- 2 days ago
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00:00Mum binned off the sperm donor.
00:01Apparently it was an alky, unreliable, selfish.
00:05Any word on the result?
00:06It indicates a very likely chance of paternity, about 99.9%.
00:11If we do not grip this and show some serious change, the CQC are gonna shut us down.
00:16I'm well aware.
00:17I'm pregnant.
00:19Right.
00:20Everything that happens here is your choice.
00:23After a sexual assault, it's important that you know your options.
00:27We're here to help you move forward.
00:29Siobhan.
00:33Hey guys, come with me.
00:35I want you to meet Dr. Clements, a friend of mine from the MOD, stationed at a research facility.
00:41She is an expert in dangerous pathogens, the type used in biological warfare.
00:45Sorry, mate.
00:46In your careers, you will never get to her level.
00:49Trust me, not even close.
00:51You don't have a fraction of her intelligence.
00:53I know you might think you do, but trust me, you don't.
00:56Today I want you to watch, learn, and do exactly as she tells you.
01:00We're about to enter a simulation.
01:02Viral encephalitis has been weaponized.
01:04You must treat patient zero before the outbreak spread.
01:06Now, I'm needed on the floor today, so Dr. Clements will be both your patient and your assessor.
01:12Take this exercise seriously.
01:14It's imperative.
01:15You treat this as though it's real.
01:17This isn't just about contingency planning, okay?
01:19CQC have been absolutely breathing down my neck about training you guys properly.
01:22So over my dead body, or more preferably one of yours, I will ensure that you leave here better doctors than when you came in.
01:30Off you go.
01:31Welcome, boys and girls, to what might just be the worst day of your lives.
01:48Who knows?
02:01Here we go.
02:06I do accept that we find Sight maybe taking the swab was...
02:24Ridiculous. A bit unethical.
02:26This guy is.
02:28But you know, Sarah, his mum, has had my details for the whole of this time
02:32and she chooses not to tell me.
02:34Life would have been so different, Stevie.
02:36Yeah, but, Dylan, they can be different now.
02:38Sorry, that's mine.
02:40Three sauce three, please.
02:44Uh, Mrs. Sanderson.
02:49Hey, Mrs. Sanderson. No.
02:51No, me, Lenny Haystack.
02:52As far.
02:54Flynn, I'm pretty sure the CQC inspection recommended that we have more stuff rather than fewer.
02:59Where are the residents?
03:00Oh, hold on.
03:01They're a rare scenario training so that they can handle anything that's thrown at them in the field.
03:04Yeah. It sounds like scientists.
03:06Well, Dylan, I have to honour their training, don't I?
03:09I mean, you'll thank me in a couple of weeks when we pass the next inspection.
03:11Hold on.
03:12Get out of there!
03:12Hey, hey, hey, hey!
03:12Dan, it's fine. I'm fine.
03:14Come on, come on.
03:15Listen to me.
03:15Rita, can you just deal with this first, please?
03:16No, it's fine.
03:17We need a resource right now.
03:17No, it's not a request.
03:19Rita, just deal with it.
03:19I will take over and resource.
03:20The team can manage, okay?
03:22Okay, Flynn, Flynn.
03:23She won't.
03:24I do not need special treatment, okay?
03:27Okay.
03:33Is this the only size?
03:35It's not going to fit me.
03:36You've got plenty of room in there.
03:38Quickly secure it.
03:39Okay, aerosol exposure of this bioweapon can lead to rapid invasion of the nervous system.
03:48After we've ensured our own safety, we should start with an intravenous course of antiviral medication.
03:54Can we get moving, please?
03:57We're on the highest alert we've been in decades.
04:00The threat of a bioterrorist act is credible, and take it from me, you don't want to be doing
04:05this for the first time when the real thing happens.
04:08It's hell on earth, and you'll be right in the fire.
04:13Really?
04:14But you want us to take this seriously when the PPE's out of date?
04:19Don't put it on, then.
04:20Everything can really need it.
04:24Matty, think of the CQC.
04:26This isn't even an official CQC thing.
04:29This is Dr Byron's sick fantasy.
04:33All right.
04:34All right.
04:36What were your symptoms again?
04:37Reckon we can get you to ITU by lunchtime.
04:40I'm already starving.
04:46I was going to say thank you.
04:52I, I, do, Chris, can you take this?
04:54I'll see you outside, I'll see you outside.
04:55Yeah, I've been discharged.
04:57This?
04:57What?
04:58I'm just, I'm having a new basis.
05:01It's important.
05:01Uh, sure.
05:04It's going to have to be quick.
05:05Let's go with me.
05:08Uh, look.
05:11I've been thinking.
05:12Mm-hmm.
05:13Maybe, maybe we should get back together.
05:17What?
05:18Yeah, you know.
05:20Make a go of it.
05:20What, with the baby and...
05:21Ian, you, you've clearly said before.
05:25I know.
05:26I know what I said, but I, I, I was...
05:29Yeah.
05:29What, and, and now?
05:31And now you love me?
05:33And you want to raise a baby together?
05:37Or is it just the baby that you love?
05:38Control 3-0-0-0-0.
05:42Chat 2 check-in is in the Shacksted area.
05:44Over.
05:46Maybe I'm not the one that's broken, Ian.
05:48You ever thought about that?
05:50Find somebody else to fix.
05:56Just try, try and keep her nice.
05:57Dad, please.
05:59Please, stop me.
06:00I think we're looking at a sternoclebycular dislocation.
06:03Upper chest, yeah.
06:04Erica?
