Episode 10 Helicopter Heroes


Episode 10

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Transcript


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If you're seriously ill or critically injured up here,

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your life is in real danger.

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Complaining of severe pain.

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Mid-30s, been ejected from a vehicle.

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Hospital is an hour away by road and speed is the only thing that can save you.

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Roger. Helimed 99's en route. Over.

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The Yorkshire Air Ambulance and its highly trained paramedics are scrambled a thousand times a year.

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-'What's happened?

-A wagon's run over a small child.'

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Many of its ex-military pilots flew the SAS into action.

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That's not a suitable landing site. This is.

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Welcome to the life-and-death world of the Helicopter Heroes.

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Today on Helicopter Heroes...

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A family holiday ends in a freak accident before they've even left home.

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She's got possibly two fractured femurs. It's quite time-critical.

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A trucker is seriously injured in an explosion.

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-How is your pain doing?

-Horrendous.

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There's an underground rescue operation deep beneath the Yorkshire Dales.

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He's slipped about ten metres. He's hurt both of his legs.

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And he's cute and cuddly.

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But one of his friends has made a young animal lover seriously ill.

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The bags are packed, the hotel or campsite is booked

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and the kids are desperate to get on the road.

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It's a familiar holiday story for many of us,

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but for one family in West Yorkshire, it had a terrible ending.

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It's the start of the summer holidays

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and across the country, thousands of families are heading for the seaside.

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And for millions living in urban West Yorkshire,

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Scarborough, the UK's oldest seaside resort, is just the place for a stay-cation.

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There's sun, sea, sand, donkeys and more.

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But for one family, their holiday is over before it's even begun.

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I just heard a load of noise and stuff being thrown about and screaming.

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I heard Debbie screaming and kids crying.

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Two young children were packing their car for their trip away, but there's been a freak accident

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and now both of them are in real danger.

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'Helimed 98 Alpha en route to Knottingley.

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'Helimed 98, yeah, we've got a minute to run. Have we any update on this detail? Over.

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'The crew are on scene.

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'There's been no update, so I would land and speak to the crew. Over.'

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-Tilly...

-Ambulance crews on the ground have just arrived.

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They've got two badly injured and very young patients.

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But today, the helicopter has some extra skills on board.

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Dr Jez Pinnell has additional treatments which are about to be put to use.

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-'I'll just take this bag with some extra drugs in.

-All right.

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-'If we need anything else, I'll give you a shout.

-Yeah.'

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-Hi, guys. How many patients have we got?

-Two, I believe, mate.

-Two, right.

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-We've just arrived.

-Who seems to be your...?

-These two children have been stood behind that estate car.

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-Right.

-Packing stuff in. The car's lost control and hit the back of the car.

-Right.

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-So the kids were loading up this car?

-Yeah.

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-Which was parked here.

-She's gone to move the car and it's just carried on going.

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Moved the car and he's got trapped.

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The little boy was under the car. He doesn't seem to have any fractures. He's got good air entry both sides.

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This car came up here, obviously into the back of this family's car.

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But the kids were... Tilly were laid where she were when I came out.

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And the little boy was sat with his dad.

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HE CRIES

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Seven-year-old Tilly has got tyre marks across both her legs

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where she's fallen under the moving car.

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Her three-year-old brother Jason has been crushed against the garden wall.

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-Was he awake?

-When I pulled him out, yes.

-He was awake, he was conscious.

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-That's how I knew he were there because he were crying.

-What's his name?

-Jason.

-How old is he?

-Three.

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-Is he fit and well normally?

-Yeah.

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Two children have been knocked over.

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Our young lady's got possibly two fractured femurs.

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We're just getting on top of her pain before we straighten them.

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You can't remember anything that's happened? Where's your pain at the moment? In your leg? This one here?

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OK. I won't touch it at the moment.

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It's vital Jez knows exactly what's happened to be able to work out

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what injuries their two patients could have,

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but it's a complicated story.

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Just run that past me again. So this blue car was parked here?

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-This car was parked just behind it.

-It was parked just behind it?

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-She's got in to move it and it's...

-And it's shot forward?

-Yeah.

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Right. So we don't know if the child's gone underneath this car?

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We don't know if he's gone underneath or he's been pulled from behind here.

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What is obvious is both brother and sister have very serious injuries,

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but only one can be flown to hospital.

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You what, darling?

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The kids were looking forward to seeing the sea so much, one of their patients still wants to go.

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This keeps your neck nice and still.

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Jason has what looks like a serious head injury,

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but the tyre marks across Tilly point to possible internal injuries.

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It's now down to Jez to decide which of them should stay with him

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and get a crucial helicopter flight to hospital.

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Last year, 500 people went to work in the UK and never came home.

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They were killed in industrial accidents

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and sometimes the cause can be a routine task the victim has carried out many times before.

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Haulage is big business. Almost everything we need comes on the back of a truck.

