0:00:03 > 0:00:06When the people of rural Yorkshire dial 999,
0:00:06 > 0:00:09help can be a long time coming.
0:00:09 > 0:00:12The Yorkshire Dales are as beautiful as they are big,
0:00:12 > 0:00:16but if you're seriously injured in a landscape as gigantic as this,
0:00:16 > 0:00:19your life is on the line.
0:00:19 > 0:00:23But in the remotest parts of Britain's biggest county,
0:00:23 > 0:00:26they look to the skies for help.
0:00:26 > 0:00:28Look on your left, Mac, can you get in that grass field on the left?
0:00:28 > 0:00:30Yes, mate, go for that.
0:00:30 > 0:00:34From high drama in the Peaks, to high waters in the Dales,
0:00:34 > 0:00:38the Helimed team is at the heart of almost every rescue.
0:00:38 > 0:00:41Bringing 21st-century medicine
0:00:41 > 0:00:44to some of Britain's most isolated communities
0:00:44 > 0:00:47and saving lives against the odds.
0:00:54 > 0:00:57On Helicopter Heroes today...
0:00:57 > 0:01:01A bizarre rescue for the patient whose staircase could kill her...
0:01:01 > 0:01:03One of the strangest jobs I have ever been to,
0:01:03 > 0:01:05it was very, very strange.
0:01:05 > 0:01:09The team drops in to save a little girl badly hurt on the beach.
0:01:09 > 0:01:13She's landed on her front, she's got a frontal lobe contusion.
0:01:13 > 0:01:15She's cried throughout, mate.
0:01:15 > 0:01:17I turned away for one second and when I turned back round,
0:01:17 > 0:01:20she was going over the edge and she fell flat.
0:01:20 > 0:01:24And the four-legged friend who landed his master in hospital.
0:01:24 > 0:01:29The dog gets a bit excited and was pulling and pulled him off his feet.
0:01:38 > 0:01:41Yorkshire's paramedics have to be ready for anything,
0:01:41 > 0:01:43from a moorland farmer with a broken leg,
0:01:43 > 0:01:46to a complicated, life-threatening illness,
0:01:46 > 0:01:49but sometimes, a case comes along
0:01:49 > 0:01:53that stretches their skills to the limit.
0:01:57 > 0:02:02When the alarm goes, firefighters expect the unexpected.
0:02:02 > 0:02:07But today's emergency in the town of Goole is unique.
0:02:07 > 0:02:10They've been called out by an ambulance crew
0:02:10 > 0:02:13dealing with 78-year-old Joan Smith.
0:02:13 > 0:02:16She has a rare condition called a dying heart
0:02:16 > 0:02:20and if she's moved, it could kill her.
0:02:20 > 0:02:23Joan's trapped in a first-floor bedroom.
0:02:23 > 0:02:27The lady's obviously having trouble arresting
0:02:27 > 0:02:30if she goes out horizontal, so...
0:02:30 > 0:02:33..we're going to slide her onto the platform of the aerial ladder,
0:02:33 > 0:02:36drop it straight down, transfer her onto the gurney
0:02:36 > 0:02:38and then it's going straightaway back to the hospital.
0:02:40 > 0:02:42'Hello, Helimed 98, picking up shortly...'
0:02:42 > 0:02:47But the plan is risky, which is why Helimed 98 has been called in.
0:02:47 > 0:02:50It's carrying flying doctor Andy Pountney.
0:02:50 > 0:02:53He'll be on hand to resuscitate Joan
0:02:53 > 0:02:55if her heart stops during the operation.
0:02:55 > 0:03:00If somebody's flat, it can cause them to go off.
0:03:00 > 0:03:04They say they have to get them on the board and lift them, right round
0:03:04 > 0:03:09and they said they didn't think it was stable enough. They thought they were going to cause her to arrest.
0:03:09 > 0:03:14'Looking at the address, there's a school at the rear of this property,
0:03:14 > 0:03:17'that's what the clinical supervisor on scene
0:03:17 > 0:03:19'advised as an appropriate landing spot for you.'
0:03:19 > 0:03:25'The grid reference I gave you is the one you should be heading for.'
0:03:25 > 0:03:28'Look on your left, can you get in that grass field?'
0:03:28 > 0:03:32'Yes, mate, go for that. Yeah.'
0:03:32 > 0:03:34Their patient is dangerously ill
0:03:34 > 0:03:37with a heart rate of just 15 beats per minute.
0:03:37 > 0:03:41It should normally be between 60 and 100.
0:03:41 > 0:03:43OK, just relax.
0:03:43 > 0:03:46Joan's had a complete heart block.
0:03:46 > 0:03:49This is where nerve tissue around the heart's natural pacemaker
0:03:49 > 0:03:52is damaged, meaning it's unable to send electrical pulses
0:03:52 > 0:03:56to the main ventricles to keep the heart pumping.
0:03:56 > 0:03:59Unless the rest of the heart can be stimulated,
0:03:59 > 0:04:05Joan's brain and other vital organs could be starved of oxygen.
0:04:05 > 0:04:07This lady's heartbeat is far too slow,
0:04:07 > 0:04:09so we need to try and speed it up a bit.
0:04:09 > 0:04:14We've tried to do that by giving her drugs and that hasn't worked.
0:04:14 > 0:04:19What Andy is going to do is pace her,
0:04:19 > 0:04:23so he's going to electrically induce a faster heartbeat.
0:04:23 > 0:04:27Small pads on Joan's chest are sending electrical pulses
0:04:27 > 0:04:30to her heart to keep it beating.
0:04:30 > 0:04:32It's still dangerously weak,
0:04:32 > 0:04:35but they can't afford to wait any longer.
0:04:35 > 0:04:39The difficulty is, the staircase is too steep,
0:04:39 > 0:04:41two turns, too winding,
0:04:41 > 0:04:44so you can see, the fire service have got a platform up to this window,
0:04:44 > 0:04:48we've got on a long board, which will keep her nice and flat,
0:04:48 > 0:04:50her heart rate is really slow, so if we sit her up,
0:04:50 > 0:04:52basically we don't want to sit her up.
0:04:52 > 0:04:55We're not going to bother strapping her on, we'll put her on,
0:04:55 > 0:04:57the paramedics are ready, straight down to the front
0:04:57 > 0:05:01- and then we'll get her onto the stretcher.- That sounds fair enough.
0:05:01 > 0:05:03They're about to move Joan.
0:05:03 > 0:05:07If one end of the stretcher is a few inches higher than the other
0:05:07 > 0:05:10she could die. And there's another problem.
0:05:10 > 0:05:14They'll have to tilt her to reach the window.
0:05:14 > 0:05:16No-one knows what effect that may have.
0:05:18 > 0:05:21As you can see, we're pretty tight between these two doors.
0:05:21 > 0:05:24It's a rigid board so obviously there's no bending in it.
0:05:24 > 0:05:27Ready, prepare to lift - and lift.
0:05:28 > 0:05:31Potential problem we're going to have here is this door,
0:05:31 > 0:05:34we might have to tilt her a little bit to get her out.
0:05:34 > 0:05:37Dr Andy is carefully monitoring Joan's heart.
0:05:37 > 0:05:42If she goes into cardiac arrest here, resuscitating her will be
0:05:42 > 0:05:44almost impossible.
0:05:44 > 0:05:46All right.
0:05:46 > 0:05:50But Joan's heart is continuing to beat and she's out.
