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00:00Previously on Shortland Street Chris caught me Rachel. What? I know you want more. I do. And if it's important
00:05to you
00:05I will think about it. You're not making any sense. Okay, I'll make sense of it for you. You're annoying.
00:09You're too much. You swamped me
00:27I'm glad I caught you
00:30Yeah, I just wanted to give you a heads up
00:32Okay, the rumor mill is going strong with everything that happened yesterday
00:36yesterday
00:37with your mother and um and emmett
00:41right um well not sure that's any of your business or mine really no i guess not
00:47it's just when everyone thinks they know the story it can be frustrating and i just thought you
00:51No, no, no, no sorry i'm not giving any oxygen whatever this is what do you mean the rumors
00:59Right, yes. Yeah, I've got it. Sorry. It's fine
01:24We've got a mass casualty on our hands
01:26Pyrotechnics malfunction and all night rave so we can expect crush injuries burns and possible drug
01:32Intoxications coming in jesus ed will be above capacity
01:36We'll need ortho plastics trauma the works
01:38Marty you will have to take the overflowing arc already stretched get whoever's on call in
01:43That's what I pay them for
01:44I can put your money
01:45Thanks, I'm guessing this is about the fernburn festival a bunch of them coming through now
01:49fernburn
01:50Not the most fortuitous name
01:52Okay, what do we do about wait times cancel elective surgical cases divert anything we can to day stay and
01:58prioritize discharges
01:59Shouldn't chris be across all this he'll be in surgery. Did he say that that is where he is most
02:04useful to us
02:05But if this is a full-blown mass casualty
02:07Libby we don't have time for this
02:08Thank you
02:14God it smells like face pain and regret in here. Where is emma late?
02:21Female 20s she was working next in fireworks when they misfired
02:24She's got thermal burns to her chest and her arms are thick second degree. They've been to date. I need
02:28a surgical consult cube, too
02:47Sorry, I just putting out a trauma call. Thanks. Ah, uh, marianne's on her way
02:53I didn't want her having to come down here and face we met. I get to pick the surgeon
02:59I could have gotten someone else. I'm here now. You don't have to prove anything
03:06I'm not ashamed just here to do my job
03:10Patient has full thickness burns over 20% ebsa and possible inhalation injury. She'll need surgical debridement in the first
03:16shot when we prep the theater
03:19Male 20s compressive asphyxia crowd crush sets 85 on six liters pulse 120 bp 90 over 60
03:24Where the hell is Emmett? Looks like you're in charge for now
03:28I can breeze us now crank that oh two to ten liters a large ivy ball times two and a
03:33liter of stat saline
03:37Do you think you've dislocated your shoulder? I definitely dislocated something
03:42Maybe my soul
03:44Take a seat and someone will take you for an x-ray
03:47It's not infected is it? It's just glitter. Ah, it's gonna need a really good cleanup. I'll just take a
03:52seat and
03:54Where's Marty? Busy. What do you need me? Do you have more important things to do by chasing after Rachel?
03:59I know i've been uh checked out
04:02Distracted calling my sister ux's name. I don't even remember doing that
04:06That is not the flex you think it is
04:08Look, you were right. Okay, right. You've been back through me and that affected selena, but i'm gonna fix it
04:13Don't mess around. I won't you guys are my family. Yeah. Yeah, that's why i'm cutting you some slack when
04:18I probably shouldn't
04:19You need more help in here. It's all good. They just got a couple of locums on the way
04:24Oh, okay. Well, i'll get in touch with comms and see if the patient influx is dying down sure
04:32What's that?
