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Yorkshire Air 999 Season 3 Episode 4
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FunTranscript
00:01Yorkshire.
00:03Breathtaking,
00:06but unforgiving.
00:09And when the landscape turns dangerous...
00:11Patient's still breathing, but doesn't sound good on the phone, mate.
00:14...and lives hang in the balance.
00:18The crews of the air ambulance are often the first and only lifeline.
00:23Hello. We're coming to help. You OK, buddy?
00:25Delays in getting your patient to hospital
00:27can literally be the difference between life and death.
00:30He's injured his brain.
00:31Just try and get a little drip in your arm, Ian, all right?
00:33Can you remember anything about us putting your leg into us then?
00:36No.
00:37No?
00:39The jobs that we're going through can be quite catastrophic.
00:42If we weren't there, then the situation could be much worse.
00:45Bringing critical care by air.
00:47That's it. That's it. Good lad. Good lad.
00:50You're not allergic to anything. Pain.
00:54This is Yorkshire Air 999.
01:00It's Friday afternoon at the airbase near Wakefield in West Yorkshire.
01:06And paramedic Andy is beginning his 12-hour shift.
01:10Just as others are heading home.
01:12You all right, fella? Come on. Don't worry. Don't worry. Don't worry.
01:24We did a race girl, yeah?
01:25I'm just trying to be heading home, I don't think.
01:27There we go. Motorcycle versus car.
01:31There's two jobs that were coming in from the same area.
01:33There's two people that were seeing this RTTR.
01:35Multiple 999 calls are coming in about the crash on a busy A-road in Barnsley.
01:41Can we be completely aware?
01:43I'm not going to be all right.
01:44The other way, yeah, he says he can't feel his arms are like the bus.
01:47I don't care.
01:53Within minutes, paramedic Andy is boarding HeliMed 9-8.
01:57We're going to Tankersley.
01:59Roger.
02:00Just about the rely. Looks good. We are departing.
02:04Roger.
02:05It's just a five-minute flight to the village of Tankersley in South Yorkshire.
02:20Andy, what's the job?
02:22We've got a motorcyclist, 55-year-old,
02:25who has come into contact with another vehicle, I think a car.
02:29I don't know what's going on with him.
02:32Maybe some significant injuries.
02:34Yeah. It's a fast road, is that?
02:40Yeah, so it's just over the brow of this hill here.
02:43There's just outstanding traffic for this job.
02:45Yeah.
02:499-8, overhead, looking to land.
02:51Your access Andy is going to be out of that blue gate,
02:54just in the corner and then up the street from there.
02:56Okay.
02:57Happy work, mate?
02:58Yep.
02:59Okay, cool.
03:009-8, finals.
03:02I'll bring the tail left slightly.
03:04Yep.
03:05Just so that we're...
03:06You're also left.
03:07Excellent, thank you.
03:08Tail comes left now.
03:09I like that.
03:10Good visual on these wires of this.
03:11I'm going to move a bit closer to this pole.
03:13I've got a good visual of them.
03:14Yeah.
03:15Roger.
03:16Set us down here.
03:17They're landing in a field,
03:19just a short walk from the junction where the patient is injured.
03:22Happy with that slope?
03:24Yeah, that's right there.
03:25Yeah.
03:26Nice.
03:27Okay, all clear out there.
03:28Okay.
03:29I'm good.
03:36Other emergency services are already at the scene,
03:39waiting to hand over to Andy.
03:41All right, guys.
03:42All right.
03:43How we doing?
03:4470-year-old Martin Eaton was travelling at around 30 miles an hour
03:49when he collided with a car.
03:51It's his 29th wedding anniversary,
03:54and he'd gone out to do some shopping.
03:56He can't move his legs slightly there,
03:58but he says his legs just feel weird.
04:00Yeah.
04:01Right, so legs and everything, and a bit of pain on the arm.
04:03Yeah, yeah.
04:04Right, I'll do a chopstick or something.
04:05Yeah, small issues with his breathing.
04:07Let's do a set of obs on him and a little pain relief.
04:10Hello, sir.
04:11He's dead.
04:12He's hard of hearing.
04:13Sorry, I'm very dead.
04:14It's all right.
04:15My name's Andy.
04:16Yeah, you can throw my helmet off if you are, I think.
04:18Give us one minute.
04:19All right.
04:20I'm not going to move his helmet yet,
04:21because that's actually supporting his head quite a bit.
04:23We'll do that when we need to do it.
04:25Martin's helmet must be removed with care by the paramedics.
04:29If he flexes his neck or doesn't keep it in line,
04:32it could make any spinal injuries worse.
04:35What we'll do, before we get the mobs on,
04:37we'll just get the clothes removed and then...
04:39Right, I'm just going to have us into your chest.
04:46Take some breaths, mate.
04:49Martin is registered deaf.
04:52Nikki, who stopped to help,
04:54has been communicating with him using her phone.
04:57Take some breaths.
04:58Breathe.
04:59Can you just ask him if his breathing feels all right?
05:03There's more on that arm there.
05:04Do you want me to come over and help you?
05:06Yeah.
05:07Breathing feel all right, yeah?
05:08Yeah, his breathing feels all right.
05:09Yeah, OK.
05:10It's my arms.
05:11My arms are so painful.
05:13Any pain there?
05:15Any pain?
05:16No.
05:17None up here?
05:19Is that OK?
05:20Yeah?
05:21What about there?
05:22Ask him if there's any pain there.
05:24Hang on.
05:25Round his hips and that.
05:27He said no hip pain, it's just tingling.
05:29And what about his neck?
05:30What about your neck moving on?
05:32He hasn't moved his head since we got here.
05:34He has at some point at this.
05:35So neck pain is the main thing.
05:37Arms are hurting and legs are numb.
05:39It seems to be shoulders down is a tingling feeling, not a pain feeling.
05:44Pain was only triggered when you were much moving and touching his arms.
