0:00:03 > 0:00:07When the people of rural Yorkshire dial 999,
0:00:07 > 0:00:09help can be a long time coming.
0:00:09 > 0:00:13The Yorkshire Dales are as beautiful as they are big,
0:00:13 > 0:00:17but if you're seriously injured in a landscape as gigantic as this,
0:00:17 > 0:00:19your life is on the line.
0:00:20 > 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 > 0:00:29Look on your left, Matt, can you get in that grass field on the left?
0:00:29 > 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 > 0:00:39the Helimed team's at the heart of almost every rescue...
0:00:39 > 0:00:42bringing 21st century medicine to some of Britain's most
0:00:42 > 0:00:47isolated communities and saving lives against the odds.
0:00:56 > 0:01:00Today, on Helicopter Heroes, a car overturns
0:01:00 > 0:01:02and a passenger is trapped underneath it.
0:01:02 > 0:01:06- Try and straighten your arm for me. - It feels like it's going to pop.
0:01:06 > 0:01:10High in the Dales, a DIY job ends in disaster.
0:01:10 > 0:01:13There's loose tiles on the roof and we were trying to get 'em off.
0:01:13 > 0:01:16This biker's fighting for his life and the driver who hit him,
0:01:16 > 0:01:19- didn't stop. - We didn't see any crash or anything.
0:01:19 > 0:01:22We just come when the bike was already on the ground there.
0:01:22 > 0:01:25And a pet's in the doghouse.
0:01:25 > 0:01:28I heard an almighty thud, cos I was at the front, turned round
0:01:28 > 0:01:30and poor Lorraine's on the floor.
0:01:38 > 0:01:42Every paramedic has stories of patients who've miraculously
0:01:42 > 0:01:45escaped without injury from accidents that
0:01:45 > 0:01:46should have killed them.
0:01:46 > 0:01:50And, sadly, others who did not have luck on their side.
0:01:53 > 0:01:56If the low winter sun is a nuisance for motorists,
0:01:56 > 0:02:00it's a serious hazard for air ambulance crews.
0:02:00 > 0:02:02Despite darkened visors,
0:02:02 > 0:02:05trying to see anything in glare like this is painful.
0:02:05 > 0:02:08We should be over it now.
0:02:08 > 0:02:11And, today, the sun's dazzling effects are making it hard
0:02:11 > 0:02:14for paramedics Matt Syrat and Pete Vallance
0:02:14 > 0:02:16even to see the accident they've been called to.
0:02:16 > 0:02:18Is that the one?
0:02:18 > 0:02:22- Yes, that's the one. Uh, the track is to your right.- Yeah.
0:02:22 > 0:02:24I can't see through the sun.
0:02:24 > 0:02:28Over the railway line and it runs past the right-hand side of that dam.
0:02:28 > 0:02:31- The T-junction down there.- I've got to get the sun behind us.
0:02:31 > 0:02:34- That's where the grid is. - The police car is straight below us.
0:02:34 > 0:02:38Uh, the road's blocked off here, isn't it?
0:02:39 > 0:02:42This is 99, landed on scene, over.
0:02:42 > 0:02:43RADIO TONES
0:02:45 > 0:02:48On a country road near the mining village of Hemsworth,
0:02:48 > 0:02:52a small hatchback has cartwheeled into a field.
0:02:52 > 0:02:53- We've got two guys...- Right.
0:02:53 > 0:02:56..there's a lad under the car who is conscious, is breathing,
0:02:56 > 0:02:57seems pretty stable at the moment,
0:02:57 > 0:03:02complaining of his pain in his lower legs, possibly a crushed foot as well.
0:03:02 > 0:03:03Its driver's trapped,
0:03:03 > 0:03:06but one of his passengers is in a terrible predicament.
0:03:06 > 0:03:11Pinned under the upturned car, he has no feeling in his legs
0:03:11 > 0:03:15and freeing him is going to be a long and complicated process.
0:03:15 > 0:03:19- So, at the moment, his ABCs seem all right.- Yeah.
0:03:19 > 0:03:23Because the car's sinking into the mud, we're having to prop the car up so we can release him.
0:03:23 > 0:03:25He's trapped from his pelvis downwards, so we're not quite sure
0:03:25 > 0:03:28what injuries he's got at the moment, we're waiting to see
0:03:28 > 0:03:29once the car's lifted from the mud.
0:03:31 > 0:03:34All I've saw was a car just lose it here and go bump, bump,
0:03:34 > 0:03:36bump, bump into the field.
0:03:36 > 0:03:39So, that was it. There was no other vehicle involved.
0:03:40 > 0:03:43There were a couple of lads in and then a girl that I think
0:03:43 > 0:03:46this lad dragged out of the car.
0:03:46 > 0:03:48Firefighters have been doing their best to comfort
0:03:48 > 0:03:52- the 22-year-old passenger. - He can't feel his lower leg.
0:03:52 > 0:03:54He can feel it from his knee upwards,
0:03:54 > 0:03:57but he can't...but we've now lifted it just to take that pressure off.
0:03:57 > 0:04:00And Bob's condition is stable, but paramedics Pete and Matt
0:04:00 > 0:04:05know that he will be in most danger when he is finally freed.
0:04:05 > 0:04:07Toxins can build up in trapped limbs.
0:04:07 > 0:04:11When they're released, patients can go into cardiac arrest.
0:04:11 > 0:04:13My mate's just been telling me how you're feeling
0:04:13 > 0:04:14and where it's hurting.
0:04:14 > 0:04:18Just go through it again now, so have you any pain in your head?
0:04:18 > 0:04:20The bottom of my head at the back.
0:04:20 > 0:04:22Right, don't move at all,
0:04:22 > 0:04:25so, when you're saying "at the bottom of me head", are you talking here?
0:04:25 > 0:04:27No, further down.
0:04:27 > 0:04:30- Underneath?- Yeah.- OK. What about actually here?
0:04:30 > 0:04:32Yeah, you've pain there?
0:04:32 > 0:04:35- On my neck and both my shoulders, my right shoulder more.- OK.
0:04:38 > 0:04:40While I've got you in this position,
0:04:40 > 0:04:43I'm going to take advantage of just feeling down your back. All right?
0:04:43 > 0:04:46- Are you hurting here?- No, but it's not hurting as much.
0:04:46 > 0:04:48What about down here?
0:04:48 > 0:04:50- I can't feel it. Oh!- Here?
0:04:50 > 0:04:52I can't feel it.
0:04:52 > 0:04:55A woman who was travelling in the car is already on her way to
0:04:55 > 0:04:58hospital. She escaped almost unhurt.
0:04:58 > 0:05:01Now, it's time to free the driver.
0:05:01 > 0:05:03He has a suspected neck injury,
0:05:03 > 0:05:06but he's understandably concerned about Bob.
0:05:07 > 0:05:10Let these guys look after you. He's being looked after, mate.
0:05:10 > 0:05:12Just keep your head down, OK?
0:05:12 > 0:05:15Try and straighten your arm for me, best you can.
0:05:15 > 0:05:17Where is it hurting while you're doing that?
0:05:17 > 0:05:20- The back of my shoulder.- Back of your shoulder? Where I'm touching now, can you feel it?
0:05:20 > 0:05:23I can feel it. I can't feel the actual impression.
