The UK's air ambulances respond to thousands of emergencies every year. Air ambulance. >> Highly skilled doctors, [music] paramedics, and pilots. >> I've got a horrible feeling I'm going to get covered in clarity here. >> Race against the clock to save lives. >> And at the moment, Steve, we're first thought there's somebody else there. >> Unique teams. And >> that road is the danger area. Does that mean we're going to get shot at? Probably. >> Delivering specialist care. A lot of intrusion on that side, Joe. >> From the roadside to the hospital, >> might be unseen. >> These are their stories. >> Let them through. >> He's still hosing. So, I'm going to have to do something to it to get the bleeding to stop. Okay. >> I still don't have a road name ever. >> All clear and shocking. >> I'm not going anywhere. I promise. Not going anywhere at all. >> Slowly breathing down. That's a big old explosion. >> Just getting you off to sleep now, Susan. You're doing fantastic. All right, bushes in your hands. So, just loading the tube up on it now. >> Can you just get the task team at the theater ready? >> 63 James [ __ ] over. >> Unfortunately, you've missed the inflight meal. [laughter] 6:00 a.m. Durham Te's Valley Airport, control center of the Great North Air Ambulance. >> The weather does have an influence on what we we kind of think is going to happen in the summertime. People are out doing things, walking in the hills, good long country roads, people on fast bikes. Um, so you can predict it to an extent. Um, but there's always the jobs that you know can happen at any time regardless of the weather that are there to keep us uh keep us guessing. >> Today's team of three, including paramedic Andy Morrison, prepare for the day ahead. >> Oh, here he is. >> Oh, morning Keith. >> Here's your aircraft captain. Would you like me to lift you into the cabin? >> If you don't mind. >> Certainly. And for pilot Keith Armitage, it's a chance to give the helicopter its daily checkover. >> Yeah, good to go. So now just wait for the jobs ambulance speaking. Okay. Right. Motorbike RTC. We can set off 6 ft of that then. >> A rapid response vehicle at the scene of a motorcycle accident in South Shields has requested [music] backup. >> Alpha, take up your discretion. >> The crew of Helmed 63 are deployed. >> 63 on the job. So uh initial call was for a >> male motorcyclist rap response quickly arrives on scene. Patient has back pain and numbness to both legs >> as well as um an obvious deformity of one of her legs over. >> Yeah, that's all it seems understood. No worries. >> The problem with most cyclists is if they have an accident, they don't have any external protection. Um so the impact is is all taken by their body. The patient was complaining of numbness in their limbs. Uh for us that's a warning sign of potential spinal injury and is quite worrying. >> It's right on the roundabout m of grotto. So >> the police are already on scene, aren't they? >> And the crew >> in about 7 minutes. >> Yeah. >> So I just see South Shields coming into your 11:00 now. We're just heading right onto the edge of the coastline. The northeast has some fantastic scenery and we're very privileged to fly over a lot of the areas that most people wouldn't get to see. But quite often we don't get the time to really enjoy it because we're too busy thinking about what we're going to. >> So it should be on this roundabout m just beyond the caravan park at that round. >> I've got something about 200 m further along the road. >> Oh yeah, I got it there. Got members of the public. You all one:00 and I've got dog walkers on the left on bikes on your left, mate. >> And the jogger. >> Copy here, Matt. >> Yes. >> London on. I'll bring the blood across for you. >> Wow. >> Hey guys, >> how are we doing? >> There's this motor. >> Yeah. >> Los of consciousness. Was conscious when I arrived. And this is a orthopedic surgeon. >> This is completely unstable knee. >> Incredibly, an offduty orthopedic surgeon was on the scene. Um, he was cycling by at the time, I think. So, he'd already assessed the patient uh by the time we got there. >> He has pins and needles in both of his upper limbs. So, >> okay. >> All right, Paul. Paul, >> the first thing we're probably going to have to do is give you some pain relief and get your helmet off. Do you know what day it is? >> What day is it? >> Saturday. >> Saturday. >> Okay. And can you remember