- 2 days ago
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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.
11:45Oh, we need-
11:46Oh!
11:47Sorry.
11:48Where's the rest of them?
11:59Okay, um, just hang on a minute, yeah?
12:03Hi.
12:04Hi.
12:05Um, sorry.
12:06We're...
12:07kind of dealing with an acute mental health crisis so, um,
12:10I just...
12:12I just want to sense of a more...
12:13um...
12:14experienced well you've got me and just so you know she does sound very erratic yeah I've got
12:23it hiya I'm PC Sullivan are you Kyle oh that looks nasty wouldn't have happened if you just
12:33come when I rang I'm really sorry that no one came but I'm here now do you know how many people
12:38are trying to take her in last time I'm hoping it won't get to that this time then you can stay
12:45together if that's what you want you've done really well Kyle you can relax now we're gonna take care of
13:06both of you right but as you know we need to get her outside first okay thank you
13:13put your back into it
13:21look if it's your meds that are making you feel sick you can try on some new ones you know
13:31brianie
13:33what's that when you're on
13:41working hard I'm trying to get through to her it's not working
13:47do you think she's safe to see it who are you it's okay this is hi brianie I'm PC Sullivan you're not
13:59arresting me no no I'm not arresting you I've got to sell all these cakes she's raising money for
14:04school roof oh can I buy one of these yeah pound each only a pound yeah I'll give you two for a good
14:15course can I just take any of these yeah they look amazing sorry why are you here in my house I don't understand
14:25it's color right is he in trouble no no no he's not in trouble he's just outside
14:32but 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 hmm 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
15:05well why don't you pop some shoes on
15:09and we'll go outside so that Kyle knows you're okay
15:12and we can make a plan together yeah
15:15yeah yeah yeah okay
15:20that was amazing
15:26hmm I'm still seeing you later yeah of course
15:30all right I've never seen a dead body before
15:33not dead yet we're still treating him
15:35but what if he does die and I'm still
15:37can you not do that please
15:39so what's it taking so long
15:40you know it's a relatively unusual set of circumstances
15:42we don't tend to have bolt cutters in the department
15:45oh do we have burnt nestle kid details
15:46yeah his wife is on the way in
15:48I've never thought about having a wife
15:49the 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
15:55oh let's go to these on Ben
15:57oh thank you oh my god thank you
16:05shall we
16:08yeah
16:09yeah
16:09so charge to 150 please
16:12do you think charging
16:16everybody clear
16:17yeah clear
16:18yeah
16:18shocking
16:21pulse check please
16:23yeah pulse
16:27really
16:27yeah
16:28okay so we've got Ross but he's not out of the woods yet
16:30let's return those to wherever they belong
16:33we should repeat the ECG then
16:35and let's prep for an RSI as well
16:37where 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
16:47I would have thought that was a good training opportunity
16:50I volunteered
16:51I thought it'd be quicker
16:53perhaps you can tick rapid sequence intubation off your list on the staff room wall instead
16:58hey we need to get him in the van
17:04Ashley's calmed it down but they're coming out in a sec
17:06mate I'm a bit worried his VP's dropping and his heart rate in the rest of the staff
17:09Kyle where are you
17:09Kyle
17:10oh my god Kyle
17:12oh my god Kyle
17:12Brian he just wait for me
17:13what
17:13what's happened
17:14hi briony
17:15I'm Jacob I'm looking after the car
17:17Kyle what's happen
17:18what's happened
17:19what's happened
17:19why are they two
17:20why are they two
17:21why are they two
17:22no no no no
17:24no no
17:25Bob
17:26no no no
17:26no no no
17:26okay that's right
17:27zero zero
17:28zero
17:29zero
17:31okay
17:32okay Mrs. Kyle
17:33this one from yours
17:35yeah he's going with you guys
17:36so I don't know whether you know this
17:38er Matty but
17:40Kerry here
17:41wrote the book on emergency airway management
17:43In fact, you wrote two, didn't you?
17:46Yeah, so, no pressure.
17:48Right, let's get that BVM off and the eye gel out, please.
17:53There we go.
18:00OK.
18:05There, is there no light? The batteries should be...
18:07No, you've got to open it. There you go.
18:10There you go.
18:16Nice and easy. So, we're remembering to lift rather than tilt.
18:20No, no, no, you're tilting, you're tilting.
18:22OK, so, get lower in the hips.
18:24Yep.
