Episode 25 Helicopter Heroes


Episode 25

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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?

-She's stuck under the car!

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The Yorkshire Air Ambulance flies at 150 miles an hour,

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and 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, everybody.

-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 emergency anaesthetic, OK?

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And town centres into helipads.

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-Still good on the left?

-Just behind you, Tim.

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And every day, the Helimed team's skill, speed,

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and courage is saving lives.

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Today on Helicopter Heroes -

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Repairs to historic York leave a quarry worker fighting for his life.

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Bah, lad, you've picked a mucky site, haven't you?

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The biker who did this to a van

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gets some advice from paramedic Darren.

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If you'd have had some gear on, you might not have got badly injured.

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A gardener is hurt by a branch he felled himself.

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The branch went, hit the ladders, took him out of the tree.

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And a rugby tackle goes horribly wrong.

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I heard a massive, like, crunchy noise,

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and then pain before I had even hit the floor.

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Some of Britain's most famous landmarks have been carved

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out of Yorkshire's landscape.

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From the Houses of Parliament to our finest cathedrals,

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Yorkstone is highly prized.

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But quarrying it is a risky business.

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Since medieval stonemasons started work on York's spectacular minster

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1,000 years ago, nature has been slowly dissolving it.

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Rain, frost, and pollution, all eat into Yorkstone buildings,

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which means skilled craftsmen are still at work replacing

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worn-out walls, crumbling mouldings, and eroded statues.

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Much of it comes from this quarry, where today,

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there has been a serious accident.

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Right, guys. He's fallen a long way there.

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-Where is he?

-On the right. Can you see the... Have you got him?

-Yeah.

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At the bottom of the quarry, a man is critically injured

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and pilot Chris Attrill must land in it.

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This could be a case of putting us down on the right

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-as we look at the quarry.

-Look at that scoop, mate.

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-Put you down alongside... See the scoop to the right?

-Yeah.

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I'll put you to the right of that.

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Just be aware, guys, you're going to have water right underneath you.

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Helimed 98's rotor blades are feet from the sides of the quarry.

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The downwash from the chopper is making it very hard to control.

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-It's good there.

-IFR.

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And we're down. Fabulous.

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But Chris wants reassurance that the skids are on firm ground.

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Stay connected. Just have a quick look underneath for us please, mate.

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-You all right, mate?

-Yep. You're clear underneath.

-OK, good.

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Close it down.

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It's not just the crew that's relieved Helimed 98 is down.

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Just need to give you a once over,

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make sure you've not done anything too serious, all right?

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-You've come from down there, have you?

-Shortcut.

-All right, mate.

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Quarryman David Dutson was standing on a ledge

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when he lost his footing and fell 30 feet.

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Part of the face has given way, which has caused him to slip

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and fall over the edge.

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How's your breathing feel?

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Paramedic Graham Pemberton can see he has broken his arm and leg.

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It's the injuries he can't see that are worrying him.

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-You've been conscious throughout, have you?

-Yeah.

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-Can you remember falling down?

-Yeah.

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-Did you slip?

-Yeah.

-You didn't feel dizzy or anything first?

-No.

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-Is his arm all right?

-No, no it's not.

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Pilot Chris is already trying to work out

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how to get David to hospital. Landing here was hard enough.

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It was interesting, to say the least,

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but hopefully we'll be able to get

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him off and taken to hospital very shortly.

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OK. We've got an open humerus this side.

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-Bah, lad, you've picked a mucky site haven't you?

-I know.

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That blood there, Dave, has come from this arm round down there, OK?

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-Does that feel OK?

-Leg's fine. My knee hurts

-That side.

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-So it's just this side here?

-Mmm.

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In there, yeah, and this arm.

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What about round there? No bruising or anything?

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He's got an open fracture in his left arm, which has bled fairly heavily.

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We think he may have damaged his pelvis,

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possibly done his left femur, and he's broken his left ankle.

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And possibly his right foot, as well. So, he's got a number of injuries,

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one or two of which could be quite serious if he starts to deteriorate.

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David's in agony, despite a cocktail of painkillers.

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Now he's also being given Entonox gas.

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We're going to have to move you,

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and that's almost certainly going to be painful.

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We've given you is much morphine as we can.

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There's not a lot else we can give you.

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But, if they Entonox is going to knock you out, what we can do

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is dose you up on the Entonox so you become really drowsy and we can

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move you whilst you're drowsy,

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and you won't remember any of it, hopefully. OK?

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This is a dangerous site for the emergency services.

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Recent heavy rain means the rock face is unsafe.

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We have somebody at the top of the drop to make sure that

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nobody else comes and knocks any debris over,

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because obviously these emergency services now are very exposed

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to any falling debris and we don't want anybody else to get injured.

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We've got a cordon round the top,

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we're restricting the amount of people that we need to

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put in at the bottom to make sure that if anything does happen,

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we've got it as safe as we possibly can have.

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But it's started to rain again, and there's no time to waste.

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David's colleagues are understandably concerned about him.

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Can you tell me anything about his injuries...?

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He's broke his arm, he's broke his leg,

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-and he may have broke his pelvis.

-Right.

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All right? But we don't know for certain.

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-Go right down to the bottom, yeah?

-Right.

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If he'd fallen headfirst, I think

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we'd have been looking at a completely different outcome.

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So, a very lucky man, in the fact that he survived it,

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obviously very unlucky that he's fallen so far.

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Now Chris must get the team, and its patient, out of the quarry.

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He knew this would be a difficult takeoff, but not this difficult.

