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00:00Yorkshire. Breathtaking, but unforgiving. And when the landscape turns
00:10dangerous... Patients still breathing but doesn't sound good on the phone, mate.
00:14...and lives hang in the balance, the crews of the air ambulance are often the
00:20first and only lifeline. Hello, we're coming to help. You okay, buddy? Delays in getting
00:26your patient to hospital can literally be the difference between life and death.
00:30He's injured his brain. Let's try and get a little drip in your arm, Kian, alright?
00:33Can you remember anything about us putting your leg into a splint?
00:36No. No?
00:39The jobs that we're going through can be quite catastrophic. If we weren't there,
00:43then the situation could be much worse. Bringing critical care by air.
00:47That's it. Good lad. Good lad.
00:50You're not allergic to anything. Hey!
00:52Hey! This is Yorkshire Air 999.
01:05I took one of my tea cakes, put some ham in it, and took a bite out of it and thought,
01:11that tastes a bit weird. It's 8am and breakfast time at the Topcliffe Air Base near Thursk.
01:18And paramedic Andy's not having the best start to the day.
01:20I then took the tea cake out of my mouth and it had loads of mould on the bottom of it.
01:26I think I bit most of the mould off.
01:28Oh, yeah. Look at that. Yeah. Nice.
01:31Yeah. Tasty. I could taste it as well.
01:35It tasted foisty.
01:36I didn't know that wasn't me. What's foisty?
01:39I don't know. It's just a word I've learnt.
01:41Yeah, yeah.
01:44But before Andy can finish his new breakfast, a job has come in.
01:49Don't forget your drugs. I've got them.
01:51Yes, sir.
01:53The teenager has been found unconscious on a remote track in Upper Nidderdale,
01:58east of the Yorkshire Dales National Park.
02:01Paramedic Stu is accompanying Andy, and pilot Gary with technical crew member Claire
02:07are flying them the 20 miles.
02:14Call me ready, Stu.
02:14Go.
02:15Nine, nine.
02:17Lifted.
02:18Whoever looked to be OK.
02:20So, essentially, it's a biker that's been found by somebody. I don't know if it's police.
02:28Essentially, it might have major trauma.
02:29There's no roads where that grid is.
02:31No, it says it's in any remote location.
02:32No, there's actually no road at all.
02:35Nine, nine, two, SPS.
02:38Padding nine, nine, go ahead.
02:39The grid you've sent is in the middle of Axwell, in nowhere.
02:42Can you confirm it is that grid or the off-road bikes we're looking for?
02:46The Watsby word has confirmed that the location is next to Scar House Reservoir.
02:50Ah, that's where they'll be.
02:51Yeah, copy, that's where we've got H.
02:53I know where they'll be.
02:55500 metres to the south. They must be off-road bikes.
02:58It was an early morning call at Topcliffe to tell us that there was a patient that had been
03:02involved in an accident in the middle of nowhere somewhere on the moors.
03:06The information that we received was that this patient may be unconscious and have some nasty injuries.
03:11It's a right drive to Harrogate from here.
03:13That's blast.
03:14It reckons an hour and 28 minutes.
03:16Eh?
03:17And it reckons one hour and 56 to LGI.
03:20Yeah, have you set yours to walk in?
03:22With their patient over an hour away from the nearest major trauma centre by road,
03:26the helicopter could be vital to their patient's survival.
03:30Yeah, I've gone straight below us now and a quad.
03:32No, quad.
03:34Is it a quad?
03:35Yeah.
03:36It's an overturned quad.
03:38Hello, Ben Diner. That's us letting down our scene. I'll give you a call underground.
03:42So when we flew over the scene, we realised it wasn't a motorbike. It was actually a very large quad bike.
03:48So the things that you're thinking about now is that it's been ejected from this vehicle.
03:52So there's all kinds of injuries that it could have ranging from head, chest, abdomen, pelvis.
03:57Okay, I'm going to go to the route right as I'm looking at it.
04:00Yeah, over the other side of that fence.
04:01Yeah.
04:02Just a bit slopey to the left, Gary, but you're all right with the disc.
04:06Just be mindful of it, guys, when we get out.
04:07Yeah.
04:08Element 99 on the ground.
04:20How you up, guys?
04:21Hey there, Randy. Get you to him quickly.
04:23How's he doing?
04:24It's not so bad.
04:25Steady, it's not dark.
04:26It's about 20 minutes ago.
04:27Okay.
04:28Claire, get the school piece up, mate.
04:31What's his name?
04:32His name is Edward.
04:33Edward?
04:33Can you hear me, mate?
04:35How you got him now?
04:36Edward, it's Andy, one of the paramedics.
04:3918-year-old farmer Edward Suttle crashed his quad bike while riding home from a birthday
04:44party at around half past one this morning. He's been lying injured and alone on the moors
04:50for more than seven hours.
04:51What have you heard?
04:54Can you hear me? Don't shake your head. Open your eyes for me.
04:57Open your eyes. Open your eyes for me. Can you stick your tongue out?
05:02Stick your tongue out for me.
05:05Okay.
05:06He's been here for seven hours now.
05:07Ah, right, okay.
05:08He came back last night.
05:09All right, okay.
05:10We've come and found him this morning.
05:12Okay, right.
05:13Edward's family realised he was missing this morning and set out across the moor with
05:16friends and neighbours to look for him.
