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Casualty Season 40 Episode 11
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
00:00In the video,
00:01Ted, what those women did was assault.
00:04You were sexually assaulted.
00:06Stop.
00:07I'm dealing with it.
00:08Me.
00:09And I don't want you to think about it or to talk about it ever again.
00:13I want him to come and live with you.
00:15Are you sure?
00:15If there's something you still want.
00:17All parents make mistakes.
00:19The things I'm meant to make.
00:21Patrick has been given the juniors an alarming amount of responsibility.
00:25Somebody must have seen something.
00:26That clamp I saw in your pocket.
00:28It's strange, it's not in the notes.
00:30I have no idea what you're talking about, Dr. Masson.
00:32Given how much you're struggling,
00:33we just think it might be worth rethinking your career path.
00:37So you're looking for a scapegoat?
00:40And that's me.
00:44If I could have everyone's attention, please.
00:48Look, I know we're all extremely busy,
00:50but I wanted to flag up a recent concern.
00:54There's been an uptick on Datix for serious incidents regarding patient care.
00:58A 25% increase.
01:01The board may well have to perform a critical review.
01:04So I need you all at your most vigilant.
01:07No carelessness.
01:09Read and re-read.
01:10Be thorough.
01:11Last thing this department needs is more bad press.
01:14So let's stay on the ball team, yes?
01:17Yes, boss.
01:1725%.
01:1925%.
01:20Yeah.
01:20I really don't have time to go into any further detail.
01:22It may perform a critical review.
01:24Patrick, this is serious.
01:25And I'm treating it yourself.
01:26Thank you very much, Dr. Keir.
01:32Uh, Stevie, have you got a moment, please?
01:34We're four staff down and there seems to be a stomach bug going round.
01:39Right, well, four staff down, best for getting myself in the ring.
01:41Oh, speaking of getting back in the ring, you might want to check in on cubicle two.
01:45What?
01:48Four staff down.
01:49Uh, and counting, yeah.
01:50I think Nicole and Goethe can't come in until this afternoon.
01:53But that, let me tell you, is the very least of our problems.
01:56I and others have just been told by Patrick that we have had a significant increase in serious patient incidents on Datix.
02:04What are we talking?
02:05We're talking 25%.
02:08Are you serious?
02:11And he's trying to cover for himself, blaming it on the team.
02:14But you and I know that's not true.
02:15He's not just mediocre, he's dangerous.
02:18Okay, well, hopefully he has his hands full at the minute, so no time for clinical duties.
02:22I mean, I want to keep him away from all critical patients, certainly, until such time as we can get him off the floor of the department entirely.
02:28But if I can see the data that he's been looking at, and if I can see the rotors, then I can prove not just a correlation.
02:34What causation?
02:35But I need to get into his office.
02:37Okay.
02:38Good.
03:04What?
03:22It's time you call this.
03:24Sorry, I was left.
03:26Come on, man.
03:26If I can make it in on time after a late night.
03:28I'd say Carter to the creche upstairs.
03:31He wouldn't calm down.
03:33He'd been like that the whole night.
03:35Man.
03:37I don't know what's wrong with him, man.
03:38He's been like this all week.
03:40No temperature, no pain.
03:41That's what baby's doing, isn't it?
03:43Try.
03:43It's like one of their favourite hobbies.
03:45You'll be all right.
03:46Grab a coffee.
03:47Get yourself sorted.
03:48I'll get you some paracetamol and another bacon sarnie.
03:50I'm not hungry.
03:51Who said it was for you?
03:53Look on the bright side.
03:55Probably fast asleep now.
03:56Yeah.
04:00Okay.
04:02So you were knocked unconscious?
04:04Barely.
04:04She fainted.
04:06I've not been super well.
04:07But she's been under a lot of stress.
04:08Her divorce isn't a lot of stress.
04:10Marriage is.
04:12You'll find out yourself soon.
04:13How long before you came around?
04:14A minute, maybe?
04:17Any pain elsewhere?
04:21Yeah?
04:22No.
04:23I'm fine, really.
04:23It's nothing.
04:24You don't have to put on a brave face.
04:26She's always like this.
04:28The strong sister.
04:29You should have seen her divorce glow up.
04:31Full blow makeover.
04:32Lost six stone in as many months.
04:34Got her teeth done.
04:35Six stone?
04:36That's pretty rapid weight loss.
04:37Am I going to have a scar?
04:38It does look like you're going to need a few stickers, I'm afraid.
04:41Don't worry about it.
04:42Naomi, if you so much as utter the words coconut oil, it didn't work on my stretch marks.
04:46It's not going to work on my forehead.
04:48I just weren't using it right.
