- 20 hours ago
The air ambulance teams race to save the life of one motorcyclist and help another who may have a serious spinal injury. And a woman has been kicked in the face by her horse.
精选骑马事故及救援案例：
• 凯伦救援：一位名叫凯伦的女子被马踢中脸部后被困在偏僻的小路上，空中救护队迅速赶往救援。
• 诺福克森林骑手：医护人员艰难地穿过诺福克茂密的森林，抵达一位脚踝严重受伤的骑手身边。
• 其他相关空中救护案例：该节目及相关医疗直升机纪录片经常报道与马相关的创伤，包括在偏远或乡村地区发生的严重坠马、踢伤、面部骨折和关节脱位等事故。
精选骑马事故及救援案例：
• 凯伦救援：一位名叫凯伦的女子被马踢中脸部后被困在偏僻的小路上，空中救护队迅速赶往救援。
• 诺福克森林骑手：医护人员艰难地穿过诺福克茂密的森林，抵达一位脚踝严重受伤的骑手身边。
• 其他相关空中救护案例：该节目及相关医疗直升机纪录片经常报道与马相关的创伤，包括在偏远或乡村地区发生的严重坠马、踢伤、面部骨折和关节脱位等事故。
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TVTranscript
00:01The UK's air ambulances respond to thousands of emergencies every year.
00:08Air ambulance, I need to fix.
00:09Highly skilled doctors, paramedics and pilots.
00:12I've got a horrible feeling I'm going to get covered in clarity.
00:15Race against the clock to save lives.
00:19At the moment, Steve, we're pressed on. There's somebody else there.
00:22Unique teams.
00:23That road is the danger area.
00:25Does that say we're going to get shot at?
00:26Probably.
00:27Delivering specialist care.
00:28There's a lot of intrusion on that side, Joe.
00:31From the roadside to the hospital.
00:33My bit on sync.
00:35These are their stories.
00:37Let them through.
00:40He's still hosing, so I'm going to have to do something to it to get the bleeding to stop, OK?
00:44I still don't have a road name ever.
00:46All clear and shocking.
00:49I'm not going anywhere, I promise. Not going anywhere at all.
00:53Slow your breathing down.
00:57That's a big old explosion.
01:00Just getting you off to sleep now, Susan.
01:02You're doing fantastic.
01:03All right.
01:04Who's using your hands?
01:05So just loading the tube up on it now.
01:08Can you just get the vascular team and the theatre ready?
01:11Six three jets, cock over.
01:12Yeah.
01:12Unfortunately, you've missed the in-flight meal.
01:15Ha, ha, ha, ha, ha.
01:29Sandwiched between the Pennines and the Lake District is the Eden Valley.
01:37Home to one of two helicopters in service for the Great North Air Ambulance.
01:47It's interesting and exciting to work on the air ambulance.
01:50You never know where you're going to be.
01:52It's not a nice environment often.
01:54That's challenging and I frequently end up outside my comfort zone.
01:59I've certainly been to people who are in ditches and over walls, trapped in vehicles, up trees.
02:07The fact that they're not in a hospital makes delivering good care quite difficult sometimes.
02:13Until that phone rings, you just never know where you're going to go, what you're going to see or what
02:17you're going to find.
02:29DUMTEES VALLEY UP UNTIL 1500 TODAY.
02:332108 knots.
02:34Alder 9 scatter at 2.
02:36PHONE RINGS
02:38Hello?
02:39Joe?
02:421TC, two vehicles.
02:44Specialist medical backup is needed at a two-car collision,
02:4775 miles away, near the market town of Anik in Northumberland.
02:52OK. On our way.
02:55Time could be critical for a trapped female occupant.
02:58But the helicopter can get there in just 20 minutes, compared to nearly two hours by road.
03:04Doors and harnesses.
03:05I'm locked secure from right.
03:06Lock left.
03:07We are locked secure in the back.
03:14Air desk, 5-8 lifting.
03:15Over.
03:20If this person is still trapped, and they are time critical, they need to assess whether or not they need
03:25to drag her out.
03:26Yep.
03:27In an ideal world, we make a careful plan with the fire service so that they can cut the car
03:32open and we get the patient out.
03:34However, sometimes patients have got life-threatening injuries, for which they are going to die if we don't get them
03:38out straight away.
03:39And at that point in time, we just need them out.
03:46There's a lot of people in the field to the left of the road as we're looking up it, so
03:50it looks like the car's maybe off the road a little bit.
03:54There's a lot of intrusion on that side there, Joe.
03:58We have the advantage of being able to see the scenes of accidents from the air.
04:02We can see there's been a lot of intrusion into the passenger compartment.
04:07Often the side impacts will produce very severe injuries.
04:10That energy has to go somewhere, and unfortunately it goes into the person's body.
04:31So as we approached the scene, we could see that the fire service were concentrating their efforts on the one
04:35vehicle.
04:37My arm!
04:38Hi guys.
04:39Hi.
04:40Hi.
04:41Hi.
04:42This is Steph.
04:43The most visible thing I can find is she's got quite an open wound on her left knee.
04:46OK.
04:47A lot of pain on her left side and her left arm.
04:51Incredibly, the other occupants of both vehicles have escaped with minor injuries.
04:56But Steph is pinned inside the car.
04:59Can we get in and have a quick look at her?
05:02OK.
05:02Do you want to get in?
05:03Yeah.
05:03Hey Steph.
05:05My name's Jo.
05:06You're doing absolutely fine.
05:07We're going to get you out of this.
05:08I promise.
05:09That's all right?
05:10Sure.
05:11Absolutely.
05:12Definitely not.
05:13Definitely not.
05:14It's very important to do a head to toe assessment to identify any injuries or any interventions
05:20that need to be done urgently to save a life.
