All language subtitles for Rescue.999.Seconds.to.Save.a.Life.S01E02.1080p.HDTV.H264-DARKFLiX[EZTVx.to]_[English] (SUBRIP)

SIREN WAILS

JASON DONE: On land, sea, and air,

the front line
of emergency rescue...

Ready, set, lift.

I immediately knew that we would be
needing to take over her breathing.

...risking it all...

Probably the most unpleasant injury
I've ever seen on a live casualty.

We were in peril,
and it was getting worse.

Arghg

Good girl 9° Cl ' .
IrgfirL 90°C' Qlrl.

...when every second counts...

Everyone, clear.

Deep breaths on the gas.
SHE INHALES

We're thinking, at any given time,
she could fall off.

...and every decision...

Head injury. Neck injury.

...could be life-changing.

It's nerve-racking at sea. You
don't know where you're going to.

She's not moving.

I wasn't sure whether I was gonna
end up over my head.

I don't want to contaminate.

And you try and stay strong,

but it's your child
laying on the floor.

When we get involved,

it's because there's
a matter of urgency needed.

In Cambridgeshire...

...air ambulance medics are called
to a life-threatening emergency.

We've shocked him three times.

Only around 8% of patients
will survive.

On the south coast,
a lifeboat crew...

Breathe in again.
SHE SOBS

...battle to get a casualty
to dry land.

If it is a spinal injury,

worst-case scenario,
they could be paralysed.

And in the Peak District,

a traumatic fracture
for a fallen climber.

It was probably
the most unpleasant injury

that I've ever seen
on a live casualty.

MAN: Oh, it looks horrible.
WOMAN: It does look horrible, yeah.

Well, I had to do
a bit of a double-take.

It was quite a gory sight, really.

Buxton Mountain Rescue
has a team of 60 volunteers

that respond
to around 100 emergencies a year

in Derbyshire, Staffordshire,
and Cheshire.

SIREN WAILS

I was sitting in the kitchen,
just reading the newspaper,

and the text message
came through.

SIREN WAILS

I was actually nearer
to the casualty than the base,

so I was there very quickly.

KEITH:
There's somebody on bikes there.

I was just down the road
on an electric bike

when the call came through.

So I cycled off, thinking, "What am
I going to find when I get there?"

We were told a climber has fallen
at an old, disused quarry site.

But we had no specific idea

as to where the climber
actually was.

Can we get round there?

The access to the casualty
was quite difficult

cos we had to scramble up through
the quarry onto the upper tier

where he was unfortunately located.

'People there sort of guided us in.'

So, as we approached
the casualty site,

I looked across to get some idea
of what we might be walking into.

And I had to do
a bit of a double-take.

There was
about three or four inches of bone

sticking out
of the casualty's lower leg.

It was, erm,
a bit of a deep swallow.

I've been walking
since my mid-teens,

and I've been with Buxton
Mountain Rescue Team for 29 years.

It was probably
the most unpleasant injury

that I've ever seen
on a live casualty.

The foot wasn't where it should be,

and, erm, yes,
it was quite a gory sight, really.

Yeah, so, it's Charles, 57.
He's not lost consciousness.

Reduced blood flow to the feet

can slowly start to kill off
the cells within the foot.

So, ultimately,
if it was not managed properly,

there was a risk
that he could lose his foot.

How much pain are you in?

CHARLES:
It's a dull ache at the moment.

Ancl are you allergic to anything?
No.

As this was significant trauma,

and the casualty needs to be in
hospital sooner rather than later,

so we called for an air ambulance.

We'll let the air ambulance medics
assess your ankle,

and they'll advise what they think.

We've got to pretty much keep you
comfortable till they come.

So, a nasty incident,
but also thinking,

"|f there's been enough force
for him to break his leg that badly,

"what else might have gone on?"

So, nothing pressing on the ribs?
No, no.

'So I'm doing all these checks

'to see if there were any more
significant internal injuries.'

Your foot looks...
Yeah, it's got lots of colour in it.

Oh, it looks horrible.
It does look horrible.

What I'm saying is
it looks like there's blood flow

still getting to your foot
beneath the break,

which is what
we'd be concerned about.

Did you give a pain score, Charles?

