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Yorkshire Air 999 Season 3 Episode 3
#YorkshireAir999
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FunTranscript
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 his brain.
00:31Let's try and get a little drip in your arm, Ian, all right?
00:34Can you remember anything about us putting your leg into a splint?
00:37No. No?
00:39The 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.
00:48That's it. Good lad. Good lad.
00:51You're not allergic to anything. Hey!
00:54This is Yorkshire Air 999.
01:04Oh, I took it out of the aircraft just to...
01:05All right, we don't need that one.
01:06No, no.
01:07Hollywood 9, 8...
01:08It's Monday morning, and at the airbase near Wakefield,
01:11Dr Dave and paramedic Andy are in the kit room.
01:15So I'm not texting on here, I'm...
01:17We're using a...
01:18Dating site.
01:19No.
01:20Doing equipment checks.
01:22Don't pay any attention to him.
01:25On the air desk, dispatcher Dave is monitoring 999 calls
01:29coming in from across Yorkshire,
01:31and has noticed several reporting a serious accident on the M1.
01:35So he's scrambling the crew.
01:37Doing a job, folks.
01:39Yep.
01:40Whereabouts, mate?
01:42Um...
01:43West Breton.
01:44Junction 38 M1.
01:45Just south of Woolley Edge.
01:46It's a lorry overturned.
01:48See what they do.
01:49Come on.
01:51It's just a three-minute flight from the Nostal Base
01:54to the scene where the HGV has overturned.
02:00Come on, darling, off the ground.
02:02You can do it.
02:03Okay, clear.
02:04One or two we have.
02:08There's a drift over here.
02:09Pilot Owen and technical crew member Will
02:12will navigate them to the site of the accident.
02:14And it's stunning.
02:15Three minutes to the overhead.
02:17Done it, Rog.
02:19It does say there's a possibility the driver's trapped
02:22and the highways have shut the road off.
02:24Roger, thanks.
02:28This part of the motorway got shut at the weekend as well.
02:31Did it?
02:32Yeah.
02:33Crash.
02:36The massive pieces of equipment, HGV, is very heavy.
02:39We don't know what they're carrying.
02:41So we don't really know until we get overhead, really,
02:44what we're kind of dealing with.
02:45If any patient's trapped, it can lead to quite severe complications.
02:49We can't get them out if anything changes.
02:51And those kind of things make it a very difficult situation to manage.
02:58Done it, London.
03:00The crew have managed to land in a field right next to the motorway.
03:05The driver has veered off the slip road and rolled down the embankment.
03:09He's gone up there and back down.
03:11I wonder if he's come off because he's been feeling unwell.
03:13We were not really sure what had happened.
03:16From what we were told, it sounded like he'd had some kind of medical event as he was leaving the motorway and going up the slip road.
03:23Potentially, he's lost consciousness at some point, and that's where the truck has veered off the slip road and then come down the embankment.
03:30We were just approaching the overturned vehicle.
03:36Other emergency services, including fire and rescue, are already at the scene with the driver, who is trapped in the cab of his 44-tonne lorry.
03:44Hi.
03:45He's 68, they've passed medical history.
03:48He's been driving up the slip road, so he's been down the embankment.
03:52He's got no recollection of it.
03:53He had lots of consciousness.
03:54They were just saying he was under power of rubble when they've arrived.
03:57Yeah.
03:58He was complaining of chest pain.
03:59He made me feel something called there.
04:01Have you trapped mechanical arm?
04:03Did he just see it?
04:04Yeah.
04:05No, he's been down.
04:06Heyo, John.
04:08Are you injured at all?
04:10Yeah.
04:11OK.
04:1368-year-old John Wilkinson was making a delivery for a steel manufacturer when the accident happened.
04:19Can you move your head left and right for me?
04:21Any pain?
04:22No.
04:23Can you do it fully that side for me?
04:25No.
04:26Any pain?
04:27Yeah.
04:28Just there.
04:29Can you look to me?
04:30Any pain?
04:31No.
04:32From a treatment point of view, obviously we've got to manage what we can see first,
04:36so any kind of traumatic injuries.
04:39However, we've also got to look at the management of any medical conditions.
04:43If he's having some kind of myocardial infarction or he's had some kind of seizure,
04:48we need to kind of investigate that a little bit.
04:51Just in the overhead, there's almost tyre tracks going up and then down.
04:55Yeah.
04:56Is that what you've seen?
04:57Yeah.
04:58And he's, for some reason, something's happened and he's gone near side.
05:01Yeah.
05:02He put the fire bank in, which has then sent him across both lanes of down here.
05:04OK.
05:05So, yeah, we had a look up and seen exactly the same thing.
05:07All right.
05:08So that's why we've got a closure on the slip.
05:09Yeah, yeah.
05:10Do you think, with our help, you'd better get up?
05:13Shall we give it a go?
05:15Shall we give it a go?
05:17It's not clear what caused John to come off the road,
05:20and Andy needs to get him out of the cab so he can fully assess him.
05:24It might be the very hard.
05:25That's fine.
05:26We'll give you a hand.
05:27We'll just get another lad in here and then the three of us.
05:31We get the stretcher here.
05:34We're just going to get him to step out, I think.
05:36He's got no neck pain.
05:38He's got no neurological deficit.
05:40So I'm happy at this moment in time.
05:41Unless anything changes, we're just going to get him to stand out
05:44and get himself out.
05:45Can we just get some of these twigs off?
05:47Right then.
05:48It'll make this nice bit hairy.
05:50Yeah, that'd be cool, yeah.
