- 4 months ago
S44E07 >>> https://dai.ly/x9ovb4w
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00:00Something's off. I had patients come in today.
00:03I was told that they had been given morphine, but they were still in pain.
00:06What if somebody's pocketing the meds?
00:08What the heck on the rob?
00:09You okay?
00:10I'll be seeing you first thing in the morning for your exit interview.
00:13Don't be late.
00:14People are in danger. I can just tell them the pills are bad.
00:17Be so naive.
00:18Don't think about showing your face tomorrow.
00:20Mags wouldn't want you anywhere near.
00:23The pills are cut with medicines.
00:26Some of our staff are out tonight.
00:28We celebrate with a bang, right?
00:30How about we dish to doctors then?
00:32Yeah, right.
00:33Now you're stupid enough to rock up here off your faces.
00:36Siobhan was so disappointed in me.
00:38Reader.
00:39No, this isn't on Reader.
00:41It was Indy's mate.
00:42And where is Indy now?
00:44Are you sure you don't want a little sign to keep you up?
00:54Great.
00:55Okay, and does that sound regular?
00:58I don't know.
01:28I don't know.
01:58I don't know.
01:59I don't know.
02:00I don't know.
02:01I don't know.
02:02I don't know.
02:03I don't know.
02:04I don't know.
02:05I don't know.
02:06I don't know.
02:07I don't know.
02:08I don't know.
02:09I don't know.
02:10I don't know.
02:11I don't know.
02:12I don't know.
02:13I don't know.
02:14I don't know.
02:15I don't know.
02:16I don't know.
02:17I don't know.
02:18I don't know.
02:19I don't know.
02:20I don't know.
02:21I don't know.
02:22I don't know.
02:23I don't know.
02:24I don't know.
02:25I don't know.
02:26I don't know.
02:27I don't know.
02:28I don't know.
02:29I don't know.
02:30I had discharged a couple of hours ago.
02:31And when I left this morning for work, Jodie and Rita are still fast asleep.
02:35What about Indy?
02:36Is there any news?
02:37Yeah.
02:38Well, apparently she left with that dealer bloke.
02:41And look, I've been sending her calls, texts, nothing.
02:45Can I get some help here, please?
02:48How are we digging in there?
02:53Good morning.
02:54Barely.
02:55I don't mean to say I told you so, but I think I did.
02:58Yeah, you did.
02:59Is that helpful right now?
03:00Well, I don't know.
03:01If they're lacing club drugs with nitocines, I mean, we're in real deep trouble on me.
03:04Yeah.
03:05Look, I've got my hands on all the naloxone I can get.
03:08Okay.
03:09I don't know.
03:10Do you think an antidote alone is going to do it?
03:11Did you see my latest proposal?
03:13I left it on your desk.
03:14Yep.
03:15Really?
03:16You didn't get the dump and run treatment?
03:17No.
03:18I saw it.
03:19Did you read it?
03:20Yes.
03:21Well, I read the first page.
03:24I mean, okay, but I would say that today, of all days, is a great day to get your head around
03:28the rest.
03:29Yeah?
03:30It's fun.
03:31Oh, God.
03:32It's fun.
03:33Hey, let you turn shift.
03:34Don't look at me.
03:35Have I sleep and caffeine?
03:36I'm fine.
03:37Anything from Mindy?
03:38I don't know what to do.
03:39Okay.
03:40Siobhan, I just wanted to say I'm so sorry.
03:41I'd save it till I've had a bit more sleep if I were you.
03:44Nicole, how long have we got you for today?
03:45Sorry?
03:46Well, you booked leave, didn't you?
03:47A funeral, was it?
03:48Well, yeah, there's too much going on here.
03:49Yeah, but certain things are more important.
03:50I know.
03:51It's actually probably for the best I don't go anywhere.
03:52Right.
03:53Pre-alert en route.
03:54ETA is five minutes.
03:55It's a male stab victim from a house burglary, so I'll put out a trauma call.
03:57Okay?
03:58Yeah.
03:59Yeah.
04:00Yeah.
04:01Yeah.
04:02Yeah.
04:03Yeah.
04:04Yeah.
04:05Yeah.
04:06Yeah.
04:07Yeah.
04:08Yeah.
04:09Yeah.
04:10Yeah.
04:11Yeah.
04:12Yeah.
04:13Yeah.
04:14Yeah.
04:15Yeah.
04:16Yeah.
04:17Yeah.
04:18Yeah.
04:19Yeah.
04:20Yeah.
04:21Yeah.
04:22Yeah.
04:23Yeah.
04:24Yeah.
04:25Yeah.
04:26Yeah.
04:27Yeah.
04:28Hiya lads.
04:29Bed two please.
04:30This is Hugo Atkin-cen, 42.
04:32Stabbed by an intruder at home 45 minutes ago and fell down a flight of stairs causing
04:38a problem being hit home into his occipital region.
04:42Initial LOC.
04:43GCS now seven.
04:44Right.
04:45Move on three.
04:46One, two, three.
04:49to both his arms and his hands.
04:52Bleeding was controlled on arrival
04:55and we can't find any other bleeding sites.
05:00Heart rate is 115 BP.
05:04His BP is 155 over 85,
05:06that's 90, 15 litres.
05:08His rest is about 22.