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And it's an industry that runs on rubber,

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on huge tyres inflated to very high pressure.

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But today in East Yorkshire, there's been a serious accident.

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'It's a tyre and it exploded on this patient.

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'And his foot has been completely severed

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'and it is hanging on by the sock. Over.'

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The Helimed team know injuries like these need an urgent response.

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'You can lose a lot of blood through a severed foot.'

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If there's been an explosion big enough to take your foot off,

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it could affect other parts of the body, so we've got ambulances on the way and us as well.

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RADIO BEEPS 'Yeah, go ahead.'

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This is John. It looks like a tyre has exploded...over his foot.

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He's got facial burns.

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He has been completely conscious throughout.

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We haven't got a BP as yet. We've been here about five minutes.

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Another worker has broken his ankle,

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but it's clear this exploding tyre has caused John Pektus massive injuries.

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It was so loud, neighbours rushed to help from the other side of the village.

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Just a massive bang like an explosion. I thought it was an acetylene cylinder going off.

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It was a tyre. 110 psi, so you expect a mess and it has caused a bit of a mess, unfortunately.

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We've just treated him for light facial burns.

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-We're just about to give him some morphine for his pain. He's deaf.

-He's deaf? What's he called? John?

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John.

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Apparently, the tyre off a wagon just exploded as he was changing the tyre,

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so the pressure inside the tyre has done the damage.

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The huge bang has made John partially deaf.

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He is struggling to hear, but Tony needs to get vital information from him.

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-Can you remember everything that's happened?

-I think so, yeah. The tyre blew up.

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-How's your pain doing?

-Horrendous.

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-Is the pain all in your left foot?

-Just on my knee and my left foot.

-OK, mate.

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This yard is in rural East Yorkshire.

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The crew could fly John to a specialist centre in Leeds for his badly injured foot,

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but there is a far more urgent problem.

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-Cos of the burns, we'll go to the nearest...

-A&E cos of the airway?

-Yeah.

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This gentleman's suffering with burns at the moment.

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We're obviously concerned about his airway.

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And he's got an ankle injury which can distract away from one of the main potential problems, his airway,

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so we're flying him to the nearest A&E.

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So despite John's traumatic foot injury, it's the other effects of the explosion that could kill him.

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His throat's continuing to swell, so a fast flight to hospital is now his best chance of survival.

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Deep below this landscape is a secret world.

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Yorkshire is home to some of the UK's biggest potholes.

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Every weekend, hundreds of cavers go deep underground in search of adventure,

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but sometimes something goes badly wrong.

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A labyrinth of caves carved out by water over thousands of years honeycombs these hills.

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Some are 20 miles or more long.

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Up to 800 feet below the surface,

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new passages are still being discovered, many unseen by man.

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It's the thrill of exploration that lures many to the Dales,

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but when things go wrong, it's down to a team of expert volunteers

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who drop whatever they're doing and bring their expertise to even the most remote locations.

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We're on our way to Ingleborough. Cave Rescue have been on scene at this detail.

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One of the potholers has fallen approximately 85 feet.

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We're unaware at this point what his injuries are.

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A doctor on scene has requested assistance from air support, so we'll go in to have a look at the patient.

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The Helimed crew work closely with Mountain and Cave Rescue teams

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who cover Yorkshire's vast national parks.

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It's timely that paramedic Glen Powell has been on a training exercise

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which covered the problems of underground accidents.

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It's a very difficult environment

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in which to have an accident.

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Extricating a patient from a pothole is a completely different scenario

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to that that most land ambulances come across during their daily routine.

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We've got reports that this guy's fallen 85 foot.

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What we don't know is how far inside the cave he's fallen and what the conditions inside the cave are like.

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We have had some recent heavy downfalls of rain. These caves are notorious for filling up with water.

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They are a very cold environment,

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so it's likely that this patient may well be having hypothermia,

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as well as extensive injuries from his fall.

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Glen's about to be reunited with the same rescue team that took him underground.

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The smoke is to help pilot Steve Cobb judge the wind.

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Plenty of room to my side, mate.

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-Just a couple of boulders.

-Good my side.

-Good my side.

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Super. Two feet.

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Cave Rescue have managed to get their patient above ground and he is now warming up in a Land Rover.

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Normally fit and healthy, no medication, no allergies.

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He's fallen probably eight to ten metres, landed on both heels.

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-Landed on what, sorry?

-Both heels. But then fell on to his back as well.

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22-year-old William French spent an hour alone and injured while a friend went for help.

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Paramedic Darren knows what their patient's gone through.

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He used to be a coal mine medic.

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I prefer caving with machinery. It's probably a bit safer.

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This chap's been potholing

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with only one other person with him.

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Fortunately, the young lady with him has managed to find a way back to the surface and alert Cave Rescue

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who have turned up and retrieved him from where he was stuck.

