- 21 giờ trước
Yorkshire Air 999 - Season 3 Episode 2
Danh mục
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Vui nhộnPhụ đề
00:01Thế giữ.
00:04Thế giữ tụi vui, nhưng mà không thích.
00:09Và khi tình trống khóa cia tường là,
00:11người dùng điều đó còn không được thì anh kêu lùng
00:14và cuộc chiến tình hạ vỏa cháy
00:15nơi vòng không phải là đau's.
00:18Thế giữ và đường là một người một người tụi lý.
00:22Má quên là, không phải có gì cả?
00:25Chỉ phối thì bạn có thể trở thành tập trung từ luyện và chết.
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04:49I think things could have been very different
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07:59I'm one of the doctors, remember, you just hurt your leg, giving you this really strong
08:05head to, okay, that's why you're feeling a bit weird and wonderful, okay, we're just
08:09going to stand you up and get you on our stretcher, okay, doing really well.
08:14Paul's wife has arrived after getting a call from their son.
08:18Elaine, what?
08:20I love you, Elaine.
08:23Oh, wow.
08:24Oh, my days.
08:26Oh, my days.
08:28Oh, love.
08:29You ready?
08:30So can you bend your good leg?
08:33Good lads, bend your knee, Paul.
08:34Bend your knee, good man.
08:35We're going to stand up.
08:37The injury itself and the tourniquet can be really painful, hence we've given him some
08:41catamines as well as the morphine, which is why he's a bit muddled at the moment, but
08:45that's fine, that's how we expect people to be.
08:48So we'll take him to the northern and they can have a look at his leg and go from there
08:51really, okie dokie.
08:53Right, it's going to get a bit bumpy.
08:55This gentleman's got a really nasty wound actually.
08:57It looks like it goes to at least one, if not both, bones of the lower leg.
09:01We've got some significant bleeding, so we've put some what we call silox in.
09:05It's like a bandage impregnated with some clotting agent, so when it touches the blood,
09:09it makes the blood coagulate and stop bleeding.
09:11And then we've put a really tight pressure bandage around it in the hope that that will control
09:16the bleeding.
09:17Right, a couple of bumps coming up.
09:19I've got it.
09:20Paul will be taken to Northern General Hospital by road.
09:24His blood loss will be easier to monitor in a land ambulance than in the helicopter.
09:28Right, Paul, we're going to leave you with our colleagues.
09:30I'm going to take you to the Northern General Hospital to get your leg seen to, okie?
09:33Yeah, let's go.
09:35Whoever's driving, would you mind?
09:37I'm just aware he's got a tourniquet on, so time's kind of at the essence now, I think, so.
09:42Tourniquets must be tight to stop bleeding, but cutting off circulation to tissue and muscle
09:46can also cause permanent damage.
09:49The longer the tourniquet is on for, the more damage that's caused into the lower limb
09:53and the more damage it's caused into the tissue.
09:55We've tried to reduce the tourniquet, but it's immediately started bleeding really briskly
09:59again.
10:00So the best thing for the patient is that we re-tighten that tourniquet up, which is
10:03exactly what we've done.
10:04But now time is in the essence to get to hospital, because every minute that that tourniquet
10:08is on, it's created more potential damage to his leg and his tissue.
10:12So he's definitely not out of risk yet, but still every chance that he could lose his leg.
10:19At RAF Topcliffe, near Thirsk in North Yorkshire.
10:31What are you doing, Rory?
10:32Pilot Rory is taking one for the team.
10:35I am cleaning this washer, which should be done once a month.
10:41I don't do instructions.
10:43While in a rare moment of downtime, paramedics Leanne and Fiona are trying out a new game.
10:49Are you a traitor or a faithful?
10:52Oh, it depends who I'm playing with.
10:54You've got to have a poker face, so I'm intrigued as to whether I can do it or not.
11:00Oh.
11:02Oh, maybe we'll have to finish that later then.
11:05They're being sent to a cricket club 46 miles away, where a man has badly broken his ankle.
11:15Flying with Rory today is technical crew member Claire.
11:18Yeah, Claire left.
11:19I want to see.
11:20OK, airborne, everything's good inside, 1-2.
11:25Fairly straightforward landing site-wise, do we think?
11:28It's a cricket pitch.
11:30So if we've got enough space, we can land next to them.
11:33We are 17 minutes away, 1-7 minutes.
11:36We're ready for any updates, if you have any.
11:38I don't have any updates.
11:40I can't get a hold of the patient, so that's as far as I've got, sorry.
11:45Roger, well received.
11:48This is the patient who's on a cricket field, falling down a hole, and his ankles pointing to 90 degrees.
11:56So if there is critical skin, or there's no pulse in the foot, it can be quite dangerous.
12:02If blood flow to the foot is restricted, the patient risks losing it.