06:05Erica, can you just try and stay nice and calm for me?
06:07I can't.
06:08Okay.
06:09Karen, let's, uh, let's prep five milligrams of morphine.
06:12Yeah, she's got, um, chest pain.
06:15Uh, her respirator's up to 25.
06:17Sal's 97% and, uh, yeah, completely pain in her left arm as well.
06:21Okay, is there anybody here?
06:22Her parents or anything?
06:23Um, she lives with mum, so someone's making the call.
06:25Can you have a go, try and get her calm for me?
06:27Yeah, I'll let you know.
06:29Hi, Erica, I'm Faith.
06:31Look, we really need to examine you, darling.
06:33I know, I know.
06:34Just look at me.
06:35Look straight at me.
06:36I know it really hurts,
06:37but everything's going to be all right.
06:39Okay, you take a big deep breath and lay back for me.
06:42Here we go.
06:44Okay, cool flush going in.
06:47I know, I know, I know.
06:49I'm really sore.
06:50You're doing really well.
06:51Right, I'm just going to take a look at your collarbone, okay?
06:53I'll be really gentle.
06:55Okay.
06:56Let me have a wee look.
06:57And how did this happen?
07:00Rugby.
07:01Someone stamped on me.
07:03Morphing going in?
07:04Oh, mum.
07:05Thanks for playing.
07:07She said something like this would happen.
07:09Yeah, mum's no best, don't they?
07:12And was this at school?
07:14Don't have a school.
07:16Not since the roof fell in.
07:17Okay, er...
07:20Yes, there are no clavicular joints, depressed.
07:23Right, okay, what about the arm?
07:24Can you move your fingers?
07:25What about your thumb?
07:27No.
07:27I'm just going to put pressure on your nail, okay?
07:29Can you feel that?
07:30No.
07:32Right, delayed cap refill, and the arm's really cold.
07:35Right, okay, let's get a second line in,
07:37and we'll get a full set of trauma bloods.
07:38Maria, can we get a CT?
07:41We'll do CT angio and left upper limb.
07:43And I'm going to give vascular a heads up, Faith.
07:45Okay, all right.
07:46What's happening?
07:48Right, the dislocation is really close to the vessels in your chest,
07:51and any movement, that could damage the vessels, yeah?
07:54So we need you to stay really still.
07:55It's really important.
07:56You'll stay with me.
07:58Of course, I'm right here.
07:59So you've received my ECG results, but now I'm seizing.
08:03What is the cause?
08:04What is the treatment?
08:05Kim.
08:07Is it your term main response?
08:09We need to assume infection, right?
08:11So we need to treat the seizures with lorazepam
08:13and cover for infection with kefetaxime and acyclovir.
08:16We also need to ensure it's not cardiogenic.
08:19So you do have capacity, Dr. Lynn Laker?
08:22Most of the time, yeah.
08:23Apart from match days when Liverpool are playing.
08:27What further complications could the seizures indicate?
08:31You're sky high.
08:34And tachycardic.
08:35Oh, this isn't real.
08:37But these results are.
08:38I appreciate your diligence, but don't worry.
08:41I've been a bit under the weather recently.
08:43Some back pain, but that's all.
08:44See?
08:45Aspiration pneumonia.
08:47Complications from the seizures.
08:50Good.
08:50Listen up if you can.
08:59All our ambulances are utilised at the moment,
09:02but I'll get the clinical desk to triage as many as they can.
09:07But keep me across any cat ones that come in.
09:09OK?
09:10We'll get through this.
09:11Auntie Jan?
09:12Hiya, love.
09:13Shouldn't you be out on the road?
09:14Oh, the truck's got a flat tyre.
09:16Oh.
09:17Hey, don't worry.
09:17I'm sorting it.
09:19You are on an early, though, aren't you?
09:22Why?
09:23Ashley thinks she's going to be discharged later,
09:25but I'm on a late.
09:26Would you want to give her a lift?
09:28Not a ready taxi, Ted.
09:30I know, I know.
09:30But, you know, I thought you wanted to get to know her.
09:33Jan, Jan, could you take this one, please?
09:35I know, ambulance service.
09:40Is the patient breathing?
09:41Ambulance service.
09:43Is the patient breathing?
09:44Daddy won't wake up.
09:47OK.
09:48I can help you.
09:50My name's Jan.
09:51What's your name?
09:52Asa.
09:53Hello, Asa.
09:55Asa, is there anybody else there with you and your daddy?
09:58No.
09:59OK.
10:00Is he lying on his back?
10:03Yeah.
10:03Yes.
10:05Have you tried waking him?
10:06Can you give him a gentle little shake?
10:16Asa, have you done that?
10:18Yeah.
10:19Can you put your hand by daddy's mouth
10:22and check if you can feel the breath coming out?
10:27Yes.
10:28OK.
10:29Is he making any funny noises?
10:32No.
10:32Asa, I need you to make sure that his chin is off his chest.
10:40OK?
10:40OK?
10:40Have you done that?
10:48Ambulance.
10:50I'm going to get an ambulance to you as quick as I can.
10:53What's your address, Asa?
10:55I don't know.
10:56Do you know the name of your road or have you got a house number?
11:06Asa, I'm going to go really quiet now, but I want you to stay on the phone.
11:10I'll be back really quickly.
11:12OK?
11:13You stay on the phone.
11:15There's another one.
11:17It's getting ridiculous.
11:19Uh, 3006 to control.
11:21Go ahead.
11:223006.
11:23We just arrived at 30 Shackstead Road.
11:25Spoke to the couple in Ibbe.
