- 9 hours ago
Yorkshire Air 999 - Season 3 Episode 5
Category
🎥
Short filmTranscript
00:03Yorkshire. 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 us then? 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.
00:48Good lad. Good lad. You're not allergic to anything. Hey!
00:54This is Yorkshire Air 999.
01:04We'll pretend this casualty is someone who's got a pneumothorax.
01:08Between jobs, the air ambulance teams practice life-saving medical procedures they may need to
01:13perform on scene. The best thing to do is get their arms outstretched. They're on a trolley,
01:18but if it's a traumatic situation, traumatic cardiac arrest, they're going to be on the floor.
01:23Yeah. Today at the Nostal Base in West Yorkshire, Dr. David and paramedic Danny are doing some
01:28training with one of David's homemade dummies. So what I'm doing this morning is going through with
01:33Danny on essentially doing his finger thaw across. So putting your fingers in chest to try and release
01:38massive air leaks. We're using one of the models that I've made at home in my garage. I've got quite
01:43a few
01:43things to do. And they often complement using our sim body trauma mannequins that we have on base.
01:50We just need to make sure we can do these procedures. And so practice makes perfect.
01:54I can't cook. No good at that. But I can make models in the garage. It's great.
01:59How does that sound? Are you happy with that? Good.
02:06Each day, a dedicated dispatcher, or one of the paramedics, monitors the 999 calls coming in from
02:12across Yorkshire. And he's spotted a number of calls coming in about a multi-vehicle incident on
02:21the M18. The helicopter is having its weekly service. So Wayne is sending the team in the
02:30rapid response vehicle, which carries all the same drugs and equipment as the aircraft.
02:35Hey, there's your medic. Could you send the job down to the car again?
02:39Roger. Within minutes of the first 999 call, Dr. David and paramedic Gemma are en route to
02:46Doncaster. We're potentially going into a lorry crash on the motorway.
02:50A 50-year-old male has a purported ground conscious. A lorry travelling at 40 miles an hour has crashed
02:56into
02:56the back of a stationary lorry. Information update from highways is driver does need extricating
03:02at the minute the condition of the patient's not known. I presume you've got the blood on you.
03:06I said that you have over. Affirmative, got blood positive.
03:10Land ambulances don't carry blood or ketamine, but the rapid response vehicle does. And they could be
03:16vital. It sounds like it's still in trap, so we've thought I've had much access.
03:21Just have a little look. Yeah, clearly, clearly.
03:23Traffic is already backed up for miles on the M18, where the two lorries have collided.
03:28It's easier when you just fly, isn't it? You can't go very fast because somebody always gets
03:33out and has a bit of a leg stretch. Yeah. There's a fire engine. There's a car there.
03:39Yep. That bit. Air desk, medic 3. Just arriving at scene. You all right?
03:46Firefighters are attempting to release 63-year-old Dave Bean from the crushed lorry cab. He was
03:52returning from a waste removal job, carrying 18 tonnes of soil when he crashed into a lorry
03:58that had stopped in traffic. The combined weight of both vehicles added to the force of the collision,
04:04crushing the cab. I've just tried to decompress his chest on the right side, Dave.
04:09Yeah. All right, mate. He's got reduced air entry in his right hand side.
04:12Yeah. His abdomen's tender. His right side of his chest tender. He's broken his left arm,
04:17but he's complaining of worsening shortness of breath at the minute. When I first got to the
04:22vehicle, I could just about see his head in the lorry cabin. And he looked pale and he was sweating.
04:29He looked in discomfort. The handover that we'd been given that he was struggling. He was concerned
04:34about his chest and his abdomen. And that's enough for me to get concerned. Why is that person struggling
04:41with his breathing? Why is it painful? It is a potential bleeding that we can't deal with.
04:47What I'll do, Gemma's getting the blood ready. Whilst we're getting that, I'll start,
04:50I'll just draw the parasite stuff and get the scalpers ready. An RSI is essentially where we give strong
05:00sedative medication and pain relief to a patient so they feel so relaxed they fall asleep. And then
05:05put a breathing tube from the mouth through the vocal cords into the lungs. And then we actually,
05:10we have to breathe for the patient with either an ambi bag or a ventilator.
05:17I will prepare blood here. Okay, you sort your RSI stuff. And when you've done that,
05:22I'll just quickly get the airway bag out.
05:27We want to put ambulance back to get screens on. Are you happy with that?
05:30Just keep it there because we need that space.
05:34It's actually quiet this side, isn't it? An RSI requires a specific combination of drugs
05:39and must be done by a doctor. Dr David is preparing the drugs while firefighters attempt to get Dave out.
05:46It's not getting any better. I don't want it out.
05:48If we get a lot of ratchets down that bar up there, where streggers are holding now,
05:53and we can tether it to front and hold it back.
05:56Ratchet's trapped then. Have we got a bag of ratchets?
06:00Dave has been trapped for an hour and Dr David and Gemma are concerned that he could have extensive
06:05internal bleeding. If someone is deteriorating in front of you, you've got to verbalise that to the
06:11fire rescue team leader because they'll have a plan to get somebody out safely to try and prevent any
06:17further injury. But sometimes if someone is deteriorating so swiftly, you have to accept that
06:23actually we need that person out quickly. It may not be the ideal way, but sometimes if we don't,
06:27then the patient could come to harm. Dave, Gemma, you're going to be coming out of that site
06:33quick and dirty quite soon, okay? We've got access to the legs now. I can scoop on this platform,
06:39quick and dirty using these firefighters just out of here.
