0:00:03 > 0:00:06When the people of rural Yorkshire dial 999,
0:00:06 > 0:00:09help can be a long time coming.
0:00:09 > 0:00:12The Yorkshire Dales are as beautiful as they are big,
0:00:12 > 0:00:16but if you're seriously injured in a landscape as gigantic as this,
0:00:16 > 0:00:18your life is on the line.
0:00:19 > 0:00:22But in the remotest part of Britain's biggest county,
0:00:22 > 0:00:25they look to the skies for help.
0:00:25 > 0:00:28Look on your left. Can you get in that grass field on the left?
0:00:28 > 0:00:29Yes, mate, go for that.
0:00:29 > 0:00:32From high drama in the Peaks,
0:00:32 > 0:00:34to high waters in the Dales,
0:00:34 > 0:00:38the Helimed team's at the heart of almost every rescue,
0:00:38 > 0:00:40bringing 21st century medicine
0:00:40 > 0:00:44to some of Britain's most isolated communities
0:00:44 > 0:00:47and saving lives against the odds.
0:00:54 > 0:00:57Today on Helicopter Heroes, a miner's critically injured
0:00:57 > 0:01:00and the Helimed team must save his life.
0:01:00 > 0:01:02Patient just coming to the pit top now.
0:01:02 > 0:01:05We should get to the ambulance in the next five or six minutes, over.
0:01:05 > 0:01:07Straighten this arm out for me.
0:01:07 > 0:01:09Straighten it out.
0:01:09 > 0:01:11That's it. Well done, sir.
0:01:12 > 0:01:16A ride on a rope swing leaves a boy with two broken wrists.
0:01:16 > 0:01:18If they slip, or things go wrong,
0:01:18 > 0:01:20the consequences are quite...bad.
0:01:20 > 0:01:24And a blind cyclist collides with a tractor.
0:01:24 > 0:01:26Where am I at the moment?
0:01:26 > 0:01:29We're just outside of Ripon, on a country road.
0:01:38 > 0:01:41These hills were once covered in trees,
0:01:41 > 0:01:44until early man came along and chopped them all down -
0:01:44 > 0:01:46mainly for firewood.
0:01:46 > 0:01:49Today, hundreds of feet below the Yorkshire landscape,
0:01:49 > 0:01:51men are still hard at work
0:01:51 > 0:01:54trying to satisfy the world's need for energy.
0:01:54 > 0:01:57But it's a dangerous job.
0:01:58 > 0:02:00Even in the age of green energy,
0:02:00 > 0:02:03coal still keeps the lights on for most of us.
0:02:03 > 0:02:06But the men who mine it pay a high price.
0:02:06 > 0:02:08Today, deep underground,
0:02:08 > 0:02:12one Yorkshire miner desperately needs help.
0:02:13 > 0:02:16We're going to Hatfield Colliery,
0:02:16 > 0:02:19which is just around the Doncaster area.
0:02:19 > 0:02:21We've got reports of a miner
0:02:21 > 0:02:24who has got high-pressure blast injuries.
0:02:24 > 0:02:28Have you got any updates at all at the moment, over?
0:02:28 > 0:02:30- RADIO:- 'Apparently this patient
0:02:30 > 0:02:32'is 5km from the surface, over.'
0:02:35 > 0:02:40- I'll park just beyond the ambulance. - Might be quite dusty.- It will be.
0:02:40 > 0:02:43I'm deliberately just going to go over the cars
0:02:43 > 0:02:46because all this lot looks loose on the right.
0:02:46 > 0:02:49The team's flying into a complex rescue operation
0:02:49 > 0:02:53that's already under way 3,000 feet below the surface.
0:02:53 > 0:02:56Paramedic Dave was born in a mining community
0:02:56 > 0:02:58and this accident is close to home.
0:02:58 > 0:03:01I'm unable to give him morphine due to a chest injury.
0:03:01 > 0:03:04His pulse is rapid but strong, but his breathing's heavy.
0:03:04 > 0:03:07We suspect he's got a collapsed lung on his right-hand side,
0:03:07 > 0:03:09because he's struggling to breathe on his right-hand side.
0:03:09 > 0:03:12OK, mate. We're going to be up there anyway in a minute.
0:03:12 > 0:03:15We're going to go up there now. Right, let's get going, then.
0:03:17 > 0:03:20Members of the HART Team,
0:03:20 > 0:03:23a specialist rescue squad from the Ambulance Service,
0:03:23 > 0:03:25are joining the operation.
0:03:25 > 0:03:26Let's get good access
0:03:26 > 0:03:29to wherever they're saying he's got pain,
0:03:29 > 0:03:31because he might still be clothed up.
0:03:31 > 0:03:33If he's clothed up, we need to get access.
0:03:33 > 0:03:37So we need to get 'em cut off and get a good look, top to toe.
0:03:43 > 0:03:45For 25 minutes, then.
0:03:45 > 0:03:48So we're looking at 20 to 12 before he gets here.
0:03:48 > 0:03:50- Before he gets to the pit bottom. - And then how long...
0:03:50 > 0:03:51Once he gets from the pit bottom,
0:03:51 > 0:03:54- we're talking minutes to get him to the top.- So quarter to 12?
0:03:54 > 0:03:56You should have him by quarter to 12.
0:03:56 > 0:03:59'We can be put in any environment on any given day.
0:03:59 > 0:04:02'This one is highly specialised, so we're working,'
0:04:02 > 0:04:06liaising with their safety officer and taking his advice on all matters.
0:04:06 > 0:04:09Word from the first-aiders deep underground
0:04:09 > 0:04:13is that they've managed to get the patient onto a small railway,
0:04:13 > 0:04:16which runs to the bottom of the lift shaft.
0:04:16 > 0:04:18The update from the first-aiders down in the pit
0:04:18 > 0:04:21is that the gentleman's lung may have collapsed.
0:04:21 > 0:04:23They're struggling to hear, they don't have stethoscopes,
0:04:23 > 0:04:25but their knowledge is saying
0:04:25 > 0:04:28that potentially now his lung's collapsed, he's struggling to breathe
0:04:28 > 0:04:30and he's deteriorating. It's not good.
0:04:30 > 0:04:34Miner Richard Hodgkinson is receiving only basic medical care
0:04:34 > 0:04:37from the pit's first-aid team.
0:04:37 > 0:04:39He's still half an hour away from reaching ground level.
0:04:39 > 0:04:43Despite this, it's decided it's best for the ambulance team
0:04:43 > 0:04:45to stay at the surface.
0:04:45 > 0:04:48There's only the one train, so that train's gone to pick him up.
0:04:48 > 0:04:50So you're only talking,
0:04:50 > 0:04:52even though it's 30 minutes,
0:04:52 > 0:04:54the time we would save is 90 seconds.
0:04:54 > 0:04:58So, really, we just need to let them get on with their job,
0:04:58 > 0:05:02get him up here, get him assessed, get him treated and get him off.
0:05:02 > 0:05:06All eyes are on the pit wheel - when that starts turning,
0:05:06 > 0:05:09their patient will be on his way up.
0:05:09 > 0:05:13These paramedics are well aware that a victim of a major blast
0:05:13 > 0:05:15will be in a very bad way,
0:05:15 > 0:05:19and without any pain relief, he'll also be in agony.
0:05:19 > 0:05:21It's a very long wait.
0:05:33 > 0:05:35Patient just coming to the pit top now.
