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Casualty Season 43 Episode 2
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Transcript
00:00I think it's best if you don't come to the funeral.
00:02Best for everyone.
00:04Yeah, yeah, of course.
00:05You look after yourself, yeah?
00:07And I'll see you on the other side.
00:09Well, I'm in the wrong place.
00:11Sorry. I'm so sorry.
00:12I have to go to Nigeria and take care of Obe.
00:14Why can't Obe come back here instead of staying in Nigeria?
00:17Home's where his mum is.
00:20I've been given a second chance.
00:23My nana passed away a couple of months ago,
00:26and she was the only family I had.
00:27I'm skint to when a student loan comes in.
00:30I always knew that you were not good enough for my daughter.
00:33I now know what sort of man you really are.
00:36I'm the new clinical leader.
00:37I'm the new clinical leader.
00:44I'll see you next time.
00:45Bye.
00:46Bye.
00:46Bye.
00:48Come on.
00:48Bye.
00:49Bye.
00:50Bye.
00:58Good night.
00:58Meet you.
00:59Good night.
01:00Bye.
01:01Thanks.
01:01Good night.
01:01Good night.
01:02Good night.
01:03former minister
01:04Yeah, we were in, too.
01:05Mind out, mate.
01:07OK.
01:11OK.
01:24Stevie, how many people are in the department right now?
01:26About 20 in cubicles, 50 to 60 in wetting areas.
01:28I would say about 15 in the ambulance queue.
01:30I mean, I could be more specific, but this isn't working.
01:33They told me I was getting a new smart screen for down here.
01:35All the numbers, updated waiting times.
01:37You are.
01:38This one?
01:39Yeah, problem is they say it's going to cost about six grand to mind it.
01:42Six grand?
01:43You're kidding me.
01:44No, much funnier than that.
01:46Something to do with insurance, I don't know.
01:47OK, look, let's chalk this up to IT issues.
01:50But on a normal day, what does this place look like?
01:53Same.
01:54This is a normal day.
01:55Seriously.
02:03I know you're all doing your best by your patients, but I mean, come on, man.
02:07This is crazy.
02:07How does anybody get anything done?
02:09There are patients who've been in ambulances since last night.
02:12Mm, yeah.
02:13Er, he's been away from the NHS for a while.
02:15They're kidding.
02:16Well, maybe it takes an outsider to see what needs to be done.
02:19And what's that, pray?
02:21For a start, no more delays.
02:22If a patient needs admitting, they go straight up.
02:25And if there's no beds?
02:26Well, the wards can find space for them on their corridors.
02:29They could share the risk.
02:30The wards are not going to like that.
02:31Well, tough.
02:32Now, it's about time we stop being treated like a dumping ground.
02:35I think it's a great idea.
02:37And tell me, the trusts have signed this off, have they?
02:40Yeah, I spoke to the side team this morning, told them that this was the plan,
02:42and we're going ahead with it.
02:44So, no.
02:46Siobhan, I need you all to be free.
02:49You need to do what you do best.
02:51If that means making some enemies, then so be it.
02:53Send them my way.
02:54Let's get back to work, please.
02:57Wow.
02:59What did I miss?
03:00Everyone's going to hate us.
03:19Whoa, whoa, whoa, whoa!
03:29Get out!
03:31What the bloody hell are you doing?
03:51Sorry.
03:53I'm really sorry.
03:55Um...
03:55I...
03:56I had a really late night, so I thought I'd just...
03:59So you thought you'd sleep inside an ambulance?
04:01No, well, I didn't know.
04:02I thought I needed to be it, so I thought I'd come earlier.
04:05I just...
04:05I thought...
04:05No, I don't want to leave any more excuses.
04:08Inside, shall we change before Jan sees you?
04:10Just don't tell Jan.
04:12Sorry.
04:17Right.
04:17As soon as these have gone up, we'll start clearing the other corridor.
04:22OK, I'm so sorry.
04:23Our IT system seems to be down.
04:25It's saying you've already gone upstairs, which I know...
04:27I know you haven't.
04:27Um, can I just have a look at that wristband?
04:29Yeah.
04:30OK, let's get her in for an ECG.
04:33Ah!
04:34Oh, whoa, whoa, whoa.
04:35Take it easy.
04:36I'm sorry.
04:36It must be treating more patients, not creating more injuries.
04:39I didn't see it.
04:39I'm so sorry.
04:40Yeah, Brad.
04:41OK, Stevie.
04:42Yeah, good.
04:43Thanks.
04:44Let me have a look.
04:47Ah!
04:47OK, all right.
04:48We're going for a quick extra.
04:49No, I'm fine.
04:50I'm fine.
04:50How long will it take a minute?
04:51I don't have an electric...
04:51What do you do?
04:52Stevie, what's wrong with you?
04:54What is it?
04:55I'm pregnant.
04:57Stevie, you'll need it for that query spinal.
04:59Yeah?
05:00Yeah.
05:00Yeah.
05:05So how far gone?
05:0712 weeks.
05:08Who's?
05:09Rich.
05:10Why didn't you tell me?
05:12I don't know.
05:13What?
05:14What are you going to do?
05:15I don't know.
05:16When's your scan?
05:17I've been booked a scan, OK?
05:18I need to get my head around it first.
05:19Well, how long is that going to take?
05:21Faith, look.
05:21If I have a scan, it's really real, OK?
