Original subtitles

NARRATOR: Yorkshire sprawls across three million acres.

The biggest county in Britain.

RADIO COMMS: Nine-eight, go ahead.

One eight, 18 minutes ETA.

All of it covered by the crews of its two dedicated air ambulances.

This job has two sides to it.

You fly around in a helicopter and you have the time of your life...

(PHONE RINGS)

(SIREN WAILS)

... and then there's the flip side to it

where it's awfully stressful.

Let's go up and then visors down and pilot's briefed. Roger, lifting.

We get sent to some pretty horrific things.

She's probably gonna need blood, to be fair.(SCREAMS)

Okay. There we go. That's it, we're done.

From the remote Dales... Nine-nine overhead scene.

... to the rocky coast...

Pull!

... six million people depend on them.

(GROANS IN PAIN)

No job is ever the same. No people are ever the same.

Lift.

We see a lot of carnage on scene. We see a lot of destruction

and people's lives turned upside down.

Sorry, sorry, sorry.

From hardy locals hurt at work... (GROANS)

... to tourists trapped in the beautiful but hostile landscape.

(WHEEZES)

It does make you appreciate that life's for living.

This is life on the cutting edge of emergency medicine.

Couldn't imagine anything's gonna top being part of this team.

It's 7 a.m. and paramedic Sam and technical crew member Ross

are starting the early shift.

(IMPERCEPTIBLE CHATTER) (LAUGHS)

It's not football tonight, is it, Alex?

You what? Not football tonight, is it?

It is, yeah. There's Spain-Germany.

At Air Ambulance Headquarters near Wakefield,

Dave is on the dispatch desk.

He'll task the helicopters to emergencies throughout the day.

I don't even watch football really.

I haven't watched one, and I will not start watching.

WOMAN: What's that, Love Island?

Football. The trouble is, you see,

when you say football's on, I have to have a quick... Oh.

Ooh! Emmerdale's on at 8:30, Coronation Street, 9:00.

That's okay. I'm happy. Is that all right?Yeah.

Yeah. It's when they cancelled it all.(LAUGHS)

(PHONE RINGS)

Hello.

A job is called in to the air desk.

Right. (PHONE RINGS)

While Dave is on the phone, the team from Topcliffe call for an update.

Two secs. Two secs.

Right. Okay, mate. Thanks, mate. Cheers. Bye.

Well, I was just about to ring you.

Yes, just have a look at 5-4-6-7.

In the North Yorkshire town of Settle,

a boy has been injured at school and needs urgent medical help.

Apparently, he's been waiting two hours already.

They can hear him in pain,

and he says he's worried about a vascular compromise.

You're just gonna go?

Right, I'll stick on it, mate. Bye-bye.

That'll be a nice little flight across to Settle.

MAN: Oh, really? Yeah. Come on, then. Get them things spinning on the top.

Hello.

Going to Settle.

All right. (IMPERCEPTIBLE) the flight?

Yes, guarded. Warnings and master list.

Is all clear. Nine-O's lifting.

There's the trolley.

The ambulance service is overloaded today

and wait times in rural areas are lengthy.

The helicopter will reach the schoolboy in 14 minutes.

It's not a serious injury, is it, if it's a Priority Three? Five.

Well, it says that, but that's just the triage system.Yeah.

So Dave got a call back to say that he, er,

they were worried about vascular compromise with his leg.Ooh.

Vascular compromise is a condition where blood flow

is partially or completely blocked.

It can lead to permanent damage to the affected area.

He's been laying on the floor for two hours in pain. Oh, two hours?

That's the triage system. Bloody hell.

For a 14-year-old who's still got his full life ahead of him,

an injury that caused lasting damage could be quite severe for him.

There was no ambulance available, no ambulance attending,

and he'd been there for quite some time.

It's behind Settle swimming pool.

Okay.I didn't know there was a swimming pool in Settle. No, I didn't either.

The swimming pool is part of the school.Oh, right.

So it is the right spot, yeah.

I still want to land at a school at around lunchtime

so we can get that chocolate concrete crunch dessert thing.

Oh, like a Rice Krispie thing? Yeah, do you remember it?

Yeah, we used to call it beeswax. Why on earth, I don't know.

Never heard it called that. What did you call it?

Concrete chocolatey thing. Yeah, chocolate concrete.

Chocolate concrete.

