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S44E09 >>> https://dai.ly/x9pp5ym

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00:00I want to go back to Nigeria.
00:03Yeah, it's happened again.
00:05Another patient in agony after apparently being given 10 milligrams of morphine on the way.
00:11A new stroke.
00:13Jacob's.
00:15A word now, please.
00:17What have you done?
00:23So that's it then? Just running back to them?
00:25Leave it, Nicole!
00:26No, I won't leave it.
00:27They're literally pimping out your friend.
00:29And what are they going to do to you?
00:31When you've got no pills and no cash, what then?
00:33I don't have a choice.
00:34Yes, you do.
00:35You know what they're like. You know what they can do to people.
00:38Once you're in my flat, you'll be safe.
00:49Don't you sleep?
00:51They keep calling.
00:53Well, once you're on the train at Newcastle, it'll all be all right.
00:55Helen's lovely.
00:57And I'm just going to let you stay until you've found your feet.
01:01Not since first school.
01:03Lucky you.
01:05We just need to get you somewhere safe.
01:08And...
01:09New phone.
01:11Old phone.
01:15Thank you, Nicole.
01:16Yes, boss.
01:17Hey, Nicole.
01:18It's me.
01:19I'm sorry to call you on your day off.
01:20Nope.
01:21I can't.
01:22Come on, Nicole.
01:23I've had three people calling sick already.
01:24Sorry, but I've got plans.
01:25Look, I know you're a team player.
01:26Can you take a free to recess one, please?
01:27Go.
01:28I'll stay here.
01:29Sure.
01:30Right.
01:31OK.
01:32But I can only do till 1, right?
01:33Okay.
01:34You're a life saver.
01:35Thank you so much.
01:36Right.
01:37I've booked your taxi for one.
01:39So I'll see you in the ticket hall at 1.15.
01:41Yeah?
01:42Do not leave the house until then.
01:44Okay, but I can only do till one, right? Okay, you're a lifesaver. Thank you so much
01:51Right I booked your taxi for one
01:54So I'll see you in the ticket all at 1 15. Yeah, do not leave the house until then don't answer the door to anyone
02:01I know. I know. Yeah, so 1 15. Yeah
02:10Nicole yeah
02:14Nothing
02:16See you later. Okay. Bye
02:44You can't be here. I didn't steal any morphine. I haven't done anything wrong
02:57Like I told you already, there's a process. You're not allowed to be here. Come on, Dan
03:11You know me
03:13That doesn't make any difference
03:15There has to be an investigation
03:19Come on, mate. You should go on
03:21Me?
03:23Faith went to jail without me knowing
03:25Look
03:27I'm not going anywhere. But you can't go out
03:29Ian's covering your shift
03:31We'll find him
03:33I'll stay non-clinical
03:35Thanks guys
03:37Okay, let's get you lying down, sir. I don't need to lie down, love. I just felt lightheaded. That's all
03:53Let's treat you. I need to get back to work
03:57Well, if you don't want us to treat you, you have to self discharge
04:01So, can you hear me?
04:03Can I get some help?
04:05Yeah, I'll get the crash trolley
04:07The trip is early
04:09Thank you
04:15Faith?
04:17Jacob's come in this morning
04:19Jenna's got him working in the breakbox. He's still saying he can do it
04:21I mean, come on, of course he is
04:23Ian, there is hospital-grade morphine on the streets
04:27So somebody's pretending to give it and pocketing it
04:29Yeah, but I was dealing with it
04:31I'm not even convinced to you, is him?
04:35Uh, well, okay
04:37But
04:39If nothing goes missing whilst he's not in the ambulances, then
04:43Then it has to be him, doesn't it?
04:53How's he, David?
04:55He's in sinus unconscious since the first shock
04:57He's just a bit agitated
04:59Uh, agitated
05:01All right then, we've got you
05:03I'm Dr Piper
05:05No! No! Don't! Don't do that!
05:07Can't tell me what to do
05:09We are trying to help you, but we can't if you don't keep still
05:11What my colleague is trying to say
05:13Is we think there's a blockage
05:15In one of the arteries to your heart
05:17So when you collapsed earlier
05:19And maybe when you passed out at work
05:21That was a cardiac arrest
05:23So your heart literally stops beating
05:25So your heart literally stops beating
05:27But it's okay
05:29We're gonna send you upstairs to the cath lab for a primary angio
05:31Okay?
05:33Is there someone you want to call?
05:35Office
05:36Oh for God's sake
05:37Sir, you've had a heart attack, you almost died
05:39Your office does not care
05:40And cosy
05:41Can I have a word? Outside
05:43Sorry, Glyn
05:49Erm, you are in good hands
05:51The team upstairs are brilliant
05:53Erm, it won't be too long, okay?
05:57Hi
05:59What's going on with you?
06:00Nothing
06:01Come on, it's me
06:03It's nothing, it's just...