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-Getting downdraughts off the top there, guys.

-Yeah.

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-Let's have a look around.

-Can we move right?

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-A downdraught is pushing 98 back to the ground.

-20 seconds.

-OK, mate.

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Chris is using all the power of two jet engines,

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but the chopper won't climb.

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It's time for another tactic, and this time,

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Chris manages to climb away safely.

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David is airborne for Leeds General Infirmary.

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A trauma team is waiting to carry out a thorough

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assessment of his injuries.

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Without their patient and his workmates,

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Yorkshire's ancient monuments would not now be in such good shape.

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But today, David is badly in need of repair.

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And it's going to be a long battle.

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X-rays and scans reveal a catalogue of serious injuries that

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require a series of operations.

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Smashed both heels and left ankle smashed, and broke lower left leg.

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I fractured my hip, fractured my pelvis,

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and also shattered my elbow and I do believe I have some small

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fractures in my spine, which they say should mend themselves.

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I've been given a second chance. You don't get too many of those.

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So, I've got to just do as they tell me,

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really, take each day as it comes.

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I know there's going to be hard days,

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there's going to be better days, but I've got some good

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family around me who can support me, help me to do that.

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It's 12 weeks before David is fit enough to climb the stairs

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to his first-floor flat.

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The specialist said I could have it anywhere between six months

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and two years.

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The frame could be on until it's, you know, fixed, basically.

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And it looks like he's clocked on at the quarry for the last time.

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They have said I might have to think about a different career,

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as they don't think I'll be able to work in the quarry,

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where I work, due to the ground and the harsh environment.

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One of the frustrations paramedics frequently cite is when

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accidents could have been avoided by taking simple safety precautions.

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Helimed 99 is heading south to the former Yorkshire coalfield.

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We're en route to Moorthorpe, which is a little village between

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South Kirkby and South Elmsall, for a guy that'd run into a van on a moped.

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It sounds like the driver's gone into the windscreen of the vehicle,

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and he's not been wearing his leathers,

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putting himself at even more risk.

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Paramedic Darren lives near here,

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and he'd old friends with the crew caring for the rider.

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-Ey up, kiddy, you all right?

-All right, ey up.

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-Now, then.

-Right, this is Tony.

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Tony says he was travelling approximately 30 miles an hour,

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the van approximately the same.

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-No loss of consciousness at all, can remember it all.

-Yep. Okey-dokey.

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So, we'll bring our Combi Board, pop him onto that,

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-we'll flip it over, and just do a log roll.

-Sounds all right.

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25-year-old Tony Busk was on his way to work at a care home

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when the accident happened.

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His head did this to the van.

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-Right, Tony. Going to roll you over onto this good leg, yeah?

-Yes.

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-And we're going to put you on to this board.

-Right.

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I'll tell you straight out, mate, it's not going to be comfortable.

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-Yes.

-But, looking at what's happened to you, we need you not to

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move from that position, straight up and straight down, do you understand?

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Yes.

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Everything we're doing is a precautionary measure, do you get it?

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It'll be uncomfortable, but it won't be long.

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We don't want you to do anything. We're going to do it.

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-Do you understand?

-Right.

-Super.

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Tony's got a very serious leg injury.

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He'll need a skin graft, but he's lucky to be alive.

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His helmet was the only protective equipment he was wearing.

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When we roll you over, my mate's going to dust your back down, yeah?

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Yeah.

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Darren fears Tony may also have a back injury.

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A manoeuvre called the log roll will safeguard his spinal cord.

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Ready, steady, roll...

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-That's fine. All debris clear.

-Board him, then.

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You'll feel the board going behind your back now.

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Tony's dedicated to his job as a carer. As he lay in the road,

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he rang colleagues to tell them he'd be late.

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He rang work up, yeah!

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We were both on shift this afternoon at half past one.

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And, he got that.

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So we slammed down on the West Bus to see what was happening.

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Ready, steady, roll.

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Brilliant. Well done, Tony.

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The patient's mum and dad have arrived at the scene.

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We just got a phone call and jumped out of the house.

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That's I'm why like this and jumped into the car.

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Rushed down here to see, to see him.

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So, so on the way here we got told that they were

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waiting for the air ambulance.

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Tony's going to be flown to Leeds General Infirmary.

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Short trip, that's all. We're going to LGI. Best place to take you.

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-Right.

-Need to get your leg fixed.

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-Do you understand?

-Yes.

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Nowt to worry about, if you've got a problem, lift your hand up

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-and indicate to me.

-All right.

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Darren is a keen biker, and he hates to see avoidable injuries

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to riders who fail to wear the right gear.

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Tony! I've been riding a motorbike, mate, for 30 years, yeah?

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30 years I've been on a bike and I've never, ever gone out without my kit.

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If you come off and you slide down the road, you don't

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hit anything, you'll get up and walk away.

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I guarantee you, if you'd have had some gear on,

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you might not have got badly injured.

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-Yeah.

-All right?

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I feel a right tool for it now.

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Well, you've learned a lesson, mate, and you'll get a second chance.

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-Yeah.

-Yeah.

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OK, then, lift up.

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The helmet's done its job, but his right leg, all the way down,

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he's got some severe lacerations, he's got some skin that's been removed

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that we can't actually find, and his lower leg is potentially fractured.

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He'll live to tell this tale, and hopefully the next time he goes

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out on another moped, he'll wear the gear that he should be wearing.

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It'll be a long road to recovery for Tony.

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The LGI's plastic surgeons will have to rebuild part of his leg,

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where muscle tissue has been torn away.