It was like warm chocolate custard over the top.

Beautiful. Oh!

I love the flight over to Settle. Yeah, it's nice, innit?

Nice views.

The flight path takes the team into the rugged Yorkshire Dales

over some of the county's most spectacular landmarks.

Miss all the peregrines at Malham Cove

or we'll have the RSPB after us. Oh, okay.

Is that up here, is it? Just about to go over it, yeah.

Right, we're looking for the school, someone outside in the field behind the pool.

We've come over the town, we've crossed the river,

and it's just on the other side. Yeah, someone's in that field by the rugby pitches.

Right, 9-9 finals.

Could come over the cricket pitches and then put it there somewhere.

Don't see any wires anywhere.

Looks like that's Mum.

And landed.

Sam's patient is lying on the school playing field.

Hello. Who's who? I'm Mum.Hi, Mum.

I'm Sam.Hello. Hi, Archie.Hi.

What's happened? (GROANS IN PAIN)

MAN: Not a cricket-cricket ball, a soft cricket ball.Yeah. You know, a wind ball.

Er, it's hit him on the knee, innocuously, really.

And I think it's just knocked his kneecap out.Archie?

Can I just lift this up and have a look at your knee?Yeah.

I'm not gonna touch your knee, but can you feel me touching your leg here?Yeah.

Yeah? Can you feel me touching your leg there?Yeah.

And does it feel the same on both sides?Sort of, yeah. (GROANS IN PAIN)

Once we'd moved the coats back off Archie's leg,

you could see quite clearly that his knee had dislocated.

And it looked quite bad from the outset, really,

because you expect it to sort of go underneath the skin

and sort of sit nicely on the outside of the knee,

but this appeared like it was trying to poke its way out of the skin.

(GROANS) How about there?

Ow! Yeah?Yeah. Ow!

And there? That's the same, is it?

Yeah. Okay.

Sam needs to check if Archie can feel any sensation

in the affected area to establish whether his blood supply

has been compromised by the injury.

Archie, I think what you've done is you've dislocated your kneecap,

so I just need to pop it back in.

So, I'll give you some pain relief for that, okay?Yes, please.

Have you had gas and air before? He hasn't. He's gonna enjoy that.

You're gonna enjoy that, mate, believe me.

I'll give you some of that first, Archie,

and we'll go from there and see how we go.

Archie's 14.

Erm, still in Year Nine.

He's never injured himself.

This is the biggest injury that he's ever had.

Erm, miraculously, 'cause he's very clumsy.

Okay, as soon as you take some really deep breaths on this Entonox, I'll roll you onto your back.

Does it hurt whatsoever? Say again?Does it hurt?

It'll hurt a little bit. But then, as soon as the...

What, the pain medication? That doesn't hurt, no.

Putting your knee back in will hurt a little bit, but then, straight after,

there'll be no pain. All right. Yeah.

So, plan will be, once he's taken this, just roll him onto his back. Okay.

So, on the outset, relocating a kneecap should be quite easy.

The issue with that is, it causes a lot pain when doing so,

and if you just straightened his leg out without supporting the kneecap,

it can cause some damage. So it's sort of a balancing act.

Straighten his leg out, but also guide it back in to where it needed to be.

Right, Archie. Take a few deep breaths, okay?

So just pop that in your mouth for me and just take some really deep breaths.

(INHALES DEEPLY) That's it, that's the sound that you want to hear.

That's what you want to hear.

You can take as much of this as you like.

If it starts to feel weird or you don't like it,

you can just stop and it'll wear off really quick, okay?

Can you roll onto your back for me, do you think, if I just hold your leg?I'll help him over if you want.

Keep going with those deep breaths, Archie.

Keep going. Deep breaths. Straighten this leg out.

There you go.

NARRATOR: With the pain relief taking effect,

it's time for Sam to force the kneecap back into place.

Keep going, Archie. Archie.

Archie. (GROANS) Ow!

Keep going on that for me. There we go.

Big, deep breaths.

Big, deep breaths. Just try and straighten it out a bit.

Keep going. Keep going, Archie. There we go.

Ow! Ow, ow, ow! Ow, ow, ow! There we go. There we go.

Ow. I was... Straighten it.

Keep lowering your leg. Archie.

There we go. We're good. It's back in.It's in!

You need to stay there though. I was dreaming then.

You were dreaming? Don't go running away.

