14:28 | 0:14:34 | |
to determine whether the accident has caused permanent damage to her brain | 0:14:34 | 0:14:38 | |
or whether like many victims of cerebral irritation, she will recover completely in time. | 0:14:38 | 0:14:43 | |
For several days, Barbara was kept in an artificial coma | 0:14:45 | 0:14:48 | |
to allow her brain to recover, but within weeks she was up and on her way home. | 0:14:48 | 0:14:53 | |
And today the two friends are reunited but Jean is arriving on foot. | 0:14:53 | 0:14:58 | |
It is the first time the ladies have got together to piece together what happened on the day of the accident. | 0:14:58 | 0:15:03 | |
I took a real chunk out of it, then. | 0:15:03 | 0:15:06 | |
It's even got a bit of your reversing light. | 0:15:06 | 0:15:11 | |
The tree in Barbara's garden also bears the scars of the accident. | 0:15:11 | 0:15:16 | |
-Quite a day it was. -It certainly was. | 0:15:16 | 0:15:19 | |
I don't want another day like that. | 0:15:19 | 0:15:20 | |
-It didn't spoil our friendship, that is what matters. -You're quite right. | 0:15:20 | 0:15:24 | |
With the memory of the trauma behind them, | 0:15:24 | 0:15:26 | |
the two ladies are getting back into the swing of things, making a batch of Barbara's legendary lemon curd. | 0:15:26 | 0:15:32 | |
One thing I do remember was... | 0:15:32 | 0:15:35 | |
-coming round and everybody was fussing round me and I can't stand people crowding me. -No. | 0:15:35 | 0:15:42 | |
And I looked up to see where Jean was and she was sat | 0:15:42 | 0:15:45 | |
in her car and the car was right up against the tree and she was just... | 0:15:45 | 0:15:51 | |
There was a lovely big egg on my head. | 0:15:51 | 0:15:54 | |
And you could see it, watch it coming up. | 0:15:54 | 0:15:58 | |
It was about half the size of that lemon. | 0:15:58 | 0:16:01 | |
Both women suffered head injuries in the accident, which has led to some confusion... | 0:16:01 | 0:16:06 | |
They think my foot slipped off and once it's in gear, it goes. | 0:16:06 | 0:16:11 | |
And they think my foot slipped, | 0:16:11 | 0:16:13 | |
and didn't hit the brake, you see. | 0:16:13 | 0:16:15 | |
-That's the only thing they can think of. -I thought it had slipped off the brake and hit the accelerator. | 0:16:15 | 0:16:19 | |
-Well, it might have down, yes. -It is just one of those things. -Yes. | 0:16:19 | 0:16:23 | |
Barbara sells her home-made jams and pickles and to raise money | 0:16:23 | 0:16:26 | |
for local charities, including the Yorkshire air ambulance. | 0:16:26 | 0:16:31 | |
She is grateful for all that the medics did for her that day and is determined to repay them | 0:16:31 | 0:16:36 | |
and thank one of the men who came to her rescue. | 0:16:36 | 0:16:38 | |
Paramedic Paul Bradbury. | 0:16:38 | 0:16:40 | |
How are you? | 0:16:40 | 0:16:42 | |
-A lot better than last time you saw me. -You're looking a lot better as well. | 0:16:42 | 0:16:47 | |
-Can you feel it? -Oh yes... | 0:16:47 | 0:16:50 | |
Words haven't been invented. | 0:16:50 | 0:16:52 | |
Thank you is such an inadequate word. But... | 0:16:52 | 0:16:56 | |
it is thank you, thank you, thank you and thank you again. | 0:16:56 | 0:16:59 | |
It is a wonderful chance to say thank you to these people | 0:16:59 | 0:17:04 | |
because if they weren't here, I might not be here. | 0:17:04 | 0:17:07 | |
It's as stark as that. | 0:17:07 | 0:17:11 | |
Coming up - the horse breaker has been lucky to survive. | 0:17:14 | 0:17:17 | |
But how serious are his injuries? | 0:17:17 | 0:17:19 | |
The horse stopped or it could have been fatal. | 0:17:19 | 0:17:22 | |
And the team is called to the Peak District to rescue an injured cyclist. | 0:17:22 | 0:17:26 | |
Let's catch upon the case of James - the nine year-old farm boy | 0:17:32 | 0:17:35 | |
seriously injured in a freak accident in a barn. | 0:17:35 | 0:17:39 | |
Hey up, Jamesie, how are we doing? | 0:17:39 | 0:17:42 | |
Fed up? | 0:17:43 | 0:17:45 | |
James Bradley is fighting for his life | 0:17:45 | 0:17:48 | |
after this piece of farm machinery left him with a serious head injury. | 0:17:48 | 0:17:52 | |
-How long do you reckon he were out? -He wasn't out at all. Oh, no. | 0:17:52 | 0:17:57 | |
Did he cry straight away? | 0:17:57 | 0:18:00 | |
The team have been piecing together the story of the accident with the help of his dad and mum. | 0:18:00 | 0:18:05 | |
