Episode 1 Helicopter Heroes


Episode 1

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If you're critically ill, or seriously injured, seconds count.

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And in Britain's biggest county, you can be a long way from help.

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-'Where's the patient?

-Stuck under the car.'

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The Yorkshire Air Ambulance flies at 150 miles an hour and,

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thanks to its speed, hundreds of patients are alive today -

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saved by a highly skilled team of doctors and paramedics.

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-Stand clear, everyone.

-Keep going, mate.

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It covers some of the UK's most rugged landscapes,

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turning roadsides into operating theatres...

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We're going to pop him off to sleep with an emergency anaesthetic, OK?

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..and town centres into helipads.

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-OK on the left?

-Just behind you, Tim.

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And every day, the helimed teams' skill, speed and courage

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is saving lives.

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Today on Helicopter Heroes...

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Her husband's in cardiac arrest

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but this woman is determined to give him the will to live...

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Come on, darling. Come on, darling. You're fine.

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..flying doctor Jez fights to save the biker who was wearing this helmet...

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He's in a poorly way. He's in bad shape.

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-How's that leg?

-I broke it.

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..a French tourist falls on a cliff-top path,

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but treatment is 500 miles away...

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and a runaway truck brings devastation to a housing estate.

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His breathing's not very good at the moment.

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Meet my friend Annie. She doesn't say much but she's a life-saver.

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She's helped thousands of emergency service workers around the world

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learn CPR, or the kiss of life, as it used to be known.

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I learned my first aid with Annie,

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but now a new campaign to encourage all of us to have a go at CPR -

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without any training at all - is having remarkable results.

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There are times in life where being tough comes in handy.

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Say some geezer collapses in front of you - what do you do?

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We need a volunteer that ain't breathing.

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It's been watched by more than one and a half million people on YouTube

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and seen by many more on the TV.

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You push hard and fast here on the sovereign, to Stayin' Alive.

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# Ha, ha, ha, ha... #

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This memorable ad is all about encouraging people

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to do basic chest compressions

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if they come across someone whose heart has stopped.

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Push hard and fast to Stayin' Alive.

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It's not as hard as it looks.

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The idea is that this basic message will stay in people's heads,

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just in case they ever need it.

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And today in Ripon, one of the UK's smallest cities,

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that's exactly what happened.

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Have you got details on this job we're attending?

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'98, yeah, roger. He's arrested again so they've gone back into CPR

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'and there's a landing site right next to them in a park, over.'

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Yeah, could be a multitude of things. Either road up,

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-none of them's good, are they?

-No.

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Paramedics Darren and Paul aren't optimistic

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because they know the facts.

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Out of every hundred people who have a cardiac arrest,

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fewer than ten survive to leave hospital.

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-Were you the first to find him...?

-I was the first to find him on the site.

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Whether patients survive can be down to how soon someone starts CPR.

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-Wasn't talking at all, no.

-When you first found him, he was unconscious?

-Yeah.

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And today, 67-year-old Wyn Jones

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has had his heart attack in front of the right people.

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He's had four shots.

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'We came round the corner and saw that, er,

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'you could see a bike hanging up in the road,'

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so we stopped just to check that everything was OK -

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if there was anything we could do to help.

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And other cars had stopped, but other cars actually drove off in front of him

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and left him, kind of, on the ground.

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And then the guys started CPR and, obviously,

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some soldiers were passing and they've stopped to help.

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-Do you want to swap, mate, or are you all right?

-I'm...

-Are you sure?

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So, three adrenaline, one amiodarone.

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Two adrenaline.

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Suzanne and her husband started doing chest compressions

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before a group of soldiers from the local barracks took over -

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and they knew what to do because of Vinnie Jones

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and his life-saving commercial.

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Nobody bothered with the breaths.

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You know, the advert Vinnie Jones has done recently where you just press hard and fast -

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literally, that's all they've done, until the ambulance crew got here.

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Do you want me to come to that top end, bud, and we'll have a look at this tube?

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-Yeah. It's all right.

-Wyn, your wife's here.

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Wyn's wife has just arrived.

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But her husband is still not responding.

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-Are you all right sorting that, bud, for us? Nice one.

-I'm with you.

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I'm with you, we're with you. We're going to Australia - don't you worry.

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-Australia, Wyn - listen.

-Yeah, going to Australia, Wyn.

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As well as the continuous chest compressions,

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he's been given four high-voltage electric shocks

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to try and knock his heart back into rhythm.

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All right, stand clear, everybody. Keep your hands off. Hands off.

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Come on, boy.

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But they've not worked.

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-Yeah.

-Yeah, go for another shot. So it's his fifth shot, yeah?

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Come on, darling. Come on. One more go, darling. One more go.

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-Give it one more go.

-It's grade-four tube, is that.

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-All right, stand clear, everybody.

-Keep your hands off. Hands off.

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-Come on, boy.

-Good lad!

-Keep going, mate.

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-Come on, mate.

-Come on, my boy. You're winning the race. You are.

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Do a bit of CPR for us.

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They say survival at times like this can be down to having the will to live

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and, if encouragement is what Wyn needs, there's no shortage here.

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-Come on, Wyn.

-Come on, darling, please. Just keep on.

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-Just keep on, Wyn. You're fine.

-Come on, mate.

-You are wonderful.

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You're going to survive. This is good. It's all right.

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It's now been nearly 20 minutes since Wyn was first found on the roadside

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and, still, his heart isn't beating.

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And you're the lovely boy who looks after me. Just think about that. I need you to live.

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Well done, pal. You're doing really well.

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If he doesn't recover soon, the paramedics will have no choice

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but to stop.

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Come on, sweetheart.

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Come on, darling. Come on, darling. You're fine.