0:05:35 > 0:05:38Should be at the ambulance, hopefully, in the next five or six minutes, over.
0:05:38 > 0:05:42- RADIO:- 'OK. Have you got an update on his condition? Over.'
0:05:43 > 0:05:45Negative. He's literally just coming out now.
0:05:48 > 0:05:51Well done, gentlemen, well done. Thank you very much.
0:05:51 > 0:05:53Thank you, guys.
0:05:55 > 0:05:57It's taken over an hour to get the injured miner
0:05:57 > 0:05:59from the scene of the explosion.
0:06:01 > 0:06:03Hello, sir! Is it Richard?
0:06:03 > 0:06:05Pleased to meet you, Richard.
0:06:06 > 0:06:08Are you all right, Richard?
0:06:08 > 0:06:11All right, mate? Right... RICHARD GROANS
0:06:11 > 0:06:14Richard owes his life to his workmates.
0:06:14 > 0:06:16Now their job is done.
0:06:16 > 0:06:20Everybody mustered together. Getting him out, that's the priority.
0:06:20 > 0:06:22Everybody does what they have to do, because it could be you.
0:06:22 > 0:06:25So, everybody sticks together, works as a team.
0:06:25 > 0:06:27When you get out of the pit, adrenaline takes over -
0:06:27 > 0:06:29you're very, very emotional.
0:06:29 > 0:06:32A high-pressure hose ruptured as Richard was walking past.
0:06:32 > 0:06:35It hit him in the chest and groin.
0:06:35 > 0:06:39He's struggling for breath - the result of a collapsed lung.
0:06:39 > 0:06:42Straighten this arm out for me, bud. Straighten it out.
0:06:42 > 0:06:44That's it. Well done, sir.
0:06:45 > 0:06:47- I've got air into this side.- Yep...
0:06:47 > 0:06:50- Definite sucking, no air into here, so...- Decompress, yeah.
0:06:50 > 0:06:53Richard needs immediate surgery.
0:06:53 > 0:06:55They're making an incision
0:06:55 > 0:06:57to release the pressure inside his chest.
0:06:57 > 0:07:01- You're got a good rate, you're all right.- More fluids...- Pop that one...
0:07:02 > 0:07:06OK! Has everybody got a piece? Come on, let's get a move on now.
0:07:06 > 0:07:08- It's going to be very quick moving, all right?- All right?
0:07:08 > 0:07:10Have we got it?
0:07:10 > 0:07:13But it's his low blood pressure that's worrying the medics.
0:07:13 > 0:07:15Richard is bleeding internally.
0:07:17 > 0:07:21We'll be leaving in about five minutes' time.
0:07:21 > 0:07:25We should be at Northern General for quarter past 12.
0:07:27 > 0:07:31Richard's extensive injuries have already been radioed through
0:07:31 > 0:07:33to the hospital in Sheffield.
0:07:33 > 0:07:34- RADIO:- 'Just to let you know,
0:07:34 > 0:07:38'Northern General have got a full trauma stand-by waiting for you.'
0:07:38 > 0:07:41Right, then, Richard, let's get you inside, bud.
0:07:41 > 0:07:44'Roger. We'll be lifting in two minutes.'
0:07:44 > 0:07:47- Are we happy with his breathing now? - You've got equal air in,
0:07:47 > 0:07:48he sounds very wheezy both sides -
0:07:48 > 0:07:51do you want a quick listen, just before we go?
0:07:51 > 0:07:54- Do you want to hold that? - He's got a resting of about 52.
0:07:55 > 0:07:58Even though Richard's lung is working again,
0:07:58 > 0:08:03his breathing is still uneven and it's concerning to paramedic Dave.
0:08:03 > 0:08:05Yes, thank you very much for your help, all right?
0:08:13 > 0:08:16Richard's showing signs of deteriorating.
0:08:16 > 0:08:20Paramedic Dave knows speed is essential.
0:08:20 > 0:08:21- 'Steve...- Hello.
0:08:21 > 0:08:25'Is there any, er, coal left to put on the fire?
0:08:25 > 0:08:28- 'Is there any what, sorry? - Any coal left to put on the fire?
0:08:28 > 0:08:31- 'Yeah, we can go a bit faster, if you want.- Would you mind?
0:08:31 > 0:08:34'His stats are dropping a little bit here.'
0:08:34 > 0:08:37At the Northern General Hospital, specialist trauma doctors
0:08:37 > 0:08:41and surgeons are waiting to take over Richard's care.
0:08:41 > 0:08:43But he's gravely ill.
0:08:43 > 0:08:47For their patient, the next hour will be critical.
0:08:50 > 0:08:53It's summer on the Yorkshire Wolds -
0:08:53 > 0:08:56the rolling hills between York and the coast.
0:08:56 > 0:08:59The crew of Helimed 98 is flying over the landscape
0:08:59 > 0:09:03made famous by artist David Hockney.
0:09:03 > 0:09:05'Is it in the town itself?
0:09:05 > 0:09:08- 'It looks like it, yeah. Do you know where the Minster is?- Yeah.
0:09:08 > 0:09:10'Yeah, it's not far off that.'
0:09:10 > 0:09:12The combine harvesters are hard at work,
0:09:12 > 0:09:16but in the market town of Beverley, the local kids
0:09:16 > 0:09:19are enjoying a long summer holiday.
0:09:19 > 0:09:23This rope swing has left a ten-year-old boy badly injured
0:09:23 > 0:09:25and his sister distraught.
0:09:25 > 0:09:28He was on the rope swing and he just fell over,
0:09:28 > 0:09:31and...I thought he was all right...
0:09:32 > 0:09:36'You've got like a, er, a set of woods just kind of, er,
0:09:36 > 0:09:40'west of Beverley, in the suburbs...'
0:09:40 > 0:09:45Beverley Westwood is a huge expanse of public grassland and woods.
0:09:45 > 0:09:47'Do we reckon that's him on the corner there?'
0:09:47 > 0:09:50And down there somewhere is their young patient.
0:09:50 > 0:09:51'That's the guy with his dog.
0:09:51 > 0:09:54'That's the car - doesn't necessarily mean he's there.
0:09:55 > 0:09:59'Looking. I can't, er, visualise the responder anywhere.'
0:10:03 > 0:10:05'Opening the doors, guys. It's a bit warm.'
0:10:10 > 0:10:12- This is Liam. - Hello, Liam, how are you doing?
0:10:12 > 0:10:15Liam was swinging off that and ended up down there.
0:10:15 > 0:10:18- OK.- He's got himself to here, bilateral wrist fractures...- Yeah.
0:10:18 > 0:10:21No head trauma. He's got markings to the face.
0:10:21 > 0:10:24Sister's doing C-spine at the moment.
0:10:24 > 0:10:26He has complained of abdominal pain on pressure there.
0:10:26 > 0:10:29Just coming over the Westwood here, walking up, and this girl come out,
0:10:29 > 0:10:33very, very upset and distraught, and she come across to me
0:10:33 > 0:10:35and I said to her, "What's the matter?" And she just said,
0:10:35 > 0:10:39"I've got my little brother, he's had a bad fall."
0:10:39 > 0:10:41Getting him out of here is going to be very interesting.
0:10:41 > 0:10:44We've got our scoop, so I think, where he is, probably the best thing
0:10:44 > 0:10:48to do is, I'll give my colleague a shout, we'll get a paediatric collar,
0:10:48 > 0:10:51and bring the scoop underneath him and slide him down it,
0:10:51 > 0:10:53- rather than...- Do we need more hands?