0:05:23 > 0:05:26All right. Straighten it as best you can. Keep coming, keep coming,
0:05:26 > 0:05:28keep coming, keep coming. Will it come any further?
0:05:29 > 0:05:31- It feels like it's going to pop. - All right.
0:05:31 > 0:05:35Their patient was hurled from the car when it left the road.
0:05:35 > 0:05:37It then landed on him.
0:05:37 > 0:05:42His survival is a minor miracle, but he's not out of the woods yet.
0:05:42 > 0:05:45The biggest problem for us is this ditch is quite deep, actually.
0:05:45 > 0:05:49And it's coming out straight in line where the waterline is, so we've just
0:05:49 > 0:05:52built a bit of a pontoon just so we can slide him
0:05:52 > 0:05:56straight up the ladders and bring him out without him not
0:05:56 > 0:06:00having to negotiate this waterway, so, hopefully the plan will work.
0:06:01 > 0:06:04Firefighters are using an airbag to slowly release
0:06:04 > 0:06:06the pressure on Bob's legs.
0:06:06 > 0:06:10The team's carefully monitoring his blood pressure for any signs
0:06:10 > 0:06:13that toxins are affecting him.
0:06:13 > 0:06:15Happily, there are none.
0:06:15 > 0:06:19Is that pain starting to ease? Is that pain relief taking effect?
0:06:19 > 0:06:21- I can feel it, yeah.- Good.
0:06:21 > 0:06:25We are going to have to put a board under the shoulder that's hurting.
0:06:25 > 0:06:27All right? We can't do it any other way.
0:06:27 > 0:06:30As we move up, guys, if you can keep sliding the board under.
0:06:30 > 0:06:32Just get that off a minute, it's getting in the way.
0:06:32 > 0:06:35I'm trying to move my legs up, but I can't move my legs.
0:06:35 > 0:06:37No, you don't need to move, we'll move you, all right?
0:06:37 > 0:06:40Bob has worrying symptoms.
0:06:40 > 0:06:44Numbness below the waist can be the first sign of a spinal injury,
0:06:44 > 0:06:49but as soon as the car is lifted, it's clear feeling is returning.
0:06:49 > 0:06:53He was trapped mostly by his hips and his legs.
0:06:53 > 0:06:57Uh, with not much of the weight of the car resting on him,
0:06:57 > 0:06:59but sufficiently that he was in quite a bit of pain.
0:06:59 > 0:07:02He is complaining of a lot of pain in his lower back at the moment.
0:07:02 > 0:07:04Ready, steady, up.
0:07:06 > 0:07:08BOB GROANS
0:07:08 > 0:07:10He's extremely cold at the moment. He's starting to shiver.
0:07:10 > 0:07:13I think that is down to the cold rather than anything else at
0:07:13 > 0:07:15the moment, so, what we need to do is get him
0:07:15 > 0:07:17packaged up as quickly as we can, get him warm,
0:07:17 > 0:07:19get him into the aircraft and, given his back injury
0:07:19 > 0:07:22and the mechanism that's happened, we're going to take him to
0:07:22 > 0:07:25Leeds General Infirmary at the Major Trauma Centre.
0:07:25 > 0:07:28It's been raining for days and that fact alone may have
0:07:28 > 0:07:31contributed to their patient's survival.
0:07:31 > 0:07:34As you can see, it's a bog.
0:07:34 > 0:07:37But I think the fact that it's muddy and soft and soggy
0:07:37 > 0:07:40has saved his legs. Even though the weight of the car was on top of him,
0:07:40 > 0:07:42it literally pushed him into the field, into the mud,
0:07:42 > 0:07:45there's not a mark on his feet, not a mark on his legs.
0:07:49 > 0:07:52You're lucky that it's such a muddy field.
0:07:52 > 0:07:53Yeah.
0:07:55 > 0:07:58- Awesome.- We're not lucky it's a muddy field, but you were.
0:08:01 > 0:08:05Helimed 99 is taking off for the Trauma Unit at Leeds General Infirmary.
0:08:05 > 0:08:08This is 99, lifted from the scene for LGI.
0:08:08 > 0:08:13The team's still taking in its patient's good fortune.
0:08:13 > 0:08:15- You're a lucky lad.- Very lucky.
0:08:17 > 0:08:19- He obviously didn't have his seat belt on.- No.
0:08:21 > 0:08:24- This is from 99...- Yeah, got him.
0:08:25 > 0:08:27Put it on the ramp.
0:08:27 > 0:08:32In the next half hour, Bob will be examined from head to toe,
0:08:32 > 0:08:33scanned and X-rayed.
0:08:33 > 0:08:38It's here that it's revealed Bob hasn't been so lucky after all.
0:08:38 > 0:08:43His injuries include a fractured spine, a broken sternum
0:08:43 > 0:08:46and extensive ligament damage to his shoulder.
0:08:46 > 0:08:48He'll spend more than a month in hospital
0:08:48 > 0:08:52and require physiotherapy to learn how to walk again.
0:08:59 > 0:09:02The UK is a country of 20 million cyclists.
0:09:02 > 0:09:06Some do it for thrills, many to get to work,
0:09:06 > 0:09:08and even more to get fit.
0:09:10 > 0:09:12But getting off the beaten track on two wheels
0:09:12 > 0:09:15can have the opposite effect.
0:09:15 > 0:09:19ON RADIO: Helimed 99... five minutes to scene. Over.
0:09:19 > 0:09:21RADIO TONES
0:09:21 > 0:09:25- Roger, thank you. Received. - This is what, three miles?
0:09:25 > 0:09:26Two miles now, yeah.
0:09:26 > 0:09:31A ride in the countryside has ended in a freak accident.
0:09:31 > 0:09:33Cyclist Tim Storey is 53.
0:09:33 > 0:09:38He was enjoying a ride down a bridle path near his home in Barnsley,
0:09:38 > 0:09:42when this happened. He staggered to a nearby farmhouse for help.
0:09:42 > 0:09:45Now he needs Helimed 99.
0:09:45 > 0:09:47It's the job of paramedic Al Day
0:09:47 > 0:09:51and pilot John Slater to find a remote farm.
0:09:51 > 0:09:53What are we looking for?
0:09:53 > 0:09:55Well, there should be an ambulance on scene,
0:09:55 > 0:09:59so we're looking for ambulances and a guy come off his push bike.
0:10:00 > 0:10:05Right, visual, uh, 2 o'clock now, we're RRVing that...got it. Yeah.
0:10:13 > 0:10:16- This young fellow's been riding his mountain bike.- Yeah.
0:10:16 > 0:10:18His forks have snapped at the top,
0:10:18 > 0:10:19and he's gone straight down.
0:10:19 > 0:10:22All the impact's gone on his head, he's not been wearing a helmet.
0:10:22 > 0:10:25- Right.- He is responding to voice. - Lovely.- OK.- Tim's in a bad way.
0:10:25 > 0:10:27Hello, Tim, can you hear me?
0:10:27 > 0:10:30He has a deep gash to his face above the nose.
0:10:30 > 0:10:33His rescuers know it could conceal even more serious injuries.
0:10:33 > 0:10:35All right, we're going to get you loaded onto
0:10:35 > 0:10:36the aircraft shortly, OK?
0:10:36 > 0:10:40They're protecting their patient's spine, just in case.
0:10:40 > 0:10:43What? Is it your back that's hurting?
