Emergency Response: Traffic Accidents | Traffic Emergency Cases Episode 1

[00:00:00]On the Yorkshire coast, there's been a major accident.

[00:00:05]It's so serious, both air ambulances are being scrambled.

[00:00:10]>> Tango Alpha 122 >> Helmed 98 base near Wakefield will get to the scene first.

[00:00:18]>> RTC, [music] two trapped, two head injuries over Helmed 99 from RAF Topcliff in North Yorkshire isn't far behind.

[00:00:31]It is for 99 and we have lifted and route better.

[00:00:35]>> Paramedic Daryl Cullen knows the team may have their [music] work cut out.

[00:00:39]>> The information that we've got is a road traffic collision. It's a high-speed impact. The clinical supervisor on scene has uh asked for two helicopters to attend. Um we know that one patient's got head injuries and is agitated and the second's got chest and leg injuries.

[00:00:56]So it's obviously quite severe.

[00:00:58]>> Helme 98 has reached the scene over this track here to your left city.

[00:01:07]>> On the main road from Hull to Bridlington, a major rescue operation is underway.

[00:01:13]>> And do you want me to drive?

[00:01:16]>> It was a head-on impact. Two vehicles, two critically injured drivers.

[00:01:24]Daryl is taking over the care of 63-year-old van driver Malcolm Norris.

[00:01:33]>> Yeah.

[00:01:34]>> Hello. Hello.

[00:01:39]>> He has a broken thigh bone, injuries to his head [music] and chest, and a suspected fractured pelvis.

[00:01:45]>> Yeah, we finded that. We're just going to do his um >> do his feur with the traction. Any one of Malcolm's injuries could be fatal and he's very confused. Pardon?

[00:01:59]>> You've you've been involved in a crash.

[00:02:01]You've crashed your van.

[00:02:03]>> All right.

[00:02:05]>> Back at the wreckage, [music] mechanic Sam Cers has just been released from his wrecked car.

[00:02:11]>> You for an OP to go in?

[00:02:13]>> Yeah.

[00:02:14]>> He too is critically injured.

[00:02:16]>> Slight bold on this side. His legs are shattered, but he also has serious internal injuries.

[00:02:25]>> 3 L 135.

[00:02:28]>> Flying doctor Rob Anderson and junior doctor Ian Bulock are supervising his care.

[00:02:33]>> Is he tolerating that airway though?

[00:02:35]>> Yes.

[00:02:36]>> They're planning to anesthetize him here on the Grass Verge.

[00:02:41]>> Pop that down there.

[00:02:42]>> It's feared Malcolm could also have a spinal injury.

[00:02:47]>> All right, Malcolm. There. Yeah, that's it. That's That's it.

[00:02:51]>> Right.

[00:02:52]>> They need to strap him to a rigid stretcher.

[00:02:54]>> We're not far off here.

[00:02:56]>> Right.

[00:02:58]>> Just a second, guys. Just tilt him a little bit.

[00:03:01]>> He's being given ketamine, [music] a powerful painkiller, but he's still in agony. [screaming] >> All right, Malcolm. Okay. Okay.

[00:03:08]>> All right.

[00:03:09]>> Are you getting that ending first?

[00:03:13]>> All right, Malcolm. Just Just try and bear [music] with us.

[00:03:15]>> Okay.

[00:03:16]>> Okay. Just try your best. We just need to get on this board. All right, we're nearly there. We're going to move you in a minute. Going to take you in a helicopter to hull. All right, Malcolm. Malcolm.

[00:03:29]Malcolm.

[00:03:30]>> Yeah.

[00:03:30]>> All right. Okay. Sorry about that.

[00:03:34]>> At the roadside, Dr. Rob is about to put Sam [music] into an induced coma.

[00:03:38]>> So, can I just have quiet, please? Just going to do the checklist and we're going to proceed with the RSI. Okay. So, we've got 360° access. Okay.

[00:03:46]Preoxygenation in progress. Got a spare oxygen cylinder immediately available.

[00:03:51]Yeah.

[00:03:52]>> Malcolm meanwhile is [music] ready to fly.

[00:03:55]>> Been a highspeed impact as you can probably tell by the damage to the vehicles. Uh so the plan is that we need to take him to a major trauma center which is hull. Um it's about a 10-minute flight from here. So we're just loading them into the aircraft now.

[00:04:08]>> So once we get on to end here, >> yeah, >> we can rest on and just slide in >> bit further. Pete.

[00:04:16]All right, Malcolm side didn't get snagged.

[00:04:19]>> I'm just going to put you reattach you to the uh to the oxygen. All right, Malcolm. [music] >> Pete is trying to reassure Malcolm.

[00:04:26]>> Just got you all wrapped up. We're not going to do anything else with [music] you. Your flight's very short.

[00:04:31]>> All right, Daryl, keep looking down at you. Just let us know if you need anything else. Okay.