0:10:53 > 0:10:56Let's get you some pain relief in, then, Liam.
0:10:56 > 0:10:58We'll try and get you more comfortable.
0:10:58 > 0:11:00Not going to move you just yet.
0:11:00 > 0:11:03We'll leave your sister holding your head whilst we get a collar on,
0:11:03 > 0:11:05and get you comfortable, and then...
0:11:05 > 0:11:07we'll be flying you into Hull.
0:11:07 > 0:11:09Liam's mum is out for the day.
0:11:09 > 0:11:12His sister's done a great job at keeping him calm.
0:11:12 > 0:11:16- How old are you, my love?- 14.- 14. Where are your parents?
0:11:16 > 0:11:20- She's gone out but my brother's at home. He's 19.- Right, OK.
0:11:20 > 0:11:22So, is your mum aware?
0:11:22 > 0:11:25- No. My mum's at work.- Right, OK.
0:11:25 > 0:11:29- Have you got a mobile phone to give her a call?- Have you got credit?
0:11:29 > 0:11:31- No, but...- Do you know the number?
0:11:31 > 0:11:34Yeah? We'll get it all sorted, we'll get you packaged up,
0:11:34 > 0:11:37and we'll let you have a word with her, give her a quick call
0:11:37 > 0:11:39and let her know that everything's OK.
0:11:39 > 0:11:42They come onto here and they get these swings
0:11:42 > 0:11:44and, as you can see, they're quite steep slopes,
0:11:44 > 0:11:47and it's fascinating for them to swing about on these ropes,
0:11:47 > 0:11:50but every now and again, if they slip, or things go wrong,
0:11:50 > 0:11:52the consequences are quite bad.
0:11:52 > 0:11:55They have quite nasty falls. And this poor lad,
0:11:55 > 0:11:57that's exactly what's happened to him.
0:12:03 > 0:12:05Liam, it might be a little uncomfortable, this.
0:12:05 > 0:12:08I'm just going to slide, like the guys have done on that arm,
0:12:08 > 0:12:09just underneath your wrist, OK?
0:12:09 > 0:12:12It looks like Liam's broken both his wrists.
0:12:12 > 0:12:15But the paramedics are also worried about his pelvis,
0:12:15 > 0:12:18after falling such a long way.
0:12:18 > 0:12:20We've got him immobilised and we're going to be
0:12:20 > 0:12:22putting a pelvic splint on him.
0:12:22 > 0:12:25He's complaining of pain around his abdo and pelvic region.
0:12:25 > 0:12:27Given the height that he's come off the rope swing,
0:12:27 > 0:12:31just taking all the precautions that we can, getting Liam comfortable
0:12:31 > 0:12:35and immobilised, so he can't cause any further injury to himself.
0:12:35 > 0:12:38He's definitely landed and broken both his wrists,
0:12:38 > 0:12:41because he landed hands first. He's had a good job at protecting himself
0:12:41 > 0:12:43by putting his arms out.
0:12:43 > 0:12:46So, he's not got a head injury, we're happy that he's fully talking to us.
0:12:46 > 0:12:49- Hands in?- Yes, please, just so I can get to the cannulation...
0:12:49 > 0:12:51Ready, steady, lift.
0:12:53 > 0:12:55- We'll go down that way. - Which way?
0:12:57 > 0:13:00Although Liam is now being well looked after...
0:13:00 > 0:13:01Are you comfortable, Liam?
0:13:01 > 0:13:04..his mum still knows nothing about what's happened.
0:13:04 > 0:13:07We're going to just try and contact the parents,
0:13:07 > 0:13:11because there's no-one over the age of 18 on the scene,
0:13:11 > 0:13:13so it's a bit of a safeguarding issue, so that everyone's aware
0:13:13 > 0:13:16of where we're going. There's not enough room on the aircraft
0:13:16 > 0:13:19to be carrying his sister, but we believe there's an older brother
0:13:19 > 0:13:21at home, not too far away. What's your mum's name?
0:13:21 > 0:13:23Sharon?
0:13:23 > 0:13:25Right, OK. Would you be able to run
0:13:25 > 0:13:28- Liam's sister back home in the response car?- Yeah, of course I can.
0:13:28 > 0:13:31It's not far - rather than make her way on her own.
0:13:31 > 0:13:34Will your brother take you to the hospital, or not?
0:13:34 > 0:13:37We can't get hold of him.
0:13:37 > 0:13:39We'll figure something out. We can't get hold of the mum,
0:13:39 > 0:13:42but Mum's number's down there.
0:13:42 > 0:13:44I think that's probably going to be the safest thing.
0:13:44 > 0:13:46Is she going to be in the hospital?
0:13:46 > 0:13:50- What we're going to try and do is take your sister home...- Yeah.
0:13:50 > 0:13:51..go and get your older brother -
0:13:51 > 0:13:54- we've tried your mum and there's no answer...- Yeah.
0:13:54 > 0:13:56..and if we can get your older brother and your sister,
0:13:56 > 0:13:59then our colleague is going to drive them down to hospital to see you.
0:13:59 > 0:14:03All right? So you're not going to be on your own too long.
0:14:04 > 0:14:06Liam's still airborne when his sister
0:14:06 > 0:14:10finally gets through to his mum and tells her the bad news.
0:14:10 > 0:14:14He's being flown to an appointment at the X-ray department
0:14:14 > 0:14:17of Hull Royal Infirmary, where she'll join him.
0:14:18 > 0:14:21Doctors confirm that he's broken both wrists,
0:14:21 > 0:14:23but nothing else.
0:14:26 > 0:14:27Good girl!
0:14:27 > 0:14:30And a few days later, he's back home in Beverley,
0:14:30 > 0:14:34regretting his decision to enjoy one last swing on the rope.
0:14:34 > 0:14:37My sister said, "I think we should start leaving," so I said,
0:14:37 > 0:14:39"Can I just have one more go?"
0:14:39 > 0:14:41And I just sort of fell off, really.
0:14:41 > 0:14:44And it just ended up going wrong, really.
0:14:44 > 0:14:47I just remember, like, landing, and I got up, thinking,
0:14:47 > 0:14:51"Oh, I think I'm all right." But then I looked at my wrists, and they were,
0:14:51 > 0:14:53er, my hands and that were everywhere,
0:14:53 > 0:14:57like, because they were dislocated, and it was really horrible, really,
0:14:57 > 0:14:59and then I just noticed that...
0:14:59 > 0:15:01I just sort of said to myself,
0:15:01 > 0:15:04"Oh, my God, I've actually done myself some damage."
0:15:04 > 0:15:07And then I just decided to stay down.
0:15:07 > 0:15:10Kelly, my sister, come down and she went to go...
0:15:10 > 0:15:13I said, "Can you go and get someone? Can you go and get doctors?"
0:15:13 > 0:15:17Me and my friend are always up to stuff, so,
0:15:17 > 0:15:19like, we always go and do something.
0:15:19 > 0:15:22But you can't really ride a bike and things.
0:15:22 > 0:15:25It's, like, just getting my hands back to the way they were, really.
0:15:28 > 0:15:32Up on the wild and windy moors of Bronte Country, things are changing.
0:15:32 > 0:15:34Heathcliff and Cathy wouldn't
0:15:34 > 0:15:37recognise these Wuthering Heights today.