18:25That's it. Right, and if you pick a spot on the ceiling up there, say, and just aim at that, that's it.
18:30And you lift towards that.
18:32There you go, that's it, that's it.
18:34Can you see the vocal folds?
18:36Er...
18:37Yep.
18:38OK, so, it's time for the...
18:40Bougie.
18:41The Bougie, that's it.
18:44Nice and smooth, I'll do the tube.
18:54So, I've got the Bougie.
18:56I've got the tube.
18:58Bougie out.
18:59OK.
19:00So, attach to the BM, please, Jodie, and inflate the cuff, please, Dr. Keir.
19:04I will do that.
19:05OK, that is the cuff inflated.
19:10Yeah.
19:11Yeah.
19:12No end tidal waveform.
19:13Er...
19:14Yeah, yeah.
19:15OK.
19:16We're, yeah, we've got into this off or something.
19:17OK, we're just, we're just blowing air into the stomach.
19:19Um...
19:20OK, let's extubate then, please.
19:21Deflating the cuff there.
19:23Er...
19:24Jodie, can you maintain the airway for me, please?
19:25Did you feel the cliques?
19:26Cliques?
19:27On the larynx as you go through?
19:28No.
19:29Cliques?
19:30Cliques.
19:31If I can't, I can't, I can't see the nerve of the cuff.
19:32Okay, let's extubate then, please.
19:33Deflating the cuff there.
19:34Er, Jodie, can you maintain the airway for me, please?
19:38Did you, did you feel the cliques?
19:39Cliques?
19:40On the larynx as you go through?
19:41No.
19:42You should feel the, the, the, the tractal cartilage when you...
19:44No.
19:45No?
19:46No?
19:47No, okay, never mind, never mind, never mind.
19:48I'll tell you what.
19:49Let's do it again.
19:50I'll do it, I'll do it.
19:51Fine, so, can I have the laryngoscope, please?
19:54Fine, I'll find her, okay?
19:55I'm gonna get her somewhere safe.
19:56somewhere safe why should I respond to I'm gonna try and find it okay
20:26Oh
20:40Ashley
20:42Rainey
20:46Rainey
20:48Ashley
20:50Okay Chris Banfield
20:55Yes
20:57Come with me
21:02Yeah that's it guys follow me
21:04Hi hi sorry are you a doctor?
21:07Um one of them has swallowed a battery you know those little button ones okay which one?
21:13I don't know
21:18Yeah
21:27Ashley
21:38Ashley
21:44Ashley
21:45Ashley!
21:46Ashley?
21:59Ashley?
22:00Oh my God, what happened?
22:03I...
22:04Tri...
22:05Alright, alright, alright, let me have a look.
22:07Alright, alright, alright.
22:10Let's put pressure on it
22:27Woodlands pass she's got a penetrating chest injury and I need the back. I didn't bring it
22:40I'm going to need to steal it somehow
22:56I'm going to need you to put some pressure Jacob please hurry
23:10All right, all right
23:12Let me put this on. There we go. I know, I know, I know
23:15Well done. All right. You know what we are going to do as soon as this is over
23:22We are going to bake a cake
23:25How does that sound?
23:27Okay, that's all right
23:30Jacob, Jacob, please hurry, please
23:34All right, I've got you
23:35All right, all right, okay
23:40So when did you notice it was missing?
23:42About 30 minutes ago
23:43Right okay, which means you've got
23:4690 minutes, two hours tops
23:47Where are they now?
23:48In the relatives' room
23:49There's toys in there so
23:50No, no, but they don't need toys, they need x-rays
23:53Yes, but I thought I'd better check because for five of them that means unnecessary radiation
23:57No, no, no, but it's not unnecessary, Kim
23:59Okay, unless you want to see which one dies first with the whole burned in its esophagus
24:02No
24:03No, I didn't think so, okay
24:04Look, I've got a pre-alert, can you go get them x-rayed, contact surgery, make sure they're able to do an endoscopy
24:09And it's time critical, so it'll move
24:11Would you be nice?
24:13No, we don't have time to be nice, that's an emergency
24:15Come on, the CQC want to see positive mentor-mentee relationships, please
24:18Yeah, well Stevie Nash wants her mentee to be resilient
24:21Stevie, be nice
24:23Yes, with pleasure
24:25This is Kyle Lindeson, 15, fell down some stairs, brace, lift
24:30Okay, heart rate's 120, up to 98, BP's dropped to 94 over 60
24:35Sats are 99 on 02, GCS is 15
24:39Giving him nitrous oxide, a gram of avipycetamol, two and a half milligrams of morphine
24:43Okay, great, thank you very much
24:45Um, Siobhan, will you keep us up to speed if there's anything that we missed?
