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 > 0:00:17but if you're seriously injured in a landscape as gigantic as this,
0:00:17 > 0:00:19your life is on the line.
0:00:19 > 0:00:23But in the remotest part of Britain's biggest county,
0:00:23 > 0:00:25they look to the skies for help.
0:00:25 > 0:00:28Look on your left, Matt. Can you get in that grass field on the left?
0:00:28 > 0:00:31- Yes, mate.- Go for that. - From high drama in the peaks,
0:00:31 > 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 > 0:00:42bringing 21st-century medicine to some of Britain's
0:00:42 > 0:00:46most isolated communities and saving lives against the odds.
0:00:56 > 0:00:58Today on Helicopter Heroes...
0:00:58 > 0:01:00trapped under a two-tonne boulder,
0:01:00 > 0:01:02the team fights to save a climber's arm.
0:01:02 > 0:01:05There you go, mate. Put that mouthpiece in your mouth
0:01:05 > 0:01:07and suck on it and you'll hear a noise.
0:01:07 > 0:01:10The worst thing that could happen is cardiac arrest.
0:01:10 > 0:01:14A teenager is badly injured after falling through a skylight.
0:01:14 > 0:01:17We were told originally that she might have fallen on her head,
0:01:17 > 0:01:20so, obviously straightaway that set alarm bells ringing.
0:01:20 > 0:01:23And an injured dog walker needs Mountain Rescue.
0:01:25 > 0:01:26He didn't do it.
0:01:26 > 0:01:30I just tripped over there and bashed me knee on that stone.
0:01:39 > 0:01:43This landscape has taken millions of years to create and a lot of
0:01:43 > 0:01:48what you see here was shaped by glaciers melting 10,000 years ago,
0:01:48 > 0:01:50but the mighty rocks of the Yorkshire Dales
0:01:50 > 0:01:53aren't always as solid as they look.
0:01:55 > 0:01:59Climbers come from all over the UK to tackle the Cow and Calf rocks
0:01:59 > 0:02:02overlooking the spa town of Ilkley
0:02:02 > 0:02:05and, today, one has been involved in a bizarre accident.
0:02:08 > 0:02:10This is the Cow and Calf, this rock here.
0:02:10 > 0:02:12There's people on the right here.
0:02:12 > 0:02:17Helimed 99 pilot Andy Hall must find somewhere to land amongst
0:02:17 > 0:02:19the boulders and rock formations below.
0:02:20 > 0:02:23This could be interesting then.
0:02:23 > 0:02:2625 feet up a rock face climber Ian Routledge
0:02:26 > 0:02:29is in a terrible predicament.
0:02:29 > 0:02:33A two-and-a-half-tonne rock slipped as he was using it as a handhold.
0:02:33 > 0:02:36Now his left arm is pinned under it.
0:02:40 > 0:02:41Is he hanging by his hand then?
0:02:41 > 0:02:44- Yes, he is pinned by his arm. - Right, OK.
0:02:49 > 0:02:51I believe one of his mates has gone up before him
0:02:51 > 0:02:52and didn't see him climb
0:02:52 > 0:02:55and he's put his hand in that crevice that you can see up there
0:02:55 > 0:02:58and it looks like it's snapped off the right-hand side,
0:02:58 > 0:03:00the whole rock has just snapped in half...
0:03:00 > 0:03:01and it's actually...
0:03:01 > 0:03:04His hand is wedged and is being squashed.
0:03:05 > 0:03:09Ian's on a climbing holiday from his home in Milton Keynes.
0:03:09 > 0:03:10His arm is numb.
0:03:11 > 0:03:13Is your arm painful as it is, mate,
0:03:13 > 0:03:15or do you just feel like you can't get it out?
0:03:15 > 0:03:19- I can't get it out. It hurts. - It's painful, is it?
0:03:19 > 0:03:23The Helimed team knows Ian must be freed as soon as possible,
0:03:23 > 0:03:25but there's a real risk that trying to release him
0:03:25 > 0:03:29with crowbars could cause the crumbling rock to collapse...
0:03:29 > 0:03:32killing patient and rescuers.
0:03:32 > 0:03:35One of the other boys said
0:03:35 > 0:03:37he was in trouble and he needed a top rope
0:03:37 > 0:03:41so we dropped a top rope down to him, I didn't know what was going on...
0:03:41 > 0:03:42Um, and, uh...
0:03:43 > 0:03:46And then was told that the rope was to go round the rock
0:03:46 > 0:03:51to try and lift it up, but it's a huge, huge rock, so...
0:03:51 > 0:03:53Um...
0:03:53 > 0:03:55It needs levers.
0:03:55 > 0:03:58We're going to lower some oxygen down to him.
0:04:00 > 0:04:03Cos I'm not a climber, I wouldn't know...
0:04:03 > 0:04:06There you go, mate. Put that mouthpiece in your mouth
0:04:06 > 0:04:09and suck on it, and you'll hear a noise. That's it.
0:04:09 > 0:04:12Just...every time you're breathing, take that in.
0:04:16 > 0:04:18We've lowered some gas and air. He's used that,
0:04:18 > 0:04:21but it didn't really touch him.
0:04:21 > 0:04:24These rocks have stood here for millions of years
0:04:24 > 0:04:26and accidents like this are rare.
0:04:26 > 0:04:30The local Mountain Rescue team can handle most emergencies,
0:04:30 > 0:04:31but this is a new one on them.
0:04:31 > 0:04:34- Which establishment are you from then?- Upper Wharfedale.
0:04:34 > 0:04:36- Upper Wharfedale? Hiya, I'm Andy. - Hi, Andy. Phil.
0:04:39 > 0:04:40He seems to have got worse.
0:04:40 > 0:04:43The clock is ticking and each minute
0:04:43 > 0:04:45adds to the risk to their patient...
0:04:49 > 0:04:52..but rushing this rescue could be fatal.
0:04:56 > 0:05:01Because he's been trapped an hour and 20 minutes...
0:05:01 > 0:05:03there's a risk that once you're released,
0:05:03 > 0:05:06the toxins that have built up in that limb
0:05:06 > 0:05:09can then end up in your body...
0:05:09 > 0:05:14and can cause you to have a number of problems like cardiac arrhythmias...
0:05:14 > 0:05:18and the worst thing that could happen is cardiac arrest.
0:05:18 > 0:05:20So, we're just weighing up at the moment
0:05:20 > 0:05:22what we might be able to do to combat that.
0:05:22 > 0:05:26Firefighters need hydraulic gear to free Ian, but it's heavy
0:05:26 > 0:05:29and he's trapped nearly a mile from the nearest road.
0:05:30 > 0:05:35Sam, their stuff, their equipment is down in the car park.
0:05:35 > 0:05:38Is there any chance you can ask Andy to see if we can
0:05:38 > 0:05:43pick some of their stuff up, so we can assist this gentleman?
0:05:43 > 0:05:45If they radio down and get the equipment,
0:05:45 > 0:05:47clear the car park and make it safe for me...
