Episode 8 Helicopter Heroes


Episode 8

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If you're seriously ill or critically injured, every

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

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But, thanks to these guys, the people of the UK's

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biggest county are never more than 10 minutes away from a hospital.

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The Yorkshire Air Ambulance can do 150 mph and every day brings a new life-or-death emergency.

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Five million people depend on these yellow helicopters to bring life-saving care from the skies.

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When a multiple pile-up closes Britain's highest motorway, or there's a serious accident

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on the shop floor, the highly trained paramedics and pilots

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of the Helimed team are there to rescue the casualties.

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Today on Helicopter Heroes -

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there's an accident in the woods and a man suffers his second fractured skull.

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It left you with a dented skull, anyway?

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A pedestrian's fighting for her life - the Helimed 98 is struggling to reach her.

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Can you wave those people off?

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It's fun in the snow, but one teenager discovers the downside of sledging.

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We went under some barbed wire and she cut all her neck.

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And a building worker is run over by an eight-tonne digger.

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We've got to be so careful with him.

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This is one of the must-have accessories these days.

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It's clean, green and keeps you very, very warm.

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You can even chob up your own wood, but you must do it safely.

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A cold winter in North Yorkshire means that logs for wood-burning stoves are in short supply.

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As a result, many villagers are becoming amateur lumberjacks.

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Helimed 99 is being dispatched from Leeds Bradford airport.

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There's been an accident in a wood near Gargrave in the Yorkshire Dales.

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Apparently there are reports there's a car in some woodland...

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There's a driver with some injuries,

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we're not quite sure what type of injuries they are, as yet.

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Tony's unsure about the location and he's certainly no Jeremy Clarkson.

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We've got a red "Subbarroo" car.

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A "Subbaroo"?!

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Whatever they're called, those boy-racer cars. A Subaru.

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It's a "Sow-barrow Imprazza"!

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But the emergency they've been called to in remote woodland is no joke.

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More details of the incident are coming into Helimed headquarters.

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Someone in a little copse of woods must have been cutting some

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trees down and a tree has fallen on one of them.

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He's not fully alert and they're querying a brain injury, so it could be a nasty head injury.

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Updates, the land crew has just got on scene, and apparently there's an ICU nurse on scene as well.

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Chris Bosomworth was using a chainsaw to fell trees when the accident happened.

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He wasn't wearing a helmet.

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Luckily, he was working with his friend, Dave Farnsworth,

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who's an intensive care nurse, and he's already begun first aid.

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But, there's a problem. It's hard enough for the team to reach their patient.

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It'll be impossible to bring him back to the chopper this way.

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He's got a graze on top of his head.

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The team's patient

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was using a chainsaw deep in the wood went a branch fell on him.

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Chris's mate saw it happen.

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We were both cutting the wood together.

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It's a piece of dead wood and a piece of it's broken off

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and fell on him rather than down to the ground.

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Just an immediate assessment and then call the ambulance and stay with him.

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Sir, I just want to have a look at the top of your head, OK?

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Chris hasn't moved since he was knocked out.

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He's confused and can't answer the paramedic's questions.

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Do you know where you are at the moment?

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It could be a sign his brain is swelling inside his skull.

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Two minutes later he started to come round, open his eyes, but it took

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probably five minutes to get to where we are.

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Have you had previous injury to your head?

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20 years ago, a rock fell on him during a climbing accident.

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This case just got a lot more serious.

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Chris has fractured his skull before.

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A second brain injury means his life is in real danger.

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Has it left you with a dented skull?

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He needs hospital treatment, quickly.

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This chap's taken a knock to the head while he's been cutting these trees.

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The problem is, we're located on one side of the road

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and it'll be quite difficult to get the patient there.

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Coming up, Chris is not out of the woods yet, in more ways than one.

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He's a bit confused and disoriented, and had a period of being unconscious.

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A teenage girl seems to have had a miraculous escape, but paramedic Daz is worried.

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No neck pain, other than the pain under your chin?

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And it's a difficult rescue for an injured worker trapped in a sewer.

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Hello, ambulance.

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Last year, controllers in this room built with 670,000 999 calls.

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They ranged from minor accidents and illnesses through to life-threatening emergencies.

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Guess which guys tend to get the most serious jobs?

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On an estate in Sheffield, a high-powered sports car

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has hit a house, narrowly missing the owner who was mowing his lawn.

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He escaped, but a young woman walking nearby hasn't been so lucky.

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She's critically injured and Helimed 98 has been scrambled from its nearby base.

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OK we're going over t'railway line, so we're just here.

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Pilot Craig Redmond flew Apache gunships in Afghanistan before joining the Helimed team.

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But this mission will also be dangerous, for a different reason.

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Big pylons visual, just on the other side of that crest.

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-Yeah, I've got them.

-It's this side of, isn't it?

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He's heading for a landing site in the middle of a suburban housing estate.

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-See where the football is?

-Yeah.

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That's where the lane is.

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It's quite a long way.

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Dozens have come out to watch the drama unfolding in their street.

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Using the local sports field isn't an option.

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There's a fence between it and the accident scene.