05:23But at the same time it's important to remember this is a person who's experienced a pretty upsetting incident
05:28and to be reassuring.
05:30If you take a nice deep breath for me, does that hurt at all?
05:33Yeah.
05:33Where does that hurt?
05:34In your arms?
05:35In your chest?
05:38You're all right.
05:40I promise you you're okay.
05:41Being inside the car is an interesting experience.
05:44The car moves a lot when they're cutting things open and there's a lot of noise.
05:47It's sort of terrifying in some ways and that makes me quite sympathetic to Steph's concerns.
05:58Where Steph was sitting, the side of the car had been pushed in.
06:01So it's very difficult to assess what injuries she has because you can't see and you can't feel very well.
06:06My real concern is whether or not that's tamponading anything at the moment.
06:13It's possible that some of the wreckage is splinting and tamponading her injuries and stopping bleeding.
06:18And then when we release the wreckage from her, that could potentially make bleeding worse and she'll deteriorate.
06:26I'm just going to pop this door open here.
06:27Okay, let me know if you need me to move.
06:33This is going to hurt a little bit but you're going to be absolutely fine.
06:36You're going to be absolutely fine.
06:39Just be careful, guys, just before you pull that off one sec.
06:41Can we just have a quick eyeballs on what's happening just to make sure there's nothing there?
06:44A person can bleed to death in minutes.
06:46So we had to be sure that we had everything ready to deal with that
06:49once we released her from the wreckage.
06:53All right, Steph, well done.
06:54So we've got probably a compound tip or something on her shin there, John.
06:58Yeah, yeah, I saw it looking down.
06:59I haven't seen this arm at all.
07:03That's probably gone humorous.
07:04Okay.
07:05It was obvious that Steph had broken bones in her arm and her low leg,
07:09but I suspected that she'd probably broken something in her pelvis as well.
07:14Once we'd identified that there was no external bleeding that we needed to deal with,
07:18then the fire service were able to carry on carefully extricating Steph from the vehicle.
07:26There's a big sense of relief for me when the roof comes off
07:28because at that point in time I've got much better access.
07:31If I can assess and treat injuries I might not yet have found.
07:34I think what we're going to do, you guys get yourself all totally ready
07:37and we're just going to give her a bit of extra pain relief before we slide up.
07:40And your job, Steph, is just to keep your head nice and still
07:43and let us do all the work.
07:45You can scream and swear at us, that's absolutely fine.
07:47Nobody's bothered by that.
07:48No delicate souls here.
07:51Okay, Steph, I've given you a really, really strong painkiller there
07:55that's going to make you feel a bit woozy and a bit spaced out.
07:59Right, let's get some people in place to take and get her out.
08:03You're all right, you're all right, you're all right, you're all right.
08:05Okay?
08:06Yeah.
08:06Three, two, one, move.
08:14That's it guys, well done, keep going.
08:17Well done.
08:18Tricky one.
08:21Connie, let's come round this so we're heading further up there.
08:23Well done, Steph.
08:25So, splint on the arms.
08:26Yeah.
08:27Sam's ready to go.
08:28You just reassess, we'll get her covered up, blanketed.
08:30Yeah.
08:31Splinted.
08:31In a way.
08:32So the plan at this point in time is to pack it at her
08:34and get her to hospital as soon as possible.
08:39It wasn't going to be that easy.
08:41I know, I know, I know, I know.
08:42Steph, Steph, Steph, just relax your hand, relax this hand, relax this hand.
08:53Guys, I need somebody just to come in here and help me with this pelvic binder.
08:58Dr Joe Paterson and paramedic Andy Dalton are treating Steph,
09:03who has just been cut free from her crashed vehicle.
09:06Steph was a passenger and has taken the full force of the accident on her side.
09:10She's definitely got a fractured arm, a fractured leg and may well have a fractured pelvis.
09:17Splint is going on now.
09:18It's going to get some skin to scoop.
09:19Yeah.
09:20To protect against potentially life-threatening internal bleeding,
09:24a pelvic binder needs to be fitted.
09:28No, no, you're sharing the pain.
09:30But it's proving difficult.
09:32All right, all right, all right.
09:32Just relax, relax, relax, relax your hand, relax your hand.
09:36Steph was holding my hand and she was gripping it very tightly
09:39and she didn't look like she had any intention of letting go of my hands at any point.
09:44You can't get it on at the moment with your legs in that flexed position, George.
09:47OK.
09:47I don't know if you want to just give her a quick slug or something
09:48and we'll just pull all those limbs straight at the same time.
09:51Yeah.
09:51Let's have a bit more of that painkiller.
09:54Try now, people.
09:57That's another 20-a-cut.
09:59Ready? OK.
10:00And let's pull that straight.
10:01Yeah, we'll go.
10:02Well done.
10:02I've got hold of your hand.
10:03I've got hold of your hand.
10:05Well done.
10:05Well done.
10:06Keep going. Another one if you can.
10:08That'll do you.
10:08Yeah.
10:10Back to your leg.
10:10You pull that jaw quickly.
10:13OK.
10:13That's it.
10:14That's it.
10:15That's it.
10:15Right, what I'm going to do is I'm going to straighten the arm.
10:17They're a difficult one, the splint piece.
10:19We can get their arm straight.
10:20That would be good.
10:21I promise you you're going to be all right.
10:22I know this is totally measurable, but I promise you're going to be OK.
10:26You're doing really, really well there.
10:28OK.
10:28Well, three people either side of her to roll her.
10:31Yeah.
10:31Ready, brace, roll.
10:34Clear underneath.
10:35That's it.
10:35Ready, brace down.
10:38All we're going to do now, guys, is strap's on, then we're going to lift her into this
10:41blanket here, and then she's going to the aircraft, OK?