06:05Everything
06:07Everything
06:08Yeah, that's where it's going
06:09There
06:10Yeah
06:11I don't think so
06:12Er, can we get a hand here please and gossip?
06:14Of course
06:16Shout
06:17If you...
06:18Want to chat?
06:28So they said there's a teenager trapped under a van
06:30But they haven't said whether it's a boy or a girl
06:32Or anything like that
06:33Mmm
06:343-0-0-6 control key
06:36Tell us which level we're on
06:37Cos we've been struggling
06:42Forget that control
06:43We are on scene
06:46Oh, you're such psychos
06:48Are you the driver?
06:49Where have you two been?
06:50Have you two looked after them?
06:51Yeah mate
06:52My name's Ian
06:53Paramedic
06:54What's your name, buddy?
06:55Freezer
06:56Alright, Freezer
07:00Okay
07:01I can't get it out
07:02Hold tight for me mate
07:03Come here now, we're gonna look after you
07:05Are you paining him mate?
07:06I didn't see him
07:07I took a call
07:08I took quick
07:09Yeah, it's easily done, love
07:10Do you have any pain in your neck or your chest?
07:12No
07:13No, just to my leg
07:17I'll update control
07:19Yeah
07:20Okay
07:22Are you paining up, Ed?
07:23Yep
07:24My driver's got too bad
07:25Right
07:26I don't think we're gonna be able to get them out before the fight brigade arrive
07:29Can you get a line in?
07:30I'm gonna drop some morphine to make him feel a bit more comfortable
07:33Freezer, you got any allergies?
07:35I only just passed my test
07:36Yeah, don't worry about that mate
07:37Any allergies?
07:39No
07:40I'm gonna be 20 minutes
07:4220 minutes?
07:43Well, okay, thanks
07:44Anyone you want us to call, love?
07:45Oh, he's gonna kill me
07:46My dad
07:47I'm sure you mean more than a bike
07:48Right
07:49Nearly there mate
07:50Okay, muffin going in
07:51Oh
07:52It hurts so much
07:53It can take a while to kick in
07:54Don't worry
07:55That's quite normal
07:56There we go, that's in
07:57Let's see if I can get
07:58I'd better look at this leg
08:00It's totally trapped, Ed
08:01Between the van and the bike
08:02So, Mr. Routledge is here
08:03I'm sure you mean more than a bike
08:04I'm sure you mean more than a bike
08:05Right
08:06Nearly there mate
08:07Okay, muffin going in
08:08Oh
08:09It hurts so much
08:10It can take a while to kick in
08:11Don't worry
08:12That's quite normal
08:13There we go, that's in
08:14Let's see if I can get
08:16I'd better look at this leg
08:17It's totally trapped, Ed
08:18Between the van and the bike
08:19So, Mr. Routledge is ready to be discharged
08:24And Mrs. Singh is waiting for her CT
08:26Sorry
08:27No, go on
08:31What have you forgotten?
08:33Er
08:34Well
08:35Actually, nothing
08:36But I don't need to
08:39I've tapered my antidepressants
08:42And today's my first day off
08:43Big step
08:44Yeah
08:45Yeah
08:46I'm a little nervous, but
08:48Yeah, of course you are
08:49You just don't want to take on too much too soon, yeah?
08:52But actually, we're on cubicles today
08:53So we're going to have a nice, normal, low, medium-ish, pressure kind of day
08:59You'll be fine
09:02Hey
09:03Hey
09:04Er, are you free later?
09:07After work, yeah
09:08So, tell me if this is mad
09:10But Jake's in this evening
09:12And he's never in
09:13So I thought we could get a takeaway
09:15My treat
09:16And you could meet him
09:17Yeah
09:18Yeah
09:19Yeah, of course
09:20Yeah
09:21Er, great
09:22I'll see you later then
09:27Down
09:28Yeah
09:29Hey
09:30Mrs. Pearce
09:31This could go out any minute
09:33What's the update?
09:34Why are we still fifteen minutes out?
09:35Are you joking?
09:36Did you find a bleeding?
09:37No
09:38Whose blood is this then?
09:39Right, we need to get him out
09:40We don't know the extent of this leg injury
09:41We could make it worse
09:42It'd be agony
09:43We haven't got time
09:44Come on
09:45Brian, we'll give him some more morphine
09:46It does really hurt
09:47I know mate
09:48We'll give you this morphine and then we're going to pull you out, alright?
09:50No, no, no, you can't wait for the fire brigade, that's what you said
09:53Indy, Indy go, please go
09:55Ready?
09:56Just like that
09:57Can you feel this?
09:58Yes
09:59I can feel everything
10:00Please, Dad, you don't have to rip my leg off
10:01Please
10:02Take your eyes open up
10:03Let me have a look
10:04He said fifteen milligrams
10:05That's enough
10:06Please don't
10:07I can still feel everything
10:08Come on, we need to go
10:09Right, on three
10:10Right, I'm sorry
10:11No
10:12No, no, no, please
10:13No
10:14No
10:15Please
10:16No
10:17Ah
10:18Ah
10:19Ah
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11:00Ah
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11:03Ah
11:04Ah
11:05Flu, maybe Covid?