0:05:50 > 0:05:54Part of the town has been sealed off and her rescue has become
0:05:54 > 0:05:55a local attraction.
0:05:55 > 0:05:58- OK, can we stop at that?- Stop.
0:06:01 > 0:06:04But the Helimed team's attention is all on the patient.
0:06:04 > 0:06:06- Drop and then...- Yeah, we will.
0:06:06 > 0:06:07Yeah, there we go.
0:06:11 > 0:06:13Andy, you just take that.
0:06:13 > 0:06:17An electric shock every second is keeping Joan alive.
0:06:17 > 0:06:22But for paramedics Al and Matt, it's time to leave their patient.
0:06:22 > 0:06:23Their job is done.
0:06:23 > 0:06:25'One of the strangest jobs I've ever been to.
0:06:25 > 0:06:27'That was very, very strange.
0:06:27 > 0:06:29'We looked at flying her'
0:06:29 > 0:06:32but it's probably not really much quicker to fly her.
0:06:32 > 0:06:35By the time we've got her here to the aircraft, got her loaded,
0:06:35 > 0:06:39got an ambulance to meet us at the landing site at the other end,
0:06:39 > 0:06:44the advantage of the quarter of the time to fly will be a bit outweighed
0:06:44 > 0:06:47by the ambulances either end, when she's already in the ambulance.
0:06:47 > 0:06:49She's ready to go.
0:06:49 > 0:06:54What Joan needs now is a pacemaker surgically implanted in her chest.
0:06:54 > 0:06:57Surgeons at Hull Royal Infirmary can do it
0:06:57 > 0:07:00but first paramedics have to get her to hospital alive.
0:07:00 > 0:07:04For patient and rescuers alike, this will be a long journey.
0:07:06 > 0:07:112013 was the summer many families wondered why they'd paid to
0:07:11 > 0:07:12go abroad on holiday,
0:07:12 > 0:07:17when temperatures reached up to 30 degrees Celsius here in the Dales.
0:07:17 > 0:07:20But the outlook wasn't as bright for some trippers.
0:07:23 > 0:07:24If you're off the beaten track
0:07:24 > 0:07:28and in trouble, this is the emergency service you need.
0:07:28 > 0:07:34The UK has 48 mountain rescue teams, all independent charities
0:07:34 > 0:07:36and all volunteers.
0:07:37 > 0:07:41Last year they rescued more than 1,500 people
0:07:41 > 0:07:45but one in five wasn't in the wilds at all.
0:07:45 > 0:07:49And today, they've been called to a National Trust attraction.
0:07:49 > 0:07:51Brimham Rocks, just north of Harrogate,
0:07:51 > 0:07:53attracts thousands of visitors each year.
0:07:53 > 0:07:56They come to explore its bizarre rock formations
0:07:56 > 0:08:00but every summer, some go home by ambulance.
0:08:00 > 0:08:03The next thing is whether or not they're going to clear our bit of
0:08:03 > 0:08:05real estate for us where we normally land.
0:08:05 > 0:08:08- Nice day for it though. - What, for falling off rocks?
0:08:08 > 0:08:11Yes, always a good day for falling off rocks, mate.
0:08:11 > 0:08:12You think bikers are stupid -
0:08:12 > 0:08:16hanging by your fingernails onto a sheer rock face, that's stupid.
0:08:17 > 0:08:2224-year-old Sam Slater was at the rocks on a day out when he fell.
0:08:22 > 0:08:25Now it's feared he has a serious back injury.
0:08:25 > 0:08:30He's 20 feet off the ground and reaching him will be difficult.
0:08:30 > 0:08:32You're up to your left, guys. In you go.
0:08:32 > 0:08:34Right then, how are you doing?
0:08:34 > 0:08:38Right, first of all, unfortunately, your picnic's going to have to move.
0:08:38 > 0:08:43- How are you doing down there?- Comfy. - Had better days?- Yeah.- OK.
0:08:45 > 0:08:48Sam's dad and brother saw what happened.
0:08:48 > 0:08:51We were just climbing about eight foot up and he's just tried to
0:08:51 > 0:08:54put his foot in a ledge, what a five-year-old's just gone through,
0:08:54 > 0:08:57and he's just fell, I'd say seven or eight feet
0:08:57 > 0:09:00and landed straight on bone at top of his back,
0:09:00 > 0:09:03just above his backside.
0:09:03 > 0:09:04- It's my back.- Yeah.
0:09:04 > 0:09:07- Don't shake your head, keep your head nice and still for me. - All right.
0:09:07 > 0:09:11I was trying to catch him, but because he was above me
0:09:11 > 0:09:15'but he didn't fall to me, he fell away and I couldn't get to him.
0:09:15 > 0:09:18'Having said that, if I'd fell, I'd have done a lot more damage as well.
0:09:18 > 0:09:20'It's a nightmare.'
0:09:20 > 0:09:23Sam has a very severe lower back pain.
0:09:25 > 0:09:28It feels like I've got pins and needles in my legs.
0:09:28 > 0:09:31Brimham's rocks were all shaped by wind and rain.
0:09:31 > 0:09:34Formations like the Dancing Bear, the Eagle
0:09:34 > 0:09:36and the Gorilla are fun to explore
0:09:36 > 0:09:41but now they're a major obstacle in the battle to get Sam to hospital.
0:09:41 > 0:09:44Right then, we'll give you a bit of morphine now, then.
0:09:47 > 0:09:51'He's landed in a really awkward spot of the rocks, very narrow,'
0:09:51 > 0:09:55then there's another drop about ten or 15 feet, so we've got to be
0:09:55 > 0:09:59'careful that we don't fall as well in the gullies between the rocks.
0:09:59 > 0:10:02'It's quite tricky and he's quite badly injured.'
0:10:03 > 0:10:07- Does it hurt round here, Sam?- Yeah. - Does it? Round that?- Yeah.
0:10:07 > 0:10:11Sam's in so much pain, his legs cannot be straightened
0:10:11 > 0:10:14and they can't move him. He's going to need stronger pain relief.
0:10:14 > 0:10:17What we're concerned about, he might have broke his pelvis
0:10:17 > 0:10:21'and possibly damaged his lower spine as well.'
0:10:21 > 0:10:25He's landed flat on his backside, been unconscious for about ten seconds,
0:10:25 > 0:10:29but he's complaining of severe pelvic pain and lumbar spine pain.
0:10:29 > 0:10:36He's had ten milligrams of morphine, so I was just wondering whether or not
0:10:36 > 0:10:40to think about giving him some ketamine, just to get him shifted.
0:10:40 > 0:10:45You've managed to land on a particularly small, slanting,
0:10:45 > 0:10:47uneven piece of rock, which is raised.
0:10:50 > 0:10:53You couldn't have made it much more difficult.
0:10:53 > 0:10:56Mountain rescue aren't often needed around here.
0:10:56 > 0:10:58Brimham's only a few miles from Harrogate
0:10:58 > 0:11:03and the Leeds commuter belt. But their skills will be vital today.
0:11:03 > 0:11:06He's fallen probably about ten feet from the rocks,
0:11:06 > 0:11:10from one terrace down to another, landed on his bottom.
0:11:10 > 0:11:13Obviously there's pain around his pelvis and lower back,
0:11:13 > 0:11:16because he's just telescoped down onto his spine
0:11:16 > 0:11:19which is quite a significant mechanism of injury.
0:11:19 > 0:11:23Shall we roll him towards you a little bit?