05:24And I just need a bit more time.
05:26It's already real.
05:27And you're going to have to deal with it.
05:28Yeah, look.
05:29This is why I didn't tell anyone, OK?
05:31We're here.
05:32We're here.
05:40They're coming to help now.
05:59It's OK.
06:01Hiya.
06:01I'm Teddy.
06:02This is Jan.
06:03I'll give me a bit of room so I can help him.
06:05Hiya.
06:06What's your name?
06:07What's your name, lad?
06:09Dollar.
06:10Green.
06:11In my husband's way.
06:12Yeah.
06:13And can you tell me what happened?
06:15The bull.
06:16It's aggressive.
06:17I told Ray that he shouldn't try to deal with it by himself.
06:20But the lad who works for us isn't here.
06:24And this bull, where is it now?
06:28He's secure.
06:29And what does it do?
06:30Did it charge him?
06:31Did it trample him?
06:32Yes.
06:34I don't know.
06:35I was...
06:37Oh, God.
06:38It's all right, all right, OK?
06:39Did you get hurt?
06:40No.
06:42I'm fine.
06:44Looks like a mid-shaft fever fracture.
06:48Going to need to get my traction splint, get a line in, and some pain relief and some TXA.
06:53Jan, do you mind giving me a hand with a scoop?
06:55OK.
06:59Won't be long.
06:59It looks like he's been knocked over by a car, not a bull.
07:06If you look, there's tyre marks, not hoof marks.
07:09Hoof marks?
07:10Sorry, Scooby-Doo.
07:11Have a look.
07:12Have a look where he's laying.
07:12OK, let's get him in before he gets cold.
07:22OK, let me know if it hurts.
07:26OK, we have bony tenderness on palpation of C1 and C2.
07:31OK, good.
07:32Thanks.
07:33So, did you play a lot of rugby, Alex?
07:34No, that was my first match.
07:36All right, OK.
07:36How's that working out for you?
07:37Pretty well.
07:38I think I'm going pro.
07:39Really?
07:39Pro?
07:40OK.
07:40Do you fancy yourself the next...
07:43I actually don't know any rugby players.
07:46No, neither.
07:46Can you squeeze my fingers?
07:47Oh, and Farrell.
07:48Isn't he in the movie with the kid stuck in the cage?
07:50No, no, that's Colin Farrell.
07:51Ah, that made more sense.
07:53So why did they send a rugby player to rescue a football team?
07:55Oh, well, you try.
07:57Was that a rugby joke?
07:58Pass.
07:59That was a rugby joke.
08:00OK, look, let's keep the blocks on for now.
08:03I'll call radiology and we'll book a CT for the C-spin.
08:06Is there a problem?
08:07No, just a precaution.
08:09We have to make sure there's no damage to the bones and the neck before we take off the support.
08:12He might have broken his neck.
08:14Oh, my God.
08:15Sorry, what's your name again?
08:16Laura.
08:17Laura.
08:17Uh, Cam.
08:18Do you want to take Laura out to the waiting area?
08:19I can't leave him.
08:20Miss, I won't do a runner.
08:22Alex, don't joke about it.
08:25I'd better call the head.
08:27I actually can't believe this.
08:28I'll show you where you can wait, OK?
08:30Thanks, Cam.
08:30I'm just going to fill your leg, OK?
08:33She's new.
08:34Yeah, no kidding.
08:37Look, she's really worried about me, huh?
08:40Yeah, seems that way.
08:43I, uh, I think I'm getting why the sudden interest in the rugby.
08:51Control 3-0-0-6.
08:53How far are you?
08:54Laura's got.
08:55I, uh, yeah, not far, we think.
08:56But she's in the middle of a blooming forest.
08:58Over.
09:00Are you sure this is the way?
09:01Yeah.
09:01How's your head?
09:22Yeah, all right.
09:25You're lucky it was me that found you.
09:26Jan had to say at your home and said,
09:28You're very unprofessional.
09:29Oh, that's a really good dad.
09:32I'm here all week.
09:34Hello?
09:35Wow.
09:38Hello?
09:41Hello?
09:42Hello?
09:42Hiya.
09:51Uh, Gloria Scott?
09:52You took your bloody time.
09:54Yeah, sorry.
09:55You weren't that easy to find.
09:56Are you OK?
09:57Oh, don't ask stupid questions.
09:59I'm bleeding.
10:02Hey!
10:02I don't allow men in my home.
10:05Well, you'll do.
10:07Oh, wait.
10:08I'm just a student.
10:10Now, go on.
10:10What, by myself?
10:12Yes, by yourself.
10:13Can I just, uh, assess her?
10:15See if she can bring me in.
10:16OK.
10:17OK?
10:17Yep.
10:19All right, Gloria.
10:23OK, open up for me, Gloria.
10:26OK.
10:27Do you want to tell me what happened?
10:29Have you got an NHS dentist?
10:32No.
10:33Neither have I.
10:34It's ridiculous.
10:35I've been on a waiting list since 2020.
10:38And I couldn't stand it in the end.
10:41I sorted it myself.
10:43Oh.
10:49OK, uh, what medication are you on?
10:52Uh, warfarin or bisoprolol.
10:56So, blood thinners and...
10:58High blood pressure, is that right?
11:00Yeah.
11:00That's not going to help.
11:01OK.
11:02Stick that in there.
