Episode 26 Helicopter Heroes


Episode 26

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

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and in Britain's biggest county

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-you can be a long way from help.

-'She's stuck under the car!'

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The Yorkshire Air Ambulance flies at 150mph and thanks to it, 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!

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

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-turning roadsides into operating theatres...

-Use an emergency anaesthetic.

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-..and town centres into helipads.

-Just behind you, Tim.

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Every day, the Helimed team's skill, speed and courage is saving lives.

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Today on Helicopter Heroes:

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a bus crashes and the team joins a major rescue operation.

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A car's hit the front of the bus. The driver's seat is all collapsed.

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As a teaching hospital, we do research studies.

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The heart patient who's about to become a medical guinea pig.

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A cave rescuer falls ill deep underground.

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He's started being sick.

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The Yorkshire branch...

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And high in the Dales, Britain's oldest and toughest motorbike race claims another victim.

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Every one of the UK's 15 ambulance services has a document they hope they'll never need.

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The Major Incident Plan is a blueprint to deal with disaster

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and the Helimed choppers are a vital part of it.

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The Helimed team has to get used to responding in seconds to emergencies.

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Today a routine flight to back up a ground ambulance is about to change dramatically.

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Helimed 99, receiving?

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-Yeah, receiving.

-Divert to Wakefield.

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That's a car and a bus. There's two patients trapped in a car,

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one trapped on the bus. Believed six injured.

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Six casualties. Three serious head injuries.

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The head-on crash happened on a suburban road near the village of Crofton.

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Most of the victims are shoppers returning home. The car was carrying three young men.

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Luckily, no one was in this shelter.

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They've requested both helicopters. The others are en route as well.

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If you think you need three, let me know when you're on scene.

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For paramedics Darren Axe and Darrel Cullen, it'll draw on years of training.

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Is that the incident just down there?

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-I think so. There's emergency service vehicles.

-No sign of wires. I'll go for a landing.

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There's one man has got

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a very bad cut head, a few shaken up, but apparently the bus driver is trapped under the bus.

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The car driver, there's nothing left of his car. They're cutting him out.

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It's a chaotic scene. Firefighters are trying to reach the bus driver who is unconscious.

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Many of her passengers were elderly.

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Most were thrown from their seats in the impact, but the young men in the car came off worst.

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-Two are still trapped.

-Hang on, mate. Has he moved at all?

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-We need him out now. We're getting this door off.

-Fantastic.

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Fire crews have freed the 20-year-old front passenger. He has serious head injuries.

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But that's not all.

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His chest sounds aren't great.

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I'm assuming he was front seat passenger.

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Just so that I know the seatbelt were worn or anything.

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We'll get him on board and on the aircraft, ready to go.

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98, 99 are on scene. There's plenty of room to land in the field opposite the incident.

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We'll probably go to LGI.

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The two other men in the car are very badly hurt. The rear passenger was thrown forward.

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The driver is crushed. They are both in and out of consciousness, have broken limbs and head injuries.

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Everything is being done to keep them alive.

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They're saying he's urgent. If we could get him out first, we can bring him out this way.

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He's got to come out, mate, so let's just get him.

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More back-up is needed fast. Both these men need to be freed and airlifted to Leeds General Infirmary

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-as soon as possible.

-Oxygen's on and fully running.

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Just do another pressure.

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Get him strapped on, mate. That'll be great.

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-Just wondering the ETA for the other crew, Andy.

-I'll get on to Dave.

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Dave, it's Andy.

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- Go ahead. - Have you got an ETA for 98?

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Yeah, roger. They should be 3-4 minutes. They're into a headwind.

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Yeah, copy that. The lads are working quite hard.

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'We'll try to get one of them packaged, ready for 98.'

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It's really chaotic at the moment.

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We're strapped for resources, but the other air ambulance is coming.

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We've got one casualty packaged, but it may be best to take them.

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Down there. At 11 o'clock.

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We've got blue flashing lights, a large tailback of traffic.

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We'll take this guy out as soon as we have enough access there. A rapid extrication, all right?

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Have you got any more portable oxygen? Can we have it? And an oxygen mask, please.

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-You're over the trees to the rear, Ian.

-Thank you.

-All clear.

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-I'll get you fairly close to this one.

-The rear seat passenger was catapulted into the windscreen.