04:33Uh mid 70s and dropping. Horses ready at 1 30 bp 90s stole it. Okay bag him a cody urine
04:38ivy access triathl peripheral
04:40But do an androsis if needed sage prick for rsi we're tubing
04:44Hey mate, I know you're scared, but it's okay. Yeah, we've got you. He's getting harder to bag is he
04:49away swelling not today
04:57Tube's in
05:02Insulating so it's climbing 85 90
05:09It's like he heard you poppy that was like genius. Thanks
05:21Mariana flag lily for the debridement and possible fasciotomy. I don't need you on this one
05:26But I have war burns experience from the latimer case. I flagged a discrepancy in your notes yesterday
05:31What back data vitals on the spinal injury case you said you monitored at 1600 no sob say it was
05:36at 1610
05:36Well, I charted it when I got a second or you were rewriting history to make yourself look better
05:42You can't be serious. Are you auditing me i'm cross-checking because you've shown you like to bend the truth
05:47when it suits you
05:48And I don't want that in my department
05:50This isn't about the notes. I just expect you to do your job without falsifying facts
05:54I'm a good surgeon. You have to trust that I can do my job to the best of my ability
05:58trust
06:00You want trust try being worthy of it
06:10Cindy yep you okay honey you look good i'm good
06:16Cindy you sure you're right to work yep orgy great start with the triage fours over there
06:26Incident report what actually happened yesterday any day i've just took a shortcut did stealing classic me no biggie you
06:33fell through the vents
06:33Well technically i was in the core space until i wasn't
06:37Lucky you he's hot as lucky you didn't hurt yourself more it's quite a height oh worth it though
06:43I mean it's a whole nother world up there you can see everything
06:46E.D. arc the wharepaku you can yeah i mean i didn't stay out there long ago
06:52I did peep chris and rachel having a lot of dnm in the corridor really
06:57Deeper meaningful not like a sex thing yep nope i got that cindy
07:00You'd be amazed at what you can see up there you can see everything got it incident report end of
07:06day copy that
07:12You moved here from aussie yeah a bit more chill than sydney but i like it here people are
07:21Uh really nice so you were at bernberg yeah it was lit but then the fireworks got shot into the
07:27crowd
07:28And i tried to gap it but it got slammed into the barriers landed on some chicks fire for you
07:33It's a pretty decent burn but it doesn't look too deep so might need imaging
07:41Surprised to see you here i figured you'd be taking it easy today
07:44Me nah i'm all good
07:47You milder girls are built different eh
07:50Are you sure you're all right you did fall three meters onto a bed of course
07:57How did you give abs trust
07:59How did you give abs trust
08:26Oi, can you not?
08:30I'm sorry, Emma, it's cold and sick.
08:32Great, mass trauma of anything actually takes a sick day for once.
08:35Coward.
08:36Shall I swap you with Matty?
08:37He's up to his eyeballs too.
08:39Well, then I've got no one sending you to run the shift.
08:41That's fine.
08:42That would put you in charge.
08:46Female, mid-twenties, transporting a surge, compound fracture of the tib and fib.
08:49Opera and cube four, the side rooms are full, and just keep an eye on her until we can get
08:53Marianne down here.
08:53Hey, we're going to give you something for the pain, okay?
08:55Five milligrams bolus and then continue as per protocol.
08:58Looks like you've got it all under control.
08:59I do.
09:02If you do a vitals and ob circuit every hour, stagger the wound care, use the storeroom as a med
09:06bay, you'll get through more.
09:08That's what they did in New Orleans during the Mardi Gras.
09:10Feels more like a circus than Mardi Gras.
09:12I'm seeing some borderline triage threes.
09:14They should be in ED, not acute care.
09:16We're stretched, Chris.
09:17The arc's the pressure valve.
09:19If those patients had to wait in ED, the whole place would seize up.
09:22Encourage anyone non-urgent to seek community care if they can.
09:25Okay.
09:26It's not always easy to tell what might become urgent.
09:28Yeah, that's what worries me, that we're compromising patient care for the sake of looking good on paper.
09:32Well, we can debate the system all we want.
09:33This is what I'm dealing with.
09:35You're right, mate.
09:36It's a lot to carry.
09:37Yeah, I'm fine, Chris.
09:39You sure?
09:40Yep.
09:41Okay, just, uh, I'm here if you need.
09:43Thanks.
09:46What I need is for him to stop hovering and just let me get on with it.
09:49I've got more nurses coming.
09:51Great.
09:51Something I can actually use.
09:55Anything all right?
09:57You tell me.
09:58I just got pulled from Naz's surgical department and fasciotomy because of a minor charting error.
10:03Apparently, that makes me unfit to scrub in on anything more than a grumbling appendix.
10:08Well, Naz wouldn't pull anyone lightly, especially not now when we're slammed.
10:11What else is going on?
10:12Ask him.
10:13Honestly, I, I, I can't work with him anymore.
10:16He's impossible.
10:18I don't know the full story, but I know Naz holds himself to a high standard.
10:22He expects the same of his team.
10:24Great, so I'm the problem.
10:25No, I'm not saying that.
10:26You know, nobody's perfect, Naz included.
10:27But I can't imagine he's hesitant to trust you for no reason.
10:33Figure out what the issue is.