what happened? >> I think that's >> No. >> Okay. I'm just going to push on your chest. Tell me if it hurts anywhere. >> That all right. Paul, can you feel me touch you here? >> Down here? >> Here? >> No. >> Nothing. >> No. The spine has 31 pairs of nerves coming off it. [music] They process information both coming from and going to the brain. When the spine is injured, the nerves below that level uh are affected. >> So nothing down here, sir? Just >> just what I was trying to do with Paul [music] was try and work out what he could feel and what he could move to lead me to work out what level of injury he got in the spine. >> Try the other side. Has he been moving his hands or his arms at all? >> Yes. >> Yeah. what you said that there were pins and needles. >> Okay, I think it's neurogenic. >> Squeeze my fingers, Paul. >> Right. You squeeze my finger with this on there. >> All right, let's get his helmet off. >> Paul can't feel anything below the middle of his chest. I'm worried that he might be paralyzed, but I was also concerned by the tingling in his arms that he may have a higher injury involving his neck. And what tends to happen in the same way as if you sprain your ankle, it swells over a period of time and it may stop him breathing. If I I was poor, I'd have been terrified. >> Yeah. So, if if you can possibly just grab his helmet for now, Sarah, secure his head. >> What we'll need, Sarah, is we'll need someone on the helmet opening it. >> Simon wants to secure Paul in a neck brace, but before they can do that, the crew need to remove Paul's helmet. >> Paul, you just keep your head still, buddy. So, we've got to get him to hospital um as quickly as we can, but we've got to be very careful in how we move him. Um a slight slip at the wrong time could have lifelong implications for him. >> Paul, we're going to pop a belt around your hips. Okay. >> Because of an impact of this size, he may well have broken his pelvis, but because of his neck injury, clues that we would normally see like pain may be absent. Paul, you had any change in sensation or anything while we've been putting that on? >> No. All right, mate. Good man. Well done. >> You can bleed to death from a pelvic fracture. In fact, you can lose all of the circulating blood volume. So, your entire contents of your blood into the pelvis without showing any other signs. >> Paul, can you feel me touching you now? >> Mhm. >> Is there any pain there at all? >> None at all. It's not been a long time since the accident and a lot of the stuff that you would see in a hospital or read [music] about in a textbook hasn't yet happened. It is happening. We ask a lot of questions at times. Often they're the only clues we've got as to how poorly they are. >> Um he's serious. Um probably >> Yeah. And we'll see what we'll see what he's like when he gets the RVI. >> Four. Right. So you're all packaged, mate. Okay. Yes. So, we're going to get into the helicopter and get you to the hospital. Okay. How are you feeling now? >> Totally feel your legs. >> Okay. >> CR. >> Okay. Can you shrug your shoulder? >> Can you feel me? Touch you up here. >> Mhm. >> Yeah. Good. Can you feel me here? >> Mhm. >> Can you felt me down here? All right. So, we need to get you to the hospital and a good look at your back to find out what's going on. All right. It could be you just stretched the nerves and you've come on. Could be you've broken the gap. All right. But we won't know till we get to hospital. I'll get it. >> It's very difficult. Sometimes our job we have [music] the clues that somebody's very badly injured and I want to be able as as a human to say to [music] somebody who's in pain or suffering, you're going to be fine. >> Ready, brace, lift. >> So I trying to be honest and as reassuring as I can. But I'm not going to lie to somebody. >> It is ahead. >> Yeah, it is from 63 Marcus just to keep us posted. >> We've got a 47y old male >> that's got paristhesia paralysis of his legs, no motor or sensation with a sensory level of T8. We'll repeat the RVI 10 minutes. >> Go ride the book. >> Yeah. Cheers, buddy. He could feel it. Feel down to about T8. Nothing below it. I mean, his arms were just fl off the side of the Paul's future now hangs on the results of his scans in hospital. Uh, feel we got 55 minutes of class 2 at CIC. Gear three greenstone locks. Languathbi, Cumbria. [music] It's Sunday and pilot Owen McTagot is at the Great