11:07She's really not right. I came down to leave for work and she was asleep and the kids were playing all over her.
11:12I'm just tired.
11:13Are there any aches or pains, any injuries?
11:15No.
11:16You've got that burn?
11:17It's nothing to do with it.
11:19Can I see?
11:21Shall we take the kids out for some fresh air, Mr Morgan?
11:24They're fine.
11:25How did it happen?
11:27Cooking, wasn't it?
11:28Yeah.
11:29OK, we've got a source of the infection. Let's get a litre of heartburns and let's do one gram IV flucoxicillin, please.
11:39And Reid, can you get someone to take the children to the family room?
11:42Absolutely. Hazel, are you free? Family room, please.
11:45OK, you're going to follow this lady. Off you go. Dad, too, please. Thanks.
11:49Reid, let's do blood cultures, venous lactate, and let's keep an eye on her urine output. Follow the sepsis protocol.
11:56All right, mate, shall we get you down?
11:59Do something on my own, am I dead?
12:03Right, I'll just be a minute.
12:26Hello?
12:27Hey, what's your name?
12:29All right.
12:30Indy, can you call for backup? We need another P1 one floor up now and bring the bag. Make sure you do it.
12:34Right, just stay as calm as you can for me. I'm Teddy. I'm a paramedic. I'm going to try and help you breathe.
12:39Open your mouth for me.
12:43Take a deep breath for me.
12:45Take a deep breath for me.
12:48Well done.
12:49Give me another one.
13:00Whoever she is, you're going to tell it yourself. You are. Yeah?
13:06It's us. Not here. You know what to do.
13:08Right, right, see? You're going to be fine. You've got a needle, and you've been contentioning in your thorax, and that's why she couldn't shout for us.
13:21So, I'm going to insert this small needle into the side of your chest. It's going to relieve the tension, and it's going to help you breathe. Okay?
13:29I've got you.
13:45Hi. Um, before I forget, I won't be able to make the meeting tonight.
13:50Hey, how come?
13:52Obi's not happy.
13:54Okay, it's only an hour.
13:57It's just he hasn't settled that school here. He's missing home.
14:01What? Home, home?
14:03You're not missing home, are you? I didn't know.
14:07Could he not just, I don't know, change school?
14:12Okay, as your sponsor, allow me to prioritize you.
14:16I think children are happy when their parents are happy. I think.
14:23Do you feel this?
14:24No.
14:27Can you tell me exactly how this happened?
14:29I said, cooking, with the kettle. What else would it be?
14:35Fiona, this is an isolated full thickness burn. It's not what we'd expect from a kettle.
14:41The shape isn't consistent, the depth isn't, the location isn't.
14:46What difference does it make?
14:47Well, I, I can't treat your wife properly unless I know all the facts.
14:54I went to Malaga with some friends last weekend.
14:58First time I've been away since the kids were born.
15:01We drank a lot, obviously, and on the second night someone suggested we do what we used to do.
15:08Just for a laugh.
15:10It's from a NOS canister.
15:12You're kidding me? You have a weekend away and that's what you go and do?
15:20I'll get someone from plastics to see you, just in case we need to do a skin graft.
15:25A skin graft?
15:26I just fell asleep next to the canister.
15:29Try not to worry. We need to get the infection under control. You've had the flu clocks.
15:33Rita, let's get 500 milligrams of metronidazole for broader cover.
15:37I've been on antibiotics all week. I phoned the GP on the day I got back.
15:42I haven't missed a dose, I promise.
15:45Oh. Right. Okay.
15:51What do we give her now?
15:56Okay, guys, repeat two, please.
16:06Hi, this is Fraser, 17 years old.
16:09About 90 minutes ago the motorway was riding and went into a van at speed.
16:13Initially we were trapped underneath, but due to scene safety we had to replicate rapidly causing further trauma.
16:19As far as suspected, a typical fracture, decreased dyslitalisation and a weak pedal pulse.
16:22We cleared his C-spine at the scene.
16:25Right, if everybody's ready, please, cross on lift.
16:27Ready, brace, lift.
16:29There we go, thank you.
16:31His GCS is 15.
16:33Sats 86.
16:35Rest is 22.
16:37Pulse is 115 and BP is 105 over 75.
16:40He's had a gram of IV paracetamol, 1.2 of Coimoxicab and 15 milligrams of morphine, but we cannot get on top of the pin.
16:46It's so bad, yeah.
16:48Okay, er, Faith, can you titrate 10 milligrams of IV morphine, please?
16:52Okay.
16:54Call, PBB and C, and feedback, er, cams...
16:57There's something wrong with the morphine on the ambulances. There has to be.