0:05:49 > 0:05:52The pilot has taken the helicopter down to the bottom of the hill
0:05:52 > 0:05:55to collect some firefighters and ambulance crew,
0:05:55 > 0:05:57some kit and equipment just so we can
0:05:57 > 0:06:00try and secure the rocks that are trapping this chap's arm,
0:06:00 > 0:06:01and try and get him out.
0:06:04 > 0:06:08The fire service is familiar with freeing victims of car accidents
0:06:08 > 0:06:12and house fires but this rescue will demand ingenuity.
0:06:12 > 0:06:15I'm going to send one of our guys down
0:06:15 > 0:06:18and we're going to lower down an electric spreader.
0:06:18 > 0:06:19He's going to spread the rock
0:06:19 > 0:06:21and, hopefully, release his arm
0:06:21 > 0:06:23and we'll lower the gentleman down.
0:06:23 > 0:06:27If they maybe get some guys down to lift the block...
0:06:27 > 0:06:31'Three Mountain Rescue teams have been called out to assist.
0:06:31 > 0:06:35'Volunteers like off-duty paramedic Al Day know these rocks
0:06:35 > 0:06:37'and the risks of moving them.'
0:06:37 > 0:06:40He's been trapped for a while. As soon as he comes, basically,
0:06:40 > 0:06:42what needs to happen is as soon as he comes off he needs
0:06:42 > 0:06:45to be out quick, so everything needs to be ready.
0:06:45 > 0:06:48This firefighter has been trained in climbing skills.
0:06:48 > 0:06:50He's going to need them today.
0:06:51 > 0:06:55Hello, at the bottom! You've got a man coming over the top now.
0:06:55 > 0:06:56- Right.- OK.
0:06:58 > 0:06:59- Rest.- Rest.
0:07:03 > 0:07:08He's going to be using equipment named the Jaws of Life.
0:07:08 > 0:07:10It was designed to free trapped motorists.
0:07:10 > 0:07:13Are you getting any lift on the left-hand side, Matt?
0:07:13 > 0:07:16No-one knows if it will be strong enough
0:07:16 > 0:07:18to lift the boulder off Ian's arm.
0:07:18 > 0:07:22If this doesn't work, they may have to amputate.
0:07:27 > 0:07:30The Helimed team spends most of its time out in the
0:07:30 > 0:07:32open spaces of the Yorkshire countryside,
0:07:32 > 0:07:37but the two choppers are often called in for urban emergencies too
0:07:37 > 0:07:40and the challenges of landing here are very different.
0:07:42 > 0:07:45- 98 from Air Desk.- 98, go ahead.
0:07:45 > 0:07:50We're just looking at a job where a child's fallen through a roof
0:07:50 > 0:07:53and through several floors in Doncaster.
0:07:53 > 0:07:57Pilot Chris Attrill is on final approach to a housing estate
0:07:57 > 0:08:02near Doncaster where a teenager has fallen through a skylight.
0:08:02 > 0:08:05But crowds of children are making Chris's job harder.
0:08:05 > 0:08:07Kid running in from the left.
0:08:07 > 0:08:09Don't stop there!
0:08:09 > 0:08:12Yeah, red jumper... She's now gone out of sight. There we go.
0:08:12 > 0:08:18We'll need to get... The police need to come round and help, I feel.
0:08:18 > 0:08:21- How we looking behind?- Yeah, we're looking all right.
0:08:21 > 0:08:24- Just...we've got some kids.- Yeah? - Just behind us.
0:08:24 > 0:08:26We're looking clear to the left.
0:08:29 > 0:08:30Still good left, mate.
0:08:32 > 0:08:36RADIOS CHATTER That is 98 now landed safe.
0:08:38 > 0:08:41The accident's happened at a derelict nursing home.
0:08:41 > 0:08:45It's been empty for years and the building is unsafe.
0:08:45 > 0:08:48The team's patient has fallen nearly 20ft.
0:08:48 > 0:08:51- Hello, there. How you doing? - Yeah, she's just round here.
0:08:51 > 0:08:53This 12-year-old, she's come through the skylight headfirst.
0:08:53 > 0:08:56She's got severe back pain, neck pain...
0:08:56 > 0:08:5912-year-old Chanelle Craven landed on a concrete floor.
0:08:59 > 0:09:02She's been instructed not to move.
0:09:02 > 0:09:04She's complaining of pain where she's leaning
0:09:04 > 0:09:07- against the wall with her back. - OK.- OK.
0:09:07 > 0:09:08No loss of sensation,
0:09:08 > 0:09:12no tingling or anything below. We've just left her like that.
0:09:12 > 0:09:15- The chest is all clear.- No problem.
0:09:15 > 0:09:17She has no recollection of the event.
0:09:17 > 0:09:20She couldn't remember what happened this morning,
0:09:20 > 0:09:22when she got up and so forth.
0:09:22 > 0:09:25'Worryingly, her pain could indicate a spinal injury.'
0:09:26 > 0:09:28'The call that we got was that
0:09:28 > 0:09:30'the girl had been playing on the first floor.'
0:09:30 > 0:09:33We were told originally that she might have fallen on her head,
0:09:33 > 0:09:35so, straightaway that set alarm bells ringing.
0:09:35 > 0:09:39'Paramedic Matt Syrat fears Chanelle may have broken her neck.
0:09:39 > 0:09:41'He's going to prevent further injury
0:09:41 > 0:09:43'by fitting a protective collar.'
0:09:43 > 0:09:45Let's have a feel of your spine.
0:09:45 > 0:09:47- Is that all right down there? - Yeah.
0:09:47 > 0:09:49- There?- Yeah.- And that one there? - Yeah.
0:09:50 > 0:09:53'Chanelle's mum is understandably upset.
0:09:53 > 0:09:57'The team can't rule out an injury to her daughter's lower spine,
0:09:57 > 0:10:00'so they're going to strap her onto a rigid stretcher.'
0:10:00 > 0:10:03- Can you let me put a little needle in your hand?- No!
0:10:03 > 0:10:07- In your arm? What about that? Would you let him do one instead?- No.
0:10:07 > 0:10:10'This may hurt - especially without pain relief.'
0:10:10 > 0:10:13- We're all looking after you. - Try not to nod your head.
0:10:14 > 0:10:17What we're going to do is lift you up in the air, all right?
0:10:17 > 0:10:19- That board's going to slide underneath your bum.- OK.
0:10:19 > 0:10:22Then we're going to spin you round, all right?
0:10:22 > 0:10:24Ready, steady, up.
0:10:26 > 0:10:28Why's that stool there?
0:10:28 > 0:10:32Chanelle's suffering sharp pains in the top half of her spine.
0:10:32 > 0:10:36Her spinal cord is now protected from further damage.
0:10:36 > 0:10:39'Only X-rays in hospital will reveal
0:10:39 > 0:10:42'the full extent of the injuries her fall caused.
0:10:42 > 0:10:45'It'll be a long, agonising wait for her mum.'