Er, about... about seven or eight.

Would you like some pain relief?

In order to give him
the best treatment,

pain relief's
really, really important.

You're wincing a lot there.
I've got some Entonox here.

It might just take the edge off it.

Is that gas and air?
Yes. Shall we see how that works?

A nice, long, deep breath.

Hold it in for a couple of seconds,
and then breathe it out slowly.

Don't pant with it,
that's the main thing.

If you start panting,
it doesn't do any good at all.

CHARLES INHALES DEEPLY

DELVIN: So, I found quite early on
that he's a medieval historian.

So, what are you researching?
I'm a historian.

It's parliamentary history.
Oh, OK.

It's an interesting time
to be a Parliamentary historian.

Ah, except I'm a medievalist,

so what's happening at the moment
is not of immediate relevance.

Whilst we were talking,

it meant that I was able to see
how alert Charles was.

'There's always a possibility
in a climbing accident,

'there may be a head injury.'

So, the fact that he was lucid

encouraged me to think that
he hadn't sustained a head injury.

How are you doing?
CHARLES INHALES ENTONOX

CHARLES: Fine, yeah, OK.

You've got a strong pulse.
CHARLES INHALES ENTONOX

I'll take that as a compliment.
Yeah.

The casualty was very calm,
wasn't screaming in pain,

was just quite calmly sitting there.

'But with a serious injury
like that,

'we can only do
the best that we can.'

How can we get them
as quickly as we can

to the professional help
that they really, really need?

Are you still with us, Charles?
CHARLES: I'm fine, yeah.

KEITH: 'Unfortunately,
after about 12, 15 minutes,

'we got a message back
to say that the air ambulance

'couldn't get to the incident site
because of low cloud.'

So that then sort of gave us
a bit of a...

...a double-take moment, in that,
"What are we going to do now?"

On the south coast, the Gosport
and Fareham Inshore Rescue Service,

or GAFIRS,
has a 51 -strong volunteer team.

I'm a paramedic with South Central
Ambulance Service,

and in my spare time, I volunteer
down here as lifeboat crew.

I'm a trainee lifeboat crew
here at GAFIRS,

and I've been here for about a year.

So, turn your hands around.
That's it.

I'm a naval architect in the docks,
and I sort of do GAFIRS part-time.

When I first had a job on the boat,
I was kind of a bit like,

"Oh, G0d...!"
You know, it was a bit daunting.

But I guess
the adrenaline sort of kicks in,

and, in a sense,
it's kind of exciting,

the fact you're going
to help someone.

We had a call come in
from the Coastguard

of a suspected spinal injury
not far from our location.

So we made best speed as we could
towards the incident.

We were just given

a sort of location
within the marina,

and given a description,
"a white-hulled boat",

but there are lots
of white-hulled boats in marinas.

So, it was quite hard
to pinpoint the exact vessel.

Blue Moon, we're looking for.
Blue Moon?

A blue canopy.
Is that it, there?

Did you call the Coastguard?
There's someone waving over there.

Yeah, he's outside.
Over there.

OK, line on there, please, Ed.

As we approached
the casualty vessel,

it was clear
that the woman in the cockpit

was in significant pain.

Is it for you?
Yeah.

I'm Rich. I'm one of the paramedics.

Do you mind if I have a quick feel?
Yeah, no.

Any pain when I press in here?
No.

I began my assessment of her

to try and identify
what the problem was,

if there was anything
immediately at risk.

So, it was a spinal injury.

It hurts down there.

just there?
Yeah.

We were actually getting ready
to go sailing,

and I was down in the main cabin
of the boat.

I just bent over to get something,

and it was just like
an electric shock.

It felt like I'd been tasered.

How was I going to get
off the back of the boat

and down a ladder and into a dinghy
to get back to shore?

And it's all
sort of up this side here?

ANDY: 'So, I mentioned
to call the Coastguard.'

Julie didn't want us to.

You know, she didn't really feel
that it was, you know,

enough of an emergency.

But, you know, it definitely was.

Any pain when I press in here?
It hurts down there.

Can I have the Entonox, please?

I could see straight away
she was in a lot of pain.

'Ancl on the boat,
we carry pain relieving gas.'

