- 5 hours ago
Yorkshire Air 999 - Season 3 Episode 8
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00:01But unforgiving.
00:04And when the landscape turns dangerous...
00:06Patients still breathing but doesn't sound good on the phone, mate.
00:09...and lives hang in the balance...
00:13The crews of the air ambulance are often the first and only lifeline.
00:18Hello. We're coming to help. You okay, buddy?
00:20Delays in getting your patient to hospital
00:22can literally be the difference between life and death.
00:25It was injured his brain.
00:26Let's try and get a little drip in your arm, Cian, all right?
00:29Can you remember anything about us putting your leg into a splint?
00:32No.
00:35The jobs that we're going through can be quite catastrophic.
00:37If we weren't there, the situation could be much worse.
00:40Bringing critical care by air.
00:43That's it. Good lad. Good lad.
00:46You're not allergic to anything. Hey!
00:49This is Yorkshire Air 999.
00:59Today at the Nostal Base in West Yorkshire,
01:03it's fallen to paramedics Chris and Wayne, the crew on shift,
01:07to keep the helicopter clean.
01:09Full of mud after today.
01:10Twice a week the helicopter is cleaned inside and out.
01:14For hygiene, clear visibility,
01:16and to prevent debris from damaging its sensitive instruments.
01:20Each clean also doubles as a vital safety check,
01:23giving the team a chance to inspect every inch
01:26for signs of wear or damage.
01:31What road is this motorbike cost on?
01:34It's up past Ribblehead, towards Haas.
01:39On the air desk, Sam's listening in to a 999 call.
01:42Was it just the one vehicle involved?
01:46Yeah, just the one motorbike.
01:48And he said you think he's broken his leg?
01:50Yeah, it is twisted.
01:52It's a bike who's been found in a ditch.
01:54He was unconscious, now he's not,
01:55then he's got a broken and twisted leg.
01:57The nearest resource is 50 minutes away.
02:00With the helicopter now clean, checked and ready to fly,
02:03it's a 38-mile journey to Ingleton in North Yorkshire,
02:07where a motorcyclist has come off the road into a ditch.
02:11We'll head towards Ribblehead and then it might be a...
02:13Have a look, have a look.
02:15Head desk, 9-9, lifting.
02:19We're going to be about 24 minutes, guys.
02:21Yeah, roger.
02:22The nearest land ambulance is over 50 minutes away,
02:25so the helicopter will save vital time.
02:28Yeah, our DC bike in Ditch,
02:30a motorcyclist has a broken leg,
02:32which is twisted the wrong way.
02:34I don't know any more information, though,
02:36because the caller had to go down to the local village
02:38to get signal.
02:39We'll pass over Penigent, mate, on this.
02:41No worries.
02:42So it's about 2,300.
02:45Yeah, we'll be getting clear of Leeds a bit more,
02:47see if we can climb up,
02:49especially as it's going to get turbulent
02:51behind the hills with the wind direction today.
02:53We're showing an 18, 1-8 minute ETA.
02:579-9, you've got crew 22, 2-2 minutes away.
03:02Yeah, 9-9 acknowledged.
03:04We're just passing Penigent.
03:06We're only three minutes out.
03:07So where we've got this set of trees,
03:10it's going to be to the left-hand side of that,
03:12isn't it?
03:132 o'clock at the end of the road.
03:14Yeah.
03:15I think that's it below.
03:16Yeah, on that bend.
03:17There's no footpath coming off there.
03:19We won't land on the road
03:21just because of how busy that road still looks,
03:23but other than that,
03:24everyone happy to go in?
03:25Roger.
03:26OK.
03:27A desk 9-9, turning finals.
03:30Arriving on scene now.
03:32They're closing the road now.
03:34It is wrong.
03:35I'll take everything.
03:37Landed.
03:39An off-duty paramedic has stopped to help the patient
03:42and is there to update the crew.
03:44Hello. How are you doing?
03:46All right.
03:47So I'm off-duty paramedic.
03:48I came round the corner late after this.
03:50OK.
03:51So he's come round this direction,
03:52doing about 50 miles an hour.
03:54OK.
03:55He did it out on the dirt, obviously.
03:57His bike's ended up in it.
03:58Yeah.
03:59He's got no...
04:00So he's been conscious with me throughout.
04:02All right. OK.
04:03He's got pain in his right femur.
04:05OK.
04:06And he's got a bit of deformity,
04:08but nothing open.
04:09All right. OK. Brilliant.
04:10He's not feeling anything in his feet.
04:13They did say he was unconscious for a bit,
04:16but he's been conscious with me throughout.
04:18Right. OK. Brilliant.
04:19Do you know his name?
04:20Gaz.
04:21He's a three-year-old male.
04:22Any history?
04:23No.
04:24I've got that then.
04:25All right. Lovely.
04:26All right.
04:27All right, mate. Thank you for that.
04:28No worries.
04:3033-year-old father of three, Gaz Gorton,
04:32was out riding with friends when the accident happened.
04:36Hi, mate.
04:37What's your name?
