- 23 hours ago
Category
🎮️
GamingTranscript
00:00I was raped.
00:01Siobhan?
00:02I was walking home on my own.
00:04Stop! Stay where you are, please, sir!
00:06What?
00:06You'll be entertained for the purpose of a search.
00:08Ash, it's me. It's me. Take her.
00:10Take a step back!
00:11You said to me that you want to make it in the ED?
00:13Yes.
00:14I do.
00:14Right. Then I need you to work on growing a thicker skin.
00:16So what is it? What have I done?
00:18It's me!
00:19I'm your dad.
00:20I've got a dad. Thanks.
00:21Patients still need a safe place to seek treatment.
00:24I'm triggering a full inspection.
00:26And in 30 days I'll be back to see if things have improved.
00:32All I'm saying is that you really have to make a complaint.
00:34I know you're upset, but so is she.
00:36Yeah, people tend to be upset when they get in trouble.
00:38Couldn't do anything wrong. She had reason to suspect him.
00:41She's obviously not racist.
00:43Well, I'm sorry, but what do you do?
00:44You know what it's like on a job.
00:46You have to make a split-second decision.
00:53Hi, mate. You the one that called us?
00:55I don't know if I'm being, like, well, dramatic,
00:57but I deliver here every day.
00:58Okay.
00:59Then yesterday, nothing.
01:00Today, nothing.
01:02Well, it's nice that you came, anyway.
01:03I'll pass the food through the window when Neil and I chat, you know?
01:09Neil?
01:10Can you hear me? It's the paramedics.
01:11Lads at work have a bet why he's so private.
01:13Because I've never actually seen his face.
01:16Okay, could he have just gone out?
01:17Neil, can you hear me?
01:18It's paramedics.
01:19We're checking to see if you're all right.
01:20I've delivered here for, like, a year.
01:21Even on Christmas Day.
01:22Something's happened.
01:25Okay.
01:26Um, Control, this is 3006.
01:28Uh, we're gonna force entry.
01:30Can you get the police running?
01:32Live status unknown.
01:33Receive that.
01:34Over.
01:50Be careful.
01:51What?
01:53Come do.
02:17Oh.
02:30Neil?
03:01No, no, no. Hold on. We were told that somebody was coming to date.
03:06Well, then would you mind putting somebody on the phone who does know what's going on? I'd appreciate it.
03:12Should have phoned them earlier.
03:13Thanks, Stevie. That's helpful.
03:14Yeah, well, you know, I've been polite today, so I'm fresh out of the night.
03:22Wow, what's wrong with you? You're a bit.
03:27Yeah, yeah, I'm here.
03:30Well, then why has nobody turned up?
03:33Yeah, I'll hold.
03:56Me, I don't know when the CQC arrived, but don't tell me out of the mail.
04:07Dr. Kiel?
04:10Dr. Lynn Laker.
04:13You okay?
04:15Okay, well, I, I, I, I see that you want to change mentor.
04:18Uh, why would I want to do that?
04:22Well, I don't know.
04:23Look, I'm fine. It's all good. You're a perfectly adequate mentor.
04:30Okay, you've got a few months left of your orientation, and I guess we've just got to get through that,
04:33right?
04:35Yep.
04:38Uh, is there any use, Finn?
04:40Uh, no. Nothing. I don't know anything.
04:43Well, I think we need to call them.
04:44You all right?
04:47I'm just taking a leave out of your book.
04:50Did he tell you how the CQC went?
04:53Has he been in yet?
04:55No.
04:56I didn't ask.
04:59I still haven't told my mum about him.
05:01Why not?
05:02Because she didn't want him in our lives for a reason, you know?
05:05Yeah, yeah, yeah, yeah.
05:07Yeah, well, it doesn't seem like an unstable alcoholic.
05:10No offence, Kim, but what do you know?
05:19Why are you in my house?
05:21Well, like I said, we're paramedics and we're here...
05:23Jacob, he's got a pair of drop breath.
05:25Neil, are you diabetic?
05:27Yeah, but I do no injections.
05:31All right, well.
05:32Uh, do you live alone?
05:35Yeah.
05:38It's all right. I've got you.
05:42Okay, uh, we need to get you to hospital.
05:45I can't.
05:46No, Neil, we have to.
05:47You're in diabetic ketoacidosis.
05:49That means your blood sugar and your ketones are dangerously high.
05:53Right.
05:54I know, I know.
05:54It sounds alarm.
05:56People will see me.
05:57I'm sorry, but we need to see what we're doing.
