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Casualty Season 39 Episode 01
Show moreShow lessCasualty is a weekly television show broadcast on BBC One, and the longest running emergency medical drama television series in the world. Created by Jeremy Brock and Paul Unwin, it was first broadcast on 6 September 1986 and transmitted in the UK on BBC One. The producer was Geraint Morris. The programme is based around the fictional Holby City Hospital and focuses on the staff and patients of the hospital's Accident and Emergency Department.Year started: 1986
Country: UK
Creators: Jeremy Brock Paul Unwin
IMDB rating: 6.1
Categories: Drama
Show moreShow lessStars: Derek Thompson Suzanne Packer Ian Bleasdale Jane Hazlegrove Tony Marshall Charles Dale Sunetra
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Transcript
00:00Thank you for the colleagues I've had the pleasure to work with.
00:02It is their bravery, their strength, and their ability to smile through adversity
00:06that has made this department what it is.
00:08He needs a kidney transplant.
00:09Do anything for your kids.
00:12Why did you contact me, Stella?
00:15Sorry, I was a bit harsh on you earlier.
00:17You're impulsive, arrogant.
00:19I'm all those things too, I get it.
00:21If you're my child, I'd be proud of you.
00:22You have the potential to be an excellent nurse.
00:25What happened?
00:26Just went to the office.
00:27Here I am.
00:28Er, yeah, she stopped breathing.
00:31Come on, girl.
00:31Come on, Viv.
00:32Would you mind getting me the list of those rehab centres?
00:35You sure?
00:37Yeah, she needs proper help.
00:38I can't give it to her.
00:48This is an information call to advise a long delay at Harvard University.
00:52The last hour close is 16 hours, and I'm thinking to do with the extra.
00:55All right, I'm going to have to wait a little bit longer on my food.
00:58It's chocolate in there.
01:00Is that okay?
01:00Oh, does she have a choice?
01:02Hooray.
01:03No, don't.
01:04You look like I do after night out.
01:13Yeah, yeah, busy day.
01:14She'll be out here.
01:15Yeah, well, none of us should.
01:17No, the exact team.
01:18Meant to be presenting on budgets.
01:20Okay, well, we'll do that.
01:21I'll do this.
01:23Hello?
01:24All right.
01:25Come on.
01:26Get what it takes, things fine, but that's a big, big conversation today.
01:29It's a normal.
01:29It's a normal.
01:30Three zero zero six to control.
01:32Receiving.
01:33It wants access to the entrance looking like a hobby city hospital.
01:35We're just running.
01:37Control to three zero zero six.
01:39It's completely stacked by all accounts, but they are trying.
01:42Received.
01:43What does that mean?
01:44You will get seen, won't they?
01:45We call their heads so they know we're coming.
01:48We nearly there, all right?
01:49So, uh, what was it you were saying about that remote control card, Ed?
01:57Noah, Tari's going to buy you the biggest remote control monster truck with light of wheels.
02:03Would you like that?
02:06I'm not five, Dad.
02:16Hey, um, I need this moved.
02:17Is it yours?
02:19Okay, because I've got someone critical coming in.
02:20Brilliant.
02:26Where's Max?
02:27He's, uh, stressed.
02:29No surprise.
02:30This is the worst I've seen.
02:32Hey, shiny new title.
02:34That's it, she, that.
02:35Don't.
02:36I'm doing it for Donna and the rest of the team, probably.
02:40Yeah, well, it's been a rough few weeks for everyone.
02:42Try months.
02:43We've got a pre-alert.
02:44We need to get through.
02:44Uh, yeah, sure, but can you offload here, because I've got this vehicle here.
02:48Stevie, come on.
02:49Jacob, seriously, if anyone gets this, you do.
02:51Okay.
02:56The rumor is they're sizing up for Max's job, so if you wanted one of these shiny new badges,
03:01this might be a good time to keep your nose clean.
03:04Could it be true?
03:04An overstretched, underfunded department, well, for me.
03:08Well, when you put it like that.
03:10Yeah, definitely another time to go rogue.
03:12Okay, what have we got?
03:13Okay, this is Noah Hadaday, nine years old.
03:15Approximately 45 minutes ago, he was in a boat accident.
03:18Near drowning, GCS 15.
03:20Okay, let's go.
03:50Oh, yes.
04:10Scabies in the queue, or excessive vomiting in the coronal.
04:13Oh, stop it, you're spoiling me.
04:16Someone's popular.
04:17It's just Stella again.
04:19Oh, yeah, grooming you for organs for her darling son.
04:22I mean, any normal person would just tell you himself.
04:25Well, he clearly doesn't want to tell people, which is fine, but...
04:27Yeah, but you're not people, so just wait.
04:29What's wait?
04:30Er, excessive vomiting.
04:31There you go.
04:32Er, help yourself.
04:34Right, you busy?
04:35Er, not for you being resource.
04:36Er, no, I need you to find the learner driver who is blocking the entrance,
04:40and I need you to, guys, before, please,
04:43do a status update on every patient in the ambulance queue.
04:46Right.
04:47No, no, no, don't pout, okay?
04:48If it makes you feel important, you can call yourself cheap triage nurse.
04:51Looks like this, cheap triage nurse, got the pick of the cases outside.
04:56I'll leave the excessive vomiting to you.
05:00Well, I just spent four weeks in rehab,
05:03and today I am 42 days clean,
05:08which feels surreal, actually.