04:38Hi, mate. I'm Wayne.
04:39Hi.
04:40Are you OK?
04:41Yeah, yeah.
04:42Where's your pain?
04:43In my leg.
04:44No pain up here.
04:45I'll give you a quick check, OK?
04:46I'm not going to touch it.
04:49Oh, that pain relief.
04:50All right.
04:51Do you remember everything that happened, mate?
04:53Yeah.
04:54See what happened?
04:55Look at how he jumped on a brake.
04:58And this is where you've landed?
05:01Yeah.
05:02Are you pain up your arm here?
05:04Up here?
05:05Obviously, come out for a day out, man.
05:07It's come out of bend.
05:09They want to do him fifth day,
05:10and it's come straight off on the bend.
05:11The bend's caught him out.
05:13But it's flipped over.
05:14Flipped all the fence,
05:15and so I think he's broke his leg.
05:18We're going to cut some of your clothes, buddy.
05:20All right.
05:21Gaz, let me know when you feel any pain, OK?
05:22Oh, please go.
05:23I'm going to do it once and once only, mate.
05:25Oh, please go.
05:26I'm not going to press hard.
05:27Just let me know.
05:28Is it this leg?
05:29This all right?
05:32Yeah.
05:33Ah!
05:34Here you are.
05:35Ah!
05:36Right, we just need to check, buddy.
05:37All right.
05:38Please, doctor, it's in that leg.
05:40We just need to have a quick look.
05:41Oh, down here.
05:42So I'll have some pain relief.
05:44So the main sort of areas of concern is left femur and right leg.
05:49There's absent cap refill and CRT.
05:54Wayne is concerned the patient shows no CRT, or capillary refill time.
05:59The test checks how fast blood returns to the skin after pressure.
06:04Gaz's colour isn't coming back, suggesting blood isn't reaching his foot.
06:10So we'll give you some pain relief, man.
06:12Look to straighten your leg.
06:13It's a drug called ketamine.
06:14Have you ever heard of it?
06:15Have you ever had it?
06:16No.
06:17I'm getting cold here tomorrow.
06:18Yeah, we're going to get a blanket on you, mate.
06:19Don't worry.
06:20We've got some stuff coming over now.
06:22Just straighten that arm out there, mate.
06:24The team need to straighten Gaz's leg to restore blood flow to his foot.
06:29Without it, oxygen is cut off and the tissue could die, leading to permanent damage.
06:34Helmet contact by the visor.
06:37But first they'll need to give him powerful drugs to manage his pain.
06:41Are you cold, mate?
06:42Yeah.
06:43Really cold.
06:44Get a blanket on you, mate.
06:45OK, we'll try and work as fast as we can, mate, all right?
06:48That's it.
06:49All done.
06:50Just keep you around nice and still for us.
06:54They're preparing ketamine, a strong painkiller, which can have hallucinogenic side effects.
07:00One of the drugs we're going to give you might make you feel a little bit spaced.
07:04When we move your leg, you'll still feel some discomfort, but you just won't remember anything about it.
07:09The plan would be ketamine, sedate, manually pull, traction splint, and then if we can,
07:18get some hands just to move in so we can get that scoop laid under.
07:21Yeah.
07:22So we just get the scoop splint and ready to go, mate.
07:24Is that all right?
07:25All right, guys, so in a minute, we're going to give him a particular drug,
07:30but we don't need any loud noises or any shouts or anything like that.
07:33All right, we just need to keep him sort of chilled and quiet,
07:35because otherwise it can just cause hallucinations and make him feel worse than he is.
07:39All right.
07:40So when we start, we just need all noise down.
07:42All right.
07:45Yeah, cool.
07:48So there's that when you're happy at the top end and win.
07:51Glad they're swirling around the back now.
07:56This is going to be 30s, Avenue.
07:57I'm going to be expecting about another 10.
07:59It'll be about half a minute.
08:02Gaz?
08:03Yeah, let's go for it, mate.
08:05Gaz, let's go for it, mate.
08:06OK.
08:07With the ketamine taking effect,
08:09they're attempting to straighten Gaz's broken leg,
08:12using a Kendrick traction splint.
08:20I'll just go for a bit more.
08:26All right, OK.
08:27We'll just secure it there.
08:28You're happy, Chris?
08:29Yeah.
08:30With Gaz's leg secured in the splint, they can prepare to fly him to the nearest major trauma centre.
08:43That's it.
08:44That's it.
08:45Legs in.
08:46Happy to roll, mate.
08:47Yeah, ready, set, roll, guys.
08:50That's it.
08:51Lovely job.
08:53Police have closed the road, so pilot Paul is repositioning the helicopter closer.
08:58All right, buddy.
08:59Yeah.
09:00He's quite tachycardic, considering he's flat, so we'll keep an eye on that.
09:02There's quite a bit of swelling around his team, so I don't know if it's wet.
09:03Yeah, I think he might.
09:04Gaz is tachycardic, meaning his heart rate is rising, and the swelling in his leg could indicate internal bleeding.
