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S44 E09 >>> https://dai.ly/x9pp6lc

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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.
01:31Right.
01:32Okay.
01:33But I can only do until one, right?
01:34Okay.
01:35You're a life saver.
01:36Thank you so much.
01:37Right.
01:38I've booked your taxi for one.
01:39So I'll see you in the ticket hall at 1.15.
01:40Yeah?
01:41Do not leave the house until then.
01:42I'll do it.
01:43I'll do it.
01:44I'll do it.
01:45I'll do it.
01:46I'll do it.
01:47I'll do it.
01:48And I'll do it.
01:49I'll do it.
01:50Okay.
01:51I'll do it.
01:52Right.
01:53I'll do it.
01:54And I'll do it.
01:55And I'll do it.
01:56And I'll do it.
01:57I'll do it.
01:58Do not leave the house until then.
02:00Don't answer the door to anyone.
02:01I know.
02:02I know.
02:03Yeah?
02:04So 1.15?
02:05Yeah?
02:06OK.
02:07Nicole?
02:08Yeah?
02:09Nothing.
02:10See you later.
02:11OK.
02:12Bye.
02:13Bye.
02:14Bye.
02:15Bye.
02:16Bye.
02:17Bye.
02:18Bye.
02:19Bye.
02:20Bye.
02:22Bye.
02:23Bye.
02:24Bye.
02:25Bye.
02:26Bye.
02:27Bye.
02:52You can't be here.
02:54Can't steal any morphine?
02:56I haven't done anything wrong.
03:04Like I told you already, there's a process.
03:08You're not allowed to be here.
03:10Come on, Jan. You know me.
03:12That doesn't make any difference.
03:14There has to be an investigation.
03:18Come on, mate. You should go on.
03:20Me?
03:22Faith went to Jan without me knowing.
03:24Look.
03:26I'm not going anywhere.
03:28But you can't go out.
03:30Ian's covering your shift.
03:32Well, fine then.
03:34I'll stay non-clinical.
03:46Thanks, guys.
03:48Okay, let's get you lying down, sir.
03:50I don't need to lie down, love.
03:52I felt lightheaded, that's all.
03:54Let's treat you.
03:55I need to get back to work.
03:56Well, if you don't want us to treat you,
03:58you have to self-discharge.
04:00So?
04:02Can you hear me?
04:04Can I get some help?
04:05Yeah, I'll get the crash trolley.
04:07Trip is away.
04:14Faith?
04:16Jake has come in this morning.
04:18Jan's got him working in the breakbox.
04:20It's still saying he can do it.
04:21What?
04:22I mean, come on.
04:23Of course he is.
04:24Ian, there is...
04:25There is hospital-grade morphine on the streets,
04:27so somebody's pretending to give it and pocketing it.
04:30Yeah, but I was dealing with it.
04:31I'm not even convinced to you.
04:33It is him.
04:35Er...
04:36Well, okay.
04:37But...
04:38But...
04:39If nothing goes missing whilst he's not on the ambulances,
04:42then...
04:43Then it has to be him, doesn't it?
04:54How's he doing?
04:55He's inside us unconscious since the first shock.
04:58He's just a bit...
04:59Er...
05:00Agitated.
05:01All right, then.
05:02We've got you.
05:03I'm Dr. Piper.
05:05No!
05:06No!
05:07Don't...
05:08Don't do that!
05:09You can't tell me what to do!
05:10We are trying to help you,
05:11but we can't if you don't keep still.
05:12What my colleague is trying to say is
05:14we think there's a blockage
05:16in one of the arteries to your heart.
05:18So when you collapsed earlier,
05:20and maybe when you passed out at work,
05:22that was a cardiac arrest.
05:24So your heart literally stops beating.
05:26But it's okay.
05:27We're gonna send you upstairs to the cath lab
05:29for a primary angio, okay?
05:31Is there someone you want to call?
05:33Yeah.
05:34Yeah.
05:35My office.
05:36Oh, for God's sake.
05:37Sir!
05:38You've had a heart attack.
05:39You almost died.
05:40Your office does not care.
05:41I'm cosy.
05:42Can I have a word?
05:43Outside.
05:49Sorry, Glyn.
05:50Erm...
05:51You are in good hands.
05:52The team upstairs are brilliant.
05:54Erm...
05:55It won't be too long, okay?
05:58Hi.
06:00What's going on here?
06:01Nothing.
06:02Come on.