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You'll be amazed how small a space the helimed pilots can squeeze their helicopters into.

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A large back garden will do at a pinch,

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but there are some parts of the North where helipads are very hard to find.

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The Derbyshire Peak District is one of the trickiest landscapes

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the helimed pilots have to deal with.

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It's more than a century since many of its valleys were flooded to form reservoirs.

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Sometimes the villages swept away to feed the thirst of Sheffield reappear.

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But when it comes to finding somewhere to land,

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the helimed team often has to choose between a steep hillside, water or woodland.

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Are we going to need to land on a road? Can we find out how serious it is, or not?

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Unless they shut the road, I can't see an obvious place to land.

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It looks like there's a bobby coming onto the far side of the bridge, to shut the road.

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Yeah, there's a member of public stood there.

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You've got low wires this side of the reservoir, Andy.

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I'll just stay at ground idle till we know how bad it is, Graham, OK?

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I'm just going to move it forward a bit so you've got...

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Clear this side.

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OK, you are clear out? Doors open.

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Today, there's been a serious motorcycle accident on the A628,

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the Woodhead Pass that carves its way through the Pennines.

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High-speed round this bend. Into that sign there.

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Flying Doctor Jez Pinnell, the helimed team's medical director,

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has driven from his home near by.

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His skills as a hospital anaesthetist

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are about to come in very useful.

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Head injuries, facial injuries,

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injury around his neck. Chest injury.

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Possible pelvis and lower-leg injuries. So he's in a poorly way.

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He's in bad shape.

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David O'Connor is very badly injured.

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He's come off his high-powered Yamaha R1 racing bike,

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capable of 186 miles per hour.

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As it was going round the corner, his rear wheel locked up

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and he hit the kerb, went over the handlebars

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crashed into that sign there and rolled back down onto the road.

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He wasn't responsive.

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He was breathing very, very heavily, which was good, and there was a lot of blood coming from his face.

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His helmet was all smashed open. But he was breathing, which is good.

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David, nice and still.

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'Luckily, there was a nurse in one of the cars nearby.'

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She started trying to get him to respond -

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she knew what she was doing.

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And then a fireman came past and he helped and then...

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Then a, er... And then there was a doctor.

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-Just relax. David, just relax.

-David, something just to relax you.

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Some medication there, just to take the edge off. That's it.

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The A628 is the UK's fifth most dangerous road,

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according to a recent survey.

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Bikers like David are among its most numerous victim.

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That'll be fantastic.

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And do you want the traction splint on that?

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There's a pelvic splint, as well.

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Doctor Jez is concerned that the biker's head wound alone

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could kill him.

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Despite his helmet, he's showing all the signs of a brain injury.

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That's my knee - sorry.

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-OK?

-We're on.

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That's definitely gone. This femur...

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That femur's definitely gone.

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Jez is a highly experienced anaesthetist

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and he knows that to give David the best possible chance of survival,

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he must put him to sleep here and now.

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It will prevent pressure building up inside his skull.

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Dave? Open your eyes, stick your tongue out for me.

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It's a process known as RSI, or rapid sequence induction, and it's risky.

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But it may be their patient's only hope -

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and David is about to get a general anaesthetic in the middle of a Pennine road.

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It's amazing how much closer to the rest of Europe we are now.

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You can catch a train to France,

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get a job in Germany or collect your pension in Spain.

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But when it comes to health,

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it's not just the language barrier that makes life difficult.

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Whitby is one of the UK's most picturesque seaside towns.

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Visitors from all over the world come for the history -

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and the fish and chips.

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But really adventurous holiday-makers bring their boots,

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to experience the spectacular cliff-top path to nearby Robin Hood's Bay.

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This is a wild coastline.

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Get into trouble here and you're a long way from help,

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which is why Helimed 99 is heading to the seaside today.

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I'd rather you pick that green sloping ground, if you would...

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-Yeah, I think we will.

-..rather than this grey stuff.

-Yeah, sure.

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OK, slowing everything down.

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Escape to the left, then, away from the rocks.

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Emmanuelle Giora is an artist who lives in Paris.

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She was spending a few days in England with a friend

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when she slipped and fell.

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Now she's two miles from the nearest road - and in need of help.

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-Hi, Emmanuelle.

-Hi.

-How we doing?

-I'm OK.

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-How's that leg?

-I broke it.

-Sore?

-Yeah.

-OK.

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What we're going to do is just get some nice, strong medication on board

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-and then we'll work out how we're going to get you out of here.

-All right.

-OK?

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We were just, er, walking down, going to Robin Hood's and...

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And she slipped on the mud, so she slipped and twisted her ankle.

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Emmanuelle's ankle is badly broken.

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Local paramedics have hiked along the cliffs to reach her,

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but they decided the only safe way to get her to hospital is by air.

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-How far do you think it is to walk there? It looks a lot closer than it probably is.

-About 200 metres?

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-200 metres.

-It looks a lot easier to your chopper.

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A lot easier, a lot straighter, to your chopper.

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Once we got over the fence...

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Emmanuelle's fracture is not life-threatening -

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but this is the kind of place where even a trivial injury is serious.

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This is an exposed footpath, and little used in January.

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Luckily, other walkers came to the rescue.

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I sent my wife to... To continue with this lady.

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I went to the foghorn station

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to inform the emergency services from that point.

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Which were a good response time, as well. I'm impressed.

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No-one is charged for a flight in Helimed 99,

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but Emmanuelle has a problem.

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She has no travel insurance,

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nor has she an EU health card that would give her free treatment on the NHS.

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If she needs surgery, she may have to pay.

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OK, pre-take off...

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For pilot Steve Waudby, this is a tricky take off.

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Updraughts from the 400-foot-high cliffs will buffet Helimed 99.