This information could help surgeons save their son's life. | 0:18:05 | 0:18:09 | |
Doors Secure, ready for take-off. | 0:18:09 | 0:18:12 | |
-OK, then, doors, please. -Mine good. | 0:18:12 | 0:18:15 | |
Now James is on his way from the family farm in the Yorkshire Dales | 0:18:16 | 0:18:20 | |
to the neurological unit of Leeds General Infirmary. | 0:18:20 | 0:18:24 | |
How old is James? He is nine? What is his date of birth? | 0:18:24 | 0:18:28 | |
Paramedic James Vine knows his patient is critically ill. | 0:18:28 | 0:18:31 | |
Pressure is building inside his skull, and unless it is released quickly, he will die. | 0:18:31 | 0:18:38 | |
James's mum Laura doesn't know how serious his condition is. | 0:18:38 | 0:18:42 | |
Medical history - no asthma, no diabetes, no epilepsy? | 0:18:42 | 0:18:46 | |
Slowly, James's condition is getting worse. | 0:18:46 | 0:18:50 | |
Pressure is pushing the back of his brain down into the top of his spinal column. | 0:18:50 | 0:18:55 | |
Doctors call it coning and it is deadly. | 0:18:55 | 0:18:58 | |
He is not allergic to anything you are aware of? He is not on any regular medications? | 0:18:58 | 0:19:03 | |
He is a term baby, born on time? | 0:19:03 | 0:19:05 | |
Up-to-date with all his immunisations? | 0:19:05 | 0:19:07 | |
And he was a normal delivery? No problems? | 0:19:07 | 0:19:09 | |
A surgical team is on standby but even at 150 miles an hour | 0:19:09 | 0:19:14 | |
Helimed 98 will take 14 minutes to reach the LGI's rooftop helipad. | 0:19:14 | 0:19:20 | |
INDISTINCT TALKING | 0:19:20 | 0:19:22 | |
..En route for the LGI. | 0:19:25 | 0:19:27 | |
Pilot Chris Atchell is using all the power available from the chopper's two jet engines. | 0:19:29 | 0:19:35 | |
Got an ETA? | 0:19:35 | 0:19:36 | |
Cheers, mate, no worries. | 0:19:38 | 0:19:40 | |
Dozens of people on the ground are busy helping in the race to get James to hospital. | 0:19:40 | 0:19:46 | |
Air-traffic control have cleared Chris straight through the busy skies around Leeds-Bradford airport. | 0:19:46 | 0:19:51 | |
No conflict with us heading out. | 0:19:53 | 0:19:55 | |
Away from us. Good distance from us. | 0:19:55 | 0:19:57 | |
Hospital firefighters are waiting to rush him down to surgery. | 0:19:57 | 0:20:02 | |
If there is swelling and bleeding within the brain then they can sometimes manifest later on | 0:20:02 | 0:20:07 | |
and initially the patient will look quite stable but then deteriorate quite quickly, | 0:20:07 | 0:20:13 | |
hence the decision was made to bring him to LGI where he will get the full scans and checkovers | 0:20:13 | 0:20:19 | |
by the specialists before, you know, anything can hopefully progress. | 0:20:19 | 0:20:24 | |
Big deep breath. Good lad. | 0:20:24 | 0:20:27 | |
And out. | 0:20:27 | 0:20:29 | |
And again. | 0:20:29 | 0:20:30 | |
-Good lad. Pain in your tummy, James? -No... | 0:20:30 | 0:20:34 | |
Is it just your head? | 0:20:34 | 0:20:36 | |
Paramedic James continues to ask the same questions. | 0:20:36 | 0:20:39 | |
He is not really interested in the answer. | 0:20:39 | 0:20:41 | |
His patient's condition is deteriorating and he needs to assess his level of consciousness. | 0:20:41 | 0:20:47 | |
OK chaps, this is James, nine-year-old male, | 0:20:47 | 0:20:51 | |
baling spike holder, approximately about 6 hundredweight's been on the floor | 0:20:51 | 0:20:55 | |
and he has climbed on it and it has fallen on top of him. | 0:20:55 | 0:20:58 | |
The Helimed team has done its job, now it is up to the LGI's | 0:20:58 | 0:21:02 | |
neurosurgeons to take over the fight to save James. | 0:21:02 | 0:21:06 | |
It'll be a long night for them and his mum. | 0:21:06 | 0:21:09 | |
Coming up - James is X-rayed and it is not good news. | 0:21:15 | 0:21:19 | |
If your brain stem gets squashed, you stop breathing... | 0:21:19 | 0:21:22 | |
-And the case of the downhill racer who outpaced some cars. -60 mile an hour. | 0:21:22 | 0:21:27 | |
Remember the man who was badly injured trying to break in an untamed horse in North Yorkshire? | 0:21:32 | 0:21:37 | |
Let's find out how his treatment is going. | 0:21:37 | 0:21:39 | |
Craig Chadwick was working with fellow trainer Karen Nixon | 0:21:39 | 0:21:43 | |
when a horse bucked and he became tangled in the stirrups. | 0:21:43 | 0:21:48 | |
Paramedics are concerned about Craig's spine and his blood pressure, which is worryingly low. | 0:21:48 | 0:21:54 | |
