Episode 9

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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 > 0:00:23But in the remotest parts of Britain's biggest county,

0:00:23 > 0:00:26they look to the skies for help.

0:00:26 > 0:00:29Look on your left, Matt, that grass field on the left, go for that.

0:00:29 > 0:00:34From high drama in the peaks, to 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 > 0:00:47most isolated communities, and saving lives against the odds.

0:00:54 > 0:00:56Today on Helicopter Heroes -

0:00:56 > 0:00:58this chemical tanker could explode,

0:00:58 > 0:01:01and the Helimed team is in the blast zone.

0:01:01 > 0:01:03We're going to vacate the premises.

0:01:03 > 0:01:06There's something in the wagon that the patient's gone into

0:01:06 > 0:01:07that's a bit nasty.

0:01:07 > 0:01:11A veteran jockey takes a tumble, and the paramedics must save him.

0:01:11 > 0:01:13What we're going to do now is put you on a board

0:01:13 > 0:01:16for the very small chance that you've damaged your back,

0:01:16 > 0:01:20because with you having pain in your ankle, we can't rule it out 100%.

0:01:20 > 0:01:24And a family holiday is wrecked by a spectacular crash.

0:01:24 > 0:01:30It's difficult, there's bits of caravan everywhere.

0:01:38 > 0:01:41These hills separate the two counties of Yorkshire

0:01:41 > 0:01:45and Lancashire almost as much today as they did 100 years ago.

0:01:45 > 0:01:50There's only one motorway across the Pennines, and that's the M62.

0:01:50 > 0:01:55And when there's a major accident, chaos is just minutes away.

0:01:57 > 0:02:00On a good day, the M62 is officially one of the UK's

0:02:00 > 0:02:03most congested motorways.

0:02:03 > 0:02:06Today, it's gridlocked.

0:02:06 > 0:02:10The cause is this accident, and Helimed 99 is on its way.

0:02:11 > 0:02:17It's an RTC involving four lorries apparently, a male trapped.

0:02:18 > 0:02:22The M62 carries more than 200,000 vehicles a day,

0:02:22 > 0:02:26and the tailbacks are already several miles long.

0:02:26 > 0:02:30- There's an ambulance down there, mate.- Oh, yeah, received.

0:02:30 > 0:02:35- Look left.- Yeah.- I would go down there if I was you.- Sure.

0:02:36 > 0:02:38- RADIO JINGLE:- 'BBC Radio 2!'

0:02:38 > 0:02:42NEWSREADER: 'OK, first of all to the M62, it's closed both ways between

0:02:42 > 0:02:44'26 and 27, so shut between Chain Bar

0:02:44 > 0:02:47'and Gildersome following an earlier accident, all sign diversion.

0:02:47 > 0:02:51'There's still no reopening time and they are turning traffic around...'

0:02:51 > 0:02:53The team's flying in a hired-in chopper.

0:02:53 > 0:02:56The jams aren't a problem, but the motorway lampposts are.

0:02:56 > 0:02:59Just keep it there, don't come any more to the left.

0:02:59 > 0:03:02Think you're good this side, if we can come a little bit right,

0:03:02 > 0:03:04it'll definitely clear the blades in the centre.

0:03:04 > 0:03:06- That's good there, mate.- Spot-on.

0:03:06 > 0:03:09- Looks good to the rear.- OK.

0:03:09 > 0:03:12The driver of this truck is trapped...but his predicament

0:03:12 > 0:03:15is even more serious than first appears.

0:03:15 > 0:03:19The empty tanker he's hit is full of fumes

0:03:19 > 0:03:21of a highly explosive chemical.

0:03:21 > 0:03:25- He can't feel his left leg, he said. - OK.

0:03:25 > 0:03:29All he remembers is driving along, he doesn't remember anything else.

0:03:29 > 0:03:31So clear loss of consciousness.

0:03:31 > 0:03:34He's got some facial wounds, like a nosebleed

0:03:34 > 0:03:35and a cut to the top of his head.

0:03:35 > 0:03:38It looks like the radio has fallen out and hit him

0:03:38 > 0:03:40on his head there.

0:03:40 > 0:03:42We need to determine how badly hurt he is,

0:03:42 > 0:03:44whether or not we need to get him out quick

0:03:44 > 0:03:46or whether we can take our time with him.

0:03:46 > 0:03:48If we can take our time, we need to

0:03:48 > 0:03:49immobilise him correctly, and then

0:03:49 > 0:03:52we're just looking at getting him to hospital.

0:03:52 > 0:03:54The driver is Steve Shields.

0:03:54 > 0:03:57He was driving behind a van when it suddenly changed lanes,

0:03:57 > 0:04:01revealing the stationary tanker. He didn't have time to stop.

0:04:01 > 0:04:05Can we move this lorry forwards or is it going to risk the tank?

0:04:05 > 0:04:06I don't want to risk...

0:04:06 > 0:04:08Cos the back of the lorry's on the ground,

0:04:08 > 0:04:11it's highly flammable stuff that's in the lorry.

0:04:11 > 0:04:16So I don't want to move it to cause any further sparks,

0:04:16 > 0:04:18which in theory might escalate

0:04:18 > 0:04:21the incident beyond the point we need to, all right?

0:04:21 > 0:04:24If we can't move it, then we can't move it, that's fine.

0:04:25 > 0:04:27Ey up, pal, you all right there? On your left leg,

0:04:27 > 0:04:29- can you wiggle your toes at all?- No.

0:04:29 > 0:04:31Can you feel your toes?

0:04:31 > 0:04:35No, and whereabouts is the worst pain at the moment?

0:04:35 > 0:04:37My front shin on the left.

0:04:37 > 0:04:39Your left shin, and can...?

0:04:39 > 0:04:41There have already been many lucky escapes.

0:04:42 > 0:04:47- Driving down the road, the wagon in front stopped, this guy...- Stopped.

0:04:47 > 0:04:49Yeah, this guy went into the back of me,

0:04:49 > 0:04:52and the other guy went into the back of him.

0:04:52 > 0:04:57I stopped... It must have been two foot away from him.

0:04:57 > 0:05:00Fire officers are increasingly worried about the tanker.

0:05:00 > 0:05:03Sam's briefing the ambulance service's

0:05:03 > 0:05:05specialist rescue paramedics

0:05:05 > 0:05:07in case they need to free Steve quickly.

0:05:07 > 0:05:11He's gone into the one in front about 40mph,

0:05:11 > 0:05:15he's been knocked on his head by something, may be the radio.

0:05:15 > 0:05:18The seat will come back, so if we can just ease that out, give us

0:05:18 > 0:05:19a bit of space to work in.

0:05:21 > 0:05:24From the sounds of it, he might be able

0:05:24 > 0:05:25to shuffle his seat back a bit,

0:05:25 > 0:05:27so hopefully, if we can do that,

0:05:27 > 0:05:30we'll give ourselves enough room to work and get him out.

0:05:31 > 0:05:35On closer inspection, getting Steve out is

0:05:35 > 0:05:37not going to be straightforward.

0:05:37 > 0:05:39Right, mate, I've had a look at the bottom of your seat

0:05:39 > 0:05:41and it doesn't look like we can move it back.

0:05:41 > 0:05:43So we're going to have to get the fire lads

0:05:43 > 0:05:45to stretch out that part of the cab, all right?

0:05:45 > 0:05:47We'll try and get you comfortable and get you out as quick as we can.