Keep going on that gas and air for a bit.

Have some more. I'm fine, I'm fine.

There's no pain anymore. I know,

but you can't stand up yet. All right.

'Cause your knee's still quite loose, all right?

I just need to keep this knee here, put your leg straight, and pop it in a splint. All right?

You need to keep it nice and secure. So put your leg a bit straighter. Good, lad. There we go.

You keep going on that gas and air. Ow, ow, that hurts so much. I know, I know.

It wears off really quickly.

Right, Archie, lift that leg up. Don't bend it.No bending.

There we go. Good lad.

The vacuum splint will immobilise Archie's knee

for the journey to hospital.

We were playing cricket and somebody bowled the ball

and I tried to stop it, 'cause it bounced, went a bit high.

And I think what's happened is I've put my knee up to try and block it,

but because it bounced a bit too high, I think it hit the tip of my knee

and it's moved it. And then I've fallen to t'ground

and it's probably pushed it a bit more. The second it was in,

I felt no pain after that.

So, apart from obviously the pain before, it's totally fine now.

It all looks quite dramatic this, just for a knee,

but what can happen is when your knee pops out you can sometimes damage

some of the structure in there, like tendons, and nerves.

We need to do an X-ray just to make sure there's no damage.

So you just hang there for a little bit. I'm just gonna see

what the plan is next.

Do you like helicopters? Yeah.Yeah. Good.

WOMAN ON RADIO: Go ahead.

Um, so, the 14-year-old male, I popped his knee back in.

Um, just an isolated injury.

Is there an ETA on the DCA, please?

Yes, there is.

You have one allocated

seven minutes away.

Seven minutes, roger. Thanks.

No worries.

So, there's an ambulance about seven minutes away.Yep.

So the plan'll be for you to just go with them

to Airedale Hospital. I think that'll probably be the best one.

How's that pain at the minute? Are you feeling better? Yeah, it's gone.Good.

It's quite rare we get to see instant effects really on this job.

Is it not like a normal thing? Do people not normally just go out?

No, I mean, we generally see worse injuries.

So, we give some pain relief but we can't put everything back together quite as easy.

But with you, it was just your knee, so it was quite easy to pop back in with pain relief

and now you're pain free.

Hello.Hello. You all right? You all right?I'm Sam, by the way.

This is Archie. Archie's been playing cricket.

A ball hit his kneecap and then he fell to the ground.

And at some point, whether that was the ball or falling to the ground,

he dislocated his kneecap. And it went lateral.

It was in quite a funny position, actually.

And he's been on the floor for about two and a half hours with it dislocated.

He's had some gas and air. Popped it back in.

He's now completely pain free, but it is still quite loose.

Right, Archie, do you reckon you can stand up on that good leg

keeping that one straight with me? Er, I'll try.

And then we'll just hop onto the stretcher. Hold on to me.

Ready? Up we go.

Stand on the good leg. Hi, Archie, my name's David.

There we go. Sorted. Well done.

Right, Archie. Nice to meet you. Thanks.

Take care of yourself. No worries, you're welcome.Thank you.

Bye, Archie.See you, Archie. Have a good weekend.

It's a funny thing is pain.

I've put in a few kneecaps back into place in my time,

but I've never quite seen a reaction as satisfying as that one.

It was almost like this immediate pain relief

and he just wanted to be off playing cricket again.

GARY: Fiona.Yeah? Come and watch, then you can...

Oh, no, this is your speciality.

It's really complicated.

Does it have to be a YAA cup? Yeah.Right.

Special measures. Yeah.

So you have to nick one and take it home.

On your head. (CHUCKLES)

WOMAN: What are these, Fiona? Gary's special pancakes.

They're morale boosters. (LAUGHS)

Job's a good'un. Right, I'm gonna make them.

(LAUGHS)

You know they're gonna be a disaster. (LAUGHS)

Who's gonna be the guinea pig?

Go on, then. If I must.

Phil, can you take a look at this job, mate?

It's an old boy in the middle of nowhere. He's lost.

He feels like he's going hyper.

He's in long grass. The ambulance crews can't see him.

I think there's a potential benefit of us maybe going,

see if we can spot him.

Surprising. It looks like a fairly open area.

Yeah, he's a little old fella, so I don't know if he's got disoriented here completely.

He's hyper. He's diabetic. He's collapsed. He can't walk.