06:03Hey, it's all right.
06:04It's okay.
06:05I'm sorry.
06:06I don't know.
06:58Is this your mum?
07:02The pizza guy told me that you lost her last year.
07:06I'm really sorry.
07:09Ooh.
07:10And who's this handsome couple?
07:14It's me and my girlfriend.
07:18Ex-girlfriend.
07:20Here, give me your mood.
07:25Control to 3-0-0-6.
07:27You still need a second truck.
07:28Over.
07:303-0-0-6 to control.
07:31Well, we're going to need P2 backup from another crew.
07:37I haven't always been this bad, you know.
07:43My ex left me, but when I started putting on weight, she said I had bigger tits than her.
07:50But so what?
07:54Mum was ill.
07:54Are you sure that's necessary?
07:56I nursed her for ten years.
07:58No.
07:59I couldn't just leave her on her own.
08:03Just hands on.
08:05We don't need that.
08:07How long have you had these sores?
08:10A few months.
08:12Is there anybody else who can help you?
08:15Family?
08:16Friends?
08:18No.
08:21Not now.
08:21Mum's gone.
08:24OK.
08:25Thanks for the assistance.
08:32OK, backup is on the way.
08:34And my guess is that they're going to bring a winch.
08:37And they're going to take them out.
08:38A winch?
08:39No.
08:40No, I can't.
08:41I can't.
08:43You can't make me.
08:45Just give me some insulin.
08:47Leave me alone.
08:50This is Debbie, 33 years old.
08:53She was dragged underneath the car for ten weeks, 18 years old.
08:55Matty, listen up, please.
08:57She's got left arm degloving from her wrist to her elbow.
08:59Bruising around her umbilical region.
09:01Bed three, please.
09:02OK.
09:02Park rate's one, four, five.
09:04BP's 77 over 40.
09:06Sat's 99% on 10 litres.
09:08Rest at 24.
09:09A GCS is 10.
09:10She's had a gram of IV and paracetamol.
09:12Four milligrams of ondansetrant.
09:14A gram of TXA.
09:16500 mils of saline.
09:18Seven and a half milligrams of morphine.
09:20And 1.2 grams of coimoxiclub.
09:22OK, on lift, please.
09:24Ready?
09:24Brace, lift.
09:26Slide.
09:28So, she's deteriorating, hasn't she?
09:30So, Matty, do you want to take the primary survey?
09:32Yeah.
09:32She's hypertensive, presumably hypervolemic.
09:35So, we need to find out where that bleed's coming from, don't we?
09:37Yeah.
09:37Yeah.
09:38Let's activate the major hemorrhage protocol, then, please.
09:40Siobhan, could you set up the rapid infuser as soon as you can?
09:43Kim, blood from the fridge, please.
09:45Two units FFP, two units O'Neck.
09:47So, in time, we'll need to do CT for trauma, obviously, and angiography on the arm.
09:52Let's do a FOP.
09:52Oh, you're doing a FOP scan.
09:54Siobhan, can we check these pills?
09:55Mm-hmm.
09:56OK.
09:57Absent lung slide, then, and lung point.
09:59She has a pneumothorax.
10:01OK, so, good spot.
10:02What are we going to do?
10:03Chest drain.
10:03Yes, let's set up for that, then, please.
10:08Sorry I snapped.
10:08Good work, Matty.
10:10Wasn't it good, Dr Keogh?
10:12Yeah, perfectly adequate.
10:18The backup is here, Neil, and believe me, everybody wants to help you.
10:24We can bring the stretcher in and go.
10:27No.
10:28This is reversible with the right treatment, you know.
10:32Neil, you need proper electrolyte monitoring and insulin infusion,
10:36neither of which we can do in this living room.
10:37I know.
10:39From what you've told me,
10:42your mum would not want you wasting your life wearing this dark green, would she?
10:51You really want to help me.
10:54Take out my rubbish.
10:57OK, look, Neil.
11:00High blood sugar's dangerous.
11:02Low blood sugar's dangerous.
11:04DKA? Fatal.
11:06Now, if we walk out of here, which we're probably going to have to because you do have capacity,
11:11then you are going to die.
11:14So the question is, Neil, do you want to live or do you want to die?
11:18It's really that simple.
11:21Come on, Neil.
11:23Should we go?
11:38I, um, had a word with orthopaedics and the boy in resus two should be fit to be moved in
11:43about ten minutes.
11:44Right, OK, thank you.
11:46Um, look, stop worrying about the CQC.
11:47They'll come tomorrow. Just go, get some sleep.
