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00:00Did he say Lindlaker?
00:02I knew somebody at university with the same surname. It's quite unusual, isn't it?
00:06What's this?
00:07Tested myself.
00:08Came 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.
00:18Come on, Claude, mate. You can't stay there.
00:20Claude?
00:21Can I get some hair from the rear, please?
00:23It's broken.
00:25Whole BED is broken.
00:28Look in this way, please. I'm begging you.
00:40Flynn.
00:46Flynn.
00:50Flynn.
00:54This better be important, Cam.
00:58There you are.
00:59Where is she?
01:00In your office.
01:01Okay.
01:02Why's she falling 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 only been awake for 60 seconds. Give me a chance, would you?
01:08The state of this place. Sorry.
01:10It's a six-car pilot and a factory pilot.
01:13I guess things got backed up, Sean.
01:15That's not ideal, is it?
01:16Well...
01:17Shh!
01:18Listen.
01:19Just look.
01:20Okay, a deep breath.
01:22You can smile.
01:23Come on.
01:24She probably's not eating there. Come on, where is she?
01:27It's not for over, it's not for over.
01:30Does it look okay?
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.
01:39Kettle'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.
02:04Right.
02:14I'm sorry. It's not normally this messy. I'm trialling a new filing system.
02:39And, er, it's my daughter's birthday.
02:42How old is she?
02:46Very good.
02:51Miss Mayland, er, Kerry, if 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. The focus is purely on patient safety.
03:10The incident happened on the first day of your new resident's rotation.
03:15Er, yes, it did. But, 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, er, certainly no concerns about my new residents.
03:35OK, good. Sounds like it's going to be very straightforward.
03:40Yeah, yeah, she's cool. Er, she's a little bit intense. She asks loads of questions.
03:52Where I grew up, about my family.
03:54Erm, OK, OK. So, Mr. Gowan, where were you on the night of the 15th?
03:58She just doesn't need to know everything yet, though, does she?
04:02Er, you know, we have only just met.
04:04But, like, haven't you seen her, like, three times this week?
04:08I mean, I... I... I... I... Yeah...
04:11What's your point? I don't know.
04:12Looks like things are moving pretty quick, that's what I'm just saying, you know.
04:15Oh!
04:17Right, this mental health call out, what's the house number again?
04:20Er, it's number 26, Brian Lee Henderson.
04:24Control 3006, we've got a cat one near you, standing you down now and devoting you.
04:29It's a major incident at Wyvern Lake. Over.
04:32Copy that.
04:34Let's go.
04:37No! No! Please, I'm on, I'm on!
04:40Mate, sorry, mate, we've got an emergency, mate. Sorry.
04:42Stop, please!
04:43Whoa, whoa, whoa!
04:44Okay, go, go. I will take control.
04:48Hey!
04:49Hey!
04:50You okay?
04:51Control, we're gonna have to divert from that cat one.
04:53I'm fine, I'm fine.
04:55I'm just...
04:56Jacob's making...
04:57All right, mate, all right, all right. Try and relax.
05:01What's your name?
05:03Kyle.
05:04Kyle?
05:05Okay, Kyle, I'm Jacob.
05:06Okay, um...
05:07Please!
05:08Are you...
05:09All right, all right, all right. Just try and relax.
05:10Try and relax.
05:11Try and relax.
05:12Okay, we're here.
05:13Okay, all right.
05:14Deep breaths, deep breaths.
05:15And relax.
05:16Let me have a look at this knee, okay?
05:19Hey, so what's going on?
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 married.
05:29I can fix this.
05:30Come on, hurry up.
05:31Hurry up.
05:32Uh, I don't want to keep everybody for long, but I wanted to introduce Kerry Mayland from the CQC.
05:37She's here to carry out a spot safety inspection.
05:40I'm sure you've all done one before.
05:42There's nothing to worry about.
05:44She'll be moving through the department, observing, maybe asking some questions and, um, other than that, it's business as usual.
05:52Please.
05:53Promise I'll try not to get in your way.
05:55Um, where would you like to begin?
05:56Resource?
05:57Uh, I'll take you.
05:58Thank you, really.
05:59Guys, guys, huddle here.
06:00Listen.
06:01Focus on clearing the corridors, okay?
06:02And unloading the ambient scoop as quick as possible.
06:03Come, can you bring the bed floor team, please?
06:04And tell them what's happening.
06:05Maybe they'll take pity on us, okay?
06:06Let's get on top of things, please.
06:07All right.
06:08Calm down a little bit.
06:09Don't freak everybody out.
06:10She's a suit ticking boxes.
06:11I mean, we can handle that, can't we?
06:12Uh, if you've got me to do a CQC inspection a bit before, it's not quite like that.
06:15Mm-hmm.
06:16I'll take you.
06:17I'll take you.
06:18I'll take you.
06:19Guys, guys, huddle here.
06:20Listen.
06:21Focus on clearing the corridors, okay?
06:22And unloading the ambient scoop as quick as possible.
06:23It's not a box ticking box.
06:24I mean, we can handle that, can't we?
06:25Uh, if you've got me to do a CQC inspection a bit before, it's not quite like that.
06:28Yeah.
06:29She's more than just a sit.
06:30She was, like, managing clinical director of major trauma until 2022.
06:33Really?
06:34Yeah.