11:04And then I think it's going to be a trip to hospital.
11:06Can't we deal with it here?
11:08I'm not in the habit of going off with people I don't know.
11:11And I'm not being funny, but I don't know you from Adam.
11:14Yeah.
11:14OK, well, my name's Indy.
11:17I'm a student paramedic, like I said.
11:19And I grew up with my nan.
11:26I lived with her until she died, about four months ago.
11:30Erm, and now it's just me.
11:32Oh, is that how she grew up in?
11:35No, she didn't own it, so just stick that in there.
11:38Yeah.
11:39Your place is cool, though.
11:41What I could do with something like this?
11:42I tell all the places I'm looking at, the rent is crazy.
11:46I don't know how people afford it.
11:47Well, you've got a good job.
11:49Don't they pay you properly?
11:51No, so these shifts are part of my course, so I don't get paid.
11:54So, how are you living?
11:56Where are you living?
11:58Wherever, really.
12:00I should probably just quit uni and just work full-time,
12:04but this is literally all I want to do, so...
12:07Can you stick that in there?
12:10What do you think?
12:11Know me well enough now to get in the ambulance?
12:12Oh.
12:13I'll get me a bug.
12:18Yeah?
12:19Great.
12:20Right, Ian, we're coming out.
12:22You take that.
12:27Nash?
12:28What's happened to the ambulance queue?
12:30They were queuing round the block this morning.
12:32Yeah, the new clinical lead got rid of it.
12:35What?
12:35Who do you think he is?
12:36Hold down your hands?
12:38Right, let's start primary survey, get a second line in.
12:40Do we have any more information about what happened with this bull?
12:43Er, no.
12:44She was a bit hazy about the details.
12:45She might be in shock, but we didn't actually see the bull.
12:48Just tire marks.
12:50You think he was hit by a car?
12:51I don't know.
12:52I might be wrong, but...
12:53Is there anybody else at the scene?
12:55Just his wife.
12:58OK.
12:58Thanks.
12:59Thanks.
12:59Thanks.
12:59Thanks.
13:07So, now you know everything about me, you've got to tell me your deal.
13:22How'd you end up living so far away in the middle of nowhere?
13:25Well, you know, at my age, it doesn't take too many mistakes for things to go along.
13:31Life doesn't tend to give you second chances.
13:33Never mind third or fourth.
13:35No, it's OK.
13:38Turns out losing everything can be quite liberating.
13:41So can being a cantankerous old bat.
13:48I think we're here.
13:55OK.
13:56I'll get your chair.
13:57Oh, still got legs.
14:00Let's get on with it.
14:03I don't need you.
14:05No, no man allowed.
14:15OK, um, some significant swelling, almost certainly a mid-shaft fracture, some lacerations,
14:21and there's a...
14:22Yeah, well, there's something in here.
14:24What is it?
14:24It's, uh, it's hard to say.
14:26I'm not too sure.
14:27I think maybe a shard of plastic?
14:30Like from a car headlight?
14:34Uh, maybe.
14:35It's, um, hard to say.
14:36Well, it's not from a bull, is it?
14:38Take it out.
14:38Let's have a look.
14:39Uh, we should do a CT scan first.
14:41We don't know how deep it goes.
14:43We don't want to slip and archery pulling out.
14:44All right, all right, all right.
14:45Do a CT scan.
14:46OK.
14:46How are we looking?
14:55No idea.
14:57Right, you can update it on here, but it doesn't say if it just keeps me setting.
15:00Yeah, it's the exact same on the tablets.
15:02This is a mess.
15:02I don't know how we're supposed to know who's actually in the cubicles.
15:05OK, OK, uh, let's do it the old-fashioned way.
15:08Start a paper list and I'll call IT again.
15:11Go see.
15:12Um, do we know if Mr. Prewitt's?
15:17OK, bye.
15:19You OK?
15:20There's a carbon monoxide leak in my apartment.
15:22No one is being left inside the building until it is sorted.
15:25Uh, Mr. Prewitt is in cubicle three.
15:27Yeah, no, you're fine.
15:28Are you sure you're okay?
15:29Yes, fine.
15:30Um, I'll get it sorted later.
15:35Where were you?
15:40You left these in the ambulance.
15:42Oh, for God's sake.
15:45Oh, thank you.
15:47No problem, right?
15:48You take care of yourself, yeah?
15:49No, no, no, wait.
15:54You're carrying that kind of money around.
15:57You could have paid for a private dentist with that.
15:58Yeah, well, I thought I might need it for something more important.
16:01And I was right.
16:03Look, deposit on a flat.
16:05No, Gloria, no.
16:06Get yourself sorted.
16:08That's really kind of you, but I'm fine.
16:11I don't think you are.
16:13I can look after myself.
16:15Yeah, well, that's what I thought.
16:16Still started pulling teeth out my head.
16:18It doesn't mean there isn't a better way.
16:21We all need a bit of help sometimes.
16:25Control 3006, please respond, over.
16:27I've got to go.
16:28What's happening?
16:37It's all right.
16:38It's all right.
16:38We're taking him for a CT scan so we can understand the full extent of his injuries.
16:42Mrs. Green, can you remember exactly what happened with this bullet?
16:45It would really help us piece some things together.
16:48What do you mean?
16:49Well, I mean, was he crushed?
16:51Was he pinned against something?