OK, pop that into your mouth.
Take some slow, deep breaths.

It will make you feel
all weird and giggly.

You have to be careful
with back injuries

for the fact that,
if it is a spinal injury,

the worst-case scenario,
they could be paralysed,

depending on where the injury is.

Ambulance?
Not at the moment.

Let me have five.

On this occasion, I ruled out
that it was a spinal injury,

and it was more of
a muscular injury.

Have you ever hurt your back before?
Not like this, no.

So, what I want you to do
is just stay nice and relaxed.

So, what I think you've clone is
you've pulled a muscle in your back.

The gas helps the muscles to relax,

if we can get you to take it
slow enough and deep enough.

Nice, slow, deep breaths.

So, when we gave her the gas,

initially trying to get her
to take the slow and deep breaths,

she was struggling with and she was
breathing it in a bit too fast.

Keep going on there.

'So it didn't have the effect

'as quickly as
I hoped it would have clone.'

JULIE SOBS
Deep breath in again.

SHE SOBS
That's it, right.

The whole situation was just
all becoming very overwhelming.

All right, just try and sit down,
pop that on there.

No, I can't sit down.

So the next big challenge was,

"How are we going to get her
off the boat she was on?"

Coming up...
WOMAN OVER RADIO: Cardiac arrest.

...the air ambulance are called
to a life-threatening emergency.

WOMAN: Hello, sir.
Open your eyes for me, please.

Only around 8% of patients
will survive.

And the lifeboat crew struggle
to stretcher off the injured sailor.

I remember standing there, thinking,
"This is gonna really hurt."

And lift.

jULlE CRIES OUT
Well clone. You did really well.

JASON DONE: In Cambridgeshire,
air ambulance medics

have been dispatched
to a life-threatening emergency.

When we arrived,
there was a collapsed gentleman.

We've shocked him three times.

Only around 8% of patients
will survive.

He currently does have a pulse.

It's just like a big dream. Well,
more like a nightmare than a dream.

Magpas provides an air ambulance
service for the East of England,

and all its work
is funded by public donation.

We have cardiac arrest.
Thank you.

When the call came in,
it only told us

that it was an approximately
60-year-old gentleman

who had had
an out-of-hospital cardiac arrest.

The first thing we'll do is decide

whether we need to go
by helicopter or by car.

Drive?
Yeah, I think so.

'It was only St Ives,
which is very close to the base.'

STEVE SPEAKING

It's gonna be
about six or seven minutes.

Seven minutes, OK.

In comparison
to the Ambulance Services,

we get called out for what we
like to call level-three tasking,

which are extremely sick patients -

they need stabilisation,
some of them may need our help

with supporting their breathing,
their circulation.

I'm an international
medical graduate.

I went to med school in India,

so the career
has been quite the journey

across several countries and cities.

So, landing this job
was quite a proud achievement.

Good morning, team.
Hi, my name is Harsha.

That's Steve
from the Magpas Air Ambulance team.

Hi, guys.

This is a 60-year-old gentleman.
He was out walking with his wife.

He suddenly felt a bit odd,
and then just collapsed.

He's still in ROSC currently.
He does have a pulse.

When we arrived,

there was a collapsed gentleman
right in front of a shop,

and there were
the East of England Ambulance crew,

the first crew on scene,
present there.

On arrival, we found him VF. We've
shocked him three times since then.

OK.
He's type 2 diabetic.

Potential hypertension history,
but we're not entirely sure.

We received a handover
from the ambulance crew

that he'd suffered
an out-of-hospital cardiac arrest.

'He had some bystander CPR
from members of the public.

'It was almost 20 minutes
of his heart not beating.'

He received several defibrillator
shocks from the ambulance crew,

and they managed
to restart his heart.

60-year-old Greg was out shopping
with his wife when he collapsed.

ALISON: 'It was a nice clay,
and we went into town.'

So, we was going to the optician's
to get his eyes tested,

and then we were gonna go
for a big fry-up,

and we was walking along,
and he suddenly said to me,

"I don't feel too good."

Ancl he just collapsed.

But it was horrible.
His eyes were just bulging.

Ancl then they said, "Do you want
to phone for an ambulance?"

Ancl I said, "Yeah."

