- 4 days ago
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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 foot rear, 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 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 been awake for 60 seconds. Give me a chance, would you?
01:09The state of this place. Sorry.
01:11It's a six-car pile up and a factory fire.
01:13I guess things got backed up, Shaul.
01:15That's what I do, isn't it?
01:16Well...
01:17Shh.
01:18Listen.
01:19Can I take a break?
01:20Can I take a break?
01:21Can I take a break?
01:22Can I take a smile?
01:26There's nothing in there. Come on, where is she?
01:28OK, there's stuff around, there's stuff around.
01:30You still look OK?
01:31Sure.
01:33Hi.
01:34Aha.
01:35I'm so sorry to keep you. I was with the patient.
01:37Flynn Byron, clinical lead.
01:38Kerry Malen, CQC.
01:40The kettle's boiled, if anyone wants tea, coffee.
01:43I'm really sorry. Somebody should have offered.
01:45Oh, 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.
01:52Concerns have been raised.
01:54I understand another patient died in your waiting room.
01:59I'm here to do a spot inspection.
02:02Make sure you're safe to stay open.
02:05Bye.
02:13Let me just leave a seat.
02:34I'm sorry, it's not normally this messy.
02:37I'm trialling a new filing system.
02:39And it's my daughter's birthday.
02:42How old is she?
02:46Very good.
02:51Miss Malen, 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 a full spot inspection?
03:06It's not a full inspection.
03:07The focus is purely on patient safety.
03:10The incident happened on the first day of your new resident's rotation.
03:16Yes, it did.
03:17But to be clear, neither resident was at fault.
03:22We 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.
03:36OK, good.
03:37Sounds like it's going to be very straightforward.
03:42OK, good.
03:43Yeah, yeah, she's cool.
03:48She's a little bit intense.
03:50She asks loads of questions.
03:52Where I grew up, about my family.
03:54Yeah, yeah.
03:55OK, OK, OK.
03:56So, Mr Gowan, where were you on the night of the 15th?
04:00She just doesn't need to know everything yet, though, does she?
04:02You know, we have only just met.
04:04But, like, haven't you seen her, like, three times this week?
04:08I mean...
04:10Yeah...
04:11Well, I'm just saying that.
04:12Looks like things are moving pretty quick.
04:14That's all I'm just saying.
04:15I don't think.
04:18All right, this mental health call out, what's the house number again?
04:22It's number 26, Brian Lee Henderson.
04:24Control 3006, we've got a cat one near you, standing you down now and devoting you.
04:30It's a major incident at Wyvern Lake.
04:32Over.
04:33Copy that.
04:34Let's go.
04:35No!
04:36No!
04:37Please!
04:38My mum!
04:39My mum!
04:40Hey, sorry, mate.
04:41We've got an emergency mount.
04:42Sorry.
04:43Stop!
04:44Please!
04:45Whoa, whoa, whoa!
04:46OK, go, go.
04:47I'll take control.
04:48Hey!
04:49Hey!
04:50You OK?
04:51Control, we're going to have to divert from that cat one near you.
04:54I'm fine, I'm fine.
04:55I'm just...
04:56Jesus speaking.
04:57All right, mate.
04:58All right, mate.
04:59All right, mate.
05:00What's your name?
05:03Kyle.
05:04Kyle?
05:05I'm Jacob.
05:06OK.
05:07Please!
05:08Are you Ryan's son?
05:09All right, all right, all right.
05:10Just try and relax.
05:11Try and relax.
05:12Try and relax.
05:13OK, we're here.
05:14OK, all right.
05:15Deep breaths.
05:16Deep breaths.
05:17Try and relax.
05:18Let me have a look at this knee, OK?
05:20Hey, do you want to get home?
05:22I was going to ask you.
05:23This shouldn't be happening.
05:25I called back.
05:26I told them it was a mistake.
05:27They all seem worried.
05:29I can fix this.
05:30Hurry up.
05:31I don't want to keep everybody for long, but I wanted to introduce Kerry Mayland from the
05:36CQC.
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 other than
05:51that, it's business as usual.
05:53Please.
05:54Promise I'll try not to get in your way.
05:56Where would you like to begin?
05:58Rhesus.
05:59I'll take you.
06:01Thank you, really.
06:03Guys, guys, huddle here.
06:05Listen.
06:06Focus on clearing the corridors, OK?
06:08And unloading the ambulance queue as quick as possible.
06:11Tom, can you bring the bed floor team, please?
06:13And tell them what's happening.
06:15Maybe they'll take pity on us, OK?