24:47In the meantime, let's split the primary survey
24:49Rita, can you take the chest? Matty, why don't you do the abdo for me?
24:51Yep
24:52Um, acute manic episode, she refused treatment at the scene
24:58Okay, Kyle, Kyle, I'll see if I can find out what's going on with your mum, okay?
25:02Try not to worry, love
25:04Okay, yeah, some firmness in the upper right quadrant
25:07Okay, so indicative of possible internal bleeding?
25:10Right, 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, yeah?
25:20Yeah, come to
25:22Poor kid
25:29Cam, why is the patient in cubicle 1 still here? I thought it was a simple laceration
25:32He is, I'm just waiting for the x-ray before I stitch him
25:37What's going on with radiology today? They're taking an age to hurt everything
25:40Look, if you want to take a look, we might not need it
25:42Uh, okay, uh, Siobhan, do you mind? Cubicle 1?
25:45Uh, yeah, I'll be with him in two minutes, huh?
25:47Thanks
25:48Hey, listen, what I got you, Kerry 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 out, thank you
26:01Okay
26:02Right
26:03Cam?
26:04Are I with you?
26:05Yep
26:06Sorry, Kyle, er, some technical difficulties here, mate, won't be a minute
26:27Good lad
26:28Oh
26:29Good lad
26:33Whoa
26:45What's going on here?
26:46I don't know
26:47I don't know
27:06Hey, look, Stevie, I need someone
27:07Dylan, are you okay for me to take this?
27:09Okay, can we take this?
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
27:25Temporarily sealed at the scene
27:28Now covered with a proper chest seal
27:30She's tacky at 130
27:31BP's 98 over 64
27:33Resps 32
27:34Sats 92 on high flow
27:35She had a gram of IV paracetamol
27:37Gram of TXA and 5 milligrams of morphine
27:38It's alright
27:39We're here now, yeah?
27:40Right, lift on three
27:41One, two, three
27:42Oh!
27:43Thank you, Teddy Whitfield
27:44Are you okay to start primary survey?
27:46Jodie, can you get the monitor and on, please?
27:48And Hazel, let's activate the major haemorrhage protocol
27:50Er, can we get a first shot pack down?
27:53And, yeah, Alistair, can you get the rapid abuser, please?
27:56And, er, yeah, get an ultrasound in here, please, thank you
27:59I'm here
28:00Okay
28:01I'm gonna look after you
28:02Come on
28:07I'm still here, I'm still here
28:08There
28:09Is there a next of kin we call?
28:11She's my girlfriend
28:12Okay, okay, okay
28:14Ten
28:15Hmm?
28:16We need to get me
28:17I know about it
28:19I can't
28:20I can't
28:21Teddy, it's fine, we'll look after her
28:22You go, okay?
28:25Alright, okay
28:26I'll be back as soon as I can
28:29Alright
28:30Er, did you get the x-ray?
28:40No, they were about to and then they said the system went down
28:43Sh-shall I take them to St James?
28:46Who, who wants a ride in a taxi?
28:49Me!
28:50Me!
28:51Oh, I mean, even an ambulance
28:53Me!
28:54Me!
28:55Yes!
28:56This will take too long
28:57I've got an idea
28:58I mean, that's down in the ED
28:59Okay, I'll see you
29:00Hi, erm, do you know what?
29:01Could I just email you this paperwork?
29:02I...
29:03Oh, that's fine
29:04Er, what's your contingency plan?
29:05Erm, for, erm...
29:06You haven't heard about radiology?
29:07Er...
29:08Er...
29:09Hey, have you seen Dr Keogh?
29:11Can't find him anywhere?
29:12I can't get this to work
29:13What is it?
29:14Metal detector, I got it from security
29:15What do you need a metal detector for?
29:17There you go, no batteries
29:18See?
29:19Oh, this isn't happening
29:20I need to find out which one of those kids swallowed a button battery
29:21This was my last hope
29:22Yeah, radiology's out, yeah, yeah, okay, okay, erm, I know where we can get one from, come on
29:52I look like 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, this sounds like it's going to be down for a few hours
30:03There is no point in evacuating everybody
30:05Okay, okay, what do we do?