10:45I need water.
10:47Yeah, I know, but you can't have any water.
10:49I think you're going to need some operations, sweetheart.
10:51Ready, one, two, three, lift.
10:54To the left a bit, everyone, there's a car roof.
10:59Left a bit.
11:00If anyone's got any problems, just back off a little bit.
11:02You haven't got quite enough slack.
11:03Yeah, we've got a 21-year-old female, high-speed RTC, one-seat passenger.
11:08Obvious injuries are left open humerus, left open tib-fib, query pelvis, which is GCS 15,
11:16and we are 88, about 15, 15 minutes from now.
11:20I'm not going to throw it one.
11:22No.
11:22Definitely not.
11:23We don't allow that.
11:33OK, so I've got a slight tailwind, so I'll be aware of that.
11:35I've got to lift up what we know as well as she's gone!
11:44Andy, she wants your attention.
11:47She just wants to hold me hand.
11:48Oh.
11:51Well, she's been holding mine and...
11:53I know.
11:53Hurt you.
11:57I think she's going to feel this one.
11:59She doesn't want this leg to her down.
12:01OK.
12:02Whether she's dislocated her knee as well, I don't know.
12:04Yeah, how about the fire itself?
12:06I've got to tell you, which is real.
12:07Hey, that's fire it up.
12:08Wind of the field, two 60 degrees, five knots.
12:11We'll call you before if you've got the maximum.
12:17OK.
12:18So you've quit.
12:19We'll tell us this if we want to make.
12:20Yeah.
12:21Ready, brace, go.
12:26I think you've broken that leg and you've broken this arm as well.
12:29But other than that, considering the damage to the car, you've been quite lucky.
12:32Hi.
12:33I know you don't feel it.
12:34No.
12:34No, sweetheart.
12:35OK.
12:39Ready, steady, lift.
12:41This Steph is a 21-year-old who, at 12 minutes past 12, was the passenger in a car that
12:48was
12:48involved in a high-speed RTC with massive intrusion on the passenger side.
12:53Ended up in a field.
12:54She was trapped for over an hour.
12:56She's got an open left humerus, open left hip fib.
12:59She's got pain in the left hip and pain in the back, sort of left lower back.
13:03She's maintained a heart rate of about 100 and a systolic of about 100 with a radial presence throughout.
13:07She's been GCS 15 after 15, apart from when I've given her ketamine for extrication purposes.
13:12She's got splints on both foot and arm have remained relatively dusky and cold.
13:16It was freezing at sea and we were there a long time.
13:18OK, thank you very much.
13:19Much appreciated.
13:20Are we happy at the head end, Mr Anaesthetist?
13:23Great.
13:23As soon as Steph's been fully assessed, she'll head straight to theatre for emergency surgery.
13:47Thames Valley Air Ambulance responds to over 1,200 emergencies each year.
13:55Today, former patients, friends and families are visiting the base to say thank you.
14:01He wants to join you, but you may be retired by then.
14:04How old do you think I am?
14:08I'll go and get my zimmer frame then.
14:11For some patients, it's their first opportunity to meet the team who helped to save their life.
14:19Hello.
14:20Hello.
14:21Hello.
14:21Hello.
14:22I'm OK.
14:23You probably don't remember me.
14:24I don't, no.
14:25I certainly remember you.
14:26I definitely remember you.
14:29Guy suffered a bleed on the brain five months ago.
14:32If you see a patient in their living room and there are photographs of their grandchildren on the mantelpiece and
14:38there's the wife crying in the background and the dog locked up in the kitchen barking, it becomes very real,
14:43very quickly and emotionally draws you in a lot.
14:46This is amazing to see you.
14:48Not many people make it through what you've been through.
14:50No.
14:50So to see you here walking, talking and smiling is...
14:53I'm so grateful.
14:54It's amazing.
14:55When you go to patients like Guy and they're unconscious, you often find yourself thinking,
15:00I don't know if the outcome here is going to be too good, despite everything that we're going to throw
15:04at this patient.
15:04Feel free to have a cry and to be emotional.
15:06That's OK.
15:07I've tracked down the people at St George's Hospital.
15:09I was in the same state then, wasn't it?
15:10I chaffered the operation on hemorrhage.
15:12Being able to get Guy very quickly to St George's Hospital in London, to be met by the experts and
15:18looked after by them very, very quickly,
15:21I think probably meant that he had a much better outcome than he would have had otherwise.
15:24St George's is very good in that you land on the roof, you come down the lift and as soon
15:28as you come out the lift, you go straight into a scanner.
15:30So actually, by the time we were packing our bags...
15:33So you then had a brain hemorrhage or whatever?
15:35Yeah.
15:35Yeah.
15:36I think they sealed those up in there or something.
15:39Is that right there?
15:39Yes.
15:40So good.
15:40So good for them next afternoon.
15:42For sure.
15:43That's a job coming through.
15:44That's all right, we'll keep doing that.
15:45I'm going to gradually start moving towards the door.
15:48Yeah.
15:48I can't thank you enough.
15:49No, well that's right.
15:50It's all right.
15:50I can't stay to talk longer, by the sounds of it.
15:54Yeah, absolutely.
15:55I didn't get to know you last time.
15:56No, well, no, that's right.
15:58And thank you for coming.
15:59Thank you so much.
15:59No, no, no.
16:00It means a lot to us because, you know, it makes everything feel worthwhile.
16:05So...
16:06So...
16:09Sounds like today's a day where we're going to be needing them.
16:11Thank you very much.
16:12Thank you very much.
16:12No worries.
16:13Good to see you.
16:13Really good to see you.
16:14Take care.
16:17Alf, are we good to go to a job?
16:19Yeah.
16:20Yeah.