North Air Ambulances Penrith base preparing the crew's weekend ritual. >> Sunday, Sunday brunch. Sausage, bacon, beans, scrambled egg, and some muffins. Fingers [music] crossed the phone doesn't go. But muffins. >> Have a flathead screwdriver anywhere? >> I do. I've got well at all. >> He's currently on his hands, his knees fixing the toilet [laughter] >> where we should be >> where we should be. >> On the base, it's very much a a muck in everyone does bits of jobs. [music] So, you might find yourself from, you know, at a roadside, you know, helping a patient to cleaning the toilet or sweeping the hanger or doing all the jobs that, you know, maybe you don't particularly want to do. >> Terry enjoyed changing the toilet seat over. [laughter] >> I helped a lot with words of wisdom. standing behind him >> trying not to be sick out the door. [laughter] >> I think it's really important that you trust your team and they trust you because we've all been in some tricky situations with each other and actually it's really important that you can keep it light and have a bit of banter with each other and you know they're not just colleagues, they are friends. Can you smell sausages? That's Tim Swing. Okay. >> A call has come in to the central air desk requesting the backup of the Penri team. >> Thank you. Cheers. Bye. >> Hello, Terry. Got a job for you. Um, this is a 12-year-old who has a known allergic reaction to sesame seeds that he's inadvertently eaten. Clear skies left and clear above. >> This really is like just the other side of Halt Whistle, some discovery center or something. Uh just be advised we're into a strong northerly headwind. Any further clinical >> details on the picture? >> Negative at present. >> Allergic reactions are anaphylaxis. You can see in sort of any age range and the big concern with it is you can have significant swelling particularly around the airway. This can happen quickly and can be fatal. Tim checks in with the land crew on scene. >> Hi, my name's Tim. I'm a paramedic with the ambulance service. Um, how are they doing at the moment breathing wise? There's no funny noises coming from from his airway. There's no And he's not struggling in that way at all. Yeah. Okay. All right. Fair enough. Cheers. Confident that the land team can manage the young patients symptoms and with another emergency request coming in, Tim decides to redeploy Helmed >> 58 message >> to halt whistle. >> Traffic response on scene >> confirmed ST elevation >> received and redirected over >> being diverted and changing to different jobs. Sometimes it does kind of keep you on your toes. >> So it was confirmed as an ST elevation MI which basically means it's a heart attack. >> So Teddy won't need monitor if Rapids on scene. So just uh both the bags. >> Yeah. >> Oh, I can see the rapid there. Just >> can you see the rapid? >> Oh yeah, seen the rapid. >> Is there access on this massive field to the right of the farm? Uh >> yeah, there there is a gate at the top end there. >> Yeah, I said it might be turbulent. Keep all these seats. >> Okay. >> So, what we're really preparing for is where are we and what's the nearest hostel that's got the capability to deal with that patient. Heart attacks bring high risk of potentially having a cardiac arrest, which is the worst case scenario. >> Now, on scene, I've got the red. Will you get the blue? Y >> where I'm going. one on the left. >> Oh, fab. Thank you. >> How you doing? >> He's basically had this chest pain for two days now. >> Okay. >> He's got quite a bit of ST elevation. He's sick. He's feeling sick with it. And his wife said he's been absolutely sweating. I've had to change. >> So maybe she's been gone for a little while then. Okay. >> Hello, sir. >> This is Dennis. Lovely. >> H Dennis. What's going on? >> Just been bad for a couple of days, pet. >> Yes, it has. When we walked in, [music] it was quite obvious Dennis was unwell. He looked quite gray, quite clammy, quite sweaty. Um, [music] and you could tell he was quite short of breath. >> I I thought it would uh go up, you know. >> Yeah. >> And where's the pain for you, my love? >> It's just like there side. >> So, we performed another ECG in him. And really, what an ECG is a tracing of the heart. And what we do with it is you look at all different aspects of the heart >> and it looked like it was an anterior ST elevation MI which basically means the front of the heart the