- 22 minutes ago
S45 E03
Category
😹
FunTranscript
00:00Did he say Lindlaker?
00:02I knew somebody at university with the same surname.
00:05It's quite unusual, isn't it?
00:06What's this?
00:07I'm testing myself.
00:08I came into contact with a strep A patient.
00:10Let's just say for a second you're this kid's dad.
00:12You have a right to know.
00:14I'm Teddy, by the way.
00:15Pacey Sullivan.
00:16Ashley.
00:17Come on, Claude, mate. You can't stay there.
00:20Claude?
00:21Can I get some higher blood for you, please?
00:23It's broken.
00:25Whole BED is broken.
00:28Look into it, please. I'm begging you.
00:39Flynn.
00:46Flynn.
00:49Flynn.
00:53This better be important, Ken.
00:58There you are.
00:59Where is she?
01:00In your office.
01:01OK.
01:02Why's your phone off?
01:03Oh, because I ran out of battery and I couldn't find a charger.
01:05You need to shave.
01:06Yeah, but I've been awake for 60 seconds. Give me a chance, would you?
01:09The state of this place. Sorry.
01:11It's a six-car pilot and a factory fire.
01:13I guess things got backed up, Sean.
01:15That's what I deal, is it?
01:16Well...
01:17Shhh.
01:18Listen.
01:19Can't eat, right?
01:20Can you smile?
01:21Come on.
01:22There's none of you in there. Come on, where is she?
01:26Stuff around, there's stuff around.
01:30Does it look OK?
01:31Sure.
01:32Hi.
01:33Aha.
01:34I'm so sorry to keep you. I was with the patient. Flynn Byron, clinical lead.
01:38Kerry Malin, CQC.
01:39Pleasure.
01:40Kettle's boiled, if anyone wants tea, coffee.
01:42I'm really sorry. Somebody should have offered.
01:44Oh, don't be silly. I can see how busy you all are.
01:47Yeah, and to be honest, we weren't expecting a visit from CQC.
01:51Concerns have been raised.
01:53I understand another patient died in your waiting room.
01:58I'm here to do a spot inspection.
02:01Make sure you're safe to stay open.
02:04Bye.
02:12I'm sorry. It's not normally this messy. I'm trialing a new filing system.
02:39And, er, it's my daughter's birthday.
02:42How old is she?
02:46Very good.
02:50Um...
02:51Miss Mayland, um...
02:53Kerry.
02:54If I may.
02:56What happened with Claude Thompson was obviously regrettable,
03:00but totally different circumstances to what happened with Gloria Scott.
03:04So, er, full spot inspection...
03:06It's not a full inspection.
03:08My focus is purely on patient safety.
03:11The incident happened on the first day of your new resident's rotation?
03:15Er, yes, it did.
03:17But, er, to be clear, neither resident was at fault.
03:21We have an extremely robust mentorship programme.
03:25They are shadowed by a senior member of staff every second of the day.
03:29I have no wider concerns about patient safety and certainly no concerns about my new residents.
03:35OK, good.
03:36Sounds like it's going to be very straightforward.
03:38OK.
03:39Good.
03:40Yeah, yeah.
03:41She's good.
03:42Er, she's a little bit intense.
03:43She asks loads of questions.
03:44Where I grew up, about my family.
03:45Um, OK, OK.
03:46So, Mr. Gowan, where were you on the night of the 15th?
03:47She just doesn't need to know everything yet, though, does she?
03:48You know, we have only just met.
03:49But, like, haven't you seen her, like, three times this week?
03:54I mean, I don't know.
03:55Yeah, I don't know.
03:56Yeah, I don't know.
03:57Yeah, I don't know.
03:58Yeah, I don't know.
03:59What's your point?
04:00Looks like things are moving pretty quick.
04:01That's what I'm just saying, you know.
04:02All right, this mental health call-out, what's the house number again?
04:07Er, it's number 26, Brian Lee Henderson.
04:09Control 3006, we've got a cat one near you, standing you down now and devoting you.
04:16It's a major incident at Wyvern Lake.
04:18Over.
04:19Copy that.
04:20Let's go.
04:21No!
04:22No!
04:23No!
04:24No!
04:25No!
04:26No!
04:27No!
04:28No!
04:29No!
04:30No!
04:31No!
04:32No!
04:33No!
04:34No!
04:35No!
04:36No!
04:37No!
04:38No!
04:39My mum!
04:40Your mum!
04:41Sorry, mate.
04:42We've got an emergency now.
04:43Sorry.
04:44Stop, please!
04:45Whoa, whoa, whoa.
04:46OK.
04:47Go, Go.
04:48I have a big control.