10:35Take ownership for your part in it.
10:38Hopefully, you'll both be able to move on.
10:45Sorry about the hold-up on your x-ray.
10:47It's like kai kohi stroke rounds in here.
10:49All good.
10:50It's cool seeing everyone's outfits.
10:53Don't see this kind of thing in balls.
10:55First big festival, eh?
10:56I just moved here too.
10:57Yeah.
10:58I guess it's not the vibe when your night ends up here.
11:01Worth it though, mostly.
11:03I worked R&B once.
11:05Got heat stroke and a free t-shirt.
11:06Max Cribe and VIP.
11:08And he let me wear his sunnies for like two seconds, but still counts.
11:12Hey, uh, make sure you stay hydrated.
11:15If you start to feel weird, just tell one of us.
11:21Friend of yours?
11:23Kinda.
11:24Everyone knows Ryan.
11:26Should we be keeping an eye on him?
11:27No, he's chill.
11:29He just brings the party, if you know what I mean.
11:34She's definitely coming down for something.
11:36And he's definitely supplying.
11:38What a lot to put to us.
11:39Just keep an eye on both of them.
11:40Well, it did.
11:44Excuse me, Father.
11:45You just love crashing into me, don't you?
11:47Well, I did a crash onto you.
11:48Technically, I crashed onto you a moment with Mr. E.D.
11:50You're right.
11:51Perhaps it was for the best.
11:54Did you have to bring up Emmett?
11:56She was all good about it.
11:57I'm sure no one wants to be reminded of being dumped like that.
12:00Yeah.
12:01Me and my big wah.
12:05Poppy, this is insane.
12:06You need to call Emmett.
12:07I'm handling it.
12:13So, me and Sage...
12:15You're kidding yourself if you think he's going to date a brand new nurse.
12:19Uh, does she belong to anyone?
12:23She's been floating around triage for a while.
12:25I think she's on something strong.
12:27We'll sort her.
12:28Probably somewhere out of the way.
12:29Right.
12:29Okay.
12:31Okay.
12:36Hey.
12:37Are you all right?
12:39I kept calling it the healing tent.
12:42But there was no tent.
12:45Okay.
12:45Let's get you somewhere quieter, okay?
12:47We'll take a look at that, um...
12:49Come on.
12:53Wait.
12:53What happened to Cubicle 4?
12:55Um, the girl with the open fracture, Danny?
12:57Uh, still waiting on a surgical consult, I think.
13:00Okay.
13:02Shit.
13:03This is precisely why you need Emmett.
13:05You're fine.
13:06Call him.
13:11What's your name?
13:13Look, I just need your details to pull up your medical records.
13:17Hey, probably think she's got a possible fentanyl overdose.
13:20Police have alerted us to contaminated drugs circulating at the festival.
13:23Her pupils are pinpoint.
13:26Okay, give her in a lock thumb.
13:35What?
13:36Oh my God, is this short on the street?
13:38She speaks.
13:39Welcome back.
13:41Hey, I'm Cody.
13:42I'm your nurse, okay?
13:44Now look, I'm just going to go get some things to patch your arm up, and then I'll be right
13:47back, okay?
13:48It'll be good as new in no time.
13:50Hang tight.
13:57I wish I was working in the arc with you guys.
13:59But then you wouldn't get to pervert's seat.
14:01Well, Poppy said that he doesn't want to date me because I'm a pissy little junior.
14:06What the actual?
14:07What does he reckon?
14:08He's better thinking of something?
14:09It's messed up, bro.
14:10Jeez, like he's the prize hog.
14:12It's fair as if...
14:13You've been nothing but solid.
14:15If he didn't see that, it's...
14:16Well, it's his fault.
14:18Yeah.
14:18I'm so done, honestly.
14:20Exactly.
14:21You're smart, kind, and hot as.
14:24He was punching.
14:26Thanks, and you sure know how to make a guy feel special.
14:38I don't really dream very much.
14:41Sometimes I dream I've woken up, but I'm still asleep.
14:44So when I do wake up, it's a bit funny.
14:47Oh, my God, like a dream come true.
14:48I know.
14:48You know, what I'm talking about is like one of those dreams where you suddenly see somebody
14:52in a different light.
14:53You know, whether that's like an asleep dream, or like an awake dream, or an unbidden dream,
14:57or bitten.
14:58I'm just saying, it can be very powerful.
15:01Sweet.