06:48Right, he's coming out now.
06:52Using ratchet straps, firefighters have managed to pull back the buckled metal,
06:57and can finally free Dave.
06:59Okay, sit forward then again.
07:01Yep.
07:01Right, sit forward for me, Dave, good matter.
07:06I'm just going to squeeze over towards you a little bit.
07:08Yeah.
07:08Oh, for me, Dave.
07:09After three, what are you doing?
07:10Watch his arm, watch his arm.
07:12Okay.
07:14Just move it ever so slightly to the side, so I can get either side.
07:19You'll be all right to get, if you get down, because you can slide it all right.
07:22Keep going, keep going. Stop. That's lovely. Brilliant.
07:27Magic. Thank you very much, gents.
07:29You've done really well, Dave.
07:31With Dave out of the lorry, Dr. David can finally assess his injuries.
07:36What's your name? Dave, I'm a Dave as well. Just take a breath in, sunshine.
07:41Is it sore to breathe in?
07:44Is that sore?
07:47Is that sore there?
07:49We'll burn this left side.
07:50No, right.
07:52Left side.
07:53No, no, no.
07:53The right side.
07:54The right side.
07:55So he's answering all your questions, so we're happy he doesn't need to go to sleep.
08:00We didn't RSI him because we felt, once we got him out, that actually he was
08:04comfortable enough to breathe and he wasn't deteriorating enough with his breathing.
08:07That meant we had to do it there and then. So it felt it was safer just to package him,
08:13give the blood transfusion and just start moving towards the major trauma centre.
08:17We gave him blood transfusion because we recognised that he was probably bleeding quite significantly
08:20internally. We were worried, has he got a liver injury?
08:24Livers can bleed quite badly. Equally, there's lots of other things in the abdomen
08:28that can bleed from a sudden impact.
08:31He's sweaty.
08:32Once the TXA's in, we'll get him on board and we'll move this blood across.
08:36Sorry, sunshine.
08:37Are we happy with that? Yeah?
08:39As well as a blood transfusion, they're giving Dave tranexamic acid, a drug that controls blood loss.
08:45Can I make a suggestion? Once that's gone in and you're happy that you've moved him across,
08:49we start to move towards the ambulance and then we can do everything else on route, can't we?
08:53That's gone in.
08:54Yeah, that can go in.
08:58Nice one. Right, are we happy to move, guys?
09:04Dave's blood loss remains a major concern, so Dr. David and Gemma will join him in the
09:10land ambulance to Sheffield Northern General Hospital, 15 miles away.
09:14I think all the obs are on. Who's the person that's going to drive?
09:17Trish is probably going to drive. Do you think that you'd be able to drive our car?
09:22Yes. Is that all right?
09:25So, our car is all the way down the back end of everybody, if that's all right,
09:29but if you follow us down to Norgen, is that all right?
09:34Whenever you're ready, aren't we happy to keep to go, to get moving?
09:37Can you open your eyes for me? That's it, well done.
09:40We're just going to give you a little bit more for your pain, is that all right?
09:43I need a drink.
09:44You need a drink?
09:45I can't do anything other than maybe just wet your lips with some water.
09:49Can we do that, just to wet your mouth?
09:52I know you do, but I can't give you anything just now,
09:54so I'm going to syringe something into your mouth just to wet your lips,
09:57to make you a bit more comfortable, yeah?
09:59I'm going to put a syringe in your mouth. I just want you to suck on it.
10:02It's just water, OK? Just suck through it a little bit.
10:06It's better than nowt, isn't it?
10:08Have you got any chest pain at all?
10:12Can you just tell me, you know, when the accident happened?
10:15Was there any, did you have any pain before the accident?
10:18Any dizziness? Any chest pain?
10:21Do you know what happened in the, what caused it?
10:24I'm just trying to work out, is it your heart that might have given you a problem?
10:27No, no, no.
10:27OK, that's fine.
10:29David is trying to establish whether a medical event like a heart attack
10:33could have caused Dave to crash.
10:36Hi, hello, Sheffield Northern General. Can I give you a trauma pre-alert, please?
10:41Yep. We've got a mid-60s gentleman, lorry driver, RTC.
10:48Blunt force trauma, a prolonged extrication. Injury-wise,
10:53he's awake and conscious and talking. He's got a very tender abdomen, in particular right
10:59upper quadrant. I'm thinking of intra-abdominal bleeding. I'd like to activate the massive
11:05haemorrhage protocol. I think this guy is bleeding and probably need blood on arrival. Our ETA is 21
11:12minutes. Cool, thank you. Bye-bye.
11:15So that's pretty much through. Yeah.
11:17So we'll lock that off. Dave is being given O-negative blood,
11:22which can be given to patients of any blood type in an emergency.
11:26He's having some blood because we know we think he's bleeding internally from his abdomen.
11:30He's got some chest injuries, which I think has probably got some broken ribs.
11:35So he's on his second unit of blood. Unfortunately, we can't do much about that. We need to get him
11:41in
11:41the CT scanner where we can see any actually bleeding, if the liver or spleen or any organs
11:45are damaged or the vessels in there are bleeding. Just trying to give him, keep him stable will be
11:52the best thing we can. Dave, I'm just going to put a little something cold on your chest. It's just
11:56an
11:56ultrasound. Just have a look at your chest. Dr. David is using a portable ultrasound carried in the
12:03ambulance and rapid response vehicle to check for signs of a pneumothorax or punctured lung.