05:10He's had two grams of TXA,
05:12five milligrams of morphine,
05:13four of an Ancetron.
05:14This is his wife and son.
05:16Did anybody witness the fall?
05:18I was out.
05:20I came home and I just found him lying on the floor.
05:23Someone must have broken him.
05:24Stabbed him.
05:25I put pressure on,
05:27but I didn't know what else to do.
05:29Here, airways maintain
05:30and we've got good bilateral air entry.
05:32He will be OK, won't he?
05:34I'm so sorry, I don't know how awful this can be.
05:37Can we...
05:38Shall we step outside?
05:41What's she saying?
05:42I don't understand.
05:43Can you explain it?
05:45What?
05:45But who even calls themselves Badger anyway?
05:48I mean, it sounds like a...
05:48Can I see my socials?
05:49Are you sure they went to school together?
05:51Yeah, that's what she said, didn't it?
05:52Yeah.
05:54Anything.
05:54I put it in the group chat first thing,
05:56no one's heard from her.
05:58OK, um, what about Jan?
06:00Well, she says she'll let us know as soon as she arrives,
06:02because Indy had that exit interview things.
06:04All right, thanks, mate.
06:06All right.
06:07All right.
06:09I thought you'd be asleep, aren't you, on Hart later?
06:12Yeah.
06:12But what with all this lot going on,
06:14Jan needed some cover.
06:15Plus, he's handed to be on a truck to keep it light, you know?
06:17No, I'm fine.
06:20Teddy, you still coughing?
06:22Are you OK?
06:23Yeah, I'm fine, thank you.
06:24You ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:25Ready?
06:26Ready?
06:26Ready?
06:27Ready?
06:27Ready?
06:28Ready?
06:29Ready?
06:29Ready?
06:32Right, that's the TXC infusion going in.
06:37Er, he needs to go to CT once that's done.
06:39Can you call ahead and let them know?
06:41I'm just going to go and speak to his wife.
06:46Hiya.
06:48So, we've put a breathing tube in now,
06:51so his airway's stable.
06:53Erm, and then he's going to go for a scan,
06:55and hopefully we'll know a bit more.
06:58Sorry, it's just a lot to deal with.
07:01It's OK, love.
07:02You have to do everything you can for Elias.
07:08He's only six.
07:10I'll do my best.
07:12I will.
07:12I will.
07:12It's a bit more light reading during a crisis.
07:22It's a bit more light reading during a crisis.
07:2668 pages.
07:27You've got to be kidding me.
07:28Oh, come on.
07:28I will.
07:28I will.
07:29I will.
07:29I will.
07:30I will.
07:31I will.
07:31I will.
07:32I will.
07:32I will.
07:33I will.
07:33I will.
07:34I will.
07:34I will.
07:35I will.
07:35I will.
07:36I will.
07:36I will.
07:36I will.
07:37It's a bit more light reading during a crisis.
07:3968 pages.
07:40I will.
07:41I will.
07:42I will.
07:43I will.
07:44I will.
07:45I will.
07:46I will.
07:47Come on.
07:58Um.
07:59Indie internal.
08:00What?
08:01She needs her help?
08:02Yeah.
08:03Look, for all we know, she could be lying unconscious somewhere, right?
08:05We have to do something.
08:06Right.
08:07Okay.
08:08I'll source it.
08:09I'll try a film again.
08:10What?
08:11Indie.
08:12I'm not a boss.
08:13Yeah, I know.
08:14I'm not a boss.
08:15Yeah, I know.
08:16Oh, but, Rita, Rita, look how busy we are.
08:18We need to be focusing on the patients we've got here.
08:21How can we, if we know she might not be okay?
08:23Cam is worried sick. In fact, we all are.
08:27Right, er, okay.
08:30Here's what we do. Let's go and brief reception, yeah?
08:33We'll ring around the hospitals, I'll speak to Jan,
08:35make sure we've covered all bases.
08:37We'll find her.
08:46PHONE RINGS
09:16Badger? Badger, are you okay? Badger, are you alright? Badger, can you open your eyes,
09:27Bobby? Badger?
09:33I've got an update. He's in post. Hugo CT shows there's a bleed in three different
09:45parts of his brain. It's what we call a subdural haematoma, a subarachnoid, and an intraventricular bleed.
09:52The neurosurgeons are hoping to operate later today. And they'll be able to fix him, won't they?
09:59They'll do everything they can. Someone will come down and talk you all through it.
10:06It's his parents. Hi.
10:13Are you? Well, I don't know much, but...
10:16Daddy, Paul Nickers, he'll shout at Mummy. Sorry?
10:23They're gonna be great.
10:27Whatever it is, you can trust me, you know.
10:30Later today, but... I'll tell you...
10:33Elias?
10:43There's a family room if you wanted somewhere to be.
10:47Yeah. I think that would be best.
10:51Can you pass my bag? Yeah.
10:53Come on, Elias. Let's go. Come on.
10:58That's it. Just around the corner.
11:00Come on.
11:08An ambulance has been dispatched and will be with you very soon.
11:12Goodbye.
11:14Ambulance service. Is the patient breathing?
11:17Hello? Can you hear me?
11:22Erm...
11:23Yeah, yeah, he's breathing just about.
11:26How does the breathing sound?
11:32Like he's snoring and he seems he won't wake up.
11:36I think... I think he might have...
11:38Might have won, love.