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He lost control abseiling on the third pitch

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down in this pothole, and basically, he's slipped about ten metres,

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landing on his feet on the floor of the pitch.

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He's hurt both of his legs and we've spent the last few hours bringing him out of the cave.

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Even in summer, the heat from the sun doesn't penetrate deep enough

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to warm the caverns explored by potholers.

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William has spent a long time in very difficult conditions. For Cave Rescue, it's been a tough operation.

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It used to be more common. These days, there are less abseiling accidents.

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Caving is a fairly safe sport these days, but it does happen every now and again.

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Unfortunately, this cave is quite awkward. There are some tortuous passages within it.

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It makes it a lot harder getting him out from there.

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-You didn't bang your head when you fell, William?

-That graze was on his way out.

-Right.

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-It was a very, very tight passage.

-And eight to ten metres, you reckon?

-Yes.

-OK, just relax.

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He's been very lucky to have sustained such minor injuries from that.

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He's not in a life-threatening position at the moment,

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so we'll transfer him from here with the helicopter down into Ingleton and on to one of our ground assets.

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They'll take care of him and transfer him to the hospital.

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Just watch that door, fellas. Feed him on. Careful with that door.

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William is starting to warm up and can tell his story,

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a story which could have very easily had a tragic ending.

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How did you alert the emergency services whilst you were down in a pothole?

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I was with another girl.

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-Did they come to the surface?

-Yeah.

-How many of you were there?

-Just two.

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Oh, really? Scary to be left down there on your own.

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The Helimed chopper makes a short flight down the hillside to the village of Ingleton

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where land paramedics are waiting to transport William on to hospital.

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Thanks to the work of Cave Rescue, he's safe.

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X-rays will confirm the extent of his injuries.

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If it had been me, I'd have been very scared in a dark place all alone.

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It's the type of environment where you hear noises you don't want to hear.

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Another rescue over, their patient is ferried to A&E in Lancaster.

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William is soon released from hospital and goes home to recover

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a world away from the wide open spaces of the Yorkshire Dales.

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He knows he's had a lucky escape.

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The cave I had chosen to go down that day

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had actually a reputation for being quite tight and nasty,

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but fortunately, I wasn't that far down it when I had my accident.

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I fell about ten metres. It wasn't entirely freefall.

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But I wasn't being slowed down that much, and as a result, I broke both my heel bones.

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Despite being left alone in the dark for more than an hour as he waited for rescue,

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the experience has only confirmed his enthusiasm for his high-risk hobby.

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I've been caving for a couple of years now.

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I haven't been put off doing so by this accident.

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I have no intention of stopping.

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Now let's return to the case of the family of holiday-makers

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involved in a freak accident in their own street.

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It's the sort of thing every parent dreads. This family was heading on holiday today,

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but now Deborah Wilkinson has two seriously injured children after a freak accident.

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We have a seven-year-old female, query open fracture left femur and closed right femur.

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A neighbour's car has crashed into the back of the one they were packing for their trip away.

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Both her children were trapped.

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Lovely. That's lovely.

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'I were shocked, really shocked.'

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I were thinking the worst, really.

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Are they still alive or...?

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She's got some nasty injuries to her legs.

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We're going to give her some quite strong pain relief, just so we can get her legs straight.

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Dr Jez Pinnell had to make a quick assessment of seven-year-old Tilly and three-year-old brother Jason.

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Only one can get a place in the helicopter for a flight to hospital.

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A car's gone over her at fairly low speed over both legs and pelvis.

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She's got one femur and an open injury to the other femur which is possibly fractured as well.

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Despite Jason having a serious-looking head injury,

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Tilly is the one Jez is most concerned about.

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The tyre tracks over her legs means she could have serious, unseen internal injuries.

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-Where is it hurting you?

-My leg.

-Your right leg or your left leg?

-I don't know which is my left.

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-This is your left leg here, the one with the bandage on.

-OK.

-That's the one that's sore, is it?

-Yeah.

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And as well as medicine, reassurance is a key part of every doctor's treatment.

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-Will I die?

-No, darling, you're not.

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Paramedics usually give morphine as a painkiller,

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but for very serious cases, Jez carries ketamine.

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It's used by vets as a horse tranquilliser,

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but here, it should help detach Tilly from her intense pain,

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albeit with some slightly peculiar side-effects.

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We're going to give you some very strong medicine for your pain. It might make you feel a bit strange.

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Sometimes it makes you see things that aren't there.

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It'll mean we can get your legs a bit better. And we're going to take you for a flight in a helicopter.

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Is that all right?

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Pilot Paul Smith has had to land the helicopter on a nearby rugby pitch,

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so Tilly will be taken there by ambulance,

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but it leaves Mum Deborah with an awful dilemma - which of her children should she stay with?

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Two patients, a brother and sister,

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right outside their garden, right outside their own home,

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so Mum's just totally shook up,

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but handling it really, really well.

