Episode 10 Helicopter Heroes


Episode 10

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When the people of rural Yorkshire dial 999,

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help can be a long time coming.

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The Yorkshire Dales are as beautiful as they are big,

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but if you're seriously injured in a landscape as gigantic as this,

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your life is on the line.

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But in the remotest parts of Britain's biggest county,

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-they look to the skies for help.

-Look on your left.

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Can you get in that grass field on your left? Go for that.

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From high drama in the Peaks to high waters in the Dales,

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the Helimed team's at the heart of almost every rescue,

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bringing 21st-century medicine to some of Britain's

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most isolated communities, and saving lives against the odds.

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Today on Helicopter Heroes,

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the team flies in to help with a first aider who became a life-saver.

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Eric? Eric? Eric!

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If I hadn't known what to do, Eric wouldn't be here today.

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Thank you isn't enough.

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There's a race against the tide

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to save a little girl hurt at the seaside.

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It's going to be under water in about 15, 20 minutes.

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-We're going to get you sorted, OK?

-And the biker who broke 43 bones.

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I heard the bang and he come flying over the top.

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He's had quite a significant impact into this car which has turned

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right, and he's been ejected and landed in this place.

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It takes years of training to qualify as a paramedic, but a few

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hours in a classroom can be enough to teach you how to save a life.

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And every day, the Helimed team meets ordinary members of the public

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who've put first-aid lessons into action.

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It takes just two minutes

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for the Helimed team to be ready for take off.

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Engage, three greens. It's a normal 950 on the fuel.

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But if you are alone and in cardiac arrest,

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it's probably already too late to save you.

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We've got a crew request

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in a power station in Doncaster, South Yorkshire,

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for a male who's in cardiac arrest.

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Could be that the patient's been electrocuted

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or a myocardial heart problem.

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Thanks to a colleague trained to use CPR,

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the team's patient still has a chance.

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-RADIO:

-"Just an update from scene. Patient has had a return of ROSC."

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Good lad, well done. Well done.

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It's great news. ROSC means "return of spontaneous circulation".

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Fewer than 5% of people given CPR survive,

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and this patient's just become one of them.

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Can you just confirm if the patient's packaged on a scoop?

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But the team knows he's also likely to arrest again

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if he doesn't receive prompt hospital treatment.

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-Eric?

-Eric?

-Eric!

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55-year-old demolition worker Eric Wells is lucky to be alive.

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If it weren't for his colleague Sean Hewitt, he would have died.

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Well, he were sat over there.

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Kept going hot, cold, hot, cold, laid on the floor.

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And then he got back up. I said, are you all right?

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Not much response.

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Then he come into the cabin, and then he started to rub his chest.

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And that's where he collapsed in the chair.

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And obviously we laid him down. Dean rung for the ambulance,

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and I started to proceed with CPR.

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Because he was really, really struggling for breathing.

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He was cold, and everything else. So I just started CPR straightaway.

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Just relax. We've got your colleagues here. It's the ambulance service.

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We're going to need to keep him as flat as we can, all right?

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So we're going to go straight out onto the ambulance.

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Eric is partially conscious, and his heart rate is very weak.

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All right, guys. Ready, steady, lift!

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Eric, just relax your head back.

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Sean has been trained in first aid by the St John Ambulance,

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and this is not the first time he has saved someone's life.

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The second time I had to use it was in a car accident when a woman

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got completely smashed by a tree,

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straight through the side of the car.

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Only the second time that I've had to use it, but it's come in handy.

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As long as he's all right, that's all we're bothered about. So.

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I'd do it for anyone.

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How's that? Is that better for your head?

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Cheers, boys, thanks very much. Appreciated.

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Helimed 98 is ready to leave, but Eric's not out of the woods yet.

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He appears confused.

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Victims of heart attacks can suffer brain damage

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-as a result of lack of oxygen.

-Just relax, relax.

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The team wants to get him to the Northern General Hospital

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-in Sheffield as quickly as possible.

-Eric! Eric, keep still.

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We don't want him kicking his foot about.

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I'm just go to try and slip him through. That's it. Eric.

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We are the ambulance service. Just keep still, please.

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We're trying to help you out. You had a heart attack.

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-Are you all right in the back?

-Eric is very agitated.

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It's a common symptom of patients whose brains have been

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starved of oxygen, and it's not a good sign.

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At 1,000 feet, restraining him is all the paramedics can do.

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He's pulled his line out, so watch yourselves on the blood. Keep still.

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Keep still.

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All right, guys?

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He became very combative, trying to wiggle his legs out,

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his arms were punching.

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We literally had to lay on top of him just to hold him down

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and keep everything safe.

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Just get him up there and see what happens.

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A cardiac arrest can cause irreparable damage to the heart.

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In the next ten minutes, the doctors will X-ray Eric and begin surgery

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to open out the blocked blood vessels that caused his attack.

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His long-term outlook will take longer to emerge.

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When the sun shines, North Yorkshire is a perfect holiday hotspot.

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Shielded from the worst of the weather by the Pennines,

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parts of the county are actually as dry as North Africa.

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But locals will tell you you can also experience

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four seasons in one day here, and today is one of those days.

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-It doesn't help with this rain.

-Not at all.

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Helimed 99 is fighting the weather to reach a badly injured biker

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high on the North York Moors.

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-I think we're getting hailed on.

-It's not nice, is it?

