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Casualty Season 40 Episode 03
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
00:00Nothing in this place doesn't work, nothing, nothing works.
00:06It's all bugging.
00:08Had a really nice time.
00:12How?
00:14I'm necking him bugging off a pair of kids.
00:16Sorry.
00:17No, no, it's, erm...
00:19It's fine, I didn't say I want you to just stop.
00:22Not actually drinking at the moment.
00:24She doesn't drink.
00:25She throws up and she cries of her babies.
00:27Anyone would think you're pregnant.
00:30We can totally forget I said that.
00:32It's not mine.
00:33I'm a surrogate.
00:36Please don't tell anyone.
00:38Rash.
00:39Good to have you back.
00:41If you want to talk about it.
00:43Dylan, I need you.
00:45Patrick, hang on.
00:46Yeah, we'll catch up later.
00:48OK.
00:53Airways patent, chest is clear, pounding radial pulses.
00:57Looks like an isolated penetrating injury to the upper thigh with vascular compromise to the leg.
01:03Can we get a second line in?
01:04We'll do FBCs, use and ease, coag, group and save with cross match and a VBG.
01:10All right.
01:11All right, darling.
01:12You're OK.
01:13You're OK.
01:14OK.
01:15Let's get his analgesia under control.
01:16Make him as comfortable as possible for imaging.
01:18That sounds like a good call.
01:19That looks painful.
01:24That's unbelievable.
01:25I mean, do we know where that's coming from?
01:29All right, sweetheart.
01:30OK.
01:31OK.
01:32He's a known epileptic.
01:33He's on epilim.
01:34OK.
01:35Pull him over.
01:36Watch out, leg.
01:37OK.
01:38OK.
01:39We have got him.
01:40All right, darling.
01:41We can't leave him like this to come out of it on his own.
01:43We need to stabilise him so that we can move him, don't we?
01:45Oh.
01:46Yeah?
01:47Yeah, yeah, yeah.
01:48OK, can we have four milligrams of our aspirin, please?
01:50I can't touch him.
01:51I haven't got him.
01:52Yeah, I've got him.
01:54As quickly as we can, please.
01:56Is he beginning to stabilise?
01:57All right.
01:58OK, don't worry.
01:59Don't worry.
02:00Right, let's prep to move him, please.
02:02Steady as we go, please.
02:03Oh.
02:08Patrick, is there a problem?
02:12OK, so resource two is out.
02:14That's insanitary.
02:20I think I want to add to your list of things to take to the board.
02:24OK, so have we got bloods off?
02:25No.
02:26OK, can you get a second line in, then, please?
02:28We'll take the bloods off that.
02:29We'll need to do a full body trauma CT to check for any concurrent injuries.
02:33Apologies for any disruption.
02:35Well, you know, we need to divert ourselves.
02:36Yeah, it's all in hand.
02:38Is it?
02:39I mean, in what world is it?
02:41Can I have a quick word, please?
02:42Rash, I'll be back.
02:50The board need to see this.
02:51Our electrics are shot, our equipment's broken.
02:53I mean, you heard about fire at St James.
02:55Should we take this to my office?
02:56Recess is literally overflowing.
02:58Facilities haven't been my focus.
02:59Well, I don't know what has.
03:01I put the team first.
03:03Three clinical leads in the last year.
03:05You've lost doctors and nurses to fear and disillusionment.
03:09Stagnation.
03:10That's where you've left me, you, Max and Stevie.
03:12I beg your pardon?
03:13Take Dr Masson.
03:14He's been languishing here for years.
03:16He's had a tough time recently.
03:18I encouraged him to step up.
03:19As have I.
03:20You've literally just undermined him.
03:23Rest all that case from him.
03:25Look, he was trauma team leader.
03:27The Caesar's a major undertaking.
03:30I know you're not a people person, but he needs guidance.
03:33Support.
03:34He needs a mentor.
03:36I suppose I could pick up where I left off.
03:40Fine.
03:41Good.
03:42I'll watch with interest.
03:44All right, Siobhan.
03:45What's the damage?
03:46Ah.
03:47Ah.
03:48Ah.
03:50Coyote at esen.
03:52Ah.
03:53Eavan.
03:54Yip.