16:20Yeah, we're good to go, Lou.
16:21The team have been called to a man who's been badly burned.
16:25Days when you've had a hard day at work, just that one little visit, makes you think,
16:30Yeah.
16:30You know what?
16:31Things aren't that bad.
16:40Secure front left.
16:42In the back.
16:43Down to a 24-hour variable goes to a point-west departure.
17:02It's just south of Abingdon, south of the river, by the looks of it, believed to be a burn from
17:06a bonfire.
17:07I mean, depending on where the burns are, we can take them to Stoke Manor.
17:10Well, exactly. That's what I was thinking.
17:12That's a good call.
17:14Having an air ambulance allows us to take the patient to the specialist centre almost immediately.
17:20We have the option to take the patients to the right place first time off.
17:24So rather than just taking them to the nearest hospital, we can say, hang on a minute.
17:28This patient needs to be at the major trauma centre.
17:31This patient needs to be at a paediatric hospital that has intensive care.
17:35So in this case, it was about taking the patient to a burns unit.
17:40Okay, Abeddon on her nose.
17:41We've got quite a lot of wires we're going to go over first, but we should be clear.
17:45It looks like it's, I suppose, some sort of like a farm or something.
17:49Okay.
17:51So it's pretty much just beyond that little wooded area there, isn't it?
17:55Something yellow in the middle could be an ambulance or something.
17:58Yeah.
17:58What about this side, the north side of the ambulance in that field?
18:03There's a gate there, I think I saw.
18:05Okay, good to go.
18:06Guys, price this down when you get out because there's a lot of things flying around.
18:14When we go to a burns patient, what we are really hoping is that someone has done good first aid.
18:19The key really is to cool the burn and stop the burning process.
18:23Running it under sort of tepid water for at least 20 minutes in an attempt to cool it.
18:27And that makes a big, big difference to the outcome.
18:31This is Richard. Richard's 40 years old.
18:35He was lighting a bonfire.
18:38He thought it had gone out, but the embers were still lit underneath.
18:42He's put petrol on it and the petrol's gone on his face.
18:45Yeah, okay.
18:46Richard, my name's Lisa.
18:47I'm with the Air Ambulance, okay?
18:48And I've got Dr. Ed with me as well.
18:51Okay.
18:51Can I just have a quick look at your face, my darling?
18:53Okay.
18:53Pop your tongue out for me.
18:55What we're looking for is any singeing of the hair inside the nose and any blackness inside the mouth,
19:01which could indicate that the burn has extended into his airways.
19:05Okay.
19:06A little bit singed around the beard there.
19:07One of the risks is swelling.
19:10If we don't treat that early, then that could be catastrophic.
19:13Open your mouth.
19:14He's going to have a little look.
19:16Well done.
19:16He's going to look up your nose.
19:19Okay.
19:19Good man.
19:20I'm not concerned that there is any signs of smoke inhalation, but obviously I am quite aware
19:25that he has some extensive burns to his upper body, causing him a lot of pain.
19:29Give me some ketamine.
19:31I've got some fentanyl drawn up if you want.
19:32Oh, fentanyl, have you got that?
19:33Yep.
19:33You've got a line?
19:34We need a line, yeah?
19:35Oh, I don't.
19:36I'm going to put that tourniquet on.
19:37There's your assignment in the corner there.
19:39Don't worry, there's good painkillers here, buddy.
19:42Sharp scratch, sweetheart.
19:43Sharp scratch.
19:46Madam Rich, you're doing brilliant, Beth.
19:48Absolutely brilliant.
19:51Are you going to pass out, Rich?
19:53One milligram, yeah?
19:54Yeah.
19:54One mill?
19:55That's so sick.
19:56Did you say that?
19:57Yeah, that's what I said.
19:58Just checking.
20:00Oh, Madam Rich.
20:01Can I do pass out?
20:12Right.
20:13Yeah, we're going to walk them out.
20:14Dr Ed Norris and paramedic Lisa Brown are treating gardener Richard, who's been badly burned after adding petrol to a
20:21bonfire.
20:22We've got a window of opportunity.
20:24Let's get him out onto the stretcher as well.
20:26Richard started to complain of feeling sick and feeling dizzy, like he was going to pass out.
20:31And it was important to make an early decision to get him out of there quickly, because there's a limit
20:35to what you can do in such a confined space.
20:38So, careful with the step.
20:39Okay, Richard?
20:39Careful with the step.
20:40Sure.
20:43Good stuff.
20:44So, the key thing here in terms of where we go is the extent of the burns and the depth
20:48of the burns.
20:49Okay, so should we need to look at it?
20:50We need to look at it.
20:51Yeah.
20:51So, Richard, how's that pain now that I've given you that medication?
20:55Is it any easier?
20:57It's a little bit.
20:58A little bit easier.
20:59So, on a scale of 0 to 10, what was it when we arrived?
21:0150.
21:02I'm really sorry.
21:03I'm going to have to take this off.
21:04What is it now?
21:06That's a really good dressing, by the way.
21:08Nine.
21:08Okay, let's give you a bit more.
21:09Okay.
21:11I feel a bit...
21:12You feel a bit wishy.
21:13That's the medicine, sweetheart.
21:14It makes you feel a bit like that.
21:15Okay?
21:16We're just going to take photos of the injuries, my darling.
21:19Okay?
21:19Can we look under the bandage?
21:20Okay, so that's no blistering.
21:23It's just redness.
21:24Yeah.
21:24That's good.
21:25So, yeah, you've got some blistering here.
21:26Just roll away from me for a moment, Richard.
21:28Can you lift this up?
21:31So, that's about one...
21:32Two percent.
21:33We have a quick look at the hand, because that's the other...
21:35Yeah.
21:35So, in terms of extent, there's no reason to go to Stoke.