blood supply to the front of the heart was affected. So you feel it's down here >> around there around you. Yeah. >> Okay. You can feel that kind of pushing and that's the pain that's bothering you. Is it >> take some nice big breaths? In and out. >> It's the >> And is that so when you're breathing in and out? It is. Okay. [snorts] >> On the ECG, the tracing of your heart, there are some changes that shows maybe there has been a bit of a possibly a little heart attack that's gone on over the last couple of days. >> Um, and I think with those changes, we better to be safe than sorry and get you into hospital. >> Is that okay? >> Nice. >> Okay. Good man. >> Dennis, I'm just going to give you some of this spray. It goes underneath your toe. >> Nice. >> Does it taste [music] very nice? Dennis is given GTN, a rapid pain relief spray that will relax and widen the blood vessels in his heart. >> I think whenever you look after [music] patients, you always try to treat them like your family members. I think it's really important to [music] make sure you keep chatting to them. Make sure you keep having, you know, a little bit of joke with them. >> Um, now are you allergic to anything at all? >> Spending money. [laughter] >> We have to be aware that is scary for these patients. It's not just him. It's his wife. Irene was a bit upset when we arrived. They're in a difficult situation. So, it's not just the patient. You have to think about the family as well. >> And is there anything else you take medication for? My >> love for the diabetes. >> Your diabetes. >> In patients, especially elderly patients, it's really important to find out what other medical conditions they've got. We know diabetes can change the way chest pain presents. We certainly know that sometimes patients with um diabetes have no chest pain at all. So it can absolutely mask it. >> Right, my love. Lean on the seat. >> I've got you on my side. >> With the helicopter situated some distance away, the team [music] make use of the land crew's rapid response vehicle. >> We transferred Dennis in the back of the land ambulance. And we got there and we turned the corner and found Owen laying tires down and actually was like, I don't what are you doing Owen? Like what are you up to? And actually it was quite sensible because it was very muddy and we had to get Dennis onto the trolley. >> Right, Dennis, should we try and get you out? It just shows that in prehost environments, you absolutely have to think outside the box. I think it was probably because he didn't like the hostel trolley getting muddy because then he probably has to clean it. [music] >> There you go. How's that pain doing? Is that still a bit better? >> Yeah. Ready? Brace. Lift. >> Nice and steady. Dennis had the pain for two days. And you often find that in the elderly population. They don't like to pull an ambulance, but often they're the ones that genuinely need to. >> Fine. >> Is that pain coming back? >> No, it's fine. >> No, it's still gone. >> No, I can feel a little niggle. >> So, you know, he shouldn't probably have waited 2 days. Bless him. And he should have probably called us a little bit earlier, but you know, that's what we were there for in the end. >> There we are. >> You okay there, Dennis? Are you? >> Yeah, you do. Grand. The team will fly Dennis 60 miles to a specialist coronary unit in Carlilele. >> On the back of the helicopter, we need to really keep an eye out on Dennis, making sure he had the ECG tracing on and that we could keep an eye on his heart rate. >> Is that pain to me back? >> A few jabs. >> Be honest. >> Yeah, aggressive. >> Have you ever had any seed before? >> Yeah. >> Yeah. I'm going to give you a smidge of that. Okay. >> Okay. >> So, you close your eyes and just concentrate on that breathing for me. You're doing really ever so well. All right, Dennis will be landing in a few seconds, mate. >> All right. Okay. Couple of seconds. >> Fine. Not now. Committed to the helipad. >> Lovely. >> Heart attacks can come in a variety of different ways. You know, you can get people with just very mild chest pain and you can get those with quite severe chest pain or potentially going down, you know, into a severely unwell and a cardiac arrest route. Hello. How we doing? This is Dennis. He's 75. History of high blood pressure, diabetes, had chest pain on and off for two days. Um [music] GT and relieved it totally. It is a pleasure