0:05:47 > 0:05:51It's a worrying delay, and now chemical experts have warned

0:05:51 > 0:05:55fire officers the tanker's an even bigger risk than they thought.

0:05:56 > 0:05:58Because of what's on this wagon, all nonessential staff

0:05:58 > 0:06:00I want out of the area of the fire engine,

0:06:00 > 0:06:02cos it's got a really low flash point.

0:06:02 > 0:06:04- OK.- So how many staff do you need treating him?

0:06:04 > 0:06:07For the moment we'll be all right with two,

0:06:07 > 0:06:10but we're going to need the fire guys to get him out.

0:06:10 > 0:06:14Flying doctor Ben Wyatt - who often flies with the Helimed team -

0:06:14 > 0:06:17has come from his nearby surgery to lend a hand.

0:06:17 > 0:06:21- Looks like he's got an isolated lower leg injury.- Right, OK.

0:06:22 > 0:06:24His pain's about five out of ten,

0:06:24 > 0:06:25his BP was up, but that's coming down.

0:06:25 > 0:06:28So we're not too concerned at the moment.

0:06:28 > 0:06:30Are your keys in your car?

0:06:30 > 0:06:32Cos there's going to be a 50-metre cordon.

0:06:32 > 0:06:34- Do you want me to move it so it's out the way?- Yeah.

0:06:34 > 0:06:37The fire brigade will painstakingly cut

0:06:37 > 0:06:39Steve from his wagon.

0:06:39 > 0:06:43Everyone else must retreat. The chemical's not only explosive,

0:06:43 > 0:06:47it can't be put out by water and it attacks the lungs.

0:06:47 > 0:06:50We've done a quick primary survey to make sure there's no

0:06:50 > 0:06:53immediately life-threatening injuries, which he doesn't have.

0:06:53 > 0:06:55Gained some IV access and given him some pain relief, just to make

0:06:55 > 0:06:57the job of the fire service easier to extract him.

0:06:58 > 0:07:01- RADIO JINGLE:- 'BBC Radio 2!'

0:07:01 > 0:07:04NEWSREADER: 'Now the M62, completely shut. They're hoping to reopen

0:07:04 > 0:07:06'the westbound side as soon as the air ambulance goes.

0:07:06 > 0:07:09'At the moment it's stationary in both directions,

0:07:09 > 0:07:11'you can imagine the congestion that's starting to build.

0:07:11 > 0:07:14'Eastbound, by the way, it won't reopen before six o'clock.'

0:07:14 > 0:07:16Incident commanders think Helimed 99

0:07:16 > 0:07:21and its jet engines are another risk they don't need.

0:07:21 > 0:07:23Steve will go to hospital by road,

0:07:23 > 0:07:26and the helicopter will return to base.

0:07:26 > 0:07:29We're going to vacate the premises.

0:07:29 > 0:07:31There's something in the wagon that the patient's gone into

0:07:31 > 0:07:33that's a bit nasty.

0:07:33 > 0:07:36It's another half an hour before Steve is finally freed

0:07:36 > 0:07:38and taken to hospital.

0:07:38 > 0:07:41It's a day neither he nor 10,000 motorists

0:07:41 > 0:07:44caught up in the tailbacks are likely to forget in a hurry.

0:07:46 > 0:07:48NEWSREADER: 'Now, the latest on the M62,

0:07:48 > 0:07:50'it's been closed for a number of hours now,

0:07:50 > 0:07:51'the air ambulance has left.

0:07:51 > 0:07:53'You can imagine...'

0:07:53 > 0:07:56Two months on, the trans-Pennine motorway is back to normal.

0:07:56 > 0:07:58But Steve's still off work.

0:07:58 > 0:08:00It was a choice, really.

0:08:00 > 0:08:03I either go left, right through the cone system and the tape

0:08:03 > 0:08:08and maybe hit and injure some workmen who were there...

0:08:08 > 0:08:12Slam the brakes on and probably jackknife me trailer,

0:08:12 > 0:08:14or basically, for want of a better word,

0:08:14 > 0:08:16take one for the boys and hit the back of the tanker.

0:08:16 > 0:08:19Steve broke several ribs,

0:08:19 > 0:08:22but he still feels guilty about the chaos he caused.

0:08:22 > 0:08:25NEWSREADER: 'The really good news is the M62.

0:08:25 > 0:08:28'Westbound has completely reopened, it is still very heavy,

0:08:28 > 0:08:30'but now you can head through.'

0:08:30 > 0:08:33There was some visitors in the hospital,

0:08:33 > 0:08:37some middle-aged people, and they were sitting there watching the TV.

0:08:37 > 0:08:39And I overheard the conversation, which basically said that

0:08:39 > 0:08:44some "bleep" had closed the motorway down yesterday.

0:08:44 > 0:08:48And they ended up missing their flight and everything.

0:08:48 > 0:08:51I'm laughing now cos you've got to see the little funny side of it,

0:08:51 > 0:08:53but totally unintentional.

0:09:01 > 0:09:04Wensleydale is Yorkshire's most celebrated valley.

0:09:06 > 0:09:11It's famous for its cheese, but it has one more claim to fame.

0:09:11 > 0:09:15This is home to some of the UK's best racehorses and their trainers.

0:09:22 > 0:09:27CONTROLLER: 'The call has come in, on the gallops, Sun Hill Farm,

0:09:27 > 0:09:29'general area of Leyburn.'

0:09:30 > 0:09:33'Patient's fallen off a horse, fractured leg.'

0:09:33 > 0:09:36Helimed 98, roger, received, thank you.

0:09:37 > 0:09:40The training gallops above the

0:09:40 > 0:09:43market town of Leyburn are quiet this morning,

0:09:43 > 0:09:44after a serious accident.

0:09:44 > 0:09:47Retired jockey George Duffield -

0:09:47 > 0:09:50the winner of thousands of races and an MBE -

0:09:50 > 0:09:52was thrown by the horse he was exercising.

0:09:52 > 0:09:56The Helimed team is flying to his rescue.

0:09:56 > 0:10:00Got the ambulance. Where is...the person?

0:10:02 > 0:10:03Right by the ambulance.

0:10:05 > 0:10:07- Hello, George.- Hi.

0:10:07 > 0:10:10- My name is Dave.- Hi, Dave.

0:10:10 > 0:10:12I'm one of the paramedics on the helicopter.

0:10:12 > 0:10:14So you're going to have to look at my ugly mug

0:10:14 > 0:10:16until we get you to hospital, all right?

0:10:16 > 0:10:20What we're going to do is put you on a board for the very small chance

0:10:20 > 0:10:24you've damaged your back, because with the pain in the ankle,

0:10:24 > 0:10:29we can't rule it out 100%. What's your pain like at the moment?

0:10:30 > 0:10:34George's wife Ann is one of Britain's leading racing trainers.

0:10:34 > 0:10:36George, my husband, had a fall off one of our

0:10:36 > 0:10:39two-year-olds this morning. As two-year-olds often do,

0:10:39 > 0:10:41and dumped him on the ground

0:10:41 > 0:10:45rather unceremoniously, and has probably resulted in a broken ankle.

0:10:46 > 0:10:50I'll talk to you nicer than the missus will, cos they all boss you about.

0:10:50 > 0:10:54But paramedic Dave Appleby fears George's injury may not be

0:10:54 > 0:10:57that simple. Hitting the ground at 40mph can

0:10:57 > 0:11:00easily cause spinal injuries.