12:09What's the flight time to hull if we can't get back up?
12:11Seven minutes flight time to hull.
12:14See a long way today.
12:16I think I can see the cricket club now.
12:19No, no, overhead.
12:21Oh, they've got the vehicle right up on the pitch.
12:24Yeah.
12:25I'll circle up wind so they can hear us.
12:29Yeah, because you can't use your hair to helicopter, can you?
12:32You're sarcastic, Leah.
12:34Roger, 9-9 finals.
12:37Are we clear of that football goal?
12:39Clear.
12:40Roger.
12:419-9, landed.
12:47Land paramedics have reached the patient and are waiting to hand over.
12:52Hello.
12:53This is Ian.
12:54Hello, Ian.
12:55Hi, Ian.
12:56I haven't done anything with it yet.
12:57Super.
12:59Yes, good call.
13:00GP, she's checked, says he has got...
13:02Hello.
13:03You felt a pedal pulse in his foot?
13:04Yes.
13:05Yeah, OK.
13:05Ian, how much pain are you in?
13:07Quite painful.
13:08If you could score it out of 10.
13:10Out of 10.
13:1289.
13:1389.
13:1368-year-old Ian Hayward was playing an away match with his cricket team when the accident
13:20happened.
13:21He's been playing cricket his whole life and plays for three teams.
13:26What actually happened?
13:27Yeah, I was fielding for the ball, my football stuff, and I had a snap.
13:33Ow.
13:33Just didn't snap.
13:34Yeah.
13:35Ian, I don't see if it was a ball.
13:37I still think it does.
13:38Yeah, we're giving people to stop by a little bit.
13:40I think when the wife was pregnant, yeah.
13:44After she was pregnant, you weren't pregnant.
13:46No, no.
13:47I'm really pregnant.
13:49You really couldn't sit, did you?
13:50It must have been terrible for you.
13:54Ian, I'm just going to cut your sock.
13:56I'm not going to move anything before I tell you, OK?
13:59Don't worry.
14:00There's no sudden movements.
14:02Ian's leg was in a really odd position, which straight away we knew it was broken.
14:07If the bone's broken but not protruding through the skin, then it can cause critical skin,
14:12which is when the bone is touching the skin, preventing the blood supply to the skin.
14:16That can cause death of the cells and the tissue.
14:20You see this?
14:21Mm-hmm.
14:21This is white.
14:22That's critical skin.
14:23The bone could protrude or it can cause some skin death, and that's not good.
14:30If we didn't put the limb back into position as soon as possible,
14:33there's potential that Ian in the future could lose his foot.
14:37Leanne, could you draw up some ketamine, please?
14:40Yeah, of course I will.
14:40Yeah.
14:40So plan.
14:41Get Ian into a position where he's comfortable, as comfortable as can be.
14:45Pull it, splint it, and then we'll just top up his pain relief.
14:49So we can probably get some IV paracetamol ready.
14:51Yeah, that's fine.
14:52Once he's had enough ketamine to do the procedure, we can just then top him up with morphine and keep the paracetamol going.
14:58If you want to give the ketamine, I'll come down here and pull this leg.
15:03You've got to be pulling the leg.
15:04I've got it done.
15:06I'm pulling your leg.
15:07I'm not pulling your leg.
15:08I'm pulling your leg.
15:09So, this...
15:11Are you a joker?
15:13Keep him coming, we don't mind him.
15:15As much as we want to straighten the leg as quick as we can, we're all so mindful that it's very painful,
15:20so we needed to give him some ketamine and give that time to work before pulling the limb into position.
15:26We're going to give you a drug that makes you feel a little bit strange and a bit disorientated.
15:30It's completely normal, so try not to panic or worry.
15:35Ketamine is a strong drug.
15:37It's a disassociative drug.
15:39It can also make people forget about the pain.
15:42I'm just going to give some medication, so if anyone that doesn't need to be here can go back,
15:46because any noise can make him a little bit confused and scared, so if that's all right.
15:51So, we're going to start getting some ketamine now, OK?
15:53Yeah.
15:54Like we said, make it a little bit funny.
15:55Is that what they give to horses?
15:57Yeah, yeah.
15:59Yeah.
16:00Ten o'clock will do for now, won't it?
16:04Air desk from 9-9.
16:06Yep, go ahead.
16:07Just an update.
16:08This chappy has got a fractured, dislocated ankle with critical skin.
16:14It's just having some ketamine.
16:16We're going to pop it into position and splint it.
16:19Ian.
16:21So, we'll give you a bit of ketamine, yeah?
16:23Yeah.
16:29As the ketamine takes effect,
16:30Fiona can start trying to manipulate his ankle back into position.
16:35Ready?
16:35Ready?
16:39All right, give it a second, Jett.
16:43All right, we'll just relax then.