04:49Hey.
04:50Hey.
04:51You OK?
04:52We're gonna have to divert from that cat one near six.
04:53I do want more to stay at the stairs be for fun.
04:58All right, mate.
04:59I'm gonna fine now.
05:00What's your name?
05:02beyblade.
05:03Kyle?
05:04OK, Kyle.
05:05I'm Jacob.
05:06OK.
05:07Okay, are you Ryan's son?
05:08Please, please, stop.
05:09All right, all right, all right.
05:10Just try and relax, try and relax, try and relax.
05:11Okay, we're here.
05:13Okay, all right, deep breaths, deep breaths.
05:15Try and relax.
05:16Let me have a look at this knee, okay?
05:20Do you want to come in?
05:21I was gonna ask you.
05:23This shouldn't be happening.
05:25I called back, I told them it was a mistake.
05:27They all seem worried.
05:29I can fix this.
05:31Come on, for real.
05:32I don't want to keep everybody for long,
05:34but I wanted to introduce Kerry Mayland from the CQC.
05:37She's here to carry out a spot safety inspection.
05:41I'm sure you've all done one before.
05:42There's nothing to worry about.
05:43She'll be moving through the department, observing,
05:47maybe asking some questions,
05:49and other than that, it's business as usual, please.
05:53Promise I'll try not to get in your way.
05:57Where would you like to begin?
05:58Recess.
05:59I'll take you.
06:01Thank you, really.
06:02Guys, guys, huddle here.
06:05Listen, focus on clearing the corridors, okay?
06:08And unloading the ambient scoop as quick as possible.
06:10Come, can you bring the bed floor team, please?
06:12And tell them what's happening.
06:14Maybe they'll take pity on us, okay?
06:16Let's get on top of things, please.
06:18All right, calm down a little bit.
06:21Don't freak everybody out.
06:21She's a suit ticking boxes.
06:23I mean, we can handle that, can't we?
06:24If you've not been through the CQC inspection,
06:27it's not quite like that.
06:28Yeah, she's more than just a Sid.
06:29She was, like, managing clinical director of major trauma until 2022.
06:33Really?
06:34Yeah, it's not in this word, but it gets me going.
06:36What she's doing at the CQC is anyone's guess.
06:38Whatever she's told you, this is not a box ticking exercise, okay?
06:42The outcome can affect the funding, trauma centre status.
06:45Well, you know, provision of any service.
06:47Which means job losses, the ability to carry her as a teaching hospital.
06:51We need to take it seriously.
06:52Okay, okay.
06:53I'm taking it seriously.
06:54Good.
06:55Dr. Byron, shall we?
06:56Dr. Byron, anything I can do?
06:57Anything at all?
06:58Ah, yeah.
07:00You're going to be in recess with Dr. Keogh today.
07:01He's going to be mentoring.
07:02Hang on, hang on.
07:03Hang on, hang on.
07:04I just told them how good the mentoring programme was,
07:05so make it convincing.
07:06Please.
07:07You two, can you take the ambulance crew, and I'm going to take the corridor.
07:13I'll take the crew.
07:19We have an injured 15-year-old with a suspected fracture of patella and a possible head injury.
07:23Over.
07:23Police said they couldn't do anything.
07:25She's not in a public place.
07:27Okay, mate.
07:28Nice deep breaths on that, all right?
07:30It might make you feel a bit giddy, but it'll help with the pain, okay?
07:34So I take it she's been sectioned before?
07:37Three times.
07:41If anything happened this morning, that might have set her off.
07:43She was like it when I woke up.
07:45She got all worked up about the school being closed.
07:51The roof fell in.
07:52See you at Holby's Grandma.
07:54You're having a bit of a week, aren't you?
07:55Don't tell her I'm hurt.
07:57She'll freak out.
07:58All right, I'm going to have a check on it for you.
08:00No, um, why don't we try and get her outside and now radio in,
08:05and make sure we get police back up.
08:07Sounds good.
08:07Okay, all right.
08:09All right, mate.
08:11Let's get the spoon on you.
08:12All right.
08:13All right.
08:14Okay.
08:20Brian here?
08:26Brian here?
08:28I'm so sorry.
08:29I didn't mean to scare you.
08:31My name's Teddy.
08:32If you look, I'm a paramedic.
08:33I'm a bit busy right now.
08:34I can see.
08:40So, um, what is it you're up to?
08:42Bake sale to raise money for the school roof.
08:44We've got to get it fixed.
08:46The kids are never going back.
08:48Kyle!
08:49Where is he?
08:50Did you hear what happened?
08:52Yeah.
08:53Awful.
08:54Awful.
