- 2 days ago
Category
📺
TVTranscript
00:00I was raped.
00:01Siobhan.
00:02I was walking home on my own.
00:04Stop!
00:04Stay where you are please sir!
00:06What?
00:06You'll be entertained for the purpose of a search.
00:08Ash, it's me.
00:09It'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?
00:17What have I done?
00:18It's me!
00:19I'm your dad.
00:20I've got a dad.
00:21Thanks.
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'd have reason to suspect him.
00:41She's obviously not racist.
00:43Well I'm sorry but what 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're the one that called us?
00:55I don't know if I'm being like, well dramatic but 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?
01:10It's 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 alright.
01:20I've delivered here for like a year.
01:21Even on Christmas Day.
01:22Something's happened.
01:25Okay.
01:26Um.
01:27Control, this is 3006.
01:29We're going to force entry.
01:30Can you get the police running?
01:32Live status unknown.
01:33Receive that.
01:34Over.
01:50Be careful.
01:55Take care.
02:05Good to see you.
02:06Be careful.
02:07You're welcome.
02:09Go ahead.
02:10You're welcome.
02:11You're welcome.
02:16Go ahead.
02:16I'm all the others.
02:17We'll go.
02:18Hello?
02:19Hello?
02:19Hello?
02:20Hello?
02:20Hello?
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.
03:15Yeah, well, you know, I've been polite today, so I'm fresh out of nice.
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'm whole.
03:56Me, I don't know when the CQC will arrive, but don't tell me anything, mate.
04:08Dr. Kiel?
04:10Dr. Lynne Laker.
04:13You okay?
04:15Okay, well, I... I... I see that you want to change mentor.
04:18Uh, why would I want to do that?
04:21Well, 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 news, Finn?
04:40Uh, no. Nothing. I don't know anything.
04:43Well, I think we need to call them.
04:44You all right?
04:47Just taking a leaf out of your book.
04:50Did he tell you how the CQC went?
04:53Have they been in yet?
04:55No.
04:56I didn't ask.
04:57Yeah, I didn't ask.
04:59I still haven't told my mum about it.
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, well, I do no injections.
05:30Uh, do you live alone?
05:34Yeah.
05:38It's all right. I've got you.
05:41Okay, uh, we need to get you to hospital.
05:44What? I 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 it sounds alarm.
05:56People will see me.
05:57I'm sorry, but we need to see what we're doing.
06:03I'm fine.
06:03It's all right.
06:04It's okay.
06:20It's okay.
06:20I know.
06:21I know.
06:50It's okay.
06:58is this your mum
07:02the pizza guy told me that you lost her last year
07:05I'm really sorry
07:10and who's this handsome couple
07:14it's me and my girlfriend
07:18ex-girlfriend
07:25control to 3006
07:27you still need a second truck, over
07:303006 to control
07:31we're going to need P2 backup from another crew
07:37I haven't always been this bad you know
07:43my ex
07:44left me
07:45but when I started putting on weight
07:48she said I had bigger tits than her
07:50but so what
07:54mum was ill
07:56I nursed her for 10 years
07:58I couldn't just leave her on her own
08:07how long have you had these sores
08:10a few months
08:12is there anybody else who can help you
08:15family, friends
08:18no
08:21not that one's gone
08:24okay
08:25thanks for the assistance
08:32okay
08:32backup is on the way
08:35now my guess is that they're going to bring a winch
08:37and they're going to take the winch
08:38a winch?