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We'll just slowly trickle forward into winds.

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-I don't fancy doing a backward take off over the cliffs.

-No!

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-Just some more wires and then t'next field.

-Er, yep.

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But 25 years flying helicopters -

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including a spell in the RAF -

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mean Emmanuelle's unaware of the risks.

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The flight to Scarborough Hospital

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takes Emmanuelle over the fishing village of Robin Hood's Bay - the end of her cliff-top walk.

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She'll have to save this destination for her next visit.

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Nice and steady, lads.

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That's it - beautiful. Feet round this way, I think.

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She'll soon be undergoing X-rays on her ankle.

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Fractures like this can be minor or require surgery.

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Sadly, Emmanuelle needs an operation.

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She feared she would.

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As soon as my, er, feet touched the ground,

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it twisted, like this, and I heard two big cracks.

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So I, er... I understood that it was very bad, so...

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My friend screamed, just behind me, and said, "Oh, my God. Oh, my God!"

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And then I saw my feet - you know - it was like...

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only attached with the flesh and the bones

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because I couldn't put the foot on the ground.

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Europe has done little to remove the barriers between doctors.

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Scarborough surgeons decide Emmanuelle needs metal rods

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inserted into her broken bones.

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The trouble is, the nuts and bolts the NHS uses to secure them

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are a different size from their French counterparts.

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So Emmanuelle must go home for her operation.

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I have discussed with the surgeon

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and he told me that it was better if I was doing the surgery in France.

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It was better to be there than here.

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After three days in an English hospital,

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it's time for Emmanuelle to begin the long journey home -

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500 miles via the Channel Tunnel with her ankle still broken.

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As Emmanuelle makes her way back to France, doctors in Scarborough

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send her X-rays to the medics in her local hospital in Paris.

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It was an uncomfortable journey home.

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It took all night, actually.

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We drove from Scarborough to Dover,

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then we took the ferry

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and then we drove from Calais to Paris.

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Lying on an ambulance trolley for such a long time isn't ideal,

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but the paramedic travelling with her

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made her as comfortable as possible.

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It was OK because I was lying on the bed

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and my leg was well fixed in plaster.

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During the operation, metal pins were inserted into her ankle

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to hold the broken bones together.

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Three weeks later, near Montmartre in the north of Paris,

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Emmanuelle is back at her favourite cafe.

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It's not so difficult to walk with the crutches, but, actually,

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as I can't move and I have to have my leg laid down most of the time,

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I didn't go out a lot.

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Maybe it's the fourth or fifth time out of the apartment.

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Merci. Merci beaucoup. C'est gentil.

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I read a lot, listened to the radio, watched movies,

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and...

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I started to play the mouth organ, actually.

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Although her holiday took an unexpected and painful turn...

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-I broke it.

-..Emmanuelle hasn't been put off returning to England.

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'We both heard that Yorkshire was a nice place,'

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and that's why we went there.

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But, for sure, I'd like to go back there to finish the trip, you know.

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And she says she won't forget the help

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that she got from her rescuers that day.

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Of course, the helicopters,

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I would really, really like to thank them again.

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Because they took me really, really quickly to the hospital

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and I'm really, really grateful for all the care I had in England.

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Now let's return to the battle to save the life of Wyn,

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the victim of a heart attack who was cared for

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by a remarkable bunch of amateur life-savers in North Yorkshire.

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Come on, my darling, you can do this. I know you can do this.

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Come on, Wyn.

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Wyn Jones isn't breathing and has no pulse.

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CPR and high-voltage electric shocks

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are now the only ways to restart his heart.

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Can you just move that hand for us, darling? Just move back a moment.

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-Yes.

-Let us test his rhythm.

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Four shocks had little effect.

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But after the fifth, things are starting to change.

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-It feels like he's got a pulse.

-He's got a radial.

-Do you want to see if we get blood pressure?

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And while he's on the floor, we'll just do a... We've got a radial.

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Wyn now has a weak pulse and shallow breathing.

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What he needs now is urgent treatment in a specialist hospital.

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What we're going to do now - we've got an output,

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we'll put him on to the stretcher,

0:18:290:18:31

we'll put him straight in the aircraft,

0:18:310:18:33

-and we've got the scope to lift him straight into the machine.

-OK.

0:18:330:18:36

'He seems to be breathing on his own now.

0:18:360:18:38

'They were going for 15 minutes,'

0:18:380:18:40

so, yeah, hopefully, the outcome will be good.

0:18:400:18:43

Fingers crossed.

0:18:430:18:45

-He's breathing.

-Come on, darling.

0:18:450:18:47

-Come on, Wyn, good lad.

-Come on, darling, going to keep you warm.

0:18:470:18:50

-Keep fighting, son.

-I'm here, sweetheart. I'm here.

0:18:500:18:52

Wyn's wife Jenny has been by his side

0:18:520:18:55

through all the resuscitation attempts...

0:18:550:18:58

Can you just guide this side?

0:18:580:19:01

..and she's not leaving him now.

0:19:010:19:04

Come on, darling, I'm running with you.

0:19:040:19:06

ME running! Can you believe it?

0:19:060:19:09

Just take us time. Ready, steady, lift.

0:19:110:19:14

Normally, everyone stays fully strapped in these helicopters.

0:19:220:19:26

But not today.

0:19:260:19:28

42 resps he's got.

0:19:280:19:30

A bit of movement but I'm happy with that CO2 there. It's showing 15.

0:19:320:19:37

I had it about 16-ish.

0:19:370:19:39

Paramedics Daz and Paul are so concerned about Wyn,

0:19:390:19:43

they're continuing to monitor every aspect of his condition.

0:19:430:19:46

-Did he have a bit of movement, then?

-Yeah, he did. He's posturing, mate.