11:27Thomas Delaware and Bryn Ellis.
11:30They didn't call 999.
11:31Another prank call.
11:33Teenagers apparently.
11:35Oi!
11:36Loses!
11:41Well, if you're clear there, I need you on another job.
11:44Yep.
11:44What's the address?
11:45That's the problem.
11:46We don't have one.
11:47Give me a second.
11:48Gant.
11:49Hey, sir.
11:50Is there anything that you live near to?
11:54Uh, is there a shop that you and Daddy like to walk to?
11:57Are there any trains that go near your house?
12:01Where do you like to play?
12:03The big park.
12:04And, uh, does it have a playground?
12:07Red slide.
12:09Red slide.
12:11Control to 3006.
12:13Go ahead.
12:13I'm patching you through now.
12:15I've got to warn you that the caller is a little boy.
12:17It sounds like his dad is having a seizure.
12:20Make your way to Obie Wreck.
12:22Over.
12:23Lisa, can you clear as much space around him?
12:28We don't want him banging into anything and hurting himself.
12:33Have you done that?
12:34I'm scared.
12:38Next, you'll want to start thinking about a CT scan and a...
12:42Sorry, a CT scan and a possible lumbar puncture.
12:47Do you want to call supporter?
12:50Yeah, I want to...
12:50Yeah, come on.
12:55Sit back.
12:56Catch your breath.
12:58Stand back.
12:59This isn't funny.
13:00Is this real?
13:00Must have been exposed at work.
13:03Exposed to what?
13:05I'm not sure.
13:12I work with multiple pathogens every day.
13:15Most of them contagious.
13:18Paragraph elimination.
13:19A CT confirms a posterior sternoclavicular joint dislocation and there's a small hematoma as well.
13:26Okay, is it stable?
13:27For now, but yeah, the collarbone's way too close to the blood vessels to supply the arm.
13:32That's my worry.
13:33She's tacky and her pulse is really weak.
13:35All right, then.
13:36We don't have much time in the arms at risk.
13:37Vascular?
13:39No.
13:39They've got an aneurysm, so they're going to be a few hours.
13:41Hematoma's going to make it tricky, but I think we only have a small window before four blown vascular disasters.
13:46So let's prep to pull it, please.
13:48Okay, I'll get some cap.
13:49All right, absent radio pulse.
13:51Okay, sweetheart, listen, we're going to have to put the collarbone back in place now.
13:55Mum.
13:55I know, Mum is on her way.
13:57I know.
13:57Gary, look at me, look at me.
13:59I'm here with you.
14:00I know it's scary doing it without you, Mum, but I'll be here, okay?
14:03I think we can do this.
14:06Okay?
14:06Okay, we're good to go.
14:08Okay, Erica, my name's Dr Byron.
14:10My colleague here's going to give you something so you're not aware of what's happening, okay?
14:16Do you need to get that?
14:17No, I do not.
14:19It's the residents that can wait.
14:21Come on, come on, come on, come on.
14:24I can't get through, he's not answering.
14:26Try getting through to the ED.
14:28Okay, erm, there's a shock pack on its way.
14:31I'm just going to go and get Dr Byron myself.
14:32No, you can't.
14:35No one comes in or out.
14:37We can't risk this spreading.
14:40What spreading?
14:41You know I can't see.
14:47National security.
14:48Look, how are we meant to treat you if we don't know what's wrong?
14:52I should have made you wear the mask.
14:55Matty?
14:55What do you think it is?
15:09I don't know.
15:11Please.
15:12You must have an idea.
15:13You always do.
15:15Ebola.
15:16Crimean Congo.
15:17Lassa fever.
15:19They all fit the symptom profile.
15:21Transmitter through contact with infectious fluids.
15:23You'll be okay?
15:31Will I?
15:35Ready?
15:36Mm-hmm.
15:37Okay.
15:38One, three.
15:39One, two, three.
15:49It's either vascular compression or I've nicked a hematoma.
15:52Well done.
15:53Okay.
15:55Now, veins in the neck aren't distended.
15:57She's profusion, so.
15:59All right.
16:00Can we get the emergency airway trolley over here, please, in case we need it?
16:03There's a fast scan in the meantime.
16:05Mm-hmm.
16:11Okay.
16:12Ready?
16:13Yeah.
16:13Pericardial fluid.
16:20No tamponade, no obvious rupture.
16:23Okay.
16:23So it's mechanical.
16:24The joints are pressing on something.
16:26Let's try again.
16:27Dr. Byron, Dr. Clemens has fallen ill.
16:30Eh?
16:30It's a simulation, Ken.
16:31Yeah.
16:31Dr. Chang says it's real.
16:33They've activated major hemorrhage protocol.
16:34They can't get her up, saying she might be contagious.
16:36Hold on.
16:38Try again, please.
16:39One, two, three.
16:40Okay.
16:47Pulse check.
16:50Yep.
16:50Good strong pulse.
16:51Yeah?
16:52All right.
16:53Stay with you if you don't mind.
16:55Take him over.
16:56That's all.
16:57See you to the kids.
16:58Yep.
16:58Fine.
16:59Okay.
16:59Uh, let's, uh, let's get a repeat angio.
17:01Make sure there's no further damage.
17:04You okay?
17:05Yeah.
17:05Yeah.
17:06Bye.
17:07Hey, what's going on?
17:22Patient is short of breath, respiratory rate up, SATs dropping, bleeding from her lacrimal
17:28duct and nose.
17:29Possible exposure to viral hemorrhagic fever pathogens, but we don't know which ones.
