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Paramedics are called to a teenage girl who has had a dramatic fall from the top of a fence. She is in severe pain, and the crew must safely move her onto a specialist stretcher before taking her to hospital.

In Coatbridge, John and Hazel treat a man who is struggling to breathe due to a suspected collapsed lung, while, in Melrose, the crew call on Jacky, who has cancer and is having a bad night. Treating her at home tests all their skills.

In Dunfermline, Jason and Billy tend to a patient who has attended a GP surgery afraid that he may be having a heart attack. The crew must keep him calm while checking his vital signs.

At the ambulance control centre in South Queensferry, specialist clinician Mark checks in on people waiting for ambulances. With the service under pressure, he must decide who needs help most urgently.