0:19:460:19:50

He is, isn't he?

0:19:500:19:53

-You keep batting away, old lad.

-Well done, pal.

0:19:530:19:56

You're doing really, really well.

0:19:560:19:58

This is where they're heading.

0:20:000:20:01

The Leeds General Infirmary is one of the country's top hospitals

0:20:010:20:05

for heart-attack patients.

0:20:050:20:07

It's all right, pal, you're all right.

0:20:110:20:13

You're doing really, really well.

0:20:130:20:14

WYN GROANS

0:20:170:20:20

Wyn's now just minutes from being in intensive care.

0:20:220:20:25

His groaning is a sign he's starting to recover.

0:20:250:20:28

You got it? You all right?

0:20:300:20:32

We've got a male of unknown age found by a passer-by.

0:20:350:20:39

Moaning and groaning when they got there initially.

0:20:390:20:42

Sounds like he's then gone into cardiac arrest,

0:20:420:20:44

-bystanders started CPR.

-Right.

0:20:440:20:46

First ambulance on scene arrived there,

0:20:460:20:48

said he stayed in VF three times.

0:20:480:20:50

Since that last adrenaline went in at 10.07,

0:20:500:20:54

at ten past he got a pulse back.

0:20:540:20:56

Everyone ready? Ready, steady...

0:20:560:20:58

I think he's possibly had a heart attack, and that's the reason for the fall.

0:21:000:21:03

There was nothing to suggest that a traumatic incident occurred.

0:21:030:21:06

We think he's had a heart attack

0:21:060:21:07

that's caused him to have the collapse off the bike

0:21:070:21:10

as the passer-by found him.

0:21:100:21:11

Initially, he was moving about and then he's gone into cardiac arrest.

0:21:110:21:15

They started CPR and obviously called 999.

0:21:150:21:19

He's had an MI, he's come off his bike.

0:21:190:21:21

Whether anything has hit him... Yeah, it sounds more like this.

0:21:210:21:26

'He's obviously called the cardiologist'

0:21:260:21:28

to speak about the heart attack and they'll obviously do some bloods

0:21:280:21:32

and further tests and take it from there.

0:21:320:21:35

It's clear Wyn is now in the best place if he is to recover.

0:21:360:21:39

The combination of CPR from the passers-by,

0:21:410:21:43

advanced life support from the paramedics

0:21:430:21:46

and expert care here means he's got the best chance of survival.

0:21:460:21:51

Wyn, open your eyes for me, Wyn. Open your eyes.

0:21:510:21:56

You're in hospital.

0:21:560:21:57

But with the statistics so stacked against him,

0:21:570:22:00

the next few hours will be critical.

0:22:000:22:03

Scenery like this brings millions of people out into the hills -

0:22:120:22:16

but if you're hurt out here,

0:22:160:22:18

the landscape itself can threaten your survival.

0:22:180:22:21

The motorcyclist who was wearing this helmet

0:22:240:22:27

is fighting for his life.

0:22:270:22:29

But biker David O'Connor did have some luck on his side today.

0:22:290:22:34

His accident was witnessed by several people

0:22:340:22:37

with the medical skills to keep him alive

0:22:370:22:39

until the helimed team arrived.

0:22:390:22:42

Two nurses, a firefighter and myself just drove past in the instant it all happened.

0:22:420:22:47

I don't know what the odds are of that.

0:22:470:22:49

He was unconscious, his helmet had been smashed by the impact.

0:22:490:22:52

We were just holding his head still and keeping his C-spine immobilised

0:22:520:22:56

and just made sure his breathing had bilateral air entry

0:22:560:22:58

and his lungs weren't too smashed up and trying to make sure his airway was OK.

0:22:580:23:02

David has multiple injuries after he was thrown

0:23:020:23:05

from his motorcycle on the A628 and hit a road sign.

0:23:050:23:10

Now he's losing consciousness as powerful drugs paralyse him.

0:23:100:23:13

Then a tube will be carefully inserted into his windpipe

0:23:130:23:17

and his rescuers will take over breathing for him.

0:23:170:23:20

Yeah, that's it.

0:23:200:23:22

David's injured brain is swelling.

0:23:230:23:26

Eventually the build-up of pressure inside his skull would have killed him.

0:23:260:23:30

I'm just using this traction splint

0:23:300:23:33

to draw up some more morphine for him in flight,

0:23:330:23:35

just to keep him a bit more sedated.

0:23:350:23:39

But it's not a very clean area.

0:23:390:23:42

Now he's unconscious, his blood pressure will drop

0:23:420:23:46

and his confused brain can rest.

0:23:460:23:48

'He's got serious injuries.'

0:23:480:23:50

Looking at the speed he's probably been going at

0:23:500:23:53

and the damage he's done to the sign,

0:23:530:23:55

he's probably done some serious mischief somewhere.

0:23:550:23:58

Until we get him through the scanner, it's going to be difficult to exactly say...

0:23:580:24:02

-Is it touch and go?

-Yeah. Potentially, he might not survive this, definitely.

0:24:020:24:06

As well as his head wound, David has serious facial injuries,

0:24:060:24:11

a shattered pelvis and a fractured femur.

0:24:110:24:14

His case will demand all the skills of doctors and surgeons

0:24:140:24:17

at Leeds General Infirmary.

0:24:170:24:20

You're the nearest neurosurgical centre that we can fly to,

0:24:200:24:24

so you're going to be the quickest.

0:24:240:24:26

He's just over the border in Derbyshire.

0:24:260:24:29

We're just leaving from Woodhead Pass. I'll be routing back towards the LGI.

0:24:350:24:39

DISPATCH RADIO RESPONDS

0:24:410:24:43

Pressure's down. His pressure's coming down.