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The crew knows high ground and low cloud

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are a deadly combination for pilots.

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Is it up on the hill? We just don't know really, do we?

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There's no-one on scene that can give us a grid reference.

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That's not great, is it? There is somebody there, is there?

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-Is that somebody?

-Is that somebody at two o'clock?

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And are they gesticulating?

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Yes, they are. There we go. We've found it.

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-Hi, guys.

-All right?

-Yes, I am. How you? Peter, pleased to meet you.

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I see you are using the bikes as a bit of protection.

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That's exactly what we need. Tell me, what's been happening to you?

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I came down here and went into a ditch

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-and went over the handlebars, and the handlebar went into my groin.

-OK.

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I think it might be a pelvis trapped or something like that.

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It might be bruising, but I'm a bit out of... A bit bruised.

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-A bit bruised and sore.

-And then they took me to the bike,

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and I passed out for about ten seconds, apparently.

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Pete Hitchcock's up here from London.

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He had been out riding with his son when he lost control of his bike.

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It's pretty blowy.

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He just drifted to the side, you can see the puddle there.

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He's just gone round it a bit,

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gone onto the grass, the wind's blown him

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and he's gone into that ditch and over the handlebars there.

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When you stood up, could you put weight on that same leg?

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Not really, not on the right leg.

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The weather is getting worse, and Sammy has to adapt her treatment.

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Given the condition of the weather,

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I don't really want to strip you off.

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I just need to see if you have bleeding anywhere.

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-Have you felt anything running?

-Pete pulled himself out of the ditch.

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-Actually in your groin area?

-It wasn't like this earlier.

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It was lovely and sunny. Then he crashes, and the weather rolls in.

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Sammy's flying suit is meant to be waterproof,

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but nothing can withstand rain like this.

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Whoo. Right, then.

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And then what we'll do is we'll put you on a board

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and we'll carry you to the aircraft and have a proper look at you.

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But I don't want to be stripping you off where you are, all right?

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Whereabouts do you live, Pete?

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-London. Harrow.

-Oh! Welcome to the beautiful Yorkshire.

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-I'm sure it's July next week.

-Pardon?

-I'm sure it's July next week.

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And all we're getting is a hailstone gun, is that right?

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It was sunny when I set off.

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Oh, bless you.

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There aren't enough people to carry Pete to the helicopter.

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But then, out of the gloom, help is on its way.

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We're going to lay him down onto this board. Ready, steady, roll.

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Ow! That hurt.

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Let us help you straighten that leg. Can you lay flat on your back?

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-Or have you got back protectors on?

-No, pull me round here.

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Ready, steady...

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If you go to the side of the aircraft, to the left.

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That's got to be a bit better, bud. Out of the wind.

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Couldn't do anything out there, could we?

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It turns out Pete has a fractured pelvis.

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His is a minor break,

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and thanks to prompt treatment from the Helimed team,

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he'll be able to head back to his home in London ten days later.

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It was a beautiful day when I left the airport at Leeds Bradford,

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but by the time we arrived up on the track,

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it was Yorkshire at her finest.

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It was horizontal hailstones followed by lashings

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and lashings of rain. The patient was soaking wet and so was I.

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I'm pleased to report that despite a fractured pelvis,

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he's made a great recovery.

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I hope he finds it in his heart to come and visit Yorkshire again.

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The North York Moors National Park covers 550 square miles.

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Its rolling hills stretch from the Vale of York

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all the way to the coast.

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But the part of the park that keeps the Helimed team most busy

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is Dalby Forest.

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8,000 acres of woodland concealing one of the UK's most popular

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mountain bike tracks.

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Today, another young rider has come off.

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We go there that frequently, there's already a mark on the map.

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What, Dalby Forest? Funny old thing, mate.

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Pilot Chris Attrill needs to find the clearing in the forest

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to bring Helimed 98 down.

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He's been here so many times before,

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Chris already knows the best place to land.

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-I'm assuming it is the hollow, isn't it?

-That's what we were told.

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The accident was witnessed by several other riders.

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Good Samaritans, eh? Is he on his own, or with his parents or anything?

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Tom was attempting a tricky section of woodland track when he came off.

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It's feared he has a neck injury.

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You all right there, Tom? How are you doing down there?

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You're getting cold?

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We'll get you off the ground pretty quick, all right?

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Off-duty staff from York Hospital's A&E unit

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were enjoying the track themselves.

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They've been making sure Tom's injury is protected.

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-You've not hurt yourself anywhere else, have you?

-No.

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Is it all right if I have a little feel? What were you doing?

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-I was on the track there and I fell off.

-You fell off?

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Were you not paying attention?

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Tom's family weren't surprised by this accident.

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-He's always coming off his bike.

-He's done it loads of times.

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I trusted him to do it on his own,

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-but unfortunately he's fell off this time.

-Right, Tom.

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What I need you to do is just lie there.

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On my call. Everybody all ready?

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Ready, steady, move.

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Look at the mud there.

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With suspected injuries involving the neck, all patients must wear a

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surgical collar, and some, like Tom, will be strapped to a spinal board.

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He was complaining of a bit of tenderness of his C-spine, so I just

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made sure he didn't move his head at all and things like that.

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I thought it was probably best to call an ambulance.

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Making sure Tom is properly strapped in and perfectly still

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will ensure if there is any serious injury to the neck,

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it won't be made any worse.

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Ready, steady.