to attend jobs like that. Dennis was really genuine. We were more than happy to help him. It's a great part of the job and it actually, you know, makes you want to do your job better. He was a nice man. >> Yeah, he wasn't. >> I like Dennis. You want to go faster? >> Is that cuz you're flying and not autopilot? >> Maybe one tango altitude 2,600 ft. Climbing flight level 8 Z. >> [music] >> In Norwich, the team of the East Anglian Air Ambulance are returning from their third call out of the day. The first two call outs resulted in [music] fatalities, both under the age of 30. >> You can always tell a difficult job afterwards. is you actually [music] do feel exhausted and it's not physical exhaustion, it's actual mental exhaustion, quite emotionally drained. It's very frustrating when you've put everything into trying to save somebody's life and and the end result is that everything you've done is not actually worked. Uh it is horrible. It will always have a a lasting effect. 11 12 13 14 15 That one is done. >> With 2 hours left on the clock, the team try to catch up with duties at base. >> Good. Right, that's me done. Sometimes you do find yourself uh having a day where you have maybe lost one, two, or three patients. I think after a harrowing day at work, I find that going home watching a cookery show with a glass of wine, um, it chills me out nicely because, uh, no one's going to die in a cookery show. Hello, Norwich. Laden. L U. Yeah, Len. Right. Thank you, Papa. So, what's the job? So, this is a female falling off her bike. She is unconscious and agitated. I don't know how after departure on tracking from the east. As soon as the call came through, it sounded like that patient had sustained a potentially serious head injury. >> We are routing out to London. So, we're heading out to the northeast. >> When a patient sustained a head injury and uh they are unconscious and agitated, it could be a sign that they're bleeding into their brain and that's something that needs specialist intervention. >> Got the grids out to the left. It's in these trees somewhere, isn't it? I think I've got it in the woods on the corner. There they are. There they are. They're in there. >> Oh, yeah. >> On the right. >> Okay, I'll get this side. The land paramedics already on scene >> have done what they can for Caroline who was out on a bike ride with husband Richard. >> But they need Drew's skills as a doctor. What we suspected was that Caroline had fractured her skull and had cut one of the arteries in her scalp, causing quite significant blood loss between half a liter and a liter of blood. to work out where it >> we know that having a skull fracture um dramatically increases your chance of having bleeding within the brain itself. >> But excessive blood loss is not the only concern. An open wound like this can easily allow bacteria in which can cause infection and potentially severe brain damage. >> You want a sea now? >> Yeah. the bleeding gone up height before the >> no suture now. We've got an arterial bleed in the scalp. We need to get that suture. >> To gain control of the bleeding, Drew plans to stitch Caroline's scalp on scene. >> Caroline Caroline, >> sorry Caroline just bugged her. It was uh not easy to get the stitches in because unlike being in a nice clean sterile hospital uh you're on the floor and Caroline's hair was matted with with clotted blood. So it was a challenge to actually see the injury. It's >> my last check with me. >> We have two guys. >> Sorry. >> Carolyn's husband Richard uh was beside himself at the [music] time. I'm used to seeing this on a daily basis, but for family and friends, it's a shock for them to see that. And although you try and reassure, there's never no guarantees that that the that their loved one will be okay. >> Caroline, squeeze my fingers tight. Squeeze my fingers. >> Having stopped the bleeding, I was still very concerned that Caroline had a significant brain injury. Head injuries don't just cause death, but they can cause significant long-term disability. And this is really what we're trying to prevent. She responded. >> So, she's groaning. She's not She's not moving her hands. She moved her hands since she >> Well, she has. She sort of closed herself up, haven't she? >> So, GCS is one of her two and she's born. So GCS >> GCS or the Glasgow coma scale is a scoring system used to describe a level of consciousness. >> 15 is fully