11:39I think he might have taken a pill, but a dodgy one.
11:42I need a... I need a truck on a camera response now
11:44or just send out a general broadcast to someone closer.
11:49Indy?
11:50Is that you?
11:53Yeah.
11:56Okay.
11:58What's the address?
11:59Townsville Crescent number 13.
12:01Right, we will get a truck to you,
12:03but now we must do what we can for the patient.
12:06No, I don't think I can.
12:08How many times have you done this before?
12:10No, I know, but...
12:12Come on now.
12:13Check his airway.
12:14He'll need a jaw thrust.
12:17Firm and secure, okay?
12:19Yeah, yeah, he's always open.
12:21Good girl.
12:22Now, put him in the recovery position.
12:25Keep checking his breathing and his pulse until the crew arrive, okay?
12:29Yeah.
12:32Jan?
12:33Yeah?
12:35I'm scared.
12:36I'll stay on the line until the crew arrive.
12:41Okay?
12:42You can do this, Cindy.
12:43I know you can.
12:46We're waiting on an ITU bed, but as soon as we can we'll transfer him.
12:50And will he wake up there?
12:51No.
12:52Er, he'll be in an induced coma until he's surgery and then likely for a bit afterwards.
12:57I have to ask, erm, is everything okay at home?
13:07What do you mean?
13:09You felt safe there?
13:11Yeah, of course I did.
13:13Only I noticed something on your arm.
13:17My arm?
13:20Yeah, the bruising.
13:22Oh, it doesn't hurt. It's nothing.
13:24Okay.
13:25You only really get bruises like that if you've been grabbed.
13:31Do we have to?
13:35I just want to know that you're okay.
13:37Oh, it must have been the guy.
13:39You know, the intruder.
13:40He pushed past me as he ran out of the house.
13:43Mate, but...
13:44I'm fine, honestly.
13:46So sorry to interrupt.
13:47Dr Piper, I need you in recess now, please.
13:49Okay.
13:50Excuse me.
13:55Unfortunately, recess and the acute recovery area both brought the past in.
14:00Have we got a backup plan?
14:01I don't know.
14:02Cupboards?
14:03Yeah, I'll have all of the cleaning stuff.
14:04Did you get a chance to look at my proposal, by the way?
14:06Uh, yeah, I did, yeah.
14:07Go on.
14:08Yeah, it's good.
14:09It's impressive.
14:10Really?
14:11Even the stuff about...
14:12I mean, I know you call them junkies.
14:13Um, hold on.
14:14This is the chief of the year.
14:15Can I take it?
14:16Yeah, yeah.
14:17I lost it.
14:18I'll have to call him back.
14:19So, go on, the proposal.
14:20Dr Piper, can I borrow you?
14:21Yeah.
14:22Because, you know, it's going to be a busy weekend of graduation celebrations.
14:24The last thing we need is nitterzines flying about.
14:26Are you sure?
14:27Flynn?
14:28Yes.
14:29Just implement it, okay?
14:30Really?
14:31Yeah.
14:32Look, what's the worst that could happen?
14:34I...
14:35The standing room only.
14:36And then, what's this?
14:37Yeah.
14:38Look, believe me, find a solution, Siobhan.
14:40We have got vulnerable patients who need a cubicle.
14:44Mr Greenwood's been waiting for over four hours.
14:48Yeah, I mean, it's far from my deal, I think.
14:51He's got 15% burns and Parkinson's.
14:53He needs his privacy.
14:54Please, can I leave it with you?
14:56Yeah.
14:58Mr Greenwood, hi.
14:59My name is Dr Byron.
15:00Look, I'm so sorry about this.
15:01We're doing everything we can to clear up cubicles.
15:02No, I'm fine.
15:03Honestly.
15:04Are your tremors normally this severe?
15:05Er, well...
15:06You wouldn't even say if they were.
15:07Aidan.
15:08Doing okay, though, buddy?
15:09Yeah, I do.
15:10Yeah?
15:11Yeah.
15:12Um...
15:13Right, have we done ops?
15:14Taken imaging?
15:15Bloods?
15:16Yeah.
15:17And centre bones of plastics.
15:19Right, let's chase plastics and keep them on 50-minute ops until then.
15:33Mr Greenwood, as soon as a cubicle frees up, it's yours.
15:39It's about 50 beats per minute, but it's really weak now.
15:43Hello, paramedics?
15:44Yeah, I'm in here.
15:47Indy!
15:48You okay?
15:49Yeah.
15:50I'm okay.
15:51I'm okay now, Jan.
15:52Thank you so much.
15:53Yeah, can you over there?
15:54I'll leave you with that.
15:55Right, who've we got?
15:56Um, this is Badger.
15:57Sean...
15:58Sean Richardson.
15:59He's got a weakened thready pulse.
16:00How long's it been done?
16:02I actually don't know, cos...
16:03I think he might have taken another pill.
16:05I was...
16:06I was asleep.
16:07Okay, let's get 15 litres non-rebreathed on.
16:09Monitoring, see if he'll tolerate an opiate.
16:11Anyone else here with you?
16:12No, no, it's just us.
16:14Didn't realise you moved in these circles.
16:16It was one night.
16:17It was supposed to be a...
16:18a blowout, wasn't it, Ted?
16:20You and all?
16:21You should know better.