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We've got police on t'field securing your field now.

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-Yeah. You see the junction down about to the 3 o'clock know where those people are standing?

-Yes?

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That might be a little bit better but I'd want those cars moving.

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Are you worried about damaging that car or just the closeness of it?

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Both, really, and the people that are stood there.

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Can you just wave those people off?

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Yeah, I'm cracking t'door. They're moving back.

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The chopper's rotor blades are only feet from the trees.

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You've just got trees on your front left, Craig.

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They're all small hedges now you're directly over.

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All clear my side.

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-All clear front left.

-And we're down.

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Craig does it, squeezing Helimed 98 into a tiny patch of ground.

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25 year-old Romina is from Romania.

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She was walking home from work at a local pub when the accident happened.

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She was thrown six feet in the air when the Honda S2000 hit her.

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We're going to straighten this one shortly, all right?

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We'll just let that morph get through.

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Shocked eyewitnesses saw what happened.

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There were two people stood there.

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They must have stepped back once,

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one big step and it went straight past them into the wall.

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The impact has smashed both Romina's legs. She's bleeding internally.

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Paramedics are trained to be calm, but they all know this is serious.

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Open your eyes, sweetheart.

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Going to start moving your legs now.

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This traction splint will ensure blood continues flowing to their

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patient's lower legs and feet, but straightening her broken thighs will hurt - a lot.

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The police are already gathering evidence.

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There's no shortage of witnesses.

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This was no boy racer - the driver is 49.

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Can you manage? I'll let go of that one and put some tension on.

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I think that tib and fib's all right.

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Can you just support the pelvis while we're doing this?

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She's only little, we don't want to pull her down with that.

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If you can't get any further, mate, we've gone both straight they're aligned now.

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Romina was staying with a relative.

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-Her English is far from perfect, and that's making it harder to diagnose her injuries.

-Please, help me.

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-We are doing, Romina.

-Argh!

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SHE CRIES INCOHERENTLY

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Romina's injuries are so numerous Lee has

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to write them down to remember them.

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It's important the orthopaedic surgery team all ready waiting

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at Sheffield's Northern General Hospital know exactly what they're dealing with.

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She's got bilateral closed fractured femurs.

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She's got a right tib and fib fracture,

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a left humerus fracture,

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BP is 119/80, pulse 102.

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-Romana...

-Ow, it hurts.

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Coming up, Army vet Craig once took on the Taliban, but this take-off will require real courage too.

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-Blades are above the lamp now.

-Roger.

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Paramedics turn lumberjacks to rescue Chris, the injured woodsman.

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And the team are scrambled to an accident at a country house.

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I saw him go by and all of a sudden I heard this crash.

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When winter comes to Yorkshire, the schools are often the first to suffer.

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Teachers are snowed in and heating systems fail.

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Which is good news if you're young.

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Most of Yorkshire's snowbound, roads are blocked and some villages cut off.

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But for the local teenagers it's playtime.

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Shops have sold out of sledges and any slope will do for some high-speed fun.

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But the crew of Helimed 99 often find themselves picking up the pieces where winter sports go wrong.

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Today, they're on their way to Oxenholme, high in the Pennines.

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A teenager's hit a barbed-wire fence at high speed.

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The team have been to fatal accidents like this.

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Last year we had quite a nasty sledging incident.

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Unfortunately, one of the patients involved sadly passed away.

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It does bring that to the fore,

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we all tend to remember some of the incidents and the patients.

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At the end of the day we're all human.

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When you're a youngster you think you're invulnerable.

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I don't think you realise

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whizzing down a field at 30 mph towards a barbed-wire fence,

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when you put it in context that sounds very dangerous,

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but when you're a kid it's all part of the fun, isn't it?

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In a snowbound landscape, navigation is tricky.

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All they have is a grid reference for the incident.

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But once they've landed, there's no sign of anyone who's injured.

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The mystery is soon solved - she's in a house nearby.

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Do you know where they've gone?

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14 year-old Ella McDowell was sledging with her school friend,

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Holly Harper, when she lost control and hit the fence.

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Now she's in Holly's kitchen, being cared for by Holly's mum, Jo.

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She was going down and went under some barbed wire

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and she cut all her neck.

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The problem we've got in this kind of weather is

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these farm tracks are very icy, and haven't been gritted.

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The response car's made it, but that's a four-wheel-drive vehicle, so we're just

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putting together some contingencies in case the ambulance can't make it, which would be either a flight in

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the helicopter to Huddersfield or the mountain rescue with their four-wheel-drive ambulance.

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I've only just managed to get here.

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-Do you think the land ambulance will get here?

-That's the other question.

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Not that easily, to be honest.

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The accident has left Ella with deep cuts to her face and neck.

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They look nasty, but the Helimed team

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are more worried about invisible damage the impact may have caused.

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We'll get you patched up down at the hospital in no time.

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Marvellous, no more aches and pains anywhere?

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She was just talking about her shoulder.

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The neck is packed with blood vessels and nerves, and an impact like this can cause spinal injuries.

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OK, squeeze my fingers.

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Smashing, lift my hands up if you can.

