The UK's air ambulances respond to thousands of emergencies every year. >> Highly skilled doctors, paramedics, and pilots. >> I believe it's a head-on collision. >> Yeah. >> Race against the clock to save lives. >> Somebody impaled through the chest with a plant with water. >> Unique teams. >> Our [music] priorities are tube, IV access, blood >> delivering specialist care. considering chest surgery on scene. >> Oh god. >> From the roadside to the hospital. >> 63 on scene. >> These are their stories. >> How rapid do we need to [music] get him out? >> At the moment he's critically ill. >> Guys, we're just shocking. >> We don't wish bad things to happen to good people, but we like to be [music] able to be there if they do. >> I'm going to put you off to sleep, buddy. Take really good care of you. Okay. Every minute matters. >> Take your eyes for me. >> We're on this planet to make a difference. And in this job, I think we really do. >> We've done everything that [music] you're going to do in hospital right here in the back garden. >> I'm going to fly you to Newcastle. We're the best football team in the world, please. >> He's deteriorating with blood pressure. So, [music] I would activate the major hemorrhage protocol. >> If we can mean that someone gets home to their loved ones at the end of the day, then then that's the aim of the game really. >> [music] >> at Durham Tease Valley Airport. It's been a slow start to the day for the crew of the Great North Air Ambulance. >> Well, it's a quiet morning at NAS. So on base, you never know whether you're going to have a very quiet day with no call outs at all or whether, for example, at the end of the month when everyone's been paid or the weather's nice, it's going to be a very busy one. >> Cheers, mate. >> Cheers. >> Oh, that's a good mug of tea. That is >> Thank you. >> Paramedic Gordon Ingram plans to make the most of his downtime. >> Yeah, I'm going to go for a run this afternoon and uh yeah, need something in my tummy. Gordon is training for the Great North Run, the largest half marathon in the world to raise money for the air ambulance charity. >> This is part of my routine as it's more healthy than crisps and full fat coke and it'll make me feel better at mile 9 in 2 weeks time. >> It's important to put the time in training for things like the Great North Run. Putting the hours in in the hanger on the treadmill, at home on the treadmill, and getting out on the road as much as possible is vital. And there goes the phone. It's like somebody's watching us. >> I scored this weekend. >> The crew have been tasked to a major road traffic accident involving five vehicles on the A66 14 mi west of base. We know that this patient is VR patient trapped in a car all stable. However, it's a crew request. She's got a history of heart fail and she's got open fracture to the leg. I believe currently still trapped, but they're just taking the roof off at the moment. >> An open fracture is an extremely serious injury. It's where the skin's broken and the bones are exposed and puts the leg at risk of infection and even the whole leg could be at risk. With a history of heart failure, Helen's heart is much less able to cope with the trauma of such an injury like this. >> Last thing you want to see traffic am going. Yeah. Just keep tracking up. Have a look. I think it's in this tree area just down on our left here. Now, >> which side do you want to land in? >> This one just coming under us now has got access. So, we've got this gate here. So, we can lift us straight through the gate. >> Let's do that. Yeah. >> Let down. >> Roger. >> As we're approaching a scene, we try and take in all the information available, both from the view overhead and also as we land. It's a little bit like a puzzle and we're trying to piece together the information like a detective to read what actually happened in order that we can better manage [music] that scene. And if we do get a lift, >> it's a real bonus. >> Patient still trapped. >> Uh five cut the roof off. >> Yeah. >> But she's got a leg injury. I'm not too sure what else. It was open. It was bleeding when we got here. >> Okay. >> There was a doctor on scene. GP. We gave first aid to start with. >> Thank you very much. >> Thank you. Gordon, you take the lead, mate. I don't mind yet. >> As we're a team, we will vary who takes the lead. I've known Phil for over 10 years, and we trust each other. He'll often take the secondary role to stand back and to survey the whole scene. I'll take the primary role, and it keeps us at the top of our game. >> This is Helen. >> Helen, I'm