09:19So the crew are giving him tranexamic acid, or TXA, a drug that helps control blood loss.
09:26That's TXA.
09:27Yeah.
09:28OK, on lift.
09:29Ready, steady, lift.
09:34OK, happy.
09:41Well done, you're doing really, really well.
09:42Nice, slow breaths.
09:44Your phone, I don't know where your phone is.
09:48Your jacket.
09:49Your jacket.
09:50We'll see if you can find it, all right.
09:52We'll get your arm put nice and warm, get you on the helicopter, and now have a look at that phone.
09:57We're on lock.
09:59You had an accident.
10:01Up near Ribblehead.
10:03I'm just going to take it to Preston.
10:05On lift then.
10:06Ready, steady, lift.
10:10Just relax, buddy.
10:11Oh!
10:12Oh!
10:16Oh!
10:18Oh!
10:20Oh!
10:21Please get the phone.
10:23I've got the key.
10:24Just relax.
10:25I'm going to give you something else for the pin, all right?
10:27OK.
10:30Oh, we've got your phone for you, love.
10:32Oh, God.
10:33All right, we're going to be here.
10:34I'll see you.
10:35OK.
10:37Right, keep your arms tucked in, now, buddy.
10:38OK, ready, steady, push.
10:41Oh!
10:44We'll get you some more pain relief, mate, OK?
10:47I'm going to put them on your ear so it's not too noisy, buddy.
10:50Oh, please, don't worry.
10:52Yeah, police are going to do that, bud.
10:54Happy for me to start, guys?
10:55Yeah, happy.
10:59All right, start to you.
11:00Roger.
11:04Yeah.
11:05Yeah.
11:06Roger.
11:07We'll divert to Lancaster.
11:09Air desk from 9-9.
11:10Our ETA is seven minutes.
11:23Be with that, in the back
11:25Oh yeah, yeah
11:27Yeah roger, we'll divert to Leicester
11:31Air desk from 99, our ETA is 7 minutes
11:35What a day
11:37What a day
11:3899 turning vinyls
11:40100 feet acknowledged
11:42Roger
11:43Clear left
11:46Windy
11:50Air desk, 99, landed
11:53Gaz will be taken to a waiting trauma team for assessment
11:58Lovely
11:59His wife and children are on their way
12:16You alright there?
12:18I'll do all the cleaning, Andy
12:20At the Topcliffe base in North Yorkshire
12:22Paramedic Sam is having a tidy up
12:29Any other cleaning that you need doing?
12:31But over at the air desk at HQ, a job has come in
12:41Harry, can I pass you a job please in Moulton?
12:44Job!
12:46Yeah, it's a guy who's been kicked by a horse in the leg whilst on the horse and has fallen off pain in the lower leg
12:53Here we go
12:54Here we go
12:55Sam along with Paramedic Andy is being scrambled to a race horse training facility in Moulton
13:00A historic market town, situated between York and Scarborough in North Yorkshire
13:05Here we go
13:06Here we go
13:07Here we go
13:08Here we go
13:09Have we got everything we need?
13:10Pilot Harry and technical crew member Steve will fly them the 20 miles, which will take just 15 minutes
13:16Er, visor's down, pilot's brief
13:19We're lifting to Hoverk over there, check the wind and depart, according to England
13:22Roger
13:23Happy in the back
13:24Happy, yep
13:25Go on, pass, come in
13:269-9, lifting
13:279-9, Alfa is departing down the north-south taxiway
13:32Eris from 9-9, we are at Barnery, 7 minute ETA
13:38When you go to a horse, Ryan, that's something kicked by a horse, injuries can be extensive
13:44So it can be something as simple as just a broken bone
13:47You don't know exactly what the extent of the injuries are going to be until you actually get there
13:52So Wayne's listened to this job and he was quite concerned about it because he's on the floor, can't take his boot off it
13:56He's in a lot of pain in his leg
13:58He could have an open fracture, that could be quite nasty underneath, could be a lot of bleeding and a lot of pain
14:03Might need to pull it straight, give him some analgesia
14:06And er, take him to hospital for an x-ray and maybe surgery
14:11Overhead
14:15Gallops are down underneath us now as well as the actual Stables Complex in the 3 o'clock
14:21It would 2 o'clock now, the big square one near the road
14:25Got access out as well, isn't it?
14:27Yep
14:28I'll prove that mate
14:29There you go, levers fully down, you are clear to upstop
14:32Cheers
14:339-9, landed
14:34Hello
14:35I'm Sam, this is Andy
14:36Hello
14:37How are we doing?
14:38Not so well
14:3936-year-old Tim Ayres trains racehorses and was making his way back to the yard when he got kicked
14:56So what happened?
15:00I was on my horse and they wanted in front of me
15:02Yeah
15:03Someone set my horse off, he shot forward a little bit
15:05Yeah
15:06And they wanted in front of me just double bowed
15:08Okay
15:09And got the inside, somehow got the inside of my leg but like, full blast
15:13Okay
15:14Did he knock yourself out at all?