Ancl within five minutes,
everybody was there,

the police, ambulance, Magpas,
the lot.

I was thinking, "What the hell?

"This is happening to somebody else,
not me." Do you know what I mean?

"What do I do?"

I just felt so useless
cos I couldn't do anything.

'He was still
in a critical condition.'

He still hadn't woken up properly.

Probably gonna land escort
to Papworth.

But I'll keep you updated.

'We moved Greg into the ambulance,
where we could do a full assessment

'away from prying eyes
on the high street.'

HARSHA: 'The concern is that
he's been in cardiac arrest.'

We don't want it to recur.

Ancl even if it does,

we would want to be fully prepared
to deal with that situation.

Hello, sir. Can you open your eyes
for me, please?

'My biggest concern
with this patient

'was that he was gonna re-arrest.'

And currently,
only around 8% of patients

will survive
an out-of-hospital cardiac arrest.

So, immediately,
the odds are against the patient.

In Portsmouth Harbour,

lifeboat crew are on
an emergency call-out with Julie,

who's trapped on her boat suffering
acute pain from a back injury.

SHE SOBS
Breathe in the gas.

SHE SOBS
That's it.

Right, deep breaths on the gas.

Julie and husband, Andy,
didn't call for help

immediately after her accident,

which means she's been in
severe pain for over two hours.

She wasn't taking the pain relief
as quickly as we could,

or as deeply as I'd wanted her to.

It hurts when I put my leg down.
Try now.

It really hurts.
Keep going on there.

It means we'll need to get her
to an ambulance

with something a little bit stronger
for pain relief.

SHE INHALES AND SOBS

So, the next big challenge was,

"How are we going to transfer her
from her boat onto the lifeboat?"

We had our basket stretcher...

...which we managed to get
onto the cockpit of their boat.

Keep feeding, that's it.

'But it's quite a small boat.

'There's a safety guide rail
down the side of the boat,

'which prohibited us from being able
to lay the stretcher down flat.'

I think it's gonna have
to come down into the...

Yeah,
it's got gonna have to go sideways.

That meant that,
with the casualty in the stretcher,

we wouldn't have been able
to swing it off

without lifting it over
the guard rails,

which would have been
quite dangerous.

'We realised that, at the front,

'they were only held on
with ropes or string.

'So I spoke to her husband,

'and he was in agreement
that we could cut those ropes.'

Knife coming over.
Thank you.

Cheers.
Thank you.

I would have cut anything
out of the way,

you know, with a hacksaw, whatever,
to have got what they wanted to do.

Awesome. Thank you.

That's it.
This wants to be loose now as well.

Cos it was horrible seeing someone
close to you in so much pain.

'I was sat down at that point.'

The thing that was
going through my head was,

"I don't wanna be stretchered
off this boat."

RICHARD: All right, we're gonna
kind of assist you into this.

'Ancl then they got me
to stand back up again.'

I remember standing there, thinking,
"This is gonna really hurt!"

All right,
deep breaths on that gas for me.

Ready, set, lift.

JULIE CRIES OUT

Well clone. You did really well.

Lifting me to get into the stretcher
was agonising.

JULIE PANTS AND GASPS

Right, do the straps for that end,
please.

Keep going on the gas.

With Julie strapped
into the stretcher,

the five rescuers must now carefully
manoeuvre her onto the lifeboat

without damaging her back further.

Everyone happy?
Ready, set, slide.

Ed, you're gonna have
to come round to here.

Yeah.
Well clone.

You did really well.

Right, you're on the boat now.

It was awful.
SHE LAUGHS

All right, does it feel
like it's kind of spasming up?

I don't know.
You don't know?

I'm panicked.
Don't panic.

You don't need to panic.

When someone's
in that level of pain,

we reassure them,
keep talking to them,

try and keep them nice and calm.

So, pop that into your mouth.
Slow, deep breaths.

As if you're sucking a milkshake.
That's better.

joking around with people
can also show that we are,

as a rescuer, we're relaxed.

If we're relaxed,
they can relax, as well.

Worse-case scenario,
you'll start giggling your head off.

Ready, set, lift.

So, once we moored up
at the pontoon,

our priority
was to keep her comfortable.