0:15:37 > 0:15:41But some things in the rugged Pennines never change.
0:15:41 > 0:15:44The roads through these hills are often narrow,
0:15:44 > 0:15:47with sharp bends and steep inclines -
0:15:47 > 0:15:50all potentially lethal hazards for modern motorists.
0:15:50 > 0:15:56'We've one person trapped, one person with confirmed injuries...'
0:15:56 > 0:15:59A young woman is still trapped in her car
0:15:59 > 0:16:01and needs the Helimed team's help.
0:16:01 > 0:16:04There's the potential for a huge amount of energy transfer
0:16:04 > 0:16:06into the patient, which can result in...
0:16:06 > 0:16:10potentially, extremely serious or life-threatening injuries.
0:16:10 > 0:16:13- 'I'm expecting to see a load of blue flashing lights in a road.- Yeah.
0:16:13 > 0:16:15'That's my theory.'
0:16:16 > 0:16:19This is a very tricky place to land.
0:16:19 > 0:16:22- 'You've got the wires running across the valley.- Got the wires, yes.'
0:16:22 > 0:16:25But as well as the physical obstacles,
0:16:25 > 0:16:28local people are now stopping the helicopter landing.
0:16:28 > 0:16:31- 'If we can get on the road, it would be better, mate.- OK, mate, yeah.
0:16:31 > 0:16:35- 'Appreciate that.- We need to stop this couple here, that are walking.
0:16:35 > 0:16:38- 'They're walking straight across. - Can I open the door, or...?
0:16:38 > 0:16:40'There's a police officer or somebody stood there -
0:16:40 > 0:16:42'he needs to stop them. Stop!
0:16:44 > 0:16:46'Totally oblivious!'
0:16:48 > 0:16:51You...move! That way!
0:16:51 > 0:16:53Move!
0:16:53 > 0:16:55'Well done, Sam!
0:16:55 > 0:16:57'There's another one here.
0:16:57 > 0:17:00- 'Oh, this is stupid.- Right, we're not safe, then, guys.
0:17:00 > 0:17:04'We can climb over a wall and sort it out ourselves.'
0:17:09 > 0:17:13With Sam now out, he can marshal the helicopter onto the road.
0:17:13 > 0:17:16- Right, you've still got a pole behind you.- I've got that, yeah.
0:17:19 > 0:17:21But it's a very tight landing.
0:17:21 > 0:17:23With the bus shelter there's a problem here.
0:17:26 > 0:17:30Young lady is trapped in this car. Significant impact.
0:17:30 > 0:17:33Colleagues are dealing with her. She's tachy and hypertensive...
0:17:33 > 0:17:3623-year-old Jodie Greenwood from Burnley
0:17:36 > 0:17:39is still trapped inside her crumpled Mini.
0:17:40 > 0:17:42- Pain like? - Eight out of ten initially.
0:17:42 > 0:17:44What she's scoring at now in these last few minutes
0:17:44 > 0:17:46since she's had some morphine, I don't know.
0:17:46 > 0:17:49Well, if we count when we get her out, if we get a T-POD ready,
0:17:49 > 0:17:50if she's got pain round there.
0:17:50 > 0:17:53- Yeah, absolutely.- And she's tachy, we'll get that sorted.
0:17:53 > 0:17:56Two others from this crash will be taken to hospital by road
0:17:56 > 0:18:02but Jodie is so badly injured, she'll be flown in Helimed 98.
0:18:02 > 0:18:05She's had ten milligrams of morphine
0:18:05 > 0:18:07and she's still in significant pain
0:18:07 > 0:18:09when we try and get her up a long board.
0:18:09 > 0:18:12Just put your weight and try and straighten them.
0:18:12 > 0:18:13That's brilliant.
0:18:16 > 0:18:19Sweetheart, my name's Sam, one of the paramedics on the helicopter.
0:18:19 > 0:18:22Just tell me whereabouts it hurts the most at the moment.
0:18:22 > 0:18:26- Bottom of the back and my hips.- The bottom of the back and your hips.
0:18:26 > 0:18:30Pain around the pelvis can be a sign of very serious injuries.
0:18:30 > 0:18:33Can you remember everything that's happened to you?
0:18:33 > 0:18:34Such was the force of this crash,
0:18:34 > 0:18:37she's likely to have severe internal trauma.
0:18:37 > 0:18:40- Tell me if it hurts anywhere where I press.- Ow!
0:18:40 > 0:18:41- Just down there?- Yep.
0:18:42 > 0:18:44She's obviously had quite a significant impact,
0:18:44 > 0:18:48there's quite a lot of damage to the two vehicles.
0:18:48 > 0:18:50She's complaining of a lot of pain round her pelvis
0:18:50 > 0:18:53and some tenderness and some tightness in her abdomen,
0:18:53 > 0:18:55so we're going to take her to LGI, get her scanned
0:18:55 > 0:18:58and get her looked at properly, get her sorted.
0:18:58 > 0:18:59- Will you use them at A&E now?- Yes.
0:19:02 > 0:19:06It's just to show the medical team exactly what's happened.
0:19:06 > 0:19:11Hello, is that LGI? Hello, it's Sam on Helimed 98.
0:19:11 > 0:19:14We've got a 22-year-old female we're bringing to you.
0:19:15 > 0:19:16- Everybody happy?- Yep.
0:19:16 > 0:19:18Yeah, happy with that.
0:19:24 > 0:19:27Jodie's heart is beating unusually fast.
0:19:27 > 0:19:29This means it can't work as well as it should
0:19:29 > 0:19:32and it could be a sign of internal bleeding.
0:19:32 > 0:19:36- I reckon there's a closure speed of 80mph there.- At least.
0:19:37 > 0:19:40But now speed is on Jodie's side.
0:19:40 > 0:19:46Helimed 98 is crossing Bronte Country at 150mph.
0:19:46 > 0:19:49The team's heading for Leeds General Infirmary, where scans
0:19:49 > 0:19:53and X-rays will be able to identify the cause of her racing heart.
0:19:55 > 0:19:57SAM: Bear in mind that morphine, it's good stuff,
0:19:57 > 0:20:00but it does take a little while to kick in.
0:20:00 > 0:20:04You have been battered about a bit on our helicopter on the way up.
0:20:04 > 0:20:05This is Jodie, 22-year-old.
0:20:05 > 0:20:08She's been involved in a RTC at about quarter past six,
0:20:08 > 0:20:10head on, car versus car.
0:20:10 > 0:20:13I think closure speed's been about 80mph.
0:20:14 > 0:20:17Abdomen's quite tender on palpation,
0:20:17 > 0:20:18does feel like there's a bit of guarding.
0:20:18 > 0:20:20She's complaining of pain around her hips.
0:20:20 > 0:20:24She's been a bit tachycardic throughout, about 120.
0:20:24 > 0:20:26BP initially quite high, but then that's come down
0:20:26 > 0:20:28a little bit with the morphine.
0:20:29 > 0:20:33It's the beginning of a long recovery for Jodie.
0:20:33 > 0:20:36Her new car is a write off, and it takes several months
0:20:36 > 0:20:39before she's fit to return to the roads of Bronte Country.
0:20:42 > 0:20:43It's nearly three months
0:20:43 > 0:20:47since Yorkshire's mining industry claimed yet another casualty -
0:20:47 > 0:20:51miner Richard Hodgkinson was hit by a high-pressure hose which
0:20:51 > 0:20:54fractured 3,000 feet underground.