11:50Stevie, you're in danger of being nice.
11:52Yeah, I'm really not, though.
11:53This is Siobhan.
11:55Who is it?
11:59Do you get out of here?
12:05Shouldn't it be too much longer, apparently?
12:07I don't know why I'm even here. It's stopped bleeding.
12:15So, is the nursery painted? Is it all finished?
12:18Yeah, yeah, it's all done.
12:19We've just got the court to build, but the kids want to help with it, so.
12:22As brilliant as it is showing with your best mates, I honestly don't know how I'll be able to afford
12:25a place on my own.
12:26Might be all right, though, for a doctor.
12:28Not this doctor. I'm still renting.
12:33OK, you all right? You should head home as well.
12:36I haven't made an arrest.
12:38Somebody's recognised the e-fit and his DNA's on my uniform.
12:41You're not kidding me. This is good news, right?
12:44Well, I mean, sorry, it obviously didn't change anything that happened.
12:47No, no, it's great news.
12:48He's off the street. He's gonna face justice.
12:50OK. Hey, hey, hey, that's because of you.
12:53OK.
12:54Oh, no, don't talk about the CQC.
12:58You're kidding me. I just sent everybody home.
13:00It's OK, we can do it. OK, you've got this, OK?
13:04Kerry, welcome back.
13:05It's good to be back. I hope.
13:16It's OK.
13:16It's OK.
13:16Everyone ready?
13:17Yeah.
13:17OK, nice and easy, guys.
13:22Nice and easy, guys.
13:23Nice and easy, guys. Nice and easy.
13:26Still here, Neil.
13:37It's OK.
13:38It's OK.
13:38It's OK.
13:40It's OK.
13:40Everyone ready?
13:40Yeah.
13:41Let's go.
13:42OK, push.
13:44Neil.
13:46I knew it.
13:48Neil, mate.
13:49I don't think there's a blanket big enough.
13:52Keep going, keep going, keep going.
13:54When you get back, chumpster, let's go down to two large pieces.
13:57Shall we?
13:57And only one portion of wings.
13:59I'm so sorry.
14:01I'm really, really sorry.
14:03Hey.
14:04Hey.
14:05Back off.
14:05Jacob.
14:06Jacob.
14:06It's not worth it.
14:08Wait until everyone sees this.
14:15Can you feel this?
14:18Yeah.
14:21It's OK.
14:22It's OK.
14:22It's OK, love.
14:22It's OK.
14:23Focus on me.
14:24Plastics will be down soon.
14:26That man did a real number on you, I'm afraid.
14:28He had such hatred in his eyes.
14:31I mean, everyone hates traffic wardens, but he just lost it.
14:36Because you gave him a ticket?
14:38I know people think we're busybodies, but the rules keep us all safe.
14:43I couldn't agree with him more.
14:45Problem is, some people think the rules don't apply to them.
14:48Don't they?
14:50Siobhan?
14:52Yeah, that's good.
14:53They'll do the rest in the theatre.
14:56How was the scan?
14:58Like Dr. Keir thought, grade four splenic lack, and blood in the peritoneal cavity.
15:03Shall I chase upstairs, see how quickly they can take her?
15:06I'll go and speak for surgery.
15:10Can I call somebody for you?
15:12My parents are aware.
15:14I don't want to worry her.
15:15OK.
15:16Kim, could you give me a hand?
15:17We'll get you more comfy.
15:18OK.
15:19Can you lift her up, please?
15:23That's it.
15:24Are you OK?
15:26We don't all hate traffic wardens.
15:42Hiya, this is our pre-alert Neil.
15:44He's 43, is an insulin dependent diabetic and presented in DKA after multiple missed insulin doses.
15:50His first CBG was 29.4.
15:53His ketones were 6.2.
15:54We've given him fluids as per DKA guidance.
15:56Don't, don't, don't touch me.
15:58They're here to help you.
16:00OK.
16:00Neil, my name is Dr. Byron.
16:02We have everything we need ready.
16:03This is Jodie.
16:03She's just going to check your blood glucose and your ketone levels.
16:06OK?
16:06Nothing to worry about.
16:08Nicole, can you get another line in?
16:09Bloods and gas and, um, I'm a little bit concerned about clotting.
16:14So let's get some blood thinners on hand as well.
16:15Yeah.
16:17Hi, Neil.
16:18Have you got to set your hand?
16:20It's all right.
16:20It's OK.
16:21That's it.
16:25See you later, mate.
16:29It's all right.