17:33She's unable to disclose which pathogen she's been working with.
17:38Grace, you're kidding me.
17:40Come on.
17:40You know not to ask that of me.
17:45Okay.
17:46Okay.
17:46Uh, we're going to activate the high consequences infectious diseases plan because you've got
17:51blood, right?
17:52You're going to have to give her an x-ray and you're going to have to do it there in the
17:54room.
17:55Dr. Byron?
17:56Yeah?
17:56Our PPE is out of date.
17:58Will we be okay?
17:59Yeah, yeah.
18:00It's fine.
18:00The date is precautionary.
18:01If you're wearing it properly, you're not at any risk, okay?
18:06I wasn't wearing my mask.
18:09Damn it, Matty!
18:10I explicitly told you to take this seriously!
18:15Hi.
18:16Yes, Dr. Byron.
18:17We need a portable x-ray down on D-Ward now.
18:19Immediately, please.
18:22Right, Kim.
18:23It's okay.
18:23It's going to be okay, all right?
18:24I'm going to stay here.
18:25I'm going to talk you through everything.
18:27Just do as I say.
18:28I don't think this is it.
18:32And so...
18:37Hey, sir, I think we've arrived at the playground.
18:44Can you still hear me?
18:45How's Daddy?
18:46Is he making noises, like snoring?
18:49I don't know.
18:50I know this is hard.
18:51You're doing really well.
18:52What colour is your house?
18:56White.
18:57Okay, great.
18:58And is your house next to the playground,
19:01or do you have to cross a road to get to it?
19:03Off the road.
19:06What about cars?
19:08Are there any cars parked outside your house?
19:10I'm not at the window.
19:12Yeah, could you go to the window for me?
19:14Well done.
19:14Do you know the colour of your door?
19:22White.
19:22What about your front garden?
19:24Is it grass or pebbles?
19:26Pebbles and plants.
19:28Okay, I'll start looking.
19:32Are you in the window yet?
19:34Can you see us?
19:35We're wearing green uniforms.
19:44Is that you?
19:47Can you see me waving?
19:48Yeah.
19:48Oh, mate, you are my hero.
19:51Have you got him?
19:52Yeah, I've got him, Jan.
19:54Chicken!
19:55In!
19:55Well done.
19:57I'll leave you to it.
20:06Mrs. Abbeyworth.
20:09I believe that you say that you swallowed a ring.
20:13We can't find anything on the x-ray.
20:14Um, are you quite sure that you swallowed it, are you?
20:16Is she sure she put it in the glass?
20:18Yes.
20:18I thought you'd sip the bubbles and I'd be down on one knee.
20:22How ridiculous making a show like that.
20:24What on earth will people think?
20:25Who cares?
20:27Um, well, obviously, I'd watch out for any tummy ache,
20:30but it should pass through in the normal course of events.
20:32Now, um, there were one or two things on the x-ray
20:34that I was a bit concerned about, though, Mrs. Abbeyworth.
20:37It's Miss Abbeyworth.
20:40With a roll of the R.
20:41The first one, not the second.
20:43Your lymph nodes are a little enlarged
20:45and, um, your blood results indicated
20:47that there may be, um, an inflammatory process or two going on.
20:50Resps are a little bit high, heart rate to see.
20:52So we're going to ask, uh, Judy to take a full set of arms.
20:54I'm going to be back, okay?
20:56Just take your pulse there.
20:57So, uh, how long have you two been, uh...
21:01We've been good friends about a year now?
21:03We're lovers.
21:04Hush!
21:05We first met at school 60 years ago,
21:07and then there she was again in sheltered housing all these years later.
21:11Wow!
21:12What was it weird to you together back then?
21:13Absolutely not.
21:14It was different times back then, love.
21:17Has she got to stay along?
21:18Only I got celebrations planned.
21:20Celebrations?
21:21I haven't said yes.
21:23Are you in any pain at the moment?
21:24Where do I start?
21:25I'm 76.
21:26Any sudden weight loss?
21:28Clothes are a bit looser, I suppose.
21:30Okay, any history of disease in your family,
21:33whether it be heart disease or diabetes or cancer?
21:35All three, but cancer mainly.
21:39Dr Keo?
21:40Yeah.
21:41Sorry.
21:41Okay, okay.
21:42Um, let me leave Jodie to take off all the history,
21:44but I hope we'll have some answers for you as quickly as possible.
21:47Miss Apiora.
21:50Right, please, please, guys.
21:51Right, this is Lee, found unresponsive in his home
21:54after having a tonic, tonic seizure.
21:56You'd think that the only witness was his son.
21:58He's got a boggy haematoma on his occiput,
22:00hairways maintaining itself.
22:02Rests 20, sacks were 92,
22:04they're now 98 on 2 litres via nasal and lift.
22:08And down, please.
22:09And across on slide, please.
22:10Ready?
22:11Race, slide.
22:14All right.
22:15Okay, pulse is 55, BP is 165 over 90.
22:20It was post-ictil, now his GCS is 14,
22:22giving him 4 milligrams of Ondansetron.
22:25Ivy access fire is left ACF.
22:27There's no way we'd have got to him
22:28if it wasn't for young AC here.
22:29Hey, AC.
22:30Was Daddy feeling unwell before he fell over?
22:32Oh, you weren't sure, were you, mate?
22:34Right, any medical conditions that we know of?
22:38Daddy!
22:39Okay, let's get on to the side.
22:40Faith, can you go on airway?
22:41Yep.
22:42Let's get 4 milligrams of lorazepam.
22:45And can we draw up some levoteroacetum as well, please?