12:11Yeah, yeah. I mean, there's no black space. It's possible a small pneumothorax,
12:16every small pneumothorax on the right side, on the left side.
12:21We're just getting into the hospital complex, David. I might just put the blankets over just
12:25because there'll be other members of the public and elderly.
12:28We're making plus, do we, Dave? No.
12:32Dave will be taken straight to Resos, where a specialist trauma team are briefed and waiting.
12:39Dave will be taken straight to Resos.
12:41Dave will be taken straight to Resos.
12:42Dave will be taken straight to Resos.
12:46Dave will be taken straight to Resos.
13:05At the RAF base in North Yorkshire,
13:07paramedics Becky and Leanne are restocking the helicopter in preparation for a busy shift.
13:12Could you pass the blood in?
13:14They carry multiple supplies on board, replenishing them throughout the day when needed.
13:23Hello?
13:27Can you hear me?
13:28On the air desk, Andy is listening in to a 999 call coming in from Tan Hill in the Yorkshire
13:34Dales.
13:35Hello?
13:35Hello, how are you?
13:36Yes.
13:37What actually happened?
13:49The man has crashed his motorbike on a remote stretch of the Pennine Way.
13:54The crew are being scrambled to the scene 35 miles away.
13:59North Island stretcher goes to the school front right.
14:01Let's go right.
14:02Let's go left.
14:03999 lifting.
14:05You always get a job right after you meet her, don't you?
14:08Yeah.
14:08Yeah.
14:08What else do you eat it?
14:09Tan Hill is a high point in the Yorkshire Dales, near the borders of County Durham and Cumbria,
14:15500 metres above sea level and far away from any major hospitals.
14:20James Cook will be just over 20 minutes. You've got Preston. Again, similar sort of distance. It really is remote.
14:28When we're on route to a rural motorbike accident, we can see the kind of injuries that might have been
14:32accrued in that kind of location.
14:35Going at a fast speed on windy roads can often mean that patients get head injuries, spinal injuries,
14:40internal bleeding, pelvic injuries and broken bones, and if they're really unlucky, all of the above.
14:45999 calling.
14:46Yeah, just to let you know, we're currently with a nine minute zero, nine minute ETA.
14:51Do we have any further updates from the scene and if any resources have been allocated?
14:57No, no.
14:57Negative at this time, very minimal details. It's a biker out on a stony track.
15:03All we've got so far is a DCA allocated with a 52, five, two minute ETA.
15:09Yeah, that's cool. That's what we do. Roger.
15:11With the nearest ambulance almost an hour away,
15:14Becky and Leanne will be the first paramedics to reach the patient's side.
15:17Right, anyone drawing a track to our attention?
15:20Ah, we could be actually on here.
15:22Yeah, it's someone sitting down in a grass blue t-shirt on.
15:26Nine-nine overhead.
15:31Finals.
15:32Yeah, hang on.
15:33Look, we'll get you out and then we don't have to worry about you too much then.
15:36Yeah, the terrain is uneven, but they're able to land on the road.
15:46Some passers-by stopped to help them out.
15:51Brad Woodhorn is 28 or 29, coming along here with his mate behind him.
15:55Yeah.
15:55We don't know how he did it, but the bike ended up here.
15:58He got up and moved.
16:00Okay.
16:00He was on his back.
16:01He's complaining of pain in his left upper rib cage, middle of his back.
16:07Okay.
16:07Um, he's pale, but his pulse is okay.
16:11He's...
16:11Okay.
16:12He's just...
16:13We'll go have a look.
16:14Have a look.
16:17Hello.
16:18You all right?
16:18Yeah.
16:19Hi, hi, hi.
16:20Hiya.
16:21Is it Brad?
16:21Yeah.
16:22Hi, Brad.
16:22I'm Becky.
16:23This is Leanne.
16:24Where's the children?
16:25Sorry, we make a lot of noise.
16:2729-year-old Brad Woodhead was on a ride with his friend when he crashed after misjudging
16:32a bend in the road.
16:33Oh, so, come off your bike down there.
16:36Yeah.
16:36I've walked up here.
16:37Yeah.
16:38I've pained your upper left side and your back.
16:42Any pain in your neck at all?
16:43No.
16:44Oh, just my back.
16:45There, just take a deep breath in for me.
16:48No, I can't.
16:49Okay.
16:49All right.
16:49Just the best you can.
16:51No, that's it.
16:52And it hurts more in the back?
16:53Yeah, in the back.
16:54How did you land?
16:55I don't know.
16:56He's gone at speed there.
16:58His bike's gone into the ditch.
17:00Yeah.
17:00He's been thrown from there to here and he did quite a few flips.
17:03So he flew up in the air.
17:05How did he land, you know?
17:06Um...
17:06I'm not sure.
17:07He was on his back, like...
17:08Quite funny.
17:10Clamminess could indicate Brad's blood pressure has dropped,
17:13meaning his blood isn't circulating through his body as it should.
17:16Should we have a listen to your chest, just to make sure there's nothing going on,
17:18and we'll have a look at your back when we move you a bit more.
17:23Just take normal breaths.
17:24No.
17:25Well, good air entry.
17:27Is there any other pain at all anywhere else?