0:11:00 > 0:11:04They're treating a racing legend, and they're taking no chances.

0:11:04 > 0:11:07He's been retired from race riding for about ten years now,

0:11:07 > 0:11:11but obviously rides out every day, and he's ridden about 3,000 winners.

0:11:11 > 0:11:13I think he's the seventh most successful jockey

0:11:13 > 0:11:16in the history of British racing, so he's quite well-known.

0:11:16 > 0:11:18He's ridden a lot of winners.

0:11:18 > 0:11:21One, two, three - whoa.

0:11:21 > 0:11:24George was riding third, I was riding tenth,

0:11:24 > 0:11:27and I just went past and saw him on the floor, crumpled up.

0:11:27 > 0:11:28So I didn't see what happened.

0:11:28 > 0:11:31- DAVE:- Just open your eyes for me, George, wide.

0:11:32 > 0:11:36He was galloping, travelling with a fair amount of speed,

0:11:36 > 0:11:38so while it appears to be an isolated leg injury,

0:11:38 > 0:11:42we've taken the precaution of immobilising his spine,

0:11:42 > 0:11:46and with a distracting injury like a fractured leg,

0:11:46 > 0:11:50you could be unaware of other injuries perhaps.

0:11:50 > 0:11:53- All precautionary this, George. - ANN:- Don't fall out the helicopter!

0:11:53 > 0:11:55THEY LAUGH

0:11:55 > 0:11:58The air ambulance is a regular visitor to Wensleydale,

0:11:58 > 0:12:02and the racing industry is a big supporter.

0:12:02 > 0:12:05It's terribly important for anyone in the Dales,

0:12:05 > 0:12:09because obviously farmers who may get hurt or have a heart attack,

0:12:09 > 0:12:11you can't get an ambulance to them,

0:12:11 > 0:12:14and out on the gallops it's not very easy either.

0:12:14 > 0:12:17So it's a vital piece of equipment for anybody in the countryside,

0:12:17 > 0:12:20but particularly for the horse-racing community.

0:12:20 > 0:12:23The dangers of horse racing have never fazed George,

0:12:23 > 0:12:27but there is one thing he is scared of - flying.

0:12:27 > 0:12:29He's not very fond of travelling in helicopters.

0:12:29 > 0:12:32Jockeys, they travel in the air quite a lot,

0:12:32 > 0:12:34and he had a few near misses, and he's never very keen

0:12:34 > 0:12:38on going in a helicopter, but I'm sure he's in good hands.

0:12:40 > 0:12:42100 feet, and away we go.

0:12:45 > 0:12:48George was a professional jockey for more than 40 years.

0:12:48 > 0:12:51His career was ended by a serious fall,

0:12:51 > 0:12:53and there's a real chance this injury

0:12:53 > 0:12:56could end his life in the saddle for good.

0:12:56 > 0:13:00OK, security's got the gates closed, helipad's clear.

0:13:00 > 0:13:04Their patient has shrugged off injuries before,

0:13:04 > 0:13:06but George is now in his mid-60s,

0:13:06 > 0:13:11and the body's ability to heal broken bones diminishes with age.

0:13:11 > 0:13:13In the next hour, X-rays and a scan

0:13:13 > 0:13:16at Middlesbrough's James Cook Hospital

0:13:16 > 0:13:19will determine how long George is away from the turf.

0:13:22 > 0:13:27As the stables wait for news, George undergoes surgery.

0:13:27 > 0:13:30His spine isn't damaged, but his ankle certainly is.

0:13:30 > 0:13:33It's got a plate up there.

0:13:33 > 0:13:35Which is screwed to the bone,

0:13:35 > 0:13:39and it's got, like, little ripples in it to grip onto the bone.

0:13:39 > 0:13:45And there's a screw goes through there to keep the foot in place.

0:13:45 > 0:13:48He has clear memories of the fall.

0:13:48 > 0:13:51I got about halfway up the canter and for whatever reason,

0:13:51 > 0:13:54he must have spotted something and ducked out underneath me,

0:13:54 > 0:13:57he went left and I went straight on.

0:13:57 > 0:14:00The minute I hit the ground, I realised then it was

0:14:00 > 0:14:05pretty serious, cos I could feel my ankle wobbling inside my boot.

0:14:05 > 0:14:09Which I thought, "Well, that's not good!" I'd also got

0:14:09 > 0:14:13four horses cantering behind me, so I had to drag myself off the gallop

0:14:13 > 0:14:14so they didn't canter over the top of me.

0:14:14 > 0:14:19So I dragged myself back up the grass bank, and just laid there.

0:14:19 > 0:14:20Annie came across and said,

0:14:20 > 0:14:26"What do you think?" I said, "I've probably bust my ankle and my leg."

0:14:26 > 0:14:28I saw it happen, and at first thought,

0:14:28 > 0:14:31"Oh, he'll be up in a second." And when he didn't get up and

0:14:31 > 0:14:34dragged himself off, away from the path of the others,

0:14:34 > 0:14:36I knew he was in trouble then.

0:14:36 > 0:14:40Normally he would have stayed on, or jumped off running

0:14:40 > 0:14:44and sworn a bit and carried on, but he just landed badly.

0:14:44 > 0:14:47And it was a very simple fall, but often they're the worst.

0:14:49 > 0:14:52George is out of the saddle for a month or two at least,

0:14:52 > 0:14:55but it takes more than a minor tumble to keep

0:14:55 > 0:14:57a legend of British racing away from the turf.

0:14:59 > 0:15:03'I never had an injury as bad as this in the 38 years I was riding.

0:15:03 > 0:15:05'Just minor breaks, like broken finger.

0:15:05 > 0:15:09'To think, once you retire you can make a mess of yourself like this

0:15:09 > 0:15:12'at home, it doesn't bear thinking about!'

0:15:27 > 0:15:32You don't have to look good in Lycra to enjoy a ride in the country.

0:15:32 > 0:15:35Cycling is a booming pastime, with millions of us

0:15:35 > 0:15:38climbing into the saddle for fun.

0:15:38 > 0:15:41And the charity bike ride is becoming

0:15:41 > 0:15:44a major source of cash for charities like the Yorkshire Air Ambulance.

0:15:48 > 0:15:52Today, hundreds of cyclists are gathering in Huddersfield

0:15:52 > 0:15:54for a marathon ride across Yorkshire to raise money

0:15:54 > 0:15:57for the Helimed team and another local charity.

0:16:01 > 0:16:04The sun's shining today, so looking forward to the ride,

0:16:04 > 0:16:06and hopefully it will stay nice and we'll raise lots of money

0:16:06 > 0:16:10for the charities and for the Huddersfield Town Academy.

0:16:11 > 0:16:14Even the team's medical director has hung up

0:16:14 > 0:16:18his stethoscope for a few days to hit the road.

0:16:18 > 0:16:22I've done a few 30/40 milers, but nothing more than that, really.

0:16:22 > 0:16:25I've just not had the time. I'm a bit lazy.

0:16:26 > 0:16:28Good morning, everyone.

0:16:28 > 0:16:29- ALL:- Good morning. - Fantastic.

0:16:29 > 0:16:32So let's get ourselves warmed up by giving everybody a round of applause.

0:16:34 > 0:16:37I think it's a record number of cyclists.