Secure front left and briefed.

Air Desk, 9-8 lifting.

NARRATOR: The helicopter will assist in the search for the man

who's lost near the east coast. It's a 21-minute flight

and the sun is already beginning to set.

What is the job? So it's an elderly gentleman

who's lost in some fields. He's diabetic.

He's starting to feel hyper. He's no idea where he is.

Ambulance crew on scene having difficulty trying to find him.

His phone was running out of power.

He's getting cold. Might have a better idea of spotting him

than off the ground since he's surrounded by long grass and things apparently.

Lovely night, innit? Yeah.Really is.

The team are heading for the seaside village of Skipsea

on the edge of a 25-mile sweep of golden sand.

(SINGS) # I can see the seaside #

(LAUGHS) Ah, you win. (LAUGHS)

MALE DISPATCHER:

Aw.

Roger. All received. Thank you.

Lovely, so...On the nose. I think it's either that one

or that one is gonna be the caravan site.

Ah, it's in between these two caravan sites.Yeah.

In front of us on the nose. Yeah.

I think I've got visual of the DCA at 12:00

in the bushes. Okay, yeah.

Ah, they're flashing us down here at 11:00 there.

Nine-eight overhead, police are flagging us down.

Is the patient to the left or right? Er, it's on the nose.Right.

That police officer's just pointing over to the other field, the groomed field.

Okay.

Visual with patient. Coming n. Just under the bushes there.

Yeah.

A police officer found the elderly man sheltering beneath a hedge

and has stayed with him.

Hiya.Hello. This is Michael.

Hiya, love. Seventy-one-year-old male.

Come for a walk. He's got a bit lost.Ah, okay.

Complaining a little bit of achiness and soreness on the knees, but he has been crawling around

trying to get through ditches and things.

I've given him a quick head to toe.

Doesn't appear to be any, any, um, anything too serious.

Are you warm enough? Leeds United fan..

Leeds United? Deary me. We'll go, then.

Michael Barnes set off on his walk four and a half hours ago

and quickly became lost. He's arthritic and can't get up.

Let's just give you a once-over before we stand you up.

Um, are you diabetic? I think we heard that.

Very much so.Right. And when did you last have something to eat?

Dinnertime. I had

a Greggs coffee and a sausage roll.

Our concerns with this gentleman was that it was getting late on,

the temperature does dip on a night so hypothermia was a real concern.

That factored in with him being an insulin-dependent diabetic.

He didn't have access to his insulin. He hadn't had food.

So there was a very real risk of him becoming hypoglycaemic.

Same as my machine. Is it?Mmm.

Are you insulin-dependent, then? Yeah.

What's your blood sugar normally? It's not very good.

It's 13 at the minute.

So, high blood sugar is usually a progressive thing

over a period of time where the patient

can become less responsive

and potentially put him in quite a dire situation.

I tell you what, there's some bloody ants round here.Yeah.

Looks like you've made yourself a little nest here.

That's all bits of twigs where I've been trying to get through all this. Trying to make your way.

So was you digging in for the night, then?Bloody wasn't.

NARRATOR: Michael's from Leeds.

He's staying at the coast for a holiday.

MICHAEL: So who do you support, then?Hull. The mighty Tigers.

The Tigers. Pussycats really. (CHUCKLES) Eh?

That's what you've got on your shirts isn't it, the pussycats?'Ey, don't be cheeky now we're here.

(SHE LAUGHS)

I'm just gonna pop this blanket around you.

You're gonna look like a chicken in the oven.

But it's really effective 'cause you are a bit cold, aren't you?

I'm gonna put that over your head. Not your face, but your head. You'll be nice and warm in a minute.

Are you able to shuffle over onto your side and put this under your bum?

I think my bum's done for. Is it?

Shall I push you? (THEY LAUGH)

Up we go, come on. (GRUNTS)

Oh! We'll keep hold of you.

How's that feel?

That is tremendous.

Right then, buddy, just let me put my arm under there,

and we'll try and help you walk, all right?

NARRATOR: Michael will go to hospital by land ambulance,

but they're over a mile from the nearest road

so the helicopter will airlift him to meet it.

Hi, Andy. We are walking the patient to the heli now.

We're gonna relocate to the DCA. (RADIO BEEPS)

Right then, buddy. Right,

this is gonna take a bit of willpower, but we'll get there. That's the one.