16:52Was he knocked over?
16:53Was he trampled on?
16:54And if we can understand the mechanism of injury, we are so much better placed to help him.
16:58I want to stay with him, can I?
17:02Yeah, of course.
17:04Of course.
17:04We'll speak later.
17:11Hey, there you are.
17:12Just wanted to let you know that Alex is going for a neck scan.
17:16Are you okay?
17:16The head said that his dad's on the way, but it'll be a couple of hours because Alex boards
17:22and his parents live in London.
17:23Take a seat for me.
17:24I feel terrible.
17:26Will he be paralysed?
17:27No.
17:28I've actually paralysed a kid in my first month.
17:30I don't know what I'm going to do.
17:31He's moving his hands to his feet.
17:32It's a clear indicator he's not paralysed.
17:34I never realised how stressful this job was going to be.
17:37Because if it's not on the ISI report, then it is the performance.
17:39Or if it's a review.
17:41Or it's pressure.
17:42Do you want to grab a wooden chair of the table?
17:45Thanks.
17:46Just breathe for me.
17:47You're okay.
17:49Mrs. Scott's INR is six, which explains the bleeding.
17:52I've written up 10 milligrams of vitamin K.
17:53Have Max Facts been down to review her yet?
17:55No, I don't think so.
17:57Right, okay.
17:58Well, they've had 30 minutes.
18:00So once you've given her that, she can go straight up.
18:02No, there's no beds.
18:03It doesn't matter.
18:05She's their patient.
18:06Do you have to make room for her?
18:07Yeah.
18:07I'm loving this new system.
18:12It's all the good bits and none of the boring stuff.
18:14And plus, you don't have to put up with arsey patients for more than half an hour.
18:17Hello, ED cubicles.
18:26Yeah, I totally understand.
18:28No.
18:30Hang on.
18:31Well, first, you don't need to shout.
18:33That's quite rude.
18:35Yeah.
18:36Well, we're just following instructions.
18:37I don't really know.
18:40This is Mally.
18:41We're not sure if that's a first or a second name.
18:43Passerby saw his car in a ditch room called 999.
18:46Possible pneumothorax on his right hand side.
18:48He's got fractured nose and laceration to his right hand.
18:51Initial stats of 9 to 2 on air, and that's improved now with low flow.
18:54All of the robbers are in normal range, and the C-spine was cleared at sea.
18:58Mally, are you all right to move yourself across?
19:00It's okay.
19:01Yes, sir.
19:02All right.
19:03Well done.
19:04Let's start primary survey.
19:06Rash, prep for a chest drain, please.
19:07We think he has a learning disability.
19:09He hasn't understood much of what we've been saying.
19:11Okay.
19:12No worries.
19:13Can we call the learning disabilities team?
19:17Hi, Mally.
19:18My name's Dr Masson.
19:19I know there's a lot going on, but we're going to look after you, okay?
19:22Just going to have a listen to your chest.
19:23Funny thing.
19:25We found this wallet in the car.
19:27Big, muddy, 4x4 it was.
19:29It belongs to one Ray Green.
19:34The bull guy.
19:36Bonsai.
19:42I appreciate that.
19:44Okay.
19:47Bye.
19:50Oh.
19:51It's our competition services.
19:54They're going to try and get me something temporary while it's sorted.
19:58Well, that's good, isn't it?
20:00Hmm.
20:00Yes.
20:01Just might be a visa issue.
20:04It doesn't matter.
20:06Sorry.
20:07Please don't apologize.
20:08I can see it's obviously very stressful.
20:10It's just, you know, as long as you...
20:12If you feel that you don't need support, I understand because there are things we don't want to share with people.
20:17But if you were to share them with me, I would probably understand.
20:23The only thing I need right now is a proper roof over my head.
20:30Excuse me.
20:30Hey, so you know your PE teacher, a lot of it, right?
20:38Yeah.
20:38Is the panic attack subsided?
20:40I don't think that's what it was.
20:42A paper ACG.
20:45Reminds me of the good old days.
20:47Okay.
20:48Uh, hey, Laura.
20:49Um, my colleague has shown me your ACG results.
20:53How are you feeling?
20:54Yeah, better.
20:55All right.
20:55Are you, um, do you suffer from any heart condition?
20:58No.
20:59Okay, um, just because you're so young and there's abnormalities on your ACG, I do have to ask,
21:04are you taking any recreational drugs, any cocaine, stimulants?
21:08No.
21:09Look, there's no judgment here.
21:11We just, uh, we need to know if you've taken anything so we can help.
21:17All right, it's not even a thing.
21:20Have you taken anything today?
21:21Yeah, just, like, a couple of dexies.
21:23But literally everyone does it.
21:24Like, I don't think I know a single person who got through their exams without them.
21:28Okay, and are you using every day?
21:31Using?
21:32You make it sound like I'm a crack addict.
21:34No, look, that's, that's not what we're saying, okay?
21:36This is just about being honest with yourself, not burying your head in the sand if there's a problem.
21:41I'm not.
21:42Okay.
21:43Okay.
21:44I'm going to run some more tests, okay?
21:46Uh, I'll do CK and troponin and another ACG.
21:50Yeah, there, thank you.
21:52Um, Laura, look, what you do in, in your time,
21:57that's, that's your business.
21:59Yeah, I know.
22:00Okay, but the bottom line is here, you work with kids.