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He has a head injury, but paramedic Darren fears he may also have fractured his neck.

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He'd like to safeguard his spine, but today safety must be sacrificed for speed if he's to live.

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Just sit him up towards you and then lay him back.

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Then we can bring his leg through.

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Until the rear passenger is out, they cannot free the driver.

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Keep still, chief. We're just going to give you some oxygen. Keep still.

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He's going to come out feet-first.

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Bend his knee. He's got a broken lower leg.

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-I want him to come this way now, Ryan.

-Start moving him this way.

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I need a splint, mate, for his leg.

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-Both of them.

-Two splints.

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Just rest him.

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Paramedics are trained to prioritise the most seriously injured patients

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in a process called triage,

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but in accidents like this it's especially difficult.

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The front passenger is thought to be the most critical case, so he will fly first.

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-Have you all got him?

-Paramedics measure consciousness on a scale of 3-15

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on the Glasgow Coma Scale or the GCS.

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He's GCS 3 at the moment, so he's deeply unconscious.

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He's got a head injury, chest injuries and abdominal injuries.

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They've gone off to Leeds General Infirmary with our first casualty.

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There's still somebody trapped in the car and another casualty that they're still trying to stabilise.

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The first patient's survival is in real doubt.

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The Helimed team must turn its attention to the other survivors. Their prospects are equally bleak.

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Would you know if you were suffering a heart attack? Doctors say too few of us will recognise the signs.

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Symptoms range from crushing chest pains to mild discomfort

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and the latest research shows that women often experience different warning signs from men.

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Anywhere, a heart attack is a killer, but in a remote area like the Yorkshire Dales

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it is particularly deadly.

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30% of all deaths in the UK are caused by heart disease.

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Helimed 99, we're looking to depart for Ingleton.

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Today, paramedics on the ground and in the air are racing to prevent another patient becoming

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one of those statistics.

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Helimed 99. Estimated time of arrival is 10.58.

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10.58, over.

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Helimed 99 is heading up into the Three Peaks, the most rugged part of the Dales,

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-where a woman is fighting for her life.

-She came into my house and complained of chest pains.

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The doctor had told her to phone an ambulance, which I did.

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We have reports of a 71-year-old young lady

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who's had pains in her back and chest. The crew have identified that she's having a heart attack.

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If their patient is to survive, she needs speedy hospital treatment

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and up here that means going by air.

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-How long do you think it'll take to drive in?

-That area, about an hour 40.

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-It's all single-track roads.

-How long will it take us to fly back?

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-About 20 minutes?

-20 minutes.

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Local paramedics have beaten the Helimed team.

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-How are you feeling now?

-I've felt better!

-You've felt better?

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We're going to take you to the helicopter.

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71-year-old Ruth Goldsack was just getting out of the shower when she started to feel unwell.

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-Is it Leeds General that have accepted her?

-Yes.

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Any previous cardiac history?

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Ruth's wired up to an ECG monitoring system showing the unmistakable signs of a heart attack.

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The blood supply to her heart muscle is being reduced by a clot.

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Her heart is being starved of oxygen and is failing.

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If the crew can get Ruth to hospital quickly, the blockage can be cleared and the heart will recover.

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If not, Ruth could go into cardiac arrest. If that happens, this pad will allow her rescuers

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-to shock her heart back into a normal rhythm.

-Have you got pain in your back?

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-I'll give you gas and air.

-I don't need that.

-It'll take the pain away and relax things.

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Breathe this for a couple of minutes. Just breathe as normal and suck on that as you breathe.

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OK? That's it. Just like that.

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Paramedics Sammy and Andy are so concerned about her condition,

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they decide they will both travel in the back of the helicopter.

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If Ruth's heart stops during the flight, she will need both of them to keep her alive.

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-She is suffering crushing chest pain...

-All right, love?

-..the most common symptom of a heart attack.

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-Are you all right? Ruth?

-Heart patients often suffer a feeling of impending doom.

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It's distressing and the only antidote they can give her is reassurance.

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Just 20 minutes after taking off from the Dales, Ruth is now moments from specialist care.

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In the Cath Lab, doctors are waiting for her arrival.

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-They have the skill to save her life, but Ruth can also help them.

-You're having a heart attack.

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That's what you're having. We need to open up the blocked artery which is the reason for it.