03:55Fashion of his famille.
03:56Meant.
03:57Ones.
03:58Arz.
03:59Facebook.
04:00Samsung.
04:01Charles.
04:02Hey.
04:03的人.
04:04Ñ‹å°˜of.
04:05Meant.
04:06Five.
04:07Were you poz?
04:08Aren't always a large scene.
04:09Exchange parties.
04:10Star finale.
04:11Promisedões.
04:12okay just try and stem the flow stop it going any further okay um it's actually water from a burst
04:39pipe so we won't need to close the department down don't all cheer at once so what are we telling
04:46the patients bear with us on you go bye bye thank you why are you smiling like that water's suspicious
05:01in my country it means good fortune are you seriously well even just like a burst pipe
05:06whoa you're so gullible huh i'm happy because i finally saved him up for obese flights
05:14i will see him in one month you serious because he's that amazing that's brilliant he was everything
05:21spider-man he was uh spider-man dupe cover spider-man pajamas he was spider-man
05:25less talking more walking i could do with a handling triage
05:29you do it boss fresh how's it he's in the theater with orthopods they've managed to get the rating
05:36oh that's good that's good um i wanted to apologize to you i think i i'm barreled in a little bit
05:40earlier on i'm sorry how would you feel if i was to um maybe act in a supervisory capacity from a back
05:46seat uh yeah if you if you think it's necessary but it's not intended to be punitive i'd be your
05:52mentor as i was as i was before uh yes yes okay well um i'll check in during the day get started
06:00jacob did you not get the divert well there isn't one well not that i had anyway right okay um rash is
06:09in charge today so uh yeah sorry uh right uh thank you okay what have we got okay this is sam williams
06:1554 uh hit on the head by a falling chainsaw 45 minutes ago injury from top to toe seems to be an
06:20isolated head laceration he's had a one gram of ivy paracetamol four milligrams of undansetron and
06:25five of morphine see spanky okay thank you um sir can we bring you onto the bed please
06:33and this is uh sam's partner matthew who came along for the ride we worked together so i was front
06:37row for the whole beach chainsaw massacre hi i'm dr massam i'm gonna examine you assess your injuries
06:43a few worse too uh airways patent no catastrophic hemorrhage just gonna listen to your chest
06:54okay bilateral air entry equal chest movements
06:57why are we waiting why are we waiting mr campbell yes would you like to follow me
07:12are you okay okay you're a doctor no i'm a nurse you must see the doctor i once doesn't get do you
07:23remember how you felt i tripped there a bit of old carpet was there any loss of consciousness i just
07:31told you i tripped it's just that uh it could be important the mechanism fix me ah yeah
07:36it's this way this way i'm sorry you all right you driving yeah yeah why not hey jody jody
07:54welcome to the friend zone kid she didn't hear me in the friend zone no one can hear you scream
08:00well you're the expert it's a bit more like a war zone with you okay isn't it your first battle
08:06wind scarred by a sword like your hero nelson oh that was gunshot wasn't it or um uh debris from
08:13cannon fire i think you're a gamer i'm i'm just a history buff i i live on the water as well okay you
08:21just need a couple more sutures despite his bravery on the tabletop sam's not a massive fan of needles
08:28or in close spaces or hospitals well you're doing really well
08:39sorry give me a second all right ready
08:45my bad i can't the battle of the nile that that was a good one right yes what about nelson's signature
08:53skirmish yeah what's nelson what about captain foley ignored his boss's orders surprised the french
08:59from the west like none of their cannons were manned really i didn't know that yeah nelson summits the men
09:03one from the other side played the advantage okay thank you yeah definitely more of an armchair
09:16admiral yeah nelson would ever be taken down by a lingering shoulder injury uh the shoulder was that
09:24painful before the accident that top shelf's a killer okay we'll chase ct and run some bloods
09:30that don't sound good that's perfect you can practice your chat no my chat's fine
09:38what name is that he's done hiya can you give us some space please oh entertainment's arrived
09:44girls i've got first dibs right i'm teddy uh one of the paramedics this is ian right i'm gonna make
09:50sure we maintenance that this is powered down can you show me where that is mate i'm getting the fire
09:54boys here as well hey that jenna we're getting the fire boys too all right jenna is it might act on the