05:18On the weekend, he saw us and sat up, right?
05:22Okay.
05:22So he would suggest that he's back, you know.
05:24Okay.
05:25That's all I can tell you.
05:26Yeah, yeah, yeah.
05:26We've been chatting a little bit.
05:28Okay, what?
05:29He's been asleep for probably 20 minutes.
05:30What?
05:30He's been talking for the past 10 minutes.
05:33He's stopped talking.
05:36Right, mate.
05:36I think what we need to do, oxygen on, scoop him and get him on his way.
05:43The temperature through the night has been around nine degrees, cold enough to put
05:47Edward at risk of hypothermia, where prolonged exposure can slow the brain, weaken the heart
05:53and become life-threatening.
05:55So when I got to Edward, I was really concerned because his conscious level was low and there
06:00was blood on the floor and the people with him had said he'd been there probably all night.
06:05On the moors at that time of morning, it was really, really cold and to be told that he's
06:08been out all night is really concerning, especially if he hasn't been moving.
06:12So you're thinking to yourself, is he unconscious because of the cold and hypothermia setting,
06:18or is it because of a head injury, or is it both?
06:20Edward, get that scooped round here mate.
06:24Yep.
06:24Right guys, what we're going to do is we're going to bring that stretcher round here.
06:28Yep.
06:28We're going to roll him onto his back and get him on his scoop stretcher.
06:31Yep, yeah.
06:32Right, bring that round here, you move that way fella.
06:34I'm on the road.
06:35Right, let's get that off him, so we can get to him.
06:38Yep.
06:38What injuries have you seen on him, just like head?
06:41Yeah, and you see a big purchase out, rocks, borrots, borrots, or something.
06:45Okay, okay, okay mate.
06:46Edward.
06:47Edward saw.
06:47Roll on.
06:48Edward, how we doing pal, it's the air ambulance.
06:51Can you tell us what's happened bud?
06:54Hold his arm up there fella.
06:56You've hit your head.
06:57And he's cutting Edward's clothes, so he can check for hidden injuries.
07:01So, eyes out open mate, can you squeeze me hand?
07:05Right, well done lad, well done.
07:08Right guys.
07:09You got the scoop?
07:09I've got the scoop, I've got these.
07:10Move that further up there, and we're going to roll him over.
07:13There we go Edward.
07:14All right.
07:15All right fella.
07:16Oh hell.
07:17All right, okay mate.
07:19That's awful.
07:19What's hurting you?
07:21You're on the scoop down now.
07:22Yeah, yeah, yeah.
07:23Yeah, yeah, yeah, yeah.
07:24So just have a quick look to pop your toe mate.
07:26Is your chest hurt, is your chest hurting you?
07:28No, no.
07:28Just your head.
07:30Right.
07:30Just come round a bit anyway.
07:32Yeah, yeah, yeah.
07:33The bruiser bones.
07:34Two hips off, two middle, all up here.
07:36Right, on lift, on lift.
07:38Yeah, don't do it yet.
07:39On lift.
07:39Ready, steady, lift.
07:41Yeah.
07:42I knew with Edward being so appalled that we needed to move quickly.
07:45I did a very rapid primary survey, and I could tell that he potentially had a nasty head injury, and we didn't want to be messing about on scene.
07:55It was cold, and I said to the team, we need to be away from here.
07:59We need to get him packaged in a Flectalon, which is our big furthest leaping bag, in the aircraft, out of the wind, out of the elements.
08:06Where's your head hurting you?
08:07Is it there?
08:09No, no, no.
08:11Is your back of your head hurting you?
08:12No, it's all right.
08:13Where did you notice the cut?
08:14Just leave it there mate.
08:14Just exactly what it does.
08:17Right, let's wrap him up.
08:21Ready, steady, lift.
08:25Just take your time guys, yeah?
08:26Yeah.
08:26Are you all right before?
08:29Keep coming, we're in tracks.
08:30Keep coming.
08:31Keep coming.
08:32Locked.
08:33Hello, Feddy.
08:34How are you?
08:35How are we doing pal?
08:36Oh my.
08:39Can you remember it?
08:40No, I can't.
08:42What's the last thing you remember, buddy?
08:44It's all right, Edward.
08:45Good luck.
08:46Well done, well done.
08:48You don't know.
08:50So here's a one.
08:51Verbal confused.
08:53More to respond to six.
08:56We've probably got a GCS of 11.
08:58On the Glasgow Coma Scale, which measures consciousness, Edward's score is 11, consistent
09:05with a moderate brain injury.
09:06Pulse for 87, sats of 99.
09:08Air desk at Nostoli.
09:09We're just up on a job on the system up at Skard House.
09:15We've got a patient on the helicopter.
09:17We haven't got a phone signal.
09:19Would you better put a pre-alert in to the emergency department?
09:22Yeah, roger.
09:23ETA, please.
09:24Probably about a 10-minute flight once we've lifted, mate.
09:29Yep, I'll do that.
09:30Engine's coming on.
09:31Yeah, cheers, mate.
09:35Edward.
09:37It's going to get noisy, buddy.
09:399-9-15.
09:41If you read it, it's going to be forward and down.
09:44By road, it would take over an hour to reach Leeds General Infirmary.
09:48By helicopter, the journey takes just 12 minutes.