05:52It was very difficult to assess inside the cab.
05:55There's lots of broken glass, bits of metal everywhere.
05:58There's not a great deal of room.
05:59So access was difficult.
06:01So the idea was to get him out of the truck
06:03in the safest way we could for him and for us,
06:05and then get him onto the stretcher into the ambulance
06:08where we could get a bit of a better view of him.
06:10Are we ready, John?
06:12Right, John.
06:13Just let me get under your arm,
06:15and then we'll raise you up a little bit.
06:17So what we'll need to do is get this leg out first.
06:19Can you get that leg out?
06:21Bend up the knee if you can.
06:22What's hurting?
06:24Your chest?
06:25Quite straight though, it's been a link.
06:27Right, OK.
06:28I'm gonna go to the ambulance.
06:29Are you ready, John?
06:30No.
06:31You're not ready.
06:32If you want.
06:33You can't do it?
06:34If you can't, it's all right.
06:36We can take you out another way.
06:37Yeah, take us out another way.
06:39Another way.
06:40Another way?
06:41To get up.
06:42What's stopping you from getting up?
06:44Well, I am here.
06:46Do your legs hurt, John?
06:48No.
06:49Do you think you could push off that seat with your legs?
06:51Are you going to put your feet on that seat?
06:53Hang on.
06:54Do you think you'll be able to push up?
06:56If we take the top half of your weight?
06:58Yeah.
06:59Under here.
07:00I know it hurts there.
07:01Hang on.
07:02Yeah.
07:03You'll have to put both of them on seat, I think.
07:05That's it.
07:06So if you can put your other one where that one is,
07:08and then you've got both legs.
07:10Yeah.
07:11It's going to hurt whichever way we do it,
07:13because we're going to have to pull you this way anyway.
07:15Are you on?
07:17Yeah, let me get hold of your belt as well.
07:19Are we ready?
07:20One, two, three.
07:22Oh, it goes on, John.
07:24Excellent, man.
07:25Excellent.
07:26Is that when you take a breath?
07:28Yeah.
07:29Getting a bit of that glass out of your face.
07:31It's a little bit of steering wheel with your ribs.
07:32Yeah, you've probably bashed your ribs in a bit.
07:35There.
07:36You can put your feet in that gap there for when you stand up.
07:40And you've got a solid base to stand up.
07:43That's it.
07:45You sit then.
07:46That's it.
07:47Well done, mate.
07:48You've been laid there a bit, haven't you, sir?
07:50With John almost in a standing position,
07:52Andy and the team can now attempt to walk him out
07:55through the windscreen.
07:56Give me your hand.
07:57I'll lead you out.
08:00Not a lot of room.
08:01Lots of broken glass.
08:03So the idea is we get them out, get them onto the stretcher.
08:06There's still a risk of the vehicle itself,
08:08even the fire service will make it as safe as they can.
08:11That's it.
08:12That's it.
08:13Come on, Mum.
08:14Can I grab my arm?
08:16Hang on.
08:17One job at a time.
08:18You all right?
08:19You good?
08:20Yeah, we're all right.
08:21Right, John, bum as high up here as you can for me.
08:25Not here for us.
08:26When you're ready, we want to relax your back and get you laid on here.
08:28You think you can do it?
08:29Yeah, we'll get there.
08:30Right.
08:31I'm still getting paid by the year.
08:32Well, that's the main thing, isn't it?
08:33You don't want to do stuff like this in your own time, do you?
08:34No.
08:35John was in good spirits.
08:36He was having a bit of a laugh and a joke with us.
08:37Obviously, in our mind, he's still suffered quite a traumatic event with potential for
08:42quite severe injuries.
08:43There's always a point where it could just tip off the edge and we could be in a worse
08:48position.
08:49So it's always at the back of your mind that we don't kind of let our guard down with
08:54these kind of patients.
08:55Just slow on there, John.
08:56All right, buddy.
08:57Slide down a bit first.
08:58Push your feet down a bit.
08:59Push your feet down a bit.
09:00Yeah.
09:01Yeah.
09:02Yeah.
09:03Yeah.
09:04Yeah.
09:05Yeah.
09:06Yeah.
09:07Yeah.
09:08Yeah.
09:09Yeah.
09:10Yeah.
09:11Yeah.
09:12Yeah.
09:13Yeah.
09:14Yeah.
09:15Yeah.
09:16Yeah.
09:17Yeah.
09:18Yeah.
09:19Yeah.
09:20personnel.
09:21That's it.
09:22Andy.
09:23We'll get in there.
09:2412 lead.
09:25Yeah.
09:26Yeah.
09:27Yeah.
09:28Yeah.
09:29Yeah.
09:30There we go, lad.
09:31It is going to be uncomfy just while we have a good look, it should be.
09:32There we go.
09:34God, it might've worn therapude.
09:36Just get your blanket, mate, in a sec.
09:38Yeah.
09:39He's got these extra...
09:40Yeah.
09:41I'm too hard to hold them here.
09:43All right, that'll be back.
09:46Can I sit up a little bit?
09:47No, not at the minute. You might be able to have a good look at you.
09:51We'll get you on time with us, John. We'll have a proper look over you.
09:54No, no.
09:54Well, thank you.
09:57So we're going this way.
09:58A couple of bumps, John.
10:00With John safely out, Dr Dave and Andy can now start their examination.
10:06John, my name's David.
10:08Hi, I'm good to know you.
10:09I'm all right.
10:10Better than me.
10:11Oh, yeah.
10:13Now then, we're going to put little stickers on because we need to do some checks.
10:16So we're going to repeat everything we've already done.