06:17Let's get on top of things, please.
06:19All right.
06:20Calm down a little bit.
06:21Don't freak everybody out.
06:22She's a suit ticking boxes.
06:23I mean, we can handle that, can't we?
06:25Er, if you've not been through a CQC inspection a bit before, it's not quite like that.
06:29Yeah, she'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 misworked, but it 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, OK?
06:43The outcome can affect the funding, trauma centre status.
06:46Well, yeah, provision of any service.
06:48Which means job losses, the ability to carry her as a teaching hospital.
06:52We need to take it seriously.
06:53OK, OK.
06:54I'm taking it seriously.
06:55Good.
06:56Dr Byron.
06:57Dr Byron, anything I can do.
06:58Anything at all.
06:59Er, 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'm going to take the crew.
07:14We 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.
07:27OK, mate.
07:28Nicely breathed from that, all right?
07:30It might make you feel a bit giddy, but it'll help with the pain, OK?
07:33All right.
07:34So I take it she's been sectioned before?
07:37Three times.
07:39If 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.
07:48Ah!
07:49Ah!
07:50The roof fell in.
07:51See your whole big grandma.
07:53You're having a bit of a week, aren't you?
07:55Don't tell her I'm hurt.
07:56She'll freak out.
07:57All right.
07:58I'm going to have a check on her for you.
08:00You know what?
08:01Why don't we try and get her outside and now radio in?
08:04And make sure we get police back up.
08:06Time's good.
08:07OK.
08:08All right.
08:09All right, mate.
08:10Let's get this one on you.
08:11All right.
08:12OK.
08:13Briony?
08:14Briony?
08:15I'm so sorry.
08:16I didn't mean to scare you.
08:17My name's Teddy.
08:18If you look, I'm a paramedic.
08:19I'm a bit busy right now.
08:20I can see.
08:21So, erm, what is it you're up to?
08:21Bake sale to raise money for the school roof.
08:23We've got to get it fixed.
08:24The kids are never going back.
08:25Kyle?
08:26Where is he?
08:27I'm back from the school roof and I'm pitchin' down.
08:28I'm going to get his car to the school roof.
08:29Where is he?
08:30Who is he?
08:31Just give me a bit of a proif.
08:32And you just want to get you in here.
08:33Oh no.
08:34Who is he?
08:35Oh!
08:36All right.
08:37I'm so sorry.
08:38I didn't mean to scare you.
08:39My name's Teddy.
08:42If you look, I'm paramedic.
08:43I'm a bit busy right now.
08:44I can see.
08:45So, erm, what is it you're up to?
08:50Where is he?
08:51Did you hear what happened?
08:52Yeah.
08:53Awful.
08:54Awful.
08:55Yeah, I heard.
08:56Poor kids.
08:57Poor teachers.
08:58Oh.
08:59Oh, you okay?
09:00Yeah, yeah, yeah.
09:01Yeah, I'm fine.
09:02I just, er, I've been on the go up all night.
09:05Cash and carry, party supply store and then supermarket.
09:08Well, why don't you take a break, come outside and I could check you over.
09:12No, no, no, no time.
09:13Alright, Bryony.
09:14What?
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?
09:22You want to help?
09:23Yeah.
09:24Then find me the icing sugar.
09:29No, no.
09:30Stop one would be just, like, too weird.
09:32Well, it's quite weird at the moment.
09:33Yeah, but, yeah, for you, but, you know, for me, I'm finally getting a grip on mine.
09:38I think she's responding to my tough love approach.
09:40Okay, well, yeah, mine's not quite as resolved.
09:42You know the Strep A test that he took in the staff room?
09:45Well, I might have taken that and sent it for a DNA, so the results are back any minute.
09:50Give me a sec.
09:51Thanks.
09:52Come on.
09:53You stole the kid's DNA.
09:55Are you in your friggin' mind?
09:57Are you going to talk to me?
09:59No, no thanks.
10:00Okay, so, uh, cubicle sevens, uh, query neck of femur, but the x-ray's not back.
10:07Um, I'm sorry, am I keeping you from something?
10:11No.
10:12Sorry.
10:13Okay.
10:14Less focus on phone, more focus on patients.
10:16Are you going to be able to get them off?
10:18Yeah, I know.
10:19Yeah, yeah, yeah.
10:20This is, uh, I was going to...
10:22I'm playing a test here before collapsing about 40 minutes ago.
10:26Uh, GCF 14 on arrival, dropped to nine on route, but he's tolerating a super-classic airway.