16:23He's bradycardic at 38.
16:24Yeah, let's stroke.
16:25400 micrograms of naloxone and atropine.
16:26Let's get two large ball cannulas in.
16:27We need to get a move on before he goes into respiratory arrest.
16:28Let's do a pre-alert.
16:29Get going as fast as we can.
16:30How long have you been gone?
16:31How long have you been gone?
16:3230 minutes.
16:3315 cycles of CPR and he's been in P.E.A. throughout.
16:34All reversible causes have been addressed.
16:35Right, that's two minutes.
16:36Can you do a rhythm check, please?
16:37Yeah.
16:38Yeah.
16:39He's asystonic.
16:40Come on, Hugo.
16:41He's gone from P.E.A. to P.E.A. to P.E.A.
16:43and there are no signs of life.
16:44How long have you been gone?
16:4530 minutes.
16:4615 cycles of CPR and he's been in P.E.A. throughout.
16:47All reversible causes have been addressed.
16:48Right, that's two minutes.
16:49Can you do a rhythm check, please?
16:50Yeah.
16:51He's asystonic.
16:52Come on, Hugo.
16:53He's gone from P.E.A. to a systole and there are no signs of life.
16:56He's gone from P.E.A. to a systole and there are no signs of life.
17:01He's gone from P.E.A. to a systole and there are no signs of life.
17:12He's had a massive brain injury.
17:17He's not coming back.
17:19Look at him.
17:20If we're all in agreement.
17:22Yeah.
17:23Time of death, 11.34.
17:3411.34.
17:41Plastics have reviewed his images and they want to operate but it won't be till tomorrow.
17:44If he didn't have Parkinson's that might be fine.
17:47He's uncomfortable.
17:48No matter what he says.
17:49Also, he's on the Parkinson's service at Hobbyport.
17:52There's no notes.
17:56We can't have the son eaten off the floor either.
17:58Munches or no munches.
18:00Flynn, can I have a word, please?
18:02Yeah.
18:03Right, yeah.
18:04Your man, Al Greenwood.
18:05No care plan discussed.
18:07No medications apart from levodopa.
18:09We are struggling to get on top of his pain.
18:11Okay, well then he needs a pain team assessment and a PCA to control his energy.
18:15Yes, he does and he also needs a cubicle.
18:18So, once the nurse has handled your discharge admin, thank you very much indeed.
18:24I should tell you about a guilt-free amnesty that we're running in collaboration with local alcohol and drug support.
18:31And it offers you an opportunity to have any drugs that you think might be contaminated to have them destroyed.
18:36Anonymously, obviously.
18:37I think it probably better to be safe than sorry.
18:40Dr Keogh, can I have a word?
18:41You can.
18:43Just leave it with me, would you?
18:44I'll get it sorted, okay?
18:45Don't you want to tell me what the hell you're playing at?
18:54Come on.
18:55You really think people are going to hand their drugs over?
18:57Well, not in normal circumstances, obviously, but these aren't normal circumstances.
19:02And there's a serious risk to life if only more of these contaminated drugs are consumed.
19:06Right, so you're scaremongering now?
19:07No, not if it's handled the right way.
19:09Because diplomacy is one of your strong points.
19:12Even if people handed over their drugs, which they weren't, but even if they did,
19:15we do not have the time or the resources to deal with an amnesty, Dylan.
19:18We're not the police.
19:19Sorry.
19:20This is painfully naive.
19:21This was in my proposal, which you agreed to.
19:23I mean, resource allocation, that was dealt with in the appendices.
19:26Maybe you haven't read it at all.
19:27Sorry, sorry, guys.
19:28Uh, Dylan, you needed him resources.
19:38He's going to be okay, all right?
19:39Badger?
19:40Just try and stay with us, okay?
19:41You're going to be okay.
19:42I've got you.
19:43You'll be fine.
19:44Indy, thank God you're okay.
19:45Indy, you know they're going to do everything that they can, all right?
19:46All right, everyone.
19:47This is Sean Richardson, 21.
19:48Found unresponsive for an unknown amount of time.
19:49Suspected OD, ecstasy laser mitazines.
19:50Airways being maintained with an eye gel.
19:52We've had to suction due to vomit, so potential aspiration.
19:53Okay, let's transfer if we can, then.
19:54Okay, please.
19:55On my count.
19:56Ready, steady slide.
19:57Sorry, carry on.
19:58Thanks.
19:59Uh, RESPs, six.
20:00So we're assisting with his ventilation.
20:01Sats 95, pulse 45, BP 70 over 50, and GCS 3.
20:02Has had 1,600 micrograms of IV naloxone to no effect.
20:04Okay.
20:05We've had to suction due to vomit, so potential aspiration.
20:06Okay, let's transfer if we can, then.
20:07Okay, please.
20:08On my count.
20:09Ready, steady slide.
20:10Sorry, carry on.
20:11Thanks.
20:12Uh, RESPs, six.
20:13Summer assisted with his ventilation.
20:14Sats 95, pulse 45, BP 70 over 50, and GCS 3.
20:15Has had 1,600 micrograms of IV naloxone to no effect.
20:17And 500 miles of fluid running.
20:18Great, thank you very much.
20:19How many films?
20:20Five seconds.
20:21Okay, so we have, uh, biobasal with crackles at the bottom of both lungs, I'm afraid.