10:19Well, so I'm going to put the stickers on to have a look at your heart.
10:21How's that sound?
10:23Whatever you do, we'll carry on.
10:25That sounds like a plan.
10:27Wake me up when you're done.
10:30Any tenderness in your abdomen down here?
10:32No.
10:32Good stuff.
10:33It's just me, chest on the right hand side and shoulder.
10:37He has got a shard of glass in his arm.
10:39We could probably do a bit of a dressing on here and a bit of a clean.
10:42Yeah, he's got a shard of glass everywhere.
10:44I'll put it out of his mouth.
10:45You're slammed down on the right side, so I think you might have brushed some ribs.
10:49Because this elbow would have gone in here.
10:52Nothing nasty on there.
10:56The ECG looks good.
10:57It's better than mine.
10:58John's ECG shows that his heart is functioning normally.
11:02So it's still unclear what caused him to lose control of his vehicle.
11:06We need to get you to hospital, don't we?
11:09I don't know.
11:09I seem to go home, mate.
11:11Ah, yeah, yeah.
11:13You'll have a CT scan.
11:15Yeah.
11:15Yeah.
11:16The recess rooms are nice and big and spacious.
11:18They'll be expecting you.
11:20Lots of nice people.
11:21They'll take good care of you.
11:22All the best, champ.
11:23Cheers, mate.
11:24Thank you very much.
11:24Yeah.
11:25John will be taken by Land Ambulance to Barnsley Hospital, so he's easier to monitor.
11:34And it leaves HeliMed 98 and its crew ready for the next emergency.
11:38So we've already got IV access.
11:57For the air ambulance teams, training is an integral part of the week.
12:00Three, nine, thirty.
12:02Charge.
12:03Back on the chest.
12:04Yep.
12:05They practice medical procedures on mannequins to help prepare them for real-life situations.
12:11And today, at the Topcliffe base, paramedics Wayne and Sam are setting up for a training exercise.
12:17Three, two, one.
12:19Or attempting to.
12:21Yeah.
12:22I'll carry this.
12:23Yeah.
12:24What are we going to do with a one-arm and one-leg dummy?
12:27But now Dave on the air desk has a real job for them.
12:31Nine, nine, send a job through to the car if you've got it.
12:34It's an arrest in Ripon.
12:36Let's go.
12:37The helicopter is undergoing essential maintenance today.
12:40And so the crew will be taking the base's rapid response car to the job.
12:44Both bases have a car permanently on site as a backup for when the helicopter can't fly.
12:50These cars can often reach a patient faster than a land ambulance.
12:53When the helicopter's offline, we've got the rapid response circle.
12:58So we can respond to jobs in a smaller area, but still bring the same capability that we would if we were on an aircraft.
13:06Their patient has gone into cardiac arrest while shopping in Ripon, 10 miles from base.
13:12Go ahead.
13:13Yeah, just an update.
13:15No way.
13:16There will be a first responder on scene in this shop.
13:19A patient has had three shocks, three shocks so far.
13:22Roger, thank you.
13:24Community first responders are trained local volunteers who can be dispatched by the ambulance service to attend emergencies like cardiac arrest.
13:33We knew we were going to a cardiac arrest.
13:35Their heart had stopped beating and stopped breathing for themselves, so that is the worst you can possibly get.
13:41This patient had had three shocks and CPR was ongoing, so we knew this was someone that minutes mattered.
13:46The first responder is still giving CPR, with the patient's wife watching on.
14:05We'll just get everything sorted out, mate, and then we'll just step back and get our hand over.
14:08Is that all right?
14:09Remember to push hard.
14:12Do you want Steve to take over CPR, mate?
14:15Yeah, I'll take over, mate.
14:16OK, all right.
14:16You get that stuff cut off and all, then you can take over, eh?
14:2175-year-old Richard Sykes was at the till when he collapsed.
14:26Ready?
14:26Throw up the electrode.
14:28OK, let's take those pans off.
14:31You have one minute to get out.
14:32You are just moving your AD away, mate.
14:34You've had three shocks, is that right?
14:35Steve, can you get the bag open for me?
14:39Shop staff start at CPR within seconds of Richard's collapse, and the first responder has been using a high street automatic defibrillator to try and shock his heart back into rhythm.
14:50I agree.
14:51When you go into cardiac arrest, the clock's ticking.
14:55For every one minute of time that goes by, it's a 10% less chance of survival.
15:00So early bystander CPR, early defibrillation and early advanced care is really, really important.
15:06You all right helping Sam with the airway, mate?
15:09Can I delegate access to you, mate?
15:11Sam is keeping Richard's airway clear by tilting his head back.
15:15He's using a bag and mask to give him oxygen.
15:20So we've stamped ROSC now, mate.
15:22Air desk, minute, nine, eight.
15:24ROSC at this time, thank you.
15:25A ROSC is a return of spontaneous circulation, so in a cardiac arrest, a patient isn't breathing for themselves and the heart isn't beating for itself.
15:34So as soon as a patient's heart starts beating, we would call that a ROSC.
15:39Richard's heart is beating again, but he's still not breathing for himself.
15:43So what do we know?
15:43Well, we know that he is a 75-year-old gentleman who's had a background of AF and previous stents and he's just collapsed while shopping at the minute.
15:51OK, so we've got a small pulse.
15:53You're doing the access there.
15:55Richard had been doing the weekly shop with his wife, Carol.
15:59He just collapsed at the till.
16:01And what's his past medical? So he's got AF.
16:04He's got two stents.
16:05OK, had a cardiac arrest before.