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She's broken one leg and she's got a nasty laceration to the other leg.

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That might be broken as well.

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She may also have an injury to her pelvis.

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Hello, Tilly. Welcome aboard!

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You're doing really well.

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Very brave, aren't you?

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-Are you always this brave?

-Sometimes.

-Sometimes, yeah.

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What should have been the start of a family holiday has now become a race for urgent treatment

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with Tilly and her brother now heading in different directions.

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While Jason is off by land to the local A&E,

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Tilly is soon landing at the regional trauma centre in Leeds.

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Now it's down to the team of surgeons waiting down the ramp

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to work out exactly how much damage has been done

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with Tilly having been run over by the full weight of a car.

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Remember the worker blown over by an explosion in a haulage yard?

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He's badly injured and doctors are about to start the battle to save him.

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John Pektus has just been caught up in a massive explosion.

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I just need you to pop this hand on this tummy if you can for me.

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He'd been inflating a huge lorry tyre when it blew up in his face.

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Ready, steady, move.

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John's foot took the force of the blast, but as his throat is now swelling through the burns,

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they're rushing him to hospital to make sure he can keep on breathing.

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Just relax there, John. We'll get you as comfy as we can, OK?

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Ready, steady, lift.

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Just walk him over to the stretcher.

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We're heading back to the aircraft with this patient. In the next five minutes, we hope to be lifting. Over.

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One, two, three, lift.

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We're going to the nearest hospital. He's got the potential of airway problems developing

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with the burns to his face, so we'll get him sorted at York.

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It's at times like these paramedics need more than just their medical skills.

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INDISTINCT

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Tony's diplomacy is tested when faced with difficult questions from his patient.

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What's it actually done to my foot? Can you see?

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Yeah, you've got a nasty cut to it, John.

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Is there owt left of it, like?

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Yeah, it's still there, mate.

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But everyone knows John is critically injured.

0:22:170:22:21

It's unlikely his foot will have survived the explosion.

0:22:210:22:25

John's flight to hospital takes less than five minutes, but this is where the serious work begins.

0:22:260:22:33

Surgeons start working around the clock to try and save his ankle.

0:22:330:22:38

In a series of complicated operations, severed nerves and blood vessels are repaired

0:22:400:22:47

and John finally recovers enough to see his first visitors.

0:22:470:22:51

Basically, it blew the middle out of my foot.

0:22:520:22:56

And the skin that was alive,

0:22:570:23:00

they could save it with skin grafts,

0:23:000:23:03

but he said till they started chopping and hacking,

0:23:030:23:07

they didn't know really what was what,

0:23:070:23:10

but he says, "As it looks, just feeling..."

0:23:100:23:14

I said I could feel what he was touching.

0:23:140:23:18

He said that was a good sign that they could actually save my foot.

0:23:180:23:22

It's now a week after the explosion and it's still not clear if his foot will recover,

0:23:220:23:29

but John is well aware the outcome could have been so much worse.

0:23:290:23:33

I consider myself lucky to be alive.

0:23:330:23:36

If I had bent down to pick the wheel up, I wouldn't have had a head.

0:23:360:23:40

Over the next few weeks, a string of medical experts do all they can for John,

0:23:400:23:45

but in the end, he has to make a hugely difficult decision.

0:23:450:23:49

They've been trying to save my foot, which I appreciate,

0:23:490:23:53

but anyway, in the end, the doctor decided

0:23:530:23:57

that it was going to be too long-term and too much to do

0:23:570:24:01

and the best option was to saw it off and move on with life,

0:24:010:24:05

so that's what we opted for.

0:24:050:24:07

He's sawn it off and hopefully now I'm going forward, like, you know.

0:24:070:24:12

Things are improving, I feel better

0:24:120:24:15

whereas if I was still as I was, I wouldn't have been any further on.

0:24:150:24:19

But for a man who has spent his life driving lorries across the country,

0:24:190:24:23

this accident means from now on, things will be very different.

0:24:230:24:28

That's it. We're up and running.

0:24:280:24:30

But it's certainly given him a new appreciation for those who have kept him on the road.

0:24:300:24:35

The frightening thing is when you think about it,

0:24:350:24:39

there's men every day that are putting their lives on the line.

0:24:390:24:44

Your tyre men. A bus gets a flat tyre, they come out.

0:24:440:24:48

A wagon gets a flat tyre, a car gets a flat tyre,

0:24:480:24:52

and they're touching potential bombs all the time.

0:24:520:24:58

Animals provide millions of people with a lot of love and companionship,

0:25:110:25:16

but they can also land you in hospital, often in surprising ways.

0:25:160:25:21

The High Pennines are Yorkshire's literary belt.

0:25:220:25:26

Poets like Ted Hughes have been inspired by these wuthering heights.

