In this episode, an amateur footballer has suffered a serious and painful double fracture to his lower leg. The crew find him in agony on a muddy football pitch and, battling torrential rain, they must calm his pain and stabilise his injury before he can be taken to hospital. Meanwhile, a teenager in Ayr has fallen off a rope swing badly, and the pParamedics need to assess his back and spine in case he has suffered a serious injury. Paramedics In Johnstone are called to a man who is suffering stroke-like symptoms, including slurred speech and dizziness. The symptoms are concerning enough for a trip to hospital. In Melrose, advanced practitioner Mike and crewmate Christine are attending a patient who is struggling to pass kidney stones and in excruciating pain. They fight to control his pain and avoid a trip to A&E.