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A few days later, he's still counting the cost of biking

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in shorts and a T-shirt.

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I've got some small fractures in the bottom of my spine,

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some lacerations and I've opened my knee up.

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I've had stitches to my right leg and that,

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and various cuts and bruises, and a nice pretty eye.

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This arm's OK, yeah?

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Put it up onto your chest and then hold them together.

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Tony's phone call to work astonished his bosses,

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but as he lay in the road, it seemed the right thing to do.

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I didn't think it was bad at all.

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I'd taken my helmet off and phoned work.

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I know we're meant to phone work an hour before we start shift

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if we can't make it in but...

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They were the closest numbers in my phone book to get to,

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so I had to ring, and I knew somebody would answer.

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Tony knows he should have been wearing protective gear.

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Paramedic Darren told him that.

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But this 25-year-old was more nervous about someone else's advice.

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I was scared of my mam coming.

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She's always drummed into me about having protective gear on,

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which I should have done, so, petrified of her coming.

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Asking the police to protect me from her!

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-Ey up! How we doing?

-Not too bad.

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And mum still knows best. Six months after the accident,

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she has persuaded Tony to give up biking and take up driving.

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So what you're doing is moulding your car with the kerb,

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following the road to the right.

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A stroke can hit suddenly and without warning.

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Its effects can be devastating, and if proper treatment

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isn't given quickly, the consequences can be lifelong.

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-What heading are we coming on, Pete?

-Uh... 340.

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The Yorkshire Dales National Park covers 1,000 square miles,

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but on average, each one of them is home to just 19 people.

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Its remoteness means that in an emergency,

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the journey to hospital can be long and slow.

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We're off to a hamlet in North Yorkshire called Gammersgill.

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Given where they are, location-wise, it's quicker for us to fly

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this patient to an acute stroke centre for treatment.

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A stroke is where blood to the brain is cut off or reduced.

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This leads to brain damage and loss of bodily functions.

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Reduced movement in your limbs, arms, you might get some facial droop,

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slurred speech, all signs of a positive stroke.

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84-year-old hill farmer Joe Bostock is conscious, but confused.

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The patient is alert and what he's reported himself is

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he's got no use of his arms or limbs. Potentially quite serious.

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We've got a 4-6 hour window usually to get these

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patients into hospital for treatment.

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-Nice spot this, isn't it?

-Beautiful, yeah.

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-It looks lovely in the sunshine.

-Yep, all looking clear. Left.

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I'm going to come round a little bit more.

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-Yep, all those bags are staying secure.

-On a slope, then.

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Mum found my dad on the bathroom floor and he'd fallen

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and wasn't able to get up.

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He said his right arm and leg felt really weak

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and he wasn't able to raise himself.

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He's feeling numbness on his right side,

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he's aware of everything that's going on, he is aware of his

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slurred speech, which is quite bad,

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the right arm is the weakness, not so much legs.

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We can't really gauge the legs because he's unstable on his legs

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when he walks around with two sticks.

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But again, fully aware of everything is going on,

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fully aware of what's happening, suddenly collapsed in the bathroom.

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-No history?

-No history.

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-My colleague's just told me what's been happening, OK?

-Yeah.

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Some weakness in this arm, isn't it?

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The land crew recognised his symptoms as having a stroke.

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They realised that there's now a push to get these

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people into hospital quickly, assess what type of stroke they're having,

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and whether it can be thrombolysed, so that they will be given

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a blood thinning agent that actually

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breaks the clot up if it's caused by a thrombus.

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And that means they've got a far better chance of recovering

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and getting back to the sort of lifestyle that they were

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experiencing before the attack.

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-Say bye, granddad.

-Bye, granddad.

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Joe has lived and worked on this farm for over 50 years,

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even though now he is semi-retired.

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It may be some time before he can come home.

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This is the first time he's ever flown, he said,

0:18:290:18:32

so, I suppose it's never too late, is it?

0:18:320:18:35

We'll come down and see you later.

0:18:350:18:37

-I'm all right, I'm all right.

-They're going a trip out.

0:18:370:18:41

-Sunny Teesside, to see you.

-I wanted to ride your helicopter.

0:18:410:18:45

Helimed 99 Yorkshire airlift, we've lifted en route to James Cook.

0:18:490:18:52

ETA 15 minutes.

0:18:520:18:54

A specialist stroke care team is already on standby at

0:18:550:18:58

James Cook in Middlesbrough.

0:18:580:19:00

In stroke cases, speed really counts,

0:19:000:19:03

and the NHS has nothing faster than Helimed 99.

0:19:030:19:08

-When you fell, did you hurt yourself at all?

-No, no, I'm all right.

-No?

0:19:080:19:12

-My head.

-You just felt unusual?

-My speech is a bit...

-Yeah. Not normal.

0:19:120:19:20

The sooner tests are carried out, the better,

0:19:220:19:25

because some treatment is only effective

0:19:250:19:27

if given within a short period of time after the stroke.

0:19:270:19:31

Paramedics are confident he will make a good recovery.

0:19:310:19:34

Typical sort of Yorkshire hill farmer, very tough and rugged.

0:19:340:19:39

If ever you do go out for these guys,

0:19:400:19:43

they won't call for an ambulance or any assistance unless they really

0:19:430:19:47

need to, and obviously in this case, this gentleman needed to do that.

0:19:470:19:51

Still jolly, still very positive, so hopefully,

0:19:520:19:56

by coming to James Cook, he can get the treatment that can get him

0:19:560:19:59

back doing the sort of thing he obviously loves to do.