0:11:23 > 0:11:26Get that end in and slide him up it, yeah? Everybody happy with that?
0:11:26 > 0:11:28One, two, three.
0:11:30 > 0:11:32The spinal board is a vital bit of kit.
0:11:34 > 0:11:40If Sam has a serious back injury, he must be kept still and straight.
0:11:40 > 0:11:44Once on the board, the next job is to get him out of here.
0:11:44 > 0:11:47That's not really designed, if we tilt it, he will just come off it.
0:11:49 > 0:11:54- Manoeuvring. Yeah.- The whole thing. - Yeah.
0:11:54 > 0:11:56- Lie still, Sam.- Lie still, Sam.
0:11:57 > 0:12:01Sam's securely fastened to the spinal board.
0:12:01 > 0:12:04His pelvis also needs to be put in a brace
0:12:04 > 0:12:06to prevent any further injury.
0:12:06 > 0:12:10We were called in because the casualty had fallen
0:12:10 > 0:12:12obviously on that rock back there,
0:12:12 > 0:12:15'landed on a high point about ten foot off the ground,
0:12:15 > 0:12:21'so we just had to assist him off the rocks, really, so, yeah,
0:12:21 > 0:12:27'we manhandled him onto the stretcher and lowered him down the rocks
0:12:27 > 0:12:32'with quite a few manpower and quite easily down to the helicopter.'
0:12:32 > 0:12:34All right, guys, we need to lift him up to about chest height
0:12:34 > 0:12:40and we're going to feed him in feet first and then down to the back of the aircraft.
0:12:40 > 0:12:41- How are we doing, Sam?- All right.
0:12:41 > 0:12:43The pain, now, how bad is the pain now, Sam?
0:12:43 > 0:12:46It's probably about five at the minute.
0:12:46 > 0:12:49I'll give you some more painkiller, OK?
0:12:49 > 0:12:53OK? Everything's good. All right, we'll get you off to hospital now.
0:12:53 > 0:12:56We'll have a slow journey down, we'll come and see you.
0:12:56 > 0:12:57For the Helimed pilots,
0:12:57 > 0:13:00taking off from the rocks is fairly routine.
0:13:00 > 0:13:04In high summer, the choppers have been here twice in a week,
0:13:04 > 0:13:08but Sam's case is more serious than most.
0:13:08 > 0:13:11To get off the rocks, we've had to get him onto a scoop,
0:13:11 > 0:13:15a pelvic board and immobilise him because of the mechanism
0:13:15 > 0:13:19and then put a pelvic binder on, because we think he might have damaged his pelvis
0:13:19 > 0:13:22and then we want to take him down to LGI, just because that's the trauma centre
0:13:22 > 0:13:25and he's possibly done some fairly significant injuries.
0:13:27 > 0:13:31Doctors at Leeds General Infirmary have been alerted
0:13:31 > 0:13:34and specialists are waiting to X-ray his spine.
0:13:34 > 0:13:37His fall could have lifelong effects.
0:13:37 > 0:13:42This is Sam, 24 years old, two hours ago fell off Brimham Rocks.
0:13:42 > 0:13:44He's landed on his backside.
0:13:44 > 0:13:48And the results are just as serious as paramedic Graham feared.
0:13:48 > 0:13:51Sam has broken his lower back.
0:13:51 > 0:13:54But thanks to his treatment on the rocks and gentle
0:13:54 > 0:14:01removal by mountain rescue, he has a good chance of a complete recovery.
0:14:01 > 0:14:04I challenged myself a little bit too much, I think,
0:14:04 > 0:14:07shuffling round some rocks and I just lost my footing.
0:14:07 > 0:14:11A month later and back at his home in Rotherham, Sam has made
0:14:11 > 0:14:15remarkable progress. He's already back on his feet.
0:14:15 > 0:14:19'I had fractured the T12 bone, which is at the bottom of my spine'
0:14:19 > 0:14:21and just a clean break, straight through,
0:14:21 > 0:14:23straight through the middle of my bone.
0:14:23 > 0:14:27Sam's back may never totally heal and he's been warned as he gets
0:14:27 > 0:14:30older he may have a weakness in his spine.
0:14:30 > 0:14:33For the next few months he's going to have to wear this body brace
0:14:33 > 0:14:36and undergo weeks of physio.
0:14:36 > 0:14:39'My dad reckons I'm going daft as I'm getting older.'
0:14:39 > 0:14:41It's been nearly every year
0:14:41 > 0:14:46since I was five years old and never had a grazed knee or anything.
0:14:46 > 0:14:50At 24 years old, I've fallen and ended up breaking bones.
0:14:50 > 0:14:53So I must be getting daft as I'm getting older,
0:14:53 > 0:14:55losing my common sense.
0:14:59 > 0:15:02The Yorkshire coast is a summer playground for thousands.
0:15:02 > 0:15:06From the crowded beaches of Scarborough to the ancient streets
0:15:06 > 0:15:11of Whitby, visitors come by the coach load to cool off by the sea.
0:15:11 > 0:15:15And today, the crew of Helimed 98 is off to the coast too.
0:15:15 > 0:15:18The usual yellow chopper is in for repair
0:15:18 > 0:15:20so paramedics Lee Davison and Paul Kilner
0:15:20 > 0:15:22are using a hired-in helicopter.
0:15:25 > 0:15:26What are we looking for exactly?
0:15:26 > 0:15:28Are we looking beach or a park or anywhere?
0:15:30 > 0:15:32We don't really know what we're looking for exactly, do we?
0:15:32 > 0:15:34- RADIO:- Just go over to sea
0:15:34 > 0:15:36and I'm sure you'll see on the beach,
0:15:36 > 0:15:40with the site that they've prepared for you.
0:15:40 > 0:15:42In the busy seaside town of Filey,
0:15:42 > 0:15:46a young girl has fallen 15 feet off a promenade wall.
0:15:47 > 0:15:52Lovely day here in Yorkshire. The place will be absolutely packed.
0:15:52 > 0:15:54It comes into play about safety,
0:15:54 > 0:15:57about obviously trying to put the helicopter down on the beach,
0:15:57 > 0:16:00which is probably going to be very, very busy.
0:16:00 > 0:16:02And the whole safety aspect that goes with that,
0:16:02 > 0:16:05compared to if the crew maybe have the patient
0:16:05 > 0:16:06on the back of the ambulance,
0:16:06 > 0:16:08moving them to a more secure site,
0:16:08 > 0:16:10where we can land and it's not so busy, you know?
0:16:13 > 0:16:15Ah, yeah, they've got it marked out there.
0:16:15 > 0:16:17Can you see the four guys in blue?
0:16:17 > 0:16:18- I can, yeah.- Yeah, yeah.
0:16:20 > 0:16:23Pilot Andy Hall is landing on the beach.
0:16:23 > 0:16:26It's been cleared by lifeguards.
0:16:26 > 0:16:30The Helimed pilots only land on beaches as a last resort.
0:16:30 > 0:16:33Sand and saltwater can damage engines
0:16:33 > 0:16:35and if there's a breakdown,
0:16:35 > 0:16:38an incoming tide can swamp the aircraft.
0:16:38 > 0:16:40GIRL CRIES
0:16:40 > 0:16:43She's landed on her front. She's got a frontal lobe contusion.
0:16:43 > 0:16:45She's cried throughout, mate.
0:16:45 > 0:16:47- Slit her head, frontal lobe.- Right.