09:52So I think we've got a combo of hypothermia, head injury.
09:58We've got reduced GCS, then exposure injury.
10:06I don't know.
10:08Eddie?
10:10What's your date of birth, pal?
10:14He's confused, isn't he?
10:15Yeah.
10:15I'm going to slide you out, Edward.
10:17All right, mate.
10:20Gaz, just watch that left arm.
10:22Uh, yeah.
10:27So all we've got is we've got his name.
10:28He's Edward Suttle.
10:30I had a party last night.
10:32Last seen at about half past one, leaving.
10:34Edward.
10:37Edward.
10:41Edward is being taken into resus, where Andy is handing him over to the emergency trauma team.
10:46This is Edward.
10:48At eight, 18 today, we've had a call from some people that found Edward in a remote location at Skar House Reservoir.
10:57They believe he's been out there for about six hours.
11:00But essentially, from top to toe, we've identified head injury, swelling around the head.
11:05I'm not, I'm not sure if there's any body sensations.
11:08Any questions?
11:09No, that's great.
11:12Edward will be treated for hypothermia and taken for CT scans to assess the severity of his head injury.
11:18I like to look after the crew, but for heat of time.
11:34An RAF Topcliffe in the north of the county, it's mealtime, and paramedic Tammy's making for heaters.
11:42It's pretty much ready, guys.
11:46Cheers, Tammy. Thank you.
11:47I feel like you learn a lot about people, about how they prepare their wraps.
11:51The crew have to take meal breaks when they can.
11:53This is meant to be like your masterpiece.
11:54Yeah, I can't tell you.
11:55Well, the finish shift right time, you.
11:58But there's always a chance they'll be interrupted.
12:02Leanne is on the line from the air desk.
12:04Job.
12:05What we got, Leanne?
12:07Motorcyclists come off their bike, gone over a brick wall, both conscious and breathing,
12:12but one's got an open fracture.
12:14She's sending Tammy and paramedic Fiona to the motorbike accident 20 miles away in Stainburg,
12:19North Yorkshire.
12:20Oh, Skip's going to eat me dinner.
12:23I'll put it on five.
12:24Oh, thanks.
12:32Measures down, clear area, departure to east, south and west.
12:35Clear left.
12:38No, no, listen.
12:40Oh, it'll be jolly well, you.
12:42Whereabouts is it?
12:44Brown bank.
12:45Look for that and it's just to the left.
12:48Oh, it's Fuston reservoir.
12:50Six minutes.
12:52So we've been told that there was a motorcycle with a pillion passenger had collided with something
12:57and that the passenger had been thrown some distance.
13:00It can be difficult if we're going to a job that's got multiple patients because
13:05we need to figure out which patient is more serious and deal with those first.
13:09So landing-wise should be fairly straightforward because of the location of it.
13:14But if they're really sick, it might be worthwhile if one of them is poorly.
13:18We might be flying one of them.
13:19Yeah, have we got any clinical updates from Steve, please?
13:25There's basically two patients involved in this.
13:28The motorbike has gone over a brick wall and the female has fallen down about a four-foot planking.
13:34There's MRT on the scene and they're going to search for a pelvic injury and open activity fracture.
13:41She can hear it, she's been helping quite a bit of pain.
13:44She's not moved at all since it happened and we've got a male who's got an arm,
13:50injury, quite a broken arm, but he's up and walking around.
13:55Roger, thank you.
13:56They're passing RAF Menwith Hill, a military base known locally as the Golf Balls.
14:01So we'll assess her. If he's walking, we'll just go straight to her and see if she needs blood.
14:06So it's just coming down the right-hand side now, got some vehicles, looks like they're in a field,
14:11which seems to be the obvious sort of place to go.
14:14Nine-nine overhead.
14:15Right, three o'clock?
14:16Yep.
14:17Happy in the field?
14:18Yeah.
14:19Try not to get too close to them.
14:22Where do we think is the least slopey bit?
14:25There's a sheet right underneath here.
14:27Nine-nine landed.
14:29So I can use the secondary bag.
14:30Yes.
14:40Hello.
14:40You all right?
14:41On your way.
14:42Hi.
14:44Hello, love. What's your name?
14:46Hello, buddy.
14:48Emily, my name's Fiona.
14:50All right, we're going to give you some pain relief.
14:52Can you tell me where it hurts most?
14:53Oh, my leg down, Ollie, yeah, nothing.
14:55Oh, that hip and leg, okay.
14:5833-year-old Emily Halliday was on the back of her friend Darren's motorbike
15:03when they lost control and hit the dry stone wall.
15:06Did anyone see what happened and what?
15:08Yeah.
15:09They went to kind of go back onto the left-hand side.
15:12Got in the way.
15:13And I think what they should have been suspended.
15:14It's all right.
15:15Yeah, it's just going into the field.
15:18She hit the wall then.
15:19Right, okay.
15:20When you've been moving at speed and you hit an object, you are still going at speed,
15:25but then all of a sudden you've stopped.
15:27The organs that are inside are attached to vessels, and those vessels can rip and tear,
15:32causing internal bleeding.
15:34Emily, can you take a big deep breath for me?
15:37You got any pain in your chest?
15:39No.
15:39No, we're just going to have a feel of your neck.
15:41Have you got any pain in your neck?
15:42No.
15:43No? Okay.
15:44Feel down your back.