on the paramedics. Hello. >> Hello. >> Just keep your head nice and still. Okay, we'll have you out this car in no time. I'm just have a little listen to your chest. Okay. >> Use my stethoscope to have a good listen to Helen's chest to ensure there's no internal trauma that we can't see. >> And apart from the heart issue that you've got, if you've got any medical history I need to know about your wrist. Despite Helen being quite young, she has a cardiac condition and she's on blood thinninging drugs which if there is serious trauma internally [music] could make any bleeding worse. I'm just going to have a little feel down your neck. Any pain when I press there? >> No. Any pain in the middle of your back at all anywhere? >> A little bit. >> A little bit. Okay. All right. Okay. >> Not moving. >> Okay. And have you moved your head at all since you arrived? place. He's moved. >> Road traffic accidents are the biggest contributor to spinal cord injuries worldwide. So Gordon is keen to assess Helen's neck. >> Any pain down the sides of your neck here at all? What I'd like you to do is just release your hands just nice and slowly for me. Cool. Just release them. Brilliant. Okay, Helen, what I'd like you to do is just very slowly just bring your chin onto your chest. Okay, nice and slowly. Any pain there in your neck when you do that? >> Slightly. slightly. Okay, put your head back and just take hold of her head again. Okay, that's fine. Cool. Brilliant. Okay, I'm not going to clear her neck. She did have small pain when she was trying to flex forward. Guys, we'll let you carry on doing what you're doing. We'll slide Helen out as you're doing. Then we'll get her away. >> Using hydraulic cutting tools, firefighters have removed the car's roof and now need to slide Helen out using a backboard to keep her body and neck still. >> Excellent. Well done, guys. If we can stay on the head, just going to have a feel of your legs. No, no pain there. >> Okay, I'm just going to feel around your pelvis. >> Any pain there at all? >> Okay, >> get guys on me then. Ready? >> That's it. We're in. >> How's the pain at the moment in that leg? >> Not too bad. Okay, good. We're going to have just a little extra look at that leg before we get going, just to make sure there's nothing else we need to do to it. With Helen now safely extricated from her vehicle, Dr. Phil can examine her open leg wound for the first time. >> Helen's got a very deep wound to her lower leg overlying the tibia. >> That's a real worry. The worst case scenario here was that surrounding tissue could get infected. Infection could take hold in the bone and [music] even could lead to amputation. >> Right. H I don't think your leg's broken. It's got a nasty gash on it, but we're going to fly you into hospital because it's the quickest way. All right, so we're off to Middlesbrough. >> Compared to a drive time of 45 [music] minutes, the crew of Helimemed 63 will fly Helen to the closest trauma hospital in 15 minutes. >> Right, Helen, we'll get you and get you warmed up a bit now. >> Okay. And lift it again. Wait. >> Thank you very much, everybody. >> Helen, I'm just going to put some monitoring on to you. Okay, go put that in. >> Anything wrong? Just wave those fingers. >> With Helen's injuries that she sustained, her previous medical history, and the incident that had occurred, it was imperative that we get her to hospital as quickly as we can. >> Everybody happy? >> Yeah, we're happy. >> Radar, good evening. Helmet 63 alpha just getting airborne promising approximately 12 mi to the west of the field in Mount Jim request clearance to transit 6 clear. >> Luckily Helen's injuries weren't too severe from this incident. Although she still has a long healing process ahead. She needs to be seen by orthopedic specialists and plastic surgeons at hospital and hopefully the risk of infection has been kept to a minimum. And let's clear out to the left. [music] >> Okay, Ellen, that's us at James Cook. All right. >> Three, two, one. It's nice to take the lead to be that primary clinician to make the decisions required to make sure the patient gets the best treatment, but to know that the doctor's there is vital. >> I'll catch you up. >> She's got an open wound to the left tip fib area. Query fracture, previous heart issues. Okay. Helen will now have her leg x-rayed to check for fractures before her wound is cleaned and stitched. 