17:01Erm, I'm not going to ask you to make...
17:03Okay, okay.
17:05Are you coming? They've got him.
17:07Yeah, one minute.
17:08Yeah, sounds clear.
17:09He's got a pelvic binder in place.
17:10I haven't looked underneath that and I'll do the afternoon now.
17:11Hey, he's been feeling bad about the accident. I've let him know the van driver's okay, but he wouldn't believe me.
17:17All right, you're going to feel a bit better in a minute. It's just going in now, okay?
17:21Oh.
17:23Oh.
17:25Oh.
17:29Okay.
17:30Erm, I'm going to keep this binder on until we're happy with the trauma scan.
17:33Nicole, you care to check the leg?
17:35Cam, let's make sure we're using a whiteboard cannula, please.
17:37Yeah, I've got it.
17:38Stevie?
17:39Yeah?
17:40There's no pedal pulse.
17:41You may have a compartment syndrome.
17:42Great.
17:43Okay, erm, Faith, can you get a cannula, an art line?
17:45Er, let's take a pressure in this leg.
17:47And Nicole, can you call surgery?
17:48Thanks.
17:50You're wrong.
17:53About my office.
17:54What I do there matters to a lot of people.
17:58The cath lab are ready for you.
18:00Mr. Hill...
18:01I apologize.
18:02I was worried about my son.
18:03And I was rude.
18:04I'm sorry.
18:05We spend so much time with the people we work with.
18:08We share our news.
18:09We tell them what we watched on TV.
18:10Then we pass out on our desk.
18:11And no one rides with us in the ambulance.
18:12Is there no one else you'd like to call?
18:14My ex?
18:15They wouldn't come.
18:16We play Scrabble online together.
18:17I think they'd let me win.
18:18we all have that one person.
18:19We play Scrabble online together.
18:20We play Scrabble online together.
18:25I think they'd let me win.
18:31We all have that one person.
18:35I think we need to have to turn our turn we're coming.
18:38You need to be.
18:40You need to be here.
18:42You're about to be.
18:43We all have that one person, don't we?
18:55You're going up to the ward now.
18:58If I were you, I would want someone there to hold, man.
19:13Stevie, how long can he wait?
19:24He can't.
19:26You're going to have to take him now?
19:27Yeah, if I don't take him now, he loses the leg.
19:29Did he hear that?
19:30He's 17, man, come on.
19:36That's land. One of the theatres is closed.
19:39What are we going to do?
19:41We're going to do it ourselves.
19:42Okay. Fraser, we need to relieve the pressure on your leg, okay?
19:47So we're going to put you under, but rest assured you're in safe hands.
19:51Cam, let's get chlorhexidine and grab a shed load of gauze and two scalpels, please.
19:56You're going to need your surgical expertise, so let's prep for an RSI.
19:58Let's get rocoronium, apropofol and fentanyl.
20:01Right.
20:03Let's move, please.
20:12Hey, what's the matter?
20:17Hold on, where are you?
20:19P.E. I'm supposed to be in gold.
20:22But you're not?
20:24Can you just call school?
20:25Tell her mum in or something.
20:27You really want to go back to Nigeria?
20:29I told you, I hate it here.
20:38Mum?
20:41Okay, we'll go back.
20:44You mean it?
20:45You promise?
20:47You're not going to change your mind?
20:48No.
20:50I'm not a student room, my love.
20:52You go back to football.
20:53I'll see you tonight.
20:55We can start planning!
21:03Right.
21:04We good?
21:05Still no pulse.
21:06Uh, BP's dropping.
21:07Right, okay, no time to lose.
21:09Uh, I'm going to do the lateral cut.
21:10Yeah, I'll do the medial one.
21:18Okay, nicely done.
21:29Right, now let's, uh, let's incite the fascia.
21:32I'm going to do a loose suture.
21:33Can you be standing by, please, Tom?
21:34Got it.
21:35Yeah, I heard this is what you were doing.
21:38Tenting to consult me first.
21:39Upstairs couldn't take him, so there's no time.
21:41Well, you'd better hurry up.
21:43Dylan's bringing another one in from the same accident.
21:45Okay.
21:46Jodie, pulse check, please.
21:47Yeah.
21:48I can't see you at the moment.
21:50This is Cassie.
21:51We found her in the same car park as the other kids.
21:53Yeah, yeah, yeah.
21:53Hold on, guys.
21:54Is she okay?
21:55Can you focus?
21:56What do you mean the same accident?
21:58Cassie, she's been staying with me.
22:00Is she okay?
22:00It's all right, it's all right.
22:01Benny's with her, okay?
22:02And I'll go check.
22:04Nicole, let's finish up here,
22:06then we'll do what you've got to do after.
22:16Well, you saw what happened, didn't you?
22:19The ED morphine went in and it worked straight away.
22:21I gave him this.
22:23Nothing.
22:24Okay.