0:19:590:20:02

Joe spends some time in hospital

0:20:040:20:06

and winter's arrived at the family farm in the Dales by the time

0:20:060:20:10

he is finally feeling well enough to be up and about.

0:20:100:20:14

Hello! What do you want for dinner?

0:20:140:20:16

-Whatever's on the go. Is there anything good?

-Yes, Shepherd's Pie.

0:20:160:20:20

That'll do me.

0:20:200:20:22

The stroke's affected his speech and his mobility,

0:20:230:20:26

but with regular physio, he's hoping to be out of his wheelchair soon.

0:20:260:20:30

I remember to walk and... And hadn't much movement in this right hand.

0:20:310:20:37

The left hand was better, it still is. And...

0:20:370:20:42

..I have to check a bit on my memory. I can't always trust that.

0:20:440:20:49

Come on, then. Come, Bonnie. Good girl.

0:20:510:20:54

Fetch him on!

0:20:540:20:56

It's a frustrating time for a man who has worked outside all his life.

0:20:560:21:01

Before his stroke, Joe worked every day helping his son with the sheep.

0:21:010:21:05

The day before the accident,

0:21:050:21:07

he was out gathering in sheep on the moor on his quad-bike with his dogs.

0:21:070:21:13

Since the stroke, he's not actually been out and about.

0:21:130:21:16

His legs are still pretty bad.

0:21:170:21:20

He's hopefully going to get out and about in the spring.

0:21:200:21:24

Thanks to his high-speed flight to hospital,

0:21:250:21:27

and prompt treatment, doctors say that Joe's outlook is good

0:21:270:21:31

and the family is hopeful he'll be once again fit enough to

0:21:310:21:35

ride the fells on his quad-bike.

0:21:350:21:37

This landscape, you know, it just wouldn't be the same without him.

0:21:370:21:40

This is where he belongs.

0:21:400:21:43

I think I was beyond... What's the name for it?

0:21:430:21:48

Beyond repair.

0:21:480:21:50

We are a nation of tree lovers. Believe it or not, there is

0:21:590:22:02

more woodland in the UK today than there was 90 years ago.

0:22:020:22:07

And a lucky few earn their living out here.

0:22:070:22:09

Forestry is recognised as one of the most dangerous

0:22:110:22:14

professions in the world.

0:22:140:22:16

A combination of working at height, heavy machinery,

0:22:160:22:20

and cutting equipment makes a hazardous cocktail.

0:22:200:22:23

We're currently flying out to East Yorkshire, we've just had a

0:22:230:22:26

report that a branch has fallen from a tree and hit someone on the head.

0:22:260:22:30

I believe the patient was initially unconscious,

0:22:300:22:33

and although now they've recovered consciousness,

0:22:330:22:36

they're not as alert as they should be.

0:22:360:22:41

Forestry worker Nick Scaife is unable to move

0:22:410:22:44

and is showing all the signs of a head injury.

0:22:440:22:46

Helimed 98 is close by.

0:22:460:22:48

On board are paramedics Pete Valance and Al Day.

0:22:480:22:52

-The gamekeeper's house, it's not the best for marshalling.

-Exactly!

0:22:520:22:56

Nick is lucky to be alive.

0:22:560:22:58

The branch that hit him is large enough to have killed him.

0:22:580:23:02

Right, what's the gent's name again?

0:23:020:23:04

Medics fear he has broken his neck.

0:23:040:23:07

One wrong move and he could be paralysed for life.

0:23:070:23:10

You appreciate what's happened, yeah? So, you had your helmet on?

0:23:100:23:13

So, there is some damage to that.

0:23:130:23:15

You can see where it's scuffed, but it's not cracked.

0:23:150:23:18

-Yeah. OK.

-Good.

-Ha! Right.

0:23:180:23:20

Whereabouts is your pain at the moment?

0:23:220:23:24

My left leg feels numb,

0:23:240:23:28

so from my hip to my foot,

0:23:280:23:32

-and my right arm feels numb.

-Yeah?

0:23:320:23:35

Out here in the woods, Nick was luckily not working alone.

0:23:350:23:39

We were in Swift Dale, and we were just thinning this wood.

0:23:390:23:43

And a tree got stuck, so I came across to pull it out for him,

0:23:430:23:47

grabbed hold of the tree with the grab, Nick got out of the way so I could pull it,

0:23:470:23:52

and then a branch from another tree came down and hit him.

0:23:520:23:56

So I just stopped the tractor straight away

0:23:590:24:01

and ran off to get some help.

0:24:010:24:04

-I'm going to take your knife off your belt, all right?

-Right.

0:24:040:24:07

-Just look straight at me.

-Yeah.

0:24:070:24:09

Oh, it's just my left foot...

0:24:100:24:12

Paramedic Pete needs to establish the extent of his injuries

0:24:120:24:16

before they can move him and can get him on the chopper.

0:24:160:24:19

The headwoman rang up and then I went off on the four-wheel drive

0:24:190:24:22

to bring them down here because they wouldn't get down here with an ambulance.

0:24:220:24:27

Checking your chest before we move you,

0:24:270:24:29

getting a nice bit of sunshine here.

0:24:290:24:32

He did complain of some discomfort right side

0:24:320:24:34

-but he was laid on the...

-I think it was...

0:24:340:24:36

I think I'd done my weights with Robert, and he'd helped me,

0:24:360:24:39

you know when you struggle to do the last one?

0:24:390:24:41

-Just take some deep breaths for me.