08:54Yeah, I heard.
08:55All kids.
08:56Poor teachers.
08:58Oh.
08:59You okay?
09:00Yeah, yeah, yeah.
09:00Yeah, I'm fine.
09:02I just, uh, I've been on the go up all night.
09:04Cash and carry, party supply store, and then supermarket.
09:07Well, why don't you take a break?
09:09Come outside, and I could check you over.
09:11No, no, no, no time.
09:13All right, Bryony.
09:14What?
09:14What?
09:15What do you want?
09:16I said I'm busy.
09:17I am really sorry.
09:19I just want to help.
09:20You want to help?
09:21You want to help?
09:22Yeah.
09:23Then find me the icing sugar.
09:29No, no.
09:30I'd swap one would be just, like, too weird.
09:32Well, it's quite weird at the moment.
09:33Yeah, but, you know, for you, but, you know, for me,
09:36I'm finally getting a grip on mine.
09:38I think she's responding to my tough love approach.
09:39Okay, well, yeah, mine's not quite as resolved.
09:42You know the Strep A test that he took in the staff room?
09:44Well, I might have taken that and sent it for a DNA,
09:47so I'll put the results back any minute.
09:50Give me a sec.
09:51Thanks.
09:53You stole the kid's DNA.
09:55Are you in your friggin' mind?
09:57Are you going to swap with me?
09:59No, no thanks.
10:01Okay, so, uh, cubicle sevens, uh, query neck of femur,
10:06but the x-ray's not back.
10:07Um, we clean it up. I'm sorry, am I keeping you from something?
10:11No.
10:12Sorry.
10:12Okay, less focus on phone, more focus on cables.
10:14Are you safe and we're going?
10:17You'll be able to get them all.
10:18Yeah, yeah, yeah, yeah.
10:19This is, uh, I was...
10:21I'm playing a test here before collapsing about 40 minutes ago.
10:25Uh, GCS 14 on arrival, dropped to nine on route,
10:29but he's tolerating super-classic airway.
10:31No!
10:31ECG's showing ischemic changes.
10:33He's badly at 42.
10:35May 4, please.
10:36BP's 88 over 60.
10:38Satsangles!
10:39Satsangles!
10:40400 micrograms of GTN, 300 milligrams of aspirin.
10:42That's the second change.
10:44I'm taking the ball, a sort of fluid going through.
10:46Okay, uh, sorry, who's this?
10:48Oh, it's Kelsey.
10:49It's Courtney!
10:50Courtney.
10:51Hello, Courtney.
10:52Um, and this is what it appears to be, is it?
10:53It is exactly what it looks like, yeah.
10:57Okay, sorry, do we have the keys, please?
10:58No, I lost it when he was...
11:03Okay, so we need to get these off, don't we?
11:05We need bolt cutters or something similar because, yeah,
11:07maybe, Matty, can you go and find those for me?
11:10Me? Why me?
11:12Sorry, so the patient's peri-arrest, right?
11:14If we shock him with those on, we're going to electrocute her, aren't we?
11:16So...
11:16What?
11:17Uh, don't worry, he's going to find bolt cutters or something similar.
11:19Yeah, please.
11:21I don't know where to...
11:22Dr Keogh, come on, now.
11:23Surely you can show some initiative, Dr Linlake.
11:24No, please.
11:25Okay, he's in for you.
11:26No, no, no, no.
11:27Come on.
11:28No, no, no, no.
11:28Right, let's get rid of the bed, then.
11:30India, you all right on the airway?
11:31Yep.
11:32Can you get on the chest, please, Jodie,
11:33and let's stand by with adrenaline and amyobrine, please?
11:36Dr Keogh, please.
11:37I don't even know.
11:38I don't know, try the second floor.
11:39Try facilities on the second floor.
11:40Now, now, now.
11:41We will, just as soon as we get the...
11:43Don't try and stay calm.
11:56Where's the rest of them?
11:57Okay, um, just hang on a minute.
12:00Hi.
12:02Hi.
12:03Um, sorry, we're kind of dealing with an acute mental health crisis,
12:08so, um, I just want a sense of a more experience.
12:15Well, you've got me.
12:17And just so you know, she does sound very erratic.
12:22Yeah, I've got it.
12:24Okay.
12:24Hiya.
12:26I'm PC Sullivan.
12:27Are you Kyle?
12:28Oh, that looks nasty.
12:31Wouldn't have happened if you just come when I rang.
12:34I'm really sorry that no one came.
12:36But I'm here now.
12:37Do you know how many people it took to take her in last time?
12:40I'm hoping it won't get to that this time.
12:44Then you can stay together.