16:45I'm just going to draw on your foot, don't be ticklish.
16:50Fiona is marking out where Ian's pulse is,
16:53so that she can check it's still there once the ankle is straight.
16:56You OK, Ian?
16:57Yeah.
16:58Yeah?
16:59You know where you are?
17:00Yeah.
17:01Are you on the beach?
17:02No.
17:04Not yet?
17:05I'm not far off the beach.
17:06Yeah, yeah.
17:07You're supposed to tell us yes.
17:09On the beach with your cocktail.
17:10You feel spaced out?
17:12Yeah.
17:12OK.
17:14It might be a bit tight, so give it a go.
17:16Ready?
17:16Steady?
17:18Oh!
17:19Beautiful!
17:21Like a throw.
17:23That's it.
17:24That's it.
17:24That's it.
17:25That's it.
17:25There you go.
17:26You OK?
17:27All done.
17:28Hopefully that will be in.
17:29Yeah, it's got a good pedal pulse again, so.
17:34Fiona has managed to move Ian's foot back into alignment.
17:38He has a pulse and blood flow has been restored.
17:42But now she needs to make sure the leg stays in place.
17:45Can you get a K-band, please?
17:47Because I'm just going to try and hold the foot in this position.
17:50I'm going to bandage it up or even a splint.
17:53Because I don't know if this foot's going to drop.
17:55Once you pull the foot into alignment, you're putting traction on that limb.
17:59And then you want to try and keep it in position so that when you splint it,
18:03it doesn't go back to the position it was already in.
18:05Because all the ligaments and tendons are stretched, it can be quite loose.
18:10But you want to keep traction on it until it's in the position that you want it to stay.
18:13So you make sure that there's peripheral circulation once you've pulled the limb
18:16and keep it in that position.
18:21I'll put you down as an ear for next weekend as well.
18:23So the big question is then, were you winning or losing?
18:29I'm losing.
18:30You were losing?
18:32Is that why you free yourself on the floor?
18:34Yeah.
18:36Any way to get out of it.
18:38Yeah, that's probably good, isn't it?
18:40Super.
18:41Facing the right way.
18:42You are.
18:43Oh, wow.
18:44Ian, can you feel me touching your foot?
18:47Yes.
18:47Good.
18:48Thank you.
18:49Hopefully you feel a little bit better.
18:51Yes, thank you.
18:51You're welcome.
18:52You're going to go in the ambulance with the ladies to the hospital
18:55and they'll x-ray it and have a look at it and see what they need to do.
18:58Thank you very much.
18:59You're welcome.
19:00Are you able to just roll slightly over to your right with the help of Claire?
19:05Yeah.
19:06Just slightly, because we just need to get this under your bottom, that's it.
19:09Right, back this way.
19:09On your call then.
19:14One, two, three.
19:16Up we go.
19:20Ian, can I have my wife back now?
19:21Don't.
19:21Don't.
19:23Hey, brilliant.
19:25Thank you.
19:26If it is a break, I'll do the fourth break playing cricket.
19:32Four.
19:34What can I say?
19:35Yeah, four.
19:37Very good.
19:38Very good.
19:40You know, you've got to try your best, haven't you?
19:42Thank you.
19:42All the best, Ian.
19:43Thank you very much.
19:44Take care.
19:45You're welcome.
19:45Take care.
19:46Bye.
19:46Thanks for having me.
19:47Ian's leg is dislocated, fractured.
19:49He's got critical skin, so it needed to be relocated.
19:52And we've done that with some pain relief and also a splint.
19:57And now he's going to travel to the hospital with the ambulance crew,
20:01get some x-rays and see if he needs any surgery to pin it.
20:04Hopefully not.
20:05Edith, 9-9, clear.
20:08Thank you.
20:22At the Topcliffe base, pilot Rory has brought in something sweet.
20:27It's his last week after nearly a year with the air ambulance.
20:31And it's my favourite.
20:32It's something.
20:33He's on shift today with technical crew member Claire and paramedics Danny and Andy.
20:39Oh, thank you.
20:41Now, what we could do is we could get the last ice cream.
20:45It gives me heartburn.
20:46But tea and cake will have to wait.
20:54Like a true aviator.
20:57They're being scrambled to Howden, near Hull,
20:59where a cyclist is trapped underneath a van.
21:03Oh, how are you?
21:05That day, you know, isn't it?
21:11Now, now, I'm lifting.
21:13Can we fly the wind us up?
21:14Have you not got any air conditioning in the back?
21:18Er, yeah, about something it does, I hope it'll be my call.
21:239-9, to our desk.
21:25To our desk.
21:27Yeah, we have 17 minutes out.
21:29That's one seven minutes and we're free for any update.
21:33Yeah, roger.
21:34There's a community police officer on soon as
21:36saying if the patient's still under the van or spinal pain.