-It hit me on the chest...

0:24:410:24:44

Nick, just take some deep breaths for me.

0:24:440:24:46

Nick's showing signs of confusion.

0:24:470:24:50

He needs a brain scan to determine

0:24:500:24:52

whether this is minor concussion or something more serious.

0:24:520:24:57

Is it tender at all round there, Nick?

0:24:570:25:00

-No... Just feels a bit woozy.

-All right.

0:25:000:25:03

Nick was wearing all the right safety gear.

0:25:030:25:05

He even has specialist clothing with fibres that would clog up

0:25:050:25:09

and stop a chainsaw on contact.

0:25:090:25:11

But today, there was one particular item which has proved invaluable.

0:25:110:25:16

It's all safety gear, helmets and everything.

0:25:160:25:19

Luckily, the helmet saved his life, I should think.

0:25:190:25:23

Nick is becoming increasingly worried and confused

0:25:230:25:27

and needs to get to hospital.

0:25:270:25:28

Look around at all of us.

0:25:280:25:30

We'd be looking a bit more anxious if there was

0:25:300:25:32

anything to worry about, yeah?

0:25:320:25:34

It'll be a sickie. I've just come back to work...

0:25:340:25:37

-I'll be off of earning now!

-Well, these things happen, don't they?

0:25:370:25:40

-You're a bit of a shirker, is that what it is?

-Ha! Yeah.

0:25:400:25:44

You can't account for things like this, can you?

0:25:440:25:47

All right, guys, go right angles, there's no fancy stretcher on

0:25:470:25:50

this, so we literally have to lift in,

0:25:500:25:53

rest it on, and then feed it through.

0:25:530:25:55

Nick was deep in the woods.

0:25:570:25:59

Thanks to Helimed 98,

0:25:590:26:00

he won't have to be carried far to the nearest road.

0:26:000:26:04

While Nick is being prepared for flight,

0:26:040:26:06

he's trying to stay alert and remember details of his day.

0:26:060:26:09

-I think I remember cutting my toenails this morning...

-Ha-ha!

0:26:110:26:15

They are looking quite manicured.

0:26:150:26:17

You didn't wash your feet and change your socks, I know that!

0:26:170:26:21

Nick's being flown to Hull Royal Infirmary.

0:26:230:26:25

Doctors will be carrying out brain scans and X-raying

0:26:250:26:29

his neck and leg.

0:26:290:26:30

It looks like it'll be some time before he's fit to work again.

0:26:300:26:34

But, within a week, Nick has returned home.

0:26:360:26:40

He'd broken his neck as well as his ankle, but the gash to his head

0:26:400:26:44

is healing well and luckily, there were no signs of any brain injury.

0:26:440:26:49

When you're trained with chainsaws and that, it all seems more

0:26:490:26:54

emphasised on the chainsaw biting you, you know, cutting yourself.

0:26:540:26:59

And because you're cutting the tree, you supposed to make the tree

0:26:590:27:04

do as it's told, if you know what I mean, because you're cutting it.

0:27:040:27:09

You don't expect its mate to drop its branch on your head!

0:27:090:27:14

And despite his recent close shave, he has no urge to change careers.

0:27:160:27:22

Just love everything about it, being outside and... yeah.

0:27:220:27:26

A bit of solitude and countryside, yeah. It's good.

0:27:260:27:30

It has its downsides, obviously. Ha-ha!

0:27:310:27:35

The North is home to its fair share of historic houses, and no

0:27:360:27:41

family seat is complete without a few acres of ornamental woodland.

0:27:410:27:45

But 300 years after many were planted, maintaining them

0:27:450:27:50

is a dangerous job.

0:27:500:27:51

Today, Helimed 99 has been scrambled to a groundsman

0:27:520:27:56

badly hurt at a country house on the Yorkshire Wolds.

0:27:560:27:59

Hiya.

0:27:590:28:00

Paramedic Lee Davison knows that accidents involving

0:28:000:28:03

chainsaws are rarely minor.

0:28:030:28:06

-Hiya, pal. How are you?

-A 14-foot wall...

0:28:060:28:09

He's cut a branch, it's then hit the ladder,

0:28:090:28:12

that's then knocked the ladder from under him, he's come down.

0:28:120:28:16

OK, all right.

0:28:160:28:17

Did you see happen, pal? Yeah, you did. Did he land on this side?

0:28:170:28:21

Well, it was a bit quick.

0:28:210:28:23

He hit the ladder and just hit the deck, it was too fast.

0:28:230:28:28

-You didn't see which side he landed on.

-No, he moved straight away.

0:28:290:28:33

OK, no worries.

0:28:330:28:35

The victim, David Price,

0:28:350:28:36

fell after the branch he was cutting hit the ladder from beneath him.

0:28:360:28:40

The chainsaw landed just feet from his head.

0:28:400:28:44

Started cutting the branch, took one off, took the next one off,

0:28:440:28:47

and obviously the branch went, hit the ladders,

0:28:470:28:50

took him out of the tree, basically just knocked him off the ladders.

0:28:500:28:54

Deep breath.

0:28:540:28:56

OK, all right, nice and steady,

0:28:560:28:57

just breathe in and out through your mouth.

0:28:570:29:00

Good lad, that's it.

0:29:000:29:01

David fell from the equivalent height of two stories.

0:29:010:29:04

He has suspected damage to his pelvis and ribs.

0:29:040:29:08

Before he is moved, he will receive morphine

0:29:080:29:10

and a neck brace will be fitted to prevent any further damage.