We walked up to the local cruising
club, Gosport Cruising Club.

Carry on.

Are you taking over?
Have you got her?

On the floor.
OK, ready, set, lower.

Once we got her
into the clubhouse in the shade,

she started to relax a lot more
than she was out on the boat...

Oh!

You did really well.
That's it, you're there.

...to the point where she was
then able to sit herself up.

LAUGHTER

It's good to have you laughing.
That's all I want.

That's my job half clone
if I can get you giggling.

From seeing her being in a lot
of pain and crying, effectively,

to seeing her laughing
was definitely a morale booster.

Are you ready?
One, two, three, up we go.

'It was a great relief.'

It meant that I'd been able
to help her quite well.

Ancl it also prevented the ambulance
from coming out

to give further pain relief.

There we go.
Well done.

'I think they do a fantastic job.'

It's amazing that people
give up all this time to do this.

Do you want an arm?

I still feel quite embarrassed
that I called them out.

'It was definitely right to call us.

'Otherwise,
she would have been on that boat

'for a significant amount of time.'

She may have been OK
in a couple of days,

but you don't want to be on a boat
for a couple of days.

From a trainee perspective,
Rich was happy with what I'd done,

which was great.

Coming up...

KEITH:
No, I want it over the wound.

...a nail-biting challenge
for mountain rescue.

I've assisted
with straightening ankles before.

This was something way beyond
what I've ever experienced.

And in Hampshire...

You could see the panic in his face.

...a jet Ski dangerously adrift

in one of the world's
busiest waterways.

The chances of a container ship

being able to change their course
is slim to none.

JASON DONE: The GAFIRS lifeboat team

covers Portsmouth Harbour
and the eastern Solent,

a narrow stretch of water between
the mainland and the Isle of Wight.

It's a busy patch,

with huge tankers and ferries vying
for space with smaller vessels.

And one of them's
just called the Coastguard

needing urgent assistance.

It was around about ten o'clock
on a Monday morning.

Ancl we get the initial page, which
just says, "Get moving," basically.

I was working at home. I think
I was in a meeting, actually.

So I made my excuses at work

and then proceeded
down to the lifeboat station.

They told us that there was
a jet Ski that was adrift.

And do you have
an updated position? Over.

They were close to a main
shipping channel in the Solent.

MAN OVER RADIO: Seven, seven, zero.
Minus one, decimal, two, two, three.

They are in a position
where they could be blown

into incredibly dangerous
situations.

And that's why
we had to get them under tow

and get them out
as quick as we could.

Are you all good?
Yeah.

So off we went
at probably about 39, 40 knots.

Not every lifeboat
goes to break downs.

When we get involved, it's because
there's a matter of urgency needed.

So, our main concern
as we were going out there

was their proximity to the Channel.

The Solent
feeds into the English Channel,

one of the world's
busiest shipping routes.

With around 500 vessels,
including 100,000-tonne tankers,

passing through it every single day.

You've got the entrances
to Portsmouth Harbour,

with big ships
coming in and out daily.

Southampton Water,
at the other end of our patch,

equally busy
with huge container ships.

Couple that with lots of ferries,

it can be a very busy
and a dangerous place to break down.

Ancl these big tankers,
they sometimes take a mile to stop.

If they did stray into that,

the chances of a container ship
being able to change their course

is slim to none.

Ancl that makes that situation
very dangerous

and a very real threat
to their lives.

The jet Ski has no power and is
drifting into a shipping lane.

It's vital
the crew tow it to safety,

but they've got to find it first.

And, you know, you're going
at 40 knots across the Solent,

and there was a bit of a swell,
so you're bobbing up and down,

and it is like spotting
a needle in a haystack.

We had a job previously
with a 26-foot yacht,

and that was hard to spot
with light glare from the sun.

Ancl then the problem was, obviously,

spotting a very small jet Ski
from a distance.

Every hour, huge ferries and tankers

pass through
the deeper southern Channel

perilously close
to where the jet Ski is adrift.

A collision could be fatal
for the jet skiers.

'When we got to the two guys
on the jet Ski,

'the front guy mainly,
he was worried about where he was.'

You could see the panic on his face.

Their impeller had fallen off,

so that's quite a severe
mechanical failure.