63 clear so I can get back listening to clear to the left passing in the field 1 0 1 6. >> Since the East Anglian Air Ambulance was formed, they have deployed to over 25,000 missions. Their H145 helicopter has night vision technology which allows Helmet 88 to fly 17 hours every day with two crews on rotating shifts. Leading this shift is Dr. Akos Sauti joined by paramedic Paige Chamberlain. I'm only 3 weeks into a three-year summent with the air ambulance and I still can't believe that I'm here. I'm very excited about this new chapter and where it might take me. Okay, bye. 71y old Kajjak West on the golf course. Sounds fair. >> Have we got enough ETA, please? >> It's going to be about 6 minutes. >> Okay, no worries. From Anglia to our ETA is 6 minutes in the uphead of us. >> I've been a paramedic for 6 years, but this feels totally [music] different having to learn about the aviation side of things as well as the prehosp care. It's a huge challenge and it's all still very new to me. So I don't know if there's any crews on scene yet. Nearest hospitals still ads >> cardiac arrests can happen very suddenly and often without [music] any warning. They're caused by a malfunction in the heart that stops the heartbeating effectively. Without immediate treatment, they're fatal. So you go, you can see it here. The big open golf course there. This is only my third week with the air ambulance, but working with Dr. Akos is very reassuring because he's so experienced. I've got the ambulance on the nose there. I just got out and land. Roger >> clear left on the ground. >> Hi guys. >> Hi guys. >> Hello. This is Michael the golf course. He's got an internal def fitting been pasting on there. >> Hello, darling. >> All right then. >> My name's Paige. All right. >> Michael has some ongoing issues with his heart. But prior to his collapse, he was enjoying a round of golf with his son, also called Michael, and wife Marge. >> Okay. And was there any shocks? >> Nothing. >> No jerks or nothing? >> Nothing. >> Okay. >> What happened was he just I feel really dizzy and then he collapsed. much. >> It's been very very hot today, hasn't it? >> His whole body was that color not long ago as well. See here like that. I've seen it. I have seen seen it died twice. So, you're doing all right. You're doing all right. Don't worry. It's fine. It's fine. I promise. Sorry. >> It's a shock, isn't it? >> It's really important to form a bond with family members. They can give us vital clues about the patient and also they need to trust us with their loved ones. Having just been married myself last year, I can't imagine how Marge must feel. It must be awful. Um, he had sounds like he had more of a seizure than the cardiac arrest. He's been GCS 14 since arrival. Oh, >> okay. >> A 14 out of 15 GCS score means Michael has been conscious and lucid. It seems he may actually have had a seizure. >> Although it's a relief that Michael isn't in cardiac arrest, [music] it's up to us to work out what's wrong with him and why he's had the collapse. >> How do you feel now? >> I don't know how I feel really. >> Okay. Do you have any >> Okay. Do you have any pain at all? Nothing specific. >> Nothing specific. >> Okay, Michael, would you mind if I would listen to your chest for second? >> Please take a deep breath for me. Show me your tongue. Okay. Do you feel weak or >> I feel a bit better? >> You feel a little bit better? Okay. >> Right. Akosh, what's >> going on? I've just spoken to wife and got all of his details. >> Okay. And long-term history wise, do you have anything? >> So, he's had four MI. He's had this defibrillator fitted for 12 years. From what I can gather from the wife, two previous cardiac arrests. Having previously suffered two cardiac arrests and four heart attacks, Michael's been fitted with an implantable cardioverta defibrillator or ICD device, which sends electrical pulses to his heart to regulate abnormal rhythms. >> He's had two episodes like this recently. >> Okay. >> Um today much worse. Quite a long longer down time if you like. >> Okay. And the previous one was a couple of days ago. >> Yeah. They downloaded the obs from his defib and they don't think it's anything to do with that. They say it's something bagel. >> Oh, okay. >> Healthcare technology is incredible these days. Not only can the ICD in Michael's body store information about his heart, it also can be downloaded via an external monitor. Michael had had a very similar episode recently and on investigation they found this to be a vasagal syncopy, a rapid loss in blood pressure which causes you to faint. Should we try and sit you up, Michael? Just to see a bit more comfortable. >> All right. >> Yeah. Hello. >> Hello. Hello. [laughter] >> Here's M. You giving her bit of a shock. >> Where is