Right then. | 0:21:56 | 0:21:57 | |
It's not tropical, is it? Bless him. | 0:21:57 | 0:21:59 | |
No. | 0:21:59 | 0:22:00 | |
Chris, do you want to roll out that sleeping bag on to the stretcher for us? | 0:22:00 | 0:22:05 | |
It's a tense time for everyone. | 0:22:07 | 0:22:09 | |
Craig has been riding since he was five | 0:22:09 | 0:22:11 | |
but this accident could mean he'll never be able to get on a horse again. | 0:22:11 | 0:22:15 | |
Right. Oh! OK, if we can just go up. | 0:22:15 | 0:22:18 | |
-Bring him in from the side and just spin him sideways as you get him in. -That's it. | 0:22:18 | 0:22:23 | |
Just keep hold of that bag there. | 0:22:23 | 0:22:25 | |
Training wild horses is dangerous. | 0:22:25 | 0:22:27 | |
But none of Craig's friends were prepared for it to go so wrong. | 0:22:27 | 0:22:31 | |
The paramedics won't be able to communicate properly with Craig during the flight | 0:22:31 | 0:22:35 | |
so they need to attach him to the helicopter's monitoring equipment. | 0:22:35 | 0:22:39 | |
-Right, so your pain's all in your chest, Craig, is it? -Mm. | 0:22:39 | 0:22:41 | |
-Keep your arm straight for me. -Is it tender, can I have a feel? Tender when you press? | 0:22:41 | 0:22:46 | |
Yeah, tender there? OK. | 0:22:46 | 0:22:48 | |
The horse that trampled on Craig weighs around half a tonne. | 0:22:48 | 0:22:52 | |
Kate's worried that it could have punctured his lungs. | 0:22:52 | 0:22:55 | |
Detecting it now could stop them having to perform an emergency operation 2,000 feet up. | 0:22:55 | 0:23:01 | |
OK sweetheart, just take a breath for me. | 0:23:01 | 0:23:03 | |
It seems Craig has been lucky, he's stable enough to begin his flight to hospital. | 0:23:05 | 0:23:11 | |
Radar, Helimed 98 Alpha. | 0:23:11 | 0:23:12 | |
Helimed 98 Alpha | 0:23:12 | 0:23:14 | |
INDISTINCT | 0:23:14 | 0:23:17 | |
'Brompton-on-Swale and routing through James Cook. | 0:23:17 | 0:23:20 | |
'Requesting a basic service and clearance for the zone, please.' | 0:23:20 | 0:23:24 | |
Pilot Chris doesn't want to spook the nearby horses. | 0:23:24 | 0:23:26 | |
There's a danger it could cause another accident so it's a quick take-off. | 0:23:26 | 0:23:31 | |
-Six to run, Kate. -Thank you. | 0:23:31 | 0:23:34 | |
At the James Cook Hospital, the trauma team is already gathering. | 0:23:34 | 0:23:38 | |
Orthopaedic surgeons and Accident & Emergency consultants are being briefed on their airborne patient. | 0:23:38 | 0:23:45 | |
Radar, Helimed 98 Alpha, letting down James Cook. | 0:23:45 | 0:23:48 | |
Over the next few hours, Craig has many X-rays and scans | 0:23:51 | 0:23:54 | |
but doctors can't find any internal injuries or broken bones. | 0:23:54 | 0:23:58 | |
To everyone's amazement, he's discharged the next day. | 0:23:58 | 0:24:02 | |
-Hello. -Hello. -So you can walk? -Yeah. | 0:24:03 | 0:24:06 | |
I didn't think you'd be back today. | 0:24:06 | 0:24:08 | |
After just three days off, Craig is back at work. | 0:24:08 | 0:24:11 | |
It seems that Craig's lucky escape hasn't deterred him from riding again. | 0:24:11 | 0:24:15 | |
He's anxious to get back in the saddle and continue breaking in horses. | 0:24:15 | 0:24:19 | |
When I got on, I thought everything was OK and as she went to let me out on the lunge, | 0:24:19 | 0:24:24 | |
the horse spun the opposite way and so the lunge line got wrapped around the whole horse | 0:24:24 | 0:24:28 | |
which then attached me to the horse | 0:24:28 | 0:24:30 | |
so as I came out the side, | 0:24:30 | 0:24:33 | |
I was still attached so I was dangling a foot off the floor | 0:24:33 | 0:24:36 | |
and I was caught between the horse's front legs. | 0:24:36 | 0:24:41 | |
So as it took off down the school, I was still attached to it! | 0:24:41 | 0:24:46 | |
With no-one else holding on to it. | 0:24:46 | 0:24:48 | |
Karen knows how close Craig came to death that day. | 0:24:48 | 0:24:52 | |
The memories of the accident are still very clear. | 0:24:52 | 0:24:55 | |
I thought he was going to be killed. I did think. | 0:24:55 | 0:24:58 | |
He was so lucky, I don't know how he didn't break anything. | 0:24:58 | 0:25:01 | |
He was just getting tossed about like a rag doll. | 0:25:01 | 0:25:04 | |
And thank God, the horse stopped. | 0:25:04 | 0:25:07 | |
Because if it had carried on I think it would've been...it could have been fatal. | 0:25:07 | 0:25:12 | |
Coming up - Doctors operate on the farmer's son injured in a freak accident. | 0:25:16 | 0:25:20 | |
