- 17 hours ago
Category
🎥
Short filmTranscript
00:01Yorkshire.
00:03Breathtaking,
00:06but unforgiving.
00:09And when the landscape turns dangerous...
00:11Patients still breathing but doesn't sound good on the phone, mate.
00:14...and lives hang in the balance...
00:18...the crews of the air ambulance are often the first and only lifeline.
00:23Hello. We're coming to help. You OK, buddy?
00:25Delays in getting your patient to hospital
00:27can literally be the difference between life and death.
00:30It was injured in his brain.
00:31Just try and get a little drip in your arm, Ian, all right?
00:33Can you remember anything about us putting your leg into us then?
00:36No.
00:37No.
00:38The jobs that we're going through can be quite catastrophic.
00:42If we weren't there, then the situation could be much worse.
00:45Bringing critical care by air.
00:47That's it. Good lad. Good lad.
00:50You're not allergic to anything.
00:52Hey!
00:53This is Yorkshire Air 999.
01:01At the air ambulance headquarters near Wakefield,
01:04paramedic Matty is on the air desk,
01:06listening in to a 999 call.
01:08I've turned my tractor over and I'm underneath it.
01:13And have you lost any blood?
01:15I can't see because my arm is under the wheel.
01:19The tractor is overturned and the patient's underneath it.
01:22Very good to my friend.
01:23Liam burnt.
01:24He's trapped by his shoulder, apparently really short of breath.
01:27I've been here for an hour.
01:30I've only got my arm out of my pocket.
01:34We're getting the help of Wayne for you, okay?
01:38Paramedic Wayne and Dr Steve are being scrambled to the man
01:42who is trapped in a remote valley, 50 miles away in the middle of the Yorkshire Dales.
01:47Nanny, receiving.
01:48Yeah, so it's a 59 year old male who's reported to be trapped underneath an overturned tractor.
01:55He's reported to be short of breath, but he's definitely trapped by his shoulder and arm.
02:00Over.
02:01Nanny, roger that.
02:02Do we have fire offering to this?
02:04Yes, we'll get fire and rescue to go.
02:06But the reason for allocating merit is if this turns out to be a prolonged entrapment,
02:11they'll have blood and FFP if things change towards anything more serious like an amputation.
02:16Over.
02:17When we have patients that are trapped or pinned,
02:20a heavy weight on the tissue can cause parts of the tissue to die,
02:23which releases toxins into the bloodstream.
02:25So the longer someone's pinned, the more worried we are.
02:30I'll just try here.
02:31Yeah.
02:32Clear down your side here, yeah?
02:33Good on my side.
02:34Yeah.
02:35Stephen Wayne will be the first on scene to reach the man,
02:38who's at the top of an isolated valley over half a mile down a rough track.
02:43He's been alone and pinned beneath the tractor by his arm for over 90 minutes.
02:48We've landed about 50 yards away, Matty, and I'm just making my way to scene now.
02:53Yeah, roger, Steve.
02:54The patient's still breathing, but doesn't sound good on the phone, mate.
02:57Yeah, it's getting carbon monoxide poisoned.
03:00The tractor's engine is still running,
03:02and it's fumes may be poisoning the patient with carbon monoxide.
03:05Hello.
03:06Hello.
03:07We're coming to help you.
03:08Okay, buddy.
03:09How do we turn this off?
03:11Dead man's switch.
03:13Dead man's switch.
03:14Okay, no.
03:15Yeah.
03:16Yeah, that's it.
03:17Pull it.
03:18Don't go for that.
03:19What's your name, mate?
03:21Stephen.
03:22I am Wayne.
03:23I made a super mistake.
03:24What happened?
03:25I had to change the gear.
03:26Okay.
03:27And the tractor's rolled back.
03:28Okay.
03:29That's it.
03:3059-year-old Steve Rathbone was reversing his vintage tractor down a slope when the brake failed.
03:36It struck a stone and flipped over, pinning him underneath.
03:39My whole arm is underneath it.
03:41Yeah, I can see that here, mate.
03:42Have you got any pain anywhere else?
03:44I imagine my shoulder blade's broken up.
03:46Okay.
03:47I'm going to try and get in, mate, give you an assessment.
03:48Is that all right?
03:49Yeah.
03:50Don't try to get this thing out of it.
03:51Yeah, we've got the fire brigade coming, mate.
03:53All right?
03:54Yes, arm, shoulder, hand, mate, on this leper.
03:56It's just trapped under that wheel.
03:59Yeah.
04:00And it hurts.
04:01I bet it does, buddy.
04:02There's lots of folk coming to help you.
04:04Okay, Steve.
04:05So, lots of combustible stuff around.
04:07Petrol and whatever.
04:09Diesel, sorry.
04:10Diesel.
04:11There's oil and all sorts.
04:13So, just think about oxygen use.
04:14Just something to be aware of.
04:15There is a fire risk.
04:17Alex, would you be able to get a fire extinguisher from the aircraft?
04:20Have it nearby.
04:22Can you feel me touching your hand?
04:23No, I can't feel you touching it, but I have a sense of it.
04:26I mean, he's trapped significantly under this wheel and this wheel arch here.
04:30Injuries top to toe.
04:31Looks like an isolated, obviously, pinned shoulder, left arm, hand.
04:36Possible neurovascular compromise on the hand here.
04:39We're going to get a drip in and give you some painkillers.
04:41Okay.
04:42Steve's hand is trapped under the wheel and is losing blood flow and nerve function.
04:48Thank the Lord you're here.
04:49So, this is going to be a bit tight while I have a look to get a line.
04:51Yeah.
04:52You know what?
04:53What's that?
04:54My phone.
04:55I borrowed that.
04:56Was in the pocket under the wheel.
04:57Oh, crikey.
04:58And I thought, this is it, I'm done for.
05:00The fire and rescue crew member has come ahead to assess how they can free Steve.
05:05Yeah.
05:06Legs are free.
05:07Pelvis is free.
05:08Chest is free.
05:09Just the arm.
05:10All right.
05:11Best form of attack I think we need to do is lift it all up from this side.