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That's not hurting, anywhere, is it? Not hurting your shoulder, no?

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And you don't feel cut in half at all, no neck pain other than the pain under your chin?

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That's what I'm bothered about.

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Darren's examination is designed to identify

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a potentially serious injury without alarming his patient.

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-Did you get up and then wail straight away?

-No, I felt something...

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Yeah... And then you weren't happy.

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Her friend's dad, Mick, was among the first to come to Ella's rescue.

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He was horrified to find she'd hit a single strand of barbed wire.

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They'd only been out five minutes and obviously this has entailed from it.

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It's a little accident, but hopefully she'll be all right.

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The big question now is how are they going to take Ella to hospital?

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Her case wouldn't normally be serious enough to justify a flight.

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We're just having a bit of a conference as to whether

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the ambulance is going to get to us with the weather being as it is.

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If they stay where they are if the road conditions are bad, we can lift her down.

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But local paramedics have battled through the drifts in time to take over from the Helimed team.

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No rushing. Don't be running.

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Ella's very calm, considering the injuries she's received.

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She knew the fence was there but lost control when snow temporarily blinded her.

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Few people realise how serious sledging accidents can be.

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Watch your step, have a little seat...

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Ella's been lucky. She could have had some nasty scarring to show for her collision with the fence.

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The good news is her wound's healed well, with little sign of her narrow escape.

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Coming up, a badly injured pedestrian is prepared for a life-saving flight to hospital.

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We'll get her assessed but she's critically injured.

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And a builder's seriously hurt in a fall through a barn roof.

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Let's get back to the woods in North Yorkshire, where a man chopping logs

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has suffered a serious head injury for the second time in 20 years.

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Chris Bosomworth was using a chainsaw to fell wood when a heavy branch fell on his head.

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Do you know where you are?

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He's agitated, and showing signs of a serious brain injury - his second.

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Now pilot Chris Atrall is trying to land Helimed 99

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closer to the team's patient, but it's not good to be easy.

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-Clear to your left...

-There's a gate there.

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I feel nauseous.

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We're going to get you something for that, OK?

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Flying doctor Andy Pountney has his own problems.

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Patient Chris has told him he feels sick.

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Flying him like this could be dangerous.

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We've given him something to settle his nausea.

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If we take him strapped down on a spinal board,

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we don't want him to start being sick, so we're trying to get that settled down first of all.

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But we're concerned about how the injury is, he's a bit confused and

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disorientated and obviously he's had a period of being unconscious.

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We need to get him to hospital, so it's a risk-benefit balance

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of taking him back to the helicopter strapped down.

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Initially KO'd for 2-3 minues.

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We'll be going to LGI...

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They're clearing the way to get Chris to the chopper.

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There's no time to waste, his condition's showing signs of deteriorating.

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Do you know what month it is?

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-January.

-What year is it?

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Oh god, nausea.

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Is that causing you any pain at all?

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Chris fractured his skull in the 1980s in a climbing accident.

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It left him with epilepsy, restricted vision and a dent in his skull.

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We're going down the board six inches. Ready, steady, move.

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A second fracture is extremely serious, but at least he's now ready for his flight to hospital.

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Can you give me your surname again, Chris?

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What started out as a garbled report of an injured man in a car

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has turned out to be a life-or-death emergency.

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It's like any job, you know, you just come with open eyes,

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because what any information you get initially doesn't tally to what's happened.

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He's been very lucky. I've not seen the bit of tree that landed on his head,

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but looking at the branches they've been cutting it could have been quite substantial weight.

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He has been lucky.

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It hurts, nausea.

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I know, I know.

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Chris is still feeling sick.

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Dr Andy knows flying him is a risk, but not as big as that posed by a long road journey.

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10-15 minutes, over.

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After a blow to the head, the brain can swell with sometimes fatal results.

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The team aren't taking any chances with Chris.

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The oxygen's just in case he has got any

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serious head injury in terms of any bleeding or anything around the brain.

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We need to make sure the rest of the brain tissue

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stays well oxygenated, so that's why he's having a bit of extra oxygen at the moment.

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He's getting a little bit agitated, just to keep you updated.

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He's on his way to Leeds General Infirmary, which has one of the UK's most advanced neurological units.

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The team that saved Top Gear's Richard Hammond

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is waiting to examine Chris.

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He's a lot more settled now than he was.

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Coming up, hospital doctors prepare to find out if Chris has suffered brain damage once again.

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And we meet the building workers who fall victim to their dangerous job.

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Remember the pedestrian that was knocked down by a sports car that mounted the pavement?

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She's about to take off for hospital, but this isn't a routine flight.

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Helimed 98 pilot Craig Redman used the skills he learnt flying Apache gunships for the army

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to carry out the dramatic landing in the middle of a suburban housing estate in Sheffield.

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Now the team are fighting to save barmaid Rumina who was badly injured when she

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was hit by a sports car which left the road and collided with a house on her route home from work.

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Got multiple fractures. We're concerned her pelvis might be fractured

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so the priority now is to get her up

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to the Northern General Hospital in Sheffield.

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But she's critically injured at this moment in time.