04:49Because you'd know.
04:50Patrick, I didn't realise you were working in clinical strips.
04:52Yeah, well, we're a little thin on the ground today.
04:55So, we're going to get that chin sutured up and then you're fine to go home.
04:59But why did she pass out?
05:00Leave it.
05:01No.
05:02They should be checking that.
05:03He should be checking that, no?
05:04Dizziness is not uncommon with extreme weight loss.
05:07If you're overstretched, I don't mind ordering a head CT, maybe follow up with an ECG, full set of bloods, that sort of thing.
05:13Dr Keogh is nothing if not thorough.
05:15Thank you, but I'm sure they'd be grateful for you in recess.
05:19Righty-o.
05:21Apologies for the interruption.
05:26I take it you had a good night, then.
05:28What, do I look that rough?
05:30What, nothing to tell?
05:31Listen, don't start trying to live your life vicariously through me just because you're an old granddad now.
05:35Oi, I'm cool for.
05:38Right, this is us.
05:40All right.
05:43Hello? Ambulance service?
05:54Hello?
05:57Hello?
06:00Who called in?
06:01Er, delivery driver.
06:03Obviously didn't stick around.
06:08Hello? Ambulance service?
06:10Help.
06:15Help.
06:24What is it with you and smashing windows?
06:26Sorry?
06:31Oh.
06:32Mr Gooden.
06:34You're my guest?
06:35Help me.
06:43Hi, I'm Jacob.
06:45Er, can you tell me your name?
06:46Don.
06:52I just fell.
06:53OK, and when was that?
06:55Oh, I don't know.
06:57A few days ago.
06:58Tell us where the pain is.
07:00Where does it hurt the most?
07:01It's my leg.
07:03I can't get up.
07:05Something's dislocated.
07:09OK.
07:09Er, let's have a look, shall we?
07:14Sammy?
07:15OK, um, OK, we'll start you on some pain relief, all right?
07:35Yeah, BP is 76 over 50.
07:39OK, let's get some fluids into him.
07:41Now, we're going to splint your leg and get you on some antibiotics, OK?
07:45Man, the pain looks shut.
07:48He's tacky.
07:49Right.
07:49Man, we need to get him to the EDS, quickly.
07:51He can.
07:51No.
07:52Fix me here.
07:53No, I'm sorry.
07:54We can't do that.
07:54We need to get you out of there as soon as possible.
07:56No, you're not taking me anywhere.
07:57Look, I'm sorry, but we don't have another option.
08:01Look, Dom, you have got a nasty fracture on your leg.
08:04There's a good chance that wound is infected, which could cause a blood infection called sepsis.
08:08Now, if we don't get you in soon, we could seriously risk that leg.
08:12Yeah?
08:15Good man.
08:17I'll go out to sleep.
08:19Sorry.
08:20It's good.
08:21E-0-0-7 to control.
08:23There are one patient down in the property.
08:25I'm running to assist with you.
08:27Here's your place to see if I can't see this, please.
08:29Bye-bye.
08:33Hi, Jacob.
08:34It's Olivia from the crash.
08:35I'll take over.
08:40Thanks, Kate.
08:41No.
08:43What are you doing here?
08:45I thought I needed patching up properly.
08:48I'll save my good looks.
08:50Oh, my God, Ted.
08:51Er, I was at Knocked Out and I've ever been sick before you ask.
08:55Look.
08:58Boxing.
08:59I thought I'd get in a morning session.
09:03Yeah.
09:04You've been every day this week.
09:05I guess I overdid it this time.
09:09I guess.
09:12Look, do you think this is...
09:14What?
09:15Well, I don't know.
09:17You've not exactly been in the best place, have you?
09:20And look, I'm all for channeling energy, but you're damaging yourself, Teddy.
09:25Do you think this is about what happened?
09:27Can you honestly tell me it's not?
09:31Look, Teddy, I know you're not ready to talk about it.
09:33It's fine, but please don't go hurting yourself.
09:37Okay.
09:40I'm going to request an X-ray, all right?
09:45All right, let's get him up on lift.
09:53Ready?
09:53Brace.
09:54Lift.
09:56No, stop.
09:57No!
09:57Sorry, mate, we've got to get you out of here.
09:59No!
09:59Don't do that.
10:00Don't stop.
10:00Stop!
10:02I can't go.
10:04I can't leave.
10:05I can't tell you.
10:06We haven't got much choice.
10:07The door.
10:09You broke the door.
10:10What if somebody comes in and takes the stuff?
10:12Okay, how about this?
10:14We'll put a call into the council.
10:15High priority.
10:17They'll have someone come fix the window.