05:11I mean, especially when work emailed me and asked me if I wanted to come back,
05:14I just hadn't even thought about going back, you know?
05:18So, Natalia, that, my daughter, she thought it'd be a good idea if I spoke to someone about it.
05:25Just, it's been such a long time since I did my job without taking drugs that
05:32I don't even know if I can do it clean anymore.
05:39I don't...
05:41Sorry.
05:43Sorry.
05:45You just asked how I was.
05:48There.
05:50I'm doing good.
05:53Good.
06:01Okay.
06:02Right, I have it with the air away.
06:04Breathing's a bit fast.
06:06Some crackles.
06:08BP's unrecordable, but central refill is good.
06:12Noah, can you just give my fingers a wee squeeze?
06:13It's my fault.
06:15Okay, thanks.
06:15Uh, temperature?
06:1632.2.
06:18Right, okay, Karen, let's get a beer.
06:19It's my fault.
06:20We were fishing the boat of capsized and he got thrown under the rocks.
06:22Actually, it's happened to do this, don't worry.
06:24Check the weather.
06:25Charlie, we're going to need to redress this, and let's get some IV antibiotics, and I want
06:30another line in.
06:31Let's do full blood count and BBG.
06:33I said they might have a weekend together, and finally, I got them all new fishing gear.
06:36Dad, can you just give me a bit of space, please?
06:38I'm sorry, of course, whatever he needs.
06:39You've been checked over?
06:44No, I'm fine.
06:45No, you're shivering.
06:46I'm not going anywhere until he's okay.
06:47Okay, Jess, grab him a little blanket then.
06:49Best footballer of all time, ten letters.
07:01Coming Lionel Messi?
07:03I know that's eleven, isn't it?
07:06Diego Maradona?
07:07No.
07:08That's thirteen.
07:10George, best has to be.
07:12Bingo.
07:15Go on, Irene.
07:16Bit of a football fan, are you?
07:18I got into it when Ray was small.
07:20He knew all the names, so I made sure I did too.
07:23Didn't need a dad with mum around.
07:27How's that pain in your leg now, on a scale of one to ten?
07:30Six?
07:31Or ten, if it gets things moving a bit.
07:34Come on.
07:35I'm serious.
07:36You've been waiting for a hip replacement for eighteen months nearly there.
07:39And now this fall, and we've been waiting out here for, what, eight hours?
07:44She needs to see a proper doctor.
07:45No offence.
07:46It isn't Ian's fault.
07:47No, but how much longer are we talking?
07:51Well, it depends on other priorities.
07:53Oh, queue jumpers.
07:54Seen enough of those already.
07:57I doubt you want to be sat out here either, do you?
08:00You need to be back on the road doing the job you signed up for.
08:03Yeah.
08:04Yeah, you're not kidding.
08:06I'll go and see what I can find out.
08:07Yeah, that's all.
08:09See?
08:13You can miss me any time.
08:15No, me for help.
08:17Got a fan club, what?
08:19If it wasn't for the smell of stale alcohol and vomit, I'd actually be flattered.
08:22Yeah, it's Mr. Deadman that I feel sorry for.
08:24He's been next to them all night.
08:26Any word on his care home place?
08:28We could really use that bed.
08:30Yes, actually, I spoke to the Health and Care Trust,
08:32but the one nearby, Wentham Lodge, that one's closing down.
08:35So, uh, sorry, what?
08:39Yeah, they're moving the residence to Essex, apparently.
08:41That's where your dad is, isn't it?
08:43Uh, yeah.
08:46Yeah, but this is the first I've heard of it.
08:48Why don't you call Sunny Valley?
08:51They're only just up the road, and they've got a good reputation for dementia care.
08:55Yeah, and a price tag to match.
08:57I know, I can't believe this.
08:58Woo!
09:00Hey, excuse me, that's enough, okay?
09:07Okay, let's sort your tummy out, and then we'll have a look at your hand.
09:10Here you go, have some water.
09:12Take that.
09:13Thanks.
09:13There you go.
09:15When did the sickness start?
09:16I'm not sure.
09:17I must have lost count.
09:18That's okay, don't worry.
09:20And, um, have you got anyone with you, or shall I ring someone to be with you?
09:23Is that...?
09:23No, I'm quite capable of, um, doing it on my own.
09:27Right.
09:28Can I...
09:28I'm just going to pop this on your arm.
09:29Is that okay?
09:32Sorry, I think it's not necessary.
09:35Okay.
09:36Okay, do you want me to give you a minute?
09:38This is...
09:38Just...
09:39It'll tell me your blood pressure.
09:41Just to check if it's okay.
09:44Okay, I'll give you a time.
09:46Oh, why all these bandages?
09:47They're yours.
09:49I'm stocking up for anything.
09:51Then?
09:52Sorry.
09:53Okay.
10:02It won't heal.
10:07Hey, how are we looking?
10:08He's still hypothermic.
10:10He'll need a CT scan, so we'll have him here for now.
10:13Right, okay.
10:14Uh, CT then, as soon as they can.
10:16Yeah.
10:16Thanks, Charlie.
10:18Ryan, how are we getting on the queue?
10:19Uh, yeah.
10:20One ambulance down.
10:21Wow, okay.
10:22And how many arrived when you were doing that?
10:24Yep.
10:24Three.
10:25Right, so that story sucks.