05:15It's going to be delayed getting the gear up here though.
05:17Yeah.
05:18So, we're going to give you some medication, Steve.
05:19Yeah.
05:20One of them is going to keep some clots formed in your body in case you're bleeding anywhere.
05:24And we'll just start you on some paracetamol and then we can top you up with a bit of morpheme.
05:29Steve's accident has happened at the top of a steep and remote valley.
05:34A local farmer is helping to carry the rescue equipment up to them.
05:37I think the bucket is currently supporting it where it is.
05:40If we take the bucket off, it's going to drop onto it further.
05:43If we get something under here, lift the bucket, chock the wheel as it comes up,
05:47we might just create enough wiggle to get out.
05:50Fire and Rescue will be using high-pressure airbags,
05:53which when filled with air, can lift up to 60 tonnes.
05:57Steve, we're all around you planning to get you out.
05:59OK, buddy?
06:05Yeah, see you for it. Cheers, Mark. Cheers, Al.
06:09How are you feeling, Steve?
06:11I'm feeling very tired.
06:13Yeah.
06:14With the adrenaline dropping off, as you know, help's coming.
06:16Yeah, yeah.
06:18Steve did start to say he felt quite tired.
06:22We see this sometimes.
06:23It's a phenomenon that's been described as peri-rescue collapse.
06:26When it seems that they're safe, they can take a turn for the worse.
06:29So I was worried in my mind that actually,
06:32Stephen had been holding his own for some significant time,
06:35but with us there on scene, we start to relax a little bit
06:38and we'd be more at risk of deterioration.
06:40Yeah, yeah, yeah.
06:42Steve has now been under the tractor for over two hours.
06:46OK, Steve, we're going to start moving now.
06:48OK, buddy?
06:53Rest, rest, rest, rest, rest, rest, rest.
06:55Right, knock all that off. Knock it all off.
06:57As the tractor is tilting, its mudguard is pushing into Steve's chest,
07:02so they need to stop.
07:03All it did was slip it that way.
07:05It was shifting, yeah.
07:06Good feeling.
07:07It's relieving me that it's pushing...
07:09On your chest.
07:10However, they can now access Steve more easily
07:13to provide him with additional medication.
07:16Er, Wayne, I think we might trickle some calcium in now, you know.
07:19It's a big area of crush.
07:22When your tissues are crushed, they can start breaking down
07:25and they release something called potassium.
07:27And potassium can actually be toxic to the heart.
07:30As we release the weight off of Stephen,
07:32there was a risk that that potassium could go flooding into his circulation
07:36and cause his heart to stop.
07:38Calcium is a medicine that we can administer
07:40to offset the effects of potassium.
07:43We've changed that plan now,
07:44so we're not going to push it towards you now.
07:45We're going to try and lift it off you.
07:47Yeah.
07:48All right.
07:50I'm suddenly feeling very hot.
07:51Is that the morphine?
07:52That's the medicine we've just given you, the calcium.
07:54Fire and Rescue have repositioned the airbags
07:57and are making a second attempt at lifting Steve free.
08:00Ah!
08:01Wedge from the back corner.
08:03Really pushing into my chest now.
08:05Are you ready, Steve?
08:08Are you ready, guys?
08:10Fill those voids.
08:11It's coming up as well.
08:13Ah!
08:14Is it all right?
08:15Steve, is that new pain?
08:16No, no, no.
08:17It's pressing into my chest.
08:18It's pressing into my chest.
08:19It's pressing into my chest.
08:20OK, I'll do that.
08:21Ah!
08:22Ah!
08:23Ah!
08:24The airbags are moving the body of the tractor,
08:27but the wheel is still stuck on Steve's hand.
08:29Ah!
08:30Ah!
08:31Ah!
08:32Passing into me.
08:33Can we get an airbag under that wheel?
08:35Ah!
08:36It's moving down and tilting a little bit that way.
08:38I'm getting a bit more feet.
08:39Yeah.
08:40Because it's not going anywhere quicker than there.
08:42We kind of need to speed it up, yeah.
08:44Close to the ground.
08:46We're nearly there.
08:47I think we just need another inch.
08:49Yeah.
08:50And we'll get enough space to move, Steve.
08:52Go!
08:57That's good.
08:58Keep going.
08:59Keep chocking, guys.
09:00OK, we might have enough.
09:01Try moving that arm now.
09:03Yeah.
09:04Nearly.
09:05Keep going, guys.
09:06Keep lifting.
09:07Steve, put your right arm down, mate.
09:09Chock where we are and snatch grab out that side.
09:13Let me know when I can get in.
09:14Right, Steve.
09:15Steve, look at me.
09:16Look at me.
09:17Yeah.
09:18Right, nice and slowly.
09:19Don't rush this.
09:20Nice and slowly.
09:21Let's go.
09:22Give me your arm.
09:23Right, push your legs.
09:24Push your legs.
09:25Push.
09:26Steve.
09:27What's up?
09:28There's a little inch in there.
09:32That's it, Steve.
09:33Good lad.
09:36That's it.
09:37Good lad.
09:38That's it.
09:39That's it.
09:40Let's watch those wires.
09:41Are they free?
09:42It's me coming out first.
09:43Right, you out first, mate.
09:44Nice and steady.
09:45There's only a few inches of space.
09:47Wayne and the team are pulling Steve out from under the tractor's mud guard.
09:51Right, on the head then.
09:52Ready to move on slide?
09:53Ready, sir.
09:54Slide.
09:55Well done, Steve.
09:56Right.
09:57Monitoring.
09:58Monitoring.
09:59Steve.
10:00Take a deep breath in, mate.
10:01If you can.
10:02We've got the oxygen back on, guys.
10:03Obvious left side of rib fractures, mate.
10:04Oh, I've had to be away from that.
10:05You've got your step hands on that.
10:06You're out now, Steve.
10:07I am.
10:08Thank you so much.
10:09Are you paying up here, mate?
10:10Well, ah, ah, ah, ah, ah, ah.
10:11Yeah, a possible hume.
10:12Yeah, a possible hume.