22:03Well, they're hardly kids.
22:04Come on.
22:05That 14-year-old who came in today with an injury,
22:08he got that because he was shown off to you.
22:11He is a kid and he's impressionable.
22:14You're not going to tell anyone, are you?
22:17I could lose my job.
22:18Look, I have a duty of care,
22:19so I have to report this to our safe garden team.
22:22What does that mean?
22:24Am I going to tell the school?
22:25I don't know.
22:26It's up to them to deal with it as they see fit, but...
22:30Look, um, let's get your blood sorted.
22:33I'm going to go and get you some leaflets to read
22:34and just sit tight, okay?
22:37Okay.
22:43Now, so talking about in your head in the sand.
22:46All right, most subtle segue.
22:49Can you go in to NATO and get on the system?
22:51What? No.
22:53No, it's not that simple.
22:54I'm sure it is.
22:55Well, considering their systems weren't better than ours.
22:58Come on, you know me.
22:59I have never wanted kids.
23:01And look, even, even if I did want this kid,
23:03it's, it's, it's just not possible.
23:05Why is it not possible?
23:06I don't know why.
23:07Like, I don't know, it, it, it arrives and it's like,
23:09well, oh, sorry, your dad's dead.
23:10This is your auntie, Siobhan.
23:11I'm your mother.
23:12I can't boil an egg.
23:13Oh, and by the way, I love my job.
23:15All right, all right, just, just calm down, okay?
23:19Look, if this isn't something that you're going to do,
23:21then you're still going to have to make arrangements, okay?
23:28Please, come on, just, just, just go and speak to them.
23:31I said to Laura I'd get her some stuff to read.
23:41So, what, do you think he was trying to steal the car
23:43and Mr Green tried to stop it?
23:45Maybe.
23:46But if he's being robbed, why make up a story about a bull?
23:48Mrs Green, I'm sorry, you need to wait outside for a moment, please.
23:52Mrs Green.
23:53Mally!
23:55What happened?
23:56We were worried sick about you.
23:57Are you okay?
23:58Okay, so, you two.
24:00Mally lives with us.
24:01He helps on the farm.
24:02He's practically family.
24:04Ray?
24:04He's going to be okay.
24:06The bull, you know how he gets.
24:08But you mustn't blame yourself.
24:11Ray shouldn't have tried to handle him on his own.
24:13This was found in the car with Mally.
24:15I think it belongs to your husband.
24:19Blood pressure's dropping.
24:21Ray!
24:23He's tachycardic.
24:24What's happening?
24:25Rush.
24:26Uh, okay, yeah, yeah, that's arterial.
24:28Can we get taurnicate, please?
24:29Yeah.
24:30Something must have shifted when we were taking him from the scanner.
24:32Okay, it's not your fault.
24:33Get some C-lock scores and find a clamp.
24:35Okay, yeah, this taurnicate's not going to work.
24:37It's too proximal.
24:38Yeah, let's get some xylacane around the side.
24:40Pull it out.
24:41And a 50 micrograms of fentanyl, please.
24:43Uh, it needs investigation under interventional radiology.
24:46Well, it's gone through an artery.
24:47It's not going to get much worse.
24:49Okay.
24:54Oh.
24:55Oh.
24:55Oh.
25:01Oh.
25:07Okay, start the major hemorrhage protocol.
25:09Give him two grams of TXA.
25:10Set up a rapid infusion.
25:12Let's get some oneg into him before we transit to theater.
25:15Got it.
25:15Clamp.
25:15Hey, sorry.
25:25Alex, computer had said you'd gone to geriatrics, which seemed, you know, unlikely.
25:28Care, do you mind giving me a hand?
25:29Thanks.
25:29So, uh, good news is radiology's computer system seems to be doing a lot better than ours.
25:35Your CT is back.
25:37It's clear.
25:37No broken bones.
25:39Thanks so much.
25:40No, no, no, no.
25:40Thank you for not, uh, for not breaking your neck.
25:42Okay.
25:42Um, let's get these off.
25:45Keep your head nice and still for me.
25:47About her?
25:49Uh, not yet.
25:51Now.
25:51Where's Laura?
25:53Oh.
25:54I mean, Miss McVay.
25:56Turn that way for me.
25:57Um, she's with a colleague of mine at the moment.
26:00I'm the other way.
26:02Okay, that all looks good.
26:03Do you want to get him up, Claire?
26:05Right, so, nothing serious.
26:07Some bruising.
26:08Bit of whiplash.
26:09But I will write you up some pain meds to take home.
26:12So I can go?
26:13Yes.
26:13You can go back to your pro-rugby career.
26:16Maybe I'll meet someone who likes me for me.
26:21Right, uh, let's, uh, give him a minute,
26:24then take him back to the waiting area to wait for his dad,
26:26and I will sort your prescription.
26:30Pleasure.
26:35Look, Max Vax said there's no space for her,
26:37so we've got to wait down there.
26:38Okay, and what did you say?
26:39It was a band-aid matron, what am I supposed to say?
26:42Just tell her you've got strict instructions
26:43from your clinical lead, and just to take it up with him.
26:46Okay?
26:48Okay, I'm really sorry, Mrs Scott, but...
26:51We are going to have to go back up.
26:53Goodness sake.
26:56Good afternoon.
26:58Uh, sorry to be a call,
26:59but you do have a bed for this patient
27:01before you take her out, yes?