0:10:43 > 0:10:45- Me neck. - Your neck. All right.
0:10:45 > 0:10:48'I heard a knock at the door. Came to answer the door'
0:10:48 > 0:10:51and he just said, "Can you help me, love?"
0:10:51 > 0:10:54And I just grabbed the towel and the phone,
0:10:54 > 0:10:58and got him onto the wall, kept him talking, rung the ambulance,
0:10:58 > 0:11:00but then he started to go forward, so I had to lay him
0:11:00 > 0:11:03and try to get him in the recovery position.
0:11:03 > 0:11:06Thanks to the farming family's first aid,
0:11:06 > 0:11:10Tim's had help and reassurance since minutes after the accident.
0:11:11 > 0:11:16But paramedic Matt Syrat suspects he may also have a chest injury.
0:11:16 > 0:11:20He's listening for the telltale sounds that could indicate
0:11:20 > 0:11:22broken ribs or worse.
0:11:22 > 0:11:25Because he was alone when the accident happened,
0:11:25 > 0:11:28- Tim could also have concussion. - Do you want me to go up top?
0:11:29 > 0:11:32Now, Tim needs hospital care...
0:11:32 > 0:11:33and a new bike.
0:11:33 > 0:11:38If he had been wearing a helmet, he may not have been as badly hurt.
0:11:38 > 0:11:40Right, just square up to the board.
0:11:40 > 0:11:42TIM GROANS
0:11:42 > 0:11:43Even up a little.
0:11:43 > 0:11:47The team's planning to fly Tim to hospital in Sheffield.
0:11:47 > 0:11:50Matt has already alerted plastic surgeons.
0:11:50 > 0:11:53He's probably going to need an operation.
0:11:53 > 0:11:56Thanks to the speed of Helimed 99,
0:11:56 > 0:12:00the Northern General Hospital is only ten minutes away.
0:12:00 > 0:12:02Like most of the team's patients,
0:12:02 > 0:12:05Tim will have no memory of this flight.
0:12:05 > 0:12:08What seems to have happened is, he's gone down a bit of a rock or hit
0:12:08 > 0:12:12a rock and the front forks on the bike, causing the wheel to come off.
0:12:12 > 0:12:16It appears from his injuries that his face has just hit the handlebars.
0:12:16 > 0:12:19He's pretty bashed up face-wise, his eye, uh,
0:12:19 > 0:12:21a nasty injury to his nose and his lip.
0:12:21 > 0:12:24And, chances are, he's also fractured his right clavicle
0:12:24 > 0:12:26and his sternum at some point.
0:12:26 > 0:12:28You know, he's manageable at the moment,
0:12:28 > 0:12:30his observations are really good.
0:12:30 > 0:12:35Um, yeah, despite the injury to his chest, he's still got good sounds.
0:12:35 > 0:12:39I'm at the single lamppost on the fence behind...by the pay meter.
0:12:41 > 0:12:44- They've got the ambulance out. Happy?- Yep.
0:12:46 > 0:12:50Did it hurt, Tim? Did it hurt then?
0:12:50 > 0:12:53Tim's now a few metres from the care he desperately needs,
0:12:53 > 0:12:57but the Northern General's one of many NHS hospitals built with
0:12:57 > 0:13:00little thought for the needs of air ambulances.
0:13:00 > 0:13:04He must now be driven from the helipad to A&E.
0:13:05 > 0:13:10And, in cases like Tim's, that can mean more pain and discomfort.
0:13:12 > 0:13:16Over the next few days, he undergoes plastic surgery,
0:13:16 > 0:13:21but, for Tim, his accident and its aftermath remain a blur.
0:13:23 > 0:13:26It's three months since his injury.
0:13:26 > 0:13:28Curious about what happened to him that day,
0:13:28 > 0:13:32Tim's come to meet paramedic Matt to try to make sense of it all.
0:13:32 > 0:13:35I've no recollection at all.
0:13:35 > 0:13:37The lady that did plastic surgery, she said,
0:13:37 > 0:13:42"Your nose is a bit like an eggshell and it's just smashed to pieces!"
0:13:42 > 0:13:44Ha, ha! Oh, brilliant!
0:13:44 > 0:13:47Visits like this can be therapeutic for people who, like Tim,
0:13:47 > 0:13:51- have received head injuries. - This is the loading side, then?
0:13:51 > 0:13:54This is the loading side, if you like.
0:13:54 > 0:13:57All our observation equipment, so the blood pressure,
0:13:57 > 0:14:00your heart rate, your pulse and things like that.
0:14:00 > 0:14:04'Tim was even more badly hurt than first appeared.'
0:14:04 > 0:14:07I had two stable fractures in the top of me spine.
0:14:07 > 0:14:11Uh, in me neck, and I think I got a fracture in me shoulder.
0:14:11 > 0:14:14I've got a broken clavicle, I've then got,
0:14:14 > 0:14:18'I think it were 39 stitches in total in me face.
0:14:18 > 0:14:21'Me nose is absolutely smashed to pieces.'
0:14:23 > 0:14:27'Now he's met the man who flew to his aid and seen the chopper that
0:14:27 > 0:14:31'took him for treatment, Tim feels better about his accident.'
0:14:31 > 0:14:33He has yet to buy another bike.
0:14:39 > 0:14:41The stunning scenery of the Yorkshire Dales
0:14:41 > 0:14:45is protected by tough restrictions on building.
0:14:45 > 0:14:48No wonder many people are keen to breathe new life back into the many
0:14:48 > 0:14:51abandoned buildings that dot the hills,
0:14:51 > 0:14:55despite the lack of roads or even running water.
0:14:58 > 0:15:01Today, local ambulance crews are heading to a house being
0:15:01 > 0:15:07renovated in remote Coverdale, best known for its moorland sheep.
0:15:07 > 0:15:09They're likely to be beaten by Helimed 98.
0:15:13 > 0:15:15Helimed 98 lifted en route, over.
0:15:16 > 0:15:19RADIO: Helimed 98, that's received, thanks.
0:15:19 > 0:15:21RADIO TONES
0:15:21 > 0:15:24We're heading out to Coverdale where somebody's fallen.
0:15:24 > 0:15:26The ambulance service get probably hundreds
0:15:26 > 0:15:29of calls a day that are falls.
0:15:29 > 0:15:32Most of them are fairly innocuous.
0:15:32 > 0:15:34They tend to be what we call a "Nan Down,"
0:15:34 > 0:15:38where you just have an old lady who's fallen, can't get back up.
0:15:38 > 0:15:41For the guys on the ambulances and response cars,
0:15:41 > 0:15:42there will be lots and lots of these.
0:15:42 > 0:15:45As a rule we wouldn't normally launch on a fall,
0:15:45 > 0:15:49but this one's coded as a long fall, which normally indicates it's
0:15:49 > 0:15:52going to be more than between three and ten metres.
0:15:53 > 0:15:57Traditional roofs, often hundreds of years old,
0:15:57 > 0:15:59are a feature of many buildings in the Dales,
0:15:59 > 0:16:02but maintaining them is fraught with danger.
0:16:03 > 0:16:06Somebody's come out behind the buildings.
0:16:07 > 0:16:10There's a guy in the back garden or whatever.
0:16:11 > 0:16:14The team is landing more than 500ft up.
0:16:14 > 0:16:18The patient has fallen from the roof of a remote house.