0:29:100:29:14

David is the resident gardener here

0:29:140:29:16

and has been gardening for over 30 years.

0:29:160:29:19

This is his first ever accident.

0:29:190:29:21

Just tidying up the area of the garden to make it look a lot nicer.

0:29:210:29:24

It's what he enjoys doing but not much more.

0:29:240:29:28

OK, you'll just feel it nipping up a little bit now.

0:29:290:29:32

All right, pal, all right, that's good.

0:29:340:29:36

Potentially, he could have fractured quite a few ribs and done

0:29:360:29:40

some damage to his pelvis or his hip.

0:29:400:29:43

Are you happy, pal, there?

0:29:430:29:45

I've got you.

0:29:460:29:48

We've put a splint on his pelvis to keep that stable,

0:29:480:29:50

so it's not going to move. If there is a fracture

0:29:500:29:53

it won't get any worse.

0:29:530:29:54

Monitored his breathing, on his left-hand side,

0:29:540:29:56

just to make sure that wasn't damage to his lungs.

0:29:560:29:58

We've given him some morphine just make him comfortable.

0:29:580:30:01

This woodland has no road access.

0:30:010:30:03

Thankfully, Helimed 99 has been able to land close by.

0:30:030:30:07

We've taken a bit of time just getting him sorted out, getting

0:30:070:30:10

him packaged up properly, getting his pain score down,

0:30:100:30:13

so that he's comfortable, and the whole

0:30:130:30:15

situation becomes easier, for the family and for him himself.

0:30:150:30:18

Consultants at York Hospital are on standby.

0:30:210:30:25

David is detained there for a while,

0:30:250:30:27

but his injuries could have been so much worse.

0:30:270:30:30

He's been very, very lucky that, with operating a chainsaw at that height

0:30:310:30:35

and obviously they're a killing machine if they come away like that

0:30:350:30:38

and they end up dropping,

0:30:380:30:39

but he's been very lucky that that hasn't fallen on him

0:30:390:30:43

or taken one of his limbs off or made some nasty wounds on his body.

0:30:430:30:47

Hundreds of acres of man-made forest cover

0:30:490:30:51

part of the North York Moors and the dense tree cover makes

0:30:510:30:55

landing hard for the Helimed pilots.

0:30:550:30:57

Even finding the patient can be a challenge.

0:30:570:31:01

We're on our way to a little village north of Kirkby Moorside for a

0:31:010:31:04

gentleman who's been cutting a tree down in quite an isolated place.

0:31:040:31:08

We've been told that part of the tree has collapsed onto his legs,

0:31:080:31:11

which could obviously be quite serious,

0:31:110:31:14

if he's got crush injuries to his legs.

0:31:140:31:16

We've got no contact with the scene at this detail.

0:31:160:31:19

A colleague has come to the phone, rung us,

0:31:190:31:21

and then gone back to the patient on a quad.

0:31:210:31:23

59-year-old Michael Veal, known to his friends as Buster,

0:31:240:31:28

is badly injured after a freak accident involving a chainsaw.

0:31:280:31:33

Could be anywhere, couldn't he?

0:31:330:31:35

The trouble is, no-one can find him.

0:31:350:31:37

What is it again, Graham? Where did he say?

0:31:370:31:39

-He said it's a five-minute quad bike.

-Right, north of here.

0:31:390:31:43

So, anywhere out to our right.

0:31:430:31:46

Eventually, pilot Chris spots some people waving in the village below.

0:31:460:31:50

-When we looking, then?

-Down at your left.

-Oh yeah, yeah, got him.

0:31:510:31:54

-Got the guys.

-But there's still no sign of their patient.

0:31:540:31:58

I'll go out, find out if they're actually here at all.

0:31:580:32:01

It may be that they know where he is

0:32:010:32:03

and we might not be in the right spot for him.

0:32:030:32:05

Yeah, exactly.

0:32:050:32:07

-Hiya.

-How far is he?

-Um...

0:32:080:32:10

Don't walk off, I'm not going anywhere until we know where

0:32:100:32:13

we're going, before we let the helicopter shut down.

0:32:130:32:16

-Um...

-Because if it's further near the bottom,

0:32:160:32:18

we'll take the helicopter to the bottom.

0:32:180:32:20

-He's probably midway.

-Typical! Ha-ha.

-Yeah.

-Right.

0:32:200:32:24

My partner was chainsawing a tree midway down the track,

0:32:240:32:28

and the branch fell on him.

0:32:280:32:31

And he tried to, it was on a slope so he was trying to get

0:32:320:32:35

away from it, and slipped,

0:32:350:32:36

and caught his ankle or his leg underneath him.

0:32:360:32:39

So, with Graham heading into the woods,

0:32:390:32:41

Chris and Dave head up for another look from above.

0:32:410:32:44

D'you want me to see if I can get a quick guidance from Graham

0:32:450:32:48

on which way he wants us to go?

0:32:480:32:50

We'll probably see him, I imagine.

0:32:500:32:52

Because we're not entirely sure of the access, the pilot and Dave,

0:32:520:32:58

they're going to have a little fly around and see

0:32:580:33:00

if we can spot a bit better from the air, see if there's a better

0:33:000:33:04

landing site that's maybe a bit closer from where we are now.

0:33:040:33:08

If it's five minutes by quad-bike, it's a fair hike.

0:33:080:33:11

There's little track below us the leads down from the church.

0:33:120:33:16

At last, Buster has medical attention,

0:33:170:33:20

but it's too dangerous to try and land Helimed 98 here.