15:45I'm in Texas Academy Gamster.
15:47Any pain in your back?
15:48Can you feel your legs?
15:49I don't want to.
15:51Can you feel your legs?
15:52Yeah.
15:53Can you wiggle your toes?
15:54Yeah.
15:55Not that one.
15:56Not the left one.
15:58Not the left one.
15:59Just going to have a listen and feel in your chest.
16:01Have you got any pain in your chest?
16:02I don't have any pain in your chest.
16:06Pain in your chest?
16:08Where's it hurting?
16:08I have a leg and my hip.
16:10Okay.
16:12Motorcyclists travelling behind them saw what happened.
16:16There's three of them riding along, heading up to the Sun Inn.
16:18The gentleman at the back, the back of his bike's just broken.
16:22It must have been down to suspension, so the swinging arm snapped,
16:25which then hits the back wheel and it's obviously lost control and slid across.
16:30Straighten this arm for me, sweet.
16:34Sorry, I know.
16:36Just straighten it best you can for me.
16:38I know you're in pain, I know.
16:40I know.
16:41We're going to give you a hand on your hands and then give you some pain relief.
16:44Don't care.
16:45Right.
16:46We're not going to move you around until we give you some pain relief.
16:49Emily may have a broken thigh bone.
16:51To assess her properly, Tammy and Fiona need to get her onto her back.
16:55But first, she'll be given Kettle, the strongest pain relief they carry.
16:58Nice deep breaths, sweetheart.
17:00Okay.
17:01Short scratch.
17:02You're all right, sweetheart.
17:04All right, we're going to take good care of you.
17:07Just try and take some nice deep breaths, all right?
17:10I'm not sure whether we're looking at a femur, so we'll have a look at her
17:14when we've turned her over.
17:15I'm going to give you something for the pain.
17:17You need to try and relax and calm down just a little bit before we give you it, okay?
17:22It's going to make you feel strange, but that's perfectly normal.
17:24Don't panic.
17:26Don't panic, okay?
17:27Don't panic, really good.
17:28Just, erm, if we just try and talk a little bit quieter
17:31when she's having this drug because it can make you feel a little bit,
17:34a little bit strange and we'll just try and make it nice and calm and quiet.
17:38When we're giving ketamine, we do sometimes have to tell bystanders
17:42and people around the scene to be quiet.
17:44It needs to be a calm environment because it is a disassociative drug.
17:48If somebody's mind is in a heightened state of anxieties and there's lots of noise,
17:54they're going to have a really bad experience with that drug.
17:57Emily, can you feel anything at the moment?
18:00Yeah, it's all right.
18:01I know, love, right?
18:02I'm just going to give you a bit at a time.
18:06I know.
18:07When we roll you over, we'll get you in a more comfortable position
18:11and we'll be able to package you and make you feel a bit better
18:13and we can keep giving you pain relief, okay?
18:15But for the moment, just take some big, deep breaths.
18:19I'm going to die.
18:20You're not, love. You're absolutely fine, okay?
18:23You're absolutely fine.
18:24When you're not.
18:25It's all right, Emily.
18:26You're all right?
18:28You're doing really well, Emily.
18:29I'm not.
18:30All right?
18:32It'll all be a little dream by the time you wake up.
18:35Right, let's see.
18:36I'm fine.
18:36You're what, love?
18:37I'm fine.
18:38Is that your partner?
18:39No, I'm fine.
18:40He's just sat next to you.
18:42Is he okay?
18:43Yeah, I think he's hurt his arm, but otherwise he's all right.
18:46Yeah.
18:46Are we all right?
18:48You're all right, love, yeah.
18:51You all right?
18:52Open your eyes for me.
18:53Open your eyes, Emily.
18:55Here you are.
18:56I'm not far from ready, I think.
18:58Emily, we're going to move you slightly, love, okay?
19:03You just go with it, okay?
19:05Tammy, if you can straighten the leg and then we can get her on that way.
19:09She's got that.
19:10Just relax, okay?
19:12With the ketamine starting to take effect, the team are moving her onto a scoop stretcher
19:17so they can get her to the helicopter.
19:20Are you ready?
19:21One, two, three.
19:24Yeah, let's go.
19:33Emily, take some deep breaths for me, love.
19:36Take me some deep breaths.
19:38Stop moving me then.
19:40They need to straighten Emily's leg to avoid any further damage to the tissue and muscle.
19:48Let me just give one more, the last bit, and then you can do it.
19:52Tell me when you're happy for me.
19:54Yep.
19:55Go on then.
19:55Right, go.
19:56Yeah.
19:58You're doing fantastic.
20:00You're doing absolutely brilliant.
20:02Good.
20:02Is that okay?
20:03Are you happy with that, girls?
20:05With Emily's leg straight, they're putting it into a Kendrick traction device.
20:10Which will hold it in place until she gets to hospital.
20:14Oh, all right, Emily.
20:17Emily's friend Darren, the driver of the bike, is also being taken to a land ambulance to be checked
20:22over by paramedics.
20:24Emily, we're going to lift you up on this stretcher and carry you to the helicopter.
20:30Okay, and then we're going to take you to LGI.
20:32It's a bit noisy, but we're going to be with you all the time and you're going to be okay.
20:36Due to the seriousness of her injuries, Emily is being flown to Leeds General Infirmary 10 miles away.