10:19Now, in the meantime, we'll wedge it close so no one tries getting in.
10:23And trust me, we'll not allow anything to happen to your home.
10:27But we do need to make sure that you're going to be well enough to come home to him.
10:31You with me?
10:31I'll be right back.
10:32I'll be right back.
10:33I'll be right back.
10:34I'll be right back.
10:35Okay.
10:36All right.
10:37Let's go.
10:38Where are we up to?
10:39So, I sent an email asking for the detailed breakdowns of their patient reports, but I
10:42need to cross-reference them with the staff routers.
10:45Yeah, yeah.
10:46Okay.
10:47Go get it done, and I will cover for you as much as possible.
10:49Oh, Dylan.
10:50Faith wants your resource.
10:51Just go.
10:52I've got a CT to request, and then I'll come and take over.
10:55Right, you are.
11:02Yeah, it does look like there could be a break.
11:06We'll need x-ray.
11:07Oh, great.
11:09What, so I can strap it up and I'm on my way?
11:13All right, mate.
11:15Well, look, if you're getting bored, you can head home.
11:17I'll fly back tomorrow, Dad.
11:18Well, you don't want to be stuck in here with your old man.
11:21Where are you off to?
11:22Oscar lives in the States with his mum.
11:25He's only over here a couple of times a year.
11:27Okay, let me get a second opinion, and I'll get you out of here.
11:30Be sad.
11:32Oh, Rush, can you take a look at this ankle for me?
11:35Yeah.
11:37I'm thinking x-ray.
11:39Yeah, it could be a bad sprain, but with a swelling, it's hard to tell.
11:46Okay, yeah.
11:47Do an x-ray just to make sure.
11:49We don't want to miss anything.
11:51If we do, you could have a prolonged recovery time.
11:53Okay, right.
11:55Well, it's not like we had anything planned tonight, is it?
11:58Uh, sir, your hands, can I take a look?
12:00Yeah, I fell into the bushes.
12:02Nettles or something?
12:04Uh, right, it doesn't look like nettles.
12:07They were bigger.
12:08Big leaves.
12:10Hogweed.
12:11Hog what?
12:12It's the sap.
12:13It causes nasty blisters sensitive to UV rays.
12:15You'll need to irrigate, give some pain relief, use some topical antihistamine and some steroids, and then monitor.
12:23I'll request that x-ray.
12:24That was a great catch, but I didn't even clock it.
12:29Oh, yeah, I've seen it once or twice.
12:31Uh, hey, I'm just looking for some advice.
12:34I wanted to start considering specialties.
12:37Right, you should speak to Patrick, discuss some shadowing options.
12:40Thought you think he'd help me?
12:42Yeah, I don't see why he shouldn't.
12:44Jodie, have you seen Patrick?
12:47Right, Dylan's on his way.
12:48Um, you're on your own?
12:49Uh, yeah, Jake, I've got a call from the crash.
12:52Why?
12:53Sorry, Ian. Carry on.
12:54Hi, mate, this is Don Pearson.
12:56He's 69 years old, long life, potentially 72 hours.
13:00He was found on the floor of his home after a fall.
13:02He's got an open maggot-infected left distal tib fracture with loss of sensation and a very weak pedal pulse.
13:09He's showing signs of sepsis.
13:10Let's get him across and lift, please.
13:11Ready?
13:12Brace.
13:13Lift.
13:14Okay, what have you given him?
13:15Uh, it's a fibromorphine, a gram of IV paracetamol, 1.2 of cortomopsicab, 500 mls of normal saline, a new score of eight.
13:23Okay.
13:25Let's do cultures then.
13:26Should we, um, should we do a wound swab as well?
13:28Yeah, I'll start on my broad spectrum antibiotics as well.
13:32Okay, Dylan, I'm going to take over.
13:34And his office is empty.
13:35Are you sure?
13:36Yeah, yeah.
13:37Okay, I'll leave you with Stevie.
13:38Okay, uh, Faith, can you catch me up?
13:39A 69 years old, long lie for 72 hours with an open contaminated tip fracture and suspected sepsis.
13:44Okay, hi, I'm Dr Nash.
13:45Let's take a look at this leg.
13:46Can we, uh, request an x-ray, please?
13:50And, uh, let's, um, get his initial sepsis bundle complete.
13:55And can we put a call into Plastics and Ortho?
13:57Because he's going to need theatre for source control.
14:07Good one.
14:08Thanks,ction.
14:09Good one.
14:10Good one.
14:11Good one.
14:12Good one.
14:13Good one.
14:14Good one.
14:15Good one, two.
14:16Good one.
14:26responsibly.
14:28Good one.