Well done. Just watch your head.

There you go, just plonk yourself on.

Lovely job. Right, we're gonna strap you in.

Do I get a Blue Peter badge? Eh?

(LAUGHS) I think WE need the Blue Peter badge. I think you do for that.

(LAUGHS)

What's your first name, Michael? Oh, sorry, surname even.

(LAUGHS) That was a test just to, er...

Air desk, 9-8 lifting to reposition.

(RADIO BEEPS)

As much as he was making sort of quite light of the situation,

it will have been a concern for him. He was in the middle of nowhere.

He'd already had the foresight to sort of create a little nest for himself.

I think the prospect of being there for quite a period of time

would have been quite scary for him.

It's just on the corner, isn't it?

They want us to land down there where they are, I think,

where the police car is.

Oh, yeah. Visual on the DCA.

If that car can get up there, then the DCA should be able to as well, shouldn't it?Yeah.

Nine-eight finals.

All right, buddy, how was that?

(LAUGHS) Magic.Eh?

Let's have that off you.

Skipsea looks a lot different from up there.Does it?Oh, yeah.

Better or worse? Better. (THEY LAUGH)

Bet you didn't expect that when you went off for your walk, did you? Free helicopter ride?

I'll do it tomorrow. (LAUGHTER)

Hand on shoulders. Hand on shoulders.

There we go. Hands on my shoulders. That's it.

And just step down if you can. Shall I jump?

(LAUGHTER) Oh, there goes my back!

(LAUGHTER)

Right, come on then, let's go. We're going that way. You look after yourself, mate.

Oh, thank you.

Take your time. There's no rush. Thank you.

NARRATOR: Michael was checked over in the ambulance

before being taken home.

Right then, buddy, a bit of a ramp to go, all right?

NARRATOR: It's a glorious day in the Yorkshire Dales.

Perfect weather for cyclists and bikers.

But the narrow rural roads can be treacherous.

A biker has hit a car and been thrown off his motorcycle.

MAN: Oh, no. Oh, no. Oh, no.

Oh, no. (BLEEP) hell, mate.

Stay where you are, bro. WOMAN: Don't move.

Stay where you are, Ben.

Ambulance, please. Ambulance. Call an ambulance, now!

Ambulance. You're all right, mate, stay where you are.

(HE GROANS)

Yeah. Okay. You're all right, bro.

(BLEEP) All right, bro. Argh!All right, bro.

MAN: He was knocked unconscious and struggling for breath.

And he was sick in his helmet. Okay.

Anybody on t'phone to t'ambulance or what? Called one, I called one.

(SIREN WAILS)

Helimed 9-8 prepares for immediate takeoff.

Fuel, we've got the key on the left hand. Five-fifty. That gives us and hour 45.

(IMPERCEPTIBLE) 150.Clear left. Clear left.

And we're right. Thirty-eight lifting.

Paramedic Sam and the crew are racing 27 miles

to the injured biker in the village of Hampsthwaite in Nidderdale.

One-O-two, we're on the blue line, master list is clear, coming up on about the tail.

Motorcyclist. I don't know if he's hit into a car,

but he's been thrown over a wall

and a hedge or something into a garden onto a driveway.

Initially, he was said to be unconscious.

He's vomited into his helmet. He doesn't sound very well then, does he?

For somebody who is vomiting into their helmet,

struggling to breathe, confused,

that immediately says to us a few things,

but head injury is probably top of our priority.

(GROANS)

Lie on your back, bro. Just lie on your back. (GROANS)

See the cars have just stopped there.

Eleven, 1:00. So, you've got the buildings. (TALKING OVER EACH OTHER)

Twelve o'clock. Med air, Med air overhead.

Motorcyclists are 50 times more likely to die on Britain's roads

than car drivers.

Don't remove his helmet, because his neck can be damaged.

Leave the helmet there. I'm just giving you a chance to breathe, bro.

Where are you thinking? Where the field with the tractor is, a bit further down

there's a gate that's open. Probably put you down there and then it's just walk up to scene.

They're landing beside the winding 60-mile-an-hour road.

One hundred feet. Acknowledged.

We'll just go over to the access over here. No wires seen.

Right. You're clear to unstrap, folks.

Hello. You okay? Hello.Hello.Hello, hello, hello.

Who's this, then? He's actually come over the wall.