0:10:49 > 0:10:52The British Army teaches its soldiers to
0:10:52 > 0:10:55fight in the peaceful hills of Yorkshire...and it finds
0:10:55 > 0:10:58one in four of its recruits here in the North too.
0:10:58 > 0:11:03But today the crew of Helimed 98 is being scrambled to an unusual
0:11:03 > 0:11:05casualty in uniform -
0:11:05 > 0:11:09a teenage army cadet injured in action on the soccer field.
0:11:13 > 0:11:16We're going to go straight for it. We're downwind.
0:11:16 > 0:11:18I appreciate that, but we are light.
0:11:18 > 0:11:19And the speed is on.
0:11:19 > 0:11:22# The speed is on... #
0:11:22 > 0:11:25Paramedic Sam used to be in the Territorial Army,
0:11:25 > 0:11:27so he knows these places well.
0:11:29 > 0:11:32The accident has happened just a few miles from the chopper's base
0:11:32 > 0:11:35near the market town of Thirsk in North Yorkshire.
0:11:42 > 0:11:45Jackson! Johnson! In!
0:11:45 > 0:11:48No, you've just pulled it out a little bit.
0:11:48 > 0:11:51These guys are the professionals, not us. They'll sort you out.
0:11:51 > 0:11:55These cadets had just finished a tough military training exercise,
0:11:55 > 0:11:57but it was something much more straightforward
0:11:57 > 0:12:00that caused this emergency.
0:12:00 > 0:12:02- Are you sure he was going for the ball?- He went for the ball...
0:12:02 > 0:12:06- Did he jump?- He literally jumped. - He didn't jump off anything or...?
0:12:06 > 0:12:11No, he went for the ball. He's just landed and I heard a crack.
0:12:11 > 0:12:14We were playing throwing and catching ball games
0:12:14 > 0:12:16and he just landed funny.
0:12:16 > 0:12:18You're just going to feel this bit of Velcro
0:12:18 > 0:12:19coming round your ankle. OK, bud?
0:12:19 > 0:12:22He's one of the cadets. He's been out playing. He's jumped up,
0:12:22 > 0:12:26landed awkwardly on his left leg, gone over
0:12:26 > 0:12:29and he's got an obvious deformity, mid shaft femur.
0:12:29 > 0:12:33Paul's just 13 and his ability to deal with pain
0:12:33 > 0:12:35is impressing his officers and the paramedics.
0:12:35 > 0:12:37Don't worry about keeping your eyes open.
0:12:37 > 0:12:39Just keep working on that gas and air, bud.
0:12:39 > 0:12:42But that pain's about to get a lot more intense.
0:12:42 > 0:12:45Are you all right if I pop a little needle into your arm, just so we can
0:12:45 > 0:12:48give you some strong painkillers when we sort your leg out?
0:12:48 > 0:12:50- All right.- Excellent.
0:12:54 > 0:12:57'Sammy's straightening Paul's broken thighbone...'
0:12:57 > 0:13:00He's got a fractured femur, but Sam's taking care of him.
0:13:00 > 0:13:04From one army medic to another, I think he's quite enjoyed it.
0:13:04 > 0:13:08Is it comfortable now we've put that splint on to keep it in line?
0:13:10 > 0:13:12Just feel a bit spaced out, do you? Awesome.
0:13:12 > 0:13:14Keep going with that gas and air, mate.
0:13:14 > 0:13:16This is one bit of battlefield training
0:13:16 > 0:13:18they didn't have on today's orders.
0:13:18 > 0:13:21Sadly, Paul won't be enjoying this flight much.
0:13:21 > 0:13:24He's lying down - and in pain.
0:13:24 > 0:13:27'I jumped for the ball and landed funny on my foot and I heard a'
0:13:27 > 0:13:30- really bad big snap and started screaming. It hurt.- You've been
0:13:30 > 0:13:32quite brave, actually, Paul.
0:13:32 > 0:13:33Considering.
0:13:34 > 0:13:39OK, we're going to lift him. Clear the windscreen and...
0:13:39 > 0:13:41We're going to do a helipad departure.
0:13:42 > 0:13:46Just two years ago, Sam was in Afghanistan flying wounded
0:13:46 > 0:13:48soldiers back from the front line.
0:13:48 > 0:13:52Now, it's the next generation of fighters he's having to look
0:13:52 > 0:13:53after in the air.
0:13:54 > 0:13:57He's jumped up, he's landed on his feet,
0:13:57 > 0:14:00felt a snap in his left femur and gone down.
0:14:00 > 0:14:03It looks sort of obviously deformed and swollen.
0:14:03 > 0:14:07Here in Harrogate, Paul's leg is pinned and put in plaster.
0:14:09 > 0:14:13But doctors are still trying to work out how simply jumping for a ball
0:14:13 > 0:14:17could have snapped the biggest bone in his body.
0:14:17 > 0:14:18But it's not put him off -
0:14:18 > 0:14:23and Paul's eager to get on the next overnight exercise with the cadets.
0:14:26 > 0:14:31On Ilkley Moor - inspiration for Yorkshire's national anthem -
0:14:31 > 0:14:34a major rescue operation is reaching its climax.
0:14:36 > 0:14:39Ian Routledge's arm has been trapped beneath a boulder
0:14:39 > 0:14:42weighing two tonnes, for nearly two hours.
0:14:42 > 0:14:47But, in less than ten seconds, a fire brigade ram frees it.
0:14:48 > 0:14:53His hand was quite pale actually so it's probably had a bit of loss of blood flow.
0:14:53 > 0:14:56But he has been trapped five minutes less than two hours.
0:14:56 > 0:15:00So as soon as we get him down we're going to get him on a stretcher, and put some fluids up.
0:15:00 > 0:15:02He's been up there a while so he might be a bit cold as well.
0:15:02 > 0:15:05Cos it is a bit chilly when you're not moving.
0:15:05 > 0:15:10Guys, just be aware... Let's get out of the danger zone.
0:15:10 > 0:15:13The medical team is rushing to get access to their patient's vein,
0:15:13 > 0:15:18to inject life-saving drugs. But for firefighter Matthew Whittaker,
0:15:18 > 0:15:20it's a moment of elation.
0:15:20 > 0:15:23They didn't teach THIS rescue in training school.
0:15:23 > 0:15:25As soon as it spread, it took the weight off his arm,
0:15:25 > 0:15:27just allowed him to get his arm out
0:15:27 > 0:15:29and allowed us to get down to safety, luckily enough.
0:15:29 > 0:15:31Without it falling on us both!
0:15:32 > 0:15:36- Can you feel that?- No. Well, it's tingling.
0:15:36 > 0:15:39- Tingling, is it? Right. Can you feel the sensation's coming back? - Well...yeah.
0:15:40 > 0:15:45Remarkably, feeling seems to be returning in Ian's arm.
0:15:45 > 0:15:47But he's not out of the woods yet.
0:15:47 > 0:15:49He's showing symptoms of shock.
0:15:49 > 0:15:54Paramedics Andy and Sam want to get him to hospital in Leeds as soon as possible.