20:26Let's get a second line in, though.
20:27Let's, uh, let's get monitoring on a full set of blood.
20:29It starts dropping.
20:30I'm telling you.
20:31Okay.
20:32Okay, so we have, uh, biobasal with crackles at the bottom of both lungs, I'm afraid.
20:35Let's get a second line in, though.
20:36Let's, uh, let's get monitoring on a full set of blood.
20:37It starts dropping.
20:38I'm telling you.
20:39I'm telling you.
20:40Right, okay.
20:41So, yes, let's prepare to intubate, then, please.
20:42And let's do an ECG.
20:45Maybe now would be a good time to check Elias over.
21:00Oh, it's fine.
21:01Aren't you, sweetheart?
21:03He's just in a bit of shock.
21:06All the more reason to check.
21:09Just in case.
21:10Won't be too long.
21:12And I've got something for you.
21:15This is a very special bear.
21:18He gives very good cuddles.
21:20Okay.
21:21Why don't you and Ted come with me?
21:26Come on.
21:28I'm afraid it's not good news.
21:40Hugo suffered complications from the bleeds on his brain.
21:44The damage was just too much.
21:48He died a short while ago.
21:50What?
21:51But you said it.
21:52I said I would do everything I could.
21:54And I did.
21:55I did.
21:56Oh, my God.
21:57What's Elias going to do now?
21:59He hasn't got a dent.
22:00No, don't get it.
22:01Don't touch me.
22:02Here's some deep breaths.
22:03Right.
22:04Can you put your head forward?
22:05No.
22:06You need to pinch your nose, okay?
22:07No.
22:08Kate.
22:09You're having a panic attack yet, okay?
22:10You need to let me help you.
22:11I can't.
22:12I can't.
22:13Why?
22:14Why can't you?
22:15Why can't you?
22:16Why can't you?
22:17Why can't you?
22:18Why can't you?
22:19Good job you're not driving today.
22:22If you've taken something, you shouldn't have.
22:24Didn't I think you were into that?
22:26Let me get some water.
22:27I'll be a sec.
22:28Here.
22:29Um.
22:30Did you get my message?
22:31No, I've not checked.
22:32I've got to.
22:33I've got to.
22:34I've got to go.
22:35Mate, I need a fright.
22:37I'm in a bit of a tight spot and wonder if you could send me.
22:41Yeah.
22:42Yeah, of course.
22:43At that time.
22:44A couple of grandchildren, kinda.
22:45Can we get some clothes, mate?
22:46Well, what I'm here for you, mate?
22:48Oh, I can't.
22:49Oh, I can't.
22:50Oh.
22:51Oh, I can't see anything.
22:52I'm here.
22:53I can't see anything.
22:54Oh, yeah.
22:55Oh, I can't see anything.
22:56Oh, yeah.
22:57You're out for me.
22:58Oh, yeah.
22:59Ah.
23:00A couple of the grandchildren, I know, I know, it's a big part of me, and believe me, if I had enough option, then, what do you need a lap for?
23:09Jacob?
23:11Yeah, yeah, um, look, can we go to the pub later? Talk about it?
23:18Yeah.
23:19Yeah?
23:19Yeah, of course.
23:27Ready?
23:28Mm-hmm.
23:30Okay, so we've got good bilateral air entry there. Let's secure the tube, please, from getting the loxone drip up as well.
23:40How's DCG looking?
23:42Um, the QTC is long, and the QRS morphology doesn't look right.
23:45Yeah, two grams magnesium, then, please, 50 mils sodium bicarb, let's do a blood and a blood gas, please.
23:51Yep, I can do that now. I'll be right back.
23:52Okay.
23:53Uh, Faye, sorry, if you're free, can you send these bloods off on a gas, please? Thank you.
24:01No, but I can't. What's going on?
24:03He's really sick.
24:03I'm so sorry, seeing your boyfriend like that must be awful.
24:09No, he's not my boyfriend.
24:12Oh.
24:14That's good.
24:15Um, sorry, I meant that it was...
24:18No, it's fine, don't worry about it.
24:23Listen, I'm really happy you're safe.
24:25Okay, I can't tell you how worried I was about you.
24:26Cam?
24:30Yeah, come in.
24:40Okay.
24:41Compression should be working now, so can I check the bleeding's stopped?
24:47Has it?
24:48Yes.
24:49Well, the perforation at the base of your nose looks infected.
24:53How long have you been using?
24:54Oh, it's just when I go out, you know, sometimes.
24:59I thought I had it under control, but...
25:02It's not easy. I get that.
25:04You know, Hugo was the one who got me into it in the first place.
25:08He was the one.
25:10But then he stopped.
25:12And I couldn't...
25:16Is that why you argue?
25:21Elias.
25:22Oh, God.
25:24Kate, I have to ask, are these bruises?
25:29I told you, there was a man in my house.
25:32But you also told me that you found Hugo alone.
25:35So, which is it?
25:38Well, I...
25:38I can't remember.
25:41I just want to help you.
25:43No, I can't be helped.
25:44Okay.
25:45So help Elias, then.
25:46I love him more than anything in the world.
25:48Oh, God.
25:51Kate, were you using last night?
25:52I bumped into an old friend.
25:59Well, an acquaintance.
26:02And I got back later than I planned.
26:05And when I came home,
26:07Hugo had their bags packed.