10:31Help!
10:32ECG's showing ischemic changes.
10:34He's...
10:35Paddy at 42.
10:36A4, please.
10:37BP's 88 over 60.
10:38That's...
10:39Careful!
10:40That's 400 micrograms of GCN, 300 milligrams of aspirin.
10:43That's the second 200 of the ball of fluid going through.
10:46Okay, uh, sorry, who's this?
10:48It's Kelsey.
10:49It's Courtney!
10:50Courtney.
10:51Hello, Courtney.
10:52Um, and this is what it appears to be, is it?
10:54It is exactly what it looks like, yeah.
10:57Okay, sorry, do we have the keys, please?
10:59No, 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.
11:07Um, maybe, Matthew, can you go and find those for me?
11:10Me?
11:11Why me?
11:12Sorry, 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?
11:18Uh, don't worry, he's gonna find bolt cutters or something similar.
11:20Yeah?
11:21Please.
11:22I don't know where to...
11:23Dr. Keogh, come on, now.
11:24Surely you can show some initiative, Dr. Linlake.
11:25No problem.
11:26Okay, he's in the...
11:27No, no, no, no.
11:28Come on.
11:29No, no, no, no.
11:30Right, let's get rid of the bed, then.
11:31Uh, Indy, you all right on the airway?
11:32Yep.
11:33Please, J.D., and let's stand by with, uh, adrenaline and amyobrine, please.
11:36Dr. Keogh, please.
11:37I don't even...
11:38I don't know.
11:39Try the...
11:40Try the facilities on the second floor.
11:41Now, now!
11:42We will.
11:43Just as soon as we get the...
11:44Don't try and stay calm.
11:45Do some people who need...
11:47Don't try and stay calm.
11:48All right, guys.
11:49Okay, um...
11:51Where's the rest of them?
11:54Okay, um, just hang on a minute, yeah?
11:59Hi.
12:00Hi.
12:01Um, sir, we're kinda dealing with an acute mental health crisis, so, um, I just forget
12:11said someone more... experienced.
12:15Well, you've got me.
12:18And just so you know, she does sound very erratic.
12:22Yeah, I've got it.
12:24OK.
12:25Hiya.
12:26I'm PC Sullivan.
12:28Are you Kyle?
12:29Oh, that looks nasty.
12:31Wouldn't have happened if you'd just come when I rang.
12:34I'm really sorry that no one came, but I'm here now.
12:37Do you know how many people it took to take her in last time?
12:41I'm hoping it won't get to that this time.
12:44Then you can stay together, if that's what you want.
13:00You've done really well, Kyle.
13:03You can relax now.
13:05We're going to take care of both of you, right?
13:09But as you know, we need to get her outside first.
13:11OK?
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 the look?
13:40You on your own?
13:42You're working hard.
13:44I'm trying to get through to her.
13:46It's not working.
13:47It only is.
13:48Talk room's coming up, so I'd section her.
13:50Then I can get her help.
13:52Do you think she's safe to see it?
13:55Who are you?
13:56It's OK. This is...
13:57Hi, Bryony. I'm PC Sullivan.
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 the school roof.
14:05Oh.
14:07Can I buy one of these?
14:09Yeah.
14:10A pound each.
14:11Only a pound?
14:12Yeah.
14:13I'll give you two.
14:14It's for a good cause.
14:15Can I just take any of these?
14:17Yeah.
14:19Wow.
14:19They look amazing.
14:21Sorry.
14:22Why 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.
14:30He's not in trouble.
14:31He's just outside.
14:34He'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.
14:44He'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.
15:18Yeah.
15:19Okay.
15:25That was amazing.
15:28Am I still seeing you later?
15:28Yeah, of course.
15:30All right.
15:30I've never seen a dead body before.
15:33I'm not 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?
15:39So what did it take him so long?
15:40Um, you 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 bird next to kid details?
15:46Yeah, his wife is on the way in.
15:48I've 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, thank you.
16:08Shall we?
16:08Yeah.
16:09Yeah.
16:09So, charge to 150, please.
16:14Do you feel charging?
16:16Everybody clear?
16:17Yeah, clear.
16:18Yeah.
16:19Clear.
16:21Shocking?
16:23For a pulse check, please, Jodie.
16:26Yeah, 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.
16:34We should repeat the ECG then, and let's prep for an RSI as well.
16:38Where did you find them?
16:40Oh, uh, 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.
17:08Kyle, where are you?
17:09Oh my god, Kyle.
17:11Brianie, just wait for me.
17:13What?
