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If you're critically ill or seriously injured, seconds count | 0:00:02 | 0:00:06 | |
and in Britain's biggest county | 0:00:06 | 0:00:08 | |
-you can be a long way from help. -'She's stuck under the car!' | 0:00:08 | 0:00:13 | |
The Yorkshire Air Ambulance flies at 150mph and thanks to it, hundreds of patients are alive today, | 0:00:13 | 0:00:20 | |
saved by a highly-skilled team of doctors and paramedics. | 0:00:20 | 0:00:24 | |
Stand clear! | 0:00:25 | 0:00:27 | |
It covers some of the UK's most rugged landscapes, | 0:00:27 | 0:00:31 | |
-turning roadsides into operating theatres... -Use an emergency anaesthetic. | 0:00:31 | 0:00:37 | |
-..and town centres into helipads. -Just behind you, Tim. | 0:00:37 | 0:00:42 | |
Every day, the Helimed team's skill, speed and courage is saving lives. | 0:00:42 | 0:00:47 | |
Today on Helicopter Heroes: | 0:00:56 | 0:00:58 | |
a bus crashes and the team joins a major rescue operation. | 0:00:58 | 0:01:03 | |
A car's hit the front of the bus. The driver's seat is all collapsed. | 0:01:03 | 0:01:08 | |
As a teaching hospital, we do research studies. | 0:01:08 | 0:01:12 | |
The heart patient who's about to become a medical guinea pig. | 0:01:12 | 0:01:16 | |
A cave rescuer falls ill deep underground. | 0:01:16 | 0:01:20 | |
He's started being sick. | 0:01:20 | 0:01:22 | |
The Yorkshire branch... | 0:01:22 | 0:01:24 | |
And high in the Dales, Britain's oldest and toughest motorbike race claims another victim. | 0:01:24 | 0:01:31 | |
Every one of the UK's 15 ambulance services has a document they hope they'll never need. | 0:01:36 | 0:01:42 | |
The Major Incident Plan is a blueprint to deal with disaster | 0:01:42 | 0:01:46 | |
and the Helimed choppers are a vital part of it. | 0:01:46 | 0:01:50 | |
The Helimed team has to get used to responding in seconds to emergencies. | 0:01:51 | 0:01:57 | |
Today a routine flight to back up a ground ambulance is about to change dramatically. | 0:01:57 | 0:02:03 | |
Helimed 99, receiving? | 0:02:03 | 0:02:05 | |
-Yeah, receiving. -Divert to Wakefield. | 0:02:05 | 0:02:09 | |
That's a car and a bus. There's two patients trapped in a car, | 0:02:09 | 0:02:14 | |
one trapped on the bus. Believed six injured. | 0:02:14 | 0:02:18 | |
Six casualties. Three serious head injuries. | 0:02:18 | 0:02:22 | |
The head-on crash happened on a suburban road near the village of Crofton. | 0:02:22 | 0:02:28 | |
Most of the victims are shoppers returning home. The car was carrying three young men. | 0:02:28 | 0:02:33 | |
Luckily, no one was in this shelter. | 0:02:33 | 0:02:36 | |
They've requested both helicopters. The others are en route as well. | 0:02:37 | 0:02:41 | |
If you think you need three, let me know when you're on scene. | 0:02:41 | 0:02:46 | |
For paramedics Darren Axe and Darrel Cullen, it'll draw on years of training. | 0:02:46 | 0:02:51 | |
Is that the incident just down there? | 0:02:51 | 0:02:55 | |
-I think so. There's emergency service vehicles. -No sign of wires. I'll go for a landing. | 0:02:55 | 0:03:01 | |
There's one man has got | 0:03:02 | 0:03:05 | |
a very bad cut head, a few shaken up, but apparently the bus driver is trapped under the bus. | 0:03:05 | 0:03:12 | |
The car driver, there's nothing left of his car. They're cutting him out. | 0:03:12 | 0:03:16 | |
It's a chaotic scene. Firefighters are trying to reach the bus driver who is unconscious. | 0:03:16 | 0:03:22 | |
Many of her passengers were elderly. | 0:03:22 | 0:03:24 | |
Most were thrown from their seats in the impact, but the young men in the car came off worst. | 0:03:24 | 0:03:30 | |
-Two are still trapped. -Hang on, mate. Has he moved at all? | 0:03:30 | 0:03:34 | |
-We need him out now. We're getting this door off. -Fantastic. | 0:03:34 | 0:03:39 | |
Fire crews have freed the 20-year-old front passenger. He has serious head injuries. | 0:03:41 | 0:03:46 | |
But that's not all. | 0:03:46 | 0:03:49 | |
His chest sounds aren't great. | 0:03:51 | 0:03:54 | |
I'm assuming he was front seat passenger. | 0:03:54 | 0:03:57 | |
Just so that I know the seatbelt were worn or anything. | 0:03:57 | 0:04:02 | |
We'll get him on board and on the aircraft, ready to go. | 0:04:02 | 0:04:07 | |
98, 99 are on scene. There's plenty of room to land in the field opposite the incident. | 0:04:07 | 0:04:14 | |
We'll probably go to LGI. | 0:04:14 | 0:04:17 | |
The two other men in the car are very badly hurt. The rear passenger was thrown forward. | 0:04:17 | 0:04:23 | |
The driver is crushed. They are both in and out of consciousness, have broken limbs and head injuries. | 0:04:23 | 0:04:30 | |
Everything is being done to keep them alive. | 0:04:30 | 0:04:33 | |
They're saying he's urgent. If we could get him out first, we can bring him out this way. | 0:04:33 | 0:04:41 | |
He's got to come out, mate, so let's just get him. | 0:04:41 | 0:04:45 | |
More back-up is needed fast. Both these men need to be freed and airlifted to Leeds General Infirmary | 0:04:45 | 0:04:51 | |
-as soon as possible. -Oxygen's on and fully running. | 0:04:51 | 0:04:55 | |
Just do another pressure. | 0:04:55 | 0:04:57 | |
Get him strapped on, mate. That'll be great. | 0:04:57 | 0:05:01 | |
-Just wondering the ETA for the other crew, Andy. -I'll get on to Dave. | 0:05:01 | 0:05:05 | |
Dave, it's Andy. | 0:05:06 | 0:05:08 | |
- Go ahead. - Have you got an ETA for 98? | 0:05:08 | 0:05:11 | |
Yeah, roger. They should be 3-4 minutes. They're into a headwind. | 0:05:11 | 0:05:16 | |