If your brain stem gets squashed, you stop breathing. | 0:25:20 | 0:25:23 | |
It's quick, it's clean and it's good for you. | 0:25:28 | 0:25:31 | |
But cycling can be dangerous if you come off. | 0:25:31 | 0:25:34 | |
Even wearing the right equipment isn't always going to save you. | 0:25:34 | 0:25:38 | |
Up in the Pennines, cyclists often have an uphill struggle getting from A to B. | 0:25:38 | 0:25:43 | |
But sometimes riding downhill has its hazards too. | 0:25:43 | 0:25:47 | |
-Are you ready? -Yep. -OK, clear left. | 0:25:48 | 0:25:51 | |
Today the Helimed team's keenest cyclist, James Vine, | 0:25:51 | 0:25:54 | |
and colleague Tony Wilkes are on their way to a fellow rider. | 0:25:54 | 0:25:58 | |
We've been requested to attend a cyclist | 0:25:58 | 0:26:02 | |
who's come off his cycle | 0:26:02 | 0:26:04 | |
going downhill at a really fast speed, apparently. | 0:26:04 | 0:26:07 | |
He's clearly fractured his wrist, it's also suspected he could have a back or neck injury as well. | 0:26:07 | 0:26:12 | |
-Looks fairly murky out there, doesn't it? -Yes. | 0:26:12 | 0:26:15 | |
Helimed 99's heading up to some of the highest roads | 0:26:15 | 0:26:17 | |
in England on the hills between West Yorkshire and Greater Manchester. | 0:26:17 | 0:26:21 | |
We're getting to that time of year now where it's nice weather for people to get out and about | 0:26:21 | 0:26:26 | |
and obviously if they come off at high speeds down some of these hills, you can get some nasty injuries. | 0:26:26 | 0:26:31 | |
Five to run, please. | 0:26:31 | 0:26:33 | |
This is rough country and even spotting something as big as an ambulance up here isn't easy. | 0:26:33 | 0:26:38 | |
-'Unless you're pilot Steve Cobb.' -That's not an ambulance, is it? Halfway up the hill? -Get a visual. | 0:26:38 | 0:26:44 | |
-God, you're eagle-eye or something. Eagle-eye Cobb. -Hawk-eye. | 0:26:45 | 0:26:48 | |
Hawk-eye Cobb! | 0:26:48 | 0:26:50 | |
This area attracts hardcore cyclists training for races. | 0:26:51 | 0:26:55 | |
What makes this accident unusual is the cycle and cyclist. | 0:26:55 | 0:26:59 | |
This is a serious racing bike, worth several thousand pounds. | 0:27:00 | 0:27:04 | |
James Byron is just 16 but he's a keen road racer. | 0:27:05 | 0:27:09 | |
He was out training with his dad when he had a tyre blow-out. | 0:27:09 | 0:27:12 | |
He's been lucky to survive, given the speed at which he came off. | 0:27:12 | 0:27:16 | |
James has been coming down the hill, approximately 60 mph, his dad says, who's been following in the car. | 0:27:16 | 0:27:22 | |
-Right. -Hit a grate, wobbled off. | 0:27:22 | 0:27:25 | |
-I saw him land and then he got up and picked the bike up. -How did he land? Did he... | 0:27:25 | 0:27:29 | |
I don't know, it happened too quick. | 0:27:29 | 0:27:31 | |
I took James out on a training ride, | 0:27:31 | 0:27:34 | |
this is part of our regular training route for him as a racing cyclist. | 0:27:34 | 0:27:38 | |
We rode to the top of Holme Moss | 0:27:38 | 0:27:41 | |
and we were riding back down. | 0:27:41 | 0:27:43 | |
And we got to this one-mile marker, James come off the bike, | 0:27:44 | 0:27:47 | |
lost control when he hit a drain in the road. | 0:27:47 | 0:27:50 | |
James has hurt his arm but the ground crew are playing it safe. | 0:27:50 | 0:27:53 | |
He could easily have broken his neck, so they're treating him as though he has a spinal injury | 0:27:53 | 0:27:58 | |
and there's a good reason for that. | 0:27:58 | 0:28:00 | |
We've clocked him getting to this one-mile marker in 60 seconds so he was doing 60 mph. | 0:28:01 | 0:28:07 | |
This is just a bit of morphine, all right? So it should help. | 0:28:07 | 0:28:10 | |
No-one could believe it was a cycle he came off at 60. | 0:28:10 | 0:28:14 | |
Tony or James, can you confirm, was at a push bike, a bicycle he came off, over? | 0:28:14 | 0:28:19 | |
Yeah, roger, a push bike. | 0:28:20 | 0:28:22 | |
James's dad is worried his son is badly hurt. | 0:28:22 | 0:28:25 | |
But flying doctor Simon doesn't want to see another accident today. | 0:28:25 | 0:28:29 | |
So is this your van? | 0:28:29 | 0:28:32 | |
-Yes. -Because there's no need to rush, | 0:28:32 | 0:28:35 | |
-I know you want to be there quickly but there's no need to rush it here at breakneck speed, OK? -Yes. | 0:28:35 | 0:28:40 | |