17:29No.
17:30Brad and his friend Tom were riding up to the Tannhill Inn,
17:34the highest pub in Britain, when the accident happened.
17:37He's just come round this corner here and just come off and just use a bit of a divot,
17:43and he's just hit a ditch and bike and Brad have done a few flips and landed where he is.
17:48Initially had no signal and he was out, so someone came past and quite a few bikers,
17:53so one of them went down to the village down there and obviously they were able to secure a connection
17:58with you guys.
17:59You don't know what happened.
18:01When you got to him, were he?
18:03He was out. He was breathing.
18:05He was breathing just like, as he is now, but up here.
18:08And then, yeah, he came round after about two, three minutes.
18:11What we'll do is we'll get you some pain relief in nice and soon.
18:15All right, so when we do move you to have a look at your back.
18:18All right, it'll be less painful then.
18:20I'm just going to start him with three, just to see how he goes.
18:22Yeah.
18:22He's really clammy.
18:24He's quite pale.
18:25Is he quite pale for him?
18:26Er, yes.
18:27Is he?
18:28He seems quite pale to me.
18:29He does have a pale complexion, but it's not this bad.
18:31I don't know if he said he's quite clammy.
18:34Not usually this pale, are you?
18:36He was really quite quiet.
18:37He was laying really still and he was really pale to look at.
18:41We get quite concerned when patients present as pale or clammy,
18:44because it can be a sign of internal bleeding.
18:46You have had some pain relief started, my love.
18:49All right.
18:49I've got you an important job here, so this one's for you.
18:53You're going to be the glorified holder.
18:56You're not having any leukazade, love.
18:58It's better than leukazade this day.
18:59We don't really know what's happened with you.
19:04Well, other than that, we know that bit.
19:06We knew that before we got here, actually.
19:08He said he had to be home for three, so...
19:11Oh, I'm not sure that's going to happen.
19:14Brad's wife and two young children are expecting him home.
19:19Is it more further into your back?
19:21Yeah, towards my spine.
19:23Towards your spine.
19:24Does it feel like it's wrang on your spine or more ribs?
19:27It's a hard question, I know.
19:29You're on the spine.
19:30You're on the spine.
19:31All right, OK.
19:32Can you do me a favour, then?
19:34Can you just, like, wiggle this foot a little bit?
19:36Don't move it too much.
19:37Yeah, lovely.
19:38And then this one.
19:40Lovely.
19:41Becky is looking for signs of a spinal injury,
19:44but there's only so much they can see from where Brad is lying,
19:47so they need to move him.
19:48When we come to move you, if it's too much, just let us know,
19:51because we can't...
19:51We've got some other drugs that we can give you.
19:53I'm going to move with this.
19:54Kind of like a jaw, hold this in between your lips.
19:56Big, deep breaths on that.
19:56Makes you feel a bit funny, drunk, basically.
20:00All right, are you all right?
20:01We're going to need that on this side, then, aren't we,
20:02if we're going to roll.
20:03We're going to roll towards you.
20:06Because it looks like his legs are better positioned to that,
20:08and this is his bad side.
20:10Yep.
20:10So, on roll.
20:11Ready, steady, roll.
20:12Go!
20:14All right.
20:14OK.
20:15Right, just hold there.
20:17Hold there.
20:18Well, yeah.
20:19Yeah.
20:19Where is it bad?
20:20Ah!
20:21I'm touching all the way down.
20:23Yeah, yeah, you just touched.
20:23Here?
20:24No, that's left.
20:25Well, I've tried both sides.
20:27Yeah, yeah, yeah.
20:27Right.
20:28Ah!
20:29Ah!
20:29Ah!
20:29Ah!
20:29It is more to the left of his right side.
20:33Yeah.
20:33What we'll do is we'll pop you on this,
20:35and we'll try and spin him this way,
20:36but it's to his right side, not his left.
20:38Oh, right, OK.
20:38OK.
20:39Ah!
20:40Right, so this is going to be a bit uncomfortable.
20:42Ready, steady, roll.
20:45That's it, and there's as good as we've got.
20:48Ah!
20:49All right, all right, fella.
20:50Come on, keep taking that gas in there.
20:51Keep going.
20:53Keep going on this.
20:54It's here, love.
20:55There we go.
20:56It's all right, yeah, yeah.
20:58Brad had come off his bike and flipped quite a significant way
21:01away from the road.
21:02That always makes us concerned about spinal injuries,
21:05especially with how still he was laying.
21:07Spinal injuries can be really serious,
21:09because they can lead to life-changing paralysis
21:11within your limbs, and even cause death.
21:14Hello, Tom.
21:16Hello, Brad.
21:17Sorry about this.
21:19Brad's crashed on one of the most isolated roads
21:21in the Yorkshire Dales.
21:23The local mountain rescue team has arrived
21:25to help carry him to the helicopter.
21:27Ready, steady, lift.
21:32Yeah?
21:33Go, go up there.
21:35Keep coming.
21:37Get them straight in.
21:39There you go.
21:39Yeah.
21:40Thank you very much.
21:43What's up?
21:45He's been on motorbike.
21:47We'll do a helipad from here about.
21:49We'll point that way there.
21:50The wind's from the right, but then to rescue,
21:52so they sort of close the road whilst we lift, don't they?
21:54OK, to the left, to the right.
21:58Nine-Nine lifting, booting to LGI.