06:35It's not misword, but gets me going.
06:37What she's doing at the CQC is anyone's guess.
06:39Whatever she's told you, this is not a box ticking exercise, okay?
06:43The outcome can affect the funding, trauma centre status.
06:46Well, you know, provision of any service.
06:48Which means job losses, the ability to carry on as a teaching hospital.
06:52We need to take it seriously.
06:53Okay, okay.
06:54I'm taking it seriously.
06:55Good.
06:56Dr. Byron.
06:57Dr. Byron, anything I can do.
06:58Anything at all.
06:59Ah, yeah, thank you.
07:00You're going to be in research with Dr. Keogh today.
07:02He's going to be mentoring.
07:03No, no, no, no.
07:04I just told them how good the mentoring programme was, so make it convincing.
07:07Please.
07:08You two, can you take the ambulance crew, and I'm going to take the corridor.
07:13I'll take the crew.
07:15We have an injured 15-year-old with a suspected fracture of patella and a possible head injury.
07:23Over.
07:24The police said they couldn't do anything.
07:26She's not in a public place.
07:27Okay, mate.
07:28Nice deep breath from that, all right?
07:30It might make you feel a bit giddy, but it'll help with the pain, okay?
07:33Okay.
07:34So, I take it she's been sectioned before?
07:37Three times.
07:41Did anything happen 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.
07:48Ah!
07:51The roof fell in.
07:52See you at Holby Grandma.
07:54You're having a bit of a week, aren't you?
07:56Don't tell her I'm hurt.
07:57She'll freak out.
07:58All right.
07:59I'm going to have a check on her for you.
08:01You know what?
08:02Why don't we try and get her outside and I'll radio in.
08:05And make sure we get police back up.
08:07Sounds good.
08:08All right.
08:09All right.
08:10All right, mate.
08:11Let's get the spoon on you.
08:12All right.
08:13All right.
08:14Okay.
08:21Briony?
08:26Briony?
08:29I'm so sorry.
08:30I didn't mean to scare you.
08:31My name's Teddy.
08:32If you look, I'm paramedic.
08:33I'm a bit busy right now.
08:35I can see.
08:41So, erm, what is it you're up to?
08:43Bake sale.
08:44To raise money for the school roof.
08:45We've got to get it fixed.
08:46The kids are never going back.
08:48Kyle!
08:49Where is he?
08:51Did you hear what happened?
08:52Yeah.
08:53Awful.
08:54Awful.
08:55Yeah, I heard.
08:56All kids.
08:57Poor teachers.
08:58Ooh.
08:59Ooh.
09:00You okay?
09:01Yeah, yeah, yeah.
09:02Yeah, I'm fine.
09:03I just, er, I've been on the go up all night.
09:05Cash and carry.
09:06Party supply store and then supermarket.
09:08Well, why don't you take a break?
09:09Come outside and I could check you over.
09:11No, no, no.
09:12No time.
09:13All right.
09:14Briony.
09:15What?
09:16What do you want?
09:17I said I'm busy.
09:18I'm 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.
09:30Stop.
09:31One 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, I'm finally getting a grip on mine.
09:38I think she's just gone to my tough love approach.
09:40Okay, well, yeah.
09:41Mine's not quite as resolved.
09:42You know the Strep A test that he took in the start room?
09:45Well, I might have taken that and sent it for a DNA.
09:48So, the results are back any minute.
09:50Give me a sec.
09:51Thanks.
09:53You stole the kid's DNA.
09:55What are you in your friggin' mind?
09:57Are you going to flop with me?
09:59No.
10:00No thanks.
10:01Okay, so, er, cubicle sevens, er, query neck of femur, but the x-ray's not back.
10:07Erm, we clean it up.
10:08I'm sorry, am I keeping you from something?
10:11No.
10:12Sorry.
10:13Okay, let's focus on phone.
10:14More focus on patients.
10:15Are you still from me going?
10:17You'll be able to get them off.
10:18Yeah, I don't know what to do.
10:20I don't know what to do.
10:22I'm playing a test here before collapsing about 40 minutes ago.
10:26Er, GCS 14 on arrival, drop to nine on Rupert is tolerating a super-classic airway.
10:31ECG's showing ischemic changes.
10:34He's ready at 42.
10:35May 4, please.
10:36PPE's 88 over 60.
10:38Careful!
10:39400 micrograms of GTN, 300 milligrams of Aspirin.
10:42That's the second and second of all of the fluid going through.
10:46Okay, er, sorry, who's this?
10:48Oh, it's Kelsey.
10:49It's Courtney!
10:50Courtney.
10:51Hello, Courtney.
10:52Erm, and this is what it appears to be, is it?
10:54It is exactly what it looks like, yeah.
10:56Okay, sorry, do we have the keys for these?
10:58No, I lost it when he was...
11:01Okay, so we need to get these off, don't we?
11:04We need bolt cutters or something similar, because, yeah.
11:07Maybe, Matty, can you go and find those for me?
11:09Me?
11:10Why me?
11:11Sorry, so the patient's peri-arrest, right?
11:14If we shock him with those on, we're gonna electrocute her, aren't we?
11:16So...
11:17What?
11:18Er, don't worry, he's gonna find bolt cutters or something similar, yeah?
11:20Please?