0:20:54 > 0:20:56He was critically injured.
0:20:56 > 0:20:59For paramedic Sammy, Richard was one of the most
0:20:59 > 0:21:02critically injured patients she'd ever seen.
0:21:02 > 0:21:04When his miner colleagues brought him up,
0:21:04 > 0:21:09he genuinely looked like a dead man that was still looking at us.
0:21:09 > 0:21:12He was critically ill and fighting for his life.
0:21:12 > 0:21:14I looked at him, and I looked at him in his eyes.
0:21:14 > 0:21:19For that split second, I could tell he was a man in extremes.
0:21:19 > 0:21:23He was pleading. He needed help there and then.
0:21:24 > 0:21:28But, against the odds and after weeks in intensive care
0:21:28 > 0:21:30at Sheffield's Northern General Hospital,
0:21:30 > 0:21:33Richard is finally allowed home.
0:21:34 > 0:21:38I've got an 11-inch wound on my belly.
0:21:38 > 0:21:42It's where they cut me open to get out the damage inside.
0:21:43 > 0:21:49I believe they've taken away 90% of the muscle tissue in the hip area.
0:21:49 > 0:21:55There was a big chunk taken out this arm, which they skin graft.
0:21:55 > 0:21:58Another one on this arm.
0:21:59 > 0:22:03He still has clear memories of the accident that almost killed him.
0:22:03 > 0:22:07All of a sudden I hear this loud bang and bagging flying about.
0:22:07 > 0:22:11And this bagging happened to catch me on the inside of my hip,
0:22:11 > 0:22:15and cut inside, approximately eight inch.
0:22:17 > 0:22:20Unknown to me, it pumped fluid inside my body.
0:22:22 > 0:22:24I was in that much pain on the left side of my leg
0:22:24 > 0:22:27I couldn't move my leg at all to get out the way.
0:22:28 > 0:22:31Richard's always worked happily underground,
0:22:31 > 0:22:35but his rescuers didn't know there was one lifelong fear that
0:22:35 > 0:22:38was still praying on his mind that day.
0:22:38 > 0:22:40I'm absolutely petrified of flying.
0:22:40 > 0:22:42To be quite honest with you,
0:22:42 > 0:22:45I just wanted to get to the hospital as quickly as possible.
0:22:45 > 0:22:51All right, it's about eight minutes to Northern General Hospital, OK?
0:22:51 > 0:22:53We've got every man and his dog waiting for you.
0:22:53 > 0:22:55I was blanked out the mine.
0:22:55 > 0:22:58I was looking at the co-pilot who leant over to me.
0:22:58 > 0:23:01I'll never forget it. "Eight minutes."
0:23:01 > 0:23:03"Eight minutes in the hospital."
0:23:03 > 0:23:04I wasn't...
0:23:04 > 0:23:08Basically....looking out the window...
0:23:09 > 0:23:12..and just praying to get to the hospital,
0:23:12 > 0:23:15cos I was that short of breath.
0:23:15 > 0:23:16I could hardly breathe.
0:23:16 > 0:23:21I didn't feel any pain in my body whatsoever,
0:23:21 > 0:23:24because of the situation of trying to breathe.
0:23:24 > 0:23:27Richard has a lot of people to thank for saving his life.
0:23:29 > 0:23:33Today, he's come to see one of them to thank her I'm person.
0:23:33 > 0:23:35- Knock, knock.- Hello.
0:23:35 > 0:23:37Which one happens to be Richard?
0:23:39 > 0:23:43- Come here.- How are you?- I'm fine. How are you?- Brilliant, thank you.- Yeah?
0:23:43 > 0:23:44Thanks to you, anyway.
0:23:44 > 0:23:46Team effort, team effort.
0:23:47 > 0:23:50The first thing I saw actually was your colleagues' eyes
0:23:50 > 0:23:52as they came out of the lift shaft. I knew no matter...
0:23:52 > 0:23:55Well, I knew you were really poorly behind them,
0:23:55 > 0:23:59because there faces were so horrified, tense, stressed.
0:23:59 > 0:24:01They were so relieved to see you as well, weren't they?
0:24:01 > 0:24:04They were so relieved to be top side, definitely.
0:24:05 > 0:24:08There she is, your very own.
0:24:08 > 0:24:09Is that the one?
0:24:09 > 0:24:11I believe it was, yeah. This is G-Sash.
0:24:13 > 0:24:14So this is her.
0:24:14 > 0:24:16This is unbelievable.
0:24:16 > 0:24:20How a machine like this did a fantastic job.
0:24:20 > 0:24:22It really does. It's amazing.
0:24:22 > 0:24:24He's done incredible.
0:24:24 > 0:24:28His family have just supported and surrounded him in love.
0:24:28 > 0:24:31Doctors are amazing, the first aiders are amazing,
0:24:31 > 0:24:33working together as a team is amazing,
0:24:33 > 0:24:38but it's Richard - mind over matter that's made it all work.
0:24:39 > 0:24:42The Yorkshire countryside is a playground for thousands
0:24:42 > 0:24:48of sportsmen and women, from cycling to angling, climbing to shooting.
0:24:48 > 0:24:52But some people spend more time over the landscape than in it.
0:24:54 > 0:24:58Motocross is high adrenaline and high risk.
0:25:01 > 0:25:05It's that farm there where all the caravans are.
0:25:05 > 0:25:06This'll be it then.
0:25:06 > 0:25:09Today, the paramedics are heading to a serious
0:25:09 > 0:25:12incident at an organised motocross event.
0:25:12 > 0:25:14See a couple of ambulance cars down there.
0:25:14 > 0:25:15Yeah.
0:25:16 > 0:25:18ENGINE DROWNS OUT SPEECH
0:25:23 > 0:25:25- Hiya.- You all right, mate?
0:25:25 > 0:25:27I'm Chris. Paramedic, doctor?
0:25:27 > 0:25:29- Paramedic.- Brilliant, OK.
0:25:29 > 0:25:31Got a 15-year-old motocross...
0:25:31 > 0:25:32He's come off his bike,
0:25:32 > 0:25:35- looks like he's got bilateral mid-shaft femurs.- OK.
0:25:35 > 0:25:36He just went over back on the jump
0:25:36 > 0:25:39and landed from 30 feet up on his feet.
0:25:39 > 0:25:42Yeah, his throttle stuck open and he just came down.
0:25:42 > 0:25:46Just a bit of a... Broke his femur, I think, so they say.
0:25:46 > 0:25:50Motocross riders use their legs as shock absorbers.
0:25:50 > 0:25:53Ordinary jumps put enormous forces on the thighbones,
0:25:53 > 0:25:55but when a rider comes off,
0:25:55 > 0:25:58fractured femurs are a common injury.
0:26:00 > 0:26:02All right, mate? What's your name?
0:26:02 > 0:26:05I'm Sam, one of the other paramedics.
0:26:05 > 0:26:07We'll keep you going with that gas and air,
0:26:07 > 0:26:09we'll give you some stronger painkillers,
0:26:09 > 0:26:12we'll get your leg sorted, and then we'll pop you down to
0:26:12 > 0:26:14Leeds General Infirmary, all right, mate?
0:26:14 > 0:26:18It was one of the most painful landings imaginable.
0:26:18 > 0:26:21Liam came down vertically onto his legs.
0:26:21 > 0:26:26He's broken both his thighbones, and possibly his pelvis as well.
