A paramedic climbs into a crushed car precariously balanced over a fast-flowing river to treat its badly injured driver. There's a major rescue operation after a man plunges from a bridge onto a busy rail line and a patient's fear of needles jeopardises her treatment after a car crash.

The team treat a lorry driver trapped behind his twisted steering wheel and help is urgently required for a 12-year-old who appears to be drunk after drinking an unknown substance.