11:21I-I don't know where to-
11:22Dr. Keogh, come on, now.
11:23Surely you can show some initiative, Dr. Linlake.
11:25No, please.
11:26Okay, is it the-
11:27No, no, no, no.
11:28Come on.
11:29No, no, no, no.
11:30Right, let's get rid of the bed, then.
11:31Er, Indie, you're right on the airway.
11:32Yep.
11:33Can you get on the chest, please, Jodie, and let's stand by with, er,
11:35adrenaline and amiodarine, please.
11:36Dr. Keogh, please.
11:37I don't even know where-
11:38I don't know, try the- try the second floor.
11:39Try facilities on the second floor.
11:41Now, now, now!
11:42We will, just as soon as we get the back.
11:44Don't try and stay calm.
11:45What's the rest of the-
11:58Okay, erm, just hang on a minute, yeah?
12:02Hi.
12:03Hi.
12:04Erm, so, we're kinda dealing with an acute mental health crisis,
12:08crisis so um i i just put it said someone more experienced well you've got me and just so you
12:19know she does sound very erratic yeah i've got it okay hiya i'm pc sullivan are you kyle oh that
12:30looks nasty wouldn't have happened if you just come when i rang i'm really sorry that no one came
12:37but i'm here now do you know how many people it took to take her in last time i'm hoping it won't
12:41get to that this time then you can stay together if that's what you want
12:48you've done really well kyle you can relax now we're gonna take care of both you right
13:07but as you know we need to get her outside first okay thank you
13:13put your back into it
13:25look if it's your meds that are making you feel sick you can try on some new ones you know
13:33ryanie
13:33what's that when you're on you working hard i'm trying to get through to her
13:46it's not working
13:52do you think she's safe to see you who are you it's okay this is hi brian lee i'm pc
13:58suddenly you're not arresting me no no i'm not arresting you i've got to sell all these cakes
14:03she's raising money for the school roof oh
14:07can i buy one of these yeah pound each only a pound yeah i'll give you two it's for a good cause
14:16can i just take any of these yeah wow they just they look amazing sorry why are you here in my house
14:24i don't understand is carl all right is he in trouble no no no he's not in trouble he's just outside
14:33but he's really worried about you oh he worries too much i can see how much you love him going to
14:42all these lengths to help him he's had a lot to deal with he's a lovely lad you've done a really
14:51good job bringing him up thank you
15:04i've forgotten what i'm doing next well why don't you pop some shoes on and we'll go outside so that
15:11kyle knows you're okay and we can make a plan together yeah yeah yeah okay
15:19that was amazing i'm still seeing you later yeah of course all right i've never seen a dead body
15:32before not dead yet we're still treating him but what if he does die and i'm still can you not do that
15:38please what's it taking so long you know it's a relatively unusual set of circumstances we don't
15:43tend to have bolt cutters in the department oh do we have burn there's some kid details yeah his wife
15:47is on the way in i've never thought i'm having a wife the amount of money i've taken off him over
15:51the years i actually have never thought of him as a real person until now is that bad
15:55all right let's get these up then put here if we can please
16:02god thank you oh my god thank you
16:08should we yeah yeah so charge to 150 please
16:14do you think charging everybody clear yeah clear yeah
16:18yeah okay so we've got ross but he's he's not out of the woods yet let's return those to wherever
16:32they belong um we should uh repeat the ecg then and let's let's prep for an rsi as well
16:38where did you find them oh uh site maintenance was there not a porter who could have gone
16:44it's a shame you miss participating in an arrest scenario i would have thought that was a good
16:49training opportunity i i volunteered i thought it'd be quicker perhaps you can tick rapid sequence
16:55intubation off your list on the staff room wall instead hey we need to get him in the van ashley's
17:05calmed her down but they're coming out in a sec mate i'm a bit worried his vp's dropping and his
17:08heart rate in the rest of the hospital why are they two why are they two
17:21so i don't know whether you know this uh mattie but kerry here wrote the book on emergency airway
17:43management in fact you wrote two didn't you so no pressure right let's get that bvm off and the eye gel
17:52out please there we go okay there's no light for the batteries should be no no you gotta wait for it
18:10there you go yeah that's it nice and easy so we're remembering to lift rather than tilt no no no
18:21no you're tilting you're tilting right okay so get lower in the hips yep that's it right and if you
18:26if you pick a spot on the ceiling up there say and just aim at that that's it and you and you lift
18:31towards that yeah there you go that's it that's it can you see the vocal folds uh yep okay so it's
18:39time for the bougie the bougie that's it nice and smoothly i'll do the tube
18:46so i've got the bougie i've got the tube bougie out okay attach to the bm please jody and inflate the
19:04cough please off to care i will do that that is the cuff inflated
19:18yeah no end tidal waveform uh yeah yeah okay well yeah we've got into this office okay we're just
19:27are we just blowing air into the stomach um okay let's extubate them please deflating the cuff
19:34uh jody can you maintain the airway for me please did you feel the clicks on the larynx as you go
19:42through no you should feel the the clicks from the the the the tracheal cartilage when you know
19:46no no okay never mind never mind i'll tell you what let's do it again i'll do it i'll do it
19:51fine so can i have the laryngoscope please find okay i'm gonna get us somewhere safe
19:57yeah try not to worry about it
20:00control zero zero eight nine request messages update
20:06come on come on over please respond over
20:10why is she not responding i'm gonna try and find her okay i'll come in
20:27i'm gonna try and find her okay
20:41Rainey! Rainey! Ashley!