0:16:37 > 0:16:41There are also pilots and paramedics,

0:16:41 > 0:16:44like serious cyclist John Baxter.

0:16:44 > 0:16:47It's not about the bike, Andy, it's about who's on it.

0:16:47 > 0:16:49ALL CHEER

0:16:49 > 0:16:53John knows sponsored rides don't always have happy endings

0:16:53 > 0:16:55from first-hand experience.

0:16:56 > 0:16:59We're going for a mountain biker who has come off

0:16:59 > 0:17:01right out in the middle of the Yorkshire Dales.

0:17:01 > 0:17:05It's a beautiful day, out with a group of friends.

0:17:05 > 0:17:08We've got reports he's got a head injury,

0:17:08 > 0:17:11so we'll have to be wary of that. We've got mountain rescue coming

0:17:11 > 0:17:14to see if we can get him off the hill safely.

0:17:14 > 0:17:17Helimed 98's heading up to the wild moors above the town

0:17:17 > 0:17:22of Barnard Castle on Yorkshire's rugged border with County Durham.

0:17:22 > 0:17:25The accident's happened on a remote track.

0:17:25 > 0:17:28The injured man is a member of a party raising money

0:17:28 > 0:17:31for London's Great Ormond Street Hospital.

0:17:31 > 0:17:33They were on a coast-to-coast ride.

0:17:33 > 0:17:35Hello.

0:17:35 > 0:17:38Their patient, 45-year-old Warren Clarke,

0:17:38 > 0:17:42came off at 20 miles an hour and hit his head on a rock.

0:17:42 > 0:17:45- Do you know what you've been up to today?- Yeah.

0:17:45 > 0:17:46Can you tell me what's happened?

0:17:46 > 0:17:48The simplest way to find out

0:17:48 > 0:17:51if Warren has a head injury is to check his memory.

0:17:51 > 0:17:55- Cycling.- Cycling. Whereabouts have you been cycling?

0:17:55 > 0:17:56Erm...

0:17:56 > 0:17:58Warren is suffering from concussion.

0:17:58 > 0:18:01Have you got any pain anywhere, Warren?

0:18:01 > 0:18:03No, just stiffness in my lower back.

0:18:03 > 0:18:07A back pain can be anything from bruising to a more serious

0:18:07 > 0:18:11broken vertebrae. Paramedics have to treat for the worst.

0:18:11 > 0:18:14Just tell me if it hurts when I'm touching.

0:18:14 > 0:18:16We're doing the coast to coast from Barrow...

0:18:16 > 0:18:18Well, Walney Island to Wear.

0:18:18 > 0:18:19We're on about 90 miles.

0:18:19 > 0:18:23Just coming down the hill at about 20 miles an hour,

0:18:23 > 0:18:27hit a divot and skidded along the gravel.

0:18:27 > 0:18:30The bike has actually gone into the marsh and he's carried on.

0:18:30 > 0:18:33He was unconscious for about two minutes.

0:18:33 > 0:18:35He's a very lucky boy - very lucky.

0:18:35 > 0:18:37If I take your head from the front...

0:18:37 > 0:18:40The team must put Warren onto a spinal stretcher

0:18:40 > 0:18:42extremely carefully.

0:18:42 > 0:18:45You let us do it, mate. That's fine. Just go down.

0:18:45 > 0:18:47- Is that hurting?- Yeah.

0:18:48 > 0:18:51- OK?- Yeah.

0:18:51 > 0:18:53Ready, steady, slide.

0:18:53 > 0:18:55We did it last year as well.

0:18:55 > 0:18:57But, yeah, this is the first one this route.

0:18:57 > 0:19:01Sleightholme Moor is possibly the most remote part of Yorkshire.

0:19:01 > 0:19:05The group were lucky to even be able to make the emergency call.

0:19:05 > 0:19:07The guys, they've got a really good phone signal,

0:19:07 > 0:19:10which surprises me cos there's lots and lots

0:19:10 > 0:19:13of black spots around. And when you are in an area like this,

0:19:13 > 0:19:17and you want to contact the emergency services, people can walk

0:19:17 > 0:19:19for miles to get a signal.

0:19:19 > 0:19:21So, they have been really lucky today.

0:19:21 > 0:19:24And the ambulance crew have done fantastic to get down the track

0:19:24 > 0:19:28to meet us here and assist.

0:19:28 > 0:19:32Now that Warren is ready to fly, the rest of the group can

0:19:32 > 0:19:34carry on with their charity bike ride.

0:19:34 > 0:19:37There's still 95 miles to go.

0:19:37 > 0:19:40There's a growing number of people that go off road

0:19:40 > 0:19:43to enjoy the cycling. There's fantastic scenery to be doing that.

0:19:43 > 0:19:46It's just unfortunate that there are out enjoying themselves,

0:19:46 > 0:19:50raising money for good causes and then end up injuring themselves.

0:19:50 > 0:19:53And John knows how his patient feels.

0:19:53 > 0:19:56I came off my bike badly last year, actually,

0:19:56 > 0:19:59and ended up in hospital myself.

0:19:59 > 0:20:02You have to get back on the bike.

0:20:03 > 0:20:04It is a bit of a worry,

0:20:04 > 0:20:07but if you worry about things you don't do anything.

0:20:07 > 0:20:12I enjoy the biking more than I enjoy worrying about falling off one.

0:20:13 > 0:20:16Warren's being flown to the James Cook Hospital in Middlesbrough.

0:20:16 > 0:20:20It's here doctors discover that the one piece of safety equipment

0:20:20 > 0:20:23he was wearing has saved his life.

0:20:23 > 0:20:26For John, it's good news.

0:20:26 > 0:20:30He was concerned his patient may have had more serious head injuries.

0:20:30 > 0:20:31The helmet's really important.

0:20:31 > 0:20:34I've come off my bike a couple of times, landed on my head

0:20:34 > 0:20:36and been fine cos I've got a helmet on.

0:20:36 > 0:20:39Who knows what would have happened if I hadn't got one on cos...

0:20:39 > 0:20:42Once you come off a bike, especially if you go over the handlebars,

0:20:42 > 0:20:45you're out of control as to what you're going to hit.

0:20:48 > 0:20:52The mill towns of the West Riding of Yorkshire

0:20:52 > 0:20:55were the cradle of the Industrial Revolution.

0:20:55 > 0:20:59Today, the woollen mills are full of loft apartments and the terrace

0:20:59 > 0:21:02houses are often home to commuters working in Leeds or Manchester,

0:21:02 > 0:21:08but one traditional way of life survives in these Pennines hills.

0:21:08 > 0:21:12Moorland sheep farming is a tough, lonely way of life.

0:21:12 > 0:21:15One man - or woman - and a dog.

0:21:15 > 0:21:17And if you're hurt... you're on your own.

0:21:21 > 0:21:24Well, it came in initially as being up on the road,

0:21:24 > 0:21:26cos I looked at this and it said he were up and walking about.

0:21:26 > 0:21:30Paramedics Pete Vallance and Tony Wilkes are confused.

0:21:30 > 0:21:32They're on their way to a patient

0:21:32 > 0:21:35with serious injuries at a remote farm.

0:21:35 > 0:21:38He's landed on the back of his head, back of his neck.

0:21:38 > 0:21:41The quad bike's then landed on top of his chest.