0:15:56 > 0:15:59When we released his arm, it looked very pale and blue.
0:15:59 > 0:16:03But the more time we've spent with him, he says he feels like
0:16:03 > 0:16:07he's getting sensation back, so hopefully his arm's going to be OK.
0:16:07 > 0:16:12- I think you've had a lucky escape. - There's a definite book in this!
0:16:13 > 0:16:16Helimed paramedic and Mountain Rescue leader Al Day
0:16:16 > 0:16:20knows how fortunate Ian has been not to lose his arm.
0:16:20 > 0:16:22That rock wasn't probably that heavy,
0:16:22 > 0:16:25and I think it wasn't probably heavy enough to keep him where he was.
0:16:25 > 0:16:29It's probably not heavy enough to have done too much major damage
0:16:29 > 0:16:31in terms of crush injuries.
0:16:35 > 0:16:38Despite the elation of a successful rescue,
0:16:38 > 0:16:42Andy will be carefully monitoring Ian's blood pressure
0:16:42 > 0:16:44and heart rate throughout this flight.
0:16:44 > 0:16:48He won't relax until his patient is safely inside A&E.
0:16:49 > 0:16:52The hairiest moment was when we released him,
0:16:52 > 0:16:56cos he was hanging on his harness in midair with... The fire service have just released him.
0:16:56 > 0:17:00And you're hoping that nowt deteriorates while he's swinging around.
0:17:00 > 0:17:03When his arm came out initially it looked really, really pale.
0:17:03 > 0:17:08His fingertips were blue. Good news is that his arm has pinked up a lot.
0:17:08 > 0:17:11He's got circulation back to it, and he can feel it and he can move it
0:17:11 > 0:17:16so hopefully he's got no injury apart from a few little abrasions.
0:17:25 > 0:17:29The open roads of the Dales attract eight million motorists
0:17:29 > 0:17:31every year. And you can see why.
0:17:31 > 0:17:35But these roads were not built for modern traffic,
0:17:35 > 0:17:39and almost every day, someone is caught out.
0:17:42 > 0:17:45And when that happens, the ambulance crews at the Dales have to
0:17:45 > 0:17:48get there as quickly as possible.
0:17:48 > 0:17:53It means driving at high speed on lanes that were often laid for driving sheep.
0:17:53 > 0:17:57Few on the Helimed team would swap, but they have their own problems.
0:17:58 > 0:18:02'We've got a male 31-year-old, come off a cycle.
0:18:02 > 0:18:05'He's got bilateral arm fractures,
0:18:05 > 0:18:08'lacerations to the legs. Requesting our assistance.'
0:18:09 > 0:18:12It appears that cyclists are out in force,
0:18:12 > 0:18:17and looking at the map of the area there's some quite steep contour lines there, so
0:18:17 > 0:18:20it does look like it's quite a steep hill.
0:18:20 > 0:18:23The accident's happened high in Wensleydale.
0:18:23 > 0:18:27Cycling out here has enjoyed an explosive increase in popularity
0:18:27 > 0:18:31thanks to news that the Tour de France will soon start in the Dales.
0:18:33 > 0:18:34Possibly down there...
0:18:36 > 0:18:39The trouble with accidents on steep hills like this
0:18:39 > 0:18:43is that it's hard to find anywhere flat enough to land.
0:18:43 > 0:18:46..Just in that corner, straight ahead of us.
0:18:46 > 0:18:48Going to go, isn't it?
0:18:48 > 0:18:51Little bit past the wall there.
0:18:51 > 0:18:54Got a large boulder out now, outside my window...
0:18:55 > 0:18:58Pilot Steve's landing on a rutted dirt track.
0:18:58 > 0:19:02There's no hurry. Local paramedics have already reached their patient.
0:19:02 > 0:19:07Have a look and see if it looks all right to you, it feels OK but...
0:19:07 > 0:19:09OK.
0:19:09 > 0:19:12Disconnected. Door's open.
0:19:15 > 0:19:17That's looking pretty steady.
0:19:17 > 0:19:21You've got quite an indentation underneath,
0:19:21 > 0:19:24where the traffic's been down.
0:19:24 > 0:19:25We look all right at that.
0:19:25 > 0:19:27- OK, we'll go with that then.- Yup.
0:19:29 > 0:19:34He's come down this hill, took off, has gone, he says, sideways.
0:19:34 > 0:19:39He's basically landed, bounced and rolled multiple times.
0:19:39 > 0:19:43He's got pain to both arms, reduced movement in them,
0:19:43 > 0:19:45and extreme pain.
0:19:45 > 0:19:49So we suspect he may have fractured both arms.
0:19:49 > 0:19:53And he's got deep gravel rash to both knees. Distracting injury.
0:19:53 > 0:19:55It's renowned for its steepness,
0:19:55 > 0:19:59and even in a car you have to be wary, let alone a bicycle.
0:19:59 > 0:20:03He can feel your touch, he's got no loss of sensation down there...
0:20:03 > 0:20:05There's slight reduced sensation to this arm.
0:20:05 > 0:20:08Keir Bascombe is a fitness instructor,
0:20:08 > 0:20:12who was out training for an Ironman competition. This is a cruel blow.
0:20:12 > 0:20:17It's a year to the day since he broke his neck playing rugby,
0:20:17 > 0:20:20a sport he gave up because it was too dangerous.
0:20:20 > 0:20:23He's still in a lot of pain from this accident,
0:20:23 > 0:20:24you can see how steep the road is,
0:20:24 > 0:20:27and he's fractured both arms and potentially his leg as well.
0:20:29 > 0:20:31Obviously the gravel rash off the road,
0:20:31 > 0:20:35that is potentially causing him more pain than the fractures,
0:20:35 > 0:20:40because all the skin's been taken away and it's so sore, like a burn.
0:20:40 > 0:20:46- Can you clench that in your teeth? - Yes.- Just keep taking deep breaths.
0:20:47 > 0:20:52It wears off pretty quick. Use them lungs, get it filled up.
0:20:55 > 0:20:58Ready, steady - lift. KEIR GROANS
0:21:01 > 0:21:03Ready, steady...
0:21:04 > 0:21:07Keir's keen for his wife to know what's happened.
0:21:07 > 0:21:11We're going to take you to James Cook, which is in Middlesbrough.
0:21:11 > 0:21:15So it's down to the paramedics to make that call.
0:21:15 > 0:21:19We're just moving your husband to the air ambulance.
0:21:19 > 0:21:25He's got a couple of injuries to his arms, both arms,
0:21:25 > 0:21:29and he's got gravel rash to his legs,
0:21:29 > 0:21:31which has caused him quite a bit of pain.
0:21:31 > 0:21:33And the reason they're going to James Cook is
0:21:33 > 0:21:37because it's a major trauma unit, and it has a landing pad.
0:21:37 > 0:21:41- How you feeling? Not great. - Not great?
0:21:42 > 0:21:47She's going to make her way up to the James Cook. I told her not to rush.
0:21:47 > 0:21:50You're all right, you're just in a lot of pain.