17:13Kyle, what's happened?
17:15Hi, Brianie.
17:15I'm Jacob.
17:16I've been looking after Kyle.
17:17We need to get up to the hospital.
17:18What's happened?
17:19Why are they two?
17:20Why are they two?
17:21Why are they two?
17:23No, no, no, no.
17:24Brianie, Brianie.
17:25Mom.
17:26They're Kenny, stay here.
17:27Tech, Tech.
17:27Zero, zero, eight, six.
17:28Get me in the back of the truck, okay?
17:29Officer in pursuit north.
17:31Come in.
17:32Okay, this is Kyle.
17:33All right, this one's from yours.
17:35Yeah, he's going with you guys.
17:37So, I don't know whether you know this, uh, Matty, but Kerry here wrote the book on emergency
17:42airway management.
17:44In fact, you wrote two, didn't you?
17:47Yeah, so, no pressure.
17:49Right, let's get that BVM off and the eye gel out, please.
17:53There we go.
17:55There's no light for the batteries should be.
18:08No, you've got to wait for it.
18:10There you go.
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, okay, so get lower in the hips.
18:25Yep.
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
18:30it, and you, and you lift towards that.
18:33Yeah, there you go, that's it, that's it, that's it.
18:35Can you see the vocal folds?
18:36Er, yep.
18:38Okay, good, so it's time for the...
18:40Bougie.
18:41The Bougie, that's it.
18:44Nice and smoothly, I'll do the tube.
18:55So, I've got the Bougie.
18:58I've got the tube.
18:59Bougie out.
19:00Okay.
19:02So, attach to the VM, please, Jodie, and inflate the cuff, please, Dr Keo.
19:05I will do that.
19:10That is the cuff inflated.
19:18Yeah, no end tidal waveform.
19:20Uh, yeah, yeah, okay, we're, yeah, we've got into the oesophagus.
19:26Okay, we're just, we're just blowing air into the stomach.
19:28Um, okay, let's extubate then, please.
19:32Deflating the cuff there.
19:35Uh, Jodie, can you maintain the airway for me, please?
19:39Did you, did you feel the cliques?
19:41Cliques?
19:41On the larynx as you go through?
19:42No, you should feel the, the, the, the tracheal cartilage when you...
19:46No.
19:47No?
19:47Okay, never mind, never mind, never mind.
19:48I'll tell you what, let's do it again.
19:49I'll do it, I'll do it.
19:51Fine.
19:52So, can I have the laryngoscope, please?
19:55We'll find her, okay?
19:56I'm gonna get her somewhere safe.
19:57Yeah, try not to worry, mate.
20:01Control to zero zero eight nine.
20:02The question is due to this update.
20:06Come on, come on, I've seen it.
20:08Please respond, over.
20:10Why is she not responding?
20:12I'm gonna try and find her.
20:13Okay, I'll come with you.
20:16I'll come with you.
20:41Ashley!
20:42Laney!
20:46Rainey! Ashley!
20:54Okay, Chris Banfield.
21:02Yeah, that's it, guys. Follow me.
21:05Hi. Hi. Sorry. Are you a doctor?
21:08Um, one of them has swallowed a battery.
21:10You know those little button ones?
21:12Okay. Which one?
21:16I don't know.
21:27Ashley!
21:37Ashley!
21:43Ashley!
21:46Ashley!
21:47Ashley!
21:48Ashley!
21:49Oh, my God. What happened?
21:50I tripped.
21:51All right. All right. It's all right. Let me have a look. All right. All right. All right. All right.
21:59All right. All right. All right. All right. Come here. Come here. Let me see it properly. All right. I'm going to need to put pressure on it.
22:16All right. All right. I know. I know. I know. I know. I know. I know. I'm sorry. I'm sorry. I'm sorry.
22:23Jacob. Jacob in. Penny. I've found it. We're in his underpass. It's a woodlands pass. She's got a penetrating chest injury.
22:29All right. All right. All right. I need the back. I didn't bring it. Okay. Hold on. I'll find you. All right. I'll just grab the ammo.
22:36All right. All right. All right. All right. Ashley. Ashley. Ashley. It's very important. I need you to put as much pressure as you can on there.
22:57Jacob. Jacob. Jacob. Please hurry. All right. Keep that on there. All right. All right. All right.
23:12Let me put this on. There we go. I know. I know. I know. Well done. All right. You 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 all right. Jacob. Jacob. Jacob. Please hurry. Please. All right. All right. I've got you. All right. All right. Okay.