27:03Well, no, um...
27:05Ah, okay.
27:06Well, unfortunately, that means you'll have to stay here
27:08for the time being.
27:09We can't have any more admissions
27:10unless there's a guaranteed bed to go to.
27:13I'm sure you understand.
27:17Right, you just wait here.
27:19I'm going to go and sort this out, okay?
27:24Good.
27:24That should hold it.
27:25Well done.
27:25Let's get him upstairs.
27:28Okay, Mrs Green,
27:29the theatre team will be on standby upstairs,
27:32ready to talk you through the next steps
27:33when we get up.
27:34I'll stay here.
27:37With Mally.
27:38You don't want to be with your husband.
27:40His condition's very serious.
27:42Yes, of course.
27:44It's just Mally.
27:46He has additional needs.
27:47Oh, no, no, no.
27:48We're not.
27:49We'll take good care of him, I promise.
27:51Please.
27:51Hey, Mally.
28:02How you doing?
28:05Do you mind if I ask you about something?
28:10We can't just ignore our own CL
28:12because some surgeon came in and threw his weight around.
28:15Do you want me to deal with it?
28:16Yeah.
28:17Yes, that'd be great.
28:18To be fair, they're more likely to listen to you
28:21than they are us, anyway.
28:22Right, fine.
28:23I'll deal with it.
28:27Mrs Scott, where's your reporters?
28:30Well, on God's green earth, should I know?
28:33Okay, I'll, um...
28:35I'll find out.
28:36Just bear with me.
28:48Hey, young man, do me a favour.
28:56Find me an envelope and a pen, will you?
28:58Uh...
28:59Do you need me to repeat myself?
29:01No.
29:02No, no.
29:02I'm sorry.
29:10He's not going to tell me anything.
29:12Can you chase the learning disability team?
29:14Yeah, of course.
29:15Is that working?
29:16Uh, some of it.
29:18I'm just trying to think it was just an accident.
29:21He's vulnerable.
29:22She doesn't want him to get into trouble.
29:24Why else would she come for it?
29:26This.
29:31I'll call the police.
29:32Yeah.
29:34Ah, there you are, Dr Barron.
29:35I think you should know that I've been fielding calls from ward managers all morning,
29:40complaining that the ED are sending out patients when there are no beds.
29:44Yeah.
29:45I told the site team this morning as well.
29:46Yeah, and they were told that the patients would have to queue in the ward corridors?
29:50I mean, if they can queue on corridors down here, I don't see why they go...
29:53Well, of course you don't.
29:53You see, the thing is that the wards already have more patients than they can staff safely.
29:58What about safety down here?
30:00You should have seen the state of this place this morning.
30:02I'm sure you can solve the challenges of the ED without upsetting the rest of the hospital.
30:08Flynn, I put my reputation on the line backing you for this job.
30:15I'm sure you'll want to create the best possible impression.
30:20Okay.
30:23Oh, we might see each other this weekend.
30:25It's ages since I caught up with Claire.
30:28Give her my love.
30:31Huh?
30:38Stevie, have you seen a...
30:42Oh, dear.
30:47Sweetheart.
30:48It's all right, babe.
30:48Yeah, yeah.
30:49Come here.
30:50Come here.
30:50Come on.
30:51I know.
30:54Come on.
30:56Do you want a receip?
31:05I didn't even...
31:07want.
31:09Kids.
31:09I'm not parent material.
31:12I mean, can you actually imagine anyone calling me, Mum?
31:19I don't want a kid.
31:20I never wanted a kid.
31:21It wasn't part of the plan.
31:24I get it.
31:26It's okay if you don't want to do this.
31:30But if you do...
31:32that's okay, too.
31:35And you don't have to justify it to anybody.
31:38And whatever decision you make...
31:41Come on.
31:43You're not on your own.
31:45You've got me.
31:46You've always got me.
31:49Okay?
31:51Okay.
31:51Yeah, um...
31:54Sorry, who were you looking for?
31:59Laura McVeigh.
32:00She's not in her cubicle at Laura McVeigh.
32:03Yeah, she said she was going to the toilet.
32:06So...
32:06But that was ages ago.
32:09Um...
32:09You okay?
32:11Yeah, yeah.
32:12Good.
32:16Um, we had to stop sending patients upstairs without the beds.
32:19I've sent in the other wards.
32:20Clinical services just stepped in.
32:22So, what, we're just backing down?
32:25We'll have people queuing out of the doors again by the end of the shift.
32:28What happened to not being afraid of making enemies?
32:31We'll find another way to ease pressure on the department.
32:34I promise.
32:35Okay.
32:36Well, I will get ready for a drug round of regular meds.
32:40I didn't get into emergency medicine for bed sores and drug rounds.
32:44It's woodwork.
32:47You know, I thought you was going to be different.
32:51Okay.
32:54Cheers.
32:58Hey.
32:59Do you guys need a hand?
33:00Yeah, please.
33:01Uh, yeah, so a female collapsed in the toilet.
33:03Dextranic vitamin overdose was due to cardiac arrest.
33:05Okay.
33:06Faith, you could hold the board?
33:07Yeah, sure.
33:08Okay, thank you.
33:10Hey.
33:12Hey.
33:13I thought you'd gone home.
33:15Oh, I'm just waiting for my dad.