0:16:47 > 0:16:48From there to there.
0:16:48 > 0:16:50Kayleigh is very distressed.
0:16:50 > 0:16:54She was walking along the promenade above with her grandmother and dad
0:16:54 > 0:16:56when the accident happened.
0:16:56 > 0:17:00She was leaning over the banister and she got told to move away twice.
0:17:00 > 0:17:03And then I turned away for one second
0:17:03 > 0:17:04and I turned back round,
0:17:04 > 0:17:06she was going over the edge and she fell flat.
0:17:06 > 0:17:09She was looking through where our other relatives was.
0:17:09 > 0:17:13And she just fell through and that was her down onto the sand.
0:17:13 > 0:17:16The Filey lifeguards were first on scene
0:17:16 > 0:17:18and knew that a fall from that height
0:17:18 > 0:17:22could mean Kayleigh could have serious head and neck injuries.
0:17:24 > 0:17:28Just made sure that she didn't move her neck or her head.
0:17:28 > 0:17:31So just keep her straight and then try and reassure her cos,
0:17:31 > 0:17:33bless her, she was quite upset.
0:17:34 > 0:17:37And then called an ambulance and got oxygen on her
0:17:37 > 0:17:40and just tried to calm her down a bit, I guess.
0:17:40 > 0:17:45Despite the risks, pilot Andy has shut down Helimed 98's engines
0:17:45 > 0:17:48so they can reassure Kayleigh as they load her aboard.
0:17:48 > 0:17:51OK, guys, all right. Yeah, do you want to ease her up
0:17:51 > 0:17:52and we'll go to t' aircraft?
0:17:52 > 0:17:54We're going in down this side, where t' door's open. OK?
0:17:56 > 0:17:58The family's only been in Filey for two days
0:17:58 > 0:18:03and no-one expected their holiday to end like this.
0:18:06 > 0:18:08- You all right, pal, yeah? - OK, yeah, just nice and steady.
0:18:08 > 0:18:10You're going to go in here. OK?
0:18:10 > 0:18:14- She's steady as long as she doesn't catch something.- There we go! Hello!
0:18:14 > 0:18:16Kayleigh is comfortable and surprisingly calm.
0:18:16 > 0:18:18Her grandmother, Anne,
0:18:18 > 0:18:21will also make the short flight to hospital in Hull.
0:18:21 > 0:18:24We've stuck her dummy in, which has stopped her screaming.
0:18:24 > 0:18:27The land crew initially were worried about giving her it
0:18:27 > 0:18:29cos she was drifting off to sleep a little bit.
0:18:29 > 0:18:33But if she's a lot calmer, it's a lot easier for everybody to manage.
0:18:33 > 0:18:35Pilot Andy's preparing to take off
0:18:35 > 0:18:38from what's a very busy landing pad.
0:18:38 > 0:18:40The tide's going out.
0:18:40 > 0:18:44Lifeguards and the coastguard are keeping the public away.
0:18:44 > 0:18:46When we depart, I'll have to rethink it
0:18:46 > 0:18:48and maybe get some people cleared away but, yes,
0:18:48 > 0:18:50it's very safe for flying here.
0:18:50 > 0:18:52Lee's keeping a close eye on his little patient
0:18:52 > 0:18:54for any signs of a head injury.
0:18:54 > 0:18:56Her sleepiness is worrying.
0:18:56 > 0:18:59She's asleep at the moment, yeah. Just keep an eye on her...
0:18:59 > 0:19:01Her oxygen content and everything
0:19:01 > 0:19:04and make sure that her pulse rate's OK and what have you.
0:19:04 > 0:19:05So she's nice and calm now,
0:19:05 > 0:19:08it's easier to manage when she's like that, you know,
0:19:08 > 0:19:10and stops her getting so distressed about everything, as well.
0:19:12 > 0:19:15Helimed 98 is taking Kayleigh to the nearest trauma unit
0:19:15 > 0:19:18at Hull Royal Infirmary, 30 miles away.
0:19:21 > 0:19:23Go the same way, love. Yeah, give me your little hand out.
0:19:23 > 0:19:26Just to make sure you're all right. There's a step there.
0:19:26 > 0:19:28KAYLEIGH STARTS CRYING It's quite steep. Just take your time.
0:19:28 > 0:19:31- Aww!- Gran's here. Here we are.
0:19:32 > 0:19:34There we are, love.
0:19:34 > 0:19:38- Nowt like a good old dummy. - Yeah. Works a treat!
0:19:38 > 0:19:41- OK, everybody happy?- Yeah... - OK, there we go.
0:19:43 > 0:19:46They've initially, on scene,
0:19:46 > 0:19:50not been able to manage to get any type of immobilisation on her neck
0:19:50 > 0:19:51because of her being so distressed.
0:19:51 > 0:19:53So they've left it off.
0:19:53 > 0:19:56She's had a sleep, haven't we, in t' helicopter
0:19:56 > 0:19:58and we've just took dummy out as we were landing
0:19:58 > 0:19:59and she woke up again.
0:20:01 > 0:20:05In the next hour, Kayleigh will undergo X-rays and scans
0:20:05 > 0:20:06on her neck and head.
0:20:06 > 0:20:10A 15-foot fall is serious for an adult,
0:20:10 > 0:20:12life-threatening for a toddler.
0:20:12 > 0:20:13There we are!
0:20:17 > 0:20:19The Yorkshire Dales were created
0:20:19 > 0:20:23by rivers draining the rain-lashed hills of the Pennines.
0:20:23 > 0:20:27Now, these waters help put the National Park on the angling map,
0:20:27 > 0:20:31attracting fishermen in pursuit of trout and even salmon.
0:20:31 > 0:20:36But when one needs help, finding them is far from straightforward.
0:20:36 > 0:20:39That little village is Dishforth. This is Dishforth Airfield.
0:20:39 > 0:20:42The River Swale is 70 miles long
0:20:42 > 0:20:45and somewhere on its banks is an angler in trouble.
0:20:45 > 0:20:48Finding him is a huge task for local paramedics,
0:20:48 > 0:20:51not for their colleagues with a bird's-eye view.
0:20:51 > 0:20:55- Hello, there.- Tell me what you've been up to.- Oh...
0:20:55 > 0:20:58- I think I've broken me ankle.- Right.
0:20:58 > 0:21:00- I just...- What's occurred?
0:21:00 > 0:21:02Well, I was scrambling down the bank,
0:21:02 > 0:21:06- just to have a little fish in this area...- Yeah.
0:21:06 > 0:21:10..and me right leg slipped and me left leg,
0:21:10 > 0:21:11- just, I went over on it.- OK.
0:21:11 > 0:21:13- Just try and get your boot off, then...- OK.
0:21:13 > 0:21:14and we'll get you some pain relief.
0:21:14 > 0:21:16How long have you been down here, then?
0:21:16 > 0:21:18I got here about four o'clock this morning.
0:21:18 > 0:21:20The River Swale is reputedly
0:21:20 > 0:21:23one of the fastest-flowing rivers in England
0:21:23 > 0:21:26and with large shoals of fish, like barbel,
0:21:26 > 0:21:29it's very popular with fishermen like Philip.
0:21:29 > 0:21:32Except today, he nearly ended up in the water himself.
0:21:32 > 0:21:34This was a likely-looking area
0:21:34 > 0:21:37so I just thought I'd drop down here and have a couple of casts.