30:06What is the fix?
30:07Erm, okay, we divert the ambulances till we're back online and we manage
30:13That is my MOT failed
30:16What?
30:17Great
30:18I'll leave that one till tomorrow
30:19Yeah, please
30:20Yeah
30:21Flynn, look, we forgot this, okay?
30:24We keep calm and we carry on
30:27We still need a shave
30:28No, sats are still low, still hypotensive and tacky, okay?
30:36There's hardly any blood going through this
30:38And it's, er, yeah, it's not swinging
30:42Maybe 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, erm, yeah
30:51So, what are you thinking?
30:53Well, I'm thinking she's got a massive haemothorax
30:56But, er, the drain's not working properly
30:59Also, possible tensioning
31:00Okay, let's, erm, let's reset the drain
31:02Okay
31:03Well, I know, I know, it's uncomfortable
31:07Just squeeze my hand
31:08That's it, that's it
31:09Oh, thanks, Jodie
31:10You're doing really well
31:11That's great
31:12Great, thank you
31:16There we go
31:17Oh, great, you were right
31:22All right, okay, thank you
31:25You're doing all right
31:27Okay, drain going again
31:29Erm, Hazel, when they've gone through
31:31Can you get two more units up, please?
31:33And, Jodie, can you contact cardiothoracics for me?
31:35Yeah
31:36Thank you
31:37Right, sats are coming back up
31:39Good call
31:40Yeah
31:41Only our good lady inspector was around to see that one
31:45Thank you
31:46No worries
31:47Dr Keogh, I was just looking for you
31:49You okay?
31:50Yeah
31:51Yeah
31:52Yeah?
31:53Have you heard about radiology?
31:54Yeah
31:55No, I don't know
31:56Well, paediatrics had rather stayed in resource until, er, until they got his imaging
32:00But the fat scan is out of action, so
32:01Really?
32:02His heart rate crept up, his sats are dropping, he's drowsy
32:05There's definitely something going on
32:06What do you want to do?
32:09Dylan
32:10Erm
32:11Er, yeah, sorry, could you find an ultrasound machine, please, Rita
32:15Er, I guess I could get one from
32:17Literally anywhere
32:18Well, I could go, if you
32:20No, no, no, I need you with me
32:21Please
32:22Okay, so we need to, er, we need to start from the top, full systemic assessment, try and work out where we, well, what I missed
32:31Okay
32:32All that does fine
32:33Right, er, does anyone else need a wee?
32:35No
32:36No
32:37No
32:38No
32:39No
32:40Um, anything?
32:41I've checked them all and there's no sign of it, are you sure one of them definitely swallowed it?
32:55Well, I mean, where's Albie?
32:57Where's Albie?
33:01I thought he was with you
33:02No
33:04Oh gosh
33:05Um
33:06Do you mind?
33:07Yeah, thank you
33:09Albie!
33:10Albie!
33:11Albie!
33:13Hey, wait, wait, wait, wait
33:14Have you seen a little boy come through here? We think he swallowed a battery?
33:18No
33:19No
33:20Oh
33:21Miss Manon
33:22Do you need a hand?
33:29Sorry, it took so long
33:30Obviously the one time we need it, everyone and their aunty wants to get their hands on it
33:34Okay, BP's crushing up, there's increasingly tense and now peritonitic
33:38Yeah, that sounds like a mesenteric tent
33:40Should we just see if Dieter will take him?
33:43Uh, they won't take a 15 year old boy without confirmation
33:51I don't know if I can do this
33:56Of course you can, mesenteric tent, you've got this
34:01Yeah, that's not quite what I meant, but
34:10Anything?
34:11No one saw him leave, but security are checking the car park
34:21I'm going
34:23He was choking, and then he went all floppy, so I just picked him up and ran
34:27Let's get into this house
34:28Yeah, yeah
34:29This way
34:30Sure, it's all right, help me
34:31It's okay
34:33It's okay, we're quite well done
34:34Dr. Byron
34:37Hey, what's happening, what have we got?