06:03Come on.
06:04It's me.
06:05It's nothing.
06:06It's just...
06:07Everything.
06:08Yeah, that's where it's going.
06:09There.
06:10There.
06:11I think so.
06:12Er, can we get a hand here, please, and gossip?
06:15Of course.
06:16Shout, if you want to chat.
06:17So they said there's a teenager trapped under a van, but they haven't said whether it's a
06:31boy or a girl or anything like that.
06:34Mmm.
06:35Three zero zero six control key.
06:36Tell us which level we're on, cos we're still 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.
06:52Hello, mate.
06:53My name's Ian.
06:54Hi, Mary.
06:55What's your name, buddy?
06:56Fraser.
06:57Come on, Fraser.
07:00Okay.
07:01I can't get it out.
07:02Hold tight for me, mate.
07:03Come here now.
07:04We're gonna look after you.
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, no.
07:13Just to my leg.
07:17I'll update control.
07:19Yeah.
07:20Okay.
07:22Are you okay, Fraser?
07:23Yeah, my driver got too bad.
07:25Right.
07:26I don't think we're gonna be able to get them out before the five brigade arrive.
07:29Can you get a line in?
07:31I'm gonna drop some morphine to make him feel a bit more comfortable.
07:33Fraser, have you got any allergies?
07:35I only just passed my test.
07:36Don't worry about that, mate.
07:37Any allergies?
07:39No.
07:42I thought you were gonna be 20 minutes.
07:4520 minutes?
07:46Well, okay, thanks.
07:47Anyone you want us to call, love?
07:49Oh, he's gonna kill me.
07:51My dad.
07:52I'm sure you mean more than a bike.
07:54Right.
07:55Nearly there, mate.
07:56Okay.
07:57Muffin going in.
07:58It hurts so much.
08:01It can take a while to kick in.
08:03Don't worry.
08:04That's quite normal.
08:05There we go.
08:06That's it.
08:07Let's see if I can get a better look at this leg.
08:09It's totally trapped, Ted.
08:10Between the van and the bike.
08:11So, Mr. Routledge is ready to be discharged and Mrs. Singh is waiting for her CT.
08:27Sorry.
08:28No, go on.
08:29What have you forgotten?
08:30Er, well, actually, nothing.
08:35But I don't need to.
08:40I've tapered my antidepressants and today's my first day off them.
08:43Big step?
08:44Yeah.
08:45Yeah.
08:46Yeah.
08:47I'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, so we're gonna have a nice, normal, low, medium-ish,
08:57pressure kind of day.
08:59You'll be fine.
09:00Hey.
09:01Hey.
09:02Er, are you free later?
09:03After work, yeah.
09:04So, tell me if this is mad, but Jake's in this evening and he's never in, so I thought
09:13we could get a takeaway, my treat, and you could meet him.
09:18Yeah.
09:19Yeah, of course.
09:20Yeah?
09:21Er, great.
09:22I'll see you later then.
09:24Down.
09:25Yeah.
09:26Okay.
09:27Er, Mrs. Pearce.
09:28This could go out any minute.
09:29What's the update?
09:30The fire is still 15 minutes out.
09:31Are you joking?
09:32Did you find a bleeding?
09:33No.
09:34Whose blood is this then?
09:35Right, we need to get him out.
09:36We don't know the extent of this leg injury.
09:37We could make it worse.
09:38It'd be agony.
09:39We haven't got time.
09:40Come on.
09:41Right, I'm giving him some more morphine.
09:42Oh.
09:43Oh.
09:44Oh.
09:45Oh.
09:46Oh.
09:47Oh.
09:48Oh.
09:49Oh.
09:50Oh.
09:51Oh.
09:52Oh.
09:53That really hurts.
09:54I know, mate.
09:55We'll give you this morphine and then we're going to pull you out, alright?
09:59No.
10:00No, no.
10:01You can't wait for the fire brigade.
10:02That's what you said.
10:03Indy, Indy, go.
10:04Please go.
10:05Ready?
10:06Yeah.
10:07Just like that.
10:08First, can you feel this?
10:12Yes!
10:13I can feel everything.
10:14Please, please, Dad.
10:15You don't have to rip my leg off.
10:16Please.
10:17Have a look.
10:18He said 15 milligrams.
10:19That's enough.
10:20Please, Dad.
10:21I can still feel everything.
10:22Come on.
10:23We need to go.
10:24Right.
10:25On three.