08:39no
08:40no I can't
08:41I can't
08:42you can't make me
08:44just give me some insulin
08:47leave me alone
08:50this is Debbie
08:5133 years old
08:52she's dragged underneath the car
08:5410 litres at 18 and 5
08:55Matty listen up please
08:56she's got left arm degloving from her wrist to her elbow
08:59bruising around her umbilical region
09:01bed 3 please
09:02heart rate's 145
09:04BP's 77 over 40
09:06sat's 99% on 10 litres
09:08rest at 24
09:09GCS is 10
09:10she's had a gram of ivy and paracetamol
09:134mg of ondansetron
09:14a gram of TXA
09:16500mls of saline
09:177.5mg of morphine
09:19and 1.2g of coimoxiclub
09:22okay on lift please
09:23ready
09:24brace lift
09:26slide
09:27thank you
09:28so she's deteriorating isn't she
09:30so Matty
09:30do you want to take the primary survey
09:33she's hypertensive
09:33presumably hypervolemic
09:35so we need to find out where that bleed's coming from
09:36don't we
09:37yeah
09:37let's activate the major hemorrhage
09:39protocol then please
09:39Siobhan
09:40could you set up the rapid infuser
09:42as soon as you can
09:43Kim
09:43blood from the fridge please
09:45two units FFP
09:46two units O'Neck
09:46thank you
09:47so in time we'll need to do CT
09:49for the trauma obviously
09:50and angiography on the arm
09:51let's do a phos
09:52oh you're doing a phos
09:54Siobhan can we check these pills
09:56okay
09:57absent lung slide then
09:58and lung point
09:59she has a pneumothorax
10:01okay 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
10:11good Dr Keogh
10:12yeah perfectly adequate
10:18the back of us here Neil
10:20and believe me
10:20everybody wants to help you
10:24we can bring the stretcher in and go
10:27no
10:28this is reversible
10:30with the right treatment
10:30you know
10:31Neil
10:32you need proper electrolyte monitoring
10:34and the insulin infusion
10:35neither of which we can do
10:36in this living room
10:37I know
10:39from what you've told me
10:42your mum
10:43would not want you
10:44wasting your life
10:45wearing this dark green
10:46would she
10:51you really want to help me
10:54take out my rubbish
10:57okay look Neil
11:00higher blood sugar is dangerous
11:02low blood sugar is dangerous
11:03low blood sugar is dangerous
11:04DKA
11:05fatal
11:07now if we walk out of here
11:08which we're probably going to have to
11:09because you do have capacity
11:11then you are going to die
11:14so the question is Neil
11:16do you want to live
11:16or do you want to die
11:18it's really that simple
11:21come on Neil
11:23should we go
11:38I had a word with orthopedics
11:40and the boy in resus 2
11:42should be fit to be moved
11:43in about 10 minutes
11:44right okay
11:45thank you
11:45um look stop worrying about the CQC
11:47they'll come tomorrow
11:48just go
11:49get some sleep
11:50Stevie you're in danger of being nice
11:52yeah I'm really not Bill
11:53this is Siobhan
11:55who is it
11:59do you get out of here
12:00is it
12:05shouldn't be too much longer
12:06apparently
12:07I don't know why I'm even here
12:09it's stopped bleeding
12:13thank you
12:15so
12:15is the nursery painted
12:17is it all finished
12:17yeah yeah it's all done
12:19we've just got the court to build
12:20but the kids want to help with it
12:21so
12:22as brilliant as it is
12:23sharing with your best mates
12:23I honestly don't know how
12:25I'll be able to afford a place
12:25on my own
12:26might be alright though
12:27for a doctor
12:28not this doctor
12:29I'm still renting
12:33okay
12:33you alright
12:34you should head home as well
12:36I've made an arrest
12:37okay
12:38somebody's recognised
12:39the e-fit
12:40and his DNA's on my uniform
12:41you're kidding me
12:42this is good news right
12:43well I mean
12:44sorry
12:45it obviously didn't change
12:46anything that happened
12:47no no it's great news
12:47he's off the street
12:48he's gonna face justice
12:50okay
12:50hey hey
12:51that's because of you
12:53okay
12:54no don't
12:55I'm out to CQC
12:58you're kidding me
12:59I just sent everybody home
13:00it's okay
13:00we can do it
13:01you've got this
13:02okay
13:02just keep going
13:03Kerry
13:04welcome back
13:05it's good to be back
13:07I hope
13:15Peter's guy still here
13:16yeah
13:19okay nice and easy guys
13:22nice and easy guys
13:23nice and easy
13:26still here Neil
13:36hey it's okay
13:37it's okay
13:39everyone ready
13:40yeah
13:41let's go
13:42okay push
13:44Neil
13:46I knew it
13:48Neil mate
13:49I don't think there's a blanket big enough
13:51keep going
13:52keep going
13:54when you get back chumpster
13:55let'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
14:04back on
14:05Jacob
14:05Jacob
14:06it's not worth it
14:07wait until everyone sees this
14:14can you feel this?
14:18yeah
14:21it's okay
14:21it's okay love
14:22it's okay
14:23focus on me
14:23plastics will be down soon
14:25that man did a real
14:27number on you I'm afraid
14:28he had such hatred in his eyes
14:30I mean
14:32everyone hates traffic wardens
14:34but he just
14:34lost it
14:35because he gave them a ticket
14:38I know people think we're busybodies
14:40but the rules keep us all safe
14:42I couldn't agree with him more
14:44problem is
14:45some people think the rules don't apply to them
14:48don't they
14:50Chivaut
14:52yeah that's good
14:53they'll do the rest in the theatre
14:56how was the scan?