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The flight to hospital will take less than five minutes,

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but first Craig has to get Helimed 98 out of the quiet cul-de-sac.

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It's full of hazards, all of them lethal.

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Above the lamp.

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The smallest mistake could end in disaster, but Lee and Peter are more worried about their patient.

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Her injuries are the worst they've seen in a pedestrian who survived.

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Those legs were compromised, weren't they?

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That left one especially. Very lucky.

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It was all doubled back on itself.

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I think it cut its blood supply.

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For Craig the hard work is over.

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Sheffield's Northern General's tiny helipad is one of the smallest in the UK.

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It doesn't look that way today.

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-It'll feel like a football pitch compared to where we just landed!

-I know.

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Rumina will undergo surgery almost immediately.

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Doctors will use five pints of blood during her operation.

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There's a real danger she could lose both her legs, even her life.

0:21:330:21:37

Dr Stephen Rowe, who often flies in the helimed choppers,

0:21:390:21:43

was one of the surgical team that operated on her.

0:21:430:21:46

Her X-rays showed the extent of her terrible injuries.

0:21:460:21:51

When we were in theatre with her after the accident,

0:21:510:21:55

there were times when we weren't sure whether she'd survive or not.

0:21:550:21:58

The pelvis on its own, a fracture like that can kill you, combined with the injury to the thigh bone.

0:21:580:22:05

That's a very significant injury.

0:22:050:22:07

We've got a CT scan of her head and you can see there's an area

0:22:070:22:12

that's different from this side.

0:22:120:22:14

This is an area of bleeding into the tissue of the brain caused by the blow on the head that she sustained.

0:22:140:22:20

The combination of the pelvic injury, which was a life-threatening injury,

0:22:200:22:25

the injury to the femur which is one you can lose a lot of blood from, and the significant head injury

0:22:250:22:31

meant she was very lucky to survive her injuries.

0:22:310:22:33

Thanks to the Helimed team and the skills of the Northern General surgeons, Rumina is making

0:22:330:22:39

a good recovery, but she'll live with the legacy of her accident for the rest of her life.

0:22:390:22:44

Coming up - he still has the scars of his last head injury.

0:22:500:22:54

Can Chris recover from a second?

0:22:540:22:57

Being a builder is one of the UK's top five most dangerous jobs.

0:23:030:23:08

Safety on construction sites is a priority, but unfortunately accidents do happen.

0:23:080:23:16

Building-sites come in all shapes and sizes, all of them dangerous.

0:23:160:23:20

And on a construction site in the Dales one worker has had a serious fall.

0:23:200:23:26

Today anaesthetist Steve Rowe is giving up his day off to fly on Helimed 99.

0:23:260:23:33

His life-saving skills are badly needed.

0:23:330:23:35

The team's patient has become trapped down a concrete shaft.

0:23:350:23:39

Hello, mate, just letting you know we've got a doctor out with us.

0:23:410:23:45

Left hand side of the chest and also the right of the hip.

0:23:450:23:51

The worker has fallen 3.5 metres.

0:23:510:23:54

It's part of a drainage complex under a new bypass around the town of Settle.

0:23:540:23:58

The biggest question for Dr Steve and the Helimed team is how are they going to get to him?

0:23:580:24:04

There's an ambulance crew with him

0:24:040:24:06

who've given him some Tramadol to ease his pain.

0:24:060:24:09

When we come to move him his pain is likely to increase.

0:24:090:24:12

There's a problem, the patient is desperate for

0:24:120:24:16

a stronger pain relief, but the last thing needed are more paramedics and a doctor heading down the shaft.

0:24:160:24:21

A broken ankle for a crew member could put the air ambulance out of action for its next emergency call.

0:24:210:24:27

We can try to move him. I can get in and at least give him some morphine.

0:24:270:24:31

Dr Steve decides to give the morphine to

0:24:310:24:34

one of the ground paramedics who has squeezed through the shaft to get to the patient.

0:24:340:24:39

It's a rare decision, but as long as Steve keeps a close eye on how

0:24:390:24:42

the closely controlled drug is being used, it's the safest option for all involved.

0:24:420:24:47

Pass it through the hole. Steve is happy fot it to be given under his direction.

0:24:470:24:51

It makes it easier for us to control it and makes it

0:24:510:24:56

a lot more acceptable for the patient to be hoisted out

0:24:560:24:59

of that area when he's got adequate pain relief.

0:24:590:25:02

Now the patient is as comfortable as you can be 3.5 metres down a concrete shaft,

0:25:020:25:07

but the big question is will they be able to get him out?

0:25:070:25:10

Once he's out, if we can get a spinal board set up

0:25:100:25:14

and the scoop and we'll scoop him from that.

0:25:140:25:17

If I can get the splint on the spinal board ready...

0:25:170:25:20

It's a group effort.

0:25:200:25:22

The patient is secured to a spinal board to prevent any

0:25:220:25:25

further injury and the delicate operation to bring him back to the surface begins.

0:25:250:25:30

This isn't just a risky environment for the site workers, it also poses

0:25:300:25:35

real danger to the emergency services involved in the rescue.