conscious but at three a patient is clinically dead. >> Look at me. Carolyn, look at me in the face. >> Carolyn is a four. [music] So having stemmed bleeding from the scalp artery, we were [music] still very concerned that Caroline had a significant bleed within the brain. >> The severity of Caroline's injury could affect her ability to breathe. So the team plan to use a general anesthetic to put Carolyn to sleep so they can take over her airways. >> 60 kg. If we get the weights wrong and the wrong dose of anesthetics, too little will keep her awake and she may remember the whole procedure. Too much can actually put her into cardiac arrest. >> Okay. So, how much? >> 1 mil is 6 m of Yeah. 60. You got the access. Okay. Are you happy with the airway? >> I'm happy with the airway. That's 30 seconds. >> 40 seconds. >> And that's your 45 seconds now. >> Seriously. >> Great bougie. Thank you. Bougie tube coming over the bougie. High up the bougie. [music] chest rise. >> Okay. Enter the C2 3.8. >> Caroline is now under anesthetic and the team have successfully taken over her breathing. So goodness again. Not wearing a helmet. >> No, no, we always wear them. Just today we've come out for a very quick gift spin around the block. >> So So you fly straight direct there and then we'll >> see. >> If Caroline has internal bleeding in her brain, she'll need a specialist hospital. But the closest Adenbrooks is a 30inut flight away. Well, for anglier one update. Yeah, it one patient's [music] being loaded into the aircraft. We'll be lifting shortly, >> guys. BP's dropped a bit. Just need to give a bonus of fluid. >> Yeah. Yeah, mate. Do do what you need. >> You have your lift? Yeah. >> All clear. Big flocks of birds to watch out for me. >> Airway was partially obstructed with blood. Jurgy, >> do you need the aircraft to be a bit warmer? >> Uh, yeah, as warm as you can. >> Head injuries are one of the most common causes of death and disability within the UK. And Carolyn's head injury [music] was particularly bad and one of the worst I've ever seen. Flying to hospital, we were very concerned that [music] Carolyn would not make it. The team face a [music] long flight to hospital in light that is fading fast. >> Do you know what actually happened? Did they run into each other or something? >> No, they just fell off. >> Just fell off a bike. >> It went like that. >> Got a hair clip in. >> All right. And >> I think the hair clip caused a skull fracture. Caroline seemed to have been going at quite [music] a low speed, which just goes to show that uh low speed collisions and the fact that she hit her head on [music] on the road um without a helmet cause quite a significant injury. >> 12. >> And you just hope that the treatment that you've given helps in some way [music] to to promote a full recovery. Echo one landed at Adabrook. I feel quite exhausted. >> Do you? >> Yeah. >> I'm ready for another job. >> Sorry for beer. >> Yeah, I might have a glass of wine. Maybe half alpha from Angler. Angler. >> East Anglian Air Ambulance Cambridge with crews on call 18 and 1/2 hours every day. Helmed 888 is the first air ambulance service in the country to attend medical emergencies during the hours of darkness. And long shifts like these require plenty of sustenance. >> So, I got veggies in that one and a lasagna designed for two for that one. This is it. I'm not I'm not a slight lad. I I like my food. I never know when my next break's going to come. So, when I get a chance to to eat, I make the most of it. It's got to be some green on it. Can't all be yellow. >> Also cooking between call outs is Dr. Llo Hetszman. >> I'll risk it, too. What's that? You going to Yeah. >> Yeah. >> I see. Now, now we're living on dangerous ground where we're both eating at the same time. Then we definitely will go out. >> Thank you. Angler 2. >> A car has smashed into a tree on the A149. >> Oh yeah. Okay. >> 70 m away. >> Just convert A14. RTC patient trapped. >> No worries at all. Thank you very much. Thank you. Bye. >> Echo Alpha from Angler 2 lifting from base. >> Fuel is at just under 600. So that's 1 hour 55 at night for night limits >> in the climb to 1500 ft on the alternate and weather is suitable advisory. >> Okay, goggles are down 145 helicopter >> equipped with night vision goggles. A 30 million candle power search light and advanced mapping system. The H145 helicopter's technology enables the crew to navigate