05:48He's hit a car at a really fast speed.
05:51And all that force is then transferred into the body.
05:54He's got severe pain, tingling in his arms.
05:57And he's got some neck pain.
05:59So my main concern is he's probably got a spinal injury.
06:02See, spine officer, we need to really protect that, yeah?
06:05I think mainly what we're looking at is a spinal injury.
06:08Yeah?
06:09All agree?
06:10Yeah.
06:11So pain relief on.
06:12We'll get him scooped.
06:13We'll get his lid off after we've scooped him, I reckon.
06:16We're not moving him then.
06:18Have you been able to feel it?
06:19Just get some paper and a pen.
06:21Get some details.
06:22Office lady for this man.
06:24Name date of birth.
06:25When we read it ago, we'll just go.
06:27On the side of his helmet, there is a QR code.
06:30Oh, right.
06:31OK.
06:32Martin has a QR code on the side of his helmet,
06:34which can be scanned with a smartphone by first responders,
06:37to access his medical details and emergency contacts.
06:41I've never ever seen a QR code on somebody's helmet,
06:44and it was absolutely brilliant.
06:46It gave us all his information, his name, his date of birth,
06:49his address, and it did contain Martin's medical history,
06:53which is really useful for us as paramedics.
06:56And that enabled us then, for the ongoing care,
06:58to get him booked in at the hospital.
07:00Hi, Carl.
07:01Just going to put this on your face, perhaps,
07:03you can speak nice and warm ears.
07:05Right, we're going to get him immobilised
07:07and put in the ambulance.
07:08OK.
07:09OK?
07:10Yeah.
07:11I'm looking forward to that.
07:12We'll be gentle.
07:14Yeah, tell us if it hurts.
07:16It hurts.
07:18It hurts more.
07:20It hurts more.
07:21It hurts more.
07:22It hurts more.
07:23Andy has carried out all the checks needed on Martin,
07:26but still needs to remove his helmet
07:28before he can be moved to the waiting ambulance.
07:31What we're going to do is remove his helmet.
07:32I don't really want to move his head at all, really.
07:34Just say we're going to take his helmet off.
07:39Martin?
07:40Martin?
07:41Sorry.
07:43OK.
07:44Yeah?
07:45Yeah, it's fine.
07:46Well done, Martin.
07:47OK.
07:48We have to be very careful when moving Martin,
07:50because his spine is very delicate,
07:53and if he has got a spinal cord injury,
07:56any slight wrong movement might cause more issues
07:59with that cord and could paralyse him.
08:02I don't want his head to drop down, if possible.
08:05So whenever you're ready, yeah?
08:07Yeah, I'm ready.
08:08No, don't move your head.
08:09Leave your head.
08:10Martin, keep your head still.
08:12Head still.
08:13Head still.
08:14They're using a special technique,
08:16where one medic inserts their hands inside the helmet
08:19to steady the head,
08:20whilst the other pulls the helmet away.
08:23My hand's underneath.
08:25Let's block him.
08:27Yeah?
08:28Right, let's get his taped on there, guys.
08:30Are you guys all right getting him onto the air ambulance
08:33and I'll put up pre-alerting?
08:34Yeah.
08:35Hello, it's Andy, one of the paramedics of the air ambulance.
08:37I've got an Atmos call for you.
08:39It's a car versus motorcycle.
08:42He essentially has got neck pain, but possibly a paresthesia
08:49and paralysis of his lower limbs.
08:52And he's just not moved his legs since we've arrived on scene.
08:56And his upper body, sort of shoulders down,
09:00just really, really painful, like a neuro-type pain,
09:04if I'm honest with you.
09:05OK, then.
09:06See you later.
09:07Bye.
09:08Right, nice and gentle, as slowly as you can, please.
09:12There we go.
09:14On my count.
09:16Ready, brace, lift.
09:17Yeah.
09:19Hold on, hold on.
09:21That should have kept.
09:25Ready, brace, lower.
09:27Martin will travel the eight miles
09:29to Northern General Hospital by land ambulance.
09:32It's a short journey by road
09:34and will free up the helicopter for other emergencies.
09:37Martin, I've got a little note for you.
09:39Which one we're going?
09:41Sheffield.
09:42Or just failed?
09:43Sheffield.
09:44Sheffield.
09:45Sheffield?
09:46Yeah.
09:47We'll see what his sats are doing now, actually.
09:50Right, happy?
09:52Andy will need to monitor Martin
09:54for the 15-minute journey to Sheffield,
09:56where x-rays will reveal whether he has suffered
09:58any lasting spinal damage.
10:00Where are they all?
10:01Yeah.
10:02That's a pool.
10:03Look at that pool.
10:04Oh, wow.
10:052,000 feet above North Yorkshire.
10:06Pilot Rory and technical crew member Claire
10:08are flying HeliMed 99 back to base.
10:10Four minutes.
10:11Over the radio, Rory's discovered
10:12that they're sharing airspace with the Red Arrows.
10:13There they are.
10:14Left 10 o'clock.
10:15Oh, yeah.
10:16Oh, yeah.
10:17Oh, yeah.
10:18Oh, yeah.
10:19Oh, yeah.
10:20Oh, yeah.
10:21Oh, yeah.
10:222,000 feet above North Yorkshire.
10:24Pilot Rory and technical crew member Claire
10:27are flying HeliMed 99 back to base.
10:29Four minutes.
10:31Over the radio, Rory's discovered
10:33that they're sharing airspace with the Red Arrows.
10:36There they are.
10:37Left 10 o'clock.
10:38Oh, yeah.
10:45Oh, yeah, I got him.
10:46Oh, that's so cool.
10:47That's amazing.
10:50But just as they're about to reach base,
10:52a new job comes in.
10:54This is a 62-year-old gentleman
10:56who's currently trapped under a tractor.
10:57That's all I've got at the minute.
10:59HeliMed 98 are also on the road,
11:00but if you stand,
11:01let us open the dial if they're not required.