0:21:37 > 0:21:39And I just slipped on the banking
0:21:39 > 0:21:42and me left foot went from under me
0:21:42 > 0:21:43and just bent round.
0:21:43 > 0:21:46There was a horrible crack and here we are.
0:21:46 > 0:21:49Philip's nearly eight fields from the nearest road.
0:21:49 > 0:21:52His injury is painful but not serious,
0:21:52 > 0:21:54so paramedic Darrel plans to fly him
0:21:54 > 0:21:56to the waiting land ambulance.
0:21:56 > 0:21:58This chap,
0:21:58 > 0:22:01he's been fishing since about four o'clock this morning
0:22:01 > 0:22:02but he's got two lines going
0:22:02 > 0:22:05so he's been sort of walking between both.
0:22:05 > 0:22:08And what's happened is he's been going down this banking, here,
0:22:08 > 0:22:10and he's gone over on his left ankle,
0:22:10 > 0:22:13heard a crack and then he's not been able to move it
0:22:13 > 0:22:15and he's got sudden pain.
0:22:15 > 0:22:18So we suspect he's got a fractured ankle.
0:22:18 > 0:22:21So what I want to do is I'm going to support your foot
0:22:21 > 0:22:24and Andy'll just bob the splint underneath.
0:22:24 > 0:22:27- I tell you what, I'll support that. - Yeah, go on.- Yeah.
0:22:27 > 0:22:29Oh, you're doing... That's fine, yeah.
0:22:29 > 0:22:33This is not the usual method of getting a patient to the chopper
0:22:33 > 0:22:35but Philip's keen to do it himself.
0:22:38 > 0:22:40You all right? Good man.
0:22:42 > 0:22:44- Philip!- Philip, who much gear have you got?
0:22:44 > 0:22:46You know you've got your fishing rod there?
0:22:46 > 0:22:49Fishing rod there. Well, just about 100 yards upstream...
0:22:49 > 0:22:51- Past that bush?- ..there's another rod and a bag.
0:22:51 > 0:22:54Fishing rods can cost hundreds of pounds,
0:22:54 > 0:22:56and Philip has two.
0:22:56 > 0:22:59It's no wonder he doesn't want them to get away.
0:22:59 > 0:23:00Take your boot over there.
0:23:00 > 0:23:02Come back for that. That's it.
0:23:06 > 0:23:09INDISTINCT SPEECH
0:23:11 > 0:23:13Philip's ankle is broken.
0:23:13 > 0:23:17But after a few months' rest, he'll be back on the river bank.
0:23:18 > 0:23:22On the banks of a much bigger waterway, the Humber estuary,
0:23:22 > 0:23:26doctors at Hull Royal Infirmary have successfully completed
0:23:26 > 0:23:29a rather more complex medical procedure.
0:23:29 > 0:23:3224 hours after she was brought in by ambulance,
0:23:32 > 0:23:34fighting for her life,
0:23:34 > 0:23:37Joan Smith has had a pacemaker fitted to her heart.
0:23:37 > 0:23:41It means that within a week, she's fit to return home.
0:23:41 > 0:23:43When I realised, when I came home,
0:23:43 > 0:23:46what had happened and from the pictures that people have taken,
0:23:46 > 0:23:47I was amazed!
0:23:47 > 0:23:50It's the first time I've ever been in the paper!
0:23:51 > 0:23:53Me husband's got the brunt of it
0:23:53 > 0:23:57because he's been stopped in the street everywhere he goes.
0:23:57 > 0:23:58Embarrassed at first,
0:23:58 > 0:24:01that I'd been the cause of so much commotion!
0:24:03 > 0:24:04But I was glad to see them,
0:24:04 > 0:24:06cos I didn't know a thing about it
0:24:06 > 0:24:08and I realise how good they were
0:24:08 > 0:24:12and how everybody's helped and what a good team everybody made of it.
0:24:14 > 0:24:16Thanks to Joan's large windows,
0:24:16 > 0:24:20the Fire Brigade was able to lift her and her stretcher
0:24:20 > 0:24:23straight out of a bedroom and onto a platform.
0:24:23 > 0:24:26Otherwise, they'd have had to take out the panes.
0:24:26 > 0:24:29Since I've been home, I've been all right.
0:24:29 > 0:24:31They've told me to take it steady
0:24:31 > 0:24:32and I have done.
0:24:32 > 0:24:35And I've been just mooching around at home,
0:24:35 > 0:24:38trying to do a few things, and gradually it's all coming back.
0:24:38 > 0:24:40And I'm beginning to get around more, now.
0:24:40 > 0:24:43I haven't been out yet, but I'm all right at home.
0:24:48 > 0:24:50On the sun-drenched coast of Yorkshire,
0:24:50 > 0:24:54another of the Helimed team's patients is also out of hospital
0:24:54 > 0:24:56and desperate to continue her recovery
0:24:56 > 0:24:59by building as many sand castles as possible.
0:25:01 > 0:25:04Despite plunging 15 feet from the prom at Filey,
0:25:04 > 0:25:08two-year-old Kayleigh had no serious injuries
0:25:08 > 0:25:12and her gran was able to take her back to their holiday caravan
0:25:12 > 0:25:13the following day.
0:25:13 > 0:25:16All I could see at the time was the graze on her head,
0:25:16 > 0:25:20but with the coastguards putting her on the spinal board,
0:25:20 > 0:25:22I really thought that there was something up with her back.
0:25:22 > 0:25:24'They done a cat scan on her
0:25:24 > 0:25:27'and the scan came back all clear.
0:25:27 > 0:25:28'Just the graze on the head
0:25:28 > 0:25:30'but because she'd fell from such a height,
0:25:30 > 0:25:32'they wanted to observe her overnight
0:25:32 > 0:25:34'and they kept her in the hospital.'
0:25:34 > 0:25:36You want a cone, Kayleigh, or an ice lolly?
0:25:36 > 0:25:39Doctors say Kayleigh was very lucky to survive the fall.
0:25:39 > 0:25:42If she hadn't landed on soft sand,
0:25:42 > 0:25:45this story may not have had such a happy ending.
0:25:45 > 0:25:49While in hospital, she nearly fell out of the bed three times.
0:25:49 > 0:25:51Kayleigh just being Kayleigh and climbing.
0:25:51 > 0:25:52Kayleigh's just back to normal
0:25:52 > 0:25:55and being the normal Kayleigh that she is
0:25:55 > 0:25:56and I'm glad that's the way she is.
0:25:56 > 0:26:00I've never experienced anything like it before.
0:26:00 > 0:26:03And I hope I never have to go through that again.
0:26:03 > 0:26:06By the time Kayleigh returns home to Scotland,
0:26:06 > 0:26:09the bump on her head has all but disappeared.
0:26:09 > 0:26:11But she won't be the last casualty
0:26:11 > 0:26:13on Yorkshire's holiday coast this summer.
0:26:20 > 0:26:24The Helimed choppers are packed with modern safety devices,
0:26:24 > 0:26:29from computerised engine management systems to impact-absorbing seats.
0:26:29 > 0:26:34But there's one simple life-saver that's as old as aviation itself.
0:26:34 > 0:26:36Paramedics Al Day and Dave Appleby will be
0:26:36 > 0:26:40strapped in for the whole flight and today they'll be discovering
0:26:40 > 0:26:44the consequences of failing to buckle up.
0:26:44 > 0:26:49We've got reports that we have someone trapped with serious injuries
0:26:49 > 0:26:52and that's all we've got at this moment in time.