You're not gonna get that fixed
on the water.

Mechanical break down.
Prop's come off.

OK, get the tow ready, then.
Yeah.

So, in this case,
it was purely get them under tow

and take them back to where they'd
started from, which was Calshot.

'The issue then is,
"How do you do that?"

'Ajet Ski is very low in the water.

'The towing point is very low
and usually under the water,

'and the lifeboat's a lot higher.

'So, it means that someone
has to reach over the side

'and try and clip our towline
on to it.'

There was some difficulty
doing this

as the tow point was almost hidden
under the front of the jet Ski.

'I had to do that more with feel
rather than visually.

'I couldn't see the tow point.'

Time is of the essence
because the jet Ski is adrift

close to a channel
used by large ferries,

tankers and cruise ships.

'I did look east and west,

'and I couldn't see
any inbound or outbound traffic.'

That doesn't mean that there
wasn't one due to leave very soon.

So there is a very real need

to get them
out of that situation quickly.

Yeah!

Fair play to him, he got it on,
and then, once he's got that on,

I then take it, a very short tow,
tie it off,

and I keep an eye on the tow.

Are you guys OK staying on there
or do you want to go on here?

MAN: We're all right.
All right.

Give us a shout if you're worried
at any time, and we'll slow down.

Right, cheers.
Right, let's go.

JONATHAN: 'So, what we can gather is

'the two casualties
were father and son.'

It was actually
a Father's Day present.

I suppose the idea
of taking your clad out on a jet Ski

is actually a great idea.

My dad's 79, and he would still love
to go out on a jet Ski

as a Father's Day gift.

But, sometimes,
these things can go wrong.

I keep in touch with the jet Ski
just by hand signals -

a thumbs up now and again
gives them a bit of reassurance.

JONATHAN SPEAKING

My dad used to be in the Royal Navy,

so I think I would go out
in the same way,

just maybe try and stay clear
of the shipping channel.

In the Peak District,

Carina, Keith and Delvin
from Buxton Mountain Rescue

are with 57-year-old climber
Charles.

CARINA:
Are you still with us, Charles?

CHARLES: I'm fine, yeah.

He sustained an open fracture,

where the broken bone has punctured
the skin around his ankle.

Right, so, we wanna make sure

there's good circulation
to the foot beneath it.

It's vital he gets to hospital fast.

But because of poor weather,
the air ambulance can't land.

It's a very sobering moment

cos we don't know how long it's
gonna be before we get any help.

'So we called
for the Coastguard helicopter.'

Now, they can fly in worse
conditions than the air ambulance,

but we don't know whether
they might run into the same issues

with low clouds
and not be able to fly through.

DELVIN: Keith, do we know anything
about the Coastguard arriving?

It's been requested.
That's all I know.

This was a fairly serious,
maybe a very serious, injury

cos there is the potential
to lose the foot.

So, we made the decision
that we need to treat the injury,

straighten the foot, bandage it,
and carry out the evacuation.

I think we're gonna have to get
the stretcher in.

Yeah, we could do a roll backwards
once we've sorted that.

Quite a lot of our training

is involving very difficult
extractions of casualties.

Charles was lying
on quite a blocky set of rocks,

so it was quite awkward.

So what we did,
we laid out our vacuum mattress,

and we asked Charles to gently,
if he could,

ease himself onto the stretcher.

Right, so don't move
until we tell you to.

I've got your bad leg, Charles.
OK, Charles, shift yourself across.

Move your body across.

That's brilliant. Excellent.
Well done, Charles.

The vacuum mattress
immobilises Charles

and helps protect him from jolting
that could cause more injuries.

Now his ankle must be straightened
and bandaged securely

to protect it from infection
and further damage.

I've assisted
with straightening ankles before.

This was something way beyond
what I've ever experienced.

Put it here?
No, I want to over the wound.

I don't want to contaminate.

My mountain rescue skills,

they've proved to be invaluable
over the years.

On one occasion,
my daughter came off her horse,

and I had to give her first aid.

She wasn't breathing,
and I saved her life.

Is that OK, Charles?
Are you still OK?

Ready to lift?

And... lift.

'Once Charles had been stabilised
and lifted onto the stretcher...'