11:04Yeah, obviously.
11:06A second helicopter, HeliMed 98,
11:08is also being sent from the West Yorkshire base.
11:11It has a doctor on board
11:13and can supply additional blood and resources
11:16if they're needed.
11:17What's this looking like?
11:19There's fields all around it.
11:21Tractor fields all around it.
11:22It's a farm, yeah.
11:23If 98 are on the way,
11:27it might be worth getting them to transport on the base
11:29since we are running out of time and fuel.
11:32Well, I can't even do the LGI back.
11:34Yeah.
11:35So...
11:36Nan, to air desk.
11:37Go ahead.
11:38Yeah, could you keep Nan 8 running
11:40in case we need to transport
11:41because we have very low fuel.
11:43We won't make it to, like, LGI back ever.
11:46Yeah, roger.
11:47Because we got the call,
11:48we went and we attended this patient,
11:50but we had to decide, actually,
11:51we weren't able to fly him to a hospital on the bill
11:53to fly back with the amount of fuel that we had.
11:55There was a gentleman who was a farmer.
11:57He'd come trapped under his tractor,
11:59and he'd been there since the morning.
12:00So this patient could have a number of injuries
12:02from traumatic injuries to his head
12:04or his chest or his pelvis.
12:06He could be bleeding.
12:07He could have fractures.
12:08He could have difficulty in breathing.
12:09Or he could have a multitude of those injuries,
12:11which were all causing him severe pain
12:13and, obviously, concerns for us
12:14that we need to treat him nice and quickly.
12:16Right.
12:17One mile.
12:18Must be about here.
12:19I'll put it on your side.
12:20See if you can see anything.
12:22Under.
12:23Nine-nine, overhead.
12:24Oh, below.
12:25Right below us, yeah.
12:26Yeah, yeah, yeah.
12:27Yeah, there's a guy lying down there.
12:28Oh, yeah, I see.
12:29Yeah, yeah.
12:32Nine-nine, final.
12:34Yeah, I got the vehicle at 12 o'clock.
12:36Clear left.
12:38I'm just going to come into this field
12:40and then I'll air taxi over a little bit closer.
12:42Yeah, I'll take a suction as well.
12:43Okay, clear down.
12:45Nine-nine, London.
12:46Paramedic Danny is on shift with Tom today.
12:47Their patient had been working on his farm
12:48when the accident happened.
12:49Hello.
12:50Welcome, site.
12:51Who have you come to see?
12:52Simon.
12:53Simon.
12:54It's just my neighbour, I don't...
12:55Hi, Simon.
12:56I'm Tom.
12:57We've got Danny as well.
12:58What's happened to you today, buddy?
12:59I got run over by a tractor.
13:00You got run over by a tractor.
13:01You got run over by a tractor?
13:02Yeah.
13:03I got run over by a tractor.
13:04I got run over by a tractor.
13:05I got run over by a tractor.
13:06I got run over by a tractor.
13:07I got run over by a tractor.
13:08Okay, where's your most pain at the moment?
13:09Just in the right leg.
13:10The other one, perhaps.
13:11Oh.
13:12Oh.
13:13You've been under this tractor since 8 o'clock this morning?
13:14Mm-hm.
13:15Simon was out watering the trees on his farm ten hours ago when he dismounted his tractor
13:30without putting on the handbrake.
13:32It rolled onto his ankle, dragging his leg under the wheel, leaving him trapped.
13:36Open your mouth.
13:37Stick your tongue out.
13:38No stuff.
13:39Pop it back in.
13:40No stuff.
13:41Take a deep breath for me.
13:42And then out.
13:43Any pain in your chest?
13:45No.
13:46I know you've got your teeth.
13:47I'm just going to cut this open.
13:48So we're going to do a few things.
13:49We're all going to get to your leg.
13:50Ah!
13:51How have you managed to get out?
13:52Ah!
13:53He drove it off me.
13:54He drove it off you?
13:55Mm-hm.
13:56Simon's phone smashed during the accident.
13:59So he wasn't able to call for help and his shouts were drowned out by the sound of the tractor's engine.
14:05His neighbour finally went to investigate after noticing that Simon's tractor hadn't moved for some time.
14:11This gentleman had been trapped for what we were told was to ten hours before his friend had found him.
14:16So we're obviously concerned.
14:17He's going to be cold.
14:18He's going to be in pain.
14:19He's going to be distressed.
14:20All these things we need to manage and identify and treat as soon as we can.
14:24Crush injuries can be life-threatening.
14:26You get a build-up of toxins and the injury that's crushed if it happens over a period of time and if the weight's heavy enough.
14:33And then once that tissue gets released, then all those toxins can go back in the body and cause quite catastrophic heart arrhythmias and imbalances and potentially put the patient in cardiac arrest.
14:44Can you tell me if any of this hurts?
14:46No, I don't.
14:47Are you normally feeling well, Simon?
14:48Reasonable, yeah.
14:49Reasonable, yeah.
14:50Simon, take some deep breaths in that for me.
14:55And keep going.
14:58Any pain in your tummy?
14:59I don't think so, no.
15:01Any pain in your hips?
15:03I don't think so, no.
15:04So was it just on your leg, Simon?
15:06Just on my leg, yeah.
15:07Just on the right one?
15:08Pushing onto my knee because the engine was running.
15:10Okay.
15:11Causing any pain when I'm pushing on that.
15:13On your hips.
15:14I've got new hips anyway.
15:15You've got new hips and I'm pushing on them, all right.
15:17Are you able to lift this leg up?
15:19Love your stuff.
15:20That's fine.
15:21Bob that down.
15:22How about this one?
15:23All right.
15:24Good man.
15:25All right.
15:26So pelvis is right.
15:27Abdo's okay.
15:28So it's trapped you, but it's just trapped you by that right lower leg.
15:30Yeah.
15:31Is that right?
15:32And your knee.