Paramedic James knows how lucky his teenage patient has been. | 0:28:40 | 0:28:44 | |
When he's not flying, he rides a paramedic cycle in Leeds and is no stranger to speed himself. | 0:28:44 | 0:28:51 | |
Sounds like he's come off at quite a significant speed. | 0:28:51 | 0:28:54 | |
We're on a decent-sized hill as you can see when you look around. | 0:28:54 | 0:28:57 | |
Apparently he's been doing up to 60 mph on a push bike. | 0:28:57 | 0:29:01 | |
Cyclist James can cover more than 100 miles in a training run, | 0:29:01 | 0:29:05 | |
at speeds close to the limit for cars, | 0:29:05 | 0:29:08 | |
but he's about to travel to hospital even faster. | 0:29:08 | 0:29:11 | |
James is being taken to the Huddersfield Royal Infirmary to be checked out by doctors. | 0:29:13 | 0:29:17 | |
It will take X-rays to rule out a spinal injury. | 0:29:17 | 0:29:20 | |
He's been lucky that he's not hit any dry-stone walls or anything, he's just landed on some grass. | 0:29:23 | 0:29:28 | |
So as far as we make out, he's got a probable fractured wrist | 0:29:28 | 0:29:32 | |
so he's quite settled now, so it's just a case of a quick five-minute flight down to Huddersfield Hospital. | 0:29:32 | 0:29:38 | |
But the injury to his arm alone required three-and-a-half hours of surgery. | 0:29:38 | 0:29:43 | |
Off-road biking is a great way to get out and see the countryside but if you're off the beaten track, | 0:29:44 | 0:29:49 | |
there are no warning signs for steep hills or other hazards. | 0:29:49 | 0:29:53 | |
The North York Moors are a mountain biker's paradise but it doesn't feel like paradise when you come off. | 0:29:53 | 0:30:00 | |
Today, Helimed 98 is on its way to the Dalby Forest where a cyclist's come a cropper. | 0:30:00 | 0:30:06 | |
Helimed 98 to Yorkshire Air Desk, our ETA 1203, over. | 0:30:07 | 0:30:12 | |
We're heading to Dalby Forest, | 0:30:14 | 0:30:16 | |
a wonderful place where mountain bikers go at the weekend. | 0:30:16 | 0:30:20 | |
Unfortunately, a chap's come off his bike, | 0:30:20 | 0:30:23 | |
he's got a rather serious chest injury. | 0:30:23 | 0:30:26 | |
Andrew Bell and three of his friends were riding a trail designed for experienced mountain bikers. | 0:30:26 | 0:30:32 | |
-There's someone in a reflective jacket waving down there. Got it? -OK, yeah. Got him. | 0:30:33 | 0:30:37 | |
He came off his bike halfway round after attempting a six foot jump. | 0:30:38 | 0:30:42 | |
Hello, sir. What's your first name? | 0:30:43 | 0:30:46 | |
-Andrew. -Hello, Andrew. | 0:30:46 | 0:30:48 | |
I'm Sammy, I'm one of the paramedics. | 0:30:48 | 0:30:50 | |
-How are you doing? -Lot of pain. | 0:30:50 | 0:30:52 | |
A lot of pain, whereabouts, mate? | 0:30:52 | 0:30:54 | |
-My shoulder. -Your shoulder, which one, left or right? | 0:30:54 | 0:30:57 | |
-Right. -Your right shoulder, OK. | 0:30:57 | 0:30:59 | |
Andrew took up the sport again a couple of months ago after a break. | 0:30:59 | 0:31:04 | |
He may have been a bit over-ambitious. | 0:31:04 | 0:31:07 | |
He fell from a six foot drop, sort of thing. | 0:31:08 | 0:31:11 | |
He jumped and fell. | 0:31:11 | 0:31:13 | |
He didn't get back up. | 0:31:13 | 0:31:15 | |
Take a deep breath for me, sir. As best you can. | 0:31:15 | 0:31:18 | |
-Is your tummy OK? -Mm. -Yep? | 0:31:20 | 0:31:22 | |
You got any pain in your ribs at all? | 0:31:22 | 0:31:24 | |
-Yeah. -Which side? -Just everywhere. | 0:31:24 | 0:31:26 | |
He's complaining of a lot of pain his ribs, he just isn't breathing. | 0:31:26 | 0:31:30 | |
-Has he got IV access? -No, we've tried. -Are you guys happy to help carry? | 0:31:30 | 0:31:34 | |
-Course we are, yeah. -Brilliant. | 0:31:34 | 0:31:36 | |
Andrew's mates know he's in good hands and that he'll soon be | 0:31:36 | 0:31:40 | |
on his way to get the best possible care in hospital. | 0:31:40 | 0:31:44 | |
-Do you know where you are? -Mm-hm. -Where are you? | 0:31:44 | 0:31:47 | |
-Dalby Forest. -Good lad. | 0:31:47 | 0:31:48 | |
Paramedic Sammy Wills keeps asking Andrew simple questions | 0:31:48 | 0:31:52 | |
to check that he hasn't got concussion or a more serious head injury. | 0:31:52 | 0:31:56 | |
He's got a lot of pain in his shoulder | 0:31:56 | 0:31:59 | |
and it's spreading through to the right side of his ribs. | 0:31:59 | 0:32:03 | |
We've given him some morphine which is usually really effective | 0:32:03 | 0:32:08 | |
and hopefully his breathing will be a lot easier. | 0:32:08 | 0:32:11 | |