0:21:41 > 0:21:44Farmer Duncan Halliday has a crushed pelvis

0:21:44 > 0:21:45and is in severe pain,

0:21:45 > 0:21:48but he still managed to drag himself

0:21:48 > 0:21:51nearly a mile home to raise the alarm after his quad bike

0:21:51 > 0:21:54rolled over and crushed him.

0:21:54 > 0:21:57I see. To the right of this chap with the yellow jacket?

0:21:57 > 0:21:59- Got the wires on the other side.- OK.

0:21:59 > 0:22:0099 on the ground.

0:22:00 > 0:22:03We've got a gentleman who's been on a quad bike.

0:22:03 > 0:22:06He's gone over the steering wheel

0:22:06 > 0:22:09- and the bike's rolled over the top of him.- Right.

0:22:09 > 0:22:12He's complaining of shortness of breath.

0:22:12 > 0:22:15His blood pressure has dropped a couple of times.

0:22:16 > 0:22:19Initial reports suggest Duncan could well have

0:22:19 > 0:22:22internal bleeding in the pelvic cavity.

0:22:22 > 0:22:25This can be fatal if not operated on quickly.

0:22:25 > 0:22:26Hi there. How we doing?

0:22:26 > 0:22:29According to the paramedics,

0:22:29 > 0:22:32the accident was more serious than first thought.

0:22:32 > 0:22:35He's been on his quad bike and he's gone over a wall,

0:22:35 > 0:22:38dropped forward onto a lane.

0:22:38 > 0:22:41He's landed on the back of his head, back of his neck.

0:22:41 > 0:22:45The quad bike's then landed on top of his chest as he's landed

0:22:45 > 0:22:48on the floor. He thinks that's pretty much what happened.

0:22:48 > 0:22:51He's a farmer. We've been trying to establish

0:22:51 > 0:22:53what pain score he's at...

0:22:53 > 0:22:56- Not very forthcoming.- No.

0:22:56 > 0:22:59The easiest way to examine you is going to be when we lay you flat.

0:22:59 > 0:23:01You are going to need some more pain relief.

0:23:01 > 0:23:04Farmers make up only 2% of the national workforce,

0:23:04 > 0:23:08but they account for 20% of all deaths at work.

0:23:08 > 0:23:11Quad bikes are often involved.

0:23:11 > 0:23:13Duncan had been riding the bike at the edge of the field,

0:23:13 > 0:23:17and he must have looked away and it just went over the edge.

0:23:17 > 0:23:20He went through the fence and landed on his head and shoulders,

0:23:20 > 0:23:22but the bike landed on top of him after that.

0:23:22 > 0:23:25He must have somehow got the bike off him and walked to the top of the

0:23:25 > 0:23:28lane where my friend's found him and fetched him into the house.

0:23:28 > 0:23:30Do you think you could stand up for me, Duncan,

0:23:30 > 0:23:32and just try and keep as still as you can?

0:23:32 > 0:23:34Let my colleague come round and help you there,

0:23:34 > 0:23:37so you're not pushing down on me while I hold your head.

0:23:37 > 0:23:39All right? That's great.

0:23:42 > 0:23:45The team's protecting Duncan's pelvis from further damage

0:23:45 > 0:23:49by fastening a tight belt around his hips.

0:23:49 > 0:23:51We just want to make sure that if you've damaged anything

0:23:51 > 0:23:53it's not going to move any further.

0:23:53 > 0:23:55It's just a splint for your pelvis, all right?

0:23:55 > 0:23:58Pete fears Duncan may also have injured his back.

0:23:58 > 0:24:00I know it's dead easy for us to say...

0:24:00 > 0:24:03He'll be lowered onto a rigid spinal stretcher

0:24:03 > 0:24:06for his flight to hospital.

0:24:06 > 0:24:10He's complaining of midline thoracic tenderness,

0:24:10 > 0:24:13and that's associated both sides at ribs and his back as well.

0:24:13 > 0:24:18He's got no altered neurology, but he's also complaining of pain

0:24:18 > 0:24:22both sides of his pelvis. When he's tried to move it's quite tender.

0:24:22 > 0:24:25The lanes around Hebden Bridge follow the steep

0:24:25 > 0:24:27contours of the high Pennines.

0:24:27 > 0:24:31By road, the journey to hospital would be long,

0:24:31 > 0:24:33slow and uncomfortable.

0:24:33 > 0:24:35OK. And just try and feed up.

0:24:35 > 0:24:38It's time to fly Duncan to Leeds General Infirmary.

0:24:38 > 0:24:42Surgeons are on standby to operate on his pelvis,

0:24:42 > 0:24:44but first, they'll be looking for the cause

0:24:44 > 0:24:47of his falling blood pressure.

0:24:47 > 0:24:49Duncan's determination and willpower

0:24:49 > 0:24:52may well have saved his life once today,

0:24:52 > 0:24:54but he'll need all his Pennine grit

0:24:54 > 0:24:57to make a recovery from this injury.

0:24:57 > 0:25:01It will be weeks before he's fit to return to his hillside home.

0:25:05 > 0:25:07Life on the farm can be lonely

0:25:07 > 0:25:10and it's only in the country show season

0:25:10 > 0:25:12that many farmers get to meet the neighbours.

0:25:12 > 0:25:14It's an opportunity to socialise, network

0:25:14 > 0:25:18and compete with your rivals.

0:25:18 > 0:25:22Can't run for a few months, so I'm going to see if it goes.

0:25:24 > 0:25:26Ian Coates isn't one of the show crowd.

0:25:26 > 0:25:29He loves solitude so much,

0:25:29 > 0:25:32he left the farm to spend 14 years riding his bike

0:25:32 > 0:25:34alone around the world.

0:25:34 > 0:25:37Now that engine has done 250,000 miles...

0:25:37 > 0:25:39250,000, and listen to that.

0:25:42 > 0:25:45Now Ian and his bike are back at last on the family farm,

0:25:45 > 0:25:48overlooking the town of Hebden Bridge,

0:25:48 > 0:25:50but it's NOT a happy homecoming.

0:25:51 > 0:25:56Someone's fallen, either through a barn roof or off a roof.

0:25:56 > 0:25:58I believe it's quite an elderly gentleman.

0:26:00 > 0:26:03Land crews on scene have called for back-up from Helimed 99

0:26:03 > 0:26:06and paramedics Pete and Paul.

0:26:06 > 0:26:10Ian has fallen from a hay loft inside one of his barns.

0:26:10 > 0:26:12He's in severe pain.

0:26:12 > 0:26:15It's like a mezzanine halfway up.

0:26:15 > 0:26:18He's gone through, landed onto stone flooring.

0:26:18 > 0:26:22A friend of Ian's called 999 after finding him

0:26:22 > 0:26:24in agony on the concrete floor.

0:26:24 > 0:26:26It's a fair way, like, ain't it?

0:26:26 > 0:26:28Ian is complaining of severe pains in his pelvis.

0:26:28 > 0:26:31He could also have internal bleeding.

0:26:31 > 0:26:34The land crews have already packaged him up ready for a flight to the

0:26:34 > 0:26:38major trauma unit at Leeds General Infirmary.

0:26:38 > 0:26:41- At the moment, your pain's still quite severe?- Yeah.

0:26:41 > 0:26:44- Right. If you had to score it out of ten?- Eight.- It's still eight.

0:26:44 > 0:26:46Do you guys mind giving us a lift here?

0:26:46 > 0:26:48We might as well make use of you.