12:46If that's what you want.
12:48You've done really well, Kyle.
13:03You can relax now.
13:04Well, we're going to take care of both of you, right?
13:09But as you know, we need to get her outside first.
13:11Okay?
13:20Put your back into it.
13:26Look, if it's your meds that are making you feel sick,
13:29you can try on some new ones, you know.
13:33Bryony?
13:39What's that?
13:40You on your own?
13:42You're working hard.
13:44I'm trying to get through to her.
13:46It's not working.
13:47Lannis, talk ring's coming up, so I had sex now.
13:50Then I can get her help.
13:50Do you think she's safe to see her?
13:55Who are you?
13:56It's okay. This is...
13:57Hi, Bryony. I'm PC Sunderball.
13:59You're not arresting me.
14:00No, no, I'm not arresting you.
14:01I've got to sell all these cakes.
14:03She's raising money for her school roof.
14:05Oh.
14:07Can I buy one of these?
14:09Yeah, a pound each.
14:10Only a pound?
14:12Yeah.
14:13I'll give you two.
14:14It's for a good cause.
14:16Can I just take any of these?
14:17Yeah.
14:18Wow, they just look amazing.
14:21Sorry, why are you here?
14:23In my house?
14:24I don't understand.
14:27Is Carl all right?
14:28Is he in trouble?
14:29No, no, no, he's not in trouble.
14:31He's just outside.
14:33Look, he's really worried about you.
14:37He worries too much.
14:40I can see how much you love him.
14:42Going to all these lengths to help him.
14:45He's had a lot to deal with.
14:48He's a lovely lad.
14:50You've done a really good job bringing him up.
15:04I've forgotten what I'm doing next.
15:07Well, why don't you pop some shoes on and we'll go outside so that Kyle knows you're okay.
15:12And we can make a plan together.
15:16Yeah?
15:17Yeah.
15:17Yeah.
15:19Okay.
15:19All right.
15:25What's the reason?
15:26I'm still seeing you later?
15:29Yeah, of course.
15:30All right.
15:31I've never seen a dead body before.
15:33Not dead yet.
15:34We're still treating him.
15:35Oh, but what if he does die and I'm still...
15:37Can you not do that, please?
15:38So what is it taking so long?
15:40Um, you know, it's a relatively unusual set of circumstances.
15:42We don't tend to have bulk cutters in the department.
15:45Oh, do we have burnt-nest and kidney details?
15:46Yeah, his wife is on the way in.
15:48I never thought about having a wife.
15:50The amount of money I've taken off him over the years.
15:52I actually have never thought of him as a real person until now.
15:54Is that bad?
15:55Got him.
15:56All right, let's get these up then.
15:57Quickly as we can, please.
16:02Oh, thank you.
16:03Oh, my God.
16:08Shall we?
16:08Yeah.
16:09Yeah.
16:09So, charge to 150, please.
16:14Defend charging.
16:16Everybody clear?
16:17Yeah, clear.
16:18Yeah.
16:18Clear.
16:21Shocking?
16:23Pulse check, please, Jodie.
16:26Yeah, pulse.
16:26Really?
16:27Yeah.
16:28OK, so we've got Ross, but he's not out of the woods yet.
16:30Let's return those to wherever they belong.
16:34We should repeat the ECG then, and let's prep for an RSI as well.
16:38Where did you find them?
16:39Oh, er, site maintenance.
16:42Was there not a porter who could have gone?
16:44It's a shame you missed participating in an arrest scenario.
16:48I would have thought that was a good training opportunity.
16:49I, I volunteered.
16:52I thought it'd be quicker.
16:53Perhaps you can tick rapid sequence intubation off your list on the staff room wall instead.
17:03Hey, we need to get him in the van.
17:04Ashley's calmed her down, but they're coming out in a sec.
17:06Mate, I'm a bit worried.
17:07His VP's dropping and his heart rate in the rest of the staff.
17:08Hey, where are you?
17:09Brianie.
17:10Carl?
17:11Oh my God, Carl!
17:12Brianie, just wait for me.
17:13What?
17:14What's happened?
17:14Hi, Brianie, I'm Jacob.
17:16I'm looking after Carol.
17:17We need to get him to the hospital.
17:18What's happened?
17:19What's happened?
17:19Why are they two?
17:20Why are they two?
17:21Why are they two?
17:23No, no, no!
17:24Brianie, Brianie!
17:25Mark, they're Katie's back!
17:27Tag, tag.
17:27Zero, zero and you're sitting in the back of the truck, OK?
17:29Officer in pursuit north.
17:31Here.
17:32OK, Mrs. Carl.
17:33Right, this one going to be ours?