34:39He's swallowed a battery
34:40When I found him, he was being sick, and then he started choking
34:43I think he's a respiratory arrest
34:45It's okay, Elvie
34:46I'm here, it's okay, it's okay, it's okay
34:49No, he's not baby
34:51Stop resting the breath
34:52It's okay, it's okay
34:54I'm here, it's my voice, it's okay
34:56Don't worry, you're doing so good
34:58Well, well done
35:00Dr. Byron, I can't feel a pulse
35:03Start CPR, please
35:04Kerry, in the emergency area, which will be over there
35:06You'll find a laryngoscope and piece of gills
35:08Please
35:20There's a light not working
35:24Come on
35:25I'm supposed to take the battery out
35:26I can't sleep right
35:27Keep going CPR
35:28Ah, Kerry, um
35:29Can you find me another one, please?
35:38Obviously, we're concentrating on the upper right quadrant
35:41You can see there, that, that, that, that, that border
35:43Excuse me, do you have a...
35:44Sorry, what?
35:45Sorry, do we have what?
35:46Do we have five minutes?
35:47Do 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
36:01Do you have a Mach 1 blade and a laryngoscope in here?
36:05Dr. Byron needs one with a working light
36:07Thank you
36:14Thank you
36:15Oh, yeah, okay, so there, there's the, um, the mesoteric bleed is confirmed
36:24I'll let Theatre know he's on his way
36:26Okay, yeah, I think I can see it
36:51Got it, got it
36:54Andy
36:55Hey, little man
36:56Yeah, Marie here, everything's okay
36:58What a day we're having, eh?
37:01Dr. Chang, can you, uh, fast bleep ENT, please?
37:04He's going to need an exploratory endoscopy in case it's leaked
37:07Marie, can you get a line in, please?
37:09I'll get this oxygen on him
37:11I'll leave you to it
37:13Look, um, I know we haven't exactly covered ourselves in glory, but today's been an atypical day, eh?
37:31Is there any other kind in an emergency department?
37:34This is not how I wanted today to go
37:40I understand the pressures you're facing, I really do
37:43But patients still need a safe place to seek treatment
37:46Somewhere with working equipment, where doctors don't bite each other's heads off when they're stressed
37:51Yeah, yeah, you're right
37:52Can you honestly say if something truly unexpected happened, you'd be prepared to handle it?
37:58I don't think you would
38:01I'm triggering a full inspection
38:03I'll email you my report with recommendations
38:07And in 30 days I'll be back to see if things have improved
38:12And, um, if they haven't?
38:17Let's hope it doesn't come to that
38:23Hey, how are you feeling?
38:26Thank you so much, Teddy
38:29No, no
38:31Don't be silly
38:34Erm
38:35I've, I've been wondering
38:37I'm sorry if it's not the right time
38:40But, do you still have my loyalty card for the coffee van?
38:45It was a free latte on that
38:48I'm sorry about that
38:51It's alright
38:52You can owe me a coffee, I suppose
38:53I was pretty out of it when we first came in here, but
38:58I've got a vague recollection of, um, you calling me your girlfriend
39:06Sorry, it was just the situation
39:09You wanna take it back?
39:12Do you want me to?
39:14Not really
39:15Not really
39:16Okay
39:17I won't
39:19Okay
39:20Thanks, Oscar
39:21Kyle
39:22Kyle, love
39:23Yeah, I've, er, got news on your mum
39:37She's at the police station
39:38She's okay
39:39She's fine
39:40They are gonna move us somewhere more appropriate
39:43They will look after her
39:45They
39:48She's all I've got
39:50Of course they will, love
39:52Er, this is Liv
39:53She's a social worker
39:54She's going to find us somewhere to stay
39:56Hi
39:58Hi
39:59Er, Elvie's parents have arrived from the children's ward, so
40:02Great
40:03Yeah, I, er, I just wanted to say thank you before I went
40:07Where are the rest of your doglings?
40:08Oh, er, they've all been collected
40:11I've had it hard enough for two, honestly, I don't know how you manage
40:14Not very well, it turns out
40:20I don't think that's true, I mean, you were so calm, most people would be freaking out
40:26I was freaking out
40:28I, I still am, I, I, I thought this job was like, like sticking and gluing and playing, you know, what's the time, Mr. Wolf, but, erm
40:39He, he could have died
40:45And it would have been my fault, and I
40:47He didn't die
40:48And it wasn't your fault
40:50Well, nobody can keep an eye on that many kids every second of the day
40:53Yeah, but that doesn't matter
40:55I, I was responsible for looking after him and
41:01I, I, I let him down
41:04Well, I think you're being a bit harsh at yourself
41:11Anyway, er, thanks again
41:16Look, you were amazing
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
41:36Yeah, well, news of a setback like that was bound to travel fast, wasn't it?