10:13Yeah, I know, mate.
10:14Yeah, I know, mate.
10:15Nice and steady, mate, for monitoring.
10:18Steve, take a deep breath in, mate.
10:20If this you can.
10:21We've got the oxygen back on, guys.
10:23Obvious left side of rib fractures, mate.
10:25Yeah.
10:26Oh, I've had to be away from that.
10:27You've got your step hands on that, mate.
10:30You're out now, Steve.
10:31I am.
10:32Thank you so much.
10:33Any pain up here, mate?
10:35Well, ah, ah, ah, ah, ah, ah.
10:39Yeah, a possible humerus there.
10:41How's that pain now we've got you released, mate?
10:43It's a lot bigger.
10:44It's a lot better.
10:45It's better than having a tractor on you.
10:46So at the minute, mate, we've got left shoulder fracture,
10:49left mid shaft humeral fracture,
10:51possible radial fracture,
10:53and multiple anterior rib fractures on the left side.
10:56Yeah, we'll go with that.
10:57What we'll do is get you wrapped up nice and warm, Steve,
11:00and then we'll get you up to James Cook, OK?
11:02Three, two, one.
11:03There we go.
11:05You think I've broken some ribs?
11:07If you've not, I'll be surprised.
11:09But you've probably made a tough stuff
11:11if you made it this far, my friend.
11:13The local mountain rescue team have arrived
11:16to help carry Steve to the helicopter,
11:18whilst Dr Steve calls ahead to the hospital.
11:20Hello.
11:21I've got a trauma pre-alert for you.
11:23We're bringing you a 59-year-old male
11:26who's been trapped underneath a tractor for two hours.
11:29He looks reasonably well oxygenated.
11:31He's moving both sides of his chest,
11:33but we're suspecting some chest injuries.
11:36He's remained relatively stable
11:39throughout the period he's been with us
11:41and will probably be about 25 minutes from now to yourselves.
11:46Are you coming via air?
11:47Coming via air, yep.
11:52He's been, in some respects, very lucky
11:54that it didn't impact right in the middle of his chest,
11:56just the side of him.
11:57He's been able to get his phone off for an hour,
11:59which, you know, you can't imagine
12:00how uncomfortable he must have been for that time.
12:02We managed to give him some pain relief,
12:03some drugs to stabilise him.
12:05Fire service worked incredibly hard to get him out.
12:07Partners in Mountain Rescue have brought him up to the aircraft,
12:10so, yeah, we're in a good position
12:12to be able to take him to hospital now.
12:16Steve will be flown across the Dales
12:18to the major trauma centre
12:20at the James Cook Hospital in Middlesbrough.
12:24Where Stephen was trapped,
12:26no-one was going to walk past and find him.
12:29He wasn't on a public footpath,
12:31and he was up on top of the moors.
12:33Had he not been able to get his mobile phone out of his pocket
12:36and called for help,
12:37he would have been there for hours and hours
12:39and possibly even succumbed to his injuries.
12:44Steve?
12:46Yeah?
12:47You all right there, dude?
12:48Hello there.
12:49Right, we'll get you on to the A&E trolley
12:51and take you down to the emergency department
12:52and get you sorted out.
12:54I feel like royalty.
12:58Ready, steady, lift.
13:01Two and a half hours after making the 999 call
13:03that may have saved his life,
13:05Steve is stable and safely delivered
13:07to a waiting critical care team.
13:25Every year, the air ambulance paramedics
13:26have to undergo a physical competency assessment.
13:29And today, Danny is giving Sam a refresher
13:33on the on-site gym equipment.
13:36Welcome to the health and wellbeing suite.
13:38I don't go to the gym that much,
13:39as you can probably tell.
13:41This is me going to the gym.
13:45But the session will have to be cut short
13:47as the job has come in.
13:48Is he actually falling off the horse?
13:50Yeah.
13:51Broken ankle.
13:54Filler, please.
13:55Filler.
13:56Lifting.
13:5899.
13:59Lifting.
14:00They're being scrambled to a farm
14:0330 miles away near North Allerton
14:05where their patient has a suspected broken ankle.
14:08Hi, this from 99.
14:09We are airborne with a five-minute ATA.
14:13I believe the patient is down a track
14:15from the location.
14:18Roger.
14:20We're going to an 18-year-old
14:21who's fallen off a horse.
14:24Reported to be conscious
14:25but has a broken ankle
14:26with the bone sticking out.
14:27The cruiser's got there
14:28and she's down a track, I believe,
14:29so they are requesting our help.
14:33Sometimes with fractures
14:34you can get impingement of the nerves
14:35and the blood vessels
14:36that supply the sort of the extremity.
14:38If you cut off the blood flow significantly
14:41or completely
14:42and if it's left long enough like that
14:44ultimately you can lose that limb
14:46if it's bad enough.
14:47That's the farm there.
14:49Yeah.
14:50But we'll see where they are.
14:51Loads of horses around us.
14:52Pilot Owen is mindful
14:53that there could be loose horses
14:55near where he wants to land.
14:57There's the DCA mate.
14:58It's in that field
14:59at the far back of that stable
15:00that's going east to west, mate.
15:01Right, the wind's brisk
15:03but it's not too brisk
15:04so this is a closer there.
15:05Go.
15:06And we're down.
15:07You can clear about 12 o'clock please.
15:09There we go.
15:10Five and six.
15:13Local paramedics have arrived ahead of them
15:15and are waiting to hand open.
15:16How are we doing?
15:17All right.
15:18Yeah.
15:19This is 19 year old Maddie.
15:20Hi Maddie.
15:2145 minutes ago
15:22and the horse has kind of fallen off
15:24until they start.
15:26It's got an obvious open fracture here.
15:28The sun ends up at the moment
15:30just trying to get a little line
15:31and just see what we can do.
15:32Student Maddie landed badly on her ankle
15:35after the horse she was riding reared up
15:37throwing her off.
15:38Is it Maddie?
15:39Hello.
15:40I'm Sam.
15:41There's Dan over there as well.