17:35Yeah, he's going with you guys.
17:36So, I don't know whether you know this, uh, Matty, but Kerry here wrote the book on emergency
17:42airway management.
17:43In fact, you wrote it too, didn't you?
17:45Yeah, so, no pressure.
17:48Right, let's get that BVM off and the eye gel out, please.
17:53There we go.
18:01OK.
18:06I don't know, like, the batteries should be.
18:08No, you've got to wait for it.
18:09There you go.
18:10Yeah.
18:11Right.
18:16Nice and easy, so we're remembering to lift rather than tilt.
18:20No, no, no, no, you're tilting, you're tilting.
18:22Right, OK, so get lower in the hips.
18:24Yeah.
18:25That's it, right.
18:26And if you, if you pick a spot on the ceiling up there, say, and just aim at that, that's it.
18:30And you, and you lift towards that.
18:33Yeah.
18:33There you go, that's it, that's it, that's it.
18:35Can you see the vocal folds?
18:36Er, yep.
18:38OK, good, so it's time for the...
18:40Bougie.
18:41The Bougie, that's it.
18:44Nice and smooth, I'll do the tube.
18:46So, I've got the Bougie.
18:58I've got the tube.
18:59Bougie out.
19:00OK.
19:02So, attach to the VM, please, Jodie, and inflate the cuff, please, Dr Keo.
19:05I will do that.
19:09OK, that is the cuff inflated.
19:12Yeah.
19:16Yeah, no end tidal waveform.
19:22Er, yeah, yeah, OK, we're, yeah, we've got into this office.
19:26OK, we're just, we're just blowing air into the stomach.
19:28Um, OK, let's extubate them, please.
19:31Deflating the cuff.
19:35Er, Jodie, can you maintain the airway for me, please?
19:39Did you, did you feel the clicks?
19:40Clicks?
19:41On the larynx as you go through?
19:42No, you should feel the clicks from the, the, the, the tracheal cartilage.
19:46When you, no, no, OK, never mind, never mind, never mind, never mind.
19:48I tell you what, let's do it again.
19:49I'll do it, I'll do it.
19:51Fine, so, can I have the laryngoscope, please?
19:54We'll find her, OK?
19:55I'm going to get her somewhere safe.
19:57Yeah, try not to worry, mate.
20:00Control to zero, zero, eight, nine.
20:02Request and suitors update.
20:06Come on.
20:07Come on, I've seen it.
20:08Please respond, over.
20:10Why is she not responding?
20:12I'm going to try and find her.
20:13OK, I'll come with you.
20:14I'll come with you.
20:40Ashley!
20:41Rainey! Rainey!
20:47Rainey! Ashley!
20:55Okay, Chris Banfield.
21:03Yeah, that's it, guys. Follow me.
21:06Hi. Hi, sorry. Are you a doctor?
21:08Erm, one of them has swallowed the battery.
21:11You know those little button ones?
21:13Okay. Which one?
21:17I don't know.
21:27Ashley!
21:38Ashley!
21:44Ashley!
21:50Ashley!
21:59Ashley!
22:00Ashley!
22:01Oh, my God. What happened?
22:02I...
22:03Tri...
22:06Alright, alright, alright. Let me have a look.
22:08Alright, alright, alright.
22:12Come here, alright.
22:14Come here, come here.
22:15Let me see it properly.
22:16Alright, I'm gonna need to put pressure on it.
22:19I know, I know, I know.
22:20I'm sorry, I'm sorry.
22:21I'm sorry.
22:24I found her, we're in Thunder Pass.
22:26It's a Woodlands Pass.
22:27She's got a penetrating chest injury.
22:29Erm, I need the bag, I didn't bring it.
22:31Okay, hold on.
22:32I'll find you.
22:33Alright?
22:34I just grabbed the ammo.
22:35I'm sorry.
22:41Okay.
22:42Erm.
22:43Erm.
22:44I'm...
22:45I'm gonna need to seal it somehow.
22:51Right.
22:52Keep going shut.
22:54Alright.
22:55Alright.
22:56Ashley, Ashley, Ashley, it's very important.
22:57I need you to put as much pressure as you can on there.
23:00Jacob, Jacob, please, Horran.
23:03Alright, keep that on there.