0:16:24 > 0:16:28- Yeah. Are you out in the garden? - This is my neighbour, Dean.- Hello.
0:16:31 > 0:16:32Where have you fallen from?
0:16:32 > 0:16:33Up there.
0:16:33 > 0:16:37- He was on the lintel.- You were on that lintel, were you?- Yeah.- Right.
0:16:37 > 0:16:40There's loose tiles on the roof and we were trying to get 'em off.
0:16:40 > 0:16:43- Oh, OK.- I'm sorry.
0:16:43 > 0:16:46- So, I'll have a quick listen to your chest, all right?- Yeah.
0:16:46 > 0:16:49He lives on his own here, but he's a very active gentleman.
0:16:49 > 0:16:51He looks after a lot of the neighbour's dogs
0:16:51 > 0:16:53and he walks for miles, so he's a very active guy,
0:16:53 > 0:16:57so you wouldn't think he's a 60-year-old, that's for sure.
0:16:57 > 0:17:00If I weep and wail, you'll just have to go with me.
0:17:00 > 0:17:03- Oh, no weeping and wailing! - Hold still. There we go.
0:17:04 > 0:17:05DEAN GROANS
0:17:05 > 0:17:07What we're going to do is,
0:17:07 > 0:17:09we're going to just move you round onto your back, OK?
0:17:09 > 0:17:12- So, you're flat on your back for a minute.- Yeah.- OK?
0:17:12 > 0:17:14Thank you. Just watch your shoulder.
0:17:14 > 0:17:18Dean Smith was staying at the house carrying out repairs.
0:17:18 > 0:17:21He could have lain undiscovered for hours
0:17:21 > 0:17:24if it hadn't been for his neighbour's dogs,
0:17:24 > 0:17:28including two Great Danes which barked so loudly
0:17:28 > 0:17:31after the accident that they alerted their owner.
0:17:31 > 0:17:33DEAN YELLS
0:17:33 > 0:17:34Dean, come on, relax.
0:17:34 > 0:17:36DEAN INHALES GAS
0:17:36 > 0:17:38- It's the femur that, isn't it?- Yeah.
0:17:38 > 0:17:43Paramedic Al wants to use his strongest painkiller, ketamine.
0:17:43 > 0:17:47Moving Dean without it is causing him too much distress.
0:17:47 > 0:17:50Right, I'm going to give you some stuff now, OK?
0:17:50 > 0:17:53You've had a bit of morphine and that'll take a little while to work.
0:17:53 > 0:17:55This stuff's a bit different, OK?
0:17:55 > 0:17:59And what it does, it'll make you feel a bit odd.
0:17:59 > 0:18:02Is this going to be a bit trippy?
0:18:02 > 0:18:05No, it'll just feel like you're not all there,
0:18:05 > 0:18:08- like you're having a bit of a... - Well, that's an everyday occurrence.
0:18:08 > 0:18:10You might start to feel strange.
0:18:10 > 0:18:14- Tell us when you do, but don't worry about it, OK?- Right.
0:18:14 > 0:18:17We're going to give it to you to the point where we can then start
0:18:17 > 0:18:20- moving you and you'll not realise. - Yeah?- OK, mate.- Yeah.- Good.
0:18:20 > 0:18:22DEAN MUMBLES INCOHERENTLY All right then.
0:18:22 > 0:18:26But the drug has unpredictable side effects.
0:18:26 > 0:18:29At least Dean's not in any pain any more.
0:18:29 > 0:18:30DEAN MOANS IN CONFUSION
0:18:30 > 0:18:32Are we getting somewhere now, do you think?
0:18:33 > 0:18:34It sounds like it.
0:18:34 > 0:18:36Lucy in the Sky with Diamonds!
0:18:36 > 0:18:39The sky's gone a bit weird, has it?
0:18:39 > 0:18:42- Right, I'm going to pull your leg now.- Oh, that's nice.
0:18:42 > 0:18:44OK, arms across, nice and relaxed.
0:18:45 > 0:18:47Do you know any other Beatles' songs?
0:18:47 > 0:18:49DEAN MOANS IN CONFUSION
0:18:49 > 0:18:52- I don't remember that one. - Ah.- How's it go?
0:18:53 > 0:18:55This is really silly, innit?
0:18:56 > 0:18:58Hey, ho, yes, zzzz.
0:18:58 > 0:19:00It's all going up me leg.
0:19:00 > 0:19:03- Support his legs, I'll get his hips. - Are you actually lifting me now?
0:19:03 > 0:19:05- No, no.- Not just yet, we're just going to slide you.
0:19:05 > 0:19:08Hold on to your hands. Keep your hands company.
0:19:08 > 0:19:11- And slightly that way he needs to go as well, just slightly.- OK.
0:19:11 > 0:19:13- Everybody happy? - DEAN GASPS
0:19:13 > 0:19:14Ready, steady, slide.
0:19:15 > 0:19:17Well done. That wasn't too bad, was it, Dean?
0:19:17 > 0:19:20Oh, that's a smashing face you're pulling.
0:19:20 > 0:19:21Step down one.
0:19:21 > 0:19:22Another step.
0:19:24 > 0:19:27Quite a difficult little situation where he was in there,
0:19:27 > 0:19:30but we managed to get him...what we had to do was get him
0:19:30 > 0:19:33stabilised, leg strapped up, and get him warm, so we've got him
0:19:33 > 0:19:36in a big pizza bag now, so, hopefully, he'll be getting toasty.
0:19:36 > 0:19:41- I'm a bit worried about me dogs. - Your dogs will be fine.
0:19:41 > 0:19:44OK, ready, steady, lift.
0:19:44 > 0:19:45DOGS BARK
0:19:45 > 0:19:48Dean's understandably concerned for the welfare of the pets
0:19:48 > 0:19:52that may have saved his life, but they'll be in good hands.
0:19:54 > 0:19:55THEY BARK
0:19:57 > 0:20:02- Oh, I'm going for a ride in a helicopter.- Yep.- Oh, I am so happy.
0:20:03 > 0:20:06- Get this door shut. - The team's going to fly Dean direct
0:20:06 > 0:20:09to hospital in Middlesbrough. It looks like he may need surgery.
0:20:16 > 0:20:19We'll be there in about ten minutes now.
0:20:19 > 0:20:20Jolly good.
0:20:22 > 0:20:24- Ten minutes.- A fractured femur is
0:20:24 > 0:20:27one of the most painful injuries you can have.
0:20:27 > 0:20:29You know, the ketamine works in a few minutes
0:20:29 > 0:20:33and you go from being in absolute agony, screaming and shouting,
0:20:33 > 0:20:35horrendous pain, to...he's no longer in any pain
0:20:35 > 0:20:40and he's quite sort of relaxed and blase about the whole experience.
0:20:41 > 0:20:45As the team fear, Dean has broken his thigh bone.
0:20:45 > 0:20:48It'll be some time before he's fit to return to Coverdale
0:20:48 > 0:20:51and his four-legged friends.
0:20:51 > 0:20:53They are well looked after by his neighbour, and he's later
0:20:53 > 0:20:58reunited with the Great Danes, which all but dialled 999.
0:21:11 > 0:21:16Bikers make up just 1% of Britain's road-users,
0:21:16 > 0:21:18but 20% of the fatalities on our roads,
0:21:18 > 0:21:21and it's often on high routes like this on the peaks
0:21:21 > 0:21:24and the Pennines that accidents happen and, today,
0:21:24 > 0:21:26another needs the Helimed team's help.