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Because this is a teaching hospital, we often do research studies.

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We're involved in studies trying to find better ways to treat patients having heart attacks.

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She's being asked to volunteer to become a medical guinea pig.

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They've just prepared her for in the theatre. She's going to have an investigation

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where they make an incision in the leg and thread catheters up into the heart.

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They can inject dye and get an accurate picture of what's blocked.

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Instead of just opening out the blocked artery, the LGI team is experimenting

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in treating all the arteries in the heart at once.

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It's thought this may save thousands more lives.

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The purpose is to see whether we can improve patients' outcomes

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by looking at patients with more than one problem in the arteries.

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Do we need to just fix the blockage

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compared to fixing all of the narrowings and blockages simultaneously at the same time?

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Really the evidence is unclear as to what is the best way to go. That's the purpose of doing a trial.

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A month later and Ruth is back at home and making a good recovery.

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Despite a history of heart problems in her family, she had no idea she had a heart condition

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-and was suffering a heart attack.

-It felt like a heavy weight, like a brick on my chest.

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I thought it was indigestion. I did suffer with that quite a bit,

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but when I got the pains in the back and then my arms,

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alarms started to go off. And then the sweating.

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I'm not a sweaty person anyway. That's when I rang the doctor.

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I realised things weren't right.

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Ruth's heart attack gave her a scare and made her aware that her lifestyle may have been to blame,

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so ever since her surgery she has undergone another life-changing operation.

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My daughter has cleared all my fridge, my freezer and my cupboard of all sweets,

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cakes and biscuits and fatty things

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so that I can't eat them any more. And I have lost weight!

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The pioneering heart operation Ruth underwent seems to have given her a new lease of life.

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Surgeons believe she was at high risk of another heart attack.

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One artery was blocked completely and another artery had a 99% critical narrowing in.

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So she was perfect for the trial. She had multi-vessel disease.

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But the actual procedure itself is not painful at all.

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Usually what we see is that immediately we open the artery, patients feel dramatically better

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and make a very quick improvement, in front of our eyes often.

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Ruth has no regrets taking part in the medical trial.

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I have got family and very close friends

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that have had heart problems this year. And I feel

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that maybe doing this study will help other people in the future

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because it's more common than you actually realise. If I can help in some small way, I will.

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The Helimed team meets some inspiring people,

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patients who smile through pain or overcome disability to fulfil their dreams,

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but the raw courage of one man the paramedics met in the summer puts many of us to shame.

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Deep under the rolling Yorkshire Dales is a secret world known only to the most adventurous visitors.

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This is caving country.

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Every weekend, hundreds of potholers find their thrills down here.

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When it all goes wrong, it's men like Ralph Johnson who are here to help.

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He's a veteran of cave rescue.

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I've been in cave rescue for 40-odd years now.

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I've been a controller for about 30 years. I just get on with it.

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People say, "How many times have you been on a rescue?" I don't know.

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"How many people have you rescued?" I don't know. I don't dwell on it. I just do it and then go home.

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He's 71 now and he knows his days down here are numbered.

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He was recently diagnosed with pancreatic cancer. He's been told that he has three months to live.

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And today Ralph is the one who's being rescued.

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He's collapsed and become trapped underground. Mountain Rescue and Helimed 99 are on their way.

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Is it just clever cloud?

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That one on the left looks like it could be cloud surrounding it.

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It's a race against time.

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The sun is going down and there's thick fog on its way. They need to get to Ralph quickly.

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Ralph is deep underground. Paramedics Graham and Leon know that as well as his medical condition,

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hypothermia is a real risk.

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They started going down this series of vertical pitches in here.

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-Yeah.

-Went down two of them, knew he was feeling unwell, felt weak.

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-He managed to make his own way back up to the second pitch.

-Is it safe for me to peek over the edge?

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The locations of many of the caving systems round here are very difficult

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and it's easy to walk in, but very difficult when somebody is injured and we get the stretcher.

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So it takes a lot of personnel for an underground incident.

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Ralph will have to be carefully manhandled through passages he's explored for decades.

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To get Ralph out will take stamina and skill.

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You see the bottom of the limestone there. There's a hole and there's a pitch which is about 30 foot high.

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He's on the bottom of that pitch.

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But paramedic Graham knows there's a problem looming.

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It's really foggy at Leeds and on the way over here

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as the sun goes down Leeds Bradford will fog in again.