26:10He told me he was going to take Elias away.
26:13My little boy.
26:14I couldn't bear the thought.
26:21And I...
26:21I grabbed a knife.
26:28So there wasn't an intruder?
26:32I didn't mean to hurt him.
26:35I just couldn't stop.
26:37And then he just fell.
26:44Okay, erm...
26:46We'll pack your nose
26:48and give you a referral to the ENTA team
26:50and the Substance Missuse Service.
26:54That won't do any good.
26:57I've...
26:58I've lost everything.
26:59I've lost everything.
26:59What's his name, love?
27:16Amos.
27:17And you are?
27:19Shannon.
27:19His daughter.
27:23Amos.
27:25Amos, mate.
27:25My name's Ian.
27:26I'm a paramedic.
27:26He's in treatment for prostate cancer.
27:30That's why he's got all this gubbins.
27:34And I saw him late afternoon yesterday.
27:37Popped in to give him his tea.
27:39Yeah, how was he then?
27:41Any chest pains?
27:43Did he look unwell?
27:45No.
27:46He was quite perky.
27:48Quite smazzy.
27:50Oh, hello.
27:51It's bad, isn't it?
27:53I mean, you'd be doing all that CPR stuff
27:55if there was any chance.
27:56Right, let's have a look.
28:03I'm afraid your dad has passed away.
28:06Oh!
28:07If it's any consolation from what I can tell,
28:10it would have been peaceful.
28:12When?
28:14That's...
28:14That's hard to say.
28:17I was too late!
28:19I got here too late!
28:20I'm really sorry.
28:25Does he have a care folder anywhere?
28:28There's a box.
28:30In the kitchen.
28:31That'll be his end of life meds.
28:33We'll need that as well.
28:34I'll go.
28:34I'll grab them.
28:35I'm really sorry.
28:45I'm sorry, we need the camera now.
28:47What am I gonna do?
28:59It's still in BF,
29:00so back on the chest then, please.
29:02Let's give him some more adrenaline.
29:03If those DQ pads are on,
29:06and I'm gonna charge to, uh, 150.
29:09Tell me when.
29:10I will.
29:11Okay, so clear then, please, everybody.
29:13Top, middle, bottom.
29:14Shocking.
29:14Okay, no, back on the chest.
29:20Um, right, we'll try again then.
29:22Charging this time to 180.
29:24Everyone clear then, top, middle, bottom.
29:27Shocking.
29:31Ready to get back on the chest.
29:33Oh, no, hang on, hang on, hang on.
29:35Yeah, we've got a sinus rhythm.
29:37We've got a pulse.
29:39Well done, well done.
29:41Uh, okay, so let's do, uh, blood pressure,
29:43let's do blood gas and repeat the ECG.
29:44All right.
29:55Teddy, you all right, man?
29:58Yeah.
29:59So, he's got an in-date DNR
30:01and some just-in-case meds.
30:04Plus some other bits.
30:07Okay, the pharmacy will take them off your hands
30:09whenever you're ready, okay?
30:11I'll update his records
30:13and contact his GP to notify death.
30:18Do you reckon anyone's fed the cat this morning?
30:20Hang on, there's drugs missing here.
30:23Is this all you found?
30:24Yeah, it was.
30:25Why, what else was there?
30:27A couple of boxes of morphine, at least.
30:30Let me go and have a look.
30:38I'm sorry, I know it's not ideal, but it's fine.
30:42Remember, press that button and that pump
30:43will deliver the payment immediately, okay?
30:45This will really make a difference.
30:49Um, so there was one other thing.
30:52Oh, Aidy, why don't you go and find the canteen, eh?
30:55Get a proper meal inside.
30:56Dad, you can't usher me down the shed here.
30:59When was the last time you saw your Parkinson's nurse?
31:06Oh, er, well, you know, I've been taking my medication.
31:10I'm coping fine.
31:11You call this coping?
31:13You burnt yourself because of your tremors.
31:15Do you think it's the disease?
31:18Do you think it's getting worse?
31:20Not necessarily.
31:22Look, I'm not a specialist,
31:24but involuntary movements, or dyskinesia as we call it,
31:27it's often caused by a medication that's at the wrong dose,
31:31or sometimes medication wearing off.
31:33I mean, do you think either of those things could be the case?
31:37Yeah, I mean, I always struggle a bit, you know,
31:39before my next dose is due, so...
31:41Why didn't you tell me?
31:43It's because you're young, you don't need all this.
31:47You shouldn't have any worries, any responsibilities.
31:56But you're my dad.
32:00You're all I've got.
32:06All right, guys, well, look, um...
32:08First step is to speak to your neurologist,
32:10make sure you're on the right medication at the right dose,
32:12obviously.
32:14Well, I've actually been reading up about some stuff myself.
32:17Oh, yeah?
32:18Well, it says online that cannabis can be used
32:20to treat some Parkinson's symptoms.
32:25I'm right, though, aren't I?
32:26Yeah.
32:28Well, look, I mean, there's no official research on the matter,
32:31but, um, yeah, look, if you find yourselves bonding down the garden shed
32:37over some herbal medication, it's not the end of the world.
32:41See?
32:42Just do me a favour and don't quote me on it, OK?
32:45Um, look, I'll go speak to you in Euro.
32:48Try and speed things up.