15:42Can I just pop a little needle in this hand as well?
15:44Just so we've got two in there.
15:45Is that all right?
15:47Maddie was still laying on the floor.
15:48She was taking Entinox given by the crew
15:50just to try and help that pain.
15:51Although we couldn't quite see
15:52because the boot was still on.
15:53It was just too painful to take off at that point.
15:55We knew that Maddie was injured.
15:57Maddie works at the stables
15:59and rides these horses every day.
16:01This is Mum on the phone.
16:02Yeah.
16:03Hi Mum on the phone.
16:04Mum's the doctor
16:05which is why she's trying to go.
16:07All right, okay.
16:08Can we just speak to your Mum, Maddie?
16:10No, no.
16:11We're just going to get some pain relief.
16:12So her ankle is an open fracture essentially.
16:14So we're just going to give her some ketamine
16:16to be able to relocate it and pop it in a splint
16:18and go to James Cook.
16:19So a bit of an open fracture
16:21it creates more risk.
16:23You increase the infection risk
16:24because you've now got open tissue
16:26exposed to the environment.
16:27Not only that though
16:28you've got nerves which are impinged
16:29and blood vessels
16:30which, you know,
16:31normally if it's a closed fracture
16:33you can bleed into a solid compartment
16:35and the blood can't escape particularly.
16:37With it being an open fracture
16:39then the blood can just continue to bleed essentially.
16:42So stopping the bleeding
16:43and making sure you relocate the fracture
16:46is really important.
16:48Maddie, my name is Danny.
16:49You're one of the parameters for the air ambulance.
16:51Yeah.
16:52Do you remember exactly what happened then?
16:53Talk us all the way through it, yeah?
16:54Yeah, the horse, he was jumping about
16:56and I sat quite a bit of it to be fair
16:58and then he just reared up
16:59and I tried to pump that
17:00he just went round
17:02and then just came back on top of me.
17:04Did you, consciousness do you think at all?
17:06No, no, no.
17:07Okay.
17:08Have you got any pains anywhere else
17:09other than your ankle at the moment?
17:10My knee but that's it.
17:11Your knee?
17:12On the same leg?
17:13Yeah.
17:14Okay.
17:15We can't see what we're dealing with
17:16but we'll make sure
17:17that you've got adequate pain relief
17:18before with all that.
17:19Do you want to keep on going
17:20with that gas and air for the time being?
17:22Big breaths in and out for me.
17:24And out.
17:26That's it, breathe in and out.
17:28You will feel a little bit light headed.
17:30Gas and air works fast
17:32but it doesn't last long.
17:34It'll keep Maddie's pain under control
17:36until the team can give her something stronger.
17:38So, Maddie, the plan is
17:40we're going to give you some strong pain relief.
17:43You might feel a little bit funny with it.
17:45What tends to happen
17:46when we give this sort of pain relief
17:47is that you don't tend to remember
17:48anything that's happened
17:49but it'll keep you nice and relaxed.
17:51If you see unicorns then that's good.
17:53Right, just pop that arm nice and straight for you, Maddie.
17:56Sam's giving Maddie ketten
17:58the strongest drug they carry.
18:00How are we feeling, Maddie?
18:01I feel like this really hurts.
18:03Yeah.
18:04You won't remember much about it shortly, Maddie,
18:06and you'll be completely pain free.
18:09If you imagine a bone normally
18:11it would be in natural alignment
18:12and everything's connected.
18:13If you've got a fracture
18:14then the bone isn't connected
18:16and it can sometimes be out of alignment
18:18at a funny angle
18:19which was the case with Maddie.
18:20So, being able to relocate it
18:22or reduce it as we call it
18:23is essentially pulling the limb straight
18:25or moving it back into neutral alignment
18:27so you're getting that bone
18:29as straight as possible
18:30to how it normally would be
18:31without a fracture there.
18:33With the ketamine taking effect
18:35Danny can now attempt to straighten Maddie's leg.
18:38She might scream and things like that
18:39but she won't remember anything about it.
18:40It's just an aspect of the drug.
18:45You all right, Maddie?
18:47Yeah?
18:48Yeah.
18:49The sock's like stuck in the back.
18:51Her broken bone is pierced
18:54through the skin of her ankle.
18:55Hold on, Maddie.
18:57And there's the bone.
18:59I'm willing.
19:00Yeah.
19:01I'm just going to pull it straight.
19:04All right, Maddie.
19:05I'm giving it some traction
19:08but it doesn't seem to be putting back in.
19:10I think it's caught on the bottom of the skin.
19:11So what we need to do is we need to bend a leg at the knee
19:14and then you need to put it back in there
19:17because that will ease it with the muscle a little bit
19:18to be able to get it back into place.
19:20Bend it at the knee?
19:21Back into place.
19:22Sometimes reducing a fracture can be nice and easy
19:24and if the patient's nice and relaxed
19:25and there isn't too much muscle tension
19:27it can go back to where it needs to be quite quickly.
19:30With this case, obviously we've given Maddie
19:32some analgesia in the form of ketamine.
19:34That can make everything a little bit tense
19:36and often when the leg's straight
19:38the muscles are quite tense and they're stretched.
19:40So when you're trying to reduce an injury
19:42or relocate that fracture
19:44there's not much stretch.
19:45One thing you can do is you can just bend the knee
19:47and that just helps relieve the muscles a little bit,
19:49loosen them, shorten them
19:51giving you a little bit more room for movement
19:53to put the bone back where it needs to be.
19:55All right, Maddie.
19:56Let's see if we can get it back in.
19:57You can lift this leg up a little bit.
19:58Okay.
19:59Just bend your knee, Maddie.
20:00The aim now is to manipulate the two pieces
20:02of broken bone back into place.
20:04Do you want to go out and then back in?
20:06No.
20:07I don't know.
20:08I don't know.
20:09I don't know.
20:10I don't know.
20:11I don't know.
20:12I don't know.
20:13I don't know.
20:14I don't know.
20:15I don't know.
20:16I don't know.
20:17I don't know.
20:18There we go.
20:19There we go.
20:20Can we do that?