21:38No.
21:38So, the question is whether in terms of hand...
21:40Yeah.
21:40It says that's what we need to make sure.
21:42It's quite nasty.
21:43A bit of blistering here as well.
21:44Are you right-handed or left-handed?
21:47Yeah.
21:47We're flying.
21:47Stoke.
21:48Yeah.
21:49Hand burns.
21:49Might as well go straight to Stoke.
21:50If we go to the jail, he'll end up at Stoke.
21:53So, Richard, we're going to take you to Stoke Mandeville Hospital, which I know is
21:56not the nearest hospital, but it's the nearest burns unit.
21:59Some local hospitals will deal with smaller burns on the hands or on the face, but in
22:04this case, my feeling was he probably had reasonable burns to his hands, and he would
22:08therefore do better if he was being seen by specialists earlier on.
22:12All right, buddy.
22:13Well, look, what we're going to try and do is get you to step up and lie yourself down
22:17on this.
22:18So, you can use that as a step.
22:20You can hold on to me as well.
22:21That's good.
22:22Now, if you try and get your bum down, we might be able to do it.
22:26That's fabulous.
22:26So, make yourself comfortable.
22:27We're just going to put some straps on you.
22:29I'll give the desk a call.
22:31Ed, you're all right for a minute?
22:32All this stuff's here.
22:33Yep, yep, yep.
22:34Okay, just an update for you.
22:36We're going to be transporting this patient by air to Stoke Mandeville Hospital.
22:40We are loading him as we speak.
22:42We're looking at an ETA of approximately 40 minutes to the hour.
22:48Now then, Richard, can I borrow your arm?
22:57Okay, I have to have the area.
23:07dados radio, note 2.1.2.
23:08We're going to be on your ground for basic service.
23:09Benton, TNH one, zero, one, zero.
23:11Request time for altitude.
23:13One, zero, one, zero.
23:14Just timing to 1,000.
23:16Someone repeat.
23:18You're up in the rear?
23:20Yep.
23:21Cool.
23:22So, in total It's at 150 is going to be in fifth now?
23:26Yep.
23:27If it was asking for 11.10,
23:28He's here, but he seems very set in there, so I don't know.
23:30Hope and Narco is in one route.
23:32Yeah, we can always give him a little bit
23:33before we go in if he needs to.
23:35Yeah, yeah, yeah.
23:3712 minutes after leaving scene,
23:39the team come in to land at Stoke Mandeville.
23:43Keep it a little bit high and it blows all the grass away
23:45without actually going into the engine, as you see.
23:47Oh, that's clever.
23:49Everybody needs one of these, one of the other garden, then.
23:51Yeah.
23:55Got it.
23:56Are you happy for me to open the doors
23:58and get some stuff up?
23:59Yeah.
23:59Just landed, Richard, OK?
24:08This is Richard.
24:10He's a left-handed gardener
24:12and he suffered some flash burns to his left arm
24:14and left scapula.
24:15He's got about 2% partial thickness burns
24:18to his left scapula area, that's blistering.
24:21Redness here, which we're not counting.
24:23The main reason we're here is that he's got blistering burns,
24:26to his left dominant thumb and thener eminence.
24:29So, ABC-wise, you're absolutely happy.
24:31Yeah, yeah.
24:31And pain relief-wise, 250 micrograms of fentanyl.
24:34Three, 350 micrograms.
24:35He vomited once when we arrived.
24:37I think it was all pain-related.
24:38He was very agitated with the pain, hyperventilating.
24:41He vomited once.
24:43OK, lovely.
24:45This for me, thank you very much.
24:46All right, well, let me know what he does.
24:51So, the guys in blue who turned up are the plastic surgeons
24:54who deal with burns.
24:56And that's one of the reasons we've come here,
24:58is so that he can be seen by them straight off,
25:00and as if to prove the point,
25:02he's being seen within five minutes of arrival
25:04by a senior burns surgeon.
25:06So, that's a really good thing.
25:26Durham Tees Valley Airport.
25:29Operation Centre of the Great North Air Ambulance Service.
25:33We've still got the cranes at the RVI.
25:36They're now up at about 300 feet.
25:38Dr Phil Godfrey and paramedic Sarah Graham
25:41are receiving their daily briefing
25:42from pilot Keith Armitage.
25:45The pilot will access a website
25:47that tells him the NOTAMs for the day,
25:49which is notice to airmen,
25:51and that will explain all the possible things
25:53that may affect our flying that day.
25:55Felden Rangers are active.
25:57There's an equestrian event at Hask Hall.
26:00No, it's cancelled.
26:01It's at Annock Ford now this weekend.
26:04If Sarah was ever on Mastermind,
26:05her specialist subject would definitely be horses.
26:08There's no equestrian event that you don't know details on.
26:10It's British eventing.
26:12No, it's...
26:12That's why...
26:13It's British eventing, yeah.
26:26Land paramedics 20 miles away in Hartlepool
26:29have requested specialist medical backup
26:31to a 19-year-old motorcyclist
26:33who's been in collision with a car.
26:37OK, have you got a good reference?
26:39The patient's injuries are still being assessed
26:41by the land paramedics on scene.
26:43Did you say from femoral artery?
26:46But one major concern is a wound to his femoral artery,
26:49which supplies blood to the legs.
26:51I'll bring the blood into the back.
26:53Every organ in your body, especially the brain,
26:56needs oxygen to function.
26:58Oxygen's delivered around the body to the organs by your blood,
27:01but if a major artery gets cut,
27:03that cuts off the supply of oxygen
27:04and it can also cause a patient to bleed to death within minutes.
27:14With land paramedics unable to carry blood,
27:18the air ambulance needs to get to scene quickly.
27:22347, Nicky.