23:40So when did you notice it was missing? About 30 minutes ago. Right. Okay. Which means you've got 90 minutes, two hours tops. Where are they now?
23:47In the relative's room. There's toys in there. No, no. But they don't need toys. They need x-rays.
23:52Yes. But I thought I'd better check because five of them that means unnecessary radiation.
23:56No, no, no. But it's not unnecessary, Kim. Okay. Unless you want to see which one dies first with a hole burned in its esophagus.
24:02No. No. I didn't think so. Okay. Look, I've got a pre-alert. Can you go get them x-rayed, contact surgery, make sure they're ready to do an endoscopy and it's time critical, sort of move.
24:11Would you be nice? No. I don't have time to be nice. That's an emergency. Come on. The CQC want to see positive mental health.
24:16I don't have time to see positive mental mentee relationships, please.
24:18Yeah. Well, Stevie Nash wants her mentee to be resilient.
24:21Stevie, be nice. Yes, with pleasure.
24:25This is Kyle Lindeson, 15, fell down some stairs. Brace, lift. Here we go.
24:31Heart rate's 120, up to 98. BP's dropped to 94 over 60. Sats are 99 on 02. GCS is 15.
24:39Giving him nitrous oxide, a gram of aviparacetamol, two and a half milligrams of morphine.
24:43Okay. Great. Thank you very much. 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. Rita, can you take the chest? Matty, why don't you do the abdo for me?
24:51Yep.
24:55Acute manic episode. She refused treatment of bloodstream.
24:58Okay, Kyle. Kyle, I'll see if I can find out what's going on with your mum, okay? Try not to worry, love.
25:04Okay, yeah, some firmness in the upper right quadrant.
25:07Okay, so indicative of?
25:09Possible internal bleeding.
25:11Right, 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, we'll do. Poor kid.
25:22Ken, why is a patient in cubicle one 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 upload everything.
25:40Look, if you want to take a look, we might not need it.
25:42Okay, Siobhan, do you mind? Cubicle one?
25:45Yeah, I'll be with him in two minutes, Kyle.
25:47Hey, listen, what I got you, Kerry is looking for that paperwork for the CCTV cameras we ordered for reception.
25:52I can't find it anywhere.
25:53We have to put it out to tender first.
25:55Look, the responses are on your desk.
25:57If you look at them now, I will sort it.
25:59Come out, thank you.
26:00Okay.
26:01Right.
26:02Can I have a few?
26:04Yep.
26:17Sorry, Kyle. Some technical difficulties here, mate. Won't be a minute.
26:27Okay.
26:28Good lad.
26:33Whoa.
26:34What's going on here?
26:46I don't know.
26:48Hey, look. Stevie, I need someone.
27:07Dylan, are you okay? Can we take this?
27:10Yeah, yeah, yeah.
27:19This is Ashley Sullivan, 26.
27:21Step to the right.
27:22Penetrating injuries to the right anterior chest, resulting in a sucking chest wound.
27:26Temporally sealed at the scene.
27:28Now proved with a proper chest seal.
27:30She's tacky at 130, BP's 98, over 64, resp's 32, SAT's 92 on high flow.
27:35She had a gram of IV, paracetamol, gram of TXA and 5 milligrams of morphine.
27:39It's alright, we're here now, yeah?
27:40Right, lift on three.
27:41One, two, three.
27:42Oh!
27:43Thank you, Teddy Whitfield, are you okay to start primary survey?
27:46Jodie, can you get the monitor and all, please?
27:48And Hazel, let's activate the major haemorrhage protocol.
27:51Can we get a first shot packed down?
27:53And, yeah, Alistair, can you get the rapid infuser, please?
27:56And, yeah, get an ultrasound in here, please.
28:00I'm here.
28:01Okay?
28:02I'm gonna look after you.
28:03Come on.
28:07I'm still here.
28:08I'm still here.
28:09Is there a next of kin we call?
28:11She's my girlfriend.
28:12Okay.
28:13Okay.
28:14Teddy.
28:15Hmm?
28:16We need to get in.
28:17I know, but I...
28:19I can't.
28:20Teddy, it's fine.
28:21We'll look after her.
28:22You go.
28:23Okay?
28:24Alright.
28:25Okay.
28:26I'll be back as soon as I can.
28:29Alright.
28:30Thanks.
28:31Uh, did you get the x-ray?
28:32No.
28:33They were about to and then they said the system went down.
28:34Shall I take them to St James?
28:35Who...
28:36Who wants a ride in a taxi?
28:37Me!
28:38Me!