15:16No, I just came, I just, I came straight off
15:18So it's just an injury to your leg then that we're concerned about as opposed to potentials for anywhere else?
15:23I think so
15:24Yeah
15:25Erm, you laid a bit funny against there, is that just because it's too painful to move at all?
15:29I can't, I want to go and move a little bit but I feel something clicking in my leg
15:34Okay
15:35It's like grinding
15:36The grinding, also known as crepitus, is a symptom of fractured bones rubbing against each other
15:43This movement can damage nearby blood vessels, nerves or muscle
15:47If the blood flow is restricted then it's not getting to where it needs to be
15:53So with any fracture you can get a cut off of blood supplies, the bones broken underneath
15:58It can go through the blood vessels, it can go through the nerves
16:01So there is a real risk of essentially dying tissue further away from the injury
16:05You've just got a leg with tissues and muscle and all sorts that isn't getting what it needs to be able to survive
16:12In order to ensure a blood supply to Tim's foot they'll need to straighten his leg
16:16A painful procedure that will require ketamine, the strongest pain relief the air ambulance carries
16:22We're not going to have a look at your leg too much until we've given you some of that
16:26Because obviously you're in a lot of pain
16:27But what I will do is I'll just chop up your trousers if that's alright
16:29Can I have a look at this hand?
16:31Does it hurt anywhere else?
16:35No, it's just all up there
16:37All there?
16:38Yeah
16:39Are these boots expensive? Daft question, isn't it?
16:45If it hurts too much just let me know and I'll stop doing what I'm doing
16:48Just so we can try and have a better look if we can
16:51Is there anything I can help with?
16:54We'll just need a vacuum splint
16:56Yeah, is that alright?
16:57Thank you
16:58And potentially some Entinox as well
17:01A land ambulance team have also arrived on scene to support the crew
17:06I might have to chop your boots maybe
17:08But I'll try not to
17:10Tim is being given Entinox or gas and air
17:15A mixture of nitrous oxide and oxygen
17:17That will help ease the pain as they prepare to remove his boot
17:22He'll then be given ketamine
17:24An analgesic and disassociative drug
17:26While they attempt to straighten his leg
17:29Give your hand a squeeze a few times for me
17:35Keep going
17:37So this stuff we're going to give you
17:39I'll tell you before we're going to do it
17:40Alright, but it'll take all your pain away
17:43You won't remember anything about it
17:45Sometimes you can hallucinate and see stuff
17:48And that's just completely normal
17:49So just go with it
17:51Ketamine was first used medically in the 1970s
17:54And its effects can vary from person to person
17:57Depending on the dose, how it's given
17:59And individual differences in the way the brain responds
18:02Think of somewhere nice and sunny or wherever you like to be
18:05When I'm going to come back, I'm a holiday
18:08Where have you been?
18:09In Barcelona
18:10Very nice
18:12How long for?
18:14A week
18:15A bit of a beach holiday then
18:17No, no, it's not a beach, is it Barcelona?
18:18It's a city
18:20It's a city with a beach
18:22Not a bridge, innit?
18:24Two with a beach
18:25Ever been to Bridlington?
18:27Ever been to Bridlington before?
18:29It's not like Barcelona
18:30No
18:33I really need to pick my audience when I ask that question
18:36With the Ketamine taking effect
18:38Sam and Andy can move Tim onto the scoop stretcher
18:42And remove his boot, ready to straighten his leg
18:45Well done
18:49He will scream, he won't remember anything about it
18:51Sometimes people get quite shouty
18:54Sometimes people just go to sleep
18:56And everyone reacts a little bit differently to it
18:58It dissociates them from that reality of what's happening
19:01I'll just grab this on in a minute
19:04Now that the boot's been removed
19:06Andy is able to carefully realign the lower leg
19:10Give me a touch with this
19:14Relax that we can
19:15We got you
19:16There you go
19:18Just relax this leg down for me
19:21Just relax it
19:23Just relax, just relax
19:25Nice and relaxed
19:27Nice and relaxed
19:28With Tim's leg now straightened
19:31It's being placed into a vacuum splint
19:33The splint is filled with tiny beads
19:35That mould and compact around the leg
19:37As the air is removed
19:39Keeping the bones aligned for the journey to hospital
19:46Beautiful
19:48We'll get him up onto that stretcher
19:50And we can have a better look at him
19:52Well done Tim
19:54Just pop that hand across there for me
19:55This is all completely normal
19:57It's just the effect of the drug
19:59He won't remember anything
20:01Ready?
20:03You'll feel like you're falling, you're not
20:05The office manager at the stables found Tim
20:11And called for help when the accident happened
20:13So we'll do an x-ray of his leg
20:16Yeah
20:17But essentially he has broken his right lower leg
20:21Okay
20:22There's no bones sticking out of the skin
20:23Which is good
20:24Okay
20:25But you can feel it wobbling around underneath
20:26Yeah, he was saying that off
20:28Yeah, so he needs an x-ray just to see where it's broken
20:29And how bad it's broken
20:30Yeah
20:31And then that'll depend whether it needs surgery
20:32Or whether they can just sort of splint it and go
20:35Tim?