14:58like Dr. Keir thought
14:59grade 4 splenic lack
15:01and blood in the peritoneal cavity
15:03shall I chase upstairs
15:04see how quickly they can take her
15:06I'll go and speak to surgery
15:07you
15:08thank you
15:10can I call somebody for you?
15:12my parents are aware
15:13I don't want to worry her
15:15okay
15:15Kim
15:16could you give me a hand
15:17we'll get you more comfy
15:18okay
15:19can you lift her up please?
15:23thank you
15:23that's it
15:24are you okay?
15:25thank you
15:25thank you
15:26we don't all hate traffic wardens
15:42hiya
15:42this is our pre-alert Neil
15:44he's 43
15:45he's an insulin dependent diabetic
15:47and presented in DKA
15:48after multiple missed insulin doses
15:50his first CBG was 29.4
15:52his ketones were 6.2
15:54we've given him fluids as per DKA
15:56guidance
15:57don't
15:57don't
15:57don't touch me
15:58they're here to help you
16:00okay
16:00Neil my name is Dr. Byron
16:01we have everything we need ready
16:03this is Jodie
16:03she's just going to check your blood glucose
16:05and your ketone levels
16:06okay
16:06nothing to worry about
16:07Nicole
16:08can you get another line in
16:09bloods
16:10and gas
16:10and um
16:12I'm a little bit concerned about
16:13clotting
16:14so let's get some blood thinners on hand as well
16:15yep
16:15thank you
16:16hi Neil
16:17can you set your hand?
16:20it's alright
16:20it's okay
16:21that's it
16:22thank you
16:25see you later mate
16:28thank you
16:29it's alright
16:32thank you guys
16:34just give me that on
16:35and then I can have a look for a vein
16:39I did not think we were going to get him out of there at one point
16:43I'm kind of glad you did the bad cop routine now
16:45and smash that fool's phone
16:47me too
16:48you did really good with her
16:50what'd I mean?
16:56I was thinking
16:57maybe we could team up
16:59for the rest of the shift
17:01and with the CQC
17:02we need to be on it
17:03right
17:04sound yeah
17:06great idea
17:11Tara Miller
17:15hiya
17:15I'm Dr Lin Laker
17:16this is Dr Chang
17:17if you'd like to follow us please
17:23why don't you go
17:24you've done your duty
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
17:41just 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 flow?
17:50we have
17:52I think you're going to find that things are running pretty smoothly
17:54ow
17:55sorry
17:56sorry
18:00okay
18:02how did you do this?
18:04there was too many people in the kitchen at work
18:08got distracted
18:09was bashed by a cupboard door
18:11glued to her phone
18:13any loss of consciousness
18:15any vomiting
18:16she's not been quite with it
18:17and she's been sick twice
18:18my whole head hurts
18:20and my neck
18:21I think we should see tea
18:23just to be on the safe side
18:24agreed
18:25might be a bit of a wait
18:26I'm afraid
18:30young people don't do headphones
18:32do they?
18:34have you had any paracetamol in the last four hours?
18:37no
18:38okay
18:39excuse me
18:40can we get one gram of paracetamol please?
18:43thank you Phoebe
18:43and I'll put a CT request in with the sister
18:46I suppose I could stay a bit longer
18:48than you telling you about when I went to Croatia
19:06try not to get it wet
19:07but you can use a plastic bag
19:09when you need to go in the shower
19:10all right?
19:12and I need to look up some patient records
19:15I'm not sure if there's anything that you did today
19:17yeah
19:17I'll have to look at his name
19:21obviously
19:21yeah sure
19:23uh
19:24D.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?
19:53lose weight?
19:53all of it
19:55eat a normal amount
19:56go to a job
19:58have friends
20:00can everyone else do it?
20:02I mean
20:03yeah I've got a job
20:05and I eat a normal amount
20:06whatever that is
20:07but
20:08sometimes
20:10I 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
20:25people looking at me
20:28I went in 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
21:05that can get yourself healthy
21:07you're the only one that can choose life
21:27it was here
21:28you did treat him
21:30okay
21:31yeah
21:32I remember him
21:34and did he have any contact
21:36with Miss McKenzie?