0:21:30 > 0:21:33We're off to a motorcyclist who's come off.
0:21:33 > 0:21:36We don't know many details about what's happened, but
0:21:36 > 0:21:39what we think is
0:21:39 > 0:21:43that he may be unresponsive and quite poorly.
0:21:44 > 0:21:48The chopper's circling one of the many rural roads crisscrossing
0:21:48 > 0:21:50the hills near Huddersfield.
0:21:50 > 0:21:54We can see there's an ambulance down at 11 o'clock low on that road,
0:21:54 > 0:21:56and it will be somewhere along here.
0:21:57 > 0:22:01The biker Terry Braithwaite from Halifax was out for a ride.
0:22:01 > 0:22:03Now, he's fighting for his life.
0:22:03 > 0:22:05I'm just going to get a scoop out.
0:22:05 > 0:22:09- This is Terry. We haven't got a lot of his medical history.- All right.
0:22:09 > 0:22:10Nobody's seen the accident.
0:22:10 > 0:22:13Erm, he was with some other lads here who have been out biking
0:22:13 > 0:22:16with him, so clearly what's happened...erm, obviously,
0:22:16 > 0:22:19you can see the state of his bike down there.
0:22:19 > 0:22:22Ground paramedics know the helicopter is probably
0:22:22 > 0:22:24Terry's only chance.
0:22:24 > 0:22:28By road, he's at least half an hour from the nearest trauma unit.
0:22:28 > 0:22:32The accident's a bit of a mystery, his bike is badly damaged and Terry
0:22:32 > 0:22:36- was discovered by motorists.- We was just driving along.
0:22:36 > 0:22:40We've seen the biker crashed down on the floor there.
0:22:40 > 0:22:42And we just offered any assistance we could to the guy
0:22:42 > 0:22:43and to his friend there.
0:22:44 > 0:22:48They waited for an ambulance team to turn up.
0:22:48 > 0:22:51That's all we saw, really. We didn't see any crash or anything.
0:22:51 > 0:22:55We just came when the bike was already on the ground there.
0:22:55 > 0:22:57We're not going to roll him too far, cos it could be the pelvis,
0:22:57 > 0:23:00- all right?- Right, OK.- Just put your hands together. OK, and move.
0:23:00 > 0:23:03Ready, steady, move. Just a fraction.
0:23:03 > 0:23:04Let's get him up. Not too far, not too far.
0:23:04 > 0:23:07Terry's right hand is all but severed,
0:23:07 > 0:23:09but that's the least of his problems.
0:23:09 > 0:23:12Right, so, airway we've done as much as we can. Breathing's OK.
0:23:12 > 0:23:16Circulation, BP's a bit hypertensive. He's got concussion signs, hasn't he?
0:23:16 > 0:23:18Yeah, he has, yeah. Do you want to relocate?
0:23:18 > 0:23:22Yes, it's going to be easier than dragging him all over that field.
0:23:22 > 0:23:25Steve, do you think you can relocate for us?
0:23:25 > 0:23:28Andy wants to get his patient into Leeds General Infirmary
0:23:28 > 0:23:30as quickly as possible.
0:23:30 > 0:23:34Carrying Terry across the rough ground to the chopper could
0:23:34 > 0:23:36take valuable time.
0:23:36 > 0:23:39Pilot Steve's going to land Helimed 98 on the tarmac.
0:23:39 > 0:23:42Can we just get ECG on his just for a second?
0:23:42 > 0:23:43Just pop the spots on him.
0:23:45 > 0:23:47Yeah, right pupil's going.
0:23:47 > 0:23:51Paramedic Andy fears 40-year-old Terry has a serious brain injury.
0:23:51 > 0:23:53Yeah, we're GCEMS 902,
0:23:53 > 0:23:55we've just been told in the last five or ten minutes.
0:23:55 > 0:23:59The pupils of his eyes are wide open, a common sign that
0:23:59 > 0:24:03swelling inside his head is constricting his optic nerves.
0:24:07 > 0:24:10I just think...he's definitely blowing up. Right.
0:24:10 > 0:24:13Paramedic Sam is a biker himself.
0:24:13 > 0:24:15He knows every second counts
0:24:15 > 0:24:19and moving the chopper may save a fellow rider's life.
0:24:22 > 0:24:25Statistically, more bikers are killed or injured
0:24:25 > 0:24:29on a Sunday afternoon than at any other time of the week.
0:24:30 > 0:24:34Police are already trying to solve the puzzle of Terry's accident.
0:24:34 > 0:24:36- Thanks for your help. - All right, cheers, bud.
0:24:36 > 0:24:39- Yeah, thanks, everybody, yeah, cheers.- Cheers, guys, see you later.
0:24:41 > 0:24:44All Andy can do is give his patient oxygen
0:24:44 > 0:24:48and try to keep up his blood pressure with fluids.
0:24:48 > 0:24:51He desperately needs the care only available in
0:24:51 > 0:24:55a Neurology Department and that's only minutes away.
0:24:59 > 0:25:03Andy knows his patient's outlook isn't good.
0:25:03 > 0:25:07Consultants are being called down to the LGI's Resus Room.
0:25:07 > 0:25:11Many bikers have been admitted in Terry's condition.
0:25:11 > 0:25:12Few have survived.
0:25:12 > 0:25:14His main concern is a head injury.
0:25:14 > 0:25:17He's what's called a GCS 3,
0:25:17 > 0:25:20which basically means he's unconscious, no response.
0:25:21 > 0:25:25Over the next few days, Terry hovers close to death.
0:25:25 > 0:25:28His family are warned he is unlikely to make it,
0:25:28 > 0:25:33but this is one biker who is determined to beat the statistics.
0:25:33 > 0:25:36Slowly, his brain starts to recover and,
0:25:36 > 0:25:41after weeks in intensive care, he's finally sent to a normal ward.
0:25:43 > 0:25:46Six months after the crash, he's allowed home.
0:25:51 > 0:25:52There you go.
0:25:55 > 0:25:58'I think I were in Leeds LGI for nine weeks,
0:25:58 > 0:26:04'I was in intensive care for three, and then I went to Halifax.'
0:26:04 > 0:26:07I was in Halifax for two weeks.
0:26:08 > 0:26:12The hand was severed at the...at the wrist.
0:26:13 > 0:26:17It was the two joints on the hand...
0:26:17 > 0:26:21had come apart, and the hand was hanging off,
0:26:21 > 0:26:23hanging on basically by the skin.
0:26:24 > 0:26:27The knuckles and all the flesh area was all detached.
0:26:28 > 0:26:31But it'll never be 100%,
0:26:31 > 0:26:34but it's far better than not having a hand at all.
0:26:35 > 0:26:39Terry has no memory of three months of his life,
0:26:39 > 0:26:43but one important mystery has been solved by the police.
0:26:43 > 0:26:46This car, damaged by Terry's body and his bike,
0:26:46 > 0:26:49was found near the accident.
0:26:49 > 0:26:53The driver is later prosecuted for failing to stop.
0:26:53 > 0:26:56I have been told I was laid there unconscious,
0:26:56 > 0:27:00laid out there on the left-side of the road in front of this car.
0:27:00 > 0:27:04And I've been told that he drove past my body and left me.