22:48Is anybody for you to take ACF outside?
22:50Yeah, I can stay with you.
22:51Thank you for me.
22:53Great, thanks.
22:54Okay, and can somebody call the duty social worker, please?
22:57Okay, now take a step back.
23:04I've just heard.
23:05Do we know what we're dealing with yet?
23:06I've spoken to her research facility,
23:09but until I get security approval,
23:10I don't know what pathogens Grace has been handling.
23:12Lean forward for me now.
23:14Guys, come on.
23:15We don't have all day.
23:16Let's go.
23:16So, what's their exposure, do we know?
23:18Well, Kim will wear PPE, so she's fine,
23:21but Matty, of course, thought he was too special to do so,
23:23so he's been exposed.
23:24Eh?
23:25Listen, if you're worried about repercussions
23:27because you're his mentor, don't.
23:28I will take full responsibility, okay?
23:30Guys, come on.
23:31We don't have all day.
23:32Let's go.
23:33We need one more.
23:34Move it left, please.
23:37Yeah, no, it's not that.
23:39Do we know how long we're going to have to wait for your approval?
23:42One more time.
23:43I mean, we need to know what we're dealing with, don't we?
23:45Flynn?
23:46Flynn?
23:48Bloods.
23:49Guys, you need to get more bloods in.
23:50Dylan, talk them through this for me.
23:51Would you like to follow up with the MRI?
23:53Yeah, okay, okay.
23:55Can you hear me?
23:57You need to get another line in the right arm.
23:59Yeah, a large IV.
24:06Any news from Matty and Kim?
24:14Nothing yet.
24:16They'll be all right, though, won't they?
24:17As soon as I hear.
24:20Thanks.
24:25Siobhan, um...
24:27Yeah, I'm really sorry.
24:28I'm not going to get those audits done by the end of the shift.
24:30I'm juggling recess and cubicles.
24:32It's just...
24:32All right, it's okay.
24:33I can take a patient.
24:34Who have you got?
24:34Uh, amazing.
24:37Um...
24:38Uh, Basics, Louise Perkins.
24:41I triaged her ages ago.
24:42I'll just have another time to get around to her.
24:44It's okay.
24:48Right, how long's it been?
24:49Uh, four minutes, just over.
24:50Right, okay, let's get the lorazopam.
24:52Thanks, Paula.
24:58Okay.
24:59Okay.
25:00Wait, I think it's...
25:01Yeah, it's self-limiting.
25:02All right, let's get him onto his back.
25:05It's nice and slow.
25:06Uh, we'll keep the lorazopam on standby,
25:08but let's do a full set of bloods
25:09and we'll get a...
25:11Yeah, head and C-spine CT.
25:13Do you want to go and update Ian on the kid?
25:16No, just get someone else.
25:17I'll stay in case you need me.
25:18No, it's fine.
25:19We're good here.
25:20Uh, Kaz will take over
25:20and just get as much info as you can.
25:22It'd be great to get an ID on this guy.
25:24Okay.
25:24Hey, sir.
25:49That's Daddy's stop shaking now.
25:51Yeah, that's good, isn't it?
25:52That's good, mate.
25:53Yeah, yeah, it's really good.
25:55We're looking after him,
25:56but we need to know,
25:57has he ever been ill at this before?
25:59Has he been shaking?
26:01Don't know.
26:02You don't know?
26:03That's okay.
26:05What about your second name?
26:08Do you know that?
26:09I don't know.
26:10You don't know that?
26:12Okay.
26:13Okay.
26:13Can you help?
26:18We really need to access these records.
26:21Hey, Samir.
26:22Do you know how you're, like, really clever?
26:26Do you think you can tell us
26:27your dad's full name?
26:31Lee Sherwood.
26:33Lee Sherwood.
26:34Clever boy.
26:35There you go.
26:36You are.
26:37You're very clever.
26:38Right, um,
26:41the duty social worker
26:42will be down soon, yeah?
26:54We stand by with FFP and platelets.
26:57Kim, she needs oxygen.
27:00Any news?
27:02I can't keep this up much longer.
27:03I can't.
27:04Matty,
27:05you have to.
27:06Hey,
27:07keep your mask on.
27:09The flare on the x-ray confirms
27:11this is most likely a VHF.
27:13I don't know which strain,
27:14so we have to get Grace
27:15into an isolation cubicle.
27:17Once she's been moved,
27:18you two are going to remain in the room.
27:20Kim,
27:21you'll monitor Matty's symptoms.
27:22Matty,
27:23you let us know
27:24if you start to feel unwell, okay?
27:32Grace,
27:33Grace.
27:34If you know what it is,
27:35please just tell me.
27:36Just tell me.
27:37Please.
27:38Grace.
27:39Grace.
27:42I'm screwed!
27:46Hi, Lise.
27:48Guess he was in hospital again.
27:50Ah, hello?
27:51Oh, sorry.
27:52Nurse is here.
27:54Yeah, Louise Perkins?
27:54Yes, it's me.
27:56Yeah, uh,
27:56I can see from triage
27:57that you are having problems swallowing.
28:00Yeah.
28:00I can't really eat anything.
28:02Just a few sips of water.
28:05And do you feel okay in yourself otherwise?
28:08I've had a bit of a fever,
28:10chills,
28:11muscle ache.
28:12Okay.
28:12I wouldn't worry normally.
28:15Only you need to take my meds.
28:16Which are?
28:17I've got muscular dystrophy.
28:19Oh, I see.
28:20Uh,
28:20can I just take a quick look on your mouth?