0:24:500:24:54

There are signs for optimism

0:25:010:25:02

but they're dashed soon after Helimed 99's arrival in Leeds.

0:25:020:25:07

MRI scans reveal the extent of his major head injury.

0:25:080:25:12

For several weeks,

0:25:130:25:14

he lies unconscious in an artificially induced coma.

0:25:140:25:18

When he wakes up, the mental scars are obvious.

0:25:180:25:21

He was in a very confused state when he first arrived on the ward.

0:25:210:25:25

He also had problems with his speech

0:25:250:25:28

so he was struggling to express himself clearly

0:25:280:25:32

and make his needs known.

0:25:320:25:34

That, in turn, led to a few difficulties with his behaviour.

0:25:340:25:37

Sometimes he would become quite agitated as a result of that.

0:25:370:25:40

Three months on,

0:25:420:25:43

David's been transferred to a hospital nearer his home.

0:25:430:25:47

But his injuries mean it's been a traumatic time

0:25:470:25:49

for his wife Edith, too.

0:25:490:25:52

When he first came round, her husband didn't even recognise her.

0:25:520:25:55

'He didn't know where the heck he was

0:25:550:25:58

'and trying to keep him from pulling tubes out from everywhere, you know.

0:25:580:26:01

'He was all over the place, really.'

0:26:010:26:04

He didn't know what was happening to him

0:26:040:26:06

cos the last thing he remembers is going out for a ride on his bike.

0:26:060:26:09

We've had a struggle sometimes, haven't we,

0:26:090:26:11

trying to understand what you're saying?

0:26:110:26:14

-But, yeah, it's coming back now, isn't it?

-My writing's better now.

0:26:140:26:17

Oh, it's a lot better.

0:26:170:26:18

'He has been in post-traumatic amnesia for quite some time.

0:26:180:26:22

'I would say it's only the last two to three weeks

0:26:220:26:24

'that he's come out of that, and as he's come out of that,'

0:26:240:26:27

he's suddenly become aware of everything around him,

0:26:270:26:30

wanting to do this, wanting to do that, coming home.

0:26:300:26:33

Because before that, it was all...

0:26:330:26:37

..talking and not making sense of what was around him.

0:26:400:26:44

David went on to recover enough to return home,

0:26:440:26:48

but he will live with the effects of the head injury

0:26:480:26:51

this collision caused for the rest of his life.

0:26:510:26:54

And he's unlikely ever again to enjoy a ride on his bike

0:26:540:26:57

in the Peak District.

0:26:570:26:59

If you think handling a car is difficult enough on our roads,

0:27:060:27:09

try being a trucker.

0:27:090:27:11

You're in charge of a vehicle that weighs as much as a house

0:27:110:27:14

and it travels at up to 56 miles an hour.

0:27:140:27:18

Almost everything we buy and everything we own

0:27:200:27:22

has ended up in the back of one of these.

0:27:220:27:25

Haulage is the lifeblood of the country -

0:27:250:27:28

lorries travelling hundreds of miles a day to keep the goods flowing.

0:27:280:27:33

Many of these trucks are now coming from abroad.

0:27:330:27:36

Every year, there are one and a half million trips to the UK

0:27:360:27:40

by foreign-registered lorries.

0:27:400:27:42

But today, one of them has had a serious accident,

0:27:420:27:45

overturning at a busy intersection.

0:27:450:27:47

OK, mate, this is it in front of us.

0:27:500:27:52

The road is on the far side of the village, mate.

0:27:520:27:56

With the lorry coming to rest on the side of the roundabout,

0:27:560:28:00

there's just one obvious landing site for pilot Chris Attrill.

0:28:000:28:03

-That roundabout looks ever so good to me, mate.

-It does, doesn't it?

0:28:030:28:07

-Yeah.

-We've still got traffic moving, that's the problem.

0:28:070:28:10

Just at the rear of this, you've just got two concrete posts,

0:28:100:28:13

like the ones that are at your two o'clock.

0:28:130:28:15

-Yeah.

-Clear of them now. Tail's clear of them on my side, mate.

0:28:150:28:19

-So are the blades.

-No worries.

0:28:190:28:20

All right. We're in the middle.

0:28:200:28:23

We've got a gentleman, unknown age, unknown name.

0:28:270:28:29

-We're having difficulties with the lungs at the moment.

-OK.

0:28:290:28:32

Obviously, as you can see, he's overturned his truck on the roundabout.

0:28:320:28:35

Going approximately 30 miles an hour at most.

0:28:350:28:37

The position we're in, he was squat down,

0:28:370:28:39

-we've not managed to get a collar on him.

-So the language barrier as well?

0:28:390:28:42

Yes, there is a translator about somewhere.

0:28:420:28:45

-OK.

-Can you just ask for his full recollection of what happened?

0:28:480:28:51

Can he remember everything that happened?

0:28:510:28:53

HE SPEAKS POLISH

0:28:530:28:56

OK.

0:29:000:29:02

Has he any pain anywhere now?

0:29:020:29:04

HE SPEAKS POLISH

0:29:040:29:07

-He's only feeling pain on the left hand.

-Left hand?

-Arm and hand.

0:29:090:29:13

Basically, we've made the HGV safe.

0:29:130:29:16

We've got rid of the glass, allowed the paramedics inside

0:29:160:29:19

to treat the pain and we've been led by the paramedics

0:29:190:29:23

and just extricated using the extrication board.

0:29:230:29:27

Pilots have lots of criteria when looking for

0:29:270:29:31

a safe place to land and, odd as this one might look,

0:29:310:29:34

this roundabout actually ticked all the right boxes.

0:29:340:29:38

It's nice and big and right next door

0:29:380:29:42

to where the incident actually was.