21:39There's also some note saying that there's pain on his chest as well.
21:42Yeah, I'll receive.
21:43Thanks, Wyn.
21:43So, the job's at, like, is it, like, a junction?
21:47Oh, I see, yeah.
21:48And then a few metres up, I've put a HLF.
21:50Yeah, is the job on the junction?
21:52Yeah.
21:539-9, Edith.
21:569-9, receiving.
21:57With the information being quite limited, we could be anticipating anything.
22:07He was on his bike and collided with by a van, so potentially some breaks, some spinal problems.
22:13Wasn't too sure the severity of the burns, we knew he was in quite a lot of pain.
22:17We're only three minutes out.
22:18Yeah, so we'll go for your landing site.
22:20So, where the church is, it's just to your right, somewhere, on a junction.
22:25OK, I've got a field swooping in.
22:30Got some little wires.
22:32Got the wires, yeah.
22:34Just going over the wires now.
22:36Gotcha.
22:38Clear the wires?
22:39Yeah, clear.
22:41All clear left.
22:42OK, clear down.
22:45Thank you, Oroch.
22:45Thank you.
22:469-9 landed.
22:53Fire and Rescue have managed to free their patient, but he's in a bad way.
22:58Hello.
22:58Hello.
22:59How's it going?
23:00Nice.
23:01So, we've got Tom.
23:02Yeah.
23:04He's been trapped in the car for about 30 minutes.
23:06OK.
23:07He had the extricated him just before I arrived.
23:08Yeah.
23:09He was under the engine block and the exhaust system for about half an hour.
23:13OK.
23:13Initially, he was complaining of pain in sort of his backside area.
23:16Yeah.
23:16He's no longer complaining of pain in his backside area.
23:19OK.
23:19So, my concern is that we've got some full thickness burns on that backside.
23:23Full thickness burns are third degree burns.
23:25They're burns that have taken away the full layer of the skin, sometimes right down to the bone.
23:30So, plan is to get him up, get him somewhere we can strip him off.
23:34Yeah.
23:34And then decision-made from that point.
23:35Yeah.
23:36OK.
23:36OK.
23:36Yeah, good stuff.
23:37If the patient does have full thickness burns, he'll need hospital treatment quickly, and
23:43the helicopter could be vital.
23:46Tom, nice to be here.
23:47My name's Danny.
23:48This is Andy from the Air Ambulance.
23:49Oh, nice.
23:49Our plan, Tom, is we just want to have a look at your back, if that's OK.
23:53Yeah.
23:53So, it'll just involve a slight roll to your left-hand side, and then we're going to have
23:56a look and see what's going on in the back.
23:58We're going to need to cut some of your clothes off, all right?
24:0060-year-old Tom Jones was only a few metres from home when the crash happened.
24:05We're going to roll you towards me, all right?
24:07And then my colleagues are going to have a quick look at you, see what injuries we've
24:11got.
24:11We could tell that he was in quite a lot of pain, and we needed to work out what exactly
24:14was going on.
24:15Tom thought she was covered in oil, so it was really difficult to assess the injuries
24:19to begin with, so we needed to sort of prioritise getting him onto the back of the ambulance.
24:23Yeah, we're looking OK.
24:24We're looking all right.
24:25Yeah.
24:25We've just got that laceration around here.
24:28Yeah.
24:29Yeah.
24:29But his skin's all intact.
24:31There's no redness, no swelling.
24:32Skin's intact.
24:33No burns.
24:34No.
24:34Oh, no under this oil.
24:35We'll get a scoop under now.
24:40There we go.
24:41How's your breathing feel, Tom?
24:43It feels a bit better.
24:46OK.
24:47Tom needs to be moved off the ground so they can get him to the ambulance.
24:51Ready, steady, lift.
24:55Head ends this end.
24:56Taking that one a bit worse.
24:58Trauma patients are at risk of hypothermia, so he's being wrapped in a thermal blanket.
25:07Tom, now you've had a bit of a downtime here.
25:10Have you got any new pain, anything that's hurting more so now?
25:13Yeah, I mean, a lot of back's aching, but I have back problems anyway.
25:16You do?
25:17Yeah.
25:17So the plan is, we're going to get you onto the ambulance, and we'll have a proper look
25:20at you and get you a bit cleaned up all right, because you're covered in oil and all sorts
25:23of weird, wonderful stuff.
25:24Now, I have to break it to you.
25:26I don't think your bike survived.
25:29Oh, no.
25:29All right.
25:30Tom had recently bought his bike as a retirement gift to himself, and was planning on cycling
25:35the Humber Bridge Loop.
25:37Oh, it's warm.
25:41OK.
25:42Tom, what we're going to do for just the time being, I'm just going to take this off just
25:45for a second, and just see how you get on with your breathing, OK?