14:29Good one.
14:31Thanks, sir.
14:32I'm having to stay tired, Catherine.
14:33Something I can help you with?
14:35No.
14:36I was just trying to make some agency stuff.
14:38It's a bit quieter than that.
14:40Already done.
14:41Oh.
14:43If you wouldn't mind getting back out on the floor.
14:45Of course.
14:46There's already a little out here.
14:47Yeah, no, I know.
14:48Oh, Dylan.
14:49Yeah, sorry.
14:50Don Pearson's stabilised.
14:51He's got theatre this afternoon.
14:52Okay.
14:55We wanted to talk to you.
14:57Take a seat.
15:00About what's going on at home.
15:04No, there's nothing going on at home.
15:06This really isn't an accusation.
15:08We've just noticed that Carter's becoming increasingly unsettled.
15:13We're doing our best, but he just isn't progressing as quickly as we'd like.
15:18Look, um...
15:23It's not you guys.
15:25He's...
15:27It's like a phase of...
15:29I know that Carter didn't have the easiest start in life.
15:32And you think that's part of it?
15:34I think it could be.
15:37You might want to look into getting a little bit more support.
15:40Talking to someone more specialised with attachment.
15:43He's a wonderful little boy.
15:46Really.
15:47We just want to make sure that you're both getting the support that you need.
15:54Dan?
15:55Dan?
15:56Dan!
15:57Hey!
15:58What?
15:59What happened?
16:00I don't know.
16:01I only left him for like a minute.
16:02Rush!
16:06Reduce breath silence to swelling.
16:07He's going into amphylaxis.
16:08Must be a reaction to the hogweed.
16:10Slap squat into his AOA.
16:11Do you know what to do?
16:12Uh, yeah.
16:13Live patient flap.
16:14Put oxygen on.
16:15Give iron adrenaline in.
16:16Put five mils.
16:17One in 1000.
16:18Prep another if you need after five minutes if no better.
16:19IV fluid bolus.
16:20Saline.
16:21What are you sorry for?
16:22Uh.
16:23Okay.
16:24Let's get him to recess as soon as we can, please.
16:30Let's go.
16:37What?
16:38She won't stop throwing up.
16:40It's just the pain.
16:41What pain?
16:42What pain?
16:43It's going to be a result of the head trauma, the swelling of the brain.
16:46It's not.
16:47I was throwing up all morning.
16:49What?
16:50What did you tell me?
16:51I didn't want to ruin your pride or so.
16:53Okay.
16:54Lie back for me.
16:55Okay.
16:56I'm just going to have a little feel of the tummy of this, okay?
17:02Jade.
17:03Some sensitivity there?
17:04What do you think?
17:05Oh, Naomi, will you just give us a minute?
17:08Is there something you're not telling me, Jade?
17:12What?
17:14I've got a gastric band.
17:16Okay.
17:17I think something might be wrong with it.
17:20When did the pain start?
17:21A few days ago.
17:22I can't keep anything down.
17:24Sounds like the band might have slipped.
17:26You got the band and you didn't tell me.
17:27What does it mean, slipped?
17:28It means that the band has moved and now part of your stomach may be deprived of blood,
17:32which can cause it to die off.
17:34We need to assess the damage as quickly as we can.
17:37So I need to send you for an oral contrast abdominal CT so we can get a better picture.
17:41You should have told me I would have been there.
17:43You think I could shift that weight without one?
17:45We can't all be blessed with a perfect body.
17:47Some of us need to work for things.
17:49And everything just got handed to me, did it?
17:51Tell me I'm wrong.
17:52I'm going to order the ECT.
18:00Hello?
18:01Hi, is that Dr Keogh?
18:02It's Claire from Arthur General.
18:03Yeah, speaking.
18:04I've got some information regarding Dr Omni.
18:08Okay, go ahead.
18:10The medication will take effect shortly and the swelling will go down,
18:13but you'll need to be in for another few hours at least.
18:18Sorry, mate.
18:19Stop apologising.
18:21Wasting the only time we get together.
18:25It's our stupid activities that are the waste of time.
18:28David, let's keep the mask on for now.
18:30I just didn't want you getting bored of me.
18:34I just want to spend time with you.
18:36Well, even when I'm falling arse over heel, looking like a fool.
18:44Especially then.
18:45Next I'll just have to remember to film it.
18:47Okay, David, let's keep the mask on, please.
18:51They're going to take you through to HDU, one of our cubicles,
18:55for further monitoring, at least till the medication kicks off.
18:59Hey, celebratory pizza in the staff room.
19:06Uh, no, I'm good.
19:08But you should speak to Patrick while you've got the chance.