28:39Me!
28:40Me!
28:41Me!
28:42Me!
28:43Me!
28:44Me!
28:45I'll take you, Mum.
28:46I've got an idea.
28:47I mean, that's down in the ED.
28:48Okay, I'll see you.
28:49Hi.
28:50Do you know what?
28:51Could I just email you this paperwork?
28:52I...
28:53I...
28:54...I...
28:55I...
28:56I...
28:57I...
28:58I've got an idea.
28:59I mean, that's down in the ED.
29:00Okay.
29:01I'll see you.
29:08Hi.
29:09Do you know what?
29:10Could I just email you this paperwork?
29:12I...
29:13Oh, that's fine.
29:14Uh, what's your contingency plan?
29:16Um...
29:17For, um...
29:18You haven't heard about radiology?
29:22Hey, hey, have you seen Dr. Keogh? Can't find him anywhere.
29:29I can't get this to work.
29:31What is it?
29:32Metal detector. I got it from security.
29:34What do you need the metal detector for?
29:37There you go. No batteries. See?
29:39Oh, this isn't happening.
29:41I need to find out which one of those kits will load a button battery.
29:44This was my last hope.
29:46Yeah, radiology's out. Yeah, yeah, okay, okay.
29:49I know where we can get one from. Come on.
29:52Look, 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. What do we do? What is the fix?
30:08Okay, we divert the ambulances till we're back online,
30:12and we manage.
30:14That is my MOT failed.
30:16What? Great.
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, and we carry on.
30:27We 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.
30:39And it's, er...
30:41Yeah, 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, the drain's not working properly.
30:59Also, possible tension.
31:00Okay, let's, um, let's reset the drain.
31:02Okay.
31:03Well, I know.
31:04I know.
31:05It's uncomfortable.
31:06Just squeeze my hand.
31:07That's it.
31:08That's it.
31:09Oh, thanks, Jordan.
31:10Doing really well.
31:11That's great.
31:12Great, thank you.
31:21There we go.
31:22Oh, great.
31:23You were right.
31:24Right, okay.
31:26You're doing all right.
31:28Okay, drain going again.
31:30Um, Hazel, when they've gone through,
31:32can you get two more units up, please?
31:34And, Jodie, can you contact Cardiothoracics for me?
31:36Yeah.
31:38Right.
31:39Sets are coming back up.
31:40Good call.
31:41Yeah.
31:42Well, our good lady inspector was around to see that one.
31:46No worries.
31:48Dr Kehoe, I was just looking for you.
31:50You okay?
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
31:58until, er, until they got his imaging.
32:00But the fast scan is out of action, so.
32:02Really?
32:03His heart rate's crept up.
32:04His sats are dropping.
32:05He's drowsy.
32:06There's definitely something going on.
32:07What do you want to do?
32:10Dylan?
32:11Erm.
32:12Er, yeah, sorry.
32:13Could you find an ultrasound machine, please?
32:15Oh.
32:16Er, I guess I could get one from...
32:18Literally anywhere.
32:19Well, I could go, if you...
32:20No, no, no.
32:21Are you with me?
32:22Please?
32:23Mm-hmm.
32:24Okay, so we need to, er...
32:26We need to start from the top.
32:28Full systemic assessment.
32:29Try and work out where we...
32:30Well...
32:31What I missed.
32:32Okay.
32:33I'll be higher.
32:34I'll be higher.
32:35I'll be higher.
32:36I'll be higher.
32:37Yeah.
32:38Right.
32:39Er, does anyone else need a wee?
32:40No!
32:41No!
32:42Erm, anything?
32:43I checked them all and there's no sign of it.
32:44Are you sure one of them definitely swallowed it?
32:45Well, I mean...
32:46Where's Albie?
32:47I...
32:48I thought he was with you.
32:49No.
32:50Oh, gosh.
32:51Um...
32:52Do you mind?
32:53Yeah.
32:55Albie!
32:56Albie!
32:57I...
32:58I thought he was with you.
32:59No.
33:00Oh, gosh.
33:01Um...
33:02Do you mind?
33:03Yeah.
33:05Albie!
33:06Albie!
33:07Albie!
33:08Albie!
33:09Albie!
33:10Albie!
33:11Albie!
33:12Hey, wait, wait, wait, wait, wait!
33:14Have you seen a little boy come through here?
33:16We think he swallowed a battery?
33:18No.
33:19Um...
33:20Miss Manon?
33:22Do you need a hand?
33:29Sorry, it takes so long.