22:24Yeah, the ampule couldn't have been damaged or...
22:26I hadn't noticed.
22:28Well, what about his tolerance levels?
22:30Maybe they're...
22:30Come on, that's not it.
22:31I know, I know.
22:333-0-0-6.
22:34Please, place the cat 1.
22:353-0-0-6 to control.
22:37It can be on the road in two minutes.
22:40Does that work?
22:40Yes, please.
22:413-0-0-6.
22:42Copy.
22:43Look, I gave him that.
22:45And I gave it him properly.
22:46Hmm.
22:47Unless...
22:48What?
22:49Now you think I'm the one pretending to give morphine
22:51and puffing it all for himself?
22:52Stop it.
22:52Don't do that.
22:53Well, then there's something wrong here, isn't there?
22:55Which also means Jacob didn't steal anything.
22:57I know.
22:57I know.
22:58I'm sorry.
22:58I just...
22:59I shouldn't have gone to Jan so quickly.
23:01I just have panicked and...
23:02He'll somehow have what they did again.
23:08So, she could have MRSA sepsis.
23:11Okay, well then, uh...
23:12Call microbiology.
23:14Let's see if they have any alternatives.
23:15Yeah, I have.
23:16It'll take 24 hours to get four sensitivities.
23:18But suddenly it's on her way down,
23:19I just thought you'd want to be on top of it.
23:21Rash, resource is stacked, okay?
23:23See if you can find a solve together.
23:25If you can't, maybe come back to me.
23:26And hey, make sure you write this one up, okay?
23:28Could make a good Caesar case study.
23:30Yep.
23:31Is Dr. Byron not staying?
23:32No, no, but it's fine.
23:34Thanks for coming down.
23:35Yeah, no worries.
23:37So, I know some doctors would be inclined
23:39to take one step up from flu-cloxacillin,
23:41say, comoxiclav or piperacillin,
23:44but I think we should go straight to vancomycin.
23:47It's pretty serious side effects.
23:49Redman syndrome, kidney damage.
23:51Yeah, and that's before you get to your bog-standard DNV.
23:54But it's your best option with a case this bad.
24:00Fiona,
24:00we would like to give you some much stronger antibiotics
24:03if you consent to that.
24:04Is that okay?
24:05Do you know where your husband is?
24:06It'd be good to get someone to look after the kids.
24:09I don't know.
24:12We can calculate dose based on our renal functions.
24:15Have you had anything back from biochemistry?
24:17No, no, not yet.
24:18But what about 20 milligrams per kg provisionally?
24:21Yeah, perfect.
24:22Cassie, try and stay calm.
24:29Can we have a full trauma scan with mechanism?
24:32You guys okay?
24:33Can I help?
24:34We could do with the chest drain if you're available.
24:36Yeah, I'll have to go get one.
24:39I'm sorry.
24:41It's okay, Pat.
24:43Just try and stay still, yeah?
24:44Yeah.
24:46Nice and calm.
24:46If it was an accident,
24:54why didn't he say he'd hit her?
24:56These things can happen really quickly.
24:58He was all worried about that van driver.
25:00Nicole, Nicole,
25:01maybe you should focus on Cassie.
25:04He ran your wolf on purpose, didn't he?
25:11Okay, once we're happy with the CT,
25:13let's get the blocks off and get us sat up here.
25:17Grab me when you've done it
25:18and I'll take another look.
25:20Thanks.
25:23Rita, Rita,
25:23can you do another gasp
25:25for Fiona Morgan's face when you're ready?
25:27She had one an hour ago.
25:29Yeah, but she's acidotic
25:30and I want to make sure we're keeping up
25:31with fluid resuscitation.
25:32Just staying 100% on top of it.
25:34What are you doing now?
25:36Making notes.
25:37Flynn wants me to write it up
25:38for my Caesar training.
25:39Brash, is there anything I can do
25:41to make the pressure medium-ish?
25:43I'm fine.
25:44Gas.
25:46Cam?
25:47Hey, hey.
25:48You alright?
25:50Hey, yeah.
25:51Um,
25:52do you remember that Cassie girl?
25:53She's in recess.
25:55What happened?
25:56A deliberate hit and run.
25:58I mean, that poor girl.
26:00She must be sick of this place by now.
26:02Cam.
26:03I'm so sorry again.
26:05I know.
26:09Come on.
26:10It's pretty clear, I think.
26:14Do you want to have a look?
26:15Yeah.
26:18Um, okay, Cassie,
26:19we've had a chance to have a look
26:20at your scan.
26:21Unfortunately,
26:21there's no way of sugarcating it.
26:23You've got something called
26:23a subarachnoid hemorrhage,
26:24which is a collection of blood
26:26between the skull and the brain.
26:27We're going to send you
26:28for an operation
26:28to relieve the pressure.
26:29I'm going to call neurology
26:30and try and get somebody down
26:31here as quickly as possible.