10:27So go outside and see if anybody is fit to sit.
10:33Right, Steve, hey.
10:34Right, I've got an 80-year-old female in backup drug.
10:37I suspect she's after female fletcher.
10:38I've been waiting eight hours.
10:39Right, okay.
10:40Uh, yeah.
10:41I think I've got one cubicle free.
10:42Brilliant, I'll take it.
10:43Um, Dr Nash, Jay Henderson, vulnerable adult with an infected cut on his wrist.
10:48News 9, he's got tracking marks off his arms.
10:50He's septic within the corridor.
10:52Okay, uh, Ian, sorry, scrap that cubicle to you.
10:55Is there a doctor with him?
10:57He's on the list.
10:58Right, I will send Paige your way.
10:59In the meantime, prep IV antibiotics and fluids,
11:01and come one of you please fill in the bundle,
11:03because our audit data is not great.
11:05Okay, cool, thank you.
11:06Right, come on, mate.
11:06I know you slammed, but I'm struggling to get on top of the pain.
11:08Ian, I promise I will get her in here as soon as I can,
11:10and in the meantime, I'm going to go on Harangasite team.
11:13Okay?
11:17Pam!
11:20So, yeah, yeah, the session went really well.
11:23She's certainly given me a lot to think about.
11:26So, well done you for making me go in the first place, yeah.
11:31Yeah, I'll tell you all about it when I get home, okay?
11:34I let...
11:35Ambulance, please.
11:36Nat, let me call you back.
11:39What's that?
11:41I don't know.
11:42Did she just fall?
11:43Are you calling an ambulance?
11:45Yeah.
11:45Yeah?
11:46Sweetheart?
11:47Yeah, tell them she has a head wound.
11:49She's going to tell you.
11:50Okay.
11:51Her bracelet, and she's diabetic.
11:53All right, sweetheart.
11:55Do you have a glucose monitor?
11:56Yes.
11:57Yes, on there.
11:58Okay, okay.
12:00That's it.
12:01There we are.
12:02There we are.
12:04Okay, I'm just going to scan this.
12:05All right, darling.
12:06There we go.
12:07She's going to scan it.
12:08There we go.
12:09Carla, Carla.
12:11Okay.
12:11Do you have any glucose?
12:13Jill, yes, you do.
12:14Good girl.
12:15Well done.
12:15All right, sweetheart.
12:16I'm just going to lean you on me.
12:17Here we go.
12:18Watch your head.
12:19Got a bit of an injury on there.
12:20Okay.
12:21Okay.
12:22That's it.
12:23There we are.
12:24That's it.
12:25Well done.
12:26Oh.
12:27Well done.
12:27All right.
12:28All right.
12:29All right.
12:38And?
12:38A bit longer, I'm afraid.
12:41Oh, it's part-time.
12:42I'm sorry we took so long, mate.
12:43Go on.
12:44Get yourself home part-time.
12:45Right.
12:45Wait, what?
12:46You're not leaving us?
12:47Yeah, sorry.
12:48My shift should have ended an hour ago, so Jake, I just want to take over.
12:50All right, mate.
12:51Good luck, buddy.
12:52Good luck, mate.
12:52Which one's yours, are you?
12:53Uh, this one.
12:54Oh.
12:55Well, doctor's here.
12:57Nurse, actually.
12:58Uh, Iris McBride.
13:00Irene.
13:01McKenna.
13:02Oh, I'm sorry.
13:02I must have made a mistake.
13:03What, is this amateur that way?
13:04You don't even know what to get their names right?
13:06I'm going to get to you.
13:07I'm just working my way down the list.
13:08All right.
13:09Yeah, when exactly?
13:10Look, everyone's doing what they can be.
13:12Oh, yeah, sure they are.
13:12Yeah.
13:13But I know, if it was your mum, you'd want the best for her.
13:17Wait there.
13:24Yeah, let's do five an hour, so thanks.
13:29Yeah.
13:29Oh, is he?
13:31Yeah, he is good.
13:33He's warming up slowly, and the CT scan confirmed no internal damage, so, yeah, he's a lucky boy.
13:38Well, that's, uh, oh, thank you.
13:42I, um, I called his mum.
13:44She's out of time, but she'll get here as soon as she can.
13:46We're, um, we're not exactly on speaking terms, so this isn't going to make Johnny better.
13:50Okay, well, just, you know, focus on Noah for now.
13:52Yeah?
13:54It's Daddy, Noah.
13:59I've been worried sex on.
14:02Next time we'll go to the footy, okay?
14:05I'll get you the full kit.
14:07Uh, I'm going to get somebody to come and check on that wound.
14:10Can you just give me a second?
14:11Yeah.
14:12Max, do you have a second?
14:13I'm late for my next grilling.
14:15Okay, it's just, um, we're having a problem with beds, because the queue's not moving.
14:18And you think I've got a magic solution?
14:20No, I was thinking that maybe we could start.
14:22Okay, so you've solved it.
14:23Great.
14:24Okay, Jay, well, it looks like you do have sepsis.
14:32Sepsis?
14:34Sepsis is basically a nasty infection that causes your heart to beat faster and your blood pressure to be lower.
14:39So it is a good job that we caught it early.
14:42How did this actually happen?
14:44Um, it was just some, you know, silly mistake.
14:48I swear it won't happen again.
14:50Hey, there's no judgment here.