28:24A bit more.
28:24Let's have a look.
28:25I can't see anything.
28:33I'm fine to go home and rest up with some pericetamol.
28:37I don't want to waste anyone's time.
28:39No, no.
28:39We, uh,
28:40we,
28:40we need to test your swallow,
28:42do some bloods,
28:43x-ray,
28:44and
28:44a specialist will probably want to do a pulmonary function test.
28:47Of course.
28:49We've got voice notes to catch up on.
28:50My friends don't look close anymore,
28:53but we're always sending each other little updates.
28:55I'll fetch a doctor.
29:05Dr. Keogh,
29:06if it's Ebola,
29:07what happens next?
29:08We don't know what it is yet.
29:10It doesn't help us to speculate.
29:13I bet Flynn's organising an isolation cubicle on ITU right now.
29:16I need to know.
29:22I need to be prepared.
29:24Matthew Kim's right.
29:25Don't do this.
29:26Dr. Keogh,
29:27please.
29:32All right then.
29:33You tell me.
29:35Kim!
29:36For a VHF like Ebola,
29:38I think the incubation period ranges from 2 to 21 days.
29:42In the early stages,
29:43you can expect flea-like symptoms,
29:46fever,
29:46headache,
29:47fatigue.
29:48You'll then likely experience gastrointestinal vomiting and diarrhoea.
29:53Kim,
29:54no.
29:55Ignore him!
29:57Some develop neurological symptoms at this point.
30:00How is this helping?
30:02How is this helping?
30:03I can handle it!
30:06Severe bleeding,
30:08internally and externally.
30:09Multi-organ failure,
30:12shock,
30:13and
30:13and
30:17death.
30:26But with intervention,
30:29should I call my mum and dad?
30:31They should know.
30:33When we have a little bit more information,
30:40yeah,
30:41and so,
30:42yeah,
30:42keep calm.
30:48All right,
30:49sorry,
30:49I don't even know if this passes it as a signature.
30:51Okay?
30:52Cheers.
30:54All right,
30:54here's Lee's summary of care record.
30:56He's epileptic.
30:57Okay.
30:58Medication?
30:59Carbamazepine,
30:59and he's allergic to penicillin.
31:01All right,
31:02nice,
31:02good job.
31:03Well,
31:03actually,
31:03it was a bit of a,
31:04of a team effort.
31:10Okay,
31:10come on,
31:11what's going on?
31:13Nothing.
31:13Cat again.
31:14You're a terrible liar.
31:15Young as having.
31:21Hey.
31:23Okay?
31:23Oh,
31:24God.
31:25You're not contagious,
31:26Grace,
31:26it's all right.
31:27You can take your mask off.
31:29You had a spontaneous retroperitoneal hemorrhage,
31:31which we confirmed it on the CT.
31:34There's no active bleeding points.
31:36We'll continue to control your clotting profile now.
31:38I spoke with your bosses.
31:40You haven't handled any contagious pathogens in the past 25 days,
31:44but you've been regularly taking interferon as a precautionary measure against potential infection.
31:51I mean,
31:51the interferon.
31:52It caused the prolonged blood clotting,
31:57which explains the bleeding.
32:00Your CT and APTT confirmed it.
32:03You're going to make a full recovery,
32:04Grace.
32:04I nearly gave away state secrets.
32:09Nearly.
32:10We've all been there.
32:13How's Matty doing?
32:15I'm going to let him stew a little bit longer.
32:18He still thinks he has a VHF.
32:21You haven't changed, Byron.
32:24It'll teach him to wear his PPE, won't it?
32:27I'll put him out of his misery soon.
32:29We should get the squad back together.
32:34Yeah.
32:35Yeah, why not?
32:36I'd like that.
32:39Do you still think about him?
32:47Yeah.
32:49Every day.
32:50Yeah.
32:58See, I told you he'd come to his senses.
33:01Hmm.
33:01Did you?
33:02Yeah.
33:03Because he clearly loves you.
33:05Otherwise, he wouldn't want to try again.
33:07Yeah.
33:08Unless I was pregnant.
33:14Wow.
33:15I know.
33:15Wow.
33:16I only found out a couple of weeks ago.
33:19A couple of weeks?
33:21I just am your best mate.
33:22I know.
33:22Look, I'm sorry.
33:23Of course I wanted to tell you, but with everything that's been going on with you and you had your
33:29check-up coming up.
33:33Oh, no.
33:35I missed it, didn't I?
33:37Oh, Stevie, I'm so sorry.
33:39I'm sorry.
33:40I mean, with everything going on, but what happened?
33:42It's fine.
33:42It's fine.
33:43Because I got the all clear, so.
33:45Stevie, that's amazing.
33:46Yeah.
33:47So.
33:48Amazing.
33:48A line is officially drawn under it, and life gets to continue, so that's good.
33:53Amazing.
33:54But, okay, back to you.
33:56What's the plan?
34:00I can't be with him just because of a baby.
34:03I can't.
34:03But, so, what's the alternative?
34:06Like, do it on your own?
34:07I don't know.
34:08I don't know.
34:08I haven't thought that far ahead.
34:09I can't even, I can't think.
34:11I...
34:11You're you, okay?
34:16And I know you.
34:17So, this is you getting to have a baby with the man you love, getting to be together forever,
34:26and adding to your already annoyingly amazing family.
34:32That's worth fighting for.
34:33Yeah, that's, that's something.
34:37Hiya.
34:37Um, one of Dr. Kier's patients has had the results back.
34:39Can you just take a look?
34:40Yeah.
34:41Yeah, be right there.