25:48OK.
25:49How does your breathing feel at the moment?
25:51It feels all right, yeah.
25:52Yeah, it feels OK.
25:52OK, pain-wise at the minute, have you got any specific pains anywhere?
25:56Well, just my hip and the bum.
25:58Your hip and the bum?
25:59OK, fine, fine, OK.
26:01So, big breath in for me, Tom.
26:03And out.
26:04Good stuff.
26:05And again, just big breath in.
26:06And out.
26:08Love it.
26:08And that feels all OK?
26:10Yeah, yeah.
26:10Yeah, good stuff.
26:11So, Tom, just pop your arms just down by the side for me.
26:13I'm just going to have a quick feel of your tummy, OK?
26:15Any pains in your tummy at the minute?
26:17No.
26:17No, OK.
26:17There's a risk with Tom, because he'd been dragged along the road by the car, that he
26:22could have sustained some brakes.
26:24So, we weren't sure whether potentially he'd broken his hip or any sort of vertebrae in
26:28his back.
26:29So, we needed to assess this as quickly as possible.
26:31All right, we'll have a quick clean up of your arms and see if I can get some access.
26:34Just thinking of some pain relief, all right, mate?
26:36Can you lift your left leg in the air for me?
26:40That's it.
26:41Perfect.
26:41And then just down.
26:43All right, let's have a look at this.
26:45Where are you from?
26:47Out and just around, literally 200 metres away.
26:49All right.
26:50On the corner there.
26:53Were you just finishing or just starting your ride?
26:55Just started.
26:57And, Tom, what exactly happened then?
26:59Do you remember what happened?
27:00All I can remember is I saw a van.
27:02Yeah.
27:03Opposite.
27:03OK.
27:04And then there was cars coming.
27:05Yeah.
27:05And then, that was it.
27:07OK.
27:09And then, so the actual van itself, that was over the top of you, was it, Tom?
27:13Yes.
27:13Really?
27:14OK.
27:14Fine.
27:15Because my wife got my shirt because my phone didn't.
27:18Yeah, I think she was having something, yeah.
27:20I prepped her that there's going to be a week or six of bicycle shopping.
27:25Yeah, well, yeah.
27:26It's rude not to, love.
27:27You're going to feel a sharp scratch, all right?
27:29I'm just going to pop a little needle in your hand.
27:31And he's giving Tom morphine, a strong painkiller.
27:34So, we know that you've not got any pins and needles, you've not got any loss of sensation
27:39of movement, you're moving your head all nice.
27:41Do you think you'll be able to sit up for me?
27:43I don't know.
27:48Are you feeling OK?
27:50A bit dizzy, but I'm all right.
27:50Yeah, OK.
27:51A quick feel down your back?
27:52Is that OK?
27:53Yeah, yeah.
27:54You say you normally have pain in your lower back?
27:56I normally have pain in the lower back.
27:58Yeah.
27:58All OK, yeah?
28:02Yep.
28:02Good stuff.
28:03Tom's not showing obvious signs of a spinal injury, but he'll need scans in hospital to
28:08be sure.
28:09I think by the looks of it, the brunt of it's being taken to be your face and maybe your
28:15shoulder.
28:16You've got a laceration down here to your bum, just around here.
28:19I think what we'll do, we'll just put a light dressing over this.
28:23I think you just need, like, a proper shower is what you need.
28:27There's no point that we're going to be here for days, yeah.
28:29You need to go through jet wash.
28:31Tom, lay down for me, mate, and then just lay onto your left-hand side as you're coming
28:34down, and then we can get to it a bit easier.
28:37I think, yeah, this is the main bit here that you've got.
28:42Sorry, it's probably going to be a little bit sore.
28:46How are you feeling?
28:47Yeah, it will do.
28:56Thank you.
28:58So he's given you a bit of pain relief now, so that should help you just feel a bit more
29:02comfortable on your journey into hospital.
29:04Because of the nature of the injuries and the amount of time that Tom had been trapped
29:08underneath the vehicle, Tom needed a full assessment and scans done at the hospital,
29:12so it was imperative that we got him there as quick as possible.
29:15Tom will be taken to Hull Royal Infirmary by road.
29:19It will be more comfortable for him than the helicopter.
29:23He's not being killed.
29:25He's, like, been dragged all the way through, hasn't he?
29:26If his pipe's there, he's been dragged all the way through, then.
29:29So that's into three.
29:30Right.
29:31He is looking OK, incredibly lucky.
29:37He's got some quite nasty grazes covered in oil, bless him, all over his body.
29:42He is in quite a lot of discomfort.
29:44He's really taken quite a brunt to his right-hand side as he's been scraped along the floor with
29:47the car.
29:47But hopefully a promising outlook.
29:50So I'm cooking poached egg on toast with smoked salmon, which makes it sound really fancy,
30:10but it's not.