19:11You reckon?
19:12Yeah, you don't ask, you don't get.
19:14Can?
19:15Yeah, hello.
19:16Hey, can we talk?
19:17Uh, I can give you one minute.
19:18Okay.
19:19Um, uh...
19:20I'm having problems with, um, with Carter.
19:21What?
19:22No, no, no.
19:23I mean, he's okay.
19:24It's just...
19:25With everything that he's been through, I'm...
19:26I just think he's not settling right.
19:27You can't blame him, can you?
19:28Yeah, I've been reading up about it.
19:29Consistency in the caregiving, that early years.
19:30Right, yeah.
19:32So I was wondering, maybe it might be a good idea if I drop down a few shifts.
19:37Look, I know it's not the best solution, but...
19:39I don't know what else I can do.
19:40I can put a lot of things at the time.
19:41I've had a lot of friends with, erm...
19:42Oh, well, I've had a lot of friends with, erm...
19:43With Carter.
19:44What?
19:45No, no, no, no, I mean, he's okay, it's just...
19:47With everything that he's been through, I'm...
19:48I just think he's not settling right.
19:49You can't blame him, can you?
19:50Yeah, but I'm reading up about it.
19:51Consistency in the caregiving that early years.
19:52Right, yeah.
19:53Look, I know it's not the best solution, but I don't know what else I can do.
19:58There are so many gaps in the rota.
20:02Jan, he needs me.
20:06I mean, I'm trying to find balance, but I just need a bit of time.
20:12Until he gets through whatever this is.
20:15I get it.
20:16He's your family.
20:18Leave it with me.
20:19I can't make any promises now, but perhaps by the end of next month.
20:24Next month?
20:26I'm juggling a lot of people's needs here, Jacob.
20:30Got a show, ma'am?
20:31I'll try my very best, but like I said, no promises, OK?
20:37Thanks, Jan.
20:40Come on.
20:42Oh, Dr. Ornley?
20:43Yeah.
20:44I, er, just, um...
20:46What is it, Dr. Hussain?
20:48Could I have a word?
20:49Yeah, well...
20:52Look, I just thought it was, er, worth asking.
20:54Um, I'm looking at specialties, and I was hoping for maybe a bit of shadowing with Neuro.
21:02But I don't have the connections.
21:03So you want to use mine?
21:04Look, I just, er, wanted your advice.
21:07Come on, Tariq.
21:07You're a confident lad, a great doctor.
21:09Don't be afraid to ask for what you deserve.
21:13Yeah, I'd like to use your connections.
21:15I need help.
21:16And I'd be happy to provide it, as soon as I cleared the backlog on my desk.
21:19Look, if there's anything I could do to help me.
21:21Raise that ridiculous expose from existence.
21:24Least then, I wouldn't be wasting my time healing our reputation and hunting for a whistleblower.
21:28I'm kidding.
21:33Just leave it with me.
21:35When I come up for air, I'll make some calls.
21:36Okay.
21:37Yo, cuz.
22:03Hey, so look, I spoke to Patrick.
22:07He's gonna make a few calls.
22:08Uh, this is, that's good.
22:10So is there anything you want to talk about?
22:12No.
22:13No, not particularly.
22:15Come on, man.
22:17I've just, overworked.
22:20Well, look, maybe you need a bit of help.
22:22I mean, look, with everything that's gone on with you, it kind of makes sense.
22:26What, the, you mean the whistleblower stuff?
22:29Look, bro, we all know it was you.
22:36What?
22:37Look, I'm just saying, it will be a lot easier for...
22:38Wait, wait, wait, wait.
22:39Well, is that part of your deal?
22:42You get your work experience if I take the blame?
22:44What?
22:45No, I'm just trying to help you.
22:46Terry, you know me.
22:47You, of all people, you know me, and you...
22:50You still think I'm like, I can't keep having this conversation.
22:53Okay, look, look, maybe you're not, yeah?
22:56But, but this, look, this isn't you either.
23:00What do you want from me?
23:01I'm doing my job, buy the book, just like everyone wants you to.
23:03Exactly!
23:05Look, I'm sorry, man.
23:07Yeah, I'm sorry, but ever since your dad died, you've not been right.
23:11Look, I see it, Patrick sees it.
23:14Look, we just want to help you.
23:18We.
23:19We.
23:23The team will be down to prep you for surgery, surely.
23:41We need to talk.
23:43I think we've got enough to get on with without a heart-to-heart, thank you.
23:45I've just finished on the phone with a former colleague of yours, a nurse from Marford General.
23:48It was very enlightening.
23:53Maybe we should continue this in my office.
24:04So you've been going behind my back?
24:07What a team player.