0:27:07 > 0:27:12I'm so grateful, very grateful, to all the paramedics,
0:27:12 > 0:27:16the hospital staff, and I know,
0:27:16 > 0:27:19definitely, I would not be here
0:27:19 > 0:27:21if it wasn't for the speed of the helicopter.
0:27:23 > 0:27:27Most paramedics leave their patients at the hospital door.
0:27:27 > 0:27:31Not fellow biker Sam Burgess who fought to keep Terry alive.
0:27:31 > 0:27:34He visited him while he was still unconscious
0:27:34 > 0:27:39- and still keeps in touch.- Hi, Terry, how are you doing?- Yeah, very well.
0:27:39 > 0:27:42It's nice to see you again, mate. You're looking well.
0:27:42 > 0:27:44One day, he reckons, they'll ride together.
0:27:47 > 0:27:50- I am very, very lucky to be alive. - Oh, definitely, yeah.
0:27:50 > 0:27:55- I wasn't very...well. - You weren't very well, no.- At all.
0:27:55 > 0:27:58But I still can't believe it's only like, was it six months now?
0:27:58 > 0:27:59- Six months.- Six months.
0:27:59 > 0:28:03I still can't believe how well you done, up and walking about.
0:28:03 > 0:28:07Me and Andy, the other paramedic in the helicopter,
0:28:07 > 0:28:09we...both thought that you might not make it.
0:28:09 > 0:28:12Well, I know if I wasn't, uh...
0:28:13 > 0:28:17..attended to by yourselves, and Leeds, um...
0:28:17 > 0:28:19I know for a fact I wouldn't be here.
0:28:21 > 0:28:25Terry's now blind in one eye and he's still recovering from a
0:28:25 > 0:28:30fracture to his spine, but simply surviving is, for him, enough.
0:28:34 > 0:28:38The hills of the Pennines have a well-deserved reputation
0:28:38 > 0:28:41for rainfall, which is why they're full of reservoirs
0:28:41 > 0:28:45supplying water for the 10 million people who
0:28:45 > 0:28:47live in the North's big cities.
0:28:49 > 0:28:52Today, Helimed 99's heading for Scammonden Dam,
0:28:52 > 0:28:56a huge reservoir on Yorkshire's border with Greater Manchester.
0:28:56 > 0:28:58RADIO: Helimed 99, good morning...
0:28:59 > 0:29:02RADIO DROWNED OUT BY ROTORS
0:29:08 > 0:29:10We're on our way out towards Huddersfield,
0:29:10 > 0:29:13towards the Scammonden Reservoir for a patient that's fallen.
0:29:13 > 0:29:16I believe he's fractured his ankle quite badly.
0:29:16 > 0:29:19It's quite a difficult access area, I believe, as well,
0:29:19 > 0:29:22so we're going to go and provide some support and we'll go from there.
0:29:22 > 0:29:25And I think it's the person at the bottom of the dam that's
0:29:25 > 0:29:28- done his leg, hasn't it? - Where are you looking?
0:29:28 > 0:29:33This man-made lake holds 1.7 billion gallons of water
0:29:33 > 0:29:38and the footpath that zigzags up the dam wall is a real test of fitness.
0:29:42 > 0:29:45- What do we call you?- Marcus. - Marcus, I'm Leon.
0:29:45 > 0:29:48- What's been happening this morning? - I just came running down the hill.
0:29:48 > 0:29:50Just along the path? OK.
0:29:50 > 0:29:52I marched down here, slipped on this ice here
0:29:52 > 0:29:55- and just...I think I've broken my ankle.- OK, yeah...
0:29:55 > 0:29:59Keep-fit fanatic Marcus Szemruk was out jogging around the dam,
0:29:59 > 0:30:00when he slipped on ice.
0:30:00 > 0:30:03He won't be putting on his running shoes again for a while.
0:30:03 > 0:30:05His ankle is badly broken.
0:30:05 > 0:30:08Just keep him warm and a box splint and I'll get a line in him
0:30:08 > 0:30:11and we'll go from there.
0:30:11 > 0:30:14Marcus was spotted by walkers at the top of the dam.
0:30:14 > 0:30:18I saw he was in pain, you could tell by the way he was holding
0:30:18 > 0:30:21himself, so we made our way down the steps very slowly on the ice...
0:30:21 > 0:30:25to him, but he'd already dialled for an ambulance, so, yeah...
0:30:25 > 0:30:28- Gave him coats.- Just gave him coats, keep him warm with it,
0:30:28 > 0:30:30and then his, I think, his sister arrived,
0:30:30 > 0:30:33and then, not long after, the helicopter came in.
0:30:34 > 0:30:36Marcus was lucky to get help.
0:30:36 > 0:30:40Mobile phones are designed to allow 999 calls even
0:30:40 > 0:30:44when the signal is weak and that's a good thing for Marcus.
0:30:44 > 0:30:46With the temperature still well below zero,
0:30:46 > 0:30:50it wouldn't have been long before he developed hypothermia.
0:30:50 > 0:30:54When we got here, he was already cold, so I think the best thing to do is keep him a bit warmer
0:30:54 > 0:30:57and get him as warm as possible. I didn't want to move him,
0:30:57 > 0:30:59cos you don't know what he's done and I don't want to start
0:30:59 > 0:31:03dragging somebody around on the floor with their probably broken ankle.
0:31:03 > 0:31:06Does that feel any better with that box splint on?
0:31:06 > 0:31:09- Um, it feels more secure. - More secure, that's the main thing.
0:31:09 > 0:31:12- I can feel the pressure round here. - Feel the pressure, yeah?
0:31:12 > 0:31:14Marcus, what I'm going to do is...give that morphine
0:31:14 > 0:31:17a couple of minutes to work. I'll give you the rest of the dose.
0:31:17 > 0:31:21And between me and Tony, we'll support you either side down to the aircraft.
0:31:21 > 0:31:25We'll get you out that sleeping bag and fly you to Huddersfield. That's the closest hospital.
0:31:25 > 0:31:28- It should only be a two or three minute flight.- OK.- All right.
0:31:29 > 0:31:32- You not feeling dizzy or funny at all?- No.- No?
0:31:36 > 0:31:38Now warm and safe in Helimed 99,
0:31:38 > 0:31:42he's been flown to hospital in Huddersfield.
0:31:42 > 0:31:46The doctors set his ankle and send him home on crutches.
0:31:46 > 0:31:49It's spring before he's fit to run again and he'll be
0:31:49 > 0:31:54wary about tackling the slopes of Scammonden alone in the future.
0:31:58 > 0:32:01The dramatic landscape of the Yorkshire Dales will soon be
0:32:01 > 0:32:05the improbable backdrop of the greatest race on earth,
0:32:05 > 0:32:09the Tour de France, and its lanes are already a popular
0:32:09 > 0:32:13destination for riders who want to try the route for themselves.
0:32:13 > 0:32:17But, today, one cyclist's ride around North Yorkshire has
0:32:17 > 0:32:19come to a rather abrupt end.
0:32:19 > 0:32:21OK, cheers.
0:32:21 > 0:32:25We received details about a car and cyclist RPC.
0:32:25 > 0:32:27We've got reports at the scene of
0:32:27 > 0:32:30the cyclist who's been knocked unconscious,
0:32:30 > 0:32:33so, potentially, quite a serious transfer of energy there.
