First of all my car died. I ended up renting one for a week, followed by borrowing one from a used car dealership that was able to get me out of a very difficult situation, but that’s a different post. Finally, I managed to find a new car – a nice shiny red VW Golf estate which has impressed me a lot. I’m loving it.

So in my nice new car I was heading to base this morning, not to work and for once not to a callout. Meeting at base at 1000 we set about to prepare ourselves and the base for today’s event – a royal visit.

At about 1400 today, a number of cars pulled up outside base and out stepped Prince William. As the news reports, he was visiting a number of places in the valleys and stopped off to see us as his final visit of the day. We had some fun prepared for him – some hobnobbing with the local dignitaries, a light lunch and then change and head up to Morlais Quarry where we took him to the top off the cliff and he got to lower someone down a cliff – I don’t think his protection detail would have been too amused by my idea of lowering him off the edge of a cliff, but nevertheless, we had some great photo opportunities. It was a great day with fantastic weather and we all thoroughly enjoyed.

That’s when it all went downhill though, because on the way home, some drunken twat drove into my nice shiny new car and drove off without stopping. The damage isn’t too bad, it was a glancing blow but it’s knackered one of my wheels (it’s bent the actual metal bit) and twatted my rear door and rear wing, and after a drive tonight, I think it might have done something to the suspension or thereabouts. I only managed to grab a partial index – “S633…”, and I know it was a pale blue or silver hatchback – a large one, quite wide. Beyond that, the prick didn’t even slow down – no brake lights. I’ve just got home after filling in a police report which was gratifyingly easy and quick, though the nice young PC didn’t hold much hope of catching the turd, and reckoned he was probably drunk anyway.

Great.

Jamming my shoes and jacket on quickly, Sean and I ran out and drove off. Arriving on scene, I texted one of our senior guys who I knew was en route and quickly changed into my boots and a hi-viz. I could see someone standing up by a small quarry uphill from us and Sean and I headed up the scene. A young lad had broken his leg and the ambulance crew were already on scene. We had a few interesting moments but apparently they’d already called 169 to come and assist and apart from covering them in a KISU tent and trying to organise a winching location for the helo, there wasn’t much for us to do. I had the amusing moment of clearing the scene of helmet-less people (mainly police) but other than that it was a fairly rapid and uneventful callout. 7 mins from pager to being on-scene and I think we were stood down within about an hour.

Couple of things come to mind though as I look back and analyse my own actions. I was very aware that although I’d joined First Responders to get some experience of dealing with scenes, this one threw me because I’d concentrated so much on the medical and there was nothing for me to do here – there was a paramedic on scene. I did have concerns about their health at one point since it was damnably cold up there, but 169 shocked us all as it suddenly appeared from over the hill and we were gone before it became an issue.

So, in retrospect, and knowing that hindsight is 20:20, what I could have done better:

• Got a better handover from the ambulance crew. To be fair, the paramedic was being a little brusque and somewhat territorial with his casualty, and while I could have been more assertive, it wouldn’t have benefited the casualty any unless 169 would have taken another hour or so.
• Got my KISU tent out. It was cold up there, but I was mainly trying to get a handle on the scene and get in contact with the rest of the team whilst Mike (who arrived a few minutes after I did) got his KISU tent out.

I think I did OK, certainly room for improvement, something I suspect will come with experience. I certainly think that had we remained there for any length of time I would have chosen a number of actions – got the ambulance crew out before they got hypothermic; got the casualty in a cas bag; moved him onto our stretcher off of the ambulance’s scoop stretcher; certainly I would have offered the casualty some Entonox I think - the Paramedic was sure that the kid was OK with his pain (until he nudged his leg), but I’m not sure how much of that was bravado on the young lad’s part. He refused my offer of Entonox since the casualty was hypothermic – it’s a controversial subject since it’s not technically contraindicated for hypothermic casualties and so long as the cylinder is above -4 celsius it should be ok (you have to shake it first when it’s cold just to make sure it’s mixed). My biggest concern would be monitoring his consciousness levels given that both hypothermia and Entonox can in extreme cases affect it.

Anyway, some food for thought. Good result and the young man seemed to be happy as he got his first helicopter flight, his leg momentarily forgotten as 6.5 tons of noisy, yellow helicopter thundered overhead.