0:26:52 > 0:26:55If he's still trapped when we get there, we can obviously get him
0:26:55 > 0:26:58to where he needs to be, which is more than likely going to be
0:26:58 > 0:27:00a major trauma centre.
0:27:00 > 0:27:03Five people are hurt after a head-on collision
0:27:03 > 0:27:06but one is much more seriously injured than the others.
0:27:06 > 0:27:09Helimed 98, just got an update from the scene.
0:27:09 > 0:27:13At the moment we're looking like query fractured ribs,
0:27:13 > 0:27:19fracture to the left arm, right side abdo pain, a head injury
0:27:19 > 0:27:24and as yet they've not got access to check the lower half of the patient. Over.
0:27:26 > 0:27:27That's a roger, received.
0:27:27 > 0:27:31There seems to be a load of traffic all
0:27:31 > 0:27:35stopped in a gap in between some trees, can you see it?
0:27:35 > 0:27:37- It's right on the nose.- Oh, yeah, visual, yeah.
0:27:37 > 0:27:40HS98, overhead scene to land.
0:27:40 > 0:27:44The accident's blocked the road near the village of South Kirkby.
0:27:44 > 0:27:47Driver Nick Sykes had just stopped at a shop nearby.
0:27:47 > 0:27:49He'd forgotten to belt up again.
0:27:51 > 0:27:53We've got a 41-year-old gentleman who's basically
0:27:53 > 0:27:55been travelling about 35 to 40mph.
0:27:55 > 0:27:57He's not been wearing his seat belt.
0:27:57 > 0:28:00There's blood on the opposite side of the car,
0:28:00 > 0:28:02so he's come right across the car.
0:28:02 > 0:28:03Windscreen's bull's-eyed.
0:28:03 > 0:28:06A little bit diminished air entry just at the tops there,
0:28:06 > 0:28:08believe he's got a fractured rib just with a mark
0:28:08 > 0:28:11- and crepitus around the fourth or fifth space.- Right, OK, yeah.
0:28:13 > 0:28:1630 years ago these injuries would have been routine in a road
0:28:16 > 0:28:18accident. Now, they're rare.
0:28:18 > 0:28:21His legs are all right, hopefully his pelvis might be OK.
0:28:21 > 0:28:23He's been like a washing machine, really.
0:28:23 > 0:28:25He's literally just rattled around in the car.
0:28:25 > 0:28:27- Have they got him on board yet? - Yeah.
0:28:27 > 0:28:29He's on a board, just this gentleman just there.
0:28:29 > 0:28:32Paramedic Dave used to be a copper
0:28:32 > 0:28:35and has given out tickets for failing to wear a seat belt.
0:28:35 > 0:28:37He's about to find out why.
0:28:37 > 0:28:40Are you all right, Nick? Can you hear me?
0:28:40 > 0:28:42My name's Dave, I'm one of the paramedics on the air ambulance,
0:28:42 > 0:28:43all right?
0:28:43 > 0:28:47Because you've had a good throw about there, mate, you've got some
0:28:47 > 0:28:50injuries. We're going to take you in the air ambulance, all right?
0:28:50 > 0:28:51We'll get you on the helicopter
0:28:51 > 0:28:54and get you warm and get you sorted, all right?
0:28:54 > 0:28:58Nick weighs nearly 20 stones.
0:28:58 > 0:29:02Paramedics are concerned that his size could be masking other,
0:29:02 > 0:29:03more serious problems.
0:29:03 > 0:29:08He's got a variety of potentially serious injuries.
0:29:08 > 0:29:12Because he's got lots of them, we are a bit concerned.
0:29:12 > 0:29:16- Is it this area here you were talking about?- Yeah.- Yeah. OK.
0:29:16 > 0:29:19He's got a chest injury, which can have problems with your breathing.
0:29:19 > 0:29:21He's got a possible pelvic injury.
0:29:21 > 0:29:24If your pelvis is fractured, you can lose your entire blood volume
0:29:24 > 0:29:27into your pelvic space and that can kill you.
0:29:27 > 0:29:31- One, two, three. - 'He's got a head injury.
0:29:31 > 0:29:34'Now he seems to be fairly with it, but any deterioration in the level
0:29:34 > 0:29:37'of consciousness with a head injury after an accident is very serious,
0:29:37 > 0:29:42'so any one of those three things potentially could be a fatal injury.'
0:29:42 > 0:29:43- We're going that way.- Yeah.
0:29:43 > 0:29:46He needs looking at, sooner rather than later.
0:29:46 > 0:29:50He's been thrown about in the car because he's not had a seat belt on.
0:29:50 > 0:29:52- Just slide out of the way. - Just slide out of the way.
0:29:52 > 0:29:54Just slide out of the way.
0:29:55 > 0:29:59- Nick, relax this arm.- We'll leave you with paramedics, Nick.
0:29:59 > 0:30:02Right, thanks very much, lads, all right. Much appreciated.
0:30:02 > 0:30:05Nick's daughter Kirsty has arrived to comfort her dad.
0:30:05 > 0:30:08There's never a good day to have an accident
0:30:08 > 0:30:13- but this certainly wasn't it. - Just ask Nick how old he is.- 41.- 41.
0:30:13 > 0:30:15Today, it's his birthday.
0:30:15 > 0:30:18His birthday. Have you been out for a special birthday meal as well?
0:30:18 > 0:30:20- Not yet!- He was going to. - Is that where you're going?
0:30:20 > 0:30:22- That's what we were going to do. - Oh, dear.
0:30:24 > 0:30:28For firefighters this has been an unusual emergency.
0:30:28 > 0:30:31Most accident victims are now pinned in their seats,
0:30:31 > 0:30:34not trapped in the foot well, like Nick.
0:30:34 > 0:30:35The plan now is just to make the scene safe.
0:30:35 > 0:30:38He's been handed over to paramedics.
0:30:38 > 0:30:40I'm sure they'll take good care of him medically
0:30:40 > 0:30:42so our job is done, really.
0:30:44 > 0:30:48HS98, listed en route to Northern General.
0:30:48 > 0:30:51Nick's being flown to hospital in Sheffield, where he'll face
0:30:51 > 0:30:56a long series of operations followed by an even longer recovery.
0:30:56 > 0:31:00For the Helimed team it's been a revealing insight into
0:31:00 > 0:31:03road accidents as they once were.
0:31:03 > 0:31:0730 years ago, hardly anybody wore seat belts.
0:31:07 > 0:31:10It was seen as a bit of an unnecessary thing, you know,
0:31:10 > 0:31:12but now it's very, very unusual.
0:31:12 > 0:31:15I mean, you know, in this case the chap wasn't wearing a seat belt
0:31:15 > 0:31:17but the vast majority,
0:31:17 > 0:31:20it's really unusual to go to an accident now where people aren't,
0:31:20 > 0:31:25and it clearly has saved thousands and thousands of lives.
0:31:25 > 0:31:28The car stops suddenly and you carry on.
0:31:28 > 0:31:31Your body's fluid, so the fluids move around and that's exactly
0:31:31 > 0:31:35what happens and of course if you do get a massive injury of that kind,
0:31:35 > 0:31:39there's very little the likes of us or anybody can do about it.
0:31:43 > 0:31:46Cycling across Yorkshire's dales and moors
0:31:46 > 0:31:48isn't for the faint-hearted.