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He doesn't want to leave here any later than quarter to four.

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Many of Ralph's rescuers know him. Some were trained by him. Many cavers owe their lives to him,

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so this is payback time.

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He's still just inside the cave. It's about 30 feet down, but not far along.

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He's not very well. They've stopped because he's feeling very unwell.

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He's vomiting fairly copiously by the sound of it.

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Basically, I'm concerned now that he might start to get dehydrated.

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Just being sick itself makes you feel unwell, and also what the cause of that is.

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I want to get him out as quick as I can.

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Rescue teams have located Ralph and he's on his way up while Steve manoeuvres Helimed 99 to the cave.

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At last, Ralph reaches daylight.

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The after effects of his last chemotherapy session left him feeling dizzy and disorientated,

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lethal symptoms in some caves where 100-foot rock faces are not uncommon.

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We've relocated the helicopter in this field.

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Ralph's exploits as a rescuer are well-known in the potholing world,

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but today he has to take a back seat.

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So we're pretty much all right for time. It's just the weather, isn't it?

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The team wants Ralph to be examined in hospital, but fog is closing in fast in the Vale of York.

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This could threaten his flight to A&E in Harrogate.

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OK there, Ralph?

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-Yeah? Just feeling grotty?

-Yeah.

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-Not as bad as I was.

-Right. Are you warm enough?

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-A little bit cold.

-A little bit?

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Dave, lifted en route to Harrogate.

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The plan is to get to Harrogate, but we may have to route to yourself if the weather closes in, over.

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Pilot Steve doesn't like what he sees ahead. It may look clear,

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but there's fog on the horizon which is a serious hazard when travelling at 150mph.

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You can see the fog. This is the Vale, isn't it?

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Like a big strip the whole way up.

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Like a wall, isn't it?

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We can't get through to Harrogate.

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Steve is forced to abort the flight to Harrogate A&E, so he's diverting to Leeds Bradford Airport

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to await a ground ambulance.

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Just let me stand up. Yeah? Come here.

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For Ralph, it's time for tea and a chat with the rescue team

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as he waits for an ambulance to drive him into hospital.

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This isn't how Ralph or his rescuers thought his journey would end,

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but you can't beat the weather.

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Ralph spends 24 hours in St James Hospital before he's sent home to enjoy the rest of his life.

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It's not long before Ralph is back potholing. He's determined that his advanced pancreatic cancer

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won't stop him and today he's buying steel joists for a cave he's climbing down later.

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I just made a decision when I was given the diagnosis that there's no point worrying

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about things you can do nothing about. Sitting feeling miserable. Get on with life. Enjoy every day.

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Two weeks ago I was down a cave in Yorkshire. Last weekend I was in Poland down the salt mines.

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Today I'm on my way to Derbyshire with some steel to repair a cave that's in danger of collapse.

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I've had, what, 54 years caving. A really good time. Caved all over the world.

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So I'll carry on as long as I can.

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Hopefully, without being rescued again.

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He's rescued hundreds of people stuck underground in his lifetime

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and now he's had his turn.

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Embarrassing.

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No doubt I'll have to live that down somehow.

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It'll cost me a few pints of beer when I get up to Yorkshire again.

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Let's return now to that serious crash in West Yorkshire,

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where a car smashed into the front of a busy bus.

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The floor of the bus collapsed and the driver fell onto the road where she's now trapped.

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One of the three occupants of the car is already on his way to Leeds,

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but the driver is still trapped and the other passenger barely alive.

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Fire crews are trying to cut the bus driver out of her wrecked vehicle.

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She lay unnoticed for several minutes after the crash, despite the accident being witnessed

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by dozens of people on a busy suburban road.

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I was driving behind the bus and this black car came round the corner,

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careered onto the wrong side of the road, straight into the bus.

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Then I just stopped, otherwise I'd have hit the back of the bus.

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On board the bus were a mother and baby and more than a dozen elderly passengers.

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Two of the eleven patients have quite bad head injuries. One's collapsed.

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The driver is the one they are treating as very serious.

0:24:340:24:38

The Fire Brigade are trying to cut her out as we speak.

0:24:380:24:42

The other members of the bus have been quite lucky. They have cuts from flying glass,

0:24:420:24:49

banging their heads against the poles. They might have minor fractures, but apart from that,

0:24:490:24:56

hopefully they'll be all right.