10:26Right.
10:27I'm sorry.
10:28No.
10:29No.
10:30No.
10:31No.
10:32No.
10:33No.
10:34No.
10:35No.
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11:00No.
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11:45No.
11:46No.
11:47No.
11:48No.
11:49No.
11:50Let's do blood cultures venous lactate and let's keep an eye on her urine output. Follow the sepsis protocol
11:58All right, mate, shall we get you down?
12:03I'll do it on my own, I'm wanted. Right, I'll just be a minute
12:20Hello, hey, what's your name?
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
12:41Take a deep breath for me
12:45Well done
12:49Another one
13:01Whoever she is, you're going to tell it yourself. You are. Yeah?
13:07It's us. Not here. You know what to do
13:09Right, 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
13:21Okay
13:23So 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
13:31Hi
13:33Um, before I forget I won't be able to make the meeting tonight
13:49Hey, how come?
13:51Obi's not happy
13:53Okay, it's only an hour
13:55It's just he hasn't settled at school here. He's missing home
13:59What? Home home? You're not missing home, are you? I didn't know
14:05Could he not just, I don't know, change school?
14:09Okay, as your sponsor, allow me to prioritize you. I think children are happy when their parents are happy. I think
14:23Do you feel this? No
14:27Can you tell me exactly how this happened?
14:29I said cooking with the kettle
14:33What else would it be?
14:35Fiona, this is an isolated full thickness burn
14:39It'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 can't treat your wife properly unless I know all the facts
14:53I went to Malaga with some friends last weekend
14:57First time I've been away since the kids were born
15:01We drank a lot, obviously, and on the second night
15:05Someone suggested we do what we used to do
15:07Just for a laugh
15:11It's from a NOS canister
15:15You're kidding me?
15:17You have a weekend away and that's what you go and do?
15:21I'll get someone from Plastics to see you, just in case we need to do a skin graft
15:25A skin graft?
15:27I just fell asleep next to the canister
15:29Try not to worry, we need to get the infection under control
15:31You'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
15:39I phoned the GP on the day I got back
15:41I haven't missed a dose, I promise
15:43Oh, okay
15:51What do we give her now?
15:53Okay guys, repeat two please
16:05Hi, this is Fraser, 17 years old
16:09About 90 minutes ago the motorbike was riding
16:11Went into a van at speed
16:13Initially we were strapped underneath
16:15But due to scene safety we had to replicate
16:17Rapidly causing further trauma
16:19It's not suspected tip for the fracture
16:21Decreased distal sensation and a weak pedal pulse
16:23And we 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
16:36Pulse is 115
16:37BP is 105
16:38Oh, we're 75
16:39He's had a gram of IV-pycetamol
16:411.2 of Coimoxicab
16:43And 15 milligrams of morphine
16:44But we cannot get on top of the pill
16:46It's so bad
16:47Faith, can you try 10 milligrams of IV morphine please?
16:52Okay
16:53Call, PBB and C
16:55And the feedback
16:56Cam's
16:57There's something wrong with the morphine
16:59And the ambulances
17:00There has to be
17:01Um, I'm not gonna ask you
17:03Okay, okay
17:04Come in, they've got him
17:07Yeah, one minute, one minute
17:08Just sounds clear
17:09He's got a pelvic binder in place
17:10Looked underneath that
17:11And I'll do the afternoon though
17:12He's been feeling bad about the accident
17:14I've let him know the van drive is okay
17:16But he won't believe me
17:17Alright
17:18You're gonna feel a bit better in a minute
17:19It's just going in now, okay?
17:21Okay
17:22Oh
17:23Oh
17:24Oh, finally
17:29Okay
17:30Um, I'm gonna keep this binder on until we're happy with the trauma scan
17:33Nicole, you gotta check the leg
17:34Cam, let's make sure you'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 compartment syndrome
17:42Great
17:43Okay, um, Faith, can you get a cannula on the art line?
17:45Uh, let's check the pressure in this leg
17:46And 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
18:04I apologize
18:06I was worried about my son
18:08And I was rude, I'm sorry
18:11We spent so much time with the people we work with
18:14We share our news
18:15We tell them what we watched on TV
18:19Then we pass out on our desk
18:22And...
18:23No one rides with us in the ambulance
18:29Is there no one else you'd like to call?
18:32My ex
18:34They wouldn't come
18:37We play Scrabble online together
18:40I think they'd let me win
18:42We all have that one person
18:48Don't we?