20:41So we'll just get her up and then we'll have a minute.
20:46I think we're good, aren't we?
20:47Uh, yeah, good to go.
20:48Yeah.
20:49Yeah.
20:50It's a five-minute journey that would have taken the 40 by road.
20:54You're doing really well, Emily, all right?
21:17Not too much further and then they can give you some more pain relief.
21:22Ready?
21:23Yeah, let's go.
21:29On three.
21:30One, two, three.
21:33There we go.
21:34Nice and gentle, really good.
21:35And this is Emily.
21:36She's 33 years old, approximately 1540.
21:40She's been the pillion on a motorcycle.
21:43The motorcycle has been seen to do an overtake,
21:46but it appears that there's been a mechanical fault with the bike.
21:49And it sent the bike into a dry stone wall.
21:52Her left femur was in a bow shape,
21:55so we've applied a binder and a traction splint.
21:59Emily's likely to need surgery.
22:02And with their job complete, the crew make their way back to base.
22:16I'm just about to run up to the top of the tower and back a few times carrying some weights.
22:22Just doing some training for the Yorkshire Three Peaks Challenge for the charity.
22:26Pilot Gary is training for a fundraising challenge to raise money for the Yorkshire Air Ambulance.
22:32Two.
22:35He's aiming to complete a 25-mile hike across the Yorkshire Three Peaks in just 12 hours.
22:41Oh, three times.
22:45Time for coffee and cake now.
22:47Do we need you deeper?
22:48Paramedic Gemma and technical crew member Harry are also on shift at the Topcliffe base in North Yorkshire,
22:55but aren't feeling as enthusiastic.
22:57No, I don't want to try it.
22:59I'm not interested.
23:01It'll make me sweat and my hair go curly.
23:03I don't want to stay.
23:03Floor's the end of the shift and I can have a shower.
23:06All these faint young lads that know what's happening here.
23:09Double their age.
23:12I have more than double their age.
23:1431 years on you.
23:16Come on over here.
23:1820 miles away in Stokesley,
23:23a man in his 50s is experiencing sudden chest pains and is calling 999.
23:32The Topcliffe crew are being scrambled to the scene.
23:37Doors on the stretcher.
23:38Oh, close the scare from right.
23:40Scared the right.
23:41Joining them is paramedic Matty.
23:449-9 lifted.
23:45We've been tasked to a 55 year old gentleman in North Yorkshire who's got chest pain.
23:55Sounds like he's got significant cardiac symptoms.
23:57So, assuming he's having a heart attack at that minute.
23:59OK.
24:009-9, ETA, six minutes.
24:03A heart attack means that you've got a plot of blood somewhere in the arteries or vessels that supply your heart.
24:11So, if a patient's suffering a heart attack it means that oxygen isn't getting to the heart muscle.
24:16So, effectively that means that anything beyond the blockage is effectively going to die or stop working and the heart won't function properly anymore.
24:24So, someone who is having a heart attack really needs help quite quickly.
24:28In the UK, someone has a heart attack every five minutes and the sooner they'd receive emergency care, the better their survival rate.
24:49So, one next to the T-junction is a bungalow.
24:54Yeah.
24:54Solar panels.
24:55Solar panels.
24:56Yeah, I got that.
24:56That's where you're going.
24:57That's the one.
24:589-9.
24:58Finals.
25:00Can't see no wires.
25:02Let's check.
25:03Just looks a bit undulating, to be fair.
25:04It's fairly undulating, yeah.
25:06Have we got our way out?
25:0810 o'clock, maybe.
25:09I don't think it is a gate.
25:10I think it's a fence.
25:19Their patient is still on his doorstep, where he collapsed.
25:25What's your name, young man?
25:26Chris.
25:26Chris Burnett.
25:27Chris, have you called me some chest pain?
25:28Yeah.
25:29Yeah.
25:3055-year-old Chris Burnett was working at home when he started to have chest pains and came outside to phone 999.
25:39So, what time did you start with pain this morning?
25:42I haven't been feeling very well for a while, and I thought it's not, John.
25:46It's just in the last hour, really.
25:48Okay.
25:48I thought my blood pressure might have been high, and I did a check, and it was actually quite low.
25:53Okay.
25:55So, arms are a bit achy.
25:57Yeah.
25:58Bit breathless.
25:58Yeah.
25:59Have you got any pain in the middle of your chest?
26:01Yeah.
26:01And what does that feel like?
26:02Can you describe it?
26:03It's not a really sharp pain.
26:04It's like tightness.
26:05A tightness.
26:06Yeah.
26:06I'm going to lift your t-shirt up and have a quick poke on your chest.
26:09Is that all right?
26:09Yeah, yeah.
26:10So, you say that the ambulance service told you to take an aspirin?
26:15Yeah, for aspirin.
26:16For aspirin.
26:16So, you've done that.
26:1775 milligrams.
26:18Yeah.
26:18Yeah, that's right.
26:19That's fine.
26:22Just as you are, nice and relaxed, okay?
26:25Me and Gemma will look after you.
26:26Well, lots of people think that. That's why people don't call. It's fine. You kind of
26:39just do...
26:40At that point, I was like, it's hot. I can't get up, you know.
26:43Chris, you lean forward for me.
26:45They're giving Chris an ECG, a test that records the heart's electrical activity,
26:50including its rate and rhythm, to detect any signs of blockages.