30:11However, there's a way to do it.
30:12It's lunchtime at the Nostal Base near Wakefield, and paramedic Sam is showing off his cooking
30:18skills to technical crew member Alex.
30:20You boil the water first.
30:22And then once the water's boiled, you let it settle.
30:25Turn it about three on an electric hob until there's no bubbles.
30:28And once that's done, you can crack your eggs in.
30:30But before you do that, if you're having toast, you need to put the toast on first.
30:33And the important part is you put the lid on, and then a yolk doesn't cook too quick, and
30:44you get a nice runny yolk.
30:45Smoked salmon can go on the plate.
30:47Eggs are done.
30:48That can go on there.
30:49And there is the most unappetising-looking poached egg on toast you've ever seen in your
30:53life.
30:53But it's tasty.
30:57And while Sam gets a chance to fuel up, Gemma's on the air desk, keeping track of incoming calls.
31:03We've got a 13-year-old who looks to have a captured femur, and his pain disorder isn't
31:09great.
31:10We're on with some morphine, but we can't get his boot off until he's attaching it.
31:14Yeah, we'll come and try and give you a hand.
31:18Sam is being scrambled along with Dr Dan in HeliMed 9-8.
31:24Which way are we heading?
31:25Lancaster.
31:26All right, lifting out to the pad again, back up the same way.
31:31Good.
31:31The accident scene is at a motocross track, about eight miles from Doncaster.
31:37How old?
31:3813.
31:39One, three.
31:40Broken femur.
31:42Can't control his pain.
31:43He's had some pyrocytabole and some morphine, and it hasn't done anything.
31:47If we go to a motocross track, we know that their injuries aren't minor, they are significant
31:53injuries, potentially life-changing or life-threatening.
31:56So we always have that heightened level of thought when we're going to these jobs, just
32:01to make sure we don't miss anything and be on the top of our game.
32:04Is this here, in this quarry, or where is it?
32:08Over to the left, Phil.
32:09You can see the...
32:10Oh, okay, all right, yeah, I've got it.
32:12I see the ambulance now as well, yeah.
32:14Looks like the whole tracks are closed anyway.
32:16Looks like a nice flat bit there, just in front of the DCA is all.
32:20No name panels.
32:21It's a dusty landing on the motocross dirt track for Pilot Phil.
32:37No name, London.
32:38He's on the back of the DCA, I'm just going to let this dust settle first before we go.
32:42Well, at least we didn't finish the clean.
32:45Dan and Sam's patient has been moved into the back of a land ambulance.
32:50Hello.
32:50I'm Sam, this is Dan.
32:52There's a pole there as well somewhere.
32:54Hi, hi, all right?
32:54So, yeah, he was supposed to do a mid-air, what do you call it, Sam?
32:59Step up, fly up in mid-air and do a jump, but instead he's leaned too far back, so he's
33:06gone back on the bike, so the bike's gone under him, the bike's blown away and he's landed
33:10on that side.
33:12He was travelling at around 30 miles an hour when the accident happened, and his dad,
33:17James, was watching.
33:18He just came off a jump a bit fast.
33:21Yeah, and came off back at bike, yeah, landed badly.
33:25He's usually straight up, when he falls off, he usually gets straight back up.
33:29Yeah, he's definitely in pain.
33:31I knew there was something wrong when he didn't get up.
33:32How are you feeling, Sam, apart from in pain?
33:35Okay, I'm busy.
33:37Take it you're wearing a helmet and everything?
33:38Yeah.
33:39Did you knock yourself out, hit your head?
33:41No, my leg.
33:42He remembers everything.
33:43Okay.
33:43I've got body and my knee braces on.
33:45Right, okie dokie.
33:47Not struggling to breathe at all?
33:49No.
33:49Any pins and needles anywhere, Sam?
33:51No.
33:52Nothing at all?
33:53And are you able to wiggle these toes in the bad leg?
33:55Can you feel yourself wiggling them?
33:57Yeah.
33:57You can?
33:58Right, okay.
33:58So, you've tried to take his boot off, too much pain.
34:02Oh, yeah, he's been screaming out.
34:04He has had more since, but every time we got him and slightly touched, he's like, no.
34:09Yeah.
34:09Having none of it.
34:11We always like to make sure there's no other injuries.
34:13To be able to assess that, we need to have a look at his foot and his lower part of his leg,
34:16not only to make sure that he hasn't damaged it, so, for example, he hasn't broken his tib and fib as well,
34:21but we need to make sure that the colour of his foot is the same as the other one,
34:24he can still feel it, he can still wiggle his toes, things like that, really.
34:27You know what, cut it off?
34:28He's saying cut what off?
34:29Cut his boot off.
34:30Your boot?
34:31Well, we could do, but I think if it's too painful just to even touch it a little bit, then.