20:21The bones in Maddie's ankle
20:22are now back in alignment
20:23but it's crucial they stay in place
20:25until she reaches hospital.
20:27Okay, if you keep pulling traction on that
20:28then we can get this tight so it doesn't pop back.
20:30All done, Maddie.
20:37It's back into where it needs to be, okay.
20:39Maddie, slow your breathing down.
20:43Oh, yeah.
20:45Just keep steadying that breathing.
20:49Danny is removing air from inside the vacuum splint
20:53to create a mould around her leg.
20:58All right, Maddie.
20:59How's that pain doing now?
21:01It's detached.
21:02I'm just so confused.
21:05Yeah.
21:06I don't know.
21:07It's all normal.
21:09Ready, steady.
21:10Roll.
21:13So, you need to let us know
21:14if you start to feel any different.
21:16All of the stuff that we've done,
21:17that's the bad stuff out of the way.
21:18All right, can you remember anything about us
21:20putting your leg into a splint?
21:23No.
21:24No?
21:25There we go.
21:26Nice work then.
21:27Wait.
21:28You were here before you put your leg into a splint?
21:31Yeah.
21:32Really?
21:33And you can't remember?
21:34No.
21:36Right, pop this back in your nose there a second.
21:38Oh.
21:39You been in a helicopter before?
21:40Yes, I have actually.
21:41Oh, when?
21:42My rich friend took me on holiday with her.
21:45Your rich friend took you on holiday with her?
21:47Yeah.
21:48Italy to...
21:49I can't remember where we went.
21:51Why do you have to go spoil our fun like that?
21:53Sorry.
21:54Because it's not the same in Yorkshire, is it?
21:56Italy's more exciting.
21:57I've never been in an air ambulance, though.
21:59OK, well, there we go.
22:00First for everything.
22:01Pop you in this, I promise it's not a body bag.
22:05Ah!
22:06Right, then we'll go and lift then.
22:09Ready?
22:10Lift.
22:11Oh.
22:12Going by helicopter to the nearest major trauma centre in Middlesbrough
22:15will take less than ten minutes.
22:18All right, Matty, pop these on for you.
22:20Oh, pop your head down, you all right?
22:22There we go.
22:23OK, lifting slowly because of the crosswind.
22:279-9 lifting, routing to James Cook.
22:33No, no, Roger, thanks.
22:35Did Matty say 64 kilos?
22:37Yeah, I think about 64.
22:39Oh, OK, she might have had a big breakfast then
22:41because we're struggling to the climb here.
22:42But, you know.
22:43Oh.
22:45We're managing, though.
22:46We're managing, yep.
22:47I bet your Italian pilot wasn't that cheeky, was he?
22:50All right, official James Cook.
22:53I think I've got visual security, mate.
22:559-9 finals for James Cook.
22:58Right now, Matty.
22:59Yeah?
23:00The aircraft vibrates a little bit as we come to the harbour.
23:03It's just what helicopters do.
23:05It's not my fault, I promise.
23:06OK.
23:07Yeah.
23:08It's not me being a rubbish pilot.
23:09Do you clap when you land?
23:10Well, the guy in the back normally do.
23:11I don't give too much of an ego.
23:12And then we all get the ick.
23:14You clap, we normally just take a sigh of relief.
23:16That's better there.
23:17Behind the trees a bit smoother.
23:18Right.
23:19That wasn't bad.
23:20That was a good landing.
23:21Yeah.
23:22I'll take that.
23:23All right.
23:24Lovely jumping.
23:25Happy.
23:26Right, Matty, we're going to move OK.
23:27On slide, ready, steady, slide.
23:29Oh, sorry.
23:30Whilst Matty will be taken for surgery, paramedic Sam will be enjoying a little light refreshment.
23:43Could I have an oat milk latte, please, with vanilla syrup?
23:47Thanks.
23:58At the headquarters in West Yorkshire, paramedics Matty and Tom are preparing for the shift ahead.
24:04Is the blood on, please?
24:07It's a hot summer's day.
24:09And the pace is picking up on the air desk.
24:12Hello, Yorkshire Arts.
24:13A call's come in about a motorbike accident on a remote track in the Yorkshire Walt.
24:19If it is as inaccessible as it sounds anyway, I'm hoping that we might be able to land relatively closely and then get him in anyway.
24:26Cool.
24:27I will allocate them now.
24:28No worries.
24:29I'll see you later.
24:30Yeah.
24:40All clear there.
24:41Clear right, lifting.
24:44Pilot Owen is flying them 34 miles towards Driffield, in the east of the county.
24:49Ah, it's over 200 feet.
24:50All clear.
24:51I'll turn right as I go.
24:52If we do think about ketamine, say he's a 100 kilo patient, I'll just throw up 10 mils of ket.
25:03Okay.
25:04I mean, I don't even know what injuries he's got.
25:07Just that he's in pain and he's big.
25:11On the way to this job, we had limited clinical information about what the presenting complaint was with this patient.
25:16We knew that they were a motorcyclist that they'd been riding on green lanes and they'd had an accident.
25:20That's as much as we knew.
25:22Location-wise, it was quite rural.
25:24It was quite remote as well.
25:25So it's a really good asset to have a helicopter to be able to help you manage these patients.
25:29It gets them quickly.
25:30All right, it's just through the side of that main road, isn't it?
25:32From the left and forward right?
25:34Yeah.
25:35Somewhere.
25:36Yeah, just beyond there, out of all sorts of the left of that way.
25:39There it is.
25:40No, I don't have a head.
25:41Okay, well it looks it's a bit further down.
25:43So where did he see-
25:44There were people down there.
25:45Yeah.
25:46So at the end of the tree line.
25:47Yeah.
25:48Looks like this field's flatter than that one.
25:49Yeah, isn't it?
25:50There's fire as well.
25:51Fire service on sea.
25:52Okay.
25:54All right, so I'm going to go tail left in a second, then go with the valley.
25:57Yeah, go on clear left.
25:59It does drop away quite really, doesn't it?
26:03We're going to quite a few motorcycle accidents.