10:01feel of your neck yeah right you lot head to the first pub come on i've got to show holby how to
10:08party she'll be all right we'll be right with you um dash not a word to your brother okay can you tell me
10:19what happened she went up the down party dare i've got a whole list of them laminated for her pleasure
10:28and have you hit your head or lost consciousness at all not with those airbags am i right babe
10:35right i can see that your hair is trapped and yeah you've got a bit of swell into your ankle is
10:40it just those two things i think so how much have you had to drink um just just a couple of mimosas
10:47can i see how your hair is caught stay nice and still for me
10:53looks like it's just your hair so can you fix it or do we need to wait for the big red truck
11:00uh i'm afraid i'm gonna have to cut her out as soon as possible are you mad she's getting married in
11:05two weeks look it's it's not safe for you to stay there you might have other injuries and listen
11:10take me you are not cutting my hair when did you say you fell i didn't
11:22ah this looks like an old cruise was it a few hours or a few days it could impact your treatment
11:34yeah well last night
11:38details are a bit hazy it would amaze birthday i don't normally drink right thank you that's good to know
11:47is that good or bad
12:00let's start with that next week we'll take it from there
12:05you're over breathing jenna just give me some i'll bash it down if you can just say that please
12:11right the escalator is definitely isolated fire underway i am having bouncy curls you need to stay
12:21calm or you'll make your injury a lot worse you're right to tell her because she's gonna rip her scalp
12:25babe listen to him you do not want bald spots like me nan
12:30come on slow breaths in and out i'll do you some clippings i can't have a bad idea
12:43is this thing off
12:47can i have the scissors jenna i'm so sorry but we're gonna have to do this now okay
12:52uh i promise i'm gonna do the best job i can
13:02dr keogh yes uh mr williams his uh white cell count is elevated and the crp's raised
13:08okay because his ct was normal and i think i'm his chest x-ray and and and urine did wear as well
13:13uh yeah the medical team are busy they've asked if we could do the lumbar puncture down here
13:16uh no i think you find that very traumatic um is it not more likely to be referred pain from a viral
13:21infection his temperature is 38.6 he's tachycardic there's no other explanation for the ray crp
13:28and white cell count i think we should rule out meningitis okay well it's your call yeah okay
13:33what a day you don't need flippers to work yeah but it helps
13:47what's wrong yes hello i'd like to book a chest x-ray
13:54if you want to talk
13:55come on at least put the sirens on no please my head is banging you sure she didn't smack her head
14:09it's just the tequila i made her mimosas mexico without telling me uh last night on the leash babe
14:18we are getting you absolutely battered i have gotta get this for the gram
14:28total bride vibes can i see that's not a good idea uh i know her best yeah you saw that you've been
14:38through a lot you're in pain i think i'm gonna be sick
14:48i'm just gonna test the insertion site this does that feel sharp no but i know it is which is
14:57sort of worse hi rash just checking in yeah it's under control
15:04i'll tell you you live on the water uh i do yes um at the the marina in dad
15:11are you okay i'm so sorry mr williams's daughter insisted
15:14george yeah i'm fine how do you i'm your ice contact remember since you and mum split up
15:20of course yeah what did you tell her can you not worry about mum right now
15:26what's going on it's more precautionary hi sorry i'm georgia
15:31um you know when i work together you can um you know george can take over if you need to get back
15:38don't leave on my account he's not great with needles i'll be all right cheers mate
15:50let me know how you get on
15:55okay i really should get started can you stay very still
15:58are you welcome to hold your dad's hand if you want to i was just uh telling you wasn't i about um
16:03about my boat oh yeah what's her name uh flat over crest two don't ask what happened to flat over
16:11crest one are we going then or what i'm afraid there's quite a weed well like that is it
16:23duncan disorderly brought it on himself it was one time a one-off there's a backlog in
16:29radiology woman next door she's been here five minutes you rolled out the red carpet yes because
16:34we're treating other priorities i got aches and pains like you wouldn't believe okay so let me take
16:38your history everywhere please cover your mouth mr campbell i've only got one arm we've been drinking