16:32Thank you, guys.
16:34Just give me that on, and then I can have a look for a vein.
16:39I did not think we were going to get him up there at one point.
16:43I'm kind of glad you did the bad cop routine now.
16:45I'm just smashed that fool's phone.
16:47Me too.
16:48You did really good with him.
16:50What did I mean?
16:56I was thinking maybe we could team up for the rest of the shift.
17:01And with the CQC, we need to be on it.
17:04Right.
17:04Sound, yeah.
17:06Great idea.
17:11Tara Miller?
17:15Hiya.
17:15I'm Dr. Lin Laker.
17:17This is Dr. Chang.
17:18If you'd like to follow us, please.
17:23Why don't you go?
17:24You've done your ditty.
17:26She's not your mum?
17:27No.
17:28We just work for the same soul-sucking corporate hellhole.
17:33Are we just going to go over into cubicle three?
17:37Our boss made her come because she had finished her shift.
17:42Just hop onto the bed for me.
17:44Obviously, we've made changes in all the areas you identified.
17:47And you've also worked with the inpatient teams on Flo?
17:51We have.
17:52I think you're going to find that things are running pretty smoothly.
17:54Ow!
17:55Sorry.
17:56Sorry.
18:00Okay.
18:02Yeah.
18:03How did you do this?
18:04There was too many people in the kitchen at work.
18:07Mm-hmm.
18:07I got distracted.
18:09I was bashed by a cupboard door.
18:11Mm.
18:12Glew to her phone.
18:13Any loss of consciousness?
18:15Any vomiting?
18:16She's not been quite with it, and she's been sick twice.
18:19My whole head hurts.
18:20And my neck.
18:21I think we should CT, just to be on the safe side.
18:24Agreed.
18:25Might be a bit of a wait, I'm afraid.
18:30Young people don't do headphones, do they?
18:34Have you had any paracetamol in the last four hours?
18:38No.
18:38Okay.
18:39Er, excuse me.
18:40Er, can we get one gram of paracetamol, please?
18:43Thank you, Phoebe.
18:44And, er, I put a CT request in with the sister.
18:47I suppose I could stay a bit longer and finish telling you about when I went to Croatia.
19:07Try not to get it wet.
19:08You can use a plastic bag when you need to go on the shower, all right?
19:13And I need to look up some patient records.
19:15Make sure to see if you can help me with it today.
19:17Yeah, no, absolutely.
19:18Not at all.
19:19I'll have to look at his name, obviously.
19:22Okay, yeah, sure.
19:23Er, D.I. Hughes.
19:26What are you doing here?
19:28I just needed to check your records.
19:31The man we arrested.
19:33Chris Vanfield.
19:34He's saying he was a patient here.
19:49How come everyone else can do it?
19:52Do what? Lose weight?
19:53All of it.
19:55Eat a normal amount.
19:57Go to a job. Have friends.
19:59Can everyone else do it?
20:02I mean, yeah, I've got a job and I eat a normal amount.
20:06Whatever that is.
20:07But, sometimes, I drink too much.
20:11And I make an idiot out of myself that way.
20:15I lost my mum last year.
20:19I never went to a funeral.
20:24I thought people looking at me, pointing, laughing.
20:31I just couldn't do it.
20:36I didn't say goodbye.
20:38I let her down.
20:40No.
20:42You were grieving.
20:45You...
20:47You can't keep beating yourself up for that.
20:50Yeah.
20:51Your mum would understand.
20:57But she's not here anymore, Neil.
21:03And you are the only one that can get yourself healthy.
21:07You're the only one that can choose life.
21:27It was here.
21:28You did treat him.
21:31Okay, yeah.
21:33I remember him.
21:34And did he have any contact with Miss Mackenzie?
21:37No.
21:38Absolutely not.
21:39I thought I would have remembered him.
21:41Cam?
21:44Um...
21:44Imaging was down.
21:45And I needed someone senior's advice.
21:47I needed Siobhan's advice.
21:50Remember?
21:50He was going on about his mate.
21:52His mate left a nail in the woods.
21:57Would you have touched him?
22:00Yeah.
22:01Well, that doesn't excuse it, does it?
22:03If anything, that makes it make more sense.
22:05Because now it's not a random thing.
22:07He's, like, followed you home.
22:08Yeah.
22:08Do you know what I mean?
22:09He says Siobhan treating him is how his DNA got in her uniform.
22:16I need you to prepare yourself in case the CPS won't take it any further.
22:21What do you mean?
22:24Well, go on, spit it out.