22:07Oh, they've had a bit of rain.
22:08Can I give you that to you today?
22:10Yeah.
22:10Q, second one.
22:11I'll do with that one.
22:12924, yeah.
22:14Brad's being taken to Leeds General Infirmary,
22:17which is just 20 minutes by air.
22:20Please tell about Nine-Nine funnels to the LGI.
22:22I will call again lifting.
22:25All right, that's approaching 500 feet.
22:31Compromise of that wind slightly.
22:39Nine-Nine landed.
22:44Safely down on the helipad, Brad will be handed over to a waiting trauma team,
22:49who will fully assess the extent of his injuries.
23:07So we're just doing the morning ventilator checks.
23:10It's 9am.
23:11Dr. Paul is beginning his 12-hour shift at the nostril base near Wakefield.
23:16So this bit of equipment is something that we would use to breathe for the patient,
23:20if they were unable to breathe for themselves for any reason.
23:23You know, every shift's completely different, isn't it?
23:25We just don't know what we're going to go to next.
23:27I guess that's the excitement, the interest in doing the job, really.
23:34Hello, air desk.
23:35And over on the air desk, Gemma's got their first job of the day.
23:42Paul and paramedic Tom are heading to Cantley near Doncaster,
23:45where a roofer has fallen 18 feet while working on a house.
23:56Nine-Nine, you're going to a man who's fallen from a roof.
24:00That's Cantley, Doncaster.
24:02He is conscious and breathing with a leg and head injury, I believe.
24:06The race course is really close, guys, but I don't think they'll get...
24:09We'll get through the back yardings, but we'll just have to have a look.
24:12Pilot Phil and technical crew member Will are searching for a landing site
24:16close to the housing estate where it happened.
24:19So, what's that update?
24:20Fallen from a roof, said you couldn't listen to the fall,
24:24but it's more than three metres with head and leg injuries.
24:28There's a technician crew three minutes away,
24:30so by the time we get overhead, Phil, there'll probably be a crew in the vicinity.
24:35Last year in the UK, 37,000 people were seriously injured
24:39after a fall from height at work.
24:42I'm fairly sure that there's no big fences running around the race course.
24:46If we landed on the track, he'll probably get through, I think.
24:48Yep. Down out overhead.
24:51So, on the end of the house.
24:53Should be the same, where the builder's van is.
24:54Yeah, and there is a gate.
24:55There's scaffold in there as well, isn't there?
24:57There is a gate in the back garden.
24:59Yeah, so we'll just go on the race course.
25:01They're landing on Doncaster race course, just behind the property.
25:05Will has identified an access point into the garden.
25:09Right. First house on the right.
25:11Oh, first house on the right.
25:12Yeah, you clear out.
25:15The patient was repairing the roof when he slipped on a tile and fell.
25:19The owner of the house has come to meet them.
25:22How are you doing? Down the side of the house here.
25:24Oh, okay. What's his name?
25:26Dave. Dave.
25:28Yeah, who have his leg?
25:29He's landed on his head. I think it's his leg.
25:32His right leg, which is the problem.
25:34Right.
25:34A land ambulance crew is all ready with the patient.
25:37He's talking to me.
25:39Yeah.
25:39Remembering the members of the window.
25:40No obvious head injuries.
25:42We're just putting straight on into notes.
25:44That's cool.
25:44I've had a good feel down his back.
25:46He's got pain just around the seat centre.
25:49And obviously, I've got to his back here and looked at his leg.
25:51Yeah, and as you can see, he's got a deformity there.
25:5558-year-old Dave Parks's leg is badly deformed and potentially broken.
26:00So you and Karen doing your assessment down here.
26:02If I get to the head end, we can look at getting a line in and get some pain relief
26:07on board.
26:08And then we can get these shifted as well.
26:10That's where you go.
26:12It was really difficult to get access to them because there's a load of rubble bags.
26:15So three people, myself, the paramedic and the patient.
26:18There's not a lot of space to do anything else.
26:20It does make it tricky in how you're going to assess them and the injuries you can find.
26:24And what you need to do is come up with a plan about how you're going to extricate this patient.
26:28Hi, Dave. My name's Tom. I'm just going to step across here.
26:31You stay there.
26:32Are you normally fitting well?
26:34Yeah, yeah.
26:35Do you have any allergies to any medicines?
26:37So at the moment, it looks like you've broken your thigh bone.
26:40Haven't I?
26:40Yeah.
26:41So the plan is to give you a little bit of pain relief through here.
26:45And then we need to assess you as well because you've got this neck pain.
26:48You might have hurt your pelvis.
26:49You're in a very tight situation, all right?
26:51I don't have a body.
26:52No, no.
26:53We like a challenge.
26:54Plan A, if it works with you guys, is I don't use your drag sheet.
26:58There's probably a gap out here where we could get him dragged out to the bit behind us.
27:04Yep.
27:04And then after that, the scoop will fit all the way around the side of the property
27:08in a straight line all the way to the helicopter.
27:10Dave needs painkillers so the team can slide a sheet under him
27:13and pull him out of the narrow space where he's trapped.
27:17We're going to give you some stronger stuff, a bit of ketamine.
27:20Before we do that, we're going to put you a little oxygen mask on just so we can monitor you.
27:24All right.
27:25It's obviously in a bit of a tight spot and then the scaffolding around the building
27:28makes it a bit tricky to get you out.
27:30All right.