0:25:350:25:38

Obviously you've got to be careful because there are hazards around.

0:25:380:25:43

The fire brigade and the site workers will give us advice on what's safe and what isn't safe to carry out.

0:25:430:25:50

The worker is nearly back to the surface,

0:25:500:25:53

but any break to the rope would send him crashing back down the shaft.

0:25:530:25:58

It's strength and precision from the firefighters,

0:25:580:26:01

but the rescue has been a success, a true team effort.

0:26:010:26:04

Well done, guys, fantastic work.

0:26:040:26:08

It was quite a tight job to get him out, but the paramedics and

0:26:080:26:13

the firemen worked quite well together and he eventually came out.

0:26:130:26:16

It took a bit of time, but it's sorted.

0:26:160:26:18

He's had a moderate strength painkiller from the ambulance service called Tramadol.

0:26:180:26:24

We gave him some morphine which is a stronger painkiller.

0:26:240:26:27

He's not had a lot of that for his size, but he was quite comfy.

0:26:270:26:31

We've just given him a wee bit to take the edge off his pain.

0:26:310:26:35

He said he's quite comfortable with that.

0:26:350:26:37

Even though Steve feels the patient's injuries

0:26:370:26:40

aren't life-threatening, he still needs to be taken to the nearest hospital for a full check-up.

0:26:400:26:45

The closest A&E is a dash across the Pennines, Lancaster General.

0:26:450:26:49

He was later released after treatment for what turned out to be minor injuries.

0:26:490:26:54

Around a quarter of a million of us are injured at work each year

0:26:540:26:58

and if you're a builder you're more likely to be hurt than most.

0:26:580:27:02

From falling masonry to collapsing cranes, development sites are full of hazards and few are as lethal

0:27:020:27:09

as earth-moving equipment as one unlucky construction worker found out.

0:27:090:27:14

Just got a message on the phone saying the patient run over

0:27:160:27:19

by a Caterpillar, which is one of them bulldozer-type machines.

0:27:190:27:24

Bricklayer Andrew was working on a house near the market town of

0:27:240:27:28

Pocklington in East Yorkshire when he was run over by an earth mover.

0:27:280:27:32

His leg's been crushed.

0:27:320:27:34

Obviously time critical if

0:27:340:27:37

there's artery damage or nerve damage or anything like that,

0:27:370:27:41

so we'll be heading for one of the major hospitals and just try

0:27:410:27:45

and keep him stable and get him there as quick as we can.

0:27:450:27:48

Ever since Helimed 99 left its base at Leeds-Bradford airport it's

0:27:480:27:52

been raining and the crew aren't sure they'll reach their patient, but they're prepared for anything.

0:27:520:27:59

Helimed 99, I've been advised there's a landing area for you near to the windmill.

0:27:590:28:06

The condition of the patient is that he's a crushed leg, over.

0:28:060:28:09

Roger, thanks for that. We'll be about five minutes.

0:28:090:28:13

The weather appears to have been good news for Andrew.

0:28:130:28:16

The digger weighs several tons, but his leg has sunk into soft mud, protecting him from serious injury.

0:28:160:28:22

I don't suppose it's possible to get the LGI red phone number.

0:28:220:28:27

We've got a doctor on scene who wishes to speak to the consultant.

0:28:270:28:31

Paramedics Lee and James believe Andrew's had a lucky escape, but crush injuries can be lethal.

0:28:310:28:36

They know he needs to be properly checked out in hospital.

0:28:360:28:40

It weighs approximately eight tonnes, so it's gone across his waist and his pelvis.

0:28:400:28:44

We're not sure of the injuries he's sustained at the moment.

0:28:440:28:48

We're just establishing which hospital to take him to.

0:28:480:28:51

You've got a lot of vascular area within the pelvis that can rapidly loose blood into that area,

0:28:510:28:57

so we've got to be so careful with him.

0:28:570:29:00

He's in quite a bit of pain, I've given him some pain relief.

0:29:000:29:03

We're going to get him onto the trolley, down to the aircraft and off to LGI.

0:29:030:29:06

He's been quite lucky to survive with eight tons of digger going across his leg.

0:29:060:29:10

It's quite similar to one we had last year out at Whitby.

0:29:100:29:13

That time, that was the lower leg and this time, it's the upper leg,

0:29:130:29:17

the pelvis and the femur

0:29:170:29:19

that have been damaged. A lot of weight to have on you.

0:29:190:29:21

Andrew was looking forward to the end of the working day and a short drive home.

0:29:220:29:26

Now, he's taking off on a 40-mile flight to the trauma unit of Leeds General Infirmary.

0:29:260:29:31

We're just keeping an eye on him,

0:29:330:29:35

on his vital signs, his blood pressure as well, and his heart rate.

0:29:350:29:41

Just try and keep him stable until we get to LGI.

0:29:410:29:44

We have specialist vascular surgeons there that if there's any problem

0:29:440:29:47

or complication, they can get it sorted.

0:29:470:29:50

The team are optimistic.

0:29:500:29:53

Andrew has cheated the odds by escaping without major injury.