0:26:26 > 0:26:28All right, all right. Could be better.
0:26:31 > 0:26:33Can't believe how brave you are.
0:26:33 > 0:26:36Right, Liam, what we're going to do, before we get you moved,
0:26:36 > 0:26:39just going to get all the bits and pieces that we're going to need
0:26:39 > 0:26:41to get you all ready and comfortable together.
0:26:41 > 0:26:44We're going to move you as little as possible in as short
0:26:44 > 0:26:46amount of time as possible.
0:26:46 > 0:26:48Biking runs in Liam's family.
0:26:48 > 0:26:51Unfortunately, so do accidents like this.
0:26:51 > 0:26:55I've had a lot of accidents myself, so I wasn't keen on him doing it.
0:26:55 > 0:26:58You can't stop them, can you?
0:26:58 > 0:27:0035 bones I've broke, I should know.
0:27:01 > 0:27:05I've got a bike as well, and I still do this job.
0:27:05 > 0:27:07I know how my father feels now.
0:27:07 > 0:27:10I know it's upsetting for you lot, but don't worry,
0:27:10 > 0:27:12we'll take good care of him.
0:27:12 > 0:27:14LGI is one of the centres of excellence in the country
0:27:14 > 0:27:17for traumatic injuries, so they'll do right by him.
0:27:17 > 0:27:19They stitched me up there.
0:27:19 > 0:27:21- I see, they've done a good job there.- Yeah.
0:27:21 > 0:27:23What have you got to worry about?
0:27:23 > 0:27:24Because of the awkward way Liam landed,
0:27:24 > 0:27:28splinting his shattered legs is going to be difficult,
0:27:28 > 0:27:30so before they can do anything,
0:27:30 > 0:27:35paramedic Sam needs to give Liam the strongest drug he has.
0:27:35 > 0:27:38That drug we were telling you about. Quite a strong painkiller.
0:27:38 > 0:27:41- Might make you use all kinds of weird stuff.- Right.
0:27:41 > 0:27:43Might make you feel strange, feel like you're floating,
0:27:43 > 0:27:45but don't worry, we'll look after you.
0:27:45 > 0:27:47- Just run with it.- Interesting.
0:27:47 > 0:27:52Looks like he's broke...broken both the big bones in his thighs there.
0:27:52 > 0:27:55There's also a reasonable chance he might have injured his pelvis,
0:27:55 > 0:27:56so we've got a pelvic binder ready.
0:27:56 > 0:27:59I'll stabilise his pelvis, prevent any further blood loss,
0:27:59 > 0:28:01if he has fractured it.
0:28:02 > 0:28:04Whoa, whoa, whoa.
0:28:04 > 0:28:06Doing really well.
0:28:06 > 0:28:08Ready, steady, lift.
0:28:08 > 0:28:11All of Liam's injuries can cause internal bleeding.
0:28:11 > 0:28:14Just one broken thighbone can be fatal.
0:28:14 > 0:28:19The best way to prevent that is by straightening the fractured limbs.
0:28:19 > 0:28:22It's already obvious that recovering from injuries as severe
0:28:22 > 0:28:25as this will take a very long time.
0:28:25 > 0:28:28Just to let you know, we're just finishing packaging the patient
0:28:28 > 0:28:29and we're going to LGI.
0:28:29 > 0:28:32ETA no later than 14:10.
0:28:32 > 0:28:34- Do you understand? - Yeah, I understand him.
0:28:36 > 0:28:39Keep it coming in, guys. Far as we can. Keep going.
0:28:40 > 0:28:42How long have I've been sat here, like?
0:28:42 > 0:28:44Not long. Couple of minutes, now.
0:28:44 > 0:28:46Probably feels like a little bit longer.
0:28:46 > 0:28:49Now, then, have you got a hand free for this gas and air, monkey?
0:28:49 > 0:28:50I don't know, really.
0:28:50 > 0:28:53Give him a go and I'll get going on it.
0:28:53 > 0:28:54There we go.
0:28:56 > 0:28:57That's the one.
0:28:57 > 0:28:58AIR ESCAPES
0:28:58 > 0:28:59This one makes a funny noise!
0:29:06 > 0:29:10The team's decided Helimed 98 will bypass the local
0:29:10 > 0:29:12hospital in nearby York and fly him
0:29:12 > 0:29:17straight to the trauma unit at Leeds General Infirmary 30 miles away.
0:29:17 > 0:29:19Liam's likely to need surgery.
0:29:24 > 0:29:26You all right there, Liam?
0:29:26 > 0:29:28Liam's dad is about to become a regular visitor to the
0:29:28 > 0:29:31hospital where he spent so much time as a patient.
0:29:33 > 0:29:35His son, too, will be here for some time.
0:29:37 > 0:29:40He's gone over a jump, misjudged the landing, been thrown forwards
0:29:40 > 0:29:44off his bike and hit his legs or legs and abdomen onto the handlebars.
0:29:44 > 0:29:47Injuries, top to toe, he's got a bit of a bloody nose,
0:29:47 > 0:29:51query pelvis injury because of the mechanism, definite bilateral femurs.
0:29:51 > 0:29:53Been GCS 15 throughout with us.
0:29:54 > 0:29:56Liam's young and fit,
0:29:56 > 0:30:00two vital factors that will be crucial in his recovery.
0:30:00 > 0:30:03His thighbone's healed but it will be some time
0:30:03 > 0:30:06before he climbs on a bike again, if he wants to.
0:30:10 > 0:30:14It costs nearly 10 grand a day to keep Yorkshire's Air Ambulances
0:30:14 > 0:30:16in the skies.
0:30:16 > 0:30:18But there's no shortage of people willing to dig
0:30:18 > 0:30:21deep in their pockets to keep them flying.
0:30:21 > 0:30:23And farmers are among the most generous.
0:30:26 > 0:30:30Farming is statistically the most dangerous job in Britain.
0:30:30 > 0:30:34Agricultural machinery is responsible for most of those
0:30:34 > 0:30:35casualties.
0:30:35 > 0:30:39But on rare occasions it's not a farm worker who's hurt
0:30:39 > 0:30:42but someone who's accidentally got in its way.
0:30:43 > 0:30:4759-year-old male who has run into the back of a tractor with a head
0:30:47 > 0:30:48and leg injury.
0:30:48 > 0:30:51There's now a doctor en route.
0:30:51 > 0:30:53ETA about 12 minutes so he should be arriving
0:30:53 > 0:30:55probably about the same time.
0:30:55 > 0:30:58The accident's happened on a minor road near Ripon.
0:30:58 > 0:31:00One of the UK's smallest cities.
0:31:00 > 0:31:03Land crew from the Yorkshire Ambulance Service are already there.
0:31:03 > 0:31:05We're making our way there as fast as we can.
0:31:05 > 0:31:08If the crew requests the patient he may have life-threatening
0:31:08 > 0:31:10injuries that may need major trauma centre.
0:31:11 > 0:31:14It seems the cyclist rode into the tractor which was trimming
0:31:14 > 0:31:16a roadside hedgerow.
0:31:16 > 0:31:20It turns out the rider's disability may have been a factor.
0:31:21 > 0:31:28- Hi there, Nicholas. Can you hear me? - Yes. Where am I?
0:31:28 > 0:31:31We're just outside of Ripon.
0:31:31 > 0:31:32On a country road.
0:31:32 > 0:31:35What we're doing is we're just going to get you nice and stable
0:31:35 > 0:31:38and we're going to transport you down in a helicopter.