your cardiologist? Where are they looking after you? Hospital. Hospital. >> And Hairfield. >> At Hairfield. And you have been to this week. >> Yeah. Monday night. >> You obviously have to be double checked in hospital. It has to be downloaded again. >> Yeah. >> Okay. So you have to go and get the monitor from home if I've got monitor. >> So I'll take that to list then we press it and download it and then they send all the papers through. >> Okay, let's move into the ambo if you are happy for that. >> Michael's wife Marge will bring his ICD monitor to hospital so any information about today's seizure can be downloaded and assessed. >> You in pain at all, Michael? Are you? >> No. >> No, I didn't say I feel fine but I can I know what's going on. Right, let me pop this on a finger. >> Prior to leaving, the crew can test how well Michael's heart is functioning using an electroc cardiogram or ECG machine. >> The sensor pads detect the electrical signals produced by his heart and the device prints the results. >> All right, girl. >> Y, >> what's he like? >> Do this twice a week. >> Don't worry. Good hands. >> Michael. >> Yeah. >> Tell me what happened. >> Um, >> don't subscribe, Mr. Pot. [laughter] >> So, the pace is going. I think it's in a demand mode. >> Yeah. >> Yeah. There's good capture, good BP, GCS 15, low contrast. >> Good waveform as well. >> Good waveform as well. >> That's the plan to go to Edinburgh CND. They will download your >> pacemaker and we'll figure out what's going on. All right. Okay. You happy with the plan? >> Yeah. >> Good. >> Now stable, Michael will be driven by land ambulance to Aden Brooks Hospital, freeing up the air ambulance crew should another job come in. >> Well, it's a pleasure to meet you, Michael. >> Thank you very much. >> I'm pleased you're looking a bit better now. >> Well, are you are you air ambulance? >> We are. Yeah. >> Oh, yeah. Yeah. >> They're in they're in the big they're in the chopper. At least it's no problem landing here. >> No, it's true. >> Thank you very much. >> No problem at all. >> [music] >> Hi YouTube. Um, so that was a scene assist. We're just getting back in the aircraft now and we'll call lifting in a few minutes or it's unusual for Hems team to be dispatched to a cardiac jack arrest [music] to find that the patient had fainted. However, given Michael's medical history, it's understandable that everybody was concerned. >> It was a >> good ending. >> Yeah. Good end to the day. >> Yeah. She already has four eyes and two cardiac arrest though. Lucky to be alive. >> Yeah. >> Okay. Alpha basic service departure approved. That's 1023. Will you be staying on tricky? >> RAF Benson in [music] South Oxfordshire. >> The crew of Tempame's Valley Air Ambulance are prepping their kit for [music] the shift ahead. >> Hello 4. Good morning. Radio check over. >> Paramedic Kev Lechford has been working for the charity for close to 9 years. Hello. Thank you. Good morning. Did he rep this morning over? >> Uh, just let you know it's me, Simon Brown, this morning. >> I've been with the Temps Valley Air ambulance [music] since its conception back in 1999. From starting out working out of somebody's borrowed caravan. Since then, we've come a long way. Initially, we were flying [music] just 3 days a week, mainly with paramedics. We now have doctors working routinely on most daytime shifts. And we carry advanced equipment and [music] we can do procedures at the roadside which previously could only be done in the hospital. >> With the helicopter loaded and ready to go, Simon has a new priority. >> Okay. Sugar. >> No thanks. >> It's more urgent than that. We need sugar. >> Oh, okay. >> That looks like sugar, doesn't it? Try a bit of salt in your coffee, Simon. Yeah. Must be time for a wagon wheel. >> If I was to describe my diet in one word, it would have to be awful. I've always had a sweet tooth. I can eat a packet of biscuits without blinking. >> Lefties had one, so it's right. [laughter] Roger over. >> Thank you. 40 mph. >> Yeah, roger. That's all received. Honor each other. >> The casualty was off-road motorbike racing and has potentially serious injuries after crashing and being hit by two other bikes. The racetrack is 6 milesi from [music] base which means a flight time of under 3 minutes. >> This is a really short transit time. >> Yeah, >> I tend to work at the weekends [music] and I've attended lots and lots of motocross instance over the years. >> There's lots of hy down there, isn't there? They're stopped racing. If you come off your bike, it's not just how you land. It's the person following you