27:30Carry on with that gas there and then we're going to put you on a little sheet,
27:34get you around the corner where it's a bit more space,
27:36so we're going to get a little splint put on your leg and go from there.
27:39All right, buddy.
27:40Paul's concerned about Dave's broken leg.
27:42It needs to be straightened, but there's no space where he's fallen,
27:46so he needs to be moved first.
27:48What could do with some of these bags moving?
27:50Ah!
27:50Sorry, mate.
27:51I'll do a close side.
27:52I don't want to get some of these out of the way for our safety as well as this.
27:56Before they move Dave, he'll be given painkillers.
27:59Tom's giving him ketamine, the strongest drug they carry.
28:02Have you got any builders there to get out of here, mate?
28:05Yeah.
28:05Dave's son was working with him when the accident happened
28:08and called Dave's partner, Helena.
28:10I think he broke his leg.
28:12Yeah.
28:12I'd say that's probably the top and bottom of things.
28:15He knew the ginger.
28:15Yeah, I think he knew that straight away.
28:18Because it's a bit tight in there,
28:19it's a bit tricky to have a good look at him top to toe,
28:21so I think we'll get him out here first
28:23and then we'll have another lock at him,
28:25just to make sure we're not missing anything.
28:28Respiratory rate's 24, mate.
28:29It's all good.
28:30I think he's going to need enough ket to be able to get him onto there
28:34and through this gap, mate, there's a step to go up as well,
28:37so there is going to be a bit of moving.
28:40So we're limited for options just because of how confined the spaces were
28:44when we're trying to get Dave out,
28:45so the best option we came up with was something called a carry sheet,
28:48so it's quite a flexible sheet.
28:50We can put this underneath Dave
28:51and then we can just use the handles just to gently extricate him
28:54by pulling him out and putting him on the ground
28:56and then we can assess him from there.
28:58If someone gets his head,
28:59I'll try and go in the middle and show it underneath.
29:01With the ketamine taking effect,
29:04Tom and Paul can move Dave onto the carry sheet,
29:06keeping him in the position in which he fell.
29:25Are you ready, Paul?
29:37I'm just going to move you again, buddy, okay?
29:40Well done.
29:41Doing really well.
29:44So although now we've got Dave out and we're able to kind of get what we call 360 access around
29:48him,
29:49we're still concerned about his femur.
29:51There's potential that it can bleed into his leg, into those tissues,
29:55there can be damage to the muscle, there can be damage to the nerve as well.
29:59So what we need to do is straighten that and keep it in place to kind of bring those boneheads
30:03together
30:03to stop those vessels bleeding as much and to reduce his pain.
30:08Not any more cats, Tom?
30:10Yep.
30:11Give him 20.
30:12That'll take him to 60 and he's still got another three left.
30:15So binder's going on.
30:17KTD strap is already on the groin.
30:19We'll measure it out.
30:21Binder, leg, reassess, and then go from there.
30:27So we used a Kendrick traction device which looks like a ski pole
30:32and the idea is that you attach it to the patient's hip and then you attach it to the patient's
30:36foot.
30:36Right, ready for a traction to come on.
30:39And then you put some traction on it and it pulls that leg back into what we call anatomical alignment.
30:44So the leg should be the same length as the unbroken one and that helps keep that bone in place.
30:52Yeah, that looks pretty good.
30:54Yeah.
30:57Dave, do you remember you've broken your leg?
31:00Yeah.
31:00Yeah.
31:02Don't apologize.
31:03We're going to fly you to the Northern General Hospital so they can have a look at your leg, all
31:09right?
31:09Yeah.
31:11Okay.
31:11We gave you this really strong leg so that's why you're feeling weird and spaced out, okay?
31:16I'm doing absolutely fine, all right mate?
31:18You're happy, right?
31:19You're the boss.
31:20Right, he says let's do it.
31:21I'm in charge.
31:21You're in charge, go on then.
31:22Let's have a cup of tea.
31:23All right, we'll have a cup of tea in a minute.
31:25You tell us when we can lift you up.
31:27Can we lift you up, yeah?
31:28Yeah, yeah, yeah.
31:29Right, I'll move.
31:29Ready, steady.
31:30Move.
31:36Right, we're going to...
31:37Are you on a stretcher?
31:38We're going to wheel you around to the helicopter now, all right?
31:40Yeah, yeah, yeah.
31:42I'm on my arm.
31:42You're happy, remember that?
31:43Yep, you're happy.
31:44Heyo.
31:45Heyo.
31:45You all right?
31:47What's happening?
31:47What the hell?
31:50What are you lying?
31:53Okay, ready, steady, lift.
31:56Right, we're going to put you in a little sleeping bag.
32:01Heyo.
32:01Heyo, me again.
32:03We're going to put you in a little sleeping bag and put you on the helicopter, all right, buddy?
32:06Yeah, okay.
32:07Yeah, perfect, perfect.
32:09All right, Dave.
32:10You're not dead.
32:11You're not dead.
32:14He is doing well.
32:15You're all right, Dave.
32:22I know it's all a bit confusing, but it will come back to you.
32:24It's just the strong pain relief we've given you.
32:29It's just a six-minute flight to the Northern General Hospital in Sheffield,
32:33where Dave's family are heading too.
32:40He'll be taken straight for x-rays and CT scans to assess what additional treatment he may need.
33:00We need to make sure we stay hydrated.