22:27He reckons he's a young, attractive man.
22:29And that if he needed sex, he'd go on the apps.
22:32Why would he need to rape someone?
22:35Especially someone so much older.
22:44Look, you know, rape is not about sex, okay?
22:46It's about power and violence.
22:49Yeah.
22:50And believe me, it turns my stomach.
22:53I just wanted to be honest with you.
22:56Let me show you out.
22:59Anything I can do, Siobhan.
23:01Anything at all.
23:02Please.
23:03Just call me.
23:11We're thinking of walking the Camino de Santiago,
23:13but I'm not sure about the hostels, you see.
23:17Okay, Tara.
23:19Hiya.
23:20Your CT was normal.
23:22No fractures, no bleeding, just the cut of the head, okay?
23:26So...
23:26It's killing me.
23:27I'm not someone who moans a lot.
23:30Have you got pain anywhere else?
23:32Like I said, my neck.
23:35Can you put your chin to your chest?
23:44Yeah.
23:46A lot.
23:52Do you tend to bash into things?
23:55Not really, no.
23:58I think I was feeling a bit dizzy.
24:01So the injury isn't a problem?
24:02It's what caused you to sustain the injury, that is?
24:04Well, what has caused it?
24:06She's developing meningism.
24:09Just give us a minute, yeah?
24:13Okay, okay.
24:15Er...
24:16Maybe she had a small bleed.
24:17The CT didn't pick up.
24:18A SAR.
24:20We should do a lumbar puncture.
24:21We'll check for xanthochromia.
24:23It's not 12 hours since the fall.
24:25You can do it after six, right?
24:28We can't leave her.
24:29She'll make her sepsis or brain damage.
24:34Is Dr Byron around to supervise?
24:42We don't need Dr Byron.
24:45For a lumbar puncture.
24:47You know what he's like.
24:47He won't thank us for interrupting him.
24:50Okay, call Dr Keir then.
24:52No.
24:53I'm not calling him.
24:55Okay, if you want to call somebody, call Dr Nash.
24:58Yeah, I didn't think so.
25:00Look, we have trained for this.
25:03Plus, I've done one, supervised.
25:06Okay?
25:07You supervise me this time.
25:10Come on.
25:11We're a good team.
25:28I shouldn't be here.
25:29I promise you, he does not want any ag either.
25:32Alright?
25:33I can just apologise and everything's going to go away.
25:36This is gay defense.
25:37Come on, mate.
25:37You've got the first round.
25:39Why do I not?
25:43Alright.
25:44I'll see you and Bob.
25:46You alright, mate?
25:50Jacob, I owe you an apology.
25:53You and Blake.
25:56I was just trying to do my job, but I should have listened to you when you told me he
26:00had nothing to do with it.
26:01I tried to tell you that Blake had mental health issues.
26:03I know.
26:05I'm sorry.
26:07I am sorry.
26:11I am sorry.
26:15Okay.
26:18Apology accepted.
26:24That's great.
26:33We're going out in a bit if you fancy coming with us.
26:37Nah, sorry.
26:37I've got to catch up with Ian, so.
26:40I've got to finish this as well.
26:42See you in a bit.
26:44Yeah.
26:55No worries.
27:01When do you think you'll call the station?
27:06What?
27:08Mate, I'm not retracting the complaint.
27:12Look, her saying something makes things easier, but the problem's systemic.
27:16An apology's not going to change that.
27:30Okay, Tara, just checking that you're still okay for us to perform the procedure to check if there's any blood
27:34in your spinal fluid.
27:35Yep.
27:36Yep.
27:41Identify the L3 to L4 or L4 to L5 interspace by palpating the posterior superior iliac crests and move your
27:51fingers medially towards the spine.
27:52And that's it.
27:56Now, move up into the L3 to L4 space and mark the space with your finger.
28:01You could have let her stay.
28:03One of her stories might have been a distraction.
28:06You thought you might have wanted some privacy?
28:09Don't worry, she'll be back in a minute.
28:11She was telling me in great detail about all the trip she's been on.
28:18She's been all over the place.
28:25It doesn't feel right.
28:26It's not going in.
28:28You're in the right space.
28:30But it's just not going in.
28:35I'm going to go higher.
28:37I'm allowed to do that, right?
28:39Everything all right?
28:40Yeah, yeah, everything's fine.
28:41Not much higher.
28:43How much higher?
28:44Yeah.
28:46I can go one space above right at L2, L3.
28:54Kim?
28:56Kim?
28:59Yeah.