16:07Yeah.
16:08Richard?
16:08Richard?
16:08Richard was still really unstable and really, really poorly.
16:20The survival rate for an out-of-hospital cardiac arrest in the UK is around 8%, and that's across any age of any patient in the UK.
16:27So for Richard, who had a previous significant cardiac history and was of the older generation, his outlook we were really, really concerned about.
16:37Have we got anything on GCS now? Is it free?
16:40No, he was blinking in his eyes, but I don't think it's anything meaningful-wise.
16:48Let's see how he's breathing for himself at the minute.
16:53I'm not sure this is going to work fantastically well. I think there's probably going to be some form of reflex with this.
16:57With Richard's conscious level low, one of the crew's biggest priorities is to keep his airway open.
17:05So Sam is going to attempt to intubate him, which involves inserting a tube into the top of his lungs.
17:15Tube, please.
17:16Can I have the tube?
17:23Okay, we'll come out with that. Come out with the tube?
17:25Yeah, that's fine.
17:26With Richard, we had to do a manoeuvre just to be able to open his airway by passing a tube through his vocal cords into his lung, so intubating him.
17:35Normally, with unconscious patients, they'd tolerate this, but because Richard was increasing his level of consciousness, he wasn't able to tolerate that intervention.
17:43I think we'll just stick on with this, you know, and just see how he does for now.
17:46He's slowly regaining consciousness, I think, a little bit from where he was.
17:51It's vital the team continue to manage Richard's airway so that oxygen can reach his lungs and bloodstream.
17:59Right, let's prioritise packaging him up then, shall we?
18:02Once we get him on, we'll reassess and do another ECG, see if it's settled down, then we'll just make some decisions on where we're going, okay?
18:09I gel size four in case he re-arrests.
18:13We've got an output back, so his heart's beating, which is good, and he's breathing for himself to a certain extent, so we're still having to support his breathing a little bit, but it's coming round better than we'd expect, so that's good.
18:27He's still really, really poorly, obviously, so his heart had stopped for a period of time and he wasn't breathing for himself.
18:32As you know, he can't really hear us at the end of it, he's not been able to respond to anything we're doing, so he's still really, really in an unconscious level.
18:39So we're going to take him to Harrogate Hospital and they're going to do some scans from there, but in terms of everything of how it's looking with us at the minute.
18:47Well, you've got him back.
18:48Yeah, he's had every possible chance.
18:50Yeah, I see that we've been there.
18:52Yeah.
18:53Malcolm?
18:54Hi, mate, Wayne, one of the paramedics.
18:56You okay?
18:58A bit shaken up because I literally spoke to him a minute before he collapsed.
19:02His last words to me were, I'm just going to sit down here and wait for me while.
19:06It's a sudden collapse.
19:07And then suddenly out the corner of my eye, I saw him keel over.
19:09Yeah.
19:10And we got him into the recovery position.
19:12Yeah.
19:13He's done a good job, mate.
19:14All right, well done.
19:15Thanks to Malcolm's swift actions to get Richard's CPR, he's been given the best chance of survival.
19:21But he still needs to reach hospital.
19:23This chap's had a cardiac arrest at the till with immediate bystander CPR.
19:27As we got here, he'd actually got a pulse back.
19:29The community first responders have done a fantastic job in giving him a number of shocks, about six shocks.
19:34He had a weak pulse, but it was output regardless.
19:37And he's continued to improve quite rapidly.
19:39Although he's not regaining consciousness at the minute.
19:41So we're going to keep an eye on him and go to Harrogate Hospital.
19:53Sam and Wayne will monitor Richard in the ambulance.
19:56He could go back into cardiac arrest at any moment.
20:06It's a 25-minute drive on blue lights to Harrogate.
20:09Where he'll be taken straight to recess.
20:20Richard's wife, Carol, is already at the hospital, anxiously awaiting news.
20:25Hiya, love.
20:29Yeah, I know he's been no different to when we got here.
20:31His numbers are getting better and he's starting to make some movement.
20:34So he's gone the right way.
20:35He's obviously still quite unwell.
20:37Take care of yourself, won't you?
20:38Bye-bye.
20:39I think CPR, it can't be underestimated really, can it?
20:43You know, it's so important that everyone knows how to do it.
20:46And from the manager of the store where we were and the CFR who was just around the corner,
20:50that immediate bystand to CPR and immediate access to shocks, that's really what saves lives.
20:54We just come and do some other stuff.
20:56But, you know, those are the really important bits that's going to give Richard the best chance.
21:00So he's had every fighting chance possible.
21:03So, fingers crossed, it makes a good recovery.
21:22While you were out, I made a nice cherry pie.
21:25On the air desk at the Nostal Base in Wakefield, Gemma's got an important job for paramedic Sam.
21:30I'm busy on the desk now. Would you mind getting it out of the oven before it burns?
21:34I'm just conscious that all I do is either eat or cook.
21:38But Sam's choice of accompaniment is a matter for debate.
21:42You don't do hot custard.
21:44What?
21:45No, you do cold custard.
21:47Yeah, you do cold custard.
21:48What?
21:49No, you're wrong.
21:50It's a hot pie, so you do a cold custard.
21:52I agree.
21:53No.
21:54No.
21:54If it was a cold pie, you'd do a hot custard.
21:58Right, we're all having cold custard.
21:59Thank you very much.
22:02Thanks.
22:03You're welcome, very welcome.
22:04Hang on, let me just...
22:05Very well presented as well.
22:07Delicious.
22:08I don't think you could ask for any more on a Saturday afternoon.