0:33:200:33:23

-You're directly above us now!

-We're directly above them now.

0:33:250:33:28

98, roger.

0:33:310:33:32

There's a tree over on its side down below me, on my right side,

0:33:330:33:36

I've got him.

0:33:360:33:38

We'll land back in the field where we dropped off.

0:33:380:33:41

Yes, yes, I think that's where we originally landed,

0:33:410:33:44

it's a good place to put down as any.

0:33:440:33:47

Buster was sawing up on this bank here

0:33:470:33:50

and then we just heard this almighty great crack and he moved to

0:33:500:33:53

get out of the way and then I tried to grab,

0:33:530:33:56

instinctively just tried to grab whatever I could to try

0:33:560:33:59

and stop it from landing on him, I could see him buckling under it.

0:33:590:34:03

And then immediately,

0:34:030:34:04

he just, this huge branch here fell down and landed partially on him,

0:34:040:34:09

but he managed to sort of twist away from under it.

0:34:090:34:12

-Please, put me out of my misery.

-It's not that bad!

0:34:120:34:16

-Shall I go and get a gun, Buster?

-Yeah.

0:34:160:34:18

What else are you going to do to the leg?

0:34:180:34:20

Once we've given you some painkillers we'll put a splint on it,

0:34:200:34:23

because we're going to have to carry you out.

0:34:230:34:25

Yeah, I know you are.

0:34:250:34:27

-I don't envy you.

-Well, there's plenty of people.

0:34:270:34:30

Getting Buster out is going to be painful.

0:34:300:34:33

On me. Ready, steady, lift.

0:34:330:34:35

It's a long trek back up the hill,

0:34:350:34:37

past the logs Buster cut down earlier in the week.

0:34:370:34:41

Buster is a well-known character locally,

0:34:410:34:43

and many have turned out to help.

0:34:430:34:45

Put your head down, Buster. That's it.

0:34:480:34:51

Whatever you do, Buster, don't press the bell,

0:34:510:34:53

because there's no trolley-dolly on these.

0:34:530:34:56

What happens if I need a pee?

0:34:560:34:58

Uhh... You're going to have to go where you go, I'm afraid.

0:34:580:35:01

ALL LAUGH

0:35:010:35:03

All right? It'll be like central heating, it'll be warm.

0:35:030:35:07

If you can't cry, you've got to laugh, haven't you?

0:35:070:35:10

Looks like he's fractured his left tib and fib.

0:35:100:35:14

It's not a life-threatening injury, but due to the location

0:35:140:35:18

and the fact that the crew probably would probably take

0:35:180:35:21

a good 50 minutes to get him to hospital, I think it's a

0:35:210:35:24

lot more efficient for us as the air ambulance to get him

0:35:240:35:27

to Scarborough, he'll be there in 15 minutes.

0:35:270:35:29

So, in just 15 minutes, Buster is flown in from the forest to the

0:35:310:35:35

coast, and Dave's diagnosis is spot on.

0:35:350:35:38

X-rays reveal that Buster has a clean

0:35:380:35:41

break in both of the bones in his lower leg.

0:35:410:35:45

I knew immediately it was broken.

0:35:450:35:49

I just knew that it was sort of potentially flapping around

0:35:490:35:53

if I moved and I've seen a horse with a broken leg,

0:35:530:35:56

which isn't very pretty sight, and it reminded me of that, actually.

0:35:560:36:02

We were doing a public service, really.

0:36:040:36:06

We went down with my chainsaw and I was chopping away

0:36:070:36:11

and what I didn't realise was the last branch

0:36:110:36:14

that I was chopping was actually

0:36:140:36:16

propping up the main trunk of the tree.

0:36:160:36:19

And I chopped at that and the whole thing came down.

0:36:210:36:24

So, this was a good turn that came to a painful end.

0:36:250:36:28

But Buster says he will be back again to finish the job

0:36:280:36:31

just as soon as his leg is better.

0:36:310:36:34

The patients felled by trees there, and thankfully all are on the mend.

0:36:380:36:42

Now, on average, every time a Premiership rugby team plays,

0:36:420:36:46

two of its players will be injured.

0:36:460:36:49

That's more than 700 casualties a year among professional players.

0:36:490:36:55

And the amateur game isn't exactly safe.

0:36:550:36:58

-He said it was rugby, Dave?

-Yeah, rugby injury.

0:36:580:37:01

Helimed 99 is heading to Selby, a Rugby Union town.

0:37:030:37:07

A player from Selby's second team, Dan White,

0:37:090:37:12

is down after a high-speed, mid-air tackle.

0:37:120:37:16

Obviously, it's a contact sport,

0:37:160:37:18

they tend to get hit from all sides.

0:37:180:37:20

If they're not expecting it,

0:37:200:37:22

then the injuries generally will be neck and leg injuries.

0:37:220:37:26

We don't really know what the problem is with this patient

0:37:270:37:31

because he's complaining of pain in a number of areas.

0:37:310:37:34

It is one of those details that we have to look at on-scene

0:37:340:37:37

and see what the crew have done prior to our arrival.

0:37:370:37:40

Rugby is a dangerous game.

0:37:400:37:42

In recent years,

0:37:420:37:43

its governing body has put more emphasis on fitness training

0:37:430:37:47

and faster play, and with that comes a greater chance of serious injury.

0:37:470:37:51

He's basically gone in for a tackle with another player and

0:37:510:37:54

they've crunched together in the air and he's gone down onto his side.