[00:04:37]>> Yeah.

[00:04:37]>> All good. All good. All good. Just watch that sign, please, if you're bit kind.

[00:04:42]>> Yep. Daryl is monitoring his blood pressure for signs of internal bleeding from his pelvis. It's lethal.

[00:04:51]>> What's he got this guy? Daryl got a right femur fracture, head injury and possible pelvic fractures and finding him. [music] Um, looking at the impact of the vehicle there, so he probably has got a a pelvic fracture.

[00:05:07]>> Sam was test driving a customer's car.

[00:05:09]Now he's fighting for his life. He's undergoing a procedure known as an RSI.

[00:05:18]>> It's the best treatment for a head injury, but it's a risky [music] procedure even in hospital.

[00:05:23]>> RSI drug labelled and do confirmed.

[00:05:27]>> 10:00 11:00 some Where's the football stadium?

[00:05:29]>> I've got the ground.

[00:05:30]>> Oh yeah, got it. Yeah, visual.

[00:05:32]>> I've got the hospital now coming out of the gloom. [music] Roger that. 15 mi away in Hull, Malcolm is on the last stage of his journey to intensive care.

[00:05:41]Two trauma teams are on standby for the [music] two victims of the crash.

[00:05:46]>> There's from 99 on the ground hole. And this one, >> okay, just nice and steady sliding.

[00:05:51]>> Just bear with us, Malcolm.

[00:06:00]>> Ready, steady, and move.

[00:06:03]Okay. So, 63y old Malcolm about4 to 2 this afternoon involved in a a high-speed head-on collision. [music] He's driver of a van.

[00:06:12]>> Daryl's briefing is crucial.

[00:06:14]Understanding [music] the mechanics of the crash will help doctors prioritize his treatment.

[00:06:19]>> Injury-wise, head to toe. He's got a small laceration to his forehead, potentially a pelvic injury, right [music] fractured feur. As far as we can gather, no loss of consciousness.

[00:06:30]Sam too is arriving at Hull Royal. A separate medical [music] team will take over his care.

[00:06:39]He's now in an induced coma.

[00:06:41]>> Head on 50 60 mph collision. He was trapped for about 50 minutes. He was the driver >> as well as his broken legs and a head injury. It's feared Sam has severe internal injuries. [music] >> Paul, can you activate mass transfusion protocol, please, mate?

[00:06:54]>> Both patients may require emergency [music] surgery. Their conditions are critical and their outlook uncertain.

[00:07:04]>> Call that airway enters, please.

[00:07:05]>> This will be a long night for the trauma team.

[00:07:12][music] It's a busy day in the skies over North Yorkshire, [music] but for the air traffic controllers in the tower at RAF Topcliffe, one flight [music] is more important than any of the others. Three floors down is the air ambulance base covering the vast moors and dales.

[00:07:30]>> Topliff tower helmed 9 and alpha with four on board. Requesting engineer start outbound to Richmond.

[00:07:37][screaming and crying] >> A 999 call reports that a man has fallen 60 ft off Richmond [music] Castle. I'll do it my P way.

[00:07:47]What ticket is 170 06 Richmond [music] Castle >> paramedics Andy Armitage and James Stubley head straight to the helicopter.

[00:08:00]It's a standin. The regular yellow [music] one is in for essential servicing.

[00:08:05]9 alpha take special press position surface 211012 cross all runways.

[00:08:15]XSAS [music] pilot Chris Atril has them airborne within minutes >> on route to Richmond. Roger.

[00:08:22]>> Roger. Roger. [music] Roger.

[00:08:23]>> Limited information. We've been tasked to 20y old male that's gone down an embankment appro 60 ft.

[00:08:29]>> There is quite a steep an escarment runs down from the top of the castle walls.

[00:08:33]Quite steep looking at it. [music] >> It sounds serious. The crew are already planning this [music] patient's transit to hospital.

[00:08:43]>> Presuming we're James Cook from here, aren't we?

[00:08:45]>> Yeah, we'll be mate from here. Will, >> and it's clearly a busy day elsewhere.

[00:08:53]A head-on car smash has happened within [music] miles of the top cliff base they've just left. The timing couldn't be worse. 132.

[00:09:04]>> Yeah, go ahead, Lee. Yeah. 99 available for this detail over >> send them on that other job.

[00:09:12]>> Are we available?

[00:09:13]>> Yeah.

[00:09:16]>> The second air ambulance, Helmed 98, will have to fly north.

[00:09:23]>> It's nearly 50 mi from its base near Wakefield to the scene of the crash.

[00:09:30]Back in Richmond, there's no obvious place for Helmed 99 to land near the castle. [music] >> You think the police are expecting you to put it there in that gap in car park?

[00:09:40]>> Possibly, but then again, they're going to blow the [ __ ] out of everyone.

[00:09:44]>> Yeah, we're struggling to land anywhere [music] in the vicinity. Patient looks to be on the DCA.