20:36Yeah?
20:37How we doing?
20:38I'm still here
20:39I'll ask you again, what do you think of Bridlington?
20:41Oh!
20:43There we go
20:47Right, Tim, a bit bumpy
20:54The effects of ketamine fade within 10 to 15 minutes
20:57And as it wears off, Tim will be transported by land ambulance to York Hospital
21:02Nice to meet you
21:03Thank you very much
21:04Take care of yourself
21:05All right
21:06You're welcome
21:07Leaving Sam, Andy and the helicopter available to attend the next emergency
21:11Assess part ribbon
21:29Beautiful
21:3030 miles north of Leeds
21:31Paramedics Andy and Stu are restocking the rapid response vehicle
21:35Ahead of the shift changeover
21:37The helicopter is offline for engineering
21:40So we are checking the car
21:42So we can just carry on responding
21:44We carry all the same stuff on the car as we do on the heli
21:47With just one hour left of their 12-hour shift
21:50Terry-Ann is on the air desk
21:52Tracking 999 calls for medical help
21:55Coming in from across the county
21:57How old is she?
21:59She's 19
22:0119
22:02Yeah
22:03Okay
22:04I just need to confirm
22:05Is she conscious right now?
22:07No, she's in and out of consciousness
22:10Hello, it's Terry-Ann from the air desk
22:12You're going to a 19-year-old
22:13Who's in and out of consciousness
22:14After falling from a bike
22:16She's smashed her face on the floor
22:18It's in a woods somewhere
22:21Yeah
22:22She's sending Stu and Paramedic Fiona
22:24In the rapid response car
22:29Hi, hello
22:30Hi
22:31Hi
22:32Yeah, yeah
22:33She walked a little bit
22:34Okay
22:35She could look around the mountain
22:37Okay
22:38What are we?
22:39I'm organizing help for you now
22:40Feel the ride
22:41They're driving into the North York Moors National Park
22:45Where their patient has fallen off a mountain bike
22:48On a track five miles from the nearest main road
22:51Land ambulance paramedics are already at the scene
22:55Ready to hand over to Fiona and Stu
22:57Who are trained in specialist critical care
23:00Hello
23:01Yes, are you?
23:02Oh dear
23:04Yes
23:05This is Caitlin
23:06She's 18-year-old
23:08Hello, Kate
23:09She is responding and being commands
23:12But she's not talking
23:14Caitlin Sharp was out for a ride
23:16With both her boyfriend and dad
23:18When she came off on the hill
23:20The initial concerns for Caitlin
23:21Was that she had suffered quite a significant head injury
23:24She'd come off a bike
23:25And you could see that it was a very fast trail
23:27She'd come off at speed
23:28Caitlin wasn't particularly responsive
23:31There was an initial concern
23:32That she may have done some significant brain damage
23:35She appeared quite poorly at first glance
23:38Can we get...
23:39I think 9-8 is available
23:41Yeah, C9-8
23:42Yeah
23:43Although Caitlin is conscious
23:45And able to open her eyes
23:47The fact she can't speak is worrying
23:49It's clear to Fiona and Stu
23:51That Caitlin has a serious head injury
23:53And may need to be put into a medically induced coma by a doctor
23:57A procedure called an RSI
24:00They're requesting backup from the crew at the West Yorkshire base
24:04Who can respond in a second air ambulance
24:06HeliMed 9-8
24:08Where can we land here?
24:09Do you reckon?
24:10Somewhere big and flat
24:11We can land a helicopter
24:12Tennis court
24:14Perfect
24:159-9 air desk
24:17Go ahead and go
24:19Go ahead and go
24:20Hi Therian
24:22We are at scene now
24:24Is 9-8 available to come back us up?
24:26PHONE RINGS
24:28Yeah, they are
24:30It's all sorted and they're coming towards you
24:32Absolutely perfect
24:34Therian
24:35I thank the attendance court for the hall that they will be able to wander
24:38PHONE RINGS
24:39That sounds perfect
24:40Thank you
24:41Caitlin
24:42Hello, love
24:43My name's Fiona
24:44Do you know what day it is?
24:46Can you talk to me?
24:49Just gonna have a look in your eyes with my torch, love
24:52I don't suppose you've had a feel at the back of her head, have you?
24:57No, we haven't moved in there for anything yet
24:59You're gonna be sick?
25:01No
25:02You're gonna be sick?
25:03No
25:04We'll crush your legs for us, Caitlin
25:06Can you just do a proper GCS assessment please?
25:10The Glasgow Coma Scale, or GCS
25:13Is used to measure a patient's level of consciousness
25:16With scores ranging from 1 to 15
25:19I'll do another blood pressure
25:21Caitlin is at 11
25:23A level usually associated with moderate traumatic brain injury
25:27Who are you, Caitlin, pal?