0:29:530:29:56

But only a scan at the LGI will confirm the diagnosis. Whatever the result,

0:29:560:30:02

the building industry's accident record just got a little bit worse.

0:30:020:30:06

In total, Andrew spent nearly two months at the LGI and now,

0:30:090:30:13

ten months later, he's still being treated at his local hospital.

0:30:130:30:16

I had seven hours in theatre.

0:30:160:30:19

They discovered I'd got a broken ankle, two bones

0:30:190:30:25

below my knee broken, a damaged knee,

0:30:250:30:28

pelvis broken in four places and a damaged bladder.

0:30:280:30:33

When I came round the following day, I had all this frame sticking it of me

0:30:330:30:38

and I thought I'd never walk again, but I am doing.

0:30:380:30:43

And Andrew is still not back at work as a brickie.

0:30:430:30:46

I've got another operation to go

0:30:460:30:49

and I've still got a lot of pain in my left leg,

0:30:490:30:53

especially on the knee and the ankle,

0:30:530:30:56

which restricts me bending down,

0:30:560:30:59

which is difficult to do in my job as a bricklayer.

0:30:590:31:02

So hopefully, I don't know how long it'll take,

0:31:020:31:06

but it'll take as long as it takes, I suppose,

0:31:060:31:08

and I'll just have to see if I can do the job after that.

0:31:080:31:10

Builders work in all sorts of places, but whatever the job,

0:31:110:31:15

hard hats, proper boots and high vis are a must.

0:31:150:31:20

But it doesn't matter what you're wearing if you're high up and gravity gets hold of you.

0:31:200:31:24

And you don't have to be halfway up a tower block.

0:31:240:31:27

Out in the country, men and women are at work every day, converting barns and repairing farm buildings,

0:31:270:31:34

and up on the roof, you're more than high enough to hurt yourself.

0:31:340:31:37

We're just off to somebody who has apparently fallen off a roof.

0:31:370:31:40

We're just to the west of Malton. We haven't got any further details at this time.

0:31:400:31:45

We'll find out when we get there.

0:31:450:31:47

Building worker Dean Benson has fallen through the roof of a cow shed.

0:31:470:31:51

Ground paramedics have called in the helicopter, fearing a spinal injury.

0:31:510:31:57

Hi, guys. Hello.

0:31:570:32:00

-All right?

-Hiya.

0:32:000:32:01

Dean has fallen nearly 20 ft, but he's only complaining of a sore shoulder.

0:32:010:32:07

I think he just took a step sideways

0:32:070:32:10

and has gone through a clear plastic sheet.

0:32:100:32:13

If we just cut straight down here.

0:32:130:32:16

-Sorry about your jumper, Dean.

-It's all right.

0:32:160:32:19

Paramedics Kate and Tony know falls like this often lead to serious back or neck injuries.

0:32:190:32:26

-Were you knocked out at all, Dean?

-I think so.

-OK.

0:32:260:32:29

-He does wear a rucksack and that sort of thing.

-That's great.

0:32:290:32:34

Dean must wear this neck brace until the team know what's wrong.

0:32:340:32:39

-What's happened, Dean?

-HE MUTTERS

0:32:390:32:42

I'm just going to have a listen to your chest, OK?

0:32:420:32:45

Kate is a zoologist who changed careers.

0:32:450:32:49

Now, she's an expert on human anatomy

0:32:490:32:52

and each question is designed to diagnose undetected injuries.

0:32:520:32:55

You say your chest felt a bit tight?

0:32:550:32:59

-Just my left shoulder.

-That's great.

0:32:590:33:03

Dean is shocked by his plunge.

0:33:030:33:06

What we need to do is just see if we can pop a needle in the back of your hand to give you something

0:33:060:33:11

for the pain, and then we're going to lie you flat onto a board and take you up to the hospital, OK?

0:33:110:33:17

At least he had a softer landing than he might have expected.

0:33:170:33:20

The concrete floor of the cowshed is covered in straw.

0:33:200:33:23

His breathing seems OK, he's got a decent pulse

0:33:250:33:28

so we're not too worried at this stage.

0:33:280:33:31

Can you move your wrist at all, Dean?

0:33:310:33:34

A little bit of swelling there.

0:33:340:33:36

But it turns out Dean's injuries are much more serious than they appear.

0:33:360:33:42

He's flown to York Hospital, where doctors discover he has

0:33:420:33:45

a fractured skull, a broken collarbone and wrist,

0:33:450:33:48

six broken ribs and a collapsed lung, his spleen is ruptured,

0:33:480:33:53

he suffers a loss of hearing and has temporary paralysis.

0:33:530:33:57

Builders need a head for heights, especially when they're trying

0:33:590:34:02

to prevent Yorkshire's historic houses from crumbling.

0:34:020:34:06

300 years ago, they liked to build big around here, and at an old manor house near York,

0:34:060:34:11

one modern workman has found out that the hard way.

0:34:110:34:15

It's a builder who has fallen between 10 and 29 ft off scaffolding.

0:34:150:34:19

And it's a possible chest injury. He's still laid on his side.