27:23Heli-Med 63.
27:25Just wondering if you've got a clinical visit.
27:26Rep for us, please, over.
27:29We're getting some fluid sorted now.
27:33We've addressed the wounds.
27:34Bleed and stopped.
27:35He is conscious at the moment of our GCS 14.
27:40Once we know the bleeding's been controlled,
27:42we still don't take the foot off the pedal.
27:44He could still have very severe injuries.
27:48We've got an ambulance, 10 o'clock through the houses.
27:51Yeah, be sure that's the scene then.
27:54It appears the motorcyclist has been thrown
27:56some 20 feet by the impact.
28:22That car's in a...
28:23Car's in a bit of a state.
28:25...some shape, isn't it?
28:28Wow.
28:30He's hit the windscreen as well, hasn't he?
28:35Hello, are you all right?
28:36Hiya.
28:37Hiya, this is Jack.
28:38He's got a nasty, nasty blood creep.
28:41Right.
28:41He's got this slide.
28:42They've managed to stem the bleeding and that.
28:44Yeah.
28:44We've got pressure duct a little bit.
28:46Yeah.
28:47So we've got some flinting,
28:48and we've just drawn some TXA.
28:49Yeah.
28:50TXA, or tranexamic acid,
28:52is used to help clotting,
28:54and therefore stop blood loss.
28:56Sarah, we'll have a bit of ketamine out as well,
28:58just because I think it's going to...
29:00You've got to do some TXA there.
29:01Yeah, trickle that in, absolutely.
29:04Yeah.
29:04So he's got a radial,
29:05but that blood pressure's a bit worrying.
29:06No, I'm just doing another one.
29:07Yeah.
29:09Jack's got severe injuries to both his legs,
29:11and although the bleeding's now been controlled with dressings,
29:14we're not sure what's going on internally
29:16because his blood pressure is very low.
29:18Unless things improve a great deal after the binder's on, Sarah...
29:21He might be heading for blood, yeah.
29:23He's looking quite pale, isn't he?
29:24He's quite sweaty as well.
29:26Yeah.
29:33Do you remember what happened?
29:36Not sure.
29:37In Hartlepool,
29:38Dr. Phil Godfrey and paramedic Sarah Graham
29:41have been called to a serious road traffic collision
29:44between a motorcycle and a car.
29:46Any pain in your chest anywhere at all?
29:49No.
29:49Any pain in your head?
29:51No.
29:52In your abdomen?
29:53Bleeding from a large wound to his groin
29:56has been stemmed by the LAN team with a trauma dressing,
29:59but Jack could still be bleeding internally.
30:02Jack, it is going to be a bit sore,
30:03but I'm going to give you some stronger painkillers now
30:05so we can get this little binder around your pelvis.
30:10Two mils, Phil.
30:10Yeah, let's just go slow just because he's looking a bit pale.
30:14Because Jack's blood pressure is very low and he's lost a lot of blood,
30:17we have to be cautious with how much pain relief we give him.
30:21It may make his blood pressure fall even further.
30:26So we've given him something to space him out a bit.
30:27What we're going to need to do is for someone to traction this leg for us.
30:31I think both legs may be gone.
30:34Right, so we can get one of you on each of the legs.
30:36So if you pull really hard on that one, that's it.
30:40And then just, as you're pulling, just paste it down onto it.
30:44And you two keep pulling on those because I'm worried about the actual bleeding in these.
30:49And then we're going to get two splints on.
30:51While they wait for the splints, Phil and Sarah prepare for a transfusion
30:55which will help to raise his blood pressure and carry oxygen to his organs.
31:05GOLF 0956172039586
31:08Blood and plasma is very carefully monitored.
31:11Every unit we give is traceable from the donor to the recipient.
31:15We'll give him one and reassess. Is that all right?
31:18While Phil splints Jack's legs, Sarah starts administering plasma.
31:24Right, fluid warmer on.
31:26Yeah, so if we just squeeze it a bit, just nice and steady, that'll be fab.
31:30We carry both red blood cells and also fresh frozen plasma.
31:34One component of blood that helps with clotting.
31:39Thanks, guys.
31:43Yeah, just an update, Jim.
31:47We're going to convey this patient to James Cook.
31:50A 19-year-old male that's been on a motorbike versus car.
31:54The injury-wise we have is we have bilateral femur.
31:59Initial blood pressure of 70.
32:02So we have activated major haemorrhage protocol and transfusion is taking place.
32:07Roger.
32:09How you feeling?
32:11Good.
32:11You been better, huh?
32:13You happy to get going?
32:14Yeah.
32:15Before take-off, Phil repeats the blood pressure check.
32:19Jack may well need more blood products on the journey to hospital.
32:23Yeah, 94-52 we've got, I think.
32:25That's more realistic.
32:26Yeah.
32:27It's very important to be confident and decisive in my role.
32:30You have to make decisions and you have to make them fast.
32:33I think we'll get this one in and we're doing well there.
32:35Sometimes these are life and death decisions.
32:43With essential clotting agents already in Jack's system, Phil has decided to give him a unit of oxygen-carrying red
32:50blood cells.
32:59Three grids, brakes are on and my finals for the helipod.
33:02The eight and a half minute flight is just long enough for the transfusion.
33:07Yeah.
33:09Yeah.
33:14Yeah.
33:18Yeah.
33:19Yeah.
33:19Yeah.
33:19Yeah.
33:22Yeah.
33:22Okay, so that's that unit through.
33:25Just one of each now.
33:26Which is good.
33:28Ready, race, lift.
33:31You all right there, Phil?
33:33That's it.
33:35Okay, so we've got nine units that are coming out of the engine.
33:3719-year-old Jack here. He's been on a motorcycle in Hartlepool, a front impact with a car.