He'll just feel a lot more comfortable on the way in. | 0:32:11 | 0:32:14 | |
Andrew's wife and parents are on their way to the James Cook Hospital. | 0:32:14 | 0:32:18 | |
They'll soon find out that his injuries are more serious than everyone first thought. | 0:32:18 | 0:32:23 | |
Andrew has a broken vertebra in his back as well as his collarbone and his shoulder. | 0:32:24 | 0:32:30 | |
He'll have to have an operation and will spend nine days in hospital. | 0:32:30 | 0:32:33 | |
Two-and-a-half weeks later, and Andrew is back at home with a couple of very impressive scars. | 0:32:34 | 0:32:40 | |
The main scar down the back is where they've pieced together where I broke my 12th vertebra. | 0:32:40 | 0:32:46 | |
The bottom scar is from a bone graft. | 0:32:46 | 0:32:48 | |
If I lie on my lie on my back it's sore, and I can't lie on my side because of my collarbone. | 0:32:48 | 0:32:53 | |
I've broken my 12th vertebra, | 0:32:53 | 0:32:54 | |
I've broken my shoulder, I've broke my collarbone, | 0:32:54 | 0:32:58 | |
I broke three ribs, and I punctured my right lung | 0:32:58 | 0:33:02 | |
so the pain, when it first happened, | 0:33:02 | 0:33:05 | |
the biggest problem was breathing. | 0:33:05 | 0:33:07 | |
To try and get my breath was very hard because I was also out of breath as well off riding the bike. | 0:33:07 | 0:33:13 | |
-Ever hurt your shoulders before, mate? -No. | 0:33:13 | 0:33:16 | |
I was shaking cos I was that cold from being on the ground for two hours. | 0:33:16 | 0:33:20 | |
I kept saying to us, you'll be all right, Andrew, you're going to the right place. | 0:33:20 | 0:33:24 | |
That was about it, really. | 0:33:24 | 0:33:25 | |
I can't remember the noise of it, how bumpy it was, landing, there's loads of bits I can't remember! | 0:33:25 | 0:33:32 | |
It'll take around 12 weeks for Andrew's injuries to heal. | 0:33:32 | 0:33:36 | |
But this hasn't put him off mountain biking. | 0:33:36 | 0:33:39 | |
I'll still do mountain biking, if my injuries fully heal and there's no pains there, to be honest. | 0:33:39 | 0:33:45 | |
But I think I'll be investing in a bit of body armour. | 0:33:45 | 0:33:48 | |
It's your head that's most vulnerable in a bike accident and every year, dozens of cyclists die | 0:33:49 | 0:33:54 | |
or are left permanently disabled as a result of injuries that could have been prevented by one of these. | 0:33:54 | 0:34:00 | |
An emergency call from the Derbyshire Peak District and the Helimed 98 crew are on their way. | 0:34:01 | 0:34:07 | |
Yes, a request from a neighbouring service. | 0:34:07 | 0:34:09 | |
We've got reports of a 19-year-old male who's come off his push bike | 0:34:09 | 0:34:13 | |
near a reservoir and he's got head injuries and he's semi-conscious. | 0:34:13 | 0:34:17 | |
Putting a helicopter down in the Peaks is a tricky business. | 0:34:17 | 0:34:21 | |
So paramedic Al Day immediately starts mapping out potential landing sites. | 0:34:21 | 0:34:26 | |
We can't land close by. | 0:34:28 | 0:34:30 | |
What might seem like a short walk, 400 metres, 500 metres when you're | 0:34:30 | 0:34:34 | |
trying to carry a person, | 0:34:34 | 0:34:37 | |
that's quite difficult, especially if the ground isn't flat. | 0:34:37 | 0:34:41 | |
If you're having to carry somebody down a steep slope or something. | 0:34:41 | 0:34:45 | |
That can be dangerous unless you've got the right equipment and you know what you're doing. | 0:34:45 | 0:34:50 | |
INDISTINCT | 0:34:50 | 0:34:52 | |
-Is that the ambulance? -Yeah. | 0:34:52 | 0:34:54 | |
It's impossible for Helimed 98 to land near the casualty. | 0:34:54 | 0:34:59 | |
So the land ambulance will pick him up and drive him to a suitable site at the end of the reservoir. | 0:34:59 | 0:35:04 | |
If they can get in contact with whoever's on scene, if they can tell them if they see us | 0:35:04 | 0:35:10 | |
and talk us into where they are, that might be a way if we can. | 0:35:10 | 0:35:14 | |
It takes all pilot Steve Cobb's skill to put the aircraft down safely right next to the dam. | 0:35:18 | 0:35:24 | |
That looks good my side. | 0:35:24 | 0:35:27 | |
I'd say if anything, you want to be more to my side. | 0:35:29 | 0:35:32 | |
The rangers from the nearby Visitor Centre raised the alarm. | 0:35:35 | 0:35:39 | |
He's fairly stable, they think. | 0:35:39 | 0:35:41 | |