0:29:420:29:44

So, yeah, you've got everything there on hand

0:29:440:29:46

and it's plenty big enough and the police kindly stopped all the traffic

0:29:460:29:49

for us, so, yeah, it's a nice little spot to land.

0:29:490:29:52

They can see that this large heavy goods vehicle's

0:29:520:29:54

laid on its side here, a bit like a dead dinosaur.

0:29:540:29:57

Erm, the patient's been extricated from the vehicle

0:29:570:30:00

prior to our arrival and sustained some arm injury.

0:30:000:30:02

They're just assessing the level of that at the moment.

0:30:020:30:06

The likelihood is that once we've got a set of stable observations,

0:30:060:30:09

he'll be transported to Pinderfields by ground vehicle

0:30:090:30:12

and our colleagues will look after him en route.

0:30:120:30:14

So it appears this Polish driver has escaped with just an arm injury.

0:30:160:30:21

But now police attention is turning to what could have caused

0:30:230:30:26

this huge lorry to topple over.

0:30:260:30:29

A recent report showed that nearly half of all foreign-registered vehicles

0:30:290:30:33

stopped by inspectors here had dangerous defects,

0:30:330:30:36

so this lorry will be getting a full examination.

0:30:360:30:39

One imagines it's probably been at a fairly low speed,

0:30:390:30:42

though it's difficult to gauge exactly,

0:30:420:30:44

but it's a large lorry and it's been going round this roundabout.

0:30:440:30:48

So we're always happy to come out and have a look

0:30:480:30:51

and help out if we can, but in this case,

0:30:510:30:53

it doesn't require any further intervention at the moment.

0:30:530:30:57

Despite air brakes, up to 12 heavy-duty tyres

0:30:570:31:00

and steering rear axles, hazards that motorists take in their stride

0:31:000:31:04

often catch out truckers - and steep hills are among the most deadly.

0:31:040:31:10

'Good morning, Helimed 99 on for multiplied central standing for up link.'

0:31:120:31:17

'Helimed 99, good morning and your stance approved.'

0:31:170:31:20

It's market day in the small town of Otley, only a few miles

0:31:210:31:25

from the airport, but today, this quiet corner of Yorkshire

0:31:250:31:28

has been disturbed by a dramatic accident.

0:31:280:31:32

Louise thought the house was falling down.

0:31:320:31:33

She heard the bang as she came down to put the kettle on

0:31:330:31:36

and heard this almighty bang. She thought the house was falling down

0:31:360:31:39

or the roof had come off or something.

0:31:390:31:41

Never expecting...to see all this.

0:31:420:31:46

A lorry carrying cement has overturned on a steep hill

0:31:460:31:49

and less than five minutes after the first 999 call,

0:31:490:31:53

the helimed team is arriving on the scene.

0:31:530:31:55

He's done well not to go down there.

0:31:550:31:57

Unable to stop, the driver has ploughed through concrete, wood and metal fencing,

0:31:570:32:02

narrowly avoiding a steep drop into a back garden.

0:32:020:32:05

Fortunately for the trucker,

0:32:050:32:07

a nurse was passing on her way to work.

0:32:070:32:09

I was first on the scene, but I didn't actually see the accident.

0:32:090:32:12

I just arrived as the lorry had gone over

0:32:120:32:16

so, luckily, I was able to assist this gentleman straightaway.

0:32:160:32:20

He is conscious, but he's not looking too good.

0:32:200:32:23

His breathing's not very good at the moment.

0:32:230:32:26

Quite scary, yes.

0:32:260:32:28

For local residents, today's accident has been a shock,

0:32:280:32:31

but not necessarily a surprise.

0:32:310:32:33

I'm absolutely amazed that this hasn't happened before

0:32:330:32:36

because I've seen lorries come down here,

0:32:360:32:39

erm, with the brakes smoking.

0:32:390:32:41

Cos they're braking all the way down from the top.

0:32:410:32:44

Now, whether his brakes have faded or, with it being a cement mixer,

0:32:440:32:47

the load has shifted and he's not been able to handle it.

0:32:470:32:51

The driver of the lorry is quickly loaded

0:32:510:32:54

into the air ambulance.

0:32:540:32:55

Within minutes, he will be in the accident and emergency department

0:32:550:32:58

of the Leeds General Infirmary.

0:32:580:33:00

Helimed 99, we have lifted. En route - LGI.

0:33:000:33:03

Call's been placed. 99, over.

0:33:030:33:06

He has sustained very serious injuries,

0:33:060:33:09

but for local residents, it's been a lucky escape.

0:33:090:33:12

Why it's flipped there, though, seems strange.

0:33:120:33:14

Thankfully his course...

0:33:140:33:18

The line here, if you look at the tyres,

0:33:180:33:20

is again heading for my drive.

0:33:200:33:22

A mother and grandmother are left surrounded by debris

0:33:220:33:25

but, for them, the damage could have been infinitely worse.

0:33:250:33:29

My first thought was, "Thank God they weren't out in the garden."

0:33:290:33:32

Then when I got here and saw it all,

0:33:320:33:34

it doesn't bear thinking about.

0:33:340:33:36

Sadly, the driver of the truck later died in hospital.

0:33:360:33:40

The accident has sparked a campaign in the town to stop heavy lorries

0:33:400:33:44

using the road where the crash occurred.

0:33:440:33:46

Truckers are highly trained and haulage companies heavily regulated,

0:33:460:33:50

but an articulated lorry can carry a load of up to 30 tons

0:33:500:33:54

and that can make unloading a risky business too.

0:33:540:33:58

Helimed 98 is circling the former mill town of Eland where a worker's

0:34:000:34:04

been seriously injured while unloading a truckload of glass.

0:34:040:34:09

-I'm just looking for wires.