15:01Those ones are done, so we can move on now.
15:03And I'm also just like, it's really hard to think about anything else once you've got that
15:08image in your mind.
15:08You know, those images.
15:10In your mind.
15:12I like women.
15:14Yeah.
15:14Great.
15:15Same.
15:15Put them all in charge, right?
15:19Oh, you thought I was confessing my crush for you.
15:21No.
15:22No, no, no.
15:22No.
15:22Look, Brian, you're a great guy.
15:24But seriously, you've counted these ones already.
15:27You know, time is tissue, right, Brian?
15:29Can we get a little pace here?
15:32Look, sorry.
15:33That awake dream sounds crazy.
15:36Boys love ravishing.
15:37Girls like...
15:39Dieters love Greek yoga.
15:41Hmm.
15:42Okay.
15:43And your monarch with the order of the tubes.
15:45Light blue.
15:46Red, gold.
15:47Light green.
15:48Dark green.
15:48Lavender.
15:50Gray.
15:50Gray.
15:51Okay, great.
15:52Brian?
15:54Yeah.
15:57Hey, you know, you don't have to hide it from me.
15:59Hide what?
16:00I know you broke your bum.
16:01I don't know what you're talking about.
16:03Look, it's okay.
16:04Just down here to pretend with me.
16:07Okay.
16:12Is that a burner phone?
16:13Do you think he's dealing in here?
16:15Keep your voice down.
16:17Sorry, he's just sass ants.
16:21Are you okay, babe?
16:23Shit.
16:24Cindy, call for help.
16:26She was fine before.
16:28I mean, pale, but...
16:29Could be serotonin syndrome.
16:31Or whatever he gave her.
16:32What have we got?
16:33Seizure following suspected MDMA use.
16:35Okay, let's get her on a stretcher
16:36and give her two milligrams of ilylarazepam.
16:39A liter of saline too, please.
16:40Yeah.
16:41This is not MDMA.
16:42This is PMAA.
16:44One of those dodgy cathinones.
16:45Delayed onset.
16:46Pushes people to redose.
16:47Then bang, serotonin syndrome.
16:49Yeah, she's feeling hot.
16:50Okay, let's get her urine tops if you can
16:51and see if there's any other cases.
16:54If there's a batch gone around,
16:55we need to know now.
17:02I'm Alison Brooke.
17:03You read lip.
17:04Pound tib-fib.
17:05Pretty ugly.
17:05We need to get in good alignment
17:06before she has a neurovascular compromise.
17:08You're going to snap it back in.
17:09Don't worry, we're going to sedate you first.
17:11Ketamine.
17:11You won't feel a thing.
17:12It might get a bit trippy though.
17:14Can I have some too?
17:15One milligram per kg.
17:16Slow push.
17:17Everyone's got balloons.
17:20And she's out.
17:21Reset.
17:21Okay, Sage, can you counter-traction the leg
17:23while I take the ankle?
17:24Mm-hmm.
17:27Has she been like this the whole time?
17:29She's pale and clammy
17:30and her BPs in her boots,
17:32that's not just the sedation.
17:33Has she been scanned?
17:34Not yet, we were waiting for...
17:36Not even a fast scan.
17:37Jesus, poppy.
17:38Look at this.
17:39Her spleen's probably hosing
17:40into her abdominal cavity.
17:41Yet we're up to theatre now.
17:43I thought the low BP was just the morphine.
17:45You think a healthy 22-year-old
17:46tanks her BP on 5mg of morphine?
17:48Bloody hell is going on?
17:49It's a shit show in here.
17:50Intra-abdominal bleed,
17:51likely spleen,
17:52moving at a recess now.
17:53Take your morning off
17:54and this is what happens?
17:56A bunch of wambles
17:57knocking into each other,
17:58calling it medicine.
18:02Alkos.
18:04Hey, call her head to theatre.
18:06Once we stabilise,
18:06we're bringing her through.
18:10I think I've changed my mind
18:11about dating an underling.
18:13What?
18:13He's kind of great.
18:15Not now.
18:16Anyway, I told him
18:16you went into juniors.
18:17What?
18:18Look, he likes you.
18:19Okay?
18:20So just get over yourself
18:21and sort it out.
18:27Sorry, sorry.
18:29Hey, Naz.
18:31I know I screwed up.
18:33Not just about the notes,
18:34about other things too.
18:36I shouldn't have lied to you
18:37about Monique.