0:21:50 > 0:21:53- Thank you.- No problem, mate. Take care of yourself.
0:21:53 > 0:21:56With Keir on board, Steve's planning his takeoff.
0:21:56 > 0:22:00Getting out of here could be even harder than getting in.
0:22:00 > 0:22:04The wind's coming this way up the valley and up the hill,
0:22:04 > 0:22:06so we're going to have to take off that way
0:22:06 > 0:22:08but it tends to lift you up fortunately.
0:22:08 > 0:22:11So we'll just literally turn round, nose down, little bit down the valley
0:22:11 > 0:22:16and then turn off, middle of the valley, nice gentle right-hand turn. In theory.
0:22:20 > 0:22:22In theory it sounds fine,
0:22:22 > 0:22:26but Steve knows the Dales are prone to unpredictable downdrafts
0:22:26 > 0:22:32and turbulence that make flying here difficult and sometimes dangerous.
0:22:32 > 0:22:35Today, though, it all goes to plan.
0:22:36 > 0:22:40But for Keir, this isn't a comfortable flight.
0:22:40 > 0:22:44He's still in quite a lot of pain, we're just going to give him some more painkillers.
0:22:44 > 0:22:49I'm just going to be sticking the head down...
0:22:49 > 0:22:52cos he's cannulated in his foot.
0:22:52 > 0:22:56Pete's just climbing down the bottom now. Good job he's got long arms.
0:22:58 > 0:23:03The cannula allows Pete to inject painkiller straight into Keir's veins.
0:23:03 > 0:23:06In a land ambulance this would be easy.
0:23:06 > 0:23:11But it makes Keir comfortable for the remainder of his flight to hospital in Middlesbrough.
0:23:12 > 0:23:16He's got quite a range of areas that were injured
0:23:16 > 0:23:19so it's going to be quite a while before he's up and around,
0:23:19 > 0:23:22but I dare say he will be, and
0:23:22 > 0:23:23he looked quite a determined fellow
0:23:23 > 0:23:28so I'm sure he'll make a good recovery from this.
0:23:28 > 0:23:31Pete's right. Keir's soon back in the saddle,
0:23:31 > 0:23:34with a new respect for the inclines of the Dales.
0:23:38 > 0:23:42Back in Doncaster, 12-year-old Chanelle Craven is about to
0:23:42 > 0:23:47take off for hospital, in the care of Helimed paramedic Matt.
0:23:47 > 0:23:49You're not going to be able to hear us when we're flying.
0:23:49 > 0:23:52So if you need me, I'll be sat to your left,
0:23:52 > 0:23:57just give me your hand or tell me something's wrong. Right?
0:23:57 > 0:24:00He's concerned she may have damaged her spine.
0:24:02 > 0:24:05It's been abandoned for a while, it's like a building site.
0:24:05 > 0:24:07Luckily she'd got some friends with her, because
0:24:07 > 0:24:10if she'd fallen through otherwise nobody would have found her.
0:24:10 > 0:24:13Next stop for Chanelle is X-ray.
0:24:13 > 0:24:19We've gone up and down and back, she's got T-spine tenderness.
0:24:19 > 0:24:22Coupled with how far she's fallen, we thought it was a good idea to
0:24:22 > 0:24:25package her up and bring her straight to Sheffield Children's.
0:24:25 > 0:24:29It's here the doctors discover that the impact with the concrete floor
0:24:29 > 0:24:33has indeed damaged Chanelle's spine in three places.
0:24:33 > 0:24:37They're potentially dangerous injuries which will take months to heal,
0:24:37 > 0:24:42and until they do, she'll have to wear a neck brace 24 hours a day.
0:24:42 > 0:24:46I've got three broken bones in my back and one in my neck.
0:24:47 > 0:24:51I can't sleep at night, cos I have to lay on my back,
0:24:51 > 0:24:53but I'm all right.
0:24:53 > 0:24:55It's a few weeks since the accident,
0:24:55 > 0:25:00and today Chanelle will find out how much longer she has to wear a brace.
0:25:00 > 0:25:03Just rub your shoulders up against me. Probably can't very easily.
0:25:03 > 0:25:06Push your arms out sideways against me, like wings.
0:25:06 > 0:25:09Chanelle is here to see a specialist consultant,
0:25:09 > 0:25:12to find out a bit more about the broken bones in her back.
0:25:12 > 0:25:16The good news is you didn't do anything too seriously and you should make a full recovery.
0:25:16 > 0:25:22There's no such thing as a simple spinal fracture in the sense of the risk is dangerous,
0:25:22 > 0:25:27but luckily you got away with it in that sense, you've not done anything too horrendous.
0:25:27 > 0:25:30But unfortunately you've got to wear this as a result of the injury.
0:25:30 > 0:25:32You can see that C7 there
0:25:32 > 0:25:37so that's the normal C6 and the normal T1, square blocks of bone,
0:25:37 > 0:25:42and that bone has been squashed down and there's a bit cracked off the front. OK?
0:25:42 > 0:25:45So it's squashed down a little bit and it's broken into a few pieces.
0:25:45 > 0:25:49Six months from now, there's every chance that that C7 bone
0:25:49 > 0:25:53will be as strong as ever, solidly healed, forget about it.
0:25:53 > 0:25:57She may not FEEL lucky, but she will make a full recovery.
0:25:57 > 0:26:00Chanelle has also been given the all clear to go back to school.
0:26:00 > 0:26:03There's a risk when you fall from any height,
0:26:03 > 0:26:05if you break your neck, that you paralyse yourself
0:26:05 > 0:26:10or at least partially injure your spinal cord, which could have meant in Chanelle's case that she's
0:26:10 > 0:26:13weak in the arms and legs and wouldn't be able to walk.
0:26:13 > 0:26:17So the spinal cord was protected by the bone only partially breaking,
0:26:17 > 0:26:19and not dislocating,
0:26:19 > 0:26:22but there are serious injuries such as head injuries and chest injuries
0:26:22 > 0:26:25and pelvic fractures that commonly go with falls from that height.
0:26:30 > 0:26:33With 3,000 square miles of countryside,
0:26:33 > 0:26:36almost half of it national park,
0:26:36 > 0:26:39there's no shortage of places to play in North Yorkshire.
0:26:39 > 0:26:42But when the younger members of the community get out of school
0:26:42 > 0:26:46for the summer, it's time for the Helimed team to go to work.
0:26:52 > 0:26:57En route for a field location, probably about two miles south of Catterick village.
0:26:57 > 0:27:02Any parent knows that if you tell your kids not to do something, they usually will.
0:27:02 > 0:27:08The adage of "Mum knows best" is often ignored by young, adventurous minds.
0:27:08 > 0:27:10Seven-year-old Archie Hay has fallen off a shed roof
0:27:10 > 0:27:15that he's been told many times by his mum not to climb on.
0:27:15 > 0:27:17..And I said, "Don't climb on that shed roof."
0:27:17 > 0:27:23'Sounded quite distressed, this young man, as the caller was on the phone to me.