0:26:50 > 0:26:54Despite riding a motorbike a quarter of a million miles

0:26:54 > 0:26:57through 70 countries almost without mishap,

0:26:57 > 0:27:02Ian's facing a flight in an air ambulance from his own doorstep.

0:27:02 > 0:27:04How old are you?

0:27:04 > 0:27:07- Ian, how old are you?- 70.

0:27:07 > 0:27:1070. And you're climbing roofs still, eh?

0:27:10 > 0:27:12Farms demand constant maintenance.

0:27:12 > 0:27:1514 years can take its toll on a barn.

0:27:15 > 0:27:18Hi, Ben. It's Pete Vallance from Helimed.

0:27:18 > 0:27:2275-year-old gentleman has fallen through a barn roof

0:27:22 > 0:27:23onto a concrete surface.

0:27:23 > 0:27:26All his ABCs have been fine throughout.

0:27:26 > 0:27:31He's complaining of severe pain around the pelvic area.

0:27:31 > 0:27:35He's had 20 of morphine. He seems quite tolerant about the pain.

0:27:35 > 0:27:38He's had his maximum dose of morphine,

0:27:38 > 0:27:40so we're going to administer a drug called ketamine,

0:27:40 > 0:27:44a very powerful analgesic with a rapid onset.

0:27:44 > 0:27:47Hopefully that will settle the patient en route to hospital.

0:27:55 > 0:27:56How we doing, Ian?

0:27:57 > 0:28:00From the high Pennines,

0:28:00 > 0:28:03Helimed 99 will have Ian in Leeds General Infirmary

0:28:03 > 0:28:05in less than 20 minutes.

0:28:05 > 0:28:09He's leaving behind the solitude he enjoys so much

0:28:09 > 0:28:11for a bustling hospital in the big city.

0:28:11 > 0:28:14Bear with us, Ian. We're just going to get you outside

0:28:14 > 0:28:15where it's easier to manage you.

0:28:15 > 0:28:18Is that a bit better now? Some fresh air.

0:28:18 > 0:28:21In the next few minutes, Ian will undergo a full set of X-rays

0:28:21 > 0:28:26to establish the extent of his pelvic injury.

0:28:26 > 0:28:29It's the beginning of a long road to recovery

0:28:29 > 0:28:32for the round-the-world biker of the Pennines.

0:28:35 > 0:28:39A few weeks later, he's making a flying start.

0:28:39 > 0:28:43This is where I fell through. Last time I were up there

0:28:43 > 0:28:45were 14 years ago...

0:28:45 > 0:28:49just before I set off on my ride around the world.

0:28:49 > 0:28:53I was just going to go up and get some straw for bedding for a horse

0:28:53 > 0:28:58and I fell straight through to the concrete floor below.

0:28:58 > 0:29:00This is the longest time Ian has been at home

0:29:00 > 0:29:04since he started his trip around the world in 1999.

0:29:04 > 0:29:07It won't go fast.

0:29:07 > 0:29:11He'd only popped back to get a new passport when the accident happened.

0:29:11 > 0:29:14I asked the surgeon at the hospital, I said,

0:29:14 > 0:29:17"How long for this?" He said, "Three months."

0:29:17 > 0:29:23Well, that's three months for a normal person and I'm not normal.

0:29:23 > 0:29:27So, after three months, I'll start exercising and getting fit.

0:29:27 > 0:29:32And I should think six months, and I'll be as fit as I was,

0:29:32 > 0:29:36because on that bike you need to be very fit and strong.

0:29:36 > 0:29:40Ian will resume his tour of the world as soon as doctors allow.

0:29:40 > 0:29:44The next leg is to Kazakhstan and then to Mongolia.

0:29:44 > 0:29:48This hill farmer doesn't intend seeing another Pennine winter

0:29:48 > 0:29:50for a few years at least.

0:29:54 > 0:29:57Even in the Dales, you need to have the right technology to

0:29:57 > 0:29:59make a living from farming these days.

0:29:59 > 0:30:02From the humble tractor to a combine harvester

0:30:02 > 0:30:05that can set you back £200,000,

0:30:05 > 0:30:08it's no wonder many farmers share machinery

0:30:08 > 0:30:11or hire it in from contractors.

0:30:11 > 0:30:14Either way, it means farm traffic is an ever-present hazard

0:30:14 > 0:30:16on country roads.

0:30:18 > 0:30:21- Leyburn, isn't it?- Yeah.

0:30:21 > 0:30:24We've got a crew request to come and help out on a detail

0:30:24 > 0:30:26just to the west of Leyburn.

0:30:26 > 0:30:29It's a motorcyclist that's gone into a tractor.

0:30:29 > 0:30:33It sounds like he's got some head injuries

0:30:33 > 0:30:37and some chest injuries, so we'll go along and help out if we can.

0:30:37 > 0:30:41These twisty county lanes are quite dangerous for bikers.

0:30:41 > 0:30:44You don't often don't see the tractors until it's a bit too late,

0:30:44 > 0:30:47which is probably what's happened to this chap.

0:30:47 > 0:30:50The crash has blocked the A684.

0:30:50 > 0:30:55There are two smashed up motorbikes and one badly injured rider.

0:30:55 > 0:30:59We're landing in that field right next to the ambulance.

0:30:59 > 0:31:03- No obstructions, no wires. - No.- All looks good.

0:31:03 > 0:31:06The accident's happened in the entrance to a roadside field.

0:31:06 > 0:31:08It's not a tractor.

0:31:08 > 0:31:12It's an all-terrain buggy, often used by farmers in the Dales.

0:31:12 > 0:31:15Paramedic Sam Burgess's patient is a biker like him.

0:31:17 > 0:31:19You all right, guys?

0:31:19 > 0:31:23This gentleman has collided with this lone motorcyclist.

0:31:23 > 0:31:25He was found sitting here.

0:31:25 > 0:31:28Hello, David. Whereabouts does it hurt at the moment?

0:31:28 > 0:31:31- Just this left shoulder. - Just your left shoulder.

0:31:31 > 0:31:33You've not got any pain anywhere else?

0:31:33 > 0:31:35A bit in my arm...and that's it.

0:31:35 > 0:31:37Just a bit in your arm and your shoulder?

0:31:37 > 0:31:40And you can't remember what's happened to you, can you?

0:31:40 > 0:31:42I ain't got a clue.

0:31:42 > 0:31:44Just wiggle your toes for us. Good lad.

0:31:45 > 0:31:50The second biker is not injured - he's just dazed and confused.

0:31:51 > 0:31:55The wife of the farmer is helping the police direct the traffic.

0:31:56 > 0:32:00When I came down here I saw the bikes were over this side of the road.

0:32:00 > 0:32:04Both of the bikers had got themselves in there,

0:32:04 > 0:32:09but one of them was very dazed and...he didn't know what day it was.

0:32:09 > 0:32:12- Have I broke my collarbone? - Possibly.

0:32:12 > 0:32:15Biker David Broadhead is becoming increasingly anxious,

0:32:15 > 0:32:17a possible sign of a head injury.

0:32:17 > 0:32:21He's also complaining of severe chest pains.

0:32:21 > 0:32:25Paramedic Sam needs to make him comfortable before they can fly.

0:32:25 > 0:32:28Pop a little needle into your arm, so we can give you some painkillers.

0:32:28 > 0:32:32Because on the helicopter it might get a little bit bumpy, and if we

0:32:32 > 0:32:35don't do it here, we can't do it in the air - there's not enough space.