[00:09:51]Can you try and contact and see whether or not they can uh [music] move to a separate location for us to obviously be able to land?

[00:09:57]Chris chooses a safer alternative, [music] but the groundsman won't be happy.

[00:10:01]>> What's the bed? That cricket green's just been freshly cut.

[00:10:08]>> The local ambulance crew have already managed to get the injured man onto a spinal board.

[00:10:14]>> He's fallen about 60 foot. Well, he's rolled most of the way until he's got to the final 10 foot and it's been a sheer drop onto concrete. Complaining of a lot of right hip pain with pelvic splined him. Okay.

[00:10:27]>> Um, and also uh a lot pain in the middle of his back central.

[00:10:31]>> Okay. Stickers your detail there. I just want to make sure we all ready.

[00:10:36]>> The patient has told the crew he's suffering from the classic symptoms of a serious back injury. But it's an easy diagnosis for James. He knows who this man is.

[00:10:48]>> I knew it [music] would be.

[00:10:49]>> I knew who it would be.

[00:10:51]>> You know, the regular guy that's been chucking himself.

[00:10:54]>> Yeah. It's the hoaxer found three weeks earlier at the bottom of a cliff at [music] Brimham Rocks. He walked out of hospital uninjured.

[00:11:02]>> This gentleman's told me you sort of fall from that ledge.

[00:11:06]>> Now he's the reason 85year-old motorist Bob Mourn is still waiting for help from the air ambulance.

[00:11:15]Trapped in his seat with several broken bones, his life is in real danger.

[00:11:21]It'll be 25 minutes before pilot Steve Wardby in the other helicopter reaches Bob and he knows how serious accidents on the road [music] to Yorkshire's famous white horse can be.

[00:11:33]>> The road going from Sutton under whitest stone cliff up to the top of Sunbank is very very steep and there have been lots of accidents. Just on the bottom is a very sharp hairpin corner.

[00:11:44][music] Bob is a retired fire officer.

[00:11:47]It appears he lost control of his car [music] and collided headon with a 4x4.

[00:11:52]He has chest pain and may have broken his pelvis. [music] Now his former colleagues are working to free him. And at last Helimemed 98 is arriving.

[00:12:02][music] >> Okay, I've got your trees on your right side.

[00:12:05]>> Yeah. Yeah.

[00:12:06]>> Over the edge, Steve. [music] Thank you.

[00:12:08]I'll just clear a bit more. Yeah.

[00:12:14]Wonderful.

[00:12:15]>> Hi, guys.

[00:12:17]Right.

[00:12:17]>> Right. So, this is Robert who's 85 years old. The driver of this car just saw him view.

[00:12:23]>> He said he felt sleepy going through the last village, but we don't know if it's just noded off that we >> in atrial flutter. I don't know if it's normal for him.

[00:12:33]>> Bob had a heart attack a few months ago.

[00:12:36]It's unclear if this was a factor in the accident.

[00:12:39]>> So, you have waring and beat. And have you had waring since your heart attack then?

[00:12:43]>> Yeah. Now, have another listen to your chest. I know they've all checked you before, but it's just a a double check.

[00:12:49]>> There's always possibility he could have had some sort of medical event prior to having the accident. Um there's reports that he felt quite unwell. He was he was driving through first um on his way to see the gliders today. Wouldn't be such a nice day.

[00:13:02]>> The chest pain could also be explained by a broken sternum. But the main worry is the pain in Bob's pelvis.

[00:13:09]>> Keep your head nice and straight for us, Robert. Just letting fire lads get you out. But what we're going to do, we're going to give you a bit of pain relief.

[00:13:16]Okay? We'll give you a bit of morphine, okay? Because once obviously fire guys start moving you, these aches and pains can get a bit worse. Okay?

[00:13:24]>> Bob has performed many life-saving rescues himself in his long career as a fire officer, but he's never been on the receiving end. To avoid further injury, Tony and the team are going to have to be very careful when they move him.

[00:13:42]Back in Richmond, the hoaxer who took the chopper that should have been sent to the car smash is now posing a dilemma for paramedics James and Andy.

[00:13:51]>> Um, >> what's his plan then? Are we attacking him?

[00:13:54]>> He's complaining spine. He's complaining back pain and um, >> right hip pain. Pelvic b.

[00:14:01]>> So, I don't know what we want to do.

[00:14:02]>> What if he really has hurt himself this time?

[00:14:05]>> Can we attack him? He's going to cry wolf too many times and he's going to end up going to end up.

[00:14:10]>> Yeah.

[00:14:11]>> I think I think it was if it's being witnessed.

[00:14:13]>> I think that's going to air on the side.

[00:14:15]>> No. No. And I'm not I'm not trying to >> My only my only concern really is [music] you know if if he's if he's doing this you know what's he going to try and do in the helicopter one day? But >> we can only go off what we've got. Can't we see >> going on aircraft mate? Despite their suspicions, [music] the team must treat the hoaxer as if his injury is genuine.