0:32:33 > 0:32:34A nasty mechanism of injury,
0:32:34 > 0:32:39we've been tasked again to see if we can provide any assistance.
0:32:39 > 0:32:42- They're the ones behind.- How about football posts? I can't see it.
0:32:42 > 0:32:43- It's not started moving yet.- OK.
0:32:45 > 0:32:49There's a little gate there to the right. That might help you.
0:32:49 > 0:32:52Out of visual. I'm just going to put it here for the time being.
0:32:53 > 0:32:56- You all right, guys? - Every year in this country,
0:32:56 > 0:33:01around 19,000 cyclists are killed or injured on the roads and serving
0:33:01 > 0:33:05police officer Mark Whitehouse has just become one of them.
0:33:05 > 0:33:07How long was he knock out for?
0:33:07 > 0:33:09We think about a minute.
0:33:09 > 0:33:10Have a look and go from there.
0:33:10 > 0:33:14Right, mate, cos of what's happened, we'd like to give you a proper check over,
0:33:14 > 0:33:17so I'm going to cut your shirt off, if that's all right with you.
0:33:17 > 0:33:20'The accident happened on the crossroads outside the village pub.'
0:33:20 > 0:33:23The landlady ran to help Mark.
0:33:23 > 0:33:25I heard an almighty bang
0:33:25 > 0:33:27and then the chap who was driving ran to the window.
0:33:27 > 0:33:31He said, "Call an ambulance."
0:33:31 > 0:33:34And then I just came out and stayed with him, I tried to keep him still.
0:33:34 > 0:33:37OK, we're going to roll on three.
0:33:37 > 0:33:39One, two, three.
0:33:39 > 0:33:42Mark is coping remarkably well following the collision,
0:33:42 > 0:33:44but paramedics are playing it safe.
0:33:44 > 0:33:47He's strapped to a spinal stretcher
0:33:47 > 0:33:49until a back injury can be ruled out.
0:33:49 > 0:33:52One thing that can help the paramedics work out what
0:33:52 > 0:33:55sort of injuries Mark may have sustained is his head gear.
0:33:55 > 0:33:58He has hit his head quite hard on the concrete,
0:33:58 > 0:34:00he's got quite a big crack to his cycle helmet, so we're just going to
0:34:00 > 0:34:04get him onto the ambulance where it's a bit more private, do a few more checks
0:34:04 > 0:34:07and then see if we'll fly him up to James Cook or if he'll go by road.
0:34:09 > 0:34:12RADIO: Yeah, 13 miles, 25 miles James Cook Road.
0:34:13 > 0:34:15Cheers, mate.
0:34:15 > 0:34:16You can see here...
0:34:16 > 0:34:18we've got a crack there.
0:34:18 > 0:34:20And it follows on there.
0:34:21 > 0:34:25Now, these helmets are designed to break on impact and, you know,
0:34:25 > 0:34:28and once you've had an impact like that, this helmet is no longer
0:34:28 > 0:34:31any use, you'd have to throw it away and buy a new one.
0:34:31 > 0:34:33We always take these to hospital because it gives them
0:34:33 > 0:34:37some indication to the doctors at hospital about what's
0:34:37 > 0:34:40actually happened and where they might be thinking to look for injuries,
0:34:40 > 0:34:43so, we'll take that on with us and see what they make of that.
0:34:45 > 0:34:48Mark's damaged helmet clearly shows the force of the crash
0:34:48 > 0:34:52and the crew know that, although alert and calm now,
0:34:52 > 0:34:55he could have sustained internal injuries
0:34:55 > 0:34:59and needs to be checked over thoroughly in hospital.
0:35:00 > 0:35:03The decision is taken to fly Mark to Middlesbrough,
0:35:03 > 0:35:06nearly 40 miles away.
0:35:06 > 0:35:09There's always a potential with any bang on the head, especially
0:35:09 > 0:35:11when he's hit the concrete and cracked his helmet,
0:35:11 > 0:35:13that he's got some occult injuries.
0:35:13 > 0:35:16Especially a slow occult bleed that we might not be able to detect now,
0:35:16 > 0:35:18but might become prominent in the next few hours.
0:35:18 > 0:35:20So, with that in mind, we'll take him
0:35:20 > 0:35:23to James Cook, cos that's one of the neurosurgical centres in the country.
0:35:23 > 0:35:26They can scan him, hopefully there will be nothing found
0:35:26 > 0:35:28and he can be discharged later on, but, if he is poorly,
0:35:28 > 0:35:31then, it'll be the best place to deal with him.
0:35:37 > 0:35:39- I'll put the tail your way out. - OK.
0:35:39 > 0:35:43Mark was taking a route he has ridden several times before
0:35:43 > 0:35:46as part of his training. A keen sportsman,
0:35:46 > 0:35:50he recently took part in an Iron Man competition which sees
0:35:50 > 0:35:57competitors swim, cycle and run a distance of over 130 miles in total.
0:35:59 > 0:36:03- Ready, steady, slide.- It's not compulsory to wear a cycle helmet.
0:36:03 > 0:36:07If it was, some experts say three out of four riders who
0:36:07 > 0:36:10suffered head injuries would have escaped unhurt.
0:36:10 > 0:36:13Mark certainly benefitted from his.
0:36:13 > 0:36:16He's examined in the James Cook Trauma Unit and sent home.
0:36:16 > 0:36:19Apart from mild concussion and bruises,
0:36:19 > 0:36:21he's otherwise fit to get back on his bike.
0:36:27 > 0:36:29Becoming a paramedic isn't easy.
0:36:30 > 0:36:35Most have degrees, and advances in medicine mean these guys
0:36:35 > 0:36:37never stop learning.
0:36:38 > 0:36:42Every week, there's a new technique or a new treatment to learn.
0:36:43 > 0:36:45'But, when they join the Helimed team,
0:36:45 > 0:36:48'it's back to the classroom again.'
0:36:48 > 0:36:51Not only must paramedics Leon and Darrell know how
0:36:51 > 0:36:55to handle dozens of possible in-flight emergencies,
0:36:55 > 0:36:58they must also grasp the art of navigation.
0:37:00 > 0:37:03I got a request for...for to attend a detail.
0:37:03 > 0:37:06A lady's apparently fallen in some mud and dislocated
0:37:06 > 0:37:07her patella or her kneecap.
0:37:07 > 0:37:10The crew could have some difficulties getting the advice,
0:37:10 > 0:37:12so we're going down there with a view to give them
0:37:12 > 0:37:15a hand just cos there's an access problem.
0:37:16 > 0:37:19I think this is it. This is it here. The junction in the road, we've got
0:37:19 > 0:37:21the A1 down the side of this main road coming across here.
0:37:21 > 0:37:24- So, well put it in front of these wind farms, just in here.- Yeah.
0:37:24 > 0:37:29The team has a grid reference, but a green energy company has made the
0:37:29 > 0:37:33task harder by building a wind farm that's yet to make it onto the map.
0:37:33 > 0:37:35The crew are now with the patient,
0:37:35 > 0:37:38but they are saying they do require you for access issues,
0:37:41 > 0:37:43and they need you at the scene. Over.
0:37:43 > 0:37:44RADIO TONES
0:37:44 > 0:37:48Can you see them people that are standing around? Is that them?
0:37:48 > 0:37:5099, visual now, over.