32:49I'll come back to you, OK?
32:50OK.
32:51No, no.
32:57Just so we can be clear, um, so heroin addicts lack self-control,
33:01and amnesty is hopelessly naive,
33:03but cannabis we're all for.
33:06Sorry, which of the harms are we advocating for this week?
33:08Just hang on.
33:09Because it's pure hypocrisy.
33:10Mr Greenwood is sick.
33:12It's not hypocrisy.
33:12I'm advocating pain relief.
33:14An addicts aren't?
33:15Come on, mate.
33:16It's not a choice, is it?
33:19You sure you found everything?
33:21What's that supposed to mean?
33:22Well, look how you've been today.
33:24I know you were not last night, but this is more than a hangover.
33:26What's going on?
33:27Oh, my God!
33:29He meant to do this!
33:31I can't believe...
33:34Why would he?
33:36When he could have had palliative care?
33:38Oh!
33:40Explains where the morphine went.
33:42All right, take a seat.
33:44Nice deep breaths.
33:48Why didn't he talk to me?
33:51I thought he told me everything.
33:52I thought I knew him.
33:55Yeah, yeah, this is...
33:56This is a real shock.
33:57Just take your time.
33:59He said he didn't want me to have to watch him die.
34:02But is this any better?
34:05Is there anyone we can call for you?
34:07Anyone?
34:10It's all I had.
34:13What am I going to do about the cat?
34:16I don't even like cats!
34:24Elias, there's something I need to tell you.
34:26When your daddy came into hospital, we put him to sleep to try and help him.
34:33But he was just too poorly.
34:36I'm afraid he died a little while ago.
34:40I'm so sorry.
34:43What about mummy?
34:44Yeah, mum needs to speak to the police about what happened.
34:55This is Karen.
34:57Hello, Elias.
34:58She's a play worker.
35:00And you're going to go with her now?
35:01I'd like to stay with you.
35:03It's okay to be sad.
35:07But you need to remember...
35:09...that none of this is your fault.
35:13Okay?
35:13Because I was like you once.
35:19I felt I was all on my own.
35:22I just wanted someone to come and look after me.
35:24And then one day, they did.
35:30And that person was kinder than anyone I've ever met.
35:35So it's going to be okay.
35:37I promise.
35:38Yeah.
35:41Come on, then.
35:42You sure you're okay?
35:59Like earlier with the morphine?
36:00I am.
36:00Yeah, I said, er...
36:02You know, if it was the other way around, I probably would have thought the same as you.
36:04So, it's fine.
36:08You're a good man.
36:09Alright.
36:10Let's go and see if this cat's alright in the back.
36:12I can't believe you took it.
36:16Well, I thought I didn't want to keep it.
36:19Cat's shelter's not that far away, so...
36:21Aren't many who care as much as you?
36:24Stupid, she means.
36:26Takes one to know one.
36:36What's that?
36:40Right.
36:40Right, right, right.
36:42I can explain.
36:47It's operable.
36:49Look at me.
36:50I've been having heart problems again.
36:55AVR and T.
36:55Since when?
36:57A few months.
36:58Months?
36:59Teddy?
36:59I thought I could deal with it by myself, but since the shortages, I can't get a hold of my meds and, yeah, I've been half in my doses.
37:08Oh, yeah?
37:08How's that working out for you?
37:10I ran out.
37:11I ran out completely.
37:12So you nicked some?
37:13I know, I know it's not right, but if I take him to the pharmacy, they'll just destroy him anyway, and I don't...
37:17How's that fair?
37:18How's that fair when I'm...
37:20Teddy, if you'd have talked to me, I could have helped.
37:23No, because if I tell you, then it goes on my record, then I'll never be considered for heart again, will I?
37:27Are you going to report me?
37:37Because I get it.
37:38I understand it if you do, but I feel like if I don't get this under control, I feel like I could die.
37:56Take this back to the pharmacy, yeah?
37:57If that's what you want.
38:02That's what I'm saying you should do.
38:05Officially.
38:07Yeah.
38:08Yeah, I will.
38:10Control to 3006.
38:12Let us know when you're clear.
38:143006, Control, yeah, we'll be clear shortly.
38:17All right, buddy, okay, okay.
38:29Okay, Brian has a suspected closed distal left tibial fracture after slipping on the pit fan in the lines.
38:35Uh, non-neurovascular compromise, no other injuries, and obstistable.
38:39Uh, he's at Enterlox, one gram of IV paracetamol and ten milligrams of morphine.
38:43Uh, he is still saying ten out of ten pain, though.
38:46Oh.
38:46All right, my man.
38:47Oh.
38:47And they're going to look after you, okay?
38:48Yeah.
38:49You'll be back on the sideline in all time.
38:50Thanks.
38:51Uh, right, we'll just get you connected up.
38:54You're on the gas in a second, Jacob, I did go ahead and check you in.
38:58Jacob?
38:59Hmm?
38:59Can you just clarify how much morphine you've actually administered again?
39:04Five at the seat and five in the truck.
39:06Come on, Faith.
39:07I know what I'm doing.
39:08Yeah, I...
39:09It's okay.
39:12Please be seated.
39:31If I may invite Cassie to come and bring us a few words.
39:42I'm sorry.
40:03I can.
40:12Fibon.
40:14Fibon.
40:14Fibon.