-All I can see is glass at the moment.

0:34:090:34:12

OK, clear to the right.

0:34:120:34:14

The pressure's on pilot Tim Taylor to find a landing site

0:34:140:34:18

in the tightly packed town centre.

0:34:180:34:20

-All good on the left side.

-Your tail is clear of the building behind us.

0:34:200:34:24

You've got an RV beneath us.

0:34:240:34:26

This is not an ideal helipad.

0:34:260:34:28

The factory is surrounded by buildings, car parks and open roads.

0:34:280:34:33

-All clear right.

-Vehicle just behind you, Tim.

0:34:330:34:38

Vehicle close to the tail.

0:34:380:34:40

-How close?

-Ambulance responder.

0:34:400:34:42

-We're clear of it just now.

-OK.

0:34:420:34:44

Tail's clear right.

0:34:440:34:46

Helimed 98 is down in the factory yard

0:34:460:34:51

with a little help from Tim's crew.

0:34:510:34:54

Can you turn the radio off, please?

0:34:540:34:56

Airwaves on.

0:34:580:35:00

Aaron Joyce was working in the back of a container lorry

0:35:020:35:05

when two boxes of glass fell on him. He's in severe pain.

0:35:050:35:08

BP's 144/73.

0:35:090:35:11

Seems OK. Airway's fine, breathing's fine,

0:35:110:35:14

he's got chest moving bilaterally.

0:35:140:35:17

His tummy's not sore and he's not landed on his pelvis.

0:35:170:35:19

It seems mainly on this lower leg.

0:35:190:35:23

I've just, basically, I've got him on some oxygen,

0:35:230:35:26

done an ABC assessment, done his base obs and got an IV access in.

0:35:260:35:30

His workmates are upset.

0:35:300:35:33

He's been pulling this off the back of the container

0:35:330:35:35

and it's, obviously, it's further in so where having to drag it

0:35:350:35:38

I didn't know he'd gone behind the middle of it,

0:35:380:35:41

I was trying to drag it and suddenly

0:35:410:35:43

I saw another one on top all the way and went backwards,

0:35:430:35:46

just toppled onto him.

0:35:460:35:48

That's 750 kilos of weight and there was one on top

0:35:480:35:51

so it was like a ton and a half that's gone down.

0:35:510:35:55

Local paramedics have examined Aaron and they fear he may have

0:35:550:36:00

a serious internal injury.

0:36:000:36:01

Might be a case of getting that forklift truck up.

0:36:010:36:04

Flying doctor Steve Rowe is a hospital anaesthetist.

0:36:040:36:07

He can see Aaron's leg is badly broken.

0:36:070:36:10

The accident shattered his femur, the biggest bone in the body.

0:36:100:36:15

What we're going to do, Aaron, cos it's so sore,

0:36:150:36:17

I'm going to do an injection in the top of the leg that's going to turn your leg numb.

0:36:170:36:21

Dr Steve knows that once they move Aaron,

0:36:210:36:24

their patient's pain will be unbearable.

0:36:240:36:27

He's going to give him a nerve block -

0:36:270:36:29

a cocktail of drugs to block the signals

0:36:290:36:31

being sent from his broken leg to his brain.

0:36:310:36:34

Therefore cancelling all the pain

0:36:340:36:36

and the patient will be very comfortable

0:36:360:36:39

so we can manipulate the leg and put a traction splint on.

0:36:390:36:42

I'm going to give you some more strong painkiller here, OK.

0:36:420:36:46

He is also giving ketamine, a powerful anaesthetic

0:36:460:36:49

that will not only help reduce his pain,

0:36:490:36:52

but also ensure he remembers little of his ordeal.

0:36:520:36:55

OK, that's 50 of ketamine at 10.07.

0:36:570:37:01

Traumatic injury as a result of a heavy cardboard box,

0:37:010:37:05

estimated weight, a ton.

0:37:050:37:07

In urban areas like this, paramedics

0:37:070:37:10

often have to decide how best to get their patients to hospital.

0:37:100:37:13

Got him out just now and we'll run him into Huddersfield.

0:37:130:37:16

It's only two miles down the road, so rather than take him by air,

0:37:160:37:19

it's much quicker to take him to Huddersfield.

0:37:190:37:21

Aaron was driven to Huddersfield Royal Infirmary

0:37:210:37:24

where his broken leg was set by surgeons.

0:37:240:37:27

Happily, he was allowed home a few days later.

0:37:270:37:30

The dangers of working with lorries there,

0:37:310:37:34

but what about Wyn, the cyclist struck down by a sudden heart attack

0:37:340:37:38

near his home in Ripon? Let's catch up on his case.

0:37:380:37:42

Here at the Leeds General Infirmary,

0:37:440:37:46

doctors are fighting to save the life of Wyn Jones.

0:37:460:37:50

Less than an hour ago,

0:37:520:37:54

he was here lying on the side of the road,

0:37:540:37:56

having suffered a massive heart attack.

0:37:560:37:59

-That's it. You can fight.

-Come on, Wyn!

-You can fight, my love.

0:37:590:38:03

The quick thinking of those who came across him

0:38:030:38:06

certainly gave him the best chance of survival.

0:38:060:38:09

And it's clear some of their knowledge

0:38:090:38:11

had come from this 30 seconds of TV.

0:38:110:38:14

Push hard and fast to Stayin' Alive.

0:38:140:38:16

Hands only CPR...

0:38:160:38:19

it's not as hard as it looks.

0:38:190:38:21

I was just impressed with the helicopter.

0:38:210:38:23

Within, what, less than 10 minutes after we got there?

0:38:230:38:26

That's what you said, wasn't it? And where it landed.