16:46look there are people here that can help how many times do you think i'm stupid hmm i can smell it on
16:56your breath so if you want to deny it fine but stop wasting my time
17:02are you all right don't let that mad woman back in here okay go and get a cup
17:08wait so are the the models very tiny are they what what's this guy it's uh 1 700s
17:14the book of boom gives you a per hit damage what's that book of boom it's like the rule book right
17:19uh they've completely reworked the armor penetration info ow dad are you nearly finished i've almost
17:32so how long have you and matthew been working together uh about a year
17:37he seems nice yeah yeah i wish he could be more nelson and he led from the front he was brave
17:55true to himself what was he said it's the courage to continue that counts
17:59pressure was 19 and it's clear is that good uh it's it's difficult to say uh really but um
18:10i don't think it's meningitis
18:14how's your shoulder any chance of a comfy bed maybe you know throw in another pillow i'm sure there's
18:20something that we could do rash shall we uh yeah um really can you take half hourly obs um
18:25or up his fluid intake as well yeah avoid any spinal headache hey thanks for keeping me anchored
18:33you're very welcome
18:41so this is the queue for the queue yeah yeah for it so well how long will it take i've got to get this
18:49one fed watered and slaughtered tell you what i'll uh i'll go inside get an update right have a cup of
18:56tea put my feet up maybe we should just call it a day don't be daft as long as we make it back for
19:06the stripper i told you i don't want a stripper same rod forever babe there will be no fomo not on my
19:12watch i've got your proper slab gold thong package your tasha won't know where to look we shouldn't
19:21have left her i'll take this off right i wouldn't advise it it's fine my uncle doesn't even hurt yeah
19:28that's because you've had alcohol and painkillers you should wait and get it x-rayed you can't make
19:32her stay can you depends if she has capacity what so now you think she's mental do you know what day
19:38it is it's friday i'm in an ambulance and i gotta get back to my party you understand that you may
19:44have a fracture or soft tissue damage which could cause lasting issues if you don't get treatment
19:48i understand and you do understand the impact that could have on your life all right buzzkill
19:53she gets it come on hon we've got places to be and bottles to pop
19:59uh are you right to sign this self-discharge form before you go everything all right we're doing
20:07the west hall big role if you fancy it oh she needs to get this ankle looked at never fear nurse haley's
20:13here i'll look after her come on don't start
20:23uh dr keogh here um mr williams his samples have been sent off but i'm i'm a little concerned
20:32about his shoulder yeah he's quite tense wasn't he um but you know even somebody without an evil
20:38phobia 23 gauges pretty grizzly oh yeah um an mri might rule out any other possible complications i know
20:46it's not a first-line investigation for us here you know i mean you'd be subjecting a patient to
20:53another invasive procedure probably unnecessary he did say to trust my instincts yeah but not if
21:00they're divorced from reality you know if it looks like horse it sounds like horse it probably is a
21:06horse wrong than a zebra um that said he's he's going to be with us for another couple of hours let's
21:12keep an eye on him if he deteriorates we'll reassess but in the meantime i think that one behind you is um
21:16uh collapsed query cords so i'll check in with you in about 15 minutes yeah okay
21:26uh um mr lewis yeah hi hi
21:35you can't help people that don't want to be helped
21:39leave him to me
21:40it's my patient hey he needs an x-ray and a sling easy easy
21:52what's going on with you nothing
21:58come on you know i'm impregnato it's quid pro quo
22:03i have a 10-year-old son
22:10okay so far so cute
22:15go on
22:20he's coming to visit soon
22:22i got excited i told my housemates
22:30don't tell me they're snitched
22:32i didn't know it wasn't allowed
22:36i can't afford to rent anywhere else where he's here
22:41i hate not being with him you understand
22:44well you can stay with me
22:50think it over
22:56hmm
23:03just checking in rash do we no one caused the collapse yet
23:06uh no no not yet but i'm still assessing
23:09dave was painting our nursery too much doo-doo pink
23:14say um you're a lucky man
23:18misha's got study issues so i uh
23:20he stepped into the breach okay
23:23your blood pressure was a little high
23:26there's nothing new there any difference between left and right
23:29uh uh sorry sorry i i didn't check