23:05all right all right all right put this on there we go i know i know i know well done all right
23:16you know what we are going to do as soon as this is over
23:19we are going to bake a cake yeah how does that sound okay that's one all right
23:29jacob jacob jacob please worry please all right all right all right okay
23:37so when did you notice it was missing about 30 minutes ago right okay which means you've got
23:45uh 90 minutes two hours tops where are they now in the relative's room there's toys in there so
23:51no no but they don't need toys they they need x-rays yes but i thought i better check because
23:55five of them that means unnecessary radiation no no no but it's not unnecessary kim okay unless
24:00you want to see which one dies first with the whole burned in its esophagus no no i didn't think so
24:04okay look i've got a pre-alert can you go get them x-rayed contact surgery make sure they're out to
24:09do an endoscopy and it's time critical so move would you be nice no i don't have time to be nice
24:15that's an emergency come on cqc want to see positive mental mentee relationships please
24:19yeah well stevie nash wants her mentee to be resilient stevie be nice yes with pleasure
24:25this is kyle linderson 15 fell down some stairs race lift okay heart rate's 120 up to 98
24:34bp dropped to 94 over 60 sacks and 99 on 02 gcs is 15 giving him nitrous oxide a gram of avi
24:42piacetamol two and a half milligrams of morphine okay great thank you very much um siobhan will you
24:46keep us up speed if there's anything that we missed in the meantime let's split the primary
24:49survey reader can you take the chest matty why don't you do the abdo for me yep
24:52um acute manic episode she refused treatment at the scene okay kyle kyle i'll see if i can find
25:01out what's going on with your mom okay try not to worry love okay yeah some firmness in the upper
25:07right quadrant okay so indicative of possible internal bleeding right so we need to get hold
25:13of radiology book a full trauma ct as soon as we can please if you manage to get hold of mum
25:18will you let me know if social services need to be alerted yeah yeah we'll do poor kid
25:22ken why is a patient in cubicle one still here i thought it was a simple laceration he is i'm just
25:34waiting for the x-ray before i stitch him what's going on with radiology today they're taking an
25:40aged everything look if you want to take a look we might not need it okay uh siobhan did you mind
25:45cubicle one uh yeah i'll be within two minutes thanks hey listen what i got you kerry is looking
25:50for that paperwork for the cctv cameras we ordered for reception i can't find it anywhere we have to
25:54put it out to tender first look at the responses are on your desk if you look at them now i'll sort it
26:00come out thank you okay right camp i will see you yep
26:10sorry kyle er some technical difficulties here mate won't be a minute
26:27good luck whoa what's going on here i don't know
26:47good luck
26:54okay look steve a i need someone still in the uk can you take this yeah yeah yeah
27:15this is ashley soliphan 26 right penetrating injuries to the right anterior chest resulting
27:24in a sucking chest wound temporarily sealed at the scene now covered with a proper chest seal
27:30she's tacky at 130 bp's 98 over 64 resp 32 sats 92 on high flow so the gram of ivy paracetamol
27:37grammar txa and five milligrams of morphine it's all right we're here now yeah right lift on
27:41three one two three okay start primary survey jody can you get monitoring on please and here's a let's
27:50activate the major hemorrhage protocol uh could we get a first shot pack down and yeah alistair can you
27:55get the rapid user please and uh yeah get an ultrasound in here please thank you
28:04i'm still there i'm still here okay is there a next of kin we call she's my girlfriend okay okay okay
28:14i'll be back as soon as i go all right thanks
28:26uh did you get the x-ray no they were about to and then they said the system went down
28:44uh shall i take them to saint james who who wants a ride in a taxi
28:50oh i mean even an ambulance oh thank you
28:55yes
28:56i'll take you a moment i've got an idea i'll be that down in the edie okay i'll see you
29:01hi um do you know what could i just email you this paperwork i oh that's fine uh what's your
29:14contingency plan um for um you haven't heard about radiology
29:20hey hey have you seen dr keogh can't find him anywhere i can't get this to work what is it
29:32metal detector i got it from security well what do you need the metal detector for
29:37there you go no batteries see oh this isn't happening i need to find out which one of those
29:42kids followed a button battery this was my last hope yeah radiology's out yeah yeah okay okay um
29:49i know where we can get one from come on look i don't even know what's going on in my own
29:55department okay i was on my way to tell you do we even have a contingency plan for this only for
30:00a complete system failure this sounds like it's going to be down for a few hours there is no point
30:04in evacuating everybody okay what do we do what is the fix um okay we divert the ambulances till
30:11we're back online and we manage that is my mot failed right just i'll leave that one till tomorrow
30:20yeah please yeah flynn look we've got this okay we keep calm and we carry on you still need a shave
30:29no sats are still low still hypotensive and tacky okay there's hardly any blood going through this