21:37no
21:38absolutely not
21:39I would have remembered him
21:41Cam
21:44um
21:44imaging was down
21:45and I needed someone
21:46seeing his advice
21:47I needed Siobhan's advice
21:50remember he was
21:51going on about his mate
21:52his mate left a nail in the wood
21:57would you have touched him?
22:00yeah
22:01that doesn't excuse it
22:03does it
22:03if anything
22:03that makes it make more sense
22:05because now it's not a random thing
22:06he's like followed you home
22:07do you know what I mean?
22:08he says
22:09Siobhan treating him
22:11is how his DNA got in her uniform
22:15I need you to prepare yourself
22:18in case the CPS won't take it any further
22:20what do you mean?
22:24go on
22:24spit it out
22:27he reckons he reckons he's a young attractive man
22:29and that if he needed sex
22:31he'd go on the apps
22:31why would he need to rape someone?
22:35especially someone
22:36so much older
22:44look you know
22:44look you know rape
22:45it's not about sex
22:46okay
22:46it's about
22:48power and violence
22:49yeah
22:50and believe me
22:51it 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
23:18hiya
23:20your CT was normal
23:21no fractures
23:23no bleeding
23:24just the cut of the head
23:25okay
23:25so
23:26but it's killing me
23:27I'm not someone who moans a lot
23:30have you got pain anywhere else?
23:32like I said
23:33my neck
23:34can you
23:35can you put your chin to your chest?
23:42any more nausea?
23:45yeah
23:46a lot
23:52do you tend to bash into things?
23:55not really no
23:58I think I was feeling a bit dizzy
24:00so 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 meninges
24:07just give us a minute
24:10yeah
24:13okay
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 want to check for xanthochromia
24:23it's not 12 hours since the fall
24:25you can do it after six
24:26right?
24:28we can't leave her
24:28she'll make her sepsis
24:30or brain damage
24:34is Dr. Byron around
24:35to surprise?
24:42we don't need Dr. Byron
24:45for a lumbar portrait
24:46you know what he's like
24:47he won't thank us for interrupting him
24:50okay
24:51call Dr. Keir then
24:52no
24:53I'm not calling him
24:55okay
24:55if you want to call somebody
24:56call Dr. Nash
24:58yeah
24:59I didn't think so
25:00look
25:01we have trained
25:02for this
25:03plus I've done one
25:04supervised
25:06okay
25:07you supervise me this time
25:09come on
25:11we're a good team
25:28I shouldn't be here
25:29I promise you
25:30he does not want any ag either
25:32all right
25:33I can just apologise
25:34and everything's going to go away
25:36this is getting deep friends
25:37come on man
25:37you've got the first round
25:38no
25:39why do I not?
25:43all right
25:44I'll see you in the pub
25:46you're all right mate
25:50Jacob I owe you an apology
25:53you and Blake
25:56I was just trying to do my job
25:57but
25:58I should have listened to you
25:59when you told me
26:00he had nothing to do with it
26:01I tried to tell you
26:02that Blake had mental health issues
26:03I know
26:05I'm sorry
26:08I am sorry
26:16okay
26:18apology accepted
26:24that's great
26:26thank you
26:33we're going out in a bit
26:35if you fancy coming with us
26:36nah sorry
26:37I've got to catch up with Ian
26:39so
26:40I've got to finish this as well
26:41see you in a bit
26:43yeah
26:53thank you
26:55no worries
27:01when do you think you'll call the station
27:06what
27:08mate I'm not retracting a complaint
27:12look her saying something makes things easier
27:13but the problem's systemic
27:16an apology's not going to change that
27:30okay
27:30okay Tara
27:31just checking that you're still okay for us to perform the procedure
27:33to check if there's any blood in your spinal fluid
27:35yeah
27:36yeah
27:40identify the L3 to L4
27:43or L4 to L5 interspace
27:45by palpating the posterior superior
27:49iliac crests
27:50and move your fingers medially towards the spine
27:52and that's it
27:55now
27:56move up into the L3 to L4 space
27:59and mark the space with your finger
28:00you could have let her stay
28:02one 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
28:14about all the trips she's been on
28:18she's been all over the place
28:24it 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
28:36I'm allowed to do that right
28:38everything alright?
28:40yeah yeah
28:40everything's fine
28:41not much higher
28:43how much higher?
28:46I can go one space above right
28:47L2 L3
28:54Kim?
28:56Kim?
28:59yeah
29:01sure?