0:37:540:37:58

He felt a big crunch in his hip,

0:37:580:38:00

and can't really move his right leg or his hip at all.

0:38:000:38:03

The Rugby Football Union has been training match officials and coaches

0:38:030:38:07

in how to care for players in the vital minutes after an injury.

0:38:070:38:11

And today, Dan's team has done all the right things,

0:38:110:38:14

including calling 999.

0:38:140:38:17

We carry physio with us at the first team, and for the

0:38:170:38:20

third team as well. It's just a key point to have at any club now,

0:38:200:38:24

any injury, better to have someone who can look after it straightaway.

0:38:240:38:28

Dan's conscious, but in great pain.

0:38:280:38:31

When I, when I went down to get the ball, they hit me,

0:38:310:38:35

so I was 90 degrees, went over, leg stayed in the same position,

0:38:350:38:41

right back, heard a massive crunchy noise and then just pain

0:38:410:38:47

before I had even hit the floor, and then I couldn't move anything.

0:38:470:38:51

He's sustained a hip injury or pelvic injury playing rugby.

0:38:520:38:56

So, he has no other injuries.

0:38:580:38:59

He did have some loss of sensation in his left leg,

0:38:590:39:02

the side of the injury, but that's rectified itself now,

0:39:020:39:05

so we're just waiting to see where we're taking him to.

0:39:050:39:08

Dan comes from a family of rugby fans.

0:39:100:39:13

His mother was at a pitch watching his brother play

0:39:130:39:16

when the accident happened.

0:39:160:39:17

-And he'll be fine.

-Is not his spine, is it?

-No, no.

0:39:170:39:20

He's wiggling his arms and legs, his hips are hurting him, not his back.

0:39:200:39:23

-He's fine, honest.

-OK.

0:39:230:39:25

If we don't get airborne in five minutes,

0:39:250:39:27

we won't be able to take him.

0:39:270:39:30

It's getting late in the day, and if it gets too dark,

0:39:300:39:33

Helimed 99 can't fly.

0:39:330:39:35

Dan's condition is not critical,

0:39:350:39:37

but the pain he's suffering concerns paramedic Darren.

0:39:370:39:40

He's taken a smack to his left hip. He is in a lot of pain.

0:39:400:39:44

His pain's not been reduced much by the morphine that they've given him.

0:39:440:39:48

We're not able to take him to the major trauma centre

0:39:510:39:53

because his injuries don't dictate that, so we're going to take him

0:39:530:39:56

up to York District, and let the doctors have a look at him.

0:39:560:40:00

Right, spin round.

0:40:020:40:04

OK, Darren, that's it. Take it easy, Buster. Are you still cold?

0:40:040:40:10

Once these heaters go on, jet powered, he'll be warm.

0:40:100:40:12

He's shivering.

0:40:120:40:14

Dan's dad and his mum will have to make their own way to

0:40:140:40:17

hospital as there's not enough room on board.

0:40:170:40:19

We'll have him round in the department by the time you get there,

0:40:190:40:23

he'll have had a bath, and he'll look nice.

0:40:230:40:25

Classic rugby injury, what we call a hip point injury,

0:40:290:40:32

so I don't think it's involving his spine as such.

0:40:320:40:34

Essentially he's had a fracture to the neck of the femur,

0:40:340:40:37

which is quite difficult to break.

0:40:370:40:39

Hopefully he's just quite badly bruised inside

0:40:390:40:41

and he might get away with it.

0:40:410:40:43

But he's quite chirpy, which is a good thing.

0:40:430:40:46

Young lad, very fit, so he'll make a good recovery, I would say.

0:40:460:40:51

Dan's about to undergo a series of tests, scans,

0:40:510:40:55

and X-rays, at York Hospital.

0:40:550:40:57

Doctors know injuries like Dan's can have life-long effects.

0:40:590:41:02

RADIO CHATTER

0:41:040:41:08

But in his case, the results are a big relief for him and his family.

0:41:090:41:14

He's allowed home the next day.

0:41:140:41:15

A few weeks on, and Dan can still only enjoy rugby from the terraces.

0:41:190:41:24

While he had no broken bones,

0:41:240:41:25

the bruising around his hip is taking some time to heal.

0:41:250:41:29

Usually, I'll be playing second row or in the back row somewhere,

0:41:330:41:36

but they were short that week so I was playing at flyhalf.

0:41:360:41:39

I just went to get the ball and just as I walked over, they hit me

0:41:410:41:45

and I fell back over my hip, so it was too far over my back and hip.

0:41:450:41:49

It hurt them, and I heard like a crunchy, horrible, cracky noise.

0:41:490:41:53

The helicopter was just landing as I arrived,

0:41:550:41:57

and spoke to one of the paramedics.

0:41:570:42:00

My first question was, can he move his feet? Can he move his arms?

0:42:000:42:04

And they said yes, they just wanted to see him

0:42:040:42:06

to make sure that he was OK.

0:42:060:42:08

The good news is that Dan's pelvis was not broken,

0:42:080:42:12

and after a few weeks, he should be able to give

0:42:120:42:14

up his seat in the stand for his usual position on the pitch.

0:42:140:42:19

I'm just thankful for everyone that helped me.

0:42:190:42:22

Hopefully it will get better soon.

0:42:220:42:25

And most doctors would agree that

0:42:250:42:27

when it comes to rugby injuries, it's better to play safe than sorry.

0:42:270:42:31

A bit of ribbing from your mates is a lot easier to bear than

0:42:310:42:35

a life-long disability.

0:42:350:42:37

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