0:24:560:24:58

Back at the wrecked car, the rear passenger's condition is critical.

0:24:580:25:02

Hi blood pressure is low. They fear he's bleeding internally from two broken legs.

0:25:020:25:07

-Where was he?

-He was the rear passenger, ejected forward.

0:25:070:25:12

Both femurs looked all right. Lower legs are not.

0:25:120:25:15

Watch your heads, chaps. Just duck.

0:25:170:25:20

Helimed 99 is about to take off for Leeds General Infirmary.

0:25:200:25:24

10 miles away, the hospital's helipad team is about to unload the front seat passenger from 98.

0:25:240:25:30

He hit the dash with such force, he has a critical brain injury.

0:25:300:25:35

OK, lads. Can somebody get this end?

0:25:360:25:39

99, roger. 98 have just landed at LGI.

0:25:390:25:43

The aircraft's going to return with Dave Appleby, over.

0:25:430:25:47

Thanks to the airbag, the driver is the least injured, but he is still unconscious and bleeding.

0:25:470:25:53

He will need to be prepared for flight. The rear passenger is on Helimed 99

0:25:530:25:59

on the way to the LGI.

0:25:590:26:02

Those who saw their car crash were shocked.

0:26:020:26:07

I just saw these boys in the front. I just hope they're all right.

0:26:070:26:12

Now all the attention is on the bus driver, still trapped under her cab.

0:26:120:26:17

Fire crews are having difficulty getting her out and her condition is getting worse with every minute.

0:26:170:26:24

Every year, the Yorkshire Dales is the background to one of the toughest races in motorsport.

0:26:320:26:38

The Scott Trial pits rider and machine against an 84-mile course

0:26:380:26:44

across unforgiving moorland.

0:26:440:26:46

Hundreds of bikers have turned out for this year's trial.

0:26:500:26:55

It's a tradition that dates back almost a century.

0:26:550:26:58

The Yorkshire branch of the Auto-cycle Union

0:26:580:27:01

holds its 17th annual trial for the Scott trophy.

0:27:010:27:04

By the time the competitors plough through 15 miles of assorted frightfulness of muddy moor,

0:27:040:27:09

they will feel like taking the chap who designed the course and ducking him.

0:27:090:27:14

Today, flat hats and tweed have been replaced by helmets and body armour,

0:27:140:27:19

but the hazards were the same 80 years ago.

0:27:190:27:22

Only 20 out of the 80 entered finished the course.

0:27:220:27:26

But the response to an accident is rather faster today.

0:27:260:27:30

Helimed 98 is on its way to the remote part of the course. A biker has come off at high speed.

0:27:300:27:37

You all right, mate?

0:27:370:27:39

Course marshals alerted ground paramedics and now the Helimed team will take over his treatment.

0:27:390:27:46

He's hit that boulder behind you, gone over the handlebars. He was going some speed.

0:27:460:27:52

18-year-old Matthew Maynard was riding across this field when he hit a rock.

0:27:520:27:58

He's broken his leg badly.

0:27:580:28:01

It requires surgery, despite him wearing all the right protective gear.

0:28:010:28:06

He's in a lot of pain.

0:28:060:28:09

-Just keep going on that, mate.

-Just cut it, mate.

0:28:090:28:13

But he's not alone today. Helimed 99, too, has been called to the trial course.

0:28:130:28:20

Is that 98 at two o'clock?

0:28:200:28:24

Oh, yeah, it is. Hey, look at that.

0:28:240:28:28

We're going to a motocross meet for a biker with, apparently, two broken arms.

0:28:280:28:34

It sounds like it's been a bit of a chaotic racing meet to have two helicopters in.

0:28:340:28:40

Rider 17, another young lassie from the local Richmond club is Robyn Alderson...

0:28:400:28:47

Half an hour ago, 20-year-old Robyn Alderson was one of the few women riders starting the trial.

0:28:470:28:54

It's her second attempt. She comes from a biking family and her dad has won the Scott trophy,

0:28:540:29:00

but today she's riding for a fall.

0:29:000:29:03

Robyn's day has ended in a course ambulance. She has two broken wrists

0:29:030:29:08

sustained when she went over her handlebars.