0:31:38 > 0:31:42Nicholas is registered blind and has hearing difficulties
0:31:42 > 0:31:45but that doesn't stop him being a keen cyclist.
0:31:45 > 0:31:48It's all right. We'll look after you, Nicholas. You're in good hands.
0:31:48 > 0:31:51All you need to do is lie there and relax as best you can.
0:31:51 > 0:31:53I know that is easy for us to say.
0:31:53 > 0:31:56Nicholas's vital signs are good but he's in agony.
0:31:56 > 0:32:00The wound to his leg is ten inches long and to the bone.
0:32:00 > 0:32:02I just made this patient stable.
0:32:02 > 0:32:04There's already a doctor on scene
0:32:04 > 0:32:07and Yorkshire Ambulance Service paramedics and technicians who have
0:32:07 > 0:32:11provided an assessment and given some pain relief for this patient.
0:32:11 > 0:32:14Got him to a good position for us to mobilise him
0:32:14 > 0:32:15and take him down to
0:32:15 > 0:32:18Leeds General Infirmary to see the doctors.
0:32:18 > 0:32:20How is that pain at the moment?
0:32:20 > 0:32:24Paramedics are trained to give partially sighted patients
0:32:24 > 0:32:27a much fuller description of what they're doing to treat them.
0:32:27 > 0:32:29Just stay nice and still, Nicholas.
0:32:32 > 0:32:33Well done, pal.
0:32:34 > 0:32:37Paul's bedside manner is providing Nicholas with badly needed
0:32:37 > 0:32:39reassurance.
0:32:39 > 0:32:42Let's just do that's little bit. Rocking, isn't it?
0:32:44 > 0:32:48They're going to fly their patient to Leeds General Infirmary.
0:32:48 > 0:32:51His leg injury is so big it may require surgery.
0:32:54 > 0:32:56The main concern is injuries to his right leg.
0:32:56 > 0:32:59His femur and his tib and fib look intact.
0:32:59 > 0:33:00It looks more like a skin problem.
0:33:00 > 0:33:03It's probably the size of a £10 note. It's quite open.
0:33:03 > 0:33:06Looks like it's going to need plastics.
0:33:06 > 0:33:10Doctors given him some ketamine on scene and some antibiotics,
0:33:10 > 0:33:12as well just to prevent any infection.
0:33:12 > 0:33:15We're going to give you some more pain killers.
0:33:15 > 0:33:19Given that the patient has quite nasty open lacerations
0:33:19 > 0:33:23to his leg and potential fractures, mucky countryside road where there
0:33:23 > 0:33:27has been hedge trimming, there's a lot of potential risk for infection there.
0:33:27 > 0:33:29Given the large open area, as well.
0:33:29 > 0:33:30Worst case scenario is the patient could
0:33:30 > 0:33:32lose their leg as a result of that.
0:33:32 > 0:33:34So getting them comfortable
0:33:34 > 0:33:38and getting the antibiotics in early will prevent any risk of infection.
0:33:40 > 0:33:44Just relax. You're doing really well.
0:33:44 > 0:33:48- Nice and steady.- Plastic surgeons are waiting for Nicholas's arrival.
0:33:48 > 0:33:50His head wound will need treatment
0:33:50 > 0:33:53but it's the gash in his leg that's more serious.
0:33:55 > 0:33:58In any event, this is the best place for him to be.
0:34:01 > 0:34:03We don't do a bad job, Nicholas.
0:34:03 > 0:34:05Having been forced to give up driving
0:34:05 > 0:34:10because of his disability, Nicholas has always enjoyed cycling.
0:34:10 > 0:34:12It's a sport partially sighted people are encouraged to
0:34:12 > 0:34:15continue, ideally on a tandem.
0:34:18 > 0:34:22The rock faces of Yorkshire have been attracting the brave
0:34:22 > 0:34:26and the adventurous ever since climbers wore tweed.
0:34:26 > 0:34:31Challenges like Kilnsey Crag demand skills only a few have.
0:34:32 > 0:34:36But you don't have to be tackling a climb like this to get into trouble.
0:34:38 > 0:34:3935 miles to go.
0:34:42 > 0:34:44We have a report that a young lad,
0:34:44 > 0:34:47about seven years old has fallen down some rocks.
0:34:47 > 0:34:50And has got a significant head injury.
0:34:50 > 0:34:55As well as that we've got a problem with getting access to his location.
0:34:55 > 0:34:59It's late and Helimed 98 has been called to Huddersfield.
0:34:59 > 0:35:02It's patient was climbing rocks near his home.
0:35:03 > 0:35:06What we're going to do is a bit of a cross slope landing
0:35:06 > 0:35:10because this slope is steep.
0:35:10 > 0:35:11Doing it this way.
0:35:12 > 0:35:16- Just hold it.- Roger.
0:35:18 > 0:35:21- Hello.- Hi.
0:35:23 > 0:35:29- Right, who's...- Max.- Max.- Has been stood on top of there.- Right.
0:35:29 > 0:35:32- He's rolled down to about where that twin tree is.- Oh, nice.
0:35:33 > 0:35:36Very brief loss of consciousness. Very brief.
0:35:36 > 0:35:41The chap up there that saw him said he's been responding all the way.
0:35:41 > 0:35:46- He's got quite a nasty flesh scalp wound.- Anything else obvious?
0:35:46 > 0:35:48- Nothing obvious.- Brilliant.
0:35:48 > 0:35:52Land paramedics couldn't get Max up to their ambulance
0:35:52 > 0:35:53so called for backup.
0:35:53 > 0:35:56Young lad's been on the cliff playing with his mates.
0:35:56 > 0:35:58He's tumbled off about 15, 20 foot.
0:35:59 > 0:36:02Got a nasty laceration to the top of his head so because it's a head
0:36:02 > 0:36:05injury these guys are here to take him straight to
0:36:05 > 0:36:06Huddersfield Royal.
0:36:06 > 0:36:08Save a lot of hassle getting him up the rock face.
0:36:08 > 0:36:11Luckily, paramedics have already packaged Max up
0:36:11 > 0:36:12and he's ready to fly.
0:36:12 > 0:36:16- It's getting cold and dark.- The idea is just to take him to Huddersfield.
0:36:16 > 0:36:18We can get there on the ground.
0:36:18 > 0:36:21As long as we get there before dark, we're all right.
0:36:22 > 0:36:24There we go.
0:36:24 > 0:36:26If we can just bring him in at an angle.
0:36:26 > 0:36:29If you can come round a bit more.
0:36:29 > 0:36:32First day of school holidays, your timing's terrible.
0:36:32 > 0:36:36Max has a cut to his head but paramedic Darren is concerned
0:36:36 > 0:36:39he may be suffering from the effects of concussion.
0:36:39 > 0:36:41Max, do you remember everything that happened to you?
0:36:41 > 0:36:44Yeah. No blank periods in it?
0:36:44 > 0:36:47And you're seven. When's your birthday?
0:36:47 > 0:36:51- 26th of March.- 26th of March, not far off mine that.
0:36:51 > 0:36:55- So, what day is it today, Max? - Monday.- Good lad.
0:36:55 > 0:36:58It's hard to diagnose in a seven year old.
0:36:58 > 0:37:00But Max seems sharp enough.
0:37:00 > 0:37:02We'll only be up in the air about five minutes.
0:37:02 > 0:37:06And then we'll be there. All right? Mum's sitting there.