25:29Boyfriend
25:30So what we're gonna do, mate
25:31Is we ask the helicopter to come
25:33Okay, that's got a doctor on board
25:35Okay, we're gonna assess
25:36We're gonna get some painkillers
25:38And, er, it might be that
25:40Because she's a little bit
25:41A bit flat
25:42She'll give her head a good knock
25:43Yeah
25:44The doctor might decide
25:45That he's gonna put her to sleep
25:47That's something that we do all the time
25:49Yeah
25:50All right
25:51We just can't do it
25:52We need the doctor to do it
25:53Caitlin and her boyfriend, Tristan
25:55We're nearing the end of their evening bike ride
25:57When the accident happened
25:58What we'll do
25:59Is we'll put her on a scoop here
26:00Colour and board are here
26:01Or, um, blocks here
26:03Get her ready for an RSI
26:05By the time that happens
26:06God, that was quick, wasn't it?
26:12Within minutes of Fiona and Stu
26:13Requesting Heli-Man 9-8
26:15They're landing
26:16Should we give her some oxygen?
26:21And, erm...
26:22What's the sats?
26:24There we are
26:269-7
26:27What's the matter, Caitlin?
26:29Where are you hurting, darling?
26:30No
26:31No
26:32No
26:33You're back?
26:34You're back
26:35Hey, that's the thing you've said
26:37And her, erm...
26:39I think we'll just be careful with her neck
26:41Because she looks like she's gone
26:43She might hyperflex, won't she?
26:45When we talk about somebody hyperflexing her neck
26:47It means it's bent back beyond normal range
26:49Which can damage the nerves, damage the muscles
26:51And potentially cause a spinal injury
26:54Caitlin?
26:56Where does it hurt?
26:58Your back? Anywhere else?
27:01Your tongue?
27:03Can you stick your tongue out for me?
27:06OK, you've cut your lip
27:08That might be that
27:09You've got any pain in your chest?
27:11No
27:12I'm just going to have a listen to your chest
27:18She has got abrasions on her chest, hasn't she?
27:20Yeah
27:21She's literally gone face first and chest
27:24So she's probably hyperflexed her neck, hasn't she?
27:26She's got back pain
27:27Let's, erm...
27:28Are you all right with the head end there, yeah?
27:29Yeah
27:30You can just...
27:31Caitlin, you try and stay nice and still, love
27:33We're going to move you
27:34But we want to keep you still if we can, OK?
27:37Because Fiona and Stu suspect an injury to Caitlin's spine
27:40They're putting her onto a scoop stretcher
27:43Which will restrict any damaging movement
27:46You stay where you are, love
27:48I'll hold this with my knee
27:50Right
27:51If we slightly roll her this way
27:53Because it's...
27:54You want to call it on her head
27:55And then we can roll
27:58Well done, love
27:59Help
28:00Help
28:01Where's that hurting, Caitlin?
28:03Help
28:04You're back
28:05Help
28:06Potentially
28:08That's fine, isn't it?
28:09Yeah
28:10I'll give her a bit of morphine, I think
28:12My pressure's OK, innit?
28:14Someone down to try on some morphine
28:16Consultant Dr James and paramedic Tom
28:20Landed at the nearby Country Hall
28:22The groundsman has given them a lift in his pickup truck
28:26Hello
28:27Hello
28:28We've got Caitlin, 18 years old
28:31She's been coming down this hill
28:33There's been a push bike in front of her
28:35A boyfriend on a push bike behind her
28:37He's seen her go over
28:39It appears that she's gone head over
28:43She's got a big laceration to the top of her head
28:46A big laceration to the front of her face and her chin
28:48She's complaining of pain in her mouth and her tongue
28:50Her GCS initially when we got here was...
28:53Eleven
28:54Eleven
28:55She's started responding to us and talking to us now
28:57She does have some gravel rash on her chest
28:59So we think she might have hyperflexed her neck
29:01She didn't speak to the crew until we got here
29:04And it was a good 15 minutes until they could find her
29:07So she has been reduced GCS
29:09But as it is at the moment, she's talking to us
29:12What's sore at the minute? Is it mainly your head?
29:15Yeah
29:16Libby, you'll take some deep breaths in and out for me
29:20Is that sore? Where's that sore?
29:24In your back?