[00:14:36]He'll get the same care [music] as any patient complaining of back pain after a fall.

[00:14:41]>> We visit this gentleman probably two or three times before. Um, however, at least two of the events previously have been unwitnessed, whereas obviously this one is witness this time. Hey everybody, my name's James. All right, I'm going to be back in the aircraft with you. All right, just pop your arms across. Is that hurting us without >> I'm going to give you some medicine.

[00:14:58]Obviously not able to get any IV accessing you. So I'll give you some oramorph. All right.

[00:15:02]>> So we're going to fly up to James Cook and obviously any injuries will be ruled out there.

[00:15:05]>> A scan will be the only way of finding out if he's telling the truth, but he's certainly giving Andy cause for doubt.

[00:15:12]>> That's a question.

[00:15:13]>> Yeah.

[00:15:13]>> Probably heard what's been said about me.

[00:15:16]>> What's been Why? What's been said?

[00:15:18]>> What happened last time?

[00:15:19]>> All right.

[00:15:20]>> I don't think it's got against me.

[00:15:21]>> No. No.

[00:15:22]>> Nobody's got nothing against you, fella.

[00:15:24]>> I have changed.

[00:15:25]>> No.

[00:15:27]You've had a [music] you've had a good tumble from what witnesses have said.

[00:15:30]So, all right.

[00:15:32]>> Or did they see me?

[00:15:34]>> Sorry.

[00:15:34]>> Did they see it?

[00:15:35]>> Well, obviously the crew that's what the crews handed over. Yeah.

[00:15:38]>> It's far from a straightforward medical case for James and Andy, but Chris offers a helpful suggestion. [music] >> Maybe he needs to pack in climbing.

[00:15:46]>> Yeah.

[00:15:48]Falling.

[00:15:50]>> Well, there is that, mate. Yeah, of course.

[00:15:57]Back near the White Horse, the fire crew are still working to free their former boss from his wrecked car.

[00:16:06]>> His age and medical history mean the paramedics are growing increasingly concerned about his condition.

[00:16:13]>> As we were talking him through the next stage, we sort of already very much aware of what was coming and the noises, which can be quite daunting for a patient as the roof's been taken off the car.

[00:16:24]The hydraulic cutters are inches from Bob's face. His Volkswagen is made from high strength steel, far harder to take apart than the vehicles he once dealt with.

[00:16:36]>> Being cut out from a wrecked car is a traumatic experience, even for a former fire officer.

[00:16:42]>> Slide a big board down your back now, Robert. All right.

[00:16:47]>> Yes. Yes.

[00:16:49]>> Obviously, there's concerns about a potential C-spine injuries. He's quite an elder gentleman. Not too sure he was going with arthritic diseases. So by using extrication board we managed to keep everything in alignment. Do >> you want some more pain relief? Yes, please.

[00:17:02]>> Extreme caution is needed. He may well have a broken pelvis. Dislodging a fractured bone can cause blood vessels to rupture.

[00:17:11]>> You tell us if you see us anywhere.

[00:17:14]>> My left shoulder.

[00:17:16]>> You're turning your left shoulder. Is it >> right? Right.

[00:17:19]>> Your right hip. Okay. Lee fits a protective binder. This will help to stabilize Bob's pelvis.

[00:17:26]>> Right, let's get instructed on.

[00:17:28]>> Yep.

[00:17:36]>> Well, you didn't know North Yorkshire fire service then.

[00:17:39]>> Well, yeah. Northing D County, Staffordshire, >> right?

[00:17:45]>> Service College again.

[00:17:48]>> Nice.

[00:17:49]>> Retired. retired.

[00:17:53]>> You are clear to your left.

[00:17:54]>> After a lifetime of public service, Bob finally gets his flight to the James Cook Hospital in Middlesborough. [music] His rescue jeopardized by a serial abuser of the emergency services. He's being taken to the same trauma unit as the hoaxer.

[00:18:13]The man who claimed to have fallen at Richmond Castle is examined by doctors who can find no significant injuries.

[00:18:21]And for the fourth time this year, he walks out of hospital. It's since been discovered that he's been flown by three other air ambulances [music] after similar hoax calls. He's received a final warning from the ambulance service.

[00:18:37]The elderly driver, whose rescue was [music] delayed by the hoax, is still in hospital, suffering from complications caused by serious chest injuries.

[00:18:51]Off-road biking is a passion for thousands.

[00:18:56]From rugged [music] countryside to urban clearance sites, there are few places bikers can't reach. But it's a dangerous pastime.

[00:19:07]>> [music] >> Helmed 98 is heading for South Yorkshire.

[00:19:16]Paramedics Al Day and Paul [music] Holmes are used to rescuing off-road riders, but they're rarely as young as today's victim.