26:34Um,
26:34so let's have a gram
26:36of Levitrostatam IV,
26:37please.
26:38And, uh,
26:39we need you to keep
26:40nice and calm now,
26:41okay?
26:42Nice and stable.
26:42Nicole,
26:43do you think you can maintain that?
26:45Yeah, okay.
26:53I'm so sorry.
26:55I should never have left you
26:56on your own.
26:57No, I'm sorry.
26:58I shouldn't have gone out.
27:00I wanted to get something for you.
27:02Can you get my back?
27:03I was going to get on the train
27:13and shove it at you.
27:14For me?
27:21I've got mine.
27:22I love it.
27:34Even if you only looked after me
27:36because of Mags?
27:38Thanks.
27:41No.
27:43It wasn't just for Mags.
27:45Where'd you get the money for them?
27:52I nicked it from your underwear drawer.
27:59Yep.
27:59What do you want?
28:21Jacob, I want to apologize.
28:22You think there's something dodgy
28:24with the morphine?
28:26Yeah, Ian texted me.
28:29Apologized too.
28:32Look, we were desperate
28:34for it not to be you,
28:35but at the time,
28:36it was the only thing
28:38that made any sense.
28:39What?
28:41So you thought me
28:42taking pain relief
28:43away from patients
28:43made sense?
28:44No, I didn't.
28:45I just...
28:46I didn't have a choice.
28:48How long have we known each other?
28:50I know, Jacob.
28:51I know.
28:52You think you
28:54of all people
28:55would know exactly
28:56how this feels?
28:57To be doubted
28:58and judged by everyone?
29:00Not knowing if your career
29:01is going to be
29:01stashed away from you?
29:05So you'll both excuse me
29:07if I'm not over it yet?
29:14I'm sorry.
29:14How is he?
29:26Who cares?
29:27They could have asked me
29:28to do something like that,
29:29you know.
29:30Yeah, but you wouldn't
29:31have done it.
29:33Not everyone's as brave
29:34as you.
29:37Well, thank God
29:38you accepted her apology
29:39because none of us
29:39need that drama right now.
29:40Come.
29:41See you later.
29:42Hey.
29:48Is she going up?
29:49Um, not yet.
29:50Sorry.
29:51But, listen,
29:51I thought you might
29:52like to borrow these.
29:53Yeah, cheers.
29:54No worries.
29:55And, um,
29:56Nicole, I got you this.
29:57You've been there a while.
29:58Oh, thanks, Cam.
29:59No worries.
30:00What about me?
30:01Oh, you're nil by mouth.
30:04Uh, yeah.
30:05I'll let you guys know
30:05as soon as I know more.
30:06All right?
30:07Thanks, mate.
30:08No worries.
30:10All right.
30:10See you later.
30:11Indy.
30:12Uh, Indy.
30:14Listen, I'm really sorry
30:15about yesterday.
30:16I can't tell you
30:17the day I had.
30:17It was awful.
30:18And I was just...
30:18Um, come on.
30:19I'm really busy.
30:28We need to speed up
30:28her fluids.
30:29What was the lactate
30:30on the gas?
30:31Seven.
30:31Temperature's gone up
30:32to 39.8.
30:33This rash has extended
30:35past the line.
30:36Do you want me to call Flint?
30:37No, no.
30:38There's nothing he can do
30:39that we're not doing already.
30:39Uh, okay.
30:41Is there space in Reesos?
30:43Yeah.
30:43Yeah, let's go.
30:44Sophie, can you clear
30:45a bed for me in Reesos, please?
30:47What's going on?
30:48We're moving her somewhere
30:49we can give her more support.
30:50I thought you'd go, Lynn.
30:52Go on.
30:52Well, I got your mum
30:53to pick the kids up
30:54so I could focus on you.
30:57Okay, well, don't worry.
30:58I'll bring them to see you later.
31:00Oh!
31:02Dave!
31:03I love them
31:04with all my heart.
31:05You know I do.
31:06But I'm not just their mum
31:09and me too.
31:11You remember that Paige
31:12is allergic to sex with me,
31:13don't you?
31:16Dave!
31:17Promise me you'll be okay.
31:18Okay, Fiona, mask on for me, please.
31:20Deep, deep breaths, yeah?
31:22Listen to me.
31:23Doctor, my sermon is on this.
31:26Aren't you?
31:27Yeah.
31:28Yeah, I'm confident
31:29we just need to give
31:30the vancomycin time to work.
31:31I'm going to call ITU for a review.
31:44I just heard.
31:46How is she?
31:48She's stable at the moment.
31:50I'm so sorry.
31:51I didn't know you two were so close.
31:53She didn't have anyone else.
31:57I heard that was kind of you.
31:58I heard that was kind of you.
32:01No.
32:03I just...
32:05I know what it's like
32:07to have no one to look out for you.
32:11Wow.
32:14You know when we were together?