34:36Yeah.
34:36We're going to give you some strong pain relief instead.
34:39It's called ketamine.
34:41You won't really remember much about it, okay, but essentially what it'll do is take your pain away
34:47and it'll let us put your leg sort of a little bit straighter, but you're not going to know anything about that.
34:51The next thing you're going to know is when you're in hospital, probably.
34:54Oh, will I be asleep?
34:55You what?
34:55Will I be asleep?
34:56Well, not quite asleep, but you won't remember it.
34:58And then we're going to take you to hospital, all right, and then do some x-rays and go from there.
35:03Ketamine can be used for a number of different reasons.
35:05With Sam, it was to allow us to be able to pull his leg straight, which is a really painful procedure,
35:11but not cause him any pain and make sure that he doesn't really remember anything about it after.
35:15Ketamine's fantastic for that because it works really, really quickly,
35:17and the drugs that the ambulance service have, or even the other drugs that we carry, don't work quite as well as that.
35:24Have you got your own bike then, Sam?
35:26Yeah.
35:26Yeah.
35:27You just bought that as well?
35:28Yeah.
35:29So what's your favourite thing to do in the world?
35:32Don't say motorbike.
35:34Motorbike?
35:35Your best thing ever?
35:36How about holidays?
35:37Where's it good to go on holiday?
35:38Mardi Gras.
35:39I could have told you that.
35:42You're not going to get any bones over there.
35:43All right, I give in.
35:46With Ketamine doing its job, Dan and Sam will pull the leg straight and put it in a splint
35:52so they can stabilise and support the broken bone.
35:56But first, they need to remove Sam's boot.
36:01Are we happy, Dan?
36:03I can get this Velcro at the very least.
36:06I'll let you do that first.
36:07No, no, I'm happy.
36:08All right, OK.
36:08I'm just trying to do anything that's not painful before.
36:13Yeah, yeah.
36:24They'll just let me know how you're starting to feel.
36:27All right.
36:28We've gone for about 15 to start with.
36:32How are we doing, Sam?
36:33All right, let's go back to the other.
36:35Mm-hmm.
36:36That's the spirit.
36:39All right, let's get rid of that.
36:40How are you feeling?
36:43Fine.
36:44Bad.
36:45Yeah, kids chew through Ketamine a bit quicker as well, so.
36:49All right, Sam, we're just going to move your boot.
36:50So if all of you can just watch his respiratory rate, please.
36:53Yeah, I didn't say it.
36:54That's fantastic.
36:55Yeah, yeah, that's fine.
36:57As long as it's sat and dropped, we're all good.
36:59OK.
37:00That's awesome.
37:01With the boot removed, the team can now start to straighten Sam's leg.
37:05As well as being extremely painful, a fractured femur presents a number of serious risks, including
37:11blood loss from the broken bones and bone marrow getting stuck in the lungs.
37:16What's your favourite thing to do again?
37:18Is your favourite thing to go to school?
37:20Oh, yeah.
37:21Yeah?
37:22Yeah.
37:23Definitely working in that Ketamine.
37:25To be able to straighten the leg, it's a bit of a team effort.
37:28We have something called a traction splint, and it's a metal pole.
37:31One end attaches up at the hip, and the other end attaches down at the foot.
37:34With a little bit of traction, so someone's sort of pulling on the leg furthest away from
37:38the injury, together with a little pulley system that we have at the bottom, we can straighten
37:42that leg out and straighten the bone out.
37:45I'm going to pull it and then traction.
37:47Yeah.
37:48Are you happy?
37:49Yep.
37:49Ah, ah, ah.
37:51Ah.
37:52All right, Sam.
37:53Ah.
37:55Ah.
37:55Well done, Sam.
37:56You're doing well.
37:57Ah.
37:58Well done, Sam.
37:59That feels good.
38:00Yep.
38:01Getting everything strapped up, Sam, okay?
38:04With Sam's leg likely to require urgent surgery to prevent infection, Sam and Dan decide
38:10the quickest way to get him to hospital is in HeliMed 98.
38:14Hello, my name's Dan.
38:15I'm the doctor with HeliMed 98.
38:16I have a child trauma pre-alert for you, please.
38:19We have a 13-1, 3-year-old boy who has sustained an isolated femoral shaft fracture at a motocross
38:27park.
38:28Are you going to go for a little fly in the helicopter, okay?
38:31Yeah.
38:32Yeah?
38:32Sure can't remember much about it, can you?
38:34He's had a little bit of ketamine sedation from us.
38:37His leg's been pulled to length.
38:39We're just about to load him off the ambulance onto the aircraft.
38:41Right, Sam.
38:43We're going outside and then over to the helicopter, okay?
38:46You're starting to warm up a bit?
38:52Yeah.
38:52Yeah, good.