34:48Here comes the cavalry.
34:57Good shift.
34:58Oh, more silliness with the hoax caller.
35:02What, 13 Shacksted?
35:03Do you know who it is yet?
35:04It's just kids, apparently.
35:07But it meant that we had a close call with the seizure patient.
35:10Do you think someone probably should teach them a lesson or they're just going to keep doing it, aren't they?
35:14Ambulance service.
35:15There's a patient breathing.
35:17Hi there.
35:18Uh, Dr. Kier is busy with another patient at the moment, but I thought you would want your results.
35:22You're going to say swallowing the ring was a blessing, because I've got cancer.
35:25Has she?
35:27Um, well, now that your bloods nor your scan has any evidence of cancer.
35:32What?
35:33No, you do have a raised white blood count, though, so that suggests a chest infection.
35:39Is that it?
35:39Yeah, that's it.
35:40So you're going to need some antibiotics.
35:42I'll sort out a prescription, and I'll sort your TTAs for discharge as well.
35:45Okay?
35:47Okay.
35:48Thank goodness.
35:52I'm glad you're okay.
35:55What relief that is.
35:56Where are you?
35:57I can't, Eileen.
35:59Not if you can't.
36:01But what?
36:02I can't breathe.
36:11Do you think it's the virus?
36:13No, no, no, no, no, no, no.
36:14Don't take your visor off.
36:15Don't take your visor off.
36:16Listen to Dr. Kier.
36:17Why?
36:17He's out there.
36:18He's not in here.
36:19He doesn't know what it's like in here.
36:21Panic attack, Matty.
36:22I'm suffocating.
36:23You're not getting enough oxygen.
36:25You just...
36:25No, you don't care.
36:27No one cares.
36:28I care.
36:28Why?
36:29Why do you care?
36:29Why do I care?
36:31Because what?
36:31Because?
36:33Because what?
36:34Hey, hey, Matty, calm down.
36:36Calm down.
36:36You are fine.
36:38You're fine.
36:39You're fine.
36:40Grace had a clotting issue due to some antiviral medication that she was taking.
36:45You are fine.
36:46Okay?
36:47Okay?
36:48Come on.
36:50Let's get your visor off.
36:51Here, hold that.
36:54Buy your beer, okay?
36:56It was a tough lesson, but...
36:58Hey, so, you would have seen that when you saw the x-ray for the first time.
37:02Well, I had a hunch, yeah.
37:03But, look, I had to follow up with a CT and a research...
37:06And you thought you'd teach him a lesson?
37:09Yeah.
37:10Yeah, and let everybody else here teach him that he was sick.
37:12When I tell him to, he'll put his PPE on.
37:16Easy.
37:17Easy.
37:18Who does something like that?
37:22Why would you do that?
37:29He learned his lesson, didn't he?
37:34Bloods.
37:34X-ray.
37:36The works.
37:36Given my eyes peeled for a fit doctor, but no luck yet.
37:43Hang on.
37:45Yeah, we've had your results back.
37:46And it looks like you've got pneumonia.
37:49Probably brought on by the difficulty swallowing.
37:52Okay.
37:53You're going to need IV antibiotics and close monitoring, so we'll need to keep you in.
37:57Right.
37:58And the swallowing?
38:01You'll need to see a specialist, I'm afraid.
38:04My MD's getting worse, isn't it?
38:05One of the doctors will come and speak to you, and we'll let your consultant know.
38:10Am I moving towards a feeding tube?
38:12We will refer you to our speech-language and nutrition team.
38:17What about my voice?
38:19Will I lose it?
38:24How soon?
38:26How soon will I lose it?
38:28I don't know.
38:39Hi, Liz.
38:41Looks like it's bad news.
38:45I won't be able to speak like this to you soon.
38:47Our consultants will go through everything with you, and I'll just make the referrals now,
38:59yeah?
39:15Hi, I love.
39:16Are you okay?
39:17I need to go.
39:18Sorry?
39:19Didn't Teddy tell you?
39:20I can drop you.
39:22I thought I'd get a taxi.
39:23Oh, don't waste your money, love.
39:25I'm here now.
39:25Let me take this for you.
39:27Are you sure?
39:28Absolutely.
39:29I just need a little fever on the way.
39:31Bye.
39:38It's just...
39:39take five minutes, okay?
39:42Back.
39:43You guys okay?
39:45Yeah?
39:46You all right?
39:57I must have been terrified.
39:58I don't know.
39:59I wouldn't have survived.
40:00I wouldn't have made the state of my situation.
40:02So we, uh, train and exercise didn't go as planned.
40:05Don't you start?
40:06Already started.
40:08Throwing all the punches, I guess.
40:10That wasn't good.
40:11And what the hell has gotten into him?
40:13Seriously, what is wrong with him?
40:14I should report him for what he did up there.
40:16No, no.
40:17He won't, okay?
40:18We've got enough going on, thanks.
40:20Well, for somebody who didn't want a mentor, he's taking mentoring pretty serious.
40:23Yes, Flynn.
40:24Because when he commits, he commits.
40:26Look, if you need an extra pair of eyes on the incident report, just give me a shout,
40:30yeah?
40:30Okay.
40:30Hello, Annabelle.
40:38Sorry about that.
40:41Oi!
40:42Granny!
40:44Granny?
40:45Something funny?
40:47What's it to you?
40:48Come on, Yusuf.
40:49It's not worth it.
40:50It's all right.
40:50It's all right.
40:51Yusuf, is it?
40:53Have you been making calls to 999?
40:55Yeah.