0:31:48 > 0:31:51Inclines that strain every muscle
0:31:51 > 0:31:55and go on forever are just around the next bend.
0:31:55 > 0:31:59But heading downhill can be even more painful.
0:31:59 > 0:32:02Helimed 98 is heading up into the Dales.
0:32:02 > 0:32:06Keen cyclist Darrel Cullen is about to meet another
0:32:06 > 0:32:07rider in need of help.
0:32:08 > 0:32:10Hi, morning.
0:32:10 > 0:32:13Betty Higgins is on holiday from Australia.
0:32:14 > 0:32:16- She's had a fall off her bike.- OK.
0:32:16 > 0:32:21- She's got what looks like a dislocated elbow.- Elbow.
0:32:21 > 0:32:23- Just about to give her some pain relief.- All right.
0:32:23 > 0:32:25It's a bit painful, but she can't move it at all.
0:32:25 > 0:32:27- She's wiggled her fingers.- OK.
0:32:27 > 0:32:29She and her husband were cycling
0:32:29 > 0:32:33high in the hills near Settle when she came off.
0:32:33 > 0:32:35Betty and I are doing the Way of the Roses
0:32:35 > 0:32:40and we left Settle earlier on this morning and accomplished all
0:32:40 > 0:32:43the big hills and so forth, but coming up this slight incline here,
0:32:43 > 0:32:47she changed down and the chain slipped and jammed and of course,
0:32:47 > 0:32:51being very heavy touring bikes with pannier bags, it went over and she's
0:32:51 > 0:32:55landed on her elbow and it appears that she's dislocated her elbow.
0:32:55 > 0:33:00We're away from home for about 11 weeks and this is the first week.
0:33:00 > 0:33:02Can I just take a little look at that?
0:33:02 > 0:33:06- Can I just er...- Woo! - My apologies, lovey.
0:33:07 > 0:33:09Pop that up there, then, Tanya.
0:33:10 > 0:33:13What we'll try and do, Betty,
0:33:13 > 0:33:16if we can, is once we've got you more settled, we'll try
0:33:16 > 0:33:20and stand you up and walk you down to the helicopter. Yeah?
0:33:20 > 0:33:22People have been stopping left, right and centre
0:33:22 > 0:33:25and the helicopter's just turned up, it's a great response,
0:33:25 > 0:33:28all within half an hour of the incident occurring.
0:33:28 > 0:33:32And we're out here in the middle of the fields, which is amazing.
0:33:32 > 0:33:34The coast to coast ride is going to have to wait.
0:33:34 > 0:33:37Betty's on her way to hospital.
0:33:37 > 0:33:39OK, ready, steady and up we go.
0:33:41 > 0:33:43- That's better.- Better?- Yeah.
0:33:43 > 0:33:46- OK, so far, so good.- Yeah.
0:33:46 > 0:33:50- I hope there's a hole in that fence somewhere.- There is, there's a gate.
0:33:50 > 0:33:51Oh, phew!
0:33:53 > 0:33:56We were just planning on having a casual ride through the Dales
0:33:56 > 0:34:00and we were enjoying it immensely, it was fantastic weather,
0:34:00 > 0:34:03fantastic day, but an unfortunate accident.
0:34:03 > 0:34:06The plan is to airlift her down to Airedale Hospital
0:34:06 > 0:34:09where we'll be met by a land crew who'll then take her into A&E
0:34:09 > 0:34:13for the relevant X-rays and treatment she needs.
0:34:13 > 0:34:18Betty's detour to hospital spells the end of her cycling holiday
0:34:18 > 0:34:20ten weeks early.
0:34:20 > 0:34:24These are souvenir snaps they never expected to have.
0:34:24 > 0:34:26Betty's elbow requires surgery
0:34:26 > 0:34:29and leaves her unable to ride a bike for weeks.
0:34:29 > 0:34:33She and her husband enjoy the rest of their holiday in the UK
0:34:33 > 0:34:35on four wheels.
0:34:35 > 0:34:40But Betty is not the last cyclist to come to grief this weekend.
0:34:40 > 0:34:42Just been crashed out to a detail.
0:34:42 > 0:34:44Sounds like the second cyclist of the day,
0:34:44 > 0:34:47just near Osmotherley in North Yorkshire.
0:34:47 > 0:34:51A cyclist sounds like they've got bilateral wrist fractures,
0:34:51 > 0:34:52so it sounds quite serious.
0:34:52 > 0:34:56So we're just getting there as quick as we can, hopefully just
0:34:56 > 0:34:58over the hill and into James Cook again with this patient.
0:34:58 > 0:35:02A cyclist who's suffered two broken wrists suggests
0:35:02 > 0:35:03they came off at high speed.
0:35:03 > 0:35:07Somebody down here just to the right. Ambo on scene.
0:35:07 > 0:35:09Down below, yes.
0:35:09 > 0:35:11Where did she go down?
0:35:11 > 0:35:13She came off on that curve there.
0:35:13 > 0:35:18I think she came down the hill just a bit too fast and then finish there.
0:35:18 > 0:35:20It's terrible, isn't it, this gravel?
0:35:20 > 0:35:24We were having a very nice bike ride to Hornby and back,
0:35:24 > 0:35:27training to do a charity bike ride next weekend
0:35:27 > 0:35:31and daughter and boyfriend said they'd come out
0:35:31 > 0:35:32and we've had a lovely ride.
0:35:32 > 0:35:37Unfortunately just on the way back, a little bit too fast down the hill
0:35:37 > 0:35:39and of course, the gravel,
0:35:39 > 0:35:42and I think she just pressed the front brake rather too fast
0:35:42 > 0:35:44and went flying over the handlebars.
0:35:49 > 0:35:5325-year-old teacher Hannah Hughes works in London,
0:35:53 > 0:35:56but she's staying at the family home in North Yorkshire.
0:35:59 > 0:36:03Roger, thanks for that. We are just moving to the aircraft now.
0:36:03 > 0:36:06Now, she needs extensive plastic surgery.
0:36:06 > 0:36:08You're fine, don't worry, you're doing really well.
0:36:08 > 0:36:11We're just going to pop you on our helicopter
0:36:11 > 0:36:13and then in five minutes we'll be in hospital.
0:36:13 > 0:36:15- Oh, no!- We'll get everything fixed.
0:36:15 > 0:36:20Unfortunately, you won't be able to see anything except the ceiling.
0:36:21 > 0:36:23All those beautiful views, eh?
0:36:23 > 0:36:26Oh, they are really good, I've seen them!
0:36:26 > 0:36:30As well as her facial injuries, Hannah has broken both wrists.
0:36:30 > 0:36:32She's in considerable pain.
0:36:32 > 0:36:36But the family are trying to keep her cheerful.
0:36:36 > 0:36:38Just relax that arm down, OK?
0:36:41 > 0:36:44Hannah may also need dental treatment
0:36:44 > 0:36:47as a result of her impact with the road.
0:36:48 > 0:36:52She is being flown to the James Cook University Hospital in Middlesbrough,
0:36:52 > 0:36:57which has a maxillofacial unit which specialises in injuries like hers.
0:36:57 > 0:37:01Its doctors have already been alerted to Helimed 98's arrival
0:37:01 > 0:37:03by paramedics Lee and Darren.
0:37:08 > 0:37:11Hannah will have to undergo months of surgery
0:37:11 > 0:37:14to rebuild her broken wrists and damaged face.
0:37:14 > 0:37:18But here at James Cook, she is in the very best hands.
