The Great North Air Ambulance Service (GNAAS) was called to the Isle of Man on Friday afternoon following a serious road traffic collision on the A18 Mountain Road in Lezayre.
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The critical care team was activated at 1.21pm and arrived on scene by helicopter at 1.53pm. On board were two paramedics and a doctor.
They worked with the Isle of Man Ambulance Service to assess and treat a patient at the scene, before airlifting them to a specialist hospital in the UK for further treatment.
The aircraft returned to its base in Langwathby, Cumbria, at 5.25pm.