Yeah, copy that. The lads are working quite hard. | 0:05:16 | 0:05:20 | |
'We'll try to get one of them packaged, ready for 98.' | 0:05:20 | 0:05:25 | |
It's really chaotic at the moment. | 0:05:25 | 0:05:27 | |
We're strapped for resources, but the other air ambulance is coming. | 0:05:27 | 0:05:31 | |
We've got one casualty packaged, but it may be best to take them. | 0:05:31 | 0:05:36 | |
Down there. At 11 o'clock. | 0:05:36 | 0:05:39 | |
We've got blue flashing lights, a large tailback of traffic. | 0:05:40 | 0:05:46 | |
We'll take this guy out as soon as we have enough access there. A rapid extrication, all right? | 0:05:46 | 0:05:52 | |
Have you got any more portable oxygen? Can we have it? And an oxygen mask, please. | 0:05:52 | 0:05:58 | |
-You're over the trees to the rear, Ian. -Thank you. -All clear. | 0:06:00 | 0:06:05 | |
-I'll get you fairly close to this one. -The rear seat passenger was catapulted into the windscreen. | 0:06:05 | 0:06:11 | |
He has a head injury, but paramedic Darren fears he may also have fractured his neck. | 0:06:11 | 0:06:17 | |
He'd like to safeguard his spine, but today safety must be sacrificed for speed if he's to live. | 0:06:17 | 0:06:23 | |
Just sit him up towards you and then lay him back. | 0:06:23 | 0:06:28 | |
Then we can bring his leg through. | 0:06:28 | 0:06:31 | |
Until the rear passenger is out, they cannot free the driver. | 0:06:31 | 0:06:34 | |
Keep still, chief. We're just going to give you some oxygen. Keep still. | 0:06:34 | 0:06:39 | |
He's going to come out feet-first. | 0:06:39 | 0:06:42 | |
Bend his knee. He's got a broken lower leg. | 0:06:42 | 0:06:46 | |
-I want him to come this way now, Ryan. -Start moving him this way. | 0:06:46 | 0:06:50 | |
I need a splint, mate, for his leg. | 0:06:50 | 0:06:53 | |
-Both of them. -Two splints. | 0:06:53 | 0:06:56 | |
Just rest him. | 0:06:56 | 0:06:58 | |
Paramedics are trained to prioritise the most seriously injured patients | 0:06:58 | 0:07:03 | |
in a process called triage, | 0:07:03 | 0:07:06 | |
but in accidents like this it's especially difficult. | 0:07:06 | 0:07:10 | |
The front passenger is thought to be the most critical case, so he will fly first. | 0:07:10 | 0:07:16 | |
-Have you all got him? -Paramedics measure consciousness on a scale of 3-15 | 0:07:16 | 0:07:23 | |
on the Glasgow Coma Scale or the GCS. | 0:07:23 | 0:07:27 | |
He's GCS 3 at the moment, so he's deeply unconscious. | 0:07:27 | 0:07:32 | |
He's got a head injury, chest injuries and abdominal injuries. | 0:07:32 | 0:07:37 | |
They've gone off to Leeds General Infirmary with our first casualty. | 0:07:41 | 0:07:46 | |
There's still somebody trapped in the car and another casualty that they're still trying to stabilise. | 0:07:46 | 0:07:53 | |
The first patient's survival is in real doubt. | 0:07:53 | 0:07:58 | |
The Helimed team must turn its attention to the other survivors. Their prospects are equally bleak. | 0:07:58 | 0:08:05 | |
Would you know if you were suffering a heart attack? Doctors say too few of us will recognise the signs. | 0:08:13 | 0:08:20 | |
Symptoms range from crushing chest pains to mild discomfort | 0:08:20 | 0:08:25 | |
and the latest research shows that women often experience different warning signs from men. | 0:08:25 | 0:08:31 | |
Anywhere, a heart attack is a killer, but in a remote area like the Yorkshire Dales | 0:08:31 | 0:08:36 | |
it is particularly deadly. | 0:08:36 | 0:08:39 | |
30% of all deaths in the UK are caused by heart disease. | 0:08:41 | 0:08:46 | |
Helimed 99, we're looking to depart for Ingleton. | 0:08:46 | 0:08:51 | |
Today, paramedics on the ground and in the air are racing to prevent another patient becoming | 0:08:53 | 0:08:59 | |
one of those statistics. | 0:08:59 | 0:09:02 | |
Helimed 99. Estimated time of arrival is 10.58. | 0:09:02 | 0:09:07 | |
10.58, over. | 0:09:07 | 0:09:09 | |
Helimed 99 is heading up into the Three Peaks, the most rugged part of the Dales, | 0:09:09 | 0:09:15 | |
-where a woman is fighting for her life. -She came into my house and complained of chest pains. | 0:09:15 | 0:09:21 | |
The doctor had told her to phone an ambulance, which I did. | 0:09:21 | 0:09:25 | |
We have reports of a 71-year-old young lady | 0:09:25 | 0:09:29 | |
who's had pains in her back and chest. The crew have identified that she's having a heart attack. | 0:09:29 | 0:09:36 | |
If their patient is to survive, she needs speedy hospital treatment | 0:09:36 | 0:09:40 | |
and up here that means going by air. | 0:09:40 | 0:09:43 | |
-How long do you think it'll take to drive in? -That area, about an hour 40. | 0:09:43 | 0:09:49 | |
-It's all single-track roads. -How long will it take us to fly back? | 0:09:49 | 0:09:54 | |
-About 20 minutes? -20 minutes. | 0:09:54 | 0:09:56 | |
Local paramedics have beaten the Helimed team. | 0:10:03 | 0:10:07 | |
-How are you feeling now? -I've felt better! -You've felt better? | 0:10:07 | 0:10:12 | |
We're going to take you to the helicopter. | 0:10:12 | 0:10:15 | |
71-year-old Ruth Goldsack was just getting out of the shower when she started to feel unwell. | 0:10:15 | 0:10:21 | |
-Is it Leeds General that have accepted her? -Yes. | 0:10:21 | 0:10:25 | |
Any previous cardiac history? | 0:10:25 | 0:10:28 | |
Ruth's wired up to an ECG monitoring system showing the unmistakable signs of a heart attack. | 0:10:28 | 0:10:35 | |
The blood supply to her heart muscle is being reduced by a clot. | 0:10:35 | 0:10:39 | |
Her heart is being starved of oxygen and is failing. | 0:10:40 | 0:10:45 | |