-They're going to transport him back here now. -OK. | 0:35:41 | 0:35:44 | |
And they'll be here fairly shortly. | 0:35:44 | 0:35:47 | |
The patient's been located | 0:35:47 | 0:35:49 | |
by a land ambulance at the next dam along, about a mile away. | 0:35:49 | 0:35:53 | |
So they're just bringing the patient down to us. | 0:35:53 | 0:35:56 | |
Apparently he's got some kind of head injury. | 0:35:56 | 0:35:58 | |
The ground crew have had difficulty communicating with injured cyclist Ryan Horsley | 0:35:58 | 0:36:03 | |
because he lost his hearing aid when he came off his bike. | 0:36:03 | 0:36:06 | |
He's got a good laceration to the side of his head. | 0:36:06 | 0:36:09 | |
His left ear is quite torn at the top. | 0:36:09 | 0:36:11 | |
Clavicle fracture. | 0:36:11 | 0:36:13 | |
Clavicle fracture. His pal that was with him he's gone on down to the visiting centre | 0:36:13 | 0:36:18 | |
so we'll probably get more information. | 0:36:18 | 0:36:20 | |
-Do you want me to get him back? -Yes, that'd be fantastic. -I'll get someone to bring him back. -Superb. | 0:36:20 | 0:36:24 | |
Hello, you OK? | 0:36:24 | 0:36:27 | |
Are you OK? | 0:36:27 | 0:36:28 | |
-No. -No! -He's been complaining of his hip hurting but I think that's just the abrasion. | 0:36:28 | 0:36:34 | |
I've had a good feel of the hip and everything's fine. | 0:36:34 | 0:36:37 | |
Just going to move your legs, OK? | 0:36:37 | 0:36:39 | |
Does that hurt? | 0:36:41 | 0:36:42 | |
INDISTINCT REPLY | 0:36:42 | 0:36:44 | |
OK. | 0:36:44 | 0:36:45 | |
With mobile phones out of action, Ryan's brother had to cycle to the Visitor Centre to get help. | 0:36:49 | 0:36:55 | |
I just saw the blood and somebody was looking after him. | 0:36:55 | 0:36:59 | |
Seemed to know what he was doing so they told me to go and get some help quick. | 0:36:59 | 0:37:04 | |
Meanwhile, some passing walkers took care of Ryan. | 0:37:04 | 0:37:08 | |
There's no mobile signals or anything, we had to send his friend on the bike to come and fetch help. | 0:37:08 | 0:37:14 | |
And of course when you're in that situation it seems like forever but it's only minutes, basically. | 0:37:14 | 0:37:20 | |
But seems like a long time when you're stuck there. | 0:37:20 | 0:37:22 | |
-Communication was difficult because he was deaf. -Yes, he'd lost his hearing aid. | 0:37:22 | 0:37:27 | |
Apparently his friend's got that so we were having to write it on a bit of paper and present that to him. | 0:37:27 | 0:37:34 | |
Of course with the blow to the head, he was a bit confused anyway. | 0:37:34 | 0:37:37 | |
Instead of an uncomfortable 40-minute journey by road, | 0:37:39 | 0:37:43 | |
Ryan is being whisked to Sheffield's Northern General Hospital by helicopter. | 0:37:43 | 0:37:47 | |
There, his injured shoulder and head can be fully assessed. | 0:37:47 | 0:37:52 | |
And all our cyclists are recovering and planning to get back in the saddle. | 0:37:53 | 0:37:58 | |
Now, let's catch up with James's case, the farmer's son badly injured in North Yorkshire. | 0:37:58 | 0:38:03 | |
Nine-year-old James Bradley has been lucky to reach couple alive. | 0:38:04 | 0:38:08 | |
That lump is a sign of a serious head injury | 0:38:08 | 0:38:10 | |
that has caused a dangerous buildup of pressure inside his brain. | 0:38:10 | 0:38:14 | |
It's every parent's nightmare to be involved in an accident, let alone one that involves | 0:38:14 | 0:38:19 | |
taking a blow to the head with heavy machinery and then having to fly to hospital. | 0:38:19 | 0:38:23 | |
Thanks to the Helimed team, he's now in one of the UK's top neurological units. | 0:38:23 | 0:38:28 | |
But his survival is in real doubt as the pressure builds up inside his skull. | 0:38:28 | 0:38:34 | |
Surgeons at the Leeds General Infirmary decide | 0:38:34 | 0:38:37 | |
to temporarily remove a portion of his skull to relieve the swelling. | 0:38:37 | 0:38:41 | |
For two long days, it's touch and go. | 0:38:43 | 0:38:46 | |
But children can be incredibly resilient. | 0:38:47 | 0:38:50 | |
And less than a week after the accident, there's good news at the family farm. | 0:38:50 | 0:38:55 | |
James decided, in his infinite wisdom, that he was going to swing on it like a monkey | 0:38:55 | 0:39:01 | |
so he put his hands on the top here, coming from that direction, | 0:39:01 | 0:39:04 | |
tried to swing his legs through, and all he succeeded in doing was pulling it onto his head. | 0:39:04 | 0:39:09 | |