22:10Jammer is listening in on live 999 calls, and one in particular has caught her attention.
22:28He's going to a motorbike versus car, he's hit the car, he's gone over the top of the car and injured himself.
22:40Sam is being scrambled to the job with Dr. Dan.
22:43Back up from the spot, this way.
22:55Roger.
22:55Profile.
22:56Lifted in.
22:59NS9.
23:01Trans.
23:02It's quite difficult to piece together the information before you get there as to what
23:22the patient is actually going to present like and what injuries they actually have.
23:25So you're always thinking the worst, especially with motorcycling instincts.
23:28Often they're either fatal or quite significant injuries.
23:32So although you may hear that they've only just got either a broken leg or something like
23:36that, it's always going through your head that actually this patient might have more injuries
23:40that we need to find.
23:41You've got the tennis courts and skate park, the grid is just on that main road opposite
23:47the skate park.
23:48Oh yeah, DCA down there I think.
23:50Nanny, over ahead.
23:52Alright, we'll approach along that sort of, well, I'll land and enter the football pitch
23:55to that corner.
23:58You're good left but you've got some kids running towards you.
24:01Yeah, he's stopping now.
24:03They're landing in some playing fields, a short walk from the scene of the accident.
24:08Nanny landing.
24:09OK, clear out.
24:11Off comes, I'll stand up front.
24:20Hello.
24:22Hello.
24:23Hello, mate.
24:24What's your name?
24:26I'm Greg.
24:26Greg, Sam, Dan, nice to meet you.
24:29Hello, mate.
24:29Hi, bro.
24:30Just going to start giving you a quick check over if that's alright.
24:3432-year-old Greg Mason was only minutes into a motorbike ride with his friend when the crash
24:39happened.
24:41Although we could see Greg had a broken leg, we needed to make sure that there weren't
24:44any other injuries that we were missing.
24:46Motorcycle incidents can cause a lot of damage, so being able to rule out any other potentially
24:50life-threatening injuries is really important.
24:52So what we'll do, we'll get a little needle in and we'll give you some painkillers, OK?
24:58Up to them.
25:00Happy with chest.
25:01Any pain in that tummy there?
25:03If I feel on that hip there, any pain in there?
25:06No, I'm all right, mate, I'm all right, I'm all right.
25:09Can you feel me touching you on your leg?
25:11Yeah.
25:11Yeah, you feel me touching you there?
25:13Yeah.
25:14Any pain when I press down here?
25:16Greg's partner got a call from his friend shortly after the collision happened.
25:19I know you want to hold my hand, Greg, but I just need to do some bits.
25:23All right, mate, no worries.
25:25You need to pop a little needle in the back of your hand, all right?
25:27Yeah, yeah, no worries.
25:29We'll get you some pain relief and get you sorted.
25:31Yeah.
25:31OK, what's actually happened, you know?
25:34He's on all the top of his hand with it.
25:37Right, OK.
25:38All right, no worries.
25:39Did you see it, did you?
25:40No, behind you.
25:40He was with it.
25:41Oh, nice.
25:42So what's happened is, so you see how the car's actually in the middle there?
25:46Greg has gone over the bonnet and then there he is now.
25:49The motorbike Greg was riding belonged to his late father.
25:53He's been on the motorbike.
25:55Where is it?
25:56He passed away in my bus.
25:59Right, me.
26:01Just keep the hands still for me a second.
26:06You've both got me hands.
26:10Well done.
26:11Keep going with that, Greg.
26:13Gas and air will help keep Greg's pain under control
26:15until Sam can give him something stronger.
26:18Greg, we're going to give you some really, really strong painkillers, all right?
26:23Have you had ketamine before?
26:25When are you going to take into Oscar, I won't tell her?
26:26No, never had any operations or anything like that.
26:28Never had any operations.
26:29All right, that's fine.
26:30So, it's really strong.
26:33You probably won't remember anything about it.
26:35Okay, you might hallucinate and see stuff, but it's all completely normal.
26:38It's all safe with us, all right?
26:39Stop us from here, mate.
26:40Yeah, I know we'll do.
26:41As the air ambulance, we carry a range of different medicines that we can give to patients,
26:45additional to what a road ambulance would carry.
26:48One of those is ketamine.
26:50In this circumstance, we used it as more of a sedative analgesic effect,
26:55and it works really, really well.
26:56It works really quickly, and it allows us to be able to get Greg to such a place
27:01that we can straighten his leg and cause him, essentially, no pain.
27:05Where are you from?
27:07Barnsley.
27:08Barnsley?
27:08I don't know.
27:09Dark road from here.
27:11Dark.
27:13Oh, I tell you.
27:14We'll go for 30.
27:18Greg, just breathe through that for me.
27:21As I say, you might start to feel things and see things.
27:24It's all normal.
27:25And it'll start to kick in shortly, all right.
27:28Is that starting to kick in yet?
27:31Yeah, it's starting to get a bit better.
27:33Oh, good.
27:35Oh, that's better.
27:36I feel those better.
27:38Oh, yeah, that's better.
27:39Yeah, you can't hold that.
27:42With the ketamine taking effect,
27:44Dan is preparing Greg's leg to be pulled back into alignment.
27:49Can you hear me, Greg?
27:50Yeah, I can hear you.
27:52Shall we roll and then we'll straighten?
27:54Yeah.
27:55We're good to go.
27:56We'll do it on me, shall we?
27:58Yeah, on you.
27:58OK, everybody ready?
28:00So we're going to need good support on that torso.
28:02Just going to roll, Greg, OK.