29:03yes
29:05yeah
29:08there we go
29:12okay
29:15okay
29:16yeah
29:18that's much easier here
29:21okay
29:21we'll get this sorted for you and then we'll uh
29:23we'll get your friend back in a minute
29:37told you we could do it
29:38told you we could do it
30:14please
30:14please don't make me do the baby reader
30:18pretty please
30:19hmm
30:20actually
30:20why don't you take angry drunk man instead
30:23wow
30:24that's like super mean
30:27aww
30:27er
30:27don't worry
30:28don't worry we'll come back to you when we've got the results
30:30no
30:30there's something wrong
30:32she's saying she can't feel her legs
30:47alright Ted
30:48how ya?
30:50you alright?
30:50you alright
30:53erm
30:54Jacob
30:55yeah
30:56Ashley is really really sorry about what happened
31:00and
31:01we thought we thought you accepted it
31:03so
31:03I'm
31:04not understanding why we can't move on
31:09right
31:10I will get you a drink
31:11no I'm alright
31:12no I'll get you a drink
31:13I'm sitting here listening to you two fighting
31:15you're a bit of 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
31:24do 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 mum
31:41she was compassionate
31:41she 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
31:48but why are you still defending it?
31:50do you know I
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
32:19palatable than me and Blake
32:20can you know
32:21do you think people see me and think half white?
32:24because Jacob
32:25Jacob
32:26I am telling you now
32:28I am telling you
32:29they 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
32:38you 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
32:56I hope someday you will
33:04I'll be back in a sec
33:13tell me exactly how it feels
33:16strange
33:18tingling
33:20I can't move
33:21Tara, try not to panic
33:24okay?
33:25we'll run some more tests
33:27and I'm sure everything will be fine
33:30just try and relax
33:32let me tell you about all the other places we've been to last year
33:35part 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
33:45it says you can't go as far as L2 to L3
33:50but you...
33:51you said that I could
33:56guys are you okay?
33:57okay?
34:04we were worried about a leaking cerebral aneurysm
34:07and a small subarachnoid bleed not visible on the CT
34:10just enough please
34:10okay
34:11um
34:12so Tara, we
34:13aren't going to know anything for sure until we get the results back
34:16okay?
34:16but the first step is to just stay calm
34:18I'm going to take a look if that's okay
34:21thank you
34:27do you feel that?
34:32no
34:35okay
34:36how about this?
34:43no
34:47okay
34:50how about that?
34:53no
34:54no
34:55no 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 my leg
35:03I can't move my leg
35:05what's going on?
35:07can you call Dylan and Stevie back please?
35:09thank you
35:09okay
35:10I understand how frightening this must be for you
35:15am I ever going to be able to walk again?
35:17we're going to need to take a CT of your head and an MRI of your spine
35:21but
35:22hopefully this is just temporary okay?
35:24it might not be
35:26it might be permanent
35:27it's because they put that needle in her isn't it?
35:29um
35:30well it might
35:30it 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 in my office now
35:41go please hurry up
35:42thank you
35:42um
35:43I'm gonna
35:44I'm gonna send a nurse over
35:46we're gonna get you upstairs for that CT
35:48and um
35:50yeah I'm gonna
35:51I'm gonna send somebody straight over
35:53okay?
35:58I'm so sorry
36:00I know this is a very difficult moment
36:04but
36:05would 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
36:28I 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 that's the motto around here
36:38and and and 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
36:47obviously that doesn't mean not asking for help
36:50when you have a legitimate need
36:51when a patient has a legitimate need
36:54so 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
37:09you played that training
37:12you let me think I was gonna die
37:14I...
37:17how could we trust you after that?
37:22you two had better hope and pray
37:23that no paralysis is temporary
37:28I strongly advise you both
37:31not to pass any further comment
37:34just...
37:35be quiet
37:36okay?
37:45I'm sorry
37:46I had to tell them the truth
37:47I know
37:49I know
37:52Siobhan
37:52listen if you er
37:54if you need anyone to speak to
37:55no I'm fine Kevin
37:58Siobhan
38:03I really want to be there for you
38:04look Cam
38:05I know you do love
38:06and that means a lot
38:07but we've got the CQC to focus on
38:09so come on
38:10look sharp
38:15where are we going?
38:17we're going upstairs
38:18your bed's ready remember
38:19Kim? Kim?
38:21do you mind coming up with us?
38:22he was fine for us
38:24Neil?
38:25I don't feel...
38:27Neil?