23:34uh okay always a good idea isn't it if it's an undifferentiated collapse
23:39yes
23:53iad's 22. uh doctor macy is just gonna have a quick uh feel of your belly
23:58yeah i'm just gonna lean you back a bit
24:06okay just like that hurt
24:09there's a small mass
24:11what sort of mass it feels
24:13expansile pulsatile
24:16we'll run some bloods and get you booked in for a ct scan
24:19come on gene we can't leave you here like this can we
24:27you know it's not a bad thing to be stubborn
24:30we'll sort that out for us will you
24:33you go i'll stay here
24:34sure
24:35right gene
24:43i know you're not feeling too good and if you ask me i think you'll be better off at the hospital
24:49nice cup of tea someone to chat to
24:53must be a bit chilly
24:54there's a blanket in there with your name on it honestly it just says gene in the stitching
24:59should we go
25:00yeah okay
25:03there you are i've got you
25:05hey see i knew we'd win you over eventually
25:09well mom let's get you sorted
25:10just watch your step on this ramp
25:13okay
25:13yeah
25:14yeah
25:16it's all for you yeah
25:18right gene my love take a seat here
25:21oh you better get changed first
25:24tell us where mr campbell's blood
25:28mr campbell
25:29dr piper
25:31how was radiology she's back
25:34nothing wrong with your eyes then
25:36you do have a head of humerus fracture
25:38so if you're amenable i'd like to put this polysling on you
25:41fine
25:43whatever
25:44thank you can you lift your arm for me please
25:48a bit higher
25:50thank you
25:52just move your head forward for me please
25:56oh big lad
25:58did you injure your mouth when you fell
26:01there's some blood on my scrubs
26:03does it matter
26:05let's have a look here open wide
26:08oh gingivitis
26:09there was some bruising and his jumper was very big
26:12have you lost weight recently
26:14what's all this about
26:16would you say you eat a balanced diet
26:20i don't do diets
26:21okay
26:22well you mentioned aches and pains
26:25and there might be some underlying causes
26:27so i would like to do some blood tests
26:30and see where we are
26:31is that okay
26:33yeah i'll come with it
26:34thank you
26:39all right thank you
26:43uh no room in resus
26:46let me see if i can go and have a work with the vascular surgeon see if i can crack things along
26:50okay
26:50what about mish
26:54they'll come and speak to you both about the procedure the aftercare
26:57no
26:57i don't want her to know
27:01you have a slow leaking aneurysm mr lewis if it ruptures the prognosis is it's it's extremely poor
27:07she's eight months pregnant
27:11what's going on
27:12oh it's fine
27:14there's nothing to worry about
27:16i'm pregnant not stupid
27:19spill
27:23okay um the ct detected an abdominal aortic aneurysm which is a swelling of the aorta
27:31the good news is we've caught it and there's a team getting ready to fix it what you mean right now today
27:38hey hey it's all right i'm here look we'll get through this i'm sorry
27:46you've had so much loss in your life stop that i am not going to lose you they'll fix it
27:53i should never have let this happen how long would you what about the baby this didn't happen to me
28:04i chose it i chose you you idiot i love you
28:14talk to me doctor what's next
28:18how's his liver function yeah no grits but that wasn't what i was interested in
28:25oh that's a bit old school even for mr campbell i've treated a few cases back home it's all the
28:31same symptoms oh he's not gonna like this how do you want to handle it you can be bad cop oh okay
28:48i'm just gonna grab a coffee oh yeah not what he called is it
29:02where you going what which floor right uh i actually i
29:18can i take you out later um yeah you're okay yeah okay good great yeah better be
29:34all right come have a good day yeah thank you
29:36i shouldn't have missed that you triple a's are often over look yeah this was five centimeters
29:47and leaking if you hadn't told me to check the other arm i well the vascular the vascular surgeons
29:52um on his way down now okay great um i was just trying to do the maths i'm 37 weeks so recovery time um
30:02it's about six weeks so you'll have to avoid any strenuous activity no no heavy lifting anything
30:07like that but uh a newborn should be just about okay um mr morris here we'll talk you through it
30:11can we catch up after you've done the examination please sure thank you
30:18you mustn't blame yourself i mean the patient didn't disclose any symptoms and i i thought you
30:24bounced back brilliantly i think in these circumstances it's important to
30:28to control the things that are in your control right okay um like like what body language perhaps