15:33And your knee as well.
15:34Get some access to it.
15:35Yeah.
15:36Obs are okay.
15:37BP 136, 94.
15:38Sats 98.
15:39Heart rate 78.
15:40Cool.
15:41Shall we just have a quick ECG as well?
15:42Sure.
15:43Just because he's been under there for a while.
15:44Yeah.
15:45So what the plan is, we're going to keep assessing you.
15:47We're going to put a little needle in your arm.
15:49Yeah.
15:50And then we'll give you some medicine because I imagine it's quite painful as well.
15:53It's very painful.
15:54Yeah.
15:55I'm just going to squeeze on your thighs as well.
15:57Yeah.
15:58Yeah.
15:59That one's on you.
16:00It was just.
16:01And you feel me touching down here.
16:05No.
16:06No.
16:07His leg looked as though he had some tissue that was become what we call ischemic.
16:12So there's not a lot of blood going to it.
16:14It had some indentation where the tract had been resting on it as well.
16:17So there's some damage to the blood vessels, to the tissue, to the muscles and potentially
16:22under that bone as well that we couldn't particularly see at that time.
16:25Right.
16:26I think NTC might be quite good for him with that crush injury for that amount of time
16:29as well, isn't it?
16:30It's just isolated to there.
16:31Yeah, it does, yeah.
16:32Because Simon has crush injuries, he'll need to be flown to a major trauma centre.
16:37Helimed 98 are still en route.
16:39Right.
16:40So if you were to score that pain in your leg, Simon, zero's no pain, ten's the worst pain.
16:45What is it at the moment?
16:46Nine.
16:47Nine.
16:48Okay.
16:49All right.
16:50So eight o'clock this morning, you're on the tractor.
16:51How did you come to get seated out of the tractor and end up underneath it?
16:54Got off to pick up, you know, strap up.
16:57Didn't put the handbrake on.
16:58Yep.
16:59Trapped it off the back because I stupidly tried to go on it.
17:02So you and the tractor, you didn't put your handbrake on.
17:05Mm-hmm.
17:06And you came out and you were outside the tractor trying to do something and then it's just
17:09rolled over your...
17:10Well, no, most of that, I tried to get on it when it was rolling.
17:14Okay.
17:15All right.
17:16And then it's trapped underneath it.
17:17The front or the back, that's trapped you?
17:18The back wheel.
17:19The back wheel.
17:20And that's been on that knee and that leg since about eight o'clock.
17:22Yep.
17:23Okay.
17:24All right.
17:25Yeah.
17:26So I'm just going to put a little needle into your arm, okay?
17:28Yeah.
17:29I think we'll get some fluids going as well.
17:33So we're going to give you some pain relief, Simon.
17:36We're going to give you some fluid as well, because you've been out here for a while.
17:38Yep.
17:39And then we've got another helicopter coming just because we're a bit low on fuel.
17:43All right.
17:44Have a chat with them and then we'll get you off to hospital, all right?
17:46Hello, mate.
17:47All right.
17:48Do you know Simon?
17:49Yeah, it's my uncle.
17:50It's your uncle.
17:51All right.
17:52Yeah.
17:53Quite a significant lower leg injury from where the tractor's been since eight o'clock this
17:57morning.
17:58All right.
17:59So we're just going to give him some pain relief.
18:01Yep.
18:02A few other things and then we'll get him off to hospital.
18:04Simon's nephew, Connor, had been helping him out on the farm, but had left just five
18:09minutes before the accident happened.
18:10So we're going to come at you at all angles.
18:12That's iron and sharp scratch.
18:14That's iron as well, sharp scratch, sorry.
18:24So bilateral access.
18:26We're going to get ketamine.
18:27We're going to get on and then we'll get some fluid in one arm or we'll get ketamine
18:33the other, can't we?
18:34Simon needs pain relief.
18:36So Tom and Danny will give him ketamine, the strongest they have.
18:39You all right, Simon?
18:40You're doing well, mate.
18:41I'm just going to give you a bit of fluid.
18:43Dr. Steve, paramedic Stu and technical crew member Will have arrived on HeliMed 98.
18:48Hello.
18:49Hello.
18:50You all right?
18:51So this is Simon.
18:52He is 62.
18:53He was out from under the tractor when we arrived.
18:56Eight o'clock this morning.
18:58He's driving the tractor.
19:01There's a belt that's caught.
19:03He's got out but hasn't put the handbrake on.
19:04Okay.
19:05He's gone round to freer and as he's done that, he's been trapped by the rear tire on the tractor.
19:10He's got an isolated leg injury which is just quite a lot of indentation.
19:14He hasn't got particularly much movement to it.
19:15He's blistered as well.
19:16Simon, I'm going to give you some pretty strong pain relief.
19:18Okay.
19:19Sometimes you can feel a little bit funny on it.
19:21It's ketamine.
19:22So have you ever had that before?
19:24No.
19:25So I'll just give you a nice little bit to begin with which should take the edge off the pain.
19:29Okay.
19:30How are you doing all right?
19:31I just have ten of cat.
19:33Lovely.
19:34Injury wise, if you look at his right leg, he's got some indentation there.
19:40So being trapped by anything heavy for a significant amount of time can cause a huge amount of tissue damage.
19:49As blood supply gets stopped to a limb or the tissue crushed, the cells actually die and release toxins into the bloodstream.
19:57Simon was a farmer, had been all his life, and he was complaining of significant pain.
20:02Any farmer that complains of pain, we worry about significantly because most farming folk are hardy and don't like to complain of discomfort.
20:11And so I do recall at the time thinking that this could be related to significant tissue injury in his leg.
20:17How's that pain at the minute, Simon? All right?
20:19Has it eased off at all?
20:21Not really.
20:22Okay, fine.
20:23We like to give you little bits just to make sure that you're okay with it.
20:25And then once we know that you're okay, we can give you a little bit more.
20:28Can you feel that at all down on your foot?