0:25:260:25:31

But one family outshone them all - the Bronte sisters of Haworth Parsonage,

0:25:310:25:36

creators of the smouldering Heathcliff.

0:25:360:25:40

# Out on the wiley, windy moors

0:25:400:25:42

# We'd roll and fall in green... #

0:25:420:25:45

But some tales you couldn't make up.

0:25:480:25:51

Like the shaggy dog story involving Norton,

0:25:510:25:54

15 stones of slobbering, sloppy mastiff.

0:25:540:25:58

He lives here in a farmhouse straight out of Wuthering Heights.

0:25:580:26:02

And he's supposed to be his owner's best friend. Not today.

0:26:020:26:07

In the local park,

0:26:070:26:09

Norton's owner Beryl Green is about to be loaded aboard Helimed 98 for a flight to hospital.

0:26:090:26:15

Her hip is broken, thanks to Norton.

0:26:150:26:18

How have you managed this?

0:26:180:26:20

I've got a 15-stone dog.

0:26:200:26:22

So remote is Beryl's hilltop home that they had to call out the Mountain Rescue team

0:26:220:26:28

to transport her down to the landing site.

0:26:280:26:31

She's got a 15-stone, old English mastiff and it got very excited and knocked her over.

0:26:310:26:37

It's about this high, its head is this wide, it's extremely friendly,

0:26:370:26:42

but too friendly on this occasion.

0:26:420:26:44

Ready, steady and lift.

0:26:440:26:46

Beryl is remarkably cheerful for a dog owner whose pet has landed her on a stretcher.

0:26:460:26:52

-How does that feel?

-There's a lumpy bit under.

0:26:520:26:55

You won't be on the lumpy bit for long. You'll be on a proper stretcher in there.

0:26:550:27:00

He bumped into me and knocked me flying. At 15 stone, he can give you such a thump.

0:27:000:27:06

Beryl is in her 70s and has spent her whole life living high up in the Pennines,

0:27:060:27:11

but she's going to have to get used to different surroundings for the next few days.

0:27:110:27:16

She's on her way to Huddersfield Royal Infirmary for surgery.

0:27:160:27:20

A few days later, relatives are having to take turns to walk the villain of the piece.

0:27:200:27:26

Norton needs his exercise.

0:27:260:27:28

The dog's with me all the time and when there's the two of us, we get on very, very well.

0:27:280:27:34

He follows me about everywhere,

0:27:340:27:37

as though he thinks I'm going to disappear if he takes his eyes off me.

0:27:370:27:42

And he shows a great deal of care.

0:27:430:27:46

But the good news is Beryl's home

0:27:470:27:50

and she's forgiven him for the exuberance that landed her in hospital.

0:27:500:27:55

Everybody was so kind.

0:27:550:27:58

And nothing was too much trouble for them. I think they're marvellous.

0:27:580:28:02

But you don't even have to touch an animal to need medical treatment.

0:28:050:28:11

One of these guys has just made someone seriously ill by being a bit hairy.

0:28:110:28:17

We've had reports of an eight-year-old child who is possibly having an anaphylactic reaction.

0:28:170:28:23

-Sophie, can I just listen to your chest, sweetheart?

-Yeah.

0:28:260:28:31

-Have you had this done before by the doctor?

-I don't think so.

0:28:310:28:35

It might be a bit cold, my love, all right?

0:28:350:28:38

Sophie Holt was visiting a petting zoo at a farm on the edge of the North York Moors.

0:28:380:28:43

She was stroking a guinea pig when she began to have trouble breathing and a rash started to form.

0:28:430:28:49

Allergic reactions can be very serious.

0:28:490:28:52

Around 15 people a year suffer anaphylactic shock and die in the UK.

0:28:520:28:57

Sophie, what happened the last time you went near a guinea pig?

0:28:570:29:01

-The last time I went near a guinea pig, my eye puffed up and I couldn't see through it.

-Right.

0:29:010:29:07

Fortunately for Sophie, the panic is over.

0:29:070:29:10

Staff at the farm washed her face and hands immediately

0:29:100:29:14

and already the symptoms have started to lessen,

0:29:140:29:17

leaving paramedic Tony and the Helimed crew free for the next job.

0:29:170:29:21

She's not with her family at the moment. She's with some friends

0:29:210:29:25

who didn't realise she was allergic to them.

0:29:250:29:28

She's picked one up and stroked one and had an allergic reaction.

0:29:280:29:32

It's not been a full-blown anaphylactic reaction. It's not as serious as it could have been.

0:29:320:29:38

Farm animals are often docile and friendly, but as any farmer will tell you,

0:29:380:29:43

it's unwise to forget many of them have the power to crush a grown adult.

0:29:430:29:48

A dairy cow weighs in at half a tonne.

0:29:480:29:52

Most of the time, they're happy to go along with the wishes of we humans, especially at milking time.