14:51Right, well, we'll get this cleaned up, we'll put a fresh bandage on it for you, and then we'll get you some IV fluids and antibiotics, okay?
14:58Jay.
14:58I said not to call anyone.
15:01No, I'm just nothing to do with me.
15:03What are you doing here?
15:05I'm his legal guardian.
15:06You're my little brother.
15:09How did you know where I was?
15:12Guilty as charged.
15:13You're tracking me?
15:14But, come on, Jay, this is only for emergencies, okay?
15:16You're in the hospital.
15:17What happened?
15:18Why don't you just let me be?
15:25I think it's best that you step outside, all right?
15:27Is he okay?
15:28What can I do?
15:29Come on.
15:29It's all right.
15:30We'll just step outside for a second, don't you?
15:32I think we should just give him some space while we should take a look at his cut on his wrist, okay?
15:35Well, it's not good enough.
15:37She's been out there for over eight hours.
15:39Hi, I'm calling on behalf of my dad.
15:42Do you have any places for long-term residence?
15:44She's out of file.
15:45Oh, it's impossible here.
15:48Can I, um, can I put my dad on the waiting list, please?
15:51It's Ashok Masson.
15:53Hey, you on the phone.
15:54Oh, sorry.
15:56My mum's been queuing for hours, and you're making personal calls.
15:59Okay, so I'm actually on a break, but I'll get a colleague.
16:02Oh, passing a book, sounds about right.
16:04All right, okay, okay, okay, what's going on?
16:06My mum, Irene McKenna, in the ambulances.
16:08McKenna?
16:09Uh, yeah, yeah, yeah, she's Ambulance 3.
16:11She's been triaged.
16:12She's on 30-minute obs with a one-to-one paramedic.
16:15We're hoping to get her to orthopedics as soon as possible,
16:17but I've spoken to the site, too, and we've got no beds.
16:18Oh, and you think that's good enough?
16:20No, no, actually, I don't, but I don't have a magic wand, so...
16:24How much longer will she have to wait?
16:26I don't know, but, like, your mum's not our highest priority right now,
16:29which I know to you might sound like a bad thing,
16:31but believe me, it isn't.
16:33And if you've never experienced this before, count yourself lucky,
16:35because this is what it's like now, and we're flat out.
16:40What's your name?
16:41It's Ray.
16:42Okay, Ray, the best thing you can do is go sit with your mum.
16:45We'll get to her, okay?
16:48Ryan, change a plan.
16:49We need to set up a rapid assessment.
16:51We're going to try and speed up these ambience offloads, okay?
16:55My interview...
16:56It's all right, sweetheart.
16:57Don't worry about stuff like that right now.
16:59It's Carla, right?
17:00Okay, I'm Faith.
17:01I'm a nurse.
17:02I think you're collapsing the right person.
17:04I think you're collapsing something quite hard with that headwind,
17:07but we've called an ambulance.
17:09It's just really backed up at the hospital, so...
17:12I know, darling.
17:13Is there anyone I can call for you that can come and take you?
17:15Not really.
17:17Can't you?
17:19You seem nice.
17:22You're looking after me.
17:25Oh, okay, Carla.
17:27Carla, stay with me.
17:28Come on, stay with me.
17:29All right, sweetheart, all right.
17:31Please.
17:32Please, get me to hospital.
17:34Take care of the patients, eh?
17:38All right.
17:45Any of that?
17:46I couldn't care less.
17:49Useless than a lot of you.
17:51Ray, my son of...
17:53What could have it came out of your temper?
17:56Where did patients ever get you?
17:58I'm doing this for you.
18:00Well, then, do it my way.
18:01One rapid assessment team set up outside.
18:09Dr. Nash is going to want me on speed dial at this rate.
18:11Well, I'm a septic spot in, so...
18:13...looks like you've got competition for a nurse of the shift.
18:15How is he?
18:17Patient confidentiality, I'm afraid.
18:19If he doesn't want to share information...
18:20Okay, fair enough.
18:21I understand.
18:22I fast and it gets too much for him.
18:24Look, it's between the two of you.
18:25But he's got specific needs.
18:26We understand that.
18:27And when mum died, I said I'd look after him.
18:31Can you check his list of medication?
18:33Just to make sure he's giving you the right information.
18:39Yeah.
18:40And he's told you he's allergic to penicillin, hasn't he?
18:46Okay, your fever should have gone down by now.
18:48How are you feeling?
18:49Are you okay?
18:49I don't think I am.
18:52He's allergic to penicillin.
18:53Okay, right.
18:54Can I just check your afternoon?
18:57Yeah, okay.
18:58We need adrenaline, Jodie.
18:590.51 in a thousand.
19:01I am.
19:13Okay.
19:13I am adrenaline going in.
19:15Sharp scratch.
19:15Catch.
19:18Okay.
19:19Good.
19:26Oh, is that next week's row?
19:28It is when I fill in all these gaps.
19:30No, no, no.
19:30I can't do any of these evening shoes
19:32because I can't afford the midnight taxis before payday.
19:34Sorry.
19:35Okay.
19:39How's it looking outside?
19:41Like we won't be getting a break anytime soon.
19:44Well, there's a surprise.
19:45All right, I just spoke to the Health and Care Trust.
19:50Essex is the only option for Mr. Deadman.
19:52No, Rash.
19:54We won't let that happen to your dad.