20:54Okay, Chris Banfield.
20:56Yes.
20:57Come with me.
21:02Yeah, that's it, guys. Follow me.
21:05Hi. Hi. Sorry. Are you a doctor?
21:08Um, one of them hasn't swallowed a battery. You know those little button ones?
21:12Okay. Which one?
21:17I don't know.
21:27Ashley!
21:29Ashley!
21:38Ashley!
21:44Ashley!
21:50Ashley!
21:51Oh, my God, what happened?
21:53I...
21:54Tri...
21:56All right, all right, it's all right, let me have a look.
21:57All right, all right, all right.
22:00Come here, come here.
22:01Let me see it properly.
22:02All right, I'm gonna need to put pressure on it.
22:04No, I know, I know, I know, I'm sorry, I'm sorry, I'm sorry.
22:06Jake, Jake, Jake, I need Penny. I found it. We're in his underpass. It's a Woodlands Pass. He's got a penetrating chest injury.
22:15I need the back, I didn't bring it.
22:17Okay, hold on, I'll find you. All right.
22:19All right.
22:20All right.
22:21All right.
22:22All right.
22:23All right.
22:24All right.
22:25All right.
22:26All right.
22:27All right.
22:28All right.
22:29All right.
22:30All right.
22:31All right.
22:32I'll find you. All right.
22:34I'll just grab the elbow.
22:37God, for evil.
22:41Okay.
22:42Um...
22:43Um...
22:44I'm gonna need to seal it somehow.
22:50Keep pressure.
22:53All right.
22:54All right.
22:55Ashley, Ashley, it's very important.
22:57I need you to put some of the pressure on it.
22:59Jacob, Jacob, please hurry!
23:01All right.
23:02Keep that under.
23:03All right.
23:04All right.
23:05All right.
23:06All right.
23:07All right.
23:08All right.
23:09I'm gonna put this on.
23:10There we go.
23:11I know.
23:12I know.
23:13I know.
23:14I know.
23:15Well done.
23:16All right.
23:17You know what we are gonna do?
23:18As soon as this is over, hmm?
23:20All right.
23:21All right.
23:22We are gonna bake a cake.
23:23Yeah?
23:24How does that sound?
23:25Yeah.
23:26Mm?
23:27Okay.
23:28That's all right.
23:29Jacob.
23:30Jacob.
23:31Jacob.
23:32Jacob, please hurry.
23:33Please.
23:34All right.
23:35I've got you.
23:36All right.
23:37All right.
23:38All right.
23:39Okay.
23:40So when did you notice it was missing?
23:42About 30 minutes ago.
23:43Right.
23:44Okay.
23:45Which means you've got 90 minutes, two hours tops.
23:47Where are they now?
23:48In the relative's room.
23:49There's toys in there.
23:50No, no.
23:51But they don't need toys.
23:52They need x-rays.
23:53Yes.
23:54But I thought I'd better check because for five of them that means unnecessary radiation.
23:57No, no, no.
23:58But it's not unnecessary, Kim.
23:59Okay.
24:00Unless you want to see which one dies first with a hole burned in its esophagus.
24:02No.
24:03No.
24:04I didn't think so.
24:05Okay.
24:06Look.
24:07I've got a pre-alert.
24:08Can you go get them x-rayed, contact surgery, make sure they're able to do an endoscopy
24:10and it's time critical, so move.
24:11Would you be nice?
24:12No.
24:13We don't have time to be nice.
24:14That's an emergency.
24:15Come on.
24:16The CQC want to see positive mentor-mentee relationships.
24:18Please.
24:19Yeah.
24:20Well, Stevie Nash wants her mentee to be resilient.
24:22Stevie.
24:23Be nice.
24:24Yes.
24:25With pleasure.
24:26This is Kyle Lindeson.
24:27Fifteen fell down some stairs.
24:28Race.
24:29Lift.
24:30Okay.
24:31Heart rate's 120, up to 98.
24:33BP's dropped to 94 over 60.
24:36Sats are 99 on 02.
24:37GCS is 15.
24:39Giving him nitrotexide, a gram of avipyacetamol, two and a half milligrams of morphine.
24:43Okay.
24:44Great.
24:45Thank you very much.
24:46Siobhan, will you keep us up to speed if there's anything that we missed?
24:48In the meantime, let's split it to the primary survey.
24:50Reader, can you take the chest?
24:51Matty, why don't you do the abdo for me?
24:52Yep.
24:53Um, acute manic episode.
24:54She refused treatment of orthocine.
24:55Okay, Kyle.
24:56Kyle, I'll see if I can find out what's going on with your mum, okay?
24:58Try not to worry, love.
24:59Okay, yeah, some firmness in the upper right quadrant.
25:00Okay, so indicative of?
25:01Possible internal bleeding.
25:02Right, so we need to get hold of radiology, book a full trauma CT as soon as we can, please.
25:15If you manage to get hold of mum, will you let me know if social services need to be alerted?
25:20Yeah?
25:21Yeah, we'll do.
25:22Poor kid.
25:29Cam, why is a patient in cubicle 1 still here?