32:16And you would ask me questions
32:17about me childhood
32:18or you'd tell me stories about yours.
32:20And I was always just a bit vague.
32:22Did you ever wonder why?
32:23I hoped you'd tell me
32:25in your own time.
32:25I was in care.
32:32My real mum
32:33gave me up
32:34when I was four years old
32:35and I have no idea why.
32:39I'm so sorry.
32:41Don't be.
32:44Your teachers, you lot.
32:46Been on your own.
32:48Knowing
32:49that nobody wants you.
32:52living in chaos.
33:00That's why.
33:04That's why I kicked it out
33:06when you told us
33:06you were an alcoholic.
33:09I can't do chaos.
33:12I'm glad you told me.
33:14I'm going to meetings.
33:23You know I'm...
33:25I'm getting better.
33:29And I should have been brief.
33:30I should...
33:31I'm going back to Nigeria.
33:55Let's get her on our side.
33:56I need four milligrams of lorazopram IP
33:58and a high floor on, please.
34:01Where's the lorazopram IP?
34:03We need a prayer for an RSI.
34:09She's better time.
34:11Suction.
34:12Okay, shall we wait for this to subside?
34:14You can update me.
34:14Any joy?
34:25No, no, not yet.
34:27Jake's come here
34:28straight after school,
34:29by the way.
34:30He's, like,
34:30massively into his games,
34:32so just
34:32sound interested.
34:35I mean...
34:36I mean, be yourself, obviously.
34:39Sorry.
34:40I've just never
34:41introduced him
34:42to anyone before
34:42and
34:43I'm nervous.
34:44Just ignore me.
34:45It's fine.
34:46It's fine.
34:46It's...
34:46It's just, I...
34:49I might have to
34:50stay late tonight
34:51with Fiona
34:51and I...
34:52I don't want to mess you around,
34:53so I...
34:54I was thinking
34:55maybe
34:56it might be best
34:57if we arrange for another time.
35:00Another time?
35:00I...
35:01Yeah, sure.
35:04Let me know
35:04how she's doing, yeah?
35:05She's over the worst.
35:15Dr. Keogh wants to get her
35:17back in CT,
35:18see if there's been
35:18an extension of the blade,
35:20so...
35:21Well done.
35:21You did this.
35:32I was an accident.
35:33I know you were in the gang.
35:37She just wanted to get away.
35:41I didn't know.
35:43I didn't know there'd be so much blood.
35:45I didn't know her head
35:47would make that sound
35:48when it had the concrete.
35:51What was I supposed to do?
35:54Go on war?
35:59Tell the police everything.
36:03They'll understand
36:04you were forced.
36:08They're gonna kill me.
36:15What's up?
36:27I just
36:27wanted to know
36:29if you'd
36:29found out anything else.
36:32Not yet.
36:34Right, but Jacob's name
36:35is...
36:35is clear, though, yeah?
36:38Trying to get yourself
36:39off the hook.
36:40What?
36:41What?
36:41Don't do that.
36:42We agreed.
36:43We both agreed
36:44that there was a valid
36:45patient safety concern
36:46and not all the evidence.
36:47It...
36:47it pointed to Jacob.
36:49Hang on.
36:50Ian,
36:50I went to Jan
36:51because you wouldn't go.
36:53Okay?
36:53I had to do it.
36:54I did it for you.
36:55But I didn't ask you to.
36:57And you put his job on the line.
36:58But your job
36:59would have been on the line
36:59if she found out
37:00that you knew
37:01and you didn't tell her.
37:02So would mine.
37:04Just the same as,
37:04you know,
37:05when you went to Max
37:06about me.
37:07That was my job on the line,
37:08but...
37:09Wait,
37:09that was different.
37:10What do you mean?
37:11Why?
37:11Why?
37:12What's the difference?
37:13What, your...
37:14your love for Jacob
37:15stopped you going to Jan,
37:17but your love for me...
37:19That's not fair.
37:20That was after months of lies.
37:21Yeah, but the bottom line,
37:22you...
37:23you protected Jacob and me.
37:25You threw me
37:25right under the bus, Ian.
37:26Because Jacob
37:27wasn't stealing drugs.
37:29You were.
37:30OK, straight to resource 2, please.
37:39Good news about CT.
37:41The bleed hasn't got any worse
37:42since the seizure,
37:43so that's good.
37:43Well, that's great.
37:44The other's ready to take her now,
37:46so...
37:46You did really well.
37:48It's not easy treating
37:48someone you care about.
37:50Look,
37:51I know she's lost a foster man,
37:53but...
37:53Is there anyone else?
37:54Nicole?
37:58Nicole?
37:59Nicole?
38:02I'll, um,
38:03try and find
38:04a biological family.
38:06OK.
38:07If you think
38:08you're up to that.
38:10Can you take her, yeah?
38:11Yeah.
38:17OK.
38:17So, your obs are doing better.
38:20Your heart rate's stabilised,
38:22your temperature's down.