29:26I've done
29:28She's obviously got a head injury
29:31Possible neck and back injury
29:33Her GCS has improved so she's not going to need an RSI
29:36Caitlin's Glasgow Coma Scale improved
29:39So she went from being at the bottom end of the scale
29:42Which is an unresponsive patient
29:43But she could converse with us
29:45So that's a sign that her brain is getting the oxygen it needs
29:47So we probably don't need to put someone to sleep
29:49But the fact that she had a potential spinal injury and a head injury
29:53It meant that she needed an MRI scan quite quickly or a CT scan
29:57Caitlin is in a remote part of the Moors
30:01More than an hour's drive from the nearest major trauma centre
30:04At the James Cook Hospital in Middlesbrough
30:06So she'll be flown by helicopter which will take just seven minutes
30:10Let's try and get her onto the back of this picture
30:13The groundsman has offered to drive her to the aircraft in his truck
30:17I'm going to put you in a big sleeping bag
30:18It's going to go over your head
30:19And your head will poke out
30:21It's going to be a bit weird because you're in the back of a pickup truck
30:40We're just taking you to the helicopter
30:42Nice and steady
30:44Go ahead Fee
30:50James and Tom are with us
30:51They're just transporting the patient down on a truck to the ambulance
30:54I'm going to reassess from there
30:56It's a good hour to James Cook from here
30:59She's GCS 14
31:01She has significant facial injuries and back pain
31:05Caitlin's family are keen mountain bikers
31:07And she's been riding since she was 13
31:10Her dad went to a nearby house to call 999 after the accident
31:14As they couldn't get a phone signal
31:16She's talking
31:17She's just a bit confused
31:19She's just got some nasty injuries to her face
31:22Yeah
31:23And she's complaining of back pain
31:26So we're just going to keep her nice and still
31:27Because if she's fallen and landed on her face
31:29She might have hurt her neck
31:30So we'll just keep her nice and flat
31:31And see where we go from there
31:33We're going to put you in a helicopter
31:35And we're going to fly you to James Cook Hospital
31:38You ready?
31:39I need you, Tom?
31:40I'm off
31:41Caitlin will be taken to hospital for scans to assess the extent of her neck, spinal and facial injuries
32:03Hello!
32:04Hello!
32:05Are you having fun?
32:06At the North Yorkshire base near Thirsk, paramedic Danny and the team are cleaning their helicopter between call-outs
32:10Today is helicopter cleaning day
32:11So we all work together to make it spick and span
32:13And even more yellow than it already is
32:14Super yellow
32:15Super yellow
32:16It's really hot
32:17It's really hot
32:18There's a sponge
32:19Well done
32:20It's beautiful
32:21A cup of tea and coffee
32:22Not both, one or the other normally
32:24Biscuit maybe
32:25Yeah
32:26Biscuit maybe
32:27Yeah
32:28Yeah
32:29Biscuit maybe
32:30Biscuit maybe
32:31Yeah
32:32Their next task comes from the island
32:33Air desk at headquarters
32:34And down in the house
32:35And down in the back of the area
32:36So we're going to be able to do everything
32:37We're going to look at the lake
32:38So we're going to make it spick and span
32:39Even more yellow than it already is
32:40Super yellow
32:41Super yellow
32:42Super yellow
32:43It's really hot
32:44There's a sponge
32:45Well done
32:46It's beautiful
32:47Cup of tea and coffee
32:48Not both
32:49One or the other normally
32:50Biscuit maybe
32:51There
32:52their next task comes from the air desk at headquarters and danny is dispatched with
33:05paramedic tom they're flying 39 miles to ribblehead in engleton where a man has collapsed showing
33:12symptoms of a stroke so we were told that we were going to a gentleman we'd had something called a
33:36fast positive which is an acronym for a patient having a stroke so have they got any facial
33:41weakness any arm weakness or any speech difficulties and if they have that could be indicative that
33:45they're having a stroke so it's really important that if a patient's having a stroke that it gets
33:49identified nice and early every minute that they're not being treated there's potential
33:54that they're suffering damage to their brain we are heading into the mountains team and uh
33:59rain is getting a bit heavier let's keep a sharp eye out for any sort of hazards on our a cams
34:06their patient had been walking near the famous ribblehead viaduct
34:09the victorian railway bridge in the yorkshire dales national park when he started to feel unwell
34:15at a pub where he was about to have lunch nine nine overhead right well uh how about you see where
34:22the boulders are next to pass yeah that sounds good in that corner in the little in between the van and
34:27the boulders yeah perfect cool okay nine nine final should i tell you i'm just going to put it on this
34:33side just because quite close to those people otherwise clear left okay settled we're in limits fully down
34:44and cleared out so what are your customers yeah yeah we'll just crack off some food and that suit just went down okay
35:00hello hello how are you doing all right i'm tom this is danny hello doing all right hi nick
35:11do you know what's happened to you today i was dead you passed out yeah have you been feeling well
35:15at all or unwell um first recovery uh uh in may you had a heart attack in may okay 71 year old nick tate
35:28was with his wife daughter and son-in-law when he collapsed so strange thing but open your mouth
35:32and stick your tongue out for a minute lovely stuff there you can pop it back now take a deep breath for me
35:38good and then out does that feel okay and again for me and out all right so bees are right now increased
35:48work of breathing radial pulse is there but it's a little bit weak it feels nice and regular
35:55good can you smile for me not really no okay okay i can smile you can smile but is that is that since
36:06you're up but you can't do that okay are you able to squeeze my hands nick give him a good squeeze
36:11both hands together lovely stuff pull my fingers towards you love your stuff push them away
36:20nick's heart history and recent cancer surgery are making it more difficult for tom to determine
36:26whether his symptoms are stroke related have you got a headache or do at all
36:30um intermittent intermittent okay when how long has that been for