0:37:18 > 0:37:20A little bit bumpy as we go down, Hannah, OK?
0:37:21 > 0:37:25Although she was wearing a helmet, it didn't give her much protection,
0:37:25 > 0:37:28it collapsed backwards into her face and she's landed
0:37:28 > 0:37:31and taken the brunt of it across her nose and mouth.
0:37:31 > 0:37:37It's made quite a nasty mess of her upper jaw and pushed her teeth back.
0:37:37 > 0:37:41Here at James Cook, they've got some of the best maxfax people
0:37:41 > 0:37:43and they'll get on top of that straightaway
0:37:43 > 0:37:45and hopefully she'll get her smile back.
0:37:48 > 0:37:51Spring has turned to summer before Hannah can return
0:37:51 > 0:37:54to the family home on the edge of the North York Moors.
0:37:54 > 0:37:58And she still has a long convalescence ahead.
0:37:58 > 0:38:01Some of her injuries were so severe,
0:38:01 > 0:38:05surgeons had to use titanium plates to repair them.
0:38:05 > 0:38:08It's going to be a long summer holiday for Hannah, who is missing
0:38:08 > 0:38:13her London school, despite get well messages from colleagues and pupils.
0:38:13 > 0:38:17With my arms, my left hand,
0:38:17 > 0:38:19I can move it a bit,
0:38:19 > 0:38:25but it's just a fracture and not too bad. But the right arm is just...
0:38:25 > 0:38:28they said it was like cornflakes.
0:38:28 > 0:38:31Even now, Hannah's treatment isn't over.
0:38:31 > 0:38:35She still has to return to James Cook Hospital for yet more surgery.
0:38:37 > 0:38:41In two weeks' time, they are going to see the arm again
0:38:41 > 0:38:44and put some more pots on it.
0:38:44 > 0:38:48Then hopefully I should be a bit better by then.
0:38:48 > 0:38:52And then maybe a couple of more weeks,
0:38:52 > 0:38:56I might be able to go back into school and probably not teach,
0:38:56 > 0:39:00but I'd like to be able to see the kids and just...
0:39:00 > 0:39:02Yeah.
0:39:04 > 0:39:06Hannah is not the only Helimed patient
0:39:06 > 0:39:08taking the long road to recovery.
0:39:08 > 0:39:12Months after the head-on crash that almost killed him,
0:39:12 > 0:39:16Nick Sykes is still living with the effects of his accident.
0:39:16 > 0:39:20He's paid a high price for forgetting to put on his seat belt.
0:39:21 > 0:39:26Top to bottom, I got a broken nose, 11 broken ribs,
0:39:26 > 0:39:29seven this side, four this side, I got told.
0:39:29 > 0:39:34I snapped my humerus, the scar starts somewhere down here.
0:39:34 > 0:39:37And ends up here. All the way down.
0:39:38 > 0:39:40Ready? Lift!
0:39:40 > 0:39:41Nick had just popped into the shops
0:39:41 > 0:39:43when he forgot to put his seat belt back on.
0:39:43 > 0:39:46Less than a minute later, he crashed.
0:39:46 > 0:39:48It scared me.
0:39:48 > 0:39:51After a certain point and I could think about myself
0:39:51 > 0:39:52and what was wrong with me, it scared me,
0:39:52 > 0:39:55because at that point I started hurting.
0:39:55 > 0:39:59And then when you're in a hospital, in a high-dependency unit,
0:39:59 > 0:40:02you can't do anything for yourself. That's when you start to think...
0:40:02 > 0:40:05well, like a silly thing like wearing seat belts,
0:40:05 > 0:40:09would I be here in this position, as bad as this if I'd have done that?
0:40:09 > 0:40:12But, yeah, I was lost for a little bit.
0:40:12 > 0:40:17It was just being plucked from a car and I found myself in hospital.
0:40:17 > 0:40:20You know, it was just a total shock.
0:40:25 > 0:40:27These hills were made to share.
0:40:27 > 0:40:31And man's best friend is welcome here as long as he's on a lead.
0:40:31 > 0:40:35But occasionally, the Helimed team comes across a patient
0:40:35 > 0:40:38who's been let down by his four-legged friend.
0:40:41 > 0:40:45With more than 1,000 miles of footpaths, the Yorkshire Dales
0:40:45 > 0:40:49is a popular destination for ramblers and their dogs.
0:40:49 > 0:40:53But taking the family pet out into the great outdoors can be
0:40:53 > 0:40:58a painful experience, as paramedic Darrel Cullen is about to find out.
0:40:58 > 0:41:02- What's your name?- Al.- Al. Are you normally fit and well?
0:41:02 > 0:41:06This family day out has ground to a halt
0:41:06 > 0:41:08and Jenkin is in the doghouse.
0:41:08 > 0:41:13We were walking down this slope and my dog suddenly pulled me.
0:41:13 > 0:41:18And I stumbled and just fell heavily on my leg and heard it snap.
0:41:18 > 0:41:23Alan and the family were enjoying a hike near the Ribblehead viaduct
0:41:23 > 0:41:25in Yorkshire's Three Peaks,
0:41:25 > 0:41:29when Jenkin bought their day out to a painful end.
0:41:29 > 0:41:32Point your toes straight up back towards me.
0:41:35 > 0:41:39We were coming back, having done our walk, going to the car
0:41:39 > 0:41:43and unfortunately the dog gets a bit excited and was pulling
0:41:43 > 0:41:46and pulled him off his feet. And we both heard a crack.
0:41:46 > 0:41:48And that was it.
0:41:48 > 0:41:50The leg went.
0:41:50 > 0:41:55- Is it about five, the pain, out of 10?- About six.- Five or six, OK.
0:41:55 > 0:41:57Just let me know if that gets better then.
0:41:57 > 0:42:00I'm going to give you five milligrams
0:42:00 > 0:42:02and then we'll give you some more if needs be.
0:42:05 > 0:42:09Jenkin's walking partner is starting his journey to hospital.
0:42:09 > 0:42:13His four-legged friend is yet to find out the consequences.
0:42:13 > 0:42:15There were no walkies for several months.
0:42:17 > 0:42:19You've got to look at the patient's injuries
0:42:19 > 0:42:22and decide which hospital best suits those injuries.
0:42:22 > 0:42:26But you've also got to bear in mind where the patients live as well.
0:42:26 > 0:42:30It's probably equidistant between Airedale Hospital
0:42:30 > 0:42:32and over at Lancaster.
0:42:32 > 0:42:35But the patient lives in Yorkshire, so it's better for them
0:42:35 > 0:42:37to go in the right direction for home.
0:42:39 > 0:42:42If it were not for the Yorkshire Air Ambulance, it would
0:42:42 > 0:42:46have been very difficult for land crews to reach Alan.
0:42:46 > 0:42:48So, while his injury is not life threatening,
0:42:48 > 0:42:53Helimed 98 was his best chance of a speedy rescue.
0:42:54 > 0:42:59Doctors set Alan's broken bone and sent him home in plaster.
0:42:59 > 0:43:03Jenkin's pleased to see him, though the feeling may not be mutual...
0:43:03 > 0:43:05for a while.
0:43:07 > 0:43:11And you'll be pleased to hear that Alan is now back on his feet,
0:43:11 > 0:43:14and Jenkin, well, he's no longer in the doghouse.
0:43:27 > 0:43:30Subtitles by Red Bee Media Ltd