40:14Fibon.
40:14Fibon.
40:14Fibon.
40:42When I first met Maggie, I didn't think anyone cared.
40:49I definitely didn't trust anyone.
40:51But then Mags took me into her home and she showed me just how much someone can care.
41:04She did it in her own Mags' way.
41:10No airs, no graces.
41:12Just unconditional love.
41:16She wasn't just a foster carer.
41:18She was more than that.
41:21She was a mum.
41:35And I hope she knew the difference that she made.
41:40She was a lady.
41:42Nobody knew who was married.
41:56What?
41:57John.
41:58A kasih.
41:59Listen, guys, I know you're all exhausted
42:25and we are snowed under,
42:27but I'm afraid
42:28the police just released a bulletin
42:30outlining the fact that they found hospital-grade morphine
42:33on the streets.
42:34What?
42:35They'd like any information that we can provide them
42:37to help further their inquiry.
42:39Now, given the potential severity of this situation,
42:41I need to remind you anything you do offer
42:43must be substantiated.
42:45Pleading no disrespect, we're rushed off our feet as it is.
42:48Yeah, I know.
42:49So we're going to make sure that patients are priority
42:51first and foremost, OK?
42:52When we get more staff in, we will.
42:54Right.
42:55Listen, we're also going to be running drugs
42:57amnesty program out of the acute recovery unit
43:01for anyone wishing to hand their drugs in.
43:04We'll be working with the police
43:05and addiction services in combination,
43:07and Dr. Kiel will be the lead from our side.
43:10Any questions, please direct them his way.
43:13All right, let's get back to it.
43:14Yeah.
43:22You were right.
43:24We've got to do something.
43:29They've sent him to ICU.
43:31The doctors seem positive.
43:33Well, that's something.
43:35I'm normally a box-it, Bovril kind of girl.
43:4099% of the time, we make the right choices.
43:44It's the 1% we don't that live to haunt us.
43:48It was supposed to be a night to celebrate.
43:51But...
43:53I just kept thinking that
43:55none wasn't there to see me graduate.
43:58Or anyone from here,
43:59people I actually care about.
44:00Well...
44:04I'm really sorry
44:06about all that stuff with Dad.
44:08It was bad.
44:09I'm sorry.
44:11But that's why I'm going,
44:12because I've messed up
44:14the only good thing in my life.
44:17Come on, now.
44:17We've all done stupid stuff.
44:19Not as stupid as me.
44:22Oh, I don't know.
44:23There was that time that I lost all my clothes.
44:26I mean, all my clothes.
44:28Oh, that was stupid.
44:33I just didn't...
44:34I didn't realise how much
44:35it felt like family here.
44:38A dysfunctional one, maybe, but...
44:41Hmm?
44:47Look.
44:49We do have a vacancy here
44:52if you want to apply.
44:58Where did you do that?
45:01Where did you?
45:02Oh, my God.
45:03Oh, my God.
45:07Is it safe to come in?
45:09Guess who's staying.
45:10No.
45:11Yeah.
45:11We can't get rid of you, can we?
45:13No.
45:14What have I done?
45:15Well done.
45:19See, Ness?
45:20Lost a little grade morphine
45:21on Holby streets.
45:22Yeah.
45:26Not just a couple of vials, either.
45:28Where the hell is that coming from?
45:30Thanks for what you said.
45:54It's nice.
45:57I meant it.
45:58You OK?
46:03Did they do that?
46:06Did they?
46:06It's just a tap.
46:08And you think that's fine?
46:12I don't have a choice.
46:14Yes, you do.
46:16I can help you.
46:19No, I told you before.
46:21Yeah.
46:21And that was different.
46:23Look at you.
46:26You know what they're like.
46:28And you know what they do to people.
46:30And I...
46:30I can't...
46:33I can't have them do that to you.
46:35I can't.
46:36Just come with us.
46:39Come now.
46:41Go.
46:41Look, once you're in my flat, you'll be safe.
46:44And then what?
46:45Whatever you need.
46:48Cassie.
46:49I don't know.
46:50Please.
46:51Maggie would want me to help you.
46:55Wouldn't you?
46:57And she would want you to let me.
46:59Please.
47:07Lady?
47:08Want some drink?
47:11Yeah, it's happened again.
47:14Another patient in agony after apparently being given 10 milligrams of morphine on the way.
47:21And who's truck?
47:23Jacob's.
47:25No, come on.
47:27Should they not have anybody?
47:28I asked them could there possibly have been a mistake, but...
47:33No, he was adamant that there wasn't.
47:36Do you know what?
47:37Earlier in the station, after we saw the police bullet in, he...
47:40He made a call.
47:42He did look stressed.
47:44I'm so sorry.
47:45This will ruin his career.
47:47And ours, if you keep quiet.
47:49Look, I know he's your mate.
47:53Best mate?
47:55Your best mate, I know, but...
47:56You're going to have to tell Jan as soon as possible.
48:02Hmm.
48:03Hang on, please.
48:04Ian, please, come on.
48:05I'm serious.
48:06Because if you don't, then...
48:09I will.
48:10I'm serious.
48:20You're going to have to...
48:21I'm serious.
48:22You're going to have to say, you're maybe...
48:23I'm serious.
48:26You're going to have to tell you...
48:27You're going to have to tell me...
48:27Transcription by CastingWords
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