In Warwickshire, a 19-year-old man falls from a horse and the 500kg animal then falls on him. The paramedics need to move him with extreme care to the nearest major trauma unit. At the same time in Birmingham, paramedics have to reason with a man determined to do a poo in the back of the ambulance. And an intoxicated man has overdosed on paracetamol, but would rather have another drink then go to hospital.