If the crew can get Ruth to hospital quickly, the blockage can be cleared and the heart will recover. | 0:10:45 | 0:10:53 | |
If not, Ruth could go into cardiac arrest. If that happens, this pad will allow her rescuers | 0:10:53 | 0:11:00 | |
-to shock her heart back into a normal rhythm. -Have you got pain in your back? | 0:11:00 | 0:11:05 | |
-I'll give you gas and air. -I don't need that. -It'll take the pain away and relax things. | 0:11:05 | 0:11:11 | |
Breathe this for a couple of minutes. Just breathe as normal and suck on that as you breathe. | 0:11:11 | 0:11:17 | |
OK? That's it. Just like that. | 0:11:17 | 0:11:20 | |
Paramedics Sammy and Andy are so concerned about her condition, | 0:11:20 | 0:11:24 | |
they decide they will both travel in the back of the helicopter. | 0:11:24 | 0:11:28 | |
If Ruth's heart stops during the flight, she will need both of them to keep her alive. | 0:11:31 | 0:11:37 | |
-She is suffering crushing chest pain... -All right, love? -..the most common symptom of a heart attack. | 0:11:37 | 0:11:43 | |
-Are you all right? Ruth? -Heart patients often suffer a feeling of impending doom. | 0:11:43 | 0:11:49 | |
It's distressing and the only antidote they can give her is reassurance. | 0:11:49 | 0:11:55 | |
Just 20 minutes after taking off from the Dales, Ruth is now moments from specialist care. | 0:11:59 | 0:12:07 | |
In the Cath Lab, doctors are waiting for her arrival. | 0:12:14 | 0:12:18 | |
-They have the skill to save her life, but Ruth can also help them. -You're having a heart attack. | 0:12:18 | 0:12:24 | |
That's what you're having. We need to open up the blocked artery which is the reason for it. | 0:12:24 | 0:12:32 | |
Because this is a teaching hospital, we often do research studies. | 0:12:32 | 0:12:37 | |
We're involved in studies trying to find better ways to treat patients having heart attacks. | 0:12:37 | 0:12:43 | |
She's being asked to volunteer to become a medical guinea pig. | 0:12:43 | 0:12:47 | |
They've just prepared her for in the theatre. She's going to have an investigation | 0:12:47 | 0:12:53 | |
where they make an incision in the leg and thread catheters up into the heart. | 0:12:53 | 0:12:58 | |
They can inject dye and get an accurate picture of what's blocked. | 0:12:58 | 0:13:03 | |
Instead of just opening out the blocked artery, the LGI team is experimenting | 0:13:03 | 0:13:09 | |
in treating all the arteries in the heart at once. | 0:13:09 | 0:13:13 | |
It's thought this may save thousands more lives. | 0:13:13 | 0:13:17 | |
The purpose is to see whether we can improve patients' outcomes | 0:13:17 | 0:13:21 | |
by looking at patients with more than one problem in the arteries. | 0:13:21 | 0:13:25 | |
Do we need to just fix the blockage | 0:13:25 | 0:13:28 | |
compared to fixing all of the narrowings and blockages simultaneously at the same time? | 0:13:28 | 0:13:34 | |
Really the evidence is unclear as to what is the best way to go. That's the purpose of doing a trial. | 0:13:34 | 0:13:41 | |
A month later and Ruth is back at home and making a good recovery. | 0:13:41 | 0:13:45 | |
Despite a history of heart problems in her family, she had no idea she had a heart condition | 0:13:45 | 0:13:53 | |
-and was suffering a heart attack. -It felt like a heavy weight, like a brick on my chest. | 0:13:53 | 0:13:59 | |
I thought it was indigestion. I did suffer with that quite a bit, | 0:13:59 | 0:14:04 | |
but when I got the pains in the back and then my arms, | 0:14:04 | 0:14:08 | |
alarms started to go off. And then the sweating. | 0:14:08 | 0:14:12 | |
I'm not a sweaty person anyway. That's when I rang the doctor. | 0:14:12 | 0:14:17 | |
I realised things weren't right. | 0:14:17 | 0:14:19 | |
Ruth's heart attack gave her a scare and made her aware that her lifestyle may have been to blame, | 0:14:19 | 0:14:24 | |
so ever since her surgery she has undergone another life-changing operation. | 0:14:24 | 0:14:30 | |
My daughter has cleared all my fridge, my freezer and my cupboard of all sweets, | 0:14:30 | 0:14:37 | |
cakes and biscuits and fatty things | 0:14:37 | 0:14:40 | |
so that I can't eat them any more. And I have lost weight! | 0:14:40 | 0:14:45 | |
The pioneering heart operation Ruth underwent seems to have given her a new lease of life. | 0:14:45 | 0:14:51 | |
Surgeons believe she was at high risk of another heart attack. | 0:14:51 | 0:14:55 | |
One artery was blocked completely and another artery had a 99% critical narrowing in. | 0:14:55 | 0:15:03 | |
So she was perfect for the trial. She had multi-vessel disease. | 0:15:03 | 0:15:07 | |
But the actual procedure itself is not painful at all. | 0:15:07 | 0:15:11 | |
Usually what we see is that immediately we open the artery, patients feel dramatically better | 0:15:11 | 0:15:17 | |
and make a very quick improvement, in front of our eyes often. | 0:15:17 | 0:15:21 | |
Ruth has no regrets taking part in the medical trial. | 0:15:21 | 0:15:25 | |
I have got family and very close friends | 0:15:25 | 0:15:30 | |
that have had heart problems this year. And I feel | 0:15:30 | 0:15:34 | |
that maybe doing this study will help other people in the future | 0:15:34 | 0:15:39 | |
because it's more common than you actually realise. If I can help in some small way, I will. | 0:15:39 | 0:15:46 | |
The Helimed team meets some inspiring people, | 0:15:54 | 0:15:58 | |
patients who smile through pain or overcome disability to fulfil their dreams, | 0:15:58 | 0:16:04 | |