And it makes quite a satisfying... bang. | 0:39:09 | 0:39:12 | |
It was really scary | 0:39:12 | 0:39:14 | |
and it really hurt | 0:39:14 | 0:39:17 | |
and I was shocked and | 0:39:17 | 0:39:19 | |
blood coming down my face | 0:39:19 | 0:39:21 | |
and I was really annoyed. | 0:39:21 | 0:39:23 | |
Everything was just... | 0:39:23 | 0:39:25 | |
just a bit freaky. | 0:39:25 | 0:39:27 | |
His forehead was under there and the back of his head was on the concrete. | 0:39:27 | 0:39:31 | |
There's scarcely enough room to fit a little head under there. | 0:39:31 | 0:39:34 | |
James's mum and dad had no idea how badly he was hurt. | 0:39:36 | 0:39:40 | |
At the time, we just thought it really wasn't going to be anything too serious. | 0:39:40 | 0:39:45 | |
Then they decided to take him for a CT scan, then by the time he'd come out of the scan, | 0:39:45 | 0:39:50 | |
his nose had started to bleed. | 0:39:50 | 0:39:52 | |
Then they just took him straight into theatre. | 0:39:52 | 0:39:55 | |
They came and spoke to me | 0:39:55 | 0:39:57 | |
and just said he's got a blood clot. | 0:39:57 | 0:40:00 | |
So whereupon, I just thought... you just hear those words and I thought, oh, my God. | 0:40:00 | 0:40:04 | |
I thought he was going to die. I thought that's it, blood clot, he's going, you know. | 0:40:04 | 0:40:09 | |
I was driving down when Laura rang me and I was nearly there actually, | 0:40:09 | 0:40:13 | |
she said they've just taken him to theatre because they've found | 0:40:13 | 0:40:16 | |
a blood clot in his head. Well, I nearly missed my lane on the roundabout | 0:40:16 | 0:40:21 | |
and at that point, it all got quite scary. | 0:40:21 | 0:40:23 | |
The neurologist who operated on James says his life was in the balance. | 0:40:23 | 0:40:29 | |
This is James's scan. This is the blood clot here, the white thing here. | 0:40:29 | 0:40:34 | |
So the brain is being squashed from the left to the right | 0:40:34 | 0:40:37 | |
by about a centimetre, which is quite a significant shift. | 0:40:37 | 0:40:40 | |
This part of the brain then gets squashed across and presses on the brain stem. | 0:40:40 | 0:40:45 | |
The brain stem controls your heart rate and your breathing. | 0:40:45 | 0:40:48 | |
And if your brain stem gets squashed, you stop breathing, your heart rate disappears and that's it. | 0:40:48 | 0:40:55 | |
If you can have the blood clot out, the pressure relieved within four hours of the injury, | 0:40:56 | 0:41:01 | |
you're much more likely to have a good outcome from the injury. Time is critical. | 0:41:01 | 0:41:06 | |
By being brought straight to us by the air ambulance, he was here in a matter of minutes. | 0:41:06 | 0:41:12 | |
Within a very short space of time of his injury, he'd had his surgery. | 0:41:12 | 0:41:16 | |
The air ambulance was absolutely critical in that. | 0:41:16 | 0:41:19 | |
Being a typical nine-year-old, James is keen to put the whole thing behind him. | 0:41:21 | 0:41:25 | |
Now he's just trying to get back to normal. | 0:41:27 | 0:41:30 | |
I'll say, "James, just be careful what you're doing. You can't do this, don't run. | 0:41:30 | 0:41:35 | |
"Watch out, don't bang your head." He just goes, "Mum, stop nagging." | 0:41:35 | 0:41:40 | |
I think one of them's also mooing, that bluey one because its calf's getting into the feed. | 0:41:40 | 0:41:46 | |
The thing is with James, he's one who won't be beat by anything. | 0:41:46 | 0:41:49 | |
He's a tough little thing! | 0:41:49 | 0:41:51 | |
Which is good. | 0:41:51 | 0:41:53 | |
He won't be beat. | 0:41:53 | 0:41:56 | |
When Helicopter Heroes comes back - | 0:41:56 | 0:41:59 | |
a young mum is thrown 20 feet after a road accident. But the chopper can't land. | 0:41:59 | 0:42:03 | |
Stop, stop, stop. | 0:42:03 | 0:42:06 | |
A veteran biker's badly hurt. | 0:42:06 | 0:42:08 | |
He's gone over and landed on this big slab here so... | 0:42:08 | 0:42:12 | |
The gritters are out but not on this road. | 0:42:12 | 0:42:15 | |
We're going to put you on to a spinal board. | 0:42:15 | 0:42:17 | |
I'm putgin you in the helicopter, is that OK? | 0:42:17 | 0:42:20 | |
And the call a young rugby player's mum didn't want to receive. | 0:42:20 | 0:42:24 | |
Oliver is going to be transported by an air ambulance, Mrs Moore. | 0:42:24 | 0:42:28 | |
Subtitles by Red Bee Media Ltd | 0:42:33 | 0:42:36 | |
E-mail [email protected] | 0:42:36 | 0:42:39 |