0:34:190:34:24

Helimed 98 is just 10 minutes from the casualty.

0:34:290:34:31

Stephen has been a builder for 28 years and has never had a fall until now.

0:34:310:34:38

All of a sudden, I heard this crash

0:34:380:34:40

and I looked down and I saw him laid on the floor.

0:34:400:34:44

-98, go ahead.

-'The RRV is on scene

0:34:460:34:51

-'and queried fractured ribs and a chest injury.'

-Yeah. Roger.

0:34:510:34:54

All received. ETA is just a couple of minutes, and we'll give you a shout once we've landed.

0:34:540:34:59

-How are we looking there, buddy?

-OK. RRV is on the scene, so it must be down here somewhere, mate.

0:34:590:35:03

It's down there.

0:35:050:35:07

Down there, isn't it?

0:35:070:35:09

-Hiya.

-Hiya, you all right?

0:35:110:35:13

This is Steve. He fell from up there, probably about 10 foot or so.

0:35:140:35:19

-Right.

-Pain in his left arm, pain in his rib area.

0:35:190:35:23

44-year-old Steven was working on the roof

0:35:230:35:25

and was coming down the scaffolding

0:35:250:35:27

when he slipped on the ladder and fell.

0:35:270:35:29

He's been very lucky to survive.

0:35:290:35:31

He and his colleagues were working 40 feet up.

0:35:310:35:34

Flying doctor Steve Rowe knows few people fall that far

0:35:340:35:37

and escape serious injury.

0:35:370:35:38

Just going to have a listen to your breathing, OK, Steve?

0:35:380:35:42

My name's Steve as well, I'm one of the doctors with the air ambulance.

0:35:420:35:45

Well done. Nice steady breath.

0:35:450:35:49

Steven's in intense pain.

0:35:490:35:50

He's broke at least two ribs, but the team fear

0:35:500:35:54

he may have other injuries.

0:35:540:35:56

The owner of the house dialled 999.

0:35:560:36:00

I didn't hear him, cos I was at the back of the house,

0:36:000:36:02

but it's just when they came running downstairs and said, "He's just fallen off the ladder."

0:36:020:36:07

And the thing is, they've gone up and down and up and down for days, you know?

0:36:070:36:12

Nothing.

0:36:120:36:14

Steven's a father of four.

0:36:140:36:16

He's been in the building trade since he left school.

0:36:160:36:19

Now, he's found out about site safety the hard way.

0:36:190:36:22

He's taken a significant fall

0:36:220:36:24

from the scaffolding, he's got some pain

0:36:240:36:26

on his left-hand side, it's worse when he breathes in,

0:36:260:36:28

so it does make you suspect that there could be some injuries

0:36:280:36:31

to that left chest and lung.

0:36:310:36:33

It's unclear at the moment exactly what's going on, but his observations are quite stable,

0:36:330:36:36

so we'll have a good look at him once we've got him on his back.

0:36:360:36:39

Ready, steady, move.

0:36:390:36:41

That's it. You just relax, Steve.

0:36:410:36:43

That's it, mate.

0:36:430:36:45

We just need you on your back to move you, OK?

0:36:480:36:53

Is that pain even worse now, on your back?

0:36:530:36:55

Yeah.

0:36:550:36:56

Where is most of your pain, Steve?

0:37:000:37:02

-Left-hand side of my chest.

-Left side of your chest.

0:37:020:37:05

20 miles away, specialists are waiting to scan his upper body.

0:37:070:37:11

Only then will they be able to rule out internal injuries or, even worse, damage to his spine.

0:37:110:37:17

OK then, Steve.

0:37:190:37:21

A bit bumpy until we get you onto the aircraft, but we'll

0:37:210:37:23

get you as comfortable as we can once we're there.

0:37:230:37:25

On "lift," then, please.

0:37:250:37:27

Two, three, and lift.

0:37:270:37:29

Now, Stephen's on his way to Leeds General Infirmary.

0:37:290:37:33

He's probably got some fractured ribs there, but there's nothing we need to do to intervene at the moment.

0:37:330:37:37

His oxygen saturations were very good.

0:37:370:37:39

We are keeping a close eye on him,

0:37:390:37:41

because these sort of injuries can evolve.

0:37:410:37:44

We haven't ruled out that he hasn't got a pneumothorax

0:37:440:37:46

or any chest injury, but there's nothing at the moment we need to do anything about.

0:37:460:37:49

Clear the hedge.

0:37:490:37:51

Clear my side.

0:37:510:37:53

Steven's workmates have turned out to see him off.

0:37:530:37:56

He won't be driving the van home tonight - he has an appointment at the LGI.

0:37:560:38:01

-Hiya, folks. You OK? Hiya.

-The Helimed team meet patients

0:38:010:38:07

who have luck on their side every day, but this case is extraordinary.

0:38:070:38:11

Steven's about to undergo a full examination.

0:38:110:38:14

No past medical history, no allergies, usually fit and well.

0:38:140:38:18

We've handed him over to the A&E staff here, they're going to check him over from top to toe,

0:38:180:38:22

see if they can find any injuries which we've missed out in the wild

0:38:220:38:26

and take some X-rays to see what's going on in his chest.