but the raw courage of one man the paramedics met in the summer puts many of us to shame. | 0:16:04 | 0:16:11 | |
Deep under the rolling Yorkshire Dales is a secret world known only to the most adventurous visitors. | 0:16:12 | 0:16:19 | |
This is caving country. | 0:16:19 | 0:16:22 | |
Every weekend, hundreds of potholers find their thrills down here. | 0:16:22 | 0:16:26 | |
When it all goes wrong, it's men like Ralph Johnson who are here to help. | 0:16:26 | 0:16:32 | |
He's a veteran of cave rescue. | 0:16:32 | 0:16:35 | |
I've been in cave rescue for 40-odd years now. | 0:16:36 | 0:16:40 | |
I've been a controller for about 30 years. I just get on with it. | 0:16:40 | 0:16:45 | |
People say, "How many times have you been on a rescue?" I don't know. | 0:16:45 | 0:16:49 | |
"How many people have you rescued?" I don't know. I don't dwell on it. I just do it and then go home. | 0:16:49 | 0:16:56 | |
He's 71 now and he knows his days down here are numbered. | 0:16:56 | 0:17:01 | |
He was recently diagnosed with pancreatic cancer. He's been told that he has three months to live. | 0:17:01 | 0:17:07 | |
And today Ralph is the one who's being rescued. | 0:17:07 | 0:17:10 | |
He's collapsed and become trapped underground. Mountain Rescue and Helimed 99 are on their way. | 0:17:10 | 0:17:16 | |
Is it just clever cloud? | 0:17:16 | 0:17:19 | |
That one on the left looks like it could be cloud surrounding it. | 0:17:19 | 0:17:25 | |
It's a race against time. | 0:17:25 | 0:17:27 | |
The sun is going down and there's thick fog on its way. They need to get to Ralph quickly. | 0:17:27 | 0:17:33 | |
Ralph is deep underground. Paramedics Graham and Leon know that as well as his medical condition, | 0:17:33 | 0:17:39 | |
hypothermia is a real risk. | 0:17:39 | 0:17:42 | |
They started going down this series of vertical pitches in here. | 0:17:42 | 0:17:47 | |
-Yeah. -Went down two of them, knew he was feeling unwell, felt weak. | 0:17:47 | 0:17:52 | |
-He managed to make his own way back up to the second pitch. -Is it safe for me to peek over the edge? | 0:17:52 | 0:17:59 | |
The locations of many of the caving systems round here are very difficult | 0:17:59 | 0:18:04 | |
and it's easy to walk in, but very difficult when somebody is injured and we get the stretcher. | 0:18:04 | 0:18:12 | |
So it takes a lot of personnel for an underground incident. | 0:18:12 | 0:18:16 | |
Ralph will have to be carefully manhandled through passages he's explored for decades. | 0:18:16 | 0:18:22 | |
To get Ralph out will take stamina and skill. | 0:18:22 | 0:18:25 | |
You see the bottom of the limestone there. There's a hole and there's a pitch which is about 30 foot high. | 0:18:25 | 0:18:32 | |
He's on the bottom of that pitch. | 0:18:32 | 0:18:35 | |
But paramedic Graham knows there's a problem looming. | 0:18:35 | 0:18:39 | |
It's really foggy at Leeds and on the way over here | 0:18:39 | 0:18:43 | |
as the sun goes down Leeds Bradford will fog in again. | 0:18:43 | 0:18:47 | |
He doesn't want to leave here any later than quarter to four. | 0:18:47 | 0:18:52 | |
Many of Ralph's rescuers know him. Some were trained by him. Many cavers owe their lives to him, | 0:18:52 | 0:18:58 | |
so this is payback time. | 0:18:58 | 0:19:00 | |
He's still just inside the cave. It's about 30 feet down, but not far along. | 0:19:00 | 0:19:06 | |
He's not very well. They've stopped because he's feeling very unwell. | 0:19:06 | 0:19:11 | |
He's vomiting fairly copiously by the sound of it. | 0:19:11 | 0:19:15 | |
Basically, I'm concerned now that he might start to get dehydrated. | 0:19:15 | 0:19:20 | |
Just being sick itself makes you feel unwell, and also what the cause of that is. | 0:19:20 | 0:19:25 | |
I want to get him out as quick as I can. | 0:19:25 | 0:19:29 | |
Rescue teams have located Ralph and he's on his way up while Steve manoeuvres Helimed 99 to the cave. | 0:19:29 | 0:19:36 | |
At last, Ralph reaches daylight. | 0:19:42 | 0:19:45 | |
The after effects of his last chemotherapy session left him feeling dizzy and disorientated, | 0:19:45 | 0:19:51 | |
lethal symptoms in some caves where 100-foot rock faces are not uncommon. | 0:19:51 | 0:19:57 | |
We've relocated the helicopter in this field. | 0:19:57 | 0:20:02 | |
Ralph's exploits as a rescuer are well-known in the potholing world, | 0:20:04 | 0:20:08 | |
but today he has to take a back seat. | 0:20:08 | 0:20:12 | |
So we're pretty much all right for time. It's just the weather, isn't it? | 0:20:15 | 0:20:20 | |
The team wants Ralph to be examined in hospital, but fog is closing in fast in the Vale of York. | 0:20:20 | 0:20:27 | |
This could threaten his flight to A&E in Harrogate. | 0:20:27 | 0:20:31 | |
OK there, Ralph? | 0:20:36 | 0:20:38 | |
-Yeah? Just feeling grotty? -Yeah. | 0:20:38 | 0:20:41 | |
-Not as bad as I was. -Right. Are you warm enough? | 0:20:43 | 0:20:47 | |
-A little bit cold. -A little bit? | 0:20:47 | 0:20:51 | |
Dave, lifted en route to Harrogate. | 0:20:51 | 0:20:53 | |
The plan is to get to Harrogate, but we may have to route to yourself if the weather closes in, over. | 0:20:53 | 0:21:01 | |
Pilot Steve doesn't like what he sees ahead. It may look clear, | 0:21:01 | 0:21:05 | |
but there's fog on the horizon which is a serious hazard when travelling at 150mph. | 0:21:05 | 0:21:11 | |
You can see the fog. This is the Vale, isn't it? | 0:21:11 | 0:21:16 | |
Like a big strip the whole way up. | 0:21:16 | 0:21:18 | |
Like a wall, isn't it? | 0:21:18 | 0:21:21 | |
We can't get through to Harrogate. | 0:21:21 | 0:21:24 | |