And lower.

'..our job was really to get him
to the helicopter landing site,

'which was probably about half
a mile away from where he'd fallen.'

So it is a very, very intensive job,
needing a lot of people.

We had to walk along the top
of one of the quarry cliffs,

but we had to make sure that

we were not getting too close
to the edge of the cliff.

The ground was very uneven,
very awkward terrain.

As we had just crossed over
the boundary fence from the quarry,

we were alerted that the Coastguard
helicopter was arriving.

HELICOPTER BLADES WHIR

MAN: ls Charles a local gentleman?
No, he's from Cambridge.

The doctor and the paramedics
arrived at the same time,

and they were able to make Charles
more comfortable.

Whenever a helicopter comes in
to take a seriously injured

or seriously unwell casualty,
it's a great relief to us.

Watching the helicopter go off,
you know you've done your job,

and you're now passing the casualty
down the chain.

'We need to act.
We need to act fast.'

A great sense of relief that
we've got him away to hospital

in the most efficient way
that we could.

Ancl I think, on reflection back,
it was a sense of a job well clone.

CHARLES: I had an operation
where they put a temporary frame,

an external frame, on my leg
to basically hold it all together.

I also had to have...

a sort of minor skin graft operation
a few clays later.

Charles wore the leg brace
for eight months,

but was rock climbing again
less than a year after his accident.

It's lovely to see our casualties
and hear that they are back,

particularly, I suppose,
to the activities

that they were undertaking
when the accident occurred.

That he's physically and mentally
able and happy

to carry on climbing is great news.

I've always appreciated their work.

Ancl I feel extremely grateful.

We get all sorts of accidents,
all sorts of traumatic accidents,

but we have to take these things
in our stride, really,

because we've got the job to do

and we know that the patient's
safety is absolutely paramount.

KEITH: 'We're proud
that we make a difference.'

For our casualties, it's probably
the worst clay of their life so far.

Certainly, we made a difference
to Charles on that clay.

Coming up...

Can you put out your tongue
for me, please?

...it's touch and go
for air ambulance patient Greg.

This patient is extremely critical.

On a score of one to ten,
how bad is the pain, sir?

Eight.
Eight?

We don't know what's going on there.
Like, has he had another one?

STEVE: His heart's briefly stopped.

The ambulance crew's
managed to restart it.

They said
that he'd practically cited.

JASON DONE: 60-year-old Greg
has suffered a cardiac arrest.

The first paramedics on the scene
resuscitated him.

But complications can happen quickly
after a heart attack,

and they can often be fatal.

Once he was in
the back of the ambulance,

I went ahead and reassessed him.

It is still crossing my mind that
this patient is extremely critical.

Worst-case scenario would be that he
would have another cardiac arrest,

and we would be unsuccessful
in restarting his heart.

Hello, sir. My name is Harsha.

I'm one of the doctors

from the local air ambulance crew,
Magpas.

I'm just going
to quickly assess you.

Can you put out your tongue for me,
please?

Very good.
That's good... That's good.

It was just about getting
a thorough examination in,

basically identify
what his level of consciousness was.

Was he breathing for himself?

Did he need our help with his
blood pressure or circulation?

WOMAN: Long QT.

Greg was attached
to a cardiac monitor

by the Ambulance Service,

so we're constantly keeping eyes
on the monitor

to make sure he doesn't re-arrest.

On a score of one to ten,
how bad is the pain, sir?

GREG: Eight.
Eight?

OK, we're going to get you some
pain medication and other things.

ALISON: Well, we met at school.

We were boyfriend and girlfriend

in the first year
of secondary school.

Then we sort of lost contact.

I got talking to him again
through Facebook.

This was about, what,
nearly 40 years later, I think.

I remember the first date.

I remember him walking up the path
with a great big bunch of flowers.

I'm thinking,
"Oh, my God, what do I do?"

And then we went out for McDonald's.

And then we just clicked.
And the next thing, we got married.

Greg has been in the ambulance
for 15 minutes.

The Magpas team have administered
drugs to manage his pain

and help to prevent
another heart attack.

But he's still
in a critical condition.

At this point, having identified
how sick the patient is,

Steve and I had a quick discussion.