20:30Can't feel my foot, no.
20:32No, okay.
20:33Plan will be going to put a splint on your leg.
20:35I'm just going to move your leg now.
20:36Take some deep breaths.
20:37That's it.
20:38Deep breaths, Simon.
20:39Well done, bud.
20:40Well done, mate.
20:41Great stuff.
20:42That's it.
20:43Well done.
20:44That's it.
20:45All done now.
20:46Okay, mate.
20:47How are we doing?
20:48All right?
20:49Good stuff?
20:50Well done.
20:51Yeah, good.
20:52They're using a vacuum splint.
20:54It will form a mould around Simon's leg to avoid further damage during his journey to hospital.
20:59How's that pain?
21:00Still there.
21:01Still there.
21:02Is it eased off any at all?
21:04Not a lot.
21:06Very painful that I'm gone.
21:09Say that again, sorry?
21:10I'm gone.
21:11You're gone.
21:12Our plan is, so we've sorted your leg out now.
21:14We've put a splint on it just to keep it nice and comfortable.
21:17Yeah.
21:18We've got two yellow boards that we're just going to slot in between you.
21:21On three.
21:22One, two, three.
21:23Perfect.
21:24Lovely stuff.
21:25We're in.
21:26All right.
21:27We're going to lift you up just a little bit and then put our sleeping bag over to try
21:30and get you a bit warmer as well.
21:31We'll go on three.
21:32One, two, three.
21:33You feeling comfortable with that pain there, Simon?
21:37Yeah.
21:38Is everybody ready?
21:39Yeah.
21:40On lift.
21:41Ready, set, lift.
21:43How are you doing, bud?
21:46Okay?
21:47Yeah.
21:48Good.
21:49Nice and slow, guys.
21:50We're not rushing.
21:51No.
21:56Simon?
21:57Yeah?
21:58Myself and Tom are off now.
21:59I'm going to leave you with Stu and Steve.
22:01Wish you all the best and hope you feel better soon.
22:04See you later, guys.
22:05HeliMed 98 will fly Simon the 22 miles to Leeds General Infirmary, where he'll need
22:15x-rays and potentially surgery.
22:18For Tom and Danny, it's back to base to refuel.
22:35At the Nostal base near Wakefield, Dr. Rob is sharing his tips on staying fuelled up for a 12-hour shift.
22:47We've got a bit of Yorkshire blue cheese, crumpets which are toasted twice, and then we put them in the air fryer for five minutes just to melt the cheese, and it keeps them nice and crispy.
22:57So I think they're about ready to be eaten.
23:00Is anyone else having some blue cheese, Yorkshire blue?
23:04Skipper?
23:05Yeah.
23:06Skipper?
23:07Two crumpets keeps me going until about three o'clock, and you can grab the crumpets and rush to the aircraft and still eat them on the way to the job.
23:15So we can keep ourselves fuelled for the day, and that lasts me until about three or four in the afternoon, really.
23:22Do you think it looks nice, Loz?
23:24Absolutely not.
23:26I think it's in a quiet taste.
23:28Mmm.
23:30Hopefully it shall keep us going for the day.
23:33Over on the air desk, Terry-Ann is on dispatch and has spotted a job.
23:42You're off to Beverley from a woman off a horse.
23:45She's done a femur, but she's becoming drowsy because they rang an hour ago, and she's still not had anybody.
23:50A woman has injured her leg after falling from a horse in Beverley in the East Riding of Yorkshire.
23:56Dr. Rob and paramedic Wayne are flying the 40 miles to the injured woman.
24:06It's a cold day, and with a fractured femur, you can bleed quite a lot.
24:11Obviously cold weather can accelerate that bleeding.
24:14I think she's becoming a bit drowsy, so there could be ongoing bleeding that we need to reverse.
24:19We'll see what we'll find.
24:22I'm not a fan of horses.
24:24They're nice, but they're a bit too unpredictable for my liking.
24:28Just a bit.
24:30They're above the riding stables where their patient's located, but it's a tricky landing for Pilot Gary.
24:35Ooh.
24:39Well, that horse is in that field where I want to land.
24:42The team can't risk landing too close to the horse and spooking it.
24:46These ones at the back, Gary, I think we'll be able to get through.
24:49No wires, is it?
24:50Negative.
24:51It's one over, does it?
24:52Yeah.
24:53Stay away.
24:54I'll just land right at this end of field.
24:56There's enough people to carry on the scoop, isn't there, down here?
24:59Yeah.
25:00Camera's up, please, mate.
25:01Yep.
25:02As long as that big horse don't come bridge, I feel all right.
25:06A bit downslope.
25:07We're okay.
25:08Leave it down.
25:09You'll clear down.
25:10Ten eight landed.
25:16Hello.
25:17Hi, I'm Wayne.
25:18This is Rob, one of the doctors.
25:19Hi, this is Rob.
25:20I really didn't want an ambulance.
25:21Oh, you got an upgrade.
25:22I know.
25:23It's bloody embarrassing.
25:24What's your name?
25:25My name is Sarah.
25:26Oh, shut up.
25:27So, Sarah, am I right to give you a quick check-out where Rob's just getting together history?
25:30Is that all right?
25:31Yeah.
25:32Helmet-worn.
25:33Helmet-worn.
25:34Helmet-worn.
25:35And the horse took me as I landed in my leg.
25:38In your leg.
25:39Okay, in your leg.
25:40Sarah Downs was having a riding lesson when the horse bucked unexpectedly, throwing her
25:45off and kicking her leg.
25:47So, while I give you a quick check-over.
25:49Please don't touch that.
25:50We'll get down to your leg in the maze.
25:52It's my left leg, it's my thigh.
25:53So, you've got no pain in the back of your head here?
25:55No.
25:56Have you had any pain relief yet or anything?
25:58I've had four ibuprofen and two cocodermal, but that was like three hours ago now.
26:03Three hours ago now.