0:29:520:29:58

But things can change with the arrival of the vet.

0:29:580:30:01

And on this farm in Derbyshire, there's been a serious accident.

0:30:010:30:06

-A little bit further to your right, Andy, there's a calf.

-Right then.

0:30:060:30:11

-Are you going to jump out?

-Yeah, I'll jump out.

-I'll keep it running.

0:30:110:30:15

I'll give you an update as soon as I can.

0:30:150:30:18

Helimed 98 has been called to a farm near Matlock where a woman has been attacked by a cow.

0:30:180:30:24

Lee Gray knows animal attacks can be lethal.

0:30:240:30:27

Last year, the team treated a farm worker who later died from his injuries.

0:30:270:30:33

-Hello. Whereabouts is the lady?

-In the ambulance.

-OK, thank you.

0:30:330:30:37

Hello.

0:30:380:30:40

We're up against a vicious cow, apparently,

0:30:410:30:44

that we believe has kicked or somehow clipped this lady.

0:30:440:30:48

Jennifer Biggin has serious facial injuries.

0:30:480:30:52

She was kicked while helping a vet deliver a calf.

0:30:520:30:55

Was the beast stood still or did she just flick up at you?

0:30:550:30:59

We'd got her tethered and she broke loose and just swung round...

0:30:590:31:04

The team's patient is surprisingly cheerful, considering her injury,

0:31:040:31:08

but she, like them, knows how lucky she's been to escape with her life.

0:31:080:31:13

I'm going to have a real good feel around your neck.

0:31:130:31:16

I want to know it weren't really a blunt assault that abnormally pushed your neck to one side.

0:31:160:31:22

-Would you say it was or not?

-I don't know.

-No?

0:31:220:31:25

Are you sure you've no pain at all in there?

0:31:250:31:28

-It's just this shoulder that's sore.

-Just that shoulder.

0:31:280:31:32

-Right on the head of your shoulder?

-Just there.

-OK, sweetheart.

0:31:320:31:36

Cows in calf are notoriously aggressive.

0:31:360:31:39

Lee wants to make sure they load their patient well away from any animals.

0:31:390:31:44

Lee to Sammy, we've got a four-by-four vehicle on the scene.

0:31:440:31:48

I think it's going to be a lot simpler if we just bring her up on the four-by-four up to you. Over.

0:31:480:31:55

They're big animals. Never underestimate them.

0:31:550:31:58

They look so placid and provide so well for us.

0:31:580:32:01

Jennifer is driven to her flight to hospital.

0:32:010:32:05

She'll need surgery and her scars could last a lifetime.

0:32:050:32:09

Yeah, Eve's going over to pick me some...non-smelly clothes.

0:32:090:32:14

We'll head out of here on this sort of heading. We have a tree behind us.

0:32:140:32:18

Helimed 98 will have her in hospital in Chesterfield in a few minutes.

0:32:180:32:23

Jennifer later recovers from her injuries and returns to work with farm animals

0:32:230:32:28

with a new respect for their behaviour.

0:32:280:32:32

Farmers know the dangers animals present more than most.

0:32:320:32:36

They're never at greater risk than when trying to help their stock.

0:32:360:32:40

Gulliver the goat looks innocent enough, but he's just landed his owner in an ambulance.

0:32:410:32:47

Helimed 98 is touching down at a smallholding in the Dales to rescue his victim -

0:32:470:32:52

66-year-old Elizabeth Cook.

0:32:520:32:54

Liz has been butted by the goat.

0:32:550:32:58

She's been thrown into this fence here,

0:32:580:33:01

then she's come back off and landed sort of like by the tree.

0:33:010:33:05

My wife was taking the goat down to the croft.

0:33:050:33:08

He's been shut in for a couple of days, so we wanted him out.

0:33:080:33:12

He took exception to this, pulled her over and knocked her into a fence.

0:33:120:33:16

She seems to have damaged her neck in some way.

0:33:160:33:19

It's actually quite worrying.

0:33:190:33:21

The village of Austwick is a long way from a major hospital.

0:33:210:33:25

It's feared she may have a spinal injury.

0:33:250:33:28

The road journey would involve bumpy farm tracks and winding dales lanes.

0:33:280:33:33

The Helimed chopper will fly her quickly and smoothly to expert care.

0:33:330:33:37

OK, on three, guys. One, two, three.

0:33:370:33:40

She's done it before. She puts him on a lead and off they go.

0:33:400:33:44

But she's not as strong as she was and the goat is stronger than he was.

0:33:440:33:48

I've told her before, but these things happen.

0:33:480:33:51

She's been complaining of central C-spine tenderness.

0:33:510:33:55

Elizabeth has had a lucky escape.

0:33:550:33:59

Her injury could have led to paralysis, but she's soon sent home from hospital.

0:33:590:34:04

It's the start of a long and uncomfortable recovery.