and whether that bike may be in midair, may have no choice, but they're going to hit you. There's nothing they can do to avoid it. >> You clear off the tall trees now. Clearing the hedge trees going off. All right. Hi there. Let's have a look here. Let me come in here. What's his name? >> Graeme. >> 59y old gentleman who might possibly have been traveling at about 40 miles an hour coming this way. Fallen off. He's then been possibly hit by three other riders also traveling at about 40 mph. >> Abdomen. He's got severe abdo pain. >> Okay. Right. Kev, plan is airway I'm happy with at the moment. Breathing I'll assess. If you can get some IV access, we'll give him some analesia and some sedation. And then we'll reassess. >> Yep. They know. They're going to give you some pain. >> Take a deep breath in for me. >> When I listened to Graeme's chest, he had decreased air entry into the left side of his chest, which to me indicated that he had a numoththorax, which is a collapsed lung. >> Definitely decreased air entry on the left there. Just going to confirm that thorax. The collapsed lung is usually caused by fractured ribs, broken ribs which have then punctured the lung to make a hole in it that can leak air out and build up pressure and can kill him quite quickly. >> Coming in now. Sharp stretch. >> Brilliant. Well done. >> As well as broken ribs, Simon also suspects amongst other things Graeme has broken his collarbone. The team's priority is pain relief. Oh, >> I know. Simon, what you think is analesia? >> Let's go for walking for starters. Okay. >> While we're waiting for the painkillers to kick in, I can use the ultrasound to see if the lung has collapsed and also to look for internal bleeding. >> Right. Just keep your arm still for a second. >> My left shoulder. >> I know it's very painful there, Graeme. >> The scan confirms his left lung has collapsed. The escaped air could put pressure on Graham's right lung, making it even harder for him to breathe. >> I need to get up. >> Graeme, >> Graeme's got a long list of injuries. Aumothorax, fractured ribs. He may have broken his collar bone. Pelvis may well be fractured as well, which can cause catastrophic internal bleeding. >> So, he's had some morphine in Madazzone now. So he might just calm down if you're all right. >> Rather than intervene at the racetrack, the team's priority is to get Graeme to the advanced care of surgeons at the hospital without delay. >> So the next task, okay, between us is pelvic binder, guys. We just need to move him more centrally onto there. All right. >> If Graeme has shattered his pelvis, we need to hold the pieces together with a pelvic splint to reduce the chance of internal bleeding. Ready, steady, lift. >> There we go. >> Pelvic binders help stop internal bleeding by compressing the pelvis. The team fit one to Graeme as a precaution for the short flight to hospital. >> Right, let's get him secured to your stretcher, please guys. >> Graeme, I'm just going to pop you on the helicopter. Then you'll be a lot more comfortable. With your good [music] hand, I want you to hold on to your bad hand. All right, >> just 16 minutes after arriving on scene. >> Ready, brace, lift. The team moved Graeme to the helicopter for the short transfer to the John Radcliffe Hospital in Oxford. >> As we approach it, we're going to need to spin round and be foot first onto the stretcher. >> That's all good there. Thank you all very much. >> Breathing's still about 18 20 a minute, which [music] is good. >> Graeme, your breathing is going to feel a bit difficult, but you're doing all right with that, so don't worry too much. Okay. Despite his injuries, Graeme's fellow biker, George, is confident he'll cope. >> Yeah. Yeah. It's not nice to see. And obviously, he's a pierce fiddle, cycles all the time, and he'd probably want to get out of there and drive home knowing him. >> But now, it is what it is. You can't change things. And thankfully, Graeme's in good hands now, and he's um >> going to be on a mend. >> Helmed 24, we're coming to you with a 59year-old male who 20 minutes ago had a motocross accident. a left pneumoththorax and a [music] left shoulder fracture. All right. See you shortly. Graeme, do you understand what's going on? You come off your bike. Sit tight with us. We'll have you in hospital in no time. Okay. >> Can you get a chance? Can you do some TXA? >> Yeah, indeed. >> A drug that helps the clotting process. TXA or transexamic acid can be used where there's the potential for serious hemorrhage. By slowing down any bleeding, it [music] will buy the team some time to