This book is a memoir of the first twenty years I spent doing a job that never quite looks the way people think it does. On paper, it is a career that moves in a straight line: starting on exposed bits of coastline with Coastguard, then into ambulance work, then specialist HART teams, then HEMS, and finally flying as a critical care flight paramedic over a very different stretch of ocean in New Zealand. In reality, it is a messier, more human story, told one callout at a time.
Across twelve chapters, the book traces that journey through individual jobs rather than formal milestones. Each chapter stands alone as a rescue, a search, or a scene, but together they build a picture of what it actually feels like to keep turning up when things have already gone wrong for someone else. The common thread is simple: you arrive, try to work out what is going on, and then do whatever you realistically can. Sometimes that leads to clean saves and grateful families. Sometimes it does not. Often, it leads somewhere in between.
The opening chapters sit on the coast, where the work looks simple from far away and becomes anything but once you are in it. Short, sharp water rescues that begin as “we’ll just go and have a look” drift into long multi‑day searches where the urgency stretches and the mission quietly shifts from rescue to recovery. Readers see how you gradually learn to “read” the water, how tide, wind, light, and coastline shape decide more than you do, and how searching is as much about time as it is about distance. You are not just tracking people; you are tracking the moment where hope changes its name but no one wants to say so out loud.
From there, the book moves inland and into the back of ambulances. Those chapters cover the routine calls that never feel routine to the people in the room, and the first cardiac arrests that quietly stamp themselves on your memory. A job that starts as “nothing dramatic” still ends with you standing in someone’s front room counting compressions, pretending you’re more certain than you really are. You begin to understand that outcomes are not neat, that “we did everything” does not always lead where you hope, and that sometimes the biggest shift is internal: you walk out of a house a slightly different version of yourself than the one who walked in.
The HART sections show what happens when the same job is turned up a notch. Here the scenes are stranger and the surroundings less forgiving: industrial estates, derelict laundries, bridges, and cliffs. One chapter revolves around a “full team deployment” to “three teenagers stuck in a tumble dryer” and reveals how an apparently absurd call can still require all the professionalism and calm you would bring to a genuine catastrophe. Another takes place on a bridge with a man who has changed his mind about jumping but now cannot feel his legs, leaving you clipped into a height‑safety system while you have an oddly normal conversation in a very abnormal position.
Running under the HART stories is a very specific kind of humour and team culture. Those chapters open up the reality behind the “professional” badge: floor cleaners ridden like rodeo bulls, kit boxes turned into makeshift transport, lockers mysteriously relocated to inaccessible places, and showers that are rarely private. The book is honest about how ridiculous some of this looks from the outside, and just as honest about why it matters. You see how the constant teasing, daft bets, and minor acts of sabotage are not just entertainment, but the background work of learning who you are trusting with your life. It is easier to lean on someone at the edge of a cliff or under a lorry if you have already watched them fall off a floor cleaner and get back up laughing.
The HEMS chapters raise the altitude and the stakes. Your first proper day is not a gentle introduction but a rapid sequence of a house‑fire cardiac arrest followed by a child trapped beneath a lorry. You are suddenly expected to lead, to intubate, to decide, while the rotor wash is still settling and the clock has not paused out of respect for your learning curve. The work feels familiar and completely new at the same time. A later chapter follows you into firearms jobs in large, quiet houses where two people with gunshot wounds are somehow both still alive, and the medicine has to sit alongside the uncomfortable knowledge of what has happened in that room.
New Zealand shifts the backdrop but not the core of the job. Those chapters take the reader out over long stretches of open water where there is no road beneath you, only range, fuel calculations, and time. A cardiac arrest on a fishing vessel more than a hundred miles offshore forces you to strip the aircraft and your thinking down to essentials. You wait on the ground for the boat to sail into range, an experience that feels completely at odds with every “fast response” reflex you learned in the UK. When you finally reach the vessel, are winched onto deck, and find a young man who now has a pulse because a crew of fishermen followed instructions to the letter, the distance between the systems feels very small and very large all at once.
Threaded through the operational detail is a quieter story about mental health and the emotional grain of the work. One chapter centres on a night‑time visit to a young woman in crisis who will only agree to hospital if one of you wears a filthy mascot‑style teddy bear head, and how that kind of negotiation sits alongside the more formal parts of pre‑hospital care. Another follows two height jobs: one where a man on a bridge ends up with nothing worse than numb legs and a long, awkward ride down on a fire service ladder, and another where a fall from height ends in on‑scene recognition that there is nothing meaningful left to do, except manage those last minutes with as much dignity as possible.
Near the end of the book, the tempo changes again with the arrival of COVID. Those chapters do not try to retell the pandemic as a grand narrative. Instead, they stay tight to what it looked and felt like from the cab: the day you realised the “category 4 infectious disease” training might actually matter, the first transfers in full Level 4 PPE, the strange quiet on the roads when everyone was suddenly too scared to call for help, and the long, surprisingly hard conversations trying to convince people with obvious heart attacks to come to hospital. The focus stays on the lived texture of those shifts, rather than the policy language that surrounded them.
Not every story in the book lands in tragedy or farce. Some of the most powerful chapters are about the rare occasions where everything lines up. One man who has more than a dozen shocks during an out‑of‑hospital cardiac arrest walks into the station months later with his family and a smile, and you have to hold the two versions of him in your head at once: the body on the floor and the grandfather who is now very much alive. Those small visits do not erase the other jobs, but they put a thumb on the scale in the opposite direction and remind you why the repetition and training matter.
The closing chapter, “You Get Used To It,” draws together what all of these scattered scenes have done to a life. It talks plainly about how you learn to answer “yeah, not bad” when someone asks about your day, even when it has contained things they will never see. It looks at the way your sense of risk shifts, how supermarket aisles become places where old jobs suddenly replay, and how sleep mostly works until it occasionally does not. It does not parade trauma or offer tidy lessons. Instead, it tries to be honest about the quiet, gradual ways the job reshapes you, and about the fact that you learn to live with it because the alternative is not doing the work at all.
Overall, We’ll Just Go and Have a Look is not a catalogue of heroics or a training manual. It is a collection of true‑to‑feeling stories about what it is like to be the person kneeling on a floor, clipped into a rope, or hanging under a helicopter, trying to make a series of imperfect decisions in places that were ordinary until, for someone, they suddenly were not. The book aims to let readers feel the mix of absurdity, fear, competence, and quiet humour that runs through this kind of work, without cleaning it up into something more dramatic or more noble than it really is.