After being catapulted over a drystone wall,

30-year-old Ben has regained consciousness

but he's confused and struggling to breathe.

Ben, can you remember where you put your house key?

He has no recollection for events. No.

A couple came out to the driveway when they heard the noise.

He was, er, he was vomiting. Yeah.

And he was, er, gurgling in his helmet, so...

And then he came, came round. Okay. Fabulous.

Ben, obviously I don't think you can remember everything that happened. No.No?

What's the last thing you can remember?

Nothing at the moment. Nothing at the minute.

Do you know where you are currently? Er, near Hampsthwaite.Yeah.

Yeah, in somebody's drive. (CHUCKLES)

You've got pain in the back of your neck?

My... You know the bumpy spine bit? That one.Yeah.

Okay. Only that one.

So you said you've got pain in your right hip.Yeah.

The back of your neck. Yeah.

Any other pain that's materialised since we've been talking? My right shoulder.

Your right shoulder. And my, er,

left little finger.

Essentially, we can't stay on the drive all day.That's fine.

So we need to get up onto this stretcher.Okay.

So, to do that, we need to chop some more bits off, 'cause you've got all the stuff on.

You're wearing your helmet, which is good. You've got this back protector, which is good.

So you've got some protection.

We go to a huge amount of motorcycle incidents

and there's a vast difference between

people who don't wear protective clothing and people that do.

Ben, thankfully, was wearing the protective clothing

so it definitely reduced the amount of injuries that he would have had.

Whilst we're chopping it off, then, I'm gonna pop a little needle in the back of your hand.No, no, no, no.

Ben. No. I'd prefer you not to do that.

I understand... I really don't like needles.

(LAUGHS NERVOUSLY) Ben, it'll sting for one second

and that will be it. It's not the sting,

it's the knowing it's coming.

What happens if you didn't know it was coming?You've told me now, it's too late.

You should have just done it.

Sometimes the needles can be quite big and scary to look at

and people have natural phobias. I don't particularly like needles going into me.

Ben, listen to me. Yeah, yeah.

You've come off your bike at quite high speed

and flown over a wall, okay? Mmm-hmm.

I need to give you some drugs which are really, really important for you, okay?

It'll be really quick, okay? We just need to pop it in your arm then a plastic tube sits there,

the metal's gone. You're touching my elbow.

Ben, you're okay for us to do that, aren't you?What?

Pop the little needle in your hand. Yeah.Thank you.

The best and the fastest route for getting medication into your body is

intravenous canulation, essentially.

So that is just putting a needle, which leaves a little plastic tube that just sits in the vein itself.

And that allows us to inject the drugs and the medication in

and that gets back to the heart and circulates round the body

in the fastest possible time.

So, for someone like Ben, who had a potential, you know,

for multiple injuries, we needed to get that canular in

and give him the medication he needed quite quickly.

What bike have you got, Ben? Er, ZX-10R.

Where have you been today? Nowhere, work.

Just come straight from work to here?Er, yeah.

What do you do for work? I'm a police officer.

Oh! Oh, are you? Ah.

TXA is drawn up.

Ben may look okay, but the force of the impact

means he's at risk of internal bleeding.

They're giving him TXA, tranexamic acid,

which will help his blood to clot and stem the flow.

Ben. Yep?

Ideally, we need you off the floor. Yeah?

So, can we just try putting you onto this yellow board?Yeah.

If it hurts too much, let us know and we'll give you some pain relief.

(IMPERCEPTIBLE) ... in his shoulders.

Can you put it across your chest for me?

Is that all right there? Yeah, good man.

Let's try moving him and if it's painful we can get some then.

If not, we can... Towards me, okay? Put that foot down for me, Ben.

(GROANS) Ow, ow, ow. Scapula looks, sounds like that.

There we go, Ben. (GROANS) Good man. Keep breathing.

In through your nose, out through your mouth. Nice and steady. Slow it down, slow it down.

Let's just lift him up and then... Yeah. Ben.Yes?

We're gonna lift you on this board. It's important you keep both hands together.

Don't reach out, okay? We'll pop you on the stretcher.

How's your breathing feeling, Ben? It's harder now.

It's harder now you're on the board on your back?

Ready, steady, lift.

Ok, then. Four down the side of the stretcher.

# Ba-da-da-da-da #

There's room to examine Ben properly in the land ambulance.