0:29:080:29:11

I did it a couple of years ago. I got about halfway and thought I'd have another go,

0:29:110:29:18

but obviously it wasn't meant to be this year.

0:29:180:29:22

-Robyn, how does that hand feel?

-It's not so bad, really.

0:29:220:29:27

-As I take this off, if it becomes bad, say.

-Yeah.

-And we'll stop.

0:29:270:29:31

Robyn crashed in such a remote location she'd to walk to get help.

0:29:310:29:37

-You walked a mile?

-Er, yeah, it will have been.

-About that.

-And climbed a gate.

0:29:370:29:42

How did you get over a gate? Did you just have to...?

0:29:420:29:46

-It's just like one of those gates out there.

-So you got over without using your hands.

0:29:460:29:52

The 84-mile trial is broken into 75 sections. On each part, the rider is scored.

0:29:540:30:01

They get marks for speed and skill. Put your foot on the ground and you lose marks.

0:30:010:30:07

The Swaledale Mountain Rescue Team has been busy

0:30:070:30:12

as this year's course is particularly tough.

0:30:120:30:16

It's the weather. It's been wet everywhere, so it's very muddy, boggy.

0:30:160:30:22

Probably difficult to manage the motorcycles.

0:30:220:30:26

Robyn is ready to be airlifted to hospital. By all accounts, she'll be back next year.

0:30:260:30:31

-See you, Robyn!

-Thanks very much! Bye!

-Bye!

0:30:310:30:36

I've been well impressed by the way she's not made a fuss at all.

0:30:360:30:40

They are hardy stock. She's gone over the handlebars and probably broken two arms,

0:30:400:30:46

but her biggest fear was the needle when I cannulated her, which made us laugh.

0:30:460:30:52

-Can you hear me now?

-Back at the other crash site, there's a problem.

0:30:520:30:56

There's nothing like technology(!)

0:30:560:30:59

Paramedic Darren's having to communicate with the Ambulance Service via space.

0:30:590:31:04

We're in the bottom of a valley,

0:31:040:31:07

so we're having difficulty in getting any kind of communication. The radio's down,

0:31:070:31:13

there's no mobile phone signal. I'm trying the satellite phone.

0:31:130:31:17

Matthew's family have arrived.

0:31:170:31:20

They know how dangerous the Scott Trial is.

0:31:200:31:24

It's his second time of competing in it. Last year he finished 46th, which was very good.

0:31:240:31:30

He just wanted to do it again, but it's gone a bit pear-shaped across a field with a stone in it.

0:31:300:31:37

Now that Matthew and Robyn are heading for A&E,

0:31:370:31:41

land paramedics are freed up. It looks like a busy day.

0:31:410:31:46

-Think of the hot cups of tea you'll have to take now!

-Just feed him in to Daz.

0:31:460:31:51

Rest him there, chaps. Keep hold of him. Feed him round.

0:31:510:31:55

Both the Helimed teams' patients are flown to James Cook hospital in Middlesbrough.

0:31:550:32:02

A&E staff realise both Robyn and Matthew were friends

0:32:030:32:06

who were both unaware the other had also failed to finish the trial.

0:32:060:32:11

I went straight into A&E

0:32:110:32:15

and had all my x-rays and whilst they were taking me to the ward,

0:32:150:32:19

Matt was on the next ward. They wheeled me on in my bed

0:32:190:32:24

and we had a chat for a few moments about what had happened

0:32:240:32:28

and then I was taken into the ward.

0:32:280:32:31

But we managed to text each other and finding more out about what had happened.

0:32:310:32:37

Unfortunately, Matt was in a bit longer than I was.

0:32:370:32:41

Matthew underwent major surgery to rebuild his leg.

0:32:410:32:45

They put two screws and a pin all the way down my leg. And two screws at the bottom of it.

0:32:450:32:51

I've got a lot of titanium in my leg.

0:32:510:32:54

It's now eight weeks since the trial and Robyn has made a good recovery.

0:32:560:33:02

She's at home in her dad's shed, raring to get back in the saddle.

0:33:020:33:06

'I started riding when I was about 13 and I had a go on my dad's bike. I got quite interested

0:33:060:33:13

'and got one for Christmas.'

0:33:130:33:16

My dad rode for a number of years, my uncle and I've got three cousins that ride as well.