Steve is forced to abort the flight to Harrogate A&E, so he's diverting to Leeds Bradford Airport | 0:21:24 | 0:21:30 | |
to await a ground ambulance. | 0:21:30 | 0:21:33 | |
Just let me stand up. Yeah? Come here. | 0:21:35 | 0:21:38 | |
For Ralph, it's time for tea and a chat with the rescue team | 0:21:38 | 0:21:43 | |
as he waits for an ambulance to drive him into hospital. | 0:21:43 | 0:21:48 | |
This isn't how Ralph or his rescuers thought his journey would end, | 0:21:49 | 0:21:53 | |
but you can't beat the weather. | 0:21:53 | 0:21:56 | |
Ralph spends 24 hours in St James Hospital before he's sent home to enjoy the rest of his life. | 0:21:57 | 0:22:05 | |
It's not long before Ralph is back potholing. He's determined that his advanced pancreatic cancer | 0:22:07 | 0:22:13 | |
won't stop him and today he's buying steel joists for a cave he's climbing down later. | 0:22:13 | 0:22:20 | |
I just made a decision when I was given the diagnosis that there's no point worrying | 0:22:20 | 0:22:26 | |
about things you can do nothing about. Sitting feeling miserable. Get on with life. Enjoy every day. | 0:22:26 | 0:22:33 | |
Two weeks ago I was down a cave in Yorkshire. Last weekend I was in Poland down the salt mines. | 0:22:33 | 0:22:39 | |
Today I'm on my way to Derbyshire with some steel to repair a cave that's in danger of collapse. | 0:22:39 | 0:22:46 | |
I've had, what, 54 years caving. A really good time. Caved all over the world. | 0:22:46 | 0:22:53 | |
So I'll carry on as long as I can. | 0:22:53 | 0:22:56 | |
Hopefully, without being rescued again. | 0:22:56 | 0:23:00 | |
He's rescued hundreds of people stuck underground in his lifetime | 0:23:00 | 0:23:05 | |
and now he's had his turn. | 0:23:05 | 0:23:07 | |
Embarrassing. | 0:23:07 | 0:23:09 | |
No doubt I'll have to live that down somehow. | 0:23:09 | 0:23:12 | |
It'll cost me a few pints of beer when I get up to Yorkshire again. | 0:23:12 | 0:23:17 | |
Let's return now to that serious crash in West Yorkshire, | 0:23:29 | 0:23:33 | |
where a car smashed into the front of a busy bus. | 0:23:33 | 0:23:37 | |
The floor of the bus collapsed and the driver fell onto the road where she's now trapped. | 0:23:37 | 0:23:43 | |
One of the three occupants of the car is already on his way to Leeds, | 0:23:45 | 0:23:50 | |
but the driver is still trapped and the other passenger barely alive. | 0:23:50 | 0:23:54 | |
Fire crews are trying to cut the bus driver out of her wrecked vehicle. | 0:23:54 | 0:23:59 | |
She lay unnoticed for several minutes after the crash, despite the accident being witnessed | 0:23:59 | 0:24:05 | |
by dozens of people on a busy suburban road. | 0:24:05 | 0:24:09 | |
I was driving behind the bus and this black car came round the corner, | 0:24:09 | 0:24:15 | |
careered onto the wrong side of the road, straight into the bus. | 0:24:15 | 0:24:19 | |
Then I just stopped, otherwise I'd have hit the back of the bus. | 0:24:19 | 0:24:24 | |
On board the bus were a mother and baby and more than a dozen elderly passengers. | 0:24:24 | 0:24:29 | |
Two of the eleven patients have quite bad head injuries. One's collapsed. | 0:24:29 | 0:24:34 | |
The driver is the one they are treating as very serious. | 0:24:34 | 0:24:38 | |
The Fire Brigade are trying to cut her out as we speak. | 0:24:38 | 0:24:42 | |
The other members of the bus have been quite lucky. They have cuts from flying glass, | 0:24:42 | 0:24:49 | |
banging their heads against the poles. They might have minor fractures, but apart from that, | 0:24:49 | 0:24:56 | |
hopefully they'll be all right. | 0:24:56 | 0:24:58 | |
Back at the wrecked car, the rear passenger's condition is critical. | 0:24:58 | 0:25:02 | |
Hi blood pressure is low. They fear he's bleeding internally from two broken legs. | 0:25:02 | 0:25:07 | |
-Where was he? -He was the rear passenger, ejected forward. | 0:25:07 | 0:25:12 | |
Both femurs looked all right. Lower legs are not. | 0:25:12 | 0:25:15 | |
Watch your heads, chaps. Just duck. | 0:25:17 | 0:25:20 | |
Helimed 99 is about to take off for Leeds General Infirmary. | 0:25:20 | 0:25:24 | |
10 miles away, the hospital's helipad team is about to unload the front seat passenger from 98. | 0:25:24 | 0:25:30 | |
He hit the dash with such force, he has a critical brain injury. | 0:25:30 | 0:25:35 | |
OK, lads. Can somebody get this end? | 0:25:36 | 0:25:39 | |
99, roger. 98 have just landed at LGI. | 0:25:39 | 0:25:43 | |
The aircraft's going to return with Dave Appleby, over. | 0:25:43 | 0:25:47 | |
Thanks to the airbag, the driver is the least injured, but he is still unconscious and bleeding. | 0:25:47 | 0:25:53 | |
He will need to be prepared for flight. The rear passenger is on Helimed 99 | 0:25:53 | 0:25:59 | |
on the way to the LGI. | 0:25:59 | 0:26:02 | |
Those who saw their car crash were shocked. | 0:26:02 | 0:26:07 | |
I just saw these boys in the front. I just hope they're all right. | 0:26:07 | 0:26:12 | |
Now all the attention is on the bus driver, still trapped under her cab. | 0:26:12 | 0:26:17 | |
Fire crews are having difficulty getting her out and her condition is getting worse with every minute. | 0:26:17 | 0:26:24 | |
Every year, the Yorkshire Dales is the background to one of the toughest races in motorsport. | 0:26:32 | 0:26:38 | |
The Scott Trial pits rider and machine against an 84-mile course | 0:26:38 | 0:26:44 | |
across unforgiving moorland. | 0:26:44 | 0:26:46 | |
Hundreds of bikers have turned out for this year's trial. | 0:26:50 | 0:26:55 | |