30:37i think the diagnosis was pretty large it's important isn't it to be um discreet almost inscrutable
30:49right yeah um so trust your instincts to a point uh don't over treat over
30:54uh simplify or over empathize there you go you got it the learning never stops now i have got other
31:01patients but um if you need any more clinical supervision you know where to find me okay
31:13you're joking scurvy can be fatal mr campbell you're gonna need to change your diet and take
31:19daily vitamin supplements and stop drinking that's something you'd be open to if the pain stops
31:29that's why i do it for the pain then we will start to treat your pain right now
31:36i'll get your prescription i picked these out for you i told you i didn't want anything
31:42there's a voucher in there too for a local food bank you think of a charity case or something
31:49think i can't afford my own food if you end up back in here in a month yellow and bleeding from
31:54every orifice mackenzie will level us so please take that
32:01fine whatever thank you
32:05you didn't actually not divert all hospitals were at the same escalation level
32:16talking comms i just ran into dr masson yeah we're on a brief hiatus from our training at the
32:22you've got no idea have you no idea about what you're supposed to be boosting his confidence not
32:26tearing it down okay we've had a few complex cases today so keep it simple one bird one stone you told
32:32him his body language is wrong as a footnote to other things this can't be your first time stepping
32:37up as a mentor no it isn't i've had some experience sam williams's new scores it's increased have you
32:43told rush yeah he's asking for you okay where is he at cubicle okay
32:51sorry rush uh he's developed bilateral arm and leg weakness his temperature still
32:55high just this is 15 equal in reactive pupils can you hold my hand what's happening to me
32:59uh it's hardly a perfect case for training is it um would you like me to take over from here well
33:05i i think these new neurological features warrant further investigation should i order the mri
33:09uh yeah that's a very good idea what i was supposed to the ct right hey sweetheart try and keep calm yeah
33:16do you want matthew here i'm not an idiot dad i know you're together
33:20i wanted to tell you it's okay mom can't handle it i can shall i call him
33:27i sent him away he'll be upset okay we can go straight in
33:31uh okay we'll have somebody call matthew for you but we need to go now already
33:34is that there yeah i think so yeah sounds rummed all right oh she's got it
33:47oh baby she's got it let's cheer up aren't they i will be the
33:53i'm your fire your desire oh your desire
33:57oh
34:04what a chances
34:11oh my god
34:13is that right
34:15hi second chance i can win
34:19got turned to play strippers into a little proper grinding on everyone
34:24i should have any of her in halo a tosy girl lost it i'll tell you the truth
34:29we are totally battered yeah yeah thanks for telling us that
34:35hey look my name's ian i don't want to listen to your chest
34:38i don't want to get my nebuliser okay right girls can we give them some space
34:42a massive arm for you
34:46have you got a girlfriend maybe
34:49so maybe not i'm sorry we left you earlier
34:54no i'm okay if the bride's okay
34:59hello remember me i'm teddy how's that uncle
35:04i can't feel anything
35:05uh i would like to look at that in the ambulance is that sound okay yeah that's fine with me
35:10okay uh all right you two stay there well all of you stay there i'll be back
35:17sorry
35:19how's she doing yeah rest is coming down so that's good right uh i'm gonna call for
35:24the back of jenna's ankles at this uh i'll put her in a cab but she's so out of that i don't think it'll take her
35:29all right
35:39where'd they go
35:45i'm sorry sorry thank you
35:52girls
36:00come on girls hold on
36:03right there's only enough room for jenna plus one
36:06so can we work out who's staying who's going
36:08and did you raise your last night of freedom
36:13all about the party
36:18bye
36:18um we're still waiting in the mri results but um his recipes are falling and uh pulse is weak and so we need to get him to recess
36:29what are you still doing what's wrong with him you've got all breathless in the skin like a claustrophobia thing i don't think so
36:35i don't think so where are you taking him to an area of slightly high monitoring so that we can
36:39um hopefully get him stable just give us five minutes
36:44i don't think so
36:48i don't think so
36:50i don't think so
36:52Make sure you tell him.
36:55Can we go now or what?
36:56Her foot's minging.
36:58All right, other crew have got Tasha.