in complete darkness. Flying at night can be quite daunting. Um, especially when is pitch black. We'll climb up to about uh 1,500 ft uh and we'll trans about 140 mph. It's another element of flying that a lot of people don't get to experience. Also, it's incredibly peaceful and uh and I find it quite romantic flying at night. >> Okay, guys. We got 30 minutes 30 minutes from here. Thank you. Okay. So, we're close to NNN, right? >> Yep. Otherwise, the um nearest major trauma center is back to Adam Brooks. >> Major trauma positive. We fly him back. Major trauma negative. >> We can go to the local. >> Yeah. Good. Okay. >> In the UK, the number of people killed on country roads is nearly 10 times higher than on motorways. A lot of jobs go out to um can be very serious car crashes [music] and that first hour um after that car crash can be absolutely vital as to whether someone lives or dies. >> There have been any update on scene. >> There's not. No. >> Okay. 10 miles to run 5 minutes, guys. Copy. >> I keep seeing blue lights there. 11:00. >> Yeah, blue lights on the nose. 12:00. There's the site there. In fact, there under my line. >> Looking around. There's nothing major on the map. There's small domestics. Autopilot is disengaged. I'm beginning my descent. >> You are clear. Forward and right. >> Thank you. >> Just sweep right with the uh >> happy. >> Yeah. All good. All clear. >> Going down. Echo Alpha Angler 2 is on the ground. Alpha landing over. >> Thanks for this. Do you notice still trapped? >> Yes, he is. I'll give you a hand over. >> Okay, so that's >> it's the passenger who is still in the car. >> Got a 23y old gentleman um trapped in the vehicle um by his feet. As you can see, >> there is a danger when extracting patients from tight spaces that their surroundings are actually holding their injuries and blood flow in place. Remove them and they can bleed to death in minutes. Plan of action is to extricate through the side of the vehicle. We're going to support the roof. We're going to put some struts in. >> Bring him out through the side with the Bost gone and then chain gang him up here for proper assessment. Sound like a good plan. We'll be if he becomes time critical just to ho him out through the back. >> Hello sir. Hi. Hi. I'm Dr. Hzman. You more or less okay? >> Where do you hurt? >> My shoulder. >> Your shoulder. Okay. Chest [music] is okay. >> Okay. I'm going to get you out from here. All right. Okay. Thank you, gentlemen. Thanks. >> My concern is at the moment, you see the position he's in, he's quite crumpled up, isn't he? >> Yeah. >> So, if he's done anything with that abdo, as soon as we straighten him out, >> I wonder if things will plum it. But, you know, that's the kind of thing we'll look at. >> Yeah. Well, this is why we will just see him. This is a concerted effort involving three of the emergency services. For firefighters, Dan's extraction is a delicate process. Even the slightest movement of the car or Dan could cause permanent damage. >> I know the plan is to set that Bost off, but I wonder if there's not a quicker way of doing it. >> We wanted to get Dan out quickly, and this was a priority for us, but the fire service on scene have obviously got their priorities to not only do what we need, but to do it safely. Once that B post is off. >> Yeah. Then then we can speed up the process a little. >> Yeah. >> Yeah. Okay. >> It can sometimes be a bit frustrating when you want something to happen quickly, but you just know that it can't. >> Once that B post is off, do we know who's going in to do what as in know who's going in do CP fine spine? >> The fire guys. >> Yeah. >> So once obviously as he starts to come sideways, we'll need someone else dedicated head in to take over Cspine. Um, so we'll get one of your guys up there to do that. Um, because once this be post off, given the time that he's been in there, we need to just go, go, go. In cases like this where there's major trauma, you have to make sure you have a plan as to what you're going to do when the interventions start. Um, the old adage of too many chefs, there has to be one leader leading the scene. And I'm happy and willing to do that as a senior paramedic on scene. This frees up the doctor to focus purely on patient care, knowing everything else is happening around you. Laz, see if you can get the board further down and flat and then you can just come out sideways. >> This is