0:37:06 > 0:37:10With only 30 minutes of daylight left, pilot Andy has just
0:37:10 > 0:37:13enough time to get Max to Huddersfield Royal Infirmary.
0:37:13 > 0:37:16- Over your left shoulder, please. Just report clear behind.- Clear left.
0:37:16 > 0:37:19No large obstacles, no wires.
0:37:19 > 0:37:22Max is in a stable condition with his mum Lindsay there to
0:37:22 > 0:37:23reassure him.
0:37:25 > 0:37:28- OK, yes, confirm it's in sight. - All clear left.
0:37:29 > 0:37:32Max fell nearly 20 feet onto a rock.
0:37:32 > 0:37:36He may be fully conscious but surgeons are on stand-by to
0:37:36 > 0:37:40assess how serious the cut to his head really is.
0:37:40 > 0:37:42For the helimed team, it's time to head home.
0:37:42 > 0:37:45Another patient safely delivered to hospital.
0:37:45 > 0:37:50Max recovers and goes home a little warier about rock climbing.
0:37:56 > 0:38:00In Yorkshire you're never far away from a top tourist attraction.
0:38:02 > 0:38:06From stunning stately homes to crumbling monasteries,
0:38:06 > 0:38:09the landscape is full of relics of the past,
0:38:09 > 0:38:12which attract thousands of visitors every year.
0:38:12 > 0:38:15And they look even more spectacular from the air.
0:38:16 > 0:38:22Up in North Yorkshire, there's not a load of monasteries around our way.
0:38:23 > 0:38:27Today Graham, Leon and pilot Andy are off to a unique
0:38:27 > 0:38:31attraction where an elderly visitor has been seriously injured.
0:38:32 > 0:38:39This lady has broken her femur. Like a broken hip.
0:38:39 > 0:38:42It can be fairly serious but it sound like she's in a lot of pain
0:38:42 > 0:38:44and is unstable.
0:38:44 > 0:38:49You'll find some old ladies just tolerate it.
0:38:49 > 0:38:53One old lady walked out the ambulance.
0:38:57 > 0:39:01I know what this place is. I want to take my kids here.
0:39:01 > 0:39:04It may look like an ancient monument
0:39:04 > 0:39:07but this modern folly is barely 20 years old.
0:39:07 > 0:39:10The patient's been injured in an underground passage.
0:39:10 > 0:39:13I'm going to guess they're in the trees somewhere.
0:39:13 > 0:39:17- Want to have a quick chat with him? - Yeah, I'll nip out.
0:39:19 > 0:39:22- Is there an ambulance here?- There is. - And a car?- There is.
0:39:22 > 0:39:24- What are they here for? - She's hurt her hip.
0:39:27 > 0:39:30We couldn't see them so we weren't sure we were in the right spot.
0:39:30 > 0:39:32They're in the trees, that's why.
0:39:34 > 0:39:37- What's this spot here then?- It's a bit like a maze.
0:39:37 > 0:39:38Like a labyrinth.
0:39:41 > 0:39:44Crossing some stepping stones. Slipped and fell in the water.
0:39:44 > 0:39:4879-year-old Rita was here on holiday with her children and
0:39:48 > 0:39:53grandchildren when her underground adventure went badly wrong.
0:39:53 > 0:39:58She was walking along into one of the attractions here
0:39:58 > 0:40:03and she slipped on the wet surface and fell.
0:40:03 > 0:40:09Couldn't get to her to examine her. It was dark, it was wet.
0:40:09 > 0:40:11Got some help from the family and got her up here.
0:40:11 > 0:40:14Yeah. She was able to get up.
0:40:14 > 0:40:20We helped her up and then because we were faced with the decision
0:40:20 > 0:40:23whether to go back or go forwards, we went forwards.
0:40:23 > 0:40:26And her leg basically gave way.
0:40:26 > 0:40:29She's much more settled. They took her wet clothes off.
0:40:29 > 0:40:30She's dry, is she?
0:40:32 > 0:40:37On the way up the stairs I noticed there's a bit of an entrance to what
0:40:37 > 0:40:41looks to be an underground maze of waterfalls and stepping stones.
0:40:41 > 0:40:44From what I understand that's what the lady has tripped on.
0:40:44 > 0:40:48She's managed to walk, believe it or not, up the rest of the path.
0:40:48 > 0:40:49Up the stairs.
0:40:49 > 0:40:53And then got to where she is now before collapsing in pain.
0:40:53 > 0:40:56This goes down a dark corridor with stepping stones.
0:40:56 > 0:40:58You're never surprised at what you find.
0:40:58 > 0:41:00There's no two situations are exactly alike.
0:41:00 > 0:41:03I did say to the lady that you could have fallen in an easier
0:41:03 > 0:41:04place to get at.
0:41:04 > 0:41:08While the paramedics get Rita ready for her flight,
0:41:08 > 0:41:13- Andy's keen to explore the attraction.- My kids would love this.
0:41:13 > 0:41:14And all it's hidden surprises.
0:41:14 > 0:41:17HE SCREAMS
0:41:20 > 0:41:21HE LAUGHS
0:41:23 > 0:41:26Rita will be heading to another Yorkshire attraction,
0:41:26 > 0:41:30- a town famous for it's tearooms. - We're going to Harrogate, yeah.
0:41:30 > 0:41:36- Oh, I like Harrogate.- I don't think we'll get into Betty's but... Ah!
0:41:36 > 0:41:38Sorry.
0:41:38 > 0:41:42- They might do takeout for you? - They do, I'd love that.
0:41:42 > 0:41:46The team think she's broken her femur where it joins her hip.
0:41:46 > 0:41:51An incredibly painful injury. But Rita's still not complaining.
0:41:51 > 0:41:55- She's one very tough grandma. - Are you comfortable now?
0:41:55 > 0:41:58- I am very comfortable, thank you. - Are you pain free?- Yes.
0:41:58 > 0:41:59- At the moment.- Sure?
0:42:00 > 0:42:03- Well, it's like a tooth ache, that's all.- OK.
0:42:03 > 0:42:05If it gets too bad let us know
0:42:05 > 0:42:08- and we can give you some more painkillers, all right?- Thank you.
0:42:09 > 0:42:13Rita's injury is an ideal case for a helicopter.
0:42:13 > 0:42:15Because she's in quite a bit of discomfort and wet through
0:42:15 > 0:42:18and a distance is involved it will be a lot easier,
0:42:18 > 0:42:19a lot more comfortable
0:42:19 > 0:42:22and a lot safer for the patient to travel by air with us to Harrogate.
0:42:26 > 0:42:29A smooth flight should stop her hip moving any more.
0:42:29 > 0:42:33At nearly 80 an injury like this could cause her to quickly
0:42:33 > 0:42:34deteriorate.
0:42:39 > 0:42:42So Rita's Yorkshire sightseeing holiday is ending in a way
0:42:42 > 0:42:44she could never have imagined.
0:42:44 > 0:42:48And paramedic Graham still can't believe how she's coped.
0:42:48 > 0:42:49By the sounds of it she's fallen over,
0:42:49 > 0:42:54broke her hip and she's classic old lady.
0:42:54 > 0:42:58Just troopers, carry on and on and on. Unbelievable sometimes.
0:42:58 > 0:43:02Rita spent several days here before being allowed home.
0:43:02 > 0:43:05But she's looking forward to another Yorkshire holiday next year.