26:05They tend to be on the road, but people are off-roading as well.
26:08So the injuries you get can be from minor injuries, minor noctual bruises,
26:12to something that's really life-thetting as well.
26:14Okay, I'm going to grab a little away from the intake.
26:16So I'm going to land on.
26:27Hiya, mate.
26:28Yeah, initially, just a difficult extrication really.
26:31So we asked for fire to come and assist, but he's got a bone of crepitus on his right ribs.
26:35We think he's bust a few ribs on his right side.
26:37Okay.
26:38We think he's bust his clavicle.
26:39He's complaining of clavicle pain.
26:40We give him 20 morphine, a gram of IV paracetamol, and every time we try and move him or do anything,
26:44he's absolutely screaming in agony.
26:46Okay, no problem.
26:47What's his name?
26:48Big Mark.
26:49How are you doing?
26:50I'll just come in there just so I can get him.
26:5255-year-old Mark Hunter was out with friends greenlading, or riding unsurfaced country roads, when he lost control of his motorbike.
27:01Hiya, Mark.
27:02Hello, mate.
27:03My name's Tom.
27:04I've got Matt here as well.
27:05Sounds like you're still in quite a lot of pain when they try and move you.
27:06Yeah.
27:07Are you comfy as best you can in that position as you are there?
27:10Yeah.
27:11Okay, so I think that's probably quite a go.
27:12We can just keep him there.
27:14So if you were to tell me where this pain is, and I haven't even told that colleague, just remind me again where it is.
27:19Ribs and shoulder.
27:22Ribs and shoulder, all on your right hand side.
27:24Yeah.
27:25And what made you lose control of the bike?
27:29Just lost the front end.
27:31Okay, just lost the front end.
27:33He's come around this bend, and he's hit a rut, just lost the front end, and it's obviously spat him off the bike.
27:40Me and Gaz have come, found him laid on the floor, tried to make him comfortable.
27:43Now, obviously, we're here just trying to sort him out.
27:46In terms of combating, I think keeping him left lateral is the right way to go.
27:51Because you've got him on it, and there's no point moving him.
27:53He's completely saturated.
27:54I will listen to his chest to get him on nasal specs.
27:57Yeah, I'll get that.
27:58Is that all right?
27:59When we first arrived on scene, he obviously sustained quite a significant chest injury.
28:04He was quite agitated, a bit distressed, probably in quite a lot of pain as well.
28:08He was having some difficulty breathing.
28:10He's probably got a number of injuries, potentially broken ribs.
28:12And there may have been some internal bleeding as well.
28:16Mark, I know you've got this pain in your shoulder and your chest.
28:19We just want to make sure that there's no other injuries that have sort of become apparent
28:23since you've had that pain relief, all right?
28:25So we're going to try and move some of these clothes.
28:29Yeah, all right.
28:30So the sats have come from 99 down to 93 with a good waveform.
28:36Mark, what we're going to do, we're going to get a few pairs of hands,
28:39and we're going to try and get you onto our stretcher into the back of the aircraft, okay?
28:44It might be very uncomfortable when we try to do that, okay?
28:48And we're going to need a few hands just to try and position you.
28:51If at any point we think it's not safe, then we'll stop and we'll get you into the ambulance.
28:56We're going to give you some stronger pain relief, and that might make you feel a little bit weird,
29:00but that's perfectly normal.
29:02But I'll explain everything to you before we give you that strong medicine.
29:05Does that sound okay? Yeah?
29:08Ketamine is a fast-acting pain relief.
29:11It's only used outside of hospitals in the most serious cases.
29:15We're quite fortunate that we get to carry ketamine, which is this really strong pain relief.
29:19The land amateurs don't carry that, so there is potential that some of our colleagues
29:23won't have seen us administer ketamine before.
29:25He may start acting a bit strange and a bit weird and might start shouting out.
29:29So things we can do to combat that is just have a nice and quiet environment.
29:32And what we'll do is we'll just have a chat before we give it to him,
29:35because I'll explain to him that he's probably going to start feeling really weird.
29:38But he won't remember anything that we're doing to him.
29:40The danger of giving a little bit of ketamine is that we might start vomiting,
29:43and he might start having excessive saliva, so we're just going to go nice and steady.
29:48Guys, when we start giving him this medicine,
29:50I know it's quite tempting to look after your friends and want to help them,
29:53but all I'm going to ask is that everybody's really quiet,
29:56and we're just going to let Tom speak to him and nobody else.
29:58He might start shouting the stuff, but that's normal.
30:01He won't remember any of it, OK?
30:03So I know you're probably concerned, but I just need everybody to be really quiet, OK?
30:10Open your eyes. Hello, mate.
30:11So we're going to give you a medication,
30:12and then we're going to give you this strong pain relief, OK?
30:14So really important that you just relax.
30:16Let's do what we need to.
30:18Try and go with the flow.
30:20Think happy thoughts when we give it to you, all right?
30:22Might make you feel a little bit weird, a bit spaced out, but that's OK,
30:25because that's actually what you want to be, OK?
30:27That's how it's going to work.
30:28All right.
30:38Nice happy thoughts.
30:39You're doing really well.
30:40Well done, mate.
30:42Are you all right there?
30:44Yeah?
30:45Is that helping?
30:46Yeah?
30:47Good man.
30:48Take a breath.
30:49I feel all right, a bit better.
30:53With no adverse reaction to the Kettleman,
30:56the crew can now start to move Mark to the helicopter.
30:59Just as many hands as we can, then, please, guys.
31:01Grab the A2.
31:02If somebody could do the monitor as well, that would be really helpful.
31:05Carry that monitor.
31:07Is everybody ready?
31:10OK, you'll be on lift.
31:12Ready, set, lift.
31:14All right, Mark.
31:15Here we go.
31:16Let's get you on.
31:17That's it.
31:18You're doing really well, Mark.
31:19We're halfway there.
31:20Watch your head.
31:21Watch your head, please.
31:22Get out.
31:23Mark, you all right?
31:24Open your eyes for me, fella.
31:25Good man.