19:57Thanks.
19:58Hey, Noah.
20:00How are we doing?
20:01You a bit warmer?
20:03A bit.
20:04Okay.
20:05Right, I'm going to get that nice and neat for you.
20:08All right, so I'm going to numb the area
20:09and you won't be the thing.
20:11Yes, I'll hold my hand.
20:13Don't call me that.
20:20It's okay.
20:21You're not well.
20:21I don't want to go fishing.
20:26I hate boats.
20:28I hate water.
20:29I hate you.
20:31He doesn't...
20:32He doesn't mean that.
20:34Lewis, you all right?
20:34Stevie, can I have a word, please?
20:36Hold on a second.
20:36Charlie Lewis, try and take a breath for me.
20:38Can we grab a trolley, please?
20:40Thanks.
20:40And let's get some high-flow oxygen, portable chest and ultrasound.
20:45Thanks, Karen.
20:47Just turn it to the can for me.
20:49Okay.
20:50All right.
20:52How's your mouth?
20:53Better.
20:54Yeah, itching.
20:56Less.
20:57Okay, well, you've got some antihistamine going in
20:58and I'm just going to check your temperature, all right?
21:00You'll say if you're feeling unwell next time, won't you?
21:03I am an adult.
21:05Of course you are.
21:06Then treat me like I am.
21:08Okay.
21:09Well, your temperature's coming down
21:10and your blood pressure's normalising,
21:12so things are starting to settle.
21:14We can chalk it up as a silly mistake, then.
21:16Yeah, I don't see why not.
21:18But it is a good job that we found out
21:20you're allergic to penicillin.
21:21Otherwise, things could have been very different.
21:24Right.
21:25So, the doctors are going to want to come and see you,
21:26but there might be a bit of a wait, okay?
21:28Okay.
21:30I have an idea.
21:32Why don't you come with me to the next appointment?
21:36What?
21:37Are you sure?
21:38As long as you let me do the talking.
21:43Of course.
21:48Listen to this.
21:56And Moses.
21:58Jacob downloaded it for me.
22:00Friday nights.
22:04Chippie teas.
22:06And you'd always have this on.
22:08I...
22:12Boy.
22:15Well...
22:15Irene!
22:18Excuse me.
22:20Are you feeling chest pains?
22:21Yeah.
22:21Can you get a hand, please?
22:30Jacob?
22:31You just dropped her sats on here to 86%.
22:33No respiratory history.
22:34Okay.
22:35Let's go.
22:35Ready to move inside.
22:37Okay.
22:37Uh, this is Carla Arnold.
22:48I found her collapsing in the street.
22:50I don't know her, but I couldn't leave her.
22:52Uh, okay.
22:54Hello.
22:55Carla?
22:56Carla.
22:56Um, I'm Dylan.
22:58Um, right.
22:59It just says, it just says hyperglycemia on there.
23:01So, um, right.
23:02Did you give her anything?
23:03Yes.
23:04Uh, glucose gel.
23:05That's all.
23:07Okay.
23:07Well, um, we can be, we can be thankful for that, can't we?
23:10Um, right.
23:11Can we do a blood sugar in here, please?
23:13And a full set of obts.
23:14You'll need a head CT.
23:16And, um, yeah.
23:17Let's get this cleaned up as well.
23:19Um, fine.
23:20Okay.
23:20Well, heroics over.
23:21Um, if you want, you can leave this to us for now.
23:23Have a proper look at the head.
23:25All right.
23:28You are a nurse, aren't you?
23:30Yes, yes.
23:31Um, uh, I'm just on leave right now.
23:36So, do you get hypos much?
23:40It was my first interview for a teaching job.
23:44I was too nervous to eat breakfast.
23:47Wow.
23:48That's why your blood sugar's crushed, yeah?
23:51Right.
23:53My mum's gonna kill me.
23:55Well, I doubt that very much.
23:56But maybe you should give her a call, you know.
23:58She's gonna want to know you're safe.
24:00And I am.
24:02I'm with you.
24:03Stay with me.
24:07Ow.
24:08Please.
24:12Okay.
24:24Okay.
24:24Yeah, let's get the nebulizer.
24:26Lean back for me.
24:28Take some nice deep breaths for me.
24:31What happened to me?
24:32Um, look, I know you're scared, which is why we're gonna move you close to your dad, but
24:38basically he's breathless at the moment because he's got a buildup of fluid around his lungs.
24:43Because he jumped in and saved me?
24:46Yeah, because he jumped in to save you.
24:49Ready?
24:51I don't hate him.
24:53I know you don't.
24:54I'm pretty sure he knows that too, but he might want to hear it.
24:56Okay, uh, Rita, let's get, uh, blood and gases.
25:03We'll do 80 milligrams for rosamide.
25:06If there's no improvement, uh, we'll put a CPAP mask on him, okay?
25:09Just keep me updated.
25:12Charlie, what is it you needed?
25:13Right.
25:17It's the roster.
25:19I've been staring at it so long, I've been cross-eyed.
25:21Okay, give it here.
25:22And Max has still got far too much on.
25:26Jodie.
25:27Uh, yeah?
25:28Max was looking for you.
25:29Oh, where's he gone?
25:31Uh, he was heading outside.
25:33Thanks.
25:34Right, okay.
25:35I would put him on nights, her on earlys, and if he swapped those two, yeah, that should,
25:40uh, that should be sorted.