get Graeme to hospital. >> He is quite clumy, isn't he? One of my dad if you want. >> When you're doing the TXA, we can mix it in with that [music] sat picked up. Okay, that's good. >> There we go. Let's pop that back on, fella. There you go, mate. There you go. Shall I bit mess first? >> Yeah, that might be an idea. >> Can I ask you a favor? Do you mind doing it? >> Because every time I let go of his hand, he wants to take his mask off. >> Graham felt he couldn't breathe. The oxygen mask made him feel claustrophobic. >> Quite often patients do get agitated with all the tubes and masks. >> There you go, mate. Give a round. There you go. Good man. I'll just trickle that in. Pupils have come down nicely. So, the ball feet kicking in. Okay. >> Just 6 minutes after leaving the motocross track, Helimemed 24 touches down at the John Radcliffe. We're at the hospital now. Two, three, lift and down. [music] Thank you. >> The waiting ambulance crew will transfer Graham to the hospital where he'll have a CT scan to uncover the full extent of his injuries. The Temp's Valley [music] team can return to base. 24 echoes one in a model. Unfortunately, when people push themselves and their equipment to the limit, things can go badly wrong. Gran's got quite a few significant injuries, but it's a relief to know that we were able to fly him quickly to hospital. We're very hopeful Graeme will be back on his feet again and be able to enjoy the activities that give him a buzz. So, back to base. We must be getting on for lunchtime. I've got a ham sandwich, couple of pork pies with uh some wagon wheel chases. Sounds good. [laughter] Take >> Durham Tease Valley Airport. From here, the Great North Air Ambulance prioritize which missions their crews are tasked to each day. >> Are you on the scene of a road traffic collision? Shen, >> we've got an ambulance on its way to you. Is there anybody unconscious at the scene? It doesn't look in a good way. And is it car versus car? Okay. >> The charity costs 5.2 million a year to run with each call out averaging £5,000. >> It's responding. Okay. So, we owe it to our fundraisers and the public to only attend emergencies where we can make a genuine contribution. We've got to match our resource to the most critically important jobs. What we don't want to do is lose the opportunity to save somebody's life. Can I send you two text messages and access your camera? >> To help manage this, the team are triing a new app which allows them to see patients via the 999 caller's mobile phone. >> We've got one through. There we go. That's okay. That's brilliant. Yes, it's working. >> An ambulance is already on route, but by using this technology, they can assess the severity of the incident and possible need for air ambulance assistance. >> We're not going to send the air ambulance. Okay. But there is an ambulance coming to you. >> Cheers. That system is brilliant. >> This job comes with huge responsibilities, but even bigger consequences if you do get it wrong. So, we'll use any software we can that essentially gives us eyes on the ground where I can make a decision as to whether or not to dispatch an aircraft. Potentially can save lives. >> I've got a feeling we're going to get something quite large today. >> I do as well. >> Like 16inch dominoes. [laughter] Romulously speaking. Oh, hi Heather. What job number is it? Oh, got it now. >> Thank you. [music] >> Skate park. >> Yeah, boys. They've got a boy who's fallen approximately 15t on a scooter laying on his chin. between 28 2 minutes left. >> EK 2 minutes. Copy. GCS 12. Patient is very drowsy. Not making much sense. >> A blow to the head could be a simple concussion all the way up to a severe head injury with brain damage. This boy sounds like he's fallen quite a long way on concrete. Also, he might have bent his neck backwards, which could lead to spinal damage. >> [music] >> I've got two boys myself. 7-year-old Ollie, he loves his scooter. And being an avid surfer and myself, I know the desire of wanting to push boundaries a little bit. It's something that pushes you on and [music] gets you better at the sport. But it's a fine balance between having fun and pushing those risks a little bit too far. >> Get ambulance top left corner. >> I got it. >> Standard descended left turn. >> Roger. Patient's in the skate bowl in the middle. You'll see it at 9:00 in the trees there. >> How old's the kit? Eight. >> 15, I think. >> Oh, it's fine. >> We should be fine with the adult kit. We only need the piece bag. You're clear on the left. Yeah, they're [music] in the bowl. We got access through