33:01We need to make sure we eat properly.
33:02It's the start of paramedic Stu's 12-hour shift during an uncharacteristically hot spell in Yorkshire.
33:09Summer is normally really busy with people doing outdoor activities.
33:13Certain groups of people, young, the elderly, don't cope with the heat very well,
33:17so if we get a sunrise in temperature, they can deteriorate really, really quickly.
33:21We'll stick some sun cream on in a minute and make sure we're ready for the day.
33:27And as Stu prepares for the heat,
33:29Terry-Ann is phoning through from the air desk with a job for him.
33:32You're going to... He's got chest pain at the moment.
33:35He's 47 years old.
33:36He's had two MIs before.
33:38A month ago, he had a cardiac arrest.
33:39He's got nine out of ten pain now, and he's in the middle of nowhere.
33:42You've got a DCA 40 minutes away.
33:44All right, thank you, bye.
33:51Stowing door of harnesses and structure.
33:53Secure from right.
33:55Air F99 lifting.
33:58Paramedic Chris is on shift with Stu today.
34:01They're flying 10 miles to Beedale, on the edge of the Yorkshire Dales,
34:05where a man with a history of heart trouble has collapsed with chest pains.
34:10We'll pop it here. Looks like a nice spot.
34:1399 London.
34:15You are clear out, guys.
34:18The patient is at a Christian festival, and is being looked after by the on-site medical staff.
34:24This is Owen.
34:25Owen is a 47-year-old gentleman.
34:28He presented with us today with a central cushion chest pain.
34:31And recently, Owen has had some cardiac arrest this year, along last 4th of June.
34:3747-year-old father of four, Owen Wright, was in the worship tent when he started to feel unwell.
34:44That pain you've got at the minute, Owen, is it still there?
34:47Oh, yeah.
34:48OK.
34:50Just in your chest? Go in anywhere else?
34:53No, it's not going up to your jaw, not going into your arms.
34:57Just a little bit in the shoulder's part.
34:59OK.
35:00OK.
35:01Seems like you've got a car sat right on you.
35:03How about you?
35:03Yeah. Both of them will start making you feel a bit better.
35:06When a patient's got a significant cardiac history, and they've had a collapsing episode,
35:11it could be that they're going to have another event that could potentially be of the same kind of magnitude.
35:18What's going on, mate?
35:19OK.
35:21Talk to me.
35:23OK. Thank you very much.
35:24Thanks.
35:24Yeah, it's not going to give up, not whilst we're here.
35:27So the good thing is there's nothing jumping out on your ECG that's saying heart attack at the moment.
35:34But, as you know, that only gives us a limited picture blood test of the way ahead.
35:40Yeah.
35:41An ECG is an electrocardiogram. It involves us sticking 10 probes across the body,
35:46and they will give us electronic pictures of what's going on with different areas of the heart.
35:51Owen's ECG seems to be normal. However, that doesn't really mean that there's nothing going on.
35:58It just means that there's nothing disturbing the electrical activity.
36:01How's that pain? Give us a score out of 10 again, mate.
36:03Because you're a...
36:04Still a nine.
36:05Still a nine.
36:07Stu is inserting a cannula, ready to give Owen pain relief.
36:11I'll get a sale.
36:12Yeah, yeah.
36:12Shard scratch coming up, all right.
36:17You hear it?
36:18First arrow, yeah.
36:19You're a bad lad.
36:21I'm like a sniper with these things, mate.
36:24Just keep the ham nice and still for me.
36:28You eating and drank today?
36:31Yeah?
36:32What have you been drinking, though?
36:33What?
36:34Come on.
36:34Come on.
36:35I thought halfway through a festival, there might have been a couple of years.
36:38It's a dry patch.
36:42How's that pain doing, mate?
36:43It's not me.
36:43It's still there.
36:45It's still the worst pain ever.
36:46Oh, yeah.
36:47Oh.
36:49I'm just going to give you a little bit of morphine slow to give to him.
36:53You got morphine before?
36:55Good stuff.
36:56It is.
36:56It's lacking.
36:57Not good stuff.
36:58Yeah.
36:58They're giving Owen morphine, a drug used to treat severe pain, but it can slow the heart
37:04rate and lower blood pressure, so he'll need to be monitored closely.
37:08How are you doing, Owen?
37:11Just your chest.
37:12Just your chest.
37:1599medic2, air desk.
37:17The patient is GCS15, has chest pain, is a good colour.
37:21ECG is showing nil-acute queering non-STEMI.
37:26Sometimes ECGs don't give us the full picture. You can have these non-STEMIs, which are ECGs that
37:32appear normal, but there is something underlying. So, Owen needed to be in hospital, so that you
37:37could have some diagnostic blood tests that we can't do pre-hospitally, that can look for things
37:42that we can't see.
37:43Sometimes you can get these, the blood vessels, the arteries, can squeeze and it can cause like a
37:48restriction.
37:49You got your house free on you?
37:51Hey.
37:52You haven't got your house free on you?
37:54Oh, not good.
37:56Poor drills, mate, poor drills.
37:59Heart sprays and inhalers, you should keep as many as you can, as many places as you can.
38:03So, I'll just give you one squirt of this, see if that helps.
38:06Hopefully, if it's anything heart-related, it'll relax the heart, relax the arteries.
38:11As you know, this might give you a bit of a headache, all right?
38:14Exactly.