26:54So, that's seven, eight and nine, isn't it?
26:56Still depressed.
26:57Yeah.
26:58So, an ECG is effectively a picture of the heart. It tells us what's happening within the heart's
27:04electrical activity. So, it gives us a moment in time and it gives us an indication of when
27:09something's wrong. Chris had something that was called ST depression and it means that there's a
27:14problem within the electrical system with the heart that it's ischemic, it's not getting enough oxygen
27:19into the muscle. So, it's a really good indicator that there's something happening and we need to sort it out.
27:25Obviously, this ECG that we've taken only tells us what's happening with your heart right now.
27:29With you having these symptoms on and off for a couple of weeks, it may be that what we're looking
27:32at now might be a result of something that's happened a couple of weeks ago. The only way to
27:37be 100% sure is to take you to hospital and do a blood test that we can't do outside your house.
27:41And that blood test just looks for some damage that's been caused from any heart issues.
27:47Okay? If we treat you for worst case scenario that there is an active problem with your heart,
27:52if we give you some medicine, then we're not going to miss anything. All right? So, we'll give you
27:57that spray on your tongue. You've already had the aspirin. I think if we pop a needle into your hand,
28:01we can give you something a little bit stronger for the pain. Air desk from Matty. Our initial 12
28:07DCG has showed some ST depression. Can we give you a bit of a spray under your tongue? Because
28:12sometimes it can help get rid of the pain. Yeah. Is that all right? So, lift your tongue up,
28:17so you're going to feel the spray. Lift it upwards up to the roof of your mouth. Put your tongue on the
28:21top of your mouth. That's it. They're giving Chris glyceryl trinitrate, a heart spray that relaxes
28:26and widens blood vessels, increasing blood flow to the heart. So, sometimes it might, or it might
28:31make you a bit dizzy. Yeah. But we'll keep checking your blood pressure and we'll see how you go with
28:35that. Chris has no history of heart problems, but in recent weeks has been experiencing pain in
28:42his chest and arms. I feel, I felt, I think. You all right, mate? You all right? You all right?
28:47Do you want to lie down? You've got a bit pale, aren't you, bud? Yeah. Come here, then. Let's have a
28:51lie down because you'll make you feel better. Come this way with your head and swing your legs
28:55round towards Matty. Are you ready? It's all right? That's it. That's it. Shuffle your bum around.
29:03You all right? Put this behind your head, bud. Lift your head up. That's it. Rest down.
29:10Shuffle your bum around. Shuffle your hips around. That's better. Shall we put this needle in your
29:17arm? I think it's worth it, eh? Chris felt faint after we gave him the GTN spray, so GTN spray dilates
29:24your vessels, but in doing that, it can also make you feel quite dizzy and it's not uncommon that
29:29patients want to lay down or feel quite unwell because effectively it's dropping your blood pressure.
29:34It might be just that spray that we gave you. I'm fond of an evil. It's going to pass out,
29:38anyway. I haven't done it yet. At least you're lying down. Yeah.
29:43I'm not. It's not. You're going to feel a sharp scratch.
29:46Yeah. That's why I'll probably avoid the doctor, honestly.
29:53Surely I'll just carbon necessary.
29:55Just going to put some more of those sticky dots on your chest, OK?
29:59Because you take your health for granted, don't you? I know.
30:01You've done the right thing in ringing up. I just hope I haven't wasted time.
30:05You've not, mate. You've not wasted anybody's time.
30:07I've done some. Come on.
30:08Yeah, I know. It's nice.
30:09At least it's not raining, eh? While we're in the garden.
30:12Do you want to just sit forward just a touch? Just a little bit. Not too far.
30:16That's it. All right.
30:19Chris will travel to hospital by land ambulance, allowing for closer monitoring of his condition.
30:24So the ambulance is just arriving. Yeah. Hi, are you OK? Hello.
30:29So Chris is 55. He's called us this morning because he's experiencing what he describes as a
30:34tightness across his chest and a sensation into his arm. He says he's had this sensation on and off
30:40intermittently between probably from January, but in the last few days he's had it most days.
30:47So we kind of just think James Cook just for bloods and he was much better for laying down when he
30:53had that GTN last time, really. Blood tests will determine whether Chris is having a heart attack.
30:59Gem. Yeah, mate. My spider senses are telling me he's not an happy customer.
31:04He looks quite pale and grey now, doesn't he? Yeah.
31:06Because of their concerns over his condition,
31:09Matty and Gemma will travel with Chris in the ambulance and the helicopter will meet them there.
31:13Go ahead. Hiya, Fiona. We're about to set off now. Myself and Gemma are travelling in the DCA.
31:19Go over. Chris was alone at home today.
31:22His wife and son aren't aware of his collapse.
31:25Sarah, your missus, yeah? Yeah. And Joe's my son, yeah.
31:30Hi, Sarah. My name's Matt. I'm a paramedic from ambulance service. I don't want you to panic at all.
31:35Just to let you know, Chris has called for 999 this morning because he's got some pain in his chest
31:41and we're taking him to James Cook Hospital, OK? So he's conscious, he's breathing, he's talking to us.
31:47We've done a few ECGs which show that there may be something happening with his heart at the minute,
31:52which is why we want him to get him to the hospital. And I can put him on for you if you want to talk to him.