33:41His bike was basically under the car. He's also hit the windscreen and then he's been
33:45flung quite a distance. We were tasked because of severe bleeding, so his injuries from the
33:50top appear to be some bumps and bruises around the face, although no major head injury. We
33:54think chest's okay, we think abdomen's okay. He had a pelvic binder put on for initial
33:59presentation of shock. We think he's got bilateral femurs. He's also got what's described as
34:05a large wound across the inner aspect of his left thigh that was already dressed when
34:09we arrived, but it was bleeding heavily. And he's had one unit of FFP and one unit of red
34:14cells. Now has a radial pulse back. Okay. Potentially all very salvageable and survivable injuries,
34:24and particularly with him being young, he can tolerate that kind of level of blood loss
34:28for quite a while. But the likelihood is now he'll go for a CT scan and he'll need to go
34:33to the theatre today to get some of that fixed.
34:52Norwich International Airport is home to HeliMed 85. Each shift draws from a team of 15 paramedics,
35:0011 pilots, and 29 doctors. Today, a photographer from a national newspaper is arriving on base,
35:10and everyone is excited. This man's famous. It's the story of the century. Obviously. All
35:17that is, apart from one. Mike, I'm going, why? This is what you want, it's Rachel. So I've been nominated
35:26for a national award for the voluntary work that I do for the
35:30Suffolk Accent Rescue Service, and the Royal National Life Institute.
35:34Excellent. It's really nice to receive the nomination, and I'm very proud of the work I do.
35:42All this attention. It's a bit embarrassing, really, to be honest. And I can't really concentrate on anything at the
35:48moment.
35:49Oh. I've just sent a bloke two kisses. I don't believe it.
35:55When the photographer arrives to get some shots of the Volunteer of the Year nominee, attention on Rod only grows.
36:02Are you embarrassed? Absolutely not at all, mate. Good. Good.
36:09You're my hero, Rod.
36:12Rod, now you're embarrassed.
36:23Thetford.
36:25An emergency call has come in. It's for a fallen horse rider 29 miles away, near Thetford.
36:34Jobs in dense forest are notoriously difficult, because we can't see where the patient is.
36:39And we're really heavily reliant on people standing down there and waving frantically at us, so we know where to
36:46go.
36:46That's a welfare, and we want his lifting.
36:54What are we going to, Rod?
36:55So we're going for a fall of a horse.
36:58Roger.
36:59And a good possibility we'll be first on the scene.
37:01OK, because right in the middle of some woods by those things, right at the edge of the danger area.
37:04Yeah, there's a road, isn't there, with a clearing.
37:06That road is the danger area.
37:09The forest we went to in Thetford is actually contained in a military training zone, like a lot of forests
37:13are.
37:14Does that mean we're going to get shot at?
37:17Probably.
37:17We'll deploy the body armour when we get out, in case.
37:20If there is activity in there, we obviously don't go in there, because it could be a danger of the
37:24helicopter.
37:24They're actually called danger areas on our aviation maps.
37:27We'll be called an instance at three miles north east of Thetford.
37:31It's Delta 208 is cold.
37:35If I'm sorry, it is cold today.
37:37That must copy, sir.
37:39So it was lucky there was no military exercises on that day, but we still had the problem of locating
37:44the patient because of just all the foliage in the trees.
37:47You almost have to fly up and down each of the paths to look directly.
37:51I'll sort of just do a wider slide for the research, yeah.
37:59What's up there at nine o'clock?
38:01Okay, yeah.
38:02The person at nine o'clock is waving, yeah.
38:04Okay, yeah.
38:04Not good.
38:05What do you reckon, Rod?
38:06If we stick you down there?
38:07If you're happy with that, I'm more than happy, yeah.
38:09Yeah, all right.
38:10As with all landings, we're constantly looking out all the way we go down.
38:13Happy on the right.
38:14Yeah, you can still come left if you need to.
38:15Okay, yeah, I'm going to come vertically down now if you're happy.
38:18Yeah, sure.
38:18If you damage one blade, it causes a hell of a lot of vibration on the helicopter and might make
38:22it sort of very difficult to control.
38:24Happy on the left?
38:25Yeah, still good on the left.
38:27All right, happy on the right.
38:28You look good underneath as well.
38:30Yeah, okay.
38:31Echo welfare, angry one is on the ground.
38:41Hello, I'm Rod.
38:42I'm Drew, this is Rod.
38:44Just tell me what's happening, what's going on?
38:45I jumped that and came off.
38:48Nice one.
38:48Oh, right.
38:49It's like a style.
38:49Yeah.
38:50So, did you manage to walk from there or did you land here?
38:53No, this is where I've fallen.
38:54I've broken my ankle before and I'm pretty sure I've broken it.
38:57Anywhere else that's hurt?
38:58No, and I didn't, I landed literally on my feet so I didn't knock my head or anything.
39:02And you were hanging on to the reins, were you?
39:04You didn't get trampled on?
39:05No.
39:06Had your helmet on, obviously.
39:07You can take it off if you like.
39:08Oh, yeah.
39:09Right.
39:10How much pain are you in?
39:12Um, yeah, quite a lot.
39:13Right, I'm going to pop a drip in your hands and give you some pain relief.
39:16To make removing the boot less painful for Alice, we were able to give her a very strong
39:20painkiller called Fentanyl.
39:22So the worst case scenario, if the boot copped up, would that be okay?
39:25Exactly.
39:26They are new.
39:27I'll tell you what.
39:29So a fantastic zippy there.
39:30Oh, it's got a zip.
39:31A zippy all the way down.
39:32We could save this.
39:34I can feel the socks with a copper.
39:36Right, is that all right?
39:37Oh, fantastic.
39:38Look at that.
39:38Where is it?