30:40and it's uh yeah it's not swinging maybe the drain's being located incorrectly yeah well
30:46we can't know for sure without an x-ray yeah well good luck getting one of those anytime soon okay um
30:51yeah so what are you thinking well i'm thinking she's got a massive haemothorax but uh the drain's
30:58not working properly also possible tension and okay let's um let's reset the drain okay
31:06i know i know it's uncomfortable just squeeze my hand that's it that's it thanks jerry doing really
31:11well great thank you there we go oh great you were right all right okay thank you
31:29okay drain going and again um hazel when they've gone through can you get two more units up please
31:34and jody can you contact cardiothoracics for me
31:36yeah thank you right sats are coming back up good call yeah well you're good lady inspector was
31:42around to see that one thank you no worries dr keyhole i was just looking for you you okay yeah yeah
31:52have you heard about radiology yeah no i don't know well paediatrics had rather
31:57stayed in resource until uh until they got his imaging but the fast scan is out of action so really
32:02his heart rate's cracked up his sats are dropping he's drowsy there's definitely something going on
32:07what do you want to do dylan um uh yeah sorry could you find an ultrasound machine please read it
32:16uh i guess i could get one from literally anywhere well i could go if you no no no i need you with me
32:22please okay so we need to we need to start from the top full systemic assessment try and work out where
32:30we were well what i missed okay all that does go higher right uh does anyone else need a wee no no
32:49um anything i've checked them all and there's no sign of it are you sure one of them definitely
32:54swallowed it well i mean where's albie i thought he was with you no oh gosh um um do you mind yeah
33:08thank you albie help me help me hey wait wait have you seen a little boy come through here we think he
33:17swallowed a battery no no miss manon do you need a hand
33:29sorry it took so long obviously the one time we need it everyone and their aunty wants to get their
33:34hands on it okay bp's crashing up those increasingly tense and now peritonitic yeah that sounds like a
33:40mesenteric term should we just see if nita will take him uh they won't take a 15 year old boy without
33:45confirmation i don't know i can do this of course you can mess and territory too you've got this
34:02yeah it's not quite what i meant but
34:15anything no one saw him leave but security are checking the car park
34:24he was choking and then he went all floppy so i just picked him up and ran let's get him to
34:28these cells
34:35dr byron
34:36hey what's happening what have we got he's swallowed a battery when i found him he was being sick and
34:42and then he started choking i think he's a respiratory arrest it's okay elbie i'm here it's okay it's okay it's
34:48okay yeah he's not breathing it's okay it's okay it's okay i'm here it's it's my voice it's okay
34:56don't worry you're doing so good well well done
34:59dr byron dr byron i can't feel a pulse let's start cpr please uh kerry in the emergency airway
35:06you'll find a laryngoscopy over there you'll find a laryngoscopy and peace mcgill's please
35:20why is the light not working come on it's supposed to take the battery out for god's sake
35:27right keep going cpr uh kerry um can you find me another one please
35:38so obviously we're concentrating on the upper right quadrant and you can see there the
35:42uh excuse me sorry what sorry do we have what do we have five minutes do we look like we have any
35:48time at all what would really improve patient safety would be not having people barge in every
35:53five minutes you know not having people breathing down our necks while we're trying to treat patients
35:58can you please go and bother somebody else i was just going to say do you have a mac one
36:03blade and a laryngoscope in here dr byron needs one with a working light
36:12uh thank you oh yeah okay so there there's the um the mesoteric bleed is confirmed let's hear to
36:26know he's on his way
36:42okay yeah i think i can see it
36:51got it got it
36:56hey little man yeah i'm right here everything's okay
36:59what a day we're having eh
37:01dr chang can you uh fast bleep the ent please he's gonna need an exploratory endoscopy in case
37:06it's leaked marie can you get a line in please there's oxygen on him
37:12i'll leave you to it
37:24look i know we haven't exactly covered ourselves in glory but today's been an atypical day
37:32is there any other kind in an emergency department
37:35this is not how i wanted today to go i understand the pressures you're facing i really do but
37:44patients still need a safe place to seek treatment somewhere with working equipment
37:49where doctors don't bite each other's heads off when they're stressed yeah yeah you're right can you
37:54honestly say if something truly unexpected happened you'd be prepared to handle it i don't think you would
38:00i'm triggering a full inspection i'll email you my report with recommendations
38:07and in 30 days i'll be back to see if things have improved
38:10and um if they they haven't let's hope it doesn't come to that
38:19hey how are you feeling thank you so much teddy no no don't be silly
38:32and um i've i've been wondering i'm sorry if it's not the right time
38:40but do you still have my loyalty card for the coffee van
38:44it was a free latte on that i'm sorry about that it's all right you can owe me a coffee i suppose