33:16Um, have you seen Miss McVeigh anywhere?
33:18I can't find her anywhere.
33:19Yeah, look, Alex, there's...
33:20What's happened?
33:22Is she okay?
33:22Okay, no, no, no, you can't go in there, okay?
33:24And I can't give out confidential information.
33:27Alex Newton?
33:29Yeah?
33:29Hey.
33:30I've got your pain killers.
33:32Are you on any medication at the moment?
33:34Uh, yeah, just my ADHD pills.
33:37Dextroamphetamine.
33:37No, that's absolutely fine.
33:38So instructions are inside.
33:40It's two every four hours, and no more than eight in a 24-hour period, yeah?
33:44Okay, cool.
33:45No worries.
33:48You're on Dextroamphetamine?
33:50Yeah, why?
33:51Yeah, Alex, you know it's illegal to sell your prescribed medication.
33:54I don't know what you're talking about.
33:56I'm talking about that.
33:59Wait.
34:02That's because of this.
34:06I mean, I take them, I'm fine.
34:08I only sell half.
34:09Yeah, but you have a medical condition, so your body reacts to it differently, and you're
34:13not abusing.
34:14No, I didn't think this could happen.
34:17Is she going to be okay?
34:18Well, hopefully, but she was lucky she was here.
34:21Am I going to get in trouble?
34:23Look, please don't tell anyone.
34:25You need to go back to the waiting room.
34:27And you also need to talk to your parents.
34:29No, they'll kill me.
34:31I'm so sorry.
34:33Yeah, I know.
34:34These photos show old injuries.
34:46Places bones have been broken before.
34:48Here, and here, and here, and here.
34:57Do you remember other times you've been hurt?
35:02It's all right.
35:03All here to help.
35:08I was sleeping in the barn.
35:11They gave me a sandwich.
35:15Said I could stay, if I helped on the farm.
35:19So you worked for food and a place to stay.
35:23If I didn't go quick enough,
35:27Ray has a chain.
35:29He hits me with it.
35:33Did you ever tell them that you wanted to leave?
35:36They said I owed them for the food.
35:41Okay.
35:41Can we get the picture?
35:43I didn't mean to.
35:44The key was in the car.
35:50I thought...
35:52If I was quick.
35:56But he saw me.
35:58He got in front of me and...
36:00I don't know how to drive.
36:03I just came to tell you, Ray's been taken into theatre.
36:11Please.
36:13He didn't mean to hurt him.
36:14It was an accident.
36:15They aren't here for Mally.
36:18Mrs. Green?
36:19You stupid boy.
36:21What have you said?
36:22Take her outside.
36:22We took you in.
36:24We took care of you.
36:26That's enough.
36:28It's all right.
36:31You're safe now, okay?
36:39Maybe I'm just being selfish.
36:42Bringing you over here.
36:45Maybe he's myself where he is.
36:47He misses you.
36:49He wants to be with you.
36:50I can't...
36:51I can't put a roof over his head.
36:55Anyway.
36:56It doesn't matter.
36:58If I can't find a suitable place,
36:59the Home Office will revoke his results.
37:02What about my place?
37:05He stayed there before.
37:06They approved that.
37:08Just call them.
37:10Then you look and they not even be delayed.
37:13You know what it means?
37:14We will be living together.
37:16Yeah.
37:16Yes.
37:17If you live in my house where I live,
37:19then we will be living together.
37:20Do you...
37:21Do you know what I mean?
37:26Look.
37:27I don't want to rush you.
37:28And I don't want to put you under any pressure.
37:32But if you wanted to, yeah?
37:34I'd love it.
37:38I don't know what to say.
37:40You could say yes.
37:45Yes.
37:46Okay.
37:49Yay!
37:51I've got to get back up with surgery,
37:53but...
37:53We'll get your own one cut for now.
37:56Well.
37:57See you later.
38:01See you later.
38:01See you later.
38:11I spoke to social services.
38:13They're going to send someone over.
38:14Great.
38:15Well done.
38:16It's good to have you here.
38:19Thanks.
38:19Can you hear me?
38:31Can you hear me?
38:32Crash call!
38:34I need some help, please.
38:35Okay, that's two minutes.
38:44Taran key, take over.
38:52Okay.
38:55Can we do an echo, please?
38:56Confirm our cardiac contractility.
38:58Well done.
39:19It's pretty much wonderful.
39:20it's okay
39:2920 minutes for suscitation with no output
39:33more reversible cause is addressed
39:36if we're all in agreement
39:37time of death 1644
39:43like everybody involved in
39:49our woman's care in the staff room at the end of the shift
39:51so laura mcvee is on her way to itu now
39:59did you manage to reach her next again
40:01uh yeah yeah her mom and dad are on the way
40:04what's this an intervention
40:08no faith i've got like a thousand and one things to do today
40:12so come on let's hurry up
40:14it's like you said yourself this morning once you see it
40:19feel more real you wait but you work out what you want to do
40:21and make decisions
40:23come on
40:24all right okay
40:30what's she doing
40:54mounting this screen
40:56isn't that gareth's job
40:58well he's not insured
41:00you're not insured
41:01oh indy hey um there's something here for you
41:08whoo uh the patient you brought in glory scott she asked me to give this to you
41:12oh okay where is she has she been admitted
41:15what
41:19how
41:20how
41:20she came in with bleeding guns
41:23they're not sure it might have been a p
41:25after the war fin was reversed
41:27but um yeah they found her in the corridor
41:29cam
41:30i'm sorry to be the messenger
41:32okay
41:46okay are we ready
42:01Are we ready?