0:32:36 > 0:32:39Are you happy for us to put a little needle into your arm?

0:32:39 > 0:32:44- Oh, I suppose.- No worries. The worse part is done now.

0:32:44 > 0:32:46That needle is in. It's just left a little plastic tube

0:32:46 > 0:32:48so we can give you some morphine, all right?

0:32:48 > 0:32:51It looks like you've gone into the side of a tractor,

0:32:51 > 0:32:54so we need to take you up to hospital to get seen to.

0:32:54 > 0:32:55Good to go, guys?

0:32:55 > 0:32:58The Major Trauma Unit at James Cook Hospital in Middlesbrough

0:32:58 > 0:33:01is already on standby to receive the injured rider.

0:33:01 > 0:33:04The priority is to establish any brain injury,

0:33:04 > 0:33:06then deal with any broken bones.

0:33:06 > 0:33:08Don't worry, mate, we'll look after you

0:33:08 > 0:33:11and we'll have you in James Cook fairly quickly.

0:33:11 > 0:33:13It's a 15-minute flight to Middlesbrough.

0:33:13 > 0:33:16Sam's keeping a close eye on his patient's condition.

0:33:16 > 0:33:20He's still confused and needs reassurance.

0:33:22 > 0:33:24He won't be the last casualty in the Dales today,

0:33:24 > 0:33:28but in his case there's a good outcome.

0:33:28 > 0:33:31His injuries are not as bad as first thought.

0:33:31 > 0:33:35He's broken his wrist, his cheekbone and his collarbone,

0:33:35 > 0:33:37but he's allowed home to Barnsley the next day.

0:33:45 > 0:33:51Since the 1930s, the Yorkshire Dales has been a major tourist destination

0:33:51 > 0:33:53for visitors on four wheels.

0:33:54 > 0:33:57Even those who come for a more energetic holiday

0:33:57 > 0:34:00tend to turn up and park first.

0:34:00 > 0:34:0414 million people come every year to get away for a few days,

0:34:04 > 0:34:07but some like to bring home with them.

0:34:10 > 0:34:12What's your bearing, mate?

0:34:12 > 0:34:16305's your bearing, straight over Ilkley town centre.

0:34:16 > 0:34:19Today, one family's holiday has been cut short on the main road

0:34:19 > 0:34:21through the Dales.

0:34:21 > 0:34:25Helimed 99 is heading to Clapham on the border of Yorkshire

0:34:25 > 0:34:28and Lancashire, where a car has collided with a caravan.

0:34:28 > 0:34:31We're off to a road traffic collision.

0:34:31 > 0:34:35It's just west of Ingleton

0:34:35 > 0:34:37on the A65,

0:34:37 > 0:34:40quite notorious for nasty accidents,

0:34:40 > 0:34:42motorcyclists being knocked off.

0:34:42 > 0:34:45We've got reports that there's a patient trapped.

0:34:45 > 0:34:48Just an update for you.

0:34:48 > 0:34:52We've just got one single responder on scene.

0:34:52 > 0:34:55He's in an ambulance and he's a single responder.

0:34:55 > 0:35:00We've got one patient with a head injury and then possibly

0:35:00 > 0:35:02two other patients.

0:35:02 > 0:35:06The accident's happened at a remote spot in the Three Peaks area,

0:35:06 > 0:35:08a favourite for caravanners

0:35:08 > 0:35:11and campers, looking for a pitch in the Dales.

0:35:11 > 0:35:13OK, we're down.

0:35:16 > 0:35:18Paramedics Andy Armitage

0:35:18 > 0:35:22and Al Day know caravans are deceptively flimsy,

0:35:22 > 0:35:24which today is a good thing.

0:35:24 > 0:35:28The caravan's thin metal skin and polystyrene insulation

0:35:28 > 0:35:32has limited the damage to the car and its elderly driver.

0:35:32 > 0:35:34He could have been taken ill.

0:35:34 > 0:35:37There could be some other reason which is why we'll have to do

0:35:37 > 0:35:41a full investigation to find out the reason as to why he's come to collide with the other vehicle.

0:35:41 > 0:35:44Fortunately, he's not struck the oncoming vehicle head-on,

0:35:44 > 0:35:46he's gone down the side of the vehicle and struck the caravan.

0:35:46 > 0:35:50The caravan's quite soft, fortunately,

0:35:50 > 0:35:52so I think that's saved us some serious injuries,

0:35:52 > 0:35:54but we'll see how he goes.

0:35:54 > 0:35:58I've got you an elderly gentleman who's been involved in a collision

0:35:58 > 0:36:00head-on with a caravan on the A65.

0:36:00 > 0:36:05Veteran motorist Joseph Stevenson is 81.

0:36:05 > 0:36:09His car's badly damaged, but the caravan has come off worst.

0:36:09 > 0:36:12This car's been coming up this way, that caravan's been going that way,

0:36:12 > 0:36:14they've connected, as you can see.

0:36:14 > 0:36:17He's not physically trapped, but it has taken...

0:36:17 > 0:36:19If you look at the back of his shoe, it's leather,

0:36:19 > 0:36:22it's ripped straight through it and taken t'back off.

0:36:22 > 0:36:26Elderly gentleman. He's got pain across his chest.

0:36:26 > 0:36:29No other site, apparently. Pelvis is all right.

0:36:29 > 0:36:34Joseph's head is being supported by a passer-by with medical training,

0:36:34 > 0:36:36who came across the crash.

0:36:36 > 0:36:38It's feared he may have injured his neck,

0:36:38 > 0:36:43so as a precaution, fire crews have decided to take the roof off his car

0:36:43 > 0:36:45so they can lift him out safely.

0:36:45 > 0:36:49It's difficult. There's bits of caravan everywhere.

0:36:49 > 0:36:53There's quite a big protrusion of the vehicle cab

0:36:53 > 0:36:56on to the casualty, so space is very limited.

0:36:58 > 0:37:02The injuries he sustained in the crash, possibly compounded by

0:37:02 > 0:37:06an existing medical problem, which caused the crash in the first place,

0:37:06 > 0:37:08so a little bit of a mixed bag

0:37:08 > 0:37:10and a possibly confusing picture.

0:37:10 > 0:37:14- Joseph?- Yeah?- Just stay still for us. We're going to move you, OK?

0:37:14 > 0:37:18- My knee hurts.- What's up? - His knee's hurting.

0:37:18 > 0:37:20- We're going to get you out in a minute.- All right.

0:37:20 > 0:37:23- I'm not bothered about that. - All right. OK.

0:37:23 > 0:37:26One, two, three...

0:37:29 > 0:37:32Now Joseph is finally out of the car,

0:37:32 > 0:37:35the team can properly assess his injuries.

0:37:35 > 0:37:37Keep your arm out, Joseph.

0:37:38 > 0:37:41- Take a big breath in. Does that feel OK?- Yeah.- Good.

0:37:41 > 0:37:43Right, keep your arms just on there.

0:37:43 > 0:37:46There's obviously significant force in the incident

0:37:46 > 0:37:49cos it's taken the sole off of his shoe.

0:37:49 > 0:37:52I think that's probably come from one of the pedals inside the car.

0:37:52 > 0:37:54Everything looks all right.

0:37:54 > 0:37:56We'll take him to hospital in five minutes.

0:37:56 > 0:37:58Keep going, keep going.