25:31I thought it was a simple laceration.
25:32He is.
25:33I'm just waiting for the x-ray before I stitch him.
25:36What's going on with radiology today?
25:38They're taking an age to hold everything.
25:40Look, if you want to take a look, we might not need it.
25:43Okay, Siobhan.
25:44Do you mind?
25:45Cubicle 1?
25:46Yeah, I'll be within two minutes, Cam.
25:47Thanks.
25:48Hey, listen, what I've got you.
25:49Kerry is looking for that paperwork for the CCTV cameras we ordered for reception.
25:53I can't find it anywhere.
25:54We have to put it out to tender first.
25:56Look, the responses are on your desk.
25:58If you look at them now, I will sort it.
26:00Come on, thank you.
26:01Okay.
26:02Right.
26:03Cam, are I with you?
26:05Yep.
26:10Sorry, Kyle.
26:24Some technical difficulties here, mate.
26:26Won't be a minute.
26:27Okay.
26:28Good, lad.
26:33Whoa.
26:34What's going on here?
26:46I don't know.
27:04Hey, lad.
27:05Stevie.
27:06I need someone.
27:07Dylan, are you okay for me to take this?
27:09Yeah.
27:10Yeah, yeah, yeah.
27:19This is Ashley Sullivan, 26.
27:20That's right.
27:21Penetrating injuries to the right anterior chest, resulting in a sucking chest wound.
27:26Temporally sealed at the scene.
27:28Now covered with a proper chest seal.
27:30She's tacky at 130.
27:31BP's 98 over 64.
27:33Rests 32.
27:34Sats 92 on high flow.
27:35So the gram of IV paracetamol.
27:37Grammar TXA in five milligrams of morphine.
27:39It's all right.
27:40We're here now, yeah?
27:41Right.
27:42Lift on three.
27:43One, two, three.
27:45Telly Whitfield.
27:46Are you okay to start primary survey?
27:47Jodie, can you get the monitor and all, please?
27:49And Hazel, let's have to get the major haemorrhage protocol.
27:51Can we get a first shot packed down?
27:54And yeah, Alistair, can you get the rapid infuser, please?
27:56And yeah, get an ultrasound here, please.
28:00I'm here, okay?
28:01I'm gonna look after you.
28:02I'm gonna quit.
28:03I'm still there.
28:04I'm still there.
28:05I'm still there.
28:06I'm still there.
28:07There.
28:08Is there a next of kin we call?
28:10She's my girlfriend.
28:11Okay.
28:12Okay.
28:13Okay.
28:14Okay.
28:15Teddy.
28:16Hmm?
28:17You need to keep me.
28:18I know, but I can't.
28:20Teddy, it's fine.
28:21We'll look after her.
28:22You go.
28:23Okay?
28:24All right.
28:25Okay.
28:26I'll be back as soon as I can.
28:27All right.
28:28Thanks.
28:29Uh, did you get the x-ray?
28:30No.
28:31They were about to and then they said the system went down.
28:33Shall I take them to St James?
28:34Who, who wants a ride in a taxi?
28:35Me!
28:36Oh, and maybe even an ambulance.
28:37Oh, thank you, thank you.
28:38Yes!
28:39It'll take too long.
28:40I've got an idea.
28:41I'll be back down on the ED.
28:42Okay, I'll see you.
28:43I'll see you.
28:44Hi.
28:45Um, do you know what?
28:46Could I just email you this paperwork?
28:47I, I...
28:48Oh, that's fine.
28:49Uh, what's your...
28:50Uh, what's your...
28:51Oh, and maybe even an ambulance?
28:52Oh, thank you, thank you.
28:53Oh, thank you, thank you.
28:54Oh, thank you, thank you.
28:55Oh, thank you, thank you.
28:56Yes!
28:57It'll take too long.
28:58I've got an idea.
28:59I'll be back down on the ED.
29:00Okay, I'll see you.
29:08Hi.
29:09Um, do you know what?
29:10Could I just email you this paperwork?
29:11I, I...
29:12Oh, that's fine.
29:13Uh, what's your contingency plan?
29:16Um, for, um...
29:18You haven't heard about radiology?
29:23Uh...
29:27Hey, hey, have you seen Dr Keogh?
29:29Can't find him anywhere.
29:30I can't get this to work.
29:31What is it?
29:32A metal detector.
29:33I got it from security.
29:34Well, what do you need a metal detector for?
29:37There you go.
29:38No batteries.
29:39See?
29:40Oh, this isn't happening.
29:41I need to find out which one of those kits followed a button battery.
29:44This was my last hope.
29:46Yeah, radiology's out.
29:47Yeah.
29:48Yeah, okay, okay.
29:49Um...
29:50I know where we can get one from.
29:51Come on.
29:53Look, I don't even know what's going on in my own department.
29:55Okay, I was on my way to tell you.
29:57Do we even have a contingency plan for this?
29:59Only for a complete system failure.
30:01This sounds like it's going to be down for a few hours.
30:03There is no point in evacuating everybody.
30:05Okay, okay.
30:06What do we do?
30:07What is the fix?
30:08Um...
30:09Okay, we divert the ambulances till we're back online.
30:12And we manage.
30:14That is my MOT failed.
30:16What?
30:17Great.
30:18I'll leave that one till tomorrow.
30:20Yeah, please.