0:37:50 > 0:37:52RADIO TONES
0:37:52 > 0:37:54It looks really boggy.
0:37:54 > 0:37:55Yeah.
0:37:55 > 0:37:59Ground paramedics have called in the chopper to an embankment half
0:37:59 > 0:38:01a mile from the nearest road.
0:38:01 > 0:38:04DOGS BARK They're all friendly, are they?
0:38:04 > 0:38:06That's good to know!
0:38:06 > 0:38:09The patient is Lorraine Walker, who was out with a dog walking group
0:38:09 > 0:38:14when one member of the party got a little excited with painful results.
0:38:14 > 0:38:16Hiya.
0:38:16 > 0:38:19I'm Darrell. You all right? What's your name again?
0:38:19 > 0:38:23- Lorraine.- Lorraine.- It looks like Lorraine has dislocated her kneecap,
0:38:23 > 0:38:25a very painful injury.
0:38:25 > 0:38:29The patella is a bone that should float in front of the knee joint.
0:38:29 > 0:38:33When she fell, Lorraine's slipped out of position.
0:38:33 > 0:38:36The villain of the piece is well and truly in the doghouse.
0:38:36 > 0:38:40They've all run about me, got really tired, had a fabulous time,
0:38:40 > 0:38:42and we were just on the way back.
0:38:42 > 0:38:45We got as far as here, I heard an almighty thud,
0:38:45 > 0:38:50cos I was at the front, turned round and poor Lorraine's on the floor.
0:38:50 > 0:38:53- Are you feeling a bit woozy with that Entonox?- Yeah.- Right.
0:38:53 > 0:38:55Well, if it's easing off a bit now,
0:38:55 > 0:38:58we'll probably just give you this morphine...
0:38:58 > 0:39:00Darrell's trying to get on top of Lorraine's pain.
0:39:00 > 0:39:03Morphine should do the trick.
0:39:03 > 0:39:05'Lorraine was out with a new group of friends.
0:39:05 > 0:39:07'Few of them know each other well.'
0:39:07 > 0:39:10We've just formed a small dog walking group,
0:39:10 > 0:39:11just through the internet,
0:39:11 > 0:39:13and we all met and went for a walk with the dogs
0:39:13 > 0:39:16and they all ran around all round here, which is
0:39:16 > 0:39:18really nice for 'em and they all met each other,
0:39:18 > 0:39:21and we were just making our way back and the lady just fell over.
0:39:21 > 0:39:23We don't even really know each other yet, we've only just...
0:39:23 > 0:39:25We've only just started.
0:39:25 > 0:39:27At the moment, then, Lorraine, is it bearable that...?
0:39:27 > 0:39:30- Your blood pressure's a little bit low.- Yeah.
0:39:30 > 0:39:34The morphine has taken effect, but Lorraine's knee is still hurting.
0:39:34 > 0:39:37Darrell would like to give her more, but he can't.
0:39:37 > 0:39:39The drug has reduced her blood pressure
0:39:39 > 0:39:41and a bigger dose could be dangerous.
0:39:41 > 0:39:44Are you able to just ease your bum over? I'll support your knee.
0:39:47 > 0:39:50- There we go.- They say that the best way to get to know people
0:39:50 > 0:39:54is to buy a dog and Lorraine's fall has certainly
0:39:54 > 0:39:56broken the ice for these pet owners.
0:39:56 > 0:39:59- Just let me just get the corner. - Might feel a little unsteady, this.
0:39:59 > 0:40:02- All right, well, there's plenty of us.- Ready, steady, lift.
0:40:04 > 0:40:07- Are you OK with the dog? - Absolutely fine.
0:40:07 > 0:40:08We'll see to your dog.
0:40:08 > 0:40:11The team's going to fly its patient to the local hospital.
0:40:11 > 0:40:15Lorraine's injury may be painful, but it's not serious.
0:40:15 > 0:40:18Normally, her case wouldn't justify a flight,
0:40:18 > 0:40:22but this is a tricky location to get a stretcher out of.
0:40:22 > 0:40:25Darrell's confident his patient will make a good recovery,
0:40:25 > 0:40:29but, until her kneecap is restored to its proper position,
0:40:29 > 0:40:33there's nothing more he can do to make Lorraine comfortable.
0:40:33 > 0:40:36Lorraine, she dislocated her patella,
0:40:36 > 0:40:39so, she was in quite considerable pain when we got there and,
0:40:39 > 0:40:42previously, she had a right knee dislocation,
0:40:42 > 0:40:44so, it might be that she's just, you know,
0:40:44 > 0:40:47open to these sorts of injuries, but the fact that the crew had got
0:40:47 > 0:40:50her topped with analgesic up prior to her getting in,
0:40:50 > 0:40:52made things a lot easier.
0:40:53 > 0:40:55Cleared the trees now...
0:40:55 > 0:40:57CONVERSATION DROWNED OUT BY ROTORS
0:40:57 > 0:40:59There's posts on my side, I can't see...ah, yeah.
0:40:59 > 0:41:01Straight ahead is the post, isn't it?
0:41:03 > 0:41:05So, what we're going to do now is leave you on this board.
0:41:05 > 0:41:08I'm going to put you onto the road ambulance and they're going to
0:41:08 > 0:41:11take you round to Doncaster A&E department, all right?
0:41:11 > 0:41:13We'll get it x-rayed when we get you into the A&E department.
0:41:13 > 0:41:16Lorraine's going to complete her journey by road.
0:41:16 > 0:41:19Later, she's given stronger painkillers
0:41:19 > 0:41:21and doctors treat her injury in A&E.
0:41:24 > 0:41:26She's soon allowed home.
0:41:26 > 0:41:29Although she's been told she may need surgery,
0:41:29 > 0:41:32- she doesn't bear any grudges. - Fetch it!
0:41:33 > 0:41:37Dogs never really get the chance to socialise because people,
0:41:37 > 0:41:38when they see another dog coming,
0:41:38 > 0:41:42instinctively put the lead on them and steer them away.
0:41:42 > 0:41:45We'd gone along to the side of the river that day,
0:41:45 > 0:41:47and the dogs had had a really good run round
0:41:47 > 0:41:51and got on really well, and we were just setting off to come back...
0:41:51 > 0:41:53and one of the dogs jumped in the river,
0:41:53 > 0:41:56I turned round to look at it,
0:41:56 > 0:42:00and then I felt an almighty sort of bang in the back of my knee
0:42:00 > 0:42:02and one of the dogs, I don't know which one it was,
0:42:02 > 0:42:05had run into the back of my leg.
0:42:05 > 0:42:08My leg just sort of twisted and I feel my kneecap come out
0:42:08 > 0:42:12and then just sort of crumpled onto the ground really.
0:42:12 > 0:42:15I can remember somebody saying to me, "Don't get up just yet."
0:42:15 > 0:42:17And me saying, "I'm not going to be getting up,
0:42:17 > 0:42:20because my knee's come out." Come on then, Rex!
0:42:20 > 0:42:23Come on then. Come on then. Hoi!
0:42:24 > 0:42:27I really would like to go out with the dog walking team again,
0:42:27 > 0:42:30because I still think it's a great idea, despite what's happened
0:42:30 > 0:42:35and, I don't know, you tend to think the same thing can't happen twice.
0:42:35 > 0:42:36Maybe!