33:31Obviously, the one time we need it, everyone and their aunty wants to get their hands on it.
33:35Okay, BP's crushing.
33:36Abdo's increasingly tense and now peritonitic.
33:38Yeah.
33:39That sounds like a mesenteric tab.
33:40Should we just see if the theatre will take him?
33:42Uh...
33:43They won't take a 15-year-old boy without confirmation.
33:51I don't know, I can do this.
33:56Of course you can.
33:57A mesenteric tab.
33:58You've got this.
33:59Yeah.
34:00That's not quite what I meant, but...
34:02Anything?
34:03No one saw him leave, but security are checking the car park.
34:04No!
34:05He...
34:06He was choking and then he went all floppy, so I just picked him up and ran.
34:09Let's get into recess.
34:10Right, this way.
34:11Sure, it's all right, help me.
34:12It's okay.
34:13It's okay.
34:14It's okay.
34:15It's okay.
34:16It's okay.
34:17It's okay.
34:18We're doing what I want to call the motor.
34:19It's okay...
34:20It's okay, I'll be...
34:21I'm here.
34:22It's okay.
34:23It's okay.
34:24It's okay.
34:25It's okay.
34:26It's okay.
34:27It's okay.
34:28us. Right, this way. Sure, it's all right. Help me. It's OK. It's OK. Why, well, Dr.
34:35Byron? Hey, what's happening? What have we got? He's swallowed a battery. When I found
34:41him, he was being sick and then he started choking. I think he's a respiratory arrest.
34:45It's OK, Elvie. I'm here. It's OK. It's OK. It's OK. Yeah, he's not breathing. Start
34:52resting breaths. It's OK. It's OK. I'm here. It's my voice. It's OK. Don't worry, you're
34:57doing so good. Well done. Dr. Byron, I can't feel a pulse. Start CPR, please. Kerry, in
35:05the emergency airway, truly over there, you'll find a laryngoscope and Pete McGill's. Please.
35:21There's a light not working. Come on. Someone's taking the battery out. Come on.
35:27Sleep right. Keep going, CPR. Kerry, can you find me another one, please?
35:38Obviously, we're concentrating on the upper right quadrant and you can see there the
35:42border. Excuse me, do you have a... Sorry, do we have what? Do we have five minutes? Do
35:47we look like we have any time at all? What would really improve patient safety would be not
35:52having people barge in every five minutes? You know, not having people breathing down
35:56our necks while we're trying to treat patients? Can 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? Dr. Byron
36:06needs one with a working light. Thank you.
36:15Oh, yeah. Okay. So there, there's the, um, the mesoteric bleed is confirmed.
36:25I'll let theatre know he's on his way.
36:32Okay. Yeah. I think I can see it. Got it. Got it.
36:50I'll be... Hey, little man. Yeah, I'm right here. Everything's okay. What a day we're
37:00having, eh? Dr. Chang, can you, uh, fast bleep the ENT, please? He's going to need an exploratory
37:06endoscopy in case it's leaked. Marie, can you get a line in, please? I'll get this oxygen
37:11on him. I'll leave you to it. Look, um, I know we haven't exactly covered ourselves in glory,
37:28but today's been an atypical day, eh? Is 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, where doctors
37:49don'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
38:00you would. I'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. And, um, if they haven't? Let's
38:18hope it doesn't come to that. Hey. How are you feeling? Thank you so much, Teddy. Oh, no.
38:31Don't be silly. Erm, I've been wondering, I'm sorry if it's not the right time, but do you
38:42still have my loyalty card for the coffee van? There was a free latte on that. I'm sorry
38:49about that. It's alright. You can owe me a coffee, I suppose. I was pretty out of it when we first
38:57came in here, but I've got a vague recollection of, um, you calling me your girlfriend. Sorry.
39:07It was just the situation. You want me to take it back? Do you want me to? Not really.
39:17Okay. I won't. Okay.
39:22Thanks, Oscar. Kyle. Kyle, love. Yeah, I've, er, got news on your mum. She's at the police
39:39station. She's okay. She's fine. They are gonna move us somewhere more appropriate. They
39:45will look after her. She's all I've got. Of course they will, love. Er, this is Liv.
39:54She's a social worker. She's going to find you somewhere to stay. Hi. Er, Elvie's parents
40:00have arrived on the children's ward, so... Great. Yeah, I, er, I just wanted to say thank
40:06you before I went. Where are the rest of your douglings? Oh, er, they've all been collected.