It's a tradition that dates back almost a century. | 0:26:55 | 0:26:58 | |
The Yorkshire branch of the Auto-cycle Union | 0:26:58 | 0:27:01 | |
holds its 17th annual trial for the Scott trophy. | 0:27:01 | 0:27:04 | |
By the time the competitors plough through 15 miles of assorted frightfulness of muddy moor, | 0:27:04 | 0:27:09 | |
they will feel like taking the chap who designed the course and ducking him. | 0:27:09 | 0:27:14 | |
Today, flat hats and tweed have been replaced by helmets and body armour, | 0:27:14 | 0:27:19 | |
but the hazards were the same 80 years ago. | 0:27:19 | 0:27:22 | |
Only 20 out of the 80 entered finished the course. | 0:27:22 | 0:27:26 | |
But the response to an accident is rather faster today. | 0:27:26 | 0:27:30 | |
Helimed 98 is on its way to the remote part of the course. A biker has come off at high speed. | 0:27:30 | 0:27:37 | |
You all right, mate? | 0:27:37 | 0:27:39 | |
Course marshals alerted ground paramedics and now the Helimed team will take over his treatment. | 0:27:39 | 0:27:46 | |
He's hit that boulder behind you, gone over the handlebars. He was going some speed. | 0:27:46 | 0:27:52 | |
18-year-old Matthew Maynard was riding across this field when he hit a rock. | 0:27:52 | 0:27:58 | |
He's broken his leg badly. | 0:27:58 | 0:28:01 | |
It requires surgery, despite him wearing all the right protective gear. | 0:28:01 | 0:28:06 | |
He's in a lot of pain. | 0:28:06 | 0:28:09 | |
-Just keep going on that, mate. -Just cut it, mate. | 0:28:09 | 0:28:13 | |
But he's not alone today. Helimed 99, too, has been called to the trial course. | 0:28:13 | 0:28:20 | |
Is that 98 at two o'clock? | 0:28:20 | 0:28:24 | |
Oh, yeah, it is. Hey, look at that. | 0:28:24 | 0:28:28 | |
We're going to a motocross meet for a biker with, apparently, two broken arms. | 0:28:28 | 0:28:34 | |
It sounds like it's been a bit of a chaotic racing meet to have two helicopters in. | 0:28:34 | 0:28:40 | |
Rider 17, another young lassie from the local Richmond club is Robyn Alderson... | 0:28:40 | 0:28:47 | |
Half an hour ago, 20-year-old Robyn Alderson was one of the few women riders starting the trial. | 0:28:47 | 0:28:54 | |
It's her second attempt. She comes from a biking family and her dad has won the Scott trophy, | 0:28:54 | 0:29:00 | |
but today she's riding for a fall. | 0:29:00 | 0:29:03 | |
Robyn's day has ended in a course ambulance. She has two broken wrists | 0:29:03 | 0:29:08 | |
sustained when she went over her handlebars. | 0:29:08 | 0:29:11 | |
I did it a couple of years ago. I got about halfway and thought I'd have another go, | 0:29:11 | 0:29:18 | |
but obviously it wasn't meant to be this year. | 0:29:18 | 0:29:22 | |
-Robyn, how does that hand feel? -It's not so bad, really. | 0:29:22 | 0:29:27 | |
-As I take this off, if it becomes bad, say. -Yeah. -And we'll stop. | 0:29:27 | 0:29:31 | |
Robyn crashed in such a remote location she'd to walk to get help. | 0:29:31 | 0:29:37 | |
-You walked a mile? -Er, yeah, it will have been. -About that. -And climbed a gate. | 0:29:37 | 0:29:42 | |
How did you get over a gate? Did you just have to...? | 0:29:42 | 0:29:46 | |
-It's just like one of those gates out there. -So you got over without using your hands. | 0:29:46 | 0:29:52 | |
The 84-mile trial is broken into 75 sections. On each part, the rider is scored. | 0:29:54 | 0:30:01 | |
They get marks for speed and skill. Put your foot on the ground and you lose marks. | 0:30:01 | 0:30:07 | |
The Swaledale Mountain Rescue Team has been busy | 0:30:07 | 0:30:12 | |
as this year's course is particularly tough. | 0:30:12 | 0:30:16 | |
It's the weather. It's been wet everywhere, so it's very muddy, boggy. | 0:30:16 | 0:30:22 | |
Probably difficult to manage the motorcycles. | 0:30:22 | 0:30:26 | |
Robyn is ready to be airlifted to hospital. By all accounts, she'll be back next year. | 0:30:26 | 0:30:31 | |
-See you, Robyn! -Thanks very much! Bye! -Bye! | 0:30:31 | 0:30:36 | |
I've been well impressed by the way she's not made a fuss at all. | 0:30:36 | 0:30:40 | |
They are hardy stock. She's gone over the handlebars and probably broken two arms, | 0:30:40 | 0:30:46 | |
but her biggest fear was the needle when I cannulated her, which made us laugh. | 0:30:46 | 0:30:52 | |
-Can you hear me now? -Back at the other crash site, there's a problem. | 0:30:52 | 0:30:56 | |
There's nothing like technology(!) | 0:30:56 | 0:30:59 | |
Paramedic Darren's having to communicate with the Ambulance Service via space. | 0:30:59 | 0:31:04 | |
We're in the bottom of a valley, | 0:31:04 | 0:31:07 | |
so we're having difficulty in getting any kind of communication. The radio's down, | 0:31:07 | 0:31:13 | |
there's no mobile phone signal. I'm trying the satellite phone. | 0:31:13 | 0:31:17 | |
Matthew's family have arrived. | 0:31:17 | 0:31:20 | |
They know how dangerous the Scott Trial is. | 0:31:20 | 0:31:24 | |
It's his second time of competing in it. Last year he finished 46th, which was very good. | 0:31:24 | 0:31:30 | |
He just wanted to do it again, but it's gone a bit pear-shaped across a field with a stone in it. | 0:31:30 | 0:31:37 | |
Now that Matthew and Robyn are heading for A&E, | 0:31:37 | 0:31:41 | |
land paramedics are freed up. It looks like a busy day. | 0:31:41 | 0:31:46 | |
-Think of the hot cups of tea you'll have to take now! -Just feed him in to Daz. | 0:31:46 | 0:31:51 | |
Rest him there, chaps. Keep hold of him. Feed him round. | 0:31:51 | 0:31:55 | |
Both the Helimed teams' patients are flown to James Cook hospital in Middlesbrough. | 0:31:55 | 0:32:02 | |