[00:19:25]>> We got to an 11year-old who has um come off his motocross bike. Um we've got an ambulance on scene who's requested our attendance. So uh essentially it could be quite major trauma.

[00:19:36]>> Pilot Steve Wardby is heading for an off-road track near Doncaster. It's [music] well known.

[00:19:42]>> Okay. Top left hand corner as we look at it just by the go-kart track.

[00:19:45]>> Element 98 to the air desk visual scene >> near the ground to the south of it.

[00:19:53]>> 98 London.

[00:19:58]>> Bailey Kenworthy is badly hurt. It looks like his thigh bone, the feur, is shattered.

[00:20:04]>> All right, mate. Uh, young lad's um throttle stuck. Instead of going right track, he's come straight up again.

[00:20:11]Bikes landed in here with him.

[00:20:12]>> All right. Okay.

[00:20:13]>> Kane scores 10 out of 10. Um, he's absolutely freezing every time you try and move him. Screaming out in pain.

[00:20:19]>> We just can't get him out of pub, can we?

[00:20:21]>> Oh, no.

[00:20:21]>> Bailey landed on the edge of a ditch after flying 5 m through the air.

[00:20:26]>> How deep is this? Just ankle height.

[00:20:28]Yeah.

[00:20:29]>> Bit deeper than ankle there, isn't it?

[00:20:31]Oh, he's watching my boot for me.

[00:20:32]>> Hello, Bailey.

[00:20:33]>> Hello.

[00:20:33]>> My name's Paul.

[00:20:34]>> Yeah.

[00:20:35]>> Okay, mate. We're going to get you sorted, but we need to take you out of this puddle.

[00:20:38]>> Okay. Now, there's plenty of us here.

[00:20:40]We're going to have to move you, but obviously your legs going to be quite painful until we do, but we need to get you out of this puddle.

[00:20:45]>> He had his helmet on.

[00:20:47]>> Did you all So, he cartw wheeled and then landed as he is now.

[00:20:56]Paul's worried that the impact may have caused a spinal [music] injury.

[00:21:00]>> If he land on his feet, I won't have been overly concerned, but he's land on his back in case that's distracting.

[00:21:05]We'll get a call on him anyway.

[00:21:06]>> Yeah.

[00:21:07]>> All right. Just get a traction splint as well, mate.

[00:21:11]>> Yeah, >> he's been absolutely fantastical while he's being absolutely >> right, Bailey. [music] This is going to be uncomfortable, mate. But what we need to make sure is that obviously you're not going to That's it. Going to keep your head nice and still, [music] mate.

[00:21:22]You need to make sure that you've not injured your neck in a fall, particularly because you've landed on your back.

[00:21:28]>> All right.

[00:21:29]>> They're protecting Bailey's neck, but Paul knows his leg injury [music] could also be life-threatening.

[00:21:35]>> Are you all right with his head? We need to obviously you need to get into position cuz we're going to have to get this underneath him.

[00:21:41]>> If you if you want these, should we just pick him up like that and slightly?

[00:21:44]>> Yeah.

[00:21:45]>> Are you just slight?

[00:21:48]>> Yeah. Yeah. You just check his leg. His dad's naturally concerned. [music] Moving his son will be agonizing.

[00:21:56]>> Listen, keep breathing on that. You scream out, mate, as much as you want.

[00:22:00]>> All right, but we're going to have to lift you.

[00:22:02]>> Yeah, if you bring your arm, you hang on to that for me, Bailey.

[00:22:06]>> Bailey. Bailey, hold on to that. Two hands onto that. The problem with a fractured femur is when you break the bone, um, you've got a lot of muscle, a lot of tissue around the bone and the two fractured ends then can move around and they cut through the soft tissues and the blood vessels um, do a lot of damage.

[00:22:28]>> One, two, three. Good lad, [screaming] Bailey.

[00:22:31]>> It's incredibly painful as you can hear and it also causes a lot of internal blood loss. So, you get shock.

[00:22:39]>> Well done, Bailey. Well done, mate.

[00:22:43]>> If if you scream just like that, just be moving it. If we can try and get a needle in there.

[00:22:47]>> Yeah. You know what I mean?

[00:22:48]>> Daddy's just going to hold your other hand over there. Okay.

[00:22:50]>> Paul wants to use their most powerful drug to sedate Bailey.

[00:22:55]>> Very much in pain with his leg. So, we're going to try and get some um needles in him to give some analesia while we're trying to straighten his leg cuz we can't leave it in as it is. Give him some ketamine.

[00:23:05]>> All right.

[00:23:07]The canula will allow them to pump painkilling drugs straight into his bloodstream.

[00:23:12]>> Start off and just getting 5 mil increments. I think I'll >> getting 5 mil.

[00:23:16]>> So if I draw up If I draw up 20, that'll be about maximum volume.

[00:23:21]>> Yeah. Yeah.

[00:23:22]>> They must straighten Bailey's broken leg. The ketamine will dull the pain and ensure their patient will remember nothing.