31:57Yeah, OK. Boss is on phone now, mate.
32:01I'm all right. I'm just sleeping.
32:05It's just, it's just, it's just taking me some shit.
32:08All right.
32:09It's just...
32:09Chris is being taken to the A&E department at James Cook Hospital, where Sarah will meet him.
32:18What's that pain score now, would you say?
32:23What would you give it?
32:24About a five.
32:26About a five?
32:27Just come back up, that's it.
32:29Yeah.
32:30Right, so just keep your arms in.
32:33Hospital staff will now run tests to find out if Chris has a blockage in his arteries,
32:38a problem that could mean heart surgery.
32:48It's Sunday afternoon at the air base, and Dr James is helping paramedic Fiona
33:02practice for an air ambulance charity cricket match.
33:06Most of my balls are going to go from that side to that way.
33:09So once it's bounced?
33:11It's going to go that way, yeah.
33:12Let it bounce?
33:13It's like a trick ball.
33:14Make it bounce there so I can hit it without moving like that.
33:17All right, I've all goofed at you.
33:23Oh, no, go over.
33:25Stay in.
33:28You caught it.
33:29Ouch!
33:33But they'll have to call time on the session as a job is coming.
33:38Fiona's heading out with paramedic Leanne to a sailing club in Knowsborough,
33:42where a man's been knocked unconscious and fallen from his boat.
33:45It's a five-minute flight from the Topcliffe base near Thurse.
33:53There's a landing site right next to the sailing club.
33:56Nine-nine receiving.
33:58Nine-nine receiving.
33:59A bit more UFO that's just popped in.
34:03Boat overturned.
34:05The boat went into the water, went under the water.
34:07Was knocked unconscious from the boat as it capsized.
34:11He's out on dry land now.
34:13There's a first responder that should be there before you,
34:16but you'll be the first ambulance service crew on scene.
34:21Roger.
34:22Thanks, Dave.
34:22So on the way to the job, we were told that somebody had been hit on the head with the
34:28back of the boat, and he had potentially gone under the water as well, was unconscious.
34:31So we were preparing for somebody who potentially had some fluid on the lungs,
34:35and also somebody with a head injury.
34:37It's 20 knots of wind, and there could be boats and sails and things that could lift.
34:42There's got to be plenty of things there that could catch us out.
34:44So what we'll do, because the wind is quite strong,
34:46we'll set ourselves up immediately for finals and just take it really slowly,
34:50and we'll just sort of choose a spot as we're coming in.
34:53How's that?
34:54Yeah, okay.
34:57So if I go for just right of the boats, that'll work for everyone.
35:04They're landing next to Farnham Lake,
35:06where their patience has been taking part in a race.
35:09Stay down.
35:11Nine-nine landed.
35:16Hiya.
35:18Great trip.
35:19Cheers.
35:19It's a nice place, isn't it?
35:22Fellow competitors have helped the injured man into the clubhouse,
35:26where a community first responder, a trained local volunteer, has also just arrived.
35:32Hello.
35:33Hiya.
35:34Nice to meet you.
35:34I'm Leon.
35:35It's Fiona.
35:39He capsized.
35:40He was in the water, and the boat came down on him while he was in the water.
35:43Yeah.
35:43Got an obvious thing on the top of his head.
35:45All we've got so far, so that's 98 plus 71, conscious talking,
35:49DP 4581.
35:52Perfect.
35:52Thank you for that.
35:52And that's as far as we've got at the moment.
35:5477-year-old Arthur Nowell was doing his third lap of the lake when the wind caused his boat to
35:59capsize.
36:00What is it you remember happening then?
36:01It's capsized.
36:03Yeah.
36:05I got the boat as right once.
36:07I couldn't get in.
36:08I got a bit tired.
36:09Okay.
36:09And then it went back over again.
36:12Right.
36:12And I was trying to pull it back up again, and all of a sudden the wind caught the sailor,
36:18and the hollow went right up into the air.
36:20Yeah.
36:21Up above my head, and then it kept crashing down straight up to the bottom of my head.
36:25Okay.
36:26Did you lose consciousness after that then?
36:28I think so.
36:28You think so?
36:29He was conscious for a few seconds, and he did lose consciousness.
36:34Okay.
36:34But only for a number of seconds, really.
36:36So is it just your head?
36:38Yeah.
36:40Have you got any pain in your neck?
36:41No.
36:42No.
36:42Can you rotate your head to both sides?
36:45Yeah.
36:45Lovely, yeah.
36:46Any pain anywhere else?
36:46Don't tell my wifey about the helicopter, will you?
36:49Don't tell me why.
36:51We won't tell anyone, but these guys can't guarantee it.
36:54Could be a little trip up to hospital for you, you know that, don't you?
36:56Yeah.
36:57Right, we'll get you sat up nice and steady for us.
37:00Are you warming off, or are you still wet?
37:04I'm a bit cold now.
37:05We do get anything off.
37:06Yeah, we'll get your T-shirt off.
37:08Is this what you went in in the water?
37:10Yeah.
37:10I've got some new dry shorts and simple.
37:14Have you got any blurred vision or anything?
37:16No.
37:16No?
37:17Any headaches?
37:17Headaches, yeah.
37:19You've got a headache.
37:20Do you feel sick at all?
37:22No.
37:25Ready?