25:42Right.
25:44That's genius.
25:46No, genius would be spotting the symptoms of secondary drowning.
25:50Well, you can't be expected to know everything.
25:52No, but I can't be expected to carry the guilt, Charlie.
25:55Irish Catholic upbringing, you know, kinds for so much.
25:58Hey, Dr Nash.
25:58Yeah.
25:59Who's this?
26:00I mean McKenna.
26:01Who won't be in this state if you'd have seen her when I asked you to?
26:04Harry's been in the back of an ambulance for nine hours.
26:07Uh, she has a fractured femur, acute onset of shortness of breath.
26:10Resource two, please.
26:11Okay.
26:24Oh.
26:26I, uh, heard you're looking for me.
26:27Did you want to tell me something, or...?
26:29Oh.
26:30Yeah.
26:31Uh, Paige mentioned a sepsis diagnosis.
26:34Yeah.
26:35Well, uh, did you know the indicators, or did you look them up?
26:38I knew them.
26:39Although, penicillin, allergies...
26:40No, look, I flagged that as soon as...
26:42Just think of it as a learning experience, that's all I'm saying.
26:45Oh, God.
26:47I'm not feeling great.
26:48What?
26:49No, it's just, you look like death.
26:51That's all I'm saying.
26:53Yeah, well, it's been a busy day, lots of meetings.
26:54Or, um...
26:57Or you're sick, and you're covering.
27:04Am I wrong?
27:05Because I'm sure you'd love to tell me if it was?
27:09No, it's not the time.
27:10Then when is?
27:12Look, you want me to be honest with you, then start being honest with me.
27:14Yeah, what's her respiratory rate?
27:2245.
27:23Where's my sepsis?
27:24Well, you don't have the basic equipment now.
27:26Yeah, if you're in here, you're quiet.
27:28Thanks.
27:29Paige, can I hand you?
27:30Oh, yeah.
27:31Let's do, yeah?
27:32Yeah, yeah, thank you.
27:33I hear there was a reason I brought you in here.
27:36Okay.
27:37Right, Irene, try and stay nice and calm.
27:39Just gonna have a listen.
27:39Okay.
27:39Yeah, slight murmur.
27:47Sat's at 96% on 15 litres, and BP's 95 over 60.
27:52Right, okay.
27:53Let's, uh, let's do bloods, and we'll also do, uh, D-dimer, ECG, trope, and BMP.
27:59Thanks.
28:00Well, you're going Mum's priority finally, isn't she?
28:02Yeah, look, she's being closely monitored, but until I get those test results, there's not much else I can do.
28:06Okay, well, I don't want her in any pain.
28:08She's, she's all I've got.
28:11I know.
28:12Look, um, she's comfortable with the medication she's under, and, um, as soon as I know anything else, I'll update you.
28:17All right?
28:23So, are you going to tell me, or?
28:27Kidney transplant failure.
28:34Is that what you wanted?
28:35No.
28:36No, I don't know what I'm...
28:38Roughly 80% function gone, or so they think.
28:43And you didn't think to tell me about this before now.
28:48I've thought about it.
28:50I've thought about it every time I've seen you.
28:54But I've made things bad enough already.
28:58Yeah.
28:59That'll dine on me as well.
29:00Well, what about donation?
29:06No, that is not me volunteering.
29:07I wouldn't allow it even if you wanted to.
29:08No, I don't.
29:11Well, at least we agree on one thing.
29:17I'm sorry.
29:20I'm sorry I'm not what you expected.
29:28Okay, how's Dad doing?
29:29So, his gases are improved, and he's a bit more alert.
29:33Okay, good.
29:34Right, let's get this off.
29:38Right, Lewis, so your breathing should have improved.
29:42Yeah.
29:43Yeah?
29:45Feeling better, Dad?
29:47Yeah, getting there.
29:48Okay, so, Noah, we've just found out that there's a bed free now in the children's ward,
29:53so I'm going to call the porter, get them to come down and do a transfer.
29:56Dad will be transferred to a different ward, but you'll still be close by, okay?
30:02Dad?
30:02Yeah?
30:04I'm sorry.
30:06I know we were meant to have fun at the fishing trip, but it ended badly, as you can see.
30:13None of that's your fault.
30:15It must be an accident.
30:17But I don't want you spending money on me just because we don't get to see each other much.
30:23But I want to.
30:24Yeah, I just want to do normal things together.
30:28Just the two of us.
30:30Like this, you mean?
30:32Maybe not quite like this.
30:34Can I get a porter down here to do a transfer to Peds for me?
30:39Dr. Nash.
30:42What's going on?
30:45D-dimer and trip are both right east.
30:48Okay, how much oxygen is she on?
30:4915 metres.
30:50Rest is shot up.
30:52Heart rate is 110, BP unrecordable.
30:54Okay.
30:55Yes, she's just lost output.
30:59Okay, she's a PEA.
31:00Let's get pads on, please.
31:03Oh, oh, oh, oh, oh, oh, oh, oh.
31:05Just, uh, hold on me.
31:06Carla, you're doing great.
31:25Just keep nice and still for me, please.
31:27Faith?
31:28Yeah, yeah, I'm here, sweetheart.
31:30You just focus on your breath, okay?
31:33There we go.
31:36I, uh, I heard about Donna.
31:38Yeah.
31:40Yeah.