28:03OK, ready, steady, roll.
28:09Just bring his bum through.
28:11Well done, well done, well done.
28:13I think a little bit more, Sam.
28:19Yeah, I'm on it.
28:21There we go.
28:22Would you start cutting that off for me, please?
28:24All right, Greg.
28:26You're all fine.
28:28Due to Greg's pain, they're increasing the dosage of ketamine.
28:31Nice and relaxed, Greg.
28:32Open your eyes for me, Greg.
28:37Look at me.
28:40There, he's nice.
28:41I'm straightening that out.
28:42With Greg fully relaxed, the team are using a Kendrick traction splint,
28:46a device that realigns broken bones by applying a pulling force.
28:50So with a broken bone, especially a broken femur,
28:53you get two bits of bone which rub against each other.
28:56That causes a lot of pain, but can also cause damage to internal structures
29:00like blood vessels or nerves.
29:02So a Kendrick splint allows us to be able to put that around the leg
29:05and essentially pull the limb straight to where it would have normally been.
29:10OK, everyone ready?
29:12Right, that's it.
29:13Pull, pull, pull, pull, pull.
29:17Yeah, good.
29:18Good, good, good, good, good.
29:19Give it up.
29:20Yeah, that's perfect.
29:22Dan has straightened Greg's leg, which will help with the pain in the short term,
29:27but he'll need to be taken to hospital for possible surgery.
29:30All right, Greg, you just put your hands together for me.
29:32You hold on to that.
29:33That's it.
29:34All right, we're just going to go on to the stretcher.
29:36Ready, Will?
29:37Ready.
29:38Steady.
29:39Mm, yeah.
29:46All right, mate.
29:46Jesus Christ.
29:48Yeah, it's a fun feeling, isn't it?
29:50Jesus, it's proper, it's full of brown.
29:53Yeah.
29:53Bit trippy.
29:54Ooh.
29:56It's just nine miles to Barnsley Hospital by road,
30:00so Greg will travel in the land ambulance,
30:02freeing Sam and Dan up for other emergencies.
30:05Greg, nice breaths for me.
30:07You're all fine.
30:08Nice, deep breaths.
30:11It's just a weird feeling, okay?
30:14Got your legs sorted.
30:16Your partner's just down at the bottom there, okay?
30:19We're going to get you off to hospital.
30:21Does that sound all right?
30:22Good man.
30:22What's the bike like?
30:24All right.
30:25Don't lie to you, Greg.
30:27It's not that bad.
30:28It's not that bad.
30:28It's not that bad.
30:29It's not that bad.
30:30The bike's in better shape than you are.
30:32Yeah.
30:32It always surprises me when we go to road traffic accidents,
30:36especially involving motorcyclists.
30:39They can have the worst injuries possible
30:41and be more worried about us cutting leathers
30:44or the damage to the bike rather than themselves.
30:47And I think that was evident with Greg.
30:49Although Greg had a broken femur and was in a lot of pain,
30:52he was still really, really worried about the bike,
30:54and I think that just goes to show how much it means to him.
30:57You're going to go to hospital with these guys.
30:59Yeah.
30:59They'll sort your leg out there.
31:01Yeah.
31:01All right.
31:03That stuff will start to wear off now,
31:04so you'll start to get a bit of a clearer head,
31:05but they can keep you paying to hospital with some more.
31:07Yeah.
31:07Right, nice to meet you, Greg.
31:09Add us tonight.
31:10Go ahead.
31:11Yeah, give him some ketamine, reduce the leg.
31:13It's just an isolated femur, closed,
31:15so he's going to go to Barnsley with the crew there.
31:17Happy to do that.
31:18We are clear on scene returning to the aircraft.
31:20Greg's been really lucky.
31:22Thankfully, the bone didn't come through the skin.
31:23It was just a closed femur fracture
31:24and there was nothing else that we could find of any significance.
31:26He now seems to be quite pain-free and in a jolly mood
31:29and he's going to go off to Barnsley with the crew.
31:30He was a character anyway, and then you give him ketamine.
31:32It just made his character even more.
31:34But yeah, jolly chap.
31:35We like jolly people.
31:36The real housewives of hems.
31:56At the Topcliffe base in North Yorkshire,
32:01Pilot George and paramedics Wayne and Terry-Anne
32:04are prepping HeliMed 99 for the shift ahead.
32:08Over at HQ, dispatcher Dave has spotted a job,
32:12and they're the nearest crew.
32:14Hello.
32:15Job just north of Huttonley Hole, north of Kirby Moorside.
32:21They're being scrambled to picturesque Spawnton,
32:24a popular destination for walkers in the North York Moors,
32:28where a woman has fallen in a remote area.
32:3199 lifting.
32:35Head us from 99.
32:36We are airborne with seven-minute ETA.
32:39No, no, I'm Roger.
32:40Looking on the notes, she's fallen off rocks into a beck.
32:44Yeah, Roger, that is all received.
32:46Looking at the grid that has been passed,
32:47it looks like it is quite a deep ravine going all the way through this,
32:51so it might be quite difficult for landing over.
32:53The patient has fallen into water at the bottom of a steep ravine,
32:56and landing is going to be challenging.
32:59The helicopter's quite beneficial in a number of ways.
33:01It's just quite as well we can get to her
33:03and then fly her to the right hospital the first time,
33:05so a major trauma centre.
33:06It also gives us an ability to look from the air as well,
33:08which is quite useful when you're trying to find someone
33:11in a rural environment.
33:13The crew are trying to spot the location of their patient.
33:16There's someone down here.
33:18The vision we're down.