37:25Yeah, yeah, but it's steady.
37:28There you go.
37:30They're concerned about the head wound Arthur suffered when the hull of the boat hit him.
37:35Is that sore there?
37:36Yes.
37:37He's in quite a bit of pain around the outside of it, isn't he?
37:40I feel a bit silly, isn't he?
37:41Well, it's an accident, isn't it?
37:42You can't help it.
37:44It could have been worse, couldn't it?
37:46When you fell into the water, was that just your boat capsized?
37:49Oh, yeah.
37:49You didn't have any pain or anything?
37:50Nothing happened before.
37:50Nothing happened before.
37:51I was tired, that was all.
37:52Oh, good.
37:53I've been sailing all day.
37:54Right, okay.
37:55Usually fit and well then, I'm guessing.
37:56Usually.
37:56Out sailing a few weekends.
37:58So, still, no bloodhagen, no vomiting, no nausea.
38:01No, you just feel a bit woozy and...
38:06And no pain anywhere else.
38:08None in your chest.
38:09No.
38:10It was concerning to hear that he'd had a period of unconsciousness because there's a chance
38:22he's obviously been under water, swallowed some water so there could be fluid on his lungs.
38:26So, listen to his chest, see if there's any, like, noise, wet sounds on his lungs.
38:30Yeah, lovely.
38:33With Leanne satisfied his lungs are clear, Arthur can now concentrate on getting out of his wet clothes.
38:40If you don't want to do it here, do you want to go into changing rooms?
38:43No.
38:44I thought you wanted to change your underpants as well.
38:46Yeah, that would be good.
38:49Do you want us, let's get our towel.
38:54For a bit of dignity.
38:54You didn't tell us you were stripping all the way off, thank you there.
39:02It made a great TV, all this, wouldn't it?
39:08Arthur will be taken by land ambulance to Harrogate District Hospital for further checks.
39:15Cheers, guys.
39:16It's Arthur's first serious sailing accident in the 50 years he's been doing it.
39:22I'd capsized and I'd got the boat up upright and all of a sudden the wind caught it, it
39:29flipped right up in the air, did the hull, and then the hull came down on top of my head,
39:34which was not a good thing. And then I sort of just, everything went a bit wuzzy for a while.
39:41His wife's aware, isn't she? I think someone said, yeah. Is she going to a hospital meeting him there?
39:48Yes, yeah.
39:49We're going to leave you in peace. I'm going to get off.
39:52Okay.
39:52Yeah? You take care.
39:53All right, yeah.
39:54See you later, guys. Cheers.
39:55As Arthur heads for hospital, Leanne and Fiona will fly back to Topcliffe to reset for the next job.
40:01In hospital, blood tests and an angiogram confirm that 55-year-old Chris Burnett had suffered a heart
40:12attack caused by blocked arteries after collapsing at home in Stokesley.
40:17You're a bit pale, aren't you, Wood?
40:18Yeah.
40:19Come here, then.
40:20Let's have a light up.
40:20Let's light your head back that way.
40:21You'll make you feel better.
40:23He's now recovering well after having four stents fitted and taking part in a cardiac rehabilitation program.
40:31Okay, down on him while he was in the water.
40:36Yep.
40:37He was conscious for a few seconds, then he did lose consciousness.
40:41Okay.
40:43After being struck on the head by the hull of his boat, experienced sailor Arthur Nowell underwent CT scans,
40:49which thankfully came back clear. He's now enjoying being back on the lake racing once again.
40:54I'm going to give you something for the pain, but you need to try and relax and calm down just a little
41:05bit before we give you it, okay?
41:0833-year-old Emily Halliday has no memory of the crash that threw her from a motorbike into a dry stone wall.
41:15At first, I didn't think it was that bad, but when I'd come round a bit on the field,
41:20it was when I couldn't, basically, my legs, I couldn't feel my left leg, and yeah, it was awful.
41:30Emily, take some deep breaths for me, love.
41:33On a scale of one to ten, it was a ten. It was worse than labour. Worse.
41:39I had a broken femur, snapped in half, and my ankle were broken in four places as well. Yeah, awful.
41:46Since having surgery, Emily has been on crutches, but hopes to be able to walk her daughter to
41:52school again soon.
41:54When I woke up, I felt lucky to be alive, definitely lucky to be alive and still actually
41:59have my legs there as well. It's made me think about life more and living it more and doing more
42:05exciting things. Safe exciting things.
42:14Claire, get the school base up, mate.
42:1718-year-old Edward Suttle was left injured for seven hours on a remote track after coming off
42:22his quad bike on the way home from a party.
42:25The day of the accident, I was just working, same as normal, and then we decided that we
42:32were going to go to this party, so there was quite a few of us went on different types of bikes,
42:37and we'd had a good time, and I thought I'd best get home, but I didn't quite make it getting home.
42:43The next morning, I obviously wasn't where I should have been, so they thought the best look for me,
42:48and that was, I think, maybe half past seven, eight the next morning, so I'd been there quite a while.
42:53The first thing they did with me in hospital was scan me to find out how bad my head was,
42:59and I'd got two bleeds on the brain, but luckily they didn't have to operate, and they said it was
43:05my short-term memory that had been hit, but really the only thing that I've forgotten is the accident.
43:13I've done quite well to fight through it and still be here.
43:43I've been there.
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