31:41Well, you know, what can you say, um, sometimes bad things happen to good people, don't they?
31:47It's left us with a massive hole in the nursing roster there, I don't say that much.
31:50Not helped by me, right?
31:53I'm sorry.
31:54Everyone's so disgusted with me.
31:56They're all staring at me and...
31:57I'm sure you can move past it.
31:59It's all done.
32:01Yeah.
32:02As you finish, sweetheart, we'll bring you out now, okay?
32:05Do you know how long it's going to take to get someone to clean up her headwind?
32:09I need to get out of here.
32:10Yeah, that's fine.
32:11I'll do it.
32:11I'll do it.
32:12Um, had it occurred to you that people might be staring because you look like you've been
32:15in a bloodbath?
32:18I'm sure Stevie's got a change of clothes in her locker, if you want to give that a punt.
32:35Any change?
32:46No, nothing.
32:47Still no outprop.
32:48Okay.
32:49Charlie, you still happy with the airway?
32:52We could thrombolyse, but with her fracture, she's just going to bleed.
32:55Keep going.
32:56You have to keep going.
32:58She's not coming out of P.E., eh?
33:00Yeah, okay.
33:01Um, Ray, I'm really sorry.
33:05Your mum's heart stopped 20 minutes ago.
33:07We can't get it started again.
33:09I'm sorry, but if everyone's in agreement, we stop?
33:12You can't.
33:14Look, unfortunately, there's nothing else we can do, and for her sake, we need to stop.
33:20I'm sorry, but I'm calling it time of death 11.56.
33:23No, no, no.
33:24She's only had a fall.
33:28How could this happen?
33:30She had several risk factors for her clot, and once that enters the bloodstream, it's really difficult to...
33:35I'm sorry.
33:37The girl's awake.
33:41Mum.
33:42Mum.
33:43I'll give you a minute, okay?
33:45Mum.
33:51Mum.
33:51So, your CT's clear.
33:59Um, blood sugar's back to normal, and everything else is fine.
34:01So, um, once Cam's finished gluing, pending a follow-up with your diabetes nurse, I'm happy to discharge you.
34:07Okay.
34:08All right.
34:08Thanks.
34:09It's great news.
34:10Yeah.
34:11I'm very sorry.
34:12This might sting a little bit, but it's just the glue, okay?
34:14Well, at least you can call the school now and rearrange your interview.
34:18Are you?
34:19Yeah.
34:22I...
34:22I guess so.
34:24Okay, er, Cam, just make sure the edges are together before you start, and a tiny little dot at the time.
34:29Okay.
34:29Okay?
34:30Nice and slow.
34:31Look, whether you decide to go for this interview or not, it's your choice.
34:36It's your life.
34:37I just don't want to let anyone down.
34:38Like who?
34:40The school.
34:42My parents, who paid for my PGCE.
34:45But?
34:46I couldn't eat this morning because the thought of going made me feel so sick.
34:51Oh, sweetheart.
34:53You think I'm silly?
34:55Oh, goodness, no.
34:56I mean, you'd spend 40 years or more of your life working.
35:00If you don't love your job, it's going to be a really long 40 years, right?
35:05Oh, look at that.
35:06Work of art.
35:07Cool.
35:07All right, just some discharge forms, and then you're good to go.
35:11No worries.
35:14Nice.
35:16Look, you'll figure out what you want to do.
35:20Hmm?
35:21I know you will.
35:22Hmm?
35:24Oh, of course.
35:25For everything.
35:28It's my pleasure.
35:29Hmm?
35:29I'll try to choose that as next to Kim, then.
35:37Need any thoughts?
35:38Yes.
35:38I want to keep as many beds free as possible.
35:39Do you mind doing last offices on Irene McKenna and Reese's Two?
35:43Yeah?
35:44And I'll join you as soon as possible.
35:47Okay, lads.
35:48We're in Bay Four.
35:57It's all right.
36:06You stay there.
36:07I'll just...
36:08What are you doing?
36:15All day, Mum, she's been an inconvenience to you.
36:18Even now, she's still in the way.
36:20That's...
36:21That's not true.
36:22Mum, she was on that waiting list.
36:25Not even so much as a letter to her rank-up.
36:28Only to find out they'd lost the details.
36:35Had to put her into the system again.
36:37Back of the queue.
36:38She went...
36:40It can happen, unfortunately.
36:43Paying taxes all of her life.
36:47And for what?
36:49To be treated like this.
36:51Do you rip?
37:02And she wouldn't have fallen, would she?
37:05I don't know.
37:06And then...
37:07We had to wait...
37:09Outside...
37:11For hours.
37:13No clue what was going on.
37:14If anyone would have listened to me when I said she needed a doctor,
37:17you'd think that would be easy in a bloody hospital.
37:23She was on the list.
37:24What's the point of a list?
37:25If no one got to her, she needed someone to care.
37:28We do care.
37:29Not enough.
37:31Because if you did, she wouldn't be dead.
37:32I'm sorry.
37:34Really, I'm sorry.
37:36Don't you touch her!
37:59Can you get open, please?
38:02Help!
38:06Stop it!
38:09Reg, an office!
38:10Hey!
38:11Hey!
38:12What's your ear?
38:13Go!
38:13No!
38:14No!
38:15Stop it!
38:15Get out of here!
38:16Get out of here!
38:17Get out of here!
38:18Get out of here!
38:18Get out of here!