there, so that's good. >> Happy here, mate. >> Happy you're here, mate. Secondary landed on. >> Hi. So this is young Jamie come up and over the top to a great height probably about 12 15 foot. Yeah. He's come off his scoot. It landed directly onto his chin. Um face forward unconscious for 2 or 3 minutes. Uh bystanders then sort of rolled him over to the recovery position. He was containing quite a lot of sea spine tenderness. So we haven't actually moved him. >> Jamie. Jamie open your eyes for me. >> Such a climbing. >> How old are you? studs here. >> Jamie, is your mouth sore? >> All right. Do you feel sick or do you feel all right? >> Okay. Have you got any pain anywhere else apart from your mouth? >> No, I think it's going to be a mandible to Jamie's struggling to talk to me. He's got a lot of pain in his mandible or jawbone, which may well indicate that it's broken. Often when you break your mandible, it breaks in more than one place. That can lead to problems with your airway. It can be difficult to open your mouth and then if you end up being sick or vomiting, it can create big problems. >> To break your mandible, the strongest bone in the face, takes significant force. So Dion needs to check Jamie hasn't suffered further injuries. >> Jamie, sorry. >> Have you got any pain at the back there while I'm touching your neck? >> Say again. >> No. Good man. >> Right. Any pain as I'm touching further down your back there? >> Mm-m. No. >> No. >> Any pain down there? Do you feel short of breath? >> Jamie, I'm just going to put a little cuff around your arm. Is that all right? >> Ready back on the scoop. >> Yeah. Get a better look at his face. >> He's got really deep laceration just on his chin. >> On scene quite often there can be added tensions. And certainly when you're dealing with children, you've got to deal with both the child who's frightened, scared, [music] and in pain. and also often the parent who might be quite worried as well. >> So, you're gonna feel a lot of hands on you, Jamie. And we're gonna roll you over onto this whole breath. >> Jamie, can you straighten that arm very slightly? Hang on. Two seconds. >> Good man. >> Tell me when you guys are ready. >> I'm ready. >> Yeah. Okay. Ready, steady, roll. >> Fab. Well done, guys. Ready, steady, slide. Just throw some. >> Can we get that? There we go. Good. >> Okay, that's fine. >> That's not too bad. >> Yeah, that's all right. >> Got the stitches in there. >> Yeah. >> Right. >> Jamie, [music] open your eyes again. >> Hello, mate. >> Listen to me. Jamie, can you open your mouth? >> Open your mouth nice and wide. Is it hurting when you're trying to Where's it hurting? >> All around. Okay. [music] >> And when you close your mouth, do your teeth feel like they normally are together or do they feel different? >> Feel different. >> Yeah. Okay. >> When you run your tongue along your teeth, [music] is there any missing >> is there? Which ones? >> Lift your hand on which side [music] they feel missing or or moved? Right side or left side? >> Left side. That's fine. >> Both. Okay. Right. Let's see if we can get them colored then. Okay. Looking at Jamie, it's fairly obvious that he's broken his mandible, but we need to check to make sure there's no other hidden damage, especially to his neck. We need to check that he's got intact sensation and power to his arms and legs. And the easiest way to do that is just ask him to move them. >> Yeah. >> Right, Jamie. Just let's have a look at your hands. Can you lift this hand up for me? Lift it up in the air. How do your arms feel? >> Numb. Make a fist. Gordon, >> come on. Tight fist. Yeah, we're behind where we're going. >> And then straighten your fingers out. >> I'm asking Jamie to move his arms and legs. Doesn't seem like much to most people. It's a simple movement, but obviously it's an indicator of a much bigger problem if he has a problem doing it. >> Okay, straighten your fingers out. >> Because Jamie's struggling to move, it's unclear whether it's just the shock of the impact where he's landed or whether he's got a severe spinal injury. So, we've got to be extra careful. >> James could cost a bell. Just make your ear squeezing in. >> You're all strapped in nice and safe. >> Ready, set, lift. Walk nice and slowly. Yep. Now go. Five. Just slide them straight down on the ground. There we go. And stop there. Jump in. Come up. >> Okay. Be on lift. Ready. Brace on lift. >> Okay. >> We've got to be extra careful keeping them still so we don't do any further damage. Nice and steady. You all right, Jamie? >> Yeah. You don't feel sick at all, do