29:01Sure?
29:02What?
29:02Yes.
29:04Yeah.
29:08Here we go.
29:12Okay.
29:16Okay, yeah.
29:18That's much easier, eh?
29:21Okay.
29:21We'll get this sorted for you and then we'll get your friend back in a minute.
29:37Told you we could do it.
29:38Okay.
29:39I don't know.
30:14Please, please don't make me do the baby, Rita.
30:18Pretty, please?
30:19Hmm, actually, why don't you take Angry Drunk Man instead?
30:23Wow, that's like super mean.
30:26Aw.
30:28Don't worry, don't worry, we'll come back to you when we've got the results.
30:30No, there's something wrong.
30:32She's saying she can't feel her legs.
30:47All right, Ted?
30:49Hiya, you all right?
30:50You all right.
30:53Erm, Jacob.
30:56Yeah?
30:57Ashley is really, really sorry about what happened.
31:00And we thought you accepted it.
31:03So I'm not understanding why we can't move on.
31:09Right, I will get you a drink.
31:11No, I'm all right.
31:12No, I'll get you a drink.
31:13I'm sitting here listening to you two fighting.
31:16You're not fighting, man.
31:19Look, Teddy.
31:21I need to protect my son.
31:22But you don't have to make an example of my girlfriend doing that.
31:25Do you know that Blake hasn't left the house since your girlfriend arrested him?
31:29Look how far he's come.
31:31And now he's terrified that this may happen again.
31:33Maybe in front of Carter next time.
31:35Look how she treated that white woman.
31:38Yeah, you know the one with the mental health issues?
31:40The mom.
31:41She was compassionate.
31:42She was patient.
31:43But with Blake, she was different.
31:45And she was even more scared when I spoke up.
31:47I don't believe that.
31:48No, why are you still defending it?
31:50Do you know what?
31:53You know, I am so sick.
31:55And tired.
31:57Of trying not to look angry off set.
32:01Trying not to give them the room to call me the angry black man.
32:04I know, I get that.
32:05Do you?
32:07Yeah.
32:08Teddy, you were raised by a white family.
32:11So I don't know if you do really fully get it.
32:14What?
32:16Mate, you're mixed race.
32:17You're more palatable than me and Blake.
32:20Do you think people see me and think half white?
32:24Because Jacob, Jacob, I am telling you now.
32:28I'm telling you, they see a black person.
32:32Mate, you're like family to me and you know that.
32:36I'm just saying that sometimes in situations like this, you and Blake don't walk in the same shoes.
32:41It's not the same.
32:43If you don't challenge the system, then how do you expect it to change?
32:49I'm not retracting the complaint.
32:53And if you don't get it now, then I hope someday you will.
33:04I'll be back in a sec.
33:13Tell me exactly how it feels.
33:15It's strange.
33:18It's strange.
33:18Tingling.
33:20I can't move.
33:22Tara, try not to panic, okay?
33:25We'll run some more tests and I'm sure everything will be fine.
33:30Just try and relax.
33:32Let me tell you about all the other places I've been to last year.
33:36Part of this group, you see.
33:37Divorced women.
33:42I don't see how I could have done something wrong.
33:44I did exactly what you said.
33:46It says you can't go as far as L2 to L3.
33:50But you said that I could.
33:57Guys, you okay?
34:04We were worried about a leaking cerebral aneurysm
34:07and a small sub-rack no bleed not visible on the CT.
34:10Enough, please.
34:11Okay, so Tara, we aren't going to know anything for sure
34:15until we get the results back, okay?
34:16But the first step is to just stay calm.
34:18I'm going to take a look, if that's okay.
34:28Do you feel that?
34:32No.
34:35Okay.
34:37How about this?
34:43No.
34:47Okay.
34:50How about that?
34:53No.
34:54No, I can't feel any of it.
34:56I can't move them.
34:59I can't move my leg.
35:02I can't move them.
35:05What's going on?
35:06Um, can you call Dylan and Stevie back, please?
35:09Okay.
35:10I understand how frightening this must be for you.
35:15Am I ever going to be able to walk again?
35:17Well, I'm going to need to take a CT of your head and an MRI of your spine,
35:21but hopefully this is just temporary, okay?
35:24Well, it might not be.
35:26It might be permanent.
35:27It's because they put that needle in her, isn't it?
35:29Um, well, it might...
35:31It might be a result of the lumbar puncture that Dr Chang and Dr Lynn Laker performed, yes?
35:36I'm sorry.
35:37I'm so sorry.
35:39You two are in my office now.