33:19It's very much like it's...
33:20Three o'clock now.
33:21In those bushes on the corner, there's somebody...
33:24There's somebody walking, that one, that person running.
33:27There's somebody in the water on the corner.
33:30Oh, yeah.
33:31Oh, yeah.
33:31I was just down in my corner, I was excited.
33:32Some of the slope is a little bit...
33:35It's actually out, so...
33:36Especially, you know, because we're landing downslope for the wind
33:38and then we'll have to tell to you,
33:40those to me, Steve, to get the right skid up.
33:44Yeah.
33:44See what we can do.
33:46Roger, camera's on.
33:47All right, thanks.
33:48Nine-nine overhead.
33:51Around the back there, looks all right, doesn't it?
33:52Give it a shot.
33:53Yeah.
33:55All good.
33:56Clear out.
33:58Nine-nine.
33:58Landed.
33:59You all right?
34:12Yeah, yeah, good.
34:13No, no, we're all right, mate.
34:17Hello.
34:17I'm so sorry.
34:19It's a weird place to have a break.
34:20Oh, God.
34:21I'm Wayne, this is Terry-Ann.
34:23Yes, this is...
34:24Hello.
34:24What's your name?
34:25Hiya.
34:26It's very sick of you.
34:27Yeah, be careful.
34:29What's your name?
34:30I'm Laura.
34:30Hello, Laura.
34:31I'm Wayne, this is Terry-Ann.
34:32Yeah, I wish it was in the best.
34:34What's happened?
34:35Literally came and took a picture.
34:37Yeah.
34:37Just went down and I went, oh, straight away.
34:39This arm, it feels like there's something loose in here.
34:42It's very swollen, isn't it?
34:42Yeah, yeah, all around here.
34:44Land on there.
34:44Literally, I think I've landed that side.
34:46I think it's my old boat and up here.
34:4743-year-old Laura Weir and her partner Dan
34:50had been enjoying a weekend away in their camper van
34:53when she bent down to take a photo
34:55and slipped on the wet rocks.
34:58All right, let me just do a quick check round here.
35:00Yeah, I can move my neck fine.
35:01Just have a quick check.
35:02Make sure I've not missed anything.
35:03Yeah, yeah.
35:03It's all okay, I think.
35:04Yeah, that's all fine.
35:05I was a pain at the minute out of 10.
35:07Because I'm still, it's all right.
35:09It's when I try and move, like, ah, yeah.
35:12As soon as you touch there, I can feel something up here, like.
35:14Anything down here?
35:15Oh, yeah, yeah, yeah.
35:16Ah, ah, ah, ah.
35:17There's nothing there, though, is there?
35:18No, no, no, that's right.
35:18It's just, it's hurting the top part.
35:20Oh, why don't you just cut this bit here?
35:21Yeah, yeah, yeah.
35:22Ah, ah, yeah, yeah.
35:24And, like, more the inside part, it feels.
35:27And there should be a triangular bandage in the, um, you know, in the dressing bag.
35:31Ah, yeah, it's in there.
35:32Yeah, I'm just checking it's not open.
35:33Yeah.
35:34So it's just down here, isn't it?
35:36Yeah, yeah, and, like, around my elbow.
35:37Ah, but as soon as you do that, it's down here, it's hurting.
35:40Yeah, that'll be radiating pain.
35:41So I think we'll get you some gas in there.
35:43Yeah.
35:43It might be a case of tucking it underneath your top.
35:46Ah.
35:46We'll get you some gas first.
35:47If not, we've got a triangular bandage.
35:49She was in good spirits, to be fair, considering she was lying in a river and was quite wet and in a lot of pain.
35:54She's, I think she's very grateful for us to be there to help her.
35:57We need to try and get you on your feet.
35:58Where's your car?
36:00The band's already gone.
36:01Yeah.
36:02We'd look to extrication, do you think, just to maybe have a slow walk?
36:05It's, it's a walk on the footpath down to the van, isn't it?
36:08Yeah, yeah.
36:08Because that's what I was going to say, if we could have got up, I would have got it.
36:11No, we need to get it, get you strapped up.
36:13Because there could potentially be some broken bone ends to the bone, if we unnecessarily move it, we could turn it into an open fracture where the bone ends stick out.
36:22That could cause more bleeding.
36:23You can get damage to the nerves and the circulation, the veins and the arteries that supply a blood flow below the fracture if we start moving it around.
36:31So it's important that we do splint it to stop the bones from moving, and it provides pain relief as well.
36:37Have you had a kid before?
36:39Yeah, yeah.
36:39Have you had a kid before, haven't you?
36:40Yeah.
36:40Can I hold your arm here while Terry on this slide?
36:42I want to lift it.
36:43Big, deep breath.
36:43Big, deep breath.
36:45They're giving Laura Entonox, gas and air, a fast-acting pain relief.
36:49Nice deep breath.
36:51Right, then we'll lift the arm up a bit, shall we, if we can?
36:54Deep breath, deep breath, deep breath.
36:57You got it?
36:58Yep.
36:59You hold the arm.
37:00Yeah, I've got the arm there.
37:01That's better, thank you.
37:02You want it there, yeah?
37:02Yeah.
37:03How was that?
37:04Oh, God, just shoot me.
37:08How was that?
37:10A bit better?
37:11Yeah, a little bit.
37:12Can you relax there?
37:12Oh, yeah, sort of.
37:17That's the best it's going to be, I think.
37:19Yeah.
37:21Wayne and Terry-Anne have decided the safest way to get Laura out is to stand her up and walk with her.