38:23You haven't quite
38:24turned the corner yet,
38:25but you can definitely see it.
38:31Yeah, definitely
38:31we can get that sorted now
38:32for you, can't we, Andy?
38:34Hmm?
38:40Hey, Cam.
38:41You all right?
38:43Hey, Teddy, yeah.
38:44It was really nice
38:45what you did for Nicole
38:45before, by the way.
38:47Oh, thanks, man.
38:48Um,
38:49you know, Cassie's just
38:49such a good kid,
38:50I wish I could do more for her,
38:51you know?
38:52Yeah, yeah, definitely.
38:53Well,
38:53I was thinking,
38:55and maybe not tonight,
38:56but soon,
38:57Indy,
38:58what do you think
38:58that we should all go
38:59for a drink with Nicole
39:00to show her
39:00how much we care for her?
39:02Yeah.
39:03Yeah?
39:03Hmm?
39:04Yeah, that sounds nice.
39:05Yeah.
39:07Come.
39:10Um, Indy,
39:12listen,
39:13I just want to say
39:13I'm really sorry
39:14about yesterday.
39:15That was really
39:15out of order of me.
39:17Cam, it's fine.
39:18Don't worry about it.
39:18I, um,
39:19I saw some mates
39:20in the end
39:21and had a pretty big night,
39:23so don't worry about it.
39:28Are you okay?
39:31Yeah.
39:31Yeah, I just
39:33felt a little
39:35out of control earlier.
39:37Luckily,
39:37it's all worked out,
39:38but I,
39:38I backed out
39:40of meeting Jake as well.
39:42Okay,
39:42well,
39:42firstly,
39:43there isn't any luck
39:44about it.
39:44you treated a patient
39:46brilliantly
39:47and she responded.
39:48And secondly,
39:49if you really
39:50want to meet Jake,
39:51what are you doing
39:51sat there talking to me?
39:53You're just finished,
39:54isn't it?
39:59Rash,
39:59maybe get change first.
40:01Yeah.
40:06Sorry I kept you in.
40:07It's okay.
40:08Right,
40:17I'll see you later.
40:17Have a nice evening.
40:19Sonny,
40:20Sonny,
40:21I'm,
40:21I'm sorry.
40:22Okay,
40:22I'm sorry I said
40:24we should rearrange
40:25and do something
40:26another time.
40:27I,
40:27I was worried
40:28coming off my meds today
40:29and then we had
40:30a really tricky patient.
40:31I get it.
40:31You're busy.
40:32I wouldn't expect
40:33any less from my
40:34almost consultant boyfriend.
40:35Is boyfriend okay?
40:41Yeah,
40:42yeah.
40:43Boyfriend's great.
40:51Hey Jake,
40:53I'm Rash.
40:54It's good to meet you.
40:55Hey.
40:56That's team speak
40:57for nice to meet you too,
40:59Rash.
41:00I actually have
41:01a bit more to do.
41:03Can I leave you
41:04to chat?
41:05Yeah.
41:05Yeah,
41:06of course.
41:10Hey.
41:14So,
41:14I have found
41:15Cassie was this file
41:16and there is a
41:17biological family
41:18that we can get
41:19in touch with.
41:20Great.
41:25Is there anything else
41:25I can help you with?
41:26Yeah.
41:33Yeah.
41:35Can I see my
41:37care fail too,
41:37please?
41:46Hi.
41:47Yeah.
41:48So I've made a list
41:51of anyone who has
41:52access to main stock
41:53and I've gone through
41:53all the paperwork
41:54over the last six months.
41:55Trying to find
41:55discrepancies in batch numbers.
41:58And?
42:00Nothing suspicious.
42:03So what?
42:05You think it's a problem
42:06at the factory?
42:06I don't know,
42:10but we just need to prove
42:11that nothing's been taken
42:12from the ambulances.
42:13Here.
42:14That says morphine,
42:15right?
42:18So it's going to say morphine
42:19in the paperwork
42:20and it hasn't been nicked,
42:22obviously.
42:24Now, that's the morphine
42:24against that kid earlier.
42:27So if this opioid test
42:28shows one line,
42:30then that is morphine
42:31and for some
42:32completely unknown reason
42:33it had no effect
42:34on the kid.
42:36But if it shows two lines,
42:38then you're in the clear.
42:45OK.
42:46Cassie Woods, yeah?
42:47ITU, please.
42:50Just take care of her
42:52for us, will you?
43:02Here we go.
43:03Nicole Piper.
43:04So that means someone
43:26is tempering with it.
43:30Why would someone do that?
43:31I don't know, man.
43:36I don't know.
43:37I don't know.
43:37Excuse me for a while.
43:46Turn a blind eye with a stare
43:48caught right in the middle.
43:55Have you wondered for a while?
43:58I have a feeling deep down
44:01you're caught in the middle.
44:02I do want to know.
44:23See you guys next time.
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