18:54You're going up to the ward now
18:57If I were you, I wouldn't want someone there to hold my hand
19:00I wouldn't want someone there to hold my hand
19:01They'd let me go
19:02I don't like you
19:04I don't know
19:06There's a call
19:07I don't know
19:09I don't know
19:10You know
19:11There's a call
19:12That's just a call
19:13Stevie, how long can he wait?
19:24He can't.
19:26You could 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.
19:37One of the theatres is closed.
19:39What are we going to do?
19:41We're going to do it ourselves.
19:43Okay, 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.
20:20I'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?
20:49No.
20:50I'm not going to change my mind, love.
20:52You go back to football.
20:53I'll see you tonight.
20:54We can start planning!
20:56Right, we 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.
21:21Good.
21:26Okay, nicely done.
21:29Right, now let's, uh, let's incise 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.
21:38Tempting 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'll see you at the moment.
21:50Let's...
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?
21:55Hey, can you...
21:56Can you focus, please?
21:56What do you mean the same accident?
21:58Cassie, she's been staying with me.
22:00Is she okay?
22:00Hey, well, it's all right, it's all right.
22:01Denny's with her, okay?
22:02And I'll go check.
22:03Give me a shot.
22:04Nicole, let's finish up here,
22:06then we'll do what you've got to do after.
22:08Mm-hmm.
22:16Well, you saw what happened, didn't you?
22:19You need morphine when it works straight away.
22:20I gave him this.
22:23Nothing.
22:24Okay.
22:24Yeah, the ampule couldn't have been damaged or...
22:26I didn't notice.
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 one.
22:353-0-0-6 to control.
22:37Er, it 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.
22:47Unless...
22:48What?
22:49Now you think I'm the one pretending to give morphine
22:51and puffing it all for himself?
22:52Stop it, don't do that.
22:53Well, then there's something wrong with it, ain't there?
22:55Which also means Jacob didn't steal anything.
22:57I know, I know.
22:58I'm sorry.
22:58I just...
22:59I shouldn't have gotten a chance so quickly.
23:01I just have panicked and I...
23:02Yeah, well, somehow I've got to clear Jacob again.
23:08So she could have MRSA sepsis.
23:10Okay, well then, uh, call 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 Sonny's on her way down.
23:19I just thought you'd want to be on top of it.
23:21Rash.
23:22The 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?
23:28You could make a good Caesar case study.
23:30Yep.
23:31Is Dr Byron not staying?
23:32Er, no.
23:33No, but it's fine.
23:34Thanks for coming down.
23:35Yeah, no worries.
23:36Um, so I know some doctors would be inclined to take one step up from flucloxacillin, say
23:41comoxiclav or piperacillin, but I think we should go straight to vancomycin.
23:47Er, it's pretty serious side effects.
23:49Redman syndrome, kidney damage.
23:51Yeah, and that's before you get to your bog standard DMV.
23:54But it's your best option with a case this bad.
23:56Fiona, we would like to give you some much stronger antibiotics if 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.
24:12You can calculate dose based on our renal function.
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.
24:22Okay.
24:26Cassie, try and stay calm.
24:29Can we have a full trauma scan with, er, with mechanism?
24:32You guys okay?
24:33Can I help?
24:34Er, we 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?
24:46Nice and calm.
24:53If it was an accident, why didn't he say it hit her?
24:56These things can happen really quickly.
24:58He was all worried about that van driver.
25:00Nicole, Nicole, maybe you should focus on Cassie.
25:04He ran your war for on purpose, didn't he?
25:11Okay, once we're happy with the seating, let's, er, let's get the rocks off and get us sat out for you.
25:17Grab me when you've done it and I'll take another look.
25:19Er, yeah, thanks.
25:20Um, Brida, Brida, can you do another gasp for Fiona Morgan's face when you're ready?
25:27Er, she had one an hour ago.
25:29Yep, but she's acidotic and I want to make sure we're keeping up with food resuscitation.
25:32Just staying 100% on top of it.
25:34What are you doing now?
25:35Er, making notes.
25:37Flynn wants me to write it up for my Caesar training.
25:39Brash, is there anything I can do to make the pressure medium-ish?
25:43I'm fine.
25:44Gas.
25:46Cam?
25:47Hey, hey, you alright?
25:50Hey, yeah, um, do 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, she must be sick of this place by now.
26:02Cam.
26:03I'm so sorry, again.