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The Helimed team's used to carrying injured mountain bikers

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out of these woods, but Tom's younger than most.

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They don't often come this size, do they?

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Helimed 98's going to fly him direct to the A&E unit

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at Scarborough Hospital where his neck and back will be X-rayed.

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He's come off that track there with his helmet on, and it doesn't

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sound like he's knocked himself out, but he's saying his neck hurts.

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So, a nice little flight to hospital for him,

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and then hopefully get on with the rest of his holiday.

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His dad Dave will make the short flight with Tom.

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Staff at Scarborough Hospital will be only too familiar

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with Tom's case.

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They've had to treat up to three riders a day with injuries

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suffered in the woods.

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How you doing?

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Like most of the casualties, Tom turns out only to have

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minor injuries, and is sent home the following day.

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But paramedics know if you're called down to the woods today,

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you shouldn't be surprised if you're called back tomorrow.

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Helimed 98. We're on to the crew at the moment.

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They've just arrived with the patient. They're asking

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have you identified the location of their vehicle yet. Over.

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No, that is a negative.

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Down in the trees is a horse rider

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who's come off after hitting a branch.

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There's the ambulance there. We've got it. Two o'clock.

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Where are they from there, then?

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They've just said about half a mile in some woods.

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You got woods all round, haven't you?

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Roger. Me and me mate will both come down there.

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We've got reports that someone's fallen off a horse, and we're just

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going to go down now and see if we can give them any assistance,

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because at the very least, it's going to be quite a long walk

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for them, so the more people that can help carry the patient, the better.

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I've never been in this wood before.

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We do some training with Mountain Rescue sometimes

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in the next one over, St Ives area.

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It's fairly similar. It's this kind of woodland, with lots of footpaths

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running through it, obviously.

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So, a fairly high amount of traffic for leisure activities.

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Horse riding, mountain biking, walking, that sort of thing.

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Undulating, this, for carrying someone.

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Hiya.

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The injured rider, Jane Houghton from Keighley,

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has been knocked off her horse,

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and land crews think she's injured her pelvis and her spine.

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Yeah, we just had a little canter up the hill,

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and we were laughing because we'd enjoyed it,

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and my horse decided to walk underneath the tree branch,

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and I was looking at my friend, and didn't see the tree branch,

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and it kind of knocked my head right back.

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I've just got a horse that has a tendency to go towards trees.

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Jane was wearing all the right protective gear, but she fell hard.

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There's no way she can walk out of here.

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Looking at the terrain, we could do with at least another couple

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of bodies so that we've got at least six of us carrying the patient.

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It's going to be quite difficult and tiring.

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We were just coming through the woods.

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We'd had a bit of a canter coming up the bottom there which was

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fine, and we'd just come back to walk, and we were walking up,

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but there are some quite dangerous overhanging branches here

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that could really do with being chopped off.

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And unfortunately, the horse avoided some of the divots, and ended up...

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The horse could get under the branch, but unfortunately

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the rider couldn't, and the rider was taken straight off.

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She's not in too much distress, over.

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So crew will be carrying, over.

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It's getting colder here in the woods.

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They're going to wrap their patient up

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as they wait for reinforcements to arrive.

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The thing is, you never fall off when you're doing the dangerous things.

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So when we were flying up the hill, you never fall off.

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It's just when you're stood still.

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The team's call for help has been answered

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by two volunteers from St John Ambulance.

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Right, one, two, three.

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Everybody all right?

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Carrying Jane out of the woods is going to be tricky

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and physically demanding, especially on this terrain.

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A bit awkward here, all right? Do you want to go on that side?

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Jane's on her way by road to Scarborough Hospital for scans

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and X-rays.

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It's feared she has a fractured pelvis,

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and that's a very serious injury.

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She'll be out of the saddle for some time.

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It's five weeks since demolition man Eric Wells was admitted to

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hospital after a heart attack that would have killed him

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had it not been for workmate Sean Hewitt,

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who gave him life-saving CPR.

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Despite needing five shocks from a defibrillator,

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Eric's heart is recovering, and he hopes he'll soon be allowed home.

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I don't remember anything on the day.

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It almost surprised me how it happened,

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and I don't know what time I had the heart attack or anything.

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It's just a blank.

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-Eric?

-Eric?

-Eric!

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They put me into a coma for about ten days.

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They tried bringing me round once, and me heart couldn't take it,

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so they put me under again.

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And I can't remember anything apart from the last four days

0:19:020:19:05

when they brought me

0:19:050:19:08

out of the coma to make sure I was fit to bring me up to here.

0:19:080:19:11

We're just trying to help you out.

0:19:120:19:14

It was soon after Eric came out of the coma that he was told

0:19:140:19:17

he owes his life to a workmate he hardly knew.

0:19:170:19:20

Obviously, I'm pleased he saved me life.

0:19:220:19:24

And I'm still trying to put a face to Sean.

0:19:260:19:30

If he hadn't have saved me life,

0:19:300:19:32

I wouldn't have met me grandson for the first time last week.

0:19:320:19:36

Because he was born while I was in the coma.

0:19:370:19:40

So that's a chance in a million.

0:19:420:19:44

At Helimed headquarters,

0:19:470:19:49

there's no doubt that there'd be more people like Eric surviving

0:19:490:19:52

their heart attacks if there were more people like Sean to save them.