42:02No.
42:04I'm going in.
42:11So what's Natalia like as a babysitter?
42:13Are you kidding? She'll be all over this, Aunty Nat.
42:15All the kids will be dead excited.
42:17Okay. Now you've gone too far.
42:19You're figuring me out.
42:20Sorry.
42:24I'm a bit rusty at this.
42:26The cat again is no heartbeat.
42:36Um.
42:39You know what? I haven't done this for ages.
42:41I'm going to go find someone who knows what they're doing.
42:43Yeah?
42:48So I brought it back down and then Dr. Hussain said that he would speak to the ward manager and deal with it.
42:53Yeah, and then you said we were to stop all admission, so I didn't.
42:57I assumed the nursing staff would have continued monitoring her.
42:59Whoa!
43:00Did you actually speak to any of the nursing staff to make sure they knew they had to monitor her?
43:04You were told at the same time I was.
43:06I was not across that specific patient.
43:08Yeah, but...
43:09Enough.
43:10You're not going to blame this on the nursing staff, Dr. Hussain.
43:13You were the senior doctor in cubicles. The patient was your responsibility.
43:17Okay, just...
43:18Just hold on.
43:19Look...
43:20Technically she wasn't even in cubicles.
43:22Okay, she was in a reception corridor at a time we didn't have a team assigned to corridor patients.
43:28Come on, this isn't on me.
43:30A woman died.
43:32Alone.
43:33In a corridor.
43:34And you're going to give me technically.
43:36Look, I'm just saying...
43:37This is the second time I've seen you buck responsibility.
43:40Second time?
43:41What are you talking about?
43:42I've been on your side about this.
43:43For the wrong reasons.
43:46I'm not doing this to make your life easier.
43:48Or so you can practice more exciting medicine.
43:50I'm trying to help more people.
43:51Flynn, can I bother you for a...
43:53Not now.
43:56The team is only as strong as its weakest member.
43:59Wait.
44:00I don't have any room for dead wood on my team.
44:02So if you cannot rise to the occasion, you can go.
44:04Okay, everyone needs to just take a...
44:06Who do you think you are?
44:08Tariq.
44:09No, don't Tariq me!
44:10He can't come in here and talk to you like this.
44:11I don't give a...
44:12I don't care who you are.
44:14This was your plan.
44:15What happened is on you.
44:17You're the one bucking responsibility.
44:19Right, you're fired.
44:20Get out.
44:21Oh, my God.
44:22See, he doesn't even have a clue how things work here.
44:24You can't fire me.
44:26Get out.
44:27Flynn.
44:28Actually, you're way out of line.
44:30And Tariq is right.
44:31You can't just fire him like that.
44:37Fine.
44:38You're on administrative duties until the SAE root cause analysis.
44:43Let's see how you get on with that.
44:44You know what?
44:45Have your witch hunt without me.
44:46I quit.
44:47Good.
44:56Yeah, sorry.
44:57Tariq.
45:07Tariq, wait.
45:08Tariq, wait.
45:09Wait.
45:10Look, he didn't mean that, okay?
45:11No investigation is gonna put this on you.
45:13You don't have to leave.
45:14Whatever, man.
45:15Look, I don't care.
45:16I'm sick of this place anyway.
45:17It's a mess.
45:18So what are you doing?
45:19He's gonna leave again?
45:20Go where?
45:21Do what?
45:22A mate of mine's got a job in Dubai.
45:23That sounds pretty cool.
45:24Tariq, wait.
45:25Dubai.
45:26Tariq, move.
45:27Tariq.
45:28What about your dad?
45:29He's in remission now.
45:30He's fine.
45:31Tariq, you can't just disappear again.
45:33Why not?
45:34Look, are you seriously gonna spend the rest of your life at a whole BED?
45:37I mean, come on.
45:38Look, there's a whole world out there, cuz.
45:43Look, why don't you join me?
45:45Just do something unexpected for once.
45:47Have an adventure.
45:49Tariq, can you give us a hand, please?
45:51I'll send you a postcard, then.
46:16So you had a positive pregnancy, Dennis?
46:18Yeah, of course.
46:19Do you repeat it?
46:20Yes, Flynn.
46:21I weed on several sticks.
46:22I'm sorry, Stevie, but there's no baby.
46:35All right.
46:36Okay.
46:37Um...
46:38So what are we looking at?
46:39Are we looking at a vacuum aspiration to get rid of the miscarriage, or...?
46:50Um, no.
46:51What I mean is, I don't think there ever was a baby.
46:53There's a mass on your ovary.
46:54And it's quite significant.
46:55Okay.
46:56Fine.
46:57It's fine.
46:58It's okay.
46:59Um...
47:00It's fine.
47:01It's fine.
47:02It's okay.
47:03Um...
47:04It's fine.
47:05It's fine.
47:06It's fine.
47:07It's okay.
47:08Um...
47:09It's fine.
47:10It's fine.
47:11It's fine.
47:12It's fine.
47:13It's fine.
47:14It's fine.
47:15It's fine.
47:16It's fine.
47:17It's fine.
47:18It's fine.
47:19It's fine.
47:20Um...