41:40Did they say specifically what we failed for?
41:42No, they didn't, er, well, I mean, it wasn't just one thing, erm
41:49But listen, er, and it might be hard to believe this, but I want you to know that this is not a reflection on you
41:57You were all, without exception, caring, hard-working, outstanding professionals
42:03Well, it's not done much good, has it?
42:06Well, in 30 days' time, we're gonna show them what we're made of, Nicole
42:10I'm confident about that
42:12And I want you all to know that in the meantime, your jobs, your, your training placements, your hours
42:18Absolutely none of that is at risk
42:20You can't guarantee that, though, can you?
42:23Yes, I can
42:25Because whatever the outcome of this process, it is on me, okay?
42:29I mean, they won't even need to fire me, I will hand in my resignation
42:33That is how confident I am that we are gonna sail through this
42:37Well, so you're offering to be a human shield for the whole department?
42:39Yeah
42:41Yeah, that's exactly what I'm offering
42:45Okay
42:51Okay, look, it's been a really long day, let's all just go home, regroup, come in and start fresh tomorrow
42:59Thank you
43:00Yeah, hey
43:01Better get off if you're gonna make Poppy's birthday
43:02No, no, no, come on
43:03I'm gonna, I'm gonna, er, stay here
43:04Yeah, hey
43:05Better get off if you're gonna make Poppy's birthday
43:06No, no, no, come on
43:07I'm gonna, I'm gonna, er, stay
43:08I'll make it up to her
43:09CQC
43:10Want me to focus on residence training, on, on contingency planning
43:11I gotta focus on safety in there, in there reception
43:13Yeah, no, no, no, come on
43:14I'm gonna, I'm gonna stay
43:16I'll make it up to her
43:17yeah hey better get off if you're gonna make poppy's birthday no no come on i'm gonna i'm
43:32gonna stay i'll make it up to a cqc want me to focus on residence training on on contingency
43:38planning i gotta focus on safety in the in the reception in order the uh cctv cameras as well
43:44if i can find it down the paperwork he said he left out for me and i gotta make a start on the
43:47training plan there you go i will stay and do it hey no shiv come on i meant what i just said in
43:53there okay i'm gonna take care of this it's on me end of it's on both of us isn't it we're a team
43:59aren't we go on go and have a nice big piece of cake for me i mean it's no point in both of us
44:07staying is there go really you sure yes sure go hey i'll take this 20 quick come on take it
44:16no no no get a cab please it's the least i can do you don't have your car it's gonna be late just
44:20take it get it okay if you insist okay take that ridiculously oversized unicorn with you
44:26you reckon it's big enough yeah go flynn yeah we've got this okay okay thank you
44:37oh shiv can i ask a figure please 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 an appointment for a dating scan at 4 30
44:58or the next one's in two weeks and if i don't forget 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
45:11oh enough come on i know it's complicated but he's got a right to know yeah i know i know but
45:17imagine how he's gonna feel if he finds out and he didn't even know you were pregnant rip the plaster
45:23it's not your fault
45:31it is though
45:49it is though
45:52see you tomorrow
45:56dolan
45:57yeah
45:58any word on the result
46:00yeah
46:02and
46:04um
46:06it indicates a very likely chance of paternity about 99.9 percent
46:11okay well that's pretty conclusive
46:16mm-hmm
46:19so what are you gonna do
46:20uh now i go home
46:22okay but
46:23don't be on your own
46:24no i think i will
46:26it's a disaster
46:26steve it's a catastrophe
46:31it's a disaster
46:45so
46:47Yeah, hello, it's me.
47:12It's okay, you don't have to bring me back.
47:13I just wanted to let you know that I've pulled a few strings and someone's coming tomorrow
47:19to fit the new CCTV.
47:20I know, I know, I'm a miracle worker.
47:25Everything's going to be on your desk.
47:26I've left it there with a sticky note saying CCTV, okay?
47:30You can't miss it.
47:32And I made a start on those training plans, so they'll be on the shared drive.
47:38Anyway, I hope Poppy had a wonderful birthday and I'll see you tomorrow, yeah?
47:43Right, Nellanie.
48:13I'll see you tomorrow.
48:15Bye-bye.
48:17Bye-bye.
48:19Bye-bye.
48:20Bye-bye.
48:21Bye-bye.
48:22Bye-bye.
48:24Bye-bye.
48:28Bye-bye.
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