0:33:170:33:23

Like most victims of the trial, Robyn has no one to blame for her crash but herself

0:33:250:33:31

and the treacherous local landscape.

0:33:310:33:34

I was on a straight bit of track. That's the most embarrassing thing.

0:33:340:33:38

It wasn't even a hard part of the course. I came across a ditch

0:33:380:33:43

and somehow managed to get off the track slightly onto that.

0:33:430:33:47

I couldn't get slowed up in time. I went straight into it, straight over the handlebars

0:33:470:33:54

and that was the end of that!

0:33:540:33:56

Matthew is still not able to ride. His leg was very badly broken.

0:33:560:34:01

-Hello! Are you all right?

-Not too bad. You?

-Well, thank you.

0:34:010:34:06

At least both riders are now fit enough to compare their scars

0:34:060:34:11

and plan their next assault on the Scott.

0:34:110:34:15

It's known as one of the hardest one-day trials there is to do.

0:34:150:34:19

It's the one trial that everybody wants to get round,

0:34:190:34:23

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.

0:34:230:34:29

That was the end of me for this year.

0:34:290:34:32

Both Robyn and Matt are already planning their next races, undeterred by their injuries.

0:34:320:34:39

They feel a lot better than they did a few months ago,

0:34:390:34:43

but I think I've got a long way to go before I'll be back riding a trial.

0:34:430:34:49

I'm looking forward to getting back onto the bike and doing a lot more competitions this year.

0:34:490:34:56

There's a six-day trial I want to be fit for and do the British Championships.

0:34:560:35:02

These fellows say they do it for fun. I wouldn't do it for £1,000!

0:35:020:35:06

Watchers get as wet as the riders. The only way to keep clean is to stand half a mile away.

0:35:060:35:11

Riders in the UK's toughest bike race have suffered the same injuries as Matt and Robyn for 80 years.

0:35:110:35:18

But the accident toll has done little to put off riders.

0:35:180:35:23

They'll be lining up for another Scott Trial later this year.

0:35:230:35:27

Now back to West Yorkshire where nine people are already on their way to A&E

0:35:320:35:38

after a serious crash, but the Helimed team's attention is now on the bus driver,

0:35:380:35:43

badly injured as she stopped to pick up passengers.

0:35:430:35:47

Trapped under her own bus, 61-year-old June Place was very lucky to survive the impact.

0:35:470:35:54

The floor beneath her seat gave way and she fell onto the road below.

0:35:540:35:58

It was 10 minutes before the first rescuers found her. Now more than an hour later,

0:35:580:36:04

she has at last been freed.

0:36:040:36:06

June was so badly crushed, her legs and pelvis are broken in many places.

0:36:060:36:12

-So we're querying pelvis, femur...

-We think pelvis more likely.

0:36:120:36:17

We've open left ankle...

0:36:180:36:22

June is the fourth serious casualty from the scene.

0:36:220:36:25

Another six of her passengers were also injured. She is secured, heavily sedated and on morphine,

0:36:250:36:32

so ready to be transported to hospital.

0:36:320:36:35

10 miles away, at Leeds General Infirmary,

0:36:350:36:39

the rear passenger of the car is now minutes from treatment.

0:36:390:36:43

Managers have declared the accident a major incident. All available staff have been called to A&E.

0:36:450:36:52

As they start work, paramedic Darren can at last relax.

0:36:520:36:57

That's been the biggest one for a couple of months.

0:36:570:37:00

Unfortunately, I seem to be a magnet for this kind of thing. I've done quite a lot of it.

0:37:000:37:06

There are dozens of trauma specialist seeing to the patients.

0:37:060:37:10

Basics doctor is on scene, Ambulance Service, Fire Service, Police.

0:37:100:37:15

It's a massive thing and that's before you get into Emergency

0:37:150:37:20

and the patients are now treated by the doctors in here.

0:37:200:37:24

The teams that are in the department here are really keyed-up for trauma now.

0:37:240:37:29

Obviously, this tests out the systems they've got in place and it's working really well.

0:37:290:37:36

June is in and out of consciousness, but is in a stable condition.

0:37:380:37:42

The question is will Leeds be able to cope with another emergency patient?

0:37:420:37:47

Air desk from 98. Patient is loaded on the helicopter.

0:37:470:37:52

We've just received information that 99 has gone to LGI.

0:37:520:37:57

Are they able to accept another patient?