36:37just before i passed passed out okay are you his wife so when you look at nick's face in regards
36:46symmetry does it look how it would normally look to you yeah that was the um the surgery the surgery
36:52that was absolutely was it cancer sorry yeah okay what happened was we've been for a walk
36:58came in to get some food yep and he decided what he wanted yep went to the bar and suddenly realized
37:07we haven't asked about drinks so i came back to ask him and he was totally alone okay and his head
37:14was going right there yeah it was falling forward how far have you walked today
37:19um okay just with the viaduct sharp scratching his finger nick so nick i think what our plan would
37:27be is we'll do the ccg we'll have a look what that looks like um and then we'll look at just gently
37:33taking our time to sit you up and see how you respond to that as well in regards obvious stroke
37:39signs which i think is what you called in for facial weakness is hard to tell but you said actually
37:42looks normal and he's speaking he's conversing he knows where he is you've got good strength
37:47in your grip we just want to do a few other things like see how you are balance wise just
37:51to make sure there's nothing there that we're that we're missing as well your blood sugar's okay
37:54and all the observations we can do look all right right but something and there's other things that
37:59can potentially be wrong that we don't that we don't spot so we'll do the ccg then we'll just take
38:04our time and stand you upright we're happy to spend time in the pub all right don't feel bad for
38:09getting us out all right so nick had explained that he'd had a recent heart attack in the last
38:16three weeks and that he's recovering from that as well that really causes concern because
38:20is this episode that he's having today related to that or is it something on top of what he's
38:24already experienced the last couple of weeks so looking at your ecg that looks how i expect it to
38:31look considering your your history everything's where it should be and nothing's where it shouldn't
38:36so that looks fine all right so when you're ready just sit up onto your bum and just acclimatize and
38:42sort of work on where you are we can help you as well nick i feel like there we go this is where
38:55you find your six foot five isn't it hello oh lad you all right right so let's do that again now
39:04it's fast negative but we just do another sign so we just basically yeah yeah yeah just get him up
39:10so after doing a full assessment there's nothing acute that needed uh interventions in a specialist
39:15hospital so dca double cruise ambulance was able to treat nick further i think nick's probably
39:24exerted himself it sounds like he's had like a long walk and he knew that he was tired and wanted
39:28something to eat which is why they've gone into the pub and i think probably for him it was probably just a
39:32little bit too late so you must be well now because she's going to start telling you off
39:40which is the right thing to do how does that feel that walk does that feel normal to you
39:45yeah and he seems back to his usual self yeah all right he's responding well he's started to
39:57remember where he is able to communicate with us so he's definitely improving our colleague from
40:02the ambassador here just to assess him a little bit further and decide whether or not whether he needs
40:05to go to hospital for the team it's back to base after a well-earned treat thanks mate sorry wow
40:17thanks rory thank you very much thank you everyone
40:26if it hurts too much just let me know and i'll stop doing what i'm doing
40:2836 year old tim airs spent four days in hospital after being kicked in the leg by a racehorse he needed
40:35surgery to repair a fractured tibia and now recovering well hopes to be back training his horses in the
40:41coming weeks
40:48how far have you walked today as paramedic tom had suspected nick tate's collapse was found to be
40:53caused by heat exhaustion and not a stroke nick was cleared to return home to warrington that day
41:02and continues to have regular health checks
41:09oh dear after a mountain biking accident in the north york moors 19 year old caitlin was flown to
41:16the james cook hospital in middlesbrough i've got a fractured jaw in multiple places i've got
41:23a broken tooth i've bit my tongue i had several small little fractures in my nose and i've got a t7
41:31fracture in my spine as well as the ligament between my t7 and my t8 is damaged you can see all of the
41:38blood all over the helmet from my face and it also has come inside to the straps so i can definitely
41:44say that this helmet saved my life on that day despite her injuries she hopes to be back on her bike
41:50soon i can't actually remember the accident so i don't think it will scare me away from biking
41:55hurtfully 33 year old biker gaz gorton was out on a ride with friends when he came off on a bend
42:07there were a few of us went out it was a nice sunday day you know i stopped at a village at a bacon
42:11butter and then on the day actually my mum's birthday so i said to lads i said i'm heading off back
42:17all right and i remember coming off when i woke up everything was fuzzing you know buzzing and
42:22everything and then first thing i did was like checking my body because then when i looked down
42:27i noticed like it was yeah it was mangled he was in hospital for three weeks they took me down and
42:33they tried to save my leg well cut story short they couldn't the blood weren't getting to the foot so
42:38i think it was like two days in that's when he decided to amputate my leg gaz now has a prosthetic
42:45leg and is undergoing rehabilitation oh well it's been hard it's been really hard you know just a
42:51simple fix before getting up making a brew is it's no longer simple you know i've had my prosthetic for
42:58just over a week now but before that i basically relied on my wife and everything you know but you've
43:02just got to be mentally positive you know if i have that 10 minutes of feeling a bit you know i've
43:07lost my leg i just fix myself hold on there's some some some guy up the road or woman up the robots
43:13never even made it home to the kids so okay you know i'm very grateful and i'm sat here
43:32so
43:43so
43:45so
43:51you
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