[00:23:29]>> I'm going to give him a drug which might cause him to freak out a little bit.

[00:23:33]>> All right. So if he's got Yeah. out just while we sort him out.

[00:23:37]>> But Bailey's still frightened.

[00:23:40]>> Listen, mate. Listen to me. You won't listen. Listen, mate. Listen. You trust me?

[00:23:44]>> Yeah.

[00:23:44]>> All it is is you'll be a little bit drowsy.

[00:23:48]>> Okay.

[00:23:49]>> This is a critical procedure that will be painful even to watch.

[00:23:53]>> You come and take that ankle.

[00:23:57]>> Okay. Just don't don't move his leg yet.

[00:23:59]Just just hold his ankle. Okay. That's it. Either side. And once we say now, what you're going to do is pull his leg [music] straight. Okay. In that direction, you'll need to put quite a lot of force on it.

[00:24:10]>> Don't be scared if he will do. He will practice.

[00:24:14]>> Listen, mate. All right. We have to sort your leg out in a few minutes.

[00:24:18]>> Listen, we can't leave you, can we?

[00:24:19]You're going to be too cold.

[00:24:24][screaming] >> Well done, mate.

[00:24:28]>> Breathe that in.

[00:24:29]>> Well done.

[00:24:29]>> Absolutely fantastic again, mate.

[00:24:32]Breathe that in.

[00:24:33]>> Bit over that. Now, Bailey, >> at last, Bailey's leg is straight and the pain and the danger of internal bleeding have been reduced.

[00:24:42]>> That's the worst we've done. All right.

[00:24:43]Now, we straightened your leg.

[00:24:45]>> That'll ease your pain a bit.

[00:24:47]>> Okay. How you doing?

[00:24:50]>> All right, mate. You're doing a brilliant job. Well done.

[00:24:52]>> It's a stark reminder for parents of the dangers of junior motocross, but most insist their sport is generally safe.

[00:25:00]There's many other people here today, dozens of people who thankfully will make it home in one piece. Um, but unfortunately, it's the risk when you put your leg over that bike. It's one of those risk, but it's a controlled environment. It's an off-road track.

[00:25:12]Like my boy here today, Neo, he's only eight. They have to um go somewhere for practice um and try and learn to become safer riders.

[00:25:20]>> Just watch this door. Don't bang into this door. And then we're going to lift him up and just post him down towards the >> It's a relief for Paul. Dealing with children in [music] pain is a job most paramedics hate.

[00:25:34]>> He's a matter of pain which obviously is unbearable for him. Once we get into casualty, he'll be x-rayed and sent through to wherever he needs to go to, but the casualty expected.

[00:25:43]>> Bailey is going to be flown 20 m to hospital in Sheffield. [music] >> 98 alpha. We're just lifting M18. So when we're flying, the problem we've got is some of the sensors are taken away from us. So we just need to make sure that everything's connected to the monitor. So that should something happen [music] in flight, we're going to be pre-prepared for it, and we can probably anticipate it better.

[00:26:03]>> He's stable, but [music] his injury could still have lifelong effects. Nerve damage, infection, and blood loss are common problems associated with a broken femur.

[00:26:15]>> 98 alpha finals for Sheffield Children's Hospital. Going for the open area in the 12:00 beyond the van stand.

[00:26:22]>> That's 98 London Sheffield Jones.

[00:26:25]>> Yeah, no worries.

[00:26:26]>> See you soon.

[00:26:28]>> Bailey's now a short ride from the pediatricians who will diagnose the nature of the fracture.

[00:26:36]Their verdict could be lifechanging.

[00:26:38][music] Yorkshire's two air ambulances cover Britain's biggest county, 5,000 square miles, 5 million people, and today it's under the watchful eye of paramedic Lee Greenwood >> south of junction 46.

[00:27:00]>> Yeah, now over.

[00:27:01]>> He's manning the dispatch [music] desk, monitoring 999 calls as they come in to ambulance control.

[00:27:08]>> Any communications that they um filter back through me? Um I will put into system um and keep them updated. [music] >> Ambulance service is the patient breathing >> with a multiple request for ambulance, fire, and police.

[00:27:19]>> And this [music] one sounds serious.

[00:27:22]>> Junction 46 has red one southbound.

[00:27:24][music] >> It's on fire and it's gone into the railway bridge.

[00:27:29]>> Is anyone trapped?

[00:27:30]>> I would think so.

[00:27:32]>> Live CCTV cameras on the M1 motorway are capturing the aftermath [music] of the freak accident. A blazing car has plunged 50 ft onto the carriageway.

[00:27:43]>> Did you see anyone thrown from the vehicle?

[00:27:45]>> No.

[00:27:46]>> Don't worry about it. We've got the help organized. We'll get down there as soon as we can.

[00:27:49]>> The air base at Nostal is 10 miles from the scene of the crash.