31:26So, we're going to fly you to Hull, just because of the injury you've got to your chest.
31:42We're just going to get you hooked up to our machines, and then I'll give you something
31:46for that pain.
31:48Good man.
31:49You're doing really well.
31:51OK, good.
31:52OK, good.
31:53OK, clear this.
31:54We're all right.
31:55Same one.
31:56What do you want to tell?
31:57The left.
31:58Good.
32:01Coming into the wind now, that's why I like it.
32:04I know I can't hear him, but he looks relatively comfortable compared to how he was on the scene.
32:11They asked speed, but I wasn't sure on the...
32:14I asked his mates and they stood about 20 miles an hour.
32:17The flight time to Hull Royal Infirmary is 15 minutes.
32:20Without the Air Ambulance, Mark's journey would be over an hour.
32:24All right, that's us now on finals.
32:27Come on, we've easy to go to LVP.
32:29Look at us.
32:30Now that's finals.
32:37This is a class two kind of clear area.
32:39OK.
32:40Time to get up with the guy in the back.
32:42Thanks, mate.
32:43Tom.
32:44Yeah, Tom.
32:45Class back, Tom.
32:46Thank you, Owen.
32:47Yeah.
32:48Mark.
32:49Hello, mate.
32:50We're in the hospital now.
32:51So we're going to keep you on this stretcher, and then we'll get you out the back of the
32:54helicopter.
33:04Can you bring this arm to hold onto your other one?
33:06OK.
33:07Ready, steady.
33:08Slide.
33:13Just a couple of bumps as we wheel you into the hospital, Mark.
33:16Mark will be taken to a waiting trauma team, who will carry out scans to get a clearer picture
33:21of his injuries.
33:36It's been a busy shift, and paramedic Chris and the team are giving the very muddy helicopter
33:41a deep clean.
33:46Leanne is on the air desk, and has spotted a job.
33:49A 999 call has come in for a two-year-old who is struggling to breathe.
33:54Hello, job.
33:56Job.
33:57OK.
33:58Not great.
33:59She's scrambling Chris and paramedic James from the Topcliffe base, which is nearer to the
34:04patient.
34:05It's in Thirsk.
34:06It's asthmatic, unconscious, no degree then.
34:08The UK has one of the highest emergency admission and death rates for childhood asthma in Europe.
34:14Well, the same departure has been every other time.
34:17It seems to be straight ahead.
34:18HeliMed 999 will make the journey to rural Thirsk in just three minutes.
34:22Tools come round your way.
34:23OK, it's fine.
34:24Everything else is looking good inside.
34:26Is a two-year-old, I'm not really too sure what's happening.
34:31The information we got from the air desk was quite limited.
34:34The only information we had was attending a two-year-old who had a history of asthma,
34:39who was having quite significant breathing difficulties and reported to have been unconscious at some point.
34:46Asthma is the most common long-term illness in children in the UK, affecting about one in
34:52prison and claiming a life every four weeks.
34:55It's one of those houses on the road as they match the grid location.
35:00Yeah.
35:01Hopefully there's a gate there as well.
35:02The little girl is on her family farm and the surrounding fields are proving difficult for pilot Harry to land in.
35:09I reckon you can go through a gap in the hedge just there opposite that grey gate.
35:13Yep.
35:14Happy with that?
35:15It's not a big ditch, but we'll soon find out.
35:17Yep.
35:24Two-year-old Enola is being looked after by her mum and auntie.
35:28We'll go straight on to the ambulance.
35:29Yeah.
35:30Have a look on me.
35:32A land ambulance has also arrived, providing a space to examine her properly.
35:38I'm a auntie.
35:39I'm a nurse.
35:40I'm the nurse.
35:41Yeah, she's the mum.
35:43She began struggling to breathe as she sat down to eat with her family.
35:47But when I went in, I listened to her chest.
35:49She's got bilateral wheezing.
35:50Okay.
35:51Right.
35:52Her heart rate was about 200.
35:53So you'll sit on the end there because she'll be familiar with you so she can see you.
35:56Yeah.
35:57Hi, baby.
35:58What's her name?
35:59Enola.
36:00And what's her history?
36:01About four weeks ago, she had pneumonia.
36:05Okay.
36:06That started her on a selfie at my inhaler.
36:08Yep.
36:09She was out playing all day with us.
36:10Yep.
36:11And about 20 minutes ago, she just went downhill, didn't she?
36:14The young girl's aunt, who said she was a nurse, had explained to us that she had quite
36:19a noticeable wheezing coming from both sides of her chest.
36:23That's an indication that there is an acute problem relating to the asthma and the wheezing's
36:28caused by the small air tubes in the lungs going into spasm and making it difficult to
36:33breathe.
36:34She also said that she had a heart rate of 200, which was quite significant.
36:38A child of that age, she would expect the heart rate to range between around 90 and 110.
36:43Any cyanosis or...?
36:44Yeah, I could see her jugular.
36:45Okay.
36:46All right.
36:47I could see her jugular going.
36:48Okay.
36:49Can I have another listen at your chest, do you think?
36:50Is that all right?
36:51Yeah.
36:52Yeah.
36:53You're all very good, aren't you?
36:54This might be a little bit cold.
36:55So I apologise.
36:56I did do her sats earlier, there were 87 at one point.
37:01Okay.
37:02But after the inhaler, we got them up to 95.
37:05So, any recession or anything like that when she was breathing?
37:08She had a lot of recession.
37:09Okay, all right.
37:10A lot of recession and she was losing...
37:12Yeah, yeah.
37:13I think that's why you got here with the air ambulance.
37:15Chest recession potentially indicates particularly children are in some sort of respiratory distress.
37:21When the child's breathing in, it looks almost as though the chest is moving in an
37:25opposite direction to how it should be.
37:27There's an increased effort to try and get as much air in as possible.
37:30You'll have a girl, aren't you?
37:32Oh, you know what's going on, don't you?
37:34Good girl.
37:35And you say this colour's not normal for her.
37:37No, she looks quite...
37:38Yeah.
37:39Yeah.