35:41Go, please.
35:42Hurry up.
35:43Um, I'm going to...
35:44I'm going to send a nurse over.
35:45We're going to get you upstairs for that CT.
35:49And, um...
35:50Yeah, I'm going to send somebody straight over, okay?
35:58I'm so sorry.
36:00I know this is a very difficult moment.
36:04But would you mind if I asked you some questions?
36:14It's my fault.
36:16I misread the instructions.
36:18I told him to go too high.
36:20No, it was my fault.
36:22Kim didn't even want to do it.
36:25And I've done one before.
36:27With supervision.
36:29I thought I could do it.
36:30You've done one before with supervision.
36:31I thought I could do it.
36:34See one, do one.
36:35Right?
36:36See one, do one.
36:37That's the motto around here.
36:39And you were busy with the CQC.
36:41So why didn't you call Dr Keogh?
36:44Dr Nash wants me to stand on my own feet.
36:48Obviously, that doesn't mean not asking for help
36:50when you have a legitimate need.
36:52When a patient has a legitimate need.
36:55So is that it?
36:56A young woman might never walk again
36:58because you didn't want to call Stevie
36:59in case she was a little bit sarcastic.
37:01Is that it?
37:02Is that what you're telling me?
37:04Why didn't you come to me?
37:06I would have helped you.
37:07Well, why would we come to you
37:08after that stupid game you played that training?
37:12You let me think I was going to die.
37:17How could we trust you after that?
37:22You two had better hope and pray
37:23that our paralysis is temporary.
37:28I strongly advise you both
37:31not to pass any further comment.
37:34Just be quiet, okay?
37:45I'm sorry.
37:46I have to tell them the truth.
37:47I know.
37:48I know.
37:52She won't.
37:53Listen, if you, uh,
37:54if you need anyone to speak to...
37:55No, I'm fine, Cam.
37:58Siobhan.
38:03I really want to be there for you.
38:04Look, Cam, I know you do, love,
38:06and that means a lot,
38:07but we've got the CQC to focus on,
38:09so come on, upshot.
38:16Where are we going?
38:17We're going upstairs.
38:18Your bed's ready, remember?
38:20Kim?
38:20Kim.
38:21Kim, do you mind coming up with us?
38:22He was fine for.
38:24Neil?
38:26I don't feel...
38:27Neil?
38:27I don't feel right.
38:29All right, Neil.
38:29Dylan, Dylan, I need you.
38:31Uh, okay, okay, okay, okay.
38:33What have you got?
38:34This is Neil, 40s,
38:35insulin-dependent, diabetic.
38:37He's been under DPA protocol for about three hours,
38:39and his blood sugar's coming down quickly.
38:41I've got a seizure, isn't he?
38:42So he's probably hyper-dice in it.
38:43Okay, okay.
38:43All right, so when was his blood glucose last measure?
38:46Uh, it was 20 minutes ago, seven.
38:48Seven, all right.
38:49It's beginning to subside, I think.
38:51Yeah?
38:51All right, so let's get him to recess, I think.
38:54Stand by with dextrose and lorazepam as well, okay?
39:01Oh, wait, wait.
39:02Stop this for the board.
39:02Okay, stop.
39:03He's struggling to breathe as well.
39:05Oh, Kerry, could you help?
39:06Would you give us a draw to us here?
39:09I'm just here to observe.
39:11Well, okay, you can observe him suffocate,
39:12or we can lend a hand.
39:16Do we know where that's coming from?
39:30Okay, so that's all beginning to stabilize, aren't they?
39:33Fine, so, as I said, through to recess,
39:35and let's stand by with that dextrose, please.
39:37I'm sorry, I didn't mean to bark.
39:39It's okay.
39:44You sure she's gonna wanna see this?
39:46But we need to rebuild a trust in the medical profession.
39:50And that begins with all of us holding our hands up.
39:54Stevie, you ready?
39:55Yep.
39:56Right, Kim.
40:02Hiya, Tara.
40:03My name's Dr Nash.
40:04I'm one of the consultants here in the ED.
40:07We have your results back,
40:09and I'm really sorry to have to tell you
40:11that you have developed an epidural hematoma,
40:15which is a very rare but recognized complication
40:19from a lumbar puncture.
40:21So, basically, what's happened is that a clot is formed,
40:24and that's putting pressure on the spinal cord,
40:26which is why you can't feel your legs.
40:28Is it permanent?
40:30Look, we've ordered an urgent referral to neurosurgery,
40:32so they're gonna operate.