0:37:570:38:01

'They're happy to accept her. Over.'

0:38:010:38:04

The last critically-injured patient from the bus crash is about to take off for hospital.

0:38:040:38:10

An hour ago, June Place was stopping to pick up passengers in a community that is now in shock.

0:38:100:38:17

It's a long, fast road. The sign's there.

0:38:170:38:20

-Reduce speed.

-People don't bother about the speed they're going.

0:38:200:38:26

But at Leeds General Infirmary, there's a problem.

0:38:260:38:29

The helipad can't take two helicopters. Pilot Andy Lister must quickly take off

0:38:290:38:36

to make way for Helimed 98 with bus driver June on board.

0:38:360:38:41

All right, guys? Some multiple fractures...

0:38:410:38:44

Within a minute, she's on her way to A&E.

0:38:440:38:48

Tough job, that one. Two are critically injured.

0:38:480:38:52

This lady's stable at the moment,

0:38:520:38:55

but, yeah, it's been a tough job. Yeah.

0:38:550:38:58

Consultants are already planning the treatment for all three Helimed patients.

0:38:580:39:05

That night, the LGI's operating theatres are busy as a team of orthopaedic surgeons begins work.

0:39:050:39:12

Two weeks later and bus driver June is still in hospital.

0:39:130:39:17

-Hiya.

-Hello, love.

-Would you like a tea or coffee?

-Tea, one sugar, please.

0:39:190:39:24

June has undergone extensive surgery to rebuild her crushed leg

0:39:240:39:29

and has been told it will be months before she can walk again, let alone drive a bus.

0:39:290:39:34

-Lovely. Thank you very much, yeah.

-Enjoy.

0:39:340:39:38

I've been a bus driver for...

0:39:380:39:40

I think roughly about 16... 15 or 16 years.

0:39:400:39:45

It was the 149 service to Wakefield, which would have been my finishing trip.

0:39:450:39:51

All I remember is seeing a car and I think I probably said,

0:39:520:39:58

"What the...is happening?!"

0:39:580:40:01

And I don't remember anything about the crash, the impact or anything.

0:40:010:40:07

I heard them say, "We're going to get you out now, June."

0:40:070:40:11

And then wondering, "Out of where? Where am I?" I felt the fresh air on my face as they got me out,

0:40:110:40:18

which felt nice, you know. The next thing I remember is somebody...

0:40:180:40:25

asking me where I hurt. "Can we have your arm to put a line in?"

0:40:250:40:33

Just take that off for a second.

0:40:330:40:36

I knew I was being put on a helicopter. I didn't see it.

0:40:360:40:41

But I could hear the engine, the blades, I don't know, when we lifted off.

0:40:410:40:46

It didn't seem two minutes before we were coming down again.

0:40:460:40:50

It's common for victims of trauma to block out memories of a serious accident.

0:40:500:40:56

All they are left with are their injuries as a reminder.

0:40:560:41:00

The injuries I received... If we start from the top, I had the scapula, your shoulder blade,

0:41:000:41:06

and five broken ribs,

0:41:060:41:08

and then this arm, I think it was an open fracture to the radius and ulna,

0:41:080:41:15

which is the two bones there.

0:41:150:41:18

And then, on the right leg is an open fracture,

0:41:180:41:23

round about the ankle area.

0:41:230:41:25

And what this frame is doing is holding all the bone in line.

0:41:250:41:30

June considers herself lucky to be alive and believes she owes her life to the emergency services.

0:41:300:41:37

Without them, I wouldn't be here. That's without a doubt.

0:41:370:41:41

I think they...

0:41:420:41:44

They were professional in every aspect.

0:41:440:41:47

Although I couldn't see, I could hear.

0:41:470:41:51

I could hear what they were saying to me, reassuring me

0:41:510:41:55

and telling me everything. "Don't worry." And getting me on that helicopter into LGI

0:41:550:42:01

in no time. No time at all.

0:42:010:42:04

I don't think I'd have been here. That is without a doubt.

0:42:040:42:09

And I just can't thank them enough. Honestly.

0:42:090:42:13

I'm pleased to tell you June is continuing to make a good recovery

0:42:130:42:17

and she's hopeful that she'll soon be fit enough to get back behind the wheel.

0:42:170:42:24

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0:42:350:42:37

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