24:09With respect, I think it's you that's been trying to play in the team for your mistakes.
24:13I've seen the data.
24:15The shift patterns that you work correlate exactly with the serious patient incidents.
24:18It's like hand in glove.
24:19Let's think about that, shall we?
24:24Perhaps the reason that I have more serious incidents is because I have to take on the patients that you are incapable of treating.
24:31Okay.
24:31Or perhaps, because like that woman in there, people lie.
24:35And when I take on these people, I'm not worrying about what a spreadsheet looks like.
24:39I'm worrying about keeping them alive.
24:40Perhaps you should, too.
24:41Okay, regardless of what I decide to do or not to do, I think both of us know that you shouldn't be working on the floor until the board have been through this.
24:47You are way out of line.
24:49I think you're a danger.
24:52A danger?
24:54Can you name me three procedures that you haven't delegated to a junior doctor?
24:58I'm not saying that your intentions aren't good.
25:03I care about my patients.
25:05Just like every doctor in here.
25:08And like every doctor in here, I make mistakes.
25:12Don't think they don't haunt me.
25:14You need to learn from them.
25:15And take responsibility.
25:18I'm a good doctor.
25:19Maybe it's time to take a back seat.
25:21I need to take some time.
25:37Work some things out.
25:44Hang on.
25:50Come in.
25:51I'll just leave it.
25:55Yeah.
25:56Good.
25:58Is now a good time?
25:59Yeah.
26:01I want to talk about Rash.
26:03Is he going to come forward?
26:05What?
26:05No.
26:06No, look, actually, I don't think he's got anything to do with the whistleblowing stuff.
26:11But maybe he needs some help, too.
26:18Thank you, Dr. Hussain.
26:20About time.
26:35Oh, hello.
26:38Hiya.
26:39No serious injury there?
26:40Well, I think you're right about taking it easy.
26:46Erm...
26:47I've been thinking.
26:49Oh, no.
26:51Erm...
26:52If you want to.
26:55Yeah?
26:56If you feel ready.
26:57I could come with you to talk to the police.
27:04Maybe we could book an appointment this afternoon.
27:10You'd do that?
27:11Yes, of course.
27:13I want to help you.
27:17Look, you can't keep pushing this down, Teddy.
27:21And I'll be there the whole time.
27:23If we go, we have to stop talking about all this.
27:33It's done.
27:33Yeah, OK.
27:34If that's what you want.
27:37OK.
27:41OK.
27:42OK?
27:43Yeah.
27:45Can you make the appointment?
27:46Yeah, yeah.
27:47And then, erm, I'll meet you outside of here after work.
27:53All right.
27:54OK.
27:55Let's do it.
28:00No worries.
28:02See you in a bit.
28:04Turn down any nice plans for tonight?
28:07Does soaking my large feet count?
28:13What is it?
28:14What?
28:19Nothing.
28:23Is it the baby?
28:25Have you heard from Rosie?
28:28Yeah.
28:29And?
28:31And...
28:32She wants a termination.
28:38Right.
28:44I know Down syndrome's a spectrum.
28:51But she's really worried.
28:55Because the baby could need surgery after surgery.
28:58It could have seizures.
29:00It could be incontinently.
29:01All of which can happen as an issue of delivery.
29:04As an accident at two years old.
29:07Nicole, we do not get to pick and choose.
29:10Because we do not get to decide who is worthy of living.
29:15I know.
29:16Down is not a reason for blanket termination.
29:20Yeah.
29:21And I agree.
29:24OK.
29:28So what are you going to do?
29:29I hope that she changes her mind.
29:43And in the meantime, the lovely distraction that is work.
29:47Number four, please.
29:51Oh, right.
29:52This is Leo Rogers.
29:54He's 27 years old.
29:55Involved in a single car RTC about 50 minutes ago.
29:58Car versus fence.
30:00Roughly 40 miles an hour.
30:01He's got reduced lung sounds on the right hand side.
30:03With chest wall bruising.
30:05Self-extricated.
30:06With no other obvious injuries or tenderness.
30:09Right, Leo.
30:10Can you shuffle yourself across, please?
30:12Bring me on.
30:12Somebody will help you.
30:14There we go.
30:14Thanks.
30:17Right.
30:18Initial sets of 92.
30:20Now 98.
30:23Rest is 28.
30:24Pulse 100.
30:25GCS has been 15 for a...
30:27Is that a gram of albeparacetamol?
30:28And four milligrams of ondansetron.
30:31Do you want to take a second line in?
30:33Yes, please.
30:33I would.
30:34Where's Gabby?
30:36Gabby, I'm sure we'll answer questions like that in G course.