38:55i was pretty out of it when we first came in here but i've got a fake recollection of um
39:02you calling me your girlfriend
39:06sorry it was it was just a situation you want to take it back
39:10quick do you want me to not really okay i won't
39:34thanks oscar kyle kyle love yeah i've got news on your mom she's at the police station she's okay
39:40she's fine they are going to move us somewhere more appropriate they will look after her
39:49she's all i got of course they will love uh this is liv she's a social worker she's going to find
39:56us somewhere to stay hi um alvy's parents have arrived on the children's ward so great yeah yeah
40:04i just wanted to say thank you before i went where are the rest of your doglings oh um they've all been
40:10collected i've found it hard enough for two honestly i don't know how you manage not very well it turns out
40:21i don't think that's true i mean you were so calm most people would be freaking out i was freaking out
40:29i i still am i i i thought this job was like like sticking and gluing and playing you know what's
40:38the time mr wolf but um he he could have died and it would have been my fault and it wasn't your fault
40:51nobody can keep an eye on that many kids every second of the day but that doesn't matter
40:54i i i was responsible for looking after him and i i i let him down
41:08well i think you're being a bit harsh on yourself
41:11well judging from the look on everybody's faces i'm guessing you've all heard the outcome of the spot
41:33inspection yeah news of a setback like that was bound to travel fast wasn't it did they say
41:42specifically what we failed for no they didn't uh well i mean it wasn't just one thing um
41:50but listen and i might be hard to believe this but i want you to know that this is not
41:55a reflection on you you were all without exception caring hard-working outstanding professionals
42:05that's not done much good has it well in 30 days time we're going to show them what we're made of
42:09nicole i'm confident about that and i want you all to know that in the meantime your jobs your your
42:16training placements your hours absolutely none of that is at risk you can't guarantee that though can
42:22you yes i can because whatever the outcome of this process it is on me okay i mean they won't even
42:30need to fire me i will hand in my resignation that is how confident i am that we are going to sail
42:36through this well so you're offering to be a human shield for the whole department yeah yeah that's
42:42exactly what i'm offering okay okay look it's it's it's been a really long day let's all just go home
42:55regroup come in to start fresh tomorrow thank you
43:25yeah hey better get off if you're gonna make poppy's birthday no no come on i'm gonna i'm gonna
43:32stay i'll make it up to her cqc you want me to focus on residence training on on contingency
43:38planning i gotta focus on safety in the in the reception i'm gonna order that uh cctv cameras
43:43as well if i can find the damn paperwork you said you left out for me and i gotta make a start
43:47on the training plan there you go i will stay and do it hey no shift come on i meant what i just
43:52said in there okay i'm gonna take care of this it's on me end of it's on both of us isn't it
43:58we're a team aren't we go on go and have a nice big piece of cake for me i mean it's no point in
44:06both of us staying is there go really you sure yes sure go hey take this 20 quick come on take it
44:18please it's the least i can do you don't have your car it's gonna be late just take it get it
44:21okay if you insist okay take that ridiculously oversized unicorn with you you reckon it's big
44:27enough yeah go flynn yeah we've got this okay for me okay thank you
44:37oh shiv can i ask a figure please yeah yeah what do you need would it be okay if i finished a bit
44:53early tomorrow afternoon it's just you know there's there's an appointment for a dating scan at 4 30
44:58or the next ones in two weeks and if i don't if i don't get tomorrow's two weeks could take away
45:03my options a bit yeah yeah of course thank you yeah how did he intake it uh yeah i haven't told him
45:12oh love come on i know it's complicated but he's got a right to know
45:15i know i know but imagine how he's gonna feel if he finds out and he didn't even know you were
45:21pregnant rip the plaster off best way
45:43hey
45:43it's not your foe it is though
45:55see you tomorrow dylan yeah any word on the result yeah and
46:06um it indicates a very likely chance of paternity about 99.9 percent
46:14okay well that's pretty conclusive mm-hmm
46:18so what are you gonna do uh now i go home okay but don't be on your own
46:24no i think i will it's a disaster steve it's a catastrophe
46:43no i think i can't believe it's a disaster steve it's a disaster steve it's a disaster
46:55okay
46:56yeah hello it's me it's okay doctor we'll be back
46:58i just wanted to let you know that i've pulled a few strings and someone's coming tomorrow to fit the
47:19new cctv i know i know i'm a miracle worker um everything's going to be on your desk i've left
47:27it there with a sticky note saying cctv okay you can't miss it and i made a start on those training
47:34plans so they'll be on the shared drive anyway i hope poppy had a wonderful birthday and uh i'll see you
47:42tomorrow yeah bright and early
48:04you
48:06you
48:15you
48:15you
48:15you
48:16you
48:16you
48:16you
48:17you
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