0:34:050:34:09

Two months later, she is still in a neck brace -

0:34:090:34:12

a painful reminder of the day a pet goat turned hostile.

0:34:120:34:17

I thought I'd tie him to that post over there.

0:34:170:34:20

I don't know whether I let him go or he got his head out of his lead,

0:34:200:34:24

but I turned round and he was coming straight at me.

0:34:240:34:28

Head down, like a cartoon it was.

0:34:280:34:31

And I shot through the air and landed in the fence over there with my head in the fencing.

0:34:310:34:37

Elizabeth's injury was very painful.

0:34:370:34:40

However, the consequences were worse for Gulliver.

0:34:400:34:43

He was a meat goat and he was leaving us anyway.

0:34:430:34:48

He is now in my friend's freezer.

0:34:480:34:51

Although Gulliver is now just a tasty memory,

0:34:510:34:54

Elizabeth says she will continue to keep goats, despite the risks.

0:34:540:34:58

When I get a new billy-goat, I shall be a lot more careful. I hadn't realised he could be so dangerous.

0:34:580:35:05

You wouldn't think our feathered friends could do anyone much harm, but you'd be surprised.

0:35:050:35:11

Feeding the birds has hidden hazards, especially in the back garden.

0:35:110:35:16

Today, Helimed 98 has been scrambled to a bird lover whose interest in ornithology has left her in agony.

0:35:180:35:24

The incident we're attending,

0:35:240:35:26

it's a fractured neck of femur,

0:35:260:35:29

quite common amongst elderly people.

0:35:290:35:31

This is paramedic Paul Kilner's first job as an air ambulance crew member.

0:35:310:35:36

I'll feel better after I get my first job done.

0:35:360:35:40

He's responded to thousands of 999 calls before, but never like this.

0:35:400:35:45

The chopper is flying up into the Yorkshire Dales to the market town of Leyburn.

0:35:450:35:50

-How is it looking over there, Sammy?

-It looks OK.

0:35:500:35:53

-It looks OK on the right, Jim.

-OK.

0:35:530:35:56

Here in Wensleydale, there is no shortage of community spirit

0:35:560:36:00

and the neighbours have turned out to help the crew find their patient.

0:36:000:36:04

-We did see you actually waving there.

-Did you?

-Yeah, I did.

0:36:040:36:08

Yeah, it was a good wave.

0:36:080:36:10

-Is it your wife?

-No, no.

-Friend?

-It's a neighbour.

0:36:100:36:15

-A neighbour? What's your neighbour called?

-Mary.

0:36:150:36:18

-Mary?

-Yeah.

-OK, lovely.

0:36:180:36:21

-Hello.

-Good evening.

0:36:210:36:23

-Mary has fallen...

-Hello, Mary.

-..while chasing a blackbird in the garden.

0:36:230:36:28

-What are you like, Mary?

-She's gone over backwards on to her hip,

0:36:280:36:32

landed on the ground, managed to get herself up using the tree, but can't put her weight on to it.

0:36:320:36:38

Mary Gore was trying to save some fledgling blackbird chicks from a prowling cat

0:36:380:36:43

when she slipped on the grass.

0:36:430:36:45

Now she has a fractured femur, the biggest bone in her body.

0:36:450:36:49

She's very concerned about all these blackbirds.

0:36:490:36:52

Betty next door has got two cats and she's worried that these cats will get the blackbirds.

0:36:520:36:58

She'd gone to chase something and just fell over.

0:36:580:37:01

-You're in a bit of a pickle.

-Yes.

0:37:010:37:04

-I didn't want to go to James Cook. My husband died there three months ago.

-I'm sorry to hear that.

0:37:040:37:09

-Have you had a feel of that femur then?

-It's tender there.

0:37:090:37:13

Mary needs hospital treatment.

0:37:130:37:15

Her injury is very common among elderly people. Its cause isn't.

0:37:150:37:21

We've got a lot of little blackbirds coming out

0:37:230:37:26

and Betty has cats next door.

0:37:260:37:28

So they're very vulnerable.

0:37:280:37:30

They make a squeaking noise and this was little and it had just come out today.

0:37:300:37:35

I went to rescue it because it went in where Betty's cats are. I must have just slipped on the grass.

0:37:350:37:41

It was as easy as that. I tried to get up and I thought, "Oh, heck!"

0:37:410:37:46

Then I just got on my knees and I managed from there to here, shuffling.

0:37:460:37:51

But I couldn't get any further, you see.

0:37:510:37:54

We're taking you down to the hospital, but it'll be quicker to fly down.

0:37:540:37:59

-I've never been up in one.

-You'll be quite all right.

0:37:590:38:03

We'll look after you. Everything will be all right.

0:38:030:38:06

Mary gets her wish. She's being taken to hospital in Harrogate, instead of Middlesbrough.

0:38:070:38:13

They're about the same distance.