0:19:520:19:57

There's no question that the gentleman that performed CPR

0:19:570:20:01

saved his life that day.

0:20:010:20:03

Just learning the basic techniques of how to recognise

0:20:040:20:07

somebody in cardiac arrest and how to start chest compressions,

0:20:070:20:12

it's invaluable, and it's something that everybody should do.

0:20:120:20:15

Without that gentleman that day, the patient would have died.

0:20:150:20:20

It's now four months since the day Eric almost died.

0:20:220:20:27

He's being looked after by family in Billingham on Teesside, and

0:20:270:20:30

he's about to be reunited with the man who saved his life, Sean Hewitt.

0:20:300:20:36

It's going to be interesting. I don't know how I'm going to react.

0:20:380:20:41

It'll be...

0:20:430:20:45

It's exciting to see him.

0:20:450:20:47

And thank him for saving my life.

0:20:470:20:50

Sean is driving up from South Yorkshire.

0:20:520:20:54

He's been trained by his employers in giving CPR.

0:20:540:20:58

He never expected to have to put it into practice so soon.

0:20:580:21:02

The last time I saw him,

0:21:040:21:05

we lifted him onto the trolley and I just looked at him,

0:21:050:21:09

and I thought, Eric, I hope you make it, because I've done my best.

0:21:090:21:13

And that's the last time I saw him,

0:21:130:21:16

and then he got took into the helicopter and took to hospital.

0:21:160:21:19

And that's the last I've saw of him or heard of him until today.

0:21:190:21:23

-How are you doing?

-Feeling better.

0:21:260:21:29

Are you all right, mate?

0:21:320:21:33

I appreciate what you did. HE SNIFFS

0:21:330:21:35

We wouldn't have been doing this four months ago!

0:21:380:21:41

I was going to give you a snog, but you had a big beard,

0:21:410:21:43

and I thought, no.

0:21:430:21:45

Eric has no recollection of what happened that day.

0:21:470:21:51

I found you in Abel's office slumped in a chair at the back

0:21:510:21:55

of the office.

0:21:550:21:57

I lifted you out of that chair, I laid you on the floor,

0:21:570:22:02

and I proceeded with CPR for at least 12 to 15 minutes.

0:22:020:22:06

I kept shouting your name and everything,

0:22:060:22:08

and there was no response.

0:22:080:22:10

And I'm sorry if I broke a rib or two, I don't know. I didn't mean to.

0:22:100:22:17

After about 15 minutes, three ambulances came.

0:22:170:22:21

From what I heard, I died nine times.

0:22:210:22:25

Thank you isn't enough. I don't know what I can do.

0:22:280:22:31

I'd have done it for you, Eric. I'd have done it for anybody.

0:22:310:22:34

-Thank you for saving me life.

-You're welcome.

0:22:340:22:37

I'd have done it for you or anyone.

0:22:380:22:40

Are you all right?

0:22:420:22:44

To hear you first-hand makes things clearer in my mind

0:22:440:22:49

about what happened.

0:22:490:22:51

And that helps me on the road to recovery even more.

0:22:510:22:54

Yorkshire's coastline's been shaped by the waves over hundreds

0:22:590:23:03

of millions of years, and life here still revolves around time and tide.

0:23:030:23:09

There's no shortage of reminders about the force of the sea here.

0:23:090:23:13

But every summer, thousands come to enjoy the quaint fishing

0:23:130:23:16

villages and secluded beaches north of Whitby.

0:23:160:23:20

Sadly, one day trip has ended in a nasty accident.

0:23:200:23:25

Helimed 98, visual traffic lining up.

0:23:290:23:32

I'm going to go direct to this location.

0:23:320:23:36

Initial reports are that we've got an 11-year-old child who's

0:23:360:23:39

fallen from the sea wall. A fall from any height can be significant.

0:23:390:23:42

I suggest that a wall at a coastal resort could be quite high,

0:23:420:23:46

so the chance of serious injury is quite high.

0:23:460:23:49

Is there a problem with tides? Do we know any of that information? Over.

0:23:490:23:53

Trying to speak to the crew now, but airway reception's very poor.

0:23:560:24:00

Paramedics Paul Kilner and Dave Appleby are heading

0:24:000:24:03

for Runswick Bay, a former fishing village, now full of holiday homes.

0:24:030:24:09

The village is built into the cliffs, and the only place

0:24:090:24:12

to land is the beach, but it looks like the tide is coming in fast.

0:24:120:24:17

Why don't I put it on the beach? He's cleared the beach now.

0:24:170:24:20

It may be easier if you just jump out and we ascertain where we are.

0:24:200:24:24

Pilot Andy Lister's a former naval officer.

0:24:240:24:27

He knows landing on the beach is a risky business.

0:24:270:24:31

Soft sand, incoming waves

0:24:310:24:33

and members of the public are all hazards he must keep an eye on.

0:24:330:24:38

I'd like to stay running until we know exactly what we're doing.

0:24:380:24:41

Andy will keep the engines running just in case.

0:24:410:24:44

If Helimed 98 developed a technical fault here,

0:24:440:24:47

£3 million worth of helicopter would be at the mercy of the waves.

0:24:470:24:52

The chopper is only a few feet from the sea,

0:24:520:24:55

and the water's getting closer.

0:24:550:24:57

He's going to be under water in about 15 or 20 minutes.

0:24:570:25:00

-The tide will be up to him.

-That's why he's kept it running.