0:27:23 > 0:27:26'Been crying for an excess of ten minutes since the fall.'
0:27:26 > 0:27:30Archie lives in the remote village in Hackforth in North Yorkshire.
0:27:30 > 0:27:33It's miles from the nearest hospital.
0:27:33 > 0:27:36I'm not sure which house they're in.
0:27:36 > 0:27:41What I could do is put you in this field right now, over the low wall,
0:27:41 > 0:27:44and then I can always reposition afterwards.
0:27:44 > 0:27:47Paramedic Tony Wilkes has seen accidents like this before.
0:27:47 > 0:27:50- Happy if we disconnect?- Yeah, by all means. Away you go, guys.
0:27:51 > 0:27:56- What's happened, he's fallen...? - He's fallen from the shed onto the ground.
0:27:57 > 0:27:59ARCHIE WHIMPERS
0:28:01 > 0:28:07- Archie fell eight feet onto his back.- Archie, are you all right?
0:28:07 > 0:28:10Yeah, Roger, do you want to bring our scoop?
0:28:10 > 0:28:14This young man is still quite upset but we will try and get him
0:28:14 > 0:28:20- mobilised if we can. Have you got any pain anywhere?- Not any more.
0:28:20 > 0:28:23Not any more? You trouper.
0:28:23 > 0:28:25Do us a favour, I am just going to touch your arm.
0:28:25 > 0:28:27You tell me if it starts hurting anywhere.
0:28:27 > 0:28:30I am going to start down here. Is that OK?
0:28:30 > 0:28:37- Is that OK?- Yeah.- Is that OK?- Yes. - That doesn't hurt at all?
0:28:40 > 0:28:44The utmost care moving him is essential.
0:28:47 > 0:28:50- Well done, Archie. - Like Superman, mate.
0:28:53 > 0:28:58- I am just going to roll you over in a sec, mate.- Onto his right side.- OK.
0:28:58 > 0:29:01Over you come, so we can have a look at you. That's a good lad.
0:29:02 > 0:29:04I can see you now.
0:29:04 > 0:29:08Archie is being very brave, letting the paramedics check him over.
0:29:08 > 0:29:13- Have you got any pain at all at the moment?- I can't feel any.
0:29:13 > 0:29:15You can't feel any? That is smashing.
0:29:15 > 0:29:17It is all right, it is not compulsory you have any.
0:29:17 > 0:29:19It is better if you don't.
0:29:22 > 0:29:24They have climbed up onto the oil tanker, onto the tree,
0:29:24 > 0:29:29onto the shed. I just said, "Would you mind getting down? Come down."
0:29:29 > 0:29:33Probably not as nicely as that! And then they have fallen.
0:29:33 > 0:29:36Archie has fallen. His little friend has come in to tell me.
0:29:36 > 0:29:39And when I got up, he has complained that his back was hurting
0:29:39 > 0:29:41but he could move his fingers and toes.
0:29:43 > 0:29:46And then I maybe shouldn't have moved him, but I did!
0:29:47 > 0:29:50He obviously needs checking out at the hospital so, like I said,
0:29:50 > 0:29:53we will be happy to let him go by road.
0:29:53 > 0:29:55The fall from ten foot is quite significant.
0:29:55 > 0:29:58Luckily enough for Archie, he has landed flat on his back
0:29:58 > 0:30:02and it has been on a sort of wooden surface rather than concrete.
0:30:02 > 0:30:04He has probably been really lucky.
0:30:04 > 0:30:08Helimed 98 is now available for a more serious case.
0:30:08 > 0:30:11But the team knows that it won't be long before the summer holidays
0:30:11 > 0:30:13lead to another 999 call.
0:30:18 > 0:30:22Off-road mountain biking is an ideal chance for teenagers to run off
0:30:22 > 0:30:27their energy and push themselves and their bikes to the limit.
0:30:27 > 0:30:29But mountain biking can be dangerous.
0:30:29 > 0:30:31Have an accident out here,
0:30:31 > 0:30:34and the only way to get help is by Air Ambulance.
0:30:34 > 0:30:37Helimed 9 Alpha from Yankee, clear for takeoff...
0:30:39 > 0:30:43The Helimed team is responding to a call about a 16-year-old lad
0:30:43 > 0:30:46who has come off his mountain bike at high speed.
0:30:46 > 0:30:49The crew was requested because the terrain is very difficult
0:30:49 > 0:30:51for them to get to him.
0:30:51 > 0:30:54When we lift him, I imagine we've got to see him...
0:30:54 > 0:30:57So we're still unaware of what injuries he might have.
0:30:57 > 0:31:00- So, where is he?- No, he's...
0:31:00 > 0:31:04The injured teenager was taking part in a competition when he came off.
0:31:04 > 0:31:08It's a clear area right up to where I land, isn't it, really?
0:31:08 > 0:31:1199 Air Desk, landed on scene.
0:31:11 > 0:31:14Land crews are concerned he has a serious back injury.
0:31:16 > 0:31:17- Hello.- How are you doing?
0:31:17 > 0:31:20He's come off, hit his bike, but he's got a tender lower back,
0:31:20 > 0:31:22feeling below the injury site.
0:31:22 > 0:31:24- He's got feeling? - He's got feeling below there,
0:31:24 > 0:31:26but he's still ten out of ten pain score.
0:31:26 > 0:31:29- Right, OK. Whereabouts is he from here?- Just down...
0:31:29 > 0:31:31The patient's high pain score suggests
0:31:31 > 0:31:34he may have a broken bone in his back.
0:31:34 > 0:31:37Paramedic Dave Appleby needs to assess his patient fully
0:31:37 > 0:31:40before they even attempt to move him.
0:31:40 > 0:31:41Have you ever had any injuries before?
0:31:41 > 0:31:45Have you ever come off your bike, any broken bones before?
0:31:45 > 0:31:48- None? No?- No.
0:31:48 > 0:31:52OK. What's the pain like at the moment, then? Awful?
0:31:52 > 0:31:57- Is it still a high number? - Yeah.- Yeah? OK.
0:31:57 > 0:32:00Jordan Bateman is an experienced rider.
0:32:02 > 0:32:04We do have a big jump here.
0:32:04 > 0:32:08He's practised all morning, of course, first race,
0:32:08 > 0:32:11he came down really quick, just mistimed the jump,
0:32:11 > 0:32:14and he landed on the front wheel.
0:32:14 > 0:32:18So I saw him go over, still with the bike, he did at least a 360
0:32:18 > 0:32:22with the bike, and then went off the side and ended up down there.
0:32:22 > 0:32:25He's had eight milligrams of morphine now,
0:32:25 > 0:32:26so he's scoring ten out of ten.
0:32:26 > 0:32:30Jordan has already had a full dose of morphine and gas and air,
0:32:30 > 0:32:33but he is still complaining of severe back pain.
0:32:33 > 0:32:38- Do you need any more pain relief? - Yeah.- You do. OK.
0:32:38 > 0:32:42The local rescue team has turned out to help.