26:05And it was a kick to the side of your leg that did it or?
26:08Yeah, so the horse was stationary and then it started having a, it booked me off and as
26:13I fell, it's hoofed.
26:15Is it high up the pain in your groin or?
26:17It's my thigh.
26:19I can pinpoint where it is.
26:21When I move it's like the worst cramp possible in the top of the leg.
26:24No pain around here?
26:25No.
26:26And your foot?
26:27No pins and needles.
26:28Like altered sensation, but I think that's just because of the pain.
26:32I mean, you've obviously got quite a high pain threshold, but we're going to probably
26:36need to put a splint on and things.
26:38Sarah's fractured femur could be damaging her surrounding nerves.
26:42So Rob and Wayne need to straighten it to realign the broken bones.
26:46Try some morphine, mate.
26:48Do you say you have been able to move?
26:50I've moved, I've pivoted from my hips and I was laid on my side for ages.
26:54Yeah.
26:55But the pain is just too much to move again.
26:57Wayne's giving Sarah morphine, a strong painkiller.
27:01Have you had morphine before?
27:03Yeah.
27:04You were all right with it, were you?
27:05Uh, yeah.
27:06Yeah.
27:07I'd get really sick at that point.
27:08Yeah, I mean, Ops are good, mate.
27:10I'd like to take a big breath through this.
27:13It does wear off quick, so if you need a break from it, because it's making you feel sick,
27:17just start breathing normally.
27:18She's also being given Entonox, or gas and air, to help with the pain before they attempt
27:23to straighten their leg.
27:25Is it, is the pain in you growing up?
27:27It feels like, yeah, mid-proximal.
27:30Yeah.
27:31Yeah.
27:32So it's quite a high femur, yeah.
27:34Sarah's friend, Penny, was with her when she fell.
27:37The horse was upset, so he sort of bucked and spun round and bucked again and threw her
27:42off and then kicked her as she was falling off.
27:46So she landed on the ground.
27:47She said, oh, I don't think I've broken anything.
27:49I'll just be fine.
27:50I'll stay here for a few minutes and then I'll get back on.
27:52It was fairly apparent that things were getting worse, not better.
28:00Hello.
28:01Sarah fell at ten past eleven this morning off the horse and then it kicked her in the leg
28:06and she's got a proximal femoral fracture.
28:08So there's a lot of pain and muscle spasm here.
28:10So we're literally just about to pull this and put the splint on.
28:13Perfect.
28:14The proximal femur fracture is a fracture right at the top, near the hip.
28:18These injuries you can lose between one and a half and three litres of blood,
28:22which is a significant proportion of your total circulating volume.
28:26So it's important to treat the injury, provide pain relief and splint it as best we can.
28:32So you don't like to put your hand under the knee there.
28:37That's it.
28:38Just relax the best you can.
28:40Okay.
28:41Lift and slowly, internally rotate it back again.
28:45That's it.
28:47Well done, Sarah.
28:48The team are pulling Sarah's broken leg back into place.
28:52Even for Hardy Sarah, it's painful.
28:54Looks good.
28:55So, have you tightened off the...
28:59Well done.
29:00That's it.
29:01Well done.
29:02Keep going.
29:03That's it.
29:04So I'm strapped around there.
29:05You're at the top though.
29:06I'm just not digging in too much at the top.
29:07Great result.
29:08They've successfully straightened Sarah's leg, but now they need to move her off the floor,
29:19where she's been for over three hours.
29:21So we're going to lift you up now.
29:23So would you like a bit more morphine before we do that?
29:26Yeah.
29:27So you look like bright as a button still.
29:29Yeah.
29:30It's more comfortable now.
29:31I mean, I'm like this.
29:32So I don't think I need anything.
29:33Well, it's there if you want it, but...
29:38It's been an emotional day for Penny too.
29:43You were very good in a difficult situation.
29:47You're paying me back, aren't you, for when I rescued you, too?
29:52Sarah has been horse riding for 15 years and was wearing full protective gear.
29:57Actually, these ones are quite cheap.
29:59We did check that.
30:01I don't think they're real leather.
30:03And look, they're a bit messy there, and I think she'll appreciate the excuse to buy
30:06some nice new ones.
30:09Sarah's husband, Carl, was working 40 miles away when he found out what had happened.
30:14It was Sarah who actually called and said for me not to panic.
30:19She was on speakerphone, so not to swear, and she had fallen off the horse and been kicked.
30:26This isn't the first time she's fallen off a horse.
30:29Last time it was actually a head injury.
30:31She is pretty robust.
30:33Shall we take some of these out of your head then?
30:35Is that all right?
30:36Just nice and gently.
30:39Over the top.
30:40That's it.
30:41Okay.
30:42On lift.
30:43Ready.
30:44Steady.
30:45Sarah will be driven the 15 miles to hospital by land ambulance.
30:49If I put her on there, are you out sliding her down?
30:52So, well done.
30:54Yeah, okay.
30:55Not everyone would have managed with that, but you did it.
30:58It's just a crazy system sometimes with the ambulance dispatch codes that she was awake
31:04and talking and fully alert, so it wasn't deemed necessary for an urgent ambulance.
31:08But this is a potentially serious injury and can cause compromise of the blood supply to the foot,
31:13but luckily that wasn't there, so hopefully she'll make a speedy recovery after her operation
31:17and be back on her feet in no time.
31:19See you later, guys.
31:20Thank you, everybody.
31:21Really appreciate it.
31:22No worries.
31:23See you later.
31:24Bye-bye.
31:25Sarah will be taken to Hull Royal Infirmary, where they can assess whether her leg needs surgery.
31:32For the team, it's back to base, after a small detour.
31:37I'm terrified of horses, so this is me facing my fear.
31:40Hello.
31:41I've been to far too many horse jobs to not be terrified often.
31:46Oh, it's warm, isn't it?
32:03Way too hot.