0:25:010:25:04

Not knocked out. Complaining of pain in head and neck. Lacerations.

0:25:040:25:09

-Central or side?

-Central.

0:25:090:25:12

-Has she got any altered neurology?

-No.

0:25:120:25:16

Are you overly concerned with it?

0:25:160:25:18

We're concerned because she's 11 and she's in a lot of pain.

0:25:180:25:21

11-year-old Olivia Muncaster was on holiday

0:25:210:25:25

when she fell from the sea wall.

0:25:250:25:28

Hello. How you doing? You all right?

0:25:280:25:31

I don't know, you've got all these people staring at you,

0:25:310:25:34

asking you all these questions.

0:25:340:25:36

We are looking after you now. You'll be all right.

0:25:360:25:39

Ground crews called in the Helimed team.

0:25:390:25:41

The road out of the bay is steep with sharp bends,

0:25:410:25:44

and then there's a 20-mile drive to the nearest A&E.

0:25:440:25:47

It's going to get noisy, so I'll have a listen to her chest.

0:25:490:25:51

I'll go back and have a word with Andy.

0:25:510:25:53

Then I'll just stand at the aircraft.

0:25:530:25:56

We think the tide will be coming in in the next 15, 20 minutes.

0:25:560:25:59

Pilot Andy is anxious to be off.

0:26:010:26:03

Thankfully, the sea is calm,

0:26:030:26:05

but the tide's almost lapping around the skids.

0:26:050:26:08

Can you get some of the guys to help move this equipment,

0:26:080:26:10

because when he takes off, it will blow.

0:26:100:26:13

Are you hurting anywhere while you're laying there? In your back?

0:26:130:26:16

The back of my head.

0:26:180:26:20

At last, Olivia's ready to be loaded into the chopper.

0:26:200:26:24

-Let's just try and get this lass on.

-I'll not go any further than that.

0:26:280:26:32

Loading a patient with rotors running is something the team

0:26:350:26:38

tries to avoid. It's noisy and can be frightening for younger patients.

0:26:380:26:43

For pilot Andy, this is a moment of relief.

0:26:450:26:49

Olivia's being flown to the James Cook Trauma Unit in Middlesbrough.

0:26:490:26:53

-Just coming left a wee bit.

-You're good this side.

0:26:530:26:57

Olivia's mum, Helen, is coming with her.

0:26:570:27:00

Nobody expected a holiday by the sea to end like this.

0:27:000:27:05

Approaching for permission to land.

0:27:050:27:08

Paramedic Paul knows there's every chance his patient has escaped with

0:27:080:27:13

little more than minor injuries, but a broken neck is hard to diagnose.

0:27:130:27:18

Only X-rays will reveal the truth.

0:27:180:27:21

This is a day neither Olivia nor her mum will forget,

0:27:220:27:26

-and neither will pilot Andy.

-It was very problematic.

0:27:260:27:29

Although Runswick Bay was very picturesque,

0:27:290:27:32

selecting a suitable landing site was very difficult indeed.

0:27:320:27:35

We are always concerned that

0:27:350:27:37

if we land on the beach with the tide coming in,

0:27:370:27:39

we may not start the engines again,

0:27:390:27:41

so on this occasion we deemed it to be safer to continue running

0:27:410:27:44

with the aircraft while we loaded the casualty,

0:27:440:27:47

who was already packaged, before departing to hospital.

0:27:470:27:49

But there is a happy ending.

0:27:490:27:51

X-rays rule out a neck injury, and she's released after treatment.

0:27:510:27:56

Driving the roads of North Yorkshire takes you back to the days

0:28:030:28:06

when cars came with starting handles.

0:28:060:28:09

The lanes are narrow, winding and great fun to drive,

0:28:090:28:14

but if you're behind the wheel of a two-tonne ambulance,

0:28:140:28:17

you see them very differently.

0:28:170:28:20

The top of the Pennines is where Yorkshire meets Lancashire.

0:28:250:28:29

It's a barren and desolate part of the country,

0:28:290:28:32

where acres of moorland are punctuated

0:28:320:28:35

only by the occasional reservoir and the even more occasional road.

0:28:350:28:40

What are we going to, then, chaps?

0:28:400:28:42

-Somebody potentially having a stroke.

-Roger.

0:28:420:28:45

Today, the Helimed team has been called to a patient needing

0:28:450:28:48

help by one of the reservoirs.

0:28:480:28:51

The trouble is, no-one knows which one.

0:28:510:28:54

It would be very difficult for a land crew to get good access,

0:28:540:28:58

so we're just going initially to see if that's actually the case

0:28:580:29:02

and to see what we can do to help.

0:29:020:29:04

OK, we've got an ambulance down there, Dave, nine o'clock.

0:29:040:29:07

Yeah, I'm just going to talk to them.

0:29:070:29:10

On the ground, paramedics and police officers

0:29:100:29:12

are searching for the 77-year-old.

0:29:120:29:15

In the air, they can't see anything either.

0:29:150:29:18

You'd have thought there'd have been somebody with him, wouldn't you?

0:29:180:29:22

-Have they found somebody or...?

-No, they're walking.

0:29:220:29:24

But it seems everyone's been looking in the wrong place.

0:29:240:29:28

-We're here.

-Right, so we're nowhere near.

0:29:280:29:31

-It's over there.

-Right.

0:29:310:29:33

-Let's go. Where we going, then?