A&E staff realise both Robyn and Matthew were friends | 0:32:03 | 0:32:06 | |
who were both unaware the other had also failed to finish the trial. | 0:32:06 | 0:32:11 | |
I went straight into A&E | 0:32:11 | 0:32:15 | |
and had all my x-rays and whilst they were taking me to the ward, | 0:32:15 | 0:32:19 | |
Matt was on the next ward. They wheeled me on in my bed | 0:32:19 | 0:32:24 | |
and we had a chat for a few moments about what had happened | 0:32:24 | 0:32:28 | |
and then I was taken into the ward. | 0:32:28 | 0:32:31 | |
But we managed to text each other and finding more out about what had happened. | 0:32:31 | 0:32:37 | |
Unfortunately, Matt was in a bit longer than I was. | 0:32:37 | 0:32:41 | |
Matthew underwent major surgery to rebuild his leg. | 0:32:41 | 0:32:45 | |
They put two screws and a pin all the way down my leg. And two screws at the bottom of it. | 0:32:45 | 0:32:51 | |
I've got a lot of titanium in my leg. | 0:32:51 | 0:32:54 | |
It's now eight weeks since the trial and Robyn has made a good recovery. | 0:32:56 | 0:33:02 | |
She's at home in her dad's shed, raring to get back in the saddle. | 0:33:02 | 0:33:06 | |
'I started riding when I was about 13 and I had a go on my dad's bike. I got quite interested | 0:33:06 | 0:33:13 | |
'and got one for Christmas.' | 0:33:13 | 0:33:16 | |
My dad rode for a number of years, my uncle and I've got three cousins that ride as well. | 0:33:17 | 0:33:23 | |
Like most victims of the trial, Robyn has no one to blame for her crash but herself | 0:33:25 | 0:33:31 | |
and the treacherous local landscape. | 0:33:31 | 0:33:34 | |
I was on a straight bit of track. That's the most embarrassing thing. | 0:33:34 | 0:33:38 | |
It wasn't even a hard part of the course. I came across a ditch | 0:33:38 | 0:33:43 | |
and somehow managed to get off the track slightly onto that. | 0:33:43 | 0:33:47 | |
I couldn't get slowed up in time. I went straight into it, straight over the handlebars | 0:33:47 | 0:33:54 | |
and that was the end of that! | 0:33:54 | 0:33:56 | |
Matthew is still not able to ride. His leg was very badly broken. | 0:33:56 | 0:34:01 | |
-Hello! Are you all right? -Not too bad. You? -Well, thank you. | 0:34:01 | 0:34:06 | |
At least both riders are now fit enough to compare their scars | 0:34:06 | 0:34:11 | |
and plan their next assault on the Scott. | 0:34:11 | 0:34:15 | |
It's known as one of the hardest one-day trials there is to do. | 0:34:15 | 0:34:19 | |
It's the one trial that everybody wants to get round, | 0:34:19 | 0:34:23 | |
just because it's so tough. It's a shame I was only 6 or 7 miles into it when I had a big crash. | 0:34:23 | 0:34:29 | |
That was the end of me for this year. | 0:34:29 | 0:34:32 | |
Both Robyn and Matt are already planning their next races, undeterred by their injuries. | 0:34:32 | 0:34:39 | |
They feel a lot better than they did a few months ago, | 0:34:39 | 0:34:43 | |
but I think I've got a long way to go before I'll be back riding a trial. | 0:34:43 | 0:34:49 | |
I'm looking forward to getting back onto the bike and doing a lot more competitions this year. | 0:34:49 | 0:34:56 | |
There's a six-day trial I want to be fit for and do the British Championships. | 0:34:56 | 0:35:02 | |
These fellows say they do it for fun. I wouldn't do it for £1,000! | 0:35:02 | 0:35:06 | |
Watchers get as wet as the riders. The only way to keep clean is to stand half a mile away. | 0:35:06 | 0:35:11 | |
Riders in the UK's toughest bike race have suffered the same injuries as Matt and Robyn for 80 years. | 0:35:11 | 0:35:18 | |
But the accident toll has done little to put off riders. | 0:35:18 | 0:35:23 | |
They'll be lining up for another Scott Trial later this year. | 0:35:23 | 0:35:27 | |
Now back to West Yorkshire where nine people are already on their way to A&E | 0:35:32 | 0:35:38 | |
after a serious crash, but the Helimed team's attention is now on the bus driver, | 0:35:38 | 0:35:43 | |
badly injured as she stopped to pick up passengers. | 0:35:43 | 0:35:47 | |
Trapped under her own bus, 61-year-old June Place was very lucky to survive the impact. | 0:35:47 | 0:35:54 | |
The floor beneath her seat gave way and she fell onto the road below. | 0:35:54 | 0:35:58 | |
It was 10 minutes before the first rescuers found her. Now more than an hour later, | 0:35:58 | 0:36:04 | |
she has at last been freed. | 0:36:04 | 0:36:06 | |
June was so badly crushed, her legs and pelvis are broken in many places. | 0:36:06 | 0:36:12 | |
-So we're querying pelvis, femur... -We think pelvis more likely. | 0:36:12 | 0:36:17 | |
We've open left ankle... | 0:36:18 | 0:36:22 | |
June is the fourth serious casualty from the scene. | 0:36:22 | 0:36:25 | |
Another six of her passengers were also injured. She is secured, heavily sedated and on morphine, | 0:36:25 | 0:36:32 | |
so ready to be transported to hospital. | 0:36:32 | 0:36:35 | |
10 miles away, at Leeds General Infirmary, | 0:36:35 | 0:36:39 | |
the rear passenger of the car is now minutes from treatment. | 0:36:39 | 0:36:43 | |
Managers have declared the accident a major incident. All available staff have been called to A&E. | 0:36:45 | 0:36:52 | |
As they start work, paramedic Darren can at last relax. | 0:36:52 | 0:36:57 | |
That's been the biggest one for a couple of months. | 0:36:57 | 0:37:00 | |
Unfortunately, I seem to be a magnet for this kind of thing. I've done quite a lot of it. | 0:37:00 | 0:37:06 | |
There are dozens of trauma specialist seeing to the patients. | 0:37:06 | 0:37:10 | |