18:38I thought I was protecting her,
18:40but I just made things worse.
18:42I don't expect you
18:44to trust me overnight,
18:44but I'm going to work hard
18:46to earn it back.
18:47Earn back your trust.
18:50Data 1's being prepped
18:52for a splenic rupture
18:53and a compound tibfib.
18:54Danny Gordon,
18:55injury sustained
18:56during a crowd crush.
18:57You're assisting.
18:58Understood.
18:59Let's scrub in.
19:01After you.
19:11Big numbers today.
19:13We're certainly seeing
19:14the benefit
19:14of your US experience.
19:16The ARC
19:16has been a huge help.
19:17Well, we're not
19:18out of the woods yet.
19:19Sure, but nice to know
19:20we can actually work together.
19:22That's nice.
19:23Right, guys?
19:24Sorry, guys.
19:25It's so wrong for you.
19:26You're fine, Libby.
19:28Excuse me.
19:29Okay, needed in surgical.
19:31Well, keep up the good work
19:31and hopefully tomorrow
19:32we can squeeze in
19:33an HOD meeting.
19:34We missed you today.
19:36Sorry, what's that?
19:36It's a shame
19:37we missed the meeting today.
19:38Could have done with it.
19:39Certainly.
19:42I want timings
19:43from admission to discharge
19:45collated into a report
19:46for the morning.
19:47Copy that.
19:52Yes.
19:53Yes.
19:55Yes.
19:55Yes.
19:56Yes.
19:57Yes.
20:18Hey.
20:20Oh, hey.
20:21You missed her.
20:21She must have grown
20:22tired of waiting and bailed.
20:24Speaking of
20:26tired and waiting.
20:27What?
20:29You and I
20:30want to grab a drink later?
20:31I thought juniors
20:32were beneath you
20:33and not in the hot way.
20:34No, Cody, that was...
20:36Save it.
20:42That splint's on too tight.
20:43He'll have no feeling
20:44in his fingers.
20:45everything moving.
20:46Yeah, moving,
20:47but you're getting sloppy.
20:48Excuse me?
20:50You could have lost
20:51that patient before.
20:52Not getting sidetracked
20:53by distracting injuries
20:54is emergency medicine 101.
20:57I thought you knew better.
20:58God, Emmett,
20:59do you think I don't feel
21:00terrible about that?
21:01I have been running
21:02on adrenaline all day
21:03trying to hold things together
21:04while you pull a sickie.
21:05And now you've decided
21:06to show your face
21:07you just want to tear me down.
21:09I thought I could trust you
21:10to handle this place.
21:11Clearly I was wrong.
21:15Clearly.
21:24You wanted to see me?
21:27You might want to sit down.
21:28Ah, yeah.
21:29First time I've sat down
21:30all day.
21:34You've done some
21:34great work here, Chris.
21:36Oh, well,
21:37I appreciate you saying that.
21:39It's been a full-on day
21:40and as I said,
21:41I think you're doing
21:42an excellent job
21:44overseeing it all.
21:45I realise things
21:46got a bit tense yesterday.
21:48It was never going to be easy,
21:49us working together.
21:50but, uh,
21:52I am trying.
21:53You've been stepping
21:54outside of your scope,
21:56focusing too much on
21:58pandemic preparedness,
21:59for example,
22:00instead of surgeries.
22:01So you're holding a grudge.
22:03I think me asking you
22:04to stay out of my relationship
22:06is a deeply reasonable request.
22:08There's been a complaint
22:09from Marty.
22:11Marty?
22:12Well,
22:12what about?
22:13You need to stay in your lane.
22:15Rachel,
22:15what was the complaint about?
22:16I am disestablishing
22:18the role of medical director.
22:19What?
22:20You're our top surgeon.
22:22I don't want your energy
22:23being diverted away
22:24from surgical.
22:25You're demoting me.
22:26I'd say it's more
22:29helping you
22:29refocus.
22:36Oi!
22:38Ryan!
22:41Marissa just had a seizure
22:42because of you.
22:43What the hell did you
22:44put in those drugs?
22:45Hey,
22:46you better back off,
22:47bitch.
22:47Hey,
22:47you back off.
22:48Huh?
22:49Ash!
22:50Ash!
22:51Stop!
22:52Stop!
22:52I'll call the car!
22:53Ash!
22:54Oh, my wrist!
22:56You brought my wrist!
22:58Shit!
22:58What the hell was that?
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