32:05With Yorkshire in the grip of a heatwave, paramedic Fiona is making sure she's fully prepared
32:10for what could be a long day in the sun.
32:12Put some of this on, don't you?
32:13Absolutely, I'm fine, thank you.
32:15You need to get a tan.
32:16You need to get the fair skin nice and tanned.
32:17I'll get the watch off as well.
32:18I'll just burn.
32:19And it's not long before she's scrambled to a job alongside paramedic Leanne.
32:345-9 lifted.
32:3525 miles away in the Yorkshire Dales, over 450 people are braving the hot conditions to
32:44run the gruelling Swaledale Marathon.
32:47And one of them has collapsed.
32:49RSD, thank you.
32:50I've sent the resource available.
32:51It's just that what we do before, unconscious, potentially breathing 26-year-old, collapsed
32:56after a marathon.
32:58Their patient has lost consciousness 22 miles into the challenging fell race, where participants
33:04run off-road navigating themselves across the steep hills of Swaledale.
33:08The wind is now 35 knots from the 10 o'clock, which is not forecast and not pleasant.
33:14So we will have to be very sensitive to the wind.
33:17Up on the hills, the weather has turned and the wind is strong, making landing trickier
33:22for pilot Rory.
33:23100 feet.
33:24A little bit of slope.
33:25That's all right.
33:26Nice.
33:27Yeah?
33:28Okay, we're fully down.
33:29You cleared out.
33:30Hello.
33:31Hello.
33:32Hello.
33:33The volunteer mountain rescue team were the first to reach the patient.
33:45He was two miles away from the nearest road.
33:48Tiernan.
33:49He's been doing an outdoor marathon.
33:51Yes.
33:52He was about 20 miles, 22 miles into him.
33:55He claimed to be very tired to his friends and collapsed here.
33:59Unconscious.
34:00This happened about 40 minutes ago.
34:02Unconscious for 10 minutes.
34:04When I arrived, he was unconscious.
34:06After about two or three minutes, he regained consciousness.
34:11Hypotensive, tachycardic, 1.49.
34:13He is a bit hypo, isn't he?
34:15Yeah.
34:16He was 86 systolic.
34:1826-year-old Tiernan Stapleton was running the race with his friend John when he started to feel unwell.
34:25He's showing signs of hypotension, or severe low blood pressure, where there isn't enough pressure to adequately move blood to the vital organs.
34:33He's had gels.
34:34He's had gels.
34:35He's had gels.
34:36He's had gels.
34:37Did he have any breakfast?
34:38Yeah, I ate breakfast with him.
34:39Yeah.
34:40He felt a bit tired at the top of that.
34:41OK.
34:42That's all he said.
34:43And it was wobbling.
34:44Yeah.
34:45And then he collapsed.
34:46Then he collapsed.
34:47OK.
34:48Tiernan, we're going to put a little needle in your arm.
34:50There's a heel behind it.
34:51How do you feel at the minute?
34:52Just fine.
34:53You feel fine?
34:54Yeah.
34:55So at the minute, it's because your blood pressure's a bit low.
34:57Heart rate's a bit fast.
34:58Probably because of his marathon.
35:00You've exerted yourself quite a bit.
35:02Have you got any pain or anything?
35:04No, I'm good.
35:05No.
35:06When we arrived at the patient's side, he looked quite unwell.
35:10He was quite clammy, quite sweaty, quite pale.
35:13We weren't sure if it was cardiac, so something to do with his heart.
35:16We weren't sure if it was just a fainting episode or, again,
35:19to do with dehydration or, like, heat injury.
35:21We could just get him on his back, raise his legs a little bit,
35:24and, yeah, raise his legs a little bit, and we'll put the three leads on.
35:28We'll give him a good dry off and get the leads on.
35:30Tiernan, are you able to just roll onto your back for me a minute, love?
35:34Just onto your back.
35:35You don't need to get up, but just roll over.
35:37That's it, love.
35:38Oh, downhill, whatever.
35:39Whatever's easiest.
35:40I'm going to need to cannulate.
35:41I'm going to do it now for it here.
35:43Tiernan's showing signs of dehydration,
35:45so Fiona and Leanne need to put a cannula in his arms
35:48so they can give him fluids.
35:49Every stop, he's had about 500 millilitres of water.
35:52He's been drinking as much as I have.
35:55OK.
35:56He's probably more, so...
35:59Might try and get his T-shirt off at some point,
36:01get it cut off as well, cos it's really, really wet.
36:03It's really, really wet.
36:04It's going to make it really cold quickly, isn't it?
36:05Get that off.
36:06Dry skin, put the three leads on,
36:08and maybe we'll have another blanket in there.
36:11We'll get a flextel on down here anyway at some point, can't we?
36:14Yeah.
36:15In fact, it's just there.
36:16We're going to cut your T-shirt off.
36:17Yeah.
36:18I hope it's not an expensive one, is it?
36:20Uh-huh.
36:21It's my razor one.
36:22Ooh, I bet you can't see it.
36:23It's an expensive value.
36:25It's all right.
36:26I'm going to pop a nasal in your arm.
36:28Just try and relax if you don't...
36:30All right.
36:31Insulated.
36:33No pain or anywhere where I'm pressing?
36:36Musical last time.
36:37No pain or anything where I'm pressing?
36:39No.
36:40No.
36:41Do you know what day it is?
36:43Me?
36:44Yeah.
36:45And...
36:46So when we asked him what day it was, we weren't too sure,
36:52which shows that even though he's conscious,
36:54he still wasn't really orientated to, like, time, date and place,
36:58which means that whatever's happening hasn't fully resolved,
37:01so it's still quite concerning for us.
37:04Tinan and John have been training for this race together for six months.
37:08Well, we're just running.
37:10We're doing the Swale Dale Marathon, which is a nice local marathon.
37:12He's first.
37:14Er...
37:16In the last five kilometres final straight,
37:18he just said he was getting a bit tired,
37:20maybe, you know, 200 metres off the hill.