40:33They will remove the clot.
40:34They'll try and relieve the pressure.
40:37Yeah, full recovery is possible,
40:39but I wanna be very clear here
40:41that it's not a guarantee.
40:43So we could be looking at a permanent injury.
40:47It was just a little cut.
40:50I'm so sorry.
40:51I really can't...
40:52Get out!
40:55I'm sorry.
40:58Look, let me assure you
40:59that you're in the best possible hands upstairs.
41:01We'll get you ready.
41:03I'm gonna contact Euro, okay?
41:12I know I have no right to ask.
41:14You've been here for hours.
41:17But can you please stay a little longer?
41:20Tell me another one of your stories.
41:24I'm not going anywhere.
41:27And you can talk about whatever you want.
41:29We'll not talk.
41:31It's your call.
41:40Obviously, this is a massive thing
41:42to have happened.
41:44And on my watch.
41:48But it is just one thing.
41:50That's what you said last time.
41:56We fixed the problems that you identified.
41:58We are hitting our target.
42:00And this training exercise of yours,
42:03you still think that was responsible?
42:06Yes.
42:07Yeah, I mean, they have to learn
42:09to operate under pressure.
42:11Why don't you have more consultant cover at night?
42:17We can't afford it.
42:21You know, the money only goes so far.
42:23Both times I've been here.
42:25I've had to step in.
42:26And that's not because your teams aren't good.
42:29Dr Keogh,
42:30despite his manner,
42:32is clearly an excellent doctor.
42:35But if the consultants
42:37aren't on duty overnight,
42:38and the residents won't ask for help,
42:41your patients still aren't safe.
42:52I can't stop seeing Tara's face.
42:56When she realised it.
43:01Me too.
43:07How could you read that wrong?
43:11I mean, you're a proper brain box.
43:15I'm surprised you even use your phone anyway.
43:17No blame.
43:18Obviously.
43:21But you know,
43:23what happened?
43:27Anyone can make mistakes.
43:33Especially under this kind of pressure.
43:52I'll be just checking on the patient.
43:54Yeah, yeah.
43:55Of course.
43:56Heading in the right direction, I think.
43:58Not a problem.
44:00I'm going this way too.
44:03I'm sorry if I put you on the spot.
44:05Oh, no, you didn't.
44:08It's just...
44:10I haven't practised in a while.
44:12That's all.
44:132020.
44:16OK, but...
44:17Yeah.
44:18That was...
44:19That was tough on all of us, I think.
44:21And certainly if my experience was anything to go about,
44:23you should try therapy.
44:25Dr Keogh,
44:26I'm here to assess you.
44:28Not the other way around.
44:36Goodbye, Mum.
44:39I do miss you.
44:46I don't know any prayers or anything.
44:48Yeah, I don't either, actually.
44:51I mean, maybe I could make one up.
44:57I...
44:58Actually...
45:00Can I go outside?
45:04Can I go outside?
45:30Hey, guys.
45:33I'm afraid tonight's inspection didn't go as we would have hoped.
45:38The inspectors witnessed the result of an incorrectly performed lumbar puncture.
45:45Well, who was it?
45:48It doesn't...
45:49We're not going to start pointing fingers, Nicole.
45:52Well, it wasn't me.
45:54And Stevie and Dylan weren't here, so...
45:56OK, look, there were a number of reasons, OK?
45:59Resident distrust of senior staff.
46:04Lack of consultant cover at night.
46:07The training exercise that I thought was a good idea recently.
46:12All of it came in for criticism, OK?
46:15Fine.
46:16Just spit it out.
46:17What are they going to do?
46:21We are no longer open to major trauma at night.
46:30From when?
46:32From right now.
46:34This is going to affect our reputation, which in turn will affect our funding.
46:37And what about our jobs?
46:39Yeah.
46:40Our jobs are on the line, and most importantly, our patients will now have to go to St James,
46:44which we all know will take longer, so...
46:47To be indelicate about it, lives are going to be lost.
46:51So that's it?
46:53I mean, if we can meet strict staffing, safety, leadership and quality standards,
47:00we can invite the CQC back to reassess.
47:04Yeah.
47:06Tonight, that's it.
47:07Oh, my God.
47:53You know, when I first came here, I really thought I could fix this place.
48:03I've made it worse.
48:05You haven't.
48:08I have to resign.
48:10What?
48:11You can't.
48:13No.
48:14No, we need you.
48:17Leaving's a coward's way out anyway.
48:21We'll fix it.
48:24We have to.
48:27No.
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