-We're going to the west.

-To the west.

0:29:330:29:37

Yep.

0:29:370:29:39

-OK. Round the corner.

-Yep.

0:29:410:29:43

Going down your side, Dave. On the corner.

0:29:450:29:48

Right, chaps, I'm going to park it in.

0:29:510:29:53

Hello there.

0:29:550:29:56

-It started with a pain across the bottom of my back.

-Yeah.

0:29:570:30:01

Alan Ledbetter had nearly finished his long moorland walk

0:30:010:30:05

when other hikers saw he needed help.

0:30:050:30:07

Their quick thinking could have saved his life.

0:30:070:30:10

He was really, really struggling to walk, just to keep on his feet.

0:30:100:30:14

We asked if he was all right and he said, "Not really"...

0:30:140:30:18

he just can't balance.

0:30:180:30:19

I got this pain across the bottom of my back.

0:30:190:30:23

-I didn't think anything of it.

-What type of pain?

0:30:230:30:26

-Just a pain, like...

-Was it an achy pain, was it a sharp pain?

0:30:260:30:30

Achy pain.

0:30:300:30:31

He was leaning to one side, quite pronounced, so we thought,

0:30:310:30:34

"That's not right." He fell over a couple of times.

0:30:340:30:37

We walked with him and helped him and he got a little bit worse.

0:30:370:30:40

How long had you been walking before that came on?

0:30:400:30:43

-Oh, four or five hours.

-And do you do a lot of walking?

0:30:430:30:47

Yeah, I get out at least twice a week.

0:30:470:30:50

Although Alan seems to think he's OK,

0:30:500:30:53

the way he's leaning to the left is worrying paramedic Dave.

0:30:530:30:57

Can you move that way a bit?

0:30:570:30:58

Right, OK.

0:30:580:31:00

Give us your hands. I want you to squeeze my fingers hard.

0:31:000:31:03

Both of them.

0:31:030:31:04

These tests on his face, arms and speech

0:31:040:31:07

can be a good way of diagnosing a stroke.

0:31:070:31:10

Right, it sounds to me like he's definitely had a TIA.

0:31:100:31:15

-A what?

-What we think you've had is what we call a TIA.

0:31:150:31:19

It's a transient ischemic attack. It's a little bit...

0:31:190:31:22

It's a very, very tiny stroke, but it only lasts for a number of minutes.

0:31:220:31:29

I would highly recommend that we get you down

0:31:290:31:32

to the local hospital for a check up.

0:31:320:31:35

Well, listen, I know...

0:31:350:31:37

but the thing with these is...

0:31:370:31:40

sometimes it's a one-off

0:31:400:31:42

and sometimes they can happen in another two or three hours.

0:31:420:31:45

If you're up here on your own and something happens,

0:31:450:31:48

you might not be as lucky as to have these good people here to see it.

0:31:480:31:52

Although Alan would rather finish his walk

0:31:520:31:54

and head to the doctors in the morning, Dave's having none of it.

0:31:540:31:59

I'm here to help people.

0:31:590:32:00

If we leave you now and something happens in half an hour,

0:32:000:32:05

not only will I feel very, very bad about it, I'll get sacked.

0:32:050:32:10

Oh, well, I don't want you to get the sack.

0:32:100:32:12

I don't want to have either of those feelings.

0:32:120:32:14

There's absolutely no road access to this one,

0:32:140:32:17

so the ground ambulance and the police officers are heading off

0:32:170:32:20

in the wrong direction. We've stopped them now

0:32:200:32:22

and we've returned them to the vehicle

0:32:220:32:23

and we're going to transfer this man down to the ground ambulance where

0:32:230:32:28

he's going to be transferred into hospital for a bit of a check up.

0:32:280:32:31

We've lifted with the patient. Transferring to the ground vehicle.

0:32:360:32:40

It'll be approximately one minute and we'll be back on the ground.

0:32:400:32:44

It's a short but, for Alan, a potentially critical flight.

0:32:440:32:48

Tail's clear.

0:32:490:32:52

-Yeah, I need to put my tail over the top here.

-Roger.

0:32:520:32:55

The wind's behind me. I can't do this, at the moment.

0:32:550:32:57

Basically, I think he's had a TIA.

0:32:590:33:02

Top and bottom. He says, "Can't you just...

0:33:020:33:04

"If I promise to see my doctor..." I said, "No, doesn't work like that.

0:33:040:33:08

"You could have another one quite easily

0:33:080:33:10

"and then you're not going to be so lucky."

0:33:100:33:12

And it's a good job he took Dave's advice.

0:33:120:33:14

At hospital, it was confirmed he had had a TIA or a mini-stroke.

0:33:140:33:19

Alan is now taking it easy back at home, very grateful for the

0:33:200:33:24

fellow hillwalkers who spotted the signs and possibly saved his life.

0:33:240:33:29

Making a living in the countryside is a tough business.

0:33:330:33:37

Yorkshire's farmers must keep one eye on the market price

0:33:390:33:43

and another on the weather,

0:33:430:33:45

which is why harvest is invariably the busiest time for rural builders,

0:33:450:33:50

putting up barns for the winter to come.

0:33:500:33:54

And, today, one of them has fallen 30 feet.

0:33:540:33:57

The crew on scene in there asked for us

0:33:570:33:59

because they said he's got a head injury.