Have a better look, Ben. Make sure we're all good.

Any pain in your chest at all? No pressing?

No. I feel it in my back when you push.

Ok, your back when you push. When you're pushing, when you push on my chest.

Have a feel of your tummy if I can? Yeah.

Any pain? Yeah, right hip.

My right hip... Middle finger. Okay.

Are you still feeling sick, Ben? I don't feel sick.

You don't feel sick? No, I can just taste it.Yeah. Okay.

That's it, really. He's been stable throughout.

Yeah. He's got an improving GCS from how it was initially meant to be.

Yeah.What's GCS? It's just your consciousness. Oh, right, okay.

Ben, lovely to meet you.

Unfortunately, it's not a helicopter ride today, but that's good. Thank you very much.You're welcome.

The nearest major trauma centre is Leeds General Infirmary

which he will go to by road,

leaving the air ambulance available for other casualties.

Let's go, one zero zero nine. Just under 200 feet, 200 feet on the bug.

NARRATOR: Fifteen hundred feet above North Yorkshire,

the crew of Helimed 9-8 receive a call from the air desk.

MAN ON RADIO: Nine-eight, can you divert to Harrogate? Harrogate.

Happy for me to get grid? Er, yeah.Diverting to Harrogate. Ready for a grid when you are.

Nine-eight, air desk. Grid

Sierra Echo three two three seven four.

Thank you.

There's a two-year-old who's fallen from a window.

Confirm, that's a two-year-old fallen from...

A window. That's what I heard, yeah.

Not sure what height.

Last message from Sam was that they are unresponsive.

Doctor Neil and Stewart are eight minutes from the injured child.

So, off the information we've been given,

I'm gonna try and work out some doses, just in case, to give me a rough guide.

Just because if it is a case that we have to move quickly,

it just saves us having to work it out.

So I've got a rough guide, rough age, rough weight.

It gives us a little bit of a heads up, a bit of a head start.

Well, up date, the EMTs crew on scene.

More than a 10-foot fall, fall from window.

Ineffective breathing.

Several ambulances. It looks like it is a building site.

The other side looks good, mate. Yeah, if you're happy with that. That area there.Yeah.

Nine-eight finals. (BEEP)

There's drain holes here. Hopefully

it's not an underground reservoir.

(LAUGHS) It's not moving.

I think... Are we down the side? Hello.

In there? In here.In there.

Hello there. Hello.

Local paramedics are already on the scene

and trying to keep the child as still as possible

without distressing her.

She's come from the window.

(THEY TALK OVER EACH OTHER)

Er, so it looks like she's quite comfy.

When we got to her, she was sat on here,

wriggling around and was crying and sort of thing.

So this is kind of the best immobilisation that we've found at the moment.

She has got a carry chair, so what we were gonna try and do is get it and a blanket pan

is maybe our best bet.

Or we just get Mum to carry? Are you happy with the mobilisation wise?

Absolutely, yeah.

So... Are you Mum? This is Mum.

I'm one of the doctors, I'm Neil. I don't know your youngster's name, I'm sorry.Sophia.

Sophia. Normally fit and well? She's got chronic lung disease,

but normally she's all right. Chronic lung disease.

From?Prematurity. How premature was she?

She was seven weeks prem, but I were diabetic.Okay, right.

And did she have any intensive care treatment?Yes,

she had four days of high flow, and then she was on oxygen for three months.Okay.

Despite falling from a first-floor window,

baby Sophia appears to be well.

But Dr Neil isn't convinced.

Um, so, correct me if I'm wrong, everybody who's told me the story,

fall from a window upstairs? Top one, yeah.

That's the first floor. Okay.

Onto gravel.Gravel floor. But she cried, screamed. Yeah.

She was gasping at first. Yep.

And then she cried. Okay.

Children are absolutely fantastic at masking injuries.

They can present as absolutely fine and then, within a couple of minutes, they're critically unwell.

There could be some internal damage that we're not able to see.

So, the priority will still be to transport them

as quickly as we can to a trauma centre.

Mum, do you want to take Sophia in your arms?

Give her a cuddle. We're going out to the ambulance.

We are driving to Leeds, and we're not doing anything else. Who's driving?

Very good. Do you know the way to Leeds?Yep.

So we're going to set off and go to Leeds. Perfect.

Dr Neil wants to get Sophia to hospital urgently

so further checks can be done.