0:38:260:38:29

It's now three weeks since Wyn collapsed and here at the airport,

0:38:290:38:32

it's a chance for all those who helped to meet again.

0:38:320:38:36

It's good that the ambulance service were just down the road.

0:38:360:38:39

From professional medics to army sergeants

0:38:390:38:41

and others just happy to help out,

0:38:410:38:44

this is an ordinary bunch of people who took on

0:38:440:38:46

an extraordinarily job.

0:38:460:38:49

We just came across him when we were driving down the road.

0:38:490:38:52

Spotted Wyn in the middle of the road so we pulled over.

0:38:520:38:55

Then, literally, the three of us just went down on one knee,

0:38:550:38:58

just went straight into trying to conduct CPR.

0:38:580:39:00

We were on the scene so quickly and we saw those guys

0:39:000:39:04

doing absolutely fantastic CPR.

0:39:040:39:07

They were remarkable. They were quite amazing.

0:39:070:39:10

When I saw him the first time, he wasn't a very healthy colour.

0:39:100:39:14

Also, I remember looking at his face and that stuck with me

0:39:140:39:16

and that stuck with both me and my husband

0:39:160:39:18

for at least a couple of days afterwards.

0:39:180:39:21

And just felt for his wife.

0:39:210:39:23

But all these people aren't just here to see each other -

0:39:230:39:26

there's someone else they've not seen since that day on the roadside.

0:39:260:39:30

These ladies and gentlemen are the team that made your chest ache.

0:39:320:39:37

So you were the lads that were there that morning?

0:39:370:39:41

Wonderful.

0:39:410:39:43

They tell me that it was just a chance that you were there.

0:39:430:39:46

'We've all been shocked when Wyn came out of the hangar.'

0:39:460:39:49

To see how well he looked, erm, is just phenomenal.

0:39:490:39:53

in such a short space of time. You know, like you said,

0:39:530:39:55

it's been three weeks and he looks almost as if nothing ever happened.

0:39:550:39:59

it's a great feeling to see Wyn back here with us today.

0:39:590:40:02

It proves that, again, that a massive team effort can sometimes

0:40:020:40:07

change the day in your favour and we couldn't have wished for better

0:40:070:40:11

than we had on that day.

0:40:110:40:13

The bystanders walking by, the good citizens who got involved

0:40:130:40:18

and tried to sort of change things.

0:40:180:40:20

Then we had the British Army involved - they did fantastic work.

0:40:200:40:24

The ambulance crew from the Yorkshire Ambulance Service

0:40:240:40:27

were fantastic and did work that is second to none.

0:40:270:40:30

And then we turned up and gave a little bit of a hand

0:40:300:40:34

and got him into the LGI.

0:40:340:40:35

It couldn't have happened any better for us.

0:40:350:40:37

It's been very emotional, really, you know, meeting people

0:40:370:40:40

and things like that and getting to where I am now,

0:40:400:40:44

three weeks on, like.

0:40:440:40:46

I'm very grateful to everybody, really.

0:40:460:40:48

That's all I can say, really.

0:40:480:40:50

It's wonderful to be here.

0:40:500:40:53

But one of the main memories from that day was how Wyn's wife Jenny

0:40:530:40:57

handled such an unthinkable situation.

0:40:570:41:00

Come on, sweetheart. Come on, darling.

0:41:000:41:02

Come on, darling, you're fine.

0:41:020:41:04

She was marvellous.

0:41:040:41:06

She was calm and controlled and she spoke to him.

0:41:060:41:10

She was so positive throughout and, you know, you could just see that,

0:41:100:41:14

after all those years, she loved him so much.

0:41:140:41:16

Come on, darling. Come on, darling.

0:41:160:41:18

Come on, darling. Come on, darling, you're fine.

0:41:180:41:20

'My job, I saw,'

0:41:200:41:22

was to talk to Wyn. To talk to him about things that we shared,

0:41:220:41:25

we knew, so if he could hear, he could connect with it.

0:41:250:41:28

Come on, my darling, I love you.

0:41:280:41:30

'It didn't mean I wasn't upset, otherwise all you could think to yourself,'

0:41:300:41:33

"My husband's dying in front of me," and you collapse

0:41:330:41:36

and I don't think you can afford to do that.

0:41:360:41:38

You've got too many other things to do.

0:41:380:41:40

And, while all these people clearly had the will to save Wyn,

0:41:400:41:44

there was also that bit of knowledge from a now-famous

0:41:440:41:47

advertising campaign.

0:41:470:41:49

I've seen the adverts about three times on television now

0:41:490:41:53

and I think it's very important just to have an idea of what to do

0:41:530:41:56

if you come along and find somebody in that position.

0:41:560:42:00

# Stayin' alive, stayin' alive... #

0:42:000:42:01

Push down five or six centimetres...

0:42:010:42:04

My boys think it's absolutely hilarious. They watch it and think it's funny.

0:42:040:42:07

Even they know, all you do is pump the heart to Stayin' Alive

0:42:070:42:11

I did wonder at the time if it was something from that

0:42:110:42:14

that had picked up...subconsciously picked it up from seeing it on TV.

0:42:140:42:17

'Everyone did a little bit that helped and I think,

0:42:170:42:20

'if people just stop and help and everybody works together

0:42:200:42:23

'it can have an amazing outcome at the end of the day.'

0:42:230:42:27

He seems, you know, massively grateful.

0:42:270:42:29

That's a good thing. We would all want him to move on.

0:42:290:42:33

We would all want him to get on with his life. He's got a second chance

0:42:330:42:36

and, you know, not everybody gets that.

0:42:360:42:38

And you'll be delighted to hear that Wyn and his wife

0:42:400:42:42

are planning on jetting off on that delayed holiday to Australia.

0:42:420:42:47

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0:43:010:43:04

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