you? >> A bit. You're not allowed to be sick. It's the rule. Get ready, set, and lift. >> Thanks, ladies. >> Cheers. >> We've got a 1515y old male patient who has fallen from a scooter approximately 10 ft. Got an open mandible query fracture. Um, we're bringing a James Cook with an ETAO pen one German. >> Right, Jamie, you're in the helicopter. Okay. It's only a few minutes flight from here. It doesn't take long. It's going to be quite noisy. Okay. Cuz I'm sat here right next to you. All right. >> Copy. Copy. Direct track for Jim. Good man. trying to switch up. >> I think jobs where kids are involved, it definitely gets the heart racing that little bit faster. >> The helipad secure front in the back. >> I've got the paperwork. Sorry. 15. [music] Yeah, please. >> The crew are met by Jaime's mom, Sasson, who works as a health care assistant at the hospital. >> So, this is 15-year-old Jamie. He's [music] got a clinically a mandible fraction. You can barely speak. Uh he's got a laceration under his chin. The rest of him is intact. However, he's complaining of slightly decreased sensation in his limbs, main his arms. His power is down about two or three out of five on his arms as both sides. >> It seems to be. >> Yeah. Okay. >> Yeah. I hope it's not his neck. He's obviously come down quite hard on his chin, knocked himself out. More concerning though is obviously he's got some altered sensation in his limbs. He's struggling to move his arms now. It might be he's just sore from where he's landed. I'm just hoping he hasn't broken something in his neck and done some damage, which is why he's not moving his arms as well as he should be. Um, but I'm sure they'll put them through the scanner and see what they can see. Um, and we'll deal with whatever there is. As a child, I used to go to skate parks. I can remember falling off as well. It's just one of those things that young people do. We've done everything we can for Jamie on scene, and now it's just down to the results of the scan. [music] [music] >> Nice evening. Beautiful. No one out there. >> Let's fly off into the sunshine, shall we? Bird's gone. >> Oh man, missed it. [music] [music] >> [music] >> So, how did um you two get into trouble at the Great North Run? >> Hot as hell, but really great atmosphere. [music] >> We did, however, come across a lady who was running with a mock helicopter around her. Fair play to her. She [music] was doing well. >> As paramedics, Gordon and Lee are never fully off duty. >> About the 8 mile mark, it was obvious that there was something pretty serious going on and the patient was really quite sick. We helped out there and made sure the patient was stabilized and then >> helped arrange for an ambulance to come over and take him off to the hospital. Did it ruin your time? >> Yeah, it ruined. >> I've been pushing more. [laughter] >> Have to do it again next year. >> I was um at work at Jim Cox when I received a phone call saying that Jimmy [music] is getting helicopters. But getting a lift, that's the worst bit. You're thinking he must really have hurt himself this time. Then it's not a nice [music] call to get thinking of your my son. What sort of damage have they done? >> Things just went wrong and then next thing I know I was on the floor spitting up blood. I felt numb on the left side of my body. I thought that like that was it. my nephew [music] at the age of 15 he had um similar accident and fractures his skull and they [music] did trying to save him but I think he's only managed to survive a seven day and that sort of feeling kind of come in thinking is my Sunday going to be like that is my son going to be like that >> the scan showed that I had a broken jaw in three places the left side of my body was probably numb due to impact felt relieved cuz I thought I'd done something much worse. I think I was very lucky cuz I could have broken my neck. >> Thinking, "Oh, he's so lucky he's not ended up like his cousin." I've been like at Jamie all like all the time. Every time [music] you go out, please wear your helmet. But kids want to do what they want to do, don't they? Do hope he's learned from this lesson. Very lucky escaped and hopefully no more. >> [music] >> I think the accidents taught me like just to try and be aware more and try to stay safe. People should wear safety equipment. So, at least [music] just wear a helmet cuz your head's what you need to protect the most. >> Every morning we wake up, we go to work, we don't know what we're going to be dealing with. And the camaraderie and the variety is brilliant. It's that that keeps us going. Heat. Heat.