38:27I don't feel right
38:28all right Neil
38:29Dylan Dylan
38:30I need you
38:31er...
38:32ok ok ok ok
38:33what have you got?
38:34this is Neil
38:3440's
38:35inching independent diabetic
38:36he's been under ZPA protocol
38:38for about 3 hours
38:39and his blood sugar's coming down quickly
38:41he's having a seizure isn't he
38:42so he's probably hyper-icemia
38:43ok ok
38:43so when was his blood glucose last night?
38:46er...
38:47it was 20 minutes ago
38:477
38:48alright
38:49it's beginning to subside I think
38:51yeah
38:51alright so er
38:52let's get him to recess I think
38:54standby with er
38:55dextrose and lorazepam as well
38:57ok
39:01ok
39:01oh wait wait
39:01stop this through the door
39:02ok stop
39:03he's struggling to breathe as well
39:05erm...
39:06oh Kerry could you help?
39:07would you... would you give us a drawer thrust here?
39:09I'm just here to observe
39:11well ok you can observe him suffocate or lend a hand
39:16do we know where that's coming from?
39:18thank you
39:30thank you
39:31ok so that's all beginning to stabilize aren't they?
39:33fine so as I said through to recess and let's stand by without dextrose please
39:37I'm sorry I didn't mean to bark
39:39it's okay
39:44you sure she's gonna wanna see us?
39:46we 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
39:57thank you
40:02hiya Tara
40:03my name is Dr Nash
40:04I'm one of the consultants here in the ED
40:07we have your results back
40:08and I'm really sorry to have to tell you that you have developed an epidural hematoma
40:14which is a very rare but recognized complication from 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
40:27which 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
40:39very 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 cat
40:50I'm so sorry
40:51I really
40:52GET OUT
40:55I'm sorry
40:58look let me assure you that 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
41:29or not talk
41:31it's your call
41:39obviously this is a massive thing to have happened
41:44and on my watch
41:48but it is just one thing
41:50that's what you said last time
41:55we fixed the problems that you identified
41:58we are hitting our target
42:00and this
42:01training exercise of yours
42:03you still think that was responsible?
42:06yes
42:07yep
42:08they have to learn to 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
42:31despite his manner
42:32is clearly an excellent doctor
42:35but if the consultants aren't on duty overnight
42:38and the residents won't ask for help
42:41your patients still aren't safe
42:51I can't stop seeing Tara's face
42:56when she realised
43:00me too
43:07how could you read that wrong?
43:10how?
43:12I mean you're a proper brain box
43:14I'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 of course
43:56heading in the right direction I think
43:57thank you
43:58not a problem
44:00I'm going this way too
44:03I'm sorry if I put you on the spot
44:06no you didn't
44:08it's just
44:10I haven't practised in a while
44:11that's all
44:132020
44:16okay but
44:17yeah
44:17that was
44:19that was tough on all of us I think
44:20and 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 round
44:36goodbye Mum
44:39I do miss you
44:45I don't know any prayers or anything
44:48yeah I don't either actually
44:50I mean maybe I could make one up
44:58I'm here
45:01can I go outside
45:02can 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
45:55okay look there were a number of reasons
45:58okay
45:58resident distrust of senior staff
46:04lack of consultant cover at night
46:06the training exercise that I thought was a good idea recently
46:12all of it came in for criticism okay
46:15then just 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
46:35which in turn will affect our funding
46:37and what about our jobs?
46:39yeah
46:40our jobs are on the line
46:41and 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
46:49lives are going to be lost
46:51so that's it?
46:53I mean if we can meet strict
46:56staffing, safety, leadership and quality standards
46:59we can invite the CQC back to reassess
47:04yeah
47:05yeah
47:06tonight that's it
47:09yeah
47:10yeah
47:13yeah
47:16yeah
47:26yeah
47:27yeah
47:27yeah
47:28yeah
47:28yeah
47:29yeah
47:53you know when I first came here I really thought
47:56I could fix this place
48:02I've made it worse
48:05you haven't
48:08I have to resign
48:10what?
48:11you can't
48:12no
48:13no we need you
48:17leaving's a coward's way out anyway
48:21we'll fix it
48:24we have to
48:25we have to go to god
48:25I'll do
48:26I'll do it
48:26yeah
48:26I'll do it
48:26we have to do it
48:27yeah
48:27I'll do it
48:27yeah
48:29I'll do it
48:30yeah
48:37we'll do it
48:55I've been able to
Comments