[00:27:55]>> Pilot Gary Brasher will have paramedics Tony Wilks and Paul Holmes there in 5 minutes.

[00:28:06]>> 46. But there's a problem. They're heading for a busy motorway intersection. Landing [music] will require all Gary's flying skills.

[00:28:17]>> Can you just confirm whether highways will close the uh carriageways, please?

[00:28:23]>> Yeah. Paul, Roger, I spoke to highways and requested that the um close um both carriageways down overly.

[00:28:31]>> A passing motorist saw the accident. has basically traveling southbound and seen a fall of flames coming down from the embankment and hitting the middle of the bridge.

[00:28:42]>> The fire has finally been extinguished, but the injured driver is still trapped in the car.

[00:28:48]>> It could be a prolonged extraction. It depends on if the patient's [music] sort of physically trapped through injuries um or they're not actually, you know, trapped by the actual wreckage of the car that's [music] um preventing them from being released.

[00:29:04]Notice a bit of uh frantic [music] movement in that car.

[00:29:07]>> The motorway is still open. Gary can't land on the carriageway. [music] He must look for a safe landing site.

[00:29:15]>> All right. Do you want me to land on the bank and in the back top?

[00:29:18]>> A grass verge is the only option.

[00:29:20]>> If need be, I'll relocate.

[00:29:23]>> Okay, mate.

[00:29:26]>> Hey, you all right?

[00:29:29]Got a guy in there in a bad way.

[00:29:32]>> Okay, mate. Are these right to stand, aren't we?

[00:29:37]>> An ex police officer who also saw the smash is in the car with the driver.

[00:29:42]>> When I got here, he was unconscious.

[00:29:44]>> He's got a good pulse. He's coming around now.

[00:29:47]>> Okay.

[00:29:47]>> I think he's consuming a bit of alcohol.

[00:29:49]>> No, he's still >> It sounds like he might be in drink as well.

[00:29:53]>> So, that's going to compound a lot of things, I think, really. Isn't it? If the accident was caused by alcohol or drug abuse, it will be a matter for the police. For Paul, the patient's condition makes it [music] very difficult to assess his injuries, particularly head trauma.

[00:30:11]>> We're going to be struggling here really to get him out. We'll get a collar on him.

[00:30:17]>> To be honest, I might have to get in yet.

[00:30:20]>> We'll try and go fruit boot first. We'll try that one.

[00:30:24]Let's have a quick look at him.

[00:30:27]>> Yeah, just let him know what you want.

[00:30:32]>> My name's Paul.

[00:30:34]>> Right. I have a quick listen to his chest.

[00:30:36]>> Keep looking over. Good lad.

[00:30:38]>> Although drink driving is on the decline. [music] Alcohol related road fatalities still account for one in six traffic deaths in the UK.

[00:30:47]>> Got rising fall, but I can't really hear much to be honest.

[00:30:50]>> This man has experienced a huge impact.

[00:30:53]His shallow breathing and unresponsiveness is very worrying.

[00:30:58]>> Head and neck.

[00:30:58]>> Yeah. Is that all right? Cuz I'm in a bit of an awkward position here.

[00:31:01]>> We're not sure what injuries he's got at the minute. Paul's just trying to assess it. Obviously, the first thing to do is to get him extricated so we can sort of assess him properly and get treated if he needs to.

[00:31:10]>> Not that easy.

[00:31:12]>> It's a tricky situation for Paul.

[00:31:14]Assessment is easier out of [music] the vehicle, but if the patient is moved before he's stabilized, this could cause further damage. What hurts?

[00:31:25]>> Your waist.

[00:31:25]>> Your waist.

[00:31:28]>> It's tender there. Right side.

[00:31:30]>> Yeah. Yeah.

[00:31:32][screaming] >> We're going to have to get him out.

[00:31:34]We're going to have to get the seat out, aren't we? To get cuz I'm I'm reluctant to lift him.

[00:31:37]>> Yeah.

[00:31:38]>> Because there's not enough of his ear to get a good enough position.

[00:31:42]>> The fire crew remove the back seats within minutes and the board to protect his spine [music] goes into position.

[00:31:50]If we get him on his back, then he'll be ready to scoop off a board, won't we?

[00:31:54]>> As we are.

[00:31:56]>> Keep it coming. Keep coming. Keep coming.

[00:31:58]>> Stretches alongside us now.

[00:32:00]>> He's out, but seems very agitated.

[00:32:04]>> What's you No, not for me.

[00:32:12]>> That's enough. Stop it.

[00:32:15]>> My imagination. Yeah. Yeah.

[00:32:17]>> The injured man's abuse and violence could be down to the alcohol, but this sort of behavior might also point to the suspected head injury.

[00:32:27]>> We're not getting off you, mate. We can't get off you, can we? We can't get off you, mate. We're trying to help you.

[00:32:31]>> Either way, it's going to alter how he gets to hospital.