the moment where everything can change and at this point things can deteriorate quickly. Ready. [screaming] >> Nice. Dan, >> where's that hurting you worst? >> On your right. Lovely. >> On your hip. >> Lovely. Perfect. Right hand shoulder. >> What's your name again? down. Okay, very stability here. Here >> that left hip >> there. >> Y shoulder hip and right shoulder. >> I'll be easy on this shoulder then. Okay. >> Dan was in a lot of pain and it was important for us to identify what was causing that pain. So at this point, we're also suspecting there might be pelvic injuries and pelvic injuries can be very serious. >> I'm going to need you to tell me if it hurts anywhere else. Okay. So I'm not touching your right shoulder. Any any problem here? No. >> Okay. chest. >> No. Okay, good. >> Back of there. >> Down the leg. >> Down the leg. >> We're going to we're going to give you something for the pain, but first we need we need to check you out. Okay. Do >> you get any pain here? >> What about here? >> No. Worse. >> No. So, as a precaution, I think uh Sam splint as he has pain over the right pelvis area. >> Yeah. >> Okay. So, here comes some pain relief. Okay, I'm going to give him some fentinil. >> 75 micrograms in. >> With the air ambulance on scene, Dan can be given fentinil, a powerful painkiller that's over 50 times stronger than morphine. >> So, shoulder uh pelvis. I think Chris will do a quick ultrasound. >> Yeah. Okay. >> Llo suspects Dan has broken his pelvis. This carries the risk of major internal hemorrhaging, but it can be detected on the team's ultrasound device. >> Okay, I got the hypophatic renal border. Negative laz. >> Y. >> So, you got some more pain relief going in now, my man. All right. Start a little bit better. >> We got a blanket. We'll get up on his chest in a second. I'll get the scoop. You have a look at that again. >> Okay, cool. >> Okay, I agree. Uh the fair endings it's negative fast. So the uh belly is okay. >> Dan, how is your pain? Is it a little bit better? >> Definitely better. >> One second. >> Where he is? >> He just had a car accident, so you'll be sorted. >> It's going to be fine. >> Okay, Dan, get you off the hospital. All right. >> No worries, mate. You're in great hands. >> Okay. Happy to roll. >> Right. Let's go. Brakes off. >> All right. Let's go. Let's go. Let's go. Let's go. [music] Thank you. You hopefully you've already had an update that this young man, 23-y old male, is going to be going to the local with the crews. Over. >> Lovely. Seen assist. >> Yes. Yes. All received. Yes. Scene assist at this stage. Major trauma negative. Over. >> Lovely. All received, isn't it? >> Well, tell you what, that's not bad, is it? Alpha landing on a night like that. Very conveniently placed field. >> There are over 1,500 people die every year as a result of car crashes. This was a very high impact road traffic collision and I think Dan's been exceptionally lucky today. >> Alpha from Angular 2, thank you. Lifted from scene routing back to base. You all awake in the back? >> Yeah, we are. >> That we are >> absolutely Just going to lift your head up a bit, Carolyn. I [music] never ever thought I could have an incident like this. It was such a a strange thing to happen. >> I seem to have skidded on mud and the um bike literally just [music] went. I didn't even put an arm out or anything. I just literally hit the floor with my head which was obviously um [music] fractured and that's all I all I know unfortunately. At one point, you know, um when I was wait when we were waiting for the ambulance, I really thought there was a chance I was going to lose her and I just felt so alone and and just seeing Carolyn um laying there in a pool of blood. It was just just my worst nightmare really. It was horrible. >> If I didn't have the air ambulance, I don't know that I would be here. When you're [music] in a real bad state like I was, they're the people you need. And it's amazing being so close to having lost your life, [music] how much it really makes you feel about life. >> Everything is wonderful to me. And I know that to live is [music] just amazing. [laughter] It's absolutely brilliant. I think to find out that one of the patients that you've dealt with who you didn't think was going to survive uh has left hospital in a in a good [music] state gives you a really um good sense of knowing that what you do has made a difference. It's fantastic.