0:32:42 > 0:32:44Its members will provide the manpower
0:32:44 > 0:32:46to carry Jordan to the chopper.
0:32:46 > 0:32:50His symptoms are so worrying, paramedic Dave plans to bypass the
0:32:50 > 0:32:55local hospital and take his patient direct to a major trauma unit.
0:32:56 > 0:32:58I'll give Leeds a ring.
0:32:58 > 0:33:02Erm, see if they're going to accept him.
0:33:02 > 0:33:06If they accept him, then there's no issue, we'll take him.
0:33:06 > 0:33:10The Air Ambulance is the safest way to get Jordan out of here.
0:33:10 > 0:33:13Call it mother's intuition, but when she heard there had been
0:33:13 > 0:33:16an accident, his mum says she knew it was Jordan.
0:33:16 > 0:33:18I saw all the ambulances and I were sat in the car
0:33:18 > 0:33:21and I just had a horrible feeling it was Jordan.
0:33:21 > 0:33:23I don't know why. I knew it was Jordan.
0:33:23 > 0:33:26I felt quite calm about it because, obviously,
0:33:26 > 0:33:29all the different ambulance people, Paul's medically trained,
0:33:29 > 0:33:32his dad, as well, erm, and obviously Air Ambulance,
0:33:32 > 0:33:35and they've all been reassuring me that because he can feel
0:33:35 > 0:33:39everything and it's just pain, like, hopefully it's nothing serious.
0:33:39 > 0:33:44Are you his mum? So you know he's going to LGI, don't you? OK.
0:33:44 > 0:33:47He's not displaying any signs that he's done any real bad damage,
0:33:47 > 0:33:49although he's complaining about pain.
0:33:49 > 0:33:52But the main reason we're taking him to Leeds is cos of the mechanism.
0:33:52 > 0:33:55They can give him the scan and everything quite quickly,
0:33:55 > 0:33:57just to make sure, all right?
0:33:57 > 0:33:59Steady, steady, stop pushing, there you go.
0:33:59 > 0:34:01Now on board Helimed 99,
0:34:01 > 0:34:04paramedic Dave can properly assess Jordan's condition.
0:34:04 > 0:34:08With a potential back injury, every precaution has to be taken.
0:34:08 > 0:34:11How long you been doing this malarkey, then?
0:34:11 > 0:34:14- Downhill this year.- This year?- Yeah.
0:34:14 > 0:34:18Good start, innit(?) How much do those bikes cost you these days?
0:34:18 > 0:34:22Is it one of them super duper, sort of carbon fibre,
0:34:22 > 0:34:25- "cost me an arm and a leg" type thing?- Three grand.
0:34:25 > 0:34:28Three grand?! I can buy a car for that!
0:34:31 > 0:34:35Air Desk from 99, listed, en route to LGI.
0:34:35 > 0:34:38He's come off his bike at ludicrous speed.
0:34:38 > 0:34:42He's come off, and what he's done, he's obviously gone airborne,
0:34:42 > 0:34:46landed on his front wheel,
0:34:46 > 0:34:50and then somersaulted with the bike in situ.
0:34:50 > 0:34:53Jordan's being flown to Leeds General Infirmary
0:34:53 > 0:34:57by pilot and keen mountain biker Andy Lister.
0:34:57 > 0:34:58He knows the risks,
0:34:58 > 0:35:02but seeing a fellow rider in pain is a sobering experience.
0:35:02 > 0:35:05Cheers, fellas. Let's go.
0:35:05 > 0:35:08X-rays reveal the source of his pain.
0:35:08 > 0:35:12Jordan has crushed a vertebra in his spine.
0:35:12 > 0:35:16Doctor's orders are to stay off his bike for at least two months.
0:35:20 > 0:35:23Many of the Helimed team's patients are young,
0:35:23 > 0:35:27especially in the summer, and paramedics like Sam and Sammy find
0:35:27 > 0:35:31cases involving children and infants are the most difficult to deal with.
0:35:31 > 0:35:34Helimed 98 is outbound...
0:35:37 > 0:35:38A few days ago,
0:35:38 > 0:35:42the team was called out to a baby that was seriously ill.
0:35:42 > 0:35:45- I want to find out about that kid. - Oh, right, yeah.
0:35:45 > 0:35:49Have you heard any more? I know Darryl phoned up the next day.
0:35:49 > 0:35:50It wasn't looking good.
0:35:50 > 0:35:54- It'd be nice to know if, by fluke, there is some miracle.- Yep.
0:35:54 > 0:35:55I believe in miracles.
0:35:55 > 0:36:00Well, when there's life there's hope, so you just never know.
0:36:00 > 0:36:02Today, another child is in trouble,
0:36:02 > 0:36:05and land crews have called for backup.
0:36:05 > 0:36:08A 12-year-old has fallen out of a tree.
0:36:08 > 0:36:09Described as some serious bleeding.
0:36:09 > 0:36:14Given that where he lives or is at, erm, the crew aren't on scene yet,
0:36:14 > 0:36:17so we're responding as the first responder.
0:36:17 > 0:36:20It's likely we'll all converge at the same time,
0:36:20 > 0:36:23but if he is seriously injured we'll be able to take him
0:36:23 > 0:36:25direct to the appropriate hospital.
0:36:25 > 0:36:27Children, you've just got to win them over.
0:36:27 > 0:36:29If they're hurting, you have to explain, "It's OK, we're going
0:36:29 > 0:36:32"to help." If we're going to hurt them, we'll tell them beforehand.
0:36:32 > 0:36:37Once you've won their confidence, usually, kids respond really well.
0:36:37 > 0:36:39It's high summer in the Dales,
0:36:39 > 0:36:43and the local gardeners are enjoying the fruits of their labours,
0:36:43 > 0:36:47but pilot Chris is about to cause a stir in the flower beds.
0:36:47 > 0:36:51He's heading for a landing in the patient's garden.
0:36:51 > 0:36:52There's a small field down the end.
0:36:52 > 0:36:54You've got 30 feet to negotiate, then.
0:36:54 > 0:36:56There's another set of wires as well.
0:36:56 > 0:36:59Yep, got two sets, one crosses over in front of us.
0:36:59 > 0:37:01Still good on the left.
0:37:05 > 0:37:08Jack Zebedee has a suspected injury to his neck.
0:37:08 > 0:37:11He walked in, he came and told Dad.
0:37:11 > 0:37:13- He came and told Dad. - Well done, Jack.
0:37:13 > 0:37:16Only thing he's complaining about at the moment is the pain to the
0:37:16 > 0:37:20- back of his head.- Oh! - Being a brave boy.- Yeah!
0:37:20 > 0:37:23- We're thinking about a five out of ten.- OK.
0:37:23 > 0:37:29- Do you have any blurred vision? Is everything normal?- Yeah.- Fabulous.
0:37:31 > 0:37:36About 20 minutes ago, Jack came running in screaming
0:37:36 > 0:37:41and crying, in a lot of pain, and he's not a child to make a fuss about
0:37:41 > 0:37:43anything, so, we were just really worried
0:37:43 > 0:37:44and he was clutching the back of his head.