0:33:590:34:01

With head injuries, patients can become aggressive

0:34:010:34:05

and uncooperative so, as a paramedic,

0:34:050:34:08

we can struggle sometimes to manage those patients

0:34:080:34:11

so there is a doctor en route should we need to sedate the patient.

0:34:110:34:15

-Clear on the left?

-Clear left now, Patrice, mate, yeah.

0:34:150:34:18

Clear on the right, thank you.

0:34:180:34:20

This chap's Darrell, he's 27.

0:34:230:34:25

He was working on the apex of the roof and he slid in the wet and

0:34:250:34:30

he's gone straight down the other side of that hedge into the road.

0:34:300:34:33

It seems like he's taken the brunt of the impact on his left shoulder

0:34:330:34:36

-and he's very dull on that left apex as well.

-Right.

0:34:360:34:40

Darrell Wood is lucky to be alive.

0:34:400:34:42

His fall was broken by a big hedge under the barn.

0:34:420:34:46

Oh, you've done that clavicle good and proper.

0:34:460:34:48

There was nowt we could do once he's up there.

0:34:490:34:51

He slid down and that's it, you can't do nothing, he's gone.

0:34:510:34:54

We shouted at him, no answer, so we jumped down to get him

0:34:540:34:59

and he was like dazed, concussed and that.

0:34:590:35:01

Got caught in the rain and then just one slip and he's gone.

0:35:010:35:05

Flying doctor Jez Pennell, medical director of the Helimed team,

0:35:050:35:08

has driven here expecting a patient with critical injuries.

0:35:080:35:12

This is a pleasant surprise.

0:35:120:35:14

-And your pelvis and your legs all feel OK?

-Yeah.

0:35:140:35:17

-I remember falling into a bush.

-Into a bush?

-Yeah.

-Right.

0:35:170:35:20

-So, the bush has broken your fall, has it?

-You've had a lucky escape.

0:35:200:35:24

There we go. Now, just lie, sit back. Sit back.

0:35:270:35:32

Darrell may not feel like it, but he's been extremely fortunate.

0:35:320:35:36

Just spin round, he's coming in feet-first.

0:35:360:35:39

You need to bring him up to chest height or head height if you're me.

0:35:390:35:43

Paramedics are trained to treat for the worst and hope for the best.

0:35:430:35:47

That's why Darrell has been strapped to a spinal stretcher

0:35:470:35:51

but he has none of the common symptoms of a neck or back injury.

0:35:510:35:55

He's being flown to Leeds General Infirmary where his first

0:35:550:35:59

appointment will be with the X-ray department.

0:35:590:36:01

He's been very lucky in that there's a really high bush underneath

0:36:010:36:04

the edge that he's gone over which has broken his fall

0:36:040:36:06

although he's still landed on his head.

0:36:060:36:08

I think if he'd gone the other way,

0:36:080:36:10

it would have been a completely different story.

0:36:100:36:12

And doctors confirm luck has indeed been on Darrell's side.

0:36:120:36:16

His broken collarbone and shoulder are painful

0:36:160:36:19

but for a man who's fallen 30 feet, he's got off very lightly.

0:36:190:36:24

On a summer's day,

0:36:270:36:28

Yorkshire's countryside is full of visitors seeking peace,

0:36:280:36:32

quiet and nature but for some, the lanes of the moors

0:36:320:36:36

and dales are an attraction in themselves.

0:36:360:36:39

This is biking country.

0:36:390:36:41

We're off to a motorcyclist who's had a collision with a car.

0:36:440:36:48

-It's saying three miles to go, mate, so it's got to be fairly close.

-Yep.

0:36:480:36:53

Visual. Visual, 12:00, dark green field, two miles.

0:36:540:36:59

Even before they've landed,

0:36:590:37:01

paramedic Andy can get a good idea of just how serious this crash is.

0:37:010:37:05

The 25-year-old rider has come off his bike

0:37:070:37:10

and flown right over a garden wall.

0:37:100:37:13

This is James, 25-years-old. He's come from there and landed here.

0:37:130:37:18

-And he was coming this way by the looks of it.

-Yeah.

0:37:180:37:20

He's got a fractured femur, both knees look to be dislocated,

0:37:200:37:26

-broken left arm, complaining of chest pain.

-Fractured left arm.

0:37:260:37:31

He's complaining of back pain as well. This is exactly how he landed.

0:37:310:37:35

He hasn't been moved.

0:37:350:37:37

So, at present, I haven't got a collar on him yet.

0:37:370:37:40

OK, no worries, mate.

0:37:400:37:41

We're going to get you sorted, OK?

0:37:410:37:44

How are you feeling at the moment?

0:37:440:37:45

-Pain, all over.

-Pain all over?

0:37:450:37:49

-How bad is it now since you've had morphine?

-It's getting worse.

0:37:490:37:53

It's getting worse, is it?

0:37:530:37:55

James has just become a statistic.

0:37:550:37:58

It's been a grim summer on Yorkshire's roads with

0:37:580:38:01

warm weather being blamed for a doubling in deaths among bikers.

0:38:010:38:05

In North Yorkshire alone, ten riders have died this year

0:38:050:38:09

and they weren't boy racers.

0:38:090:38:11

The average casualty is a family man in his 40s.

0:38:110:38:15

It was all in a split-second, I thought, "Where's the motorbike?"

0:38:150:38:18

And I thought, "Well, he must have gone round."