30:21Yeah.
30:22Flynn, look.
30:23We've got this, okay?
30:25We keep calm.
30:26And we carry on.
30:28We still need a shave.
30:33No, sats are still, Lou.
30:35Still hypotensive and tacky, okay?
30:37There's hardly any blood going through this.
30:40And it's, er...
30:42Yeah, it's not swinging.
30:43Maybe the drain's being located incorrectly.
30:45Yeah, well, we can't know for sure without an x-ray.
30:47Yeah, well, good luck getting one of those any time soon.
30:49Okay, um...
30:51Yeah.
30:52So, what are you thinking?
30:53Well, I'm thinking she's got a massive haemothorax.
30:56But, er...
30:57The drain's not working properly.
30:59Also, possible tensioning.
31:00Okay, let's, um...
31:01Let's reset the drain.
31:02Okay.
31:06I know.
31:07I know.
31:08It's uncomfortable.
31:09Just squeeze my hand.
31:10That's it, that's it.
31:11Oh, thanks, Jodie.
31:12Doing really well.
31:13There we go.
31:14Oh, great.
31:15You were right.
31:16Right, okay, thank you.
31:17Doing all right.
31:18Okay, drain going again.
31:19Um, Hazel, when they've gone through, can you get two more units up, please?
31:21And, Jodie, can you contact Cardiothoracics for me?
31:22Yeah.
31:24Right, okay, thank you.
31:25Doing all right.
31:26Okay, drain going again.
31:27Um, Hazel, when they've gone through, can you get two more units up, please?
31:28And, Jodie, can you contact Cardiothoracics for me?
31:29Yep.
31:31Right, sets are coming back up.
31:32Good call.
31:33Yeah.
31:34If only our good lady inspector was around to see that one.
31:36No worries.
31:37Dr. Keogh, I was just looking for you.
31:38You okay?
31:39Yeah.
31:40Yeah?
31:41Have you heard about radiology?
31:42Yeah.
31:43No, I don't know.
31:44Well, paediatrics had rather stayed in resource until, er, until they got his imaging, but
31:47the fat scan is out of action, so...
31:48Really?
31:49His heart rate's crept up, his sats are dropping, he's drowsy.
31:50There's definitely something going on.
31:51What do you want to do?
31:52Dylan?
31:53Um, uh, yeah, sorry, could you find an ultrasound machine, please, Rita?
31:54Uh, I guess I could get one from...
31:55Literally anywhere.
31:56Oh, no, no.
31:57No, no, no, no.
31:58No, no, no.
31:59No, no, no.
32:00No, no, no.
32:01No, no, no, no.
32:02No, no, no, no.
32:03No, no, no, no.
32:04No, no, no, no.
32:05No, no, no, no.
32:06No, no, no, no, no.
32:07No, no, no, no.
32:08No, no, no, no.
32:09No, no, no, no.
32:10Dylan?
32:11Um, uh, yeah, sorry, could you find an ultrasound machine, please, Rita?
32:15Uh, I guess I could get one from...
32:17Literally anywhere.
32:18Oh, well, I could go if you...
32:20No, no, no, no.
32:21I need you with me.
32:22Please.
32:23Okay, so we need to, uh, we need to start from the top.
32:28Full systemic assessment, try and work out where we...
32:31Well, what I missed.
32:33Okay.
32:34Right, uh, does anyone else need a wee?
32:35No!
32:36No!
32:37No!
32:38Um, anything?
32:39I've checked them all and there's no sign of it.
32:40Are you sure one of them definitely swallowed it?
32:41Well, I mean...
32:42Where is that?
32:43I thought he was with you.
32:44No.
32:45No.
32:46No.
32:47No.
32:48No.
32:49No.
32:50No.
32:51No.
32:52No.
32:53No.
32:54No.
32:55No.
32:56No.
32:57No.
32:58No.
32:59No.
33:00No.
33:01No.
33:02No.
33:03No.
33:04Oh, my gosh.
33:05Um, do you mind?
33:07Yeah.
33:09Albie!
33:10Albie!
33:11Albie!
33:12Albie!
33:13Hey, wait, wait, wait, wait, wait.
33:15Uh, have you seen a little boy come through here?
33:17We think he swallowed a battery?
33:18No.
33:19Uh, Miss Manon, do you need a hand?
33:29Sorry it took so long.
33:31Obviously, the one time we need it, everyone and their auntie wants to get their hands on him.
33:35Okay, BP's crashing up, there's increasingly tense and now peritonitic.
33:39Yeah, that sounds like a mesenteric test.
33:41Should we just see if Dieter will take him?
33:44They won't take a 15-year-old boy without confirmation.
33:51I don't know, I can do this.
33:56Of course you can. Mesenteric test, you've got this.
34:01Yeah, that's not quite what I meant.
34:18Anything?
34:19No-one saw him leave, but security are checking the car park.
34:22I'm down!
34:24He was choking and then he went all floppy, so I just picked him up and ran.
34:27Let's get him to the house.
34:28Hey, what's happening? What have we got?
34:30He's swallowed a battery.
34:32When I found him, he was being sick and then he started choking.
34:34I think he's a mispergerist.
34:35It's okay, I'll be. I'm here. It's okay, it's okay, it's okay.
34:39No, he's not breathing.
34:40Stop resting the breath.