37:00That's bright to me.
37:00I'm pretty sure it's broken.
37:02I'm just going to need to take her in.
37:03All right.
37:03Well, we hate to tell we told you so, ladies,
37:05but we did tell you so.
37:06Mind if I drive?
37:08All right, yeah.
37:09All right, that is it.
37:10Go on, then.
37:10As soon as you have so nicely.
37:13All right.
37:22As firmly as you can.
37:25Okay, that's fine.
37:25That's fine.
37:26His muscle strength's about three out of five.
37:29He came back.
37:31I never left.
37:33Georgie.
37:34This is it.
37:37What's happening?
37:38BP's dropping.
37:3970 over 40, guys.
37:42Help me.
37:43We are trying.
37:45Okay, he's in the F.
37:47Dad?
37:48I don't understand this.
37:50Okay, Karen, can you get pads on?
37:52Can somebody help him, please?
37:53Okay, sir, can you step outside, please?
37:55Okay, let's go out, sir.
37:57Let the doctors help your dad.
38:03Okay, pads are on.
38:05Charging.
38:06Front stand clear.
38:07Shocking.
38:13Charging clear.
38:15Shocking.
38:21Clear.
38:22Shocking.
38:28This is Jenna Evans.
38:30She's pretty intoxicated.
38:32Went over on her ankle, and I think it's going to need an x-ray.
38:35She fell over about five hours ago.
38:37We brought her in, but she discharged herself.
38:39We don't want to wander it off again, do we?
38:40Come on.
38:41No, definitely not.
38:42Right, okay, what have you given her?
38:43Uh, IV paracetamol, and I'm done to try.
38:46Cheers.
38:48Right, ladies, we will love you and leave you.
38:51Come on, we've got to get back.
38:57All right.
38:58Enjoy yourselves.
38:59Love you.
39:00You all right?
39:02Been the long day.
39:03Same patient twice.
39:04Yeah, well, she's not going anywhere on that ankle, no.
39:08What's the next one?
39:09Last two minutes.
39:14Keep a pulse of it, then, please.
39:18He's been a systolic for 20 minutes, with no return of spontaneous circulation.
39:21Well, shall I get back on the chest, then, what do you think?
39:25No.
39:27No.
39:30No.
39:35Dr. Keogh?
39:39Uh, yeah, uh, time of death, 2001.
39:46Is the daughter still here?
39:47Yeah.
39:51Don't say it, please.
39:56Um, your father's heart stopped about 30 minutes ago,
40:00and, um, although we attempted resuscitation,
40:03I'm afraid there's nothing more that we can do.
40:05I don't understand.
40:07What happened?
40:09Well, in the event of a prolonged cardiac arrest,
40:12if there isn't a real...
40:13Stop hiding behind all the medical crap and answer her.
40:16I don't know.
40:16That's the honest truth, I don't know.
40:17You don't know?
40:18Yeah.
40:19What kind of doctor are you?
40:20I want somebody else in there.
40:22I'm afraid there's nothing that anybody else could do, either.
40:24He came in for a couple of stitches.
40:25Now he's dead.
40:27What happened?
40:28What the hell did you do?
40:29Oh, time for your happy ending, eh, Jen?
40:41Hey.
40:43OK, right, so,
40:45you have fractured the distal tip of the lateral malleolus, OK?
40:49So we're going to plaster it up and get your side.
40:51You should do a blue one.
40:53That's perfect, isn't it, Jen?
40:55Something new, something blue.
40:57You think this is funny?
40:59Mm-hmm.
40:59Somebody's shallbering up.
41:01You've ruined my old wedding.
41:06Right, can you just keep your foot still?
41:08You're not seriously blaming me.
41:12You wrote those stupid dares.
41:14You spiked my drink.
41:16You made me walk on a broken ankle.
41:17I never made you.
41:18I had to save Tash in that humping stripper.
41:22The whole night has been so tacky.
41:24As if!
41:27You're not even married yet, babe,
41:29and you are already proper boring.
41:32You need to chill out.
41:33You need to grow up.
41:34Excuse me, babes.
41:41Would you mind signing me baps, please, party dare?
41:45Stop it.
41:46Just stop.
41:48You take things too far.
41:49You always do.