0:38:180:38:20

Then, all of a sudden, I heard the bang and he came flying over the top.

0:38:200:38:24

James' injuries have left him in severe pain.

0:38:240:38:27

He's got a number of things going on that maybe

0:38:270:38:30

we'll have to go down ket route.

0:38:300:38:32

Andy's going to use his strongest painkiller.

0:38:320:38:36

It's probably the only way they'll be able to

0:38:360:38:38

straighten his shattered legs.

0:38:380:38:40

-I think that's a definite dislocation on there.

-Yeah, OK.

0:38:400:38:44

-So we haven't straightened that properly just yet.

-No.

0:38:440:38:47

And that's an internal femur.

0:38:470:38:49

We're going to give you some ketamine if that would be OK? And hopefully...

0:38:490:38:53

It's a lot stronger than the stuff I've given you.

0:38:530:38:55

..that'll get rid of that pain.

0:38:550:38:57

Just titrate it to his response, mate,

0:38:570:38:59

and if it wears off after 20 minutes, we can give him some more.

0:38:590:39:02

This is an area where everyone knows everyone else.

0:39:020:39:06

-Already, James' mum and auntie are with him.

-All right, sweetheart?

0:39:060:39:10

He came on the phone and he went, "Mum, I'm really hurt."

0:39:100:39:13

I said, "Why? What's happened?"

0:39:130:39:15

He said, "Somebody's just hit me and knocked me off the bike."

0:39:150:39:18

I think the work they're doing is fantastic,

0:39:180:39:20

I just wish it wasn't my son that's lying there.

0:39:200:39:22

-JAMES GROANS IN PAIN

-It's all right, darling.

0:39:220:39:25

James flew more than 30 feet before landing in the garden.

0:39:260:39:30

Despite very extensive injuries to his body, his head is unmarked.

0:39:300:39:35

His helmet did its job.

0:39:350:39:37

He's had quite a significant impact into this car which has

0:39:370:39:40

turned right. He's been ejected and landed in this place.

0:39:400:39:43

He's got multiple injuries at this point.

0:39:430:39:45

He hasn't got a head injury which is also good for us.

0:39:450:39:48

He's got some limb injuries which have obviously caused him

0:39:480:39:51

quite significant pain and we've had difficulty mobilising him

0:39:510:39:54

from that point.

0:39:540:39:55

They're straightening his leg with a traction splint

0:39:580:40:01

but paramedics often find themselves caring for the other

0:40:010:40:04

victims of accidents - the parents and partners of patients.

0:40:040:40:09

We're going to pop him off to hospital in the fastest way to

0:40:090:40:12

get there and we'll take him into a specialist centre

0:40:120:40:14

which will be able to treat him for his injuries, do you understand?

0:40:140:40:18

We'll look after him.

0:40:180:40:19

Paramedic Andy knows his patient's injuries are very serious.

0:40:210:40:26

He needs the kind of diagnostic tools only the trauma centre

0:40:260:40:29

at Leeds General Infirmary can provide.

0:40:290:40:33

Helimed 99 can provide the speed.

0:40:330:40:36

Yeah, we're clear there. Can I pass him onto you?

0:40:370:40:41

-Wait a minute.

-I've got him here.

0:40:410:40:42

The LGI's doctors and surgeons are about to take over.

0:40:440:40:48

-Has it come back, that pain?

-Yeah.

-Has it?

0:40:480:40:50

And Andy's got quite a list for them.

0:40:500:40:53

This is James, 25-year-old.

0:40:530:40:55

He was riding his motorcycle at approximately 50 mph.

0:40:550:40:58

He's got pain across his chest, pain on his back, pelvis pain,

0:40:580:41:03

a fractured left femur, a fractured left lower arm,

0:41:030:41:07

a right distal fractured femur and that was bleeding.

0:41:070:41:10

With so many injuries,

0:41:100:41:12

James is already very fortunate to have survived so far

0:41:120:41:16

but with major internal trauma, the next few hours will be critical.

0:41:160:41:21

Doctors find James has a staggering 43 broken bones.

0:41:230:41:28

He spends the whole of the next day in theatre as surgeons

0:41:280:41:32

reconstruct his pelvis and limbs with titanium rods.

0:41:320:41:36

He spends five weeks in hospital and two months after the accident,

0:41:360:41:41

he's still using a wheelchair and unable to walk.

0:41:410:41:45

I shattered my leg roughly about there.

0:41:450:41:47

I've got the spike, whatever you call it, going up there.

0:41:470:41:53

My kneecap is split in half, it's actually got wires on it,

0:41:530:41:55

figure of eight.

0:41:550:41:57

My pelvis is cracked into three places.

0:41:570:42:00

Two bones are broken in my arm,

0:42:020:42:04

I've got a broken wrist which is now repaired.

0:42:040:42:09

Nine fractures to my ribs, my sternum's cracked across there

0:42:090:42:13

and two fractures to my back.

0:42:130:42:15

After so long in hospital, James is just pleased to be home.

0:42:150:42:20

He has many more months of physio ahead but his prognosis is good.

0:42:200:42:25

I've had quite a good recovery straightaway.

0:42:250:42:28

I was pretty lucky, very lucky, for my family's sake.

0:42:280:42:31

I'm not keen to get on a bike again.

0:42:320:42:34

And I'm pleased to say all of today's patients

0:42:350:42:38

are recovering well.

0:42:380:42:40

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