Basics doctor is on scene, Ambulance Service, Fire Service, Police. | 0:37:10 | 0:37:15 | |
It's a massive thing and that's before you get into Emergency | 0:37:15 | 0:37:20 | |
and the patients are now treated by the doctors in here. | 0:37:20 | 0:37:24 | |
The teams that are in the department here are really keyed-up for trauma now. | 0:37:24 | 0:37:29 | |
Obviously, this tests out the systems they've got in place and it's working really well. | 0:37:29 | 0:37:36 | |
June is in and out of consciousness, but is in a stable condition. | 0:37:38 | 0:37:42 | |
The question is will Leeds be able to cope with another emergency patient? | 0:37:42 | 0:37:47 | |
Air desk from 98. Patient is loaded on the helicopter. | 0:37:47 | 0:37:52 | |
We've just received information that 99 has gone to LGI. | 0:37:52 | 0:37:57 | |
Are they able to accept another patient? | 0:37:57 | 0:38:01 | |
'They're happy to accept her. Over.' | 0:38:01 | 0:38:04 | |
The last critically-injured patient from the bus crash is about to take off for hospital. | 0:38:04 | 0:38:10 | |
An hour ago, June Place was stopping to pick up passengers in a community that is now in shock. | 0:38:10 | 0:38:17 | |
It's a long, fast road. The sign's there. | 0:38:17 | 0:38:20 | |
-Reduce speed. -People don't bother about the speed they're going. | 0:38:20 | 0:38:26 | |
But at Leeds General Infirmary, there's a problem. | 0:38:26 | 0:38:29 | |
The helipad can't take two helicopters. Pilot Andy Lister must quickly take off | 0:38:29 | 0:38:36 | |
to make way for Helimed 98 with bus driver June on board. | 0:38:36 | 0:38:41 | |
All right, guys? Some multiple fractures... | 0:38:41 | 0:38:44 | |
Within a minute, she's on her way to A&E. | 0:38:44 | 0:38:48 | |
Tough job, that one. Two are critically injured. | 0:38:48 | 0:38:52 | |
This lady's stable at the moment, | 0:38:52 | 0:38:55 | |
but, yeah, it's been a tough job. Yeah. | 0:38:55 | 0:38:58 | |
Consultants are already planning the treatment for all three Helimed patients. | 0:38:58 | 0:39:05 | |
That night, the LGI's operating theatres are busy as a team of orthopaedic surgeons begins work. | 0:39:05 | 0:39:12 | |
Two weeks later and bus driver June is still in hospital. | 0:39:13 | 0:39:17 | |
-Hiya. -Hello, love. -Would you like a tea or coffee? -Tea, one sugar, please. | 0:39:19 | 0:39:24 | |
June has undergone extensive surgery to rebuild her crushed leg | 0:39:24 | 0:39:29 | |
and has been told it will be months before she can walk again, let alone drive a bus. | 0:39:29 | 0:39:34 | |
-Lovely. Thank you very much, yeah. -Enjoy. | 0:39:34 | 0:39:38 | |
I've been a bus driver for... | 0:39:38 | 0:39:40 | |
I think roughly about 16... 15 or 16 years. | 0:39:40 | 0:39:45 | |
It was the 149 service to Wakefield, which would have been my finishing trip. | 0:39:45 | 0:39:51 | |
All I remember is seeing a car and I think I probably said, | 0:39:52 | 0:39:58 | |
"What the...is happening?!" | 0:39:58 | 0:40:01 | |
And I don't remember anything about the crash, the impact or anything. | 0:40:01 | 0:40:07 | |
I heard them say, "We're going to get you out now, June." | 0:40:07 | 0:40:11 | |
And then wondering, "Out of where? Where am I?" I felt the fresh air on my face as they got me out, | 0:40:11 | 0:40:18 | |
which felt nice, you know. The next thing I remember is somebody... | 0:40:18 | 0:40:25 | |
asking me where I hurt. "Can we have your arm to put a line in?" | 0:40:25 | 0:40:33 | |
Just take that off for a second. | 0:40:33 | 0:40:36 | |
I knew I was being put on a helicopter. I didn't see it. | 0:40:36 | 0:40:41 | |
But I could hear the engine, the blades, I don't know, when we lifted off. | 0:40:41 | 0:40:46 | |
It didn't seem two minutes before we were coming down again. | 0:40:46 | 0:40:50 | |
It's common for victims of trauma to block out memories of a serious accident. | 0:40:50 | 0:40:56 | |
All they are left with are their injuries as a reminder. | 0:40:56 | 0:41:00 | |
The injuries I received... If we start from the top, I had the scapula, your shoulder blade, | 0:41:00 | 0:41:06 | |
and five broken ribs, | 0:41:06 | 0:41:08 | |
and then this arm, I think it was an open fracture to the radius and ulna, | 0:41:08 | 0:41:15 | |
which is the two bones there. | 0:41:15 | 0:41:18 | |
And then, on the right leg is an open fracture, | 0:41:18 | 0:41:23 | |
round about the ankle area. | 0:41:23 | 0:41:25 | |
And what this frame is doing is holding all the bone in line. | 0:41:25 | 0:41:30 | |
June considers herself lucky to be alive and believes she owes her life to the emergency services. | 0:41:30 | 0:41:37 | |
Without them, I wouldn't be here. That's without a doubt. | 0:41:37 | 0:41:41 | |
I think they... | 0:41:42 | 0:41:44 | |
They were professional in every aspect. | 0:41:44 | 0:41:47 | |
Although I couldn't see, I could hear. | 0:41:47 | 0:41:51 | |
I could hear what they were saying to me, reassuring me | 0:41:51 | 0:41:55 | |
and telling me everything. "Don't worry." And getting me on that helicopter into LGI | 0:41:55 | 0:42:01 | |
in no time. No time at all. | 0:42:01 | 0:42:04 | |
I don't think I'd have been here. That is without a doubt. | 0:42:04 | 0:42:09 | |
And I just can't thank them enough. Honestly. | 0:42:09 | 0:42:13 | |
I'm pleased to tell you June is continuing to make a good recovery | 0:42:13 | 0:42:17 | |
and she's hopeful that she'll soon be fit enough to get back behind the wheel. | 0:42:17 | 0:42:24 | |
Subtitles by Red Bee Media Ltd | 0:42:35 | 0:42:37 |