38:54Ready, steady, lift.
38:57Hello, my name's what have you had for breakfast?
38:58Uh, brioche.
39:00Eh?
39:00Brioche.
39:01Brioche?
39:02Yeah.
39:02It's a bit fancy, isn't it?
39:04Yeah.
39:04Do you have bacon with it?
39:05Nah.
39:06Nah, nah.
39:06Sam, because of his age, needed to go to the Sheffield Children's Hospital, which would
39:11have been around 40 to 45 minutes by road. We could do it in around 10 minutes by air.
39:16So that's bringing him sort of half an hour closer to that definitive treatment and that
39:20care he needs, which for an injury like that can make a world of difference.
39:24Keep coming, keep coming, keep coming.
39:29Yep.
39:30So your leg, we've put it back straight again.
39:32Yeah.
39:32That'll help with the pain.
39:33And then we're going to fly to Sheffield Children's Hospital now.
39:37Yeah.
39:37You have an x-ray.
39:38Go from there.
39:39All right.
39:39Sound like a plan?
39:40Yeah.
39:40Good.
39:42So, in flight's a little bit shaky.
39:45Yeah.
39:46It's all completely safe.
39:48Yeah.
39:48And we're sat with you here, all right?
39:53Thanks to HeliMed 98, Sam will soon be getting the specialist care he needs.
40:02Was it a circular saw?
40:03He did it with you.
40:0467-year-old Paul Milroy was in danger of losing his leg after he cut through his tibia
40:10and fibula with a circular saw.
40:14I love you, Elaine.
40:16Oh, my days.
40:18After five and a half hours in an operating theatre, surgeons managed to save his leg by
40:23putting metal plates in.
40:25He's now recovering at home.
40:26After falling from his motocross bike, 13-year-old Sam needed screws and a metal plate to repair
40:37his shattered femur.
40:38How are we doing, Sam?
40:38They'll be removed in a year when he hopes to return to biking.
40:45Ian, how much pain are you in?
40:47Oh, quite painful.
40:48Ian Hayward was taken to Hull Royal Infirmary after breaking his ankle during a cricket match.
40:56I've been playing cricket since I've been about 14.
40:59I'm 68 now, so it's a fair few years.
41:04I did see my leg bend, actually.
41:07Everybody heard the crack.
41:09I just knew it was broke.
41:10There's actually three bones broken in it, apparently, and they've put pins and plates in it.
41:16Ready?
41:17Steady.
41:17If I don't get back to playing fully, I'll probably umpire or maybe take a coaching course.
41:27But hopefully, next season, I'll get back to it.
41:34Ready?
41:35Steady.
41:35Roll.
41:37Surprisingly, given his level of movement, 60-year-old Tom Jones had actually broken a vertebrae,
41:43five ribs, both shoulder blades, and suffered deep second-degree burns
41:47after a crash left him trapped under the engine of a van.
41:52I'd got up normal day, and I planned just taking it out for a spin
41:55because I wanted to do a bigger ride the next day.
41:58And from that point on, I remember nothing until I regained consciousness from under the van.
42:03I just felt this tremendous pressure on my head through the cycle helmet.
42:07My chest was tight because I couldn't breathe properly,
42:09but the greatest pain was my lower back and my bottom.
42:12and the engine oil and coolant was spilling onto my leg and causing burns.
42:17His wife was notified about the accident, which happened just metres from their home.
42:22My bike has a live track feature.
42:25Every time I go out, I shout it with my wife so she knows where I am.
42:28Two minutes after me leaving the house, she received a text from the computer saying
42:33I'd been involved in an incident.
42:35Knew where I was and jumped in the car, drove down there,
42:38and saw just my feet hanging out from underneath the front of the car.
42:41The ridden-off bike was Tom's recent retirement present to himself.
42:47Come on, but it will be a while before he thinks about getting on one again.
42:51I'm very much an outdoor person, but now, being sort of house-bound,
42:57it really does make you appreciate the small things in life.
42:59Ready, go!
43:02I'm so, so lucky to be alive.
43:04Everybody, the emergency services, the public,
43:08the number of people that ran and tried to help,
43:10absolutely fantastic.
43:11Come on, see you,波 e.
43:13Thank you.
43:13hundred and fifty.
43:13Thank you.
43:14Thank you, man.
43:14Thank you.
43:14Good night,knock!
43:15See you.
43:15Thank you namey.
43:16See you.
43:25Good night.
43:30Good night.
43:31Good night.
43:31Good night.
43:31See you.
43:33See you.
43:34Gentlemen.
43:34See you.
43:34Bye eventually here.
43:35See you.
43:35If you're friends with people.
43:37See you.
43:37Bye everyone.
43:38Bye everyone.
43:38See you.
43:39Bye depois.
43:40See you.
43:40See you.
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