34:41It's okay, it's okay.
34:42I'm here. It's my voice. It's okay. Don't worry, you're doing so good.
34:46Well, well done.
34:47Dr. Byron, I can't feel a pulse.
34:48Start CPR, please.
34:49Kerry, in the emergency area, which will be over there, you'll find a laryngoscope and
34:53piece for gills. Please.
34:54There's a light not working.
34:55There's a light not working.
34:56I'm here. It's okay.
34:57I'm here. It's my voice. It's okay. Don't worry, you're doing so good. Well done.
35:01Dr. Byron, I can't feel a pulse.
35:03Start CPR, please. Kerry, in the emergency area, which will be over there, you'll find a
35:07laryngoscope and piece for gills. Please.
35:08There's a light not working. Come on. I'm supposed to take the battery out. I can't sleep
35:28right. Keep going CPR.
35:29Kerry, can you find me another one, please?
35:31So, obviously, we're concentrating on the upper right quadrant and you can see there
35:42the border.
35:43Excuse me.
35:44Do you have a...
35:45Do we have what? Do we have five minutes? Do we look like we have any time at all?
35:49What would really improve patient safety would be not having people barge in every five minutes.
35:54You know, not having people breathing down our necks while we're trying to treat patients.
35:58Can you please go and bother somebody else?
36:00I was just going to say, do you have a Mach 1 blade and a laryngoscope in here?
36:05Dr. Byron needs one with a working light.
36:19Oh, yeah. Okay, so there, there's the, um, the mesoteric bleed is confirmed.
36:25I'll let Theatre know he's on his way.
36:45Okay. Yeah. I think I can see it.
36:47Got it. Got it. Got it.
36:54I'll be...
36:56Hey, little man. Yeah, Marie here. Everything's okay.
36:59What a day we're having, eh?
37:01Dr. Chang, can you, er, fast bleep ENT, please?
37:04He's going to need an exploratory endoscopy in case it's leaked.
37:06Marie, can you get a line in, please?
37:08I'll get this oxygen on him.
37:10I'll leave you to it.
37:12Look, I know we haven't exactly covered ourselves in glory, but...
37:15...today's been an atypical day, er...
37:17...is there any other kind in an emergency department?
37:23What?
37:24This is not how I wanted today to go.
37:27I understand the pressures you're facing. I really do.
37:32Is there any other kind in an emergency department?
37:37This is not how I wanted today to go.
37:40I understand the pressures you're facing, I really do.
37:44But patients still need a safe place to seek treatment.
37:47Somewhere with working equipment,
37:49where doctors don't bite each other's heads off when they're stressed.
37:52Yeah, you're right.
37:53Can you honestly say, if something truly unexpected happened,
37:57you'd be prepared to handle it?
37:59I don't think you would.
38:00I'm triggering a full inspection.
38:04I'll email you my report with recommendations.
38:07And in 30 days, I'll be back to see if things have improved.
38:13And, um...
38:14If they haven't?
38:17Let's hope it doesn't come to that.
38:23Hey.
38:25How are you feeling?
38:27Thank you so much, Teddy.
38:30No, no.
38:32Don't be silly.
38:33Erm...
38:35I've been wondering.
38:37I'm sorry if it's not the right time.
38:41But do you still have my loyalty card for the coffee van?
38:46There's a free latte on that.
38:47I'm sorry about that.
38:51It's all right.
38:52You can owe me a coffee, I suppose.
38:55I was pretty out of it when we first came in here, but...
38:58I've got a vague recollection of, um...
39:02you calling me your girlfriend.
39:03I'm sorry.
39:07It was just the situation.
39:10You want to take it back?
39:13Do you want me to?
39:15Not really.
39:16OK.
39:17I won't.
39:20OK.
39:21Thanks, Oscar.
39:22Thanks, Oscar.
39:35Kyle.
39:35Kyle, love.
39:37Yeah, I've, er...
39:37got news on your mum.
39:38She's at the police station.
39:40She's OK.
39:40She's fine.
39:41They are going to move us somewhere more appropriate.
39:44They will look after her.
39:46They...
39:47She's all I've got.
39:51Of course they will, love.
39:53This is Liv.
39:54She's a social worker.
39:55She's going to find us somewhere to stay.
39:58Hi.
40:00Alvy's parents have arrived on the children's ward, so...
40:03Great.
40:04Yeah, I, er...
40:04I just wanted to say thank you before I went.
40:08Where are the rest of your doglings?
40:09Oh, er...
40:10They've all been collected.
40:12I've done it hard enough for two, honestly.
40:14I don't know how you manage.
40:15Not very well.
40:16It turns out...
40:17I don't think that's true.
40:22I mean...
40:23You were so calm, most people would be freaking out.
40:27I was freaking out.
40:29I still am.
40:30I...
40:30I thought this job was, like...
40:34Like, sticking and gluing and playing...
40:38You know, what's the time, Mr. Wolf?
40:39But, um...
40:43He...
40:44He could have died.
40:45And it would have been my fault, and I...
40:47He didn't die.
40:49And it wasn't your fault.
40:51Nobody can keep an eye on that many kids every second of the day.
40:54Yeah, but that doesn't matter.
40:56I...
40:56I was...
40:58Responsible for looking after him, and...
41:01I...
41:02I...