26:05I know.
26:09Come on.
26:09It's pretty clear, I think.
26:14Do you want to have a look?
26:15Yeah.
26:18Um, okay, Cassie, we've had a chance to have a look at your scan.
26:21Unfortunately, there's no way of sugarcating it.
26:23You've got something called a subarachnoid hemorrhage,
26:24which is a collection of blood between the skull and the brain.
26:27We're going to send you for an operation to relieve the pressure.
26:29I'm going to call neurology, try and get somebody down here as quickly as possible.
26:34Um, so let's have a gram of Levitrostatam IV, please.
26:38And, uh, we need you to keep nice and calm now, okay?
26:42Nice and stable.
26:42Nicole, do you think you can maintain that?
26:45Yeah, okay.
26:53I'm so sorry.
26:55I should never have left you on 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 and shove it at you.
27:14For me?
27:21I've got mine.
27:22I love it.
27:34Even if you only looked after me because 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.
28:23You think there's something dodgy with the morphine?
28:26Yeah, Ian texted me.
28:29Apologized, too.
28:32Look, we were desperate for it not to be you,
28:35but at the time, it was the only thing that made any sense.
28:39What?
28:41So you thought me taking pain relief away from patients made 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...
28:52You think you, of all people, would know exactly how this feels?
28:57To be doubted and judged by everyone?
29:00Not knowing if your career is going to be slashed away from you?
29:05So you'll both excuse me if I'm not over it yet?
29:14I'm sorry.
29:14How is he?
29:26Who cares?
29:27They could have asked me to do something like that, you know.
29:30Yeah, but you wouldn't have done it.
29:33Not everyone's as brave as you.
29:37Well, thank God you accepted her apology,
29:39because none of us need that drama right now.
29:40Come.
29:41See you, Bette.
29:42Hey.
29:48Is she going up?
29:49Um, not yet.
29:50Sorry.
29:51But, listen, I thought you might like to borrow these.
29:53Yeah, cheers.
29:54No worries.
29:55And, um, Nicole, I got you this.
29:57You've been there a while.
29:58Oh.
29:59Thanks, Cam.
29:59No worries.
30:00What about me?
30:01Oh, you're nil by mouth.
30:03Mm.
30:04Uh, yeah.
30:05I'll let you guys know as soon as I know more.
30:06All right?
30:07Thanks, mate.
30:08No worries.
30:10All right.
30:10See you later.
30:10Uh, Indy, uh, Indy, uh, listen, I'm really sorry about yesterday.
30:16I can't tell you the day I had.
30:17It was awful.
30:18And I was just...
30:18Um, come on, I'm really busy.
30:27We need to speed up her fluids.
30:29Uh, what was the lactate on the gas?
30:31Seven.
30:31Temperature's gone up to 39.8.
30:33This rash has extended past the line.
30:36Do you want me to call Flynn?
30:37No, no.
30:38There's nothing he can do that we're not doing already.
30:40Uh, okay.
30:41Is there space in Rhesus?
30:43Yeah.
30:43Yeah?
30:43Let's go.
30:44Sophie, can you clear a bed for me in Rhesus, please?
30:47What's going on?
30:48We're moving us on where we can give her more support.
30:50I thought you'd go, Nick.
30:52Gone?
30:52Well, I got your mum to pick the kids up so I could focus on you.
30:57Okay, don't worry.
30:58I'll bring them to see you later.
31:00Oh!
31:01Dave!
31:03I love them.
31:04With all my heart, you know I do.
31:06But I'm not just their mum.
31:10And me too.
31:11You remember that Paige is allergic to sex with me, don't you?
31:16Dave!
31:16Promise 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 we just need to give the vancomycin time to work.
31:31I'm going to call ITU for a review.
31:36I 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.
32:01No.
32:03I just...
32:05I know what it's like
32:08to have no-one to look out for you.
32:11Wow.
32:14You know when we were together?
32:16And you would ask me questions about 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 in your own time.
32:25I was in care.
32:32My real mum gave me up when 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.
32:46knowing that nobody wants you.
32:55Living in chaos.
33:00That's why.
33:04That's why I kicked it out when you told us you were an alcoholic.
33:07I can't do chaos.
33:12I'm glad you told me.
33:14I'm going to meetings.
33:23You know I'm...
33:24I'm getting better.
33:29And I should have been brief.
33:30I should...
33:31Maybe...
33:39When Cassie's better...