0:37:44 > 0:37:47We looked at the back of his head and there was blood coming out,
0:37:47 > 0:37:51and he's obviously cut his head, and he'd fallen out of the tree.
0:37:51 > 0:37:54Jack's injury isn't critical.
0:37:54 > 0:37:56He can go to hospital by road,
0:37:56 > 0:37:59so Sam and Sammy are free to return to base.
0:37:59 > 0:38:02He's had an adventurous tumble out of a tree.
0:38:02 > 0:38:05But all his obs and everything seemed fine.
0:38:05 > 0:38:10Jack's taken to York Hospital, where doctors rule out a serious injury
0:38:10 > 0:38:14and he's soon back at home, enjoying the rest of his summer holiday.
0:38:20 > 0:38:24Swaledale is the wildest of Yorkshire's Dales,
0:38:24 > 0:38:28so remote its hills are littered with the ruins of farms,
0:38:28 > 0:38:31long abandoned by families beaten by the weather
0:38:31 > 0:38:34and the harsh realities of hill farming.
0:38:34 > 0:38:37No wonder the local Mountain Rescue team is busy,
0:38:37 > 0:38:39safeguarding the adventurous
0:38:39 > 0:38:44and the brave who come here to enjoy the Dales' beauty and solitude.
0:38:45 > 0:38:48Today, Helimed 98's touched down near the village of Reeth
0:38:48 > 0:38:50for a walker in trouble.
0:38:50 > 0:38:54Er, slipped and came down with his knee straight onto that rock there.
0:38:54 > 0:38:56That's going to smart, innit?
0:38:56 > 0:38:59As you can see, his knee's reasonably well swollen.
0:38:59 > 0:39:02He's had knee surgery on this one, but not on that one.
0:39:02 > 0:39:07Normally fit and well, and he takes aspirin for medication.
0:39:07 > 0:39:10Ken Binks was out walking his dog when he slipped.
0:39:10 > 0:39:13He didn't do it, I just tripped over there
0:39:13 > 0:39:16and bashed me knee on that stone.
0:39:18 > 0:39:21Ken and his dog Ben have done this walk many times before,
0:39:21 > 0:39:25but a sudden change in weather has made this path dangerously wet.
0:39:25 > 0:39:30He's landed with his knee right on top of a stone and damaged his knee.
0:39:30 > 0:39:34His kneecap's really boggy, he can't actually feel
0:39:34 > 0:39:37the edges of his kneecap.
0:39:37 > 0:39:40He's tried to stand on it, but he said it just gives way,
0:39:40 > 0:39:44which you would expect, so we just need to get him out of here,
0:39:44 > 0:39:46it's getting cold and wet now.
0:39:47 > 0:39:49Anywhere else, this would be a relatively simple case
0:39:49 > 0:39:53for the Ambulance Service, but this is Swaledale.
0:39:53 > 0:39:55Mountain Rescue has been called in to help.
0:39:55 > 0:39:57We need to get him out of here,
0:39:57 > 0:39:59get him warm, make sure he doesn't get any wetter,
0:39:59 > 0:40:02then we'll deal with where we're going to go, and how, after that.
0:40:02 > 0:40:04But there's another problem.
0:40:04 > 0:40:05He doesn't like flying.
0:40:05 > 0:40:08There's a road just at the top there where we might be able to get
0:40:08 > 0:40:10an ambulance to him, which Mountain Rescue could take him to.
0:40:10 > 0:40:13The Mountain Rescue teams have specialist gear for this type of
0:40:13 > 0:40:18job, but it still takes 12 of them to get Ken to the top of the hill.
0:40:18 > 0:40:21Patients often confront their fears of flying
0:40:21 > 0:40:25if it means getting to hospital quicker, but not Ken.
0:40:25 > 0:40:28Mountain Rescue have almost got the patient to the ambulance,
0:40:28 > 0:40:31and we are clear now if you require us for anything, over.
0:40:32 > 0:40:36It'll be a while before Ben the dog gets to go for another walk
0:40:36 > 0:40:37with his master.
0:40:37 > 0:40:42Ken's broken knee will put him out of action for at least two months.
0:40:42 > 0:40:43It'll be autumn in Swaledale
0:40:43 > 0:40:47before he returns to his favourite riverside walk.
0:40:51 > 0:40:54It's three weeks since climber Ian Routledge nearly
0:40:54 > 0:40:58lost his arm in a freak accident in Wharfedale.
0:40:58 > 0:41:01Incredibly, he's now back on the ropes.
0:41:01 > 0:41:05It may only be an indoor climbing centre, but considering his arm
0:41:05 > 0:41:11was crushed by a two-tonne boulder, this is a remarkable recovery.
0:41:11 > 0:41:12I think I've been very lucky.
0:41:12 > 0:41:16There's just some sort of tenderness to the muscle,
0:41:16 > 0:41:20and, er, just the nerves, slightly damaged.
0:41:20 > 0:41:22I've got tingling in my fingers.
0:41:22 > 0:41:24Ian is a passionate rock climber,
0:41:24 > 0:41:27but the rescue has knocked his confidence.
0:41:27 > 0:41:30For now, he's back practising on the climbing walls near his home
0:41:30 > 0:41:35in Milton Keynes until he regains his strength and his nerve.
0:41:35 > 0:41:37I don't think I'll be doing anything
0:41:37 > 0:41:40at the same kind of level that I have been doing.
0:41:40 > 0:41:45I plan to get out, I've got a trip to Italy in three weeks' time, so...
0:41:45 > 0:41:48hopefully, I'll be able to do something by then.
0:41:49 > 0:41:51Ian has clear memories of the two hours
0:41:51 > 0:41:54he spent pinned to the Cow and Calf rocks
0:41:54 > 0:41:57in an ordeal remarkably similar to the movie
0:41:57 > 0:42:03127 Hours, in which a climber has to amputate his own arm.
0:42:04 > 0:42:08The Mountain Rescue and ambulance people were first to turn up,
0:42:08 > 0:42:10but I couldn't imagine what they were going to be able to do.
0:42:10 > 0:42:13I shouted out, "I think we're going to need the Fire Brigade,"
0:42:13 > 0:42:15sort of jokingly.
0:42:15 > 0:42:20Er, to which somebody shouted, "They're on their way."
0:42:20 > 0:42:24And he's full of admiration for the firefighters whose ingenuity
0:42:24 > 0:42:28finally freed him.
0:42:28 > 0:42:31They used the Jaws of Life.
0:42:31 > 0:42:34They managed to get the nose of the Jaws in.
0:42:34 > 0:42:37I was fairly sure that my arm wasn't broken, erm,
0:42:37 > 0:42:43but I was worried that it would get broken trying to lift the rock off.
0:42:43 > 0:42:45Yeah, very lucky.
0:42:47 > 0:42:50And I'm happy to tell you that after his amazing escape,
0:42:50 > 0:42:52Ian's planning to return to the same rock face
0:42:52 > 0:42:57that almost cost him his arm later this year.