0:37:58 > 0:38:01The owners of the caravan have minor injuries

0:38:01 > 0:38:03and are being looked after by land crews.

0:38:06 > 0:38:09In ten minutes he'll be with surgeons

0:38:09 > 0:38:13at Royal Preston Hospital, who will establish exactly what's wrong.

0:38:13 > 0:38:16The reality of his accident is beginning to sink in.

0:38:16 > 0:38:18Can you hold it for one minute?

0:38:18 > 0:38:21Can I unbelt?

0:38:21 > 0:38:24- We'll be on the ground in 30 seconds.- All right.

0:38:24 > 0:38:26In fact, probably quicker.

0:38:27 > 0:38:29Do you feel better now we're down on the ground?

0:38:29 > 0:38:32Do you get motion sickness?

0:38:32 > 0:38:35Despite his age, Joseph will make a good recovery

0:38:35 > 0:38:39from his injuries, and he returns home after a few days.

0:38:39 > 0:38:41He's yet to get back behind the wheel.

0:38:45 > 0:38:48It's showtime in Yorkshire

0:38:48 > 0:38:52and the farming community is at war over the best beast,

0:38:52 > 0:38:55the sweetest jam and the neatest needlework.

0:38:55 > 0:39:00The country show season is a chance for neighbours to get together

0:39:00 > 0:39:04in a tradition that's as old as the hills they farm.

0:39:04 > 0:39:06- RADIO:- 'It's at the Farndale Show.

0:39:06 > 0:39:09'Ambulance is going to be another 25 minutes before it gets there,

0:39:09 > 0:39:11'so you should be first on the scene.'

0:39:11 > 0:39:13Let them know we're actually coming.

0:39:13 > 0:39:15It might be a little bit of a surprise

0:39:15 > 0:39:17if there's lots of animals and that about. Over.

0:39:17 > 0:39:21At a country show high on the North York Moors,

0:39:21 > 0:39:24a woman is reported to have been trampled by a bullock.

0:39:24 > 0:39:29It's not the sort of area where people dial 999 lightly.

0:39:29 > 0:39:30Not normally.

0:39:30 > 0:39:34I think most farmers are a fairly hardy

0:39:34 > 0:39:37breed of people themselves.

0:39:37 > 0:39:42They're hard workers and they're not the kind of people who take

0:39:42 > 0:39:47time off or who think they need to be seen by a doctor.

0:39:47 > 0:39:52So sometimes, when you go to these events,

0:39:52 > 0:39:54they can be quite serious.

0:39:54 > 0:39:59Helimed 99 is heading for Farndale, nicknamed Daffodil Valley,

0:39:59 > 0:40:02an area famed for its spring flowers.

0:40:02 > 0:40:05Paramedic Paul has dealt with animal attacks before.

0:40:05 > 0:40:08If they decided to get angry and have a go at you,

0:40:08 > 0:40:11then substantial injury can occur.

0:40:11 > 0:40:13So we're getting to this patient quite quickly.

0:40:13 > 0:40:16Again, initial assessment is important.

0:40:18 > 0:40:20Airbase from 98.

0:40:20 > 0:40:22- RADIO:- 'What's your message, 98?'

0:40:22 > 0:40:25I wondered if you had any more updated information?

0:40:25 > 0:40:26'I have asked somebody to go across

0:40:26 > 0:40:29'from the pub to let them know you're coming.

0:40:29 > 0:40:31'So, hopefully they should have the animals

0:40:31 > 0:40:34'under control by the time you arrive, over.'

0:40:34 > 0:40:3698, Roger. Thanks for that.

0:40:36 > 0:40:40Looks like a paramedic. Is that a paramedic on a bike?

0:40:40 > 0:40:41Oh, yeah, it does, doesn't it?

0:40:44 > 0:40:47- ANNOUNCER:- This year, our presidents are Jean and Doug Perry,

0:40:47 > 0:40:50and they've been in Farndale for over 20 years.

0:40:50 > 0:40:54For quite a number of years, Jean has dutifully...

0:40:54 > 0:40:57Initially, we got someone knocked over by a bull.

0:40:57 > 0:41:00Bridie Stabler is a retired nurse.

0:41:00 > 0:41:03She was sitting with her family when a calf escaped

0:41:03 > 0:41:05from its handler and knocked her over.

0:41:06 > 0:41:09You've not been doing rodeo or something like that, have you?

0:41:09 > 0:41:11It was quite a heavy one, as well.

0:41:11 > 0:41:13Only small, but very strong.

0:41:13 > 0:41:16He was a very strong young man, but he couldn't hold it.

0:41:16 > 0:41:18It took him off his feet.

0:41:18 > 0:41:22I haven't seen the beast since!

0:41:22 > 0:41:24Bridie didn't want to call an ambulance,

0:41:24 > 0:41:26but show organisers insisted.

0:41:26 > 0:41:27A bit knocked about?

0:41:27 > 0:41:30Oh, aye. Yeah. I feel as though I've been kicked by a horse.

0:41:30 > 0:41:32Paramedic Dave's keen to rule out any serious injury.

0:41:32 > 0:41:36Was it a bull or was it a calf, cos I've been told two different...

0:41:36 > 0:41:37I've been told it was a calf.

0:41:37 > 0:41:41Farndale is one of Yorkshire's most traditional shows.

0:41:41 > 0:41:43There is a bouncy castle for the kids,

0:41:43 > 0:41:46but terrier racing is the most popular event.

0:41:46 > 0:41:48They've never needed an ambulance before.

0:41:48 > 0:41:51Oh, it's a very traditional show, yeah. Very rural.

0:41:51 > 0:41:52We try to keep it that way.

0:41:52 > 0:41:54Accidents do happen. I didn't see it myself.

0:41:54 > 0:41:56I think a bullock had gotten away,

0:41:56 > 0:41:58or pulled away from its handler, you know?

0:41:58 > 0:42:01And then dived maybe between the cars and barged into her.

0:42:01 > 0:42:04But I think she's OK. She said she didn't want an ambulance.

0:42:04 > 0:42:07She was adamant she didn't want an ambulance. She's quite a hardy type.

0:42:07 > 0:42:09It's one of those things. That's life, isn't it?

0:42:09 > 0:42:11But I think she's OK. I'm pretty sure she's OK.

0:42:11 > 0:42:14Initial thoughts are, she's not too badly hurt.

0:42:14 > 0:42:16A bit of bruising, we think.

0:42:16 > 0:42:19Baseline obs all seem OK at the moment.

0:42:19 > 0:42:21She's obviously walked to the ambulance.

0:42:21 > 0:42:24She says herself she feels a little battered and bruised.

0:42:24 > 0:42:27Just letting the crew check her over.

0:42:27 > 0:42:30Could be a good chance she stays here.

0:42:30 > 0:42:32I think, if she doesn't stay here,

0:42:32 > 0:42:35probably the land crew will more than likely take her.

0:42:35 > 0:42:39It doesn't look like she's got serious injuries at the moment.

0:42:39 > 0:42:42It turns out Dave's assessment is right.

0:42:42 > 0:42:46Bridie has suffered some bruising, but nothing more serious.

0:42:46 > 0:42:49She's free to enjoy the rest of her day out,

0:42:49 > 0:42:51and now Helimed 98's airborne,

0:42:51 > 0:42:52the show that's one of the

0:42:52 > 0:42:56North York Moors' proudest traditions can resume.