33:44I'll be at that going back to Nigeria.
33:55Let's get her on her side.
33:56I need four milligrams of lorazopram IP
33:58and a high floor on, please.
34:00Where's the lorazopram IP?
34:03We need her for an RSI.
34:09She's better time.
34:11Sook, you know.
34:12Okay, should we wait for this to subside?
34:14You can update me.
34:16Oh.
34:23Any joy?
34:25No.
34:26No, not yet.
34:27Jake's come here straight after school, by the way.
34:29He's, like, massively into his games, so just sound interested.
34:35I mean, I mean, be yourself, obviously.
34:39Sorry.
34:40I've just never introduced him to anyone before, and I'm nervous.
34:44Just ignore me.
34:45It's fine.
34:46It's fine.
34:46It's...
34:46It's just, I might have to stay late tonight with Fiona, and I don't want to mess you around,
34:53so I was thinking maybe it might be best if we get arranged for another time.
35:00Another time?
35:00Yeah, sure.
35:04Let me know how she's doing, yeah?
35:05She's over the worst.
35:15Dr. Keogh wants to get her back in CT, see if there's been an extension of the blade, so...
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.
35:38I didn't know.
35:44I didn't know there'd be so much blood.
35:47I didn't know what Ed would make us sound when Ed, the concrete.
35:51What was I supposed to do?
35:54Go on war?
35:59Tell the police everything.
36:01They'll understand you were forced.
36:08They're gonna kill me.
36:25What's up?
36:27I just wanted to know if you'd found out anything else.
36:32Not yet.
36:34Right, but Jacob's name is cleared though, yeah?
36:38Trying to get yourself off the hook.
36:40What?
36:41What?
36:41Don't do that.
36:42We agreed.
36:43We both agreed that there was a valid patient safety concern,
36:46and not all the evidence.
36:47It pointed to Jacob.
36:49Hang on.
36:50Ian, I went to Jan because you wouldn't go, okay?
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 would have been on the line if she found out that you knew and you didn't tell her.
37:02So would mine.
37:04Just the same as, you know, when you went to Max about me.
37:07That was my job on the line, but...
37:09Wait, that was different.
37:10What do you mean?
37:11Why?
37:11What's the difference?
37:13What, your love for Jacob stopped you going to Jan, but your love for me?
37:19That's not fair.
37:20That was like the months of lies.
37:21Yeah, but the bottom line, you...
37:22You protected Jacob and me.
37:25You threw me right under the bus, Ian.
37:26Because Jacob wasn't stealing drugs.
37:29You were.
37:30Okay, straight to resus two, please.
37:39Good news about CT.
37:41The bleed hasn't got any worse since the seizure, so that's good.
37:43Well, that's great.
37:44The other is ready to take her now, so...
37:46You did really well.
37:48It's not easy treating someone you care about.
37:50Look, um...
37:51I know she's lost a foster man, but...
37:53Is there anyone else?
37:57Nicole.
37:58Nicole.
37:58I'll, um, try and find a biological family.
38:06Okay.
38:07If you think you're up to that.
38:10Can you take her, yeah?
38:11Yeah.
38:17Okay.
38:18So, your obs are doing better.
38:20Your heart rate's stabilised, your temperature's down.
38:23You haven't quite turned the corner yet, but you can definitely see it.
38:31Yeah, definitely we can get that sorted now for you, can't we, Andy?
38:34Hmm?
38:34Hey, Cam.
38:41You all right?
38:42Hey, Teddy, yeah.
38:44It was really nice what you did for Nicole before, by the way.
38:46Oh, thanks, man.
38:48Um...
38:49Yeah, no, Cassie's just such a good kid, I wish I could do more for her, you know?
38:52Yeah, yeah, definitely.
38:53Well, I was thinking, and maybe not tonight, but soon, Indy, what do you think that we should
38:59all go for a drink with Nicole to show her how much we care for her?
39:01Yeah?
39:02Yeah?
39:03Hmm?
39:04Yeah, that sounds nice.
39:05Yeah.
39:06Cool.
39:07Um, Indy, listen, I just want to say I'm really sorry about yesterday, that was really out of
39:15order of me.
39:16Cam, it's fine.
39:17Don't worry about it.
39:18Don't worry about it.
39:19I, um...
39:20I saw some mates in the end and had a pretty big night, so don't worry about it.
39:28Are you okay?
39:30Yeah.
39:31Yeah.