41:50Please, I don't want her here.
41:52Of course, yeah.
41:53Yeah, that's fine.
41:56And don't come to the wedding.
41:57Okay.
41:59What?
41:59Well, I would not be caught dead, babes.
42:09Have you seen yourself?
42:21Sorry about that.
42:29The results?
42:33Yeah.
42:36It's a posteriorly located cervical epidural humotain.
42:41I was just pressing on a spine.
42:44If we'd run the MRI before then, we would have picked that up.
42:48It's one of the most unusual cases I think I've ever seen.
42:53You know, but it's the zebra.
42:56You did everything right.
42:59He died.
43:02There must be something we can learn from this, do differently.
43:05Oh, on your part.
43:09The family's still here, I think, so I'm going to go and talk to them about what we know now we know it.
43:15Actually, it was my case.
43:16I can go.
43:16No, no, no, no, no.
43:17No more, yours than mine.
43:19Honestly.
43:20Your shift's over.
43:21Go home.
43:21Have some time with your son.
43:25Yeah.
43:29Are they ready?
43:32Yeah, all yours.
43:39I'm sorry to disturb you.
43:41Dr. Q, I wanted to apologise.
43:45Really, there's no need.
43:47Do you know what happened?
43:53Yes, we do.
43:54Your father died due to an accumulation of blood between the bone in the vertebrae and the spinal cord.
44:03It was the pressure on that that caused his heart to stop.
44:05It is a very unusual presentation.
44:13To be honest, we don't know whether it had anything to do with the accident or not.
44:20He was so happy.
44:23I saw that.
44:27He was finally himself.
44:29I'm very sorry for your loss.
44:42I saw your website.
44:44I'd like to book in with one of your counsellors.
44:48Jo, do you come for a drink?
44:49Yeah, probably just give me ten, all right?
44:51All right.
44:54You coming, Rash?
44:56Maybe another time.
44:59Hey, there's three drinks in the pub.
45:04Normally, I'd be all over that, but Bob, baby on board.
45:11Their orange juice is very good.
45:14Full of vitamin C.
45:17Well, we do have to fight off that scurvy.
45:20Go on, then.
45:21You've twisted my arm.
45:22Have you given any thought to my invitation?
45:26Are you sure you don't mind?
45:27Every bad cop needs a good cop.
45:31That's true.
45:34Okay.
45:39How do you feel about Spider-Man?
45:43As long as he doesn't leave cobwebs everywhere.
45:45He's welcome.
45:46Epidural hematoma's rare enough, but in the neck.
46:03He's travels fast.
46:04I know we got off to a bad start, but I'm on your side, 100%.
46:10There'll be an AAR, but there's no question of blame.
46:17You've lost patients before.
46:20Yeah, I liked him.
46:21He was nice.
46:22Yeah.
46:23Look, there's money behind the bar if you want to go out and decompress.
46:30Er...
46:30I think now the cause of death's been confirmed, I'll just, um, I'll wrap up the paperwork.
46:35Use my office.
46:37More private.
46:48Whoa, whoa, whoa.
46:49Why am I doing this on me own?
46:51There's glitter everywhere.
46:52It's like looming all at a crime scene.
46:54Hey.
46:55Chance going to Hope?
46:56Management to buy in.
46:58Oh, that's nice.
46:59This one needs cheering up.
47:01Aw.
47:01I think I just want a quiet one tonight.
47:04Okay.
47:05Then we'll go somewhere else, then.
47:08Another time, maybe.
47:12All right, okay.
47:13Yeah.
47:17Er, well, I'll see you there.
47:19Yeah.
47:24What's all that about?
47:26I thought you liked her.
47:27She's a bit keen.
47:29Says you.
47:30Changed your jewel from this morning.
47:33I just don't want anything serious.
47:34Not off the page.
47:35Can't keep up with your kids.
47:37Come on, then.
47:37Make yourself useful.
47:46Oh.
47:47And then you'll still be here.
47:49Ditto.
47:50Pow-howing with estate managers.
47:53Living the dream.
47:55Recess will be fully operational from tomorrow.
47:58Must have finished your paperwork by now.
48:01Yeah, yeah.
48:02I'm right behind you.
48:04I take it that's my cue.