41:03I let him down.
41:08Well, I think you're being a bit harsh at yourself.
41:13Anyway, er...
41:14Thanks again.
41:17You were...
41:17Amazing.
41:18Well, judging from the look on everybody's faces, I'm guessing you've all heard the outcome of the spot inspection.
41:34Mm-hmm.
41:35Yeah.
41:37News of a setback like that was bound to travel fast, wasn't it?
41:41Did they say specifically what we failed for?
41:43No, they didn't.
41:44Er...
41:44Well, I mean, it wasn't just one thing.
41:48Um...
41:48But listen, er...
41:51And I might be hard to believe this, but I want you to know that this is not a reflection on you.
41:58You were all, without exception, caring, hard-working, outstanding professionals.
42:05Well, it's not done well much good, has it?
42:07Well, in 30 days' time, we're going to show them what we're made of, Nicole.
42:11I'm confident about that.
42:13And I want you all to know that in the meantime, your jobs, your training placements, your hours, absolutely none of that is at risk.
42:21You can't guarantee that, though, can you?
42:23Yes, I can.
42:25Because whatever the outcome of this process, it is on me.
42:28Okay?
42:29I mean, they won't even need to fire me.
42:31I will hand in my resignation.
42:32That is how confident I am that we are going to sail through this.
42:37Well, so you're offering to be a human shield for the whole department?
42:40Yeah.
42:41Yeah.
42:42That's exactly what I'm offering.
42:45Okay.
42:51Okay, look, it's...
42:52It's been a really long day.
42:54Let's all just go home, regroup, come in and start fresh tomorrow.
43:02Yeah, hey.
43:27Better get off if you're going to make Poppy's birthday.
43:29No, no, no, come on.
43:31I'm going to stay.
43:33I'll make it up to her.
43:34CQC, you want me to focus on residence training, on contingency planning.
43:38I've got to focus on safety in the reception.
43:41I'm going to order the CCTV cameras as well, if I can find the damn paperwork he said he left out for me.
43:46And I've got to make a start on the training plan.
43:48There you go.
43:48I will stay and do it.
43:50Hey, no.
43:51Shiv, come on.
43:52I meant what I just said in there, okay?
43:53I'm going to take care of this.
43:54It's on me.
43:56End of.
43:57It's on both of us, isn't it?
43:58We're a team, aren't we?
44:00Go on.
44:01Go and have a nice big piece of cake for me.
44:05I mean it.
44:06There's no point in both of us staying, is there?
44:07Go.
44:08Really?
44:09You sure?
44:10Yes.
44:10You sure?
44:11Go.
44:13Hey, take this.
44:1520 quid.
44:15Come on, take it.
44:16No, don't be down.
44:16I'll get a cab.
44:18Please, it's the least I can do.
44:19You don't have your car, it's going to be late.
44:20Just take it.
44:21Get a cab.
44:21Okay, if you insist.
44:23Okay, take that ridiculously oversized unicorn with you.
44:26You reckon it's big enough?
44:27Yeah.
44:28Go.
44:30Flynn?
44:31Yeah?
44:32We've got this, okay?
44:34Come here.
44:35Okay.
44:36Oh, Shev.
44:49Can I ask a figure, please?
44:51Yeah, yeah, what do you need?
44:51Would it be okay if I finished a bit early tomorrow afternoon?
44:55It's just, you know, there's an appointment for a dating scan at 4.30,
44:59or the next one's in two weeks,
45:00and if I don't forget tomorrow's two weeks,
45:03could take away my options a bit.
45:04Yeah, yeah, of course.
45:06Yeah.
45:07How did Ian take it?
45:09Er, yeah, I haven't told him.
45:12Oh, enough, come on.
45:13I know it's complicated, but he's got a right to know.
45:16Yeah, I know, I know, but imagine how he's going to feel
45:19if he finds out and he didn't even know you were pregnant.
45:22What?
45:23Rip the plaster off, best way.
45:24It's not your fault.
45:47It is, though.
45:52See you tomorrow.
45:56Dylan?
45:57Yeah?
45:59Any word on the result?
46:00Yeah.
46:02Yeah.
46:03And?
46:06Er, it indicates a very likely chance of paternity, about 99.9%.
46:11Okay, well, that's pretty conclusive.
46:16Mm-hmm.
46:18So what are you going to do?
46:20Er, now I go home.
46:22Okay, but don't be on your own.
46:24No, I think I will.
46:25It's a disaster, Steve.
46:27It's a catastrophe.
46:27Okay.
46:27Okay.
46:27Er, now I go home.
46:57Yeah, hello, it's me.
47:12It's okay, you don't have to move me back.
47:14I just wanted to let you know that I've pulled a few strings
47:17and someone's coming tomorrow to fit the new CCTV.
47:21I know, I know, I'm a miracle worker.
47:25Everything's going to be on your desk.
47:26I've left it there.
47:27With a sticky note saying CCTV, okay?
47:30You can't miss it.
47:32And I made a start on those training plans.
47:35So they'll be on the shared drive.
47:38Anyway, I hope Poppy had a wonderful birthday.
47:41And, er, I'll see you tomorrow.
47:43Yeah, right nearly.
47:44Riley.
47:52Oh.
47:57Oh!
48:01Oh!
48:01Oh!
48:02Oh!
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