38:19Get out of here!
38:19Get out of here!
38:20Ryan!
38:20Security!
38:21Security!
38:22No, it's not here, okay.
38:23Breathe, breathe.
38:24I want to get to him.
38:26Are you okay?
38:29I've got a pulse.
38:30Don't think I'll forget you!
38:32Don't think I'll forget you!
38:34Breathe, breathe, breathe.
38:35No!
38:39Can we get a trolley, please?
38:55I'm sorry.
38:56Is that my daughter, Arnon?
38:58Are you really mine?
39:01Are you sure?
39:01Just call me Mrs. Hench.
39:04Oh, I do love Mrs. Hench.
39:08So, uh, no college?
39:11Study period.
39:12And I've done my assignment, so...
39:14You okay?
39:15Yeah, yeah, I'm fine.
39:17I, uh...
39:17I've made a decision, actually.
39:20I'm going back to work.
39:25Great, why?
39:26Well, you know, I just thought about how I would feel if I never treated anyone again, and I
39:32can't imagine that it's part of who I am.
39:35The only thing is there's a lot to take on so soon, and I'm so happy.
39:38Thank you, darling.
39:40Well, I can help, you know, do as much as I have been, till things go back to normal.
39:51Yeah, I...
39:52Well, like they used to be.
39:55Copper, you should call HR, let them know you made a decision.
40:01Okay, yeah.
40:02Yeah, I will.
40:03Thank you, babe.
40:12Sat 94.
40:14BP 95 systolic.
40:15Okay, we've got good bilateral air entry.
40:17Pain and inspiration.
40:23I think we're looking at a few fractured ribs.
40:26Can we do IV morphine?
40:28Keep an eye on his blood pressure, and let's organize a CT as well, please.
40:32Yeah.
40:33Heart rate's rising 95 now.
40:36Yeah, he's still pale and clammy over here.
40:38Ryan, can you hear me?
40:41I think we're looking at a ruptured spleen.
40:43Let's do Oneg TXM fusion, and yeah, let's just take him straight to the scanner and give
40:49Theda a heads up.
40:51Well done, everyone.
40:52Let's prep him to move.
40:53Thanks.
40:57So, a phased return, which means part-time at first?
41:01No, that's perfect.
41:04Yes, thank you so much for your time.
41:06All right.
41:11And?
41:12And next step, occupational health.
41:16Anything for me?
41:18Or junk?
41:20Okay.
41:21Well, do you fancy a takeaway tonight?
41:23Hmm?
41:24I think we deserve it.
41:25A nice one, your choice.
41:26Yeah.
41:44Stevie.
41:46Yeah.
41:47Wait.
41:49Yeah.
41:51Do you mind if I, um, say something to them?
41:55Huh?
42:07Okay, staff, can I have your attention, please?
42:12Stevie.
42:13Uh, yeah, right, um, what happened to Ryan was, uh, a totally unprovoked attack.
42:25Uh, it's left him with significant injuries.
42:29Um, his CT scan revealed a ruptured spleen.
42:33He's in theatre at the minute, and, um, yeah, uh, we hope he'll be in ITU within the next few hours.
42:41It, uh, I know that we know these things happen, but they shouldn't.
42:49And it's particularly tough when it's one of us.
42:53One of us.
42:56Um.
43:01Yep, that's it, thank you.
43:05Okay, look, I know, uh, we're all still processing this, so we have a full and immediate divert to St James's in place, and we are boarding as many as we can upstairs.
43:15The next shift has been called in early, so anyone who wants to go home can.
43:21How can we? We're rammed.
43:23Even with extra staff, there's still not enough of us.
43:26What if someone else kicks off?
43:29Are any of us actually safe?
43:32We'll manage it.
43:34How?
43:36We'll manage it.
43:39I'm staying.
43:40Yeah.
43:42Yeah, me too.
43:48Uh, I just wanted to say thanks for everything you did for my brother.
43:52Aw.
43:54Doesn't seem like enough, you know, what you guys do.
43:57No, it's, um, yeah, it's very kind, thank you.
44:00Thanks.
44:03Are you okay?
44:05I'm not asking you to ask.
44:07Yeah, I will be.
44:08I will be.
44:11You're better at this than you think you are, you know.
44:19You alright?
44:23Why am I even thinking about taking extra shifts to pay for Dad's care?
44:29He shouldn't be looked after somewhere else.
44:31He should be at home.
44:33With me.
44:34With me.
44:36With me.
44:38With me.
44:40With me.
44:41With me.
44:43Here.
44:44There you go.
44:49There's so much.
44:50Let me get a member of the team.
45:20That's okay, Charlie. Can I expect them to do that?
45:25Go easy on yourself.
45:50This doesn't just feel like a bad day. It's worse than that.
45:59Right, well, he's out of theatre. He's still critical, but he is stable, so...
46:12Can we see him?
46:13No. No, but hopefully... soon.
46:17I'll keep you posted, but... go home, get some rest, okay?
46:22Hi.
46:27We'll get through this, you know.
46:29How?
46:30I don't know, but... we have to.
46:33Orion.
46:35Come here.
46:37Come on.
46:39Come here.
46:40Come here.
46:41Come here.
46:42Let me see you soon.
46:44Come here.
46:46You're welcome.
46:47Come here.
46:48Come here.
46:49You're welcome.
46:50You're welcome.
46:51Come here.