And you are? Nana.Nana. Hi, Nana.

This one here? Yeah.

I don't know if she's hit the bird table neither. Where was she when she...

I don't know 'cause I wasn't here. Okay.

Did anybody see it happen? Um...As in outside.

Probably her mum. Oh, I don't know.

Dr Neil will accompany Sophia in the land ambulance

so that if she deteriorates suddenly,

he can be on hand to treat her.

She just needed to be in front of the hospital, in the scanner,

as quickly as she could be to find out what damage, if any, she'd done.

Stew, get Mum secure, baby secure, and I'll just radio the air desk

and let them know what we're doing. Absolutely You give an update. Is that all right?

And what's your ETA on the satnav?

Twenty-three minutes. So I'll give them a sort of two-zero, 20 minute.Okay.

And we're going to Leeds, yeah? Yep.Okay, let's go, then. Thank you.

(SIREN WAILS) It's Neil Sambridge on Helimed 9-8.

I've got a girl who's fallen from a first-storey window,

landing on a gravel drive outside the building.

So we're coming to you by road with Mum.

Be with you in about 20, two zero minutes.

Lovely. Thank you very much. Bye.

(SIREN WAILS)

There was no immediate intervention needed.

She had an airway, she was breathing adequately.

She was nice and pink.

There are occasions where children have fallen a significant height

and they've not been injured.

Some people say it's 'cause they don't tense up.

Anecdotally, there have been times where you think someone's gonna be far more injured than they are

and they've just not been.

That was a smooth drive. Thank you. Good.

The paediatric team will take Sophia straight for X-rays

to determine the extent of her injuries.

I know that lots of young children bounce,

but this may be one of the unfortunate children

that didn't bounce particularly well and had the potential for

significant injury that that we haven't identified.

Either head, brain or chest, so lungs or heart.

You know, and young children can look well, but actually not be particularly well.

But we don't know that.

Just gonna pop a little needle in your hand.No, no, no, no.

Ben. No.

Thirty-year-old biker Ben

was catapulted over a drystone wall after he collided with a car.

He suffered a broken shoulder and a partially collapsed lung

as well as major bruising.

He's now recovered, but still attending physiotherapy.

Two-year-old Sophia needed X-rays in hospital

after falling 12 feet from a first-floor window.

Remarkably, the results showed she was injury free,

except for minor bruising.

(SIREN WAILS)

Argh! Archie,

I think what you've done is you've dislocated your kneecap. Yeah.

Fourteen-year-old schoolboy Archie

went for X-rays after dislocating his kneecap on a cricket pitch.

I'm like, "Where's my knee gone?" I looked, like, left a bit

and it's just on... it's left out of my knee.

I do remember, like, seeing white

and then just hearing voices repeat, and then it popping back in and I was back up.

That's literally all I remember.

Keep going, Archie. There we go. There we go.Have some more.

Lower your leg. Archie, there we go, we're good. It's back in.It's in!

X-rays revealed no further damage to Archie's knee.

The recovery was really quick. I'm back into my sport now.

Back into the gym. Back into kicking the ball around with my mates.

It was a really fast recovery, to be fair.

I barely remember which knee it is now.

I'm just gonna pop this blanket around you.

You're gonna look like a chicken in the oven.

Diabetic Michael Barnes was found to be exhausted

but otherwise well after he got lost

on a walk near the Yorkshire coast,

sparking a major rescue operation.

Michael was lost for several hours,

but managed to call for help despite a dwindling phone battery.

The land ambulance took Michael back to the holiday caravan

where his wife was waiting.

I was coming back from Brigg with the wife

and the cab broke down.

Me being me, saw a bit of red, and kicked off

and walked off.

I was planning on going to the beach club at Skipsea,

to have a pint and cool down.

I was getting very cold. I could feel me hands going and

I thought, "I don't fancy it out here."

And then, next thing I saw was the helicopter go whiz in front of me.

And I thought, well, that can't be for me, surely to goodness.

It turned round and bump, dropped itself.

Oh, inside I felt, oh, I did feel happy,

I've got to tell you the truth. I mean there was something saying,

"Well, we're all right now. Don't worry now, old lad."

WOMAN: What did your wife have to say when you got home?

Very quiet, but she did make me a sandwich.

Ham and pickle. I can remember that.

And a cup of tea to warm me up.

Subtitles by Deluxe