40:11I've found it hard enough for two. Honestly, I don't know how you manage. Not very well,
40:16it turns out. I don't think that's true. I mean, you were so calm, most people would be
40:26freaking out. I was freaking out. I, I still am. I, I, I thought this job was like, like,
40:34like, like sticking and gluing and playing, you know, what, what's the time, Mr. Wolf.
40:39But, erm... He, he could have died. And it would have been my fault. And I...
40:47He didn't die. And it wasn't your fault. Well, nobody can keep an eye on that many kids
40:52every second of the day. Yeah, but that doesn't matter. I, I was responsible for looking after him. And I...
41:01I, I, I let him down. Well, I think you're being a bit harsh on yourself. Anyway, er, thanks again.
41:16Well, you were amazing.
41:28Well, judging from the look on everybody's faces, I'm guessing you've all heard the outcome of the spot inspection.
41:34Mm-hm. Yeah.
41:36Well, news 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. Er, well, I mean, it wasn't just one thing. Um...
41:49But listen, er...
41:51I know it might be hard to believe this, but I want you to know that this is not a reflection on you.
41:56You were all, without exception, caring, hard-working, outstanding professionals.
42:04Well, it's not done one much good, has it?
42:07Well, in 30 days' time, we're gonna 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, your training placements, your hours,
42:19absolutely 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.
42:46Okay, look, it's, it's, it's been a really long day. Let's all just go home, regroup, come in and start fresh tomorrow.
43:16Yeah, hey.
43:17Better get off if you're gonna make Poppy's birthday.
43:30No, no, no, come on. I'm gonna, I'm gonna stay.
43:33I'll make it up to her.
43:35The CQC want me to focus on residence training, on, on contingency planning.
43:39I gotta focus on safety in the, in the reception.
43:41I'm gonna order the, er, CCTV cameras as well if I can find the damn paperwork he said he left out for me.
43:47And I gotta make a start on the training plan. There you go.
43:49I will stay and do it.
43:50Hey, no. Shiv, come on. I meant what I just said in there, okay?
43:53I'm gonna take care of this. It's on me. End of.
43:57It's on both of us, isn't it? We're a team, aren't we? Go on.
44:01Go and have a nice big piece of cake for me.
44:05I mean it. There's no point in both of us staying, is there? Go.
44:08Go.
44:09Really? You sure?
44:10Yes.
44:11You sure?
44:12Go on.
44:14Hey, hold on. Take this. 20 quid. Come on, take it.
44:16No, no, no. Go on, get a cab.
44:17Go on, get a cab.
44:18Please, it's the least I can do. You don't have your car, it's gonna be late. Just take it.
44:21Get a cab.
44:22Okay, if you insist.
44:24Okay, take that ridiculously oversized unicorn with you.
44:27You reckon it's big enough?
44:28Yeah. Go.
44:30Flynn?
44:31Yeah?
44:32We've got this, okay?
44:34Come here.
44:36Okay. Thank you.
44:38Oh, Chef. Can I ask a figure, please?
44:51Yeah, yeah, what do you need?
44:52Would 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, and if I don't, if I don't get tomorrow's two weeks, I could take away my options a bit.
45:04Yeah, yeah, of course.
45:06Yeah.
45:07How did Ian take it?
45:08Er, yeah, I haven't told him.
45:12Oh, love, 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 gonna feel if he finds out and he didn't even know you were pregnant.
45:22What?
45:23Rip the plaster off best way.
45:25Hey.
45:26It's not your fault.
45:38It is, though.
45:39See you tomorrow.
45:40Dylan?
45:41Yeah.
45:42Any word on the result?
45:43Yeah.
45:44And?
45:45And it indicates that I can't see you in the room.
45:48It's not your fault.
45:49I can't see you in the room.
45:50It's not your fault.
45:52It is, though.
45:55See you tomorrow.
45:56Dylan?
45:57Yeah.
45:58Any word on the result?
46:01Yeah.
46:02And?
46:03And?
46:04and it indicates a very likely chance of paternity about 99.9 percent
46:11okay well that's pretty conclusive
46:15so 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
46:34so
47:04yeah hello it's me I just wanted to let you know that I've pulled a few streams and someone's
47:18calling tomorrow to fit the new CCTV I know I know I'm a miracle worker everything's gonna
47:25be on your desk I've left it there with a sticky note saying CCTV okay you can't miss it and I
47:32made a start on those training plans so they'll be on the shared drive anyway I hope Poppy had a
47:39wonderful birthday and I'll see you tomorrow yeah right nearly
48:02so
48:09so
48:16so
48:22you
48:29you
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