We decided this gentleman
definitely needed

to go to our nearest hospital
as soon as we could.

Hello. Is this
the Papworth cardiology registrar?

Hi, my name is Harsha.

I'm one of the doctors
from the Magpas Air Ambulance team.

I have a 60-year-old

who's had an out-of-hospital
VF cardiac arrest.

We would like to get him
across to your team, please.

Greg's wife has been joined
at the scene by her daughter.

He don't drink.

Cos it makes him feel dizzy.
Yeah.

When I saw Keisha come running,
lthought

"Thank God,
somebody's sort of with me,

"you know, family and that."

He was in the ambulance
for quite a long time.

So then me and Mum
started panicking.

Obviously,
we can't see through the door,

so we don't know
what's going on in there.

Like, has he had another one?
Or has he, like, died or something?

It is just like a big dream. Well,
more like a nightmare than a dream.

But it's just so scary.

Sorry.

STEVE: Where was the family?

MAN: Sitting there.
just these two?

Then Steve come over,
and he was chatting to me,

telling me exactly what was going on
and what they were gonna be doing,

which was good.

What's your names?
Alison. This is my daughter, Keisha.

Hiya. My name's Steve, one of the
paramedics from the air ambulance.

So, I understand
you know what's happened today.

So, his heart's briefly stopped.

The ambulance crew's
managed to restart it. Yeah.

Dealing with relatives is actually
the hardest part of my job.

Erm, cos you need
to explain to them that

their loved ones
are quite often critically unwell,

and people react differently.

But I always try and treat everyone

with the same level of respect
and compassion as I can.

I believe one of my colleagues is
gonna run you down to the hospital.

Yeah, thank you.

While I went
to speak to the relatives,

Harsha made a phone call

to the Cardiology Department
at Papworth Hospital.

HARSHA: And the PCA team
will be ready for us?

OK, perfect. Thank you.

Bye.

Accepted. We can start moving.

It's now vital that Greg
gets to hospital immediately

to undergo further tests
and treatment.

'Greg was as stable
as he was going to be.'

I've always got
in the back of my mind

that he could re-arrest
at any point.

And we were prepared for that,

so we left
the defibrillator pads on,

and we had the monitor right next
to us, should the worst happen.

ALISON: They said about going
to the actual hospital.

Ancl I didn't know what
I was gonna expect when I got there.

Ancl when we arrived at the hospital,
Greg was sitting up in bed,

but not with it, of course,

and they said
that he'd practically died.

I didn't have a feeling at all.
I didn't get no pain, no nothing.

just my eyes went funny.

Everything literally
just went blurry for a split second.

The next thing, I woke up
in the back of the ambulance.

Greg's diagnosis was that
he had a blockage

in the main artery that runs
down the front of his heart.

So he had suffered a heart attack,

but Papworth were able to put
a stent in, unblock the artery,

and he's made a good recovery.

'It's still a bit uncomfortable.
Alison, she just looks after me.

'She won't let me do anything,
which is a bit of a pain.'

You know, cos I can't be
waited on hand and foot,

I've got to do stuff for myself.
But I'm slowly getting there.

He keeps trying to do things.
I keep going, "No, don't do that!"

But I said,
"Yeah, you can start making me

"a cup of tea and coffee,
if you want.

"You can lift a kettle."

It's great to be a part of a team
that's saved someone's life.

There's nothing
more rewarding than that.

To know that your efforts
have made a difference

and that someone's been able
to go back to their family

and spend their time together,

it's always welcoming news for us.

How are you doing, Greg?

A bit fuzzy.
A bit fuzzy? All right, mate.

The care I got
from the air ambulance,

it was excellent.

I couldn't thank them enough.

ALISON:
They were absolutely brilliant.

If it hadn't been for them, Greg
would definitely not be here now.

This is where he's landed.

A motorcyclist versus a car
is quite often life-changing.

The sea state was horrendous.

We are gonna need
to ditch the anchor.

We can't sit out here like this.

Hold up, guys,
before you wander off into the mist.

Anybody on the hill
for any period of time,

our biggest concern
would be hypothermia.

The paramedics are on scene.
Head injury, previous spine injury.

My mind was very much
on how we get them out of there.