39:32Yeah, I just felt a little out of control earlier.
39:36Luckily, it's all worked out, but I backed out of meeting Jake as well.
39:41Okay.
39:42Well, firstly, there isn't any luck about it.
39:45You treated a patient brilliantly, and she responded.
39:48And secondly, if you really want to meet Jake, what are you doing sat there talking
39:52to me?
39:53You're just finished, isn't it?
39:59Rash, maybe get change first.
40:01Yeah.
40:06Sorry I kept you in.
40:07It's okay.
40:16Right.
40:17I'll see you later.
40:18Have a nice evening.
40:19Sonny.
40:20Sonny, I'm sorry.
40:21Okay.
40:22I'm sorry I said we should rearrange and do something another time.
40:26I was worried coming off my meds today, and then we had a really tricky patient.
40:30I get it.
40:31You're busy.
40:32I wouldn't expect any less from my almost consultant boyfriend.
40:36Is boyfriend okay?
40:37Yeah.
40:38Yeah.
40:39Boyfriend's great.
40:40Hey Jake.
40:41I'm Rash.
40:42It's good to meet you.
40:43Hey.
40:44That's a team speak for nice to meet you too, Rash.
40:45I actually have a bit more to do.
40:46Can I leave you to chat?
40:47Yeah.
40:48Yeah.
40:49Of course.
40:50Hey.
40:51Yeah.
40:52Yeah.
40:53Yeah.
40:54Yeah.
40:55Yeah.
40:56Yeah.
40:57Yeah.
40:58Yeah.
40:59Yeah.
41:00Yeah.
41:01Yeah.
41:02Yeah.
41:03Yeah.
41:04Yeah, of course.
41:05Hey.
41:06So, I have found Cassie Woods as well, and there is a biological family that we can get
41:19in touch with.
41:20Great.
41:21Is there anything else I can help you with?
41:24Yeah.
41:25Can I see my care fail too, please?
41:27Hi.
41:28Yeah.
41:29Yeah.
41:30So, I've made a list of anyone who has access to main stock and I've gone through all the
41:39paperwork over the last six months.
41:40trying to find discrepancies in batch numbers.
41:41And?
41:42Nothing suspicious.
41:43So what?
41:44You think it's a problem at the factory?
41:45I don't know but we just need to prove that nothing's been taken from the ambulances.
41:46Here?
41:47Yeah.
41:48That says morphine right?
41:49Yeah.
41:50That says morphine right?
41:51Uh-huh.
41:52So, it's gonna say morphine in the paperwork?
41:53And it hasn't been nicked obviously.
41:54It hasn't been nicked obviously.
41:55That's the morphine against that.
41:56That's the morphine against that kid earlier.
41:57That's the morphine I gave to that kid earlier.
41:58I don't know.
41:59I don't know.
42:00I don't know.
42:01I don't know.
42:02I don't know.
42:03I don't know.
42:04I don't know.
42:05I don't know.
42:06I don't know.
42:07I don't know.
42:08I don't know.
42:09I don't know.
42:10But we just need to prove that nothing's been taken from the ambulances.
42:13Here.
42:14That says morphine right?
42:16Uh-huh.
42:17So, it's gonna say morphine in the paperwork.
42:20And it hasn't been nicked.
42:22Obviously.
42:23Now, that's the morphine I gave to that kid earlier.
42:26So, if this opioid test shows one line, then that is morphine.
42:31And for some completely unknown reason, it had no effect on the kid.
42:34But if it shows two lines, then you're in the clear.
42:45Okay.
42:46Cassie Woods, yeah?
42:47ITU, please.
42:51Just take care of her for us, will you?
43:02Here we go.
43:03Nicole Piper.
43:04If a child, a child, cross what you know to give them.
43:16Yeah, your minds seem so strong.
43:20Yeah, your minds seem so long.
43:23I've never been so long.
43:25So, that means someone is tempering with it.
43:30Why would someone do that?
43:33I don't know, man.
43:36I don't know.
43:37It's been so long.
43:38Excuse me for a while.
43:39Turn a blind eye with a stare caught right in the middle.
43:52Have you wondered for a while?
43:53Have you wondered for a while?
43:54I have a feeling deep down you're caught in the middle.
44:07America's audience.
44:08부탁ed.
44:09Hi guys.
44:10Stay in.
44:11Passing.
44:12He's gonna keep us safe.
44:13Miss.
44:34Transcription by CastingWords
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