[00:32:36]>> I know, mate. And we need you to help.

[00:32:39][screaming] >> We're going in by land.

[00:32:43]>> If he's like this, I'm not taking him in air.

[00:32:45]>> I'll go in. I'll go with me crew.

[00:32:46]>> Yeah.

[00:32:47]>> The risk of not being able to restrain him in a helicopter is too great.

[00:32:52]>> Right. Calm down. Calm down.

[00:32:54]>> Relax.

[00:32:55]>> I'll tell you what. Relax.

[00:32:56]>> Straight as board.

[00:33:01]>> Restraining him seems extreme, but his safety and those trying to help him has to be considered.

[00:33:07]>> He'll not move his arm.

[00:33:09]>> You have to sort out pelvic bind first.

[00:33:11]Yeah. The man starts to calm down and he's ready to be transported by ambulance. But then something that takes everyone by surprise.

[00:33:20]>> The car you're in, is it yours?

[00:33:24]>> What?

[00:33:28]>> Listen. Listen to me. There's no kids in the car, are there?

[00:33:31]>> No kids in the car.

[00:33:34]>> I'm always conscious when there's a car seat and and kids toys about. It's a shocking revelation. If the driver is to be believed, a child is missing and almost certainly badly injured. And the man is sticking to his story.

[00:33:49]>> Where's your nephew?

[00:33:51]>> In the back of the car.

[00:33:53]>> Are you 100% sure?

[00:33:54]>> Yes.

[00:33:57]>> Did everybody hear that?

[00:33:58]>> Yeah. Yeah.

[00:34:00]>> Just um speak to fire. Just say he reckons there was somebody else in car.

[00:34:04]>> How old was your nephew?

[00:34:07]Kitty >> with his nephew.

[00:34:09]>> The man's story is of immediate concern to the police.

[00:34:13]>> Saying there was a kitty in the car.

[00:34:15]>> What?

[00:34:15]>> He's saying there was a kitty in the Christmas.

[00:34:20]>> What?

[00:34:21]>> Yeah. So, he's saying somebody else in the car and his nephew.

[00:34:24]>> A thorough search gets underway. The car will be jacked up, but there's always the possibility the child has been ejected before the impact.

[00:34:33]>> Some forest area in the top. I'm going to go into there now. Right. Good looking in there.

[00:34:38]>> If the account is true, a child's life may be in danger.

[00:34:46]On the M1 just outside Leadeds, the hunt is on for a child feared missing after a freak motorway accident. [music] The injured driver of this car has told paramedics Paul and Tony that his four-year-old nephew was a passenger when it left the road and careered down an embankment in flames.

[00:35:06]>> Send a picture of him now.

[00:35:10]>> The child could be trapped under the car. But it's also possible he was thrown from the vehicle as it careered down the embankment.

[00:35:20]>> Yeah. Yeah. Do that then. Yeah.

[00:35:22]>> He's saying what his nephew is. Okay.

[00:35:24]4year-old nephew.

[00:35:25]>> Four year old nephew.

[00:35:27]>> Big lights.

[00:35:28]>> Got uh the fire service rescuing the vehicle. Looks like they're going to have to try and jack it up. He says that there was a 4year-old child in the vehicle.

[00:35:39]>> Paul is tending to the injured man. He has a head injury [music] and with pain in his abdomen, there's the possibility of internal bleeding.

[00:35:48]>> Keep still a minute.

[00:35:49]>> What the [ __ ] are you doing?

[00:35:50]>> Got some painkillers going through here.

[00:35:52]You need to make sure they're going to go through.

[00:35:55]>> Let me out.

[00:35:57]>> Let me out.

[00:35:58]>> You all right to take that and hold his arms just in case.

[00:36:02]>> You just relax.

[00:36:04]>> What the [ __ ] is wrong with you?

[00:36:05]>> You're all right. We are doing. Give us a chance.

[00:36:13]>> Using hydraulic jacks, [music] the car is inched up in a desperate search for the man's missing nephew.

[00:36:22]So the fire brigade just lifted the car to make sure there's nobody chopped underneath which was not. So we're happy with that. The police are just conducting a search on where the car initially left the road to make sure a kid is not potentially being ejected.

[00:36:37]>> But the search draws a blank and a relative tells police [music] the child is actually safe at home. It seems the driver's story doesn't hold water. It looks like probably not, but if that's what he said, you've got to take it seriously until we exclude it.

[00:36:56]>> Another thing the police discover is that the car is stolen. Even though the driver has led them on a wild goose chase, the priority now is to get him to hospital.

[00:37:06]>> Come on then. In your jump.

[00:37:09]>> Paul is leaving with his patient for Lead's General Infirmary.

[00:37:14]Following day's work, >> a full trauma team has been assembled to meet Paul's [music] patient. His injuries are potentially life-threatening, and if he pulls through, his first visitors are likely to be [music] the police.