30:39I think for the time being, let's keep still.
30:40Can we get him some TXOs and infusion, please?
30:43And fentanyl for the pain.
30:44What have we got?
30:45Say sorry.
30:46Patrick, no, no, no.
30:46Excuse my absence.
30:48I had to make a quick phone call.
30:49No.
30:49Occupational health need to speak with you.
30:51Since you've been reported for an emergency referral.
30:54You?
30:55You've reported me.
30:56I'm concerned.
30:57You seem overwhelmed.
30:58I'm assuming you've got your test results back.
31:00Right, I'm taking over here.
31:01There's a second casualty on how we eat.
31:03I can run primary.
31:04Nope.
31:05Nicole.
31:06Over here.
31:08You did this.
31:24I saw that social worker.
31:26They gave me 30 days before the council evict.
31:29What?
31:30You haven't come storming in like that, breaking me door.
31:33Tom, I'm sorry I didn't...
31:34Sorry?
31:36They're going to take everything away from me.
31:37But they only care about your safety.
31:39Oh, safety!
31:41That was my safety!
31:42With me wife, Dad.
31:48I just...
31:50It felt like I was losing everything.
31:55It all just...
31:58It got away from me and...
32:00And now I really am going to lose it all, aren't I?
32:06I'm going to lose everything!
32:09Jacob.
32:10Jacob.
32:12I'm...
32:16I'm really sorry.
32:18I...
32:18Just go.
32:31Oh, I've got to go anyway now.
32:33Okay, thank you.
32:34We've got Gabby here.
32:35She's the girlfriend.
32:36She's the girlfriend.
32:42Okay, sorry.
32:44What have we got?
32:45Takia 110.
32:47Acute abdo.
32:48Possible bleeding in the abdomen.
32:49Okay, let's get on to the thoracic surgeons and the general surgeons, I think, please.
32:52And should we let theatre know?
32:54Can we have another unit of Oneg through the rapid infuser as well, please?
32:59BP's dropping.
33:02I've lost her pulse.
33:04She's in PTA.
33:05Okay, so on the chest, then, please.
33:07It's got compressions.
33:08And let's get this, er...
33:10Let's get this blood to push through as soon as you can.
33:11Please.
33:12The CT shows the hemothorax, a small hemothorax, three broken ribs.
33:24There's nothing in his apple.
33:25There's nothing in his pelvis.
33:26Chest drain's in.
33:27Why isn't he picking up?
33:28He should be picking up.
33:30Sats are dropping.
33:31Okay, Leo, try to stay calm for me.
33:33The CT showed that the lung was re-inflating, correct?
33:36Well, I don't know what you want me to do with that.
33:40There's an issue with the chest drain.
33:42What?
33:43It's the chest tube. There's a kink.
33:44No, no, I can't be right.
33:45I know what I'm seeing.
33:48Okay, er, we need to remove it and reinsert it.
34:08Dr. Piper, take the lead on this.
34:12I think it should be you.
34:13Come on, step up.
34:14Let's go.
34:35Chest drain removed.
34:37Let's reinsert, please.
34:38Come on, let's not waste any more time, Dr. Piper.
34:43Patrick.
34:44What?
34:44She's a big girl.
34:45She can do it.
34:47And a reefing to the hole and...
34:50I can't get it in.
34:52Come on, this is a simple procedure.
34:59Lost the hole.
34:59Get out of the way.
35:00Oh, God.
35:10Do you believe he's wrapping?
35:11Patrick.
35:13I'm getting Dylan.
35:14No, suction now.
35:15Come on, come on.
35:30Come on, come on.
35:40Come on, please.
35:42Shh, shh, shh.
35:50Shh, it's okay, it's okay.
35:52It's all right.
35:54It's all right, grandson.
35:55Come on, there's nothing wrong.
35:58There's nothing wrong.
36:06Hey.
36:07Everybody's trying, buddy.
36:13Everybody's trying.
36:30It's okay.
36:33It's okay.
36:34It's okay.
36:37Damn it, I can't see a thing.
36:40BP is plummeting.
36:41Yes, thank you.
36:42Uh, that's the other patient on their way up to the theatres.
36:45Wow, Patrick.
36:46What's happened here?
36:48What have you done?
36:49I just can't work out where the bleeding's coming from.
36:52Um, okay, have you activated the major hemorrhage protocol?
36:54Just done it.
36:55Good, good.
36:56Nick, I'll hear this warm blood.
36:57Okay.
36:58Needs to be warm blood going in.
37:00And can we get on to the cardiothoracics, uh, team and let them know that we have a post-intercostal drain complication, probably an arterial injury.