40:57Because of your calls, a little boy almost lost his dad today.
41:02So?
41:03So?
41:03So?
41:04Did you just say so?
41:06So?
41:06So, so, so, so, so, so, so, so?
41:09PC Ashley Sullivan.
41:12Under the Telecommunications Act 1984, making a nuisance or false call to 999 is a serious
41:17offence.
41:18I'm going to give you a warning today, but if this happens again, you could face criminal
41:22charges.
41:24Understood.
41:29I don't know about you, but I really enjoyed that.
41:33Make sure to check in with your GP, and then pop back here if you feel short of breath
41:37or anything.
41:37All right.
41:38I won't do that.
41:39No worries.
41:40And thanks for being discreet before, with Albert.
41:43Oh.
41:45You know, for what it's worth, it seems like you two have waited long enough to be together,
41:50and you've got the freedom now to be happy.
41:55You should enjoy it.
41:57I might have made a mistake.
41:59Yeah.
42:01I was scared.
42:03I know.
42:04I know.
42:05It's OK.
42:06I'm sorry.
42:06You stayed.
42:12You stayed.
42:18Albert.
42:20Will you marry me?
42:23What?
42:25You're making a shovel.
42:27I know.
42:28what you say will you marry me yes
42:58they had to pay more behind the bar at the anchor than they do a fresh year resident
43:09you'd get bored boring pints i don't know free drinks on the job sounds all right
43:21then you'd be drunk all the time and it would be a waste of a talented doctor how can you say that
43:29after today i don't belong in the ed today must have spun everyone out believe in yourself matty
43:38the cure believes in you
43:42hi susan hi you want to come with me asa you want to come see dad yeah
43:53daddy i'm okay bud i'm okay hey lee this is suzanne she's our duty social worker she's been looking
44:04after a surprise could you uh give us a moment please yeah what's going on everything okay
44:18they're gonna take him away from me is that why she's here no no absolutely not i wouldn't blame
44:24them i can't even look after myself let alone look after him come on take a breath okay but you just
44:29changed your prescription recently right yeah yeah so certain medications don't work the same with
44:34certain people you just have to follow up with your consultant okay right come on how did he know
44:41how to call 999 we walk past the ambulance station most days he loves trucks cars anything that moves
44:48i can see that i must have told him right and he listened same as he listened to the coal handlers
44:55he was amazing he saved your life so stop this being so hard on yourself stuff okay
45:01come on i mean if i could give you one piece of advice it would be maybe put your medical information
45:08on your phone just in case there's another mix up okay right better asa come on come over and see
45:17your dad daddy why would you want me of course i would buddy go on yeah show me how it works go on what sound does it make
45:28like come on come in
45:40hey hey hey you o.k you o.k. yeah i might go for a lie down and me break see if i can shift this headache
45:52headache.
45:53Siobhan.
45:54I know.
45:55I know.
45:56You don't have to keep telling me.
45:57I'm not up to this.
45:58I wasn't...
45:59I wasn't going to say that.
46:00And you're right.
46:01I just had a patient earlier and her entire life is about to be turned upside down.
46:07And all she wanted in that moment was a tiny little bit of comfort.
46:12You know, in that moment there.
46:14And I...
46:15I just...
46:16I just couldn't.
46:17Listen, whatever time you need, it is yours, okay?
46:22No.
46:23No, please.
46:24I need to be here, okay?
46:25That might sound selfish, but...
46:27Hardly.
46:28But Siobhan, if I may, I think you should speak to someone.
46:33I mean, bottling this up, it's just going to eat away at you and it's...
46:37Okay.
46:38I agree.
46:39But...
46:40Someone independent, away from this place...
46:43I really thought I'd be able to deal with this better.
46:50I'm so sorry.
46:51If there's anything I can do to help.
46:54Anything.
46:55No, thanks.
46:56Okay.
47:13Okay.
47:14Here we are.
47:15Okay.
47:16Here we go.
47:17Do I do.
47:18Hello.
47:19I love you.
47:20You're welcome.
47:21I love you.
47:22Okay, I hope you're welcome.
47:23I love you.
47:24I love you.
47:25I love you.
47:26You're welcome.
47:27Bye, I love you.
47:29We're welcome.
47:30But what I have to do is.
47:32He will be able to break out.
47:33We'll break you up.
47:34And you can't get away from the other people who do.
47:36See you guys.
47:37I love you.
47:38Hi, my friends.
47:39Hi, I'm a super-to-do.
47:40You're welcome.
47:41Like me.
48:12Hey, is Ian here?
48:35No, sorry.
48:37Do you know what he is?
48:40Look, I would let you in, but I'm just about to head out for a room at Blake.
48:45No, it's fine.
48:46I've got to get back for the kids anyway.
48:48I was just...
48:50Yeah.
48:51Okay.
48:52I'll let them know you, but bye.
48:54Okay.
48:55Thanks.
48:56Okay.
48:57Okay.
48:58Bye.
48:59Bye.
49:00Bye.
49:01Bye.
49:03Bye.
49:04Bye.
49:05Bye.
49:06Bye.
49:07Bye.
49:08Bye.
49:09Bye.
49:10Bye.
49:11Bye.
49:12Bye.
49:13Bye.
49:14Bye.
49:15Bye.
49:16Bye.
49:17Bye.
49:18Bye.
49:19Bye.
49:20Bye.
49:21Bye.
49:22Bye.
49:23Bye.
49:24Bye.
49:25Bye.
49:26Bye.
49:27Bye.
49:28Bye.
49:29Transcription by CastingWords
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