37:40Mottled skin, when accompanied with breathing difficulties, can be the sign of an asthma
37:44attack or chest infection.
37:46You want to sit up a little bit more because that doesn't look comfortable.
37:49And I like it.
37:50Good girl.
37:51Right, we'll see what your oxygen levels are and just see if we need to do anything else
37:54with regard to giving her a bit more salbutamol.
37:56Yeah.
37:57Salbutamol is a medication that relaxes the muscles of the airways, making it easier to
38:02breathe.
38:03She's actually getting more mottled.
38:05Yeah, I'm going to say it is still bobbing along that heart rate.
38:08It's probably still accurate.
38:09Yeah.
38:10So a trip up to hospital.
38:11Yeah.
38:12Yeah.
38:13Mmm.
38:14The cause of Enola's breathing difficulties is still unclear, so she'll need to go to
38:19hospital for further assessment.
38:21Enola's dad, Brian, has rushed back to the farm from work.
38:24She's got quite a high temperature, so I think probably some infection of some sort is going
38:29on somewhere.
38:30So she's going to be going in the ambulance up to James Cook.
38:34You're such a clever darling Enola.
38:36Have you got everything you need to go in?
38:38Yeah, Brian's packed your bag.
38:40Yeah?
38:41Okay.
38:42But they don't quite have everything they need for the trip to hospital.
38:45Dolly.
38:46She needs Dolly.
38:47Oh, look who's this.
38:48Wee!
38:49Wee!
38:50Wee!
38:51Are you going to have a little trip up to hospital then with Mummy?
38:53Go see the doctors?
38:54Again.
38:55Again.
38:56Are they on first name terms these last few weeks?
38:58Pretty nice.
38:59Super.
39:00Edith 99.
39:03Go ahead.
39:04Yeah, that's just clear.
39:05Patient stable.
39:06Going with the DCA crew there to James Cook.
39:09Enola is being taken to the paediatric unit at James Cook Hospital in Middlesbrough.
39:14The cause of her condition is still unknown.
39:2155-year-old Mark Hunter spent 10 days in hospital after coming off his motorbike whilst greenlading.
39:28All right, Mark.
39:29Here we go.
39:30Let's get you on.
39:31He suffered seven broken ribs, a broken collarbone, and punctured his lung.
39:35After several months recovery, he got back on his bike and recently enjoyed a biking holiday through France.
39:44The cause of two-year-old Enola's breathing difficulties is still being investigated.
39:49But doctors believe it could be related to her previous chest infection.
39:53Can I have another listen at your chest, do you think? Is that all right?
39:57She stayed in hospital for one night, happily accompanied by her beloved Dolly.
40:05Is it Maddie?
40:06Hello.
40:07I'm Sam.
40:08The 19-year-old Maddie needed surgery on her broken ankle after coming off Rebel, the horse she was riding.
40:13The morning of the accident, it was just a typical kind of day.
40:17I was mucking out the horses.
40:18I'd ridden another two.
40:20Then I'd got onto Rebel, the horse that I had the accident on.
40:23So he was my third ride of the day and my last.
40:27How's that pain doing now?
40:28When it first happened, I think it was more shock.
40:31I couldn't process anything.
40:33I just remember looking at my ankle and being like, God, this doesn't look right.
40:38Maddie's been riding since she was two years old, but it will be some time before she can get back on the horse.
40:44I'm a very active person. I'm constantly out riding and seeing my sisters kind of hack out on the horses, especially my horse.
40:52It's been quite difficult, but I think once the pain got better, I felt a lot better about getting more active and getting out in the sun and trying to make the most of the situation that I'm in at the moment.
41:03Because as soon as the cage is off, I'm getting on a horse.
41:06I mean, I don't want to put myself at risk, but I'm definitely going to do it the first opportunity I get because I miss it so much.
41:14Hello. We're coming to help. You okay, buddy?
41:23Steve Rathbone was in hospital for 12 days after being trapped by his overturned tractor for two and a half hours.
41:31Suddenly I find I'm moving backwards. I'm moving faster and faster down the hill and I come bouncing to a stop.
41:37And suddenly I realise here I am with this tractor on me.
41:41I had a phone, but I couldn't get to it. And then, of course, my heart slightly sank at that point, thinking, well, I'm really quite reliant on somebody seeing me or missing me.
41:51And I knew that it was very unlikely they were going to miss me in the time that was probably going to be available to me as this weight was squashing down on my chest and my arm.
41:59So it was quite an alarming scenario to be in, obviously.
42:03Can you feel me touching your hand?
42:05The amazing thing was after about an hour of just sitting there trying to process what I was going to do, how I was going to get out of it,
42:11I suddenly realised I had movement within the lower part of my body.
42:15But it gave me, I felt, a few centimetres of wiggle room to be able to get my hand right round and under to pull the phone out very slowly, which I did.
42:25And then finally was able to get to 999.
42:29And that moment, of course, there's a great relief that now, actually, I don't have to contemplate dying on the hill, which is what I've been doing up until that point.
42:39Steve broke eight ribs, his shoulder and sternum, and suffered a punctured lung.
42:45There were a lot of people that came out that day to save my life.
42:53I was just so impressed that everybody had been able to get there relatively quickly to this obscure part of the Yorkshire Dales.
42:58And then to work together with military precision to get me out of that pickle that I got into with my old classic tractor.
43:04I shall always be so grateful to everybody.
43:08Since this happened, I've not been anywhere near tractors.
43:11The tractor involved, a dear old Massey Ferguson 35, is in a barn currently being repaired.
43:17As much as I'm fond of it, I think it's going to be up for sale because it's actually in remarkable condition.
43:22It took a few dints, but actually I think it came out a bit better than I did.
43:41It took a few hours later.
43:42Theìn choellough
43:43Thee
43:52With the
44:04You
Recommended
56:21
|
Up next
1:19:09
55:56
1:17
1:33:34
1:00
59:15
45:14
44:06
43:45
46:34
46:26
46:21
47:13
46:34
1:10:30
57:12
42:59
1:31:13
1:32:48
Be the first to comment