38:16GTN, or glycerol trinitrate, is a fast-acting heart spray that's sprayed under the tongue to
38:22widen blood vessels and improve blood flow to the heart.
38:26I'll just give you one for now and see how that goes.
38:29It should work quite quick.
38:32We'll just send you up to James Cook, get some tests on, mate.
38:41All right.
38:41A land ambulance crew has arrived to take Owen to hospital.
38:44Hello.
38:45All right.
38:46Hello, lovely.
38:47All right, what we're going to do is slowly, slowly, I think, Chris.
38:50We're going to sit you up, all right?
38:52Eddie, just sit up nice and steady, don't you?
38:56Just have a minute, because that morphine might make you feel a little bit dizzy.
39:00Relax, mate.
39:00Relax.
39:01How are you feeling now? You're back upright.
39:05Anything changed?
39:08BP's fine. Same.
39:10All right, get your legs underneath you, bud.
39:13You ready?
39:13Yeah.
39:14Get your feet underneath you.
39:15OK.
39:16On three.
39:17One, two, three.
39:18Big push.
39:19There we go.
39:20All right, there's wild bike bugs there, mate.
39:22There we go.
39:23Sit down.
39:28All right, just going to weigh you up again.
39:31It's a bit cooler, isn't it?
39:32Yeah.
39:33So, we're going to give you the last taste of morphine.
39:35All right.
39:36Then we'll see where we go from now.
39:38All right.
39:38All right.
39:39All right.
39:45I'm going to head back to the cab to sort some stuff I'm working.
39:47All right.
39:47All the best, Owen.
39:49Take care.
39:49All right.
39:50Nice to see you.
39:51Ta-da.
39:51Bye.
39:54In the space of a month, Owen has suffered a heart attack and a cardiac arrest.
39:59Now, he'll be taken for blood tests to find out the reason behind today's incident.
40:08Just take your feet back and falling.
40:10Oh, I can't.
40:1229-year-old Brad Woodhead spent over two weeks in intensive care after a motorbike accident in the
40:18Yorkshire Dales.
40:18Right.
40:19So, this is going to be a bit uncomfortable.
40:21Ready.
40:21Steady.
40:22Roll.
40:25In hospital, they found a bleed on his brain, a ruptured kidney, and a laceration on his spleen.
40:31He also broke four ribs and three vertebrae.
40:34He's now back home recovering with his wife and children.
40:45Blood tests in hospital revealed the 47-year-old Owen Wright's chest pains were caused by a significant
40:52drop in blood pressure, likely triggered by overexertion. His heart continues to be monitored regularly.
41:03How are you doing?
41:03Yeah, on the side of the house.
41:04Oh, okay.
41:06Dave Park spent five days in hospital after falling from a roof and breaking his femur.
41:11I actually was walking up the roof and a tile broke underneath my foot, which threw me off balance.
41:18All happens in a second. One minute I'm on the roof, and the next minute I've hit a wall,
41:23I've hit the party wall between the neighbour's gardens, and I do remember the break.
41:28I've never broken a bone like that before, and I just, I felt it.
41:32Dave needed surgery to insert a titanium steel bar into his leg to connect the broken bones.
41:39It's been a challenging recovery because I'm a busy person. I'm up and down a ladder all day and every
41:44day.
41:45I love being hands-on. I love being with lads on scaffolding and roofing away.
41:50But this is the second fall, and I think the third one, I might not be as lucky.
41:55So I say, I'll leave it to the young'uns, and hopefully in a few weeks' time I should be,
41:59not back on the roof,
42:00but I should be back doing office work.
42:10I've just tried to decompress his chest on the right side, but he's complaining of worsening
42:15short of spread at the minute.
42:17HGV driver Dave Bean was taken straight for CT scans at the Northern General,
42:22after crashing into the back of a stationary lorry.
42:25I just seem to remember seeing back at lorry coming towards me at quite a rapid rate,
42:31and obviously I couldn't stop, I was fully loaded.
42:34And then it just seemed to go silent, and then I couldn't breathe,
42:38because obviously the steering wheel had gone into my abdomen.
42:41And then my phone were ringing, but I managed to answer it through the steering wheel at lorry,
42:46and it was my phone ringing me to tell me not to go onto the M18,
42:50because there had just been an accident, but unfortunately it was me.
42:54The crash closed the motorway for nine hours. Dave suffered a punctured lung,
42:59a tear to his kidney, a fractured vertebra, and five broken ribs.
43:03You know, I knew it were bad, but I didn't know how bad.
43:08After 40 years on the road, Dave now faces a lengthy recovery.
43:13It's had a massive impact on my life, to be fair, in every way, financial, mental.
43:19I'm not the person I was, but I've just got to deal with it now.
43:38I'm not the person I was, but I'm not the person I was, but I'm not the person I was,
43:38but I'm not the person I was, but I'm not the person I was, but I'm not the person I
43:40was, but I'm not the person I was, but I'm not the person I was, but I'm not the person
43:41I was, but I'm not the person I was, but I'm not the person I was, but I'm not the
43:42person I was, but I'm not the person I was, but I'm not the person I was, but I'm not
43:43the person I was, but I'm not the person I was, but I'm not the person I was, but I'm
43:43not the person I was, but I'm not the person I was, but I'm not the person I was, but
43:44I'm not the person I was, but I'm not the person I was, but I'm not the person I was,
43:46but I'm not the person I was, but I'm the person I
Comments