0:38:260:38:29

He's still very sore on that left side of his chest,

0:38:290:38:31

it will be interesting to see what the X-rays reveal.

0:38:310:38:33

And after an overnight stay, Steven was fit enough to walk out

0:38:330:38:38

after little more treatment than painkillers.

0:38:380:38:42

They said to the wife that he's probably the luckiest man in here,

0:38:420:38:45

falling that distance and not having anything but two broken ribs. It's quite lucky.

0:38:450:38:49

Even if there had been a bit of tube sticking out of the scaffolding,

0:38:490:38:52

if I'd hit that on my way down, I don't know what would have happened.

0:38:520:38:55

He'll be off work for a while as his two broken ribs recover,

0:38:550:38:59

but he will soon be back on the roof with renewed respect for ladders.

0:38:590:39:04

I'm pleased to say that all those building workers are recovering well,

0:39:040:39:08

but the outcome is less certain for Chris, a man who went down to the woods to cut logs

0:39:080:39:13

and ended up with a serious head injury.

0:39:130:39:15

Chris Bosomworth was using a chainsaw

0:39:150:39:18

to fell wood when a heavy branch fell down on his head, fracturing his skull for the second time.

0:39:180:39:24

Now, he's on final approach to the rooftop landing pad

0:39:240:39:27

of the Leeds General Infirmary, where a team of specialists are standing by to examine him.

0:39:270:39:32

The dent in Chris's head is a legacy of a climbing accident more than 20 years ago.

0:39:380:39:43

Now, his skull is fractured again.

0:39:430:39:47

Head injury patients are often put into an artificially induced coma.

0:39:470:39:51

It allows the brain to rest and heal itself.

0:39:510:39:56

He has a fairly good history, the patient's definitely been unconscious for five minutes.

0:39:560:40:00

When we've looked at his head, there is a depressed skull fracture in the past, he had one 20 years ago.

0:40:000:40:06

It may be some time before Chris fully regains consciousness,

0:40:060:40:09

and the outlook for a complete recovery isn't good.

0:40:090:40:13

Hello, sir.

0:40:130:40:15

My name is Peter, I'm one of the doctors here at the Infirmary. How are you?

0:40:150:40:18

But three weeks later, after a transfer

0:40:230:40:26

to his local hospital, Chris is up and making good progress.

0:40:260:40:31

Walking is still an effort, but considering he's one of only a handful of people

0:40:310:40:34

who have survived two fractures to the skull, he's in pretty good shape.

0:40:340:40:39

I started out with very little movement down my right-hand side.

0:40:390:40:46

Totally unable to walk... or stand or balance.

0:40:480:40:53

Since that,

0:40:530:40:55

physios have worked on me, I'm now able to walk with a stick

0:40:550:41:04

and assistance, but I can walk with a walking frame unaided.

0:41:040:41:10

Chris has few memories of his accident, but his friends keep reminding him.

0:41:100:41:15

And was simply cutting wood,

0:41:150:41:18

with the farmer's permission, to fuel the stoves.

0:41:180:41:22

A log...

0:41:230:41:25

came down somehow and hit me on the head,

0:41:250:41:29

knocked me out,

0:41:290:41:32

fractured my skull. That's all I can really tell you about it.

0:41:320:41:39

The only thing

0:41:410:41:44

I do particularly remember is the helicopter. It was only...

0:41:440:41:48

a glimpse, if you like,

0:41:480:41:50

but the air ambulance quite possibly saved my life.

0:41:500:41:55

Back home in Lancashire, Chris is still a fan of

0:41:560:41:59

his wood-burning stove, despite the trouble it's caused him,

0:41:590:42:03

although his partner, Liz, is not so sure.

0:42:030:42:06

The fire's wonderful, however, we do have to go and buy wood now.

0:42:060:42:11

She's forbidden me...

0:42:110:42:14

from collecting.

0:42:140:42:16

Chris broke one of the first rules of lumberjacking - he wasn't wearing a helmet.

0:42:160:42:21

I had already ordered a helmet.

0:42:210:42:24

The day after the accident, the helmet arrived.

0:42:240:42:28

This is the helmet.

0:42:280:42:31

So had it arrived one day earlier,

0:42:320:42:35

we wouldn't be making this film.

0:42:350:42:38

When Helicopter Heroes comes back...

0:42:380:42:41

A climber plunges from a rock face

0:42:410:42:43

and paramedic Al has to jump for it.

0:42:430:42:46

-OK, you slide the door open.

-OK, opening the door now.

0:42:460:42:49

A lollipop lady whose car crash presented her rescuers with a big problem.

0:42:490:42:54

One, two, three, go. No, we're not going anywhere, are we?

0:42:540:42:57

Up in the Dales, a trampoline lands its owner in hospital.

0:42:570:43:01

-He's been in pain for a little while.

-And the team treats

0:43:010:43:04

the satellite guy who fell to Earth.

0:43:040:43:07

Subtitles by Red Bee Media Ltd

0:43:140:43:17

E-mail [email protected]

0:43:170:43:20

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