37:08Yeah, I just can't look at a hand on it.
37:09Let me in there.
37:10You've hit the artery, haven't you?
37:12Try to reinsert.
37:13Okay, um, uh, he'll need, um, another dose of TXA, please.
37:17And, um, an own egg, obviously.
37:20Yeah.
37:21Marble is here.
37:22TXA.
37:22Order the, uh, FK.
37:24Good.
37:24Hook that up, please, as soon as we can.
37:29Okay, okay, okay.
37:30Well, look, I don't think it's going to hold forever, so we should get him transferred whilst he's as stable as he is.
37:36Right, everybody ready?
37:38Yeah?
37:39Okay, so nice and easy then, please.
37:47I, I, I, I didn't, didn't realise, please.
38:00There he is, my answer, boy.
38:03Not you, Jacob.
38:05Oh, hey, I've got some great news.
38:07I've managed to secure you some emergency parental leave.
38:12And I can drop your hours in a couple of weeks.
38:15Yes, I can.
38:16Yes, I can.
38:17Jan, um, I'm going to be handing in my resignation first thing tomorrow.
38:25Resigning?
38:28You've already just qualified.
38:31You, you, you haven't given it enough time.
38:35I know, and I'm so grateful for everything.
38:38Oh, Jacob, man, come on.
38:40I can't afford it.
38:42I don't have enough money for full-time specialist care, so I've got to be realistic.
38:45Yeah, but let's try and make it work before you go jump in the gun.
38:51I'm sorry, Jan.
38:54Look, I tried finding balance, but he's got to be my parry.
38:58I haven't got it all worked out yet, but he has to come first.
39:06Control to 3-0-0-6.
39:10Cat 2 in progress.
39:11Details to come.
39:123-0-0-6 to control.
39:15Received.
39:15Over.
39:16Take a bit of time.
39:20This is a big step.
39:22You need to be sure.
39:24Sure.
39:24It's a big step.
39:42Good day, eh?
39:43Always tomorrow.
39:46Yeah.
39:54Ted?
40:04What are you drinking?
40:07Didn't make sense to go home so far.
40:10Wait for you here.
40:13I was just feeling a bit... a bit anxious.
40:16About going to the police?
40:19Not if they don't care.
40:22No, they will. They have to.
40:24Why?
40:25Because a bunch of drunk hens grow up with a lad.
40:28I'm a man, Jodie.
40:30Is that what this is about?
40:33Teddy, if that was the other way round...
40:35But it wasn't.
40:36No, but it should be handled the same.
40:38I just don't want to think about it any more.
40:42I know.
40:48But...
40:50You know, the more that you bury this...
40:53the worse it's gonna get.
40:59Let me be here for you, Ted.
41:01Please.
41:05Come on.
41:06Let me do it with you.
41:08How's he?
41:14Er, yeah, he's in surgery at the moment.
41:17They managed to get to the bottom of the problem with the lung.
41:19But he's stable.
41:21And the girlfriend?
41:22Er, out of the woods.
41:23She's recovering at ICU.
41:25Thank God.
41:26One of you might have come to get me a little sooner.
41:29No, I know.
41:30I...
41:31Dylan.
41:33I know.
41:36The man is a danger.
41:38And not just to his patience.
41:39He was happy to let Nicole pick up after his mistakes.
41:42Yeah.
41:44Okay, team.
41:45Rally around.
41:46Let's debrief.
41:47Nicole?
41:48I don't think there's anything to say.
41:50Have you come to gloat?
41:52No, I really haven't.
41:53I...
41:54I've managed to die in there very much because of you.
41:56Didn't it give you a kick to save the day?
41:57Is that what you think's going on here?
41:59No, there are no winners.
42:00The only thing that I can see is that you can give you a kick.
42:01And I haven't.
42:02And I haven't done anything to say there's nothing.
42:03I'm not going to tell you what I'm saying.
42:04I didn't know.
42:05You must be here with no doubt.
42:06To be honest...
42:07To be honest.
42:08I have.
42:09Let's be honest.
42:10I'm going to tell you.
42:11I haven't.
42:12He's just...
42:13And...
42:14To be honest.
42:15I don't think there's anything to say here.
42:17You've come to gloat?
42:18No.
42:19I really haven't.
42:20No, there are no winners. The only thing that I can see is a doctor who prioritised his ego over his patient's safety.
42:26OK, we'll discuss this at the clinical governance.
42:28You know, I did try to help you. I tried to offer you a different way of doing this.
42:35As it is, either way, you're done here.
42:38Sorry.
42:50Details of organisations offering information and support with pregnancy-related issues or with sexual abuse available on the Action Line pages of the BBC website.