0:38:130:38:15

Mary has a suspected neck of femur fracture or mid-shaft femur fracture of her right leg,

0:38:150:38:20

so we're taking her to the most appropriate hospital for that type of injury, which is a trauma centre.

0:38:200:38:26

Mary says she's frightened of heights, so she's never been in an aeroplane or a helicopter

0:38:260:38:32

or any form of flying machine as it were.

0:38:320:38:35

So it's going to be a unique experience for Mary.

0:38:350:38:38

For the Helimed team's own fledgling, it's been an interesting case.

0:38:380:38:43

It'll be six months before paramedic Paul's training is officially over,

0:38:430:38:48

but at least now he has his first case under his belt.

0:38:480:38:51

Mary's getting a bird's-eye view of the Dales,

0:38:510:38:54

but it will be six weeks before she's fit enough to return to watch over her flock.

0:38:540:39:00

The patients injured by animals there.

0:39:030:39:06

Let's catch up on the case of the family whose holiday plans were shattered by a freak accident

0:39:060:39:12

before they'd even moved their car out of the drive.

0:39:120:39:15

It's a summer holiday getaway that is now over before it even started.

0:39:170:39:23

Deborah Wilkinson's two children had been packing their car for a week away when it got hit by another,

0:39:230:39:29

leaving them both lying seriously injured in the street.

0:39:290:39:32

All I can remember is I was stood at the boot, loading up for our holiday.

0:39:320:39:37

I can remember hearing the car behind me grinding its gear and I can't stand that noise now.

0:39:370:39:44

Then she came forward, hit my leg. My leg hit our car.

0:39:440:39:48

Our car's gone.

0:39:480:39:50

I'm screaming cos she'd hit me. I didn't know the kids were there.

0:39:500:39:54

I come round t'corner and I see Tilly laid out on t'path.

0:39:540:39:58

Then if it weren't for him crying, I wouldn't have known.

0:39:580:40:02

He started crying and I knew he were under t'car. I saw the blood on t'back of his head.

0:40:020:40:07

I saw the blood all over his face and I can remember seeing a big patch of blood on Simon, so I knew...

0:40:070:40:13

With two badly injured children, it has left her with the ultimate parenting dilemma -

0:40:130:40:20

which one should she be with?

0:40:200:40:22

Tilly's laid on t'floor, trying to get up.

0:40:220:40:25

I didn't know what to do or where to go.

0:40:250:40:28

I were in and out of the ambulance with Jason, back over to Tilly.

0:40:280:40:33

They all understood that I'm stuck between two kids and I wanted to be with them both.

0:40:330:40:40

Three-year-old Jason is now recovering at their local hospital.

0:40:420:40:46

A scan has revealed he's broken his pelvis, as well as the damage to his face and nose.

0:40:460:40:53

Ten miles away in Leeds, his elder sister Tilly is also being treated

0:40:530:40:57

after the car ran over both her legs.

0:40:570:41:00

Teddy went to the zoo. Oh, yeah, I had that...

0:41:010:41:04

'My right leg is broken

0:41:040:41:08

'and my left leg is just bruised at the top.

0:41:080:41:12

'My skin was off my leg.'

0:41:120:41:14

And it were bleeding.

0:41:140:41:17

And it really hurt and it were painful.

0:41:180:41:21

And it doesn't hurt now.

0:41:220:41:25

-Is it done?

-It's done, darling.

-It's done.

0:41:250:41:27

DEBORAH: 'It could have been a hell of a lot worse.

0:41:270:41:31

'I mean, two seconds prior to the accident itself,

0:41:310:41:35

'my third son was stood there. It could have been all three.'

0:41:350:41:38

I'm thankful that it weren't all three, but I'm thankful that they're alive. That's the main thing.

0:41:380:41:44

It doesn't matter, cuts, bruises, broken bones... They're alive.

0:41:440:41:49

So Mum is still torn between visiting her two children in different hospitals.

0:41:490:41:54

But with another holiday already in the diary,

0:41:540:41:58

this brother and sister can't wait to be playing together once again

0:41:580:42:02

after some sisterly love that made such a difference.

0:42:020:42:06

She saved her brother's life by moving him.

0:42:060:42:09

She grabbed his hand to run away.

0:42:090:42:12

Fair do's, she didn't make it, do you know what I mean?

0:42:120:42:15

But for a seven-year-old to grab a three-year-old's hand

0:42:150:42:19

and think to run, it's pretty smart.

0:42:190:42:22

That's all I can say. It's pretty smart.

0:42:220:42:25

I'm pleased to tell you the experience hasn't put the family off going on holiday.

0:42:250:42:31

They'll be heading to the coast again as soon as the children have fully recovered.

0:42:310:42:36

Subtitles by Subtext for Red Bee Media Ltd 2011

0:42:450:42:50

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0:42:500:42:53

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