37:22And I just assumed, you know,
37:24don't worry, we're only a kilometre away,
37:26but he started wobbling,
37:27so he slowed down and then he fell forwards,
37:29tried to get back up and then, like, collapsed here.
37:32Is it going to be your last marathon?
37:34Are you going to try again?
37:36Yeah, we have to come back and finish it.
37:37Yeah.
37:38Well, you only have to do four miles.
37:39You'll be sorted.
37:404.2 miles.
37:41Good answer.
37:42First priorities were to give him some fluids
37:45and take him down to meet the DCA
37:48so they could get him off to hospital.
37:50Keep you tucked in there.
37:52The temperature has dropped and they need to keep Tinan wrapped up.
37:56Right.
37:57He's collapsed in a remote part of the Dales,
37:59unreachable by road,
38:00so he'll be flown to a waiting ambulance.
38:03On lift.
38:04Ready, steady, lift.
38:05There we go.
38:07Just keep that mat on, hang on.
38:09Right, on lift.
38:10Ready, steady, lift.
38:11Super.
38:12We're in.
38:13So have you trained for this then?
38:14Um, I was training and then, um, my, uh, uh, blah, blah, blah, blah, blah.
38:34Don't worry about it.
38:36Tinan's still confused and disorientated and his family have been contacted.
38:41There's no room for John on the helicopter, so he'll be travelling on foot.
38:46There we go.
38:47There we go.
38:48What's the time you want to do?
38:50The wind is a little bit quirky.
38:54The land ambulance is ready and waiting for Tinan.
39:03If somebody gets heat stroke or heat exhaustion, then they can collapse.
39:08Um, they can go into a funny arrhythmia with a heart,
39:13um, which means they're not going to circulate any blood around the body properly
39:16or oxygenate any organs and they can potentially die, um, if it's severe.
39:21So, hopefully, um, it was just a simple fainting
39:25because the exertion is done with a marathon.
39:27He's never done one before.
39:28Take care of yourself.
39:29Well, uh, hopefully, you get to come back next year and finish it off, yeah?
39:34See ya.
39:37He'll be taken by road to Darlington Hospital
39:39where he'll receive more fluids and undergo further checks.
39:42I ain't got a marathon anymore.
39:45Oh, yeah.
39:46We'd be that far at the back, there'd be no crowd near us.
39:54Just relax the best you can.
39:56Well done, Sarah.
39:57Sarah Downs spent two days in Hull Hospital
40:00after being thrown from a horse and kicked.
40:02She suffered a spiral fracture of the femur
40:05and had surgery the next day.
40:07After undergoing four months of physio,
40:09she is now happily back in the saddle.
40:15So, at the minute, it's just your blood pressure's a bit low.
40:17Heart rate's a bit fast.
40:18Probably because of his marathon.
40:2026-year-old Tiernan Stapleton was taken to Darlington Hospital
40:25where he was treated for heat exhaustion, dehydration.
40:30It's all right.
40:32He's now back to full fitness and planning his next big race.
40:37Martin Eaton spent six nights in hospital
40:44after crashing his motorbike on a busy A-road.
40:47It was actually my wedding anniversary that day
40:49and I was just having a little ride out to Doncaster.
40:52It was a motorcycle shop there.
40:54And that's unfortunate when the incident happened.
40:58The first thing I do remember was a thud as I landed.
41:02And my head was up against the car.
41:04I had pains in my legs and in my hips.
41:08But my main concern was my arms.
41:11My arms were still in the riding position
41:13and I couldn't move them.
41:15Scand revealed he had serious swelling to his spinal cord.
41:19The spinal consultant said it could be 18 months, 2 years
41:24before I'm finally back to normal, if at all.
41:28Martin's having regular physio.
41:30And while recovering at home, has taken up a new hobby.
41:35I've always been around motors and bikes,
41:37so this is my new baby now.
41:40I'm able to come out into the garage
41:43and do some tinkering, as I call it.
41:45And that's really, really helped my recovery, I think, really.
41:49It's given me something to do.
41:57Run over by the tractor.
41:58You got run over by a tractor.
42:00You've been under this tractor since 8 o'clock this morning.
42:0262-year-old farmer Simon spent a month in hospital
42:06after being trapped beneath his tractor by his leg.
42:09Then I realised I was completely pinned and there was no way out.
42:13So life was looking very serious then.
42:16He was pinned beneath the tractor, which still had its engine running,
42:19for 10 hours before a neighbour finally found him.
42:22You sort of dream that a passing walker might just come across you,
42:25but that was a very optimistic.
42:29Literally wondering, is it going to be today you get rescued or tomorrow?
42:33And it gets dark and yet it's going to be a very long night.
42:37Until eventually Robin looked over the wall and said,
42:41how can I help?
42:42Please drive it off me.
42:46I knew after he'd driven the tractor off it would be a dangerous thing to do,
42:49that you're not supposed to do that.
42:50But I just wanted to be out.
42:52And then the pain went from bad to incredible.
42:55I just didn't know what to do with myself.
42:58Unfortunately it wasn't many minutes before the ambulance came.
43:01So I was very lucky.
43:04Simon has had six operations to treat the crush injuries to his leg
43:08and is still recovering.
43:10Everybody in the OGR was fantastic.
43:13Because I was there for 33 days and I had six operations.
43:17The skin grafts were ending very well.
43:19We're hoping this one is going to go down
43:21and then hopefully I can get the feeling back in my foot.
43:51We know that,
43:53it's going to be long too far.
43:56It's going to take five.
44:00I'm sure it's trying.
44:01I'm sure this is a continuous gap of loss.
44:04Often times you won't see.
44:06If compared to everyday,
44:08if expected,
44:09the next time preocupations are wheelchair injuries.
44:11It won't be a system.
44:12The last day ada and there's room,
44:14you're going to be a boost.
44:16We know 25M thrpha Sh besl lin
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