39:40Shall I?
39:40Lower that as far as your ankle.
39:42Where are your feathers?
39:43For her, she can just slap them on the head.
39:45Okay.
39:45Not me, because I've got the boot.
39:47All right.
39:49I'm going to take the sock off so you can get bit on the foot as well.
39:53It's definitely broken, I think, wouldn't you say?
39:57Oh!
39:58So I'm just going to monitor your CO2 levels, because it might give you something stronger just
40:02to sort your leg out.
40:05Okay, so it goes up your nose just like that, and around your ears.
40:09So I'm still like ears.
40:11Is that uncomfortable?
40:12No, that's fine.
40:12Oh, I've done it wrong then.
40:15So Alice had a nasty fracture dislocation of her ankle that needed to be reduced.
40:21So basically, it's stretching it back out and putting it back into its normal position,
40:27so we can actually get some blood flow back to her foot.
40:30All right, start thinking nice thoughts.
40:33It's going to make you nice and warm and fuzzy.
40:35A dose of the strong painkiller, ketamine, means Alice won't remember a thing about it.
40:40Okay, we're just going to lift your foot gently.
40:42And if it hurts, we'll stop.
40:44All right?
40:45Brilliant.
40:45Now relax back.
40:46That's fantastic.
40:47Well done.
40:54There's a little muscle spasm.
40:56There we go.
40:57There you go.
40:57Looks a bit better.
40:58Well done.
40:59Once we've realigned Alice's bones back into place, we've put a cast on her.
41:04This will keep it nice and steady and still until we get to hospital.
41:10We're just waiting for the cast to go off.
41:12All right?
41:13There's a cast underneath.
41:15Hello, guys.
41:17Having secured a lift from a friendly 4x4 owner,
41:20land ambulance paramedics arrive on scene.
41:24Shall we get the scoop going straight away whilst we're still a little bit analgesed and sedated?
41:28Yeah, get off this wet grass.
41:30With the prospect of a difficult carry back to the helicopter,
41:34the team need to do a bit of problem solving.
41:37I mean, how could we move the helicopter?
41:40Can I help?
41:41Alice's farm is literally just over there.
41:43Yeah.
41:43And there's loads of fields to land in there.
41:45And there's good road access for this.
41:47Good road access?
41:48Yeah.
41:49Do you want to liaise with these guys?
41:50Where's the farm?
41:51Right.
41:52You're in the...
41:53Is it one with the two lorries in it?
41:54It's got two lorries quite in it.
41:55Two white lorries with green trails.
41:56Yeah, yeah, yeah.
41:57So the plan was to relocate the aircraft to a farm
42:00so then we can actually drive with the four-by-four with Alice in
42:04and meet them at this farm.
42:06Talk about drama.
42:07Are we going to jump this back?
42:08We are.
42:09Hold on tight.
42:11Hold on.
42:15Mind you, watch it on that.
42:24Wait, wait, wait, wait, wait.
42:26You'll go straight to the farm.
42:43I just want to go underneath the bridge.
42:46And pop back the other side.
42:50How's the plane at the moment?
42:52Yeah, yeah.
42:53It's all right.
42:54Is it manageable?
42:55Right.
42:56We'll be heavy as we lift.
42:57We're only off dirt.
42:59We're only off dirt.
42:59We're only off dirt.
42:59Go.
42:59Taking off.
43:00Roger.
43:02Heckwell, frankly.
43:03One thank you.
43:04That's us lifted from scene and heading to north of the Norwich.
43:07Okay.
43:10All the good news, Alice.
43:11We've saved your booth.
43:12Yay!
43:12Yay!
43:32Right, you are at 270 feet and 40 knots reducing.
43:36That's 230 feet.
43:38Right.
43:38180.
43:40LVP.
43:40Okay, landing.
43:45Right, landed at 1818.
43:48Roger.
43:48One, two, Erkstein.
43:51That's that's it.
43:51No big dollars, thank you.
43:52All right, clock's running.
44:08Hello again.
44:09I'll just say it like that.
44:10Very pleased to see you.
44:30And we have to clear from the hospital and heading back to the airport.
44:35He received the book to return.
44:38I don't really think of what I do as going out and saving lives every day.
44:44I think that my role is to work as part of an enormous team to do the best for the
44:51patient.
44:52And I think that's the underlying thing. You're there to do the best for your patient.
45:05I broke nearly every little bone in my hand, punctured my lung, my spleen was bleeding, crushed my hip bone
45:14and then broke the upper arm.
45:17There was definitely two life-threatening injuries going on. One was the pelvis and one was the lower leg injury.
45:24They said if I had gone by ambulance, I wouldn't have made it.
45:28Your injuries were just too extensive. Yeah.
45:32The doctors did to save the legs amazing because they had said initially they might not be able to save
45:37that leg below the knee.
45:39Even though it was painful for us to do and move, I was pushing myself to be able to get
45:44out of hospital.
45:46I've got obviously further operations on my leg to go through, but at least I'm home and that's all that
45:51matters.
45:52Yeah, it is.
45:55Doctors have all said there's no doubt in their mind that I should be walking by next summer.
46:00But at the end of the day, I mean, it still goes back to the helicopter team.
46:04If it wasn't for people like that being like on the ground, being there.
46:08I wouldn't be here.
46:09It just, I mean, what were we doing before these guys, you know?
46:13Yeah.
46:13What did we do before the helicopter dies?
46:22The best thing about working as a paramedic on the air ambulance is having the fantastic team around me.
46:28It's the pilots, it's the doctors, it's the charity staff, it's a big, big team and that's why I enjoy
46:36so much to go to work.
46:38I was not fortunate enough to win Volunteer of the Year, but it's still very nice to be nominated.
46:46I really am the luckiest person in the world, really.