37:27Self-explication is basically where we invite the patient to get themselves out of whatever position they're in.
37:32It's actually less movement and easier, quicker and better for the patient to get themselves up.
37:38Can we bend this leg for a minute?
37:39Yeah.
37:39Is that all right?
37:39I'm just going to hang you up there.
37:40I don't want to get on with your trousers.
37:42Yeah.
37:42Yeah.
37:43So you, right, you ready for one, two, three?
37:44Yeah.
37:45Then we'll go up.
37:45Ready?
37:45One, two, three, push.
37:47Push down on your feet.
37:48Oh, oh, oh, oh, oh.
37:50Get your bones closed, because you'll be quite slippy.
37:52Are we going up there past our bag?
37:55Yeah, where you are now, so...
37:57Right, just be careful, because it's so undulated there.
37:59Is it going to be a bit of a pitch to take the gas away for now, just so you've got a bit more stability?
38:03I'll take that.
38:03Yeah.
38:04I'll walk with it, and then if you steady your...
38:06Yeah.
38:09Do you want to top up on gas there before we go up here?
38:13Yeah, please, if that's all right.
38:19So don't fall backwards.
38:20Sorry, I don't have a lot of paperwork to do.
38:23All right, go for it, we'll go.
38:26Just watch that.
38:27There's a bit of a dip there.
38:27Yeah.
38:28Step straight onto that rock there for me.
38:31Ah!
38:32Laura and Dan's van is parked on the nearest road, a kilometre away.
38:36I've never broke a ball in my body before this.
38:40What a place to do it.
38:41I know.
38:45Where do you want to sit, Laura?
38:46We've got a chair on the...
38:48Now that they've safely got Laura to the van, Dan can drive her to the nearest A&E department
38:53to be X-rayed, leaving the crew free to go to other emergencies.
38:58Yeah, it just keeps clicking all the time up here.
39:00Yeah.
39:02That'll be a really good sign that it's definitely broken.
39:04Did you feel it go when you landed?
39:06No, it was just like, I just went down and went,
39:08and then went, oh, I said something to me arm and I feel the muscle moving about quite a lot.
39:13Yeah.
39:13It was like, oh, that's a dolphin, that's right.
39:15Yeah.
39:16We saw you sat in the water from up in the sky.
39:18Oh, yeah, I was in the air.
39:19Yeah.
39:19Oh, yeah, I was in the air.
39:20Yeah.
39:22Oh, that's good.
39:31Use it, suck on the end, Knox.
39:33Can we not take it in this?
39:34I need some handles now.
39:43You have some paracetamol, aren't you?
39:44Yeah, you have.
39:47Hopefully that'll kick in soon.
39:49Oh, did you think she wanted to hold your hand?
40:02See you later.
40:02Instead of a date night, Laura and Dan are driving to James Cook Hospital.
40:09For the air ambulance team, it's a long walk back to the helicopter.
40:18Do you think with our help you'll better get off?
40:21I don't need to give it a go.
40:22I don't need to give it a go.
40:2368-year-old HGV driver John Wilkinson suffered a broken collarbone, five broken ribs, a torn spleen,
40:30and a bruised lung after the lorry he was driving overturned on the M1.
40:35Hey, guys.
40:36Yeah, we're right.
40:39It's still unclear why John crashed.
40:41He's still having regular hospital appointments to determine whether a medical event was the cause.
40:45Thanks to the quick actions of bystanders, 75-year-old Richard Sykes survived the cardiac arrest he suffered while out shopping with his wife.
40:57His last words to me were, I'm just going to sit down here and wait for my wife.
41:01Suddenly out of the corner of my eye, I saw him keel over.
41:04He's now had an implantable defibrillator fitted, which will shock his heart back into rhythm if he has another cardiac event.
41:11Very swollen, isn't it?
41:16Yeah, yeah, all round here.
41:17And on there.
41:17I literally, I think I've landed that side.
41:19I think it's my old boat and up here.
41:2043-year-old Laura Weir was on holiday with her partner Dan when she slipped and fell in a remote part of the North York Moors.
41:28Push.
41:28Push down the feet.
41:30She was taken to James Cook Hospital, where she was treated for a broken humerus.
41:35She's now undergoing physio and recovering well.
41:37Hello.
41:42What's your name?
41:4332-year-old Greg Mason spent 11 days in hospital after coming off his motorbike whilst out riding with a friend.
41:51He's been on his motorbike.
41:52He passed away in my voice.
41:56The pain was the worst pain I've ever felt.
42:00I thought I was dying at that point in time.
42:04Well done.
42:05There was a broken femur.
42:07There was a big piece in the middle of my femur that had come away.
42:10So I had a bone that was floating.
42:12So I had to go through the side of my leg to retrieve that bone, to put it back in place.
42:17And then drill through and put a rod through, a nail, we call it.
42:21The bike, a treasured possession of Greg's late father, is now being lovingly restored.
42:29It was his first motorbike.
42:31And then my brother passed his motorbike test and it was his first bike.
42:35And then my dad took it back to him and saved it for me for when I passed my test.
42:39But my dad sadly passed away last August on my arm and dad's wedding anniversary.
42:48Yeah, that's why it gets to me.
42:53They've said to me, I could potentially walk normal again in 12 months' time.
42:59Every day is different.
43:00Some days I wake up and I'm walking great.
43:02Other days I wake up, I can't even put my foot to the floor.
43:04I've got an exercise back I use to try and get mobility.
43:09I will be riding again.
43:11100%.
43:12But don't tell me, ma'am.
43:34100% Commencement
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